feat(health): 护理计划实体与服务 — Phase 1 关怀引擎 MVP 第一步

新增护理计划（Care Plan）完整 CRUD：3 张表（care_plans / care_plan_items /
care_plan_outcomes）、3 个 SeaORM Entity、15 个 API 端点、4 个事件常量、
2 个权限码。支持透析/慢性/预防/康复计划类型，条目分干预/监测/目标/教育四类，
预后测量含基线/目标/当前值追踪。

crates/erp-health/src/dto/care_plan_dto.rs

@@ -0,0 +1,207 @@
+use chrono::{NaiveDate, Utc};
+use serde::{Deserialize, Serialize};
+use utoipa::ToSchema;
+use uuid::Uuid;
+
+use erp_core::sanitize::{sanitize_option, sanitize_string};
+
+// ---------------------------------------------------------------------------
+// CarePlan
+// ---------------------------------------------------------------------------
+
+#[derive(Debug, Serialize, Deserialize, ToSchema)]
+pub struct CarePlanResp {
+    pub id: Uuid,
+    pub patient_id: Uuid,
+    pub plan_type: String,
+    pub status: String,
+    pub title: String,
+    pub goals: serde_json::Value,
+    pub start_date: Option<NaiveDate>,
+    pub end_date: Option<NaiveDate>,
+    pub notes: Option<String>,
+    pub created_at: chrono::DateTime<Utc>,
+    pub updated_at: chrono::DateTime<Utc>,
+    pub version: i32,
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct CreateCarePlanReq {
+    pub patient_id: Uuid,
+    pub plan_type: String,
+    pub title: String,
+    pub goals: Option<serde_json::Value>,
+    pub start_date: Option<NaiveDate>,
+    pub end_date: Option<NaiveDate>,
+    pub notes: Option<String>,
+}
+
+impl CreateCarePlanReq {
+    pub fn sanitize(&mut self) {
+        self.title = sanitize_string(&self.title);
+        self.notes = sanitize_option(self.notes.take());
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanReq {
+    pub plan_type: Option<String>,
+    pub title: Option<String>,
+    pub status: Option<String>,
+    pub goals: Option<serde_json::Value>,
+    pub start_date: Option<NaiveDate>,
+    pub end_date: Option<NaiveDate>,
+    pub notes: Option<String>,
+}
+
+impl UpdateCarePlanReq {
+    pub fn sanitize(&mut self) {
+        if let Some(ref mut v) = self.title {
+            *v = sanitize_string(v);
+        }
+        if let Some(ref mut v) = self.notes {
+            *v = sanitize_option(Some(std::mem::take(v))).unwrap_or_default();
+        }
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanWithVersion {
+    #[serde(flatten)]
+    pub data: UpdateCarePlanReq,
+    pub version: i32,
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct ListCarePlansParams {
+    pub patient_id: Option<Uuid>,
+    pub plan_type: Option<String>,
+    pub status: Option<String>,
+    pub page: Option<u64>,
+    pub page_size: Option<u64>,
+}
+
+// ---------------------------------------------------------------------------
+// CarePlanItem
+// ---------------------------------------------------------------------------
+
+#[derive(Debug, Serialize, Deserialize, ToSchema)]
+pub struct CarePlanItemResp {
+    pub id: Uuid,
+    pub plan_id: Uuid,
+    pub item_type: String,
+    pub title: String,
+    pub description: Option<String>,
+    pub status: String,
+    pub schedule: Option<String>,
+    pub sort_order: Option<i32>,
+    pub created_at: chrono::DateTime<Utc>,
+    pub updated_at: chrono::DateTime<Utc>,
+    pub version: i32,
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct CreateCarePlanItemReq {
+    pub item_type: String,
+    pub title: String,
+    pub description: Option<String>,
+    pub schedule: Option<String>,
+    pub sort_order: Option<i32>,
+}
+
+impl CreateCarePlanItemReq {
+    pub fn sanitize(&mut self) {
+        self.title = sanitize_string(&self.title);
+        self.description = sanitize_option(self.description.take());
+        self.schedule = sanitize_option(self.schedule.take());
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanItemReq {
+    pub item_type: Option<String>,
+    pub title: Option<String>,
+    pub description: Option<String>,
+    pub status: Option<String>,
+    pub schedule: Option<String>,
+    pub sort_order: Option<i32>,
+}
+
+impl UpdateCarePlanItemReq {
+    pub fn sanitize(&mut self) {
+        if let Some(ref mut v) = self.title {
+            *v = sanitize_string(v);
+        }
+        if let Some(ref mut v) = self.description {
+            *v = sanitize_option(Some(std::mem::take(v))).unwrap_or_default();
+        }
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanItemWithVersion {
+    #[serde(flatten)]
+    pub data: UpdateCarePlanItemReq,
+    pub version: i32,
+}
+
+// ---------------------------------------------------------------------------
+// CarePlanOutcome
+// ---------------------------------------------------------------------------
+
+#[derive(Debug, Serialize, Deserialize, ToSchema)]
+pub struct CarePlanOutcomeResp {
+    pub id: Uuid,
+    pub plan_id: Uuid,
+    pub item_id: Option<Uuid>,
+    pub metric: String,
+    pub baseline_value: String,
+    pub target_value: String,
+    pub current_value: Option<String>,
+    pub measured_at: Option<chrono::DateTime<Utc>>,
+    pub notes: Option<String>,
+    pub created_at: chrono::DateTime<Utc>,
+    pub updated_at: chrono::DateTime<Utc>,
+    pub version: i32,
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct CreateCarePlanOutcomeReq {
+    pub item_id: Option<Uuid>,
+    pub metric: String,
+    pub baseline_value: String,
+    pub target_value: String,
+    pub current_value: Option<String>,
+    pub measured_at: Option<chrono::DateTime<Utc>>,
+    pub notes: Option<String>,
+}
+
+impl CreateCarePlanOutcomeReq {
+    pub fn sanitize(&mut self) {
+        self.metric = sanitize_string(&self.metric);
+        self.notes = sanitize_option(self.notes.take());
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanOutcomeReq {
+    pub current_value: Option<String>,
+    pub target_value: Option<String>,
+    pub measured_at: Option<chrono::DateTime<Utc>>,
+    pub notes: Option<String>,
+}
+
+impl UpdateCarePlanOutcomeReq {
+    pub fn sanitize(&mut self) {
+        if let Some(ref mut v) = self.notes {
+            *v = sanitize_option(Some(std::mem::take(v))).unwrap_or_default();
+        }
+    }
+}
+
+#[derive(Debug, Deserialize, ToSchema)]
+pub struct UpdateCarePlanOutcomeWithVersion {
+    #[serde(flatten)]
+    pub data: UpdateCarePlanOutcomeReq,
+    pub version: i32,
+}

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

@@ -1,5 +1,6 @@
 pub mod appointment_dto;
 pub mod alert_dto;
+pub mod care_plan_dto;
 pub mod article_dto;
 pub mod consent_dto;
 pub mod consultation_dto;