update

h5 ：问诊列表
add 完成诊单  +医生备注

admin/src/views/tcm/appointment/list.vue

@@ -509,6 +509,32 @@
                 </el-button>
             </template>
         </el-dialog>
+
+        <el-dialog
+            v-model="completeDialogVisible"
+            title="完成问诊"
+            width="420px"
+            append-to-body
+            :close-on-click-modal="false"
+            destroy-on-close
+        >
+            <div class="complete-dialog">
+                <p class="complete-dialog-tip">是否添加医生备注？</p>
+                <el-input
+                    v-if="canAddCompleteNote"
+                    v-model="completeNoteContent"
+                    type="textarea"
+                    :rows="4"
+                    maxlength="500"
+                    show-word-limit
+                    placeholder="填写完成备注，将追加到医生备注时间轴"
+                />
+            </div>
+            <template #footer>
+                <el-button @click="completeDialogVisible = false">取消</el-button>
+                <el-button type="primary" :loading="completeSubmitting" @click="submitComplete">确认完成</el-button>
+            </template>
+        </el-dialog>
     </div>
 </template>
 
@@ -518,7 +544,9 @@ import { defineAsyncComponent, onMounted, onUnmounted, watch } from 'vue'
 import { appointmentLists, cancelAppointment, completeAppointment, appointmentDetail } from '@/api/doctor'
 import { getCallSignature, generateMiniProgramQrcode, tcmDiagnosisDetail, prescriptionGetByAppointment } from '@/api/tcm'
 import { getDictData } from '@/api/app'
+import { addDoctorNote } from '@/api/patient'
 import feedback from '@/utils/feedback'
+import { hasPermission } from '@/utils/perm'
 import {
     formatDiabetesDiscoveryDisplay,
     isDiabetesDiscoveryFilled
@@ -797,6 +825,12 @@ const ensureDetailDictOptions = async () => {
 const editRef = ref()
 const prescriptionRef = ref()
 const chatDialogRef = ref()
+const COMPLETE_NOTE_PERMISSION = ['doctor.appointment/addDoctorNote']
+const completeDialogVisible = ref(false)
+const completeSubmitting = ref(false)
+const completeNoteContent = ref('')
+const completeRow = ref<any>(null)
+const canAddCompleteNote = computed(() => hasPermission(COMPLETE_NOTE_PERMISSION))
 
 // 小程序二维码相关
 const qrcodeDialogVisible = ref(false)
@@ -866,6 +900,12 @@ const handleCancel = async (row: any) => {
 
 // 完成挂号
 const handleComplete = async (row: any) => {
+    completeRow.value = row
+    completeNoteContent.value = ''
+    if (canAddCompleteNote.value) {
+        completeDialogVisible.value = true
+        return
+    }
     try {
         await feedback.confirm('确认患者已就诊完成？')
         await completeAppointment({ id: row.id })
@@ -875,6 +915,37 @@ const handleComplete = async (row: any) => {
         // 用户取消操作
     }
 }
+const submitComplete = async () => {
+    const row = completeRow.value
+    if (!row?.id || completeSubmitting.value) return
+    completeSubmitting.value = true
+    try {
+        const note = completeNoteContent.value.trim()
+        await completeAppointment({ id: row.id })
+        let noteFailureMsg = ''
+        if (canAddCompleteNote.value && note) {
+            const diagnosisId = row.patient_id || row.diagnosis_id
+            if (diagnosisId) {
+                try {
+                    await addDoctorNote({ diagnosis_id: Number(diagnosisId), content: note })
+                } catch (e) {
+                    noteFailureMsg = '问诊已完成，但备注未保存'
+                }
+            } else {
+                noteFailureMsg = '问诊已完成，但该预约没有关联诊单，备注未保存'
+            }
+        }
+        noteFailureMsg ? feedback.msgWarning(noteFailureMsg) : feedback.msgSuccess('操作成功')
+        completeDialogVisible.value = false
+        completeNoteContent.value = ''
+        completeRow.value = null
+        loadData()
+    } catch (e: any) {
+        feedback.msgError(e?.msg || e?.message || '操作失败')
+    } finally {
+        completeSubmitting.value = false
+    }
+}
 
 // 编辑患者资料
 const handleEditPatient = (row: any) => {
@@ -1330,6 +1401,13 @@ onUnmounted(() => {
     color: var(--el-color-danger);
 }
 
+.complete-dialog-tip {
+    margin: 0 0 12px;
+    color: var(--el-text-color-primary);
+    font-size: 14px;
+    line-height: 22px;
+}
+
 .qrcode-content {
     padding: 16px 0;
     min-height: 200px;

server/sql/1.9.20260601/add_qywx_appointment_h5_menu.sql

@@ -0,0 +1,71 @@
+-- 企业微信菜单：新增「问诊列表」H5 页面
+-- 位置：企业微信 > 问诊列表，与「诊单」「业务订单」同级
+-- 前端地址：/admin/wx/appointment?
+
+SET @qywx_pid := (
+    SELECT zhend.`pid`
+    FROM `zyt_system_menu` zhend
+    WHERE zhend.`name` = '诊单'
+      AND zhend.`pid` > 0
+      AND EXISTS (
+          SELECT 1
+          FROM `zyt_system_menu` orders
+          WHERE orders.`pid` = zhend.`pid`
+            AND orders.`name` = '业务订单'
+      )
+    ORDER BY id ASC
+    LIMIT 1
+);
+
+SET @sort_no := (
+    SELECT IFNULL(MAX(`sort`), 0) + 1
+    FROM `zyt_system_menu`
+    WHERE `pid` = @qywx_pid
+);
+
+-- 若之前执行过旧版 SQL（如 paths = wenzhen / patient），先修正为当前内部路由。
+UPDATE `zyt_system_menu`
+SET
+    `name` = '问诊列表',
+    `perms` = 'doctor.appointment/lists',
+    `paths` = 'appointment',
+    `component` = 'tcm/appointment/list_h5',
+    `is_show` = 1,
+    `is_disable` = 0,
+    `update_time` = UNIX_TIMESTAMP()
+WHERE @qywx_pid IS NOT NULL
+  AND `pid` = @qywx_pid
+  AND (
+      `component` = 'tcm/appointment/list_h5'
+      OR `paths` IN ('wenzhen', 'patient', 'appointment')
+      OR `name` IN ('患者列表', '问诊列表')
+  );
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    @qywx_pid,
+    'C',
+    '问诊列表',
+    '',
+    @sort_no,
+    'doctor.appointment/lists',
+    'appointment',
+    'tcm/appointment/list_h5',
+    '',
+    '',
+    0,
+    1,
+    0,
+    UNIX_TIMESTAMP(),
+    UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @qywx_pid IS NOT NULL
+  AND NOT EXISTS (
+      SELECT 1
+      FROM `zyt_system_menu`
+      WHERE `pid` = @qywx_pid
+        AND (`paths` = 'appointment' OR `component` = 'tcm/appointment/list_h5')
+  );