Files
hms/crates/erp-health/src/handler/consent_handler.rs
iven 41a865cf68 feat(health+core+ai): 业务流程全面修复 Phase 4-6 + 集成测试修复
Phase 4 — Dead-letter 重试 + 内容推送 + 安全加固:
- erp-core: retry_dead_letters() 定时重试 + PII payload 脱敏
- erp-core: audit_service 哈希链定时验证 + 写入失败告警
- erp-health: article.published 消费者匹配 patient_tag 推送消息
- erp-health: care_plan 事件消费者 (激活通知 + 完成积分)

Phase 5 — 患者批量操作 + 咨询增强 + 护理事件:
- patient: batch_import_patients + bind_by_phone + refer_patient
- consultation: rate_session 满意度评价 (rating + feedback)
- consent: patient_sign_consent 患者端签署
- validation: source 枚举 (7值) + relationship 枚举 (7值) + 12 单元测试

Phase 6 — 咨询文件上传 + AI 引用标注:
- consultation_message: media_id 附件上传端点
- ai_suggestion: references JSONB + [ref:id] 格式引用标注
- AI system prompt 增加引用指令 + output_parser 提取逻辑

迁移: 000161 (media_id + references) + 000162 (rating + feedback)
集成测试: consultation/follow_up/pii_encryption 新字段同步修复
讨论文档: 2026-05-20-business-process-brainstorm.md (10域审核报告)
2026-05-21 01:34:20 +08:00

125 lines
4.0 KiB
Rust

use axum::Extension;
use axum::extract::{FromRef, Json, Path, Query, State};
use erp_core::error::AppError;
use erp_core::rbac::require_permission;
use erp_core::types::{ApiResponse, PaginatedResponse, TenantContext};
use serde::Deserialize;
use validator::Validate;
use crate::dto::consent_dto::*;
use crate::service::consent_service;
use crate::state::HealthState;
#[derive(Debug, Deserialize, utoipa::IntoParams)]
pub struct ConsentListParams {
pub page: Option<u64>,
pub page_size: Option<u64>,
}
#[utoipa::path(
get,
path = "/health/patients/{patient_id}/consents",
responses((status = 200, description = "知情同意列表")),
tag = "知情同意",
security(("bearer_auth" = [])),
)]
pub async fn list_consents<S>(
State(state): State<HealthState>,
Extension(ctx): Extension<TenantContext>,
Path(patient_id): Path<uuid::Uuid>,
Query(params): Query<ConsentListParams>,
) -> Result<Json<ApiResponse<PaginatedResponse<ConsentResp>>>, AppError>
where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.consent.list")?;
let page = params.page.unwrap_or(1);
let page_size = params.page_size.unwrap_or(20);
let result =
consent_service::list_consents(&state, ctx.tenant_id, patient_id, page, page_size).await?;
Ok(Json(ApiResponse::ok(result)))
}
#[utoipa::path(
post,
path = "/health/consents",
responses((status = 200, description = "授权成功")),
tag = "知情同意",
security(("bearer_auth" = [])),
)]
pub async fn grant_consent<S>(
State(state): State<HealthState>,
Extension(ctx): Extension<TenantContext>,
Json(req): Json<CreateConsentReq>,
) -> Result<Json<ApiResponse<ConsentResp>>, AppError>
where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.consent.manage")?;
let mut req = req;
req.sanitize();
let result =
consent_service::grant_consent(&state, ctx.tenant_id, Some(ctx.user_id), req).await?;
Ok(Json(ApiResponse::ok(result)))
}
#[utoipa::path(
put,
path = "/health/consents/{consent_id}/revoke",
responses((status = 200, description = "撤销成功")),
tag = "知情同意",
security(("bearer_auth" = [])),
)]
pub async fn revoke_consent<S>(
State(state): State<HealthState>,
Extension(ctx): Extension<TenantContext>,
Path(consent_id): Path<uuid::Uuid>,
Json(req): Json<RevokeConsentReq>,
) -> Result<Json<ApiResponse<ConsentResp>>, AppError>
where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
require_permission(&ctx, "health.consent.manage")?;
let mut req = req;
req.sanitize();
let result =
consent_service::revoke_consent(&state, ctx.tenant_id, consent_id, Some(ctx.user_id), req)
.await?;
Ok(Json(ApiResponse::ok(result)))
}
/// 患者端签署知情同意 — 验证 consent 归属当前患者后更新状态为 granted
#[utoipa::path(
post,
path = "/health/consents/{consent_id}/patient-sign",
request_body = PatientSignConsentReq,
responses(
(status = 200, description = "签署成功"),
(status = 400, description = "状态不允许签署或不属于该患者"),
(status = 404, description = "知情同意记录不存在"),
),
tag = "知情同意",
security(("bearer_auth" = [])),
)]
pub async fn patient_sign_consent<S>(
State(state): State<HealthState>,
Extension(ctx): Extension<TenantContext>,
Path(consent_id): Path<uuid::Uuid>,
Json(req): Json<crate::dto::consent_dto::PatientSignConsentReq>,
) -> Result<Json<ApiResponse<crate::dto::consent_dto::ConsentResp>>, AppError>
where
HealthState: FromRef<S>,
S: Clone + Send + Sync + 'static,
{
// 患者自己签署,只需认证,不需要特殊权限
req.validate()
.map_err(|e| AppError::Validation(e.to_string()))?;
let result =
consent_service::patient_sign_consent(&state, ctx.tenant_id, ctx.user_id, consent_id, req)
.await?;
Ok(Json(ApiResponse::ok(result)))
}