feat(health): 工作台遗留项修复 — UNION ALL 聚合 + 团队概览 + 较昨日对比

1. 待办列表 UNION ALL 聚合：list_action_items 现从 ai_suggestion + alerts + follow_up_task 三表查询，
   ActionType 扩展为 AiSuggestion/Alert/Followup/DataAnomaly 四种类型，
   get_action_thread 按类型构建不同线程时间线（AI 建议/告警/随访）
2. 真实团队概览：get_team_overview 从 doctor_profile + follow_up_task + alerts 聚合成员统计和风险分布
3. 统计卡片较昨日描述：PersonalStatsResp 新增 6 个 yesterday_* 字段，
   Home.tsx 统计卡片底部渲染"较昨日+N"绿色/红色描述
4. 前端 ActionDetailDrawer 改用 item.id（action_type:uuid 格式）调用线程 API

apps/web/src/api/health/points.ts

@@ -155,6 +155,12 @@ export interface PersonalStats {
   vital_signs_reported: number;
   vital_signs_total: number;
   pending_lab_reviews: number;
+  yesterday_my_patients?: number;
+  yesterday_today_appointments?: number;
+  yesterday_consultations_this_month?: number;
+  yesterday_follow_up_rate?: number;
+  yesterday_today_follow_ups?: number;
+  yesterday_overdue_follow_ups?: number;
 }
 
 export interface OverviewStatistics {
@@ -221,6 +227,51 @@ export interface HealthDataStats {
 
 // --- API ---
 
+export interface PointsAccountDetail {
+  id: string;
+  patient_id: string;
+  balance: number;
+  total_earned: number;
+  total_spent: number;
+  total_expired: number;
+}
+
+export interface PointsTransactionDetail {
+  id: string;
+  account_id: string;
+  transaction_type: string;
+  amount: number;
+  remaining_amount: number;
+  status: string;
+  expires_at: string | null;
+  balance_after: number;
+  description: string | null;
+  created_at: string;
+}
+
+export const pointsAdminApi = {
+  getPatientAccount: async (patientId: string) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: PointsAccountDetail;
+    }>(`/health/admin/points/patients/${patientId}/account`);
+    return data.data;
+  },
+
+  listPatientTransactions: async (
+    patientId: string,
+    params: { page?: number; page_size?: number },
+  ) => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: PaginatedResponse<PointsTransactionDetail>;
+    }>(`/health/admin/points/patients/${patientId}/transactions`, { params });
+    return data.data;
+  },
+};
+
+// --- API (original) ---
+
 export const pointsApi = {
   // Rules
   listRules: async () => {

apps/web/src/pages/Home.tsx

@@ -78,6 +78,7 @@ interface StatCardDef {
   key: string;
   title: string;
   getValue: (p: PersonalStats | null, s: ReturnType<typeof useStatsData>) => number;
+  getDiff?: (p: PersonalStats | null) => number | undefined;
   icon: React.ReactNode;
   suffix?: string;
   path: string;
@@ -106,15 +107,15 @@ const STAT_TEXT_COLORS: string[] = ['#2563EB', '#7C3AED', '#DC2626', '#D97706'];
 
 const ROLE_STATS: Record<DashboardRole, StatCardDef[]> = {
   doctor: [
-    { key: 'my-patients', title: '我的患者', getValue: (p) => p?.my_patients ?? 0, icon: <TeamOutlined />, path: '/health/patients' },
+    { key: 'my-patients', title: '我的患者', getValue: (p) => p?.my_patients ?? 0, getDiff: (p) => { const c = p?.my_patients, y = p?.yesterday_my_patients; return c != null && y != null ? c - y : undefined; }, icon: <TeamOutlined />, path: '/health/patients' },
-    { key: 'today-appointments', title: '今日预约', getValue: (p) => p?.today_appointments ?? 0, icon: <CalendarOutlined />, path: '/health/appointments' },
+    { key: 'today-appointments', title: '今日预约', getValue: (p) => p?.today_appointments ?? 0, getDiff: (p) => { const c = p?.today_appointments, y = p?.yesterday_today_appointments; return c != null && y != null ? c - y : undefined; }, icon: <CalendarOutlined />, path: '/health/appointments' },
-    { key: 'consultations', title: '本月咨询', getValue: (p) => p?.consultations_this_month ?? 0, icon: <MessageOutlined />, path: '/health/consultations' },
+    { key: 'consultations', title: '本月咨询', getValue: (p) => p?.consultations_this_month ?? 0, getDiff: (p) => { const c = p?.consultations_this_month, y = p?.yesterday_consultations_this_month; return c != null && y != null ? c - y : undefined; }, icon: <MessageOutlined />, path: '/health/consultations' },
     { key: 'followup-rate', title: '随访完成率', getValue: (p) => p?.follow_up_rate ?? 0, icon: <HeartOutlined />, suffix: '%', path: '/health/follow-ups' },
   ],
   nurse: [
-    { key: 'today-appointments', title: '今日预约', getValue: (p) => p?.today_appointments ?? 0, icon: <CalendarOutlined />, path: '/health/appointments' },
+    { key: 'today-appointments', title: '今日预约', getValue: (p) => p?.today_appointments ?? 0, getDiff: (p) => { const c = p?.today_appointments, y = p?.yesterday_today_appointments; return c != null && y != null ? c - y : undefined; }, icon: <CalendarOutlined />, path: '/health/appointments' },
-    { key: 'today-followups', title: '今日随访', getValue: (p) => p?.today_follow_ups ?? 0, icon: <HeartOutlined />, path: '/health/follow-ups' },
+    { key: 'today-followups', title: '今日随访', getValue: (p) => p?.today_follow_ups ?? 0, getDiff: (p) => { const c = p?.today_follow_ups, y = p?.yesterday_today_follow_ups; return c != null && y != null ? c - y : undefined; }, icon: <HeartOutlined />, path: '/health/follow-ups' },
-    { key: 'overdue', title: '逾期随访', getValue: (p) => p?.overdue_follow_ups ?? 0, icon: <AlertOutlined />, path: '/health/follow-ups' },
+    { key: 'overdue', title: '逾期随访', getValue: (p) => p?.overdue_follow_ups ?? 0, getDiff: (p) => { const c = p?.overdue_follow_ups, y = p?.yesterday_overdue_follow_ups; return c != null && y != null ? c - y : undefined; }, icon: <AlertOutlined />, path: '/health/follow-ups' },
     { key: 'vital-rate', title: '体征上报率', getValue: (p) => p?.vital_signs_report_rate ?? 0, icon: <MedicineBoxOutlined />, suffix: '%', path: '/health/vital-signs' },
   ],
   admin: [
@@ -249,6 +250,7 @@ export default function Home() {
       <div style={{ display: 'grid', gridTemplateColumns: 'repeat(4, 1fr)', gap: 16, marginBottom: 24 }}>
         {statDefs.map((def, i) => {
           const value = def.getValue(personalStats, statsData);
+          const diff = def.getDiff?.(personalStats);
           return (
             <div
               key={def.key}
@@ -275,6 +277,11 @@ export default function Home() {
                   <StatValue value={value} loading={loading} />
                   {def.suffix && <span style={{ fontSize: 14, marginLeft: 2 }}>{def.suffix}</span>}
                 </div>
+                {diff != null && (
+                  <div style={{ fontSize: 11, marginTop: 4, color: diff > 0 ? '#16A34A' : diff < 0 ? '#DC2626' : '#94A3B8' }}>
+                    {diff === 0 ? '与昨日持平' : `较昨日 ${diff > 0 ? '+' : ''}${diff}`}
+                  </div>
+                )}
               </div>
             </div>
           );

apps/web/src/pages/health/components/workbench/ActionDetailDrawer.tsx

@@ -57,7 +57,7 @@ export default function ActionDetailDrawer({
     }
     setLoading(true);
     actionInboxApi
-      .getThread(item.source_ref)
+      .getThread(item.id)
       .then(setThread)
       .finally(() => setLoading(false));
   }, [item, open]);

crates/erp-health/src/dto/stats_dto.rs

@@ -118,6 +118,13 @@ pub struct PersonalStatsResp {
     pub vital_signs_reported: i64,
     pub vital_signs_total: i64,
     pub pending_lab_reviews: i64,
+    // 昨日对比
+    pub yesterday_my_patients: Option<i64>,
+    pub yesterday_today_appointments: Option<i64>,
+    pub yesterday_consultations_this_month: Option<i64>,
+    pub yesterday_follow_up_rate: Option<f64>,
+    pub yesterday_today_follow_ups: Option<i64>,
+    pub yesterday_overdue_follow_ups: Option<i64>,
 }
 
 // ---------------------------------------------------------------------------

crates/erp-health/src/service/action_inbox_service.rs

@@ -12,6 +12,9 @@ use crate::error::HealthError;
 #[serde(rename_all = "snake_case")]
 pub enum ActionType {
     AiSuggestion,
+    Alert,
+    Followup,
+    DataAnomaly,
 }
 
 #[derive(Debug, Clone, Serialize, Deserialize, PartialEq, Eq)]
@@ -23,7 +26,7 @@ pub enum ActionPriority {
     Low,
 }
 
-#[derive(Debug, Clone, Serialize, Deserialize, PartialEq, Eq)]
+#[derive(Debug, Clone, Copy, Serialize, Deserialize, PartialEq, Eq)]
 #[serde(rename_all = "snake_case")]
 pub enum ActionStatus {
     Pending,
@@ -92,8 +95,8 @@ pub struct ActionInboxQuery {
 #[derive(Debug, FromQueryResult)]
 struct ActionItemRow {
     id: Uuid,
-    suggestion_type: String,
+    action_type: String,
-    risk_level: String,
+    priority_raw: String,
     status: String,
     params: Option<serde_json::Value>,
     created_at: DateTime<Utc>,
@@ -101,7 +104,7 @@ struct ActionItemRow {
     patient_id: Uuid,
     patient_name: String,
     result_content: Option<String>,
-    _analysis_id: Uuid,
+    source_id: Option<Uuid>,
 }
 
 #[derive(Debug, FromQueryResult)]
@@ -110,28 +113,28 @@ struct CountRow {
 }
 
 #[derive(Debug, FromQueryResult)]
-struct SuggestionDetail {
+struct ActionDetail {
     id: Uuid,
-    suggestion_type: String,
+    action_type: String,
-    risk_level: String,
+    priority_raw: String,
     status: String,
     params: Option<serde_json::Value>,
     workflow_instance_id: Option<Uuid>,
     reanalysis_id: Option<Uuid>,
     created_at: DateTime<Utc>,
     updated_at: DateTime<Utc>,
-    _analysis_id: Uuid,
+    source_id: Option<Uuid>,
     patient_id: Uuid,
     patient_name: String,
     result_content: Option<String>,
-    analysis_created_at: DateTime<Utc>,
+    analysis_created_at: Option<DateTime<Utc>>,
 }
 
 // ── 辅助函数 ────────────────────────────────────────────────────────
 
 fn risk_to_priority(risk: &str) -> ActionPriority {
     match risk {
-        "high" => ActionPriority::Urgent,
+        "high" | "urgent" => ActionPriority::Urgent,
         "medium" => ActionPriority::High,
         "low" => ActionPriority::Medium,
         _ => ActionPriority::Low,
@@ -143,7 +146,33 @@ fn suggestion_status_to_action(status: &str) -> ActionStatus {
         "pending" => ActionStatus::Pending,
         "approved" => ActionStatus::InProgress,
         "executed" => ActionStatus::Completed,
-        _ => ActionStatus::Dismissed, // rejected, expired, parse_failed
+        _ => ActionStatus::Dismissed,
+    }
+}
+
+fn alert_status_to_action(status: &str) -> ActionStatus {
+    match status {
+        "active" => ActionStatus::Pending,
+        "acknowledged" => ActionStatus::InProgress,
+        "resolved" => ActionStatus::Completed,
+        _ => ActionStatus::Dismissed,
+    }
+}
+
+fn followup_status_to_action(status: &str) -> ActionStatus {
+    match status {
+        "pending" => ActionStatus::Pending,
+        "in_progress" => ActionStatus::InProgress,
+        "completed" => ActionStatus::Completed,
+        _ => ActionStatus::Dismissed,
+    }
+}
+
+fn map_action_status(action_type: &str, status: &str) -> ActionStatus {
+    match action_type {
+        "alert" => alert_status_to_action(status),
+        "followup" => followup_status_to_action(status),
+        _ => suggestion_status_to_action(status),
     }
 }
 
@@ -165,6 +194,17 @@ fn extract_title(params: &Option<serde_json::Value>, suggestion_type: &str) -> S
         .unwrap_or_else(|| suggestion_type_to_title(suggestion_type))
 }
 
+fn summarize_result(result: &Option<String>) -> String {
+    let Some(text) = result else { return String::new() };
+    let parsed = serde_json::from_str::<serde_json::Value>(text).ok();
+    let summary = parsed
+        .as_ref()
+        .and_then(|v| v.get("summary"))
+        .and_then(|v| v.as_str())
+        .map(|s| s.chars().take(100).collect::<String>());
+    summary.unwrap_or_else(|| text.chars().take(100).collect())
+}
+
 // ── 公开 API ────────────────────────────────────────────────────────
 
 pub async fn list_action_items(
@@ -176,33 +216,101 @@ pub async fn list_action_items(
     let page_size = query.page_size.unwrap_or(20).min(100);
     let offset = (page - 1) * page_size;
 
-    let status_filter = match query.status.as_deref() {
+    // 各段的 status 过滤条件
-        Some("pending") => "AND s.status = 'pending'",
+    let (sug_status, alert_status, fu_status) = match query.status.as_deref() {
-        Some("in_progress") => "AND s.status = 'approved'",
+        Some("pending") => (
-        Some("completed") => "AND s.status = 'executed'",
+            "AND s.status = 'pending'".into(),
-        Some("dismissed") => "AND s.status IN ('rejected', 'expired', 'parse_failed')",
+            "AND al.status = 'active'".into(),
-        _ => "",
+            "AND f.status = 'pending'".into(),
+        ),
+        Some("in_progress") => (
+            "AND s.status = 'approved'".into(),
+            "AND al.status = 'acknowledged'".into(),
+            "AND f.status = 'in_progress'".into(),
+        ),
+        Some("completed") => (
+            "AND s.status = 'executed'".into(),
+            "AND al.status = 'resolved'".into(),
+            "AND f.status = 'completed'".into(),
+        ),
+        Some("dismissed") => (
+            "AND s.status IN ('rejected', 'expired', 'parse_failed')".into(),
+            "AND al.status IN ('dismissed', 'expired')".into(),
+            "AND f.status IN ('cancelled', 'skipped')".into(),
+        ),
+        _ => (String::new(), String::new(), String::new()),
     };
 
+    // 按类型过滤
+    let type_filter = query.action_type.as_deref();
+    let include_sug = type_filter.map_or(true, |t| t == "ai_suggestion");
+    let include_alert = type_filter.map_or(true, |t| t == "alert");
+    let include_fu = type_filter.map_or(true, |t| t == "followup");
+
+    let mut segments: Vec<String> = Vec::new();
+
+    if include_sug {
+        segments.push(format!(
+            r#"
+            SELECT s.id, 'ai_suggestion' AS action_type, s.risk_level AS priority_raw,
+                   s.status, s.params, s.created_at, s.updated_at,
+                   a.patient_id, p.name AS patient_name,
+                   a.result_content, a.id AS source_id
+            FROM ai_suggestion s
+            JOIN ai_analysis a ON s.analysis_id = a.id
+            JOIN patient p ON a.patient_id = p.id
+            WHERE s.tenant_id = $1 AND s.deleted_at IS NULL {sug_status}"#
+        ));
+    }
+
+    if include_alert {
+        segments.push(format!(
+            r#"
+            SELECT al.id, 'alert' AS action_type, al.severity AS priority_raw,
+                   al.status, NULL::jsonb AS params, al.created_at, al.updated_at,
+                   al.patient_id, p.name AS patient_name,
+                   NULL::text AS result_content, NULL::uuid AS source_id
+            FROM alerts al
+            JOIN patient p ON al.patient_id = p.id
+            WHERE al.tenant_id = $1 AND al.deleted_at IS NULL {alert_status}"#
+        ));
+    }
+
+    if include_fu {
+        segments.push(format!(
+            r#"
+            SELECT f.id, 'followup' AS action_type, 'medium' AS priority_raw,
+                   f.status, NULL::jsonb AS params, f.created_at, f.updated_at,
+                   f.patient_id, p.name AS patient_name,
+                   NULL::text AS result_content, NULL::uuid AS source_id
+            FROM follow_up_task f
+            JOIN patient p ON f.patient_id = p.id
+            WHERE f.tenant_id = $1 AND f.deleted_at IS NULL {fu_status}"#
+        ));
+    }
+
+    if segments.is_empty() {
+        return Ok(PaginatedResponse {
+            data: vec![],
+            total: 0,
+            page,
+            page_size,
+            total_pages: 0,
+        });
+    }
+
+    let union_sql = segments.join("\n UNION ALL\n");
+
     let data_sql = format!(
-        r#"
+        r#"{union_sql}
-        SELECT s.id, s.suggestion_type, s.risk_level, s.status, s.params,
-               s.created_at, s.updated_at,
-               a.patient_id, p.name AS patient_name,
-               a.result_content, a.id AS analysis_id
-        FROM ai_suggestion s
-        JOIN ai_analysis a ON s.analysis_id = a.id
-        JOIN patient p ON a.patient_id = p.id
-        WHERE s.tenant_id = $1
-          AND s.deleted_at IS NULL
-          {status_filter}
         ORDER BY
-          CASE s.risk_level WHEN 'high' THEN 1 WHEN 'medium' THEN 2 ELSE 3 END,
+          CASE priority_raw WHEN 'high' THEN 1 WHEN 'urgent' THEN 1 WHEN 'medium' THEN 2 ELSE 3 END,
-          s.created_at DESC
+          created_at DESC
-        LIMIT $2 OFFSET $3
+        LIMIT $2 OFFSET $3"#
-        "#
     );
 
+    let count_sql = format!("SELECT COUNT(*) AS cnt FROM ({union_sql}) sub");
+
     let rows: Vec<ActionItemRow> = FromQueryResult::find_by_statement(
         Statement::from_sql_and_values(
             DatabaseBackend::Postgres,
@@ -218,17 +326,6 @@ pub async fn list_action_items(
     .await
     .map_err(|e| HealthError::DbError(e.to_string()))?;
 
-    let count_sql = format!(
-        r#"
-        SELECT COUNT(*) AS cnt
-        FROM ai_suggestion s
-        JOIN ai_analysis a ON s.analysis_id = a.id
-        WHERE s.tenant_id = $1
-          AND s.deleted_at IS NULL
-          {status_filter}
-        "#
-    );
-
     let count_row: Option<CountRow> = FromQueryResult::find_by_statement(
         Statement::from_sql_and_values(DatabaseBackend::Postgres, count_sql, [tenant_id.into()]),
     )
@@ -240,18 +337,30 @@ pub async fn list_action_items(
 
     let items: Vec<ActionItem> = rows
         .into_iter()
-        .map(|r| ActionItem {
+        .map(|r| {
-            id: format!("ai_suggestion:{}", r.id),
+            let at = match r.action_type.as_str() {
-            action_type: ActionType::AiSuggestion,
+                "alert" => ActionType::Alert,
-            priority: risk_to_priority(&r.risk_level),
+                "followup" => ActionType::Followup,
-            status: suggestion_status_to_action(&r.status),
+                _ => ActionType::AiSuggestion,
-            title: extract_title(&r.params, &r.suggestion_type),
+            };
-            summary: r.result_content.unwrap_or_default().chars().take(100).collect(),
+            let title = match r.action_type.as_str() {
-            patient_id: r.patient_id,
+                "alert" => "健康告警".into(),
-            patient_name: r.patient_name,
+                "followup" => "随访任务".into(),
-            source_ref: r.id.to_string(),
+                _ => extract_title(&r.params, ""),
-            created_at: r.created_at,
+            };
-            updated_at: r.updated_at,
+            ActionItem {
+                id: format!("{}:{}", r.action_type, r.id),
+                action_type: at,
+                priority: risk_to_priority(&r.priority_raw),
+                status: map_action_status(&r.action_type, &r.status),
+                title,
+                summary: summarize_result(&r.result_content),
+                patient_id: r.patient_id,
+                patient_name: r.patient_name,
+                source_ref: r.id.to_string(),
+                created_at: r.created_at,
+                updated_at: r.updated_at,
+            }
         })
         .collect();
 
@@ -269,20 +378,35 @@ pub async fn get_action_thread(
     tenant_id: Uuid,
     source_ref: &str,
 ) -> Result<Option<ThreadResponse>, HealthError> {
-    let suggestion_id = source_ref
+    // 解析 "action_type:uuid" 格式
-        .strip_prefix("ai_suggestion:")
+    let (action_type_str, uuid_str) = source_ref
+        .find(':')
+        .map(|pos| (&source_ref[..pos], &source_ref[pos + 1..]))
         .ok_or_else(|| HealthError::Validation("无效的 source_ref 格式".into()))?;
-    let uuid = Uuid::parse_str(suggestion_id)
+    let uuid = Uuid::parse_str(uuid_str)
         .map_err(|e| HealthError::Validation(format!("无效的 UUID: {e}")))?;
 
-    let detail: Option<SuggestionDetail> = FromQueryResult::find_by_statement(
+    match action_type_str {
+        "ai_suggestion" => get_ai_suggestion_thread(db, tenant_id, uuid).await,
+        "alert" => get_alert_thread(db, tenant_id, uuid).await,
+        "followup" => get_followup_thread(db, tenant_id, uuid).await,
+        _ => Err(HealthError::Validation(format!("未知类型: {action_type_str}"))),
+    }
+}
+
+async fn get_ai_suggestion_thread(
+    db: &DatabaseConnection,
+    tenant_id: Uuid,
+    uuid: Uuid,
+) -> Result<Option<ThreadResponse>, HealthError> {
+    let detail: Option<ActionDetail> = FromQueryResult::find_by_statement(
         Statement::from_sql_and_values(
             DatabaseBackend::Postgres,
             r#"
-            SELECT s.id, s.suggestion_type, s.risk_level, s.status, s.params,
+            SELECT s.id, 'ai_suggestion' AS action_type, s.risk_level AS priority_raw,
-                   s.workflow_instance_id, s.reanalysis_id,
+                   s.status, s.params, s.workflow_instance_id, s.reanalysis_id,
                    s.created_at, s.updated_at,
-                   s.analysis_id, a.patient_id, p.name AS patient_name,
+                   s.analysis_id AS source_id, a.patient_id, p.name AS patient_name,
                    a.result_content, a.created_at AS analysis_created_at
             FROM ai_suggestion s
             JOIN ai_analysis a ON s.analysis_id = a.id
@@ -303,21 +427,18 @@ pub async fn get_action_thread(
 
     let action_status = suggestion_status_to_action(&detail.status);
 
-    // ── 拼装线程时间线 ──
     let mut thread = Vec::new();
 
-    // Step 1: AI 分析完成
     thread.push(ThreadEvent {
         step: "ai_analysis".into(),
         label: "AI 分析完成".into(),
         status: ActionStatus::Completed,
         detail: None,
-        timestamp: Some(detail.analysis_created_at),
+        timestamp: detail.analysis_created_at,
         operator: None,
         link_to: Some("/health/ai-analysis".into()),
     });
 
-    // Step 2: 医生审批
     let approval_status = match detail.status.as_str() {
         "approved" | "executed" => ActionStatus::Completed,
         "rejected" => ActionStatus::Dismissed,
@@ -329,26 +450,17 @@ pub async fn get_action_thread(
         label: "医生审批".into(),
         status: approval_status,
         detail: None,
-        timestamp: if is_terminal {
+        timestamp: if is_terminal { Some(detail.updated_at) } else { None },
-            Some(detail.updated_at)
-        } else {
-            None
-        },
         operator: None,
         link_to: None,
     });
 
-    // Step 3: 执行安排
     let has_workflow = detail.workflow_instance_id.is_some();
     if has_workflow || detail.status == "approved" || detail.status == "executed" {
         thread.push(ThreadEvent {
             step: "action_dispatched".into(),
             label: "执行安排".into(),
-            status: if has_workflow {
+            status: if has_workflow { ActionStatus::Completed } else { ActionStatus::Pending },
-                ActionStatus::Completed
-            } else {
-                ActionStatus::Pending
-            },
             detail: None,
             timestamp: None,
             operator: None,
@@ -356,16 +468,11 @@ pub async fn get_action_thread(
         });
     }
 
-    // Step 4: 再分析对比
     if detail.reanalysis_id.is_some() || detail.status == "executed" {
         thread.push(ThreadEvent {
             step: "reanalysis".into(),
             label: "前后对比".into(),
-            status: if detail.reanalysis_id.is_some() {
+            status: if detail.reanalysis_id.is_some() { ActionStatus::Completed } else { ActionStatus::Pending },
-                ActionStatus::Completed
-            } else {
-                ActionStatus::Pending
-            },
             detail: None,
             timestamp: None,
             operator: None,
@@ -373,7 +480,6 @@ pub async fn get_action_thread(
         });
     }
 
-    // ── 动态操作按钮 ──
     let available_actions = match detail.status.as_str() {
         "pending" => vec![
             ActionDefinition {
@@ -399,10 +505,7 @@ pub async fn get_action_thread(
             key: "view_comparison".into(),
             label: "查看前后对比".into(),
             variant: "primary".into(),
-            api_endpoint: Some(format!(
+            api_endpoint: Some(format!("/api/v1/ai/suggestions/{}/comparison", detail.id)),
-                "/api/v1/ai/suggestions/{}/comparison",
-                detail.id
-            )),
         }],
         _ => vec![],
     };
@@ -410,15 +513,213 @@ pub async fn get_action_thread(
     let action_item = ActionItem {
         id: format!("ai_suggestion:{}", detail.id),
         action_type: ActionType::AiSuggestion,
-        priority: risk_to_priority(&detail.risk_level),
+        priority: risk_to_priority(&detail.priority_raw),
         status: action_status,
-        title: extract_title(&detail.params, &detail.suggestion_type),
+        title: extract_title(&detail.params, ""),
-        summary: detail
+        summary: summarize_result(&detail.result_content),
-            .result_content
+        patient_id: detail.patient_id,
-            .unwrap_or_default()
+        patient_name: detail.patient_name,
-            .chars()
+        source_ref: detail.id.to_string(),
-            .take(100)
+        created_at: detail.created_at,
-            .collect(),
+        updated_at: detail.updated_at,
+    };
+
+    Ok(Some(ThreadResponse {
+        action_item,
+        thread,
+        available_actions,
+    }))
+}
+
+async fn get_alert_thread(
+    db: &DatabaseConnection,
+    tenant_id: Uuid,
+    uuid: Uuid,
+) -> Result<Option<ThreadResponse>, HealthError> {
+    let detail: Option<ActionDetail> = FromQueryResult::find_by_statement(
+        Statement::from_sql_and_values(
+            DatabaseBackend::Postgres,
+            r#"
+            SELECT al.id, 'alert' AS action_type, al.severity AS priority_raw,
+                   al.status, NULL::jsonb AS params,
+                   NULL::uuid AS workflow_instance_id, NULL::uuid AS reanalysis_id,
+                   al.created_at, al.updated_at,
+                   NULL::uuid AS source_id, al.patient_id, p.name AS patient_name,
+                   NULL::text AS result_content, NULL::timestamptz AS analysis_created_at
+            FROM alerts al
+            JOIN patient p ON al.patient_id = p.id
+            WHERE al.id = $1 AND al.tenant_id = $2 AND al.deleted_at IS NULL
+            "#,
+            [uuid.into(), tenant_id.into()],
+        ),
+    )
+    .one(db)
+    .await
+    .map_err(|e| HealthError::DbError(e.to_string()))?;
+
+    let detail = match detail {
+        Some(d) => d,
+        None => return Ok(None),
+    };
+
+    let action_status = alert_status_to_action(&detail.status);
+
+    let mut thread = Vec::new();
+
+    thread.push(ThreadEvent {
+        step: "alert_triggered".into(),
+        label: "告警触发".into(),
+        status: ActionStatus::Completed,
+        detail: None,
+        timestamp: Some(detail.created_at),
+        operator: None,
+        link_to: Some("/health/alert-dashboard".into()),
+    });
+
+    let ack_status = match detail.status.as_str() {
+        "acknowledged" | "resolved" => ActionStatus::Completed,
+        "dismissed" | "expired" => ActionStatus::Dismissed,
+        _ => ActionStatus::Pending,
+    };
+    thread.push(ThreadEvent {
+        step: "doctor_acknowledge".into(),
+        label: "医生知悉".into(),
+        status: ack_status,
+        detail: None,
+        timestamp: if matches!(ack_status, ActionStatus::Completed) { Some(detail.updated_at) } else { None },
+        operator: None,
+        link_to: None,
+    });
+
+    if detail.status == "resolved" {
+        thread.push(ThreadEvent {
+            step: "resolved".into(),
+            label: "处理完成".into(),
+            status: ActionStatus::Completed,
+            detail: None,
+            timestamp: Some(detail.updated_at),
+            operator: None,
+            link_to: None,
+        });
+    }
+
+    let available_actions = match detail.status.as_str() {
+        "active" => vec![
+            ActionDefinition {
+                key: "acknowledge".into(),
+                label: "标记已知悉".into(),
+                variant: "primary".into(),
+                api_endpoint: Some(format!("/api/v1/health/alerts/{}/acknowledge", detail.id)),
+            },
+            ActionDefinition {
+                key: "resolve".into(),
+                label: "标记已处理".into(),
+                variant: "default".into(),
+                api_endpoint: Some(format!("/api/v1/health/alerts/{}/resolve", detail.id)),
+            },
+        ],
+        "acknowledged" => vec![ActionDefinition {
+            key: "resolve".into(),
+            label: "标记已处理".into(),
+            variant: "primary".into(),
+            api_endpoint: Some(format!("/api/v1/health/alerts/{}/resolve", detail.id)),
+        }],
+        _ => vec![],
+    };
+
+    let action_item = ActionItem {
+        id: format!("alert:{}", detail.id),
+        action_type: ActionType::Alert,
+        priority: risk_to_priority(&detail.priority_raw),
+        status: action_status,
+        title: "健康告警".into(),
+        summary: summarize_result(&detail.result_content),
+        patient_id: detail.patient_id,
+        patient_name: detail.patient_name,
+        source_ref: detail.id.to_string(),
+        created_at: detail.created_at,
+        updated_at: detail.updated_at,
+    };
+
+    Ok(Some(ThreadResponse {
+        action_item,
+        thread,
+        available_actions,
+    }))
+}
+
+async fn get_followup_thread(
+    db: &DatabaseConnection,
+    tenant_id: Uuid,
+    uuid: Uuid,
+) -> Result<Option<ThreadResponse>, HealthError> {
+    let detail: Option<ActionDetail> = FromQueryResult::find_by_statement(
+        Statement::from_sql_and_values(
+            DatabaseBackend::Postgres,
+            r#"
+            SELECT f.id, 'followup' AS action_type, 'medium' AS priority_raw,
+                   f.status, NULL::jsonb AS params,
+                   NULL::uuid AS workflow_instance_id, NULL::uuid AS reanalysis_id,
+                   f.created_at, f.updated_at,
+                   NULL::uuid AS source_id, f.patient_id, p.name AS patient_name,
+                   NULL::text AS result_content, NULL::timestamptz AS analysis_created_at
+            FROM follow_up_task f
+            JOIN patient p ON f.patient_id = p.id
+            WHERE f.id = $1 AND f.tenant_id = $2 AND f.deleted_at IS NULL
+            "#,
+            [uuid.into(), tenant_id.into()],
+        ),
+    )
+    .one(db)
+    .await
+    .map_err(|e| HealthError::DbError(e.to_string()))?;
+
+    let detail = match detail {
+        Some(d) => d,
+        None => return Ok(None),
+    };
+
+    let action_status = followup_status_to_action(&detail.status);
+
+    let mut thread = Vec::new();
+
+    thread.push(ThreadEvent {
+        step: "followup_created".into(),
+        label: "随访创建".into(),
+        status: ActionStatus::Completed,
+        detail: None,
+        timestamp: Some(detail.created_at),
+        operator: None,
+        link_to: Some("/health/follow-ups".into()),
+    });
+
+    thread.push(ThreadEvent {
+        step: "execution".into(),
+        label: "随访执行".into(),
+        status: action_status,
+        detail: None,
+        timestamp: if matches!(action_status, ActionStatus::Completed | ActionStatus::Dismissed) { Some(detail.updated_at) } else { None },
+        operator: None,
+        link_to: None,
+    });
+
+    let available_actions = match detail.status.as_str() {
+        "pending" | "in_progress" => vec![ActionDefinition {
+            key: "complete".into(),
+            label: "标记已完成".into(),
+            variant: "primary".into(),
+            api_endpoint: Some(format!("/api/v1/health/follow-ups/{}/complete", detail.id)),
+        }],
+        _ => vec![],
+    };
+
+    let action_item = ActionItem {
+        id: format!("followup:{}", detail.id),
+        action_type: ActionType::Followup,
+        priority: risk_to_priority(&detail.priority_raw),
+        status: action_status,
+        title: "随访任务".into(),
+        summary: String::new(),
         patient_id: detail.patient_id,
         patient_name: detail.patient_name,
         source_ref: detail.id.to_string(),
@@ -526,13 +827,104 @@ pub async fn get_workbench_stats(
 
 pub async fn get_team_overview(
     db: &DatabaseConnection,
-    _tenant_id: Uuid,
+    tenant_id: Uuid,
 ) -> Result<TeamOverview, HealthError> {
-    // Phase 1: 返回空结构，待后续实现团队查询
+    // 成员统计
+    #[derive(Debug, FromQueryResult)]
+    struct MemberRow {
+        user_id: Uuid,
+        display_name: String,
+        title: String,
+        pending_count: i64,
+        completed_count: i64,
+        overdue_count: i64,
+    }
+
+    let members: Vec<MemberRow> = FromQueryResult::find_by_statement(
+        Statement::from_sql_and_values(
+            DatabaseBackend::Postgres,
+            r#"
+            SELECT dp.user_id, u.display_name, dp.title,
+                   COUNT(CASE WHEN f.status = 'pending' THEN 1 END) AS pending_count,
+                   COUNT(CASE WHEN f.status = 'completed' THEN 1 END) AS completed_count,
+                   COUNT(CASE WHEN f.status = 'overdue' THEN 1 END) AS overdue_count
+            FROM doctor_profile dp
+            JOIN users u ON dp.user_id = u.id
+            LEFT JOIN follow_up_task f ON f.assigned_to = dp.user_id AND f.tenant_id = $1 AND f.deleted_at IS NULL
+            WHERE dp.tenant_id = $1 AND dp.deleted_at IS NULL
+            GROUP BY dp.user_id, u.display_name, dp.title
+            "#,
+            [tenant_id.into()],
+        ),
+    )
+    .all(db)
+    .await
+    .map_err(|e| HealthError::DbError(e.to_string()))?;
+
+    let total_pending: u64 = members.iter().map(|m| m.pending_count as u64).sum();
+    let total_completed: u64 = members.iter().map(|m| m.completed_count as u64).sum();
+
+    let team_members: Vec<TeamMemberOverview> = members
+        .into_iter()
+        .map(|m| {
+            let total = m.pending_count + m.completed_count + m.overdue_count;
+            let rate = if total > 0 {
+                (m.completed_count as f64 / total as f64) * 100.0
+            } else {
+                0.0
+            };
+            TeamMemberOverview {
+                user_id: m.user_id,
+                name: m.display_name,
+                title: m.title,
+                pending_count: m.pending_count as u64,
+                completed_count: m.completed_count as u64,
+                overdue_count: m.overdue_count as u64,
+                completion_rate: rate,
+            }
+        })
+        .collect();
+
+    // 风险分布
+    #[derive(Debug, FromQueryResult)]
+    struct RiskRow {
+        severity: String,
+        cnt: i64,
+    }
+
+    let risk_rows: Vec<RiskRow> = FromQueryResult::find_by_statement(
+        Statement::from_sql_and_values(
+            DatabaseBackend::Postgres,
+            r#"
+            SELECT severity, COUNT(*) AS cnt
+            FROM alerts
+            WHERE tenant_id = $1 AND status = 'active' AND deleted_at IS NULL
+            GROUP BY severity
+            "#,
+            [tenant_id.into()],
+        ),
+    )
+    .all(db)
+    .await
+    .map_err(|e| HealthError::DbError(e.to_string()))?;
+
+    let mut risk_distribution = RiskDistribution {
+        high: 0,
+        medium: 0,
+        low: 0,
+    };
+    for row in &risk_rows {
+        match row.severity.as_str() {
+            "high" | "urgent" => risk_distribution.high = row.cnt as u64,
+            "medium" => risk_distribution.medium = row.cnt as u64,
+            "low" | _ => risk_distribution.low = row.cnt as u64,
+        }
+    }
+
     Ok(TeamOverview {
-        members: vec![],
+        members: team_members,
-        risk_distribution: RiskDistribution { high: 0, medium: 0, low: 0 },
+        risk_distribution,
-        total_pending: 0,
+        total_pending,
-        total_completed: 0,
+        total_completed,
     })
 }

crates/erp-health/src/service/stats_service.rs

@@ -1,4 +1,4 @@
-use sea_orm::{ColumnTrait, EntityTrait, PaginatorTrait, QueryFilter, sea_query::Expr, FromQueryResult, Statement, DatabaseBackend};
+use sea_orm::{ColumnTrait, EntityTrait, PaginatorTrait, QueryFilter, sea_query::Expr, FromQueryResult};
 
 use erp_core::error::AppResult;
 
@@ -722,6 +722,49 @@ pub async fn get_personal_stats(
     // abnormal_vital_signs: 简化实现，返回 0（完整实现需要关联危急值阈值配置）
     let abnormal_vital_signs: i64 = 0;
 
+    // ── 昨日对比数据 ──
+    let yesterday_appointments = if let Some(did) = doctor_id {
+        appointment::Entity::find()
+            .filter(appointment::Column::TenantId.eq(tenant_id))
+            .filter(appointment::Column::DeletedAt.is_null())
+            .filter(appointment::Column::DoctorId.eq(did))
+            .filter(Expr::col(appointment::Column::AppointmentDate).eq(Expr::cust("CURRENT_DATE - INTERVAL '1 day'")))
+            .count(db)
+            .await? as i64
+    } else {
+        0
+    };
+
+    let yesterday_follow_ups = follow_up_task::Entity::find()
+        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
+        .filter(follow_up_task::Column::DeletedAt.is_null())
+        .filter(follow_up_task::Column::AssignedTo.eq(user_id))
+        .filter(Expr::col(follow_up_task::Column::PlannedDate).eq(Expr::cust("CURRENT_DATE - INTERVAL '1 day'")))
+        .count(db)
+        .await? as i64;
+
+    let yesterday_overdue = follow_up_task::Entity::find()
+        .filter(follow_up_task::Column::TenantId.eq(tenant_id))
+        .filter(follow_up_task::Column::DeletedAt.is_null())
+        .filter(follow_up_task::Column::AssignedTo.eq(user_id))
+        .filter(follow_up_task::Column::Status.eq("overdue"))
+        .filter(Expr::col(follow_up_task::Column::UpdatedAt).lt(Expr::cust("CURRENT_DATE")))
+        .count(db)
+        .await? as i64;
+
+    let yesterday_consultations = if let Some(did) = doctor_id {
+        consultation_session::Entity::find()
+            .filter(consultation_session::Column::TenantId.eq(tenant_id))
+            .filter(consultation_session::Column::DeletedAt.is_null())
+            .filter(consultation_session::Column::DoctorId.eq(did))
+            .filter(Expr::col(consultation_session::Column::CreatedAt).gte(Expr::cust("date_trunc('month', NOW())")))
+            .filter(Expr::col(consultation_session::Column::CreatedAt).lt(Expr::cust("CURRENT_DATE")))
+            .count(db)
+            .await? as i64
+    } else {
+        0
+    };
+
     Ok(PersonalStatsResp {
         my_patients,
         new_patients_this_month,
@@ -736,5 +779,11 @@ pub async fn get_personal_stats(
         vital_signs_reported,
         vital_signs_total,
         pending_lab_reviews,
+        yesterday_my_patients: None,
+        yesterday_today_appointments: Some(yesterday_appointments),
+        yesterday_consultations_this_month: Some(yesterday_consultations),
+        yesterday_follow_up_rate: None,
+        yesterday_today_follow_ups: Some(yesterday_follow_ups),
+        yesterday_overdue_follow_ups: Some(yesterday_overdue),
     })
 }