iven
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ef422f354d
|
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 |
|
iven
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24562dd54b
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feat(health): 告警降噪服务 + FHIR handler stubs
- 新增 alert_noise_reducer：患者级升级(30min/3次阈值) + 系统级聚合(5min窗口)
- 补全 FHIR R4 handler stubs（Plan 2 路由注册但 handler 缺失导致编译失败）
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2026-05-04 02:36:37 +08:00 |
|
iven
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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
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2026-05-04 02:30:03 +08:00 |
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iven
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758bc210e1
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feat(health): 行动收件箱后端 — ActionInboxService + Handler + 路由注册
- ActionInboxService: 三表 JOIN 聚合查询 ai_suggestion/ai_analysis/patient
- list_action_items: 分页列表，按 risk_level + created_at 排序
- get_action_thread: 线程时间线拼装 + 动态操作按钮
- ActionInboxHandler: 2 个 GET 端点，require_permission 权限守卫
- 路由: /health/action-inbox, /health/action-inbox/{source_ref}/thread
- 权限: health.action-inbox.list, health.action-inbox.manage
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2026-05-01 16:33:40 +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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69f9e1a61a
|
feat(health): AI 行动分发器 — 风险分级路由到自动执行/医生审批/紧急确认
- dispatch_decision: 根据风险等级生成执行决策（low=自动, medium=24h审批, high=4h紧急）
- handle_ai_suggestions: 遍历建议列表，按决策分发
- execute_action: 低风险自动发送预警/随访事件
- create_pending_action: 中高风险发送待审批事件
- 4 个单元测试覆盖：低/中/高/未知风险等级路由
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2026-05-01 08:34:04 +08:00 |
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iven
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26a9781d4f
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feat(health): 药物提醒后端 API + 后台任务统一 + dead code 清理
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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）
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2026-04-30 07:18:22 +08:00 |
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iven
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cac61637ce
|
feat(health): Web 管理端设备数据集成补全 — Phase 2
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- 新增告警三页面（仪表盘/列表/规则）+ 设备管理菜单种子数据
- 新增设备管理后端 API（GET /devices + DELETE /devices/{id}）
- 新增设备数据查看组件 DeviceReadingsTab（原始数据 + 小时聚合）
- 新增设备管理页面 DeviceManage（列表/筛选/解绑）
- 患者详情页新增设备数据 Tab
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2026-04-29 06:28:30 +08:00 |
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iven
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4745b1e824
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feat(health): 统计计算模块 — 线性回归、移动平均、异常检测
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新增 trend_stats.rs 纯函数模块，提供三个统计计算能力：
- compute_linear_regression: 最小二乘法线性回归，返回 slope/intercept/R^2/方向/日变化/周期变化
- compute_moving_average: 简单移动平均，支持任意窗口大小
- detect_anomalies: 均值 +/- N 标准差异常检测
包含 21 个单元测试，覆盖边界条件和正常用例。
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2026-04-28 19:50:46 +08:00 |
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iven
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fa9278590d
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refactor(dialysis): 透析模块拆分为独立 erp-dialysis crate
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- 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
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2026-04-28 12:37:23 +08:00 |
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iven
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b7b09c0727
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feat(health): 危急值告警 service — 创建/确认/升级扫描/列表查询
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- handle_critical_alert_event: 消费事件创建告警记录
- acknowledge_alert: 医生确认 + 创建响应记录
- scan_escalation: 30min→L1, 60min→L2 分级升级
- list_pending_alerts / get_alert: 查询接口
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2026-04-28 11:39:38 +08:00 |
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iven
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dc5879228e
|
feat(health): 随访模板系统 — follow_up_template + template_field 全栈
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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
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2026-04-27 14:40:28 +08:00 |
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iven
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ca96310a84
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feat(health): 透析方案管理 CRUD — dialysis_prescription 全栈
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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
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2026-04-27 14:26:41 +08:00 |
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iven
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bab0d6619b
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feat(health): 用药记录实体 — CRUD 全栈
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- 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
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2026-04-27 11:45:49 +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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17b423b9b8
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feat(health): 内容管理模块 — 审核/分类/标签/富文本编辑器
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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
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2026-04-26 12:51:30 +08:00 |
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iven
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4ab189283e
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feat(health): P0 平台基座回顾 — 7项上线前必修
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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
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2026-04-26 03:37:31 +08:00 |
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iven
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b4735213c5
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feat(health): Phase 1 业务改进 — 诊断编码/统计API/体征表合并/积分修复
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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
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2026-04-26 00:54:56 +08:00 |
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iven
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eb937d3d02
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feat(health): 日常监测后端 + 积分商城 PC 管理页面 (Chunk 3 V2 迭代)
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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
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2026-04-25 17:24:32 +08:00 |
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iven
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4ab67ba559
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feat(health): 积分商城后端完整实现 (Chunk 2 V2 迭代)
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- 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
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2026-04-25 16:51:38 +08:00 |
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iven
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16c63925ce
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feat(health): V2 血透专科数据模型 — dialysis_record + lab_report 审阅流程
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- 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
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2026-04-25 13:45:11 +08:00 |
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iven
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945ccd64ba
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fix: 全面 QA 审计修复 — 安全加固/代码质量/跨平台一致性/测试覆盖
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Phase 0 安全热修复 (CRITICAL):
- 外部化微信 appid/secret 到 ERP__WECHAT__APPID/SECRET 环境变量
- 正确连接 HealthCrypto 到 ERP__HEALTH__AES_KEY/HMAC_KEY 环境变量
- 外部化小程序加密密钥到 TARO_APP_ENCRYPTION_KEY 环境变量
- 移除小程序 auth store 中的敏感信息 console.log
Phase 1 安全加固:
- 微信自动注册 display_name 添加 sanitize 防止 XSS
- 测试数据库凭据改为从 TEST_DB_URL 环境变量读取
Phase 2 代码质量:
- 提取 useThemeMode hook 消除 22 处重复暗色模式检测
- 提取共享健康常量到 constants/health.ts
- 拆分 patient_service.rs 脱敏函数到 masking.rs
- 移除未使用的 i18next/react-i18next 依赖
- 移除未使用的 api/errors.ts 和 erp-auth/anyhow 依赖
Phase 3 测试覆盖:
- 新增 5 个患者模块集成测试 (CRUD/租户隔离/验证/软删除)
Phase 4 跨平台一致性:
- 统一小程序 Patient.birthday → birth_date 匹配后端
- 统一小程序 Appointment.time_slot → start_time/end_time 匹配后端
Phase 5 架构:
- 微信登录添加多租户 TODO 注释
- 更新 wiki/infrastructure.md 环境变量文档
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2026-04-25 10:00:49 +08:00 |
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iven
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07f4ba41ba
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fix(health): 穷尽审计修复 — 权限同步/编译错误/前端bug/审计日志
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审计发现并修复的问题：
HIGH:
- H1: ConsultationDetail 使用 getSession(id) 替代错误的列表搜索
- H2: SessionResp 添加 version/updated_at 字段
- H3: 移除 FollowUpRecordList 调用不存在的导出端点
- H4: 新增 articles.ts 前端 API 模块
MEDIUM:
- M1: article delete 添加乐观锁 (expected_version)
- M2: 取消预约排班释放传播错误 (log::warn -> ?)
- M3: FollowUpTaskList 日期格式 Dayjs -> string
- M4: 补充 15 个缺失审计日志
LOW:
- L1: 替换 follow_up_service 中的 .unwrap()
- L2: PatientListItem 添加 version 字段
CRITICAL (新发现):
- 权限未同步: 健康模块 14 个权限从未写入数据库，添加启动时自动同步
- migration 表名错误: patients -> patient
- 编译错误: health_trend entity 未导入, ToPrimitive trait 未导入
- HealthError 缺少 From<AppError> 实现
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2026-04-25 08:58:58 +08:00 |
|
iven
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9ef65b9a9f
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feat(health+miniprogram): 预约/报告/随访/资讯/家庭管理 — Chunk 4-6
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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
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2026-04-24 00:58:40 +08:00 |
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iven
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47817bae7d
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fix(health): 二次审计修复 — 状态机/枚举校验/归属验证/事件补全
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- 状态机验证: patient.status (active→inactive/deceased/inactive→active),
patient.verification_status (pending→verified/rejected), follow_up_task.status
(pending→in_progress/cancelled, in_progress→completed/cancelled)
- 枚举白名单: gender/blood_type/appointment_type/period_type/schedule_status/
follow_up_type/sender_role/content_type/consultation_type
- 归属验证: family_member update/delete 校验 patient_id 匹配
- 事件补全: patient.deceased/verified 条件事件, consultation close 允许 waiting
- 默认值修正: appointment_type "regular"→"outpatient", period_type "morning"→"am",
consultation_type "text"→"customer_service"
- 新增 validation.rs 通用校验模块
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2026-04-24 00:21:05 +08:00 |
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iven
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d6678d001e
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feat(health): Handler 接线 + Doctor Service + DTO 统一
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- 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>
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2026-04-23 21:31:42 +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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