feat(health+message): 关怀已送达通知管道 — care.action.performed 事件 + 温暖消息推送

- 新增 CARE_ACTION_PERFORMED 事件常量（care.action.performed）
- care_plan_service 在护理项完成、测量数据更新、干预项创建时发布关怀行动事件
- erp-message 新增 care_plan.activated/completed + care.action.performed 消息处理
- 温暖消息文案：护理计划启动/完成通知、关怀已送达、健康数据已更新
- 事件测试覆盖新常量、payload 契约、通知分支逻辑

crates/erp-message/src/module.rs

@@ -962,6 +962,116 @@ async fn handle_workflow_event(
                 "医生在线状态变更"
             );
         }
+        // 关怀计划激活 — 温暖通知患者
+        "care_plan.activated" => {
+            let patient_id = event
+                .payload
+                .get("patient_id")
+                .and_then(|v| v.as_str())
+                .and_then(|s| uuid::Uuid::parse_str(s).ok());
+
+            if let Some(pid) = patient_id {
+                if should_skip_for_dnd(event.tenant_id, pid, "normal", db).await {
+                    return Ok(());
+                }
+                let _ = crate::service::message_service::MessageService::send_system(
+                    event.tenant_id,
+                    pid,
+                    "护理计划已启动".to_string(),
+                    "您的护理计划已启动，我们将持续关注您的健康状况。如有任何疑问，请随时咨询您的护理团队。".to_string(),
+                    "normal",
+                    Some("care_plan".to_string()),
+                    event.payload.get("plan_id").and_then(|v| v.as_str()).and_then(|s| uuid::Uuid::parse_str(s).ok()),
+                    db,
+                    event_bus,
+                )
+                .await
+                .map_err(|e| e.to_string())?;
+            }
+        }
+        // 关怀计划完成 — 温暖通知患者
+        "care_plan.completed" => {
+            let patient_id = event
+                .payload
+                .get("patient_id")
+                .and_then(|v| v.as_str())
+                .and_then(|s| uuid::Uuid::parse_str(s).ok());
+
+            if let Some(pid) = patient_id {
+                if should_skip_for_dnd(event.tenant_id, pid, "normal", db).await {
+                    return Ok(());
+                }
+                let _ = crate::service::message_service::MessageService::send_system(
+                    event.tenant_id,
+                    pid,
+                    "护理计划已完成".to_string(),
+                    "您的护理计划已完成，感谢您这段时间的配合！我们将继续关注您的健康。".to_string(),
+                    "normal",
+                    Some("care_plan".to_string()),
+                    event.payload.get("plan_id").and_then(|v| v.as_str()).and_then(|s| uuid::Uuid::parse_str(s).ok()),
+                    db,
+                    event_bus,
+                )
+                .await
+                .map_err(|e| e.to_string())?;
+            }
+        }
+        // 关怀行动执行 — 温暖通知患者（护理项完成、测量数据记录等）
+        "care.action.performed" => {
+            let patient_id = event
+                .payload
+                .get("patient_id")
+                .and_then(|v| v.as_str())
+                .and_then(|s| uuid::Uuid::parse_str(s).ok());
+            let action = event
+                .payload
+                .get("action")
+                .and_then(|v| v.as_str())
+                .unwrap_or("");
+
+            if let Some(pid) = patient_id {
+                if should_skip_for_dnd(event.tenant_id, pid, "low", db).await {
+                    return Ok(());
+                }
+
+                let (title, body) = match action {
+                    "item_completed" => {
+                        let item_title = event.payload.get("item_title").and_then(|v| v.as_str()).unwrap_or("护理项目");
+                        (
+                            "关怀已送达".to_string(),
+                            format!("您的护理团队已完成「{}」，感谢您的配合。", item_title),
+                        )
+                    }
+                    "outcome_measured" => {
+                        let metric = event.payload.get("metric").and_then(|v| v.as_str()).unwrap_or("健康指标");
+                        (
+                            "健康数据已更新".to_string(),
+                            format!("您的{}数据已记录，护理团队正在持续关注。", metric),
+                        )
+                    }
+                    _ => {
+                        (
+                            "关怀已送达".to_string(),
+                            "您的护理团队正在关注您的健康状况。".to_string(),
+                        )
+                    }
+                };
+
+                let _ = crate::service::message_service::MessageService::send_system(
+                    event.tenant_id,
+                    pid,
+                    title,
+                    body,
+                    "low",
+                    Some("care_action".to_string()),
+                    event.payload.get("plan_id").and_then(|v| v.as_str()).and_then(|s| uuid::Uuid::parse_str(s).ok()),
+                    db,
+                    event_bus,
+                )
+                .await
+                .map_err(|e| e.to_string())?;
+            }
+        }
         _ => {}
     }
     Ok(())