更新功能

2026-05-26 18:05:48 +08:00
parent 5b233fb0ab
commit 0dd9cdcba9
8 changed files with 4703 additions and 10 deletions
@@ -1,5 +1,5 @@
 import App from './App'
-var baseUrl ='https://admin.zhenyangtang.com.cn/';
+var baseUrl ='https://css.zhenyangtang.com.cn/';
 // #ifndef VUE3
 import Vue from 'vue'
 import './uni.promisify.adaptor'
@@ -57,7 +57,13 @@
        "optimization" : {
            "subPackages" : true
        },
-        "usingComponents" : true
+        "usingComponents" : true,
+        "plugins" : {
+            "WechatSI" : {
+                "version" : "0.3.5",
+                "provider" : "wx069ba97219f66d99"
+            }
+        }
    },
    "mp-alipay" : {
        "usingComponents" : true
@@ -126,6 +126,21 @@
 					}
 				}
 			]
+		},
+		{
+			"root": "tongji",
+			"pages": [
+				{
+					"path": "pages/index",
+					"style": {
+						"navigationBarTitleText": "日常记录",
+						"navigationBarBackgroundColor": "#0ea5a4",
+						"navigationBarTextStyle": "white",
+						"backgroundColor": "#f1f5f9",
+						"enablePullDownRefresh": true
+					}
+				}
+			]
 		}
 	],
 	"tabBar": {
@@ -53,6 +53,18 @@
 						<text class="time-value">{{ card.create_time || '-' }}</text>
 					</view>
 				</view>
+
+				<!-- 快捷入口 -->
+				<view class="card-actions">
+					<view class="card-action-btn primary" @click.stop="viewDailyRecord(card)">
+						<text class="card-action-icon">📈</text>
+						<text class="card-action-text">日常记录</text>
+					</view>
+					<view class="card-action-btn" @click.stop="viewCardDetail(card)">
+						<text class="card-action-icon">📝</text>
+						<text class="card-action-text">查看 / 编辑</text>
+					</view>
+				</view>
 			</view>

 			<!-- 空状态 -->
@@ -138,6 +150,16 @@ const viewCardDetail = (card) => {
 	})
 }

+// 查看日常记录（血糖血压 / 饮食 / 运动 / 跟踪备注 + 波浪图）
+const viewDailyRecord = (card) => {
+	const url = `/tongji/pages/index?diagnosis_id=${card.id}` +
+		`&patient_id=${card.patient_id || ''}` +
+		`&patient_name=${encodeURIComponent(card.patient_name || '')}` +
+		`&age=${card.age || ''}` +
+		`&gender=${card.gender || ''}`
+	uni.navigateTo({ url })
+}
+
 // 新建就诊卡（patient_id 创建后自动生成，仅需登录）
 const createCard = () => {
 	const token = uni.getStorageSync('token')
@@ -310,6 +332,54 @@ const formatDate = (timestamp) => {
 	border-top: 4rpx solid #e8eaed;
 }

+.card-actions {
+	display: flex;
+	gap: 20rpx;
+	margin-top: 28rpx;
+	padding-top: 28rpx;
+	border-top: 4rpx solid #e8eaed;
+}
+
+.card-action-btn {
+	flex: 1;
+	display: flex;
+	align-items: center;
+	justify-content: center;
+	gap: 12rpx;
+	padding: 24rpx 12rpx;
+	background: #f6faff;
+	border-radius: 20rpx;
+	border: 2rpx solid #d6e6fb;
+	min-height: 80rpx;
+	transition: all 0.2s;
+	
+	&:active {
+		transform: scale(0.98);
+		opacity: 0.85;
+	}
+	
+	&.primary {
+		background: linear-gradient(135deg, #1890ff, #0ea5a4);
+		border-color: transparent;
+		
+		.card-action-icon,
+		.card-action-text {
+			color: #ffffff;
+		}
+	}
+}
+
+.card-action-icon {
+	font-size: 36rpx;
+	color: #1890ff;
+}
+
+.card-action-text {
+	font-size: 30rpx;
+	color: #1890ff;
+	font-weight: 500;
+}
+
 .time-info {
 	display: flex;
 	align-items: center;
@@ -23,6 +23,10 @@
            </div>

            <div v-if="canEditDailyRecord" class="daily-matrix__toolbar-right">
+                <span v-if="hasPatientSelfRecord" class="daily-matrix__legend">
+                    <span class="daily-matrix__cell-patient">自录</span>
+                    <span class="daily-matrix__legend-text">= 患者在小程序自录</span>
+                </span>
                <el-button type="primary" @click="openQuickAdd('blood')">+血糖</el-button>
                <el-button @click="openQuickAdd('diet')">+饮食</el-button>
                <el-button @click="openQuickAdd('exercise')">+运动</el-button>
@@ -30,6 +34,10 @@
                <el-button @click="fetchTracking">刷新</el-button>
            </div>
            <div v-else class="daily-matrix__toolbar-right">
+                <span v-if="hasPatientSelfRecord" class="daily-matrix__legend">
+                    <span class="daily-matrix__cell-patient">自录</span>
+                    <span class="daily-matrix__legend-text">= 患者在小程序自录</span>
+                </span>
                <el-button @click="fetchTracking">刷新</el-button>
            </div>
        </div>
@@ -57,7 +65,8 @@
                        :class="{
                            'is-clickable': isCellClickable(row.key, date),
                            'is-empty': !getCell(row.key, date).hasRecord,
-                            'is-high': getCell(row.key, date).isHigh
+                            'is-high': getCell(row.key, date).isHigh,
+                            'is-patient-self': getCell(row.key, date).isPatientSelf && getCell(row.key, date).hasRecord
                        }"
                        @click="handleCellClick(row.key, date)"
                    >
@@ -82,6 +91,14 @@
                        <template v-else-if="getCell(row.key, date).value">
                            <span>{{ getCell(row.key, date).value }}</span>
                            <span v-if="getCell(row.key, date).isHigh" class="daily-matrix__cell-up">↑</span>
+                            <el-tooltip
+                                v-if="getCell(row.key, date).isPatientSelf"
+                                content="患者在小程序自录的数据"
+                                placement="top"
+                                :show-after="120"
+                            >
+                                <span class="daily-matrix__cell-patient">自录</span>
+                            </el-tooltip>
                        </template>
                        <template v-else>—</template>
                    </div>
@@ -345,6 +362,10 @@ interface BloodRecord {
    western_medicine?: string
    insulin?: string
    remark?: string
+    /** 来源：0-医生录入 1-患者自录（小程序日常记录页） */
+    source?: number
+    /** 合并后该日是否含有「患者自录」记录 */
+    has_patient_self?: boolean
    [key: string]: any
 }

@@ -558,6 +579,10 @@ const visibleDates = computed(() => {
    return dates
 })

+const hasPatientSelfRecord = computed(() => {
+    return bloodRecords.value.some((r) => Number((r as any).source) === 1)
+})
+
 const bloodByDate = computed(() => {
    const map = new Map<string, BloodRecord>()
    for (const record of bloodRecords.value) {
@@ -570,7 +595,8 @@ const bloodByDate = computed(() => {
                patient_id: record.patient_id,
                record_date: date,
                record_time: record.record_time || '',
-                record_date_ts: record.record_date_ts
+                record_date_ts: record.record_date_ts,
+                has_patient_self: false
            })
        }
        const merged = map.get(date)!
@@ -594,6 +620,10 @@ const bloodByDate = computed(() => {
                ;(merged as any)[field] = record[field]
            }
        }
+        // 当天有任意 source=1 的记录则标记为患者自录
+        if (Number(record.source) === 1) {
+            merged.has_patient_self = true
+        }
    }
    return map
 })
@@ -723,35 +753,40 @@ function parseTrendNumber(value: unknown): number | null {
    return parsed
 }

-function getCell(metric: string, date: string): { value: string; isHigh: boolean; hasRecord: boolean } {
+function getCell(metric: string, date: string): { value: string; isHigh: boolean; hasRecord: boolean; isPatientSelf?: boolean } {
    const blood = bloodByDate.value.get(date)
    const diet = dietByDate.value.get(date)
    const exercise = exerciseByDate.value.get(date)
    const tracking = trackingByDate.value.get(date)
+    const isPatientSelf = !!blood?.has_patient_self
    switch (metric) {
        case 'fasting':
            return {
                value: blood?.fasting_blood_sugar != null && blood.fasting_blood_sugar !== '' ? String(blood.fasting_blood_sugar) : '',
                isHigh: isHighFastingBloodSugar(blood?.fasting_blood_sugar, props.age),
-                hasRecord: !!blood && blood.fasting_blood_sugar != null && blood.fasting_blood_sugar !== ''
+                hasRecord: !!blood && blood.fasting_blood_sugar != null && blood.fasting_blood_sugar !== '',
+                isPatientSelf
            }
        case 'postprandial':
            return {
                value: blood?.postprandial_blood_sugar != null && blood.postprandial_blood_sugar !== '' ? String(blood.postprandial_blood_sugar) : '',
                isHigh: isHighPostprandialBloodSugar(blood?.postprandial_blood_sugar, props.age),
-                hasRecord: !!blood && blood.postprandial_blood_sugar != null && blood.postprandial_blood_sugar !== ''
+                hasRecord: !!blood && blood.postprandial_blood_sugar != null && blood.postprandial_blood_sugar !== '',
+                isPatientSelf
            }
        case 'other':
            return {
                value: blood?.other_blood_sugar != null && blood.other_blood_sugar !== '' ? String(blood.other_blood_sugar) : '',
                isHigh: isHighOtherBloodSugar(blood?.other_blood_sugar, props.age),
-                hasRecord: !!blood && blood.other_blood_sugar != null && blood.other_blood_sugar !== ''
+                hasRecord: !!blood && blood.other_blood_sugar != null && blood.other_blood_sugar !== '',
+                isPatientSelf
            }
        case 'bp':
            return {
                value: blood && (blood.systolic_pressure || blood.diastolic_pressure) ? formatBp(blood) : '',
                isHigh: isHighBloodPressure(blood),
-                hasRecord: !!blood && !!(blood.systolic_pressure || blood.diastolic_pressure)
+                hasRecord: !!blood && !!(blood.systolic_pressure || blood.diastolic_pressure),
+                isPatientSelf
            }
        case 'western':
            return {
@@ -1115,6 +1150,12 @@ defineExpose({ refresh: fetchTracking })
            color: #dc2626;
            font-weight: 700;
        }
+
+        &.is-patient-self {
+            position: relative;
+            background: linear-gradient(180deg, rgba(139, 92, 246, 0.04) 0%, rgba(139, 92, 246, 0.10) 100%);
+            border-radius: 4px;
+        }
    }

    &__cell-up {
@@ -1122,6 +1163,38 @@ defineExpose({ refresh: fetchTracking })
        font-size: 13px;
    }

+    &__cell-patient {
+        display: inline-block;
+        margin-left: 4px;
+        padding: 1px 6px;
+        font-size: 11px;
+        font-weight: 600;
+        color: #6d28d9;
+        background: #ede9fe;
+        border: 1px solid #ddd6fe;
+        border-radius: 999px;
+        line-height: 1.2;
+        letter-spacing: 0.5px;
+        white-space: nowrap;
+    }
+
+    &__legend {
+        display: inline-flex;
+        align-items: center;
+        gap: 6px;
+        margin-right: 12px;
+        padding: 2px 10px 2px 6px;
+        background: #f8f6ff;
+        border: 1px dashed #ddd6fe;
+        border-radius: 999px;
+    }
+
+    &__legend-text {
+        font-size: 12px;
+        color: #6d28d9;
+        font-weight: 500;
+    }
+
    &__todo {
        margin-top: 16px;
    }
@@ -15,7 +15,10 @@
 namespace app\api\controller;

 use app\adminapi\logic\tcm\DiagnosisLogic;
+use app\adminapi\logic\tcm\TrackingNoteLogic;
 use app\adminapi\logic\ConfigLogic;
+use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\BloodRecord;

 /**
 * 中医诊断控制器（供小程序调用）
@@ -28,7 +31,7 @@ class TcmController extends BaseApiController
     * @notes 不需要登录的方法
     * @var array
     */
-    public array $notNeedLogin = ['getPatientSignature', 'diagnosisDetail', 'getDict', 'confirmDiagnosis', 'getCardList', 'getOrderByNo', 'patientHangupVideo'];
+    public array $notNeedLogin = ['getPatientSignature', 'diagnosisDetail', 'getDict', 'confirmDiagnosis', 'getCardList', 'getOrderByNo', 'patientHangupVideo', 'dailyTrackingWindow', 'dailyTrackingNotes'];
    
    /**
     * @notes 获取患者签名（供小程序调用）
@@ -332,6 +335,301 @@ class TcmController extends BaseApiController
        }
    }

+    /**
+     * @notes 日常记录窗口数据（血糖血压 / 饮食 / 运动）—— 患者端
+     *
+     * 路由：GET /api/tcm/dailyTrackingWindow?diagnosis_id=:id&patient_id=:pid&start_date=&end_date=
+     * 说明：供小程序「日常记录」页面拉取一段时间内的跟踪数据，复用后台 fetchTrackingWindow。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTrackingWindow()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $patientId   = (int) $this->request->get('patient_id', 0);
+        $startDate   = (string) $this->request->get('start_date', '');
+        $endDate     = (string) $this->request->get('end_date', '');
+
+        if ($diagnosisId <= 0) {
+            return $this->fail('诊单ID不能为空');
+        }
+
+        try {
+            // 患者端越权校验：诊单必须存在；如传入 patient_id 则须与诊单匹配
+            $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+            if (!$diagnosis) {
+                return $this->fail('诊单不存在');
+            }
+            if ($patientId > 0 && (int) $diagnosis['patient_id'] !== $patientId) {
+                return $this->fail('无权查看该诊单的日常记录');
+            }
+
+            $data = DiagnosisLogic::fetchTrackingWindow($diagnosisId, $startDate, $endDate);
+
+            // 把诊断的基础信息一并返回，便于小程序展示头部摘要
+            $data['diagnosis'] = [
+                'id'           => (int) $diagnosis['id'],
+                'patient_id'   => (int) $diagnosis['patient_id'],
+                'patient_name' => (string) ($diagnosis['patient_name'] ?? ''),
+                'age'          => (int) ($diagnosis['age'] ?? 0),
+                'gender'       => (int) ($diagnosis['gender'] ?? 0),
+            ];
+
+            return $this->data($data);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-跟踪备注列表（患者端）
+     *
+     * 路由：GET /api/tcm/dailyTrackingNotes?diagnosis_id=:id&patient_id=:pid
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTrackingNotes()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $patientId   = (int) $this->request->get('patient_id', 0);
+
+        if ($diagnosisId <= 0) {
+            return $this->fail('诊单ID不能为空');
+        }
+
+        try {
+            $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+            if (!$diagnosis) {
+                return $this->fail('诊单不存在');
+            }
+            if ($patientId > 0 && (int) $diagnosis['patient_id'] !== $patientId) {
+                return $this->fail('无权查看该诊单的跟踪备注');
+            }
+
+            $notes = TrackingNoteLogic::getByDiagnosis($diagnosisId);
+            return $this->data($notes);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 校验当前登录患者是否拥有指定诊单（通过 diagnosis_view_records 关联）
+     * @param int $diagnosisId
+     * @return array{ok:bool,diagnosis?:\app\common\model\tcm\Diagnosis,error?:string}
+     */
+    private function ensurePatientOwnsDiagnosis(int $diagnosisId): array
+    {
+        if (!$this->userId) {
+            return ['ok' => false, 'error' => '请先登录'];
+        }
+        if ($diagnosisId <= 0) {
+            return ['ok' => false, 'error' => '诊单ID不能为空'];
+        }
+
+        $diagnosis = Diagnosis::where('id', $diagnosisId)->find();
+        if (!$diagnosis) {
+            return ['ok' => false, 'error' => '诊单不存在'];
+        }
+
+        // 通过 diagnosis_view_records 校验当前小程序用户与该诊单的归属关系
+        // 该表是「就诊卡列表」的来源（参考 DiagnosisLogic::getCardList）
+        $owned = \think\facade\Db::name('diagnosis_view_records')
+            ->where('user_id', $this->userId)
+            ->where('diagnosis_id', $diagnosisId)
+            ->where('delete_time', null)
+            ->find();
+
+        if (!$owned) {
+            return ['ok' => false, 'error' => '无权操作该诊单'];
+        }
+
+        return ['ok' => true, 'diagnosis' => $diagnosis];
+    }
+
+    /**
+     * @notes 日常记录-获取今日已录入的血糖血压记录（患者端）
+     *
+     * 路由：GET /api/tcm/dailyTodayBloodRecord?diagnosis_id=:id
+     *
+     * 用于「日常记录」页打开「录入今日」表单时预填数据；只返回 source=1 的当天记录。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyTodayBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->get('diagnosis_id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $record = BloodRecord::where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->where('record_date', '>=', $todayStart)
+                ->where('record_date', '<=', $todayEnd)
+                ->order('id', 'desc')
+                ->find();
+
+            if (!$record) {
+                return $this->data(['record' => null, 'today' => date('Y-m-d')]);
+            }
+
+            $data                  = $record->toArray();
+            $data['record_date']   = date('Y-m-d', (int) $data['record_date']);
+            return $this->data(['record' => $data, 'today' => date('Y-m-d')]);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-保存今日的血糖血压记录（患者端）
+     *
+     * 路由：POST /api/tcm/dailySaveBloodRecord
+     * 必填：diagnosis_id
+     * 可选数值：fasting_blood_sugar, postprandial_blood_sugar, other_blood_sugar,
+     *           systolic_pressure, diastolic_pressure
+     * 可选字符串：remark
+     *
+     * 语义：同一天同一诊单只有一条 source=1 的记录；存在则 update，不存在则 create。
+     * 日期强制为「今天」；任何 record_date 入参被忽略，避免补录历史。
+     *
+     * @return \think\response\Json
+     */
+    public function dailySaveBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->post('diagnosis_id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+        $diagnosis = $check['diagnosis'];
+
+        // 解析并校验数值字段；空字符串当 null 处理
+        $parseDecimal = function ($v) {
+            if ($v === null || $v === '' || $v === '0' || $v === 0) return null;
+            if (!is_numeric($v)) return null;
+            $f = (float) $v;
+            return $f > 0 ? $f : null;
+        };
+        $parseInt = function ($v) {
+            if ($v === null || $v === '') return null;
+            if (!is_numeric($v)) return null;
+            $i = (int) $v;
+            return $i > 0 ? $i : null;
+        };
+
+        $fasting       = $parseDecimal($this->request->post('fasting_blood_sugar'));
+        $postprandial  = $parseDecimal($this->request->post('postprandial_blood_sugar'));
+        $other         = $parseDecimal($this->request->post('other_blood_sugar'));
+        $systolic      = $parseInt($this->request->post('systolic_pressure'));
+        $diastolic     = $parseInt($this->request->post('diastolic_pressure'));
+        $remark        = trim((string) $this->request->post('remark', ''));
+
+        // 至少要填一个有效字段
+        if ($fasting === null && $postprandial === null && $other === null &&
+            $systolic === null && $diastolic === null && $remark === '') {
+            return $this->fail('请至少填写一项血糖或血压数据');
+        }
+
+        // 边界校验，避免误录天文数字
+        if ($fasting !== null && ($fasting < 0.1 || $fasting > 50)) return $this->fail('空腹血糖数值异常');
+        if ($postprandial !== null && ($postprandial < 0.1 || $postprandial > 50)) return $this->fail('餐后血糖数值异常');
+        if ($other !== null && ($other < 0.1 || $other > 50)) return $this->fail('其他血糖数值异常');
+        if ($systolic !== null && ($systolic < 40 || $systolic > 300)) return $this->fail('收缩压数值异常');
+        if ($diastolic !== null && ($diastolic < 20 || $diastolic > 200)) return $this->fail('舒张压数值异常');
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $existing = BloodRecord::where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->where('record_date', '>=', $todayStart)
+                ->where('record_date', '<=', $todayEnd)
+                ->order('id', 'desc')
+                ->find();
+
+            $payload = [
+                'diagnosis_id'             => $diagnosisId,
+                'patient_id'               => (int) $diagnosis['patient_id'],
+                'record_date'              => $todayStart,
+                'record_time'              => date('H:i'),
+                'fasting_blood_sugar'      => $fasting,
+                'postprandial_blood_sugar' => $postprandial,
+                'other_blood_sugar'        => $other,
+                'systolic_pressure'        => $systolic,
+                'diastolic_pressure'       => $diastolic,
+                'remark'                   => $remark,
+                'source'                   => 1,
+            ];
+
+            if ($existing) {
+                $payload['id'] = $existing['id'];
+                BloodRecord::update($payload);
+                return $this->success('已更新今日记录', ['id' => $existing['id']]);
+            }
+
+            $created = BloodRecord::create($payload);
+            return $this->success('录入成功', ['id' => $created->id]);
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
+    /**
+     * @notes 日常记录-删除今日的血糖血压记录（患者端）
+     *
+     * 路由：POST /api/tcm/dailyDeleteBloodRecord
+     * 必填：diagnosis_id, id
+     *
+     * 只允许删除当前用户拥有的诊单 + 当天 + source=1 的记录；其他情况一律拒绝。
+     *
+     * @return \think\response\Json
+     */
+    public function dailyDeleteBloodRecord()
+    {
+        $diagnosisId = (int) $this->request->post('diagnosis_id', 0);
+        $recordId    = (int) $this->request->post('id', 0);
+        $check = $this->ensurePatientOwnsDiagnosis($diagnosisId);
+        if (!$check['ok']) {
+            return $this->fail($check['error']);
+        }
+
+        if ($recordId <= 0) {
+            return $this->fail('记录ID不能为空');
+        }
+
+        try {
+            $todayStart = strtotime(date('Y-m-d 00:00:00'));
+            $todayEnd   = strtotime(date('Y-m-d 23:59:59'));
+
+            $record = BloodRecord::where('id', $recordId)
+                ->where('diagnosis_id', $diagnosisId)
+                ->where('source', 1)
+                ->find();
+
+            if (!$record) {
+                return $this->fail('记录不存在或无权删除');
+            }
+
+            $ts = (int) $record['record_date'];
+            if ($ts < $todayStart || $ts > $todayEnd) {
+                return $this->fail('只能删除当天的记录');
+            }
+
+            BloodRecord::destroy($recordId);
+            return $this->success('已删除');
+        } catch (\Exception $e) {
+            return $this->fail($e->getMessage());
+        }
+    }
+
    /**
     * @notes 根据订单号获取订单详情（供小程序支付页调用）
     * @return \think\response\Json
@@ -0,0 +1,11 @@
+-- 为「血糖血压记录表」增加来源字段
+-- 0 = 医生 / 助理在管理后台录入（历史数据默认 0）
+-- 1 = 患者在小程序「日常记录」页自录
+-- 该字段用于：1) 后台 DailyMatrix 上展示「患者自录」徽章；2) 限制患者只能编辑/删除自己当天的记录
+
+ALTER TABLE `zyt_tcm_blood_record`
+ADD COLUMN `source` tinyint(1) NOT NULL DEFAULT 0 COMMENT '来源：0-医生录入 1-患者自录' AFTER `remark`;
+
+-- 加索引方便按来源过滤
+ALTER TABLE `zyt_tcm_blood_record`
+ADD KEY `idx_source` (`source`);