更新

app/video_companion/src/App.vue

@@ -18,9 +18,39 @@ interface LiveCaption {
   id: string
   speaker: string
   text: string
+  time: string
   completed: boolean
 }
 
+interface PatientCase {
+  diagnosisId: string
+  name: string
+  gender: string
+  age: string
+  height: string
+  weight: string
+  diagnosisDate: string
+  appointmentDate: string
+  clinicalDiagnosis: string
+  chiefComplaint: string
+  presentIllness: string
+  pastHistory: string
+  allergyHistory: string
+  personalHistory: string
+  familyHistory: string
+  currentMedication: string
+  tongue: string
+  pulse: string
+  prescriptionOpinion: string
+  remark: string
+}
+
+interface CaseField {
+  label: string
+  value: string
+  risk?: boolean
+}
+
 const props = defineProps<{
   phase: Readonly<Ref<string>>
   statusText: Readonly<Ref<string>>
@@ -34,12 +64,14 @@ const props = defineProps<{
   transcriptionState: Readonly<Ref<string>>
   localRecordingState: Readonly<Ref<string>>
   liveCaptions: Readonly<Ref<LiveCaption[]>>
+  patientCase: Readonly<Ref<PatientCase>>
   onSendText: (text: string) => Promise<void>
   onSendAttachment: (file: File) => Promise<void>
   onLoadMore: () => Promise<void>
   onReconnectChat: () => Promise<void>
   onStartVideo: () => Promise<void>
   onHangup: () => Promise<void>
+  onOpenDiagnosis: () => Promise<void>
   onSaveScreenshot: (dataUrl: string) => Promise<void>
 }>()
 
@@ -50,6 +82,7 @@ const messageList = ref<HTMLElement | null>(null)
 const fileInput = ref<HTMLInputElement | null>(null)
 const screenshotPreview = ref('')
 const stickToMessageBottom = ref(true)
+const transcriptList = ref<HTMLElement | null>(null)
 
 const isChat = computed(() => props.mode.value === 'chat')
 const isCalling = computed(() => ['starting', 'dialing', 'connected'].includes(props.phase.value))
@@ -84,6 +117,41 @@ const transcriptionStatusText = computed(() => {
   if (textState === 'error') return '实时转写失败，本机录音仍在运行'
   return '录音与转写已结束'
 })
+const patientMetaText = computed(() => {
+  const detail = props.patientCase.value
+  return [
+    detail.gender,
+    detail.age ? `${detail.age}岁` : '',
+    detail.height ? `${detail.height} cm` : '',
+    detail.weight ? `${detail.weight} kg` : '',
+  ].filter(Boolean).join(' · ') || '基础资料待补充'
+})
+const patientVisitText = computed(() => {
+  const detail = props.patientCase.value
+  if (detail.appointmentDate) return `预约 ${detail.appointmentDate}`
+  if (detail.diagnosisDate) return `诊断 ${detail.diagnosisDate}`
+  return `诊单 ${detail.diagnosisId || '—'}`
+})
+const caseFields = computed<CaseField[]>(() => {
+  const detail = props.patientCase.value
+  const allergyRisk = Boolean(detail.allergyHistory) && !/^(无|否|未发现|无过敏史|none|no)$/i.test(
+    detail.allergyHistory.trim(),
+  )
+  return [
+    { label: '临床诊断', value: detail.clinicalDiagnosis },
+    { label: '主诉', value: detail.chiefComplaint },
+    { label: '现病史', value: detail.presentIllness },
+    { label: '当前用药', value: detail.currentMedication },
+    { label: '过敏史', value: detail.allergyHistory, risk: allergyRisk },
+    { label: '既往史', value: detail.pastHistory },
+    { label: '个人史', value: detail.personalHistory },
+    { label: '家族史', value: detail.familyHistory },
+    { label: '舌象', value: detail.tongue },
+    { label: '脉象', value: detail.pulse },
+    { label: '处方意见', value: detail.prescriptionOpinion },
+    { label: '病例备注', value: detail.remark },
+  ].filter((item) => Boolean(item.value))
+})
 
 watch(
   () => props.messages.value.length,
@@ -103,6 +171,17 @@ watch(
   },
 )
 
+watch(
+  () => {
+    const last = props.liveCaptions.value.at(-1)
+    return `${props.liveCaptions.value.length}:${last?.id || ''}:${last?.text || ''}`
+  },
+  async () => {
+    await nextTick()
+    if (transcriptList.value) transcriptList.value.scrollTop = transcriptList.value.scrollHeight
+  },
+)
+
 function handleMessageScroll(): void {
   const container = messageList.value
   if (!container) return
@@ -335,70 +414,154 @@ watch(
       </footer>
     </section>
 
-    <section v-if="videoVisible" class="video-layer" :class="{ 'video-layer--overlay': isChat }">
-      <TUICallKit
-        class="call-kit"
-        :allowed-minimized="false"
-        :allowed-full-screen="true"
-      />
+    <section
+      v-if="videoVisible"
+      class="video-layer"
+      :class="{
+        'video-layer--overlay': isChat,
+        'video-layer--with-rail': isCalling,
+      }"
+    >
+      <div class="video-stage">
+        <TUICallKit
+          class="call-kit"
+          :allowed-minimized="false"
+          :allowed-full-screen="false"
+        />
 
-      <section v-if="phase.value === 'ready' || phase.value === 'starting' || phase.value === 'error'" class="status-card">
-        <span class="status-dot" :class="`status-dot--${phase.value}`" aria-hidden="true" />
-        <div>
-          <p class="eyebrow">中医视频问诊</p>
-          <h2>{{ statusText.value }}</h2>
-          <p class="status-hint">视频通话凭证仅由业务服务器签发</p>
+        <section v-if="phase.value === 'ready' || phase.value === 'starting' || phase.value === 'error'" class="status-card">
+          <span class="status-dot" :class="`status-dot--${phase.value}`" aria-hidden="true" />
+          <div>
+            <p class="eyebrow">中医视频问诊</p>
+            <h2>{{ statusText.value }}</h2>
+            <p class="status-hint">视频通话凭证仅由业务服务器签发</p>
+          </div>
+        </section>
+
+        <div v-else class="live-status" role="status">
+          <span class="status-dot status-dot--live" aria-hidden="true" />
+          {{ statusText.value }}
         </div>
-      </section>
 
-      <div v-else class="live-status" role="status">
-        <span class="status-dot status-dot--live" aria-hidden="true" />
-        {{ statusText.value }}
-      </div>
+        <div v-if="isCalling" class="video-actions">
+          <div
+            v-if="canCapture"
+            class="recording-status"
+            :class="{
+              'recording-status--active': transcriptionActive,
+              'recording-status--error': transcriptionFailed,
+            }"
+            role="status"
+            aria-live="polite"
+          >
+            <span class="recording-indicator" aria-hidden="true" />
+            {{ transcriptionStatusText }}
+          </div>
+          <button
+            class="capture-button"
+            type="button"
+            :disabled="!canCapture || actionBusy"
+            @click="captureScreenshot"
+          >
+            截屏预览
+          </button>
+          <button class="hangup-button" type="button" :disabled="actionBusy" @click="runAction(onHangup)">
+            结束视频
+          </button>
+        </div>
 
-      <div
-        v-if="canCapture && liveCaptions.value.length"
-        class="live-captions"
-        role="log"
-        aria-live="polite"
-        aria-label="实时语音字幕"
-      >
-        <p v-for="caption in liveCaptions.value" :key="caption.id">
-          <strong>{{ caption.speaker }}</strong>
-          <span>{{ caption.text }}</span>
-        </p>
-      </div>
-
-      <div v-if="isCalling" class="video-actions">
-        <div
-          v-if="canCapture"
-          class="recording-status"
-          :class="{
-            'recording-status--active': transcriptionActive,
-            'recording-status--error': transcriptionFailed,
-          }"
-          role="status"
-          aria-live="polite"
-        >
-          <span class="recording-indicator" aria-hidden="true" />
-          {{ transcriptionStatusText }}
+        <div v-if="localError || notice.value" class="video-notice" :class="{ 'video-notice--error': localError }">
+          {{ localError || notice.value }}
         </div>
-        <button
-          class="capture-button"
-          type="button"
-          :disabled="!canCapture || actionBusy"
-          @click="captureScreenshot"
-        >
-          截屏预览
-        </button>
-        <button class="hangup-button" type="button" :disabled="actionBusy" @click="runAction(onHangup)">
-          结束视频
-        </button>
       </div>
 
-      <div v-if="localError || notice.value" class="video-notice" :class="{ 'video-notice--error': localError }">
-        {{ localError || notice.value }}
-      </div>
+      <aside v-if="isCalling" class="consultation-rail" aria-label="患者病例与实时对话">
+        <header class="consultation-rail__header">
+          <div class="consultation-rail__avatar" aria-hidden="true">
+            {{ (patientCase.value.name || patientName.value).slice(0, 1) }}
+          </div>
+          <div class="consultation-rail__identity">
+            <strong>{{ patientCase.value.name || patientName.value }}</strong>
+            <span>{{ patientMetaText }}</span>
+          </div>
+          <div class="consultation-rail__actions">
+            <span class="diagnosis-chip">诊单 {{ patientCase.value.diagnosisId || '—' }}</span>
+            <button
+              class="open-diagnosis-button"
+              type="button"
+              :disabled="actionBusy"
+              aria-label="打开完整诊单"
+              @click="runAction(onOpenDiagnosis)"
+            >
+              打开诊单
+              <span aria-hidden="true">↗</span>
+            </button>
+          </div>
+        </header>
+
+        <section class="case-panel" aria-labelledby="patient-case-title">
+          <header class="rail-section-heading">
+            <div>
+              <span class="rail-section-heading__index">01</span>
+              <h2 id="patient-case-title">患者病例</h2>
+            </div>
+            <span>{{ patientVisitText }}</span>
+          </header>
+          <div class="case-panel__content">
+            <div v-if="caseFields.length" class="case-field-list">
+              <article
+                v-for="field in caseFields"
+                :key="field.label"
+                class="case-field"
+                :class="{ 'case-field--risk': field.risk }"
+              >
+                <span>{{ field.label }}</span>
+                <p>{{ field.value }}</p>
+              </article>
+            </div>
+            <div v-else class="rail-empty rail-empty--case">
+              <strong>暂无已填写的病例内容</strong>
+              <span>可继续通话，已补充的病例会在下次打开时显示。</span>
+            </div>
+          </div>
+        </section>
+
+        <section class="transcript-panel" aria-labelledby="live-transcript-title">
+          <header class="rail-section-heading">
+            <div>
+              <span class="rail-section-heading__index">02</span>
+              <h2 id="live-transcript-title">实时对话</h2>
+            </div>
+            <span class="transcript-state" :class="{ 'transcript-state--active': transcriptionActive }">
+              {{ transcriptionActive ? '转写中' : '等待语音' }}
+            </span>
+          </header>
+          <div
+            ref="transcriptList"
+            class="live-captions"
+            role="log"
+            aria-live="polite"
+            aria-label="实时语音字幕"
+          >
+            <div v-if="!liveCaptions.value.length" class="rail-empty">
+              <strong>对话文字会显示在这里</strong>
+              <span>接通后自动识别医生与患者语音，并保留本次通话内容。</span>
+            </div>
+            <article
+              v-for="caption in liveCaptions.value"
+              :key="caption.id"
+              class="caption-entry"
+              :class="{ 'caption-entry--partial': !caption.completed }"
+            >
+              <header>
+                <strong>{{ caption.speaker }}</strong>
+                <time>{{ caption.time }}</time>
+              </header>
+              <p>{{ caption.text }}</p>
+            </article>
+          </div>
+        </section>
+      </aside>
 
       <div
         v-if="screenshotPreview"

app/video_companion/src/env.d.ts

@@ -15,9 +15,33 @@ interface DoctorCallConfig {
   patientUserId?: string
   diagnosisId: number | string
   patientName?: string
+  patientCase?: DoctorPatientCase
   mode?: 'chat' | 'video'
 }
 
+interface DoctorPatientCase {
+  diagnosisId?: number | string
+  name?: string
+  gender?: string
+  age?: string | number
+  height?: string | number
+  weight?: string | number
+  diagnosisDate?: string
+  appointmentDate?: string
+  clinicalDiagnosis?: string
+  chiefComplaint?: string
+  presentIllness?: string
+  pastHistory?: string
+  allergyHistory?: string
+  personalHistory?: string
+  familyHistory?: string
+  currentMedication?: string
+  tongue?: string
+  pulse?: string
+  prescriptionOpinion?: string
+  remark?: string
+}
+
 interface DoctorCallApi {
   start(config: DoctorCallConfig): Promise<void>
   hangup(): Promise<void>

app/video_companion/src/main.ts

@@ -26,6 +26,7 @@ interface NormalizedCallConfig {
   targetUserId: string
   diagnosisId: number | string
   patientName: string
+  patientCase: UiPatientCase
   mode: CompanionMode
 }
 
@@ -44,9 +45,33 @@ interface UiLiveCaption {
   id: string
   speaker: string
   text: string
+  time: string
   completed: boolean
 }
 
+interface UiPatientCase {
+  diagnosisId: string
+  name: string
+  gender: string
+  age: string
+  height: string
+  weight: string
+  diagnosisDate: string
+  appointmentDate: string
+  clinicalDiagnosis: string
+  chiefComplaint: string
+  presentIllness: string
+  pastHistory: string
+  allergyHistory: string
+  personalHistory: string
+  familyHistory: string
+  currentMedication: string
+  tongue: string
+  pulse: string
+  prescriptionOpinion: string
+  remark: string
+}
+
 interface BridgeMessage {
   source: 'doctor-call'
   event:
@@ -56,6 +81,7 @@ interface BridgeMessage {
     | 'room'
     | 'hangup'
     | 'error'
+    | 'open-diagnosis-request'
     | 'transcription-start-request'
     | 'transcription-segment'
     | 'transcription-stop'
@@ -127,6 +153,11 @@ interface PendingLocalRecordingReply {
 interface TrtcAudioTrackEvent {
   userId?: string
   track?: MediaStreamTrack
+  sourceTrack?: MediaStreamTrack
+}
+
+interface TrtcRemoteAudioEvent {
+  userId?: string
 }
 
 interface TrtcAudioCloud {
@@ -135,7 +166,9 @@ interface TrtcAudioCloud {
     processed?: boolean
   } | string): MediaStreamTrack | null
   on?(event: 'track', handler: (event: TrtcAudioTrackEvent) => void): void
+  on?(event: 'remote-audio-available', handler: (event: TrtcRemoteAudioEvent) => void): void
   off?(event: 'track', handler: (event: TrtcAudioTrackEvent) => void): void
+  off?(event: 'remote-audio-available', handler: (event: TrtcRemoteAudioEvent) => void): void
 }
 
 const phase = ref<CallPhase>('ready')
@@ -150,6 +183,7 @@ const hasMoreMessages = ref(false)
 const transcriptionState = ref<TranscriptionState>('idle')
 const localRecordingState = ref<LocalRecordingState>('idle')
 const liveCaptions = ref<UiLiveCaption[]>([])
+const patientCase = ref<UiPatientCase>(emptyPatientCase())
 
 let activeConfig: NormalizedCallConfig | null = null
 let chat: any = null
@@ -192,6 +226,7 @@ let localAudioContext: AudioContext | null = null
 let localAudioDestination: MediaStreamAudioDestinationNode | null = null
 let localAudioCloud: TrtcAudioCloud | null = null
 let localAudioTrackHandler: ((event: TrtcAudioTrackEvent) => void) | null = null
+let localRemoteAudioAvailableHandler: ((event: TrtcRemoteAudioEvent) => void) | null = null
 let localAudioSources: MediaStreamAudioSourceNode[] = []
 let localAudioTrackIds = new Set<string>()
 let localAudioOwnedTracks: MediaStreamTrack[] = []
@@ -205,8 +240,6 @@ let localRecordingChunkChain: Promise<void> = Promise.resolve()
 let localRecordingStartPromise: Promise<void> | null = null
 let localRecordingStopPromise: Promise<void> | null = null
 let localRecordingFatalError = ''
-let liveCaptionClearTimer: number | null = null
-
 function initializeQtWebChannel(): void {
   const transport = window.qt?.webChannelTransport
   const QWebChannel = window.QWebChannel
@@ -259,11 +292,80 @@ function emit(message: BridgeMessage): void {
   }
 }
 
+async function openDiagnosis(): Promise<void> {
+  if (!activeConfig) throw new Error('诊单上下文尚未就绪')
+  emit({
+    source: 'doctor-call',
+    event: 'open-diagnosis-request',
+    diagnosisId: activeConfig.diagnosisId,
+  })
+}
+
 function cleanString(value: unknown, field: string): string {
   if (typeof value !== 'string' || value.trim() === '') throw new Error(`${field}不能为空`)
   return value.trim()
 }
 
+function optionalText(value: unknown, maxLength = 2000): string {
+  if (value === undefined || value === null) return ''
+  return String(value).trim().slice(0, maxLength)
+}
+
+function emptyPatientCase(): UiPatientCase {
+  return {
+    diagnosisId: '',
+    name: '',
+    gender: '',
+    age: '',
+    height: '',
+    weight: '',
+    diagnosisDate: '',
+    appointmentDate: '',
+    clinicalDiagnosis: '',
+    chiefComplaint: '',
+    presentIllness: '',
+    pastHistory: '',
+    allergyHistory: '',
+    personalHistory: '',
+    familyHistory: '',
+    currentMedication: '',
+    tongue: '',
+    pulse: '',
+    prescriptionOpinion: '',
+    remark: '',
+  }
+}
+
+function normalizePatientCase(
+  value: DoctorPatientCase | undefined,
+  diagnosisId: number | string,
+  fallbackName: string,
+): UiPatientCase {
+  const source = value && typeof value === 'object' ? value : {}
+  return {
+    diagnosisId: optionalText(source.diagnosisId ?? diagnosisId, 80),
+    name: optionalText(source.name || fallbackName, 120) || fallbackName,
+    gender: optionalText(source.gender, 20),
+    age: optionalText(source.age, 20),
+    height: optionalText(source.height, 20),
+    weight: optionalText(source.weight, 20),
+    diagnosisDate: optionalText(source.diagnosisDate, 80),
+    appointmentDate: optionalText(source.appointmentDate, 80),
+    clinicalDiagnosis: optionalText(source.clinicalDiagnosis),
+    chiefComplaint: optionalText(source.chiefComplaint),
+    presentIllness: optionalText(source.presentIllness),
+    pastHistory: optionalText(source.pastHistory),
+    allergyHistory: optionalText(source.allergyHistory),
+    personalHistory: optionalText(source.personalHistory),
+    familyHistory: optionalText(source.familyHistory),
+    currentMedication: optionalText(source.currentMedication),
+    tongue: optionalText(source.tongue),
+    pulse: optionalText(source.pulse),
+    prescriptionOpinion: optionalText(source.prescriptionOpinion),
+    remark: optionalText(source.remark),
+  }
+}
+
 function normalizeConfig(config: DoctorCallConfig): NormalizedCallConfig {
   if (!config || typeof config !== 'object') throw new Error('问诊配置无效')
   const SDKAppID = Number(config.SDKAppID ?? config.sdkAppId)
@@ -274,15 +376,17 @@ function normalizeConfig(config: DoctorCallConfig): NormalizedCallConfig {
     throw new Error('诊单ID不能为空')
   }
 
+  const normalizedPatientName = typeof config.patientName === 'string' && config.patientName.trim()
+    ? config.patientName.trim()
+    : '患者'
   return {
     SDKAppID,
     userID: cleanString(config.userID ?? config.userId, '医生用户ID'),
     userSig: cleanString(config.userSig, '用户签名'),
     targetUserId: cleanString(config.targetUserId ?? config.patientUserId, '患者用户ID'),
     diagnosisId: typeof diagnosisId === 'string' ? diagnosisId.trim() : diagnosisId,
-    patientName: typeof config.patientName === 'string' && config.patientName.trim()
-      ? config.patientName.trim()
-      : '患者',
+    patientName: normalizedPatientName,
+    patientCase: normalizePatientCase(config.patientCase, diagnosisId, normalizedPatientName),
     mode: config.mode === 'chat' ? 'chat' : 'video',
   }
 }
@@ -747,30 +851,50 @@ function attachLocalRecordingTrack(
   return true
 }
 
+function attachDoctorAudioTrack(cloud: TrtcAudioCloud): boolean {
+  if (typeof cloud.getAudioTrack !== 'function') return false
+  let attached = false
+  try {
+    attached = attachLocalRecordingTrack(cloud.getAudioTrack({ processed: true }), 'doctor')
+  } catch {
+    // Some TRTC versions do not support processed tracks.
+  }
+  if (!attached) {
+    try {
+      attached = attachLocalRecordingTrack(cloud.getAudioTrack(), 'doctor')
+    } catch {
+      // The microphone fallback below remains available.
+    }
+  }
+  return attached
+}
+
+function attachPatientAudioTrack(cloud: TrtcAudioCloud, userId: string): boolean {
+  if (typeof cloud.getAudioTrack !== 'function' || !userId) return false
+  let attached = false
+  try {
+    attached = attachLocalRecordingTrack(cloud.getAudioTrack({
+      userId,
+      processed: true,
+    }), 'patient')
+  } catch {
+    // Some TRTC versions do not expose a processed remote track.
+  }
+  if (!attached) {
+    try {
+      attached = attachLocalRecordingTrack(cloud.getAudioTrack(userId), 'patient')
+    } catch {
+      // Remote audio can become available a few frames after connected.
+    }
+  }
+  return attached
+}
+
 function attachCurrentCallAudioTracks(cloud: TrtcAudioCloud | null): void {
   if (!activeConfig) return
-  if (typeof cloud?.getAudioTrack === 'function') {
-    try {
-      attachLocalRecordingTrack(cloud.getAudioTrack({ processed: true }), 'doctor')
-    } catch {
-      try {
-        attachLocalRecordingTrack(cloud.getAudioTrack(), 'doctor')
-      } catch {
-        // The rendered media elements below remain a supported fallback.
-      }
-    }
-    try {
-      attachLocalRecordingTrack(cloud.getAudioTrack({
-        userId: activeConfig.targetUserId,
-        processed: true,
-      }), 'patient')
-    } catch {
-      try {
-        attachLocalRecordingTrack(cloud.getAudioTrack(activeConfig.targetUserId), 'patient')
-      } catch {
-        // Remote audio can become available a few frames after connected.
-      }
-    }
+  if (cloud) {
+    attachDoctorAudioTrack(cloud)
+    attachPatientAudioTrack(cloud, activeConfig.targetUserId)
   }
 
   for (const media of document.querySelectorAll<HTMLMediaElement>('video, audio')) {
@@ -852,8 +976,20 @@ async function cleanupLocalRecordingGraph(): Promise<void> {
       // The call engine may already have released its event dispatcher.
     }
   }
+  if (
+    localAudioCloud
+    && localRemoteAudioAvailableHandler
+    && typeof localAudioCloud.off === 'function'
+  ) {
+    try {
+      localAudioCloud.off('remote-audio-available', localRemoteAudioAvailableHandler)
+    } catch {
+      // The call engine may already have released its event dispatcher.
+    }
+  }
   localAudioCloud = null
   localAudioTrackHandler = null
+  localRemoteAudioAvailableHandler = null
   for (const source of localAudioSources) {
     try {
       source.disconnect()
@@ -910,15 +1046,26 @@ async function performStartLocalRecording(): Promise<void> {
     localAudioDestination = context.createMediaStreamDestination()
     const cloud = getTrtcAudioCloud()
     localAudioCloud = cloud
-    localAudioTrackHandler = (event) => attachLocalRecordingTrack(
-      event.track,
-      event.userId === activeConfig?.userID
+    localAudioTrackHandler = (event) => {
+      const sourceKind = !event.userId || event.userId === activeConfig?.userID
         ? 'doctor'
         : event.userId === activeConfig?.targetUserId
           ? 'patient'
-          : 'unknown',
-    )
-    if (typeof cloud?.on === 'function') cloud.on('track', localAudioTrackHandler)
+          : 'unknown'
+      if (!attachLocalRecordingTrack(event.track, sourceKind)) {
+        attachLocalRecordingTrack(event.sourceTrack, sourceKind)
+      }
+    }
+    localRemoteAudioAvailableHandler = (event) => {
+      const userId = event.userId || activeConfig?.targetUserId || ''
+      if (cloud && userId === activeConfig?.targetUserId) {
+        attachPatientAudioTrack(cloud, userId)
+      }
+    }
+    if (typeof cloud?.on === 'function') {
+      cloud.on('track', localAudioTrackHandler)
+      cloud.on('remote-audio-available', localRemoteAudioAvailableHandler)
+    }
     if (context.state === 'suspended') await context.resume()
     await waitForCallAudioTracks(cloud, sessionId)
     startCallAudioDiscovery(cloud)
@@ -1151,10 +1298,6 @@ function getTranscriberManager(): RealtimeTranscriberManager {
 }
 
 function clearLiveCaptions(): void {
-  if (liveCaptionClearTimer !== null) {
-    window.clearTimeout(liveCaptionClearTimer)
-    liveCaptionClearTimer = null
-  }
   liveCaptions.value = []
 }
 
@@ -1170,19 +1313,26 @@ function showLiveCaption(message: RealtimeTranscriberMessage): void {
     : speakerUserId === activeConfig.targetUserId
       ? patientName.value || '患者'
       : '对话'
+  const rawTimestamp = Number(message.timestamp)
+  const captionTimestamp = Number.isFinite(rawTimestamp) && rawTimestamp > 0
+    ? (rawTimestamp < 1_000_000_000_000 ? rawTimestamp * 1000 : rawTimestamp)
+    : Date.now()
   const caption: UiLiveCaption = {
     id,
     speaker,
     text: text.slice(0, 500),
+    time: new Date(captionTimestamp).toLocaleTimeString('zh-CN', {
+      hour: '2-digit',
+      minute: '2-digit',
+      hour12: false,
+    }),
     completed: message.isCompleted === true,
   }
   const previous = liveCaptions.value.filter((item) => item.id !== id)
-  liveCaptions.value = [...previous, caption].slice(-2)
-  if (liveCaptionClearTimer !== null) window.clearTimeout(liveCaptionClearTimer)
-  liveCaptionClearTimer = window.setTimeout(() => {
-    liveCaptions.value = []
-    liveCaptionClearTimer = null
-  }, message.isCompleted === true ? 9000 : 5000)
+  // Keep the current call's transcript visible in the side rail.  Repeated
+  // partial updates replace the same segment and the bounded history prevents
+  // long calls from growing memory without limit.
+  liveCaptions.value = [...previous, caption].slice(-120)
 }
 
 function handleTranscriberMessage(
@@ -1421,7 +1571,6 @@ async function stopTranscription(
     transcriptionSessionId = ''
     acknowledgedSegmentIds.clear()
     pendingSegments.clear()
-    clearLiveCaptions()
   })().finally(() => {
     transcriptionStopPromise = null
   })
@@ -1720,6 +1869,7 @@ async function open(config: DoctorCallConfig): Promise<void> {
   activeConfig = normalizeConfig(config)
   mode.value = activeConfig.mode
   patientName.value = activeConfig.patientName
+  patientCase.value = activeConfig.patientCase
   messages.value = []
   nextReqMessageID = ''
   hasMoreMessages.value = false
@@ -1805,12 +1955,14 @@ createApp(App, {
   transcriptionState: readonly(transcriptionState),
   localRecordingState: readonly(localRecordingState),
   liveCaptions: readonly(liveCaptions),
+  patientCase: readonly(patientCase),
   onSendText: sendText,
   onSendAttachment: sendAttachment,
   onLoadMore: () => loadMessages(true),
   onReconnectChat: reconnectChat,
   onStartVideo: startVideo,
   onHangup: hangup,
+  onOpenDiagnosis: openDiagnosis,
   onSaveScreenshot: saveScreenshot,
 }).mount('#app')
 

app/video_companion/src/style.css

@@ -272,6 +272,8 @@ button:disabled { cursor: not-allowed; opacity: .55; }
 
 .video-layer {
   position: relative;
+  display: grid;
+  grid-template-columns: minmax(0, 1fr);
   width: 100%;
   height: 100%;
   min-height: 420px;
@@ -281,8 +283,21 @@ button:disabled { cursor: not-allowed; opacity: .55; }
     radial-gradient(circle at 50% 35%, rgba(60, 86, 130, .28), transparent 38%),
     #090d14;
 }
+.video-layer--with-rail {
+  grid-template-columns: minmax(0, 1fr) clamp(330px, 31vw, 380px);
+}
 .video-layer--overlay { position: fixed; z-index: 1000; inset: 0; }
 
+.video-stage {
+  position: relative;
+  min-width: 0;
+  min-height: 0;
+  overflow: hidden;
+  background:
+    radial-gradient(circle at 50% 35%, rgba(60, 86, 130, .28), transparent 38%),
+    #090d14;
+}
+
 .call-kit,
 .video-layer :is(.TUICallKit-desktop, .TUICallKit-mobile, #tuicallkit-id) {
   width: 100% !important;
@@ -336,40 +351,249 @@ button:disabled { cursor: not-allowed; opacity: .55; }
 }
 .live-status .status-dot { width: 7px; height: 7px; margin: 0; box-shadow: none; }
 
-.live-captions {
-  position: absolute;
-  z-index: 38;
-  left: 50%;
-  bottom: 92px;
+.consultation-rail {
+  position: relative;
+  z-index: 55;
   display: grid;
-  gap: 7px;
-  width: min(820px, calc(100% - 360px));
-  transform: translateX(-50%);
-  pointer-events: none;
+  grid-template-rows: auto minmax(0, 1.08fr) minmax(0, .92fr);
+  min-width: 0;
+  min-height: 0;
+  overflow: hidden;
+  border-left: 1px solid #dce3f0;
+  color: #15233a;
+  background: #f6f8fc;
+  box-shadow: -16px 0 38px rgba(4, 12, 26, .16);
 }
-.live-captions p {
+.consultation-rail__header {
   display: grid;
-  grid-template-columns: auto minmax(0, 1fr);
-  gap: 10px;
-  align-items: start;
-  width: fit-content;
-  max-width: 100%;
-  margin: 0 auto;
-  padding: 8px 14px;
-  border: 1px solid rgba(255, 255, 255, .2);
-  border-radius: 10px;
+  grid-template-columns: 42px minmax(0, 1fr) auto;
+  gap: 11px;
+  align-items: center;
+  min-height: 74px;
+  padding: 13px 16px;
+  border-bottom: 1px solid #e2e7f1;
+  background: #fff;
+}
+.consultation-rail__avatar {
+  display: grid;
+  place-items: center;
+  width: 42px;
+  height: 42px;
+  border-radius: 13px;
   color: #fff;
-  background: rgba(9, 13, 20, .78);
-  box-shadow: 0 6px 24px rgba(0, 0, 0, .2);
-  font-size: 16px;
-  line-height: 1.55;
-  backdrop-filter: blur(8px);
+  background: #5761f4;
+  font-size: 17px;
+  font-weight: 700;
 }
-.live-captions strong {
-  color: #aeb8ff;
+.consultation-rail__identity {
+  display: grid;
+  gap: 3px;
+  min-width: 0;
+}
+.consultation-rail__identity strong {
+  overflow: hidden;
+  color: #111f46;
+  font-size: 16px;
+  line-height: 1.3;
+  text-overflow: ellipsis;
   white-space: nowrap;
 }
-.live-captions span { min-width: 0; word-break: break-word; }
+.consultation-rail__identity span {
+  overflow: hidden;
+  color: #7886a3;
+  font-size: 11px;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+.diagnosis-chip {
+  padding: 5px 7px;
+  border-radius: 6px;
+  color: #4a56d5;
+  background: #eef0ff;
+  font-size: 10px;
+  font-weight: 700;
+  font-variant-numeric: tabular-nums;
+  white-space: nowrap;
+}
+.consultation-rail__actions {
+  display: grid;
+  flex: 0 0 auto;
+  justify-items: end;
+  gap: 5px;
+}
+.open-diagnosis-button {
+  display: inline-flex;
+  align-items: center;
+  gap: 4px;
+  min-height: 28px;
+  padding: 5px 8px;
+  border: 1px solid #cfd5ff;
+  border-radius: 7px;
+  color: #3f4bc5;
+  background: #fff;
+  font-size: 11px;
+  font-weight: 700;
+  white-space: nowrap;
+}
+.open-diagnosis-button:hover,
+.open-diagnosis-button:focus-visible {
+  border-color: #6874e7;
+  background: #f3f4ff;
+  outline: none;
+}
+.open-diagnosis-button:disabled { cursor: not-allowed; opacity: .55; }
+.case-panel,
+.transcript-panel {
+  display: grid;
+  grid-template-rows: auto minmax(0, 1fr);
+  min-height: 0;
+  overflow: hidden;
+}
+.case-panel { border-bottom: 1px solid #dde4f0; }
+.rail-section-heading {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  gap: 12px;
+  min-height: 48px;
+  padding: 10px 16px;
+  border-bottom: 1px solid #e5e9f2;
+  background: rgba(255, 255, 255, .72);
+}
+.rail-section-heading > div {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+.rail-section-heading h2 {
+  margin: 0;
+  color: #1b2945;
+  font-size: 14px;
+  font-weight: 700;
+  letter-spacing: -.01em;
+}
+.rail-section-heading > span {
+  overflow: hidden;
+  max-width: 154px;
+  color: #8b97ad;
+  font-size: 10px;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+.rail-section-heading__index {
+  color: #6874e7;
+  font-family: "Cascadia Mono", "SFMono-Regular", Consolas, monospace;
+  font-size: 10px;
+  font-weight: 700;
+}
+.case-panel__content,
+.live-captions {
+  min-height: 0;
+  overflow-y: auto;
+  overscroll-behavior: contain;
+  scrollbar-color: #b9c3d5 transparent;
+  scrollbar-width: thin;
+}
+.case-panel__content { padding: 5px 16px 14px; }
+.case-field-list { display: grid; }
+.case-field {
+  display: grid;
+  grid-template-columns: 72px minmax(0, 1fr);
+  gap: 10px;
+  padding: 10px 0;
+  border-bottom: 1px solid #e5e9f2;
+}
+.case-field:last-child { border-bottom: 0; }
+.case-field > span {
+  padding-top: 2px;
+  color: #7a879d;
+  font-size: 11px;
+  font-weight: 600;
+}
+.case-field p {
+  margin: 0;
+  color: #263551;
+  font-size: 12px;
+  line-height: 1.55;
+  overflow-wrap: anywhere;
+  white-space: pre-wrap;
+}
+.case-field--risk > span { color: #bc3e4e; }
+.case-field--risk p {
+  color: #9f3141;
+  font-weight: 600;
+}
+.live-captions {
+  display: grid;
+  align-content: start;
+  gap: 9px;
+  padding: 12px 14px 18px;
+  background: #f2f5fa;
+}
+.caption-entry {
+  padding: 10px 11px;
+  border-left: 2px solid #6571e8;
+  border-radius: 0 9px 9px 0;
+  background: #fff;
+  box-shadow: 0 4px 14px rgba(30, 46, 76, .045);
+}
+.caption-entry--partial { border-left-color: #9ca6b7; opacity: .78; }
+.caption-entry header {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  gap: 10px;
+  margin-bottom: 5px;
+}
+.caption-entry strong {
+  color: #4a56d5;
+  font-size: 11px;
+}
+.caption-entry time {
+  color: #9aa5b7;
+  font-size: 10px;
+  font-variant-numeric: tabular-nums;
+}
+.caption-entry p {
+  margin: 0;
+  color: #24334e;
+  font-size: 13px;
+  line-height: 1.58;
+  overflow-wrap: anywhere;
+  white-space: pre-wrap;
+}
+.transcript-state {
+  position: relative;
+  padding-left: 12px;
+}
+.transcript-state::before {
+  position: absolute;
+  top: 50%;
+  left: 0;
+  width: 6px;
+  height: 6px;
+  transform: translateY(-50%);
+  border-radius: 50%;
+  background: #a5adbb;
+  content: "";
+}
+.transcript-state--active { color: #168260 !important; }
+.transcript-state--active::before {
+  background: #24b987;
+  box-shadow: 0 0 0 3px rgba(36, 185, 135, .12);
+}
+.rail-empty {
+  display: grid;
+  gap: 5px;
+  align-content: center;
+  min-height: 112px;
+  padding: 18px;
+  color: #8a96aa;
+  text-align: center;
+}
+.rail-empty strong { color: #53617a; font-size: 12px; }
+.rail-empty span { font-size: 11px; line-height: 1.55; }
+.rail-empty--case { min-height: 100%; }
 
 .video-actions {
   position: absolute;
@@ -494,8 +718,54 @@ button:disabled { cursor: not-allowed; opacity: .55; }
   .consultation-shell { min-width: 620px; }
   .message-list { padding-inline: 18px; }
   .message-bubble { max-width: 82%; }
-  .live-captions { width: calc(100% - 36px); bottom: 88px; }
-  .live-captions p { font-size: 14px; }
+}
+
+@media (max-width: 980px) {
+  .consultation-shell { min-width: 760px; }
+  .video-layer--with-rail { grid-template-columns: minmax(0, 1fr) 310px; }
+  .video-actions {
+    right: 12px;
+    bottom: 14px;
+    left: 12px;
+    flex-wrap: wrap;
+    justify-content: flex-end;
+  }
+  .recording-status {
+    flex-basis: 100%;
+    width: fit-content;
+    margin-left: auto;
+    font-size: 11px;
+  }
+  .consultation-rail__header { padding-inline: 12px; }
+  .diagnosis-chip { display: none; }
+  .case-panel__content { padding-inline: 12px; }
+  .rail-section-heading { padding-inline: 12px; }
+}
+
+@media (max-width: 700px) {
+  .consultation-shell { min-width: 0; }
+  .video-layer,
+  .video-stage { min-height: 280px; }
+  .video-layer--with-rail { grid-template-columns: minmax(0, 1fr); }
+  .consultation-rail { display: none; }
+  .video-actions {
+    right: 10px;
+    bottom: 10px;
+    left: auto;
+    gap: 6px;
+  }
+  .recording-status,
+  .capture-button { display: none; }
+  .video-actions button {
+    padding: 8px 11px;
+    border-radius: 8px;
+    font-size: 11px;
+  }
+  .live-status {
+    top: 10px;
+    padding: 7px 10px;
+    font-size: 11px;
+  }
 }
 
 /* Doctor workstation blue-white subwindow contract.  Video pixels remain on