fix(health): 修复审计发现的 10 个 CRITICAL 问题
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权限与安全:
- 为全部 51 个 handler 端点添加 require_permission 权限检查
- 修复 CAS 预约操作中 doctor_id 为 None 时使用 Uuid::nil() 的问题

状态机修复:
- 预约初始状态从 "scheduled" 改为 "pending"(匹配设计规格)
- 排班状态从 "active" 改为 "enabled"
- 咨询会话添加 waiting→active 自动触发(首条消息时)
- 新增 create_session 端点和 DTO

数据完整性:
- doctor_profile 表添加 name 列(entity + migration + service)
- lab_report/health_trend 的 json 列改为 json_binary(支持 GIN 索引)
- 添加关键索引:patient.id_number UNIQUE、patient_tag UNIQUE、
  doctor_schedule 唯一排班槽位、health_trend、doctor_profile.name
- 随访记录完成后自动检查 next_follow_up_date 创建后续任务

事件总线:
- 实现 10 种核心事件发布(patient/appointment/follow_up/consultation/lab_report)
- 实现 workflow.task.completed 和 message.sent 事件订阅框架

种子数据:
- 实现 seed_tenant_health(8 个默认患者标签)
- 实现 soft_delete_tenant_data(16 张表级联软删除)
This commit is contained in:
iven
2026-04-23 23:25:53 +08:00
parent d6678d001e
commit 2e9eb55f2c
18 changed files with 423 additions and 31 deletions

View File

@@ -5,6 +5,7 @@ use utoipa::IntoParams;
use uuid::Uuid;
use erp_core::error::AppError;
use erp_core::rbac::require_permission;
use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
use crate::dto::health_data_dto::*;
@@ -53,6 +54,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.list")?;
let page = params.page.unwrap_or(1);
let page_size = params.page_size.unwrap_or(20);
let result = health_data_service::list_vital_signs(
@@ -72,6 +74,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::create_vital_signs(
&state, ctx.tenant_id, patient_id, Some(ctx.user_id), req,
)
@@ -89,6 +92,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::update_vital_signs(
&state, ctx.tenant_id, patient_id, vid, Some(ctx.user_id), req.data, req.version,
)
@@ -105,6 +109,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
health_data_service::delete_vital_signs(&state, ctx.tenant_id, vid, Some(ctx.user_id)).await?;
Ok(Json(ApiResponse::ok(())))
}
@@ -123,6 +128,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.list")?;
let page = params.page.unwrap_or(1);
let page_size = params.page_size.unwrap_or(20);
let result = health_data_service::list_lab_reports(
@@ -142,6 +148,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::create_lab_report(
&state, ctx.tenant_id, patient_id, Some(ctx.user_id), req,
)
@@ -159,6 +166,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::update_lab_report(
&state, ctx.tenant_id, rid, Some(ctx.user_id), req.data, req.version,
)
@@ -175,6 +183,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
health_data_service::delete_lab_report(&state, ctx.tenant_id, rid, Some(ctx.user_id)).await?;
Ok(Json(ApiResponse::ok(())))
}
@@ -193,6 +202,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.list")?;
let page = params.page.unwrap_or(1);
let page_size = params.page_size.unwrap_or(20);
let result = health_data_service::list_health_records(
@@ -212,6 +222,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::create_health_record(
&state, ctx.tenant_id, patient_id, Some(ctx.user_id), req,
)
@@ -229,6 +240,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::update_health_record(
&state, ctx.tenant_id, rid, Some(ctx.user_id), req.data, req.version,
)
@@ -245,6 +257,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
health_data_service::delete_health_record(&state, ctx.tenant_id, rid, Some(ctx.user_id)).await?;
Ok(Json(ApiResponse::ok(())))
}
@@ -263,6 +276,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.list")?;
let page = params.page.unwrap_or(1);
let page_size = params.page_size.unwrap_or(20);
let result = health_data_service::list_trends(
@@ -282,6 +296,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.manage")?;
let result = health_data_service::generate_trend(
&state, ctx.tenant_id, patient_id, Some(ctx.user_id), req.period_start, req.period_end,
)
@@ -299,6 +314,7 @@ where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.health-data.list")?;
let result = health_data_service::get_indicator_timeseries(
&state, ctx.tenant_id, patient_id, indicator, params.start_date, params.end_date,
)