feat(db): 8 条 Copilot 趋势/复合类告警规则种子数据

趋势类(4): 收缩压快速上升、肌酐连续上升、体重连续上升、血压趋势上升
复合类(4): eGFR+血钾双重危急、透析间期+血压、失约+依从性、Kt/V+血压

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

@@ -144,6 +144,7 @@ mod m20260512_000139_create_copilot_insights;
 mod m20260512_000140_create_copilot_risk_snapshots;
 mod m20260512_000141_create_copilot_chat_logs;
 mod m20260512_000142_seed_copilot_rules;
+mod m20260512_000143_seed_copilot_alert_rules;
 
 pub struct Migrator;
 
@@ -295,6 +296,7 @@ impl MigratorTrait for Migrator {
             Box::new(m20260512_000140_create_copilot_risk_snapshots::Migration),
             Box::new(m20260512_000141_create_copilot_chat_logs::Migration),
             Box::new(m20260512_000142_seed_copilot_rules::Migration),
+            Box::new(m20260512_000143_seed_copilot_alert_rules::Migration),
         ]
     }
 }

crates/erp-server/migration/src/m20260512_000143_seed_copilot_alert_rules.rs

@@ -0,0 +1,141 @@
+//! 8 条 Copilot 趋势/复合类告警规则种子数据
+//!
+//! 覆盖 spec §3.2 告警分级场景：
+//! - 趋势类(4): 收缩压快速上升、肌酐连续上升、体重连续上升、血压趋势上升
+//! - 复合类(4): eGFR+血钾双重危急、透析间期+血压、失约+依从性、Kt/V+血压
+
+use sea_orm_migration::prelude::*;
+
+#[derive(DeriveMigrationName)]
+pub struct Migration;
+
+#[async_trait::async_trait]
+impl MigrationTrait for Migration {
+    async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+        let nil_tenant = "00000000-0000-0000-0000-000000000000";
+
+        // 8 条趋势/复合类告警规则
+        // (idx, name, category, condition_expr, score, severity, suggestion, sort_order)
+        let rules: &[(i32, &str, &str, &str, i16, &str, &str, i32)] = &[
+            // 趋势类规则
+            (
+                20,
+                "收缩压快速上升",
+                "vital_signs",
+                r#"{"and":[{"=": [{"var":"vital_signs.systolic.trend_rising"}, true]},{">": [{"var":"vital_signs.systolic.change_pct"}, 15]}]}"#,
+                3,
+                "warning",
+                "血压短时间内快速上升，需排除急性因素，建议加测并通知主治医生",
+                20,
+            ),
+            (
+                21,
+                "肌酐连续上升",
+                "lab",
+                r#"{"and":[{"=": [{"var":"lab_reports.creatinine.trend_rising"}, true]},{">": [{"var":"lab_reports.creatinine.change_pct"}, 10]}]}"#,
+                3,
+                "warning",
+                "肌酐连续上升且环比增幅>10%，需排除急性肾损伤可能",
+                21,
+            ),
+            (
+                22,
+                "体重连续上升",
+                "vital_signs",
+                r#"{"=": [{"var":"vital_signs.weight.trend_rising"}, true]}"#,
+                2,
+                "info",
+                "体重连续上升，需评估水钠潴留情况",
+                22,
+            ),
+            (
+                23,
+                "血压趋势整体上升",
+                "vital_signs",
+                r#"{"=": [{"var":"vital_signs.systolic.trend_rising"}, true]}"#,
+                2,
+                "info",
+                "血压呈持续上升趋势，建议关注并调整降压方案",
+                23,
+            ),
+            // 复合类规则
+            (
+                24,
+                "eGFR<45且血钾>5.0",
+                "composite",
+                r#"{"and":[{"<": [{"var":"lab_reports.egfr.latest"}, 45]},{">": [{"var":"lab_reports.potassium.latest"}, 5.0]}]}"#,
+                5,
+                "critical",
+                "eGFR严重下降且血钾升高，需紧急评估并考虑紧急透析",
+                24,
+            ),
+            (
+                25,
+                "透析间期体重增长+血压极高",
+                "composite",
+                r#"{"and":[{">": [{"var":"dialysis.interdialytic_weight_gain_pct"}, 5]},{">": [{"var":"vital_signs.systolic_bp_morning.latest"}, 160]}]}"#,
+                4,
+                "critical",
+                "透析间期体重增长过多且血压极高，需紧急评估液体管理和降压方案",
+                25,
+            ),
+            (
+                26,
+                "失约+药物依从性不足",
+                "composite",
+                r#"{"and":[{">": [{"var":"follow_up.missed_count"}, 2]},{"<": [{"var":"medication.adherence_rate"}, 70]}]}"#,
+                3,
+                "warning",
+                "随访失约且药物依从性不足，建议加强患者教育和主动联系",
+                26,
+            ),
+            (
+                27,
+                "透析质量危急",
+                "composite",
+                r#"{"and":[{"<": [{"var":"dialysis.kt_v.latest"}, 1.0]},{">": [{"var":"vital_signs.systolic_bp_morning.latest"}, 180]}]}"#,
+                5,
+                "critical",
+                "透析充分性严重不足且血压极高，需紧急评估透析方案",
+                27,
+            ),
+        ];
+
+        for &(idx, name, category, cond, score, severity, suggestion, sort) in rules {
+            let id = format!("c0000000-0000-0000-0000-{:012}", idx);
+            let sql = format!(
+                r#"INSERT INTO copilot_rules (id, tenant_id, name, category, condition_expr, score, severity, suggestion, enabled, sort_order, created_at, updated_at, version_lock)
+                VALUES ('{}', '{}', $1, $2, $3::jsonb, $4, $5, $6, true, $7, NOW(), NOW(), 1)"#,
+                id, nil_tenant
+            );
+            db.execute(sea_orm::Statement::from_sql_and_values(
+                sea_orm::DatabaseBackend::Postgres,
+                sql,
+                [
+                    name.into(),
+                    category.into(),
+                    cond.into(),
+                    score.into(),
+                    severity.into(),
+                    suggestion.into(),
+                    sort.into(),
+                ],
+            ))
+            .await?;
+        }
+
+        Ok(())
+    }
+
+    async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
+        let db = manager.get_connection();
+        db.execute(sea_orm::Statement::from_sql_and_values(
+            sea_orm::DatabaseBackend::Postgres,
+            "DELETE FROM copilot_rules WHERE id LIKE 'c0000000-0000-0000-0000-0000000000%' AND sort_order >= 20",
+            [],
+        ))
+        .await?;
+        Ok(())
+    }
+}