iven
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a78ee2f154
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fix(auth): Token 验证和撤销添加租户隔离
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2026-05-06 10:21:07 +08:00 |
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iven
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51c41acfa7
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fix(health): 审计日志加密字段替换为 REDACTED
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2026-05-06 10:21:02 +08:00 |
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iven
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f668e64266
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fix(health): FHIR converter 身份证号脱敏处理
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2026-05-06 10:20:50 +08:00 |
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iven
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ced93934f1
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fix(docker): 添加安全警告注释，补全 .env.example
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2026-05-05 23:45:27 +08:00 |
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iven
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482871301e
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fix(health): FHIR $everything 子查询添加 tenant_id 过滤
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2026-05-05 23:44:25 +08:00 |
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iven
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087e23e57b
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fix(ai): AI 分析队列 claim_next 添加租户隔离
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2026-05-05 23:43:11 +08:00 |
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iven
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741aaf0e40
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fix(health): FHIR allowed_patient_ids=None 拒绝所有访问
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2026-05-05 23:42:29 +08:00 |
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iven
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4f84c94a42
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docs(wiki): 添加 Ollama 配置文档和 AI 分析故障排除
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- infrastructure.md: 新增 Ollama 服务连接、环境变量、GPU 注意事项
- index.md: 症状导航新增 qwen3 thinking、Ollama 内存/安全、模板渲染等问题
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2026-05-05 22:56:30 +08:00 |
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iven
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b1a96ace1f
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fix(ai): 修复 qwen3 模型 thinking 模式导致 AI 分析输出为空
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qwen3:4b 默认启用 thinking 模式，流式 API 中 content 字段始终为空，
所有 token 消耗在 thinking 上。修复方案：
- 对 qwen3 模型改用非流式 API，从 content 中剥离 <think... 块
- 将清理后的内容按句子/段落分块模拟流式输出
- 自动提升 qwen3 的 num_predict 至 4096 确保 thinking + 回复完整
- 流式解析中跳过空 content chunk
- 新增 strip_think_block 函数及 5 个单元测试
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2026-05-05 22:55:20 +08:00 |
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iven
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e9cfbd108a
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fix(ai): 修复 AI 分析读取化验报告 items 为空的问题
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- parse_lab_items 兼容两种存储格式（item_name/name, string/f64 value,
reference_range/reference_low+high）
- get_lab_report 添加 PII 解密步骤：数据库中 items 是加密存储的，
AI 分析前需要先解密再解析
- HealthDataProviderImpl 添加 PiiCrypto 字段用于解密
- pii_crypto 创建提前到 AI state 构建之前
- default.toml rate_limit.fail_close 改为 false（开发环境）
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2026-05-05 22:05:45 +08:00 |
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iven
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049d230bae
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docs(wiki): 更新 erp-ai 模块 — Ollama 对接 + bug 修复记录
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- index.md: 迁移 123 个, 提交 577 次, 新增 AI 分析症状导航 4 条
- erp-ai.md: 新增 §4 Ollama 本地模型对接、已知限制、已修复 bug
- erp-ai.md: 更新 SSE 流程图（预校验 + 缓存回放修复）
- erp-ai.md: 3 个管理前端页面已实现
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2026-05-05 20:07:24 +08:00 |
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iven
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a62332f1c4
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fix(ai): AI 分析预校验 + prompt 非对话化
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- 四个 SSE 端点增加数据完整性校验：items/sections 为空时返回 400
- 迁移 000123 更新全部 prompt system_prompt：明确非对话、输出结构化结果
- 前端用户看到的是分析结论，不再收到"请补充数据"的对话式回复
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2026-05-05 19:53:04 +08:00 |
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iven
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1f91dcc5cc
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fix(ai): 修复分析结果 JSON 嵌套 bug
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- replay_cached 直接回放纯文本，不再包装 JSON 壳
- complete_analysis 跳过已完成的记录，防止缓存命中时覆写
- 前端 AnalysisContent 增加 extractPlainText 递归解析 JSON
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2026-05-05 19:45:36 +08:00 |
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iven
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8a0c9670e6
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feat(ai): 对接本地 Ollama qwen3:4b 模型
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- default_provider 从 claude 切换到 ollama
- main.rs 支持 ollama/openai/claude 三种 provider 动态选择
- 新增 [ai.providers.ollama] 配置段（base_url/model/temperature）
- 前端 SSE AI 分析全链路验证通过
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2026-05-05 19:12:55 +08:00 |
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iven
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7dac749eff
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feat(ai): 新增预算状态 + 成本估算 API 端点
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Phase 3 Task 25:
- GET /ai/budget/status — 租户月度预算状态和告警等级
- GET /ai/cost/estimate — 按分析类型+模型估算单次成本
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2026-05-05 16:05:00 +08:00 |
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iven
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0da59c6a0e
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feat(ai): 成本估算 + 预算告警服务 — CostService
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Phase 3 Task 24:
- 按分析类型+模型估算 token 用量和 USD 成本
- 查询租户月度预算状态和告警等级（Normal/Warning/Critical/Exceeded）
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2026-05-05 16:03:32 +08:00 |
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iven
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d2512ca9db
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feat(ai): 集成知识库到 AnalysisService — system_prompt 自动注入临床规则
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Phase 3 Task 23: AnalysisService 新增可选 knowledge_source，
stream_analyze 前自动查询 L1/L2/L3 知识并注入 system_prompt
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2026-05-05 16:01:52 +08:00 |
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iven
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70f69a2008
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feat(ai): 实现 StructuredKnowledgeSource — L1/L2/L3 知识库查询
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Phase 3 Task 22: 从 rules/references/guides 表构建 Prompt 注入上下文
- 规则按优先级排序，参考资料附带引用，指南截取前 2000 字
- 总上下文不超过 8000 字符，confidence 根据 L1/L2 匹配度计算
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2026-05-05 15:58:54 +08:00 |
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iven
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3592b55556
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feat(ai+db): 知识库 3 表迁移 + Entity — rules/references/guides
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Phase 3 Task 21:
- ai_knowledge_rules: L1 规则表（条件表达式 + 动作文本）
- ai_knowledge_references: L2 参考表（摘要 + pgvector 嵌入）
- ai_knowledge_guides: L3 指南表（全文 + pgvector 嵌入）
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2026-05-05 15:55:20 +08:00 |
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iven
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2d2e1e191e
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feat(db): 添加 pgvector 扩展迁移 — 知识库向量检索基础
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Phase 3 Task 20: CREATE EXTENSION IF NOT EXISTS vector
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2026-05-05 15:52:12 +08:00 |
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iven
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75a70d2e46
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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
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2026-05-05 15:50:57 +08:00 |
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iven
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54116d1a1f
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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
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2026-05-05 15:41:30 +08:00 |
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iven
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553de13cd5
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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
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2026-05-05 15:40:15 +08:00 |
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iven
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7fb92714c7
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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
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2026-05-05 15:38:14 +08:00 |
|
iven
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3186c5aee9
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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
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2026-05-05 15:35:59 +08:00 |
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iven
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c268229311
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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
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2026-05-05 15:33:58 +08:00 |
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iven
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50b9e8d683
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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
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2026-05-05 15:19:49 +08:00 |
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iven
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a16e86bf04
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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
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2026-05-05 15:18:26 +08:00 |
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iven
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63ff8660fc
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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
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2026-05-05 15:16:09 +08:00 |
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iven
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105cae0565
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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
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2026-05-05 15:13:05 +08:00 |
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iven
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37acd34154
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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
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2026-05-05 15:10:43 +08:00 |
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iven
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b728618d61
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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
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2026-05-05 15:08:41 +08:00 |
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iven
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74b1d44068
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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
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2026-05-05 15:07:19 +08:00 |
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iven
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24bb8e7bca
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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
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2026-05-05 15:02:38 +08:00 |
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iven
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4d02b2b531
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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
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2026-05-05 15:01:24 +08:00 |
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iven
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93f6e87220
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fix(web+config): E2E 测试发现的问题修复
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- 排班状态过滤 'active' → 'enabled'（与后端 validation.rs 一致）
- 全局 403 拦截器不再弹出"权限不足" toast（AuthButton 已隐藏入口）
- 角色未关联菜单时回退显示全部（避免种子数据阶段菜单空白）
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2026-05-05 13:01:14 +08:00 |
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iven
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84b671d1e5
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fix(server+health): 修复路由 middleware 泄漏 — FHIR/Gateway 改用 .nest() 隔离
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Axum 的 .merge() 会将子 Router 的 middleware 泄漏到整个路由树，
导致 FHIR OAuth middleware 和 Gateway auth middleware 拦截所有请求。
修复方式：
- fhir_routes 内部路径去掉 /fhir 前缀，main.rs 用 .nest("/fhir", ...) 注册
- gateway_routes 内部路径去掉 /health/gateway 前缀，main.rs 用 .nest("/health/gateway", ...) 注册
- 透析患者查询表名 patients → patient（与 Entity 一致）
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
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2026-05-05 11:56:42 +08:00 |
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iven
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062b4493e4
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fix(web): DoctorSelect 预加载医生列表 + 搜索错误处理
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- 组件挂载时预加载最多 50 条医生数据，下拉框打开即有选项
- 搜索清空时保留已有列表（不再置空）
- 搜索失败时 catch 错误，保留初始列表不静默丢失
- 更新质量验证报告：全部 MEDIUM 问题已关闭
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2026-05-05 11:15:12 +08:00 |
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iven
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0f55d26076
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fix(dialysis): 添加患者存在性校验 + 质量验证汇总
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- create_dialysis_record 中添加患者存在性校验，修复集成测试
test_dialysis_create_without_patient_returns_error
- 添加质量验证汇总报告 (docs/qa/quality-verification-summary.md)
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2026-05-05 10:35:37 +08:00 |
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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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2acd9485c7
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fix(health+dialysis): S2 smoke test 修复 — Entity 表名 + 透析状态转换
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- 修复 6 个 Entity table_name 与迁移不匹配: shift, handoff_log,
patient_assignment, blind_index, critical_alert, critical_alert_response
- 添加透析记录 draft→completed 状态转换 API (PUT /complete)
- 修复 family_proxy_service 告警状态过滤 (active→pending/acknowledged)
- dev.ps1 添加 RATE_LIMIT__FAIL_CLOSE=false 开发模式
- S2 透析日流程 smoke test 报告
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2026-05-05 03:07:41 +08:00 |
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iven
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99dad17eac
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fix(server+health): 修复权限同步 + 迁移幂等性 + 缺失菜单种子数据
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- sync_module_permissions 每次启动都确保 admin 拥有所有权限（修复 CRITICAL-001）
- 新增迁移 m20260505_000116: 补充 11 项缺失的健康管理菜单（多租户安全）
- 修复 000101: UUID 格式错误（缺少第 4 段）
- 修复 000104/000106/000107: Expr::val → Expr::cust（SQL 函数不应被引号包裹）
- 修复 000109: 外键创建改为 IF NOT EXISTS 模式
- 修复 000110: 表名 critical_alerts → critical_alert（匹配实际表名）
- 修复 000111/000112: create_table + create_index 添加 if_not_exists()
- 修复 000113: 改为 raw SQL 幂等模式，修正 FK 目标表名 patients → patient
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2026-05-05 02:02:45 +08:00 |
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iven
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bef2ea7169
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feat(miniprogram): 适老化修复 — Phase 2e
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M6: 创建 utils/date.ts 统一日期工具函数（formatDate/formatDateTime/toRelativeDate 等）
M8: 28 个 SCSS 文件 font-size 20px → 22px 全量适老化
M7: request.ts 增加 403 权限不足/5xx 服务器错误/网络超时异常统一拦截
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2026-05-05 00:22:49 +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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888fa108ef
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feat(web): 家庭健康代理 + 知情同意 Web UI — Phase 2c
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家庭代理：关联患者列表 + 健康摘要查看 + 授权/撤销访问
知情同意：患者范围 CRUD 列表页（类型/范围/签署/撤销）
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2026-05-05 00:02:39 +08:00 |
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iven
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0774dd75ad
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feat(web): 危急值阈值 + 诊断记录 Web UI — Phase 2b-2/2b-3
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危急值阈值：CRUD 列表页（指标/方向/阈值/级别/科室/年龄范围）
诊断记录：患者范围 CRUD 列表页（ICD编码/类型/状态/确诊日期）
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2026-05-04 23:59:22 +08:00 |
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iven
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b6838c1bc1
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feat(web): BLE 网关管理 UI — Phase 2b-1
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网关 CRUD 列表页（状态筛选/密钥刷新/API Key 创建展示）
+ 网关详情页（信息面板/设备绑定管理 Tab）
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2026-05-04 23:47:21 +08:00 |
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iven
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438f9ca3f4
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feat(web): 药物记录 Web UI — Phase 2a-3
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新增药物记录管理前端页面，接入后端 4 条孤立路由：
- API 模块: medicationRecords.ts（CRUD + 频次/途径常量）
- 列表页: MedicationRecordList.tsx（患者 ID 查询 + 药物列表 CRUD）
支持药品名/通用名/剂量/频次/途径/日期/在用状态
- 路由注册: /health/medications
权限: health.medication-records.list / health.medication-records.manage
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2026-05-04 23:41:04 +08:00 |
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iven
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68ced2bae9
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feat(web): 班次管理 Web UI — Phase 2a-2
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新增班次管理前端页面，接入后端 12 条孤立路由：
- API 模块: shifts.ts（班次 CRUD + 患者分配 + 批量分配 + 交接日志）
- 列表页: ShiftList.tsx（日期/班次/状态筛选 + 统计概览）
- 详情页: ShiftDetail.tsx（班次信息 + 患者分配 Tab + 交接记录 Tab）
- 路由注册: /health/shifts + /health/shifts/:id
权限: health.shifts.list / health.shifts.manage
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2026-05-04 23:36:15 +08:00 |
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iven
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3aa436f872
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feat(web): 护理计划 Web UI — Phase 2a-1
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新增护理计划管理前端页面，接入后端 8 条孤立路由：
- API 模块: carePlans.ts（计划 + 干预项目 + 预后测量 CRUD）
- 列表页: CarePlanList.tsx（筛选/新建/编辑/删除/跳转详情）
- 详情页: CarePlanDetail.tsx（计划信息 + Items/Outcomes 双 Tab CRUD）
- 路由注册: /health/care-plans + /health/care-plans/:id
- 菜单标题: routeTitleFallback 映射
权限: health.care-plan.list / health.care-plan.manage
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2026-05-04 23:26:28 +08:00 |
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