iven
731e080125
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feat(health): dialysis/lab_report/diagnosis PII 加密
- 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）
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