更新

server/app/adminapi/controller/firstvisit/WecomPromotionController.php

@@ -180,6 +180,24 @@ class WecomPromotionController extends BaseAdminController
         return $this->run(fn () => $this->success('获客助手 API 权限验证通过', WecomPromotionLogic::checkApiPermission()));
     }
 
+    /** 推送当前方案的可用成员，不导入其他官方链接。 */
+    public function syncMemberRange()
+    {
+        if (!$this->hasPagePermission()) {
+            return $this->fail('权限不足');
+        }
+        if (!$this->request->isPost()) {
+            return $this->fail('请使用 POST 同步成员范围');
+        }
+        $poolId = (int) $this->request->post('pool_id', 0);
+
+        return $this->run(fn () => $this->data(WecomPromotionLogic::syncMemberRange(
+            $poolId,
+            $this->adminId,
+            $this->adminInfo
+        )));
+    }
+
     public function syncRemoteLinks()
     {
         if (!$this->hasBasePagePermission()) {

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

@@ -131,6 +131,18 @@ class PrescriptionOrderController extends BaseAdminController
         return $this->success('保存成功', $result);
     }
 
+    /** 独立授权的创建时间修正，逻辑层再次校验权限。 */
+    public function editTime()
+    {
+        $params = (new PrescriptionOrderValidate())->post()->goCheck('editTime');
+        $result = PrescriptionOrderLogic::editTime($params, $this->adminId, $this->adminInfo);
+        if ($result === false) {
+            return $this->fail(PrescriptionOrderLogic::getError());
+        }
+
+        return $this->success('创建时间已修改', $result);
+    }
+
     /**
      * 仅修改承运商与快递单号，不受订单履约状态或远端药房快照锁限制。
      */

server/app/adminapi/http/middleware/AuthMiddleware.php

@@ -234,6 +234,7 @@ class AuthMiddleware
             'firstvisit.wecompromotion/savelink',
             'firstvisit.wecompromotion/savemember',
             'firstvisit.wecompromotion/togglemember',
+            'firstvisit.wecompromotion/syncmemberrange',
             'firstvisit.wecompromotion/checkapipermission',
             'firstvisit.wecompromotion/syncremotelinks',
             'firstvisit.wecompromotion/remotelinkdetail',

server/app/adminapi/lists/doctor/AppointmentLists.php

@@ -2,6 +2,8 @@
 
 namespace app\adminapi\lists\doctor;
 
+use app\common\enum\AppointmentTypeEnum;
+
 use app\adminapi\lists\BaseAdminDataLists;
 use app\adminapi\logic\dept\DeptLogic;
 use app\common\model\auth\AdminDept;
@@ -335,12 +337,8 @@ class AppointmentLists extends BaseAdminDataLists implements ListsSearchInterfac
             ];
             $item['status_desc'] = $statusMap[$item['status']] ?? '未知';
 
-            $typeMap = [
-                'video' => '视频问诊',
-                'text' => '图文问诊',
-                'phone' => '电话问诊',
-            ];
-            $item['appointment_type_desc'] = $typeMap[$item['appointment_type']] ?? '未知';
+            $item['appointment_type'] = AppointmentTypeEnum::normalizeStored($item['appointment_type'] ?? null);
+            $item['appointment_type_desc'] = AppointmentTypeEnum::description($item['appointment_type']);
 
             $periodRaw = (string) ($item['period'] ?? ($item['type'] ?? ''));
             $periodMap = [

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

@@ -12,7 +12,9 @@
 // | author: likeadminTeam
 // +----------------------------------------------------------------------
 
-namespace app\adminapi\lists\tcm;
+namespace app\adminapi\lists\tcm;
+
+use app\common\enum\AppointmentTypeEnum;
 
 use app\adminapi\lists\BaseAdminDataLists;
 use app\adminapi\logic\dept\DeptLogic;
@@ -191,7 +193,7 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
             }
            
             $subQuery
-                ->field('id, patient_id, doctor_id, appointment_date, appointment_time, status, create_time')
+                ->field('id, patient_id, doctor_id, appointment_date, appointment_time, appointment_type, status, create_time')
                 ->order('appointment_date', 'asc')
                 ->order('appointment_time', 'asc')
                 ->order('id', 'asc');
@@ -234,7 +236,9 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
                     $apt = $aptList[0];
                     $item['has_appointment'] = 1;
                     $item['appointment_id'] = $apt['id'];
-                    $item['appointment_status'] = (int) ($apt['status'] ?? 0);
+                    $item['appointment_status'] = (int) ($apt['status'] ?? 0);
+                    $item['appointment_type'] = AppointmentTypeEnum::normalizeStored($apt['appointment_type'] ?? null);
+                    $item['appointment_type_desc'] = AppointmentTypeEnum::description($item['appointment_type']);
                     $item['appointment_doctor_id'] = $apt['doctor_id'];
                     $item['appointment_doctor_name'] = $doctorNames[$apt['doctor_id']] ?? '-';
                     $timePart = $apt['appointment_time'] ?? '';
@@ -253,14 +257,18 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
                             'id' => (int) ($a['id'] ?? 0),
                             'status' => (int) ($a['status'] ?? 0),
                             'doctor_id' => $doctorId,
-                            'doctor_name' => (string) ($doctorNames[$doctorId] ?? '-'),
+                            'doctor_name' => (string) ($doctorNames[$doctorId] ?? '-'),
+                            'appointment_type' => AppointmentTypeEnum::normalizeStored($a['appointment_type'] ?? null),
+                            'appointment_type_desc' => AppointmentTypeEnum::description($a['appointment_type'] ?? null),
                             'time_text' => trim((string) ($a['appointment_date'] ?? '') . ' ' . (string) $timePart),
                         ];
                     }, $aptList);
                 } else {
                     $item['has_appointment'] = 0;
                     $item['appointment_id'] = null;
-                    $item['appointment_status'] = 0;
+                    $item['appointment_status'] = 0;
+                    $item['appointment_type'] = AppointmentTypeEnum::VIDEO;
+                    $item['appointment_type_desc'] = AppointmentTypeEnum::description(null);
                     $item['appointment_doctor_id'] = null;
                     $item['appointment_doctor_name'] = '';
                     $item['appointment_time_text'] = '';
@@ -272,7 +280,9 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
                 $this->appendLatestAppointmentSummary($item, null);
                 $item['has_appointment'] = 0;
                 $item['appointment_id'] = null;
-                $item['appointment_status'] = 0;
+                $item['appointment_status'] = 0;
+                $item['appointment_type'] = AppointmentTypeEnum::VIDEO;
+                $item['appointment_type_desc'] = AppointmentTypeEnum::description(null);
                 $item['appointment_doctor_id'] = null;
                 $item['appointment_doctor_name'] = '';
                 $item['appointment_time_text'] = '';
@@ -806,7 +816,7 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
         }
 
         $cols = $this->appointmentTableFields();
-        $fields = ['id', 'patient_id', 'appointment_date', 'appointment_time', 'status'];
+        $fields = ['id', 'patient_id', 'appointment_date', 'appointment_time', 'appointment_type', 'status'];
         foreach (['channel_source', 'channel_source_detail', 'channels'] as $col) {
             if (in_array($col, $cols, true)) {
                 $fields[] = $col;
@@ -843,7 +853,9 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
      */
     private function appendLatestAppointmentSummary(array &$item, ?array $appointment): void
     {
-        $item['latest_appointment_id'] = null;
+        $item['latest_appointment_id'] = null;
+        $item['latest_appointment_type'] = AppointmentTypeEnum::VIDEO;
+        $item['latest_appointment_type_desc'] = AppointmentTypeEnum::description(null);
         $item['latest_appointment_time_text'] = '';
         $item['latest_appointment_channel_source'] = '';
         $item['latest_appointment_channel_source_desc'] = '';
@@ -862,7 +874,9 @@ class DiagnosisLists extends BaseAdminDataLists implements ListsSearchInterface
             $rawChannel = trim((string) $appointment['channels']);
         }
 
-        $item['latest_appointment_id'] = (int) ($appointment['id'] ?? 0);
+        $item['latest_appointment_id'] = (int) ($appointment['id'] ?? 0);
+        $item['latest_appointment_type'] = AppointmentTypeEnum::normalizeStored($appointment['appointment_type'] ?? null);
+        $item['latest_appointment_type_desc'] = AppointmentTypeEnum::description($item['latest_appointment_type']);
         $item['latest_appointment_time_text'] = trim((string) ($appointment['appointment_date'] ?? '') . ' ' . $timePart);
         $item['latest_appointment_channel_source'] = $rawChannel;
         $item['latest_appointment_channel_source_desc'] = (string) ($appointment['channel_source_desc'] ?? '');

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

@@ -36,7 +36,7 @@ class PrescriptionLists extends BaseAdminDataLists implements ListsSearchInterfa
         // 仅在「存在有效业务订单」的处方里做风险判定
         $orderRxIds = PrescriptionOrder::whereIn('prescription_id', $candidateIds)
             ->whereNull('delete_time')
-            ->where('fulfillment_status', '<>', 4)
+            ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
             ->column('prescription_id');
         $orderRxIds = array_values(array_unique(array_filter(array_map('intval', $orderRxIds), static function (int $id): bool {
             return $id > 0;
@@ -260,7 +260,7 @@ class PrescriptionLists extends BaseAdminDataLists implements ListsSearchInterfa
             $bizRejectRows = PrescriptionOrder::whereIn('prescription_id', $rxIds)
                 ->where('prescription_audit_status', 2)
                 ->whereNull('delete_time')
-                ->where('fulfillment_status', '<>', 4)
+                ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
                 ->field(['prescription_id', 'prescription_audit_remark', 'id'])
                 ->order('id', 'desc')
                 ->select()
@@ -280,7 +280,7 @@ class PrescriptionLists extends BaseAdminDataLists implements ListsSearchInterfa
                 'intval',
                 PrescriptionOrder::whereIn('prescription_id', $rxIds)
                     ->whereNull('delete_time')
-                    ->where('fulfillment_status', '<>', 4)
+                    ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
                     ->column('prescription_id')
             ));
             $hasBizOrderRx = array_fill_keys($orderRxIds, true);

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

@@ -2,7 +2,8 @@
 
 namespace app\adminapi\logic\doctor;
 
-use app\common\logic\BaseLogic;
+use app\common\logic\BaseLogic;
+use app\common\enum\AppointmentTypeEnum;
 use app\common\model\doctor\Appointment;
 use app\common\model\doctor\Roster;
 use app\common\service\doctor\RosterSegmentService;
@@ -46,7 +47,7 @@ class AppointmentLogic extends BaseLogic
     /**
      * @param array<int|string, mixed> $cols Db::name('doctor_appointment')->getTableFields()
      */
-    private static function assertAppointmentChannelWritable(array $cols, string $chSrc): ?string
+    private static function assertAppointmentChannelWritable(array $cols, string $chSrc): ?string
     {
         $hasChannelSource = in_array('channel_source', $cols, true);
         $hasChannels = in_array('channels', $cols, true);
@@ -86,9 +87,12 @@ class AppointmentLogic extends BaseLogic
      *
      * @return array<string, mixed>
      */
-    private static function filterAppointmentRowByExistingColumns(array $row, array $cols): array
-    {
-        $out = [];
+    private static function filterAppointmentRowByExistingColumns(array $row, array $cols): array
+    {
+        if (array_key_exists('appointment_type', $row) && !in_array('appointment_type', $cols, true)) {
+            throw new \RuntimeException('挂号表缺少 appointment_type 字段，无法保存问诊类型');
+        }
+        $out = [];
         foreach ($row as $k => $v) {
             if (in_array((string) $k, $cols, true)) {
                 $out[$k] = $v;
@@ -273,9 +277,15 @@ class AppointmentLogic extends BaseLogic
      * @param array $params
      * @return array|bool
      */
-    public static function create(array $params, int $operatorAdminId = 0, array $operatorAdminInfo = [])
-    {
-        try {
+    public static function create(array $params, int $operatorAdminId = 0, array $operatorAdminInfo = [])
+    {
+        $params = AppointmentTypeEnum::withDefault($params);
+        if (!AppointmentTypeEnum::isWritable($params['appointment_type'])) {
+            self::setError('问诊类型仅支持图文问诊或视频问诊');
+
+            return false;
+        }
+        try {
             Db::startTrans();
 
             // 同一诊单患者在「所选预约日」仅允许一条「已预约」或「已过号」记录（与 appointment_date 一致，不能误用服务器当天拦其它日期）
@@ -345,7 +355,7 @@ class AppointmentLogic extends BaseLogic
                 'doctor_id' => (int) $params['doctor_id'],
                 'appointment_date' => $params['appointment_date'],
                 'appointment_time' => $appointmentTime,
-                'appointment_type' => $params['appointment_type'] ?? 'video',
+                'appointment_type' => $params['appointment_type'],
                 'remark' => $params['remark'] ?? '',
                 'status' => 1,
                 'create_time' => time(),
@@ -491,12 +501,8 @@ class AppointmentLogic extends BaseLogic
         ];
         $appointment['status_desc'] = $statusMap[$appointment['status']] ?? '未知';
 
-        $typeMap = [
-            'video' => '视频问诊',
-            'text' => '图文问诊',
-            'phone' => '电话问诊',
-        ];
-        $appointment['appointment_type_desc'] = $typeMap[$appointment['appointment_type']] ?? '未知';
+        $appointment['appointment_type'] = AppointmentTypeEnum::normalizeStored($appointment['appointment_type'] ?? null);
+        $appointment['appointment_type_desc'] = AppointmentTypeEnum::description($appointment['appointment_type']);
 
         // 格式化时间戳为日期时间
         if (isset($appointment['create_time']) && is_numeric($appointment['create_time'])) {
@@ -969,9 +975,14 @@ class AppointmentLogic extends BaseLogic
      *
      * @param array<string, mixed> $params
      */
-    public static function adminEdit(array $params, int $adminId, array $adminInfo): bool
-    {
-        try {
+    public static function adminEdit(array $params, int $adminId, array $adminInfo): bool
+    {
+        if (!AppointmentTypeEnum::isWritable($params['appointment_type'] ?? null)) {
+            self::setError('问诊类型仅支持图文问诊或视频问诊');
+
+            return false;
+        }
+        try {
             $id = (int) ($params['id'] ?? 0);
             if ($id <= 0) {
                 self::setError('参数错误');
@@ -1023,12 +1034,7 @@ class AppointmentLogic extends BaseLogic
                 return false;
             }
 
-            $appointmentType = trim((string) ($params['appointment_type'] ?? ''));
-            if (!in_array($appointmentType, ['video', 'text', 'phone'], true)) {
-                self::setError('预约类型无效');
-
-                return false;
-            }
+            $appointmentType = $params['appointment_type'];
 
             $remark = isset($params['remark']) ? trim((string) $params['remark']) : '';
             if (mb_strlen($remark) > 500) {

server/app/adminapi/logic/firstvisit/WecomPromotionLogic.php

@@ -330,7 +330,8 @@ class WecomPromotionLogic
             $createdRemote = true;
             try {
                 $remote = self::normaliseRemoteLink($api->getLink($remoteLinkId), $remoteLinkId);
-                if (!QywxPromotionMemberRange::same($remote['range_userids'], $eligibleUserIds)) {
+                if (!QywxPromotionMemberRange::same($remote['range_userids'], $eligibleUserIds)
+                    || $remote['range_department_ids'] !== []) {
                     throw new RuntimeException('企业微信返回的多人路由成员范围与方案可用医助不一致');
                 }
             } catch (\Throwable $e) {
@@ -488,9 +489,7 @@ class WecomPromotionLogic
             'range_userids' => $eligibleUserIds,
             // 前端据此确认标签、欢迎语等扩展配置已和方案一并提交并完成回读校验。
             'automation_saved' => $automation !== null,
-            'sync_error' => $syncError,
-            'sync_queued' => $needsQueuedSync && !$syncImmediately,
-        ];
+        ] + self::memberSyncResult($id, $syncError);
     }
 
     /**
@@ -679,13 +678,13 @@ class WecomPromotionLogic
                     $memberMatched += $poolMemberResult['matched'];
                     $memberUpdated += $poolMemberResult['updated'];
                 }
-                $syncError = trim((string) ($saved['sync_error'] ?? ''));
+                $syncResult = self::memberSyncResult($poolId, (string) ($saved['sync_error'] ?? ''));
+                $syncError = $syncResult['sync_error'];
                 $updated++;
                 if ($syncError !== '') {
                     $syncErrorCount++;
                 }
-                $syncQueued = !empty($saved['sync_queued'])
-                    || !empty($poolMemberResult['dispatch']['queued']);
+                $syncQueued = $syncResult['sync_queued'];
                 if ($syncQueued) {
                     $syncQueuedCount++;
                 }
@@ -693,6 +692,7 @@ class WecomPromotionLogic
                     'id' => $poolId,
                     'name' => (string) ($pool['name'] ?? ''),
                     'success' => true,
+                    'sync_status' => $syncResult['sync_status'],
                     'sync_error' => $syncError,
                     'sync_queued' => $syncQueued,
                     'member_matched' => $poolMemberResult['matched'],
@@ -754,7 +754,8 @@ class WecomPromotionLogic
                 ]);
             }
 
-            $dispatch = $updateIds !== []
+            // 状态相同也需要重算：上次保存可能只入队，远端仍保留已下线成员。
+            $dispatch = $matchedIds !== []
                 ? QywxPromotionMemberSchedulerService::reconcilePool($poolId)
                 : null;
             // 下线必须能够安全收缩远端范围；上线即使尚未到生效时段，也应先保存规则。
@@ -1235,7 +1236,94 @@ class WecomPromotionLogic
             }
         }
 
-        return ['id' => $id, 'pool_id' => $poolId, 'dispatch' => $planned, 'sync_error' => $syncError];
+        return ['id' => $id, 'pool_id' => $poolId, 'dispatch' => $planned]
+            + self::memberSyncResult($poolId, $syncError);
+    }
+
+    /** 显式重新推送当前范围；一次请求仅处理一个方案，供批量前端逐方案调用。 */
+    public static function syncMemberRange(
+        int $poolId,
+        int $adminId,
+        array $adminInfo,
+        ?QywxPromotionRangeSyncService $syncService = null
+    ): array {
+        self::assertMemberDispatchSchema();
+        if (!QywxPromotionOperatorAccess::hasPagePermission($adminId, $adminInfo)) {
+            throw new RuntimeException('权限不足');
+        }
+        self::assertScopedRow('qywx_promotion_pool', $poolId, $adminId, $adminInfo);
+        $ready = Db::transaction(static function () use ($poolId): bool {
+            // 与成员保存、方案删除使用相同锁顺序，不重启删除中的同步任务。
+            $pool = Db::name('qywx_promotion_pool')->where('id', $poolId)->whereNull('delete_time')->lock(true)->find();
+            if (!$pool) {
+                throw new RuntimeException('分流方案不存在或已删除');
+            }
+            $sync = Db::name('qywx_promotion_range_sync')->where('pool_id', $poolId)->lock(true)->find();
+            if ((int) ($sync['status'] ?? 0) === 5
+                || ((int) ($sync['status'] ?? 0) === 4
+                    && str_starts_with((string) ($sync['last_error'] ?? ''), '企业微信官方获客链接删除失败'))) {
+                return false;
+            }
+            $plan = QywxPromotionMemberSchedulerService::reconcilePool($poolId);
+            if ($plan['blocked']) {
+                return false;
+            }
+            $linkId = (int) (Db::name('qywx_promotion_range_sync')->where('pool_id', $poolId)->value('promotion_link_id') ?? 0);
+            // 即便快照看起来一致也重新 update/get，修复未被本地快照发现的企微端变化。
+            QywxPromotionMemberSchedulerService::requestPoolSync($poolId, $linkId);
+
+            return true;
+        });
+        $error = '';
+        if ($ready) {
+            try {
+                ($syncService ?? new QywxPromotionRangeSyncService())->syncPool($poolId);
+            } catch (\Throwable $e) {
+                $error = $e->getMessage();
+            }
+        }
+
+        return self::memberSyncResult($poolId, $error);
+    }
+
+    /** 返回已确认的远端范围及任务状态，不能把无异常的 noop 当成同步成功。 */
+    private static function memberSyncResult(int $poolId, string $error = ''): array
+    {
+        $sync = Db::name('qywx_promotion_range_sync')->where('pool_id', $poolId)->find() ?: [];
+        $link = Db::name('qywx_promotion_link')->where('id', (int) ($sync['promotion_link_id'] ?? 0))
+            ->whereNull('delete_time')->find() ?: [];
+        $members = Db::name('qywx_promotion_pool_member')->where('pool_id', $poolId)
+            ->whereNull('delete_time')->select()->toArray();
+        $range = QywxPromotionMemberRange::evaluate($members, date('Y-m-d'), time(), QywxPromotionConfig::forPool($poolId));
+        $remoteUsers = self::decodeStringList($link['range_user_json'] ?? null);
+        $remoteDepartments = self::decodeStringList($link['range_department_json'] ?? null);
+        $status = (int) ($sync['status'] ?? -1);
+        $syncError = trim($error ?: (string) ($sync['last_error'] ?? $link['sync_error'] ?? ''));
+        if ($link === [] || trim((string) ($link['remote_link_id'] ?? '')) === ''
+            || (int) ($link['remote_status'] ?? 0) === 2 || $range['userids'] === [] || in_array($status, [4, 5], true)) {
+            $resultStatus = 'blocked';
+            $syncError = $syncError ?: '当前没有可同步的官方链接或可用成员，请检查方案和成员规则';
+        } elseif ($error !== '' || $status === 3) {
+            $resultStatus = 'failed';
+            $syncError = $syncError ?: '企业微信成员范围同步失败，请重试';
+        } elseif ($status === 0 && (int) ($sync['desired_version'] ?? 0) > 0
+            && (int) ($sync['desired_version'] ?? 0) === (int) ($sync['applied_version'] ?? -1)
+            && (int) ($link['last_sync_time'] ?? 0) > 0 && $remoteDepartments === []
+            && QywxPromotionMemberRange::same($range['userids'], $remoteUsers)) {
+            $resultStatus = 'synced';
+            $syncError = '';
+        } else {
+            $resultStatus = 'pending';
+        }
+
+        return [
+            'pool_id' => $poolId,
+            'sync_status' => $resultStatus,
+            'sync_error' => $syncError,
+            'sync_queued' => in_array($resultStatus, ['pending', 'failed'], true),
+            'range_userids' => $remoteUsers,
+            'range_department_ids' => $remoteDepartments,
+        ];
     }
 
     public static function toggleMember(int $id, int $status, int $adminId, array $adminInfo): array

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

@@ -748,16 +748,16 @@ class PrescriptionLogic
         $bizPo = PrescriptionOrder::where('prescription_id', $id)
             ->where('prescription_audit_status', 2)
             ->whereNull('delete_time')
-            ->where('fulfillment_status', '<>', 4)
+            ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
             ->order('id', 'desc')
             ->find();
         $arr['business_prescription_audit_rejected'] = $bizPo ? 1 : 0;
         $arr['business_prescription_audit_remark'] = $bizPo ? (string) ($bizPo->prescription_audit_remark ?? '') : '';
 
-        // 与 PrescriptionLists「业务订单」角标一致：未删除且非已取消(4) 即视为存在有效业务订单
+        // 与列表和创建校验一致：已取消 / 已退款的订单保留历史关联，但不再占用处方。
         $hasBizOrder = PrescriptionOrder::where('prescription_id', $id)
             ->whereNull('delete_time')
-            ->where('fulfillment_status', '<>', 4)
+            ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
             ->count() > 0;
         $arr['has_prescription_order'] = $hasBizOrder ? 1 : 0;
 
@@ -1216,7 +1216,7 @@ class PrescriptionLogic
         $rxId = (int) ($row->id ?? 0);
         $bizCount = (int) PrescriptionOrder::where('prescription_id', $rxId)
             ->whereNull('delete_time')
-            ->where('fulfillment_status', '<>', 4)
+            ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)
             ->count();
         if ($bizCount > 0) {
             self::setError('该处方已存在业务订单，无法作废');

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

@@ -963,6 +963,31 @@ class PrescriptionOrderLogic
      * @return array<string,mixed>|false
      */
     public static function create(array $params, int $adminId, array $adminInfo)
+    {
+        self::$error = '';
+        try {
+            return Db::transaction(static function () use ($params, $adminId, $adminInfo) {
+                // 先锁始终存在的处方行；空订单集合也能串行化两次创建。
+                // 首个一致性读发生在获得该锁后，等待者可见前一次创建提交的订单。
+                $rx = Prescription::where('id', (int) ($params['prescription_id'] ?? 0))
+                    ->whereNull('delete_time')->lock(true)->find();
+                if (!$rx) {
+                    throw new \DomainException('处方不存在');
+                }
+                $result = self::createLocked($params, $adminId, $adminInfo);
+                if ($result === false) {
+                    throw new \DomainException(self::$error ?: '创建业务订单失败');
+                }
+
+                return $result;
+            });
+        } catch (\Throwable $e) {
+            self::$error = $e->getMessage();
+            return false;
+        }
+    }
+
+    private static function createLocked(array $params, int $adminId, array $adminInfo)
     {
         self::$error = '';
         $rxId = (int) $params['prescription_id'];
@@ -989,8 +1014,9 @@ class PrescriptionOrderLogic
             return false;
         }
 
-        if (PrescriptionOrder::where('prescription_id', $rxId)->whereNull('delete_time')->where('fulfillment_status', '<>', 4)->count() > 0) {
-            self::$error = '该处方已存在有效业务订单（未撤回前不可重复创建）';
+        if (PrescriptionOrder::where('prescription_id', $rxId)->whereNull('delete_time')
+            ->whereNotIn('fulfillment_status', PrescriptionOrder::RELEASED_PRESCRIPTION_STATUSES)->count() > 0) {
+            self::$error = '该处方已存在有效业务订单（撤回或全额退款后可重新创建）';
 
             return false;
         }
@@ -1087,7 +1113,7 @@ class PrescriptionOrderLogic
             return false;
         }
 
-        self::writeLog((int) $order->id, $adminId, $adminInfo, 'create', '创建业务订单');
+        self::writeLog((int) $order->id, $adminId, $adminInfo, 'create', '创建业务订单', true);
 
         if ($payOrderIds !== []) {
             self::replacePayOrderLinks((int) $order->id, $payOrderIds);
@@ -1103,6 +1129,52 @@ class PrescriptionOrderLogic
         return $out;
     }
 
+    /** 只修正业务订单创建时间，不改变关联支付、处方、药房快照或履约状态。 */
+    public static function editTime(array $params, int $adminId, array $adminInfo)
+    {
+        self::$error = '';
+        // 菜单尚未部署时，中间件可能放行未知权限，因此必须显式校验。
+        if ((int) ($adminInfo['root'] ?? 0) !== 1
+            && !in_array('tcm.prescriptionOrder/editTime', AuthLogic::getAuthByAdminId($adminId), true)) {
+            self::$error = '无权限修改业务订单创建时间';
+            return false;
+        }
+        $validator = new \app\adminapi\validate\tcm\PrescriptionOrderValidate();
+        if (!$validator->scene('editTime')->check($params)) {
+            self::$error = (string) $validator->getError();
+            return false;
+        }
+
+        try {
+            return Db::transaction(static function () use ($params, $adminId, $adminInfo) {
+                $order = PrescriptionOrder::where('id', (int) $params['id'])
+                    ->whereNull('delete_time')->lock(true)->find();
+                if (!$order) {
+                    throw new \DomainException('订单不存在');
+                }
+                if (!self::canAccessOrder($order, $adminId, $adminInfo)) {
+                    throw new \DomainException('无权限操作此订单');
+                }
+                $oldValue = $order->getData('create_time');
+                $dateTime = (string) $params['create_time'];
+                $isTimestamp = is_int($oldValue) || (is_string($oldValue) && ctype_digit($oldValue));
+                $newValue = $isTimestamp ? (int) strtotime($dateTime) : $dateTime;
+                if ((string) $oldValue !== (string) $newValue) {
+                    $order->create_time = $newValue;
+                    $order->save();
+                    $oldLabel = $isTimestamp ? date('Y-m-d H:i:s', (int) $oldValue) : (string) $oldValue;
+                    self::writeLog((int) $order->id, $adminId, $adminInfo, 'edit_time',
+                        '修改业务订单创建时间：' . $oldLabel . ' → ' . $dateTime, true);
+                }
+
+                return ['id' => (int) $order->id, 'create_time' => $newValue];
+            });
+        } catch (\Throwable $e) {
+            self::$error = $e->getMessage();
+            return false;
+        }
+    }
+
     public static function detail(int $id, int $adminId, array $adminInfo): ?array
     {
         self::$error = '';

server/app/adminapi/validate/doctor/AppointmentValidate.php

@@ -2,7 +2,8 @@
 
 namespace app\adminapi\validate\doctor;
 
-use app\common\validate\BaseValidate;
+use app\common\validate\BaseValidate;
+use app\common\enum\AppointmentTypeEnum;
 
 /**
  * 医生预约验证器
@@ -23,7 +24,7 @@ class AppointmentValidate extends BaseValidate
         'appointment_date' => 'require|date',
         'appointment_time' => 'require',
         'period' => 'in:morning,afternoon,all',
-        'appointment_type' => 'require|in:video,text,phone',
+        'appointment_type' => 'require|checkAppointmentType',
         'status' => 'require|integer|between:1,4',
         'remark' => 'max:500',
         'channel_source' => 'require',
@@ -38,7 +39,7 @@ class AppointmentValidate extends BaseValidate
      * 参数描述
      * @var string[]
      */
-    protected $field = [
+    protected $field = [
         'id' => '预约ID',
         'patient_id' => '患者ID',
         'doctor_id' => '医生ID',
@@ -53,7 +54,21 @@ class AppointmentValidate extends BaseValidate
         'channel_source' => '渠道来源',
         'channel_source_detail' => '渠道补充说明',
         'ids' => '预约ID列表',
-    ];
+    ];
+
+    protected function checkAppointmentType($value)
+    {
+        return AppointmentTypeEnum::isWritable($value) ? true : '问诊类型仅支持图文问诊或视频问诊';
+    }
+
+    public function check(array $data, array $rules = []): bool
+    {
+        if ($this->currentScene === 'create') {
+            $data = AppointmentTypeEnum::withDefault($data);
+        }
+
+        return parent::check($data, $rules);
+    }
 
     /**
      * @notes 创建预约场景

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

@@ -10,6 +10,7 @@ class PrescriptionOrderValidate extends BaseValidate
 {
     protected $rule = [
         'id'               => 'require|integer',
+        'create_time'      => 'require|string|dateFormat:Y-m-d H:i:s',
         'diagnosis_id'     => 'require|integer|gt:0',
         'prescription_id'  => 'require|integer',
         'pay_order_ids'    => 'array',
@@ -62,6 +63,8 @@ class PrescriptionOrderValidate extends BaseValidate
         'tracking_number.require' => '请输入快递单号',
         'phone_tail.regex' => '手机后四位仅支持数字',
         'reason.require' => '请填写退款原因',
+        'create_time.require' => '创建时间必填',
+        'create_time.dateFormat' => '创建时间格式不正确',
     ];
 
     protected $scene = [
@@ -71,6 +74,7 @@ class PrescriptionOrderValidate extends BaseValidate
             'tracking_number', 'express_company', 'ship_mode', 'fee_type', 'amount', 'remark_extra', 'remark_assistant', 'pay_order_ids',
         ],
         'detail' => ['id'],
+        'editTime' => ['id', 'create_time'],
         'edit' => [
             'id', 'recipient_name', 'recipient_phone', 'shipping_address',
             'is_follow_up', 'prev_staff', 'service_channel', 'service_package',
@@ -109,6 +113,11 @@ class PrescriptionOrderValidate extends BaseValidate
             ->append('pay_order_id', 'require|integer|gt:0');
     }
 
+    public function sceneEditTime(): PrescriptionOrderValidate
+    {
+        return $this->only(['id', 'create_time'])->append('id', 'require|integer|gt:0');
+    }
+
     public function updateAmount(): PrescriptionOrderValidate
     {
         return $this->only(['id', 'amount'])