diff --git a/crates/erp-health/src/event.rs b/crates/erp-health/src/event.rs
index 10cea41..89e1b44 100644
--- a/crates/erp-health/src/event.rs
+++ b/crates/erp-health/src/event.rs
@@ -903,3 +903,821 @@ pub fn register_handlers_with_state(state: crate::state::HealthState) {
         }
     });
 }
+
+// ---------------------------------------------------------------------------
+// 单元测试
+// ---------------------------------------------------------------------------
+// 事件处理器本身依赖 tokio::spawn + channel + DB，无法纯单元测试。
+// 以下测试覆盖：
+//   1. 事件类型常量的正确性（防止拼写错误导致消费者不匹配）
+//   2. register_handlers 不 panic（空函数）
+//   3. 事件 payload 构造格式与消费者解析逻辑的契约
+//   4. EventBus 过滤订阅的内存行为（无需 DB）
+//   5. 消费者从 payload 中提取字段的边界条件
+// ---------------------------------------------------------------------------
+
+#[cfg(test)]
+mod tests {
+    use super::*;
+    use erp_core::events::{build_event_payload, DomainEvent, EventBus};
+    use serde_json::json;
+    use std::collections::HashSet;
+
+    // ── 事件类型常量 ──────────────────────────────────────────────────────
+
+    /// 所有事件类型常量必须遵循 `{domain}.{action}` 格式
+    fn assert_valid_event_type(name: &str) {
+        let parts: Vec<&str> = name.split('.').collect();
+        assert!(
+            parts.len() >= 2,
+            "事件类型 '{}' 不符合 domain.action 格式",
+            name
+        );
+        assert!(
+            !parts[0].is_empty() && !parts[1].is_empty(),
+            "事件类型 '{}' 的 domain 或 action 为空",
+            name
+        );
+    }
+
+    #[test]
+    fn event_constants_follow_naming_convention() {
+        let all_types = [
+            APPOINTMENT_CREATED,
+            ALERT_TRIGGERED,
+            CONSENT_GRANTED,
+            CONSENT_REVOKED,
+            ARTICLE_PUBLISHED,
+            ARTICLE_REJECTED,
+            CONSULTATION_OPENED,
+            CONSULTATION_CLOSED,
+            CONSULTATION_NEW_MESSAGE,
+            DEVICE_READINGS_SYNCED,
+            DOCTOR_ONLINE_STATUS_CHANGED,
+            FOLLOW_UP_CREATED,
+            FOLLOW_UP_COMPLETED,
+            FOLLOW_UP_OVERDUE,
+            DAILY_MONITORING_CREATED,
+            LAB_REPORT_UPLOADED,
+            LAB_REPORT_REVIEWED,
+            HEALTH_DATA_CRITICAL_ALERT,
+            PATIENT_CREATED,
+            PATIENT_UPDATED,
+            PATIENT_VERIFIED,
+            PATIENT_DECEASED,
+            POINTS_EXPIRED,
+            POINTS_EARNED,
+            POINTS_EXCHANGED,
+        ];
+        for t in &all_types {
+            assert_valid_event_type(t);
+        }
+    }
+
+    #[test]
+    fn event_constants_are_unique() {
+        let all_types = [
+            APPOINTMENT_CREATED,
+            ALERT_TRIGGERED,
+            CONSENT_GRANTED,
+            CONSENT_REVOKED,
+            ARTICLE_PUBLISHED,
+            ARTICLE_REJECTED,
+            CONSULTATION_OPENED,
+            CONSULTATION_CLOSED,
+            CONSULTATION_NEW_MESSAGE,
+            DEVICE_READINGS_SYNCED,
+            DOCTOR_ONLINE_STATUS_CHANGED,
+            FOLLOW_UP_CREATED,
+            FOLLOW_UP_COMPLETED,
+            FOLLOW_UP_OVERDUE,
+            DAILY_MONITORING_CREATED,
+            LAB_REPORT_UPLOADED,
+            LAB_REPORT_REVIEWED,
+            HEALTH_DATA_CRITICAL_ALERT,
+            PATIENT_CREATED,
+            PATIENT_UPDATED,
+            PATIENT_VERIFIED,
+            PATIENT_DECEASED,
+            POINTS_EXPIRED,
+            POINTS_EARNED,
+            POINTS_EXCHANGED,
+        ];
+        let set: HashSet<&&str> = all_types.iter().collect();
+        assert_eq!(
+            set.len(),
+            all_types.len(),
+            "存在重复的事件类型常量"
+        );
+    }
+
+    #[test]
+    fn event_constants_match_expected_values() {
+        // 确保常量值与消费者 switch 匹配中使用的硬编码字符串一致
+        assert_eq!(APPOINTMENT_CREATED, "appointment.created");
+        assert_eq!(ALERT_TRIGGERED, "alert.triggered");
+        assert_eq!(CONSENT_GRANTED, "consent.granted");
+        assert_eq!(CONSENT_REVOKED, "consent.revoked");
+        assert_eq!(ARTICLE_PUBLISHED, "article.published");
+        assert_eq!(ARTICLE_REJECTED, "article.rejected");
+        assert_eq!(CONSULTATION_OPENED, "consultation.opened");
+        assert_eq!(CONSULTATION_CLOSED, "consultation.closed");
+        assert_eq!(CONSULTATION_NEW_MESSAGE, "consultation.new_message");
+        assert_eq!(DEVICE_READINGS_SYNCED, "device.readings.synced");
+        assert_eq!(DOCTOR_ONLINE_STATUS_CHANGED, "doctor.online_status_changed");
+        assert_eq!(FOLLOW_UP_CREATED, "follow_up.created");
+        assert_eq!(FOLLOW_UP_COMPLETED, "follow_up.completed");
+        assert_eq!(FOLLOW_UP_OVERDUE, "follow_up.overdue");
+        assert_eq!(DAILY_MONITORING_CREATED, "daily_monitoring.created");
+        assert_eq!(LAB_REPORT_UPLOADED, "lab_report.uploaded");
+        assert_eq!(LAB_REPORT_REVIEWED, "lab_report.reviewed");
+        assert_eq!(HEALTH_DATA_CRITICAL_ALERT, "health_data.critical_alert");
+        assert_eq!(PATIENT_CREATED, "patient.created");
+        assert_eq!(PATIENT_UPDATED, "patient.updated");
+        assert_eq!(PATIENT_VERIFIED, "patient.verified");
+        assert_eq!(PATIENT_DECEASED, "patient.deceased");
+        assert_eq!(POINTS_EXPIRED, "points.expired");
+        assert_eq!(POINTS_EARNED, "points.earned");
+        assert_eq!(POINTS_EXCHANGED, "points.exchanged");
+    }
+
+    /// 消费者中硬编码的事件类型（非通过常量引用）也必须可被常量覆盖
+    #[test]
+    fn hardcoded_event_types_in_consumers_are_covered() {
+        // event.rs 中消费者使用的事件类型字符串（未通过常量引用）
+        let hardcoded = [
+            "workflow.task.completed",
+            "appointment.confirmed",
+            "appointment.cancelled",
+            "ai.analysis.completed",
+            "dialysis.record.created",
+            // 消费者产出的事件类型
+            "message.send",
+            "ai.analysis.requested",
+            "ai.reanalysis.requested",
+        ];
+        // 这些硬编码类型不与 erp-health 常量重复
+        // 它们来自 erp-workflow / erp-core / erp-ai 等其他模块
+        // 验证 erp-health 常量不会与外部模块事件类型冲突
+        let health_types = [
+            APPOINTMENT_CREATED,
+            ALERT_TRIGGERED,
+            CONSENT_GRANTED,
+            CONSENT_REVOKED,
+            CONSULTATION_OPENED,
+            FOLLOW_UP_CREATED,
+            FOLLOW_UP_COMPLETED,
+            FOLLOW_UP_OVERDUE,
+            DEVICE_READINGS_SYNCED,
+            LAB_REPORT_UPLOADED,
+            HEALTH_DATA_CRITICAL_ALERT,
+            PATIENT_CREATED,
+            PATIENT_UPDATED,
+        ];
+        for t in &hardcoded {
+            for ht in &health_types {
+                assert_ne!(
+                    *t, *ht,
+                    "外部模块事件类型 '{}' 与 erp-health 常量 '{}' 冲突",
+                    t, ht
+                );
+            }
+        }
+    }
+
+    // ── register_handlers 不 panic ──────────────────────────────────────
+
+    #[test]
+    fn register_handlers_does_not_panic() {
+        let bus = EventBus::new(64);
+        // register_handlers 是空函数，不应 panic
+        register_handlers(&bus);
+    }
+
+    // ── DomainEvent 构造与 payload 契约 ─────────────────────────────────
+
+    #[test]
+    fn domain_event_new_sets_correct_event_type() {
+        let tenant_id = Uuid::now_v7();
+        let event = DomainEvent::new(PATIENT_CREATED, tenant_id, json!({}));
+        assert_eq!(event.event_type, PATIENT_CREATED);
+        assert_eq!(event.tenant_id, tenant_id);
+    }
+
+    #[test]
+    fn domain_event_new_generates_unique_ids() {
+        let tenant_id = Uuid::now_v7();
+        let e1 = DomainEvent::new("test.a", tenant_id, json!({}));
+        let e2 = DomainEvent::new("test.b", tenant_id, json!({}));
+        assert_ne!(e1.id, e2.id, "每个事件应有唯一 ID");
+        assert_ne!(e1.correlation_id, e2.correlation_id, "每个事件应有唯一 correlation_id");
+    }
+
+    #[test]
+    fn build_event_payload_injects_schema_version() {
+        let payload = build_event_payload(json!({ "patient_id": "abc" }));
+        assert_eq!(payload["schema_version"], "v1");
+        assert!(payload.get("occurred_at").is_some(), "必须包含 occurred_at 时间戳");
+    }
+
+    #[test]
+    fn build_event_payload_merges_data_fields() {
+        let payload = build_event_payload(json!({
+            "patient_id": "test-123",
+            "severity": "critical",
+        }));
+        assert_eq!(payload["schema_version"], "v1");
+        assert_eq!(payload["patient_id"], "test-123");
+        assert_eq!(payload["severity"], "critical");
+    }
+
+    // ── 消费者 payload 解析契约测试 ─────────────────────────────────────
+    //
+    // 验证消费者从 payload 中提取字段的方式与 build_event_payload 的输出兼容。
+    // 这些测试模拟消费者使用的 serde_json::Value 提取模式。
+
+    /// 模拟消费者提取 patient_id（UUID 字符串）
+    fn extract_patient_id(payload: &serde_json::Value) -> Option<Uuid> {
+        payload
+            .get("patient_id")
+            .and_then(|v| v.as_str())
+            .and_then(|s| Uuid::parse_str(s).ok())
+    }
+
+    #[test]
+    fn payload_extraction_patient_id_from_uuid_string() {
+        let pid = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "patient_id": pid.to_string(),
+        }));
+        assert_eq!(extract_patient_id(&payload), Some(pid));
+    }
+
+    #[test]
+    fn payload_extraction_patient_id_missing_field() {
+        let payload = build_event_payload(json!({}));
+        assert_eq!(extract_patient_id(&payload), None);
+    }
+
+    #[test]
+    fn payload_extraction_patient_id_invalid_uuid() {
+        let payload = build_event_payload(json!({
+            "patient_id": "not-a-uuid",
+        }));
+        assert_eq!(extract_patient_id(&payload), None);
+    }
+
+    #[test]
+    fn payload_extraction_patient_id_wrong_type() {
+        // patient_id 是数字而非字符串
+        let payload = build_event_payload(json!({
+            "patient_id": 12345,
+        }));
+        assert_eq!(extract_patient_id(&payload), None);
+    }
+
+    /// 模拟消费者提取 severity（带默认值）
+    fn extract_severity(payload: &serde_json::Value) -> &str {
+        payload
+            .get("severity")
+            .and_then(|v| v.as_str())
+            .unwrap_or("warning")
+    }
+
+    #[test]
+    fn payload_extraction_severity_present() {
+        let payload = build_event_payload(json!({ "severity": "critical" }));
+        assert_eq!(extract_severity(&payload), "critical");
+    }
+
+    #[test]
+    fn payload_extraction_severity_defaults_to_warning() {
+        let payload = build_event_payload(json!({}));
+        assert_eq!(extract_severity(&payload), "warning");
+    }
+
+    /// 模拟消费者提取 task_id（UUID 字符串）
+    fn extract_task_id(payload: &serde_json::Value) -> Option<Uuid> {
+        payload
+            .get("task_id")
+            .and_then(|v| v.as_str())
+            .and_then(|s| Uuid::parse_str(s).ok())
+    }
+
+    #[test]
+    fn payload_extraction_task_id_valid() {
+        let tid = Uuid::now_v7();
+        let payload = build_event_payload(json!({ "task_id": tid.to_string() }));
+        assert_eq!(extract_task_id(&payload), Some(tid));
+    }
+
+    #[test]
+    fn payload_extraction_task_id_missing() {
+        let payload = build_event_payload(json!({ "other_field": "value" }));
+        assert_eq!(extract_task_id(&payload), None);
+    }
+
+    /// 模拟消费者提取 amount（u64）
+    fn extract_amount(payload: &serde_json::Value) -> Option<u64> {
+        payload.get("amount").and_then(|v| v.as_u64())
+    }
+
+    #[test]
+    fn payload_extraction_amount_valid() {
+        let payload = build_event_payload(json!({ "amount": 100 }));
+        assert_eq!(extract_amount(&payload), Some(100));
+    }
+
+    #[test]
+    fn payload_extraction_amount_zero() {
+        let payload = build_event_payload(json!({ "amount": 0 }));
+        assert_eq!(extract_amount(&payload), Some(0));
+    }
+
+    #[test]
+    fn payload_extraction_amount_missing() {
+        let payload = build_event_payload(json!({}));
+        assert_eq!(extract_amount(&payload), None);
+    }
+
+    #[test]
+    fn payload_extraction_amount_negative_returns_none() {
+        // serde_json u64 不能表示负数
+        let payload = build_event_payload(json!({ "amount": -5 }));
+        assert_eq!(extract_amount(&payload), None);
+    }
+
+    /// 模拟消费者提取 suggestion_count（u64）用于条件判断
+    #[test]
+    fn payload_extraction_suggestion_count_zero() {
+        let payload = build_event_payload(json!({ "suggestion_count": 0 }));
+        let count = payload.get("suggestion_count").and_then(|v| v.as_u64()).unwrap_or(0);
+        assert_eq!(count, 0);
+        assert!(!(count > 0), "suggestion_count=0 时不触发行动分发");
+    }
+
+    #[test]
+    fn payload_extraction_suggestion_count_positive() {
+        let payload = build_event_payload(json!({ "suggestion_count": 3 }));
+        let count = payload.get("suggestion_count").and_then(|v| v.as_u64()).unwrap_or(0);
+        assert!(count > 0, "suggestion_count>0 时应触发行动分发");
+    }
+
+    // ── 完整 payload 契约测试 ─────────────────────────────────────────
+    //
+    // 验证 service 层构建的 payload 能被消费者正确解析。
+    // 这些测试模拟 service 层的 build_event_payload 调用，然后
+    // 用消费者中的提取逻辑验证字段可达。
+
+    /// appointment.created 事件 payload 契约
+    #[test]
+    fn appointment_created_payload_contract() {
+        let patient_id = Uuid::now_v7();
+        let appointment_id = Uuid::now_v7();
+        // 模拟 appointment_service 的 payload 构造
+        let payload = build_event_payload(json!({
+            "appointment_id": appointment_id.to_string(),
+            "patient_id": patient_id.to_string(),
+            "status": "pending",
+        }));
+
+        // 消费者提取 patient_id（字符串形式）
+        let pid_str = payload.get("patient_id").and_then(|v| v.as_str());
+        assert!(pid_str.is_some(), "消费者需要 patient_id 字符串");
+        assert_eq!(pid_str.unwrap(), patient_id.to_string());
+    }
+
+    /// patient.created 事件 payload 契约
+    #[test]
+    fn patient_created_payload_contract() {
+        let patient_id = Uuid::now_v7();
+        // 模拟 patient_service 的 payload 构造
+        let payload = build_event_payload(json!({
+            "patient_id": patient_id.to_string(),
+        }));
+
+        let extracted = extract_patient_id(&payload);
+        assert_eq!(extracted, Some(patient_id));
+    }
+
+    /// alert.triggered 事件 payload 契约
+    #[test]
+    fn alert_triggered_payload_contract() {
+        let alert_id = Uuid::now_v7();
+        let patient_id = Uuid::now_v7();
+        // 模拟 alert_engine 的 payload 构造
+        let payload = build_event_payload(json!({
+            "alert_id": alert_id.to_string(),
+            "patient_id": patient_id.to_string(),
+            "rule_name": "心率过高",
+            "severity": "critical",
+            "detail": "心率超过阈值",
+            "notify_roles": ["doctor"],
+        }));
+
+        let pid = payload.get("patient_id").and_then(|v| v.as_str());
+        assert!(pid.is_some(), "消费者需要 patient_id");
+
+        let severity = extract_severity(&payload);
+        assert_eq!(severity, "critical");
+
+        let rule_name = payload.get("rule_name").and_then(|v| v.as_str()).unwrap_or("健康告警");
+        assert_eq!(rule_name, "心率过高");
+    }
+
+    /// health_data.critical_alert 事件 payload 契约
+    #[test]
+    fn critical_alert_payload_contract() {
+        let patient_id = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "patient_id": patient_id.to_string(),
+            "alert_type": "vital_sign",
+            "metric_name": "heart_rate",
+            "metric_value": "180",
+            "threshold_value": "150",
+        }));
+
+        assert_eq!(extract_patient_id(&payload), Some(patient_id));
+        assert_eq!(
+            payload.get("alert_type").and_then(|v| v.as_str()).unwrap_or("vital_sign"),
+            "vital_sign"
+        );
+        assert_eq!(
+            payload.get("metric_name").and_then(|v| v.as_str()).unwrap_or("unknown"),
+            "heart_rate"
+        );
+        assert_eq!(
+            payload.get("metric_value").and_then(|v| v.as_str()).unwrap_or(""),
+            "180"
+        );
+        assert_eq!(
+            payload.get("threshold_value").and_then(|v| v.as_str()).unwrap_or(""),
+            "150"
+        );
+    }
+
+    /// follow_up.overdue 事件 payload 契约
+    #[test]
+    fn follow_up_overdue_payload_contract() {
+        let task_id = Uuid::now_v7();
+        let assigned_to = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "task_id": task_id.to_string(),
+            "assigned_to": assigned_to.to_string(),
+        }));
+
+        let tid = payload.get("task_id").and_then(|v| v.as_str());
+        let uid = payload.get("assigned_to").and_then(|v| v.as_str());
+        assert!(tid.is_some(), "消费者需要 task_id");
+        assert!(uid.is_some(), "消费者需要 assigned_to");
+    }
+
+    /// consultation.new_message 事件 payload 契约 — sender_role 决定通知目标
+    #[test]
+    fn consultation_new_message_recipient_logic() {
+        // 患者发送 → 通知医生
+        let payload_patient = build_event_payload(json!({
+            "recipient_id": "doctor-123",
+            "sender_role": "patient",
+        }));
+        let sender_role = payload_patient.get("sender_role").and_then(|v| v.as_str()).unwrap_or("unknown");
+        let recipient_type = if sender_role == "patient" { "doctor" } else { "patient" };
+        assert_eq!(recipient_type, "doctor");
+
+        // 医生发送 → 通知患者
+        let payload_doctor = build_event_payload(json!({
+            "recipient_id": "patient-456",
+            "sender_role": "doctor",
+        }));
+        let sender_role = payload_doctor.get("sender_role").and_then(|v| v.as_str()).unwrap_or("unknown");
+        let recipient_type = if sender_role == "patient" { "doctor" } else { "patient" };
+        assert_eq!(recipient_type, "patient");
+    }
+
+    /// lab_report.uploaded 事件 payload 契约 — 触发 AI 分析
+    #[test]
+    fn lab_report_uploaded_payload_contract() {
+        let report_id = Uuid::now_v7();
+        let patient_id = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "source_type": "lab_report",
+            "source_id": report_id.to_string(),
+            "patient_id": patient_id.to_string(),
+        }));
+
+        let rid = payload.get("source_id").and_then(|v| v.as_str());
+        let pid = payload.get("patient_id").and_then(|v| v.as_str());
+        assert!(rid.is_some(), "消费者需要 source_id (report_id)");
+        assert!(pid.is_some(), "消费者需要 patient_id");
+    }
+
+    /// points.earned 事件 payload 契约
+    #[test]
+    fn points_earned_payload_contract() {
+        let patient_id = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "patient_id": patient_id.to_string(),
+            "amount": 50,
+        }));
+
+        let pid = payload.get("patient_id").and_then(|v| v.as_str());
+        let amt = payload.get("amount").and_then(|v| v.as_u64());
+        assert!(pid.is_some());
+        assert_eq!(amt, Some(50));
+    }
+
+    /// ai.analysis.completed 事件 payload 契约 — 含 suggestion_count
+    #[test]
+    fn ai_analysis_completed_payload_contract() {
+        let analysis_id = Uuid::now_v7();
+        let patient_id = Uuid::now_v7();
+        let doctor_id = Uuid::now_v7();
+        let payload = build_event_payload(json!({
+            "analysis_id": analysis_id.to_string(),
+            "analysis_type": "lab_report",
+            "patient_id": patient_id.to_string(),
+            "doctor_id": doctor_id.to_string(),
+            "risk_level": "high",
+            "suggestion_count": 2,
+        }));
+
+        // AI 分析完成通知消费者需要的字段
+        let did = payload.get("doctor_id").and_then(|v| v.as_str());
+        let pid = payload.get("patient_id").and_then(|v| v.as_str());
+        assert!(did.is_some(), "通知消费者需要 doctor_id");
+        assert!(pid.is_some(), "通知消费者需要 patient_id");
+
+        // 行动分发消费者需要的字段
+        let aid = payload.get("analysis_id").and_then(|v| v.as_str()).and_then(|s| Uuid::parse_str(s).ok());
+        assert_eq!(aid, Some(analysis_id));
+
+        let suggestion_count = payload.get("suggestion_count").and_then(|v| v.as_u64()).unwrap_or(0);
+        assert!(suggestion_count > 0, "有建议时应触发行动分发");
+
+        let risk_level = payload.get("risk_level").and_then(|v| v.as_str()).unwrap_or("medium");
+        assert_eq!(risk_level, "high");
+    }
+
+    // ── EventBus 过滤订阅行为测试 ──────────────────────────────────────
+
+    #[tokio::test]
+    async fn eventbus_broadcast_and_subscribe_filtered() {
+        let bus = EventBus::new(64);
+        let (mut rx, _handle) = bus.subscribe_filtered("patient.".to_string());
+
+        let tenant_id = Uuid::now_v7();
+
+        // 广播一个匹配的事件
+        let patient_event = DomainEvent::new(PATIENT_CREATED, tenant_id, json!({}));
+        bus.broadcast(patient_event.clone());
+
+        // 广播一个不匹配的事件
+        let other_event = DomainEvent::new(APPOINTMENT_CREATED, tenant_id, json!({}));
+        bus.broadcast(other_event);
+
+        // 只应收到 patient.created
+        let received = tokio::time::timeout(
+            std::time::Duration::from_millis(100),
+            rx.recv(),
+        )
+        .await
+        .expect("超时：应收到匹配的事件")
+        .expect("channel 不应关闭");
+        assert_eq!(received.event_type, PATIENT_CREATED);
+    }
+
+    #[tokio::test]
+    async fn eventbus_subscribe_filtered_ignores_non_matching() {
+        let bus = EventBus::new(64);
+        let (mut rx, _handle) = bus.subscribe_filtered("follow_up.".to_string());
+
+        let tenant_id = Uuid::now_v7();
+
+        // 广播不匹配的事件
+        let unmatched = DomainEvent::new(PATIENT_CREATED, tenant_id, json!({}));
+        bus.broadcast(unmatched);
+
+        // 应该收不到任何事件
+        let result = tokio::time::timeout(
+            std::time::Duration::from_millis(50),
+            rx.recv(),
+        )
+        .await;
+        assert!(result.is_err(), "不应收到不匹配的事件");
+    }
+
+    #[tokio::test]
+    async fn eventbus_subscribe_filtered_receives_multiple_matching() {
+        let bus = EventBus::new(64);
+        let (mut rx, _handle) = bus.subscribe_filtered("appointment.".to_string());
+
+        let tenant_id = Uuid::now_v7();
+
+        // 广播多个匹配前缀的事件
+        let types = [
+            APPOINTMENT_CREATED,
+            "appointment.confirmed",
+            "appointment.cancelled",
+        ];
+        for t in &types {
+            let event = DomainEvent::new(*t, tenant_id, json!({}));
+            bus.broadcast(event);
+        }
+
+        // 应收到全部 3 个
+        let mut received_types = Vec::new();
+        for _ in 0..3 {
+            let event = tokio::time::timeout(
+                std::time::Duration::from_millis(100),
+                rx.recv(),
+            )
+            .await
+            .expect("超时")
+            .expect("channel 关闭");
+            received_types.push(event.event_type);
+        }
+        assert_eq!(received_types.len(), 3);
+        assert!(received_types.contains(&APPOINTMENT_CREATED.to_string()));
+        assert!(received_types.contains(&"appointment.confirmed".to_string()));
+        assert!(received_types.contains(&"appointment.cancelled".to_string()));
+    }
+
+    // ── 消费者前缀与常量匹配测试 ─────────────────────────────────────
+    //
+    // 验证 subscribe_filtered 的前缀能覆盖该通道需要接收的所有事件类型。
+
+    #[test]
+    fn subscribe_prefix_covers_all_workflow_events() {
+        let prefix = "workflow.task.";
+        let event_type = "workflow.task.completed";
+        assert!(
+            event_type.starts_with(prefix),
+            "前缀 '{}' 应覆盖 '{}'",
+            prefix,
+            event_type
+        );
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_device_events() {
+        let prefix = "device.readings.";
+        assert!(
+            DEVICE_READINGS_SYNCED.starts_with(prefix),
+            "前缀 '{}' 应覆盖 '{}'",
+            prefix,
+            DEVICE_READINGS_SYNCED
+        );
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_alert_events() {
+        let prefix = "alert.";
+        assert!(
+            ALERT_TRIGGERED.starts_with(prefix),
+            "前缀 '{}' 应覆盖 '{}'",
+            prefix,
+            ALERT_TRIGGERED
+        );
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_patient_events() {
+        let prefix = "patient.";
+        assert!(PATIENT_CREATED.starts_with(prefix));
+        assert!(PATIENT_UPDATED.starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_appointment_events() {
+        let prefix = "appointment.";
+        assert!(APPOINTMENT_CREATED.starts_with(prefix));
+        assert!("appointment.confirmed".starts_with(prefix));
+        assert!("appointment.cancelled".starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_follow_up_events() {
+        let prefix = "follow_up.";
+        assert!(FOLLOW_UP_CREATED.starts_with(prefix));
+        assert!(FOLLOW_UP_COMPLETED.starts_with(prefix));
+        assert!(FOLLOW_UP_OVERDUE.starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_health_data_events() {
+        let prefix = "health_data.";
+        assert!(
+            HEALTH_DATA_CRITICAL_ALERT.starts_with(prefix),
+            "前缀 '{}' 应覆盖 '{}'",
+            prefix,
+            HEALTH_DATA_CRITICAL_ALERT
+        );
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_ai_events() {
+        let prefix = "ai.";
+        assert!("ai.analysis.completed".starts_with(prefix));
+        assert!("ai.reanalysis.requested".starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_consent_events() {
+        let prefix = "consent.";
+        assert!(CONSENT_GRANTED.starts_with(prefix));
+        assert!(CONSENT_REVOKED.starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_consultation_events() {
+        let prefix = "consultation.";
+        assert!(CONSULTATION_OPENED.starts_with(prefix));
+        assert!(CONSULTATION_CLOSED.starts_with(prefix));
+        assert!(CONSULTATION_NEW_MESSAGE.starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_points_events() {
+        let prefix = "points.";
+        assert!(POINTS_EARNED.starts_with(prefix));
+        assert!(POINTS_EXCHANGED.starts_with(prefix));
+        assert!(POINTS_EXPIRED.starts_with(prefix));
+    }
+
+    #[test]
+    fn subscribe_prefix_covers_all_lab_report_events() {
+        let prefix = "lab_report.";
+        assert!(LAB_REPORT_UPLOADED.starts_with(prefix));
+        assert!(LAB_REPORT_REVIEWED.starts_with(prefix));
+    }
+
+    // ── device.readings.synced 消费者设备类型列表测试 ──────────────────
+
+    #[test]
+    fn device_types_for_alert_evaluation_are_comprehensive() {
+        // 消费者硬编码的设备类型列表
+        let device_types = ["heart_rate", "blood_oxygen", "temperature", "blood_pressure", "blood_glucose"];
+        assert_eq!(device_types.len(), 5, "设备类型列表应包含 5 种类型");
+        // 确保没有重复
+        let set: HashSet<&&str> = device_types.iter().collect();
+        assert_eq!(set.len(), device_types.len(), "设备类型列表不应有重复");
+    }
+
+    // ── 告警严重度模板选择逻辑 ─────────────────────────────────────
+
+    #[test]
+    fn alert_severity_template_selection() {
+        let severity_critical = "critical";
+        let template = if severity_critical == "critical" {
+            "CRITICAL_HEALTH_ALERT"
+        } else {
+            "HEALTH_DATA_ABNORMAL"
+        };
+        assert_eq!(template, "CRITICAL_HEALTH_ALERT");
+
+        let severity_warning = "warning";
+        let template = if severity_warning == "critical" {
+            "CRITICAL_HEALTH_ALERT"
+        } else {
+            "HEALTH_DATA_ABNORMAL"
+        };
+        assert_eq!(template, "HEALTH_DATA_ABNORMAL");
+    }
+
+    // ── 消费者幂等 consumer_id 唯一性 ──────────────────────────────────
+
+    #[test]
+    fn consumer_ids_are_unique() {
+        // 收集所有消费者的 consumer_id（从 mark_event_processed 调用中提取）
+        let consumer_ids = [
+            "workflow_task_consumer",
+            "alert_notifier",
+            "patient_welcome",
+            "appt_created_notifier",
+            "appointment_notifier",
+            "appointment_cancel_handler",
+            "follow_up_escalator",
+            "critical_alert_consumer",
+            "ai_analysis_notifier",
+            "dialysis_notifier",
+            "ai_action_dispatcher",
+            "consent_notifier",
+            "consult_opened_notifier",
+            "consult_msg_notifier",
+            "consult_closed_notifier",
+            "fu_created_notifier",
+            "points_earned_notifier",
+            "points_exchanged_notifier",
+            "points_expired_notifier",
+            "lab_upload_ai_trigger",
+            "lab_reviewed_notifier",
+            "patient_updated_audit",
+        ];
+        let set: HashSet<&&str> = consumer_ids.iter().collect();
+        assert_eq!(
+            set.len(),
+            consumer_ids.len(),
+            "存在重复的 consumer_id"
+        );
+    }
+}