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。
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@@ -110,6 +110,7 @@ mod m20260504_000107_alter_article_article_tag_add_tenant_and_soft_delete;
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mod m20260504_000108_alter_vital_signs_hourly_add_soft_delete;
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mod m20260504_000109_add_missing_fk_constraints;
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mod m20260504_000110_alter_critical_alerts_version_i32;
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mod m20260505_000111_create_care_plan;
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pub struct Migrator;
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@@ -227,6 +228,7 @@ impl MigratorTrait for Migrator {
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Box::new(m20260504_000108_alter_vital_signs_hourly_add_soft_delete::Migration),
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Box::new(m20260504_000109_add_missing_fk_constraints::Migration),
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Box::new(m20260504_000110_alter_critical_alerts_version_i32::Migration),
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Box::new(m20260505_000111_create_care_plan::Migration),
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]
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}
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}
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@@ -0,0 +1,258 @@
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use sea_orm_migration::prelude::*;
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#[derive(DeriveMigrationName)]
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pub struct Migration;
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#[async_trait::async_trait]
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impl MigrationTrait for Migration {
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async fn up(&self, manager: &SchemaManager) -> Result<(), DbErr> {
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// care_plans — 护理计划主表
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manager
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.create_table(
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Table::create()
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.table(Alias::new("care_plans"))
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.col(
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ColumnDef::new(Alias::new("id"))
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.uuid()
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.not_null()
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.primary_key(),
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)
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.col(ColumnDef::new(Alias::new("tenant_id")).uuid().not_null())
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.col(ColumnDef::new(Alias::new("patient_id")).uuid().not_null())
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.col(
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ColumnDef::new(Alias::new("plan_type"))
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.string_len(50)
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("status"))
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.string_len(32)
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.not_null()
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.default("draft"),
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)
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.col(ColumnDef::new(Alias::new("title")).string_len(200).not_null())
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.col(
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ColumnDef::new(Alias::new("goals"))
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.json_binary()
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.not_null()
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.default("[]"),
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)
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.col(ColumnDef::new(Alias::new("start_date")).date())
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.col(ColumnDef::new(Alias::new("end_date")).date())
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.col(ColumnDef::new(Alias::new("notes")).text())
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.col(
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ColumnDef::new(Alias::new("created_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("updated_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(ColumnDef::new(Alias::new("created_by")).uuid())
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.col(ColumnDef::new(Alias::new("updated_by")).uuid())
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.col(ColumnDef::new(Alias::new("deleted_at")).timestamp_with_time_zone())
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.col(
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ColumnDef::new(Alias::new("version"))
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.integer()
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.not_null()
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.default(1),
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)
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.to_owned(),
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)
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.await?;
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manager
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.create_index(
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Index::create()
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.name("idx_care_plans_tenant_patient")
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.table(Alias::new("care_plans"))
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.col(Alias::new("tenant_id"))
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.col(Alias::new("patient_id"))
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.col(Alias::new("deleted_at"))
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.to_owned(),
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)
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.await?;
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manager
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.create_index(
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Index::create()
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.name("idx_care_plans_tenant_status")
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.table(Alias::new("care_plans"))
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.col(Alias::new("tenant_id"))
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.col(Alias::new("status"))
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.col(Alias::new("deleted_at"))
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.to_owned(),
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)
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.await?;
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// care_plan_items — 护理计划条目(干预/监测/目标)
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manager
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.create_table(
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Table::create()
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.table(Alias::new("care_plan_items"))
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.col(
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ColumnDef::new(Alias::new("id"))
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.uuid()
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.not_null()
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.primary_key(),
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)
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.col(ColumnDef::new(Alias::new("tenant_id")).uuid().not_null())
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.col(ColumnDef::new(Alias::new("plan_id")).uuid().not_null())
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.col(
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ColumnDef::new(Alias::new("item_type"))
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.string_len(32)
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("title"))
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.string_len(200)
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.not_null(),
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)
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.col(ColumnDef::new(Alias::new("description")).text())
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.col(
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ColumnDef::new(Alias::new("status"))
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.string_len(32)
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.not_null()
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.default("pending"),
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)
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.col(ColumnDef::new(Alias::new("schedule")).string_len(100))
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.col(ColumnDef::new(Alias::new("sort_order")).integer().default(0))
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.col(
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ColumnDef::new(Alias::new("created_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("updated_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(ColumnDef::new(Alias::new("created_by")).uuid())
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.col(ColumnDef::new(Alias::new("updated_by")).uuid())
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.col(ColumnDef::new(Alias::new("deleted_at")).timestamp_with_time_zone())
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.col(
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ColumnDef::new(Alias::new("version"))
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.integer()
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.not_null()
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.default(1),
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)
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.foreign_key(
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&mut ForeignKey::create()
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.name("fk_care_plan_items_plan_id")
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.from(Alias::new("care_plan_items"), Alias::new("plan_id"))
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.to(Alias::new("care_plans"), Alias::new("id"))
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.on_delete(ForeignKeyAction::Cascade)
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.to_owned(),
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)
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.to_owned(),
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)
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.await?;
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manager
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.create_index(
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Index::create()
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.name("idx_care_plan_items_tenant_plan")
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.table(Alias::new("care_plan_items"))
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.col(Alias::new("tenant_id"))
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.col(Alias::new("plan_id"))
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.col(Alias::new("deleted_at"))
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.to_owned(),
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)
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.await?;
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// care_plan_outcomes — 护理计划预后测量
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manager
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.create_table(
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Table::create()
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.table(Alias::new("care_plan_outcomes"))
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.col(
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ColumnDef::new(Alias::new("id"))
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.uuid()
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.not_null()
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.primary_key(),
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)
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.col(ColumnDef::new(Alias::new("tenant_id")).uuid().not_null())
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.col(ColumnDef::new(Alias::new("plan_id")).uuid().not_null())
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.col(ColumnDef::new(Alias::new("item_id")).uuid())
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.col(
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ColumnDef::new(Alias::new("metric"))
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.string_len(100)
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("baseline_value"))
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.string_len(50)
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("target_value"))
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.string_len(50)
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.not_null(),
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)
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.col(ColumnDef::new(Alias::new("current_value")).string_len(50))
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.col(
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ColumnDef::new(Alias::new("measured_at"))
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.timestamp_with_time_zone(),
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)
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.col(ColumnDef::new(Alias::new("notes")).text())
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.col(
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ColumnDef::new(Alias::new("created_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(
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ColumnDef::new(Alias::new("updated_at"))
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.timestamp_with_time_zone()
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.not_null(),
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)
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.col(ColumnDef::new(Alias::new("created_by")).uuid())
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.col(ColumnDef::new(Alias::new("updated_by")).uuid())
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.col(ColumnDef::new(Alias::new("deleted_at")).timestamp_with_time_zone())
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.col(
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ColumnDef::new(Alias::new("version"))
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.integer()
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.not_null()
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.default(1),
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)
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.foreign_key(
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&mut ForeignKey::create()
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.name("fk_care_plan_outcomes_plan_id")
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.from(Alias::new("care_plan_outcomes"), Alias::new("plan_id"))
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.to(Alias::new("care_plans"), Alias::new("id"))
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.on_delete(ForeignKeyAction::Cascade)
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.to_owned(),
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)
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.to_owned(),
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)
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.await?;
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manager
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.create_index(
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Index::create()
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.name("idx_care_plan_outcomes_tenant_plan")
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.table(Alias::new("care_plan_outcomes"))
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.col(Alias::new("tenant_id"))
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.col(Alias::new("plan_id"))
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.col(Alias::new("deleted_at"))
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.to_owned(),
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)
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.await?;
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Ok(())
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}
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async fn down(&self, manager: &SchemaManager) -> Result<(), DbErr> {
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manager
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.drop_table(Table::drop().table(Alias::new("care_plan_outcomes")).to_owned())
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.await?;
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manager
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.drop_table(Table::drop().table(Alias::new("care_plan_items")).to_owned())
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.await?;
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manager
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.drop_table(Table::drop().table(Alias::new("care_plans")).to_owned())
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.await?;
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Ok(())
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}
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}
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@@ -46,6 +46,7 @@ async fn seed_hourly(
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sample_count: Set(1),
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created_at: Set(chrono::Utc::now()),
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updated_at: Set(chrono::Utc::now()),
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deleted_at: Set(None),
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version: Set(1),
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};
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model.insert(app.db()).await.expect("插入 hourly 应成功");
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