更新

TUICallKit-Vue3/tongji/composables/useBloodCareAi.js

@@ -0,0 +1,203 @@
+import { ref, computed } from 'vue'
+import { requestAiStream, parsePartialBloodCarePlainText } from '../utils/aiStreamRequest.js'
+
+const emptyBloodCarePlan = () => ({
+    summary: '',
+    blood_advice: '',
+    tcm_plan: '',
+    watch_points: [],
+    next_steps: '',
+    control_level: '',
+    control_label: '',
+    disclaimer: '',
+    analysis: [],
+    source: '',
+    date: ''
+})
+
+/** AI 血糖照护建议（累计 7 天有记录后） */
+export function useBloodCareAi(proxy, { diagnosisId, chartUseMockData, showUserToast, formatUserMessage }) {
+    const bloodCarePlan = ref(emptyBloodCarePlan())
+    const bloodCareLoading = ref(false)
+    const bloodCareStreaming = ref(false)
+    const bloodCareStreamField = ref('')
+    let careStreamBuffer = ''
+    /** 用户点击后才展开照护建议卡片 */
+    const bloodCarePanelOpen = ref(false)
+
+    const bloodCareEligible = computed(() => {
+        return !!diagnosisId.value && !chartUseMockData.value
+    })
+
+    const hasBloodCareContent = computed(() => {
+        const p = bloodCarePlan.value
+        return !!(p.summary || p.blood_advice || p.tcm_plan)
+    })
+
+    const bloodCareAnalysis = computed(() => {
+        const list = bloodCarePlan.value?.analysis
+        return Array.isArray(list) ? list : []
+    })
+
+    const bloodCareControlLabel = computed(() => {
+        const label = String(bloodCarePlan.value?.control_label || '').trim()
+        return label
+    })
+
+    const bloodCareDisclaimer = computed(() => {
+        return String(bloodCarePlan.value?.disclaimer || '').trim()
+    })
+
+    function detectCareStreamField(text) {
+        const tail = String(text || '').match(/(?:^|\n)(总评|血糖|中医|留意|复诊)[：:]\s*([^\n]*)$/)
+        if (!tail) return 'summary'
+        const map = { '总评': 'summary', '血糖': 'blood_advice', '中医': 'tcm_plan', '留意': 'watch_points', '复诊': 'next_steps' }
+        return map[tail[1]] || 'summary'
+    }
+
+    function mergePartialCareFromStream() {
+        const partial = parsePartialBloodCarePlainText(careStreamBuffer)
+        const next = { ...bloodCarePlan.value }
+        for (const key of ['summary', 'blood_advice', 'tcm_plan', 'next_steps']) {
+            if (partial[key] != null) next[key] = partial[key]
+        }
+        if (Array.isArray(partial.watch_points)) next.watch_points = partial.watch_points
+        bloodCarePlan.value = next
+        bloodCareStreamField.value = detectCareStreamField(careStreamBuffer)
+    }
+
+    function applyBloodCarePayload(payload) {
+        if (!payload) return
+        const prevAnalysis = bloodCarePlan.value.analysis
+        bloodCarePlan.value = {
+            ...emptyBloodCarePlan(),
+            ...payload,
+            watch_points: Array.isArray(payload.watch_points) ? payload.watch_points : [],
+            analysis: Array.isArray(payload.analysis) && payload.analysis.length
+                ? payload.analysis
+                : (Array.isArray(prevAnalysis) ? prevAnalysis : [])
+        }
+    }
+
+    function onBloodCareStreamEvent(event, payload) {
+        if (event === 'analysis') {
+            if (Array.isArray(payload?.analysis)) {
+                bloodCarePlan.value = { ...bloodCarePlan.value, analysis: payload.analysis }
+            }
+        } else if (event === 'delta') {
+            bloodCareStreaming.value = true
+            if (payload.buffer != null) {
+                careStreamBuffer = payload.buffer
+            } else {
+                careStreamBuffer += payload.text || ''
+            }
+            mergePartialCareFromStream()
+        } else if (event === 'done') {
+            applyBloodCarePayload(payload)
+            careStreamBuffer = ''
+            bloodCareStreamField.value = ''
+        } else if (event === 'error') {
+            showUserToast(formatUserMessage(payload?.message, '照护建议加载失败'))
+        }
+    }
+
+    async function fetchBloodCareAiFallback(refresh) {
+        const res = await proxy.apiUrl({
+            url: '/api/tcm/dailyBloodCareAiRecommend',
+            method: 'GET',
+            timeout: 35000,
+            data: {
+                diagnosis_id: diagnosisId.value,
+                refresh: refresh ? 1 : 0,
+                ...(refresh ? { _t: Date.now() } : {})
+            }
+        }, false)
+        if (res?.code === 1 && res.data) {
+            applyBloodCarePayload(res.data)
+        } else if (res?.msg) {
+            showUserToast(res.msg)
+        }
+    }
+
+    function closeBloodCarePanel() {
+        bloodCarePanelOpen.value = false
+    }
+
+    /** 趋势图 AI 按钮：未展开则打开并生成；已展开则收起 */
+    async function toggleBloodCareFromChart() {
+        if (!bloodCareEligible.value || bloodCareLoading.value) return
+        if (bloodCarePanelOpen.value) {
+            closeBloodCarePanel()
+            return
+        }
+        bloodCarePanelOpen.value = true
+        if (!hasBloodCareContent.value) {
+            await fetchBloodCareAi(false)
+        }
+    }
+
+    async function fetchBloodCareAi(refresh = false) {
+        if (!bloodCareEligible.value || bloodCareLoading.value) return
+        bloodCareLoading.value = true
+        bloodCareStreaming.value = false
+        careStreamBuffer = ''
+        bloodCareStreamField.value = ''
+        if (refresh) {
+            applyBloodCarePayload(emptyBloodCarePlan())
+        }
+        try {
+            await requestAiStream({
+                baseUrl: proxy.$url,
+                url: '/api/tcm/dailyBloodCareAiRecommendStream',
+                method: 'GET',
+                data: {
+                    diagnosis_id: diagnosisId.value,
+                    refresh: refresh ? 1 : 0,
+                    ...(refresh ? { _t: Date.now() } : {})
+                },
+                onEvent: onBloodCareStreamEvent,
+                fallback: () => fetchBloodCareAiFallback(refresh)
+            })
+        } catch (e) {
+            try {
+                await fetchBloodCareAiFallback(refresh)
+            } catch (e2) {
+                showUserToast('照护建议加载失败')
+            }
+        } finally {
+            bloodCareLoading.value = false
+            bloodCareStreaming.value = false
+            bloodCareStreamField.value = ''
+        }
+    }
+
+    function refreshBloodCareAi() {
+        if (bloodCareLoading.value) return
+        fetchBloodCareAi(true)
+    }
+
+    function resetBloodCarePlan() {
+        applyBloodCarePayload(emptyBloodCarePlan())
+        careStreamBuffer = ''
+        bloodCareStreamField.value = ''
+        bloodCarePanelOpen.value = false
+    }
+
+    return {
+        bloodCarePlan,
+        bloodCareLoading,
+        bloodCareStreaming,
+        bloodCareStreamField,
+        bloodCareEligible,
+        bloodCarePanelOpen,
+        hasBloodCareContent,
+        bloodCareAnalysis,
+        bloodCareControlLabel,
+        bloodCareDisclaimer,
+        fetchBloodCareAi,
+        toggleBloodCareFromChart,
+        closeBloodCarePanel,
+        refreshBloodCareAi,
+        resetBloodCarePlan
+    }
+}

admin/src/api/tcm.ts

@@ -482,7 +482,7 @@ export function prescriptionOrderRequestCompletion(params: { id: number }) {
     return request.post({ url: '/tcm.prescriptionOrder/requestCompletion', params })
 }
 
-/** 将「已发货/已签收」且支付审核通过的订单结案（3=已完成 或 7-12 业务状态，不含退款） */
+/** 将「已发货/已签收」且支付审核通过的订单结案（3=已完成 或 7-12 业务状态；退款请走 refund 或完成弹窗选「退款」） */
 export function prescriptionOrderComplete(params: { id: number; fulfillment_status: number }) {
     return request.post({ url: '/tcm.prescriptionOrder/complete', params })
 }

admin/src/views/consumer/prescription/order_list.vue

@@ -2099,7 +2099,9 @@
                         </div>
                     </template>
                 </el-alert>
-                <p class="text-sm text-gray-600 mb-3">请选择本单结案状态。选择「已完成」时，实付将按已关联的支付单金额汇总。</p>
+                <p class="text-sm text-gray-600 mb-3">
+                    请选择本单结案状态。选择「已完成」时，实付将按已关联的支付单金额汇总；选择「退款」时将关联收款单标记为已退款并清零本单已付。
+                </p>
                 <el-select
                     v-model="completeFulfillmentStatus"
                     class="w-full"
@@ -2112,11 +2114,76 @@
                         :value="opt.value"
                     />
                 </el-select>
+
+                <template v-if="completeFulfillmentStatus === 10">
+                    <el-alert
+                        type="warning"
+                        :closable="false"
+                        show-icon
+                        class="mt-3 !items-start"
+                        title="退款将处理本单全部关联收款单，已付总额清零，且不可撤销。"
+                    />
+                    <div v-loading="completeOrderPayLoading" class="mt-3">
+                        <div
+                            v-if="completeOrderLinkedPays.length"
+                            class="rounded-lg border border-amber-200/80 bg-amber-50/50 p-3"
+                        >
+                            <div class="text-xs font-semibold text-amber-900 mb-2">
+                                将退款的关联收款（{{ completeOrderLinkedPays.length }} 笔 · 合计 ¥{{ formatMoney(completeOrderRefundTotal) }}）
+                            </div>
+                            <el-table :data="completeOrderLinkedPays" size="small" border stripe max-height="200">
+                                <el-table-column prop="order_no" label="单号" min-width="120" show-overflow-tooltip />
+                                <el-table-column label="类型" width="88">
+                                    <template #default="{ row }">
+                                        {{ row.order_type_desc || feeTypeText(row.order_type) }}
+                                    </template>
+                                </el-table-column>
+                                <el-table-column label="金额" width="88" align="right">
+                                    <template #default="{ row }">
+                                        <span class="text-red-500">¥{{ row.amount }}</span>
+                                    </template>
+                                </el-table-column>
+                                <el-table-column label="状态" width="92" align="center">
+                                    <template #default="{ row }">
+                                        <el-tag :type="payOrderStatusTag(row.status)" size="small">
+                                            {{ row.status_desc || orderStatusText(row.status) }}
+                                        </el-tag>
+                                    </template>
+                                </el-table-column>
+                            </el-table>
+                        </div>
+                        <p v-else-if="!completeOrderPayLoading" class="text-xs text-gray-500 mt-2">
+                            当前无已关联的收款单；提交后仍将本单标记为「退款」并清零已付。
+                        </p>
+                    </div>
+                    <el-form
+                        ref="completeRefundFormRef"
+                        :model="completeRefundForm"
+                        :rules="completeRefundRules"
+                        label-width="88px"
+                        class="mt-3"
+                    >
+                        <el-form-item label="退款原因" prop="reason">
+                            <el-input
+                                v-model="completeRefundForm.reason"
+                                type="textarea"
+                                :rows="3"
+                                maxlength="500"
+                                show-word-limit
+                                placeholder="请填写退款原因（必填）"
+                            />
+                        </el-form-item>
+                    </el-form>
+                </template>
             </div>
             <template #footer>
                 <el-button @click="completeOrderDialogVisible = false">取消</el-button>
-                <el-button type="primary" :loading="completeOrderSubmitting" @click="submitCompleteOrder">
-                    确定
+                <el-button
+                    :type="completeFulfillmentStatus === 10 ? 'danger' : 'primary'"
+                    :loading="completeOrderSubmitting"
+                    @click="submitCompleteOrder"
+                >
+                    {{ completeFulfillmentStatus === 10 ? '确认退款' : '确定' }}
                 </el-button>
             </template>
         </el-dialog>
@@ -3740,7 +3807,9 @@ function canCompleteRow(row: { fulfillment_status?: number; payment_slip_audit_s
 }
 
 function canRefundRow(row: { fulfillment_status?: number; payment_slip_audit_status?: number }) {
-    return canCompleteRow(row)
+    // 已发货(5) / 已签收(6) / 已完成(3)，且支付审核已通过(1) 可退款
+    const fs = Number(row.fulfillment_status)
+    return (fs === 5 || fs === 6 || fs === 3) && Number(row.payment_slip_audit_status) === 1
 }
 
 function canQuickTrackRow(row: { fulfillment_status?: number }) {
@@ -5251,6 +5320,7 @@ const completeOrderStatusOptions = [
     { value: 7, label: '进行中' },
     { value: 8, label: '暂不制药' },
     { value: 9, label: '拒收' },
+    { value: 10, label: '退款' },
     { value: 11, label: '保留药方' },
     { value: 12, label: '制药缓发' }
 ] as const
@@ -5259,15 +5329,54 @@ const completeOrderDialogVisible = ref(false)
 const completeOrderId = ref(0)
 const completeFulfillmentStatus = ref<number>(3)
 const completeOrderSubmitting = ref(false)
+const completeOrderPayLoading = ref(false)
+const completeOrderLinkedPays = ref<any[]>([])
+const completeRefundFormRef = ref<FormInstance>()
+const completeRefundForm = reactive({ reason: '' })
+const completeRefundRules: FormRules = {
+    reason: [{ required: true, message: '请填写退款原因', trigger: 'blur' }]
+}
+const completeOrderRefundTotal = computed(() => {
+    let sum = 0
+    for (const o of completeOrderLinkedPays.value) {
+        const st = Number(o?.status)
+        if (st === 2 || st === 5) {
+            sum += Number(o?.amount) || 0
+        }
+    }
+    return Math.round(sum * 100) / 100
+})
 let completeOrderLogisticsRequestSeq = 0
 
 function onCompleteOrderDialogClosed() {
     completeOrderId.value = 0
+    completeOrderLinkedPays.value = []
+    completeOrderPayLoading.value = false
+    completeRefundForm.reason = ''
+    completeRefundFormRef.value?.clearValidate()
     completeOrderLogisticsRequestSeq += 1
     completeOrderLogisticsPayload.value = null
     completeOrderLogisticsLoading.value = false
 }
 
+async function loadCompleteOrderPayContext(orderId: number) {
+    if (!orderId) {
+        completeOrderLinkedPays.value = []
+        return
+    }
+    completeOrderPayLoading.value = true
+    try {
+        const r: any = await prescriptionOrderDetail({ id: orderId })
+        const d = r?.data ?? r ?? null
+        const arr = d?.linked_pay_orders
+        completeOrderLinkedPays.value = Array.isArray(arr) ? arr : []
+    } catch {
+        completeOrderLinkedPays.value = []
+    } finally {
+        completeOrderPayLoading.value = false
+    }
+}
+
 async function fetchCompleteOrderLogisticsForDialog(row: {
     id: number
     tracking_number?: unknown
@@ -5306,6 +5415,32 @@ async function fetchCompleteOrderLogisticsForDialog(row: {
 async function submitCompleteOrder() {
     const id = completeOrderId.value
     if (!id) return
+
+    if (completeFulfillmentStatus.value === 10) {
+        const valid = await completeRefundFormRef.value?.validate().catch(() => false)
+        if (!valid) return
+        completeOrderSubmitting.value = true
+        try {
+            await prescriptionOrderRefund({ id, reason: completeRefundForm.reason.trim() })
+            feedback.msgSuccess('退款成功')
+            completeOrderDialogVisible.value = false
+            getLists()
+            if (detailVisible.value && detailData.value?.id === id) {
+                try {
+                    const r: any = await prescriptionOrderDetail({ id })
+                    const nd = r?.data ?? r ?? null
+                    if (nd) detailData.value = nd
+                    await fetchLogs(id)
+                } catch { /* 静默 */ }
+            }
+        } catch {
+            /* 拦截器已提示 */
+        } finally {
+            completeOrderSubmitting.value = false
+        }
+        return
+    }
+
     completeOrderSubmitting.value = true
     try {
         await prescriptionOrderComplete({ id, fulfillment_status: completeFulfillmentStatus.value })
@@ -5540,8 +5675,11 @@ function confirmComplete(row: {
 }) {
     completeOrderId.value = row.id
     completeFulfillmentStatus.value = 3
+    completeRefundForm.reason = ''
+    completeOrderLinkedPays.value = []
     completeOrderLogisticsPayload.value = null
     completeOrderDialogVisible.value = true
+    void loadCompleteOrderPayContext(row.id)
     if (String(row.tracking_number || '').trim()) {
         void fetchCompleteOrderLogisticsForDialog(row)
     }

admin/src/views/consumer/prescription/order_list_h5.vue

@@ -1845,9 +1845,11 @@
             :close-on-click-modal="false"
             destroy-on-close
             class="po-h5-dialog"
-            @closed="completeOrderId = 0"
+            @closed="onCompleteOrderDialogClosed"
         >
-            <p class="text-sm text-gray-600 mb-3">请选择本单结案状态。选择「已完成」时，实付将按已关联的支付单金额汇总。</p>
+            <p class="text-sm text-gray-600 mb-3">
+                选择「已完成」按关联收款汇总实付；选择「退款」将关联收款标记已退款并清零已付。
+            </p>
             <el-select
                 v-model="completeFulfillmentStatus"
                 class="w-full"
@@ -1860,10 +1862,43 @@
                     :value="opt.value"
                 />
             </el-select>
+            <template v-if="completeFulfillmentStatus === 10">
+                <el-alert
+                    type="warning"
+                    :closable="false"
+                    show-icon
+                    class="mt-3"
+                    title="关联收款将标记已退款，本单已付清零，不可撤销。"
+                />
+                <p v-if="completeOrderLinkedPays.length" class="text-xs text-amber-800 mt-2">
+                    将退款 {{ completeOrderLinkedPays.length }} 笔关联收款，合计 ¥{{ formatMoney(completeOrderRefundTotal) }}
+                </p>
+                <el-form
+                    ref="completeRefundFormRef"
+                    :model="completeRefundForm"
+                    :rules="completeRefundRules"
+                    label-width="80px"
+                    class="mt-2"
+                >
+                    <el-form-item label="退款原因" prop="reason">
+                        <el-input
+                            v-model="completeRefundForm.reason"
+                            type="textarea"
+                            :rows="3"
+                            maxlength="500"
+                            placeholder="必填"
+                        />
+                    </el-form-item>
+                </el-form>
+            </template>
             <template #footer>
                 <el-button @click="completeOrderDialogVisible = false">取消</el-button>
-                <el-button type="primary" :loading="completeOrderSubmitting" @click="submitCompleteOrder">
-                    确定
+                <el-button
+                    :type="completeFulfillmentStatus === 10 ? 'danger' : 'primary'"
+                    :loading="completeOrderSubmitting"
+                    @click="submitCompleteOrder"
+                >
+                    {{ completeFulfillmentStatus === 10 ? '确认退款' : '确定' }}
                 </el-button>
             </template>
         </el-dialog>
@@ -3288,7 +3323,8 @@ function canCompleteRow(row: { fulfillment_status?: number; payment_slip_audit_s
 }
 
 function canRefundRow(row: { fulfillment_status?: number; payment_slip_audit_status?: number }) {
-    return canCompleteRow(row)
+    const fs = Number(row.fulfillment_status)
+    return (fs === 5 || fs === 6 || fs === 3) && Number(row.payment_slip_audit_status) === 1
 }
 
 function canQuickTrackRow(row: { fulfillment_status?: number }) {
@@ -4609,6 +4645,7 @@ const completeOrderStatusOptions = [
     { value: 7, label: '进行中' },
     { value: 8, label: '暂不制药' },
     { value: 9, label: '拒收' },
+    { value: 10, label: '退款' },
     { value: 11, label: '保留药方' },
     { value: 12, label: '制药缓发' }
 ] as const
@@ -4617,10 +4654,71 @@ const completeOrderDialogVisible = ref(false)
 const completeOrderId = ref(0)
 const completeFulfillmentStatus = ref<number>(3)
 const completeOrderSubmitting = ref(false)
+const completeOrderLinkedPays = ref<any[]>([])
+const completeRefundFormRef = ref<FormInstance>()
+const completeRefundForm = reactive({ reason: '' })
+const completeRefundRules: FormRules = {
+    reason: [{ required: true, message: '请填写退款原因', trigger: 'blur' }]
+}
+const completeOrderRefundTotal = computed(() => {
+    let sum = 0
+    for (const o of completeOrderLinkedPays.value) {
+        const st = Number(o?.status)
+        if (st === 2 || st === 5) sum += Number(o?.amount) || 0
+    }
+    return Math.round(sum * 100) / 100
+})
+
+function onCompleteOrderDialogClosed() {
+    completeOrderId.value = 0
+    completeOrderLinkedPays.value = []
+    completeRefundForm.reason = ''
+    completeRefundFormRef.value?.clearValidate()
+}
+
+async function loadCompleteOrderPayContext(orderId: number) {
+    if (!orderId) {
+        completeOrderLinkedPays.value = []
+        return
+    }
+    try {
+        const r: any = await prescriptionOrderDetail({ id: orderId })
+        const d = r?.data ?? r ?? null
+        completeOrderLinkedPays.value = Array.isArray(d?.linked_pay_orders) ? d.linked_pay_orders : []
+    } catch {
+        completeOrderLinkedPays.value = []
+    }
+}
 
 async function submitCompleteOrder() {
     const id = completeOrderId.value
     if (!id) return
+
+    if (completeFulfillmentStatus.value === 10) {
+        const valid = await completeRefundFormRef.value?.validate().catch(() => false)
+        if (!valid) return
+        completeOrderSubmitting.value = true
+        try {
+            await prescriptionOrderRefund({ id, reason: completeRefundForm.reason.trim() })
+            feedback.msgSuccess('退款成功')
+            completeOrderDialogVisible.value = false
+            getLists()
+            if (detailVisible.value && detailData.value?.id === id) {
+                try {
+                    const r: any = await prescriptionOrderDetail({ id })
+                    const nd = r?.data ?? r ?? null
+                    if (nd) detailData.value = nd
+                    await fetchLogs(id)
+                } catch { /* 静默 */ }
+            }
+        } catch {
+            /* 拦截器已提示 */
+        } finally {
+            completeOrderSubmitting.value = false
+        }
+        return
+    }
+
     completeOrderSubmitting.value = true
     try {
         await prescriptionOrderComplete({ id, fulfillment_status: completeFulfillmentStatus.value })
@@ -4830,7 +4928,10 @@ async function submitAddPayOrder() {
 function confirmComplete(row: { id: number }) {
     completeOrderId.value = row.id
     completeFulfillmentStatus.value = 3
+    completeRefundForm.reason = ''
+    completeOrderLinkedPays.value = []
     completeOrderDialogVisible.value = true
+    void loadCompleteOrderPayContext(row.id)
 }
 
 // ─── 撤回处方审核 ────────────────────────────────────────────

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

@@ -2652,8 +2652,8 @@ class PrescriptionOrderLogic
             return false;
         }
         $curFs = (int) $order->fulfillment_status;
-        if ($curFs !== 5 && $curFs !== 6) {
-            self::$error = '仅「已发货」或「已签收」状态可退款';
+        if (!in_array($curFs, [3, 5, 6], true)) {
+            self::$error = '仅「已发货」「已签收」或「已完成」状态可退款';
 
             return false;
         }
@@ -2665,12 +2665,25 @@ class PrescriptionOrderLogic
 
         $linkedPayOrderIds = self::linkedPayOrderIdList($id);
         $refundedPayCount  = 0;
+        $refundedAmount    = 0.0;
 
         try {
             if ($linkedPayOrderIds !== []) {
-                $refundedPayCount = Order::whereIn('id', $linkedPayOrderIds)
+                $toRefundRows = Order::whereIn('id', $linkedPayOrderIds)
                     ->whereNull('delete_time')
-                    ->update(['status' => 4]);
+                    ->whereIn('status', [2, 5])
+                    ->field(['id', 'amount'])
+                    ->select()
+                    ->toArray();
+                foreach ($toRefundRows as $pr) {
+                    $refundedAmount += (float) ($pr['amount'] ?? 0);
+                }
+                $refundedAmount = round($refundedAmount, 2);
+                if ($toRefundRows !== []) {
+                    $refundedPayCount = Order::whereIn('id', array_column($toRefundRows, 'id'))
+                        ->whereNull('delete_time')
+                        ->update(['status' => 4]);
+                }
             }
             $order->fulfillment_status = 10;
             $order->paid                 = 0;
@@ -2684,7 +2697,12 @@ class PrescriptionOrderLogic
         $unassignSummary = self::clearDiagnosisAssistantOnComplete((int) $order->diagnosis_id);
         $logLine         = '订单退款，状态变更为「退款」；原因：' . $reason;
         if ($refundedPayCount > 0) {
-            $logLine .= '；关联支付单 ' . $refundedPayCount . ' 笔已标记为已退款';
+            $logLine .= '；关联收款单 ' . $refundedPayCount . ' 笔已标记为已退款';
+            if ($refundedAmount > 0) {
+                $logLine .= '，合计 ¥' . $refundedAmount;
+            }
+        } elseif ($linkedPayOrderIds !== []) {
+            $logLine .= '；关联收款单无待退款的已支付/待审核记录';
         }
         $logLine .= '；已付总额清零' . $unassignSummary;
 

server/app/api/logic/tcm/DailyBloodCareAiLogic.php

@@ -0,0 +1,442 @@
+<?php
+
+namespace app\api\logic\tcm;
+
+use app\common\model\tcm\Diagnosis;
+use app\common\service\AiChatService;
+use think\facade\Cache;
+
+/**
+ * 日常护理 - 血糖照护 AI（累计 7 天有记录后：血糖建议 + 中医调理方向）
+ */
+class DailyBloodCareAiLogic
+{
+    private const CACHE_TTL = 86400;
+
+    private const MIN_RECORD_DAYS = 7;
+
+    private const AI_TIMEOUT_SEC = 14;
+
+    private const AI_STREAM_TIMEOUT_SEC = 22;
+
+    /**
+     * @return array{ok:bool,error?:string,data?:array}
+     */
+    public static function getDailyCarePlan(int $diagnosisId, bool $refresh = false): array
+    {
+        if ($diagnosisId <= 0) {
+            return ['ok' => false, 'error' => '缺少就诊卡'];
+        }
+
+        $context = self::buildCareContext($diagnosisId);
+        if (!$context['ok']) {
+            return ['ok' => false, 'error' => $context['error'] ?? '获取档案失败'];
+        }
+
+        $gate = self::ensureEnoughBloodDays($context['data']);
+        if (!$gate['ok']) {
+            return ['ok' => false, 'error' => $gate['error']];
+        }
+
+        $analysis = self::buildAnalysisPayload($context['data']);
+        $cacheKey = self::careCacheKey($diagnosisId);
+
+        if (!$refresh) {
+            $cached = Cache::get($cacheKey);
+            if (is_array($cached) && !empty($cached['summary'])) {
+                $cached['cached']   = true;
+                $cached['analysis'] = $analysis;
+                return ['ok' => true, 'data' => $cached];
+            }
+        }
+
+        $data = null;
+        if (AiChatService::isEnabled()) {
+            $raw = self::aiDailyCarePlan($context['data'], $refresh);
+            if (is_array($raw) && !empty($raw['summary'])) {
+                $data = self::finalizeCarePlan($raw);
+            }
+        }
+
+        if (!$data) {
+            $data = GiKnowledge::fallbackBloodCarePlan(
+                $context['data']['stats_7d'] ?? [],
+                $context['data']['stats_30d'] ?? [],
+                $context['data']
+            );
+        }
+
+        $data['date']     = date('Y-m-d');
+        $data['cached']   = false;
+        $data['analysis'] = $analysis;
+        Cache::set($cacheKey, $data, self::CACHE_TTL);
+
+        return ['ok' => true, 'data' => $data];
+    }
+
+    /**
+     * @param callable(string, array<string, mixed>):void $emit
+     */
+    public static function streamDailyCarePlan(int $diagnosisId, bool $refresh, callable $emit): void
+    {
+        if ($diagnosisId <= 0) {
+            $emit('error', ['message' => '缺少就诊卡']);
+            return;
+        }
+
+        $context = self::buildCareContext($diagnosisId);
+        if (!$context['ok']) {
+            $emit('error', ['message' => $context['error'] ?? '获取档案失败']);
+            return;
+        }
+
+        $gate = self::ensureEnoughBloodDays($context['data']);
+        if (!$gate['ok']) {
+            $emit('error', ['message' => $gate['error']]);
+            return;
+        }
+
+        $analysis = self::buildAnalysisPayload($context['data']);
+        $emit('analysis', ['analysis' => $analysis]);
+
+        $cacheKey = self::careCacheKey($diagnosisId);
+        if (!$refresh) {
+            $cached = Cache::get($cacheKey);
+            if (is_array($cached) && !empty($cached['summary'])) {
+                $cached['cached']   = true;
+                $cached['analysis'] = $analysis;
+                $emit('done', $cached);
+                return;
+            }
+        }
+
+        $data     = null;
+        $fullText = '';
+
+        if (AiChatService::isEnabled()) {
+            [$system, $user] = self::buildCareStreamPrompts($context['data'], $refresh);
+            $streamRes = AiChatService::streamChat([
+                ['role' => 'system', 'content' => $system],
+                ['role' => 'user', 'content' => $user],
+            ], static function (string $delta) use (&$fullText, $emit): void {
+                $fullText .= $delta;
+                $emit('delta', ['text' => $delta, 'buffer' => $fullText]);
+            }, [
+                'temperature' => $refresh ? 0.75 : 0.4,
+                'max_tokens'  => 720,
+                'timeout'     => self::AI_STREAM_TIMEOUT_SEC,
+            ]);
+
+            if ($streamRes['ok'] && trim($fullText) !== '') {
+                $parsed = self::parseCarePlainText(trim($fullText));
+                if ($parsed && !empty($parsed['summary'])) {
+                    $data = self::finalizeCarePlan($parsed);
+                }
+            }
+        }
+
+        if (!$data) {
+            $data = GiKnowledge::fallbackBloodCarePlan(
+                $context['data']['stats_7d'] ?? [],
+                $context['data']['stats_30d'] ?? [],
+                $context['data']
+            );
+        }
+
+        $data['date']     = date('Y-m-d');
+        $data['cached']   = false;
+        $data['analysis'] = $analysis;
+        Cache::set($cacheKey, $data, self::CACHE_TTL);
+        $emit('done', $data);
+    }
+
+    private static function careCacheKey(int $diagnosisId): string
+    {
+        return 'daily_blood_care_ai_v1:' . $diagnosisId . ':' . date('Y-m-d');
+    }
+
+    /**
+     * @return array{ok:bool,error?:string,data?:array}
+     */
+    private static function buildCareContext(int $diagnosisId): array
+    {
+        $base = DailyDietAiLogic::getPatientContext($diagnosisId);
+        if (!$base['ok']) {
+            return $base;
+        }
+
+        $diagnosis = Diagnosis::where('id', $diagnosisId)->where('delete_time', null)->find();
+        if ($diagnosis) {
+            $row = $diagnosis->toArray();
+            $base['data']['syndrome_type'] = trim((string) ($row['syndrome_type'] ?? ''));
+            $base['data']['symptoms']      = trim((string) ($row['symptoms'] ?? ''));
+            $base['data']['remark']        = trim((string) ($row['remark'] ?? ''));
+        }
+
+        return $base;
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     * @return array{ok:bool,error?:string}
+     */
+    private static function ensureEnoughBloodDays(array $context): array
+    {
+        $days30 = (int) (($context['stats_30d']['record_days'] ?? 0));
+        $days7  = (int) (($context['stats_7d']['record_days'] ?? 0));
+        $total  = max($days30, $days7);
+        if ($total < self::MIN_RECORD_DAYS) {
+            return ['ok' => false, 'error' => '累计记录满7天后可生成照护建议'];
+        }
+
+        return ['ok' => true];
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     * @return array<int,array<string,mixed>>
+     */
+    private static function buildAnalysisPayload(array $context): array
+    {
+        $out = [];
+        foreach (['stats_7d', 'stats_30d'] as $key) {
+            $s = $context[$key] ?? null;
+            if (is_array($s)) {
+                $out[] = $s;
+            }
+        }
+        return $out;
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     * @return array<string,mixed>|null
+     */
+    private static function aiDailyCarePlan(array $context, bool $refresh): ?array
+    {
+        [$system, $user] = self::buildCareJsonPrompts($context, $refresh);
+        $res = AiChatService::chat([
+            ['role' => 'system', 'content' => $system],
+            ['role' => 'user', 'content' => $user],
+        ], [
+            'temperature'     => $refresh ? 0.7 : 0.35,
+            'max_tokens'      => 650,
+            'timeout'         => self::AI_TIMEOUT_SEC,
+            'response_format' => ['type' => 'json_object'],
+        ]);
+
+        if (empty($res['ok']) || empty($res['content'])) {
+            return null;
+        }
+
+        $json = self::parseJsonObject((string) $res['content']);
+        return is_array($json) ? $json : null;
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     * @return array{0:string,1:string}
+     */
+    private static function buildCareJsonPrompts(array $context, bool $refresh): array
+    {
+        $bloodLine  = self::bloodLine($context);
+        $stat7Line  = self::statsLine($context['stats_7d'] ?? []);
+        $stat30Line = self::statsLine($context['stats_30d'] ?? []);
+        $syndrome   = trim((string) ($context['syndrome_type'] ?? ''));
+        $symptoms   = trim((string) ($context['symptoms'] ?? ''));
+
+        $system = <<<SYS
+你是基层中医糖尿病照护助手，面向农村中老年患者，用通俗中文给「血糖管理 + 中医调理方向」建议。
+
+硬性要求：
+1. 不得开具具体中药处方名、剂量、加减；不得指导自行增减西药/胰岛素。
+2. 中医部分写调理思路、食疗方向、穴位艾灸注意事项，强调需面诊脉诊后由医师定方。
+3. 结合提供的血糖统计与逐日记录，给出可执行的监测与生活方式建议。
+4. 只输出 JSON：
+{"summary":"一句话总评","blood_advice":"血糖监测与饮食运动","tcm_plan":"中医辨证与调理方案","watch_points":["留意1","留意2"],"next_steps":"下一步复诊或就医提醒"}
+SYS;
+
+        $user = sprintf(
+            "患者：%s，%s，%s岁。证型登记：%s。症状摘要：%s。\n日期：%s。\n近7日血糖：%s。\n统计：%s；%s。\n请根据控制好坏给出个性化 JSON。",
+            $context['patient_name'] ?: '患者',
+            $context['gender_text'] ?? '',
+            $context['age'] ?? 0,
+            $syndrome !== '' ? $syndrome : '未登记',
+            $symptoms !== '' ? mb_substr($symptoms, 0, 120) : '无',
+            $context['today'] ?? date('Y-m-d'),
+            $bloodLine,
+            $stat7Line,
+            $stat30Line
+        );
+
+        if ($refresh) {
+            $user .= "\n\n用户点了「换一换」，请换一套不同表述但同样严谨的建议，编号" . substr(md5((string) microtime(true)), 0, 8) . '。';
+        }
+
+        return [$system, $user];
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     * @return array{0:string,1:string}
+     */
+    private static function buildCareStreamPrompts(array $context, bool $refresh): array
+    {
+        $bloodLine  = self::bloodLine($context);
+        $stat7Line  = self::statsLine($context['stats_7d'] ?? []);
+        $stat30Line = self::statsLine($context['stats_30d'] ?? []);
+
+        $system = <<<SYS
+你是基层中医糖尿病照护助手，给农村中老年患者写血糖与中医调理建议。
+
+硬性要求：
+1. 不得写具体中药方名剂量、不得指导自行调药。
+2. 中医写辨证思路与调理方向，强调面诊后由医师定方。
+3. 严格按下面 5 行输出，不要 JSON、不要 markdown：
+总评：（一句话）
+血糖：（监测、饮食、运动，2-4句）
+中医：（辨证思路、食疗艾灸方向，2-4句）
+留意：（用顿号隔开 2-4 条）
+复诊：（下一步）
+SYS;
+
+        $user = sprintf(
+            "患者：%s，%s，%s岁。证型：%s。症状：%s。\n近7日血糖：%s。\n%s；%s。",
+            $context['patient_name'] ?: '患者',
+            $context['gender_text'] ?? '',
+            $context['age'] ?? 0,
+            ($context['syndrome_type'] ?? '') ?: '未登记',
+            mb_substr((string) ($context['symptoms'] ?? ''), 0, 80) ?: '无',
+            $bloodLine,
+            $stat7Line,
+            $stat30Line
+        );
+
+        if ($refresh) {
+            $user .= "\n\n换一换，重新写一套，编号" . substr(md5((string) microtime(true)), 0, 8) . '。';
+        }
+
+        return [$system, $user];
+    }
+
+    /**
+     * @param array<string,mixed> $context
+     */
+    private static function bloodLine(array $context): string
+    {
+        $recent = $context['blood_recent'] ?? [];
+        if (!is_array($recent) || empty($recent)) {
+            return '近7日无逐日明细';
+        }
+
+        return implode('；', $recent);
+    }
+
+    /**
+     * @param array<string,mixed> $stats
+     */
+    private static function statsLine(array $stats): string
+    {
+        $label = (string) ($stats['label'] ?? '统计');
+        if (($stats['record_days'] ?? 0) <= 0) {
+            return $label . '无记录';
+        }
+
+        $parts = [
+            $label . "有记录{$stats['record_days']}天",
+            "偏高{$stats['high_days']}天",
+            "达标率{$stats['compliance']}%",
+        ];
+        if ($stats['fasting_avg'] !== null) {
+            $parts[] = "空腹均值{$stats['fasting_avg']}";
+        }
+        if ($stats['postprandial_avg'] !== null) {
+            $parts[] = "餐后均值{$stats['postprandial_avg']}";
+        }
+
+        return implode('，', $parts);
+    }
+
+    /**
+     * @return array<string,mixed>|null
+     */
+    private static function parseCarePlainText(string $text): ?array
+    {
+        $text = trim($text);
+        if ($text === '') {
+            return null;
+        }
+
+        if ($text[0] === '{') {
+            $json = self::parseJsonObject($text);
+            return is_array($json) ? $json : null;
+        }
+
+        $map = [];
+        if (preg_match('/总评[：:]\s*(.+)$/mu', $text, $m)) {
+            $map['summary'] = trim(preg_split('/\R/u', $m[1])[0] ?? $m[1]);
+        }
+        if (preg_match('/血糖[：:]\s*(.+)$/mu', $text, $m)) {
+            $map['blood_advice'] = trim(preg_split('/\R/u', $m[1])[0] ?? $m[1]);
+        }
+        if (preg_match('/中医[：:]\s*(.+)$/mu', $text, $m)) {
+            $map['tcm_plan'] = trim(preg_split('/\R/u', $m[1])[0] ?? $m[1]);
+        }
+        if (preg_match('/留意[：:]\s*(.+)$/mu', $text, $m)) {
+            $line = trim(preg_split('/\R/u', $m[1])[0] ?? $m[1]);
+            $parts = preg_split('/[、,，;；\s]+/u', $line) ?: [];
+            $map['watch_points'] = array_values(array_filter(array_map('trim', $parts)));
+        }
+        if (preg_match('/复诊[：:]\s*(.+)$/mu', $text, $m)) {
+            $map['next_steps'] = trim(preg_split('/\R/u', $m[1])[0] ?? $m[1]);
+        }
+
+        if (empty($map['summary'])) {
+            return null;
+        }
+
+        return $map;
+    }
+
+    /**
+     * @param array<string,mixed> $raw
+     * @return array<string,mixed>
+     */
+    private static function finalizeCarePlan(array $raw): array
+    {
+        $watch = $raw['watch_points'] ?? [];
+        if (!is_array($watch)) {
+            $watch = preg_split('/[、,，;；\n]+/u', (string) $watch) ?: [];
+        }
+        $watch = array_values(array_filter(array_map('trim', $watch)));
+
+        return [
+            'summary'        => trim((string) ($raw['summary'] ?? '')),
+            'blood_advice'   => trim((string) ($raw['blood_advice'] ?? '')),
+            'tcm_plan'       => trim((string) ($raw['tcm_plan'] ?? '')),
+            'watch_points'   => $watch,
+            'next_steps'     => trim((string) ($raw['next_steps'] ?? '')),
+            'control_level'  => (string) ($raw['control_level'] ?? ''),
+            'control_label'  => (string) ($raw['control_label'] ?? ''),
+            'disclaimer'     => trim((string) ($raw['disclaimer'] ?? 'AI 建议供参考，不能替代医师面诊、开方与调药。')),
+            'source'         => (string) ($raw['source'] ?? 'ai'),
+        ];
+    }
+
+    /**
+     * @return array<string,mixed>|null
+     */
+    private static function parseJsonObject(string $text): ?array
+    {
+        $text = trim($text);
+        if ($text === '') {
+            return null;
+        }
+        if (preg_match('/\{[\s\S]*\}/u', $text, $m)) {
+            $text = $m[0];
+        }
+        $data = json_decode($text, true);
+
+        return is_array($data) ? $data : null;
+    }
+}