feat(health): Track 3 医疗阈值 — warning 种子 + 患者端只读 API

- 新增 6 条 warning 级别阈值种子数据(血压/心率/血糖参考范围)
- 新增 GET /health/critical-value-thresholds/public 患者端只读接口
- 扩展 indicator 验证支持 blood_sugar_fasting/postprandial 等新指标
This commit is contained in:
iven
2026-05-02 11:37:21 +08:00
parent 23cd62a70f
commit e8ee441ae1
5 changed files with 86 additions and 1 deletions

View File

@@ -109,3 +109,16 @@ where
.await?;
Ok(Json(ApiResponse::ok(())))
}
/// 患者端只读接口 — 返回当前租户所有活跃阈值,仅需认证。
pub async fn list_public_thresholds<S>(
State(state): State<HealthState>,
Extension(ctx): Extension<TenantContext>,
) -> Result<Json<ApiResponse<Vec<crate::entity::critical_value_threshold::Model>>>, AppError>
where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
let list = critical_value_threshold_service::find_thresholds(&state.db, ctx.tenant_id).await?;
Ok(Json(ApiResponse::ok(list)))
}

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@@ -608,6 +608,11 @@ impl HealthModule {
axum::routing::put(critical_value_threshold_handler::update_threshold)
.delete(critical_value_threshold_handler::delete_threshold),
)
// 患者端只读阈值(仅需认证)
.route(
"/health/critical-value-thresholds/public",
axum::routing::get(critical_value_threshold_handler::list_public_thresholds),
)
// 知情同意记录
.route(
"/health/patients/{patient_id}/consents",

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@@ -186,7 +186,16 @@ fn validate_direction(direction: &str) -> HealthResult<()> {
}
fn validate_indicator(indicator: &str) -> HealthResult<()> {
let valid = ["systolic_bp", "diastolic_bp", "heart_rate", "blood_sugar"];
let valid = [
"systolic_bp",
"diastolic_bp",
"heart_rate",
"blood_sugar",
"blood_sugar_fasting",
"blood_sugar_postprandial",
"blood_oxygen",
"temperature",
];
if valid.contains(&indicator) {
Ok(())
} else {

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@@ -101,6 +101,7 @@ mod m20260501_000098_create_ai_suggestion;
mod m20260501_000099_create_ai_risk_threshold;
mod m20260501_000100_seed_action_inbox_menu;
mod m20260502_000101_seed_health_dictionaries;
mod m20260502_000102_seed_warning_thresholds;
pub struct Migrator;
@@ -209,6 +210,7 @@ impl MigratorTrait for Migrator {
Box::new(m20260501_000099_create_ai_risk_threshold::Migration),
Box::new(m20260501_000100_seed_action_inbox_menu::Migration),
Box::new(m20260502_000101_seed_health_dictionaries::Migration),
Box::new(m20260502_000102_seed_warning_thresholds::Migration),
]
}
}

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@@ -0,0 +1,56 @@
//! 补充 warning 级别危急值阈值种子数据
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 result = db
.query_one(sea_orm::Statement::from_string(
sea_orm::DatabaseBackend::Postgres,
"SELECT id::text FROM tenant LIMIT 1".to_string(),
))
.await?;
let tid = match result {
Some(row) => row.try_get_by_index::<String>(0).unwrap_or_default(),
None => return Ok(()),
};
// warning 级别阈值 — 用于小程序体征参考范围
let sql = format!(
r#"
INSERT INTO critical_value_threshold (id, tenant_id, indicator, direction, threshold_value, level, is_active, created_at, updated_at)
VALUES
(gen_random_uuid(), '{tid}', 'systolic_bp', 'high', 140, 'warning', true, now(), now()),
(gen_random_uuid(), '{tid}', 'diastolic_bp', 'high', 90, 'warning', true, now(), now()),
(gen_random_uuid(), '{tid}', 'heart_rate', 'high', 100, 'warning', true, now(), now()),
(gen_random_uuid(), '{tid}', 'heart_rate', 'low', 60, 'warning', true, now(), now()),
(gen_random_uuid(), '{tid}', 'blood_sugar_fasting', 'high', 6.1, 'warning', true, now(), now()),
(gen_random_uuid(), '{tid}', 'blood_sugar_postprandial','high', 7.8, 'warning', true, now(), now())
"#
);
db.execute(sea_orm::Statement::from_string(
sea_orm::DatabaseBackend::Postgres,
sql,
))
.await?;
Ok(())
}
async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
let db = manager.get_connection();
db.execute(sea_orm::Statement::from_string(
sea_orm::DatabaseBackend::Postgres,
"DELETE FROM critical_value_threshold WHERE level = 'warning'".to_string(),
))
.await?;
Ok(())
}
}