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49 Commits

Author SHA1 Message Date
iven
75a70d2e46 feat(ai): 添加知识库 trait 和 DTO — KnowledgeSource/PatientSummary/Reference
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Phase 3 Task 19: 定义统一知识获取接口，支持未来向量检索扩展
 2026-05-05 15:50:57 +08:00
iven
54116d1a1f refactor(ai): auto_analysis 改为入队模式
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高风险患者扫描结果构造 AnalysisJob 入队而非直接调用 Provider
保留定时扫描逻辑（每 24h），分析执行由队列消费者负责
 2026-05-05 15:41:30 +08:00
iven
553de13cd5 feat(ai): 扩展事件订阅自动入队分析 
订阅 health_data.critical_alert → 趋势分析 (priority=2)
订阅 lab_report.uploaded → 化验单解读 (priority=1)
订阅 dialysis.record.created → KDIGO 风险评估 (priority=2)
tokio::select! 多通道并发消费
 2026-05-05 15:40:15 +08:00
iven
7fb92714c7 feat(ai): 实现 AnalysisQueue 服务 
支持 enqueue/claim_next/mark_completed/mark_failed 状态机
失败自动重试（retry_count < max_retries → pending），queue_status 聚合查询
 2026-05-05 15:38:14 +08:00
iven
3186c5aee9 feat(ai): 添加 ai_analysis_queue 迁移 + Entity 
异步分析队列表，支持优先级/重试/状态机（pending→running→completed/failed）
索引覆盖租户状态查询和调度扫描，迁移号 000118
 2026-05-05 15:35:59 +08:00
iven
c268229311 feat(ai): 实现 CacheService 两级缓存 + 集成到 AiState 
Redis TTL (L1) + DB SHA-256 hash (L2)，Redis 不可用时自动降级
CacheKey 基于 tenant_id + analysis_type + input_hash + prompt_version
AiState 新增 cache 字段，main.rs 注入共享 Redis Client
 2026-05-05 15:33:58 +08:00
iven
50b9e8d683 feat(ai): 添加 Provider 管理 API 端点
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GET /ai/providers — 列出已注册提供商
GET /ai/providers/health — 各提供商健康状态
GET /ai/quota/summary — 租户配额使用摘要
 2026-05-05 15:19:49 +08:00
iven
a16e86bf04 feat(ai): 重构 AiState 集成 ProviderRegistry + QuotaService 
AiState 新增 provider_registry 和 quota 字段
main.rs 启动时按配置注册 Claude/OpenAI/Ollama Provider
支持多 Provider 并发注册和健康检查
 2026-05-05 15:18:26 +08:00
iven
63ff8660fc feat(ai): 实现 QuotaService 租户配额检查 
月度 Token 预算 + 每日患者分析次数限制，raw SQL 聚合查询
可全局开关 (quota_check_enabled)，无配置时默认放行
 2026-05-05 15:16:09 +08:00
iven
105cae0565 feat(ai): 添加 ai_tenant_configs 迁移 + Entity 
支持租户级 Provider 路由配置、月度 Token 预算、每日患者限制
unique 索引确保每租户一条配置，迁移号 000117
 2026-05-05 15:13:05 +08:00
iven
37acd34154 feat(ai): 实现 OllamaProvider 本地模型支持 
使用 /api/chat 端点，无需 API Key，支持流式/非流式生成
健康检查通过 /api/tags，含 7 个单元测试
 2026-05-05 15:10:43 +08:00
iven
b728618d61 feat(ai): 实现 OpenAIProvider 兼容 OpenAI API 格式 
支持 /v1/chat/completions 端点的流式/非流式生成 + 健康检查
含序列化/反序列化单元测试
 2026-05-05 15:08:41 +08:00
iven
74b1d44068 feat(ai): 实现 ProviderRegistry 并发安全多提供商注册与路由 
DashMap 支持并发注册，resolve() 按首选→回退→任意可用顺序
实时健康检查，含 4 个单元测试覆盖正常/降级/全不可用场景
 2026-05-05 15:07:19 +08:00
iven
24bb8e7bca feat(ai): 扩展 AiError 支持配额/缓存/知识库/队列/配置错误变体 
新增 QuotaExhausted→429, CacheError/KnowledgeError/QueueError/ConfigError→500
 2026-05-05 15:02:38 +08:00
iven
4d02b2b531 feat(ai): 扩展 AiConfig 支持多 Provider 配置 
- config/default.toml 新增 providers 子段（claude/openai/ollama）
- erp-server/config.rs AiConfig 新增 quota_check_enabled + providers HashMap
- erp-ai/config.rs 新增 ProviderType 枚举 + ProviderConfig 结构体
 2026-05-05 15:01:24 +08:00
iven
8d288cadfa 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）
 2026-05-05 00:19:22 +08:00
iven
0a5290aee4 feat(ai): KDIGO 透析专用风险评分器 — Phase 1 关怀引擎 MVP 第二步
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新增 DialysisRiskScorer：12 条 KDIGO 规则覆盖 Kt/V、血磷、血钾、血红蛋白、
体重增长、eGFR、白蛋白，含 KDIGO CKD G1-G5 分期。同步暴露
POST /ai/dialysis/risk-assessment 端点。76 个测试全部通过。
 2026-05-04 18:44:22 +08:00
iven
d68c7be098 feat(ai): 建议状态生命周期 — 转换验证 + 执行端点 + 事件发布
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建议（ai_suggestion）原有状态枚举完整但缺乏生命周期管理：
- 无转换验证（可从 Rejected 跳到 Approved）
- 无执行端点（护士无法标记"已执行"）
- 无状态变更事件

变更：
1. SuggestionStatus.can_transition_to() — 仅允许合法单向转换
   Pending → Approved/Rejected/Expired → Approved → Executed/Rejected/Expired
2. SuggestionService.execute_suggestion() — 记录执行结果
3. SuggestionService.expire_stale_suggestions() — 批量过期超时建议
4. POST /ai/suggestions/{id}/execute — 新执行端点
5. publish_status_event() — 状态变更时发布 ai.suggestion.status_changed 事件
6. 9 个新单元测试覆盖所有转换规则
 2026-05-04 13:39:48 +08:00
iven
e78eb1af07 fix(ai): 连接 ai.analysis.requested 事件消费者
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erp-health 在化验单上传时发布 ai.analysis.requested 事件，
但 erp-ai 的 on_startup 仅订阅 ai.reanalysis.* 前缀。

将订阅前缀从 "ai.reanalysis." 扩大为 "ai."，
新增 ai.analysis.requested 事件的接收和日志记录。
完整自动分析实现依赖 Prompt 模板就绪后补充。
 2026-05-04 13:12:47 +08:00
iven
77cf866adf fix(ai): 修复自动分析管道 — 补全建议生成 + 事件发布
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自动分析批处理（auto_analysis.rs）在完成流式分析后仅保存结果，
缺少三个关键步骤导致关怀引擎无法启动：
1. 不解析双通道输出（StructuredOutput）→ 无结构化建议
2. 不调用 SuggestionService.create_suggestions() → 无建议记录
3. 不发布 ai.analysis.completed 事件 → 下游消费者无感知

修复方案：提取 post_process_analysis() 共享函数，统一处理
解析→创建建议→发布事件的后处理逻辑，SSE handler 和自动分析共用。
 2026-05-04 13:10:55 +08:00
iven
5140552ff6 fix(health): 走查止血 — 患者名显示修复 + 枚举补全 + 医护统计 + 设备选择器
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后端:
- alert_service: list_alerts 批量查询 patient_name 填充 AlertResponse
- consultation_service: list_sessions 批量查询 patient_name/doctor_name
- erp-ai handler: list_analysis 通过 raw SQL 查询 patient_name

前端:
- AlertList/AlertDashboard: 使用后端返回的 patient_name 替代 ID 截断
- ConsultationDetail: 使用 patient_name/doctor_name 替代 ID 截断
- AiAnalysisList: 使用 patient_name 替代 ID 截断
- constants/health: SEVERITY 补 high/medium, STATUS 补 active
- AdminDashboard: 医护人数改为 API 查询（useStatsData 新增 doctorCount）
- DeviceManage: 患者 ID 输入改为 PatientSelect 搜索选择器
 2026-05-04 00:03:40 +08:00
iven
bc6206c0df 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）
 2026-05-03 20:09:26 +08:00
iven
3412d807e3 fix(core): 跨 crate 小修复 — dto 合并、tracing 补全、死代码清理 
- erp-ai: 删除孤立 dto.rs（已合并到子模块）
- erp-core: audit_service tracing 优化
- erp-health: points_handler 补充返回值、alert_engine 修正日志级别
- erp-plugin: host/data_handler/market_handler tracing 统一
- erp-dialysis/event: 移除无用 import
- erp-workflow/executor: tracing 格式统一
 2026-05-03 19:31:46 +08:00
iven
5d2402a1e7 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
 2026-05-01 09:14:13 +08:00
iven
415d7617c8 feat(ai): 建议查询/审批 API 端点 + 权限注册 
- GET /ai/suggestions?analysis_id=xxx — 查看建议列表（ai.suggestion.list）
- POST /ai/suggestions/{id}/approve — 批准/拒绝建议（ai.suggestion.manage）
- 新增 ai.suggestion.list 和 ai.suggestion.manage 权限码
 2026-05-01 08:12:29 +08:00
iven
6e761ae22b feat(ai): 集成双通道输出解析到 SSE handler — 自动创建建议记录 
在 build_sse_stream 完成回调中：
- 调用 parse_dual_channel 解析 AI 输出
- 有结构化建议时调用 SuggestionService::create_suggestions 创建记录
- 解析失败时调用 mark_parse_failed 记录日志
- 扩展 ai.analysis.completed 事件 payload 含 risk_level + suggestion_count
 2026-05-01 08:11:23 +08:00
iven
b30897119b feat(ai): SuggestionService — 建议记录 CRUD + 状态流转 
- create_suggestions: 批量创建建议记录，关联分析 ID 和 baseline 快照
- list_by_analysis: 按 analysis_id 查询建议列表（带 tenant_id 过滤 + 软删除）
- list_pending: 查询待审批建议
- update_status: 更新状态（带乐观锁 + tenant_id 过滤）
- mark_parse_failed: 解析失败时记录日志
- AiState 新增 suggestion 字段
 2026-05-01 08:09:59 +08:00
iven
3b6f72d5c0 feat(ai): 本地临床规则引擎 — AI 不可用时的回退方案 
- LocalRulesEngine: 预定义 8 条临床规则（收缩压/心率/血糖/血氧）
- CompareOp: GreaterThan/LessThan 比较运算
- evaluate(): 输入指标 JSON，输出 StructuredSuggestion 列表（按优先级排序）
- 5 个单元测试覆盖：高值触发、正常无建议、缺失指标跳过、SpO2 低、优先级排序
 2026-05-01 08:08:48 +08:00
iven
92e6cf0c43 feat(ai): 双通道输出解析器 — 文本/JSON 分割 + 降级策略 
- parse_dual_channel: 分割 ===PATIENT_TEXT=== / ===STRUCTURED_JSON=== 标记
- JSON 解析失败时降级为纯文本，structured 为 None
- 5 个单元测试覆盖：正常解析、纯文本、无效 JSON、空建议、风险等级
 2026-05-01 08:07:26 +08:00
iven
9b8307fbba feat(ai): 添加 ai_suggestion 和 ai_risk_threshold SeaORM Entity 2026-05-01 08:05:42 +08:00
iven
7789a5e227 feat(ai): 新增 Suggestion/RiskLevel/SuggestionStatus 枚举和结构化输出 DTO 
重构 dto.rs 为 dto/ 目录模块，新增 suggestion.rs 包含：
- SuggestionType (Followup/Appointment/Alert)
- RiskLevel (Low/Medium/High) + is_auto_executable
- SuggestionStatus (6 种状态)
- StructuredSuggestion / StructuredOutput / ParsedOutput DTO
- 7 个单元测试覆盖序列化往返
 2026-05-01 08:02:53 +08:00
iven
30344d474f 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）
 2026-04-29 17:00:24 +08:00
iven
a84378ab50 feat(ai): 定期自动分析定时任务 — 每 24 小时扫描高风险患者
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新增 auto_analysis.rs 服务：
- 启动后延迟 5 分钟，每 24 小时执行一次
- 查找所有活跃租户中高风险患者（异常体征指标）
- 自动调用趋势分析并存储分析结果
- 每租户限制 50 名患者，防止过载
- erp-server main.rs 中注册后台任务
 2026-04-28 20:02:01 +08:00
iven
cf844a561f feat(ai+db): 趋势分析 prompt 升级为结构化统计摘要
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- 新增迁移 000093：更新 health_trend_analysis prompt，使用统计字段
  替代原始数据点遍历，引导 AI 专注 slope/R²/异常点分析
- erp-ai handler: stream_trends 改用 get_trend_analysis_data()
  替代 get_vital_signs()，传递预计算趋势特征
- sanitizer: 新增 sanitize_trend_analysis() 方法
 2026-04-28 19:57:51 +08:00
iven
0aab27295c feat(ai): 实现 AI 数据桥接 — 4 个 HealthDataProvider 方法从 stub 替换为真实查询
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- get_lab_report: 查询 lab_report + patient，解析 JSON items 构造 LabReportDto
- get_vital_signs: 查询 vital_signs 时间序列，按指标提取 8 种体征数据
- get_patient_summary: 聚合 patient + diagnosis + medication_record + health_record
- get_full_report: 查询 health_record + 关联诊断和化验报告构造章节
- AiState 新增 health_provider 字段，erp-server 注入 HealthDataProviderImpl
- 4 个 SSE handler 从 placeholder JSON 改为调用 provider + sanitizer 真实数据流
 2026-04-28 19:08:38 +08:00
iven
50e63530d9 test(ai): erp-ai 从零增至 34 个单元测试 — 覆盖 DTO/error/prompt/sanitization
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- dto.rs: 8 个测试（AnalysisType 映射、serde round-trip、SSE 事件、默认值）
- error.rs: 10 个测试（AiError 全部 10 个变体 → AppError 映射）
- prompt: 8 个测试（变量替换、嵌套对象、数组迭代、条件、严格模式缺失变量）
- sanitization: 8 个测试（4 种 DTO 脱敏通过、PII 字段检测、空数据边界）
 2026-04-28 18:17:19 +08:00
iven
7ab89f5e93 fix(health): 编译错误修复 — 类型不匹配/表名对齐/所有权修正
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- erp-ai entity 表名对齐数据库: ai_prompt/ai_analysis/ai_usage
- stats_service: count() u64 → i64 显式转换
- health_data_service: 危急值检测 i32 比较修正 + req 所有权修复
- points_service: check_version 参数修正
- diagnosis_service: 补充 ActiveModelTrait 导入
- module.rs: start_overdue_checker 参数改为 DatabaseConnection
- module.rs: register_handlers_with_state 避免 move
 2026-04-26 00:28:31 +08:00
iven
876308596a feat(ai): 补全 Prompt CRUD + 分析历史 + 用量统计 handler 和路由
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- 替换 list_analysis/get_analysis 空壳为真实查询
- 新增 list_prompts/create_prompt/activate_prompt/rollback_prompt
- 新增 usage_overview/usage_by_type
- 注册 6 个新路由到 AiModule
 2026-04-25 23:21:11 +08:00
iven
48d1a84c77 feat(ai): UsageService 补全 get_overview/get_by_type 聚合方法 2026-04-25 22:53:56 +08:00
iven
2a8c707f6d feat(ai): AnalysisService 补全 list/get 查询方法 2026-04-25 22:52:50 +08:00
iven
b2b64ec15d feat(ai): PromptService 补全 list/update/activate/rollback 方法 2026-04-25 22:51:47 +08:00
iven
9901d5ce49 fix(ai): 审计问题修复 — 错误映射/性能/SSE/依赖规范化
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- C3: handler 中 .map_err(AppError::Internal) 改为 ? 操作符，
  利用 From<AiError> for AppError 实现正确的 HTTP 状态码映射
- H1: AiState 预构建在 AppState 初始化时，避免每次请求重建
  ClaudeProvider/AnalysisService/PromptService/UsageService
- H3: stream_analyze 的 user_id 参数传递到 created_by/updated_by
- H5: SSE 事件添加 .event("chunk"/"error"/"done") 类型字段
- L3: erp-ai Cargo.toml 依赖改用 workspace 引用
  (reqwest/handlebars/sha2/hex)
- 修复 erp-health 编译错误: points_handler 缺少 ColumnTrait 导入,
  points_service 版本字段部分移动问题
 2026-04-25 16:53:01 +08:00
iven
41dda568a5 feat(ai): SSE 流式分析 Handler 实现 (4 端点 + 历史)
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Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 14:03:29 +08:00
iven
fada33101c feat(ai): AiState + AiModule (ErpModule impl + 权限 + 路由骨架) 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:58:33 +08:00
iven
6d392ae2b5 feat(ai): AnalysisService 核心编排 + PromptService + UsageService 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:57:23 +08:00
iven
e0e4a7f9a1 feat(ai): 数据脱敏服务 + Prompt 模板渲染引擎 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:55:40 +08:00
iven
06f3d08c61 feat(ai): AiProvider trait + Claude SSE 流式实现 + DTO 定义 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:54:49 +08:00
iven
af338e0a70 feat(ai): 添加 SeaORM Entity (ai_prompt/ai_analysis/ai_usage) 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:52:47 +08:00
iven
ec0483ffb1 feat(ai): 创建 erp-ai crate 骨架 + 错误类型 
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
 2026-04-25 13:47:57 +08:00