feat(health): 透析方案管理 CRUD — dialysis_prescription 全栈

新增透析方案实体和完整 CRUD：
- Entity: 20 字段含抗凝/血管通路/透析参数
- DTO: f64 类型适配 utoipa ToSchema
- Service: 抗凝类型 + 血管通路类型校验
- Handler: 5 端点 + RBAC 权限控制
- 路由: /api/v1/health/dialysis-prescriptions

crates/erp-health/src/handler/dialysis_prescription_handler.rs

@@ -0,0 +1,119 @@
+use axum::Extension;
+use axum::extract::{FromRef, Json, Path, Query, State};
+use serde::Deserialize;
+use utoipa::IntoParams;
+use uuid::Uuid;
+
+use erp_core::error::AppError;
+use erp_core::rbac::require_permission;
+use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
+
+use crate::dto::dialysis_prescription_dto::*;
+use crate::dto::DeleteWithVersion;
+use crate::service::dialysis_prescription_service;
+use crate::state::HealthState;
+
+#[derive(Debug, Deserialize, IntoParams)]
+pub struct DialysisPrescriptionListParams {
+    pub page: Option<u64>,
+    pub page_size: Option<u64>,
+    pub patient_id: Option<Uuid>,
+    pub status: Option<String>,
+}
+
+#[derive(Debug, serde::Deserialize, utoipa::ToSchema)]
+pub struct UpdateDialysisPrescriptionWithVersion {
+    #[serde(flatten)]
+    pub data: UpdateDialysisPrescriptionReq,
+    pub version: i32,
+}
+
+pub async fn list_prescriptions<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Query(params): Query<DialysisPrescriptionListParams>,
+) -> Result<Json<ApiResponse<PaginatedResponse<DialysisPrescriptionResp>>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.dialysis-prescription.list")?;
+    let page = params.page.unwrap_or(1);
+    let page_size = params.page_size.unwrap_or(20);
+    let result = dialysis_prescription_service::list_prescriptions(
+        &state, ctx.tenant_id, page, page_size, params.patient_id, params.status,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn get_prescription<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(id): Path<Uuid>,
+) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.dialysis-prescription.list")?;
+    let result = dialysis_prescription_service::get_prescription(&state, ctx.tenant_id, id).await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn create_prescription<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Json(req): Json<CreateDialysisPrescriptionReq>,
+) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.dialysis-prescription.manage")?;
+    let mut req = req;
+    req.sanitize();
+    let result = dialysis_prescription_service::create_prescription(
+        &state, ctx.tenant_id, Some(ctx.user_id), req,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn update_prescription<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(id): Path<Uuid>,
+    Json(req): Json<UpdateDialysisPrescriptionWithVersion>,
+) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.dialysis-prescription.manage")?;
+    let mut data = req.data;
+    data.sanitize();
+    let result = dialysis_prescription_service::update_prescription(
+        &state, ctx.tenant_id, id, Some(ctx.user_id), data, req.version,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(result)))
+}
+
+pub async fn delete_prescription<S>(
+    State(state): State<HealthState>,
+    Extension(ctx): Extension<TenantContext>,
+    Path(id): Path<Uuid>,
+    Json(req): Json<DeleteWithVersion>,
+) -> Result<Json<ApiResponse<()>>, AppError>
+where
+    HealthState: FromRef<S>,
+    S: Clone + Send + Sync + 'static,
+{
+    require_permission(&ctx, "health.dialysis-prescription.manage")?;
+    dialysis_prescription_service::delete_prescription(
+        &state, ctx.tenant_id, id, Some(ctx.user_id), req.version,
+    )
+    .await?;
+    Ok(Json(ApiResponse::ok(())))
+}

crates/erp-health/src/handler/mod.rs

@@ -12,6 +12,7 @@ pub mod device_reading_handler;
 pub mod diagnosis_handler;
 pub mod medication_record_handler;
 pub mod dialysis_handler;
+pub mod dialysis_prescription_handler;
 pub mod doctor_handler;
 pub mod follow_up_handler;
 pub mod health_data_handler;