feat(subject): 参与者状态依赖筛选日期并支持后续编辑

- 未填写筛选日期的参与者不再默认进入 SCREENING，状态显示为占位符。
- SubjectUpdate 不再开放 status 入参，改由后端依据日期推导，并新增
  screening_date 字段允许 PM/CRA 后续补录筛选日期。
- 参与者管理页与详情页同步：详情页支持编辑筛选日期，列表页与详情页
  在没有筛选日期时显示占位符而非旧 enum 值。

Co-Authored-By: Claude Opus 4.7 (1M context) <noreply@anthropic.com>

backend/app/crud/subject.py

@@ -34,6 +34,9 @@ def _standard_visit_codes(visit_schedule: list[dict] | None) -> set[str]:
 
 
 def derive_subject_status(subject, visits: Sequence[Visit], visit_schedule: list[dict] | None = None) -> str:
+    if not getattr(subject, "screening_date", None):
+        return ""
+
     if any(_visit_code(visit) == "提前终止" and getattr(visit, "actual_date", None) for visit in visits):
         return "DROPPED"
 
@@ -116,7 +119,7 @@ async def create_subject(db: AsyncSession, study_id: uuid.UUID, subject_in: Subj
         study_id=study_id,
         site_id=subject_in.site_id,
         subject_no=subject_in.subject_no,
-        status="SCREENING",
+        status="SCREENING" if subject_in.screening_date else "",
         screening_date=subject_in.screening_date,
         consent_date=subject_in.consent_date,
         enrollment_date=subject_in.enrollment_date,
@@ -194,8 +197,7 @@ async def generate_default_visits(db: AsyncSession, subject: Subject) -> None:
 
 async def update_subject(db: AsyncSession, subject: Subject, subject_in: SubjectUpdate) -> Subject:
     update_data = subject_in.model_dump(exclude_unset=True)
-    update_data.pop("status", None)
+    next_screening_date = update_data.get("screening_date", subject.screening_date)
-    next_screening_date = subject.screening_date
     next_consent_date = update_data.get("consent_date", subject.consent_date)
     next_enrollment_date = update_data.get("enrollment_date", subject.enrollment_date)
     next_completion_date = update_data.get("completion_date", subject.completion_date)

backend/app/schemas/subject.py

@@ -15,7 +15,7 @@ class SubjectCreate(BaseModel):
 
 
 class SubjectUpdate(BaseModel):
-    status: Optional[str] = None
+    screening_date: Optional[date] = None
     consent_date: Optional[date] = None
     enrollment_date: Optional[date] = None
     baseline_date: Optional[date] = None

backend/tests/test_subject_medication_adherence.py

@@ -1,4 +1,4 @@
-from datetime import datetime
+from datetime import date, datetime
 from types import SimpleNamespace
 import uuid
 
@@ -12,6 +12,16 @@ def test_subject_update_accepts_actual_medication_count():
     assert payload.actual_medication_count == 12
 
 
+def test_subject_update_accepts_screening_date():
+    payload = SubjectUpdate(screening_date=date(2026, 5, 25))
+
+    assert payload.screening_date == date(2026, 5, 25)
+
+
+def test_subject_update_does_not_expose_status_input():
+    assert "status" not in SubjectUpdate.model_fields
+
+
 def test_subject_read_includes_actual_medication_count():
     subject = SimpleNamespace(
         id=uuid.UUID("00000000-0000-0000-0000-000000000001"),

backend/tests/test_visit_schedule.py

@@ -275,3 +275,9 @@ def test_derive_subject_status_marks_screening_until_enrollment_date_is_filled()
     subject = SimpleNamespace(screening_date=date(2026, 5, 1), enrollment_date=None)
 
     assert derive_subject_status(subject, [], []) == "SCREENING"
+
+
+def test_derive_subject_status_is_empty_before_screening_date_is_filled():
+    subject = SimpleNamespace(screening_date=None, enrollment_date=None)
+
+    assert derive_subject_status(subject, [], []) == ""

frontend/src/views/ia/SubjectManagement.vue

@@ -85,7 +85,7 @@
             <template #default="scope">{{ displayDate(scope.row.consent_date) }}</template>
           </el-table-column>
           <el-table-column prop="status" :label="TEXT.common.fields.status">
-            <template #default="scope">{{ displayEnum(TEXT.enums.subjectStatus, scope.row.status) }}</template>
+            <template #default="scope">{{ displaySubjectStatus(scope.row) }}</template>
           </el-table-column>
           <el-table-column prop="enrollment_date" :label="TEXT.common.fields.enrollmentDate">
             <template #default="scope">{{ displayDate(scope.row.enrollment_date) }}</template>
@@ -227,6 +227,10 @@ const getAeBadges = (row: any) => {
   }
   return badges;
 };
+const displaySubjectStatus = (subject: any) => {
+  if (!subject?.screening_date) return TEXT.common.fallback;
+  return displayEnum(TEXT.enums.subjectStatus, subject.status);
+};
 const filteredItems = computed(() => {
   const keyword = filters.value.keyword.trim().toLowerCase();
   return items.value.filter((item) => {

frontend/src/views/subjects/SubjectDetail.vue

@@ -30,9 +30,18 @@
         <el-descriptions-item :label="TEXT.modules.subjectManagement.screeningNo">{{ detail.subject_no || TEXT.common.fallback }}</el-descriptions-item>
         <el-descriptions-item :label="TEXT.common.fields.site">{{ siteMap[detail.site_id] || TEXT.common.fallback }}</el-descriptions-item>
         <el-descriptions-item :label="TEXT.common.fields.status">
-          <span>{{ displayEnum(TEXT.enums.subjectStatus, detail.status) }}</span>
+          <span>{{ displaySubjectStatus(detail) }}</span>
+        </el-descriptions-item>
+        <el-descriptions-item :label="TEXT.common.fields.screeningDate">
+          <el-date-picker
+            v-if="subjectEditing"
+            v-model="subjectForm.screening_date"
+            type="date"
+            value-format="YYYY-MM-DD"
+            size="small"
+          />
+          <span v-else>{{ displayDate(detail.screening_date) }}</span>
         </el-descriptions-item>
-        <el-descriptions-item :label="TEXT.common.fields.screeningDate">{{ displayDate(detail.screening_date) }}</el-descriptions-item>
         <el-descriptions-item :label="TEXT.common.fields.consentDate">
           <el-date-picker
             v-if="subjectEditing"
@@ -532,6 +541,7 @@ const detail = reactive<any>({
 const subjectEditing = ref(false);
 const subjectSaving = ref(false);
 const subjectForm = reactive({
+  screening_date: "",
   enrollment_date: "",
   baseline_date: "",
   consent_date: "",
@@ -665,6 +675,11 @@ const getErrorMessage = (error: any, fallback: string) => {
   return fallback;
 };
 
+const displaySubjectStatus = (subject: any) => {
+  if (!subject?.screening_date) return TEXT.common.fallback;
+  return displayEnum(TEXT.enums.subjectStatus, subject.status);
+};
+
 const loadSites = async () => {
   if (!studyId) return;
   try {
@@ -702,6 +717,7 @@ const startSubjectEdit = () => {
     ElMessage.warning("中心已停用");
     return;
   }
+  subjectForm.screening_date = detail.screening_date || "";
   subjectForm.consent_date = detail.consent_date || "";
   subjectForm.enrollment_date = detail.enrollment_date || "";
   subjectForm.baseline_date = detail.baseline_date || "";
@@ -723,6 +739,7 @@ const saveSubjectEdit = async () => {
   subjectSaving.value = true;
   try {
     const payload = {
+      screening_date: subjectForm.screening_date || null,
       consent_date: subjectForm.consent_date || null,
       enrollment_date: subjectForm.enrollment_date || null,
       baseline_date: subjectForm.baseline_date || null,