iven
|
8656896847
|
feat(health): patient_devices 增强 — status/firmware/manufacturer/connection_type/metadata
- 新增迁移：添加 status/firmware_version/manufacturer/connection_type/metadata 列
- 更新 Entity：新增对应字段（含默认值）
- 修复 device_reading_service 自动绑定设备时填充新字段
|
2026-05-04 02:32:19 +08:00 |
|
iven
|
43894446d9
|
feat(health): vital_signs_daily 日聚合表 + Entity + service
- 新增 vital_signs_daily 表迁移（带唯一索引 tenant+patient+device_type+date）
- 新增 SeaORM Entity（含 percentile_95 统计字段）
- 实现日聚合 service：从 hourly 聚合到 daily（支持 upsert）
- 实现 aggregate_daily_for_all_tenants 多租户遍历聚合
- 实现 query_daily 范围查询
- 单元测试：percentile 计算验证
|
2026-05-04 02:30:03 +08:00 |
|
iven
|
26a9781d4f
|
feat(health): 药物提醒后端 API + 后台任务统一 + dead code 清理
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
P1-3: medication_reminder 全栈实现
- migration 000096: 创建 medication_reminder 表（含患者关联/提醒时间/频率）
- entity + dto + service + handler: 完整 CRUD（乐观锁/软删除/审计日志）
- 路由注册: GET /patients/{id}/medication-reminders, POST/PUT/DELETE
- HealthError 新增 MedicationReminderNotFound
P2-4: 后台任务启动统一
- appointment_reminder 迁移到 HealthModule::on_startup()（启动时立即执行 + 周期循环）
- 删除 main.rs 中重复的 overdue_checker/points_expiration/appointment_reminder 调用
- 所有 Health 后台任务现由模块 on_startup 统一管理
P2-5: Web dead code 清理
- 删除 healthData.ts 中 getMiniTrend/getMiniToday（小程序专用端点，Web 无调用）
- 删除 patients.ts 中 getHealthSummary（标记 TODO 未使用）
|
2026-04-30 07:18:22 +08:00 |
|
iven
|
83e243f03e
|
feat(db): device_readings 新增 metric 字段用于多行拆分存储
|
2026-04-28 19:24:32 +08:00 |
|
iven
|
fa9278590d
|
refactor(dialysis): 透析模块拆分为独立 erp-dialysis crate
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 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
|
2026-04-28 12:37:23 +08:00 |
|
iven
|
644efce760
|
feat(health): 新增 critical_alerts + critical_alert_responses 表 + Entity
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
危急值告警数据模型：status(pending/acknowledged/resolved/escalated)、
escalation_level 分级升级、乐观锁、软删除。
|
2026-04-28 11:34:37 +08:00 |
|
iven
|
298e439fb2
|
feat(health): 新增 blind_indexes 表 + Entity 支持 PII 盲索引搜索
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
|
2026-04-28 11:31:54 +08:00 |
|
iven
|
dc5879228e
|
feat(health): 随访模板系统 — follow_up_template + template_field 全栈
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
新增随访模板和模板字段两张表及完整 CRUD：
- 迁移 083: follow_up_template + follow_up_template_field
- Entity: 模板(名称/类型/适用范围/状态) + 字段(标签/键名/类型/选项/校验)
- DTO: 创建时内嵌字段列表、更新支持全量替换字段
- Service: 随访类型+字段类型校验、级联软删除
- Handler: 5 端点 + RBAC 权限
- 路由: /api/v1/health/follow-up-templates
|
2026-04-27 14:40:28 +08:00 |
|
iven
|
ca96310a84
|
feat(health): 透析方案管理 CRUD — dialysis_prescription 全栈
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
新增透析方案实体和完整 CRUD：
- Entity: 20 字段含抗凝/血管通路/透析参数
- DTO: f64 类型适配 utoipa ToSchema
- Service: 抗凝类型 + 血管通路类型校验
- Handler: 5 端点 + RBAC 权限控制
- 路由: /api/v1/health/dialysis-prescriptions
|
2026-04-27 14:26:41 +08:00 |
|
iven
|
bab0d6619b
|
feat(health): 用药记录实体 — CRUD 全栈
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 080: medication_record 表（18 字段 + 频率/给药途径校验）
- Entity/DTO/Service/Handler 全链路
- 端点: GET/POST/PUT/DELETE /health/medications + /health/patients/{id}/medications
- 软删除 + 乐观锁 + 审计日志
|
2026-04-27 11:45:49 +08:00 |
|
iven
|
67f2d07809
|
feat(health): 体征增加体温/SpO2/血糖类型字段
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 079: vital_signs 表新增 body_temperature/spo2/blood_sugar_type 列
- Entity/DTO/Service 全链路支持新字段
- blood_sugar_type: fasting/postprandial/random/ogtt
- daily_monitoring 兼容层补全新字段为 None
|
2026-04-27 11:31:40 +08:00 |
|
iven
|
5b81a0051f
|
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
|
2026-04-27 00:21:02 +08:00 |
|
iven
|
17b423b9b8
|
feat(health): 内容管理模块 — 审核/分类/标签/富文本编辑器
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
后端：
- 文章审核状态机：draft → pending_review → published（含 reject/unpublish）
- 文章分类 CRUD（article_category entity + service + handler）
- 文章标签 CRUD（article_tag + article_article_tag 关联）
- 文章修订版快照（article_revision）
- 阅读计数、排序、slug、审核备注
- 新增 health.articles.review 权限
前端：
- ArticleManageList：状态标签页 + 分类筛选 + 关键字搜索 + 审核操作
- ArticleEditor：Wangeditor 富文本编辑器 + 元数据侧栏
- ArticleCategoryManage：分类 CRUD + 父子层级
- ArticleTagManage：标签 CRUD
修复：
- diagnosis_service/health_data_service/dialysis_service: 补充 key_version 字段
- ArticleCategoryManage: 补充 Select 组件导入
|
2026-04-26 12:51:30 +08:00 |
|
iven
|
731e080125
|
feat(health): dialysis/lab_report/diagnosis PII 加密
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 m000069-m000071: 三个表添加 key_version
- dialysis_record: symptoms(JSON) + complication_notes 加密
- lab_report: items(JSON) + doctor_notes 加密
- diagnosis: notes 加密
- JSON 字段: serialize → encrypt → Value::String(ciphertext)
- 解密失败时回退原始值（兼容未迁移明文数据）
|
2026-04-26 12:35:27 +08:00 |
|
iven
|
cb3653c92e
|
feat(health): family_member + doctor_profile PII 加密
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 m000067: patient_family_member 添加 phone_hash + key_version
- 迁移 m000068: doctor_profile 添加 license_number_hash + key_version
- family_member: phone 加密 + HMAC 索引 + 列表脱敏
- doctor_profile: license_number 加密 + HMAC 搜索重写 + 详情解密
- 列表中 Tier 1 字段返回 None
|
2026-04-26 12:23:10 +08:00 |
|
iven
|
1b3caf0e69
|
feat(health): consultation_message + follow_up_record PII 加密
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 m000065/m000066: 添加 key_version 列
- consultation_message: content 加密写入 + 解密读取
- follow_up_record: result/patient_condition/medical_advice 加密
- Entity: 添加 key_version 字段
|
2026-04-26 12:17:49 +08:00 |
|
iven
|
e6f036eaf4
|
feat(health): patient_service 集成 PiiCrypto — 电话/过敏史/病史加密
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- HealthState.crypto: HealthCrypto → PiiCrypto (erp-core)
- create_patient: 加密 phone/allergy/medical_history + HMAC 索引
- update_patient: 同上，同步加密
- model_to_resp_decrypted: 解密所有 Tier 1 字段
- model_to_resp (列表): Tier 1 字段返回 None
- list_patients 搜索: 新增 phone hash 精确搜索
- article handler: 适配新 list_articles 签名
- article 迁移: 添加 category_id 列
- error.rs: From<String> for HealthError
- 集成测试: HealthCrypto → PiiCrypto::dev_default()
|
2026-04-26 10:37:52 +08:00 |
|
iven
|
e0b299ccd4
|
feat(health): patient entity PII 伴生字段 + content_management 编译修复
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 迁移 m000064: patient 添加 emergency_contact_phone_hash + key_version
- patient Entity 补充对应字段
- 修复 content_management 迁移: exec_stmt → execute_unprepared
- 修复 article_service: 补全新字段 (status/slug/content_type 等)
- 修复 article_article_tag: 复合主键注解
|
2026-04-26 10:27:58 +08:00 |
|
iven
|
4ab189283e
|
feat(health): P0 平台基座回顾 — 7项上线前必修
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
P0-1: 危急值告警消费者 — health_data.critical_alert 事件推送给责任医护
P0-2: 危急值阈值可配置化 — 硬编码改为数据库配置(critical_value_threshold表)，支持科室/年龄差异化
P0-3: daily_monitoring合并后告警验证 — update_vital_signs也触发危急值检测
P0-4: 随访逾期通知+幂等保护 — 只通知本次新标记的逾期任务，避免重复
P0-5: 知情同意记录(consent) — 新增实体/迁移/Service/Handler，PIPL合规
P0-6: 审计日志补全 — 患者更新记录前后值(过敏史/病史/状态变更)
P0-7: EventBus持久化增强 — 两阶段提交(pending→published)+启动时outbox relay恢复
|
2026-04-26 03:37:31 +08:00 |
|
iven
|
b4735213c5
|
feat(health): Phase 1 业务改进 — 诊断编码/统计API/体征表合并/积分修复
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
1.1 Dashboard 统计: 新增 3 个统计端点 (patient/consultation/follow-up)
1.2 事件发布: follow_up.overdue + health_data.critical_alert 事件
1.3 体征表合并: vital_signs 添加 source 列, daily_monitoring 委托写入
1.4 实时预警: 创建体征时检测血压/心率/血糖异常并发布事件
1.5 诊断编码: 新建 diagnosis entity/service/handler + ICD-10 支持
1.6 积分过期: expire_points 定时任务 + 修复 r#type 列名问题
修复: points_transaction.r#type → transaction_type 列重命名
修复: consultation_message.sender_type → sender_role SQL 列名
前端: 3 个统计 API 从伪实现改为真实调用
|
2026-04-26 00:54:56 +08:00 |
|
iven
|
e8a794ff69
|
fix(health): 穷尽审计修复 — 3 CRITICAL + 3 HIGH + 2 MEDIUM
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
CRITICAL:
- earn_points 日上限检查用 patient_id 比对 account_id 字段，上限永远不会触发
- verify_order 用 check_version(v, v) 旁路乐观锁，并发核销可能重复
- admin_checkin_event 同样的乐观锁旁路
HIGH:
- FIFO 消费循环改用数据库级 CAS 替代应用层 update_many
- 兑换流程账户余额/库存扣减全部改用 CAS 防并发超卖
- verify_order 改用 update_many + version filter 的原子操作
MEDIUM:
- points_checkin entity 补全 updated_at/updated_by/deleted_at/version 字段
- 新增迁移 m20260425_000055 添加列
- daily_checkin 打卡记录+积分获取+阶梯奖励合并为同一事务
- 删除废弃的 check_streak_bonus 独立函数（被 check_streak_bonus_in_txn 替代）
|
2026-04-25 19:44:46 +08:00 |
|
iven
|
eb937d3d02
|
feat(health): 日常监测后端 + 积分商城 PC 管理页面 (Chunk 3 V2 迭代)
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
后端 - 日常监测:
- 新增 daily_monitoring 表 (血压/体重/血糖/出入量/备注)
- Entity/DTO/Service/Handler 完整 CRUD
- 唯一约束 (patient_id, record_date) 防重复上报
前端 - 积分商城管理 (3 页面):
- PointsRuleList: 积分规则增删改 + 启用禁用
- PointsProductList: 商品管理 + 库存 + 类型筛选
- PointsOrderList: 订单列表 + 扫码核销
- API 模块 points.ts 对接 6 个管理端接口
- 侧边栏新增积分规则/商品管理/订单管理入口
|
2026-04-25 17:24:32 +08:00 |
|
iven
|
4ab67ba559
|
feat(health): 积分商城后端完整实现 (Chunk 2 V2 迭代)
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 新增 8 张数据库表: points_account/rule/transaction/product/order/checkin + offline_event/registration
- SeaORM Entity: 8 个实体，含完整 Relation 定义
- DTO: 积分规则/商品/订单/签到/线下活动请求响应类型
- Service: FIFO 积分消费、每日打卡(连续奖励)、商品兑换(QR码核销)、线下活动报名
- Handler: 16 个 API 端点 (患者端10 + 管理端6)
- 权限: health.points.list / health.points.manage
- 12个月滚动过期机制
- 审计日志全量覆盖
|
2026-04-25 16:51:38 +08:00 |
|
iven
|
16c63925ce
|
feat(health): V2 血透专科数据模型 — dialysis_record + lab_report 审阅流程
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 新增 dialysis_record 表和完整 CRUD API（透析日期/体重/血压/超滤量/透析类型/症状）
- ALTER lab_report 增加 source/status/reviewed_by/reviewed_at 字段
- 重命名 lab_report: indicators→items, doctor_interpretation→doctor_notes
- 新增透析记录审阅端点 PUT /dialysis-records/{id}/review
- 新增化验报告审阅端点 PUT /patients/{id}/lab-reports/{rid}/review
- 化验报告 items JSON 支持 V2 结构（name/value/unit/reference/is_abnormal）
- 迁移 m000051 含完整 up/down 回滚
- 94 个后端测试全部通过，API 全链路验证通过
|
2026-04-25 13:45:11 +08:00 |
|
iven
|
6c70e2a783
|
feat(health): 身份证号 AES-256-GCM 加密 + HMAC 索引 + 字段级脱敏
- crypto.rs: AES-256-GCM 加密/解密 + HMAC-SHA256 索引
- create/update: id_number 加密存储, id_number_hash 索引
- list: 不返回 id_number, 手机号掩码
- detail: 解密后身份证掩码(前3后4), 手机号掩码
- 搜索: 改用 HMAC 精确匹配(不再模糊搜索加密列)
- 迁移 m000048: 添加 patients.id_number_hash 列
|
2026-04-25 00:21:49 +08:00 |
|
iven
|
4867202437
|
fix(health): 四次审计修复 — 6 CRITICAL + 8 HIGH + 4 MEDIUM
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
CRITICAL:
- C-1: consultation sender_id 改为从 JWT ctx.user_id 注入，防伪造
- C-2: consultation session 更新改为 CAS 原子操作，防并发丢失
- C-3: 随访记录创建包裹在事务中，保证记录/任务/后续任务一致性
- C-4/C-5/C-6: 唯一索引改为 partial index WHERE deleted_at IS NULL
HIGH:
- H-1: manage_patient_tags 添加 tag_ids 租户归属校验
- H-2: assign_doctor 添加重复关联检查
- H-3: calendar_view 限制日期范围最多 90 天
- H-4: export_sessions 添加 10000 条上限
- H-5: patient_tag_relation/patient_doctor_relation 添加 version 字段
- H-6: create_schedule 添加医生存在性检查
- H-7: 预约取消排班释放错误改为日志记录
- H-8: follow_up_task.related_appointment_id 添加 FK 约束
MEDIUM:
- M-2: 修复 search LIKE 双重 % 包裹问题
- M-3: article_service 错误类型改为 ArticleNotFound
- M-4: patient.created 事件移除 PII（姓名）
- M-6: lab_report 添加 (tenant_id, report_type) 索引
|
2026-04-24 07:50:14 +08:00 |
|
iven
|
9ef65b9a9f
|
feat(health+miniprogram): 预约/报告/随访/资讯/家庭管理 — Chunk 4-6
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
后端:
- 添加 articles 表迁移 + Entity + Service + Handler
- 健康数据趋势 API (get_mini_trend) 注册路由
- article CRUD (list/get) + DTO
前端 (11个新页面 + 5个服务):
- 预约挂号: 列表/创建向导/详情页
- 报告管理: 列表/详情页
- 随访管理: 任务列表/记录详情页
- 资讯文章: 文章详情页
- 个人中心: 就诊人管理/新增/我的报告/我的随访/用药提醒/设置
- 更新 app.config.ts 注册全部路由
- 更新 profile/article 页面为真实功能
|
2026-04-24 00:58:40 +08:00 |
|
iven
|
2e9eb55f2c
|
fix(health): 修复审计发现的 10 个 CRITICAL 问题
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
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）
|
2026-04-23 23:25:53 +08:00 |
|
iven
|
d6678d001e
|
feat(health): Handler 接线 + Doctor Service + DTO 统一
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
- 重写全部 6 个 handler 文件，从占位错误改为调用 service 层
- 删除 handler 内联 DTO，统一使用 dto/ 模块类型
- 新增 dto/doctor_dto.rs 和 dto/follow_up_dto.rs
- 新增 service/doctor_service.rs 实现医护档案 CRUD
- 将 follow_up_service 内联 DTO 迁移到 dto/follow_up_dto.rs
- 修复 consultation_session 列名 type→consultation_type（数据库+entity+迁移同步）
- 全部 51 个 API 端点已验证可用
Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
|
2026-04-23 21:31:42 +08:00 |
|
iven
|
ca50d32f6e
|
feat(health): 添加 erp-health 健康管理模块骨架
CI / rust-check (push) Has been cancelled
CI / rust-test (push) Has been cancelled
CI / frontend-build (push) Has been cancelled
CI / security-audit (push) Has been cancelled
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。
|
2026-04-23 19:59:22 +08:00 |
|