更新

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

@@ -138,7 +138,7 @@ class DiagnosisLogic extends BaseLogic
     private static function generatePatientId(): int
     {
         // 获取当前最大的患者ID
-        $maxPatientId = Diagnosis::max('patient_id') ?? 100000;
+        $maxPatientId = Diagnosis::max('id') ?? 10000000;
         
         // 返回下一个患者ID
         return $maxPatientId + 1;