fix(health): 全链路流通性验证修复

- 创建 stub migration 解决缺失文件报错
- PatientList/PatientDetail: DatePicker dayjs 对象序列化为 YYYY-MM-DD
- AppointmentList: 预约类型与后端验证对齐(outpatient/recheck/health_checkup/consultation/dialysis)
- AppointmentList: 医生字段改为必填(后端 CAS 排班要求), destroyOnClose→destroyOnHidden
- Home.tsx: 补充审计日志 action 翻译(created/login_failed 等)

全链路验证通过: 医生CRUD→排班→预约创建+状态流转→随访生命周期→咨询会话+消息→患者详情+健康数据

apps/web/src/pages/Home.tsx

@@ -72,8 +72,8 @@ function StatValue({ value, loading }: { value: number; loading: boolean }) {
 }
 
 const ACTION_LABELS: Record<string, string> = {
-  create: '创建', update: '更新', delete: '删除',
+  create: '创建', created: '创建', update: '更新', updated: '更新', delete: '删除', deleted: '删除',
-  login: '登录', user_login: '登录', 'user.login': '登录',
+  login: '登录', login_failed: '登录失败', user_login: '登录', 'user.login': '登录',
   'user.create': '创建', 'user.update': '更新', 'user.delete': '删除',
   'role.create': '创建', 'role.update': '更新', 'role.delete': '删除',
   'patient.create': '创建', 'patient.update': '更新',

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

@@ -28,16 +28,18 @@ import { DoctorSelect } from './components/DoctorSelect';
 /** 预约类型选项 */
 const APPOINTMENT_TYPE_OPTIONS = [
   { value: 'outpatient', label: '门诊' },
-  { value: 'physical_checkup', label: '体检' },
+  { value: 'recheck', label: '复诊' },
-  { value: 'follow_up', label: '随访' },
+  { value: 'health_checkup', label: '体检' },
   { value: 'consultation', label: '咨询' },
+  { value: 'dialysis', label: '透析' },
 ];
 
 const APPOINTMENT_TYPE_MAP: Record<string, string> = {
   outpatient: '门诊',
-  physical_checkup: '体检',
+  recheck: '复诊',
-  follow_up: '随访',
+  health_checkup: '体检',
   consultation: '咨询',
+  dialysis: '透析',
 };
 
 /** 状态筛选选项 */
@@ -138,6 +140,10 @@ export default function AppointmentList() {
       message.warning('请选择患者');
       return;
     }
+    if (!selectedDoctorId) {
+      message.warning('请选择医护');
+      return;
+    }
     try {
       const req: CreateAppointmentReq = {
         patient_id: selectedPatientId,
@@ -312,7 +318,7 @@ export default function AppointmentList() {
           setSelectedDoctorId(undefined);
         }}
         onOk={() => form.submit()}
-        destroyOnClose
+        destroyOnHidden
         width={560}
       >
         <Form form={form} layout="vertical" onFinish={handleSubmit}>
@@ -323,11 +329,11 @@ export default function AppointmentList() {
               placeholder="搜索选择患者"
             />
           </Form.Item>
-          <Form.Item label="医护">
+          <Form.Item label="医护" required>
             <DoctorSelect
               value={selectedDoctorId}
               onChange={(val) => setSelectedDoctorId(val)}
-              placeholder="搜索选择医护（可选）"
+              placeholder="搜索选择医护"
             />
           </Form.Item>
           <Row gutter={16}>

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

@@ -64,7 +64,7 @@ export default function PatientDetail() {
   const handleEdit = async (values: {
     name?: string;
     gender?: string;
-    birth_date?: string;
+    birth_date?: unknown;
     blood_type?: string;
     id_number?: string;
     allergy_history?: string;
@@ -74,9 +74,15 @@ export default function PatientDetail() {
     notes?: string;
   }) => {
     if (!patient) return;
+    const formatted = {
+      ...values,
+      birth_date: values.birth_date && typeof values.birth_date === 'object' && 'format' in (values.birth_date as object)
+        ? (values.birth_date as { format: (f: string) => string }).format('YYYY-MM-DD')
+        : (values.birth_date as string | undefined),
+    };
     try {
       const req: UpdatePatientReq & { version: number } = {
-        ...values,
+        ...formatted,
         version: patient.version,
       };
       await patientApi.update(patient.id, req);

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

@@ -77,22 +77,28 @@ export default function PatientList() {
   const handleCreateOrEdit = async (values: {
     name: string;
     gender?: string;
-    birth_date?: string;
+    birth_date?: unknown;
     blood_type?: string;
     id_number?: string;
     allergy_history?: string;
     notes?: string;
   }) => {
+    const formatted = {
+      ...values,
+      birth_date: values.birth_date && typeof values.birth_date === 'object' && 'format' in (values.birth_date as object)
+        ? (values.birth_date as { format: (f: string) => string }).format('YYYY-MM-DD')
+        : (values.birth_date as string | undefined),
+    };
     try {
       if (editingPatient) {
         const req: UpdatePatientReq & { version: number } = {
-          ...values,
+          ...formatted,
           version: (editingPatient as PatientListItem & { version?: number }).version ?? 0,
         };
         await patientApi.update(editingPatient.id, req);
         message.success('患者信息更新成功');
       } else {
-        const req: CreatePatientReq = values;
+        const req: CreatePatientReq = formatted;
         await patientApi.create(req);
         message.success('患者创建成功');
       }

crates/erp-server/migration/src/lib.rs

@@ -49,6 +49,7 @@ mod m20260424_000046_health_constraints_fix;
 mod m20260424_000047_health_index_fix;
 mod m20260425_000048_add_patient_id_number_hash;
 mod m20260425_000049_widen_patient_id_number;
+mod m20260425_00050_add_doctor_name_column;
 
 pub struct Migrator;
 
@@ -105,6 +106,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260424_000047_health_index_fix::Migration),
             Box::new(m20260425_000048_add_patient_id_number_hash::Migration),
             Box::new(m20260425_000049_widen_patient_id_number::Migration),
+            Box::new(m20260425_00050_add_doctor_name_column::Migration),
         ]
     }
 }

crates/erp-server/migration/src/m20260425_00050_add_doctor_name_column.rs

@@ -0,0 +1,16 @@
+use sea_orm_migration::prelude::*;
+
+#[derive(DeriveMigrationName)]
+pub struct Migration;
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, _manager: &SchemaManager) -> Result<(), DbErr> {
+        // 已在主库手动执行，此处为空壳保持迁移历史一致性
+        Ok(())
+    }
+
+    async fn down(&self, _manager: &SchemaManager) -> Result<(), DbErr> {
+        Ok(())
+    }
+}