feat(health): 身份证号 AES-256-GCM 加密 + HMAC 索引 + 字段级脱敏

- crypto.rs: AES-256-GCM 加密/解密 + HMAC-SHA256 索引
- create/update: id_number 加密存储, id_number_hash 索引
- list: 不返回 id_number, 手机号掩码
- detail: 解密后身份证掩码(前3后4), 手机号掩码
- 搜索: 改用 HMAC 精确匹配(不再模糊搜索加密列)
- 迁移 m000048: 添加 patients.id_number_hash 列

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

@@ -47,6 +47,7 @@ mod m20260423_000044_create_articles;
 mod m20260424_000045_health_indexes;
 mod m20260424_000046_health_constraints_fix;
 mod m20260424_000047_health_index_fix;
+mod m20260425_000048_add_patient_id_number_hash;
 
 pub struct Migrator;
 
@@ -101,6 +102,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260424_000045_health_indexes::Migration),
             Box::new(m20260424_000046_health_constraints_fix::Migration),
             Box::new(m20260424_000047_health_index_fix::Migration),
+            Box::new(m20260425_000048_add_patient_id_number_hash::Migration),
         ]
     }
 }

crates/erp-server/migration/src/m20260424_000045_health_indexes.rs

@@ -6,7 +6,13 @@ pub struct Migration;
 #[async_trait::async_trait]
 impl MigrationTrait for Migration {
     async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
-        // H-12: lab_report.indicators GIN 索引（JSONB 查询加速）
+        // H-12: lab_report.indicators 先转 jsonb 再建 GIN 索引
+        manager
+            .get_connection()
+            .execute_unprepared(
+                "ALTER TABLE lab_report ALTER COLUMN indicators TYPE jsonb USING indicators::jsonb",
+            )
+            .await?;
         manager
             .get_connection()
             .execute_unprepared(
@@ -46,6 +52,12 @@ impl MigrationTrait for Migration {
             .get_connection()
             .execute_unprepared("DROP INDEX IF EXISTS idx_lab_report_indicators_gin")
             .await?;
+        manager
+            .get_connection()
+            .execute_unprepared(
+                "ALTER TABLE lab_report ALTER COLUMN indicators TYPE json USING indicators::json",
+            )
+            .await?;
         manager
             .drop_index(Index::drop().name("idx_health_trend_patient_period").to_owned())
             .await?;

crates/erp-server/migration/src/m20260425_000048_add_patient_id_number_hash.rs

@@ -0,0 +1,38 @@
+use sea_orm_migration::prelude::*;
+
+pub struct Migration;
+
+impl MigrationName for Migration {
+    fn name(&self) -> &str {
+        "m20260425_000048_add_patient_id_number_hash"
+    }
+}
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        manager
+            .alter_table(
+                Table::alter()
+                    .table(Alias::new("patients"))
+                    .add_column(
+                        ColumnDef::new(Alias::new("id_number_hash"))
+                            .string()
+                            .null(),
+                    )
+                    .to_owned(),
+            )
+            .await
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        manager
+            .alter_table(
+                Table::alter()
+                    .table(Alias::new("patients"))
+                    .drop_column(Alias::new("id_number_hash"))
+                    .to_owned(),
+            )
+            .await
+    }
+}