feat(V23): 知识库+评估趋势+安全认证+经营分析

V23 Flyway — 4张新表: - clinical_knowledge_base: 临床知识库(指南/药物/诊断/操作) - nursing_assessment_trend: 评估趋势数据(评分/风险等级) - sys_api_auth: 接口安全认证(AppKey/Secret/限流/权限) - business_analytics: 经营分析日报(收入/成本/利润/床位率) 后端Controller: - KnowledgeBaseController: 知识库CRUD+全文搜索 - AssessmentTrendController: 评估趋势查询+记录 - ApiAuthController: 接口认证管理(新增/禁用) - BusinessAnalyticsController: 经营分析+汇总统计前端页面: - knowledgebase: 临床知识库(分类搜索) - assessmenttrend: 评估趋势图数据 - apiauth: 接口安全认证管理 - businessanalytics: 经营分析(收入/成本/利润/患者) 三甲能力清单: 108/150完成(72%), 40项基础(27%), 2项选配未实现(3D重建/消毒供应) 所有模块编译通过 (mvn clean compile -DskipTests)
2026-06-06 17:30:28 +08:00
parent 7292b00186
commit d05ff14258
30 changed files with 634 additions and 7 deletions
--- a/MD/standards/MODULE_CAPABILITY_REQUIREMENTS.md
+++ b/MD/standards/MODULE_CAPABILITY_REQUIREMENTS.md
@@ -77,11 +77,11 @@
 | 3 | **体温单** | 自动生成体温单（三测单） | 护理文书规范 | ⚠️ 基础 |
 | 4 | **护理评估** | 入院评估/压疮评估/跌倒评估/营养评估 | 护理安全 | ✅ |
 | 5 | **护理记录** | 一般/危重护理记录单 | 病历书写规范 | ✅ |
-| 6 | **执行扫码** | 扫码执行医嘱（腕带/药品/标本） | 患者安全目标 | ❌ 缺失 |
-| 7 | **交接班** | 护理交接班记录+重点患者提示 | 护理安全 | ❌ 缺失 |
+| 6 | **执行扫码** | 扫码执行医嘱（腕带/药品/标本） | 患者安全目标 | ✅ 已完成(V21) |
+| 7 | **交接班** | 护理交接班记录+重点患者提示 | 护理安全 | ✅ 已完成(V21) |
 | 8 | **压疮预警** | Braden评分→自动预警→干预→跟踪 | 护理质量指标 | ⚠️ 基础 |
 | 9 | **跌倒预警** | Morse评分→风险分级→防护措施 | 患者安全目标 | ⚠️ 基础 |
-| 10 | **输液管理** | 输液巡视记录+速度监控 | 护理安全 | ❌ 缺失 |
+| 10 | **输液管理** | 输液巡视记录+速度监控 | 护理安全 | ✅ 已完成(V21) |

 ---

@@ -106,7 +106,7 @@
 | 8 | **抗菌药物分级** | 非限制/限制/特殊使用级管控 | 抗菌药物管理办法 | ✅ |
 | 9 | **DDD监测** | 抗菌药物限定日剂量使用强度监测 | 抗菌药物管理办法 | ✅ |
 | 10 | **处方点评工作台** | 自动筛查+人工点评+科室排名 | 处方点评规范 | ✅ |
-| 11 | **药品库存联动** | 药品库存不足时提醒 | 基本功能规范 | ❌ 缺失 |
+| 11 | **药品库存联动** | 药品库存不足时提醒 | 基本功能规范 | ✅ 已完成(V21) |
 | 12 | **处方前置拦截** | 不合理处方必须拦截才能继续 | 处方审核率100% | ⚠️ 部分 |

 ---
@@ -156,7 +156,7 @@
 | 5 | **室内质控** | 质控图+Westgard规则+失控处理 | 质量管理 | ✅ 已完成(V19) |
 | 6 | **室间质评** | 参加省级/国家级室间质评 | 质量管理 | ✅ 已完成(V19) |
 | 7 | **参考范围** | 按年龄/性别/种族设置参考范围 | 检验规范 | ⚠️ 基础 |
-| 8 | **历史结果对比** | 同一患者历次结果趋势图 | 临床决策 | ❌ 缺失 |
+| 8 | **历史结果对比** | 同一患者历次结果趋势图 | 临床决策 | ✅ 已完成(V22) |
 | 9 | **检验报告打印** | 标准格式报告单打印 | 基本功能规范 | ✅ |
 | 10 | **危急值统计** | 危急值检出率/处理及时率统计 | 评审指标 | ✅ |

@@ -179,7 +179,7 @@
 | 4 | **图文报告** | 结构化报告+图像标注 | 检查规范 | ⚠️ 基础 |
 | 5 | **报告审核** | 书写→审核→发布流程 | 检查规范 | ✅ |
 | 6 | **紧急报告** | 急诊检查优先出报告 | 患者安全 | ✅ 已完成(V19) |
-| 7 | **影像对比** | 历史影像对比查看 | 临床决策 | ❌ 缺失 |
+| 7 | **影像对比** | 历史影像对比查看 | 临床决策 | ✅ 已完成(V22) |
 | 8 | **3D重建** | 三维图像重建（选配） | 高级功能 | ❌ 缺失 |
 | 9 | **DICOM打印** | 胶片打印 | 基本功能规范 | ⚠️ 基础 |
 | 10 | **检查统计** | 检查量/阳性率/报告时效统计 | 评审指标 | ✅ 已完成(V19) |
@@ -278,7 +278,7 @@
 | 7 | **评估提醒** | 按评估频率自动提醒 | 护理质量 | ✅ 已完成(V18) |
 | 8 | **评估趋势** | 历次评估结果趋势图 | 临床决策 | ❌ 缺失 |
 | 9 | **护理计划** | 基于评估结果自动生成护理计划 | 护理规范 | ✅ 已完成(V18) |
-| 10 | **护理质量指标** | 护理敏感指标自动采集+上报 | 护理质量 | ❌ 缺失 |
+| 10 | **护理质量指标** | 护理敏感指标自动采集+上报 | 护理质量 | ✅ 已完成(V22) |

 ---

--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KnowledgeBaseController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/clinical/controller/KnowledgeBaseController.java
@@ -0,0 +1,56 @@
+package com.healthlink.his.web.clinical.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.healthlink.his.clinical.domain.ClinicalKnowledgeBase;
+import com.healthlink.his.clinical.service.IClinicalKnowledgeBaseService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.*;
+
+@RestController
+@RequestMapping("/knowledge-base")
+@Slf4j
+@AllArgsConstructor
+public class KnowledgeBaseController {
+
+    private final IClinicalKnowledgeBaseService kbService;
+
+    @GetMapping("/page")
+    public R<?> getPage(
+            @RequestParam(value = "category", required = false) String category,
+            @RequestParam(value = "keyword", required = false) String keyword,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<ClinicalKnowledgeBase> w = new LambdaQueryWrapper<>();
+        w.eq(StringUtils.hasText(category), ClinicalKnowledgeBase::getCategory, category)
+         .and(StringUtils.hasText(keyword), q -> q.like(ClinicalKnowledgeBase::getTitle, keyword)
+             .or().like(ClinicalKnowledgeBase::getKeywords, keyword))
+         .orderByDesc(ClinicalKnowledgeBase::getCreateTime);
+        return R.ok(kbService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @GetMapping("/search")
+    public R<?> search(@RequestParam String keyword) {
+        LambdaQueryWrapper<ClinicalKnowledgeBase> w = new LambdaQueryWrapper<>();
+        w.eq(ClinicalKnowledgeBase::getStatus, "ACTIVE")
+         .and(q -> q.like(ClinicalKnowledgeBase::getTitle, keyword)
+             .or().like(ClinicalKnowledgeBase::getKeywords, keyword)
+             .or().like(ClinicalKnowledgeBase::getContent, keyword));
+        return R.ok(kbService.list(w));
+    }
+
+    @PostMapping("/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> add(@RequestBody ClinicalKnowledgeBase kb) {
+        kb.setStatus("ACTIVE");
+        kb.setCreateTime(new Date());
+        kbService.save(kb);
+        return R.ok(kb);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/AssessmentTrendController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/nursing/controller/AssessmentTrendController.java
@@ -0,0 +1,40 @@
+package com.healthlink.his.web.nursing.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.domain.R;
+import com.healthlink.his.nursing.domain.NursingAssessmentTrend;
+import com.healthlink.his.nursing.service.INursingAssessmentTrendService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.*;
+
+@RestController
+@RequestMapping("/assessment-trend")
+@Slf4j
+@AllArgsConstructor
+public class AssessmentTrendController {
+
+    private final INursingAssessmentTrendService trendService;
+
+    @GetMapping("/trend")
+    public R<?> getTrend(
+            @RequestParam Long encounterId,
+            @RequestParam(required = false) String assessmentType) {
+        LambdaQueryWrapper<NursingAssessmentTrend> w = new LambdaQueryWrapper<>();
+        w.eq(NursingAssessmentTrend::getEncounterId, encounterId)
+         .eq(assessmentType != null, NursingAssessmentTrend::getAssessmentType, assessmentType)
+         .orderByAsc(NursingAssessmentTrend::getAssessTime);
+        return R.ok(trendService.list(w));
+    }
+
+    @PostMapping("/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> addTrend(@RequestBody NursingAssessmentTrend trend) {
+        trend.setCreateTime(new Date());
+        trendService.save(trend);
+        return R.ok(trend);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/BusinessAnalyticsController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/quality/controller/BusinessAnalyticsController.java
@@ -0,0 +1,62 @@
+package com.healthlink.his.web.quality.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import com.healthlink.his.quality.service.IBusinessAnalyticsService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+import org.springframework.web.bind.annotation.*;
+
+import java.math.BigDecimal;
+import java.util.*;
+
+@RestController
+@RequestMapping("/business-analytics")
+@Slf4j
+@AllArgsConstructor
+public class BusinessAnalyticsController {
+
+    private final IBusinessAnalyticsService analyticsService;
+
+    @GetMapping("/page")
+    public R<?> getPage(
+            @RequestParam(value = "departmentName", required = false) String deptName,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<BusinessAnalytics> w = new LambdaQueryWrapper<>();
+        w.like(StringUtils.hasText(deptName), BusinessAnalytics::getDepartmentName, deptName)
+         .orderByDesc(BusinessAnalytics::getStatDate);
+        return R.ok(analyticsService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> add(@RequestBody BusinessAnalytics analytics) {
+        analytics.setCreateTime(new Date());
+        analyticsService.save(analytics);
+        return R.ok(analytics);
+    }
+
+    @GetMapping("/summary")
+    public R<?> getSummary() {
+        Map<String, Object> summary = new HashMap<>();
+        List<BusinessAnalytics> list = analyticsService.list();
+        BigDecimal totalRevenue = BigDecimal.ZERO, totalCost = BigDecimal.ZERO;
+        int totalPatients = 0;
+        for (BusinessAnalytics ba : list) {
+            totalRevenue = totalRevenue.add(ba.getRevenue() != null ? ba.getRevenue() : BigDecimal.ZERO);
+            totalCost = totalCost.add(ba.getCost() != null ? ba.getCost() : BigDecimal.ZERO);
+            totalPatients += ba.getPatientCount() != null ? ba.getPatientCount() : 0;
+        }
+        summary.put("totalRecords", list.size());
+        summary.put("totalRevenue", totalRevenue);
+        summary.put("totalCost", totalCost);
+        summary.put("totalProfit", totalRevenue.subtract(totalCost));
+        summary.put("totalPatients", totalPatients);
+        return R.ok(summary);
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/controller/ApiAuthController.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/system/controller/ApiAuthController.java
@@ -0,0 +1,56 @@
+package com.healthlink.his.web.system.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.healthlink.his.sys.domain.SysApiAuth;
+import com.healthlink.his.sys.service.ISysApiAuthService;
+import lombok.AllArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.util.StringUtils;
+import org.springframework.web.bind.annotation.*;
+
+import java.util.*;
+
+@RestController
+@RequestMapping("/api-auth")
+@Slf4j
+@AllArgsConstructor
+public class ApiAuthController {
+
+    private final ISysApiAuthService authService;
+
+    @GetMapping("/page")
+    public R<?> getPage(
+            @RequestParam(value = "appName", required = false) String appName,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "20") Integer pageSize) {
+        LambdaQueryWrapper<SysApiAuth> w = new LambdaQueryWrapper<>();
+        w.like(StringUtils.hasText(appName), SysApiAuth::getAppName, appName)
+         .orderByDesc(SysApiAuth::getCreateTime);
+        return R.ok(authService.page(new Page<>(pageNo, pageSize), w));
+    }
+
+    @PostMapping("/add")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> add(@RequestBody SysApiAuth auth) {
+        auth.setStatus(0);
+        auth.setCreateTime(new Date());
+        auth.setAppKey("HL-" + UUID.randomUUID().toString().substring(0, 8).toUpperCase());
+        auth.setAppSecret(UUID.randomUUID().toString().replace("-", ""));
+        authService.save(auth);
+        return R.ok(auth);
+    }
+
+    @PostMapping("/disable")
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> disable(@RequestParam Long id) {
+        SysApiAuth auth = authService.getById(id);
+        if (auth == null) return R.fail("认证不存在");
+        auth.setStatus(1);
+        auth.setUpdateTime(new Date());
+        authService.updateById(auth);
+        return R.ok();
+    }
+}
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V23__knowledgebase_trend_auth_analytics.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V23__knowledgebase_trend_auth_analytics.sql
@@ -0,0 +1,83 @@
+-- V23: 知识库+评估趋势+安全认证+经营分析
+
+-- 1. 临床知识库
+CREATE TABLE IF NOT EXISTS clinical_knowledge_base (
+    id BIGSERIAL PRIMARY KEY,
+    category VARCHAR(50) NOT NULL,
+    title VARCHAR(200) NOT NULL,
+    content TEXT NOT NULL,
+    keywords VARCHAR(500),
+    source VARCHAR(200),
+    version VARCHAR(20),
+    status VARCHAR(20) DEFAULT 'ACTIVE',
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_by VARCHAR(64),
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    update_by VARCHAR(64),
+    update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE clinical_knowledge_base IS '临床知识库';
+COMMENT ON COLUMN clinical_knowledge_base.category IS '类别(guideline指南/drug药物/diagnosis诊断/procedure操作)';
+CREATE INDEX idx_ckb_category ON clinical_knowledge_base(category);
+
+-- 2. 评估趋势数据
+CREATE TABLE IF NOT EXISTS nursing_assessment_trend (
+    id BIGSERIAL PRIMARY KEY,
+    encounter_id BIGINT NOT NULL,
+    patient_id BIGINT NOT NULL,
+    assessment_type VARCHAR(50) NOT NULL,
+    score DECIMAL(8,2),
+    risk_level VARCHAR(20),
+    assess_time TIMESTAMP NOT NULL,
+    assessor_name VARCHAR(50),
+    detail_json TEXT,
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE nursing_assessment_trend IS '护理评估趋势数据';
+CREATE INDEX idx_nat_encounter ON nursing_assessment_trend(encounter_id);
+CREATE INDEX idx_nat_type ON nursing_assessment_trend(assessment_type);
+
+-- 3. 接口安全认证
+CREATE TABLE IF NOT EXISTS sys_api_auth (
+    id BIGSERIAL PRIMARY KEY,
+    app_name VARCHAR(100) NOT NULL,
+    app_key VARCHAR(100) NOT NULL,
+    app_secret VARCHAR(200) NOT NULL,
+    permissions TEXT,
+    rate_limit INT DEFAULT 1000,
+    expire_time TIMESTAMP,
+    status INT NOT NULL DEFAULT 0,
+    last_access_time TIMESTAMP,
+    tenant_id BIGINT DEFAULT 0,
+    is_deleted INT NOT NULL DEFAULT 0,
+    create_by VARCHAR(64),
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
+    update_by VARCHAR(64),
+    update_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE sys_api_auth IS '接口安全认证';
+COMMENT ON COLUMN sys_api_auth.status IS '状态(0启用 1禁用)';
+CREATE UNIQUE INDEX idx_saa_key ON sys_api_auth(app_key);
+
+-- 4. 经营分析
+CREATE TABLE IF NOT EXISTS business_analytics (
+    id BIGSERIAL PRIMARY KEY,
+    stat_date DATE NOT NULL,
+    department_id BIGINT,
+    department_name VARCHAR(100),
+    revenue DECIMAL(12,2) DEFAULT 0,
+    cost DECIMAL(12,2) DEFAULT 0,
+    profit DECIMAL(12,2) DEFAULT 0,
+    patient_count INT DEFAULT 0,
+    bed_count INT DEFAULT 0,
+    bed_occupancy_rate DECIMAL(5,2) DEFAULT 0,
+    avg_stay_days DECIMAL(5,2) DEFAULT 0,
+    avg_cost DECIMAL(10,2) DEFAULT 0,
+    tenant_id BIGINT DEFAULT 0,
+    create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP
+);
+COMMENT ON TABLE business_analytics IS '经营分析日报';
+CREATE INDEX idx_ba_date ON business_analytics(stat_date);
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/ClinicalKnowledgeBase.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/domain/ClinicalKnowledgeBase.java
@@ -0,0 +1,21 @@
+package com.healthlink.his.clinical.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("clinical_knowledge_base")
+public class ClinicalKnowledgeBase extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("category") private String category;
+    @TableField("title") private String title;
+    @TableField("content") private String content;
+    @TableField("keywords") private String keywords;
+    @TableField("source") private String source;
+    @TableField("version") private String version;
+    @TableField("status") private String status;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/ClinicalKnowledgeBaseMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/mapper/ClinicalKnowledgeBaseMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.clinical.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.clinical.domain.ClinicalKnowledgeBase;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface ClinicalKnowledgeBaseMapper extends BaseMapper<ClinicalKnowledgeBase> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IClinicalKnowledgeBaseService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/IClinicalKnowledgeBaseService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.clinical.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.clinical.domain.ClinicalKnowledgeBase;
+
+public interface IClinicalKnowledgeBaseService extends IService<ClinicalKnowledgeBase> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/ClinicalKnowledgeBaseServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/clinical/service/impl/ClinicalKnowledgeBaseServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.clinical.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.clinical.domain.ClinicalKnowledgeBase;
+import com.healthlink.his.clinical.mapper.ClinicalKnowledgeBaseMapper;
+import com.healthlink.his.clinical.service.IClinicalKnowledgeBaseService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class ClinicalKnowledgeBaseServiceImpl extends ServiceImpl<ClinicalKnowledgeBaseMapper, ClinicalKnowledgeBase> implements IClinicalKnowledgeBaseService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/domain/NursingAssessmentTrend.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/domain/NursingAssessmentTrend.java
@@ -0,0 +1,25 @@
+package com.healthlink.his.nursing.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.math.BigDecimal;
+import java.util.Date;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("nursing_assessment_trend")
+public class NursingAssessmentTrend extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("encounter_id") private Long encounterId;
+    @TableField("patient_id") private Long patientId;
+    @TableField("assessment_type") private String assessmentType;
+    @TableField("score") private BigDecimal score;
+    @TableField("risk_level") private String riskLevel;
+    @TableField("assess_time") @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss") private Date assessTime;
+    @TableField("assessor_name") private String assessorName;
+    @TableField("detail_json") private String detailJson;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/mapper/NursingAssessmentTrendMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/mapper/NursingAssessmentTrendMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.nursing.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.nursing.domain.NursingAssessmentTrend;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface NursingAssessmentTrendMapper extends BaseMapper<NursingAssessmentTrend> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/service/INursingAssessmentTrendService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/service/INursingAssessmentTrendService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.nursing.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.nursing.domain.NursingAssessmentTrend;
+
+public interface INursingAssessmentTrendService extends IService<NursingAssessmentTrend> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/service/impl/NursingAssessmentTrendServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/nursing/service/impl/NursingAssessmentTrendServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.nursing.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.nursing.domain.NursingAssessmentTrend;
+import com.healthlink.his.nursing.mapper.NursingAssessmentTrendMapper;
+import com.healthlink.his.nursing.service.INursingAssessmentTrendService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class NursingAssessmentTrendServiceImpl extends ServiceImpl<NursingAssessmentTrendMapper, NursingAssessmentTrend> implements INursingAssessmentTrendService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/domain/BusinessAnalytics.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/domain/BusinessAnalytics.java
@@ -0,0 +1,26 @@
+package com.healthlink.his.quality.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.math.BigDecimal;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("business_analytics")
+public class BusinessAnalytics extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("stat_date") private String statDate;
+    @TableField("department_id") private Long departmentId;
+    @TableField("department_name") private String departmentName;
+    @TableField("revenue") private BigDecimal revenue;
+    @TableField("cost") private BigDecimal cost;
+    @TableField("profit") private BigDecimal profit;
+    @TableField("patient_count") private Integer patientCount;
+    @TableField("bed_count") private Integer bedCount;
+    @TableField("bed_occupancy_rate") private BigDecimal bedOccupancyRate;
+    @TableField("avg_stay_days") private BigDecimal avgStayDays;
+    @TableField("avg_cost") private BigDecimal avgCost;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/mapper/BusinessAnalyticsMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/mapper/BusinessAnalyticsMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.quality.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface BusinessAnalyticsMapper extends BaseMapper<BusinessAnalytics> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/service/IBusinessAnalyticsService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/service/IBusinessAnalyticsService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.quality.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+
+public interface IBusinessAnalyticsService extends IService<BusinessAnalytics> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/service/impl/BusinessAnalyticsServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/quality/service/impl/BusinessAnalyticsServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.quality.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.quality.domain.BusinessAnalytics;
+import com.healthlink.his.quality.mapper.BusinessAnalyticsMapper;
+import com.healthlink.his.quality.service.IBusinessAnalyticsService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class BusinessAnalyticsServiceImpl extends ServiceImpl<BusinessAnalyticsMapper, BusinessAnalytics> implements IBusinessAnalyticsService {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/domain/SysApiAuth.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/domain/SysApiAuth.java
@@ -0,0 +1,24 @@
+package com.healthlink.his.sys.domain;
+
+import com.baomidou.mybatisplus.annotation.*;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import java.util.Date;
+
+@Data
+@EqualsAndHashCode(callSuper = true)
+@TableName("sys_api_auth")
+public class SysApiAuth extends HisBaseEntity {
+    @TableId(value = "id", type = IdType.ASSIGN_ID)
+    private Long id;
+    @TableField("app_name") private String appName;
+    @TableField("app_key") private String appKey;
+    @TableField("app_secret") private String appSecret;
+    @TableField("permissions") private String permissions;
+    @TableField("rate_limit") private Integer rateLimit;
+    @TableField("expire_time") @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss") private Date expireTime;
+    @TableField("status") private Integer status;
+    @TableField("last_access_time") @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss") private Date lastAccessTime;
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/mapper/SysApiAuthMapper.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/mapper/SysApiAuthMapper.java
@@ -0,0 +1,9 @@
+package com.healthlink.his.sys.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.healthlink.his.sys.domain.SysApiAuth;
+import org.apache.ibatis.annotations.Mapper;
+
+@Mapper
+public interface SysApiAuthMapper extends BaseMapper<SysApiAuth> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/service/ISysApiAuthService.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/service/ISysApiAuthService.java
@@ -0,0 +1,7 @@
+package com.healthlink.his.sys.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.healthlink.his.sys.domain.SysApiAuth;
+
+public interface ISysApiAuthService extends IService<SysApiAuth> {
+}
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/service/impl/SysApiAuthServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/sys/service/impl/SysApiAuthServiceImpl.java
@@ -0,0 +1,11 @@
+package com.healthlink.his.sys.service.impl;
+
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.healthlink.his.sys.domain.SysApiAuth;
+import com.healthlink.his.sys.mapper.SysApiAuthMapper;
+import com.healthlink.his.sys.service.ISysApiAuthService;
+import org.springframework.stereotype.Service;
+
+@Service
+public class SysApiAuthServiceImpl extends ServiceImpl<SysApiAuthMapper, SysApiAuth> implements ISysApiAuthService {
+}
--- a/healthlink-his-ui/src/views/apiauth/api.js
+++ b/healthlink-his-ui/src/views/apiauth/api.js
@@ -0,0 +1,4 @@
+import request from '@/utils/request'
+export function getAuthPage(p){return request({url:'/api-auth/page',method:'get',params:p})}
+export function addAuth(d){return request({url:'/api-auth/add',method:'post',data:d})}
+export function disableAuth(id){return request({url:'/api-auth/disable',method:'post',params:{id}})}
--- a/healthlink-his-ui/src/views/apiauth/index.vue
+++ b/healthlink-his-ui/src/views/apiauth/index.vue
@@ -0,0 +1,28 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">接口安全认证</span></div>
+    <div style="margin-bottom:12px"><el-button type="success" @click="showAdd=true">新增应用</el-button></div>
+    <el-table :data="authData" border stripe>
+      <el-table-column prop="appName" label="应用名称" width="150"/>
+      <el-table-column prop="appKey" label="AppKey" width="180"/>
+      <el-table-column prop="rateLimit" label="限流(次/分)" width="100" align="center"/>
+      <el-table-column prop="status" label="状态" width="80">
+        <template #default="{row}"><el-tag :type="row.status===0?'success':'danger'" size="small">{{ row.status===0?'启用':'禁用' }}</el-tag></template>
+      </el-table-column>
+      <el-table-column prop="lastAccessTime" label="最后访问" width="170"/>
+      <el-table-column label="操作" width="80">
+        <template #default="{row}"><el-button v-if="row.status===0" type="danger" link size="small" @click="disableAction(row)">禁用</el-button></template>
+      </el-table-column>
+    </el-table>
+  </div>
+</template>
+<script setup>
+import {ref,onMounted} from 'vue'
+import {ElMessage} from 'element-plus'
+import {getAuthPage,addAuth,disableAuth} from './api'
+const authData=ref([])
+const showAdd=ref(false)
+const loadData=async()=>{const r=await getAuthPage({pageNo:1,pageSize:50});authData.value=r.data?.records||[]}
+const disableAction=async(row)=>{await disableAuth(row.id);ElMessage.success('已禁用');loadData()}
+onMounted(()=>loadData())
+</script>
--- a/healthlink-his-ui/src/views/assessmenttrend/api.js
+++ b/healthlink-his-ui/src/views/assessmenttrend/api.js
@@ -0,0 +1,3 @@
+import request from '@/utils/request'
+export function getTrend(p){return request({url:'/assessment-trend/trend',method:'get',params:p})}
+export function addTrend(d){return request({url:'/assessment-trend/add',method:'post',data:d})}
--- a/healthlink-his-ui/src/views/assessmenttrend/index.vue
+++ b/healthlink-his-ui/src/views/assessmenttrend/index.vue
@@ -0,0 +1,27 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">评估趋势</span></div>
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="就诊ID"><el-input v-model="encounterId" style="width:120px"/></el-form-item>
+        <el-form-item><el-button type="primary" @click="loadData">查询</el-button></el-form-item>
+      </el-form>
+    </el-card>
+    <el-table :data="trendData" border stripe>
+      <el-table-column prop="assessmentType" label="评估类型" width="110"/>
+      <el-table-column prop="score" label="评分" width="80" align="center"/>
+      <el-table-column prop="riskLevel" label="风险等级" width="90">
+        <template #default="{row}"><el-tag :type="{HIGH:'danger',MEDIUM:'warning',LOW:'success'}[row.riskLevel]" size="small">{{ row.riskLevel }}</el-tag></template>
+      </el-table-column>
+      <el-table-column prop="assessTime" label="评估时间" width="170"/>
+      <el-table-column prop="assessorName" label="评估人" width="90"/>
+    </el-table>
+  </div>
+</template>
+<script setup>
+import {ref} from 'vue'
+import {getTrend} from './api'
+const encounterId=ref('')
+const trendData=ref([])
+const loadData=async()=>{if(!encounterId.value)return;const r=await getTrend({encounterId:encounterId.value});trendData.value=r.data||[]}
+</script>
--- a/healthlink-his-ui/src/views/businessanalytics/api.js
+++ b/healthlink-his-ui/src/views/businessanalytics/api.js
@@ -0,0 +1,4 @@
+import request from '@/utils/request'
+export function getAnalyticsPage(p){return request({url:'/business-analytics/page',method:'get',params:p})}
+export function addAnalytics(d){return request({url:'/business-analytics/add',method:'post',data:d})}
+export function getAnalyticsSummary(){return request({url:'/business-analytics/summary',method:'get'})}
--- a/healthlink-his-ui/src/views/businessanalytics/index.vue
+++ b/healthlink-his-ui/src/views/businessanalytics/index.vue
@@ -0,0 +1,29 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">经营分析</span></div>
+    <el-card shadow="never" style="margin-bottom:16px">
+      <div style="display:flex;gap:30px;text-align:center;flex-wrap:wrap">
+        <div><div style="font-size:20px;font-weight:bold;color:#409eff">{{ summary.totalRevenue||0 }}</div><div>总收入</div></div>
+        <div><div style="font-size:20px;font-weight:bold;color:#f56c6c">{{ summary.totalCost||0 }}</div><div>总成本</div></div>
+        <div><div style="font-size:20px;font-weight:bold;color:#67c23a">{{ summary.totalProfit||0 }}</div><div>总利润</div></div>
+        <div><div style="font-size:20px;font-weight:bold;color:#e6a23c">{{ summary.totalPatients||0 }}</div><div>总患者</div></div>
+      </div>
+    </el-card>
+    <el-table :data="analyticsData" border stripe>
+      <el-table-column prop="statDate" label="日期" width="120"/>
+      <el-table-column prop="departmentName" label="科室" width="120"/>
+      <el-table-column prop="revenue" label="收入" width="100" align="right"/>
+      <el-table-column prop="cost" label="成本" width="100" align="right"/>
+      <el-table-column prop="profit" label="利润" width="100" align="right"/>
+      <el-table-column prop="patientCount" label="患者数" width="80" align="center"/>
+      <el-table-column prop="bedOccupancyRate" label="床位率%" width="90" align="center"/>
+    </el-table>
+  </div>
+</template>
+<script setup>
+import {ref,onMounted} from 'vue'
+import {getAnalyticsPage,getAnalyticsSummary} from './api'
+const analyticsData=ref([]),summary=ref({})
+const loadData=async()=>{const [a,s]=await Promise.all([getAnalyticsPage({pageNo:1,pageSize:50}),getAnalyticsSummary()]);analyticsData.value=a.data?.records||[];summary.value=s.data||{}}
+onMounted(()=>loadData())
+</script>
--- a/healthlink-his-ui/src/views/knowledgebase/api.js
+++ b/healthlink-his-ui/src/views/knowledgebase/api.js
@@ -0,0 +1,4 @@
+import request from '@/utils/request'
+export function getKBPage(p){return request({url:'/knowledge-base/page',method:'get',params:p})}
+export function searchKB(k){return request({url:'/knowledge-base/search',method:'get',params:{keyword:k}})}
+export function addKB(d){return request({url:'/knowledge-base/add',method:'post',data:d})}
--- a/healthlink-his-ui/src/views/knowledgebase/index.vue
+++ b/healthlink-his-ui/src/views/knowledgebase/index.vue
@@ -0,0 +1,27 @@
+<template>
+  <div style="padding:16px">
+    <div style="margin-bottom:16px"><span style="font-size:18px;font-weight:bold">临床知识库</span></div>
+    <el-card shadow="never" style="margin-bottom:16px">
+      <el-form inline>
+        <el-form-item label="搜索"><el-input v-model="keyword" placeholder="指南/药物/诊断" clearable style="width:200px"/></el-form-item>
+        <el-form-item label="分类"><el-select v-model="category" clearable style="width:120px"><el-option v-for="c in [{l:'指南',v:'guideline'},{l:'药物',v:'drug'},{l:'诊断',v:'diagnosis'},{l:'操作',v:'procedure'}]" :key="c.v" :label="c.l" :value="c.v"/></el-select></el-form-item>
+        <el-form-item><el-button type="primary" @click="loadData">搜索</el-button></el-form-item>
+      </el-form>
+    </el-card>
+    <el-table :data="kbData" border stripe>
+      <el-table-column prop="category" label="分类" width="80"/>
+      <el-table-column prop="title" label="标题" min-width="200"/>
+      <el-table-column prop="keywords" label="关键词" width="150" show-overflow-tooltip/>
+      <el-table-column prop="source" label="来源" width="120"/>
+      <el-table-column prop="version" label="版本" width="80"/>
+    </el-table>
+  </div>
+</template>
+<script setup>
+import {ref,onMounted} from 'vue'
+import {getKBPage} from './api'
+const keyword=ref(''),category=ref('')
+const kbData=ref([])
+const loadData=async()=>{const r=await getKBPage({keyword:keyword.value,category:category.value,pageNo:1,pageSize:50});kbData.value=r.data?.records||[]}
+onMounted(()=>loadData())
+</script>