更新

server/app/adminapi/controller/ChatController.php

@@ -0,0 +1,25 @@
+<?php
+
+namespace app\adminapi\controller;
+
+use app\api\logic\ChatNotifyLogic;
+
+/**
+ * 聊天通知接口（管理端-医生）
+ */
+class ChatController extends BaseAdminController
+{
+    /**
+     * 获取当前医生的患者打开会话通知
+     * 轮询接口，获取后即消费
+     */
+    public function notifications()
+    {
+        $doctorId = $this->adminId;
+        if ($doctorId <= 0) {
+            return $this->success('', []);
+        }
+        $list = ChatNotifyLogic::getNotifies($doctorId, true);
+        return $this->success('', $list);
+    }
+}

server/app/adminapi/logic/doctor/AppointmentLogic.php

@@ -5,6 +5,9 @@ namespace app\adminapi\logic\doctor;
 use app\common\logic\BaseLogic;
 use app\common\model\doctor\Appointment;
 use app\common\model\doctor\Roster;
+use app\common\model\tcm\Diagnosis;
+use app\common\model\auth\Admin;
+use app\api\logic\ChatNotifyLogic;
 use think\facade\Db;
 
 /**
@@ -390,6 +393,25 @@ class AppointmentLogic extends BaseLogic
             $appointment->update_time = time();
             $appointment->save();
 
+            // 面诊结束：通知对应医助（从诊单 assistant_id 获取）
+            try {
+                $diagnosis = Diagnosis::where('id', $appointment->patient_id)->find();
+                if ($diagnosis && !empty($diagnosis->assistant_id)) {
+                    $assistantId = (int) $diagnosis->assistant_id;
+                    $patientName = $diagnosis->patient_name ?? '患者';
+                    $doctor = Admin::where('id', $appointment->doctor_id)->find();
+                    $doctorName = $doctor ? $doctor->name : '医生';
+                    ChatNotifyLogic::addConsultationCompleteNotify(
+                        $assistantId,
+                        $patientName,
+                        $doctorName,
+                        (int) $appointment->patient_id
+                    );
+                }
+            } catch (\Throwable $e) {
+                \think\facade\Log::warning('面诊结束通知医助失败: ' . $e->getMessage());
+            }
+
             return true;
         } catch (\Exception $e) {
             self::setError($e->getMessage());

server/app/adminapi/logic/tcm/DiagnosisLogic.php

@@ -924,16 +924,17 @@ class DiagnosisLogic extends BaseLogic
                 self::setError('生成签名失败');
                 return false;
             }
-            
+            //添加患者资料
             // 确保患者账号已导入IM
             self::ensurePatientImAccount($patientId, $patientUserId);
             
             \think\facade\Log::info('小程序获取患者签名成功 - patient_id: ' . $patientId . ', user_id: ' . $patientUserId);
-            
+           $data= Diagnosis::where('id', $patientId)->find();
             return [
                 'sdkAppId' => (int)$config['sdkAppId'],
                 'userId' => $patientUserId,
                 'userSig' => $userSig,
+                'data'=>$data,
                 'expireTime' => 86400
             ];
         } catch (\Exception $e) {