refactor(health): 按文档规范重构用药管理模块

【重大重构】完全按照功能规划文档重写

## 表结构变更
- medication_plan: 用药计划表(按文档设计)
- medication_task: 服药任务表(按文档设计)
- medication_remind_log: 提醒日志表
- medicine_stock_log: 库存变动表
- medication_adherence_stats: 统计汇总表

## 字段变更
- frequency_config: JSONB 频次配置
- time_slots: JSONB 时段配置
- family_member_ids: JSONB 家属通知
- status: 状态值按文档规范(0-待服药 1-已服药 2-漏服 3-跳过)

## 新增组件
- JsonNodeTypeHandler: PostgreSQL JSONB 类型处理器

## SQL 脚本
- medication_module_pg.sql: 建表语句(PostgreSQL)
- medication_menu_pg.sql: 菜单权限配置
- medication_job_pg.sql: 定时任务配置
This commit is contained in:
bot5
2026-03-19 20:19:56 +08:00
parent 8d71009f3a
commit 191f6e1caf
46 changed files with 2159 additions and 3243 deletions

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-- ========================================
-- 用药管理模块 - PostgreSQL 建表语句
-- 依据:慢性病用药管理模块-功能规划文档
-- ========================================
-- ========================================
-- 1. 慢性疾病档案表
-- ========================================
DROP TABLE IF EXISTS chronic_disease_record;
CREATE TABLE chronic_disease_record (
id BIGSERIAL PRIMARY KEY,
member_id BIGINT NOT NULL,
disease_name VARCHAR(100) NOT NULL,
disease_code VARCHAR(20),
diagnosis_date DATE,
disease_status SMALLINT NOT NULL DEFAULT 1,
main_doctor VARCHAR(50),
hospital VARCHAR(100),
department VARCHAR(50),
notes TEXT,
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE chronic_disease_record IS '慢性疾病档案表';
COMMENT ON COLUMN chronic_disease_record.id IS '主键ID';
COMMENT ON COLUMN chronic_disease_record.member_id IS '关联成员ID';
COMMENT ON COLUMN chronic_disease_record.disease_name IS '疾病名称(高血压/糖尿病/冠心病等)';
COMMENT ON COLUMN chronic_disease_record.disease_code IS '疾病编码ICD-10标准';
COMMENT ON COLUMN chronic_disease_record.diagnosis_date IS '确诊日期';
COMMENT ON COLUMN chronic_disease_record.disease_status IS '状态1-稳定 2-需关注 3-急性期';
COMMENT ON COLUMN chronic_disease_record.main_doctor IS '主治医生';
COMMENT ON COLUMN chronic_disease_record.hospital IS '就诊医院';
COMMENT ON COLUMN chronic_disease_record.department IS '科室';
COMMENT ON COLUMN chronic_disease_record.notes IS '备注说明';
COMMENT ON COLUMN chronic_disease_record.create_by IS '创建者';
COMMENT ON COLUMN chronic_disease_record.create_time IS '创建时间';
COMMENT ON COLUMN chronic_disease_record.update_by IS '更新者';
COMMENT ON COLUMN chronic_disease_record.update_time IS '更新时间';
COMMENT ON COLUMN chronic_disease_record.remark IS '备注';
COMMENT ON COLUMN chronic_disease_record.del_flag IS '删除标记0-正常 1-删除';
CREATE INDEX idx_cdr_member_id ON chronic_disease_record(member_id);
CREATE INDEX idx_cdr_disease_status ON chronic_disease_record(disease_status);
-- ========================================
-- 2. 用药计划表
-- ========================================
DROP TABLE IF EXISTS medication_plan;
CREATE TABLE medication_plan (
id BIGSERIAL PRIMARY KEY,
member_id BIGINT NOT NULL,
chronic_disease_id BIGINT,
plan_name VARCHAR(100) NOT NULL,
medicine_id BIGINT NOT NULL,
medicine_name VARCHAR(100) NOT NULL,
specification VARCHAR(50),
dosage_per_time DECIMAL(10,2) NOT NULL,
dosage_unit VARCHAR(20) NOT NULL,
frequency_type SMALLINT NOT NULL,
frequency_config JSONB NOT NULL,
time_slots JSONB NOT NULL,
start_date DATE NOT NULL,
end_date DATE,
remind_enabled SMALLINT NOT NULL DEFAULT 1,
remind_advance_min INTEGER,
notify_family SMALLINT DEFAULT 0,
family_member_ids JSONB,
status SMALLINT NOT NULL DEFAULT 1,
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE medication_plan IS '用药计划表';
COMMENT ON COLUMN medication_plan.id IS '主键ID';
COMMENT ON COLUMN medication_plan.member_id IS '关联成员ID';
COMMENT ON COLUMN medication_plan.chronic_disease_id IS '关联慢性疾病ID';
COMMENT ON COLUMN medication_plan.plan_name IS '计划名称(如"降压药计划"';
COMMENT ON COLUMN medication_plan.medicine_id IS '关联药品ID';
COMMENT ON COLUMN medication_plan.medicine_name IS '药品名称(冗余字段)';
COMMENT ON COLUMN medication_plan.specification IS '药品规格(如"10mg/片"';
COMMENT ON COLUMN medication_plan.dosage_per_time IS '单次剂量';
COMMENT ON COLUMN medication_plan.dosage_unit IS '剂量单位(片/粒/毫升/喷)';
COMMENT ON COLUMN medication_plan.frequency_type IS '频次类型1-每天 2-每周 3-隔天 4-自定义';
COMMENT ON COLUMN medication_plan.frequency_config IS '频次配置JSON格式';
COMMENT ON COLUMN medication_plan.time_slots IS '服药时段配置';
COMMENT ON COLUMN medication_plan.start_date IS '开始日期';
COMMENT ON COLUMN medication_plan.end_date IS '结束日期(空表示长期)';
COMMENT ON COLUMN medication_plan.remind_enabled IS '是否开启提醒1-是 0-否';
COMMENT ON COLUMN medication_plan.remind_advance_min IS '提前提醒分钟数';
COMMENT ON COLUMN medication_plan.notify_family IS '漏服是否通知家属1-是 0-否';
COMMENT ON COLUMN medication_plan.family_member_ids IS '通知家属成员ID列表';
COMMENT ON COLUMN medication_plan.status IS '状态1-执行中 2-已暂停 3-已结束';
COMMENT ON COLUMN medication_plan.create_by IS '创建者';
COMMENT ON COLUMN medication_plan.create_time IS '创建时间';
COMMENT ON COLUMN medication_plan.update_by IS '更新者';
COMMENT ON COLUMN medication_plan.update_time IS '更新时间';
COMMENT ON COLUMN medication_plan.remark IS '备注';
COMMENT ON COLUMN medication_plan.del_flag IS '删除标记0-正常 1-删除';
CREATE INDEX idx_mp_member_id ON medication_plan(member_id);
CREATE INDEX idx_mp_status ON medication_plan(status);
CREATE INDEX idx_mp_medicine_id ON medication_plan(medicine_id);
-- ========================================
-- 3. 服药任务表
-- ========================================
DROP TABLE IF EXISTS medication_task;
CREATE TABLE medication_task (
id BIGSERIAL PRIMARY KEY,
plan_id BIGINT NOT NULL,
member_id BIGINT NOT NULL,
medicine_name VARCHAR(100) NOT NULL,
planned_date DATE NOT NULL,
planned_time TIME NOT NULL,
planned_dosage DECIMAL(10,2) NOT NULL,
actual_time TIMESTAMP,
actual_dosage DECIMAL(10,2),
status SMALLINT NOT NULL DEFAULT 0,
confirm_type SMALLINT,
notes VARCHAR(255),
remind_status SMALLINT DEFAULT 0,
remind_time TIMESTAMP,
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE medication_task IS '服药任务表';
COMMENT ON COLUMN medication_task.id IS '主键ID';
COMMENT ON COLUMN medication_task.plan_id IS '关联用药计划ID';
COMMENT ON COLUMN medication_task.member_id IS '关联成员ID';
COMMENT ON COLUMN medication_task.medicine_name IS '药品名称';
COMMENT ON COLUMN medication_task.planned_date IS '计划服药日期';
COMMENT ON COLUMN medication_task.planned_time IS '计划服药时间';
COMMENT ON COLUMN medication_task.planned_dosage IS '计划剂量';
COMMENT ON COLUMN medication_task.actual_time IS '实际服药时间';
COMMENT ON COLUMN medication_task.actual_dosage IS '实际剂量';
COMMENT ON COLUMN medication_task.status IS '状态0-待服药 1-已服药 2-漏服 3-跳过';
COMMENT ON COLUMN medication_task.confirm_type IS '确认方式1-用户确认 2-家属代确认 3-系统自动';
COMMENT ON COLUMN medication_task.notes IS '备注(如漏服原因)';
COMMENT ON COLUMN medication_task.remind_status IS '提醒状态0-未提醒 1-已提醒 2-已超时提醒';
COMMENT ON COLUMN medication_task.remind_time IS '提醒时间';
COMMENT ON COLUMN medication_task.create_by IS '创建者';
COMMENT ON COLUMN medication_task.create_time IS '创建时间';
COMMENT ON COLUMN medication_task.update_by IS '更新者';
COMMENT ON COLUMN medication_task.update_time IS '更新时间';
COMMENT ON COLUMN medication_task.remark IS '备注';
COMMENT ON COLUMN medication_task.del_flag IS '删除标记0-正常 1-删除';
CREATE INDEX idx_mt_plan_id ON medication_task(plan_id);
CREATE INDEX idx_mt_member_id ON medication_task(member_id);
CREATE INDEX idx_mt_planned_date ON medication_task(planned_date);
CREATE INDEX idx_mt_status ON medication_task(status);
CREATE INDEX idx_mt_planned_datetime ON medication_task(planned_date, planned_time);
-- ========================================
-- 4. 用药提醒日志表
-- ========================================
DROP TABLE IF EXISTS medication_remind_log;
CREATE TABLE medication_remind_log (
id BIGSERIAL PRIMARY KEY,
task_id BIGINT NOT NULL,
remind_type SMALLINT NOT NULL,
remind_time TIMESTAMP NOT NULL,
remind_channel VARCHAR(20) NOT NULL,
remind_result SMALLINT NOT NULL,
error_msg VARCHAR(255),
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE medication_remind_log IS '用药提醒日志表';
COMMENT ON COLUMN medication_remind_log.id IS '主键ID';
COMMENT ON COLUMN medication_remind_log.task_id IS '关联服药任务ID';
COMMENT ON COLUMN medication_remind_log.remind_type IS '提醒类型1-按时提醒 2-超时提醒 3-漏服通知家属';
COMMENT ON COLUMN medication_remind_log.remind_time IS '提醒时间';
COMMENT ON COLUMN medication_remind_log.remind_channel IS '提醒渠道app/sms/wechat';
COMMENT ON COLUMN medication_remind_log.remind_result IS '结果1-成功 2-失败';
COMMENT ON COLUMN medication_remind_log.error_msg IS '错误信息';
COMMENT ON COLUMN medication_remind_log.create_by IS '创建者';
COMMENT ON COLUMN medication_remind_log.create_time IS '创建时间';
COMMENT ON COLUMN medication_remind_log.update_by IS '更新者';
COMMENT ON COLUMN medication_remind_log.update_time IS '更新时间';
COMMENT ON COLUMN medication_remind_log.remark IS '备注';
COMMENT ON COLUMN medication_remind_log.del_flag IS '删除标记0-正常 1-删除';
CREATE INDEX idx_mrl_task_id ON medication_remind_log(task_id);
CREATE INDEX idx_mrl_remind_time ON medication_remind_log(remind_time);
-- ========================================
-- 5. 药品库存变动表
-- ========================================
DROP TABLE IF EXISTS medicine_stock_log;
CREATE TABLE medicine_stock_log (
id BIGSERIAL PRIMARY KEY,
medicine_id BIGINT NOT NULL,
member_id BIGINT NOT NULL,
change_type SMALLINT NOT NULL,
change_quantity DECIMAL(10,2) NOT NULL,
before_quantity DECIMAL(10,2) NOT NULL,
after_quantity DECIMAL(10,2) NOT NULL,
relate_id BIGINT,
notes VARCHAR(255),
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE medicine_stock_log IS '药品库存变动表';
COMMENT ON COLUMN medicine_stock_log.id IS '主键ID';
COMMENT ON COLUMN medicine_stock_log.medicine_id IS '关联药品ID';
COMMENT ON COLUMN medicine_stock_log.member_id IS '关联成员ID';
COMMENT ON COLUMN medicine_stock_log.change_type IS '变动类型1-入库 2-服药消耗 3-手动调整 4-过期报废';
COMMENT ON COLUMN medicine_stock_log.change_quantity IS '变动数量(正数为增,负数为减)';
COMMENT ON COLUMN medicine_stock_log.before_quantity IS '变动前库存';
COMMENT ON COLUMN medicine_stock_log.after_quantity IS '变动后库存';
COMMENT ON COLUMN medicine_stock_log.relate_id IS '关联ID入库ID/任务ID等';
COMMENT ON COLUMN medicine_stock_log.notes IS '备注';
COMMENT ON COLUMN medicine_stock_log.create_by IS '创建者';
COMMENT ON COLUMN medicine_stock_log.create_time IS '创建时间';
COMMENT ON COLUMN medicine_stock_log.update_by IS '更新者';
COMMENT ON COLUMN medicine_stock_log.update_time IS '更新时间';
COMMENT ON COLUMN medicine_stock_log.remark IS '备注';
COMMENT ON COLUMN medicine_stock_log.del_flag IS '删除标记0-正常 1-删除';
CREATE INDEX idx_msl_medicine_id ON medicine_stock_log(medicine_id);
CREATE INDEX idx_msl_member_id ON medicine_stock_log(member_id);
CREATE INDEX idx_msl_create_time ON medicine_stock_log(create_time);
-- ========================================
-- 6. 依从性统计汇总表
-- ========================================
DROP TABLE IF EXISTS medication_adherence_stats;
CREATE TABLE medication_adherence_stats (
id BIGSERIAL PRIMARY KEY,
member_id BIGINT NOT NULL,
plan_id BIGINT,
stat_date DATE NOT NULL,
total_tasks INTEGER NOT NULL DEFAULT 0,
completed_tasks INTEGER NOT NULL DEFAULT 0,
missed_tasks INTEGER NOT NULL DEFAULT 0,
skipped_tasks INTEGER NOT NULL DEFAULT 0,
ontime_tasks INTEGER NOT NULL DEFAULT 0,
adherence_rate DECIMAL(5,2) NOT NULL DEFAULT 0.00,
ontime_rate DECIMAL(5,2) NOT NULL DEFAULT 0.00,
-- 若依标准字段
create_by VARCHAR(64) DEFAULT '',
create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
update_by VARCHAR(64) DEFAULT '',
update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
remark VARCHAR(500) DEFAULT '',
del_flag SMALLINT DEFAULT 0
);
COMMENT ON TABLE medication_adherence_stats IS '依从性统计汇总表';
COMMENT ON COLUMN medication_adherence_stats.id IS '主键ID';
COMMENT ON COLUMN medication_adherence_stats.member_id IS '关联成员ID';
COMMENT ON COLUMN medication_adherence_stats.plan_id IS '关联用药计划ID为空表示该成员汇总';
COMMENT ON COLUMN medication_adherence_stats.stat_date IS '统计日期';
COMMENT ON COLUMN medication_adherence_stats.total_tasks IS '总任务数';
COMMENT ON COLUMN medication_adherence_stats.completed_tasks IS '已完成任务数';
COMMENT ON COLUMN medication_adherence_stats.missed_tasks IS '漏服任务数';
COMMENT ON COLUMN medication_adherence_stats.skipped_tasks IS '跳过任务数';
COMMENT ON COLUMN medication_adherence_stats.ontime_tasks IS '准时服药任务数';
COMMENT ON COLUMN medication_adherence_stats.adherence_rate IS '服药率(%';
COMMENT ON COLUMN medication_adherence_stats.ontime_rate IS '准时率(%';
CREATE UNIQUE INDEX idx_mas_member_date ON medication_adherence_stats(member_id, stat_date, plan_id);
CREATE INDEX idx_mas_stat_date ON medication_adherence_stats(stat_date);