diff --git a/app/tests/test_ai_consult_ui.py b/app/tests/test_ai_consult_ui.py
index ed8703150..5c8c1d70b 100644
--- a/app/tests/test_ai_consult_ui.py
+++ b/app/tests/test_ai_consult_ui.py
@@ -1,6 +1,7 @@
 from __future__ import annotations
 
 import os
+from types import SimpleNamespace
 from typing import Any
 
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
@@ -17,9 +18,13 @@ from doctor_workstation.ui.dialogs.ai_consult import (
     present_ai_consult,
     render_chat_payload,
 )
+from doctor_workstation.ui.pages import appointments as appointments_module
+from doctor_workstation.ui.pages import consultations as consultations_module
+from doctor_workstation.ui.pages import patients as patients_module
+from doctor_workstation.ui.pages import reception as reception_module
 from doctor_workstation.ui.pages.appointments import AppointmentsPage
 from doctor_workstation.ui.pages.consultations import ConsultationsPage
-from doctor_workstation.ui.pages.patients import PatientListWorkspace
+from doctor_workstation.ui.pages.patients import PatientListWorkspace, PatientsPage
 from doctor_workstation.ui.pages.reception import ReceptionPage
 
 
@@ -135,6 +140,80 @@ def test_four_entry_points_expose_ai_consult_action(application: QApplication) -
     consultations.close()
 
 
+def test_global_ai_openers_keep_the_selected_diagnosis_context(
+    monkeypatch: pytest.MonkeyPatch,
+) -> None:
+    opened: list[tuple[int, int, str]] = []
+
+    def capture(_repository: Any, _permissions: Any, _parent: Any, **kwargs: Any) -> None:
+        opened.append(
+            (
+                int(kwargs["diagnosis_id"]),
+                int(kwargs["patient_id"]),
+                str(kwargs["source_title"]),
+            )
+        )
+
+    for module in (
+        appointments_module,
+        consultations_module,
+        patients_module,
+        reception_module,
+    ):
+        monkeypatch.setattr(module, "present_ai_consult", capture)
+
+    allowed = PermissionSet(["tcm.diagnosis/aiAssistant"])
+    row = {"diagnosis_id": 501, "source_patient_id": 301, "patient_id": 301}
+
+    appointment_page = SimpleNamespace(
+        repository=object(),
+        permissions=allowed,
+        _current_row=lambda: row,
+    )
+    assert AppointmentsPage.open_selected_ai_consult(appointment_page)
+
+    consultation_page = SimpleNamespace(
+        repository=object(),
+        permissions=allowed,
+        table=SimpleNamespace(current_data=lambda: row),
+    )
+    assert ConsultationsPage.open_selected_ai_consult(consultation_page)
+
+    patient_workspace = SimpleNamespace(
+        table=SimpleNamespace(current_data=lambda: row),
+    )
+    patient_page = SimpleNamespace(
+        repository=object(),
+        permissions=allowed,
+        tabs=SimpleNamespace(currentWidget=lambda: patient_workspace),
+    )
+    patient_page._diagnosis_id = lambda value: PatientsPage._diagnosis_id(
+        patient_page, value
+    )
+    patient_page._open_ai_consult = lambda value: PatientsPage._open_ai_consult(
+        patient_page, value
+    )
+    assert PatientsPage.open_selected_ai_consult(patient_page)
+
+    reception_page = SimpleNamespace(
+        repository=object(),
+        permissions=allowed,
+        _can_ai_assistant=True,
+        _detail_loading=False,
+        _selection_context=lambda: (1, 101, 501, 301),
+        _selected_detail=row,
+        _selected_record=None,
+    )
+    assert ReceptionPage.open_selected_ai_consult(reception_page)
+
+    assert opened == [
+        (501, 301, "问诊列表"),
+        (501, 301, "问诊列表"),
+        (501, 301, "我的患者"),
+        (501, 301, "接诊台"),
+    ]
+
+
 def test_ai_consult_sidebar_loads_patient_facts_and_reports(
     application: QApplication,
     immediate_async: None,
diff --git a/app/tests/test_shell_contract.py b/app/tests/test_shell_contract.py
index 372cf43f5..47ef9aa89 100644
--- a/app/tests/test_shell_contract.py
+++ b/app/tests/test_shell_contract.py
@@ -346,6 +346,54 @@ def test_shell_hides_global_ai_entries_without_ai_permission(
     application.processEvents()
 
 
+def test_shell_ai_entry_reports_when_reception_is_not_available(
+    application: QApplication,
+    monkeypatch: pytest.MonkeyPatch,
+) -> None:
+    navigation = [
+        NavigationItem(
+            "appointments",
+            "问诊列表",
+            "号",
+            _ShellPageDouble,
+            ("doctor.appointment/lists",),
+        )
+    ]
+    monkeypatch.setattr(
+        shell_module,
+        "_resolve_navigation",
+        lambda _menu, _permissions, *, demo_mode: [
+            (item, item.title) for item in navigation
+        ],
+    )
+    messages: list[str] = []
+    monkeypatch.setattr(
+        shell_module,
+        "show_toast",
+        lambda _parent, message, *_args, **_kwargs: messages.append(message),
+    )
+    window = ShellWindow(
+        object(),
+        {"user": {"name": "无接诊台医生"}, "demo_mode": True},
+        permissions={
+            "doctor.appointment/lists",
+            "tcm.diagnosis/aiAssistant",
+        },
+    )
+    window.show()
+    application.processEvents()
+
+    window.assistant_button.click()
+    application.processEvents()
+
+    assert any("没有可用的接诊台" in message for message in messages)
+    assert all("已进入接诊台" not in message for message in messages)
+    assert window.stack.currentWidget() is window.pages["appointments"]
+
+    window.close()
+    application.processEvents()
+
+
 def test_shell_settings_opens_global_local_audio_upload_manager(
     application: QApplication,
     shell_window: ShellWindow,