feat(health): 体征增加体温/SpO2/血糖类型字段

- 迁移 079: vital_signs 表新增 body_temperature/spo2/blood_sugar_type 列
- Entity/DTO/Service 全链路支持新字段
- blood_sugar_type: fasting/postprandial/random/ogtt
- daily_monitoring 兼容层补全新字段为 None

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

@@ -20,6 +20,10 @@ pub struct CreateVitalSignsReq {
     pub heart_rate: Option<i32>,
     pub weight: Option<Decimal>,
     pub blood_sugar: Option<Decimal>,
+    pub body_temperature: Option<Decimal>,
+    pub spo2: Option<i32>,
+    /// fasting / postprandial / random / ogtt
+    pub blood_sugar_type: Option<String>,
     pub water_intake_ml: Option<i32>,
     pub urine_output_ml: Option<i32>,
     pub notes: Option<String>,
@@ -42,6 +46,9 @@ pub struct UpdateVitalSignsReq {
     pub heart_rate: Option<i32>,
     pub weight: Option<Decimal>,
     pub blood_sugar: Option<Decimal>,
+    pub body_temperature: Option<Decimal>,
+    pub spo2: Option<i32>,
+    pub blood_sugar_type: Option<String>,
     pub water_intake_ml: Option<i32>,
     pub urine_output_ml: Option<i32>,
     pub notes: Option<String>,
@@ -66,6 +73,9 @@ pub struct VitalSignsResp {
     pub heart_rate: Option<i32>,
     pub weight: Option<Decimal>,
     pub blood_sugar: Option<Decimal>,
+    pub body_temperature: Option<Decimal>,
+    pub spo2: Option<i32>,
+    pub blood_sugar_type: Option<String>,
     pub water_intake_ml: Option<i32>,
     pub urine_output_ml: Option<i32>,
     pub notes: Option<String>,

crates/erp-health/src/entity/vital_signs.rs

@@ -24,6 +24,12 @@ pub struct Model {
     #[sea_orm(skip_serializing_if = "Option::is_none")]
     pub blood_sugar: Option<Decimal>,
     #[sea_orm(skip_serializing_if = "Option::is_none")]
+    pub body_temperature: Option<Decimal>,
+    #[sea_orm(skip_serializing_if = "Option::is_none")]
+    pub spo2: Option<i32>,
+    #[sea_orm(skip_serializing_if = "Option::is_none")]
+    pub blood_sugar_type: Option<String>,
+    #[sea_orm(skip_serializing_if = "Option::is_none")]
     pub water_intake_ml: Option<i32>,
     #[sea_orm(skip_serializing_if = "Option::is_none")]
     pub urine_output_ml: Option<i32>,

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

@@ -83,6 +83,9 @@ pub async fn create_daily_monitoring(
         heart_rate: None,
         weight: req.weight,
         blood_sugar: req.blood_sugar,
+        body_temperature: None,
+        spo2: None,
+        blood_sugar_type: None,
         water_intake_ml: req.fluid_intake,
         urine_output_ml: req.urine_output,
         notes: req.notes,
@@ -121,6 +124,9 @@ pub async fn update_daily_monitoring(
         heart_rate: None,
         weight: req.weight,
         blood_sugar: req.blood_sugar,
+        body_temperature: None,
+        spo2: None,
+        blood_sugar_type: None,
         water_intake_ml: req.fluid_intake,
         urine_output_ml: req.urine_output,
         notes: req.notes,

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

@@ -59,6 +59,9 @@ pub async fn list_vital_signs(
         heart_rate: m.heart_rate,
         weight: m.weight.map(|d| d.to_f64().unwrap_or(0.0)),
         blood_sugar: m.blood_sugar.map(|d| d.to_f64().unwrap_or(0.0)),
+        body_temperature: m.body_temperature.map(|d| d.to_f64().unwrap_or(0.0)),
+        spo2: m.spo2,
+        blood_sugar_type: m.blood_sugar_type,
         water_intake_ml: m.water_intake_ml,
         urine_output_ml: m.urine_output_ml,
         notes: m.notes,
@@ -100,6 +103,9 @@ pub async fn create_vital_signs(
         heart_rate: Set(req.heart_rate),
         weight: Set(req.weight.map(|v| sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())),
         blood_sugar: Set(req.blood_sugar.map(|v| sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())),
+        body_temperature: Set(req.body_temperature.map(|v| sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())),
+        spo2: Set(req.spo2),
+        blood_sugar_type: Set(req.blood_sugar_type),
         water_intake_ml: Set(req.water_intake_ml),
         urine_output_ml: Set(req.urine_output_ml),
         notes: Set(req.notes),
@@ -131,6 +137,9 @@ pub async fn create_vital_signs(
         heart_rate: m.heart_rate,
         weight: m.weight.map(|d| d.to_f64().unwrap_or(0.0)),
         blood_sugar: m.blood_sugar.map(|d| d.to_f64().unwrap_or(0.0)),
+        body_temperature: m.body_temperature.map(|d| d.to_f64().unwrap_or(0.0)),
+        spo2: m.spo2,
+        blood_sugar_type: m.blood_sugar_type,
         water_intake_ml: m.water_intake_ml, urine_output_ml: m.urine_output_ml,
         notes: m.notes, created_at: m.created_at, updated_at: m.updated_at, version: m.version,
     })
@@ -178,6 +187,9 @@ pub async fn update_vital_signs(
     if let Some(v) = req.heart_rate { active.heart_rate = Set(Some(v)); }
     if let Some(v) = req.weight { active.weight = Set(Some(sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())); }
     if let Some(v) = req.blood_sugar { active.blood_sugar = Set(Some(sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())); }
+    if let Some(v) = req.body_temperature { active.body_temperature = Set(Some(sea_orm::prelude::Decimal::from_f64_retain(v).unwrap_or_default())); }
+    if let Some(v) = req.spo2 { active.spo2 = Set(Some(v)); }
+    if let Some(v) = req.blood_sugar_type { active.blood_sugar_type = Set(Some(v)); }
     if let Some(v) = req.water_intake_ml { active.water_intake_ml = Set(Some(v)); }
     if let Some(v) = req.urine_output_ml { active.urine_output_ml = Set(Some(v)); }
     if let Some(v) = req.notes { active.notes = Set(Some(v)); }
@@ -210,6 +222,9 @@ pub async fn update_vital_signs(
         heart_rate: m.heart_rate,
         weight: m.weight.map(|d| d.to_f64().unwrap_or(0.0)),
         blood_sugar: m.blood_sugar.map(|d| d.to_f64().unwrap_or(0.0)),
+        body_temperature: m.body_temperature.map(|d| d.to_f64().unwrap_or(0.0)),
+        spo2: m.spo2,
+        blood_sugar_type: m.blood_sugar_type.clone(),
         water_intake_ml: m.water_intake_ml,
         urine_output_ml: m.urine_output_ml,
         notes: m.notes.clone(),
@@ -232,6 +247,9 @@ pub async fn update_vital_signs(
         heart_rate: m.heart_rate,
         weight: m.weight.map(|d| d.to_f64().unwrap_or(0.0)),
         blood_sugar: m.blood_sugar.map(|d| d.to_f64().unwrap_or(0.0)),
+        body_temperature: m.body_temperature.map(|d| d.to_f64().unwrap_or(0.0)),
+        spo2: m.spo2,
+        blood_sugar_type: m.blood_sugar_type,
         water_intake_ml: m.water_intake_ml, urine_output_ml: m.urine_output_ml,
         notes: m.notes, created_at: m.created_at, updated_at: m.updated_at, version: m.version,
     })

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

@@ -78,6 +78,7 @@ mod m20260426_000075_create_patient_devices;
 mod m20260426_000076_create_alert_rules;
 mod m20260426_000077_create_alerts;
 mod m20260427_000078_normalize_follow_up_types;
+mod m20260427_000079_add_vital_signs_fields;
 
 pub struct Migrator;
 
@@ -163,6 +164,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260426_000076_create_alert_rules::Migration),
             Box::new(m20260426_000077_create_alerts::Migration),
             Box::new(m20260427_000078_normalize_follow_up_types::Migration),
+            Box::new(m20260427_000079_add_vital_signs_fields::Migration),
         ]
     }
 }

crates/erp-server/migration/src/m20260427_000079_add_vital_signs_fields.rs

@@ -0,0 +1,54 @@
+use sea_orm_migration::prelude::*;
+
+pub struct Migration;
+
+impl MigrationName for Migration {
+    fn name(&self) -> &str {
+        "m20260427_000079_add_vital_signs_fields"
+    }
+}
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let conn = manager.get_connection();
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs ADD COLUMN IF NOT EXISTS body_temperature DECIMAL(4,1)",
+        )
+        .await?;
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs ADD COLUMN IF NOT EXISTS spo2 INTEGER",
+        )
+        .await?;
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs ADD COLUMN IF NOT EXISTS blood_sugar_type VARCHAR(20) DEFAULT 'fasting'",
+        )
+        .await?;
+
+        Ok(())
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let conn = manager.get_connection();
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs DROP COLUMN IF EXISTS blood_sugar_type",
+        )
+        .await?;
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs DROP COLUMN IF EXISTS spo2",
+        )
+        .await?;
+
+        conn.execute_unprepared(
+            "ALTER TABLE vital_signs DROP COLUMN IF EXISTS body_temperature",
+        )
+        .await?;
+
+        Ok(())
+    }
+}