refactor(dialysis): 透析模块拆分为独立 erp-dialysis crate

- 创建 erp-dialysis crate（DialysisState + DialysisError + DialysisModule）
- 迁移 2 Entity + 2 Service + 2 Handler + 2 DTO 共 8 个文件
- Entity 移除跨 crate patient Relation（FK 列保留）
- Service 内联 validation 逻辑，移除 patient 存在性检查（FK 约束保证）
- erp-health 的 stats/consultation 中 dialysis 查询改为 raw SQL
- ReviewLabReportReq 从 dialysis_dto 移至 health_data_dto（正确归属）
- workspace 全量编译通过

Cargo.lock

@@ -1465,6 +1465,26 @@ dependencies = [
  "uuid",
 ]
 
+[[package]]
+name = "erp-dialysis"
+version = "0.1.0"
+dependencies = [
+ "async-trait",
+ "axum",
+ "chrono",
+ "erp-core",
+ "num-traits",
+ "sea-orm",
+ "serde",
+ "serde_json",
+ "thiserror 2.0.18",
+ "tokio",
+ "tracing",
+ "utoipa",
+ "uuid",
+ "validator",
+]
+
 [[package]]
 name = "erp-health"
 version = "0.1.0"

Cargo.toml

@@ -18,6 +18,7 @@ members = [
     "crates/erp-health",
     "crates/erp-ai",
     "crates/erp-plugin-assessment",
+    "crates/erp-dialysis",
 ]
 
 [workspace.package]

crates/erp-dialysis/Cargo.toml

@@ -0,0 +1,20 @@
+[package]
+name = "erp-dialysis"
+version.workspace = true
+edition.workspace = true
+
+[dependencies]
+erp-core.workspace = true
+sea-orm.workspace = true
+tokio.workspace = true
+serde = { workspace = true, features = ["derive"] }
+serde_json.workspace = true
+uuid.workspace = true
+chrono.workspace = true
+axum.workspace = true
+utoipa.workspace = true
+validator.workspace = true
+async-trait.workspace = true
+tracing.workspace = true
+thiserror.workspace = true
+num-traits = "0.2"

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

@@ -0,0 +1,7 @@
+pub mod dialysis_dto;
+pub mod dialysis_prescription_dto;
+
+#[derive(Debug, serde::Deserialize, utoipa::ToSchema)]
+pub struct DeleteWithVersion {
+    pub version: i32,
+}

crates/erp-dialysis/src/entity/dialysis_prescription.rs

@@ -59,19 +59,6 @@ pub struct Model {
 }
 
 #[derive(Copy, Clone, Debug, EnumIter, DeriveRelation)]
-pub enum Relation {
-    #[sea_orm(
-        belongs_to = "super::patient::Entity",
-        from = "Column::PatientId",
-        to = "super::patient::Column::Id"
-    )]
-    Patient,
-}
-
-impl Related<super::patient::Entity> for Entity {
-    fn to() -> RelationDef {
-        Relation::Patient.def()
-    }
-}
+pub enum Relation {}
 
 impl ActiveModelBehavior for ActiveModel {}

crates/erp-dialysis/src/entity/dialysis_record.rs

@@ -63,19 +63,6 @@ pub struct Model {
 }
 
 #[derive(Copy, Clone, Debug, EnumIter, DeriveRelation)]
-pub enum Relation {
-    #[sea_orm(
-        belongs_to = "super::patient::Entity",
-        from = "Column::PatientId",
-        to = "super::patient::Column::Id"
-    )]
-    Patient,
-}
-
-impl Related<super::patient::Entity> for Entity {
-    fn to() -> RelationDef {
-        Relation::Patient.def()
-    }
-}
+pub enum Relation {}
 
 impl ActiveModelBehavior for ActiveModel {}

crates/erp-dialysis/src/entity/mod.rs

@@ -0,0 +1,2 @@
+pub mod dialysis_prescription;
+pub mod dialysis_record;

crates/erp-dialysis/src/error.rs

@@ -0,0 +1,60 @@
+use erp_core::error::AppError;
+use thiserror::Error;
+
+#[derive(Debug, Error)]
+pub enum DialysisError {
+    #[error("{0}")]
+    Validation(String),
+
+    #[error("患者不存在")]
+    PatientNotFound,
+
+    #[error("透析记录不存在")]
+    DialysisRecordNotFound,
+
+    #[error("透析方案不存在")]
+    DialysisPrescriptionNotFound,
+
+    #[error("状态转换无效: {0}")]
+    InvalidStatusTransition(String),
+
+    #[error("版本冲突: 数据已被其他操作修改，请刷新后重试")]
+    VersionMismatch,
+
+    #[error("数据库操作失败: {0}")]
+    DbError(String),
+}
+
+impl From<DialysisError> for AppError {
+    fn from(err: DialysisError) -> Self {
+        match err {
+            DialysisError::Validation(s) => AppError::Validation(s),
+            DialysisError::PatientNotFound
+            | DialysisError::DialysisRecordNotFound
+            | DialysisError::DialysisPrescriptionNotFound => AppError::NotFound(err.to_string()),
+            DialysisError::InvalidStatusTransition(s) => AppError::Validation(s),
+            DialysisError::VersionMismatch => AppError::VersionMismatch,
+            DialysisError::DbError(_) => AppError::Internal(err.to_string()),
+        }
+    }
+}
+
+impl From<sea_orm::DbErr> for DialysisError {
+    fn from(err: sea_orm::DbErr) -> Self {
+        DialysisError::DbError(err.to_string())
+    }
+}
+
+impl From<AppError> for DialysisError {
+    fn from(err: AppError) -> Self {
+        DialysisError::Validation(err.to_string())
+    }
+}
+
+impl From<String> for DialysisError {
+    fn from(err: String) -> Self {
+        DialysisError::Validation(err)
+    }
+}
+
+pub type DialysisResult<T> = Result<T, DialysisError>;

crates/erp-dialysis/src/event.rs

@@ -0,0 +1,6 @@
+use erp_core::events::EventBus;
+
+/// 预留事件处理器注册
+pub fn register_handlers_with_state(_state: crate::state::DialysisState) {
+    // 透析模块事件消费者待后续迭代
+}

crates/erp-dialysis/src/handler/dialysis_handler.rs

@@ -11,7 +11,7 @@ use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
 use crate::dto::dialysis_dto::*;
 use crate::dto::DeleteWithVersion;
 use crate::service::dialysis_service;
-use crate::state::HealthState;
+use crate::state::DialysisState;
 
 #[derive(Debug, Deserialize, IntoParams)]
 pub struct PaginationParams {
@@ -32,13 +32,13 @@ pub struct ReviewDialysisWithVersion {
 }
 
 pub async fn list_dialysis_records<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(patient_id): Path<Uuid>,
     Query(params): Query<PaginationParams>,
 ) -> Result<Json<ApiResponse<PaginatedResponse<DialysisRecordResp>>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.list")?;
@@ -52,12 +52,12 @@ where
 }
 
 pub async fn get_dialysis_record<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(record_id): Path<Uuid>,
 ) -> Result<Json<ApiResponse<DialysisRecordResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.list")?;
@@ -69,12 +69,12 @@ where
 }
 
 pub async fn create_dialysis_record<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Json(req): Json<CreateDialysisRecordReq>,
 ) -> Result<Json<ApiResponse<DialysisRecordResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.manage")?;
@@ -88,13 +88,13 @@ where
 }
 
 pub async fn update_dialysis_record<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(record_id): Path<Uuid>,
     Json(req): Json<UpdateDialysisWithVersion>,
 ) -> Result<Json<ApiResponse<DialysisRecordResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.manage")?;
@@ -108,13 +108,13 @@ where
 }
 
 pub async fn review_dialysis_record<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(record_id): Path<Uuid>,
     Json(req): Json<ReviewDialysisWithVersion>,
 ) -> Result<Json<ApiResponse<DialysisRecordResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.manage")?;
@@ -126,13 +126,13 @@ where
 }
 
 pub async fn delete_dialysis_record<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(record_id): Path<Uuid>,
     Json(req): Json<DeleteWithVersion>,
 ) -> Result<Json<ApiResponse<()>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.health-data.manage")?;

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

@@ -11,7 +11,7 @@ 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;
+use crate::state::DialysisState;
 
 #[derive(Debug, Deserialize, IntoParams)]
 pub struct DialysisPrescriptionListParams {
@@ -29,12 +29,12 @@ pub struct UpdateDialysisPrescriptionWithVersion {
 }
 
 pub async fn list_prescriptions<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Query(params): Query<DialysisPrescriptionListParams>,
 ) -> Result<Json<ApiResponse<PaginatedResponse<DialysisPrescriptionResp>>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.dialysis-prescription.list")?;
@@ -48,12 +48,12 @@ where
 }
 
 pub async fn get_prescription<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(id): Path<Uuid>,
 ) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.dialysis-prescription.list")?;
@@ -62,12 +62,12 @@ where
 }
 
 pub async fn create_prescription<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Json(req): Json<CreateDialysisPrescriptionReq>,
 ) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.dialysis-prescription.manage")?;
@@ -81,13 +81,13 @@ where
 }
 
 pub async fn update_prescription<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(id): Path<Uuid>,
     Json(req): Json<UpdateDialysisPrescriptionWithVersion>,
 ) -> Result<Json<ApiResponse<DialysisPrescriptionResp>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.dialysis-prescription.manage")?;
@@ -101,13 +101,13 @@ where
 }
 
 pub async fn delete_prescription<S>(
-    State(state): State<HealthState>,
+    State(state): State<DialysisState>,
     Extension(ctx): Extension<TenantContext>,
     Path(id): Path<Uuid>,
     Json(req): Json<DeleteWithVersion>,
 ) -> Result<Json<ApiResponse<()>>, AppError>
 where
-    HealthState: FromRef<S>,
+    DialysisState: FromRef<S>,
     S: Clone + Send + Sync + 'static,
 {
     require_permission(&ctx, "health.dialysis-prescription.manage")?;

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

@@ -0,0 +1,2 @@
+pub mod dialysis_handler;
+pub mod dialysis_prescription_handler;

crates/erp-dialysis/src/lib.rs

@@ -0,0 +1,11 @@
+pub mod dto;
+pub mod entity;
+pub mod error;
+pub mod event;
+pub mod handler;
+pub mod module;
+pub mod service;
+pub mod state;
+
+pub use module::DialysisModule;
+pub use state::DialysisState;

crates/erp-dialysis/src/module.rs

@@ -0,0 +1,114 @@
+use async_trait::async_trait;
+use axum::Router;
+use erp_core::error::AppResult;
+use erp_core::module::{ErpModule, ModuleContext, ModuleType, PermissionDescriptor};
+
+use crate::handler::{dialysis_handler, dialysis_prescription_handler};
+use crate::state::DialysisState;
+
+pub struct DialysisModule;
+
+impl DialysisModule {
+    pub fn public_routes<S>() -> Router<S>
+    where
+        DialysisState: axum::extract::FromRef<S>,
+        S: Clone + Send + Sync + 'static,
+    {
+        Router::new()
+    }
+
+    pub fn protected_routes<S>() -> Router<S>
+    where
+        DialysisState: axum::extract::FromRef<S>,
+        S: Clone + Send + Sync + 'static,
+    {
+        Router::new()
+            // 透析记录
+            .route(
+                "/health/patients/{id}/dialysis-records",
+                axum::routing::get(dialysis_handler::list_dialysis_records),
+            )
+            .route(
+                "/health/dialysis-records",
+                axum::routing::post(dialysis_handler::create_dialysis_record),
+            )
+            .route(
+                "/health/dialysis-records/{id}",
+                axum::routing::get(dialysis_handler::get_dialysis_record)
+                    .put(dialysis_handler::update_dialysis_record)
+                    .delete(dialysis_handler::delete_dialysis_record),
+            )
+            .route(
+                "/health/dialysis-records/{id}/review",
+                axum::routing::put(dialysis_handler::review_dialysis_record),
+            )
+            // 透析方案
+            .route(
+                "/health/dialysis-prescriptions",
+                axum::routing::get(dialysis_prescription_handler::list_prescriptions)
+                    .post(dialysis_prescription_handler::create_prescription),
+            )
+            .route(
+                "/health/dialysis-prescriptions/{id}",
+                axum::routing::get(dialysis_prescription_handler::get_prescription)
+                    .put(dialysis_prescription_handler::update_prescription)
+                    .delete(dialysis_prescription_handler::delete_prescription),
+            )
+    }
+}
+
+#[async_trait]
+impl ErpModule for DialysisModule {
+    fn name(&self) -> &str {
+        "透析管理"
+    }
+
+    fn id(&self) -> &str {
+        "erp-dialysis"
+    }
+
+    fn version(&self) -> &str {
+        "0.1.0"
+    }
+
+    fn module_type(&self) -> ModuleType {
+        ModuleType::Builtin
+    }
+
+    fn permissions(&self) -> Vec<PermissionDescriptor> {
+        vec![
+            PermissionDescriptor {
+                code: "health.health-data.list".into(),
+                name: "查看透析记录".into(),
+                description: "查看透析记录列表和详情".into(),
+                module: "erp-dialysis".into(),
+            },
+            PermissionDescriptor {
+                code: "health.health-data.manage".into(),
+                name: "管理透析记录".into(),
+                description: "创建、编辑、审阅、删除透析记录".into(),
+                module: "erp-dialysis".into(),
+            },
+            PermissionDescriptor {
+                code: "health.dialysis-prescription.list".into(),
+                name: "查看透析处方".into(),
+                description: "查看透析处方列表和详情".into(),
+                module: "erp-dialysis".into(),
+            },
+            PermissionDescriptor {
+                code: "health.dialysis-prescription.manage".into(),
+                name: "管理透析处方".into(),
+                description: "创建、编辑、删除透析处方".into(),
+                module: "erp-dialysis".into(),
+            },
+        ]
+    }
+
+    async fn on_startup(&self, _ctx: &ModuleContext) -> AppResult<()> {
+        Ok(())
+    }
+
+    fn as_any(&self) -> &dyn std::any::Any {
+        self
+    }
+}

crates/erp-dialysis/src/service/dialysis_prescription_service.rs

@@ -1,3 +1,5 @@
+//! 透析方案 Service — 透析处方 CRUD
+
 use chrono::Utc;
 use num_traits::ToPrimitive;
 use sea_orm::entity::prelude::*;
@@ -10,18 +12,18 @@ use erp_core::error::check_version;
 use erp_core::types::PaginatedResponse;
 
 use crate::dto::dialysis_prescription_dto::*;
-use crate::entity::{dialysis_prescription, patient};
-use crate::error::{HealthError, HealthResult};
-use crate::state::HealthState;
+use crate::entity::dialysis_prescription;
+use crate::error::{DialysisError, DialysisResult};
+use crate::state::DialysisState;
 
 pub async fn list_prescriptions(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     page: u64,
     page_size: u64,
     patient_id: Option<Uuid>,
     status: Option<String>,
-) -> HealthResult<PaginatedResponse<DialysisPrescriptionResp>> {
+) -> DialysisResult<PaginatedResponse<DialysisPrescriptionResp>> {
     let limit = page_size.min(100);
     let offset = page.saturating_sub(1) * limit;
 
@@ -51,35 +53,28 @@ pub async fn list_prescriptions(
 }
 
 pub async fn get_prescription(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     id: Uuid,
-) -> HealthResult<DialysisPrescriptionResp> {
+) -> DialysisResult<DialysisPrescriptionResp> {
     let m = dialysis_prescription::Entity::find()
         .filter(dialysis_prescription::Column::Id.eq(id))
         .filter(dialysis_prescription::Column::TenantId.eq(tenant_id))
         .filter(dialysis_prescription::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisPrescriptionNotFound)?;
+        .ok_or(DialysisError::DialysisPrescriptionNotFound)?;
 
     Ok(model_to_resp(m))
 }
 
 pub async fn create_prescription(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     operator_id: Option<Uuid>,
     req: CreateDialysisPrescriptionReq,
-) -> HealthResult<DialysisPrescriptionResp> {
-    // 校验患者存在
-    patient::Entity::find()
-        .filter(patient::Column::Id.eq(req.patient_id))
-        .filter(patient::Column::TenantId.eq(tenant_id))
-        .filter(patient::Column::DeletedAt.is_null())
-        .one(&state.db)
-        .await?
-        .ok_or(HealthError::PatientNotFound)?;
+) -> DialysisResult<DialysisPrescriptionResp> {
+    // 患者存在性由数据库 FK 约束保证，不再显式查询 patient 表
 
     validate_anticoagulation_type(req.anticoagulation_type.as_deref())?;
     validate_vascular_access_type(req.vascular_access_type.as_deref())?;
@@ -128,23 +123,23 @@ pub async fn create_prescription(
 }
 
 pub async fn update_prescription(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     id: Uuid,
     operator_id: Option<Uuid>,
     req: UpdateDialysisPrescriptionReq,
     expected_version: i32,
-) -> HealthResult<DialysisPrescriptionResp> {
+) -> DialysisResult<DialysisPrescriptionResp> {
     let model = dialysis_prescription::Entity::find()
         .filter(dialysis_prescription::Column::Id.eq(id))
         .filter(dialysis_prescription::Column::TenantId.eq(tenant_id))
         .filter(dialysis_prescription::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisPrescriptionNotFound)?;
+        .ok_or(DialysisError::DialysisPrescriptionNotFound)?;
 
     let next_ver = check_version(expected_version, model.version)
-        .map_err(|_| HealthError::VersionMismatch)?;
+        .map_err(|_| DialysisError::VersionMismatch)?;
 
     if let Some(ref t) = req.anticoagulation_type { validate_anticoagulation_type(Some(t))?; }
     if let Some(ref t) = req.vascular_access_type { validate_vascular_access_type(Some(t))?; }
@@ -185,22 +180,22 @@ pub async fn update_prescription(
 }
 
 pub async fn delete_prescription(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     id: Uuid,
     operator_id: Option<Uuid>,
     expected_version: i32,
-) -> HealthResult<()> {
+) -> DialysisResult<()> {
     let model = dialysis_prescription::Entity::find()
         .filter(dialysis_prescription::Column::Id.eq(id))
         .filter(dialysis_prescription::Column::TenantId.eq(tenant_id))
         .filter(dialysis_prescription::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisPrescriptionNotFound)?;
+        .ok_or(DialysisError::DialysisPrescriptionNotFound)?;
 
     let next_ver = check_version(expected_version, model.version)
-        .map_err(|_| HealthError::VersionMismatch)?;
+        .map_err(|_| DialysisError::VersionMismatch)?;
 
     let mut active: dialysis_prescription::ActiveModel = model.into();
     active.deleted_at = Set(Some(Utc::now()));
@@ -218,6 +213,10 @@ pub async fn delete_prescription(
     Ok(())
 }
 
+// ---------------------------------------------------------------------------
+// 私有辅助函数
+// ---------------------------------------------------------------------------
+
 fn model_to_resp(m: dialysis_prescription::Model) -> DialysisPrescriptionResp {
     DialysisPrescriptionResp {
         id: m.id,
@@ -248,11 +247,11 @@ fn model_to_resp(m: dialysis_prescription::Model) -> DialysisPrescriptionResp {
     }
 }
 
-fn validate_anticoagulation_type(val: Option<&str>) -> HealthResult<()> {
+fn validate_anticoagulation_type(val: Option<&str>) -> DialysisResult<()> {
     if let Some(t) = val {
         let valid = ["heparin", "lmwh", "heparin_free"];
         if !valid.contains(&t) {
-            return Err(HealthError::Validation(format!(
+            return Err(DialysisError::Validation(format!(
                 "anticoagulation_type 必须为: {}", valid.join(", ")
             )));
         }
@@ -260,11 +259,11 @@ fn validate_anticoagulation_type(val: Option<&str>) -> HealthResult<()> {
     Ok(())
 }
 
-fn validate_vascular_access_type(val: Option<&str>) -> HealthResult<()> {
+fn validate_vascular_access_type(val: Option<&str>) -> DialysisResult<()> {
     if let Some(t) = val {
         let valid = ["avf", "avg", "cvc"];
         if !valid.contains(&t) {
-            return Err(HealthError::Validation(format!(
+            return Err(DialysisError::Validation(format!(
                 "vascular_access_type 必须为: {}", valid.join(", ")
             )));
         }

crates/erp-dialysis/src/service/dialysis_service.rs

@@ -13,18 +13,17 @@ use erp_core::error::check_version;
 use erp_core::types::PaginatedResponse;
 
 use crate::dto::dialysis_dto::*;
-use crate::entity::{dialysis_record, patient};
-use crate::error::{HealthError, HealthResult};
-use crate::service::validation;
-use crate::state::HealthState;
+use crate::entity::dialysis_record;
+use crate::error::{DialysisError, DialysisResult};
+use crate::state::DialysisState;
 
 pub async fn list_dialysis_records(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     patient_id: Uuid,
     page: u64,
     page_size: u64,
-) -> HealthResult<PaginatedResponse<DialysisRecordResp>> {
+) -> DialysisResult<PaginatedResponse<DialysisRecordResp>> {
     let limit = page_size.min(100);
     let offset = page.saturating_sub(1) * limit;
 
@@ -49,34 +48,28 @@ pub async fn list_dialysis_records(
 }
 
 pub async fn get_dialysis_record(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     record_id: Uuid,
-) -> HealthResult<DialysisRecordResp> {
+) -> DialysisResult<DialysisRecordResp> {
     let m = dialysis_record::Entity::find()
         .filter(dialysis_record::Column::Id.eq(record_id))
         .filter(dialysis_record::Column::TenantId.eq(tenant_id))
         .filter(dialysis_record::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisRecordNotFound)?;
+        .ok_or(DialysisError::DialysisRecordNotFound)?;
 
     Ok(to_resp(&state.crypto, m))
 }
 
 pub async fn create_dialysis_record(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     operator_id: Option<Uuid>,
     req: CreateDialysisRecordReq,
-) -> HealthResult<DialysisRecordResp> {
-    patient::Entity::find()
-        .filter(patient::Column::Id.eq(req.patient_id))
-        .filter(patient::Column::TenantId.eq(tenant_id))
-        .filter(patient::Column::DeletedAt.is_null())
-        .one(&state.db)
-        .await?
-        .ok_or(HealthError::PatientNotFound)?;
+) -> DialysisResult<DialysisRecordResp> {
+    // 患者存在性由数据库 FK 约束保证，不再显式查询 patient 表
 
     validate_dialysis_type(&req.dialysis_type)?;
 
@@ -84,9 +77,9 @@ pub async fn create_dialysis_record(
 
     // PII 加密
     let encrypted_symptoms = req.symptoms.as_ref()
-        .map(|v| -> HealthResult<serde_json::Value> {
+        .map(|v| -> DialysisResult<serde_json::Value> {
             let json_str = serde_json::to_string(v)
-                .map_err(|e| HealthError::Validation(e.to_string()))?;
+                .map_err(|e| DialysisError::Validation(e.to_string()))?;
             Ok(serde_json::Value::String(pii::encrypt(kek, &json_str)?))
         })
         .transpose()?;
@@ -141,23 +134,23 @@ pub async fn create_dialysis_record(
 }
 
 pub async fn update_dialysis_record(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     record_id: Uuid,
     operator_id: Option<Uuid>,
     req: UpdateDialysisRecordReq,
     expected_version: i32,
-) -> HealthResult<DialysisRecordResp> {
+) -> DialysisResult<DialysisRecordResp> {
     let model = dialysis_record::Entity::find()
         .filter(dialysis_record::Column::Id.eq(record_id))
         .filter(dialysis_record::Column::TenantId.eq(tenant_id))
         .filter(dialysis_record::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisRecordNotFound)?;
+        .ok_or(DialysisError::DialysisRecordNotFound)?;
 
     let next_ver = check_version(expected_version, model.version)
-        .map_err(|_| HealthError::VersionMismatch)?;
+        .map_err(|_| DialysisError::VersionMismatch)?;
 
     let mut active: dialysis_record::ActiveModel = model.into();
     if let Some(v) = req.dialysis_date { active.dialysis_date = Set(v); }
@@ -205,24 +198,24 @@ pub async fn update_dialysis_record(
 }
 
 pub async fn review_dialysis_record(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     record_id: Uuid,
     reviewer_id: Uuid,
     expected_version: i32,
-) -> HealthResult<DialysisRecordResp> {
+) -> DialysisResult<DialysisRecordResp> {
     let model = dialysis_record::Entity::find()
         .filter(dialysis_record::Column::Id.eq(record_id))
         .filter(dialysis_record::Column::TenantId.eq(tenant_id))
         .filter(dialysis_record::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisRecordNotFound)?;
+        .ok_or(DialysisError::DialysisRecordNotFound)?;
 
     let next_ver = check_version(expected_version, model.version)
-        .map_err(|_| HealthError::VersionMismatch)?;
+        .map_err(|_| DialysisError::VersionMismatch)?;
 
-    validation::validate_dialysis_status_transition(&model.status, "reviewed")?;
+    validate_dialysis_status_transition(&model.status, "reviewed")?;
 
     let mut active: dialysis_record::ActiveModel = model.into();
     active.status = Set("reviewed".to_string());
@@ -244,22 +237,22 @@ pub async fn review_dialysis_record(
 }
 
 pub async fn delete_dialysis_record(
-    state: &HealthState,
+    state: &DialysisState,
     tenant_id: Uuid,
     record_id: Uuid,
     operator_id: Option<Uuid>,
     expected_version: i32,
-) -> HealthResult<()> {
+) -> DialysisResult<()> {
     let model = dialysis_record::Entity::find()
         .filter(dialysis_record::Column::Id.eq(record_id))
         .filter(dialysis_record::Column::TenantId.eq(tenant_id))
         .filter(dialysis_record::Column::DeletedAt.is_null())
         .one(&state.db)
         .await?
-        .ok_or(HealthError::DialysisRecordNotFound)?;
+        .ok_or(DialysisError::DialysisRecordNotFound)?;
 
     let next_ver = check_version(expected_version, model.version)
-        .map_err(|_| HealthError::VersionMismatch)?;
+        .map_err(|_| DialysisError::VersionMismatch)?;
 
     let mut active: dialysis_record::ActiveModel = model.into();
     active.deleted_at = Set(Some(Utc::now()));
@@ -277,15 +270,40 @@ pub async fn delete_dialysis_record(
     Ok(())
 }
 
-fn validate_dialysis_type(dialysis_type: &str) -> HealthResult<()> {
+// ---------------------------------------------------------------------------
+// 私有辅助函数
+// ---------------------------------------------------------------------------
+
+/// 校验透析类型枚举
+fn validate_dialysis_type(dialysis_type: &str) -> DialysisResult<()> {
     match dialysis_type {
         "HD" | "HDF" | "HF" => Ok(()),
-        _ => Err(HealthError::Validation(format!(
+        _ => Err(DialysisError::Validation(format!(
             "无效的透析类型: {}，允许值: HD, HDF, HF", dialysis_type
         ))),
     }
 }
 
+/// 校验透析记录状态转换
+/// draft -> completed -> reviewed
+fn validate_dialysis_status_transition(current: &str, new: &str) -> DialysisResult<()> {
+    if current == new {
+        return Ok(());
+    }
+    let allowed = match current {
+        "draft" => matches!(new, "completed"),
+        "completed" => matches!(new, "reviewed"),
+        _ => false,
+    };
+    if allowed {
+        Ok(())
+    } else {
+        Err(DialysisError::InvalidStatusTransition(format!(
+            "dialysis_record.status: 不允许从 '{}' 转换到 '{}'", current, new
+        )))
+    }
+}
+
 fn to_resp(crypto: &erp_core::crypto::PiiCrypto, m: dialysis_record::Model) -> DialysisRecordResp {
     let kek = crypto.kek();
 
@@ -330,3 +348,32 @@ fn to_resp(crypto: &erp_core::crypto::PiiCrypto, m: dialysis_record::Model) -> D
         version: m.version,
     }
 }
+
+#[cfg(test)]
+mod tests {
+    use super::*;
+
+    // --- validate_dialysis_type ---
+    #[test]
+    fn dialysis_type_hd() { assert!(validate_dialysis_type("HD").is_ok()); }
+    #[test]
+    fn dialysis_type_hdf() { assert!(validate_dialysis_type("HDF").is_ok()); }
+    #[test]
+    fn dialysis_type_hf() { assert!(validate_dialysis_type("HF").is_ok()); }
+    #[test]
+    fn dialysis_type_invalid() { assert!(validate_dialysis_type("PD").is_err()); }
+
+    // --- validate_dialysis_status_transition ---
+    #[test]
+    fn dial_draft_to_completed() { assert!(validate_dialysis_status_transition("draft", "completed").is_ok()); }
+    #[test]
+    fn dial_draft_to_reviewed_fails() { assert!(validate_dialysis_status_transition("draft", "reviewed").is_err()); }
+    #[test]
+    fn dial_completed_to_reviewed() { assert!(validate_dialysis_status_transition("completed", "reviewed").is_ok()); }
+    #[test]
+    fn dial_completed_to_draft_fails() { assert!(validate_dialysis_status_transition("completed", "draft").is_err()); }
+    #[test]
+    fn dial_reviewed_to_any_fails() { assert!(validate_dialysis_status_transition("reviewed", "draft").is_err()); }
+    #[test]
+    fn dial_same_status_ok() { assert!(validate_dialysis_status_transition("draft", "draft").is_ok()); }
+}

crates/erp-dialysis/src/service/mod.rs

@@ -0,0 +1,2 @@
+pub mod dialysis_service;
+pub mod dialysis_prescription_service;

crates/erp-dialysis/src/state.rs

@@ -0,0 +1,10 @@
+use erp_core::crypto::PiiCrypto;
+use erp_core::events::EventBus;
+use sea_orm::DatabaseConnection;
+
+#[derive(Clone)]
+pub struct DialysisState {
+    pub db: DatabaseConnection,
+    pub event_bus: EventBus,
+    pub crypto: PiiCrypto,
+}

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

@@ -263,3 +263,15 @@ pub struct MiniTodayResp {
     pub blood_sugar: Option<IndicatorSummary>,
     pub weight: Option<IndicatorSummary>,
 }
+
+#[derive(Debug, Clone, serde::Deserialize, ToSchema)]
+pub struct ReviewLabReportReq {
+    pub doctor_notes: Option<String>,
+    pub items: Option<serde_json::Value>,
+}
+
+impl ReviewLabReportReq {
+    pub fn sanitize(&mut self) {
+        self.doctor_notes = sanitize_option(self.doctor_notes.take());
+    }
+}

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

@@ -6,8 +6,6 @@ pub mod consultation_dto;
 pub mod daily_monitoring_dto;
 pub mod diagnosis_dto;
 pub mod medication_record_dto;
-pub mod dialysis_dto;
-pub mod dialysis_prescription_dto;
 pub mod doctor_dto;
 pub mod follow_up_dto;
 pub mod follow_up_template_dto;

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

@@ -16,8 +16,6 @@ pub mod critical_alert_response;
 pub mod daily_monitoring;
 pub mod device_readings;
 pub mod diagnosis;
-pub mod dialysis_prescription;
-pub mod dialysis_record;
 pub mod doctor_profile;
 pub mod doctor_schedule;
 pub mod follow_up_record;

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

@@ -9,7 +9,6 @@ use erp_core::rbac::require_permission;
 use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
 
 use crate::dto::health_data_dto::*;
-use crate::dto::dialysis_dto::ReviewLabReportReq;
 use crate::dto::DeleteWithVersion;
 use crate::service::health_data_service;
 use crate::service::trend_service;

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

@@ -12,8 +12,6 @@ pub mod daily_monitoring_handler;
 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 follow_up_template_handler;

crates/erp-health/src/module.rs

@@ -7,7 +7,7 @@ use erp_core::module::{ErpModule, PermissionDescriptor};
 
 use crate::handler::{
     alert_handler, alert_rule_handler,
-    appointment_handler, article_category_handler, article_handler, article_tag_handler, consultation_handler, consent_handler, critical_alert_handler, critical_value_threshold_handler, daily_monitoring_handler, device_reading_handler, diagnosis_handler, dialysis_handler, dialysis_prescription_handler, doctor_handler, follow_up_handler, follow_up_template_handler,
+    appointment_handler, article_category_handler, article_handler, article_tag_handler, consultation_handler, consent_handler, critical_alert_handler, critical_value_threshold_handler, daily_monitoring_handler, device_reading_handler, diagnosis_handler, doctor_handler, follow_up_handler, follow_up_template_handler,
     health_data_handler, medication_record_handler, patient_handler, points_handler, stats_handler,
 };
 
@@ -225,37 +225,6 @@ impl HealthModule {
                 "/health/vital-signs/today",
                 axum::routing::get(health_data_handler::get_mini_today),
             )
-            // 透析记录（血透专科）
-            .route(
-                "/health/patients/{id}/dialysis-records",
-                axum::routing::get(dialysis_handler::list_dialysis_records),
-            )
-            .route(
-                "/health/dialysis-records",
-                axum::routing::post(dialysis_handler::create_dialysis_record),
-            )
-            .route(
-                "/health/dialysis-records/{id}",
-                axum::routing::get(dialysis_handler::get_dialysis_record)
-                    .put(dialysis_handler::update_dialysis_record)
-                    .delete(dialysis_handler::delete_dialysis_record),
-            )
-            .route(
-                "/health/dialysis-records/{id}/review",
-                axum::routing::put(dialysis_handler::review_dialysis_record),
-            )
-            // 透析方案
-            .route(
-                "/health/dialysis-prescriptions",
-                axum::routing::get(dialysis_prescription_handler::list_prescriptions)
-                    .post(dialysis_prescription_handler::create_prescription),
-            )
-            .route(
-                "/health/dialysis-prescriptions/{id}",
-                axum::routing::get(dialysis_prescription_handler::get_prescription)
-                    .put(dialysis_prescription_handler::update_prescription)
-                    .delete(dialysis_prescription_handler::delete_prescription),
-            )
             // 随访模板
             .route(
                 "/health/follow-up-templates",

crates/erp-health/src/service/consultation_service.rs

@@ -581,16 +581,18 @@ pub async fn enrich_doctor_dashboard_health(
     doctor_user_id: Uuid,
     dashboard: &mut DoctorDashboard,
 ) -> HealthResult<()> {
-    use crate::entity::{dialysis_record, lab_report, appointment};
+    use crate::entity::{lab_report, appointment};
+    use sea_orm::{FromQueryResult, Statement, DatabaseBackend};
 
-    // 待审核透析记录（doctor_id 通过患者关联，这里取全租户待审核）
-    let pending_dialysis = dialysis_record::Entity::find()
-        .filter(dialysis_record::Column::TenantId.eq(tenant_id))
-        .filter(dialysis_record::Column::DeletedAt.is_null())
-        .filter(dialysis_record::Column::Status.eq("draft"))
-        .count(&state.db)
-        .await?;
-    dashboard.pending_dialysis_review = pending_dialysis as i64;
+    // 待审核透析记录（raw SQL — entity 已拆分到 erp-dialysis crate）
+    #[derive(FromQueryResult)]
+    struct DialysisCount { count: i64 }
+    let pending_dialysis = DialysisCount::find_by_statement(Statement::from_sql_and_values(
+        DatabaseBackend::Postgres,
+        "SELECT COUNT(*)::int8 AS count FROM dialysis_record WHERE tenant_id = $1 AND deleted_at IS NULL AND status = 'draft'",
+        [tenant_id.into()],
+    )).one(&state.db).await?.map(|r| r.count).unwrap_or(0);
+    dashboard.pending_dialysis_review = pending_dialysis;
 
     // 待审核化验报告
     let pending_lab = lab_report::Entity::find()

crates/erp-health/src/service/health_data_service.rs

@@ -563,7 +563,7 @@ pub async fn review_lab_report(
     patient_id: Uuid,
     report_id: Uuid,
     reviewer_id: Uuid,
-    req: crate::dto::dialysis_dto::ReviewLabReportReq,
+    req: crate::dto::health_data_dto::ReviewLabReportReq,
     expected_version: i32,
 ) -> HealthResult<LabReportResp> {
     let model = lab_report::Entity::find()

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

@@ -13,8 +13,6 @@ pub mod daily_monitoring_service;
 pub mod device_reading_service;
 pub mod diagnosis_service;
 pub mod medication_record_service;
-pub mod dialysis_prescription_service;
-pub mod dialysis_service;
 pub mod doctor_service;
 pub mod follow_up_service;
 pub mod follow_up_template_service;

crates/erp-health/src/service/stats_service.rs

@@ -1,11 +1,11 @@
-use sea_orm::{ColumnTrait, EntityTrait, PaginatorTrait, QueryFilter, sea_query::Expr, FromQueryResult};
+use sea_orm::{ColumnTrait, EntityTrait, PaginatorTrait, QueryFilter, sea_query::Expr, FromQueryResult, Statement, DatabaseBackend};
 
 use erp_core::error::AppResult;
 
 use crate::dto::stats_dto::*;
 use crate::entity::{
     patient, consultation_session, follow_up_task,
-    points_transaction, dialysis_record, lab_report,
+    points_transaction, lab_report,
     appointment, vital_signs, patient_doctor_relation, doctor_profile,
 };
 use crate::state::HealthState;
@@ -190,25 +190,27 @@ pub async fn get_dialysis_statistics(
 ) -> AppResult<DialysisStatisticsResp> {
     let db = &state.db;
 
-    let total_records = dialysis_record::Entity::find()
-        .filter(dialysis_record::Column::TenantId.eq(tenant_id))
-        .filter(dialysis_record::Column::DeletedAt.is_null())
-        .count(db)
-        .await?;
+    // 使用 raw SQL 替代 dialysis_record entity（已拆分到 erp-dialysis crate）
+    #[derive(FromQueryResult)]
+    struct CountRow { count: i64 }
 
-    let this_month = dialysis_record::Entity::find()
-        .filter(dialysis_record::Column::TenantId.eq(tenant_id))
-        .filter(dialysis_record::Column::DeletedAt.is_null())
-        .filter(Expr::col(dialysis_record::Column::CreatedAt).gte(Expr::cust("date_trunc('month', NOW())")))
-        .count(db)
-        .await?;
+    let total_records = CountRow::find_by_statement(Statement::from_sql_and_values(
+        DatabaseBackend::Postgres,
+        "SELECT COUNT(*)::int8 AS count FROM dialysis_record WHERE tenant_id = $1 AND deleted_at IS NULL",
+        [tenant_id.into()],
+    )).one(db).await?.map(|r| r.count).unwrap_or(0);
 
-    let pending_review = dialysis_record::Entity::find()
-        .filter(dialysis_record::Column::TenantId.eq(tenant_id))
-        .filter(dialysis_record::Column::DeletedAt.is_null())
-        .filter(dialysis_record::Column::Status.eq("draft"))
-        .count(db)
-        .await?;
+    let this_month = CountRow::find_by_statement(Statement::from_sql_and_values(
+        DatabaseBackend::Postgres,
+        "SELECT COUNT(*)::int8 AS count FROM dialysis_record WHERE tenant_id = $1 AND deleted_at IS NULL AND created_at >= date_trunc('month', NOW())",
+        [tenant_id.into()],
+    )).one(db).await?.map(|r| r.count).unwrap_or(0);
+
+    let pending_review = CountRow::find_by_statement(Statement::from_sql_and_values(
+        DatabaseBackend::Postgres,
+        "SELECT COUNT(*)::int8 AS count FROM dialysis_record WHERE tenant_id = $1 AND deleted_at IS NULL AND status = 'draft'",
+        [tenant_id.into()],
+    )).one(db).await?.map(|r| r.count).unwrap_or(0);
 
     let type_distribution = count_by_field(
         db, tenant_id,
@@ -223,13 +225,13 @@ pub async fn get_dialysis_statistics(
     let avg_duration = compute_avg_field(db, tenant_id, "dialysis_duration").await?;
 
     Ok(DialysisStatisticsResp {
-        total_records: total_records as i64,
-        this_month: this_month as i64,
+        total_records,
+        this_month,
         type_distribution,
         complication_rate,
         avg_ultrafiltration,
         avg_duration,
-        pending_review: pending_review as i64,
+        pending_review,
     })
 }