fix(health): FHIR converter 身份证号脱敏处理

crates/erp-health/src/fhir/converter.rs

@@ -32,9 +32,15 @@ pub fn patient_to_fhir(p: &patient::Model) -> serde_json::Value {
     }
 
     if let Some(ref id_number) = p.id_number {
+        // 加密密文（v1| 前缀）不输出，明文做脱敏处理
+        let display_value = if id_number.starts_with("v1|") {
+            "[REDACTED]".to_string()
+        } else {
+            mask_sensitive(id_number)
+        };
         result["identifier"] = serde_json::json!([{
             "system": "urn:oid:2.16.156.10011.1.3",
-            "value": id_number,
+            "value": display_value,
         }]);
     }
 
@@ -332,6 +338,15 @@ pub fn follow_up_to_fhir(t: &follow_up_task::Model) -> serde_json::Value {
     })
 }
 
+/// 对敏感字符串做脱敏：保留前 1 位和后 4 位，中间用 * 替代
+fn mask_sensitive(s: &str) -> String {
+    if s.len() <= 5 {
+        "*".repeat(s.len())
+    } else {
+        format!("{}{}{}", &s[..1], "*".repeat(s.len() - 5), &s[s.len() - 4..])
+    }
+}
+
 #[cfg(test)]
 mod tests {
     use super::*;
@@ -370,7 +385,47 @@ mod tests {
         assert_eq!(fhir["id"], "00000000-0000-0000-0000-000000000001");
         assert_eq!(fhir["gender"], "male");
         assert_eq!(fhir["birthDate"], "1968-05-15");
-        assert_eq!(fhir["identifier"][0]["value"], "110101196805150001");
+        assert_eq!(fhir["identifier"][0]["value"], "1*************0001");
+    }
+
+    #[test]
+    fn test_patient_to_fhir_encrypted_id_number_redacted() {
+        let p = patient::Model {
+            id: uuid::Uuid::parse_str("00000000-0000-0000-0000-000000000001").unwrap(),
+            tenant_id: uuid::Uuid::now_v7(),
+            user_id: None,
+            name: "测试".into(),
+            gender: None,
+            birth_date: None,
+            blood_type: None,
+            id_number: Some("v1|encrypted_payload_here".into()),
+            id_number_hash: None,
+            allergy_history: None,
+            medical_history_summary: None,
+            emergency_contact_name: None,
+            emergency_contact_phone: None,
+            emergency_contact_phone_hash: None,
+            key_version: None,
+            status: "active".into(),
+            verification_status: "pending".into(),
+            source: None,
+            notes: None,
+            created_at: chrono::Utc::now(),
+            updated_at: chrono::Utc::now(),
+            created_by: None,
+            updated_by: None,
+            deleted_at: None,
+            version: 1,
+        };
+        let fhir = patient_to_fhir(&p);
+        assert_eq!(fhir["identifier"][0]["value"], "[REDACTED]");
+    }
+
+    #[test]
+    fn test_mask_sensitive() {
+        assert_eq!(mask_sensitive("110101196805150001"), "1*************0001");
+        assert_eq!(mask_sensitive("12345"), "*****");
+        assert_eq!(mask_sensitive("123456"), "1*3456");
     }
 
     #[test]