-- ================================================ -- 养老管理系统数据库结构 (PostgreSQL版本) -- ElderCare Management System Database Schema -- PostgreSQL 13+ 兼容版本 -- ================================================ -- 确保启用必要的PostgreSQL扩展 CREATE EXTENSION IF NOT EXISTS "uuid-ossp"; CREATE EXTENSION IF NOT EXISTS "pgcrypto"; -- ------------------------------------------------ -- 1. 权限角色系统 (扩展现有) -- ------------------------------------------------ -- 基于现有角色系统，增加养老系统特有角色 INSERT INTO public.ak_roles (name, description, level, is_system) VALUES ('elder', '入住老人', 5, true), ('family', '家属用户', 15, true), ('caregiver', '护理员', 25, true), ('nurse', '护士', 35, true), ('doctor', '医生', 45, true), ('facility_admin', '机构管理员', 55, true), ('system_admin', '系统管理员', 100, true) ON CONFLICT (name) DO NOTHING; -- 添加养老系统权限 INSERT INTO public.ak_permissions (code, name, resource_type, action, description) VALUES -- 老人权限 ('elder.profile.read', '查看个人档案', 'profile', 'read', '查看自己的档案信息'), ('elder.health.read', '查看健康记录', 'health', 'read', '查看自己的健康数据'), -- 家属权限 ('family.elder.read', '查看老人信息', 'elder', 'read', '查看关联老人的信息'), ('family.visit.create', '预约探访', 'visit', 'create', '预约探访老人'), -- 护理员权限 ('caregiver.care.manage', '护理管理', 'care', 'manage', '执行日常护理任务'), ('caregiver.elder.read', '查看老人信息', 'elder', 'read', '查看所有老人信息'), -- 护士权限 ('nurse.health.manage', '健康管理', 'health', 'manage', '管理老人健康记录'), ('nurse.medication.manage', '用药管理', 'medication', 'manage', '管理用药计划'), -- 医生权限 ('doctor.diagnosis.manage', '诊疗管理', 'diagnosis', 'manage', '管理医疗诊断'), ('doctor.prescription.manage', '处方管理', 'prescription', 'manage', '开具处方') ON CONFLICT (code) DO NOTHING; -- 创建获取当前用户ID的函数（替代auth.uid()） CREATE OR REPLACE FUNCTION get_current_user_id() RETURNS uuid AS $$ BEGIN -- 这里可以根据实际的认证系统进行调整 -- 示例：从session变量获取用户ID RETURN COALESCE( (current_setting('app.current_user_id', true))::uuid, '00000000-0000-0000-0000-000000000000'::uuid ); EXCEPTION WHEN OTHERS THEN RETURN '00000000-0000-0000-0000-000000000000'::uuid; END; $$ LANGUAGE plpgsql SECURITY DEFINER; -- ------------------------------------------------ -- 2. 多租户架构 (改造复用) -- ------------------------------------------------ -- 地区管理 → 机构区域管理 (直接使用 ak_regions 表) -- 学校管理 → 养老机构管理 -- 基于 ak_schools 表结构 CREATE TABLE IF NOT EXISTS public.ec_facilities ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), name VARCHAR(128) NOT NULL, -- 机构名称 region_id uuid REFERENCES public.ak_regions(id), -- 所属地区 type VARCHAR(32) CHECK (type IN ('nursing_home', 'assisted_living', 'day_care')), -- 机构类型 license_number VARCHAR(64), -- 许可证号 contact_phone VARCHAR(32), -- 联系电话 address TEXT, -- 详细地址 capacity INT CHECK (capacity > 0), -- 床位总数 current_occupancy INT DEFAULT 0 CHECK (current_occupancy >= 0), -- 当前入住人数 admin_id uuid REFERENCES public.ak_users(id), -- 管理员 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 班级管理 → 护理单元管理 -- 基于 ak_classes 表结构 CREATE TABLE IF NOT EXISTS public.ec_care_units ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), facility_id uuid NOT NULL REFERENCES public.ec_facilities(id) ON DELETE CASCADE, name VARCHAR(32) NOT NULL, -- 护理单元名称(如：A栋1楼、康复区) unit_type VARCHAR(32) CHECK (unit_type IN ('general', 'dementia', 'medical', 'rehab')), -- 单元类型 bed_capacity INT CHECK (bed_capacity > 0), -- 床位数 current_occupancy INT DEFAULT 0 CHECK (current_occupancy >= 0), -- 当前入住数 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 3. 设备管理系统 (改造复用) -- ------------------------------------------------ -- 基于 ak_devices 表，扩展为健康监测设备 CREATE TABLE IF NOT EXISTS public.ec_devices ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), facility_id uuid REFERENCES public.ec_facilities(id), elder_id uuid REFERENCES public.ak_users(id), -- 关联老人 device_type VARCHAR(32) NOT NULL CHECK (device_type IN ('blood_pressure', 'glucose', 'heart_rate', 'fall_detector')), -- 设备类型 device_name VARCHAR(64), -- 设备名称 device_mac VARCHAR(64), -- 设备MAC location VARCHAR(128), -- 设备位置 bind_time TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'inactive', 'maintenance')), -- 状态 last_sync TIMESTAMP WITH TIME ZONE, -- 最后同步时间 extra JSONB, -- 设备特有配置 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 4. 老人档案管理 -- ------------------------------------------------ -- 老人基本档案 CREATE TABLE IF NOT EXISTS public.ec_elders ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), user_id uuid UNIQUE REFERENCES public.ak_users(id) ON DELETE CASCADE, -- 关联用户表 facility_id uuid REFERENCES public.ec_facilities(id), -- 所属机构 care_unit_id uuid REFERENCES public.ec_care_units(id), -- 护理单元 elder_code VARCHAR(32) UNIQUE, -- 老人编号 name VARCHAR(64) NOT NULL, -- 姓名 id_card VARCHAR(32), -- 身份证号 gender VARCHAR(16) CHECK (gender IN ('male', 'female', 'other')), -- 性别 birthday DATE CHECK (birthday <= CURRENT_DATE), -- 出生日期 nationality VARCHAR(32), -- 民族 religion VARCHAR(32), -- 宗教信仰 marital_status VARCHAR(16) CHECK (marital_status IN ('single', 'married', 'divorced', 'widowed')), -- 婚姻状况 education VARCHAR(32), -- 文化程度 occupation VARCHAR(64), -- 职业 admission_date DATE DEFAULT CURRENT_DATE, -- 入住日期 care_level VARCHAR(16) CHECK (care_level IN ('self_care', 'assisted', 'full_care', 'dementia')), -- 护理等级 room_number VARCHAR(16), -- 房间号 bed_number VARCHAR(16), -- 床位号 payment_method VARCHAR(16) CHECK (payment_method IN ('self_pay', 'insurance', 'government')), -- 付费方式 monthly_fee DECIMAL(10,2) CHECK (monthly_fee >= 0), -- 月费用 deposit DECIMAL(10,2) CHECK (deposit >= 0), -- 押金 status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'discharged', 'deceased')), -- 状态 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 家属联系人 CREATE TABLE IF NOT EXISTS public.ec_family_contacts ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, user_id uuid REFERENCES public.ak_users(id), -- 关联家属用户账号 name VARCHAR(64) NOT NULL, -- 联系人姓名 relationship VARCHAR(32) CHECK (relationship IN ('son', 'daughter', 'spouse', 'sibling', 'other')), -- 关系 phone VARCHAR(32), -- 电话 email VARCHAR(128), -- 邮箱 address TEXT, -- 地址 is_emergency_contact BOOLEAN DEFAULT false, -- 是否紧急联系人 is_primary BOOLEAN DEFAULT false, -- 是否主要联系人 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 5. 健康管理 -- ------------------------------------------------ -- 健康档案 CREATE TABLE IF NOT EXISTS public.ec_health_records ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, record_type VARCHAR(32) CHECK (record_type IN ('admission', 'routine', 'emergency', 'discharge')), -- 记录类型 record_date DATE DEFAULT CURRENT_DATE, height_cm INT CHECK (height_cm > 0 AND height_cm < 300), -- 身高 weight_kg DECIMAL(5,2) CHECK (weight_kg > 0 AND weight_kg < 500), -- 体重 blood_pressure_systolic INT CHECK (blood_pressure_systolic > 0 AND blood_pressure_systolic < 300), -- 收缩压 blood_pressure_diastolic INT CHECK (blood_pressure_diastolic > 0 AND blood_pressure_diastolic < 200), -- 舒张压 heart_rate INT CHECK (heart_rate > 0 AND heart_rate < 300), -- 心率 temperature DECIMAL(4,1) CHECK (temperature > 30 AND temperature < 45), -- 体温 blood_sugar DECIMAL(5,2) CHECK (blood_sugar > 0 AND blood_sugar < 50), -- 血糖 medical_history TEXT, -- 病史 current_medications TEXT, -- 当前用药 allergies TEXT, -- 过敏史 mental_status TEXT, -- 心理状态 mobility_level VARCHAR(16) CHECK (mobility_level IN ('independent', 'assisted', 'wheelchair', 'bedridden')), -- 行动能力 cognitive_level VARCHAR(16) CHECK (cognitive_level IN ('normal', 'mild', 'moderate', 'severe')), -- 认知能力 recorded_by uuid REFERENCES public.ak_users(id), -- 记录人 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 基于现有 ak_biometric_data 表结构扩展 -- 生命体征监测数据 CREATE TABLE IF NOT EXISTS public.ec_vital_signs ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, device_id uuid REFERENCES public.ec_devices(id), -- 监测设备 vital_type VARCHAR(32) CHECK (vital_type IN ('blood_pressure', 'heart_rate', 'temperature', 'oxygen', 'glucose')), -- 体征类型 systolic_pressure INT CHECK (systolic_pressure > 0 AND systolic_pressure < 300), -- 收缩压 diastolic_pressure INT CHECK (diastolic_pressure > 0 AND diastolic_pressure < 200), -- 舒张压 heart_rate INT CHECK (heart_rate > 0 AND heart_rate < 300), -- 心率 temperature DECIMAL(4,1) CHECK (temperature > 30 AND temperature < 45), -- 体温 oxygen_saturation INT CHECK (oxygen_saturation > 0 AND oxygen_saturation <= 100), -- 血氧饱和度 glucose_level DECIMAL(5,2) CHECK (glucose_level > 0 AND glucose_level < 50), -- 血糖 measured_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, -- 测量时间 measured_by uuid REFERENCES public.ak_users(id), -- 测量人 notes TEXT, -- 备注 is_abnormal BOOLEAN DEFAULT false, -- 是否异常 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 6. 护理管理 -- ------------------------------------------------ -- 护理计划 (基于 ak_training_plans 改造) CREATE TABLE IF NOT EXISTS public.ec_care_plans ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, plan_name VARCHAR(128) NOT NULL, -- 计划名称 plan_type VARCHAR(32) CHECK (plan_type IN ('daily', 'medical', 'rehabilitation', 'nutrition')), -- 计划类型 description TEXT, -- 描述 start_date DATE DEFAULT CURRENT_DATE, -- 开始日期 end_date DATE, -- 结束日期 frequency VARCHAR(32) CHECK (frequency IN ('daily', 'weekly', 'monthly')), -- 频率 assigned_caregiver uuid REFERENCES public.ak_users(id), -- 负责护理员 created_by uuid REFERENCES public.ak_users(id), -- 创建人 status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'inactive', 'completed')), -- 状态 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_end_date CHECK (end_date IS NULL OR end_date >= start_date) ); -- 护理任务 (基于 ak_assignments 改造) CREATE TABLE IF NOT EXISTS public.ec_care_tasks ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, care_plan_id uuid REFERENCES public.ec_care_plans(id), task_name VARCHAR(128) NOT NULL, -- 任务名称 task_type VARCHAR(32) CHECK (task_type IN ('medication', 'hygiene', 'mobility', 'nutrition', 'social')), -- 任务类型 description TEXT, -- 任务描述 scheduled_time TIMESTAMP WITH TIME ZONE, -- 计划执行时间 assigned_to uuid REFERENCES public.ak_users(id), -- 分配给 priority VARCHAR(16) DEFAULT 'normal' CHECK (priority IN ('low', 'normal', 'high', 'urgent')), -- 优先级 estimated_duration INT CHECK (estimated_duration > 0), -- 预计耗时(分钟) status VARCHAR(16) DEFAULT 'pending' CHECK (status IN ('pending', 'in_progress', 'completed', 'cancelled')), -- 状态 due_date TIMESTAMP WITH TIME ZONE, -- 截止时间 created_by uuid REFERENCES public.ak_users(id), -- 创建人 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 护理记录 (基于 ak_assignment_submissions 改造) CREATE TABLE IF NOT EXISTS public.ec_care_records ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), task_id uuid REFERENCES public.ec_care_tasks(id) ON DELETE CASCADE, elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, caregiver_id uuid NOT NULL REFERENCES public.ak_users(id) ON DELETE CASCADE, -- 护理员 start_time TIMESTAMP WITH TIME ZONE, -- 开始时间 end_time TIMESTAMP WITH TIME ZONE, -- 结束时间 actual_duration INT CHECK (actual_duration > 0), -- 实际耗时(分钟) care_content TEXT, -- 护理内容 elder_condition TEXT, -- 老人状况描述 issues_notes TEXT, -- 问题或注意事项 photo_urls TEXT[], -- 相关照片 status VARCHAR(16) DEFAULT 'completed' CHECK (status IN ('completed', 'incomplete', 'cancelled')), -- 状态 rating INT CHECK (rating >= 1 AND rating <= 5), -- 护理质量评分(1-5) supervisor_notes TEXT, -- 主管备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_time_order CHECK (end_time IS NULL OR end_time >= start_time) ); -- ------------------------------------------------ -- 7. 医疗管理 -- ------------------------------------------------ -- 医疗记录 CREATE TABLE IF NOT EXISTS public.ec_medical_records ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, doctor_id uuid REFERENCES public.ak_users(id), -- 医生 visit_type VARCHAR(32) CHECK (visit_type IN ('routine', 'emergency', 'consultation', 'follow_up')), -- 就诊类型 visit_date TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, -- 就诊时间 chief_complaint TEXT, -- 主诉 symptoms TEXT, -- 症状 diagnosis TEXT, -- 诊断 treatment_plan TEXT, -- 治疗方案 prescription TEXT, -- 处方 follow_up_date DATE, -- 复诊日期 notes TEXT, -- 医生备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 用药管理 CREATE TABLE IF NOT EXISTS public.ec_medications ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, medical_record_id uuid REFERENCES public.ec_medical_records(id), -- 关联医疗记录 medication_name VARCHAR(128) NOT NULL, -- 药品名称 dosage VARCHAR(64), -- 剂量 frequency VARCHAR(64), -- 用药频率 route VARCHAR(32) CHECK (route IN ('oral', 'injection', 'topical')), -- 给药途径 start_date DATE DEFAULT CURRENT_DATE, -- 开始日期 end_date DATE, -- 结束日期 prescribed_by uuid REFERENCES public.ak_users(id), -- 开药医生 instructions TEXT, -- 用药说明 side_effects TEXT, -- 副作用注意 status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'completed', 'discontinued')), -- 状态 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_medication_dates CHECK (end_date IS NULL OR end_date >= start_date) ); -- 用药记录 CREATE TABLE IF NOT EXISTS public.ec_medication_logs ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), medication_id uuid NOT NULL REFERENCES public.ec_medications(id) ON DELETE CASCADE, elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, administered_by uuid REFERENCES public.ak_users(id), -- 给药人 scheduled_time TIMESTAMP WITH TIME ZONE, -- 计划给药时间 actual_time TIMESTAMP WITH TIME ZONE, -- 实际给药时间 dosage_given VARCHAR(64), -- 实际给药剂量 status VARCHAR(16) CHECK (status IN ('given', 'refused', 'missed', 'delayed')), -- 状态 notes TEXT, -- 备注 side_effects_observed TEXT, -- 观察到的副作用 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 8. 服务管理 -- ------------------------------------------------ -- 餐饮服务 CREATE TABLE IF NOT EXISTS public.ec_meal_services ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), facility_id uuid NOT NULL REFERENCES public.ec_facilities(id) ON DELETE CASCADE, meal_date DATE NOT NULL DEFAULT CURRENT_DATE, -- 用餐日期 meal_type VARCHAR(16) CHECK (meal_type IN ('breakfast', 'lunch', 'dinner', 'snack')), -- 餐次类型 menu_items JSONB, -- 菜单项目 nutritional_info JSONB, -- 营养信息 special_diet_options JSONB, -- 特殊饮食选项 created_by uuid REFERENCES public.ak_users(id), -- 创建人 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 用餐记录 CREATE TABLE IF NOT EXISTS public.ec_meal_records ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, meal_service_id uuid REFERENCES public.ec_meal_services(id), meal_type VARCHAR(16) CHECK (meal_type IN ('breakfast', 'lunch', 'dinner', 'snack')), -- 餐次 meal_date DATE DEFAULT CURRENT_DATE, -- 用餐日期 food_items JSONB, -- 实际用餐项目 appetite_level VARCHAR(16) CHECK (appetite_level IN ('good', 'fair', 'poor')), -- 食欲 amount_consumed VARCHAR(16) CHECK (amount_consumed IN ('full', 'half', 'quarter', 'none')), -- 进食量 assistance_needed BOOLEAN DEFAULT false, -- 是否需要协助 assisted_by uuid REFERENCES public.ak_users(id), -- 协助人员 notes TEXT, -- 备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 活动安排 CREATE TABLE IF NOT EXISTS public.ec_activities ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), facility_id uuid NOT NULL REFERENCES public.ec_facilities(id) ON DELETE CASCADE, activity_name VARCHAR(128) NOT NULL, -- 活动名称 activity_type VARCHAR(32) CHECK (activity_type IN ('recreation', 'therapy', 'education', 'social', 'exercise')), -- 活动类型 description TEXT, -- 活动描述 location VARCHAR(128), -- 活动地点 start_time TIMESTAMP WITH TIME ZONE, -- 开始时间 end_time TIMESTAMP WITH TIME ZONE, -- 结束时间 max_participants INT CHECK (max_participants > 0), -- 最大参与人数 instructor uuid REFERENCES public.ak_users(id), -- 活动指导员 requirements TEXT, -- 参与要求 materials_needed TEXT, -- 所需物品 status VARCHAR(16) DEFAULT 'scheduled' CHECK (status IN ('scheduled', 'in_progress', 'completed', 'cancelled')), -- 状态 created_by uuid REFERENCES public.ak_users(id), -- 创建人 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_activity_time CHECK (end_time IS NULL OR end_time >= start_time) ); -- 活动参与记录 CREATE TABLE IF NOT EXISTS public.ec_activity_participations ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), activity_id uuid NOT NULL REFERENCES public.ec_activities(id) ON DELETE CASCADE, elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, participation_status VARCHAR(16) CHECK (participation_status IN ('registered', 'attended', 'absent', 'cancelled')), -- 参与状态 enjoyment_level VARCHAR(16) CHECK (enjoyment_level IN ('excellent', 'good', 'fair', 'poor')), -- 参与满意度 behavior_notes TEXT, -- 行为观察记录 staff_notes TEXT, -- 工作人员备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 访客管理 CREATE TABLE IF NOT EXISTS public.ec_visits ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, visitor_name VARCHAR(64) NOT NULL, -- 访客姓名 visitor_relationship VARCHAR(32), -- 与老人关系 visitor_id_card VARCHAR(32), -- 访客身份证 visitor_phone VARCHAR(32), -- 访客电话 visit_date DATE DEFAULT CURRENT_DATE, -- 访问日期 start_time TIME, -- 开始时间 end_time TIME, -- 结束时间 visit_purpose TEXT, -- 访问目的 items_brought TEXT, -- 携带物品 approved_by uuid REFERENCES public.ak_users(id), -- 审批人 check_in_time TIMESTAMP WITH TIME ZONE, -- 实际签到时间 check_out_time TIMESTAMP WITH TIME ZONE, -- 实际签出时间 status VARCHAR(16) DEFAULT 'scheduled' CHECK (status IN ('scheduled', 'in_progress', 'completed', 'cancelled')), -- 状态 notes TEXT, -- 备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_visit_time CHECK (end_time IS NULL OR end_time >= start_time) ); -- ------------------------------------------------ -- 9. AI分析与报告系统 (基于现有系统改造) -- ------------------------------------------------ -- 健康预警系统 (基于 ak_ai_reports 改造) CREATE TABLE IF NOT EXISTS public.ec_health_alerts ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, alert_type VARCHAR(32) CHECK (alert_type IN ('vital_signs', 'medication', 'fall_risk', 'behavior')), -- 预警类型 severity VARCHAR(16) CHECK (severity IN ('low', 'medium', 'high', 'critical')), -- 严重程度 title VARCHAR(128), -- 预警标题 description TEXT, -- 预警描述 data_source JSONB, -- 触发预警的数据 ai_analysis JSONB, -- AI分析结果 recommendations TEXT, -- 建议措施 status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'acknowledged', 'resolved')), -- 状态 acknowledged_by uuid REFERENCES public.ak_users(id), -- 确认人 acknowledged_at TIMESTAMP WITH TIME ZONE, -- 确认时间 resolved_by uuid REFERENCES public.ak_users(id), -- 处理人 resolved_at TIMESTAMP WITH TIME ZONE, -- 处理时间 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 行为分析 (基于 ak_video_analysis 改造) CREATE TABLE IF NOT EXISTS public.ec_behavior_analysis ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, device_id uuid REFERENCES public.ec_devices(id), -- 监控设备 analysis_type VARCHAR(32) CHECK (analysis_type IN ('fall_detection', 'wandering', 'sleep_pattern', 'activity_level')), -- 分析类型 video_url TEXT, -- 视频链接 timestamp_start TIMESTAMP WITH TIME ZONE, -- 分析开始时间 timestamp_end TIMESTAMP WITH TIME ZONE, -- 分析结束时间 ai_results JSONB, -- AI分析结果 confidence_score DECIMAL(3,2) CHECK (confidence_score >= 0 AND confidence_score <= 1), -- 置信度 is_anomaly BOOLEAN DEFAULT false, -- 是否异常 alert_generated BOOLEAN DEFAULT false, -- 是否生成预警 reviewed_by uuid REFERENCES public.ak_users(id), -- 审核人 review_notes TEXT, -- 审核备注 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, CONSTRAINT check_analysis_time CHECK (timestamp_end IS NULL OR timestamp_end >= timestamp_start) ); -- ------------------------------------------------ -- 10. 系统配置与管理 -- ------------------------------------------------ -- 通知模板系统 (基于现有通知系统扩展) CREATE TABLE IF NOT EXISTS public.ec_notification_templates ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), template_code VARCHAR(64) UNIQUE NOT NULL, -- 模板代码 template_name VARCHAR(128) NOT NULL, -- 模板名称 category VARCHAR(32) CHECK (category IN ('health', 'care', 'visit', 'emergency', 'system')), -- 分类 subject_template TEXT, -- 标题模板 content_template TEXT, -- 内容模板 variables JSONB, -- 模板变量定义 delivery_methods VARCHAR(16)[] CHECK (delivery_methods <@ ARRAY['app', 'sms', 'email']), -- 发送方式 is_active BOOLEAN DEFAULT true, -- 是否启用 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 通知发送记录 CREATE TABLE IF NOT EXISTS public.ec_notification_logs ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), template_id uuid REFERENCES public.ec_notification_templates(id), recipient_id uuid REFERENCES public.ak_users(id), -- 接收人 elder_id uuid REFERENCES public.ec_elders(id), -- 关联老人 subject VARCHAR(256), -- 实际标题 content TEXT, -- 实际内容 delivery_method VARCHAR(16) CHECK (delivery_method IN ('app', 'sms', 'email')), -- 发送方式 delivery_status VARCHAR(16) DEFAULT 'pending' CHECK (delivery_status IN ('pending', 'sent', 'failed', 'delivered')), -- 发送状态 sent_at TIMESTAMP WITH TIME ZONE, -- 发送时间 delivered_at TIMESTAMP WITH TIME ZONE, -- 送达时间 error_message TEXT, -- 错误信息 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- ------------------------------------------------ -- 11. 索引优化 -- ------------------------------------------------ -- 老人档案相关索引 CREATE INDEX IF NOT EXISTS idx_ec_elders_facility_id ON public.ec_elders(facility_id); CREATE INDEX IF NOT EXISTS idx_ec_elders_care_unit_id ON public.ec_elders(care_unit_id); CREATE INDEX IF NOT EXISTS idx_ec_elders_status ON public.ec_elders(status); CREATE INDEX IF NOT EXISTS idx_ec_elders_elder_code ON public.ec_elders(elder_code); CREATE INDEX IF NOT EXISTS idx_ec_elders_user_id ON public.ec_elders(user_id); -- 护理任务相关索引 CREATE INDEX IF NOT EXISTS idx_ec_care_tasks_elder_id ON public.ec_care_tasks(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_care_tasks_assigned_to ON public.ec_care_tasks(assigned_to); CREATE INDEX IF NOT EXISTS idx_ec_care_tasks_status ON public.ec_care_tasks(status); CREATE INDEX IF NOT EXISTS idx_ec_care_tasks_scheduled_time ON public.ec_care_tasks(scheduled_time); -- 生命体征相关索引 CREATE INDEX IF NOT EXISTS idx_ec_vital_signs_elder_id ON public.ec_vital_signs(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_vital_signs_measured_at ON public.ec_vital_signs(measured_at); CREATE INDEX IF NOT EXISTS idx_ec_vital_signs_vital_type ON public.ec_vital_signs(vital_type); CREATE INDEX IF NOT EXISTS idx_ec_vital_signs_is_abnormal ON public.ec_vital_signs(is_abnormal); -- 护理记录相关索引 CREATE INDEX IF NOT EXISTS idx_ec_care_records_elder_id ON public.ec_care_records(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_care_records_caregiver_id ON public.ec_care_records(caregiver_id); CREATE INDEX IF NOT EXISTS idx_ec_care_records_created_at ON public.ec_care_records(created_at); -- 用药相关索引 CREATE INDEX IF NOT EXISTS idx_ec_medications_elder_id ON public.ec_medications(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_medication_logs_elder_id ON public.ec_medication_logs(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_medication_logs_scheduled_time ON public.ec_medication_logs(scheduled_time); -- 健康预警相关索引 CREATE INDEX IF NOT EXISTS idx_ec_health_alerts_elder_id ON public.ec_health_alerts(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_health_alerts_status ON public.ec_health_alerts(status); CREATE INDEX IF NOT EXISTS idx_ec_health_alerts_severity ON public.ec_health_alerts(severity); CREATE INDEX IF NOT EXISTS idx_ec_health_alerts_created_at ON public.ec_health_alerts(created_at); -- 家属联系人索引 CREATE INDEX IF NOT EXISTS idx_ec_family_contacts_elder_id ON public.ec_family_contacts(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_family_contacts_user_id ON public.ec_family_contacts(user_id); -- 活动相关索引 CREATE INDEX IF NOT EXISTS idx_ec_activities_facility_id ON public.ec_activities(facility_id); CREATE INDEX IF NOT EXISTS idx_ec_activities_start_time ON public.ec_activities(start_time); CREATE INDEX IF NOT EXISTS idx_ec_activity_participations_elder_id ON public.ec_activity_participations(elder_id); -- ------------------------------------------------ -- 12. 触发器和函数 -- ------------------------------------------------ -- 自动更新时间戳函数 CREATE OR REPLACE FUNCTION update_updated_at_column() RETURNS TRIGGER AS $$ BEGIN NEW.updated_at = CURRENT_TIMESTAMP; RETURN NEW; END; $$ LANGUAGE plpgsql; -- 为需要自动更新时间戳的表创建触发器 DROP TRIGGER IF EXISTS trigger_ec_facilities_updated_at ON public.ec_facilities; CREATE TRIGGER trigger_ec_facilities_updated_at BEFORE UPDATE ON public.ec_facilities FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_care_units_updated_at ON public.ec_care_units; CREATE TRIGGER trigger_ec_care_units_updated_at BEFORE UPDATE ON public.ec_care_units FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_devices_updated_at ON public.ec_devices; CREATE TRIGGER trigger_ec_devices_updated_at BEFORE UPDATE ON public.ec_devices FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_elders_updated_at ON public.ec_elders; CREATE TRIGGER trigger_ec_elders_updated_at BEFORE UPDATE ON public.ec_elders FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_family_contacts_updated_at ON public.ec_family_contacts; CREATE TRIGGER trigger_ec_family_contacts_updated_at BEFORE UPDATE ON public.ec_family_contacts FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_health_records_updated_at ON public.ec_health_records; CREATE TRIGGER trigger_ec_health_records_updated_at BEFORE UPDATE ON public.ec_health_records FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_care_plans_updated_at ON public.ec_care_plans; CREATE TRIGGER trigger_ec_care_plans_updated_at BEFORE UPDATE ON public.ec_care_plans FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_care_tasks_updated_at ON public.ec_care_tasks; CREATE TRIGGER trigger_ec_care_tasks_updated_at BEFORE UPDATE ON public.ec_care_tasks FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); DROP TRIGGER IF EXISTS trigger_ec_care_records_updated_at ON public.ec_care_records; CREATE TRIGGER trigger_ec_care_records_updated_at BEFORE UPDATE ON public.ec_care_records FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); -- 自动生成健康预警 CREATE OR REPLACE FUNCTION generate_health_alert() RETURNS TRIGGER AS $$ BEGIN -- 检查生命体征异常并自动生成预警 IF NEW.is_abnormal = TRUE THEN INSERT INTO public.ec_health_alerts ( elder_id, alert_type, severity, title, description, data_source ) VALUES ( NEW.elder_id, 'vital_signs', 'medium', '生命体征异常', '检测到异常的生命体征数据', jsonb_build_object( 'vital_signs_id', NEW.id, 'vital_type', NEW.vital_type, 'measured_at', NEW.measured_at ) ); END IF; RETURN NEW; END; $$ LANGUAGE plpgsql; -- 先安全删除再创建触发器，避免重复报错 DROP TRIGGER IF EXISTS trigger_generate_health_alert ON public.ec_vital_signs; CREATE TRIGGER trigger_generate_health_alert AFTER INSERT ON public.ec_vital_signs FOR EACH ROW EXECUTE FUNCTION generate_health_alert(); -- 更新机构入住率 CREATE OR REPLACE FUNCTION update_facility_occupancy() RETURNS TRIGGER AS $$ DECLARE facility_id_val uuid; BEGIN -- 获取机构ID IF TG_OP = 'INSERT' THEN facility_id_val := NEW.facility_id; ELSIF TG_OP = 'DELETE' THEN facility_id_val := OLD.facility_id; ELSE facility_id_val := COALESCE(NEW.facility_id, OLD.facility_id); END IF; -- 更新机构当前入住人数 UPDATE public.ec_facilities SET current_occupancy = ( SELECT COUNT(*) FROM public.ec_elders WHERE facility_id = facility_id_val AND status = 'active' ), updated_at = CURRENT_TIMESTAMP WHERE id = facility_id_val; RETURN CASE WHEN TG_OP = 'DELETE' THEN OLD ELSE NEW END; END; $$ LANGUAGE plpgsql; -- 更新护理单元入住率 CREATE OR REPLACE FUNCTION update_care_unit_occupancy() RETURNS TRIGGER AS $$ DECLARE care_unit_id_val uuid; BEGIN -- 获取护理单元ID IF TG_OP = 'INSERT' THEN care_unit_id_val := NEW.care_unit_id; ELSIF TG_OP = 'DELETE' THEN care_unit_id_val := OLD.care_unit_id; ELSE care_unit_id_val := COALESCE(NEW.care_unit_id, OLD.care_unit_id); END IF; -- 如果有护理单元，更新入住人数 IF care_unit_id_val IS NOT NULL THEN UPDATE public.ec_care_units SET current_occupancy = ( SELECT COUNT(*) FROM public.ec_elders WHERE care_unit_id = care_unit_id_val AND status = 'active' ), updated_at = CURRENT_TIMESTAMP WHERE id = care_unit_id_val; END IF; RETURN CASE WHEN TG_OP = 'DELETE' THEN OLD ELSE NEW END; END; $$ LANGUAGE plpgsql; -- ------------------------------------------------ -- 7. 医疗预约管理 -- ------------------------------------------------ -- 医疗预约表（老人、家属、医生均可用） CREATE TABLE IF NOT EXISTS public.ec_appointments ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, -- 关联老人 doctor_id uuid REFERENCES public.ak_users(id), -- 关联医生 scheduled_time TIMESTAMP WITH TIME ZONE NOT NULL, -- 预约时间 appointment_type VARCHAR(32) NOT NULL CHECK (appointment_type IN ('consultation', 'followup', 'treatment', 'checkup', 'other')), -- 预约类型 status VARCHAR(16) NOT NULL DEFAULT 'scheduled' CHECK (status IN ('scheduled', 'completed', 'cancelled', 'no_show')), -- 状态 notes TEXT, -- 备注 created_by uuid REFERENCES public.ak_users(id), -- 创建人（预约发起人） created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 启用 RLS ALTER TABLE public.ec_appointments ENABLE ROW LEVEL SECURITY; -- 预约插入策略：authenticated 只能为自己/关联老人预约 DROP POLICY IF EXISTS appointments_insert_authenticated ON public.ec_appointments; CREATE POLICY appointments_insert_authenticated ON public.ec_appointments FOR INSERT TO authenticated WITH CHECK ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) OR id IN (SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id()) ) OR doctor_id = get_current_user_id() OR created_by = get_current_user_id() ); -- 预约查询策略：authenticated 只能查自己/关联老人/自己为医生的预约 DROP POLICY IF EXISTS appointments_select_authenticated ON public.ec_appointments; CREATE POLICY appointments_select_authenticated ON public.ec_appointments FOR SELECT TO authenticated USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) OR id IN (SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id()) ) OR doctor_id = get_current_user_id() OR created_by = get_current_user_id() ); -- 预约更新策略：authenticated 只能改自己/关联老人/自己为医生的预约 DROP POLICY IF EXISTS appointments_update_authenticated ON public.ec_appointments; CREATE POLICY appointments_update_authenticated ON public.ec_appointments FOR UPDATE TO authenticated USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) OR id IN (SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id()) ) OR doctor_id = get_current_user_id() OR created_by = get_current_user_id() ); -- 自动更新时间戳触发器（如有需要可复用 update_updated_at_column） DROP TRIGGER IF EXISTS trigger_ec_appointments_updated_at ON public.ec_appointments; CREATE TRIGGER trigger_ec_appointments_updated_at BEFORE UPDATE ON public.ec_appointments FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); -- ------------------------------------------------ -- 13. RLS (行级安全策略) - PostgreSQL兼容版本 -- ------------------------------------------------ -- 启用 RLS ALTER TABLE public.ec_elders ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_care_records ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_vital_signs ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_health_alerts ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_family_contacts ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_care_tasks ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_service_requests ENABLE ROW LEVEL SECURITY; ALTER TABLE public.ec_appointments ENABLE ROW LEVEL SECURITY; -- 老人只能查看自己的数据 DROP POLICY IF EXISTS elder_own_data ON public.ec_elders; CREATE POLICY elder_own_data ON public.ec_elders FOR ALL USING (user_id = get_current_user_id()); -- 家属只能查看关联老人的数据 DROP POLICY IF EXISTS family_elder_data ON public.ec_elders; CREATE POLICY family_elder_data ON public.ec_elders FOR SELECT USING ( id IN ( SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id() ) ); -- 护理员可以查看所有老人的数据 DROP POLICY IF EXISTS caregiver_assigned_elders ON public.ec_elders; CREATE POLICY caregiver_assigned_elders ON public.ec_elders FOR SELECT USING ( EXISTS ( SELECT 1 FROM public.ak_user_roles ur JOIN public.ak_roles r ON ur.role_id = r.id WHERE ur.user_id = get_current_user_id() AND r.name = 'caregiver' ) OR id IN ( SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id() ) ); -- 机构管理员可以查看本机构所有数据 DROP POLICY IF EXISTS facility_admin_all_data ON public.ec_elders; CREATE POLICY facility_admin_all_data ON public.ec_elders FOR ALL USING ( facility_id IN ( SELECT id FROM public.ec_facilities WHERE admin_id = get_current_user_id() ) ); -- 护理记录访问策略 DROP POLICY IF EXISTS care_records_access ON public.ec_care_records; CREATE POLICY care_records_access ON public.ec_care_records FOR ALL USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN ( SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id() ) OR id IN ( SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id() ) ) OR caregiver_id = get_current_user_id() ); -- 生命体征访问策略 DROP POLICY IF EXISTS vital_signs_access ON public.ec_vital_signs; CREATE POLICY vital_signs_access ON public.ec_vital_signs FOR ALL USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN ( SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id() ) OR id IN ( SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id() ) ) OR measured_by = get_current_user_id() ); -- 健康预警访问策略 DROP POLICY IF EXISTS health_alerts_access ON public.ec_health_alerts; CREATE POLICY health_alerts_access ON public.ec_health_alerts FOR ALL USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN ( SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id() ) OR id IN ( SELECT DISTINCT elder_id FROM public.ec_care_tasks WHERE assigned_to = get_current_user_id() ) ) ); -- ec_service_requests RLS 策略：允许 authenticated 用户插入、查询、更新自己的请求 DROP POLICY IF EXISTS service_requests_insert_authenticated ON public.ec_service_requests; CREATE POLICY service_requests_insert_authenticated ON public.ec_service_requests FOR INSERT TO authenticated WITH CHECK ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) ) ); DROP POLICY IF EXISTS service_requests_select_authenticated ON public.ec_service_requests; CREATE POLICY service_requests_select_authenticated ON public.ec_service_requests FOR SELECT TO authenticated USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) ) OR created_by = get_current_user_id() OR handled_by = get_current_user_id() ); DROP POLICY IF EXISTS service_requests_update_authenticated ON public.ec_service_requests; CREATE POLICY service_requests_update_authenticated ON public.ec_service_requests FOR UPDATE TO authenticated USING ( elder_id IN ( SELECT id FROM public.ec_elders WHERE user_id = get_current_user_id() OR id IN (SELECT elder_id FROM public.ec_family_contacts WHERE user_id = get_current_user_id()) ) OR created_by = get_current_user_id() OR handled_by = get_current_user_id() ); -- ------------------------------------------------ -- 14. 视图和查询优化 -- ------------------------------------------------ -- 老人详细信息视图 CREATE OR REPLACE VIEW public.vw_elder_details AS SELECT e.id, e.elder_code, e.name, e.gender, e.birthday, EXTRACT(YEAR FROM AGE(e.birthday)) as age, e.care_level, e.room_number, e.bed_number, e.status, f.name as facility_name, cu.name as care_unit_name, fc.name as primary_contact_name, fc.phone as primary_contact_phone, e.created_at, e.updated_at FROM public.ec_elders e LEFT JOIN public.ec_facilities f ON e.facility_id = f.id LEFT JOIN public.ec_care_units cu ON e.care_unit_id = cu.id LEFT JOIN public.ec_family_contacts fc ON e.id = fc.elder_id AND fc.is_primary = true; -- 护理任务统计视图 CREATE OR REPLACE VIEW public.vw_care_task_stats AS SELECT e.id as elder_id, e.name as elder_name, COUNT(ct.id) as total_tasks, COUNT(CASE WHEN ct.status = 'completed' THEN 1 END) as completed_tasks, COUNT(CASE WHEN ct.status = 'pending' THEN 1 END) as pending_tasks, COUNT(CASE WHEN ct.status = 'overdue' AND ct.due_date < CURRENT_TIMESTAMP THEN 1 END) as overdue_tasks FROM public.ec_elders e LEFT JOIN public.ec_care_tasks ct ON e.id = ct.elder_id GROUP BY e.id, e.name; -- 健康监测摘要视图 CREATE OR REPLACE VIEW public.vw_health_summary AS SELECT e.id as elder_id, e.name as elder_name, vs.vital_type, vs.measured_at as last_measurement, vs.is_abnormal, COUNT(ha.id) as active_alerts FROM public.ec_elders e LEFT JOIN public.ec_vital_signs vs ON e.id = vs.elder_id LEFT JOIN public.ec_health_alerts ha ON e.id = ha.elder_id AND ha.status = 'active' WHERE vs.measured_at = ( SELECT MAX(measured_at) FROM public.ec_vital_signs vs2 WHERE vs2.elder_id = e.id AND vs2.vital_type = vs.vital_type ) GROUP BY e.id, e.name, vs.vital_type, vs.measured_at, vs.is_abnormal; -- ================================================ -- 数据库初始化完成 -- ================================================ -- 创建必要的序列和默认值 CREATE SEQUENCE IF NOT EXISTS public.elder_code_seq START 1000; -- 创建生成老人编号的函数 CREATE OR REPLACE FUNCTION generate_elder_code() RETURNS VARCHAR(32) AS $$ BEGIN RETURN 'E' || TO_CHAR(CURRENT_DATE, 'YYYYMMDD') || LPAD(nextval('public.elder_code_seq')::text, 4, '0'); END; $$ LANGUAGE plpgsql; -- 为老人表添加自动生成编号的触发器 CREATE OR REPLACE FUNCTION set_elder_code() RETURNS TRIGGER AS $$ BEGIN IF NEW.elder_code IS NULL THEN NEW.elder_code := generate_elder_code(); END IF; RETURN NEW; END; $$ LANGUAGE plpgsql; DROP TRIGGER IF EXISTS trigger_set_elder_code ON public.ec_elders; CREATE TRIGGER trigger_set_elder_code BEFORE INSERT ON public.ec_elders FOR EACH ROW EXECUTE FUNCTION set_elder_code(); -- 创建数据完整性检查函数 CREATE OR REPLACE FUNCTION check_elder_data_integrity() RETURNS BOOLEAN AS $$ DECLARE integrity_issues INTEGER := 0; BEGIN -- 检查孤立的护理记录 SELECT COUNT(*) INTO integrity_issues FROM public.ec_care_records cr LEFT JOIN public.ec_elders e ON cr.elder_id = e.id WHERE e.id IS NULL; IF integrity_issues > 0 THEN RAISE WARNING '发现 % 条孤立的护理记录', integrity_issues; RETURN FALSE; END IF; -- 检查异常的生命体征数据 SELECT COUNT(*) INTO integrity_issues FROM public.ec_vital_signs WHERE (heart_rate < 30 OR heart_rate > 200) OR (temperature < 35 OR temperature > 42) OR (systolic_pressure < 60 OR systolic_pressure > 250); IF integrity_issues > 0 THEN RAISE WARNING '发现 % 条异常的生命体征数据', integrity_issues; RETURN FALSE; END IF; RETURN TRUE; END; $$ LANGUAGE plpgsql; -- 创建示例数据插入函数（用于测试） CREATE OR REPLACE FUNCTION insert_sample_eldercare_data() RETURNS VOID AS $$ BEGIN -- 插入示例机构数据 INSERT INTO public.ec_facilities (name, type, contact_phone, address, capacity) VALUES ('阳光养老院', 'nursing_home', '010-12345678', '北京市朝阳区阳光街123号', 100), ('康乐护理中心', 'assisted_living', '021-87654321', '上海市浦东新区康乐路456号', 80) ON CONFLICT DO NOTHING; RAISE NOTICE '示例数据插入完成'; END; $$ LANGUAGE plpgsql; -- 创建数据库状态检查函数 CREATE OR REPLACE FUNCTION eldercare_system_status() RETURNS TABLE( table_name TEXT, record_count BIGINT, last_updated TIMESTAMP WITH TIME ZONE ) AS $$ BEGIN RETURN QUERY SELECT 'ec_facilities'::TEXT, COUNT(*), MAX(created_at) FROM public.ec_facilities UNION ALL SELECT 'ec_elders'::TEXT, COUNT(*), MAX(created_at) FROM public.ec_elders UNION ALL SELECT 'ec_care_tasks'::TEXT, COUNT(*), MAX(created_at) FROM public.ec_care_tasks UNION ALL SELECT 'ec_vital_signs'::TEXT, COUNT(*), MAX(created_at) FROM public.ec_vital_signs UNION ALL SELECT 'ec_health_alerts'::TEXT, COUNT(*), MAX(created_at) FROM public.ec_health_alerts; END; $$ LANGUAGE plpgsql; -- 创建清理过期数据的函数 CREATE OR REPLACE FUNCTION cleanup_expired_data() RETURNS INTEGER AS $$ DECLARE deleted_count INTEGER := 0; temp_count INTEGER := 0; BEGIN -- 删除已解决的超过30天的健康预警 DELETE FROM public.ec_health_alerts WHERE status = 'resolved' AND resolved_at < CURRENT_DATE - INTERVAL '30 days'; GET DIAGNOSTICS deleted_count = ROW_COUNT; -- 删除超过1年的通知日志 DELETE FROM public.ec_notification_logs WHERE created_at < CURRENT_DATE - INTERVAL '1 year'; GET DIAGNOSTICS temp_count = ROW_COUNT; deleted_count := deleted_count + temp_count; RETURN deleted_count; END; $$ LANGUAGE plpgsql; -- ================================================ -- 15. 急诊管理 -- ================================================ -- 急诊事件表 CREATE TABLE IF NOT EXISTS public.ec_emergencies ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), appointment_id uuid REFERENCES public.ec_appointments(id), -- 关联预约 elder_id uuid NOT NULL REFERENCES public.ec_elders(id) ON DELETE CASCADE, -- 关联老人 doctor_id uuid REFERENCES public.ak_users(id), -- 处理医生 emergency_type VARCHAR(32) CHECK (emergency_type IN ('fall', 'stroke', 'cardiac', 'other')), -- 急诊类型 severity VARCHAR(16) CHECK (severity IN ('low', 'medium', 'high', 'critical')), -- 紧急程度 status VARCHAR(16) DEFAULT 'active' CHECK (status IN ('active', 'processing', 'resolved', 'cancelled')), -- 状态 description TEXT, -- 急诊描述 occurred_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, -- 发生时间 handled_at TIMESTAMP WITH TIME ZONE, -- 处理时间 handler_notes TEXT, -- 处理说明 created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, updated_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 启用 RLS ALTER TABLE public.ec_emergencies ENABLE ROW LEVEL SECURITY; -- 插入策略：authenticated 只能登记自己/关联老人的急诊 DROP POLICY IF EXISTS emergencies_insert_authenticated ON public.ec_emergencies; CREATE POLICY emergencies_insert_authenticated ON public.ec_emergencies FOR INSERT TO authenticated WITH CHECK (elder_id = get_current_user_id() OR doctor_id = get_current_user_id()); -- 查询策略：authenticated 只能查自己/关联老人/自己为医生的急诊 DROP POLICY IF EXISTS emergencies_select_authenticated ON public.ec_emergencies; CREATE POLICY emergencies_select_authenticated ON public.ec_emergencies FOR SELECT TO authenticated USING (elder_id = get_current_user_id() OR doctor_id = get_current_user_id()); -- 更新策略：authenticated 只能改自己/关联老人/自己为医生的急诊 DROP POLICY IF EXISTS emergencies_update_authenticated ON public.ec_emergencies; CREATE POLICY emergencies_update_authenticated ON public.ec_emergencies FOR UPDATE TO authenticated USING (elder_id = get_current_user_id() OR doctor_id = get_current_user_id()); -- 自动更新时间戳触发器 DROP TRIGGER IF EXISTS trigger_ec_emergencies_updated_at ON public.ec_emergencies; CREATE TRIGGER trigger_ec_emergencies_updated_at BEFORE UPDATE ON public.ec_emergencies FOR EACH ROW EXECUTE FUNCTION update_updated_at_column(); -- 急诊相关索引 CREATE INDEX IF NOT EXISTS idx_ec_emergencies_elder_id ON public.ec_emergencies(elder_id); CREATE INDEX IF NOT EXISTS idx_ec_emergencies_doctor_id ON public.ec_emergencies(doctor_id); CREATE INDEX IF NOT EXISTS idx_ec_emergencies_status ON public.ec_emergencies(status); CREATE INDEX IF NOT EXISTS idx_ec_emergencies_severity ON public.ec_emergencies(severity); CREATE INDEX IF NOT EXISTS idx_ec_emergencies_occurred_at ON public.ec_emergencies(occurred_at); -- 急诊处理记录表 CREATE TABLE IF NOT EXISTS public.ec_emergency_handlings ( id uuid PRIMARY KEY DEFAULT gen_random_uuid(), emergency_id uuid NOT NULL REFERENCES public.ec_emergencies(id) ON DELETE CASCADE, handler_id uuid NOT NULL REFERENCES public.ak_users(id), handle_time TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP, handling_notes TEXT, status VARCHAR(16) CHECK (status IN ('pending', 'in_progress', 'resolved', 'closed')), created_at TIMESTAMP WITH TIME ZONE DEFAULT CURRENT_TIMESTAMP ); -- 启用 RLS ALTER TABLE public.ec_emergency_handlings ENABLE ROW LEVEL SECURITY; -- 插入策略 DROP POLICY IF EXISTS emergency_handlings_insert_authenticated ON public.ec_emergency_handlings; CREATE POLICY emergency_handlings_insert_authenticated ON public.ec_emergency_handlings FOR INSERT TO authenticated WITH CHECK (true); -- 查询策略 DROP POLICY IF EXISTS emergency_handlings_select_authenticated ON public.ec_emergency_handlings; CREATE POLICY emergency_handlings_select_authenticated ON public.ec_emergency_handlings FOR SELECT TO authenticated USING (handler_id = get_current_user_id()); -- 更新策略 DROP POLICY IF EXISTS emergency_handlings_update_authenticated ON public.ec_emergency_handlings; CREATE POLICY emergency_handlings_update_authenticated ON public.ec_emergency_handlings FOR UPDATE TO authenticated USING (handler_id = get_current_user_id());