iven
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15b5781dbb
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fix(health): 危急值告警全链路修复 — 消费者生命周期 + payload 映射 + 阈值优先级
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1. CRITICAL: 修复 SubscriptionHandle 提前 drop 导致所有事件消费者失效
- register_handlers_with_state 中所有 handle 在函数返回时被 drop
- cancel channel 关闭导致 subscribe_filtered 的过滤任务退出
- 方案: 收集所有 handle 并 std::mem::forget，生命周期与进程一致
2. HIGH: 修复 critical_alert 消费者 payload 字段映射不匹配
- 消费者读取 alert_type/metric_name 等顶层字段，但实际在 alert 嵌套对象中
- 更新消费者从 alert 对象提取 indicator/value/threshold/level
- handle_critical_alert_event 增加 severity 参数
3. MEDIUM: 修复 check_indicator 优先匹配最高严重级别
- 原实现返回第一个匹配的阈值（可能匹配 warning 而非 critical）
- 改为遍历所有匹配阈值，选择 severity 最高的（critical > warning）
4. MEDIUM: 修复危急值阈值页面不自动加载数据
- CriticalValueThresholdList 添加 useEffect 初始化加载
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2026-05-05 10:11:06 +08:00 |
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iven
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8d288cadfa
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fix(health+ai): 后端质量修复 — Phase 2d
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H3: 设备数据摄入增加 tracing 日志（事务保护待 ConnectionTrait 重构）
M4: care_plan/shift/ble_gateway/vital_signs_daily 补全 tracing 入口日志
M1: AI 分析缓存命中检查 + 缓存结果 Stream 回放
H4: 透析→KDIGO 自动串联（dialysis_notifier 发布 ai.dialysis.kdigo_requested 事件）
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2026-05-05 00:19:22 +08:00 |
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iven
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3ff17382ff
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feat(health+message): 关怀已送达通知管道 — care.action.performed 事件 + 温暖消息推送
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- 新增 CARE_ACTION_PERFORMED 事件常量（care.action.performed）
- care_plan_service 在护理项完成、测量数据更新、干预项创建时发布关怀行动事件
- erp-message 新增 care_plan.activated/completed + care.action.performed 消息处理
- 温暖消息文案：护理计划启动/完成通知、关怀已送达、健康数据已更新
- 事件测试覆盖新常量、payload 契约、通知分支逻辑
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2026-05-04 18:56:52 +08:00 |
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iven
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ef422f354d
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feat(health): 护理计划实体与服务 — Phase 1 关怀引擎 MVP 第一步
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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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2026-05-04 18:40:22 +08:00 |
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iven
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4be26592f4
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test(health): 补全事件消费者测试 — 17 个消费者逻辑测试
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为 erp-health/event.rs 中每个消费者添加正向和异常测试：
- 告警通知：severity 分支决定 template_key
- 告警聚合：suppressed=true 时触发聚合事件
- AI 分析完成：缺少 doctor_id/patient_id 时安全跳过
- AI 行动分发：suggestion_count=0 时跳过分发
- 预约创建：缺少 ID 时安全跳过
- 随访逾期升级：缺少 task_id/assigned_to 时安全跳过
- 危急值告警：完整字段提取 + 缺失 patient_id 安全跳过
- 咨询消息方向：sender_role 决定通知方向
- 知情同意：granted/revoked 不同 template
- 积分通知：缺失 amount 时安全跳过
- 设备读数：类型列表完整性
- workflow.task：UUID 解析 + 无效 UUID 安全处理
- 消费者总数验证
测试从 35 增加到 66（+31）
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2026-05-04 13:58:49 +08:00 |
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iven
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4c1d98116a
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feat(health): 告警聚合事件消费者 — alert.aggregated
- 新增 ALERT_AGGREGATED 常量
- alert_notifier 消费者中处理 suppressed=true 告警并发布聚合事件
- 更新事件常量测试和 consumer_id 唯一性测试
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2026-05-04 02:51:13 +08:00 |
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iven
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bc6206c0df
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chore: 编译器警告清理 — 22 条全部消除，workspace 零警告
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erp-ai(8): 移除未用 import + serde 结构体 #[allow(dead_code)]
erp-plugin(5): 移除未用 import + FromQueryResult 结构体允许
erp-health(8): 移除未用 import/变量 + FromQueryResult 字段允许
erp-server(1): AnalyticsEvent.timestamp 允许（未来分析集成）
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2026-05-03 20:09:26 +08:00 |
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iven
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7a016e4ed5
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test(health): 事件系统单元测试 — EventBus + 消费者过滤 + payload 验证
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event.rs 新增测试模块:
- EventBus subscribe_filtered 过滤非匹配事件
- 消费者幂等性验证（is_event_processed）
- DomainEvent payload 构造
- 事件常量一致性校验
erp-health lib 测试总数: 212 → 213
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2026-05-03 19:49:21 +08:00 |
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iven
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3ddd04b422
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feat(health): 孤立事件清理 — 新增 3 个消费者，孤立率 36% → 0%
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新增消费者:
- lab_report.uploaded → 触发 AI 自动分析请求
- lab_report.reviewed → 通知患者审核结果
- patient.updated → 审计日志记录
保留为纯通知的事件（无需消费者）:
- article.published/rejected, daily_monitoring.created,
doctor.online_status_changed
保留 TODO 标记（业务流程未实现）:
- patient.deceased/verified
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2026-05-03 19:42:41 +08:00 |
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iven
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84afeaf9f2
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feat(health): 事件消费者补全 + 无效消费者清理
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新增消费者:
- appointment.created → 患者预约创建通知
- consultation.opened/closed/new_message → 咨询全流程通知
- follow_up.created → 随访任务分配通知
- points.earned/exchanged/expired → 积分变动通知
清理:
- 删除 message.sent no-op 消费者（仅打日志无实际作用）
- 为 workflow.task.completed 消费者补充幂等检查
- 孤立事件率从 57% 降至 ~20%（剩余为 TODO 预留项）
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2026-05-03 09:51:26 +08:00 |
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iven
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5d2402a1e7
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feat(ai+health): 闭环核心 — 随访完成→再分析触发 + 前后对比报告
- follow_up.completed 消费者：通过 action_result 反查 AI 建议，触发再分析
- ai.reanalysis.requested 消费者：加载原始建议 baseline
- comparison.rs：对比报告生成引擎（指标变化百分比+趋势判断）
- GET /ai/suggestions/{id}/comparison：前后对比报告 API
- find_by_followup_task：通过随访任务反查关联建议ID
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2026-05-01 09:14:13 +08:00 |
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iven
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5053908444
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feat(health): AI 行动分发事件消费者 — 订阅 ai.analysis.completed
- 新增 ai_suggestion_loader：跨 crate 通过 raw SQL 读取 ai_suggestion 表
- 事件消费者 ai_action_dispatcher 订阅 ai. 事件
- 根据 suggestion_count > 0 触发行动分发路由
- 低风险自动执行，中/高风险进入医生审核队列
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2026-05-01 08:41:14 +08:00 |
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iven
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c0e3d26b71
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refactor(health): 更新 message.sent 消费者注释 — last_message_at 已在 CAS 中处理
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2026-04-30 08:32:29 +08:00 |
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iven
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cec487bd2c
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chore(points): 移除已废弃的 erp-points crate + 注释空桩和死常量
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- 删除 erp-points/ 目录（全部 501 handler，功能由 erp-health 完整提供）
- 从 workspace Cargo.toml 和 erp-server 依赖中移除
- erp-dialysis event.rs: 说明事件由 erp-health 统一消费的设计意图
- erp-health event.rs: 标记 PATIENT_VERIFIED/PATIENT_DECEASED 为待实现
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2026-04-30 08:24:20 +08:00 |
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iven
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ef0b784f4f
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fix(health): 修复两条断裂事件链 — consultation.new_message 和 lab_report.reviewed
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咨询消息发送和化验单审核完成后未发布 DomainEvent，导致下游通知消费者
（医生收到新消息通知、患者收到审核完成通知）完全不可用。
- consultation_service: create_message() 提交后发布 consultation.new_message 事件
- health_data_service: review_lab_report() 审核后发布 lab_report.reviewed 事件
- event.rs: 添加 CONSULTATION_NEW_MESSAGE 和 LAB_REPORT_REVIEWED 常量
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2026-04-30 08:21:00 +08:00 |
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iven
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30344d474f
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fix(health+ai+dialysis): 审计 P1 批次修复 — EventBus接入/盲索引去重/事件消费者补全
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P1-2: erp-ai EventBus 接入
- handler 层 SSE 流完成/失败时发布 ai.analysis.completed/failed 事件
- build_sse_stream 新增 tenant_id 参数
P1-2: erp-dialysis EventBus 接入
- create_dialysis_record 审计后发布 dialysis.record.created 事件
P1-5: message.sent 消费者改进
- 从占位 tracing::info 升级为带 payload 详情的结构化日志
P1-7: 盲索引去重
- create_patient 中新增 id_number HMAC 去重检查（查 blind_indexes 表）
- 患者创建成功后写入 blind_indexes 表（id_number + phone）
- 防止同租户重复建档
P1-1: 事件消费者补全
- 新增 ai.analysis.completed 消费者（幂等处理 + 日志）
- 新增 dialysis.record.created 消费者（幂等处理 + 日志）
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2026-04-29 17:00:24 +08:00 |
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iven
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e76f4feb4f
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feat(health): 告警微信模板消息通知 + alert.triggered 事件消费者
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2026-04-28 19:43:57 +08:00 |
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iven
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00f615d8e5
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feat(health): 新增血压/血糖临床阈值告警规则 + alert engine 直接查 device_readings
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2026-04-28 19:40:25 +08:00 |
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iven
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e00c2abdcd
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feat(health): P1 事件消费者补全 — patient/appointment/follow_up
- patient.created → 发布欢迎消息事件（message.send 模板通知）
- appointment.confirmed → 通知医生预约确认
- appointment.cancelled → 号源释放标记
- follow_up.overdue → 逾期随访升级通知
- 所有消费者含幂等检查（processed_events 表）
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2026-04-28 12:17:54 +08:00 |
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iven
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1bece3d41f
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feat(health): 危急值告警消费者 — 幂等处理 + Handler + 路由
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- event.rs: 消费 health_data.critical_alert 事件创建告警记录
- handler: list/get/acknowledge 三个端点
- 路由: /health/critical-alerts, /health/critical-alerts/{id}/acknowledge
- 权限: health.critical-alert.list / health.critical-alert.manage
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2026-04-28 11:43:32 +08:00 |
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iven
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8d55d98f4f
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feat(health): daily_monitoring.created 事件发布
日常监测记录创建后发布 domain event，payload 包含 record_id、
patient_id、record_date 及关键体征数据。
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2026-04-27 17:42:12 +08:00 |
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iven
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a36720cbbc
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feat(health): 补全事件发布 — consent/points/article 6 个领域事件
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- consent.granted/revoked: 知情同意授权/撤销
- points.earned/exchanged: 积分获得/兑换
- article.published/rejected: 文章审核发布/拒绝
所有事件通过 EventBus 发布，支持跨模块订阅和审计追溯。
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2026-04-27 13:33:11 +08:00 |
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iven
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6a7d83ec4d
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refactor(health): 集中管理事件类型常量 + 积分过期发布事件
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- event.rs 新增 20 个事件类型常量（PATIENT_CREATED 等）
- 10 个 service 文件引用常量替代硬编码字符串
- expire_points 增加 EventBus 参数，处理完成后发布 points.expired 事件
- start_points_expiration_checker 传入 EventBus
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2026-04-27 11:11:33 +08:00 |
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iven
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5b81a0051f
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docs: 修正测试策略 spec 的事实性错误
修正 spec review 发现的问题:
- C-1: TestDb 实际是本地 PostgreSQL 隔离，非 Testcontainers
- C-2: E2E 已有 4 spec/10 测试，非零测试
- 补充 6 个遗漏的 service（alert/daily_monitoring/critical_value_threshold 等）
- 增加 Phase 0 基础设施搭建
- 修正 CI 配置（增加 PostgreSQL service、验证链）
- 补充 5 个遗漏风险项和回退策略
- 统一"全量 80%"目标的准确含义
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2026-04-27 00:21:02 +08:00 |
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iven
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43e127d4f7
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feat(health): 事件驱动集成 + 数据一致性修复 + 逾期随访检查
- event.rs 重写为有状态处理器（订阅 workflow.task.completed / message.sent）
- module.rs on_startup 初始化 HealthCrypto 并注册事件处理器
- consultation_service 消息发送改为事务包裹（INSERT + CAS 原子更新）
- appointment_service 取消预约释放排班名额增加下限保护
- appointment_service update_schedule 增加 max_appointments >= current_appointments 校验
- follow_up_service 新增 complete_task_by_system 和 check_overdue_tasks
- validation.rs 随访状态机增加 overdue 状态支持
- main.rs 启动时运行逾期随访检查后台任务
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2026-04-25 00:30:32 +08:00 |
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iven
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2e9eb55f2c
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fix(health): 修复审计发现的 10 个 CRITICAL 问题
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权限与安全:
- 为全部 51 个 handler 端点添加 require_permission 权限检查
- 修复 CAS 预约操作中 doctor_id 为 None 时使用 Uuid::nil() 的问题
状态机修复:
- 预约初始状态从 "scheduled" 改为 "pending"（匹配设计规格）
- 排班状态从 "active" 改为 "enabled"
- 咨询会话添加 waiting→active 自动触发（首条消息时）
- 新增 create_session 端点和 DTO
数据完整性:
- doctor_profile 表添加 name 列（entity + migration + service）
- lab_report/health_trend 的 json 列改为 json_binary（支持 GIN 索引）
- 添加关键索引：patient.id_number UNIQUE、patient_tag UNIQUE、
doctor_schedule 唯一排班槽位、health_trend、doctor_profile.name
- 随访记录完成后自动检查 next_follow_up_date 创建后续任务
事件总线:
- 实现 10 种核心事件发布（patient/appointment/follow_up/consultation/lab_report）
- 实现 workflow.task.completed 和 message.sent 事件订阅框架
种子数据:
- 实现 seed_tenant_health（8 个默认患者标签）
- 实现 soft_delete_tenant_data（16 张表级联软删除）
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2026-04-23 23:25:53 +08:00 |
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iven
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ca50d32f6e
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feat(health): 添加 erp-health 健康管理模块骨架
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新建 erp-health 原生 Rust crate，覆盖设计规格中定义的 5 大业务域：
- 16 个 SeaORM Entity（患者/家属/标签/医生/健康档案/体征/化验单/预约/排班/随访/咨询等）
- 16 表数据库迁移（含索引、外键、默认值、可回滚）
- 40+ API 路由骨架（患者管理/健康数据/预约排班/随访/咨询/医生管理）
- 12 个权限声明（health.patient/health-data/appointment/follow-up/consultation/doctor 各 .list/.manage）
- DTO / Service / Handler / Event 四层架构，Service 使用 todo!() 占位
- erp-server 集成：模块注册 + AppState FromRef 桥接 + 路由挂载
同步更新 CLAUDE.md 项目进度、wiki 知识库、设计规格文档。
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2026-04-23 19:59:22 +08:00 |
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