更新

app/src/doctor_workstation/services/repository.py

@@ -233,8 +233,29 @@ class DoctorRepository(Protocol):
     ) -> dict[str, Any]:
         """Append one model-specific AI diagnosis snapshot for one patient."""
 
-    def get_prescription(self, prescription_id: int) -> Prescription:
-        """Return one issued prescription."""
+    def get_prescription(self, prescription_id: int) -> Prescription:
+        """Return one issued prescription."""
+
+    def list_prescription_ai_statuses(self, ids: list[int]) -> dict[str, Any]:
+        """Read cached dual-model states for up to 100 prescriptions."""
+
+    def list_prescription_ai_reports(self, *, prescription_id: int = 0, diagnosis_id: int = 0, page_no: int = 1, page_size: int = 20) -> dict[str, Any]:
+        """Read immutable analysis batch history in the authorized scope."""
+
+    def get_prescription_ai_report(self, batch_id: int) -> dict[str, Any]:
+        """Read one analysis batch without starting model work."""
+
+    def regenerate_prescription_ai(self, prescription_id: int, reason: str) -> dict[str, Any]:
+        """Explicitly request a new analysis batch with a reason."""
+
+    def retry_prescription_ai(self, batch_id: int, model_key: str) -> dict[str, Any]:
+        """Retry only the requested failed model."""
+
+    def review_prescription_ai(self, batch_id: int, model_key: str, status: str, comment: str) -> dict[str, Any]:
+        """Save a doctor's review separately from immutable AI output."""
+
+    def prescription_ai_statistics(self, date_from: str, date_to: str, doctor_id: int | None = None) -> dict[str, Any]:
+        """Read baseline agreement statistics, never diagnostic accuracy."""
 
     def create_prescription(
         self,
@@ -1574,14 +1595,55 @@ class RemoteDoctorRepository:
             payload, Prescription.from_dict, page_no=page_no, page_size=page_size
         )
 
-    def get_prescription(self, prescription_id: int) -> Prescription:
-        """Load one issued prescription using ``tcm.prescription/detail``."""
+    def get_prescription(self, prescription_id: int) -> Prescription:
+        """Load one issued prescription using ``tcm.prescription/detail``."""
 
         result = _require_mapping(
             self.client.get("tcm.prescription/detail", {"id": prescription_id}),
             "tcm.prescription/detail",
         )
-        return Prescription.from_dict(result)
+        return Prescription.from_dict(result)
+
+    def _prescription_ai_request(self, action: str, params: dict[str, Any], *, mutation: bool = False) -> dict[str, Any]:
+        endpoint = f"tcm.prescriptionAi/{action}"
+        payload = _client_request(self.client, "post" if mutation else "get", endpoint, params, timeout=30.0)
+        return dict(_require_mapping(payload, endpoint))
+
+    def list_prescription_ai_statuses(self, ids: list[int]) -> dict[str, Any]:
+        if len(ids) > 100 or any(int(value) <= 0 for value in ids):
+            raise ValueError("statuses requires at most 100 positive prescription IDs")
+        return self._prescription_ai_request("statuses", {"ids": ",".join(str(int(value)) for value in dict.fromkeys(ids))})
+
+    def list_prescription_ai_reports(self, *, prescription_id: int = 0, diagnosis_id: int = 0, page_no: int = 1, page_size: int = 20) -> dict[str, Any]:
+        if bool(prescription_id) == bool(diagnosis_id):
+            raise ValueError("Exactly one prescription_id or diagnosis_id is required")
+        params = {"prescription_id": prescription_id} if prescription_id else {"diagnosis_id": diagnosis_id}
+        params.update(page_no=page_no, page_size=page_size)
+        return self._prescription_ai_request("reports", params)
+
+    def get_prescription_ai_report(self, batch_id: int) -> dict[str, Any]:
+        return self._prescription_ai_request("detail", {"batch_id": batch_id})
+
+    def regenerate_prescription_ai(self, prescription_id: int, reason: str) -> dict[str, Any]:
+        if not reason.strip():
+            raise ValueError("重新分析需要填写原因")
+        return self._prescription_ai_request("regenerate", {"prescription_id": prescription_id, "reason": reason.strip()}, mutation=True)
+
+    def retry_prescription_ai(self, batch_id: int, model_key: str) -> dict[str, Any]:
+        if model_key not in {"qwen", "openai"}:
+            raise ValueError("Unknown model_key")
+        return self._prescription_ai_request("retry", {"batch_id": batch_id, "model_key": model_key}, mutation=True)
+
+    def review_prescription_ai(self, batch_id: int, model_key: str, status: str, comment: str) -> dict[str, Any]:
+        if model_key not in {"qwen", "openai"} or status not in {"viewed", "needs_information", "not_adopted", "reviewed"}:
+            raise ValueError("Invalid review state")
+        return self._prescription_ai_request("review", {"batch_id": batch_id, "model_key": model_key, "status": status, "comment": comment}, mutation=True)
+
+    def prescription_ai_statistics(self, date_from: str, date_to: str, doctor_id: int | None = None) -> dict[str, Any]:
+        params: dict[str, Any] = {"date_from": date_from, "date_to": date_to}
+        if doctor_id is not None:
+            params["doctor_id"] = doctor_id
+        return self._prescription_ai_request("statistics", params)
 
     def create_prescription(
         self,

app/src/doctor_workstation/ui/dialogs/ai_consult.py

@@ -5729,6 +5729,7 @@ class AiConsultDialog(QDialog):
                 "usage_notes",
             }
             seed.update({key: deepcopy(value) for key, value in draft.items() if key in allowed})
+            seed["ai_assisted"] = True
         dialog = PrescriptionEditorDialog(
             self.repository,
             seed,

app/src/doctor_workstation/ui/dialogs/diagnosis.py

@@ -78,6 +78,7 @@ from ..widgets import (
     page_total,
     run_async,
 )
+from .issued_prescription_ai import can_open_issued_ai, present_issued_prescription_ai
 from .local_audio_queue import LocalAudioQueueDialog
 from .prescription_ai import can_open_diagnosis_ai_report, present_diagnosis_ai_report
 
@@ -1067,6 +1068,12 @@ class DiagnosisDialog(QDialog):
         self.readonly_ai_button.setCursor(Qt.CursorShape.PointingHandCursor)
         self.readonly_ai_button.clicked.connect(self._open_ai_report)
         heading_row.addWidget(self.readonly_ai_button, 0)
+        self.readonly_prescription_ai_button = QPushButton("处方 AI 对照", card)
+        self.readonly_prescription_ai_button.setProperty("variant", "secondary")
+        self.readonly_prescription_ai_button.setCursor(Qt.CursorShape.PointingHandCursor)
+        self.readonly_prescription_ai_button.setVisible(can_open_issued_ai(self.permissions) and callable(getattr(self.repository, "list_prescription_ai_reports", None)))
+        self.readonly_prescription_ai_button.clicked.connect(self._open_prescription_ai_report)
+        heading_row.addWidget(self.readonly_prescription_ai_button, 0)
         layout.addLayout(heading_row)
         patient_hero = QFrame()
         patient_hero.setObjectName("DiagnosisReadonlyPatientHero")
@@ -1709,6 +1716,9 @@ class DiagnosisDialog(QDialog):
         if hasattr(self, "readonly_ai_button"):
             self.readonly_ai_button.setVisible(can_open_diagnosis_ai_report(self.permissions))
             self.readonly_ai_button.setEnabled(self._diagnosis_id > 0)
+        if hasattr(self, "readonly_prescription_ai_button"):
+            self.readonly_prescription_ai_button.setVisible(can_open_issued_ai(self.permissions) and callable(getattr(self.repository, "list_prescription_ai_reports", None)))
+            self.readonly_prescription_ai_button.setEnabled(self._diagnosis_id > 0)
         previous_key = self._current_tab_key()
         allowed_tabs = [
             (key, label) for key, label, codes in _TAB_DEFINITIONS if self._tab_allowed(codes)
@@ -1960,6 +1970,10 @@ class DiagnosisDialog(QDialog):
         )
         present_diagnosis_ai_report(self.repository, self.permissions, self, row)
 
+    def _open_prescription_ai_report(self) -> None:
+        if self._diagnosis_id > 0:
+            present_issued_prescription_ai(self.repository, self.permissions, self, diagnosis_id=self._diagnosis_id)
+
     def open_view_only(
         self,
         diagnosis_id: int,

app/src/doctor_workstation/ui/dialogs/issued_prescription_ai_labels.py

@@ -0,0 +1,285 @@
+"""Presentation-only Chinese labels for saved prescription analysis payloads.
+
+Keep source identifiers, enum keys and statistics untouched in the repository data.
+Only explicitly structured metadata is localized; clinical prose is not translated.
+"""
+
+from __future__ import annotations
+
+import re
+from collections.abc import Mapping
+from typing import Any
+
+SOURCE_LABELS = {
+    "diagnoses": "诊单", "doctor_notes": "医生笔记", "tracking_notes": "随访记录",
+    "prescriptions": "历史处方", "call_records": "问诊通话", "video_calls": "视频问诊",
+    "transcript_segments": "转写片段", "chat_records": "聊天记录", "daily_records": "日常记录",
+    "blood_records": "血糖血压记录", "blood_glucose_pressure": "血糖血压记录",
+    "diet_records": "饮食记录", "diet": "饮食记录", "exercise_records": "运动记录", "exercise": "运动记录",
+    "im_messages": "即时聊天记录", "tencent_im": "即时聊天记录",
+    "wechat_messages": "企业微信聊天记录", "wechat_work": "企业微信聊天记录",
+    "target_plan": "本次处方方案", "clinical": "临床资料", "file": "附件",
+    "tongue": "舌象", "tongue_image": "舌象图片", "tongue_images": "舌象图片",
+    "clinical_attachment": "临床附件", "patient": "患者资料",
+}
+
+SYSTEM_LABELS = {
+    "SOURCE_HISTORY_VERSIONS_UNAVAILABLE": "来源历史版本无法核验",
+    "ARCHIVE_SYNC_WATERMARK_UNAVAILABLE": "归档同步完整性尚未核验",
+    "TRANSCRIPT_NOT_VERIFIED_COMPLETE": "问诊转写完整性尚未核验",
+    "TRANSCRIPT_NOT_FINAL": "问诊转写尚未完整归档",
+    "TRANSCRIPT_PARTIAL": "问诊转写仅部分完成", "TRANSCRIPT_FAILED": "问诊转写失败",
+    "TRANSCRIPT_RUNNING": "问诊转写进行中", "TRANSCRIPT_PENDING": "等待问诊转写",
+    "SOURCE_AUTHORIZATION_LINK_UNAVAILABLE": "来源缺少可核验的授权关联",
+    "SOURCE_PATIENT_CONFLICT": "来源的患者关联存在冲突",
+    "SOURCE_ACCESS_RESTRICTED": "来源访问受限",
+    "UNLINKED_SOURCE_REQUIRES_AUTHORIZATION": "未关联来源需核验访问权限",
+    "SOURCE_READ_UNAVAILABLE": "来源暂时无法读取",
+    "ATTACHMENT_TARGET_PLAN_LEAKAGE_UNVERIFIED": "附件可能包含本次处方，独立性未核验",
+    "UNSTRUCTURED_TARGET_PLAN_LEAKAGE_UNVERIFIED": "非结构化资料可能包含本次处方，独立性未核验",
+    "TARGET_PLAN_COPY_ISOLATED": "已隔离资料中复制的本次处方内容",
+    "CRITICAL_CLINICAL_FACT_MISSING": "关键临床资料缺失",
+    "FILE_STORAGE_AUTHORIZATION_UNVERIFIED": "附件存储访问权限尚未核验",
+    "FILE_CONTENT_VERSION_UNVERIFIED": "附件内容版本尚未核验",
+    "PATIENT_BINDING_REQUIRED": "需完善患者与诊单关联",
+    "PATIENT_BINDING_OR_PERMISSION_REQUIRED": "需核验患者关联与资料访问权限",
+    "ACCESS_REVOKED": "资料访问权限已变更", "SOURCE_CHANGED": "资料或处方已更新，请查看新版本",
+    "BUDGET_PAUSED": "已达到分析预算，等待额度恢复",
+    "CONFIG_INVALID": "模型配置无效，请联系管理员", "CONFIG_DISABLED": "模型分析尚未启用",
+    "UPSTREAM_AUTH_FAILED": "模型服务认证失败，请联系管理员",
+    "UPSTREAM_TIMEOUT": "模型响应超时，可稍后重试", "UPSTREAM_BUSY": "模型服务繁忙，可稍后重试",
+    "UPSTREAM_UNAVAILABLE": "模型服务暂不可用", "UPSTREAM_REJECTED": "模型服务未接受本次请求",
+    "UPSTREAM_FAILED": "模型服务处理失败", "EMPTY_RESPONSE": "模型未返回内容",
+    "INCOMPLETE_RESPONSE": "模型返回内容不完整", "INVALID_RESPONSE": "模型返回内容未通过校验",
+    "RESPONSE_INVALID": "模型返回内容未通过校验", "INVALID_REPORT_OUTPUT": "模型报告未通过格式校验",
+    "INVALID_EVIDENCE_OUTPUT": "模型证据来源未通过校验",
+    "INVALID_FILE_EVIDENCE_OUTPUT": "模型附件证据未通过校验",
+    "CONTEXT_TOO_LARGE": "资料超过本次处理预算",
+    "INPUT_TOKEN_BUDGET_EXCEEDED": "输入资料超过本次处理预算",
+    "SYNTHESIS_BUDGET_EXCEEDED": "资料汇总超过本次处理预算",
+    "FINAL_CONTEXT_EXCEEDS_BUDGET": "来源与缺口说明超过汇总预算，请联系管理员",
+    "TOTAL_CALL_BUDGET_EXCEEDED": "模型调用次数达到本次上限",
+    "SOURCE_UNIT_EXCEEDS_BUDGET": "单条来源资料超过处理预算",
+    "RESPONSE_SIZE_EXCEEDED": "模型返回内容超过长度上限",
+    "LEASE_EXPIRED": "工作进程中断，任务等待恢复",
+    "SOURCE_PREPARATION_FAILED": "来源资料准备失败", "INTERNAL_ERROR": "分析处理异常，可稍后重试",
+    "GENERATION_FAILED": "报告生成失败，可稍后重试", "CHECKPOINT_REJECTED": "分析进度保存未通过校验",
+    "INVALID_PROFILE": "模型配置未通过校验", "INVALID_FROZEN_CONTEXT": "冻结资料未通过校验",
+    "INVALID_FILE_MANIFEST": "附件清单未通过校验", "SOURCE_GAP": "来源资料存在缺口",
+    "FILE_CAPABILITY_DISABLED": "模型附件处理能力尚未启用",
+    "FILE_UNAVAILABLE_OR_UNSUPPORTED": "附件不可用或格式不受支持",
+    "FILE_TYPE_UNSUPPORTED": "附件格式不受支持",
+    "STRICT_FILES_INVALID_OR_LIMIT": "附件校验未通过或超过处理上限",
+    "FILE_DELIVERY_UNVERIFIED": "附件送达情况尚未核验",
+    "MODEL_REPORTED_UNREADABLE": "模型无法读取附件", "MODEL_REPORTED_UNSUPPORTED": "模型不支持此附件",
+    "MODEL_FILE_OUTPUT_INVALID": "模型未能正确解析这组附件",
+    "AI_ANALYSIS_CIPHER_INVALID": "报告加密数据无法读取",
+    "AI_ANALYSIS_ENCRYPTION_FAILED": "报告加密保存失败",
+    "AI_ANALYSIS_KEY_INVALID": "报告加密配置无效", "AI_ANALYSIS_KEY_UNAVAILABLE": "报告加密配置不可用",
+    "formulation_mismatch": "剂型不同，未提供经确认的换算规则",
+    "dose_basis_mismatch": "剂量基准不同", "unit_mismatch": "剂量单位不同",
+    "unknown_formulation": "剂型缺失或不受支持", "empty_prescription": "处方为空或药味结构无效",
+    "catalog_unavailable": "缺少可用的药材字典", "invalid_herb": "药味结构无效",
+    "ambiguous_herb_name": "药名存在多种字典匹配", "unknown_herb_name": "药名未匹配药材字典",
+    "doctor_identity_mismatch": "医生药材编号与规范药名不一致",
+    "processing_conflict": "炮制信息与药材字典冲突或无效",
+    "ambiguous_herb_role": "主辅方、给药途径或分组不明确",
+    "missing_or_unknown_unit": "剂量单位缺失或不受支持",
+    "missing_or_unknown_dose_basis": "每剂或每日剂量基准不明确",
+    "invalid_dosage": "剂量数值无效", "invalid_herb_usage": "药味煎服说明格式无效",
+    "duplicate_semantics_conflict": "重复药项的单位、剂量基准或煎服说明不一致",
+    "no_medication": "建议暂不使用药物", "no_medication_recommended": "建议暂不使用药物",
+    "baseline_ineligible": "不符合独立基线统计条件", "incomplete_coverage": "资料覆盖不完整",
+    "missing_result": "缺少模型结果", "invalid_score": "一致度分值无效",
+    "missing_algorithm_version": "缺少算法版本", "transcript_not_final": "问诊转写尚未完整归档",
+    "event_patient_conflict": "开方事件的患者关联冲突", "duplicate_baseline_conflict": "重复基线结果存在冲突",
+    "review_conflict": "复核记录存在冲突", "review_not_completed": "复核尚未完成",
+    "review_not_independent": "复核不具独立性", "review_disputed": "复核存在争议",
+    "review_not_evaluable": "复核不可评价", "invalid_review_outcome": "复核结论无效",
+    "unknown_review_sampling": "复核抽样方式未确认", "start_at_required": "需设置分析起始时间",
+    "processed": "已处理", "restricted": "访问受限", "error": "处理失败", "timeout": "处理超时",
+    "delivered": "已送达", "unreadable": "不可读", "unsupported": "不支持", "parsed": "已解析",
+    "ok": "可比条件已通过", "doctor": "医生方", "candidate": "候选方", "both": "双方",
+    "low": "低风险", "medium": "中风险", "high": "高风险", "none": "无",
+    "main": "主方", "oral": "口服", "external": "外用",
+    "raw": "生品", "image": "图片", "document": "文档", "remote_url": "远程附件",
+    "stratified_versions": "按版本分层统计", "single_version": "单一版本", "no_valid_samples": "无有效样本",
+    "no_samples": "未建立复核样本", "recorded": "已记录", "conflict": "存在冲突",
+    "not_evaluable": "不可评价", "qualified": "合格", "needs_revision": "需修订", "unqualified": "不合格",
+    "random": "随机抽样", "stratified": "分层抽样", "risk_directed": "按风险抽样",
+    "stratified_sampling": "按抽样方式分层统计",
+    "spelling_aliases_only_no_quantity_conversion": "仅规范单位写法，不进行剂量换算",
+    "g": "克", "mg": "毫克", "kg": "千克", "ml": "毫升", "mL": "毫升", "l": "升", "L": "升",
+    "qwen": "千问", "openai": "OpenAI",
+}
+
+EXTRA_FIELD_LABELS = {
+    "source": "来源", "code": "原因说明", "reason_code": "原因说明", "error_code": "错误原因",
+    "error_message": "错误说明", "message": "说明", "detail": "详情", "details": "详细记录",
+    "reason_message": "原因说明", "field": "字段", "value": "记录值", "side": "所属处方",
+    "row": "药项序号", "rows": "逐味记录", "key": "药项标识", "id": "编号", "medicine_id": "药材编号",
+    "prescription_id": "处方编号", "diagnosis_id": "诊单编号", "patient_id": "患者编号",
+    "doctor_id": "医生编号", "doctor_name": "医生姓名", "model_key": "模型", "model_name": "模型名称",
+    "configured_model_name": "配置的模型名称", "comparison_status": "可比状态", "coverage_status": "资料覆盖状态",
+    "comparison_type": "比较类型", "validity": "报告有效性", "version_verified": "内容版本已核验",
+    "source_record_count": "来源记录总数", "missing_count": "资料缺口数", "snapshot_complete": "资料快照完整",
+    "may_be_truncated": "资料可能截断", "history_versioning": "历史版本核验", "archive_sync_verified": "归档同步已核验",
+    "file_ids": "附件编号", "evidence_file_ids": "证据附件编号", "covered_source_ids": "已覆盖来源编号",
+    "source_kind": "来源类型", "kind": "来源类型", "type": "类型", "purpose": "用途",
+    "transfer_method": "附件传递方式", "content_hash": "内容指纹", "dictionary_hash": "药材字典指纹",
+    "source_hash": "来源指纹", "url": "附件地址", "uri": "附件地址", "path": "附件路径",
+    "age": "年龄", "gender": "性别", "gender_label": "性别说明", "allergy_history": "过敏史",
+    "pregnancy_history": "妊娠与哺乳情况", "current_medications": "当前用药",
+    "allergy_history_text": "过敏史正文", "allergy_history_desc": "过敏史说明",
+    "pregnancy_history_text": "妊娠与哺乳正文", "pregnancy_history_desc": "妊娠与哺乳说明",
+    "current_medicine": "当前用药", "current_medication": "当前用药",
+    "prescription": "处方", "prescription_opinion": "处方意见", "prescription_advice": "处方建议",
+    "treatment_principle": "治则", "doctor_advice": "医嘱", "prescription_date": "开方日期",
+    "issues": "需核对问题", "formulation": "剂型", "items": "药项", "bases": "剂量基准",
+    "merges": "重复药项合并", "defaults": "默认值记录", "identity_complete": "药项身份核验完整",
+    "raw_herb_count": "原始药项数", "source_rows": "原始药项序号", "source_names": "原始药名",
+    "original_dosages": "原始剂量", "usage": "煎服说明", "doctor": "医生方", "candidate": "候选方",
+    "dictionary_versions": "药材字典版本", "unit_policy": "单位处理规则", "denominator": "一致度计算分母",
+    "matched_contribution_sum": "共同药项贡献合计", "special_usage": "特殊用法",
+    "decoction_instruction": "煎药说明", "usage_note": "服法备注", "before": "处理前", "after": "处理后",
+    "dosage_amount": "每次用量", "dosage_unit": "每次用量单位", "dosage_bag_count": "每次袋数", "aux_usage": "辅助用法",
+    "score": "药味剂量一致度", "herb_score": "纯药味重合度", "model": "模型",
+    "schema_version": "资料格式版本", "decision_at": "处方决策时间", "created_at": "建立时间", "updated_at": "更新时间",
+    "source_diagnosis_ids": "来源诊单编号", "redaction_manifest": "处方内容隔离清单",
+    "total_count": "开方事件数", "total_events": "开方事件数", "patient_count": "患者数",
+    "eligible_count": "有效比较数", "valid_count": "有效比较数", "excluded_count": "排除样本数",
+    "coverage_rate": "覆盖率", "coverage_percent": "覆盖率", "paired_count": "双模型共同有效样本数",
+    "excluded_reasons": "排除原因及数量", "exclusion_reasons": "排除原因及数量", "exclusion_reason": "排除原因",
+    "aggregation_status": "统计汇总方式", "paired_strata": "双模型版本分层", "models": "模型统计",
+    "review": "专家复核", "reviews": "专家复核", "evaluated_count": "可评价样本数", "evaluable_count": "可评价样本数",
+    "qualified_count": "合格样本数", "qualified_rate": "合格率", "qualification_rate": "合格率",
+    "reviewed_events": "已复核事件数", "unreviewed_events": "未复核事件数", "sampling_method": "抽样方式",
+    "sampling_groups": "抽样分组", "sampling_coverage_percent": "抽样覆盖率", "outcomes": "复核结论分布",
+    "outcome": "复核结论", "independent": "独立复核", "disputed": "存在争议",
+    "confidence_interval": "置信区间", "confidence_interval_reason": "置信区间说明",
+    "unknown_patient_events": "患者身份未确认事件数", "repeated_patient_events": "重复患者事件数",
+    "invalid_row_count": "无效记录数", "metric": "统计指标",
+}
+
+ENUM_FIELDS = {
+    "status", "comparison_status", "coverage_status", "comparison_type", "validity", "dose_basis", "bases",
+    "match_type", "match", "side", "level", "kind", "source_kind", "type", "purpose", "transfer_method",
+    "sample_status", "aggregation_status", "history_versioning", "sampling_method", "outcome", "unit_policy",
+    "model_key", "model", "unit", "formula_type",
+}
+REASON_FIELDS = {
+    "reason", "reason_message", "reason_code", "error_code", "error_message", "code", "message",
+    "missing", "missing_information", "baseline_exclusion_reasons", "excluded_reasons", "exclusion_reasons", "exclusion_reason",
+}
+SOURCE_FIELDS = {
+    "source", "source_id", "source_ids", "file_id", "file_ids", "evidence_file_ids", "covered_source_ids",
+    "evidence_references", "redaction_manifest",
+}
+
+_MACHINE_KEY = re.compile(r"[A-Za-z][A-Za-z0-9]*(?:_[A-Za-z0-9]+)+\Z")
+_UPPER_CODE = re.compile(r"(?<![A-Za-z0-9_])[A-Z][A-Z0-9]*(?:_[A-Z0-9]+)+(?![A-Za-z0-9_])")
+_SOURCE_ID = re.compile(r"([a-z][a-z0-9_]*)[:：]([^\s,，;；：<>]+)\Z")
+_KNOWN_SOURCE_IN_TEXT = re.compile(r"(?<![A-Za-z0-9_])(" + "|".join(SOURCE_LABELS) + r")[:：]([A-Za-z0-9]+)(?![A-Za-z0-9_])")
+
+
+def plain_text(value: Any) -> str:
+    if value is None or value == "":
+        return "—"
+    if isinstance(value, bool):
+        return "是" if value else "否"
+    return str(value)
+
+
+def source_text(value: Any, fields: Mapping[str, str]) -> str:
+    """Localize a source prefix, preserving its entire numeric or opaque ID."""
+    text = plain_text(value)
+    if text in SOURCE_LABELS:
+        return SOURCE_LABELS[text]
+    if text.startswith("clinical."):
+        field = text.removeprefix("clinical.")
+        return "临床资料 · " + fields.get(field, "待核对项目")
+    match = _SOURCE_ID.fullmatch(text)
+    if match:
+        prefix, identifier = match.groups()
+        # Redaction manifests append a field name after the numeric source ID.
+        if ":" in identifier:
+            identifier, field = identifier.split(":", 1)
+            return f"{SOURCE_LABELS.get(prefix, '其他来源')}（编号：{identifier}） · {fields.get(field, '待核对字段')}"
+        return f"{SOURCE_LABELS.get(prefix, '其他来源')}（编号：{identifier}）"
+    if _MACHINE_KEY.fullmatch(text) or re.fullmatch(r"[A-Za-z][A-Za-z0-9_-]*", text):
+        return "来源类型待核对"
+    return _KNOWN_SOURCE_IN_TEXT.sub(lambda match: source_text(f"{match[1]}:{match[2]}", fields), text)
+
+
+def system_text(value: Any, labels: Mapping[str, str], fields: Mapping[str, str], *, strict: bool = False) -> str:
+    """Translate metadata, including historical ``CODE: source:id`` gap strings."""
+    text = plain_text(value)
+    if "\n" in text:
+        return "\n".join(system_text(line, labels, fields, strict=strict) for line in text.split("\n"))
+    if text in labels:
+        return labels[text]
+    if text in SOURCE_LABELS:
+        return SOURCE_LABELS[text]
+    if text in fields:
+        return fields[text]
+    # Only a technical prefix permits parsing the rest as a source identifier.
+    compound = re.fullmatch(r"([A-Za-z][A-Za-z0-9_]+)\s*[:：]\s*(.*)", text, re.DOTALL)
+    if compound and (compound[1] in labels or _MACHINE_KEY.fullmatch(compound[1])):
+        prefix = labels.get(compound[1], "未识别的系统原因，请联系管理员核对")
+        return prefix + "：" + source_text(compound[2], fields)
+    if _MACHINE_KEY.fullmatch(text):
+        return "未识别的系统标识，请联系管理员核对"
+    # Historic reports can include a known source/code inside a Chinese gap explanation.
+    text = _UPPER_CODE.sub(lambda match: labels.get(match[0], "未识别的系统原因，请联系管理员核对"), text)
+    text = _KNOWN_SOURCE_IN_TEXT.sub(lambda match: source_text(f"{match[1]}:{match[2]}", fields), text)
+    if strict and re.fullmatch(r"[A-Za-z][A-Za-z0-9 ._-]*", text):
+        return "未识别的系统状态，请联系管理员核对"
+    return text
+
+
+def field_text(key: Any, fields: Mapping[str, str], labels: Mapping[str, str]) -> str:
+    text = str(key)
+    if text in fields:
+        return fields[text]
+    if text.endswith("_count") and text.removesuffix("_count") in SOURCE_LABELS:
+        return SOURCE_LABELS[text.removesuffix("_count")] + "数"
+    translated = system_text(text, labels, fields)
+    if translated != text:
+        return translated
+    if text in SOURCE_LABELS or text.startswith("clinical.") or _SOURCE_ID.fullmatch(text):
+        return source_text(text, fields)
+    return "其他字段（待核对）" if re.search(r"[A-Za-z]", text) and not re.search(r"[\u4e00-\u9fff]", text) else text
+
+
+def value_text(value: Any, field: str, labels: Mapping[str, str], fields: Mapping[str, str]) -> str:
+    if field in SOURCE_FIELDS:
+        return source_text(value, fields)
+    if field == "field":
+        return field_text(value, fields, labels)
+    if field == "coverage_status":
+        return {"partial": "资料不全", "pending": "资料待核对", "unavailable": "暂无覆盖信息"}.get(str(value)) or system_text(value, labels, fields, strict=True)
+    if field == "history_versioning" and value == "unavailable":
+        return "历史版本无法核验"
+    if field == "formula_type" and value == "auxiliary":
+        return "辅方"
+    if field.endswith("version") or field.endswith("versions"):
+        text = plain_text(value)
+        for prefix, name in (
+            ("manual-prescription-independent-v", "手动处方独立分析"),
+            ("manual-prescription-available-evidence-v", "手动处方已读资料分析"),
+            ("prescription-soft-dice-v", "处方药味剂量一致度算法"),
+            ("prescription-evidence-v", "处方证据资料格式"),
+            ("prescription-source-access-v", "处方来源权限格式"),
+        ):
+            if text.startswith(prefix) and re.fullmatch(r"\d+(?:\.\d+)*", text.removeprefix(prefix)):
+                return f"{name} · 第 {text.removeprefix(prefix)} 版"
+        return text
+    if field in ENUM_FIELDS:
+        return system_text(value, labels, fields, strict=True)
+    if field in REASON_FIELDS:
+        return system_text(value, labels, fields, strict=field in {"code", "error_code", "reason_code"})
+    if field.endswith(("_status", "_state", "_code")):
+        return system_text(value, labels, fields, strict=True)
+    if field and field not in fields:
+        return system_text(value, labels, fields)
+    return plain_text(value)

app/src/doctor_workstation/ui/dialogs/issued_prescription_ai_progress.py

@@ -0,0 +1,135 @@
+"""Honest presentation of server checkpoints, without fabricated totals or ETA."""
+
+from __future__ import annotations
+
+from collections.abc import Mapping
+from dataclasses import dataclass
+from typing import Any
+
+ACTIVE_STATES = {"pending", "preparing", "queued", "waiting", "waiting_sources", "waiting_transcript", "waiting_transcription", "running", "processing", "retrying", "retry_wait"}
+SUCCESS_STATES = {"succeeded", "completed", "success"}
+TERMINAL_STATES = SUCCESS_STATES | {"partial", "failed", "cancelled", "canceled", "blocked", "stale", "superseded", "invalid", "revoked", "deleted", "voided"}
+STAGES = {
+    "preparing": "准备资料", "waiting_sources": "等待转写与资料", "queued": "排队等待处理",
+    "text": "分析文字资料", "files": "分析附件", "reduce": "汇总资料要点",
+    "final": "生成完整报告", "validating": "校验报告", "comparing": "计算用药对照",
+    "completed": "已完成", "retry_wait": "等待重试", "failed": "处理失败", "cancelled": "已取消",
+    "unknown": "等待阶段详情",
+}
+COMPACT_STAGES = {"preparing": "准备资料", "waiting_sources": "等待资料", "queued": "排队中", "text": "文字",
+                  "files": "附件", "reduce": "汇总", "final": "生成报告", "validating": "校验", "comparing": "用药对照",
+                  "completed": "已完成", "retry_wait": "待重试", "failed": "失败", "cancelled": "已取消", "unknown": "处理中"}
+STATUS_STAGE = {"pending": "queued", "waiting": "waiting_sources", "waiting_transcript": "waiting_sources",
+                "waiting_transcription": "waiting_sources", "retrying": "retry_wait",
+                **{state: "completed" for state in SUCCESS_STATES}, "canceled": "cancelled", "partial": "completed", "blocked": "failed"}
+
+
+def _mapping(value: Any) -> dict[str, Any]:
+    return dict(value) if isinstance(value, Mapping) else {}
+
+
+def _integer(value: Any) -> int | None:
+    # Counts/timestamps are integer contract fields, not arbitrary numeric text.
+    return value if isinstance(value, int) and not isinstance(value, bool) and value >= 0 else None
+
+
+def duration(seconds: int) -> str:
+    seconds = max(0, seconds)
+    if seconds < 60:
+        return f"{seconds} 秒"
+    if seconds < 3600:
+        return f"{seconds // 60} 分 {seconds % 60:02d} 秒"
+    return f"{seconds // 3600} 小时 {seconds % 3600 // 60:02d} 分"
+
+
+@dataclass(frozen=True)
+class ProgressView:
+    stage: str
+    headline: str
+    detail: str
+    completed: int | None = None
+    total: int | None = None
+    busy: bool = False
+
+
+def progress_view(owner: Any, *, fallback_status: str = "", seconds: int = 0, live: bool = True) -> ProgressView:
+    data = _mapping(owner)
+    progress = _mapping(data.get("progress"))
+    status = str(data.get("status") or fallback_status)
+    stage = str(progress.get("stage") or STATUS_STAGE.get(status, status))
+    if stage not in STAGES:
+        stage = "unknown"
+    terminal = status in TERMINAL_STATES
+    if terminal:
+        stage = STATUS_STAGE.get(status, status)
+        if stage not in STAGES:
+            stage = "unknown"
+    active = status in ACTIVE_STATES and not terminal and stage not in {"completed", "failed", "cancelled"}
+    advance = max(0, seconds) if active else 0
+    headline = STAGES[stage]
+    if status == "partial":
+        headline = "部分模型已完成"
+    if stage == "unknown":
+        headline = "正在处理，等待阶段详情" if active else "暂无处理进度"
+    completed = _integer(progress.get("completed_units"))
+    total = _integer(progress.get("total_units"))
+    if stage not in {"text", "files", "reduce"} or total is None or not 0 < total <= 1_000_000 or completed is None or completed > total:
+        completed = total = None
+    if total is not None:
+        headline += f" · 本阶段 {completed}/{total} 组"
+
+    details = []
+    attempt = _integer(progress.get("attempt"))
+    if attempt is not None and 0 < attempt <= 1_000_000:
+        details.append(f"第 {attempt} 次尝试")
+    elapsed = _integer(progress.get("elapsed_seconds"))
+    stage_elapsed = _integer(progress.get("stage_elapsed_seconds"))
+    if elapsed is not None:
+        # Retry metadata freezes the previous attempt's duration. Only its
+        # scheduling countdown and update age continue between server polls.
+        details.append("已用时 " + duration(elapsed + (0 if stage == "retry_wait" else advance)))
+    if stage_elapsed is not None and active and stage != "retry_wait":
+        details.append("本阶段 " + duration(stage_elapsed + advance))
+    remaining = _integer(progress.get("wait_remaining_seconds"))
+    if stage in {"preparing", "waiting_sources", "retry_wait"} and remaining is not None and active:
+        remaining = max(0, remaining - advance)
+        details.append("资料等待窗口剩余 " + duration(remaining) if remaining else "等待窗口已到，等待服务端确认")
+        if stage == "retry_wait":
+            details[-1] = "距下次重试 " + duration(remaining) if remaining else "重试时间已到，等待服务端确认"
+    server_time = _integer(progress.get("server_time"))
+    updated_at = _integer(progress.get("updated_at"))
+    if active and server_time is not None and updated_at is not None and updated_at > 0:
+        details.append("阶段更新于 " + duration(max(0, server_time - updated_at) + advance) + "前")
+    if not progress and active:
+        details.append("服务端暂未提供分阶段进度")
+    notice = progress.get("notice")
+    terminal_notice = stage in {"failed", "cancelled"} and progress.get("stage") == stage and progress.get("phase") == "failed"
+    if isinstance(notice, str) and notice.strip() and (not terminal or terminal_notice):
+        details.append(notice.strip())
+    elif stage in {"final", "text", "files", "reduce"} and active:
+        details.append("等待模型响应；耗时取决于资料量与模型服务")
+    return ProgressView(stage, headline, " · ".join(details), completed, total, live and active)
+
+
+def flow_text(batch: Any) -> str:
+    data = _mapping(batch)
+    status = data.get("status")
+    if not data:
+        return "准备资料 → 双模型分析 → 用药对照 → 完成"
+    if data.get("validity") not in (None, "", "current", "valid"):
+        return "此批次已失效 · 以下为最后保存的处理记录"
+    models = [_mapping(_mapping(data.get("models")).get(key)) for key in ("qwen", "openai")]
+    complete = sum(model.get("status") in SUCCESS_STATES for model in models)
+    failed = sum(model.get("status") == "failed" for model in models)
+    stages = [progress_view(model).stage for model in models]
+    batch_stage = progress_view(data).stage
+    if status in {"failed", "cancelled", "canceled", "blocked"}:
+        return f"处理已停止 · {complete}/2 个模型完成" + (f" · {failed} 个模型失败" if failed else "")
+    if batch_stage in {"preparing", "waiting_sources"}:
+        return "准备资料：进行中 → 双模型分析：待开始 → 用药对照：待开始 → 完成：待处理"
+    prepared = "已完成" if any(models) else "待确认"
+    comparisons = sum(model.get("status") in SUCCESS_STATES and bool(model.get("comparison")) for model in models)
+    compare_state = f"{comparisons}/2 已处理" if comparisons else "进行中" if "comparing" in stages else "待处理"
+    analysis = f"{complete}/2 完成" + (f"，{failed} 个失败" if failed else "，进行中" if status not in TERMINAL_STATES else "")
+    end = "已完成" if complete == 2 else "部分完成" if status == "partial" else "待处理"
+    return f"准备资料：{prepared} → 双模型分析：{analysis} → 用药对照：{compare_state} → 完成：{end}"

app/src/doctor_workstation/ui/dialogs/prescription.py

@@ -20,6 +20,7 @@ from datetime import date
 from pathlib import Path
 from time import monotonic
 from typing import Any
+from uuid import uuid4
 
 from PySide6.QtCore import (
     QBuffer,
@@ -2658,6 +2659,8 @@ class PrescriptionEditorDialog(QDialog):
             else None
         )
         self._source = _mapping(prescription)
+        self._save_fingerprint = ""
+        self._save_request_key = ""
         self._loading_data = False
         self._linked_order_generation = 0
         self._diagnosis_view: _StructuredDiagnosisDialog | None = None
@@ -3786,6 +3789,7 @@ class PrescriptionEditorDialog(QDialog):
             "audit_remark",
             "business_prescription_audit_rejected",
             "business_prescription_audit_remark",
+            "ai_assisted",
         )
         result = {key: self._source.get(key) for key in hidden_keys if key in self._source}
         if self.mode == "add":
@@ -3838,6 +3842,20 @@ class PrescriptionEditorDialog(QDialog):
             result["dosage_amount"] = dosage_amount
         else:
             result.pop("dosage_amount", None)
+        # This editor has no independent-assistance attestation control. Only
+        # retain positive evidence of AI exposure; a seed's false is not a new
+        # doctor-confirmed statement that this submission was unassisted.
+        if result.get("ai_assisted") in (True, 1, "1", "true"):
+            result["ai_assisted"] = True
+        else:
+            result.pop("ai_assisted", None)
+        # A repeated submit of unchanged editor content keeps its idempotency key.
+        # Unknown AI exposure is omitted, rather than falsely asserted as False.
+        fingerprint = json.dumps(result, ensure_ascii=False, sort_keys=True, default=str)
+        if fingerprint != self._save_fingerprint:
+            self._save_fingerprint = fingerprint
+            self._save_request_key = str(uuid4())
+        result["request_key"] = self._save_request_key
         return result
 
     def _herb_validation_label(self, global_index: int) -> str:

app/src/doctor_workstation/ui/pages/prescriptions.py

@@ -8,7 +8,7 @@ from html import escape
 from math import ceil
 from typing import Any
 
-from PySide6.QtCore import QDateTime, QModelIndex, QRectF, QSize, Qt
+from PySide6.QtCore import QDateTime, QEvent, QModelIndex, QRectF, QSize, Qt, QTimer
 from PySide6.QtGui import (
     QColor,
     QFont,
@@ -33,7 +33,8 @@ from PySide6.QtWidgets import (
     QLabel,
     QLineEdit,
     QListWidget,
-    QListWidgetItem,
+    QListWidgetItem,
+    QMenu,
     QMessageBox,
     QPushButton,
     QScrollArea,
@@ -48,7 +49,16 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
-from .. import icons, motion
+from .. import icons, motion
+from ..dialogs.issued_prescription_ai import (
+    PrescriptionAiStatisticsDialog,
+    agreement_text,
+    batch_running,
+    can_open_issued_ai,
+    present_issued_prescription_ai,
+    state_text,
+    status_tooltip,
+)
 from ..dialogs.prescription import (
     AuditPrescriptionDialog,
     DiagnosisDetailDialog,
@@ -877,7 +887,7 @@ class _PrescriptionInfoDelegate(QStyledItemDelegate):
             painter.setPen(QColor(foreground))
             painter.drawText(pill, Qt.AlignmentFlag.AlignCenter, label)
         elif column != 2:
-            lines = text.rsplit("  ·  ", 2) if column == 5 else text.rsplit(" ", 1) if column == 10 else [text]
+            lines = text.rsplit("  ·  ", 2) if column == 5 else text.rsplit(" ", 1) if column == 10 else text.splitlines() if column == 12 else [text]
             if len(lines) > 1:
                 primary, secondary = lines[0], " · ".join(lines[1:]) if column == 5 else lines[1]
                 if column == 5:
@@ -979,7 +989,18 @@ class PrescriptionsPage(QWidget):
         self._detail_target = 0
         self._diagnosis_detail_generation = 0
         self._diagnosis_detail_target = 0
-        self._mutation_pending = False
+        self._mutation_pending = False
+        self._ai_statuses: dict[int, dict[str, Any]] = {}
+        self._ai_enabled = False
+        self._ai_request_token = 0
+        self._ai_pending = False
+        self._ai_timer = QTimer(self)
+        self._ai_timer.setInterval(5000)
+        self._ai_timer.timeout.connect(self._load_ai_statuses)
+        self._ai_scroll_timer = QTimer(self)
+        self._ai_scroll_timer.setSingleShot(True)
+        self._ai_scroll_timer.setInterval(180)
+        self._ai_scroll_timer.timeout.connect(self._load_ai_statuses)
 
         outer = QVBoxLayout(self)
         outer.setContentsMargins(28, 16, 26, 8)
@@ -1010,7 +1031,11 @@ class PrescriptionsPage(QWidget):
         self.orders_button.setCursor(Qt.CursorShape.PointingHandCursor)
         self.orders_button.setVisible(has_permission(permissions, "tcm.prescriptionOrder/lists"))
         self.orders_button.clicked.connect(lambda: self._open_orders())
-        header.add_action(self.orders_button)
+        header.add_action(self.orders_button)
+        self.ai_statistics_button = QPushButton("AI 一致度统计", header)
+        self.ai_statistics_button.setVisible(has_permission(permissions, "tcm.prescriptionAi/statistics", default=False) and callable(getattr(repository, "prescription_ai_statistics", None)))
+        self.ai_statistics_button.clicked.connect(self._open_ai_statistics)
+        header.add_action(self.ai_statistics_button)
         self.add_button = QPushButton("新增处方", header)
         self.add_button.setObjectName("PrescriptionAddButton")
         self.add_button.setMinimumWidth(122)
@@ -1156,7 +1181,10 @@ class PrescriptionsPage(QWidget):
         toolbar.addWidget(self.count_badge)
         toolbar.addStretch(1)
         self.view_button = self._action_button("查看", "cf.prescription/read", self._view_selected)
-        toolbar.addWidget(self.view_button)
+        toolbar.addWidget(self.view_button)
+        self.ai_report_button = self._action_button("AI 报告", "tcm.prescriptionAi/reports", self._open_ai_report)
+        self.ai_report_button.setVisible(can_open_issued_ai(self.permissions) and callable(getattr(self.repository, "list_prescription_ai_reports", None)))
+        toolbar.addWidget(self.ai_report_button)
         self.patch_button = self._action_button(
             "修改患者", "tcm.prescription/patchPatient", self._patch_selected
         )
@@ -1181,9 +1209,17 @@ class PrescriptionsPage(QWidget):
         refresh.setIcon(_blue_prescription_icon("refresh", "#5D6B80"))
         refresh.setIconSize(QSize(15, 15))
         refresh.clicked.connect(self.refresh)
-        toolbar.addWidget(refresh)
-        layout.addWidget(toolbar_scroll)
-        self.stack = QStackedWidget()
+        toolbar.addWidget(refresh)
+        layout.addWidget(toolbar_scroll)
+        self.ai_status_notice = QLabel("AI 分析：正在检查服务状态。", card)
+        self.ai_status_notice.setObjectName("PrescriptionAiStatusNotice")
+        self.ai_status_notice.setProperty("role", "muted")
+        self.ai_status_notice.setTextFormat(Qt.TextFormat.PlainText)
+        self.ai_status_notice.setWordWrap(True)
+        self.ai_status_notice.setMargin(12)
+        self.ai_status_notice.setAccessibleName("AI 分析状态")
+        layout.addWidget(self.ai_status_notice)
+        self.stack = QStackedWidget()
         table_host = QWidget()
         table_layout = QVBoxLayout(table_host)
         table_layout.setContentsMargins(0, 0, 0, 0)
@@ -1200,7 +1236,9 @@ class PrescriptionsPage(QWidget):
                 TableColumn("void_status", "作废", 72, _void_cell),
                 TableColumn("doctor_name", "医生信息", 180, _doctor_cell),
                 TableColumn("assistant_name", "医助", 125),
-                TableColumn("create_time", "创建时间", 180, _create_time_cell),
+                TableColumn("create_time", "创建时间", 180, _create_time_cell),
+                TableColumn("__ai_status__", "AI 分析", 144, lambda _value, _row: "—"),
+                TableColumn("__ai_agreement__", "与 AI 一致度", 130, lambda _value, _row: "—"),
             ]
         )
         self.table.setObjectName("PrescriptionTable")
@@ -1213,8 +1251,13 @@ class PrescriptionsPage(QWidget):
         self.table.horizontalHeader().setDefaultAlignment(Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter)
         self.table.horizontalHeader().setSectionResizeMode(QHeaderView.ResizeMode.Interactive)
         self.table.horizontalHeader().moveSection(2, 10)
-        for column, width in enumerate((42, 192, 144, 108, 94, 144, 108, 80, 137, 83, 128)):
-            self.table.setColumnWidth(column, width)
+        for column, width in enumerate((42, 192, 144, 108, 94, 144, 108, 80, 137, 83, 128)):
+            self.table.setColumnWidth(column, width)
+        self.table.setColumnHidden(11, True)
+        self.table.setColumnHidden(12, True)
+        self.table.horizontalHeaderItem(12).setToolTip("分别显示千问、OpenAI 的药味与剂量一致度；点击查看逐味贡献。")
+        self.table.horizontalHeader().viewport().installEventFilter(self)
+        self.table.verticalScrollBar().valueChanged.connect(lambda _value: self._schedule_ai_statuses())
         self.table.setWordWrap(False)
         # Rows are not uniform: the number column's delegate grows a row that
         # carries an order warning so the warning text stays readable without a
@@ -1227,7 +1270,10 @@ class PrescriptionsPage(QWidget):
         self.table.horizontalHeaderItem(0).setIcon(_blue_prescription_icon("checkbox", "#8A97A9", 14))
         self.table.horizontalHeaderItem(0).setTextAlignment(Qt.AlignmentFlag.AlignCenter)
         self.table.itemSelectionChanged.connect(self._selection_changed)
-        self.table.itemDoubleClicked.connect(lambda _item: self._view_selected())
+        self.table.itemDoubleClicked.connect(lambda _item: self._view_selected())
+        self.table.itemClicked.connect(lambda item: self._open_ai_report() if item.column() in {11, 12} else None)
+        self.table.setContextMenuPolicy(Qt.ContextMenuPolicy.CustomContextMenu)
+        self.table.customContextMenuRequested.connect(self._open_ai_context_menu)
         table_layout.addWidget(self.table, 1)
         self.pager = InfiniteList(self._page_size)
         self.pager.bind(self.table)
@@ -1271,9 +1317,22 @@ class PrescriptionsPage(QWidget):
             self.filter_grid.setColumnStretch(column, stretch)
         self.filter_card.setFixedHeight(200 if compact else 144)
 
-    def _number_column_resized(self, column: int, _old_size: int, _new_size: int) -> None:
+    def _number_column_resized(self, column: int, _old_size: int, _new_size: int) -> None:
         if column == 1:
-            self.table.resizeRowsToContents()
+            self.table.resizeRowsToContents()
+
+    def eventFilter(self, watched: Any, event: Any) -> bool:
+        if hasattr(self, "table") and watched is self.table.horizontalHeader().viewport() and event.type() in {QEvent.Type.MouseButtonPress, QEvent.Type.MouseButtonRelease, QEvent.Type.MouseButtonDblClick}:
+            header = self.table.horizontalHeader()
+            position = event.position().toPoint()
+            column = header.logicalIndexAt(position)
+            if column in {11, 12} and event.button() == Qt.MouseButton.LeftButton:
+                relative = position.x() - header.sectionViewportPosition(column)
+                # Keep native column resizing, but never rank mixed-model display
+                # text or treat unavailable values as numeric zero through sorting.
+                if 5 < relative < header.sectionSize(column) - 5:
+                    return True
+        return super().eventFilter(watched, event)
 
     def _action_button(
         self,
@@ -1354,7 +1413,11 @@ class PrescriptionsPage(QWidget):
         self.doctor_filter.clear()
         self._search()
 
-    def refresh(self) -> None:
+    def refresh(self) -> None:
+        self._ai_timer.stop()
+        self._ai_request_token += 1
+        self._ai_pending = False
+        self._ai_statuses.clear()
         self._loading = True
         self._refresh_pending = False
         self._generation += 1
@@ -1392,8 +1455,9 @@ class PrescriptionsPage(QWidget):
         if generation != self._generation:
             return
         rows = page_items(result)
-        self.table.set_rows(rows)
-        self._decorate_rows()
+        self.table.set_rows(rows)
+        self._decorate_rows()
+        self._render_ai_statuses()
         total = page_total(result, len(rows))
         self.pager.update_state(requested_page, total)
         self.count_badge.setText(f"共 {total} 条")
@@ -1415,7 +1479,8 @@ class PrescriptionsPage(QWidget):
         self.banner.clear()
         if rows and self.table.currentRow() < 0:
             self.table.selectRow(0)
-        self._selection_changed()
+        self._selection_changed()
+        self._load_ai_statuses()
 
     def _decorate_rows(self) -> None:
         """Apply the reference table's tags, checkbox, avatar, and row actions."""
@@ -1489,7 +1554,7 @@ class PrescriptionsPage(QWidget):
             actions.setContentsMargins(3, 0, 3, 0)
             actions.setSpacing(3)
             actions.addStretch(1)
-            if has_permission(self.permissions, "cf.prescription/read"):
+            if has_permission(self.permissions, "cf.prescription/read"):
                 actions.addWidget(
                     _row_action_button(
                         "eye",
@@ -1499,7 +1564,15 @@ class PrescriptionsPage(QWidget):
                         ),
                         actions_host,
                     )
-                )
+                )
+            if self._ai_enabled and can_open_issued_ai(self.permissions):
+                actions.addWidget(
+                    _row_action_button(
+                        "eye", "AI 报告",
+                        lambda _checked=False, target=row: self._run_row_action(target, self._open_ai_report),
+                        actions_host, label="AI",
+                    )
+                )
             if has_permission(self.permissions, "cf.prescription/edit"):
                 actions.addWidget(
                     _row_action_button(
@@ -1531,7 +1604,162 @@ class PrescriptionsPage(QWidget):
             actions.addStretch(1)
             self.table.setCellWidget(row_index, 2, actions_host)
         self._sync_row_mutation_actions()
-        self.table.resizeRowsToContents()
+        self.table.resizeRowsToContents()
+
+    def _visible_ai_ids(self) -> list[int]:
+        if not self.isVisible() or not self.table.isVisible():
+            return []
+        ids = []
+        viewport = self.table.viewport().rect()
+        for index in range(self.table.rowCount()):
+            item = self.table.item(index, 0)
+            # Column 0 may be horizontally off-screen; use row geometry only.
+            top = self.table.rowViewportPosition(index)
+            if item is None or top + self.table.rowHeight(index) <= 0 or top >= viewport.height():
+                continue
+            row = item.data(Qt.ItemDataRole.UserRole)
+            value = _int(first_value(row, "id", "prescription_id"), 0)
+            if value > 0:
+                ids.append(value)
+        return list(dict.fromkeys(ids))[:100]
+
+    def _schedule_ai_statuses(self) -> None:
+        if self.isVisible():
+            self._ai_scroll_timer.start()
+
+    def _load_ai_statuses(self) -> None:
+        method = getattr(self.repository, "list_prescription_ai_statuses", None)
+        if not has_permission(self.permissions, "tcm.prescriptionAi/statuses", default=False):
+            self.ai_status_notice.setText("AI 分析：当前账号没有查看分析状态的权限，请联系管理员授权。")
+            return
+        if not callable(method):
+            self.ai_status_notice.setText("AI 分析：当前数据模式暂不支持此功能。")
+            return
+        if self._ai_pending:
+            return
+        ids = self._visible_ai_ids()
+        ids = [value for value in ids if value not in self._ai_statuses or batch_running(self._ai_statuses[value])]
+        if not ids:
+            self._ai_timer.stop()
+            if self.table.rowCount() == 0:
+                self.ai_status_notice.setText("AI 分析：当前列表没有处方，暂无可查看的分析结果。")
+            return
+        self._ai_pending = True
+        self._ai_request_token += 1
+        token, generation = self._ai_request_token, self._generation
+        run_async(
+            lambda: method(ids),
+            on_success=lambda result: self._ai_statuses_ready(result, ids, token, generation),
+            on_error=lambda error: self._ai_statuses_error(error, token, generation),
+            on_finished=lambda: self._ai_statuses_finished(token),
+        )
+
+    def _ai_statuses_finished(self, token: int) -> None:
+        if token == self._ai_request_token:
+            self._ai_pending = False
+
+    def _set_ai_columns(self, enabled: bool) -> None:
+        changed = enabled != self._ai_enabled
+        self._ai_enabled = enabled
+        for column in (11, 12):
+            self.table.setColumnHidden(column, not enabled)
+        if enabled:
+            header = self.table.horizontalHeader()
+            header.moveSection(header.visualIndex(11), header.visualIndex(4) + 1)
+            header.moveSection(header.visualIndex(12), header.visualIndex(11) + 1)
+            self.table.setColumnWidth(11, 144)
+            self.table.setColumnWidth(12, 130)
+            self.table.setColumnWidth(2, 178)
+        if changed:
+            self._decorate_rows()
+
+    def _ai_statuses_ready(self, result: Any, ids: list[int], token: int, generation: int) -> None:
+        if token != self._ai_request_token or generation != self._generation or not self.isVisible():
+            return
+        data = _row_mapping(result)
+        self._set_ai_columns(data.get("enabled") is True)
+        if not self._ai_enabled:
+            self._ai_timer.stop()
+            notice = "AI 分析未启用：暂不生成报告或一致度，请联系管理员启用。"
+            if can_open_issued_ai(self.permissions):
+                notice += "已有报告仍可从“AI 报告”查看。"
+            self.ai_status_notice.setText(notice)
+            self.ai_status_notice.setToolTip("")
+            self.ai_report_button.setToolTip("自动分析未启用；仍可查看已保存的历史报告。")
+            return
+        self.ai_status_notice.setText("AI 分析已启用：保存手工处方后自动生成两份报告，并显示药味与剂量一致度。")
+        self.ai_status_notice.setToolTip("")
+        self.ai_report_button.setToolTip("查看两份 AI 报告、候选处方和逐味对照。")
+        for value in ids:
+            self._ai_statuses[value] = {}
+        for batch in data.get("items") or []:
+            value = _int(get_value(batch, "prescription_id"), 0)
+            if value in ids:
+                self._ai_statuses[value] = _row_mapping(batch)
+        self._render_ai_statuses()
+        if any(batch_running(self._ai_statuses.get(value)) for value in self._visible_ai_ids()):
+            self._ai_timer.start()
+        else:
+            self._ai_timer.stop()
+
+    def _render_ai_statuses(self) -> None:
+        sorting = self.table.isSortingEnabled()
+        self.table.setSortingEnabled(False)
+        changed = False
+        try:
+            for index in range(self.table.rowCount()):
+                row = self.table.item(index, 0).data(Qt.ItemDataRole.UserRole)
+                value = _int(first_value(row, "id", "prescription_id"), 0)
+                batch = self._ai_statuses.get(value)
+                if batch is None:
+                    continue
+                state = state_text(batch) if batch else ("尚未开方" if _truthy(get_value(row, "is_system_auto")) else "尚无分析记录")
+                for column, text in ((11, state), (12, agreement_text(batch))):
+                    item = self.table.item(index, column)
+                    if item.text() != text:
+                        item.setText(text)
+                        changed = True
+                    item.setToolTip(status_tooltip(batch))
+                    item.setData(Qt.ItemDataRole.AccessibleTextRole, text)
+            if changed:
+                self.table.resizeRowsToContents()
+        finally:
+            self.table.setSortingEnabled(sorting)
+
+    def _ai_statuses_error(self, error: Exception, token: int, generation: int) -> None:
+        if token == self._ai_request_token and generation == self._generation:
+            self._ai_timer.stop()
+            self._set_ai_columns(False)
+            self.ai_status_notice.setText("AI 分析暂不可用：请稍后刷新；持续无法使用时，请联系管理员检查服务。")
+            self.ai_status_notice.setToolTip(friendly_error(error))
+            self.ai_report_button.setToolTip("AI 状态暂不可用：" + friendly_error(error))
+
+    def _open_ai_report(self) -> None:
+        row = self._selected()
+        value = _int(first_value(row, "id", "prescription_id"), 0)
+        if value > 0:
+            present_issued_prescription_ai(self.repository, self.permissions, self, prescription_id=value)
+
+    def _open_ai_context_menu(self, position: Any) -> None:
+        if not can_open_issued_ai(self.permissions) or not callable(getattr(self.repository, "list_prescription_ai_reports", None)):
+            return
+        item = self.table.itemAt(position)
+        if item is None:
+            return
+        self.table.selectRow(item.row())
+        row = self._selected()
+        menu = QMenu(self.table)
+        action = menu.addAction("AI 报告 / 逐味对照")
+        action.triggered.connect(lambda: self._run_row_action(row, self._open_ai_report))
+        self._ai_context_menu = menu
+        menu.popup(self.table.viewport().mapToGlobal(position))
+
+    def _open_ai_statistics(self) -> None:
+        if not has_permission(self.permissions, "tcm.prescriptionAi/statistics", default=False):
+            return
+        dialog = PrescriptionAiStatisticsDialog(self.repository, self.permissions, self)
+        dialog.setAttribute(Qt.WidgetAttribute.WA_DeleteOnClose, True)
+        dialog.show()
 
     def _run_row_action(self, row: Any, callback: Callable[[], None]) -> None:
         target_id = _int(first_value(row, "id", "prescription_id", default=None), 0)
@@ -1566,7 +1794,8 @@ class PrescriptionsPage(QWidget):
     def _selection_changed(self) -> None:
         row = self.table.current_data()
         active = not self._mutation_pending
-        self.view_button.setEnabled(active and row is not None)
+        self.view_button.setEnabled(active and row is not None)
+        self.ai_report_button.setEnabled(row is not None)
         self.patch_button.setEnabled(active and can_patch_patient(row))
         self.create_order_button.setEnabled(active and can_create_order(row))
         self.edit_button.setEnabled(active and can_edit_or_delete(row))
@@ -1935,10 +2164,19 @@ class PrescriptionsPage(QWidget):
         self.banner.show_message(message, "danger")
         show_toast(self, message, "danger", 5000)
 
-    def showEvent(self, event: Any) -> None:
+    def showEvent(self, event: Any) -> None:
         super().showEvent(event)
-        if self.table.rowCount() == 0 and not self._loading:
-            self.refresh()
+        if self.table.rowCount() == 0 and not self._loading:
+            self.refresh()
+        elif not self._loading:
+            self._load_ai_statuses()
+
+    def hideEvent(self, event: Any) -> None:
+        self._ai_timer.stop()
+        self._ai_scroll_timer.stop()
+        self._ai_request_token += 1
+        self._ai_pending = False
+        super().hideEvent(event)
 
 
 __all__ = [

app/src/doctor_workstation/ui/widgets.py

@@ -127,6 +127,13 @@ def format_record_time(value: Any, default: str = "—") -> str:
     raw = str(value).strip()
     if not raw:
         return default
+    # The API sends 0 for "not set yet" (a snapshot cutoff that has not been frozen, an
+    # unfinished task); rendering it as a bare 0 or as 1970 would read as a real time.
+    try:
+        if float(raw) <= 0:
+            return default
+    except ValueError:
+        pass
     if _UNIX_TIMESTAMP_RE.fullmatch(raw):
         stamp = float(raw)
         if stamp >= 10_000_000_000:

app/tests/test_prescription_ui.py

@@ -303,7 +303,8 @@ def test_issued_page_sends_exact_filter_dto_and_row_guards(
     page.table.selectRow(0)
     page._selection_changed()
 
-    assert page.table.columnCount() == 11
+    assert page.table.columnCount() == 13
+    assert page.table.isColumnHidden(11) and page.table.isColumnHidden(12)
     assert page.table.horizontalHeaderItem(2).text() == "操作"
     assert page.table.cellWidget(0, 2) is not None
     # 处方类型与审核状态由 _RowDecorationDelegate 绘制标签，不再为每行每列

app/tests/test_prescriptions_tech_blue.py

@@ -121,7 +121,8 @@ def test_shell_preserves_all_columns_filters_and_reachable_pager(
     table = page.table
     assert [column.key for column in table.columns] == [
         "__selected__", "sn", "__actions__", "prescription_type", "is_system_auto",
-        "patient_name", "audit_status", "void_status", "doctor_name", "assistant_name", "create_time",
+        "patient_name", "audit_status", "void_status", "doctor_name", "assistant_name", "create_time",
+        "__ai_status__", "__ai_agreement__",
     ]
     assert [table.horizontalHeader().logicalIndex(index) for index in range(11)] == [
         0, 1, 3, 4, 5, 6, 7, 8, 9, 10, 2,

app/tests/test_widgets_format.py

@@ -46,6 +46,15 @@ def test_format_record_time_with_datetime_returns_minute_precision() -> None:
     assert format_record_time(date(2026, 8, 20)) == "2026-08-20"
 
 
+def test_format_record_time_with_unset_epoch_returns_default() -> None:
+    # The API sends 0 (and occasionally "0") for a snapshot cutoff or finish time that does
+    # not exist yet; it must not be rendered as a bare 0 or as 1970.
+    assert format_record_time(0) == "—"
+    assert format_record_time("0") == "—"
+    assert format_record_time(-1) == "—"
+    assert format_record_time(0, default="未开始") == "未开始"
+
+
 def test_format_record_time_with_garbage_returns_raw_value() -> None:
     assert format_record_time("not-a-timestamp") == "not-a-timestamp"