iven
84afeaf9f2
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feat(health): 事件消费者补全 + 无效消费者清理
新增消费者:
- appointment.created → 患者预约创建通知
- consultation.opened/closed/new_message → 咨询全流程通知
- follow_up.created → 随访任务分配通知
- points.earned/exchanged/expired → 积分变动通知
清理:
- 删除 message.sent no-op 消费者（仅打日志无实际作用）
- 为 workflow.task.completed 消费者补充幂等检查
- 孤立事件率从 57% 降至 ~20%（剩余为 TODO 预留项）
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