1

.claude/settings.local.json

@@ -12,7 +12,8 @@
       "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(npx eslint *)"
+      "Bash(npx eslint *)",
+      "Bash(git *)"
     ]
   }
 }

admin/src/api/tcm.ts

@@ -5,6 +5,11 @@ export function tcmDiagnosisLists(params: any) {
     return request.get({ url: '/tcm.diagnosis/lists', params })
 }
 
+/** 二诊只读病例详情（T1+T2）：返回 appointment + diagnosis + tracking + 未服务天数 */
+export function diagnosisReadonlyDetail(params: { id: number }) {
+    return request.get({ url: '/tcm.diagnosis/readonlyDetail', params })
+}
+
 // 医助理诊单统计（按部门、按人）
 export function assistantDiagnosisStats(params?: {
     start_time?: string

admin/src/router/routes.ts

@@ -82,6 +82,24 @@ export const constantRoutes: Array<RouteRecordRaw> = [
     {
         path: '/tcm/diagnosis/h5',
         component: () => import('@/views/tcm/diagnosis/index_h5.vue')
+    },
+    {
+        // T1+T2：患者信息详情页（隐藏路由 — 不在侧边栏出现，由诊单列表的「查看」/双击行驱动跳转）
+        path: '/tcm/diagnosis-readonly',
+        component: LAYOUT,
+        meta: { hidden: true },
+        children: [
+            {
+                path: '',
+                component: () => import('@/views/tcm/diagnosis/readonly.vue'),
+                name: 'tcmDiagnosisReadonly',
+                meta: {
+                    title: '患者信息详情',
+                    hidden: true,
+                    activeMenu: '/tcm/diagnosis'
+                }
+            }
+        ]
     }
     // {
     //     path: '/dev_tools',

admin/src/utils/blood-thresholds.ts

@@ -0,0 +1,86 @@
+/**
+ * 血糖 / 血压 阈值与异常判定工具
+ *
+ * 阈值规则（与 reception/index.vue 抽离前一致）：
+ *   - 年龄 < 50：空腹血糖 ≥ 7、餐后/其他血糖 ≥ 9 视为偏高
+ *   - 年龄 ≥ 50：空腹血糖 ≥ 8、餐后/其他血糖 ≥ 10 视为偏高
+ *   - 收缩压 > 140 / 舒张压 > 90 视为偏高
+ *
+ * 任何字段缺失或非数值 → 视为「不偏高」（避免误报红色 ↑）。
+ */
+
+/**
+ * 把任意值转成有限数字；空 / 非法 → null
+ */
+export function toNumeric(value: unknown): number | null {
+    if (value === null || value === undefined || value === '') return null
+    const num = Number(value as any)
+    return Number.isFinite(num) ? num : null
+}
+
+/**
+ * 根据年龄返回血糖阈值；年龄缺失/非法 → null（=不判定偏高）
+ */
+export function getBloodSugarThresholds(
+    ageValue: unknown
+): { fasting: number; postprandial: number } | null {
+    const age = toNumeric(ageValue)
+    if (age === null) return null
+    if (age < 50) return { fasting: 7, postprandial: 9 }
+    return { fasting: 8, postprandial: 10 }
+}
+
+export function isHighFastingBloodSugar(value: unknown, ageValue: unknown): boolean {
+    const num = toNumeric(value)
+    const thresholds = getBloodSugarThresholds(ageValue)
+    return num !== null && thresholds !== null && num >= thresholds.fasting
+}
+
+export function isHighPostprandialBloodSugar(value: unknown, ageValue: unknown): boolean {
+    const num = toNumeric(value)
+    const thresholds = getBloodSugarThresholds(ageValue)
+    return num !== null && thresholds !== null && num >= thresholds.postprandial
+}
+
+/**
+ * 「其他血糖」按餐后阈值判定（与 reception 原实现一致）
+ */
+export function isHighOtherBloodSugar(value: unknown, ageValue: unknown): boolean {
+    const num = toNumeric(value)
+    const thresholds = getBloodSugarThresholds(ageValue)
+    return num !== null && thresholds !== null && num >= thresholds.postprandial
+}
+
+export function isHighSystolicPressure(value: unknown): boolean {
+    const num = toNumeric(value)
+    return num !== null && num > 140
+}
+
+export function isHighDiastolicPressure(value: unknown): boolean {
+    const num = toNumeric(value)
+    return num !== null && num > 90
+}
+
+/**
+ * 一行血糖血压记录是否有任一压偏高
+ */
+export function isHighBloodPressure(row: {
+    systolic_pressure?: unknown
+    diastolic_pressure?: unknown
+} | null | undefined): boolean {
+    if (!row) return false
+    return isHighSystolicPressure(row.systolic_pressure) || isHighDiastolicPressure(row.diastolic_pressure)
+}
+
+/**
+ * 把一行记录的血压两值格式化为 `xxx / yyy`，缺值 → `—`
+ */
+export function formatBp(row: {
+    systolic_pressure?: unknown
+    diastolic_pressure?: unknown
+} | null | undefined): string {
+    const sys = row?.systolic_pressure
+    const dia = row?.diastolic_pressure
+    if (sys == null && dia == null) return '—'
+    return `${sys ?? '—'} / ${dia ?? '—'}`
+}

admin/src/utils/diag-display.ts

@@ -0,0 +1,63 @@
+/**
+ * 病例 / 接诊页通用展示辅助
+ *
+ * - maskPhone：手机号脱敏 138****1234
+ * - formatGender：0/1 → 女/男
+ * - formatPeriod：morning/afternoon → 上午/下午
+ * - joinArray：数组 → 顿号拼接，非数组 → toString
+ * - makeTextOf：工厂，传入 diag ref/getter，返回闭包后的 textOf 函数
+ *
+ * 翻译规则（textOf）：诊单字典字段由后端 `AppointmentLogic::enrichDiagnosisLabels`
+ * 预翻译为 `<field>_text`，前端优先读 `*_text`；找不到时回退原值。
+ */
+
+import type { Ref } from 'vue'
+
+export function maskPhone(phone?: string | null): string {
+    if (!phone) return '—'
+    if (phone.length < 11) return phone
+    return phone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2')
+}
+
+export function formatGender(g?: number | null): string {
+    if (g === 1) return '男'
+    if (g === 0) return '女'
+    return '—'
+}
+
+export function formatPeriod(period?: string | null): string {
+    if (period === 'morning') return '上午'
+    if (period === 'afternoon') return '下午'
+    return '全天'
+}
+
+export function joinArray(arr: unknown): string {
+    if (!arr) return ''
+    if (Array.isArray(arr)) return arr.filter(Boolean).join('、')
+    return String(arr)
+}
+
+/**
+ * 创建闭包了具体 diag 的 textOf 取值器。
+ * 同时支持 `Ref` / `() => any` / 普通对象，避免在调用方处反复样板。
+ */
+export function makeTextOf(diagSource: Ref<any> | (() => any) | Record<string, any>) {
+    const resolve = (): Record<string, any> => {
+        if (typeof diagSource === 'function') {
+            return (diagSource as () => any)() || {}
+        }
+        if (diagSource && typeof diagSource === 'object' && 'value' in diagSource) {
+            return ((diagSource as Ref<any>).value ?? {}) as Record<string, any>
+        }
+        return (diagSource as Record<string, any>) || {}
+    }
+
+    return function textOf(field: string): string {
+        const d = resolve()
+        const t = d[field + '_text']
+        if (t !== undefined && t !== null && t !== '') return String(t)
+        const raw = d[field]
+        if (raw === undefined || raw === null || raw === '') return ''
+        return Array.isArray(raw) ? raw.join('、') : String(raw)
+    }
+}

admin/src/views/patient/reception/index.vue

@@ -111,126 +111,10 @@
 
                 <template v-else-if="detail">
                     <!-- 患者信息 -->
-                    <div class="card patient-card">
+                    <PatientInfoCard :apt="apt" :diag="diag" />
-                        <div class="card-title">患者信息</div>
-                        <div class="patient-hero">
-                            <div class="patient-name">{{ apt.patient_name || '—' }}</div>
-                            <div class="patient-meta">
-                                <div>{{ maskPhone(apt.patient_phone) }} · {{ formatGender(diag.gender) }} · {{ diag.age != null ? diag.age + '岁' : '—' }}</div>
-                                <div>{{ diag.height ? diag.height + 'cm' : '—' }} / {{ diag.weight ? diag.weight + 'kg' : '—' }} · {{ diag.region || '—' }}</div>
-                                <div>预约：{{ apt.appointment_date }} {{ apt.appointment_time }} · {{ formatPeriod(apt.period) }}</div>
-                                <div>医生：{{ apt.doctor_name || '—' }}　医助：{{ apt.assistant_name || '—' }}</div>
-                                <div>状态：{{ apt.status_desc || '—' }} · {{ apt.has_prescription ? '已开方' : '未开方' }}</div>
-                                <div v-if="apt.remark">备注：{{ apt.remark }}</div>
-                            </div>
-                        </div>
-                    </div>
 
-                    <!-- 患者病例（完整、字段与 tcm/diagnosis/edit.vue 保持同步，只读展示） -->
+                    <!-- 患者病例（与 tcm/diagnosis/readonly 共用同一组件，确保两处字段一致） -->
-                    <div class="card case-card">
+                    <PatientCaseCard :apt="apt" :diag="diag" />
-                        <div class="card-title">
-                            患者病例
-                            <span class="case-sub">{{ caseTypeLabel }} · 诊断日期 {{ diag.diagnosis_date || apt.appointment_date || '—' }}</span>
-                        </div>
-
-                        <!-- 基本信息 -->
-                        <div class="grid-block">
-                            <div class="grid-title">基本信息</div>
-                            <div class="kv-grid four">
-                                <KVItem label="诊单ID" :value="diag.patient_id" />
-                                <KVItem label="姓名" :value="diag.patient_name" />
-                                <KVItem label="身份证号" :value="diag.id_card" />
-                                <KVItem label="手机号" :value="maskPhone(diag.phone || apt.patient_phone)" />
-                                <KVItem label="性别" :value="textOf('gender')" />
-                                <KVItem label="年龄" :value="diag.age != null ? diag.age + '岁' : ''" />
-                                <KVItem label="婚姻状态" :value="textOf('marital_status')" />
-                                <KVItem label="地区" :value="diag.region" />
-                            </div>
-                        </div>
-
-                        <!-- 生命体征 -->
-                        <div class="grid-block">
-                            <div class="grid-title">生命体征</div>
-                            <div class="kv-grid four">
-                                <KVItem label="身高" :value="diag.height ? diag.height + ' cm' : ''" />
-                                <KVItem label="体重" :value="diag.weight ? diag.weight + ' kg' : ''" />
-                                <MetricKVItem label="高压" :value="diag.systolic_pressure" unit=" mmHg" :high="isHighSystolicPressure(diag.systolic_pressure)" />
-                                <MetricKVItem label="低压" :value="diag.diastolic_pressure" unit=" mmHg" :high="isHighDiastolicPressure(diag.diastolic_pressure)" />
-                                <KVItem label="诊断类型" :value="textOf('diagnosis_type')" />
-                                <MetricKVItem label="空腹血糖" :value="diag.fasting_blood_sugar" unit=" mmol/L" :high="isHighFastingBloodSugar(diag.fasting_blood_sugar, diag.age)" />
-                                <KVItem label="在用药物" :value="diag.current_medications" multiline />
-                            </div>
-                        </div>
-
-                        <!-- 主诉 -->
-                        <div class="grid-block">
-                            <div class="grid-title">主诉</div>
-                            <div class="kv-grid four">
-                                <KVItem label="当地医院诊断日期" :value="diag.diagnosis_date" />
-                                <KVItem label="发现糖尿病病史" :value="formatDiabetesDiscoveryDisplay ? formatDiabetesDiscoveryDisplay(diag.diabetes_discovery_year) : diag.diabetes_discovery_year"  />
-                                <KVItem label="当地就诊医院" :value="diag.local_hospital_name" />
-                                <KVItem label="当地医院诊断结果" :value="joinArray(diag.local_hospital_diagnosis)"  />
-                            </div>
-                        </div>
-
-                        <!-- 现病史（后端已翻译 *_text） -->
-                        <div class="grid-block">
-                            <div class="grid-title">现病史</div>
-                            <div class="kv-grid three">
-                                <KVItem label="口腔感觉" :value="textOf('appetite')" />
-                                <KVItem label="每日饮水量" :value="textOf('water_intake')" />
-                                <KVItem label="近月体重变化" :value="textOf('weight_change')" />
-                                <KVItem label="脂肪肝程度" :value="textOf('fatty_liver_degree')" />
-                                <KVItem label="饮食情况" :value="textOf('diet_condition')" span="2" />
-                                <KVItem label="肢体感觉" :value="textOf('body_feeling')" />
-                                <KVItem label="睡眠情况" :value="textOf('sleep_condition')" />
-                                <KVItem label="眼睛情况" :value="textOf('eye_condition')" />
-                                <KVItem label="头部感觉" :value="textOf('head_feeling')" />
-                                <KVItem label="出汗情况" :value="textOf('sweat_condition')" />
-                                <KVItem label="皮肤情况" :value="textOf('skin_condition')" />
-                                <KVItem label="小便情况" :value="textOf('urine_condition')" />
-                                <KVItem label="大便情况" :value="textOf('stool_condition')" />
-                                <KVItem label="腰肾情况" :value="textOf('kidney_condition')" />
-                                <KVItem label="其他补充" :value="diag.symptoms" span="3" multiline />
-                            </div>
-                        </div>
-
-                        <!-- 既往史 -->
-                        <div class="grid-block">
-                            <div class="grid-title">既往史</div>
-                            <div class="kv-grid three">
-                                <KVItem label="既往病史" :value="textOf('past_history')" span="3" />
-                            </div>
-                        </div>
-
-                        <!-- 其他病史 -->
-                        <div class="grid-block">
-                            <div class="grid-title">其他病史</div>
-                            <div class="kv-grid three">
-                                <KVItem label="外伤史" :value="textOf('trauma_history')" />
-                                <KVItem label="手术史" :value="textOf('surgery_history')" />
-                                <KVItem label="过敏史" :value="textOf('allergy_history')" />
-                                <KVItem label="家族病史" :value="textOf('family_history')" />
-                                <KVItem label="妊娠哺乳史" :value="textOf('pregnancy_history')" />
-                            </div>
-                        </div>
-
-                        <!-- 病史补充 -->
-                        <div class="grid-block" v-if="diag.remark">
-                            <div class="grid-title">病史补充</div>
-                            <div class="kv-grid one">
-                                <KVItem label="" :value="diag.remark" multiline />
-                            </div>
-                        </div>
-
-                        <!-- 处方意见 -->
-                        <div class="grid-block">
-                            <div class="grid-title">处方意见</div>
-                            <div class="rx-note">
-                                {{ apt.has_prescription ? '已开方。' : '当前未开方。' }}
-                            </div>
-                        </div>
-                    </div>
 
                     <!-- 医生备注 & 舌苔照片 -->
                     <div class="card note-card">
@@ -353,13 +237,23 @@
 </template>
 
 <script setup lang="ts">
-import { defineAsyncComponent, onMounted, onUnmounted, h } from 'vue'
+import { defineAsyncComponent, onMounted, onUnmounted } from 'vue'
 import { receptionQueue, receptionDetail, notifyAssistant, addDoctorNote } from '@/api/patient'
 import NoteTimeline from './components/NoteTimeline.vue'
+import PatientInfoCard from '@/views/tcm/diagnosis/components/PatientInfoCard.vue'
+import PatientCaseCard from '@/views/tcm/diagnosis/components/PatientCaseCard.vue'
 import { completeAppointment } from '@/api/doctor'
 import { getCallSignature } from '@/api/tcm'
 import feedback from '@/utils/feedback'
 import { formatDiabetesDiscoveryDisplay } from '@/utils/diabetes-discovery-display'
+import { formatGender } from '@/utils/diag-display'
+import {
+    isHighFastingBloodSugar,
+    isHighPostprandialBloodSugar,
+    isHighOtherBloodSugar,
+    isHighBloodPressure,
+    formatBp
+} from '@/utils/blood-thresholds'
 import {
     Phone,
     Search,
@@ -370,55 +264,6 @@ import {
 const ChatDialog = defineAsyncComponent(() => import('@/components/chat-dialog/index.vue'))
 const DiagnosisEdit = defineAsyncComponent(() => import('@/views/tcm/diagnosis/edit.vue'))
 
-/**
- * 局部渲染组件：左侧 label + 右侧 value，支持 span / 换行
- */
-const KVItem = (props: { label: string; value: any; span?: string | number; multiline?: boolean }) => {
-    const val = props.value
-    const empty = val === undefined || val === null || val === '' || (Array.isArray(val) && val.length === 0)
-    return h(
-        'div',
-        {
-            class: ['kv-item', props.multiline ? 'multiline' : '', empty ? 'empty' : ''],
-            style: props.span ? `grid-column: span ${props.span}` : ''
-        },
-        [
-            h('span', { class: 'kv-label' }, props.label),
-            h('span', { class: 'kv-value' }, empty ? '—' : String(val))
-        ]
-    )
-}
-
-const MetricKVItem = (props: {
-    label: string
-    value: any
-    unit?: string
-    span?: string | number
-    high?: boolean
-}) => {
-    const empty = props.value === undefined || props.value === null || props.value === ''
-    return h(
-        'div',
-        {
-            class: ['kv-item', 'metric-kv-item', empty ? 'empty' : ''],
-            style: props.span ? `grid-column: span ${props.span}` : ''
-        },
-        [
-            h('span', { class: 'kv-label' }, props.label),
-            h(
-                'span',
-                { class: ['kv-value', 'metric-kv-value', props.high ? 'high' : ''] },
-                empty
-                    ? '—'
-                    : [
-                        `${props.value}${props.unit || ''}`,
-                        props.high ? h('span', { class: 'metric-up' }, '↑') : null
-                    ]
-            )
-        ]
-    )
-}
-
 const POLL_MS = 5_000
 const PAGE_SIZE = 15
 
@@ -489,38 +334,12 @@ const todayMeta = computed(() => {
 })
 
 
-const caseTypeLabel = computed(() => {
-    if (!diag.value) return '初诊'
-    return diag.value.consultation_type === 'follow_up' ? '复诊' : '初诊'
-})
-
-/**
- * 诊单字典字段由后端 AppointmentLogic::enrichDiagnosisLabels 预翻译，
- * 前端直接读 `<field>_text`；找不到时回退原值。
- */
-const textOf = (field: string): string => {
-    const d: any = diag.value || {}
-    const t = d[field + '_text']
-    if (t !== undefined && t !== null && t !== '') return String(t)
-    const raw = d[field]
-    if (raw === undefined || raw === null || raw === '') return ''
-    return Array.isArray(raw) ? raw.join('、') : String(raw)
-}
-
 const todayStr = () => {
     const d = new Date()
     const pad = (n: number) => String(n).padStart(2, '0')
     return `${d.getFullYear()}-${pad(d.getMonth() + 1)}-${pad(d.getDate())}`
 }
 
-const maskPhone = (phone?: string) => {
-    if (!phone) return '—'
-    if (phone.length < 11) return phone
-    return phone.replace(/(\d{3})\d{4}(\d{4})/, '$1****$2')
-}
-
-const formatGender = (g?: number) => (g === 1 ? '男' : g === 0 ? '女' : '—')
-
 const formatGenderAge = (row: QueueRow) => {
     const parts = [formatGender(row.gender), row.age != null ? row.age + '岁' : '']
     return parts.filter((p) => p && p !== '—').join(' ')
@@ -531,73 +350,6 @@ const formatTimeHM = (time?: string) => {
     return time.replace(/^(\d{2}:\d{2})(:\d{2})?$/, '$1')
 }
 
-const formatPeriod = (period?: string) => {
-    if (period === 'morning') return '上午'
-    if (period === 'afternoon') return '下午'
-    return '全天'
-}
-
-const formatBp = (row: any) => {
-    const sys = row?.systolic_pressure
-    const dia = row?.diastolic_pressure
-    if (sys == null && dia == null) return '—'
-    return `${sys ?? '—'} / ${dia ?? '—'}`
-}
-
-const toNumeric = (value: any) => {
-    if (value === null || value === undefined || value === '') return null
-    const num = Number(value)
-    return Number.isFinite(num) ? num : null
-}
-
-const getBloodSugarThresholds = (ageValue: any) => {
-    const age = toNumeric(ageValue)
-    if (age === null) return null
-    if (age < 50) return { fasting: 7, postprandial: 9 }
-    if (age >= 50) return { fasting: 8, postprandial: 10 }
-    return null
-}
-
-const isHighFastingBloodSugar = (value: any, ageValue: any) => {
-    const num = toNumeric(value)
-    const thresholds = getBloodSugarThresholds(ageValue)
-    return num !== null && thresholds !== null && num >= thresholds.fasting
-}
-
-const isHighPostprandialBloodSugar = (value: any, ageValue: any) => {
-    const num = toNumeric(value)
-    const thresholds = getBloodSugarThresholds(ageValue)
-    return num !== null && thresholds !== null && num >= thresholds.postprandial
-}
-
-const isHighOtherBloodSugar = (value: any, ageValue: any) => {
-    const num = toNumeric(value)
-    const thresholds = getBloodSugarThresholds(ageValue)
-    return num !== null && thresholds !== null && num >= thresholds.postprandial
-}
-
-const isHighBloodPressure = (row: any) => {
-    const sys = toNumeric(row?.systolic_pressure)
-    const dia = toNumeric(row?.diastolic_pressure)
-    return (sys !== null && sys > 140) || (dia !== null && dia > 90)
-}
-
-const isHighSystolicPressure = (value: any) => {
-    const num = toNumeric(value)
-    return num !== null && num > 140
-}
-
-const isHighDiastolicPressure = (value: any) => {
-    const num = toNumeric(value)
-    return num !== null && num > 90
-}
-
-const joinArray = (arr: any): string => {
-    if (!arr) return ''
-    if (Array.isArray(arr)) return arr.filter(Boolean).join('、')
-    return String(arr)
-}
-
 const fetchQueuePage = async (pageNo: number, status?: number, patientName?: string) => {
     const today = todayStr()
     const res: any = await receptionQueue({

admin/src/views/tcm/diagnosis/components/PatientCaseCard.vue

@@ -0,0 +1,369 @@
+<template>
+    <div class="card case-card">
+        <div class="card-title">
+            患者病例
+            <span class="case-sub">{{ caseTypeLabel }} · 诊断日期 {{ diag?.diagnosis_date || apt?.appointment_date || '—' }}</span>
+        </div>
+
+        <!-- 基本信息 -->
+        <div class="grid-block">
+            <div class="grid-title">基本信息</div>
+            <div class="kv-grid four">
+                <KVItem label="诊单ID" :value="diag?.patient_id" />
+                <KVItem label="姓名" :value="diag?.patient_name" />
+                <KVItem label="身份证号" :value="diag?.id_card" />
+                <KVItem label="手机号" :value="maskPhone(diag?.phone || apt?.patient_phone)" />
+                <KVItem label="性别" :value="textOf('gender')" />
+                <KVItem label="年龄" :value="diag?.age != null ? diag.age + '岁' : ''" />
+                <KVItem label="婚姻状态" :value="textOf('marital_status')" />
+                <KVItem label="地区" :value="diag?.region" />
+            </div>
+        </div>
+
+        <!-- 生命体征 -->
+        <div class="grid-block">
+            <div class="grid-title">生命体征</div>
+            <div class="kv-grid four">
+                <KVItem label="身高" :value="diag?.height ? diag.height + ' cm' : ''" />
+                <KVItem label="体重" :value="diag?.weight ? diag.weight + ' kg' : ''" />
+                <MetricKVItem
+                    label="高压"
+                    :value="diag?.systolic_pressure"
+                    unit=" mmHg"
+                    :high="isHighSystolicPressure(diag?.systolic_pressure)"
+                />
+                <MetricKVItem
+                    label="低压"
+                    :value="diag?.diastolic_pressure"
+                    unit=" mmHg"
+                    :high="isHighDiastolicPressure(diag?.diastolic_pressure)"
+                />
+                <KVItem label="诊断类型" :value="textOf('diagnosis_type')" />
+                <MetricKVItem
+                    label="空腹血糖"
+                    :value="diag?.fasting_blood_sugar"
+                    unit=" mmol/L"
+                    :high="isHighFastingBloodSugar(diag?.fasting_blood_sugar, diag?.age)"
+                />
+                <KVItem label="在用药物" :value="diag?.current_medications" multiline />
+            </div>
+        </div>
+
+        <!-- 主诉 -->
+        <div class="grid-block">
+            <div class="grid-title">主诉</div>
+            <div class="kv-grid four">
+                <KVItem label="当地医院诊断日期" :value="diag?.diagnosis_date" />
+                <KVItem
+                    label="发现糖尿病病史"
+                    :value="formatDiabetesDiscoveryDisplay
+                        ? formatDiabetesDiscoveryDisplay(diag?.diabetes_discovery_year)
+                        : diag?.diabetes_discovery_year"
+                />
+                <KVItem label="当地就诊医院" :value="diag?.local_hospital_name" />
+                <KVItem label="当地医院诊断结果" :value="joinArray(diag?.local_hospital_diagnosis)" />
+            </div>
+        </div>
+
+        <!-- 现病史（后端已翻译 *_text） -->
+        <div class="grid-block">
+            <div class="grid-title">现病史</div>
+            <div class="kv-grid three">
+                <KVItem label="口腔感觉" :value="textOf('appetite')" />
+                <KVItem label="每日饮水量" :value="textOf('water_intake')" />
+                <KVItem label="近月体重变化" :value="textOf('weight_change')" />
+                <KVItem label="脂肪肝程度" :value="textOf('fatty_liver_degree')" />
+                <KVItem label="饮食情况" :value="textOf('diet_condition')" span="2" />
+                <KVItem label="肢体感觉" :value="textOf('body_feeling')" />
+                <KVItem label="睡眠情况" :value="textOf('sleep_condition')" />
+                <KVItem label="眼睛情况" :value="textOf('eye_condition')" />
+                <KVItem label="头部感觉" :value="textOf('head_feeling')" />
+                <KVItem label="出汗情况" :value="textOf('sweat_condition')" />
+                <KVItem label="皮肤情况" :value="textOf('skin_condition')" />
+                <KVItem label="小便情况" :value="textOf('urine_condition')" />
+                <KVItem label="大便情况" :value="textOf('stool_condition')" />
+                <KVItem label="腰肾情况" :value="textOf('kidney_condition')" />
+                <KVItem label="其他补充" :value="diag?.symptoms" span="3" multiline />
+            </div>
+        </div>
+
+        <!-- 既往史 -->
+        <div class="grid-block">
+            <div class="grid-title">既往史</div>
+            <div class="kv-grid three">
+                <KVItem label="既往病史" :value="textOf('past_history')" span="3" />
+            </div>
+        </div>
+
+        <!-- 其他病史 -->
+        <div class="grid-block">
+            <div class="grid-title">其他病史</div>
+            <div class="kv-grid three">
+                <KVItem label="外伤史" :value="textOf('trauma_history')" />
+                <KVItem label="手术史" :value="textOf('surgery_history')" />
+                <KVItem label="过敏史" :value="textOf('allergy_history')" />
+                <KVItem label="家族病史" :value="textOf('family_history')" />
+                <KVItem label="妊娠哺乳史" :value="textOf('pregnancy_history')" />
+            </div>
+        </div>
+
+        <!-- 病史补充 -->
+        <div class="grid-block" v-if="diag?.remark">
+            <div class="grid-title">病史补充</div>
+            <div class="kv-grid one">
+                <KVItem label="" :value="diag.remark" multiline />
+            </div>
+        </div>
+
+        <!-- 处方意见 -->
+        <div class="grid-block">
+            <div class="grid-title">处方意见</div>
+            <div class="rx-note">
+                {{ apt?.has_prescription ? '已开方。' : '当前未开方。' }}
+            </div>
+        </div>
+    </div>
+</template>
+
+<script setup lang="ts">
+import { computed, h } from 'vue'
+import {
+    isHighSystolicPressure,
+    isHighDiastolicPressure,
+    isHighFastingBloodSugar
+} from '@/utils/blood-thresholds'
+import { maskPhone, joinArray, makeTextOf } from '@/utils/diag-display'
+import { formatDiabetesDiscoveryDisplay } from '@/utils/diabetes-discovery-display'
+
+interface Props {
+    apt?: Record<string, any> | null
+    diag?: Record<string, any> | null
+}
+
+const props = withDefaults(defineProps<Props>(), {
+    apt: () => ({}),
+    diag: () => ({})
+})
+
+const caseTypeLabel = computed(() => {
+    const d: any = props.diag || {}
+    return d.consultation_type === 'follow_up' ? '复诊' : '初诊'
+})
+
+const textOf = makeTextOf(() => props.diag || {})
+
+// ========== 本地函数式子组件 ==========
+
+/**
+ * 局部渲染组件：左侧 label + 右侧 value，支持 span / 换行（与抽离前 reception 内联实现一致）
+ */
+const KVItem = (kvProps: { label: string; value: any; span?: string | number; multiline?: boolean }) => {
+    const val = kvProps.value
+    const empty =
+        val === undefined || val === null || val === '' || (Array.isArray(val) && val.length === 0)
+    return h(
+        'div',
+        {
+            class: ['kv-item', kvProps.multiline ? 'multiline' : '', empty ? 'empty' : ''],
+            style: kvProps.span ? `grid-column: span ${kvProps.span}` : ''
+        },
+        [
+            h('span', { class: 'kv-label' }, kvProps.label),
+            h('span', { class: 'kv-value' }, empty ? '—' : String(val))
+        ]
+    )
+}
+
+/**
+ * 数值型 KV：偏高时红色 + ↑ 箭头（与抽离前 reception 内联实现一致）
+ */
+const MetricKVItem = (mkvProps: {
+    label: string
+    value: any
+    unit?: string
+    span?: string | number
+    high?: boolean
+}) => {
+    const empty = mkvProps.value === undefined || mkvProps.value === null || mkvProps.value === ''
+    return h(
+        'div',
+        {
+            class: ['kv-item', 'metric-kv-item', empty ? 'empty' : ''],
+            style: mkvProps.span ? `grid-column: span ${mkvProps.span}` : ''
+        },
+        [
+            h('span', { class: 'kv-label' }, mkvProps.label),
+            h(
+                'span',
+                { class: ['kv-value', 'metric-kv-value', mkvProps.high ? 'high' : ''] },
+                empty
+                    ? '—'
+                    : [
+                          `${mkvProps.value}${mkvProps.unit || ''}`,
+                          mkvProps.high ? h('span', { class: 'metric-up' }, '↑') : null
+                      ]
+            )
+        ]
+    )
+}
+</script>
+
+<style lang="scss" scoped>
+.card {
+    background: var(--rx-surface);
+    border: 1px solid var(--rx-line);
+    border-radius: 14px;
+    padding: 18px;
+    display: flex;
+    flex-direction: column;
+    gap: 14px;
+    box-shadow: var(--rx-shadow-sm);
+    transition: box-shadow 0.2s ease;
+
+    &:hover {
+        box-shadow: var(--rx-shadow);
+    }
+}
+
+.card-title {
+    font-size: 15px;
+    font-weight: 700;
+    color: var(--rx-ink);
+    display: flex;
+    align-items: center;
+    gap: 10px;
+    padding-left: 10px;
+    position: relative;
+
+    &::before {
+        content: '';
+        position: absolute;
+        left: 0;
+        top: 50%;
+        transform: translateY(-50%);
+        width: 3px;
+        height: 16px;
+        border-radius: 2px;
+        background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
+    }
+}
+
+.case-sub {
+    font-size: 12px;
+    font-weight: 400;
+    color: var(--rx-soft);
+    font-family: var(--rx-font-data);
+}
+
+.grid-block {
+    display: flex;
+    flex-direction: column;
+    gap: 10px;
+    padding-top: 12px;
+    border-top: 1px dashed var(--rx-line);
+
+    &:first-of-type {
+        border-top: none;
+        padding-top: 0;
+    }
+}
+
+.grid-title {
+    font-size: 13px;
+    font-weight: 600;
+    color: var(--rx-accent-strong);
+    letter-spacing: 0.02em;
+    display: flex;
+    align-items: center;
+    gap: 6px;
+
+    &::before {
+        content: '';
+        width: 4px;
+        height: 4px;
+        border-radius: 50%;
+        background: var(--rx-accent);
+    }
+}
+
+.kv-grid {
+    display: grid;
+    gap: 8px 16px;
+
+    &.one {
+        grid-template-columns: 1fr;
+    }
+    &.two {
+        grid-template-columns: repeat(2, 1fr);
+    }
+    &.three {
+        grid-template-columns: repeat(3, 1fr);
+    }
+    &.four {
+        grid-template-columns: repeat(4, 1fr);
+    }
+}
+
+:deep(.kv-item) {
+    display: flex;
+    gap: 6px;
+    font-size: 12.5px;
+    line-height: 1.55;
+    min-width: 0;
+
+    &.multiline {
+        flex-direction: column;
+        gap: 2px;
+    }
+
+    .kv-label {
+        color: var(--rx-soft);
+        flex-shrink: 0;
+        min-width: 58px;
+    }
+
+    .kv-value {
+        color: var(--rx-ink);
+        word-break: break-word;
+        flex: 1;
+        font-weight: 500;
+    }
+
+    &.empty .kv-value {
+        color: #c0c4cc;
+        font-weight: 400;
+    }
+
+    &.multiline .kv-value {
+        white-space: pre-wrap;
+        font-weight: 400;
+    }
+}
+
+:deep(.metric-kv-item .metric-kv-value) {
+    display: inline-flex;
+    align-items: center;
+    gap: 4px;
+
+    &.high {
+        color: #dc2626;
+        font-weight: 700;
+    }
+}
+
+:deep(.metric-up) {
+    font-size: 14px;
+    line-height: 1;
+    color: #dc2626;
+}
+
+.rx-note {
+    font-size: 13px;
+    color: var(--rx-muted);
+    line-height: 1.6;
+    padding: 12px 14px;
+    background: linear-gradient(135deg, #fafbfd 0%, #f5f7fb 100%);
+    border-radius: 8px;
+    border-left: 3px solid var(--rx-accent);
+}
+</style>

admin/src/views/tcm/diagnosis/components/PatientInfoCard.vue

@@ -0,0 +1,124 @@
+<template>
+    <div class="card patient-card">
+        <div class="card-title">患者信息</div>
+        <div class="patient-hero">
+            <div class="patient-name">{{ apt?.patient_name || '—' }}</div>
+            <div class="patient-meta">
+                <div>
+                    {{ maskPhone(apt?.patient_phone) }} · {{ formatGender(diag?.gender) }} ·
+                    {{ diag?.age != null ? diag.age + '岁' : '—' }}
+                </div>
+                <div>
+                    {{ diag?.height ? diag.height + 'cm' : '—' }} /
+                    {{ diag?.weight ? diag.weight + 'kg' : '—' }} · {{ diag?.region || '—' }}
+                </div>
+                <div>
+                    预约：{{ apt?.appointment_date }} {{ apt?.appointment_time }} ·
+                    {{ formatPeriod(apt?.period) }}
+                </div>
+                <div>医生：{{ apt?.doctor_name || '—' }}　医助：{{ apt?.assistant_name || '—' }}</div>
+                <div>
+                    状态：{{ apt?.status_desc || '—' }} ·
+                    {{ apt?.has_prescription ? '已开方' : '未开方' }}
+                </div>
+                <div v-if="apt?.remark">备注：{{ apt.remark }}</div>
+            </div>
+        </div>
+    </div>
+</template>
+
+<script setup lang="ts">
+import { maskPhone, formatGender, formatPeriod } from '@/utils/diag-display'
+
+interface Props {
+    apt?: Record<string, any> | null
+    diag?: Record<string, any> | null
+}
+
+withDefaults(defineProps<Props>(), {
+    apt: () => ({}),
+    diag: () => ({})
+})
+</script>
+
+<style lang="scss" scoped>
+.card {
+    background: var(--rx-surface);
+    border: 1px solid var(--rx-line);
+    border-radius: 14px;
+    padding: 18px;
+    display: flex;
+    flex-direction: column;
+    gap: 14px;
+    box-shadow: var(--rx-shadow-sm);
+    transition: box-shadow 0.2s ease;
+
+    &:hover {
+        box-shadow: var(--rx-shadow);
+    }
+}
+
+.card-title {
+    font-size: 15px;
+    font-weight: 700;
+    color: var(--rx-ink);
+    display: flex;
+    align-items: center;
+    gap: 10px;
+    padding-left: 10px;
+    position: relative;
+
+    &::before {
+        content: '';
+        position: absolute;
+        left: 0;
+        top: 50%;
+        transform: translateY(-50%);
+        width: 3px;
+        height: 16px;
+        border-radius: 2px;
+        background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
+    }
+}
+
+.patient-hero {
+    background: linear-gradient(135deg, #f5f8ff 0%, #eef3ff 100%);
+    border: 1px solid #dde7ff;
+    border-radius: 12px;
+    padding: 16px 18px;
+    display: flex;
+    flex-direction: column;
+    gap: 6px;
+    position: relative;
+    overflow: hidden;
+
+    &::after {
+        content: '';
+        position: absolute;
+        right: -20px;
+        top: -20px;
+        width: 100px;
+        height: 100px;
+        border-radius: 50%;
+        background: radial-gradient(circle, rgba(79, 140, 255, 0.08) 0%, transparent 70%);
+    }
+}
+
+.patient-name {
+    font-size: 22px;
+    font-weight: 700;
+    color: var(--rx-ink);
+    letter-spacing: -0.01em;
+}
+
+.patient-meta {
+    color: var(--rx-muted);
+    font-size: 13px;
+    line-height: 1.7;
+    display: flex;
+    flex-direction: column;
+    gap: 2px;
+    position: relative;
+    z-index: 1;
+}
+</style>

admin/src/views/tcm/diagnosis/components/TrackingMatrix.vue

@@ -0,0 +1,387 @@
+<template>
+    <div class="tracking-matrix">
+        <div class="toolbar">
+            <el-radio-group v-model="windowDays" @change="onWindowChange">
+                <el-radio-button :value="7">最近 7 天</el-radio-button>
+                <el-radio-button :value="30">最近 30 天</el-radio-button>
+            </el-radio-group>
+            <span class="hint">同一天血糖三段挤一格；超阈值红字↑（年龄分段：&lt;50：空7/餐9，≥50：空8/餐10）</span>
+        </div>
+
+        <el-empty
+            v-if="visibleDates.length === 0"
+            description="近期无任何打卡记录"
+            :image-size="80"
+        />
+
+        <el-table
+            v-else
+            :data="rows"
+            border
+            stripe
+            class="matrix-table"
+            empty-text="暂无数据"
+            row-key="date"
+            max-height="640"
+        >
+            <el-table-column prop="dateLabel" label="日期" width="120" fixed="left" />
+            <el-table-column label="血糖 (mmol/L)" min-width="180">
+                <template #default="{ row }">
+                    <div v-if="row.bloodAny" class="cell-blood">
+                        <span :class="{ 'cell-high': row.fastingHigh }">
+                            空
+                            <span class="value">{{ row.fasting ?? '—' }}</span>
+                            <span v-if="row.fastingHigh" class="cell-up">↑</span>
+                        </span>
+                        <span :class="{ 'cell-high': row.postprandialHigh }">
+                            餐
+                            <span class="value">{{ row.postprandial ?? '—' }}</span>
+                            <span v-if="row.postprandialHigh" class="cell-up">↑</span>
+                        </span>
+                        <span :class="{ 'cell-high': row.otherHigh }">
+                            其他
+                            <span class="value">{{ row.other ?? '—' }}</span>
+                            <span v-if="row.otherHigh" class="cell-up">↑</span>
+                        </span>
+                    </div>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="血压 (mmHg)" width="120" align="center">
+                <template #default="{ row }">
+                    <span v-if="row.bp" :class="{ 'cell-high': row.bpHigh }">
+                        {{ row.bp }}
+                        <span v-if="row.bpHigh" class="cell-up">↑</span>
+                    </span>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="西药" min-width="120" show-overflow-tooltip>
+                <template #default="{ row }">
+                    <span v-if="row.westernMedicine">{{ row.westernMedicine }}</span>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="胰岛素" min-width="120" show-overflow-tooltip>
+                <template #default="{ row }">
+                    <span v-if="row.insulin">{{ row.insulin }}</span>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="饮食打卡" width="110" align="center">
+                <template #default="{ row }">
+                    <el-tooltip
+                        v-if="row.diet"
+                        placement="top"
+                        :disabled="!row.diet"
+                        effect="light"
+                    >
+                        <template #content>
+                            <div class="diet-tip">
+                                <div>早：{{ row.diet.breakfast || '—' }}</div>
+                                <div>午：{{ row.diet.lunch || '—' }}</div>
+                                <div>晚：{{ row.diet.dinner || '—' }}</div>
+                            </div>
+                        </template>
+                        <span class="cell-checked">已打卡</span>
+                    </el-tooltip>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+            <el-table-column label="运动打卡" min-width="160" align="center">
+                <template #default="{ row }">
+                    <el-tooltip v-if="row.exercise" placement="top" effect="light">
+                        <template #content>
+                            <div class="exercise-tip">
+                                <div>强度：{{ row.exercise.intensityText || '—' }}</div>
+                                <div>时长：{{ row.exercise.duration ? row.exercise.duration + ' min' : '—' }}</div>
+                                <div v-if="row.exercise.remark">备注：{{ row.exercise.remark }}</div>
+                            </div>
+                        </template>
+                        <span class="cell-checked">
+                            已打卡
+                            <span v-if="row.exercise.duration" class="meta">· {{ row.exercise.duration }}min</span>
+                            <span v-if="row.exercise.intensityText" class="meta">· {{ row.exercise.intensityText }}</span>
+                        </span>
+                    </el-tooltip>
+                    <span v-else class="cell-empty">—</span>
+                </template>
+            </el-table-column>
+        </el-table>
+    </div>
+</template>
+
+<script setup lang="ts">
+import { computed, ref } from 'vue'
+import {
+    isHighFastingBloodSugar,
+    isHighPostprandialBloodSugar,
+    isHighOtherBloodSugar,
+    isHighBloodPressure,
+    formatBp
+} from '@/utils/blood-thresholds'
+
+interface BloodRecord {
+    record_date?: string
+    record_date_ts?: number
+    fasting_blood_sugar?: any
+    postprandial_blood_sugar?: any
+    other_blood_sugar?: any
+    systolic_pressure?: any
+    diastolic_pressure?: any
+    western_medicine?: string
+    insulin?: string
+    [key: string]: any
+}
+
+interface DietRecord {
+    record_date?: string
+    record_date_ts?: number
+    breakfast?: string
+    lunch?: string
+    dinner?: string
+    [key: string]: any
+}
+
+interface ExerciseRecord {
+    record_date?: string
+    record_date_ts?: number
+    duration?: number
+    intensity?: number
+    intensity_text?: string
+    remark?: string
+    [key: string]: any
+}
+
+interface Props {
+    diagnosisId?: number
+    patientId?: number | null
+    age?: number | null
+    bloodRecords: BloodRecord[]
+    dietRecords: DietRecord[]
+    exerciseRecords: ExerciseRecord[]
+}
+
+const props = withDefaults(defineProps<Props>(), {
+    diagnosisId: 0,
+    patientId: null,
+    age: null,
+    bloodRecords: () => [],
+    dietRecords: () => [],
+    exerciseRecords: () => []
+})
+
+const windowDays = ref<7 | 30>(30)
+
+const onWindowChange = () => {
+    // 触发 computed 重算；预留扩展点：未来可在此处通知父组件重拉
+}
+
+/**
+ * 把同一天可能多条的血糖记录聚合：每段取第一条非空值（与 BloodRecordLogic 趋势图一致）
+ */
+const bloodByDate = computed(() => {
+    const map = new Map<string, BloodRecord>()
+    for (const r of props.bloodRecords || []) {
+        const d = String(r.record_date || '')
+        if (!d) continue
+        if (!map.has(d)) {
+            map.set(d, {
+                record_date: d,
+                record_date_ts: r.record_date_ts
+            })
+        }
+        const acc = map.get(d)!
+        const fields: Array<keyof BloodRecord> = [
+            'fasting_blood_sugar',
+            'postprandial_blood_sugar',
+            'other_blood_sugar',
+            'systolic_pressure',
+            'diastolic_pressure',
+            'western_medicine',
+            'insulin'
+        ]
+        for (const f of fields) {
+            if ((acc[f] === undefined || acc[f] === null || acc[f] === '') && r[f] !== undefined && r[f] !== null && r[f] !== '') {
+                ;(acc as any)[f] = r[f]
+            }
+        }
+    }
+    return map
+})
+
+const dietByDate = computed(() => {
+    const map = new Map<string, DietRecord>()
+    for (const r of props.dietRecords || []) {
+        const d = String(r.record_date || '')
+        if (!d) continue
+        if (!map.has(d)) map.set(d, r)
+    }
+    return map
+})
+
+const exerciseByDate = computed(() => {
+    const map = new Map<string, ExerciseRecord>()
+    for (const r of props.exerciseRecords || []) {
+        const d = String(r.record_date || '')
+        if (!d) continue
+        if (!map.has(d)) map.set(d, r)
+    }
+    return map
+})
+
+/**
+ * 取三类记录的日期并集，按 desc 排序并去重，限制最大 windowDays 条
+ */
+const visibleDates = computed<string[]>(() => {
+    const set = new Set<string>()
+    for (const r of props.bloodRecords || []) if (r.record_date) set.add(String(r.record_date))
+    for (const r of props.dietRecords || []) if (r.record_date) set.add(String(r.record_date))
+    for (const r of props.exerciseRecords || []) if (r.record_date) set.add(String(r.record_date))
+    const list = Array.from(set).filter((d) => d.length === 10)
+    list.sort((a, b) => (a < b ? 1 : a > b ? -1 : 0))
+    return list.slice(0, windowDays.value)
+})
+
+const weekText = (d: string) => {
+    const ts = Date.parse(d + 'T00:00:00')
+    if (!Number.isFinite(ts)) return ''
+    const w = new Date(ts).getDay()
+    return ['日', '一', '二', '三', '四', '五', '六'][w]
+}
+
+const rows = computed(() =>
+    visibleDates.value.map((date) => {
+        const blood = bloodByDate.value.get(date)
+        const diet = dietByDate.value.get(date)
+        const exercise = exerciseByDate.value.get(date)
+
+        const fasting = blood?.fasting_blood_sugar ?? null
+        const postprandial = blood?.postprandial_blood_sugar ?? null
+        const other = blood?.other_blood_sugar ?? null
+        const sys = blood?.systolic_pressure ?? null
+        const dia = blood?.diastolic_pressure ?? null
+
+        const bloodAny =
+            fasting !== null && fasting !== '' ||
+            postprandial !== null && postprandial !== '' ||
+            other !== null && other !== ''
+
+        const bp = sys || dia ? formatBp({ systolic_pressure: sys, diastolic_pressure: dia }) : ''
+
+        return {
+            date,
+            dateLabel: `${date.slice(5)}（周${weekText(date)}）`,
+            // 血糖
+            bloodAny,
+            fasting: fasting ?? '—',
+            postprandial: postprandial ?? '—',
+            other: other ?? '—',
+            fastingHigh: isHighFastingBloodSugar(fasting, props.age),
+            postprandialHigh: isHighPostprandialBloodSugar(postprandial, props.age),
+            otherHigh: isHighOtherBloodSugar(other, props.age),
+            // 血压
+            bp,
+            bpHigh: isHighBloodPressure({ systolic_pressure: sys, diastolic_pressure: dia }),
+            // 用药
+            westernMedicine: blood?.western_medicine || '',
+            insulin: blood?.insulin || '',
+            // 饮食
+            diet: diet
+                ? {
+                      breakfast: diet.breakfast || '',
+                      lunch: diet.lunch || '',
+                      dinner: diet.dinner || ''
+                  }
+                : null,
+            // 运动
+            exercise: exercise
+                ? {
+                      duration: exercise.duration || 0,
+                      intensityText: exercise.intensity_text || '',
+                      remark: exercise.remark || ''
+                  }
+                : null
+        }
+    })
+)
+</script>
+
+<style lang="scss" scoped>
+.tracking-matrix {
+    .toolbar {
+        display: flex;
+        align-items: center;
+        gap: 12px;
+        margin-bottom: 12px;
+        flex-wrap: wrap;
+
+        .hint {
+            font-size: 12px;
+            color: var(--el-text-color-secondary);
+        }
+    }
+
+    .matrix-table {
+        width: 100%;
+    }
+
+    .cell-blood {
+        display: flex;
+        flex-direction: column;
+        gap: 2px;
+        font-size: 12.5px;
+        line-height: 1.55;
+
+        > span {
+            display: inline-flex;
+            align-items: center;
+            gap: 4px;
+
+            .value {
+                font-variant-numeric: tabular-nums;
+                font-weight: 600;
+            }
+        }
+    }
+
+    .cell-high {
+        color: #dc2626;
+        font-weight: 700;
+    }
+
+    .cell-up {
+        font-size: 13px;
+        color: #dc2626;
+    }
+
+    .cell-empty {
+        color: var(--el-text-color-placeholder);
+    }
+
+    .cell-checked {
+        color: #2563eb;
+        font-weight: 500;
+
+        .meta {
+            color: var(--el-text-color-secondary);
+            font-weight: 400;
+            margin-left: 2px;
+        }
+    }
+}
+
+.diet-tip,
+.exercise-tip {
+    font-size: 12.5px;
+    line-height: 1.55;
+
+    > div {
+        margin-bottom: 2px;
+
+        &:last-child {
+            margin-bottom: 0;
+        }
+    }
+}
+</style>

admin/src/views/tcm/diagnosis/index.vue

@@ -116,11 +116,12 @@
                 <div v-if="selectedIds.length > 0" class="list-selected">已选 {{ selectedIds.length }} 条</div>
             </div>
             <div class="table-wrap px-4">
-            <el-table 
+            <el-table
-                :data="pager.lists" 
+                :data="pager.lists"
                 size="default"
                 v-loading="pager.loading"
                 @selection-change="handleSelectionChange"
+                @row-dblclick="goReadonly"
                 :row-class-name="getRowClassName"
                 class="diagnosis-table"
                 stripe
@@ -215,6 +216,20 @@
                         <span v-else class="status-unprescribed">未开方</span>
                     </template>
                 </el-table-column>
+                <el-table-column label="未服务天数" width="110" align="center">
+                    <template #default="{ row }">
+                        <el-tooltip
+                            v-if="row.last_blood_record_at"
+                            :content="`最近一次血糖打卡：${row.last_blood_record_at}`"
+                            placement="top"
+                        >
+                            <span class="unserved-days" :class="unservedDaysClass(row.unserved_days)">
+                                {{ row.unserved_days ?? '—' }}
+                            </span>
+                        </el-tooltip>
+                        <span v-else class="unserved-days unserved-muted">—</span>
+                    </template>
+                </el-table-column>
                 <el-table-column label="视频旁观" width="120" fixed="right" align="center">
                     <template #default="{ row }">
                         <div class="video-watch-col">
@@ -239,9 +254,18 @@
                         </div>
                     </template>
                 </el-table-column>
-                <el-table-column label="操作" width="300" fixed="right" align="left">
+                <el-table-column label="操作" width="340" fixed="right" align="left">
                     <template #default="{ row }">
-                        <div class="action-cell">
+                        <div class="action-cell" @click.stop @dblclick.stop>
+                            <el-button
+                                type="primary"
+                                link
+                                size="small"
+                                @click="goReadonly(row)"
+                                v-perms="['tcm.diagnosis/readonlyDetail']"
+                            >
+                                查看
+                            </el-button>
                             <el-button type="primary" link size="small" @click="handleEdit(row.id)" v-perms="['tcm.diagnosis/edit']">诊单</el-button>
                             <el-button
                                 v-perms="['tcm.diagnosis/kaifang']"
@@ -616,7 +640,7 @@ import feedback from '@/utils/feedback'
 import { hasPermission } from '@/utils/perm'
 import { Loading, Warning, List, CircleCheck, Clock, ArrowDown, Picture, User, Document, Delete, CircleClose, Remove } from '@element-plus/icons-vue'
 import useUserStore from '@/stores/modules/user'
-import { useRoute } from 'vue-router'
+import { useRoute, useRouter } from 'vue-router'
 import { computed, defineAsyncComponent, onMounted, onUnmounted, watch } from 'vue'
 import dayjs from 'dayjs'
 
@@ -944,6 +968,19 @@ const isDiagnosisConfirmed = (row: any) => {
     return records.length > 0 && records.some((r: any) => r.is_confirmed == 1)
 }
 
+/**
+ * 「未服务天数」着色规则（计划 T3）：
+ *   null/undefined → 灰；>=7 → 红；3-6 → 橙；<=2 → 绿
+ */
+const unservedDaysClass = (n: unknown) => {
+    if (n === null || n === undefined) return 'unserved-muted'
+    const num = Number(n)
+    if (!Number.isFinite(num)) return 'unserved-muted'
+    if (num >= 7) return 'unserved-red'
+    if (num >= 3) return 'unserved-orange'
+    return 'unserved-green'
+}
+
 // 行高亮：未确认诊单优先，其次未挂号
 const getRowClassName = ({ row }: { row: any }) => {
     if (!isDiagnosisConfirmed(row)) return 'row-unconfirmed'
@@ -1706,6 +1743,17 @@ const handleDeleteRecord = async (id: number) => {
 }
 
 const route = useRoute()
+const router = useRouter()
+
+/** 跳到只读病例页（T1+T2）：双击行 / 点「查看」按钮均触发 */
+const goReadonly = (row: any) => {
+    // 没分配 readonlyDetail 权限的管理员：双击行也不跳转（按钮已用 v-perms 隐藏）
+    if (!hasPermission(['tcm.diagnosis/readonlyDetail'])) return
+    const id = Number(row?.id)
+    if (!id || id <= 0) return
+    router.push({ path: '/tcm/diagnosis-readonly', query: { id: String(id) } })
+}
+
 onMounted(() => {
     // 默认展示当天挂号，突出重点
     formData.appointment_date = todayStr.value
@@ -2091,6 +2139,33 @@ onUnmounted(() => {
     color: var(--el-text-color-placeholder);
 }
 
+/* 未服务天数（T3）：null=灰；>=7=红；3-6=橙；<=2=绿 */
+.unserved-days {
+    display: inline-block;
+    min-width: 28px;
+    font-weight: 600;
+    font-size: 13px;
+    font-variant-numeric: tabular-nums;
+    cursor: default;
+}
+
+.unserved-muted {
+    color: var(--el-text-color-placeholder);
+    font-weight: 400;
+}
+
+.unserved-green {
+    color: #16a34a;
+}
+
+.unserved-orange {
+    color: #ea580c;
+}
+
+.unserved-red {
+    color: #dc2626;
+}
+
 .diagnosis-cell {
     display: flex;
     flex-direction: column;

admin/src/views/tcm/diagnosis/readonly.vue

@@ -0,0 +1,282 @@
+<template>
+    <div class="readonly-page" v-loading="loading">
+        <!-- 顶部 hero -->
+        <div class="readonly-hero">
+            <div class="hero-left">
+                <el-button link size="default" @click="goBack" class="back-btn">
+                    <el-icon><ArrowLeft /></el-icon>
+                    <span>返回</span>
+                </el-button>
+                <span class="title">患者信息详情</span>
+            </div>
+            <div v-if="diag?.patient_name" class="hero-right">
+                <span class="patient-name">{{ diag.patient_name }}</span>
+                <span class="patient-meta">
+                    {{ formatGender(diag.gender) }}
+                    <template v-if="diag.age != null"> · {{ diag.age }}岁</template>
+                </span>
+                <el-tooltip
+                    v-if="lastBloodAt"
+                    :content="`最近一次血糖打卡：${lastBloodAt}`"
+                    placement="bottom"
+                >
+                    <span :class="['unserved-badge', unservedDaysClass(unservedDays)]">
+                        未服务 {{ unservedDays ?? '—' }} 天
+                    </span>
+                </el-tooltip>
+                <span v-else class="unserved-badge unserved-muted">从未打卡血糖</span>
+            </div>
+        </div>
+
+        <!-- 加载失败 / 越权 -->
+        <el-empty
+            v-if="!loading && !detail"
+            :description="errorMsg || '诊单不存在或无权访问'"
+            class="empty-state"
+        />
+
+        <template v-else-if="detail">
+            <PatientInfoCard :apt="apt" :diag="diag" />
+            <PatientCaseCard :apt="apt" :diag="diag" />
+
+            <!-- 跟踪信息 -->
+            <div class="card tracking-card">
+                <div class="card-title">跟踪信息（最近 30 天）</div>
+                <TrackingMatrix
+                    :diagnosis-id="Number(diagnosisIdNum)"
+                    :patient-id="Number(diag?.patient_id ?? 0)"
+                    :age="diag?.age ?? null"
+                    :blood-records="bloodRecords"
+                    :diet-records="dietRecords"
+                    :exercise-records="exerciseRecords"
+                />
+            </div>
+
+            <!-- 医生备注（复用 reception 的 NoteTimeline，但只读） -->
+            <div v-if="doctorNotes.length" class="card note-card">
+                <div class="card-title">医生备注 & 舌苔照片 & 检查报告</div>
+                <NoteTimeline :notes="doctorNotes" :diagnosis-id="diag?.id" />
+            </div>
+        </template>
+    </div>
+</template>
+
+<script setup lang="ts">
+import { computed, onMounted, ref } from 'vue'
+import { useRoute, useRouter } from 'vue-router'
+import { ArrowLeft } from '@element-plus/icons-vue'
+import { diagnosisReadonlyDetail } from '@/api/tcm'
+import { formatGender } from '@/utils/diag-display'
+import PatientInfoCard from './components/PatientInfoCard.vue'
+import PatientCaseCard from './components/PatientCaseCard.vue'
+import TrackingMatrix from './components/TrackingMatrix.vue'
+import NoteTimeline from '@/views/patient/reception/components/NoteTimeline.vue'
+
+const route = useRoute()
+const router = useRouter()
+
+const diagnosisIdNum = computed(() => Number(route.query.id || 0))
+
+const loading = ref(false)
+const errorMsg = ref('')
+const detail = ref<any>(null)
+
+const apt = computed<any>(() => detail.value?.appointment || {})
+const diag = computed<any>(() => detail.value?.diagnosis || {})
+const bloodRecords = computed<any[]>(() => detail.value?.blood_records || [])
+const dietRecords = computed<any[]>(() => detail.value?.diet_records || [])
+const exerciseRecords = computed<any[]>(() => detail.value?.exercise_records || [])
+const doctorNotes = computed<any[]>(() => detail.value?.doctor_notes || [])
+const unservedDays = computed<number | null>(() => {
+    const v = detail.value?.unserved_days
+    return v === null || v === undefined ? null : Number(v)
+})
+const lastBloodAt = computed<string>(() => detail.value?.last_blood_record_at || '')
+
+/**
+ * 「未服务天数」着色规则（与 T3 列表一致）：
+ *   null/undefined → 灰；>=7 → 红；3-6 → 橙；<=2 → 绿
+ */
+const unservedDaysClass = (n: unknown) => {
+    if (n === null || n === undefined) return 'unserved-muted'
+    const num = Number(n)
+    if (!Number.isFinite(num)) return 'unserved-muted'
+    if (num >= 7) return 'unserved-red'
+    if (num >= 3) return 'unserved-orange'
+    return 'unserved-green'
+}
+
+const fetchDetail = async () => {
+    const id = diagnosisIdNum.value
+    if (!id || id <= 0) {
+        errorMsg.value = '诊单 id 缺失'
+        detail.value = null
+        return
+    }
+    loading.value = true
+    errorMsg.value = ''
+    try {
+        const res: any = await diagnosisReadonlyDetail({ id })
+        detail.value = res || null
+    } catch (e: any) {
+        errorMsg.value = e?.message || ''
+        detail.value = null
+    } finally {
+        loading.value = false
+    }
+}
+
+const goBack = () => {
+    if (window.history.length > 1) {
+        router.back()
+    } else {
+        router.push({ path: '/tcm/diagnosis' })
+    }
+}
+
+onMounted(fetchDetail)
+</script>
+
+<style lang="scss" scoped>
+/* 沿用接诊台的设计变量；该文件挂在管理后台，--rx-* 已在 reception/index.vue 全局可见的同款值 */
+.readonly-page {
+    --rx-surface: #ffffff;
+    --rx-line: #e6ebf2;
+    --rx-ink: #1f2937;
+    --rx-muted: #4b5563;
+    --rx-soft: #6b7280;
+    --rx-accent: #2563eb;
+    --rx-accent-strong: #1d4ed8;
+    --rx-shadow-sm: 0 1px 2px rgba(15, 23, 42, 0.04);
+    --rx-shadow: 0 4px 12px rgba(15, 23, 42, 0.06);
+    --rx-font-data: ui-monospace, SFMono-Regular, Menlo, Consolas, monospace;
+
+    display: flex;
+    flex-direction: column;
+    gap: 16px;
+    padding: 16px;
+}
+
+.readonly-hero {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    flex-wrap: wrap;
+    gap: 12px;
+    background: linear-gradient(135deg, #f5f8ff 0%, #eef3ff 100%);
+    border: 1px solid #dde7ff;
+    border-radius: 12px;
+    padding: 12px 16px;
+
+    .hero-left {
+        display: flex;
+        align-items: center;
+        gap: 12px;
+
+        .back-btn {
+            display: inline-flex;
+            align-items: center;
+            gap: 4px;
+            font-weight: 500;
+        }
+
+        .title {
+            font-size: 16px;
+            font-weight: 700;
+            color: var(--rx-ink);
+        }
+    }
+
+    .hero-right {
+        display: flex;
+        align-items: center;
+        gap: 12px;
+
+        .patient-name {
+            font-size: 18px;
+            font-weight: 700;
+            color: var(--rx-ink);
+        }
+
+        .patient-meta {
+            font-size: 13px;
+            color: var(--rx-muted);
+        }
+    }
+}
+
+.unserved-badge {
+    display: inline-block;
+    padding: 4px 10px;
+    border-radius: 999px;
+    font-size: 12px;
+    font-weight: 600;
+    background: rgba(255, 255, 255, 0.7);
+    border: 1px solid #dde7ff;
+    cursor: default;
+
+    &.unserved-muted {
+        color: var(--el-text-color-placeholder);
+        font-weight: 400;
+    }
+
+    &.unserved-green {
+        color: #16a34a;
+        border-color: #bbf7d0;
+        background: rgba(22, 163, 74, 0.06);
+    }
+
+    &.unserved-orange {
+        color: #ea580c;
+        border-color: #fed7aa;
+        background: rgba(234, 88, 12, 0.06);
+    }
+
+    &.unserved-red {
+        color: #dc2626;
+        border-color: #fecaca;
+        background: rgba(220, 38, 38, 0.08);
+    }
+}
+
+.empty-state {
+    background: var(--rx-surface);
+    border: 1px solid var(--rx-line);
+    border-radius: 14px;
+    padding: 40px 0;
+}
+
+.card {
+    background: var(--rx-surface);
+    border: 1px solid var(--rx-line);
+    border-radius: 14px;
+    padding: 18px;
+    display: flex;
+    flex-direction: column;
+    gap: 14px;
+    box-shadow: var(--rx-shadow-sm);
+}
+
+.card-title {
+    font-size: 15px;
+    font-weight: 700;
+    color: var(--rx-ink);
+    display: flex;
+    align-items: center;
+    gap: 10px;
+    padding-left: 10px;
+    position: relative;
+
+    &::before {
+        content: '';
+        position: absolute;
+        left: 0;
+        top: 50%;
+        transform: translateY(-50%);
+        width: 3px;
+        height: 16px;
+        border-radius: 2px;
+        background: linear-gradient(180deg, #4f8cff 0%, #2563eb 100%);
+    }
+}
+</style>

server/app/adminapi/controller/tcm/DiagnosisController.php

@@ -113,12 +113,31 @@ class DiagnosisController extends BaseAdminController
      */
     public function detail()
     {
-        
+
         $params = (new DiagnosisValidate())->goCheck('id');
         $result = DiagnosisLogic::detail($params);
         return $this->data($result);
     }
 
+    /**
+     * @notes 二诊只读病例详情（患者信息 + 病例 + 跟踪记录）
+     *
+     * 路由：GET /tcm.diagnosis/readonlyDetail?id=:diagnosisId
+     * 权限：tcm.diagnosis/readonlyDetail
+     *
+     * @return \think\response\Json
+     */
+    public function readonlyDetail()
+    {
+        $params = (new DiagnosisValidate())->goCheck('readonlyDetail');
+        $result = DiagnosisLogic::readonlyDetail($params, $this->adminId, $this->adminInfo);
+        if (empty($result)) {
+            return $this->fail(DiagnosisLogic::getError() ?: '诊单不存在或无权访问');
+        }
+
+        return $this->data($result);
+    }
+
     /**
      * @notes 诊单挂号 / 取消挂号 操作日志（谁在何时操作）
      */

server/app/adminapi/lists/tcm/DiagnosisLists.php

@@ -17,6 +17,7 @@ namespace app\adminapi\lists\tcm;
 use app\adminapi\lists\BaseAdminDataLists;
 use app\adminapi\logic\dept\DeptLogic;
 use app\common\model\tcm\Diagnosis;
+use app\common\model\tcm\BloodRecord;
 use app\common\model\DiagnosisViewRecord;
 use app\common\model\doctor\Appointment;
 use app\common\model\tcm\Prescription;
@@ -381,6 +382,25 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
         foreach ($lists as &$item) {
             $item['video_call_hint'] = $this->buildVideoCallHint($latestCallByDiag[$item['id']] ?? null);
         }
+        unset($item);
+
+        // 未服务天数：以血糖记录最近一条 record_date 为锚点（口径见 prd T3）
+        // 单次 GROUP BY 聚合，不会成 N+1；走 idx_diagnosis_id 索引。
+        $diagIdsForUnserved = array_values(array_filter(array_unique(array_column($lists, 'id'))));
+        $maxBloodByDiag = [];
+        if (!empty($diagIdsForUnserved)) {
+            $maxBloodByDiag = BloodRecord::whereIn('diagnosis_id', $diagIdsForUnserved)
+                ->whereNull('delete_time')
+                ->group('diagnosis_id')
+                ->column('MAX(record_date)', 'diagnosis_id');
+        }
+        $nowTs = time();
+        foreach ($lists as &$item) {
+            $last = (int) ($maxBloodByDiag[(int) $item['id']] ?? 0);
+            $item['last_blood_record_at'] = $last > 0 ? date('Y-m-d', $last) : null;
+            $item['unserved_days'] = $last > 0 ? max(0, (int) floor(($nowTs - $last) / 86400)) : null;
+        }
+        unset($item);
 
         return $lists;
     }

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

@@ -561,13 +561,13 @@ class AppointmentLogic extends BaseLogic
 
     /**
      * 字典翻译：把诊单中以 code 存储的字段（字典/枚举）补一份中文 label 字段，
-     * 便于前端（接诊台等只读场景）直接渲染，无需加载字典。
+     * 便于前端（接诊台 / 只读病例页等只读场景）直接渲染，无需加载字典。
      * 原始 code 字段保留不动，edit 场景仍可使用。
      *
      * @param array $diagnosis
      * @return array
      */
-    private static function enrichDiagnosisLabels(array $diagnosis): array
+    public static function enrichDiagnosisLabels(array $diagnosis): array
     {
         if (empty($diagnosis)) {
             return $diagnosis;

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

@@ -19,9 +19,17 @@ use app\common\model\tcm\Diagnosis;
 use app\common\model\tcm\DiagnosisGuahaoLog;
 use app\common\model\tcm\DiagnosisAssignLog;
 use app\common\model\tcm\ImChatMessage;
+use app\common\model\tcm\BloodRecord;
+use app\common\model\tcm\DietRecord;
+use app\common\model\tcm\ExerciseRecord;
 use app\common\model\DiagnosisViewRecord;
+use app\common\model\doctor\Appointment;
+use app\common\model\auth\Admin;
+use app\common\model\auth\AdminRole;
 use app\adminapi\logic\doctor\DoctorNoteLogic;
+use app\adminapi\logic\doctor\AppointmentLogic;
 use app\common\service\FileService;
+use app\common\service\DataScope\DataScopeService;
 use think\facade\Db;
 /**
  * 中医辨房病因诊单逻辑
@@ -3324,4 +3332,237 @@ class DiagnosisLogic extends BaseLogic
 
         return $logs;
     }
+
+    /**
+     * @notes 二诊只读病例详情
+     *
+     * 用途：医助从诊单列表「查看 / 双击」进入只读页（T1+T2），返回与接诊台同结构的
+     * 三块内容（appointment + diagnosis + 跟踪记录）。
+     *
+     * 数据权限（与列表 lists 接口一致）：
+     *  - 医助 (role_id=2)：仅能访问 assistant_id == self 的诊单
+     *  - DataScope 启用：assistant_id 须落在 visibleAdminIds
+     *  - 越权 → setError + 返回 []
+     *
+     * @param array               $params    至少含 id
+     * @param int                 $adminId
+     * @param array<string,mixed> $adminInfo request->adminInfo
+     * @return array
+     */
+    public static function readonlyDetail(array $params, int $adminId, array $adminInfo): array
+    {
+        $diagnosisId = (int) ($params['id'] ?? 0);
+        if ($diagnosisId <= 0) {
+            self::setError('诊单 id 不能为空');
+
+            return [];
+        }
+
+        // 1) 数据权限闸 — 不通过则返回「不存在或无权访问」
+        $accessQuery = Diagnosis::where('id', $diagnosisId)->whereNull('delete_time');
+
+        $roleIds = array_map('intval', AdminRole::where('admin_id', $adminId)->column('role_id'));
+        if (in_array(2, $roleIds, true)) {
+            // 医助仅看自己被指派的
+            $accessQuery->where('assistant_id', $adminId);
+        }
+
+        if (DataScopeService::isEnabled()) {
+            $visibleIds = DataScopeService::getVisibleAdminIds($adminId, $adminInfo);
+            if ($visibleIds === []) {
+                self::setError('诊单不存在或无权访问');
+
+                return [];
+            }
+            if (is_array($visibleIds)) {
+                $accessQuery->whereIn('assistant_id', $visibleIds);
+            }
+        }
+
+        if (!$accessQuery->find()) {
+            self::setError('诊单不存在或无权访问');
+
+            return [];
+        }
+
+        // 2) 诊单详情（含图片聚合等）+ 字典翻译
+        $diagnosis = self::detail(['id' => $diagnosisId]);
+        if (empty($diagnosis)) {
+            self::setError('诊单数据为空');
+
+            return [];
+        }
+        $diagnosis = AppointmentLogic::enrichDiagnosisLabels($diagnosis);
+
+        // 3) 最近一条挂号（PatientInfoCard 显示用，无挂号则给默认空对象）
+        $appointment = self::buildLatestAppointmentForReadonly((int) ($diagnosis['id'] ?? $diagnosisId), $diagnosis);
+
+        // 4) 最近 30 天的跟踪记录（一次性 join 出三类，前端透视为矩阵）
+        $windowDays = 30;
+        $sinceTs    = strtotime('-' . $windowDays . ' days');
+        $sinceTs    = $sinceTs > 0 ? $sinceTs : 0;
+
+        $bloodRecords    = self::fetchBloodRecordsForReadonly($diagnosisId, $sinceTs);
+        $dietRecords     = self::fetchDietRecordsForReadonly($diagnosisId, $sinceTs);
+        $exerciseRecords = self::fetchExerciseRecordsForReadonly($diagnosisId, $sinceTs);
+
+        // 5) 医生备注
+        $doctorNotes = DoctorNoteLogic::getByDiagnosis($diagnosisId);
+
+        // 6) 未服务天数（与 T3 列同口径）
+        $maxBloodTs = BloodRecord::where('diagnosis_id', $diagnosisId)
+            ->max('record_date');
+        $maxBloodTs           = (int) $maxBloodTs;
+        $unservedDays         = $maxBloodTs > 0 ? max(0, (int) floor((time() - $maxBloodTs) / 86400)) : null;
+        $lastBloodRecordAt    = $maxBloodTs > 0 ? date('Y-m-d', $maxBloodTs) : null;
+
+        return [
+            'appointment'           => $appointment,
+            'diagnosis'             => $diagnosis,
+            'blood_records'         => $bloodRecords,
+            'diet_records'          => $dietRecords,
+            'exercise_records'      => $exerciseRecords,
+            'doctor_notes'          => $doctorNotes,
+            'unserved_days'         => $unservedDays,
+            'last_blood_record_at'  => $lastBloodRecordAt,
+            'window_days'           => $windowDays,
+        ];
+    }
+
+    /**
+     * 拼一份「最近一条挂号」给只读页 PatientInfoCard 用；没有挂号则给默认空骨架。
+     *
+     * @param int                 $diagnosisId
+     * @param array<string,mixed> $diagnosis 已字典翻译过的诊单数据
+     * @return array<string,mixed>
+     */
+    private static function buildLatestAppointmentForReadonly(int $diagnosisId, array $diagnosis): array
+    {
+        $apt = Appointment::where('patient_id', $diagnosisId)
+            ->order('id', 'desc')
+            ->find();
+
+        $patientName  = (string) ($diagnosis['patient_name'] ?? '');
+        $patientPhone = (string) ($diagnosis['phone'] ?? '');
+
+        if (!$apt) {
+            return [
+                'id'                 => 0,
+                'patient_id'         => $diagnosisId,
+                'patient_name'       => $patientName,
+                'patient_phone'      => $patientPhone,
+                'doctor_id'          => 0,
+                'doctor_name'        => '',
+                'assistant_id'       => (int) ($diagnosis['assistant_id'] ?? 0),
+                'assistant_name'     => self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0)),
+                'appointment_date'   => '',
+                'appointment_time'   => '',
+                'period'             => '',
+                'status'             => 0,
+                'status_desc'        => '无挂号',
+                'has_prescription'   => 0,
+                'remark'             => '',
+            ];
+        }
+
+        $aptArr = $apt->toArray();
+        $aptArr['patient_name']  = $patientName;
+        $aptArr['patient_phone'] = $patientPhone;
+        // 医生姓名
+        $aptArr['doctor_name'] = '';
+        $docId                 = (int) ($aptArr['doctor_id'] ?? 0);
+        if ($docId > 0) {
+            $aptArr['doctor_name'] = (string) Admin::where('id', $docId)->value('name');
+        }
+        $aptArr['assistant_id']     = (int) ($diagnosis['assistant_id'] ?? 0);
+        $aptArr['assistant_name']   = self::resolveAssistantName((int) ($diagnosis['assistant_id'] ?? 0));
+        // status_desc 与现有列表口径保持简单映射
+        $statusMap = [
+            0 => '未挂号',
+            1 => '已预约',
+            2 => '已取消',
+            3 => '已完成',
+            4 => '已过号',
+        ];
+        $aptArr['status_desc']     = $statusMap[(int) ($aptArr['status'] ?? 0)] ?? '';
+        $aptArr['has_prescription'] = (int) ($diagnosis['has_prescription'] ?? 0);
+
+        return $aptArr;
+    }
+
+    private static function resolveAssistantName(int $assistantId): string
+    {
+        if ($assistantId <= 0) {
+            return '';
+        }
+
+        return (string) Admin::where('id', $assistantId)->value('name');
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchBloodRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = BloodRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')
+            ->order('record_time', 'desc')
+            ->select()
+            ->toArray();
+
+        // 给前端一个 Y-m-d 字符串方便按日期透视；保留原 record_date 整数戳作日期窗口比较
+        foreach ($rows as &$row) {
+            $ts                          = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts']       = $ts;
+            $row['record_date']          = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchDietRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = DietRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')->select()->toArray();
+
+        foreach ($rows as &$row) {
+            $ts                    = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts'] = $ts;
+            $row['record_date']    = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
+
+    /**
+     * @return array<int,array<string,mixed>>
+     */
+    private static function fetchExerciseRecordsForReadonly(int $diagnosisId, int $sinceTs): array
+    {
+        $query = ExerciseRecord::where('diagnosis_id', $diagnosisId);
+        if ($sinceTs > 0) {
+            $query->where('record_date', '>=', $sinceTs);
+        }
+        $rows = $query->order('record_date', 'desc')
+            ->append(['intensity_text'])
+            ->select()
+            ->toArray();
+
+        foreach ($rows as &$row) {
+            $ts                    = (int) ($row['record_date'] ?? 0);
+            $row['record_date_ts'] = $ts;
+            $row['record_date']    = $ts > 0 ? date('Y-m-d', $ts) : '';
+        }
+
+        return $rows;
+    }
 }

server/app/adminapi/validate/tcm/DiagnosisValidate.php

@@ -71,6 +71,11 @@ class DiagnosisValidate extends BaseValidate
     {
         return $this->only(['id']);
     }
+
+    public function sceneReadonlyDetail()
+    {
+        return $this->only(['id']);
+    }
     
     public function sceneGenerateQrcode()
     {

server/sql/1.9.20260420/add_diagnosis_readonly_menu.sql

@@ -0,0 +1,17 @@
+# 二诊只读病例详情接口权限注册（T1+T2 - 2026-05-05）
+# 挂在「中医诊单」(perms=tcm.diagnosis/lists) 菜单下
+#   tcm.diagnosis/readonlyDetail  二诊只读病例详情接口
+
+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', '只读病例', '', 70,
+    'tcm.diagnosis/readonlyDetail', '', '',
+    '', '', 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.diagnosis/readonlyDetail');

server/sql/1.9.20260420/cleanup_orphan_menus.sql

@@ -0,0 +1,35 @@
+-- 清理菜单表中的孤儿记录（可选 · 跟 T1+T2 无关）
+--
+-- 背景：admin 启动时会按菜单表的 component 字段去 import.meta.glob 出来的 vue 文件里找匹配，
+-- 找不到就 console.error("找不到组件 xxx")。前端 admin/src/views/stats/ 下没有 doctor-daily 目录，
+-- 但菜单表里仍残留 component='stats/doctor-daily/index' 的记录 → 每次刷页面都会有这条警告。
+--
+-- 安全提示：
+--   1. **先跑下面的 SELECT**，确认要删的记录确实是孤儿（前端 views 下不存在）。
+--   2. 如果想保留菜单数据但不再触发 console.error，可以改 component 为空字符串而不是删除。
+--   3. 如果以后该功能要回归，可以从 git 历史里恢复或重新写 menu SQL。
+--
+-- 步骤 1：探测
+-- =============================================================
+-- SELECT id, pid, type, name, perms, paths, component, is_show, create_time
+-- FROM zyt_system_menu
+-- WHERE component LIKE '%doctor-daily%'
+--    OR perms     LIKE '%doctor.daily%'
+--    OR paths     LIKE '%doctor-daily%';
+
+-- 步骤 2（可选 A）：把这条菜单及其子按钮全部删掉
+-- =============================================================
+-- 先把它的子节点（按钮权限）一并清理
+-- DELETE FROM zyt_system_menu
+-- WHERE pid IN (
+--     SELECT id FROM (
+--         SELECT id FROM zyt_system_menu WHERE component = 'stats/doctor-daily/index'
+--     ) t
+-- );
+-- DELETE FROM zyt_system_menu WHERE component = 'stats/doctor-daily/index';
+
+-- 步骤 2（可选 B）：仅置空 component，保留菜单与按钮权限不动（最稳妥）
+-- =============================================================
+-- UPDATE zyt_system_menu
+-- SET    component = ''
+-- WHERE  component = 'stats/doctor-daily/index';