- 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
712 lines
21 KiB
Rust
712 lines
21 KiB
Rust
use chrono::Utc;
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use sea_orm::entity::prelude::*;
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use sea_orm::{ActiveValue::Set, QueryOrder, QuerySelect};
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use uuid::Uuid;
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use erp_core::audit::AuditLog;
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use erp_core::audit_service;
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use erp_core::error::check_version;
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use erp_core::events::DomainEvent;
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use erp_core::types::PaginatedResponse;
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use crate::dto::shift_dto::*;
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use crate::entity::{handoff_log, patient, patient_assignment, shift};
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use crate::error::{HealthError, HealthResult};
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use crate::state::HealthState;
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// ---------------------------------------------------------------------------
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// Shift CRUD
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// ---------------------------------------------------------------------------
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pub async fn list_shifts(
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state: &HealthState,
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tenant_id: Uuid,
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params: &ListShiftsParams,
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) -> HealthResult<PaginatedResponse<ShiftResp>> {
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let page = params.page.unwrap_or(1);
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let page_size = params.page_size.unwrap_or(20);
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let limit = page_size.min(100);
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let offset = page.saturating_sub(1) * limit;
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let mut query = shift::Entity::find()
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.filter(shift::Column::TenantId.eq(tenant_id))
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.filter(shift::Column::DeletedAt.is_null());
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if let Some(d) = params.shift_date {
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query = query.filter(shift::Column::ShiftDate.eq(d));
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}
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if let Some(ref p) = params.period {
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query = query.filter(shift::Column::Period.eq(p.as_str()));
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}
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if let Some(nid) = params.nurse_id {
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query = query.filter(shift::Column::NurseId.eq(nid));
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}
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if let Some(ref s) = params.status {
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query = query.filter(shift::Column::Status.eq(s.as_str()));
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}
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let total: u64 = query.clone().count(&state.db).await?;
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let rows: Vec<shift::Model> = query
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.order_by_desc(shift::Column::ShiftDate)
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.order_by_asc(shift::Column::Period)
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.order_by_desc(shift::Column::CreatedAt)
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.limit(limit)
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.offset(offset)
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.all(&state.db)
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.await?;
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let total_pages = total.div_ceil(limit.max(1));
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// 统计每个班次的患者分配数量(按 care_level 分组)
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let mut data = Vec::with_capacity(rows.len());
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for m in rows {
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let (patient_count, critical_count, attention_count) =
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count_patients_by_care_level(state, m.id).await?;
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data.push(shift_to_resp(m, Some(patient_count), Some(critical_count), Some(attention_count)));
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}
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Ok(PaginatedResponse {
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data,
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total,
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page,
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page_size,
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total_pages,
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})
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}
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pub async fn get_shift(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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) -> HealthResult<ShiftResp> {
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let m = find_shift(state, tenant_id, shift_id).await?;
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let (patient_count, critical_count, attention_count) =
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count_patients_by_care_level(state, m.id).await?;
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Ok(shift_to_resp(m, Some(patient_count), Some(critical_count), Some(attention_count)))
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}
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pub async fn create_shift(
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state: &HealthState,
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tenant_id: Uuid,
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operator_id: Option<Uuid>,
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req: CreateShiftReq,
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) -> HealthResult<ShiftResp> {
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tracing::info!(tenant = %tenant_id, "创建班次");
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validate_period(&req.period)?;
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validate_shift_status("scheduled")?;
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let now = Utc::now();
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let active = shift::ActiveModel {
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id: Set(Uuid::now_v7()),
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tenant_id: Set(tenant_id),
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shift_date: Set(req.shift_date),
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period: Set(req.period),
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nurse_id: Set(req.nurse_id),
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status: Set("scheduled".to_string()),
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notes: Set(req.notes),
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created_at: Set(now),
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updated_at: Set(now),
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created_by: Set(operator_id),
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updated_by: Set(operator_id),
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deleted_at: Set(None),
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version: Set(1),
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};
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let m = active.insert(&state.db).await?;
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audit_service::record(
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AuditLog::new(tenant_id, operator_id, "shift.created", "shift").with_resource_id(m.id),
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&state.db,
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)
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.await;
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state
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.event_bus
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.publish(
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DomainEvent::new(
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"shift.created",
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tenant_id,
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erp_core::events::build_event_payload(serde_json::json!({
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"shift_id": m.id,
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"shift_date": m.shift_date.to_string(),
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"period": m.period,
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"nurse_id": m.nurse_id,
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})),
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),
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&state.db,
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)
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.await;
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Ok(shift_to_resp(m, Some(0), Some(0), Some(0)))
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}
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pub async fn update_shift(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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operator_id: Option<Uuid>,
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req: UpdateShiftWithVersion,
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) -> HealthResult<ShiftResp> {
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tracing::info!(tenant = %tenant_id, shift = %shift_id, "更新班次");
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let existing = find_shift(state, tenant_id, shift_id).await?;
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let next_ver = check_version(req.version, existing.version)
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.map_err(|_| HealthError::VersionMismatch)?;
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let mut active: shift::ActiveModel = existing.into();
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let now = Utc::now();
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if let Some(v) = req.data.nurse_id {
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active.nurse_id = Set(Some(v));
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}
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if let Some(ref v) = req.data.status {
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validate_shift_status(v)?;
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active.status = Set(v.clone());
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}
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if req.data.notes.is_some() {
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active.notes = Set(req.data.notes);
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}
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active.updated_at = Set(now);
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active.updated_by = Set(operator_id);
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active.version = Set(next_ver);
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let m = active.update(&state.db).await?;
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audit_service::record(
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AuditLog::new(tenant_id, operator_id, "shift.updated", "shift").with_resource_id(m.id),
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&state.db,
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)
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.await;
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state
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.event_bus
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.publish(
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DomainEvent::new(
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"shift.updated",
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tenant_id,
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erp_core::events::build_event_payload(serde_json::json!({
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"shift_id": m.id,
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"status": m.status,
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"nurse_id": m.nurse_id,
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})),
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),
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&state.db,
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)
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.await;
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let (patient_count, critical_count, attention_count) =
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count_patients_by_care_level(state, m.id).await?;
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Ok(shift_to_resp(m, Some(patient_count), Some(critical_count), Some(attention_count)))
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}
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pub async fn delete_shift(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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operator_id: Option<Uuid>,
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version: i32,
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) -> HealthResult<()> {
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tracing::info!(tenant = %tenant_id, shift = %shift_id, "删除班次");
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let existing = find_shift(state, tenant_id, shift_id).await?;
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let next_ver = check_version(version, existing.version)
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.map_err(|_| HealthError::VersionMismatch)?;
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let now = Utc::now();
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let mut active: shift::ActiveModel = existing.into();
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active.deleted_at = Set(Some(now));
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active.updated_at = Set(now);
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active.updated_by = Set(operator_id);
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active.version = Set(next_ver);
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active.update(&state.db).await?;
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audit_service::record(
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AuditLog::new(tenant_id, operator_id, "shift.deleted", "shift").with_resource_id(shift_id),
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&state.db,
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)
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.await;
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Ok(())
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}
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// ---------------------------------------------------------------------------
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// PatientAssignment CRUD
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// ---------------------------------------------------------------------------
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pub async fn list_assignments(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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page: u64,
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page_size: u64,
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) -> HealthResult<PaginatedResponse<PatientAssignmentResp>> {
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let _shift = find_shift(state, tenant_id, shift_id).await?;
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let limit = page_size.min(100);
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let offset = page.saturating_sub(1) * limit;
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let query = patient_assignment::Entity::find()
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.filter(patient_assignment::Column::TenantId.eq(tenant_id))
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.filter(patient_assignment::Column::ShiftId.eq(shift_id))
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.filter(patient_assignment::Column::DeletedAt.is_null());
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let total: u64 = query.clone().count(&state.db).await?;
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let rows: Vec<patient_assignment::Model> = query
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.order_by_desc(patient_assignment::Column::CreatedAt)
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.limit(limit)
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.offset(offset)
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.all(&state.db)
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.await?;
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let total_pages = total.div_ceil(limit.max(1));
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let data = rows.into_iter().map(assignment_to_resp).collect();
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Ok(PaginatedResponse {
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data,
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total,
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page,
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page_size,
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total_pages,
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})
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}
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pub async fn create_assignment(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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operator_id: Option<Uuid>,
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req: CreatePatientAssignmentReq,
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) -> HealthResult<PatientAssignmentResp> {
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// 验证班次存在
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find_shift(state, tenant_id, shift_id).await?;
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// 验证患者存在
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patient::Entity::find()
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.filter(patient::Column::Id.eq(req.patient_id))
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.filter(patient::Column::TenantId.eq(tenant_id))
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.filter(patient::Column::DeletedAt.is_null())
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.one(&state.db)
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.await?
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.ok_or(HealthError::PatientNotFound)?;
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// 验证 care_level
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let care_level = req.care_level.unwrap_or_else(|| "routine".to_string());
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validate_care_level(&care_level)?;
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let now = Utc::now();
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let active = patient_assignment::ActiveModel {
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id: Set(Uuid::now_v7()),
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tenant_id: Set(tenant_id),
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shift_id: Set(shift_id),
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patient_id: Set(req.patient_id),
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care_level: Set(care_level),
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notes: Set(req.notes),
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created_at: Set(now),
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updated_at: Set(now),
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created_by: Set(operator_id),
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updated_by: Set(operator_id),
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deleted_at: Set(None),
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version: Set(1),
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};
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let m = active.insert(&state.db).await?;
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Ok(assignment_to_resp(m))
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}
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pub async fn batch_assign(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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operator_id: Option<Uuid>,
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req: BatchAssignReq,
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) -> HealthResult<Vec<PatientAssignmentResp>> {
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tracing::info!(tenant = %tenant_id, shift = %shift_id, count = req.patient_ids.len(), "批量分配患者");
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// 验证班次存在
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find_shift(state, tenant_id, shift_id).await?;
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let care_level = req.care_level.unwrap_or_else(|| "routine".to_string());
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validate_care_level(&care_level)?;
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let mut results = Vec::with_capacity(req.patient_ids.len());
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for pid in req.patient_ids {
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// 验证患者存在
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let patient_exists = patient::Entity::find()
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.filter(patient::Column::Id.eq(pid))
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.filter(patient::Column::TenantId.eq(tenant_id))
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.filter(patient::Column::DeletedAt.is_null())
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.one(&state.db)
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.await?
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.is_some();
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if !patient_exists {
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return Err(HealthError::PatientNotFound);
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}
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let now = Utc::now();
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let active = patient_assignment::ActiveModel {
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id: Set(Uuid::now_v7()),
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tenant_id: Set(tenant_id),
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shift_id: Set(shift_id),
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patient_id: Set(pid),
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care_level: Set(care_level.clone()),
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notes: Set(None),
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created_at: Set(now),
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updated_at: Set(now),
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created_by: Set(operator_id),
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updated_by: Set(operator_id),
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deleted_at: Set(None),
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version: Set(1),
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};
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let m = active.insert(&state.db).await?;
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results.push(assignment_to_resp(m));
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}
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audit_service::record(
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AuditLog::new(tenant_id, operator_id, "shift.batch_assigned", "patient_assignment")
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.with_resource_id(shift_id),
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&state.db,
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)
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.await;
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Ok(results)
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}
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pub async fn update_assignment(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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assignment_id: Uuid,
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operator_id: Option<Uuid>,
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req: UpdatePatientAssignmentWithVersion,
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) -> HealthResult<PatientAssignmentResp> {
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// 验证班次存在
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let _shift = find_shift(state, tenant_id, shift_id).await?;
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let existing = patient_assignment::Entity::find_by_id(assignment_id)
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.one(&state.db)
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.await?
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.ok_or(HealthError::PatientAssignmentNotFound)?;
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if existing.tenant_id != tenant_id || existing.shift_id != shift_id {
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return Err(HealthError::PatientAssignmentNotFound);
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}
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let next_ver = check_version(req.version, existing.version)
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.map_err(|_| HealthError::VersionMismatch)?;
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let mut active: patient_assignment::ActiveModel = existing.into();
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let now = Utc::now();
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if let Some(ref v) = req.data.care_level {
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validate_care_level(v)?;
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active.care_level = Set(v.clone());
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}
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if req.data.notes.is_some() {
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active.notes = Set(req.data.notes);
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}
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active.updated_at = Set(now);
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active.updated_by = Set(operator_id);
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active.version = Set(next_ver);
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let m = active.update(&state.db).await?;
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Ok(assignment_to_resp(m))
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}
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pub async fn delete_assignment(
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state: &HealthState,
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tenant_id: Uuid,
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shift_id: Uuid,
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assignment_id: Uuid,
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operator_id: Option<Uuid>,
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version: i32,
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) -> HealthResult<()> {
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let _shift = find_shift(state, tenant_id, shift_id).await?;
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let existing = patient_assignment::Entity::find_by_id(assignment_id)
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.one(&state.db)
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.await?
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.ok_or(HealthError::PatientAssignmentNotFound)?;
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if existing.tenant_id != tenant_id || existing.shift_id != shift_id {
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return Err(HealthError::PatientAssignmentNotFound);
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}
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let next_ver = check_version(version, existing.version)
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.map_err(|_| HealthError::VersionMismatch)?;
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let now = Utc::now();
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let mut active: patient_assignment::ActiveModel = existing.into();
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active.deleted_at = Set(Some(now));
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active.updated_at = Set(now);
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active.updated_by = Set(operator_id);
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active.version = Set(next_ver);
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active.update(&state.db).await?;
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Ok(())
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}
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// ---------------------------------------------------------------------------
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// HandoffLog CRUD
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// ---------------------------------------------------------------------------
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pub async fn list_handoffs(
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state: &HealthState,
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tenant_id: Uuid,
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params: &ListHandoffParams,
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) -> HealthResult<PaginatedResponse<HandoffLogResp>> {
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let page = params.page.unwrap_or(1);
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let page_size = params.page_size.unwrap_or(20);
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let limit = page_size.min(100);
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let offset = page.saturating_sub(1) * limit;
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let mut query = handoff_log::Entity::find()
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.filter(handoff_log::Column::TenantId.eq(tenant_id))
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.filter(handoff_log::Column::DeletedAt.is_null());
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if let Some(fid) = params.from_shift_id {
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query = query.filter(handoff_log::Column::FromShiftId.eq(fid));
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}
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if let Some(tid) = params.to_shift_id {
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query = query.filter(handoff_log::Column::ToShiftId.eq(tid));
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}
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if let Some(pid) = params.patient_id {
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query = query.filter(handoff_log::Column::PatientId.eq(pid));
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}
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let total: u64 = query.clone().count(&state.db).await?;
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let rows: Vec<handoff_log::Model> = query
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.order_by_desc(handoff_log::Column::CreatedAt)
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.limit(limit)
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.offset(offset)
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.all(&state.db)
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.await?;
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let total_pages = total.div_ceil(limit.max(1));
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let data = rows.into_iter().map(handoff_to_resp).collect();
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Ok(PaginatedResponse {
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data,
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total,
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page,
|
|
page_size,
|
|
total_pages,
|
|
})
|
|
}
|
|
|
|
pub async fn create_handoff(
|
|
state: &HealthState,
|
|
tenant_id: Uuid,
|
|
operator_id: Option<Uuid>,
|
|
req: CreateHandoffReq,
|
|
) -> HealthResult<HandoffLogResp> {
|
|
// 验证 from_shift 存在
|
|
find_shift(state, tenant_id, req.from_shift_id).await?;
|
|
// 验证 to_shift 存在
|
|
find_shift(state, tenant_id, req.to_shift_id).await?;
|
|
// 验证患者存在
|
|
patient::Entity::find()
|
|
.filter(patient::Column::Id.eq(req.patient_id))
|
|
.filter(patient::Column::TenantId.eq(tenant_id))
|
|
.filter(patient::Column::DeletedAt.is_null())
|
|
.one(&state.db)
|
|
.await?
|
|
.ok_or(HealthError::PatientNotFound)?;
|
|
|
|
let now = Utc::now();
|
|
let active = handoff_log::ActiveModel {
|
|
id: Set(Uuid::now_v7()),
|
|
tenant_id: Set(tenant_id),
|
|
from_shift_id: Set(req.from_shift_id),
|
|
to_shift_id: Set(req.to_shift_id),
|
|
patient_id: Set(req.patient_id),
|
|
notes: Set(req.notes),
|
|
pending_items: Set(req.pending_items),
|
|
created_at: Set(now),
|
|
updated_at: Set(now),
|
|
created_by: Set(operator_id),
|
|
updated_by: Set(operator_id),
|
|
deleted_at: Set(None),
|
|
version: Set(1),
|
|
};
|
|
let m = active.insert(&state.db).await?;
|
|
|
|
audit_service::record(
|
|
AuditLog::new(tenant_id, operator_id, "shift.handoff_created", "handoff_log")
|
|
.with_resource_id(m.id),
|
|
&state.db,
|
|
)
|
|
.await;
|
|
|
|
state
|
|
.event_bus
|
|
.publish(
|
|
DomainEvent::new(
|
|
"shift.handoff_created",
|
|
tenant_id,
|
|
erp_core::events::build_event_payload(serde_json::json!({
|
|
"handoff_id": m.id,
|
|
"from_shift_id": m.from_shift_id,
|
|
"to_shift_id": m.to_shift_id,
|
|
"patient_id": m.patient_id,
|
|
})),
|
|
),
|
|
&state.db,
|
|
)
|
|
.await;
|
|
|
|
Ok(handoff_to_resp(m))
|
|
}
|
|
|
|
// ---------------------------------------------------------------------------
|
|
// Helpers
|
|
// ---------------------------------------------------------------------------
|
|
|
|
/// 按 shift_id 查找班次,不存在或已删除返回 ShiftNotFound
|
|
pub async fn find_shift(
|
|
state: &HealthState,
|
|
tenant_id: Uuid,
|
|
shift_id: Uuid,
|
|
) -> HealthResult<shift::Model> {
|
|
shift::Entity::find_by_id(shift_id)
|
|
.one(&state.db)
|
|
.await?
|
|
.filter(|m| m.tenant_id == tenant_id && m.deleted_at.is_none())
|
|
.ok_or(HealthError::ShiftNotFound)
|
|
}
|
|
|
|
/// 统计指定班次的患者分配数量(按 care_level 分组)
|
|
async fn count_patients_by_care_level(
|
|
state: &HealthState,
|
|
shift_id: Uuid,
|
|
) -> HealthResult<(i64, i64, i64)> {
|
|
use sea_orm::FromQueryResult;
|
|
use std::collections::HashMap;
|
|
|
|
#[derive(Debug, FromQueryResult)]
|
|
struct CareLevelCount {
|
|
care_level: String,
|
|
count: i64,
|
|
}
|
|
|
|
let counts: Vec<CareLevelCount> = CareLevelCount::find_by_statement(
|
|
sea_orm::Statement::from_sql_and_values(
|
|
sea_orm::DatabaseBackend::Postgres,
|
|
"SELECT care_level, CAST(COUNT(*) AS BIGINT) as count FROM patient_assignment \
|
|
WHERE shift_id = $1 AND deleted_at IS NULL \
|
|
GROUP BY care_level",
|
|
[shift_id.into()],
|
|
),
|
|
)
|
|
.all(&state.db)
|
|
.await?;
|
|
|
|
let map: HashMap<String, i64> = counts
|
|
.into_iter()
|
|
.map(|c| (c.care_level, c.count))
|
|
.collect();
|
|
|
|
let patient_count = map.values().sum();
|
|
let critical_count = map.get("critical").copied().unwrap_or(0);
|
|
let attention_count = map.get("attention").copied().unwrap_or(0);
|
|
|
|
Ok((patient_count, critical_count, attention_count))
|
|
}
|
|
|
|
// ---------------------------------------------------------------------------
|
|
// Conversion helpers
|
|
// ---------------------------------------------------------------------------
|
|
|
|
fn shift_to_resp(
|
|
m: shift::Model,
|
|
patient_count: Option<i64>,
|
|
critical_count: Option<i64>,
|
|
attention_count: Option<i64>,
|
|
) -> ShiftResp {
|
|
ShiftResp {
|
|
id: m.id,
|
|
tenant_id: m.tenant_id,
|
|
shift_date: m.shift_date,
|
|
period: m.period,
|
|
nurse_id: m.nurse_id,
|
|
status: m.status,
|
|
notes: m.notes,
|
|
created_at: m.created_at,
|
|
updated_at: m.updated_at,
|
|
created_by: m.created_by,
|
|
updated_by: m.updated_by,
|
|
version: m.version,
|
|
patient_count,
|
|
critical_count,
|
|
attention_count,
|
|
}
|
|
}
|
|
|
|
fn assignment_to_resp(m: patient_assignment::Model) -> PatientAssignmentResp {
|
|
PatientAssignmentResp {
|
|
id: m.id,
|
|
tenant_id: m.tenant_id,
|
|
shift_id: m.shift_id,
|
|
patient_id: m.patient_id,
|
|
care_level: m.care_level,
|
|
notes: m.notes,
|
|
created_at: m.created_at,
|
|
updated_at: m.updated_at,
|
|
version: m.version,
|
|
}
|
|
}
|
|
|
|
fn handoff_to_resp(m: handoff_log::Model) -> HandoffLogResp {
|
|
HandoffLogResp {
|
|
id: m.id,
|
|
tenant_id: m.tenant_id,
|
|
from_shift_id: m.from_shift_id,
|
|
to_shift_id: m.to_shift_id,
|
|
patient_id: m.patient_id,
|
|
notes: m.notes,
|
|
pending_items: m.pending_items,
|
|
created_at: m.created_at,
|
|
updated_at: m.updated_at,
|
|
version: m.version,
|
|
}
|
|
}
|
|
|
|
// ---------------------------------------------------------------------------
|
|
// Validators
|
|
// ---------------------------------------------------------------------------
|
|
|
|
/// 验证班次时段: morning / afternoon / night
|
|
pub fn validate_period(period: &str) -> HealthResult<()> {
|
|
let valid = ["morning", "afternoon", "night"];
|
|
if valid.contains(&period) {
|
|
Ok(())
|
|
} else {
|
|
Err(HealthError::Validation(format!(
|
|
"period 必须为以下之一: {}",
|
|
valid.join(", ")
|
|
)))
|
|
}
|
|
}
|
|
|
|
/// 验证班次状态: scheduled / in_progress / completed / cancelled
|
|
pub fn validate_shift_status(status: &str) -> HealthResult<()> {
|
|
let valid = ["scheduled", "in_progress", "completed", "cancelled"];
|
|
if valid.contains(&status) {
|
|
Ok(())
|
|
} else {
|
|
Err(HealthError::Validation(format!(
|
|
"status 必须为以下之一: {}",
|
|
valid.join(", ")
|
|
)))
|
|
}
|
|
}
|
|
|
|
/// 验证护理级别: routine / attention / critical
|
|
pub fn validate_care_level(level: &str) -> HealthResult<()> {
|
|
let valid = ["routine", "attention", "critical"];
|
|
if valid.contains(&level) {
|
|
Ok(())
|
|
} else {
|
|
Err(HealthError::Validation(format!(
|
|
"care_level 必须为以下之一: {}",
|
|
valid.join(", ")
|
|
)))
|
|
}
|
|
}
|