diff --git a/.claude/settings.local.json b/.claude/settings.local.json
index e2325159..af8ad084 100644
--- a/.claude/settings.local.json
+++ b/.claude/settings.local.json
@@ -11,7 +11,8 @@
       "Bash(php think *)",
       "Bash(python3 -c ' *)",
       "Bash(python3 *)",
-      "Bash(awk '/<template>/,/<\\\\/template>/{print NR\": \"$0; if\\(/<\\\\/template>/\\) exit}' D:/web/zyt/admin/src/views/consumer/prescription/order_list.vue)"
+      "Bash(awk '/<template>/,/<\\\\/template>/{print NR\": \"$0; if\\(/<\\\\/template>/\\) exit}' D:/web/zyt/admin/src/views/consumer/prescription/order_list.vue)",
+      "Bash(npx eslint *)"
     ]
   }
 }
diff --git a/.gitignore b/.gitignore
index a3b8652a..5caf81f9 100644
--- a/.gitignore
+++ b/.gitignore
@@ -26,3 +26,5 @@ bin-release/
 /.cursor
 /.codex
 /.agents
+/.claude
+/.claude
diff --git a/admin/src/api/tcm.ts b/admin/src/api/tcm.ts
index 7346cedc..60eab5d6 100644
--- a/admin/src/api/tcm.ts
+++ b/admin/src/api/tcm.ts
@@ -6,7 +6,11 @@ export function tcmDiagnosisLists(params: any) {
 }
 
 // 医助理诊单统计（按部门、按人）
-export function assistantDiagnosisStats(params?: { start_time?: string; end_time?: string; days?: number }) {
+export function assistantDiagnosisStats(params?: {
+    start_time?: string
+    end_time?: string
+    days?: number
+}) {
     return request.get({ url: '/tcm.diagnosis/assistantDiagnosisStats', params })
 }
 
@@ -298,7 +302,11 @@ export function prescriptionVoid(params: { id: number }) {
 }
 
 /** 处方审核：action approve | reject（驳回同时作废处方） */
-export function prescriptionAudit(params: { id: number; action: 'approve' | 'reject'; remark?: string }) {
+export function prescriptionAudit(params: {
+    id: number
+    action: 'approve' | 'reject'
+    remark?: string
+}) {
     return request.post({ url: '/tcm.prescription/audit', params })
 }
 
@@ -401,10 +409,7 @@ export function prescriptionOrderAddPayOrder(params: {
 }
 
 /** 为「已发货」订单关联已有支付单并重置支付审核为待审核 */
-export function prescriptionOrderLinkPayOrder(params: {
-    id: number
-    pay_order_id: number
-}) {
+export function prescriptionOrderLinkPayOrder(params: { id: number; pay_order_id: number }) {
     return request.post({ url: '/tcm.prescriptionOrder/linkPayOrder', params })
 }
 
@@ -419,7 +424,11 @@ export function prescriptionOrderSubmitGancaoRecipel(params: { id: number }) {
 }
 
 /** 甘草药管家：预下单测试（仅 CTM_PREVIEW，不提交订单） */
-export function prescriptionOrderPreviewGancaoRecipel(params: { id: number; dose_count?: number; medication_days?: number }) {
+export function prescriptionOrderPreviewGancaoRecipel(params: {
+    id: number
+    dose_count?: number
+    medication_days?: number
+}) {
     return request.post({ url: '/tcm.prescriptionOrder/previewGancaoRecipel', params })
 }
 
@@ -454,3 +463,35 @@ export function prescriptionLibraryDelete(params: { id: number }) {
 export function prescriptionLibraryDetail(params: { id: number }) {
     return request.get({ url: '/tcm.prescriptionLibrary/detail', params })
 }
+
+// ========== 诊单待办事项（T5） ==========
+
+/** 待办列表（按 diagnosis_id） */
+export function diagnosisTodoLists(params: {
+    diagnosis_id: number
+    page_no?: number
+    page_size?: number
+    status?: number
+    creator_id?: number
+}) {
+    return request.get({ url: '/tcm.diagnosisTodo/lists', params })
+}
+
+/** 新增待办（remind_time 为 unix 秒级时间戳） */
+export function diagnosisTodoAdd(params: {
+    diagnosis_id: number
+    content: string
+    remind_time: number
+}) {
+    return request.post({ url: '/tcm.diagnosisTodo/add', params })
+}
+
+/** 取消待办（仅 status=0 / 创建人或超管） */
+export function diagnosisTodoCancel(params: { id: number }) {
+    return request.post({ url: '/tcm.diagnosisTodo/cancel', params })
+}
+
+/** 待办详情 */
+export function diagnosisTodoDetail(params: { id: number }) {
+    return request.get({ url: '/tcm.diagnosisTodo/detail', params })
+}
diff --git a/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue b/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue
new file mode 100644
index 00000000..11ef39e1
--- /dev/null
+++ b/admin/src/views/tcm/diagnosis/components/DiagnosisTodoList.vue
@@ -0,0 +1,329 @@
+<template>
+    <div class="diagnosis-todo-list">
+        <div class="toolbar">
+            <el-button
+                type="primary"
+                :disabled="!props.diagnosisId"
+                @click="handleAdd"
+                v-perms="['tcm.diagnosisTodo/add']"
+            >
+                + 新增待办
+            </el-button>
+            <el-radio-group v-model="filterStatus" class="ml-3" @change="handleFilterChange">
+                <el-radio-button :value="''">全部</el-radio-button>
+                <el-radio-button :value="0">待执行</el-radio-button>
+                <el-radio-button :value="1">已发送</el-radio-button>
+                <el-radio-button :value="3">失败</el-radio-button>
+                <el-radio-button :value="2">已取消</el-radio-button>
+            </el-radio-group>
+            <el-button class="ml-3" @click="fetchList">刷新</el-button>
+            <span class="hint">
+                推送由后端 cron 分钟级触发，需服务器配置
+                <code>tcm:diagnosis-todo-notify</code>。
+            </span>
+        </div>
+
+        <el-table
+            v-loading="pager.loading"
+            :data="pager.lists"
+            border
+            class="todo-table"
+            empty-text="暂无待办"
+            row-key="id"
+        >
+            <el-table-column label="提醒时间" prop="remind_time_text" width="160" />
+            <el-table-column label="内容" prop="content" min-width="240" show-overflow-tooltip />
+            <el-table-column label="状态" width="110" align="center">
+                <template #default="{ row }">
+                    <el-tag :type="statusTagType(row.status)" effect="light" size="small">
+                        {{ row.status_text }}
+                    </el-tag>
+                </template>
+            </el-table-column>
+            <el-table-column label="创建人" prop="creator_name" width="120">
+                <template #default="{ row }">{{ row.creator_name || '-' }}</template>
+            </el-table-column>
+            <el-table-column label="推送时间" prop="notified_at_text" width="160">
+                <template #default="{ row }">{{ row.notified_at_text || '-' }}</template>
+            </el-table-column>
+            <el-table-column label="失败原因" prop="error" min-width="200" show-overflow-tooltip>
+                <template #default="{ row }">
+                    <span v-if="row.status === 3" class="text-danger">{{ row.error || '未知错误' }}</span>
+                    <span v-else>-</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="操作" width="120" fixed="right" align="center">
+                <template #default="{ row }">
+                    <el-button
+                        v-if="row.status === 0 && row.can_cancel"
+                        link
+                        type="danger"
+                        @click="handleCancel(row)"
+                        v-perms="['tcm.diagnosisTodo/cancel']"
+                    >
+                        取消
+                    </el-button>
+                    <span v-else class="text-muted">-</span>
+                </template>
+            </el-table-column>
+        </el-table>
+
+        <div class="pagination-wrap">
+            <pagination v-model="pager" @change="fetchList" />
+        </div>
+
+        <!-- 新增弹框 -->
+        <el-dialog
+            v-model="addDialogVisible"
+            title="新增待办"
+            width="520px"
+            :close-on-click-modal="false"
+        >
+            <el-form ref="addFormRef" :model="addForm" :rules="addRules" label-width="100px">
+                <el-form-item label="提醒时间" prop="remindAt">
+                    <el-date-picker
+                        v-model="addForm.remindAt"
+                        type="datetime"
+                        placeholder="选择提醒时间"
+                        format="YYYY-MM-DD HH:mm"
+                        value-format="x"
+                        :disabled-date="disablePastDate"
+                        class="w-full"
+                    />
+                </el-form-item>
+                <el-form-item label="提醒内容" prop="content">
+                    <el-input
+                        v-model="addForm.content"
+                        type="textarea"
+                        :rows="4"
+                        :maxlength="500"
+                        show-word-limit
+                        placeholder="例：3 天后回访患者复测餐后血糖"
+                    />
+                </el-form-item>
+                <el-form-item label="提醒人">
+                    <span class="text-muted">企微推送给当前登录账号（创建人本人）</span>
+                </el-form-item>
+            </el-form>
+            <template #footer>
+                <el-button @click="addDialogVisible = false">取消</el-button>
+                <el-button type="primary" :loading="addSubmitting" @click="handleAddSubmit">
+                    提交
+                </el-button>
+            </template>
+        </el-dialog>
+    </div>
+</template>
+
+<script setup lang="ts">
+import type { FormInstance, FormRules } from 'element-plus'
+import { diagnosisTodoLists, diagnosisTodoAdd, diagnosisTodoCancel } from '@/api/tcm'
+import feedback from '@/utils/feedback'
+
+interface Props {
+    diagnosisId: number | null | undefined
+    patientId?: number | null
+    patientName?: string
+}
+
+const props = defineProps<Props>()
+
+// pager 与项目内 <pagination v-model="pager" /> 约定的字段保持一致
+const pager = reactive({
+    page: 1,
+    size: 15,
+    count: 0,
+    loading: false,
+    lists: [] as any[]
+})
+
+const filterStatus = ref<number | ''>('')
+
+const fetchList = async () => {
+    if (!props.diagnosisId || Number(props.diagnosisId) <= 0) {
+        pager.lists = []
+        pager.count = 0
+        return
+    }
+    pager.loading = true
+    try {
+        const params: {
+            page_no: number
+            page_size: number
+            diagnosis_id: number
+            status?: number
+        } = {
+            page_no: pager.page,
+            page_size: pager.size,
+            diagnosis_id: Number(props.diagnosisId)
+        }
+        if (filterStatus.value !== '' && filterStatus.value !== undefined) {
+            params.status = Number(filterStatus.value)
+        }
+        const res: any = await diagnosisTodoLists(params)
+        pager.count = Number(res?.count ?? 0)
+        pager.lists = Array.isArray(res?.lists) ? res.lists : []
+    } catch {
+        // request 拦截器已有错误 toast
+        pager.lists = []
+        pager.count = 0
+    } finally {
+        pager.loading = false
+    }
+}
+
+watch(
+    () => props.diagnosisId,
+    () => {
+        pager.page = 1
+        fetchList()
+    },
+    { immediate: true }
+)
+
+const handleFilterChange = () => {
+    pager.page = 1
+    fetchList()
+}
+
+const statusTagType = (status: number): 'info' | 'success' | 'warning' | 'danger' => {
+    switch (Number(status)) {
+        case 0:
+            return 'info'
+        case 1:
+            return 'success'
+        case 2:
+            return 'warning'
+        case 3:
+            return 'danger'
+        default:
+            return 'info'
+    }
+}
+
+// ========== 新增 ==========
+const addDialogVisible = ref(false)
+const addSubmitting = ref(false)
+const addFormRef = ref<FormInstance>()
+const addForm = reactive({
+    remindAt: '' as string | number,
+    content: ''
+})
+const addRules: FormRules = {
+    remindAt: [{ required: true, message: '请选择提醒时间', trigger: 'change' }],
+    content: [
+        { required: true, message: '请输入提醒内容', trigger: 'blur' },
+        { max: 500, message: '内容最多 500 字', trigger: 'blur' }
+    ]
+}
+
+const disablePastDate = (date: Date) => {
+    const today = new Date()
+    today.setHours(0, 0, 0, 0)
+    return date.getTime() < today.getTime()
+}
+
+const handleAdd = () => {
+    if (!props.diagnosisId) {
+        feedback.msgWarning('诊单未保存，无法添加待办')
+        return
+    }
+    addForm.remindAt = ''
+    addForm.content = ''
+    addDialogVisible.value = true
+    nextTick(() => addFormRef.value?.clearValidate())
+}
+
+const handleAddSubmit = async () => {
+    if (!addFormRef.value) return
+    const valid = await addFormRef.value.validate().catch(() => false)
+    if (!valid) return
+
+    const remindMs = Number(addForm.remindAt)
+    if (!Number.isFinite(remindMs) || remindMs <= Date.now() + 30 * 1000) {
+        feedback.msgWarning('提醒时间必须晚于当前时间至少 30 秒')
+        return
+    }
+
+    addSubmitting.value = true
+    try {
+        await diagnosisTodoAdd({
+            diagnosis_id: Number(props.diagnosisId),
+            content: addForm.content.trim(),
+            remind_time: Math.floor(remindMs / 1000)
+        })
+        feedback.msgSuccess('已创建')
+        addDialogVisible.value = false
+        fetchList()
+    } catch {
+        // request 拦截器已有错误 toast
+    } finally {
+        addSubmitting.value = false
+    }
+}
+
+// ========== 取消 ==========
+const handleCancel = async (row: any) => {
+    try {
+        await feedback.confirm(`确认取消「${row.remind_time_text} · ${truncate(row.content, 30)}」吗？`)
+    } catch {
+        return
+    }
+    try {
+        await diagnosisTodoCancel({ id: Number(row.id) })
+        feedback.msgSuccess('已取消')
+        fetchList()
+    } catch {
+        // request 拦截器已有错误 toast
+    }
+}
+
+const truncate = (text: string, len: number) => {
+    if (!text) return ''
+    return text.length > len ? text.slice(0, len) + '...' : text
+}
+
+defineExpose({ refresh: fetchList })
+</script>
+
+<style lang="scss" scoped>
+.diagnosis-todo-list {
+    .toolbar {
+        display: flex;
+        align-items: center;
+        flex-wrap: wrap;
+        gap: 8px;
+        margin-bottom: 12px;
+
+        .hint {
+            color: var(--el-text-color-secondary);
+            font-size: 12px;
+            margin-left: 12px;
+
+            code {
+                background: var(--el-fill-color-light);
+                padding: 1px 6px;
+                border-radius: 4px;
+            }
+        }
+    }
+
+    .todo-table {
+        width: 100%;
+    }
+
+    .pagination-wrap {
+        margin-top: 12px;
+        display: flex;
+        justify-content: flex-end;
+    }
+
+    .text-danger {
+        color: var(--el-color-danger);
+    }
+
+    .text-muted {
+        color: var(--el-text-color-placeholder);
+    }
+}
+</style>
diff --git a/admin/src/views/tcm/diagnosis/edit.vue b/admin/src/views/tcm/diagnosis/edit.vue
index 48b45634..3953bbe6 100644
--- a/admin/src/views/tcm/diagnosis/edit.vue
+++ b/admin/src/views/tcm/diagnosis/edit.vue
@@ -594,7 +594,24 @@
                     />
                     <el-empty v-else description="请先保存诊单后再添加运动打卡记录" />
                 </el-tab-pane>
-                
+
+                <!-- 待办事项标签页（T5：企微推送给创建人本人） -->
+                <el-tab-pane
+                    label="待办事项"
+                    name="todo"
+                    :disabled="!formData.id"
+                    lazy
+                    v-if="hasPermission(['tcm.diagnosisTodo/lists'])"
+                >
+                    <diagnosis-todo-list
+                        v-if="formData.id"
+                        :diagnosis-id="Number(formData.id)"
+                        :patient-id="Number(formData.patient_id)"
+                        :patient-name="formData.patient_name"
+                    />
+                    <el-empty v-else description="请先保存诊单后再添加待办事项" />
+                </el-tab-pane>
+
                 <!-- 病历记录标签页（开方后自动显示） -->
                 <el-tab-pane label="处方" name="bingli" :disabled="!formData.id"  v-if="hasPermission(['tcm.diagnosis/chufang'])">
                     <div v-if="formData.id" class="bingli-tab-content">
@@ -705,6 +722,7 @@ import { QuestionFilled } from '@element-plus/icons-vue'
 import BloodRecordList from './components/BloodRecordList.vue'
 import DietRecordList from './components/DietRecordList.vue'
 import ExerciseRecordList from './components/ExerciseRecordList.vue'
+import DiagnosisTodoList from './components/DiagnosisTodoList.vue'
 import CaseRecordList from './components/CaseRecordList.vue'
 import CallRecordPanel from './components/CallRecordPanel.vue'
 import ImChatRecordPanel from './components/ImChatRecordPanel.vue'
diff --git a/server/app/adminapi/controller/tcm/DiagnosisTodoController.php b/server/app/adminapi/controller/tcm/DiagnosisTodoController.php
new file mode 100644
index 00000000..89d6b8c3
--- /dev/null
+++ b/server/app/adminapi/controller/tcm/DiagnosisTodoController.php
@@ -0,0 +1,81 @@
+<?php
+// +----------------------------------------------------------------------
+// | likeadmin快速开发前后端分离管理后台（PHP版）
+// +----------------------------------------------------------------------
+// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
+// | 开源版本可自由商用，可去除界面版权logo
+// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
+// | github下载：https://github.com/likeshop-github/likeadmin
+// | 访问官网：https://www.likeadmin.cn
+// | likeadmin团队 版权所有 拥有最终解释权
+// +----------------------------------------------------------------------
+// | author: likeadminTeam
+// +----------------------------------------------------------------------
+
+declare(strict_types=1);
+
+namespace app\adminapi\controller\tcm;
+
+use app\adminapi\controller\BaseAdminController;
+use app\adminapi\lists\tcm\DiagnosisTodoLists;
+use app\adminapi\logic\tcm\DiagnosisTodoLogic;
+use app\adminapi\validate\tcm\DiagnosisTodoValidate;
+
+/**
+ * 诊单待办事项控制器
+ *
+ * 职责：仅 lists / add / cancel / detail；编辑能力故意不开放（要改 = 取消重建）
+ *
+ * @package app\adminapi\controller\tcm
+ */
+class DiagnosisTodoController extends BaseAdminController
+{
+    /**
+     * @notes 待办列表（按 diagnosis_id）
+     */
+    public function lists()
+    {
+        (new DiagnosisTodoValidate())->goCheck('list');
+
+        return $this->dataLists(new DiagnosisTodoLists());
+    }
+
+    /**
+     * @notes 新增待办
+     */
+    public function add()
+    {
+        $params = (new DiagnosisTodoValidate())->post()->goCheck('add');
+        $result = DiagnosisTodoLogic::add($params, $this->adminId, $this->adminInfo);
+        if (!$result) {
+            return $this->fail(DiagnosisTodoLogic::getError() ?: '创建失败');
+        }
+
+        return $this->success('创建成功', [], 1, 1);
+    }
+
+    /**
+     * @notes 取消待办（仅 status=0 可取消，仅创建人/超管）
+     */
+    public function cancel()
+    {
+        $params = (new DiagnosisTodoValidate())->post()->goCheck('cancel');
+        $result = DiagnosisTodoLogic::cancel((int) $params['id'], $this->adminId);
+        if (!$result) {
+            return $this->fail(DiagnosisTodoLogic::getError() ?: '取消失败');
+        }
+
+        return $this->success('已取消', [], 1, 1);
+    }
+
+    /**
+     * @notes 待办详情
+     */
+    public function detail()
+    {
+        $params = (new DiagnosisTodoValidate())->goCheck('detail');
+        $result = DiagnosisTodoLogic::detail((int) $params['id'], $this->adminId);
+
+        return $this->data($result);
+    }
+}
diff --git a/server/app/adminapi/lists/tcm/DiagnosisTodoLists.php b/server/app/adminapi/lists/tcm/DiagnosisTodoLists.php
new file mode 100644
index 00000000..020c3ceb
--- /dev/null
+++ b/server/app/adminapi/lists/tcm/DiagnosisTodoLists.php
@@ -0,0 +1,73 @@
+<?php
+// +----------------------------------------------------------------------
+// | likeadmin快速开发前后端分离管理后台（PHP版）
+// +----------------------------------------------------------------------
+// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
+// | 开源版本可自由商用，可去除界面版权logo
+// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
+// | github下载：https://github.com/likeshop-github/likeadmin
+// | 访问官网：https://www.likeadmin.cn
+// | likeadmin团队 版权所有 拥有最终解释权
+// +----------------------------------------------------------------------
+// | author: likeadminTeam
+// +----------------------------------------------------------------------
+
+declare(strict_types=1);
+
+namespace app\adminapi\lists\tcm;
+
+use app\adminapi\lists\BaseAdminDataLists;
+use app\adminapi\logic\tcm\DiagnosisTodoLogic;
+use app\common\lists\ListsSearchInterface;
+use app\common\model\tcm\DiagnosisTodo;
+
+/**
+ * 诊单待办事项列表
+ *
+ * 默认按 remind_time desc 排序；按 diagnosis_id 过滤。
+ *
+ * @package app\adminapi\lists\tcm
+ */
+class DiagnosisTodoLists extends BaseAdminDataLists implements ListsSearchInterface
+{
+    public function setSearch(): array
+    {
+        return [
+            '=' => ['diagnosis_id', 'status', 'creator_id'],
+        ];
+    }
+
+    public function lists(): array
+    {
+        $lists = DiagnosisTodo::where($this->searchWhere)
+            ->field([
+                'id', 'diagnosis_id', 'patient_id', 'content', 'remind_time',
+                'status', 'creator_id', 'creator_name', 'notified_at', 'error',
+                'cancelled_at', 'cancelled_by', 'create_time', 'update_time',
+            ])
+            ->append([
+                'status_text',
+                'remind_time_text',
+                'notified_at_text',
+                'cancelled_at_text',
+            ])
+            ->order('remind_time', 'desc')
+            ->order('id', 'desc')
+            ->limit($this->limitOffset, $this->limitLength)
+            ->select()
+            ->toArray();
+
+        // 业务态：是否能被「我」取消（前端按钮显隐用）
+        $adminId = (int) $this->adminId;
+        foreach ($lists as &$item) {
+            $item['can_cancel'] = DiagnosisTodoLogic::canCancel($item, $adminId);
+        }
+
+        return $lists;
+    }
+
+    public function count(): int
+    {
+        return DiagnosisTodo::where($this->searchWhere)->count();
+    }
+}
diff --git a/server/app/adminapi/logic/tcm/DiagnosisTodoLogic.php b/server/app/adminapi/logic/tcm/DiagnosisTodoLogic.php
new file mode 100644
index 00000000..f6d5282e
--- /dev/null
+++ b/server/app/adminapi/logic/tcm/DiagnosisTodoLogic.php
@@ -0,0 +1,187 @@
+<?php
+// +----------------------------------------------------------------------
+// | likeadmin快速开发前后端分离管理后台（PHP版）
+// +----------------------------------------------------------------------
+// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
+// | 开源版本可自由商用，可去除界面版权logo
+// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
+// | github下载：https://github.com/likeshop-github/likeadmin
+// | 访问官网：https://www.likeadmin.cn
+// | likeadmin团队 版权所有 拥有最终解释权
+// +----------------------------------------------------------------------
+// | author: likeadminTeam
+// +----------------------------------------------------------------------
+
+declare(strict_types=1);
+
+namespace app\adminapi\logic\tcm;
+
+use app\common\logic\BaseLogic;
+use app\common\model\auth\Admin;
+use app\common\model\auth\AdminRole;
+use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\DiagnosisTodo;
+
+/**
+ * 诊单待办事项逻辑
+ *
+ * 状态机：
+ *   add()    → status=0 (待执行)
+ *   cron     → status=1 (已发送) / status=3 (失败)
+ *   cancel() → status=2 (已取消，仅 status=0 可取消)
+ *
+ * 鉴权：
+ *   add：诊单需存在；数据权限交由路由层「tcm.diagnosisTodo/add」节点 + 前端 tab disabled 控制。
+ *   cancel：仅创建人本人或超级管理员 (role_id=1) 可取消，且仅 status=0 时。
+ *
+ * @package app\adminapi\logic\tcm
+ */
+class DiagnosisTodoLogic extends BaseLogic
+{
+    /**
+     * @notes 新增待办
+     *
+     * @param array<string,mixed> $params      已通过 sceneAdd 验证
+     * @param int                 $adminId     当前 admin id
+     * @param array<string,mixed> $adminInfo   request->adminInfo
+     */
+    public static function add(array $params, int $adminId, array $adminInfo): bool
+    {
+        try {
+            $diagnosisId = (int) ($params['diagnosis_id'] ?? 0);
+            $diagnosis   = Diagnosis::findOrEmpty($diagnosisId);
+            if ($diagnosis->isEmpty()) {
+                self::setError('诊单不存在');
+
+                return false;
+            }
+
+            $remindTime = (int) ($params['remind_time'] ?? 0);
+            if ($remindTime <= time()) {
+                self::setError('提醒时间必须晚于当前时间');
+
+                return false;
+            }
+
+            $creatorName = trim((string) ($adminInfo['name'] ?? ''));
+            if ($creatorName === '' && $adminId > 0) {
+                $creatorName = (string) Admin::where('id', $adminId)->value('name');
+            }
+
+            DiagnosisTodo::create([
+                'diagnosis_id' => $diagnosisId,
+                'patient_id'   => (int) ($diagnosis->getAttr('patient_id') ?? 0),
+                'content'      => trim((string) ($params['content'] ?? '')),
+                'remind_time'  => $remindTime,
+                'status'       => DiagnosisTodo::STATUS_PENDING,
+                'creator_id'   => $adminId,
+                'creator_name' => $creatorName,
+            ]);
+
+            return true;
+        } catch (\Throwable $e) {
+            self::setError($e->getMessage());
+
+            return false;
+        }
+    }
+
+    /**
+     * @notes 取消待办（人工）
+     */
+    public static function cancel(int $id, int $adminId): bool
+    {
+        try {
+            $todo = DiagnosisTodo::findOrEmpty($id);
+            if ($todo->isEmpty()) {
+                self::setError('待办不存在');
+
+                return false;
+            }
+
+            $status = (int) $todo->getAttr('status');
+            if ($status !== DiagnosisTodo::STATUS_PENDING) {
+                self::setError('该待办已不是「待执行」状态，无法取消');
+
+                return false;
+            }
+
+            $creatorId = (int) $todo->getAttr('creator_id');
+            $isSuper   = self::isSuperAdmin($adminId);
+            if ($creatorId !== $adminId && !$isSuper) {
+                self::setError('仅创建人或超级管理员可取消');
+
+                return false;
+            }
+
+            $todo->save([
+                'status'       => DiagnosisTodo::STATUS_CANCELLED,
+                'cancelled_at' => time(),
+                'cancelled_by' => $adminId,
+            ]);
+
+            return true;
+        } catch (\Throwable $e) {
+            self::setError($e->getMessage());
+
+            return false;
+        }
+    }
+
+    /**
+     * @notes 详情
+     *
+     * @return array<string,mixed>
+     */
+    public static function detail(int $id, int $adminId = 0): array
+    {
+        $todo = DiagnosisTodo::findOrEmpty($id);
+        if ($todo->isEmpty()) {
+            return [];
+        }
+        $arr = $todo->append([
+            'status_text',
+            'remind_time_text',
+            'notified_at_text',
+            'cancelled_at_text',
+        ])->toArray();
+
+        // 业务态：是否能被「我」取消（前端按钮显隐用）
+        $arr['can_cancel'] = self::canCancel($todo->toArray(), $adminId);
+
+        return $arr;
+    }
+
+    /**
+     * 是否超管：role_id=1
+     */
+    public static function isSuperAdmin(int $adminId): bool
+    {
+        if ($adminId <= 0) {
+            return false;
+        }
+        $roleIds = AdminRole::where('admin_id', $adminId)->column('role_id');
+
+        return in_array(1, array_map('intval', $roleIds), true);
+    }
+
+    /**
+     * 业务判定：当前 admin 能否取消该待办
+     *
+     * @param array<string,mixed> $todoRow
+     */
+    public static function canCancel(array $todoRow, int $adminId): bool
+    {
+        if ((int) ($todoRow['status'] ?? -1) !== DiagnosisTodo::STATUS_PENDING) {
+            return false;
+        }
+        if ($adminId <= 0) {
+            return false;
+        }
+        if ((int) ($todoRow['creator_id'] ?? 0) === $adminId) {
+            return true;
+        }
+
+        return self::isSuperAdmin($adminId);
+    }
+}
diff --git a/server/app/adminapi/validate/tcm/DiagnosisTodoValidate.php b/server/app/adminapi/validate/tcm/DiagnosisTodoValidate.php
new file mode 100644
index 00000000..7007b867
--- /dev/null
+++ b/server/app/adminapi/validate/tcm/DiagnosisTodoValidate.php
@@ -0,0 +1,93 @@
+<?php
+// +----------------------------------------------------------------------
+// | likeadmin快速开发前后端分离管理后台（PHP版）
+// +----------------------------------------------------------------------
+// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
+// | 开源版本可自由商用，可去除界面版权logo
+// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
+// | github下载：https://github.com/likeshop-github/likeadmin
+// | 访问官网：https://www.likeadmin.cn
+// | likeadmin团队 版权所有 拥有最终解释权
+// +----------------------------------------------------------------------
+// | author: likeadminTeam
+// +----------------------------------------------------------------------
+
+declare(strict_types=1);
+
+namespace app\adminapi\validate\tcm;
+
+use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\DiagnosisTodo;
+use app\common\validate\BaseValidate;
+
+/**
+ * 诊单待办事项验证
+ * Class DiagnosisTodoValidate
+ * @package app\adminapi\validate\tcm
+ */
+class DiagnosisTodoValidate extends BaseValidate
+{
+    protected $rule = [
+        'id'           => 'require|number',
+        'diagnosis_id' => 'require|number|gt:0|checkDiagnosis',
+        'content'      => 'require|length:1,500',
+        'remind_time'  => 'require|number|checkRemindFuture',
+    ];
+
+    protected $message = [
+        'id.require'           => '参数缺失',
+        'diagnosis_id.require' => '诊单 id 不能为空',
+        'diagnosis_id.gt'      => '诊单 id 非法',
+        'content.require'      => '请输入提醒内容',
+        'content.length'       => '提醒内容长度需在 1-500 字',
+        'remind_time.require'  => '请选择提醒时间',
+        'remind_time.number'   => '提醒时间格式错误',
+    ];
+
+    public function sceneAdd()
+    {
+        return $this->only(['diagnosis_id', 'content', 'remind_time']);
+    }
+
+    public function sceneCancel()
+    {
+        return $this->only(['id']);
+    }
+
+    public function sceneDetail()
+    {
+        return $this->only(['id']);
+    }
+
+    public function sceneList()
+    {
+        return $this->only(['diagnosis_id'])
+            ->append('diagnosis_id', 'require|number|gt:0');
+    }
+
+    /**
+     * 诊单存在校验
+     */
+    protected function checkDiagnosis($value): bool|string
+    {
+        $diagnosis = Diagnosis::findOrEmpty((int) $value);
+        if ($diagnosis->isEmpty()) {
+            return '诊单不存在';
+        }
+
+        return true;
+    }
+
+    /**
+     * 提醒时间必须在当前时间之后（至少 30 秒），避免立刻就过期
+     */
+    protected function checkRemindFuture($value): bool|string
+    {
+        $ts = (int) $value;
+        if ($ts <= time() + 30) {
+            return '提醒时间必须晚于当前时间';
+        }
+
+        return true;
+    }
+}
diff --git a/server/app/command/DiagnosisTodoNotify.php b/server/app/command/DiagnosisTodoNotify.php
new file mode 100644
index 00000000..7c0cdf23
--- /dev/null
+++ b/server/app/command/DiagnosisTodoNotify.php
@@ -0,0 +1,207 @@
+<?php
+
+declare(strict_types=1);
+
+namespace app\command;
+
+use app\common\model\auth\Admin;
+use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\DiagnosisTodo;
+use app\common\service\wechat\WechatWorkAppMessageService;
+use think\console\Command;
+use think\console\Input;
+use think\console\Output;
+use think\facade\Db;
+use think\facade\Log;
+
+/**
+ * 诊单待办事项 - 企业微信定时推送
+ *
+ * 使用方法：
+ *   php think tcm:diagnosis-todo-notify
+ *
+ * 推荐 cron（每分钟执行）：
+ *   * * * * * cd /path/to/server && php think tcm:diagnosis-todo-notify >> /var/log/zyt-todo.log 2>&1
+ *
+ * 行为：
+ *   1. 取出 status=0 且 remind_time<=now 的待办，按 remind_time asc，限 200 条
+ *   2. 每条用乐观锁 (update set status=1 where id=? and status=0) 抢占，避免并发重复推送
+ *   3. 找创建人 admin.work_wechat_userid，未绑定 → status=3 + error
+ *   4. 调 WechatWorkAppMessageService::sendTextToUser，失败 → status=3 + error（终态，不重试）
+ *   5. 整批不中断；输出 处理 N / 成功 X / 失败 Y / 跳过未绑定 Z
+ */
+class DiagnosisTodoNotify extends Command
+{
+    /** 单次扫描最大条数 */
+    private const BATCH_LIMIT = 200;
+
+    protected function configure()
+    {
+        $this->setName('tcm:diagnosis-todo-notify')
+            ->setDescription('诊单待办事项：扫描到点的待执行项并向创建人发送企业微信消息');
+    }
+
+    protected function execute(Input $input, Output $output): int
+    {
+        $startTs = microtime(true);
+        $now     = time();
+
+        $output->writeln('[' . date('Y-m-d H:i:s', $now) . '] 开始扫描诊单待办事项...');
+
+        $totalProcessed   = 0;
+        $totalSent        = 0;
+        $totalFailed      = 0;
+        $totalSkipped     = 0;  // 被并发抢占
+        $totalUnbound     = 0;  // 创建人未绑定企微（计入 failed）
+
+        try {
+            $todoTable = (new DiagnosisTodo())->getTable();
+
+            $rows = Db::name(self::stripTablePrefix($todoTable))
+                ->where('status', DiagnosisTodo::STATUS_PENDING)
+                ->where('remind_time', '<=', $now)
+                ->whereNull('delete_time')
+                ->order('remind_time', 'asc')
+                ->limit(self::BATCH_LIMIT)
+                ->select()
+                ->toArray();
+
+            $output->writeln('待处理数量：' . count($rows));
+
+            foreach ($rows as $row) {
+                $totalProcessed++;
+                $todoId = (int) ($row['id'] ?? 0);
+                if ($todoId <= 0) {
+                    continue;
+                }
+
+                try {
+                    // 乐观锁：抢占成功时影响 1 行；并发场景下另一个进程已抢走则影响 0 行 → 跳过
+                    $affected = Db::name(self::stripTablePrefix($todoTable))
+                        ->where('id', $todoId)
+                        ->where('status', DiagnosisTodo::STATUS_PENDING)
+                        ->update([
+                            'status'      => DiagnosisTodo::STATUS_SENT,
+                            'notified_at' => $now,
+                            'update_time' => $now,
+                        ]);
+
+                    if ($affected <= 0) {
+                        $totalSkipped++;
+                        continue;
+                    }
+
+                    // 取创建人 work_wechat_userid
+                    $creatorId = (int) ($row['creator_id'] ?? 0);
+                    $wxId      = '';
+                    if ($creatorId > 0) {
+                        $wxId = (string) Admin::where('id', $creatorId)->value('work_wechat_userid');
+                    }
+
+                    if ($wxId === '') {
+                        $this->markFailed($todoTable, $todoId, '创建人未绑定企业微信 userid');
+                        $totalUnbound++;
+                        $totalFailed++;
+                        continue;
+                    }
+
+                    // 拼推送文本
+                    $text = $this->buildText($row);
+
+                    $res = WechatWorkAppMessageService::sendTextToUser($wxId, $text);
+                    if (!($res['ok'] ?? false)) {
+                        $errMsg = (string) ($res['message'] ?? '企业微信推送失败');
+                        $this->markFailed($todoTable, $todoId, $errMsg);
+                        $totalFailed++;
+                        continue;
+                    }
+
+                    $totalSent++;
+                } catch (\Throwable $e) {
+                    Log::error('诊单待办推送异常 todo_id=' . $todoId . ' msg=' . $e->getMessage());
+                    try {
+                        $this->markFailed($todoTable, $todoId, '系统异常: ' . $e->getMessage());
+                    } catch (\Throwable $ee) {
+                        Log::error('回写失败状态出错 todo_id=' . $todoId . ' msg=' . $ee->getMessage());
+                    }
+                    $totalFailed++;
+                }
+            }
+        } catch (\Throwable $e) {
+            Log::error('诊单待办批处理异常: ' . $e->getMessage());
+            $output->error('批处理异常: ' . $e->getMessage());
+
+            return 1;
+        }
+
+        $duration = round(microtime(true) - $startTs, 3);
+        $output->writeln(sprintf(
+            '处理完成。总数: %d, 成功: %d, 失败: %d (其中未绑定企微: %d), 并发跳过: %d, 耗时: %ss',
+            $totalProcessed,
+            $totalSent,
+            $totalFailed,
+            $totalUnbound,
+            $totalSkipped,
+            $duration
+        ));
+
+        return 0;
+    }
+
+    /**
+     * 拼接推送文本
+     *
+     * @param array<string,mixed> $row 待办记录原始行
+     */
+    private function buildText(array $row): string
+    {
+        $patientName = '';
+        $diagnosisId = (int) ($row['diagnosis_id'] ?? 0);
+        if ($diagnosisId > 0) {
+            $patientName = (string) Diagnosis::where('id', $diagnosisId)->value('patient_name');
+        }
+
+        $remindAt = (int) ($row['remind_time'] ?? 0);
+        $content  = trim((string) ($row['content'] ?? ''));
+
+        $lines = [
+            '【患者跟踪提醒】',
+            '患者：' . ($patientName !== '' ? $patientName : '-'),
+            '时间：' . ($remindAt > 0 ? date('Y-m-d H:i', $remindAt) : '-'),
+            '内容：' . ($content !== '' ? $content : '-'),
+            '— 二中心跟踪系统',
+        ];
+
+        return implode("\n", $lines);
+    }
+
+    /**
+     * 标记一条待办为「发送失败」，写入 error 字段
+     */
+    private function markFailed(string $todoTable, int $todoId, string $errMsg): void
+    {
+        $errMsg = mb_substr($errMsg, 0, 500);
+        Db::name(self::stripTablePrefix($todoTable))
+            ->where('id', $todoId)
+            ->update([
+                'status'      => DiagnosisTodo::STATUS_FAILED,
+                'error'       => $errMsg,
+                'update_time' => time(),
+            ]);
+    }
+
+    /**
+     * Db::name() 接收的是不带前缀的表名，BloodRecord 等 Model::getTable() 返回的是带前缀的全名。
+     * 这里去掉首段 `<prefix>_`。注意：项目实际前缀是 `zyt_`，但 think-orm 的 Db::name()
+     * 内部会用 config('database.prefix') 自动拼回，所以这里只需剥离一次即可。
+     */
+    private static function stripTablePrefix(string $tableWithPrefix): string
+    {
+        $prefix = (string) config('database.connections.mysql.prefix', '');
+        if ($prefix !== '' && str_starts_with($tableWithPrefix, $prefix)) {
+            return substr($tableWithPrefix, strlen($prefix));
+        }
+
+        return $tableWithPrefix;
+    }
+}
diff --git a/server/app/common/model/tcm/DiagnosisTodo.php b/server/app/common/model/tcm/DiagnosisTodo.php
new file mode 100644
index 00000000..0adda3cf
--- /dev/null
+++ b/server/app/common/model/tcm/DiagnosisTodo.php
@@ -0,0 +1,99 @@
+<?php
+// +----------------------------------------------------------------------
+// | likeadmin快速开发前后端分离管理后台（PHP版）
+// +----------------------------------------------------------------------
+// | 欢迎阅读学习系统程序代码，建议反馈是我们前进的动力
+// | 开源版本可自由商用，可去除界面版权logo
+// | gitee下载：https://gitee.com/likeshop_gitee/likeadmin
+// | github下载：https://github.com/likeshop-github/likeadmin
+// | 访问官网：https://www.likeadmin.cn
+// | likeadmin团队 版权所有 拥有最终解释权
+// +----------------------------------------------------------------------
+// | author: likeadminTeam
+// +----------------------------------------------------------------------
+
+namespace app\common\model\tcm;
+
+use app\common\model\BaseModel;
+
+/**
+ * 诊单待办事项模型
+ *
+ * 状态机：0=待执行 → 1=已发送 / 2=已取消 / 3=发送失败（终态，不重试）
+ *
+ * @package app\common\model\tcm
+ */
+class DiagnosisTodo extends BaseModel
+{
+    protected $name = 'tcm_diagnosis_todo';
+
+    // 自动时间戳类型设置为整型
+    protected $autoWriteTimestamp = true;
+    protected $createTime          = 'create_time';
+    protected $updateTime          = 'update_time';
+    protected $deleteTime          = 'delete_time';
+
+    // 取出字段保持整型，前端按需要再格式化
+    protected $dateFormat = false;
+
+    /** 状态：待执行 */
+    public const STATUS_PENDING = 0;
+    /** 状态：已发送（成功） */
+    public const STATUS_SENT = 1;
+    /** 状态：已取消（人工） */
+    public const STATUS_CANCELLED = 2;
+    /** 状态：发送失败（终态，不重试） */
+    public const STATUS_FAILED = 3;
+
+    /**
+     * 状态文本映射
+     *
+     * @var array<int,string>
+     */
+    public const STATUS_TEXT_MAP = [
+        self::STATUS_PENDING   => '待执行',
+        self::STATUS_SENT      => '已发送',
+        self::STATUS_CANCELLED => '已取消',
+        self::STATUS_FAILED    => '发送失败',
+    ];
+
+    /**
+     * @notes 状态文本访问器
+     */
+    public function getStatusTextAttr($value, $data): string
+    {
+        $status = (int) ($data['status'] ?? 0);
+
+        return self::STATUS_TEXT_MAP[$status] ?? '未知';
+    }
+
+    /**
+     * @notes 提醒时间格式化（Y-m-d H:i）
+     */
+    public function getRemindTimeTextAttr($value, $data): string
+    {
+        $ts = (int) ($data['remind_time'] ?? 0);
+
+        return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
+    }
+
+    /**
+     * @notes 推送时间格式化
+     */
+    public function getNotifiedAtTextAttr($value, $data): string
+    {
+        $ts = (int) ($data['notified_at'] ?? 0);
+
+        return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
+    }
+
+    /**
+     * @notes 取消时间格式化
+     */
+    public function getCancelledAtTextAttr($value, $data): string
+    {
+        $ts = (int) ($data['cancelled_at'] ?? 0);
+
+        return $ts > 0 ? date('Y-m-d H:i', $ts) : '';
+    }
+}
diff --git a/server/config/console.php b/server/config/console.php
index 3558549d..c37e4ac1 100644
--- a/server/config/console.php
+++ b/server/config/console.php
@@ -34,5 +34,7 @@ return [
         'gancao:sync-logistics' => 'app\\command\\GancaoSyncLogisticsRoute',
         // 迁移诊单图片到医生备注表
         'migrate:images-to-doctor-note' => 'app\\command\\MigrateImagesToDoctorNote',
+        // 诊单待办事项：扫描到点的待执行项并向创建人发送企业微信消息
+        'tcm:diagnosis-todo-notify' => 'app\\command\\DiagnosisTodoNotify',
     ],
 ];
diff --git a/server/sql/1.9.20260420/add_diagnosis_todo_menu.sql b/server/sql/1.9.20260420/add_diagnosis_todo_menu.sql
new file mode 100644
index 00000000..598ba150
--- /dev/null
+++ b/server/sql/1.9.20260420/add_diagnosis_todo_menu.sql
@@ -0,0 +1,44 @@
+# 诊单待办事项：菜单按钮权限注册（T5 - 2026-05-05）
+# 挂在「中医诊单」(perms=tcm.diagnosis/lists) 菜单下，按钮型权限节点：
+#   tcm.diagnosisTodo/lists  待办列表
+#   tcm.diagnosisTodo/add    新增待办
+#   tcm.diagnosisTodo/cancel 取消待办
+# detail 不单独注册（前端不主动调，由列表/详情接口已覆盖）
+
+SET @diag_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.diagnosis/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @diag_menu_id, 'A', '待办列表', '', 60,
+    'tcm.diagnosisTodo/lists', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @diag_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.diagnosisTodo/lists');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @diag_menu_id, 'A', '新增待办', '', 61,
+    'tcm.diagnosisTodo/add', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @diag_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.diagnosisTodo/add');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @diag_menu_id, 'A', '取消待办', '', 62,
+    'tcm.diagnosisTodo/cancel', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @diag_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.diagnosisTodo/cancel');
diff --git a/server/sql/1.9.20260420/add_tcm_diagnosis_todo.sql b/server/sql/1.9.20260420/add_tcm_diagnosis_todo.sql
new file mode 100644
index 00000000..db4291c4
--- /dev/null
+++ b/server/sql/1.9.20260420/add_tcm_diagnosis_todo.sql
@@ -0,0 +1,29 @@
+-- 诊单待办事项（T5 - 2026-05-05）
+-- 用途：医助在诊单上挂「将来要提醒自己的事」，到点由企微推送给创建人本人。
+-- 设计：状态机 0=待执行 → 1=已发送（成功）/ 2=已取消（人工） / 3=发送失败（终态，不重试）
+-- 索引说明：
+--   idx_diagnosis_id          —— 编辑页/列表按诊单查询
+--   idx_creator_id            —— 反查某 admin 创建过的待办（取消权限校验等）
+--   idx_status_remind_time    —— 复合索引，cron 扫表「status=0 AND remind_time<=now」核心索引
+
+CREATE TABLE IF NOT EXISTS `zyt_tcm_diagnosis_todo` (
+    `id`            int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键',
+    `diagnosis_id`  int(11) unsigned NOT NULL DEFAULT 0 COMMENT '所属诊单 id（zyt_tcm_diagnosis.id）',
+    `patient_id`    int(11) unsigned NOT NULL DEFAULT 0 COMMENT '冗余患者 id，便于反查',
+    `content`       varchar(500) NOT NULL DEFAULT '' COMMENT '提醒内容（企微推送正文）',
+    `remind_time`   int(11) unsigned NOT NULL DEFAULT 0 COMMENT '提醒时间戳（秒）；cron 扫描 remind_time<=now',
+    `status`        tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '状态：0=待执行 1=已发送 2=已取消 3=发送失败',
+    `creator_id`    int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建人 admin.id（推送目标）',
+    `creator_name`  varchar(64) NOT NULL DEFAULT '' COMMENT '创建人姓名快照',
+    `notified_at`   int(11) unsigned NOT NULL DEFAULT 0 COMMENT '实际推送时间（成功时写入）',
+    `error`         varchar(500) NOT NULL DEFAULT '' COMMENT '失败原因（status=3 时写入）',
+    `cancelled_at`  int(11) unsigned NOT NULL DEFAULT 0 COMMENT '取消时间',
+    `cancelled_by`  int(11) unsigned NOT NULL DEFAULT 0 COMMENT '取消人 admin.id',
+    `create_time`   int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+    `update_time`   int(11) unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
+    `delete_time`   int(11) unsigned NULL DEFAULT NULL COMMENT '软删除时间',
+    PRIMARY KEY (`id`),
+    KEY `idx_diagnosis_id` (`diagnosis_id`),
+    KEY `idx_creator_id` (`creator_id`),
+    KEY `idx_status_remind_time` (`status`, `remind_time`)
+) ENGINE = InnoDB DEFAULT CHARSET = utf8mb4 COLLATE = utf8mb4_unicode_ci COMMENT = '诊单待办事项（企微定时推送给创建人）';