feat: add reviewed follow-up audio patient enrichment

server/app/command/FollowupAudioCleanup.php

@@ -0,0 +1,36 @@
+<?php
+
+declare(strict_types=1);
+
+namespace app\command;
+
+use app\common\service\followupaudio\FollowupAudioStore;
+use think\console\Command;
+use think\console\Input;
+use think\console\Output;
+
+/** Cleanup runs even while the feature gate is off; active leases remain protected in Store. */
+final class FollowupAudioCleanup extends Command
+{
+    protected function configure()
+    {
+        $this->setName('followup-audio:cleanup')->setDescription('清理过期音频与全文，不清除已采用的正式记录');
+    }
+
+    protected function execute(Input $input, Output $output): int
+    {
+        try {
+            $counts = FollowupAudioStore::cleanupExpired();
+            // Count fields only: no patient identifiers, paths, or clinical bodies.
+            $public = [];
+            foreach ($counts as $key => $value) {
+                if (is_int($value) && preg_match('/^[a-z_]+$/D', (string) $key)) { $public[$key] = $value; }
+            }
+            $output->writeln('FOLLOWUP_AUDIO_CLEANUP ' . json_encode($public));
+            return (int) ($counts['errors'] ?? 0) > 0 ? 1 : 0;
+        } catch (\Throwable $e) {
+            $output->writeln('FOLLOWUP_AUDIO_CLEANUP storage_or_configuration_error');
+            return 1;
+        }
+    }
+}