更新

admin/src/views/first_visit/conversion/index.vue

@@ -145,7 +145,7 @@
             <div class="panel-heading panel-heading--table">
                 <div>
                     <h2>明细数据列表</h2>
-                    <p>展开部门可查看人员明细；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/预约，接诊率=接诊诊单/加粉</p>
+                    <p>展开部门可查看人员明细；加粉=区间有效加粉（按员工+客户去重，须会话同意，剔除已删客户）；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/预约，预约接诊率=接诊诊单/面诊，面诊接诊率=面诊/挂号，接诊率=接诊诊单/加粉</p>
                 </div>
                 <span>{{ dashboard.rows.length }} 个顶层节点</span>
             </div>
@@ -196,9 +196,12 @@
                 <el-table-column label="面诊率" min-width="96" align="right">
                     <template #default="{ row }">{{ formatPercent(row.interview_rate) }}</template>
                 </el-table-column>
-                <el-table-column label="面诊接诊率" min-width="116" align="right">
+                <el-table-column label="预约接诊率" min-width="116" align="right">
                     <template #default="{ row }">{{ formatPercent(row.interview_receive_rate) }}</template>
                 </el-table-column>
+                <el-table-column label="面诊接诊率" min-width="116" align="right">
+                    <template #default="{ row }">{{ formatPercent(row.interview_paid_rate) }}</template>
+                </el-table-column>
                 <el-table-column label="接诊率" min-width="96" align="right">
                     <template #default="{ row }">{{ formatPercent(row.receive_rate) }}</template>
                 </el-table-column>
@@ -327,7 +330,7 @@ const timeOptions = [
     { label: '自定义', value: 'custom' }
 ]
 const metricCards: Array<{ key: string; label: string; type: MetricType; hint: string }> = [
-    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '企微新增客户' },
+    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '区间有效加粉：去重，须会话同意，剔除已删客户' },
     { key: 'total_open_count', label: '开口数', type: 'count', hint: '来源于个人业绩录入' },
     { key: 'interview_count', label: '面诊', type: 'count', hint: '已完成预约' },
     { key: 'completed_order_count', label: '接诊诊单', type: 'count', hint: '业务订单，按创建人归属并过滤无效单' },

admin/src/views/first_visit/my_patients/components/ProgressPanel.vue

@@ -22,10 +22,37 @@
                 </article>
                 <article :class="['overview-card', isOwnershipMode ? 'overview-card-completed' : 'overview-card-empty']">
                     <span>{{ isOwnershipMode ? '已完成' : '空号' }}</span>
-                    <strong>{{ isOwnershipMode ? todayOverview.completed : todayOverview.emptySlots }}</strong>
+                    <strong>{{ isOwnershipMode ? todayOverview.completed : todayOverview.remainingSlots }}</strong>
-                    <small>{{ isOwnershipMode ? `已过号 ${todayOverview.missed} 人` : '未被有效挂号占用' }}</small>
+                    <small v-if="isOwnershipMode">已过号 {{ todayOverview.missed }} 人</small>
+                    <small v-else>过号 {{ todayOverview.passedSlots }} · 未挂号 {{ todayOverview.remainingSlots }}</small>
                 </article>
             </div>
+
+            <div v-if="!isOwnershipMode && todayRemainingDoctors.length" class="remaining-detail">
+                <div class="remaining-detail-heading">
+                    <h3>医生剩余号源详情</h3>
+                    <span>合计剩余可约 {{ todayOverview.remainingSlots }}</span>
+                </div>
+                <div class="remaining-doctor-list">
+                    <article
+                        v-for="(doctor, index) in todayRemainingDoctors"
+                        :key="doctor.doctor_id"
+                        class="remaining-doctor-row"
+                    >
+                        <div class="remaining-doctor-identity">
+                            <span class="doctor-index">{{ index + 1 }}</span>
+                            <div>
+                                <strong>{{ doctor.doctor_name }}</strong>
+                                <small>{{ doctorWindows(doctor) }}</small>
+                            </div>
+                        </div>
+                        <div class="remaining-doctor-metrics">
+                            <span>过号 <strong>{{ doctor.passed_slots || 0 }}</strong></span>
+                            <span class="is-remaining">未挂号 / 剩余 <strong>{{ doctor.remaining_slots || 0 }}</strong></span>
+                        </div>
+                    </article>
+                </div>
+            </div>
         </section>
 
         <section class="board-section schedule-section">
@@ -55,7 +82,10 @@
                     <span class="schedule-card-stats">
                         <span>{{ isOwnershipMode ? '待诊' : '已约' }} {{ isOwnershipMode ? day.waiting_appointments : day.booked_slots }}</span>
                         <i>/</i>
-                        <span :class="{ 'is-completed': isOwnershipMode }">{{ isOwnershipMode ? '完成' : '空' }} {{ isOwnershipMode ? day.completed_appointments : day.empty_slots }}</span>
+                        <span :class="{ 'is-completed': isOwnershipMode }">
+                            {{ isOwnershipMode ? '完成' : '剩余' }}
+                            {{ isOwnershipMode ? day.completed_appointments : (day.remaining_slots ?? day.empty_slots) }}
+                        </span>
                     </span>
                     <span class="schedule-card-action">
                         <span>{{ day.doctor_count }} 位医生</span>
@@ -73,8 +103,14 @@
                     <div :class="['drilldown-summary', { 'is-ownership': isOwnershipMode }]">
                         <span>{{ isOwnershipMode ? '面诊总数' : '总号源' }} <strong>{{ isOwnershipMode ? selectedScheduleDay.total_appointments : selectedScheduleDay.total_slots }}</strong></span>
                         <span>{{ isOwnershipMode ? '待面诊' : '已预约' }} <strong>{{ isOwnershipMode ? selectedScheduleDay.waiting_appointments : selectedScheduleDay.booked_slots }}</strong></span>
-                        <span>{{ isOwnershipMode ? '已完成' : '空号' }} <strong>{{ isOwnershipMode ? selectedScheduleDay.completed_appointments : selectedScheduleDay.empty_slots }}</strong></span>
+                        <template v-if="isOwnershipMode">
-                        <span v-if="isOwnershipMode">已过号 <strong>{{ selectedScheduleDay.missed_appointments }}</strong></span>
+                            <span>已完成 <strong>{{ selectedScheduleDay.completed_appointments }}</strong></span>
+                            <span>已过号 <strong>{{ selectedScheduleDay.missed_appointments }}</strong></span>
+                        </template>
+                        <template v-else>
+                            <span>过号 <strong>{{ selectedScheduleDay.passed_slots || 0 }}</strong></span>
+                            <span>剩余可约 <strong>{{ selectedScheduleDay.remaining_slots ?? selectedScheduleDay.empty_slots }}</strong></span>
+                        </template>
                     </div>
                 </div>
 
@@ -83,6 +119,7 @@
                         v-for="(doctor, index) in selectedScheduleDoctors"
                         :key="doctor.doctor_id"
                         class="doctor-schedule-row"
+                        :class="{ 'is-ownership': isOwnershipMode }"
                     >
                         <div class="doctor-identity">
                             <span class="doctor-index">{{ index + 1 }}</span>
@@ -103,10 +140,22 @@
                             <span>{{ isOwnershipMode ? '待面诊' : '已预约' }}</span>
                             <strong>{{ isOwnershipMode ? doctor.waiting_appointments : doctor.booked_slots }}</strong>
                         </div>
-                        <div :class="['doctor-metric', isOwnershipMode ? 'doctor-metric-completed' : 'doctor-metric-empty']">
+                        <template v-if="isOwnershipMode">
-                            <span>{{ isOwnershipMode ? '完成 / 过号' : '空号' }}</span>
+                            <div class="doctor-metric doctor-metric-completed">
-                            <strong>{{ isOwnershipMode ? `${doctor.completed_appointments} / ${doctor.missed_appointments}` : doctor.empty_slots }}</strong>
+                                <span>完成 / 过号</span>
+                                <strong>{{ doctor.completed_appointments }} / {{ doctor.missed_appointments }}</strong>
                             </div>
+                        </template>
+                        <template v-else>
+                            <div class="doctor-metric doctor-metric-passed">
+                                <span>过号</span>
+                                <strong>{{ doctor.passed_slots || 0 }}</strong>
+                            </div>
+                            <div class="doctor-metric doctor-metric-empty">
+                                <span>未挂号 / 剩余</span>
+                                <strong>{{ doctor.remaining_slots ?? doctor.empty_slots }}</strong>
+                            </div>
+                        </template>
                     </article>
                 </div>
                 <el-empty
@@ -210,6 +259,12 @@ const todayOverview = computed(() => ({
     completed: Number(pager.extend?.today_overview?.completed || 0),
     missed: Number(pager.extend?.today_overview?.missed || 0),
     emptySlots: Number(pager.extend?.today_overview?.empty_slots || 0),
+    passedSlots: Number(pager.extend?.today_overview?.passed_slots || 0),
+    remainingSlots: Number(
+        pager.extend?.today_overview?.remaining_slots
+            ?? pager.extend?.today_overview?.empty_slots
+            ?? 0
+    ),
     doctorCount: Number(pager.extend?.today_overview?.doctor_count || 0)
 }))
 const isOwnershipMode = computed(() => pager.extend?.schedule_mode === 'ownership')
@@ -226,6 +281,8 @@ const weekSchedule = computed(() => {
             weekday: `周${'日一二三四五六'[date.day()]}`,
             total_slots: 0,
             booked_slots: 0,
+            passed_slots: 0,
+            remaining_slots: 0,
             empty_slots: 0,
             doctor_count: 0,
             doctors: [],
@@ -244,6 +301,8 @@ const selectedScheduleDay = computed(() => {
         weekday: `周${'日一二三四五六'[dayjs().day()]}`,
         total_slots: 0,
         booked_slots: 0,
+        passed_slots: 0,
+        remaining_slots: 0,
         empty_slots: 0,
         doctor_count: 0,
         doctors: [],
@@ -256,6 +315,21 @@ const selectedScheduleDay = computed(() => {
 const selectedScheduleDoctors = computed(() => {
     return Array.isArray(selectedScheduleDay.value?.doctors) ? selectedScheduleDay.value.doctors : []
 })
+const todayRemainingDoctors = computed(() => {
+    const todayDay = weekSchedule.value.find((day: any) => day.date === today)
+    const doctors = Array.isArray(todayDay?.doctors) ? todayDay.doctors : []
+    return doctors
+        .map((doctor: any) => ({
+            ...doctor,
+            remaining_slots: Number(doctor.remaining_slots ?? doctor.empty_slots ?? 0),
+            passed_slots: Number(doctor.passed_slots || 0)
+        }))
+        .sort((left: any, right: any) =>
+            right.remaining_slots - left.remaining_slots
+            || right.booked_slots - left.booked_slots
+            || String(left.doctor_name || '').localeCompare(String(right.doctor_name || ''), 'zh-CN')
+        )
+})
 const selectedScheduleLabel = computed(() => {
     const day = selectedScheduleDay.value
     return `${day.date_text || ''} ${day.weekday || ''} `
@@ -433,6 +507,106 @@ onUnmounted(() => {
     color: #07886d;
 }
 
+.remaining-detail {
+    margin-top: 14px;
+    padding: 14px;
+    border: 1px solid #e8edf3;
+    border-radius: 10px;
+    background: #f8fafc;
+}
+
+.remaining-detail-heading {
+    display: flex;
+    align-items: center;
+    justify-content: space-between;
+    gap: 12px;
+    margin-bottom: 10px;
+
+    h3 {
+        margin: 0;
+        color: #1e293b;
+        font-size: 13px;
+        font-weight: 700;
+    }
+
+    span {
+        color: #0f766e;
+        font-size: 12px;
+        font-weight: 600;
+        white-space: nowrap;
+    }
+}
+
+.remaining-doctor-list {
+    display: grid;
+    gap: 7px;
+}
+
+.remaining-doctor-row {
+    display: flex;
+    align-items: center;
+    justify-content: space-between;
+    gap: 16px;
+    min-height: 52px;
+    padding: 8px 12px;
+    border: 1px solid #e4e9ef;
+    border-radius: 8px;
+    background: #fff;
+}
+
+.remaining-doctor-identity {
+    display: flex;
+    align-items: center;
+    gap: 10px;
+    min-width: 0;
+
+    > div {
+        min-width: 0;
+    }
+
+    strong,
+    small {
+        display: block;
+    }
+
+    strong {
+        overflow: hidden;
+        color: #202b3d;
+        font-size: 13px;
+        text-overflow: ellipsis;
+        white-space: nowrap;
+    }
+
+    small {
+        margin-top: 2px;
+        overflow: hidden;
+        color: #9aa4b2;
+        font-size: 10px;
+        text-overflow: ellipsis;
+        white-space: nowrap;
+    }
+}
+
+.remaining-doctor-metrics {
+    display: flex;
+    align-items: center;
+    gap: 14px;
+    color: #7a8698;
+    font-size: 11px;
+    white-space: nowrap;
+
+    strong {
+        margin-left: 3px;
+        color: #243044;
+        font-size: 14px;
+        font-variant-numeric: tabular-nums;
+    }
+
+    .is-remaining strong {
+        color: #ee4d55;
+    }
+}
+
 .schedule-range,
 .refresh-time,
 .queue-count {
@@ -597,7 +771,7 @@ onUnmounted(() => {
 
 .doctor-schedule-row {
     display: grid;
-    grid-template-columns: minmax(150px, 1fr) minmax(210px, 1.8fr) repeat(3, minmax(64px, 0.55fr));
+    grid-template-columns: minmax(150px, 1fr) minmax(210px, 1.8fr) repeat(4, minmax(64px, 0.55fr));
     align-items: center;
     gap: 14px;
     min-height: 58px;
@@ -605,6 +779,10 @@ onUnmounted(() => {
     border: 1px solid #e4e9ef;
     border-radius: 8px;
     background: #fff;
+
+    &.is-ownership {
+        grid-template-columns: minmax(150px, 1fr) minmax(210px, 1.8fr) repeat(3, minmax(64px, 0.55fr));
+    }
 }
 
 .doctor-identity {
@@ -691,6 +869,10 @@ onUnmounted(() => {
     color: #07886d;
 }
 
+.doctor-metric-passed strong {
+    color: #98a2b3;
+}
+
 .doctor-metric-empty strong {
     color: #d17820;
 }
@@ -792,7 +974,7 @@ onUnmounted(() => {
     }
 
     .doctor-schedule-row {
-        grid-template-columns: minmax(140px, 1fr) minmax(180px, 1.5fr) repeat(3, minmax(56px, 0.5fr));
+        grid-template-columns: minmax(140px, 1fr) minmax(180px, 1.5fr) repeat(4, minmax(56px, 0.5fr));
         gap: 10px;
     }
 }
@@ -818,17 +1000,20 @@ onUnmounted(() => {
     }
 
     .drilldown-heading,
-    .drilldown-summary {
+    .drilldown-summary,
+    .remaining-detail-heading,
+    .remaining-doctor-row {
         align-items: flex-start;
         flex-direction: column;
     }
 
-    .drilldown-summary {
+    .drilldown-summary,
+    .remaining-doctor-metrics {
         gap: 5px;
     }
 
     .doctor-schedule-row {
-        grid-template-columns: repeat(3, 1fr);
+        grid-template-columns: repeat(2, 1fr);
     }
 
     .doctor-identity,

app/README.md

@@ -22,7 +22,7 @@ Windows 打包机需预先安装 `uv` 与 Node.js 20+；脚本会自动处理项
 
 ## 已实现范围
 
-- 账号密码登录、token 会话、记住账号（不保存密码）和退出登录。
+- 账号密码登录、token 会话、通过系统凭据管理器安全记住密码和退出登录。
 - 登录后读取 `/adminapi/auth.admin/mySelf`，按 `permissions` 动态控制页面和操作按钮；`*` 超级权限兼容现有后台。
 - 接诊台：今日待接诊/已过号、患者详情、医生备注、通知医助、完成接诊、发起视频面诊。
 - 挂号列表：对齐管理端 `tcm/appointment/list`，支持状态 Tab、日期/确认/部门筛选、通话、完成、开方与取消挂号。
@@ -76,7 +76,7 @@ DOCTOR_VERIFY_SSL=true
 - 响应 envelope：`code=1` 成功、`0` 业务失败、`-1` 登录失效、`10` 需绑定企业微信。
 - 权限与数据范围：完全以后端 `/auth.admin/mySelf` 返回为准。
 
-环境配置不会保存密码、TRTC SecretKey 或腾讯云长期凭据。登录 token 优先存入系统凭据库；无法使用时仅回退到用户配置目录中的受限文件。
+环境配置不会保存明文密码、TRTC SecretKey 或腾讯云长期凭据。登录密码优先存入系统凭据管理器；Windows 凭据后端不可用时仅保存当前 Windows 用户可解密的 DPAPI 密文。登录 token 优先存入系统凭据库，无法使用时仅回退到用户配置目录中的受限文件。
 
 ## 视频伴随页
 

app/src/doctor_workstation/app.py

@@ -9,7 +9,7 @@ import time
 from contextlib import suppress
 from typing import Any
 
-from PySide6.QtCore import QObject, Qt, QTimer
+from PySide6.QtCore import QLibraryInfo, QLocale, QObject, Qt, QTimer, QTranslator
 from PySide6.QtGui import QGuiApplication, QIcon
 from PySide6.QtWidgets import (
     QApplication,
@@ -46,6 +46,70 @@ from doctor_workstation.video.window import WEBENGINE_AVAILABLE
 LOGGER = logging.getLogger(__name__)
 
 
+class _ChineseQtTranslator(QTranslator):
+    """Guarantee Chinese labels for common Qt standard buttons.
+
+    Qt's packaged ``qtbase_zh_CN`` catalog remains the primary source for
+    framework text.  This small fallback also keeps release builds localized
+    when a packager omits the optional ``.qm`` files.
+    """
+
+    _BUTTON_TEXT = {
+        "OK": "确定",
+        "Open": "打开",
+        "Save": "保存",
+        "Save All": "全部保存",
+        "Cancel": "取消",
+        "Close": "关闭",
+        "Yes": "是",
+        "Yes to All": "全部确认",
+        "No": "否",
+        "No to All": "全部否定",
+        "Abort": "中止",
+        "Retry": "重试",
+        "Ignore": "忽略",
+        "Discard": "放弃",
+        "Help": "帮助",
+        "Apply": "应用",
+        "Reset": "重置",
+        "Restore Defaults": "恢复默认设置",
+        "Don't Save": "不保存",
+    }
+
+    def translate(
+        self,
+        context: str,
+        source_text: str,
+        disambiguation: str | None = None,
+        n: int = -1,
+    ) -> str:
+        del context, disambiguation, n
+        return self._BUTTON_TEXT.get(source_text.replace("&", ""), "")
+
+
+def _install_chinese_translations(application: QApplication) -> None:
+    """Install Simplified Chinese Qt catalogs once for the whole process."""
+
+    if getattr(application, "_doctor_workstation_chinese_translators", None):
+        return
+
+    QLocale.setDefault(QLocale("zh_CN"))
+    translators: list[QTranslator] = []
+    translations_path = QLibraryInfo.path(
+        QLibraryInfo.LibraryPath.TranslationsPath
+    )
+    for catalog in ("qt_zh_CN", "qtbase_zh_CN"):
+        translator = QTranslator(application)
+        if translator.load(catalog, translations_path):
+            application.installTranslator(translator)
+            translators.append(translator)
+
+    fallback = _ChineseQtTranslator(application)
+    application.installTranslator(fallback)
+    translators.append(fallback)
+    application._doctor_workstation_chinese_translators = translators  # type: ignore[attr-defined]
+
+
 class _UnconfiguredRepository:
     """Login boundary used until an administrator supplies a backend URL."""
 
@@ -204,6 +268,7 @@ class ApplicationController(QObject):
                 self._base_repository(),
                 self.config,
                 self.demo_repository,
+                credential_store=self.token_store,
             )
             self.login_window.login_succeeded.connect(self._on_login_succeeded)
             self.login_window.config_changed.connect(self._on_config_changed)
@@ -214,6 +279,7 @@ class ApplicationController(QObject):
             self.login_window.config = self.config
             if not self.login_window.demo_check.isChecked():
                 self.login_window.active_repository = self._base_repository()
+            self.login_window.restore_remembered_credentials()
         self.login_window.show()
         self.login_window.raise_()
         self.login_window.activateWindow()
@@ -500,19 +566,39 @@ class ApplicationController(QObject):
         patient_id = payload.get("patient_id")
         diagnosis_id = payload.get("diagnosis_id")
         patient_name = str(payload.get("patient_name") or "患者")
+        open_im = str(payload.get("mode") or "video").lower() == "im"
         if patient_id in (None, "") or diagnosis_id in (None, ""):
             show_toast(parent, "患者或诊单信息不完整，无法发起视频。", "danger", 4200)
             return
 
         call_key = str(diagnosis_id)
+        existing_call = self.video_calls.get(call_key)
+        if open_im and existing_call is not None and getattr(existing_call, "open_im", False):
+            qt_window = getattr(existing_call, "qt_window", None)
+            if qt_window is not None:
+                qt_window.show()
+                qt_window.raise_()
+                qt_window.activateWindow()
+            show_toast(parent, "该患者的 IM 会话已经打开。", "info", 3200)
+            return
         if (
             call_key in self.video_pending
-            or call_key in self.video_calls
+            or existing_call is not None
             or call_key in self.demo_video_dialogs
         ):
             show_toast(parent, "该问诊的视频正在准备或通话中。", "info", 3600)
             return
 
+        closed_previous_im = False
+        if open_im:
+            for key, call in tuple(self.video_calls.items()):
+                if key == call_key or not getattr(call, "open_im", False):
+                    continue
+                closed_previous_im = True
+                self.video_calls.pop(key, None)
+                with suppress(Exception):
+                    call.close()
+
         if self.current_demo_mode:
             dialog = DemoVideoDialog(patient_name, parent)
             dialog.finished.connect(
@@ -525,7 +611,11 @@ class ApplicationController(QObject):
             dialog.show()
             return
 
-        show_toast(parent, "正在获取安全通话凭证…", "info")
+        show_toast(
+            parent,
+            "正在打开患者 IM 会话…" if open_im else "正在获取安全通话凭证…",
+            "info",
+        )
         repository = self.current_repository
         marker = object()
         self.video_pending[call_key] = marker
@@ -536,6 +626,9 @@ class ApplicationController(QObject):
                 diagnosis_id=int(diagnosis_id),
             )
 
+        def request_ticket() -> None:
+            if self.video_pending.get(call_key) is not marker:
+                return
             run_async(
                 get_ticket,
                 on_success=lambda ticket: self._launch_video(
@@ -545,6 +638,8 @@ class ApplicationController(QObject):
                     repository=repository,
                     call_key=call_key,
                     marker=marker,
+                    open_im=open_im,
+                    patient_name=patient_name,
                 ),
                 on_error=lambda error: self._video_ticket_error(
                     call_key,
@@ -554,6 +649,13 @@ class ApplicationController(QObject):
                 ),
             )
 
+        # Tencent IM may take a brief moment to release the previous browser
+        # connection. The admin version also has only one ChatDialog instance.
+        if closed_previous_im:
+            QTimer.singleShot(400, request_ticket)
+        else:
+            request_ticket()
+
     def _video_ticket_error(
         self,
         call_key: str,
@@ -581,6 +683,8 @@ class ApplicationController(QObject):
         repository: Any,
         call_key: str,
         marker: object,
+        open_im: bool = False,
+        patient_name: str = "患者",
     ) -> None:
         if self.video_pending.get(call_key) is not marker:
             return
@@ -606,6 +710,8 @@ class ApplicationController(QObject):
                 local_dist=video_dist_path(),
                 remote_url=self.config.video_web_url or None,
                 logger=logging.getLogger("doctor_workstation.video"),
+                open_im=open_im,
+                patient_name=patient_name,
             )
         except Exception as error:
             LOGGER.exception("video call could not be launched")
@@ -683,6 +789,7 @@ def _create_application(argv: list[str]) -> QApplication:
             Qt.HighDpiScaleFactorRoundingPolicy.PassThrough
         )
     application = QApplication(argv)
+    _install_chinese_translations(application)
     application.setApplicationName("甄养堂医生工作站")
     application.setApplicationDisplayName("甄养堂医生工作站")
     application.setOrganizationName("ZhenYangTang")

app/src/doctor_workstation/services/mock_repository.py

@@ -593,6 +593,28 @@ class DemoDoctorRepository:
         safe_name = source.name.replace("\\", "_").replace("/", "_")
         return f"/demo/uploads/{kind}/{material_id}-{safe_name}"
 
+    def upload_material_bytes(
+        self,
+        content: bytes,
+        filename: str,
+        material_type: Literal["image", "video", "file"],
+        cid: int = 0,
+    ) -> str:
+        """Return a synthetic server URI for an in-memory demo capture."""
+
+        if cid < 0:
+            raise ValueError("cid must be non-negative")
+        if not content:
+            raise ValueError("material content must not be empty")
+        safe_name = Path(filename).name.strip().replace("\\", "_").replace("/", "_")
+        if not safe_name:
+            raise ValueError("filename is required")
+        kind = _material_kind(material_type)
+        with self._lock:
+            material_id = self._next_material_id
+            self._next_material_id += 1
+        return f"/demo/uploads/{kind}/{material_id}-{safe_name}"
+
     def add_doctor_note(
         self,
         diagnosis_id: int,

app/src/doctor_workstation/services/repository.py

@@ -8,6 +8,7 @@ import time
 from collections.abc import Mapping
 from contextlib import suppress
 from datetime import date
+from io import BytesIO
 from os import PathLike
 from pathlib import Path
 from typing import Any, Final, Literal, Protocol
@@ -109,6 +110,15 @@ class DoctorRepository(Protocol):
     ) -> str:
         """Upload one local note material and return its server URI."""
 
+    def upload_material_bytes(
+        self,
+        content: bytes,
+        filename: str,
+        material_type: Literal["image", "video", "file"],
+        cid: int = 0,
+    ) -> str:
+        """Upload an in-memory capture and return its server URI."""
+
     def get_prescription_template(self, template_id: int) -> PrescriptionTemplate:
         """Return one prescription-library record."""
 
@@ -960,6 +970,34 @@ class RemoteDoctorRepository:
             )
         return _normalise_material_reference(payload, endpoint)
 
+    def upload_material_bytes(
+        self,
+        content: bytes,
+        filename: str,
+        material_type: Literal["image", "video", "file"],
+        cid: int = 0,
+    ) -> str:
+        """Upload a trusted in-memory capture without a local plaintext file."""
+
+        if cid < 0:
+            raise ValueError("cid must be non-negative")
+        if not content:
+            raise ValueError("material content must not be empty")
+        if len(content) > 10 * 1024 * 1024:
+            raise ValueError("material content exceeds 10 MB")
+        safe_name = Path(filename).name.strip()
+        if not safe_name or safe_name in {".", ".."}:
+            raise ValueError("filename is required")
+        kind = _material_kind(material_type)
+        mime_type = mimetypes.guess_type(safe_name)[0] or "application/octet-stream"
+        endpoint = f"upload/{kind}"
+        payload = self.client.post_multipart(
+            endpoint,
+            files={"file": (safe_name, BytesIO(content), mime_type)},
+            data={"cid": str(cid)},
+        )
+        return _normalise_material_reference(payload, endpoint)
+
     def notify_assistant(self, appointment_id: int) -> Any:
         """Ask the server to notify the assigned medical assistant."""
 

app/src/doctor_workstation/services/token_store.py

@@ -2,6 +2,9 @@
 
 from __future__ import annotations
 
+import base64
+import ctypes
+import hashlib
 import json
 import os
 import stat
@@ -28,12 +31,13 @@ _AUTO_KEYRING = object()
 
 
 class TokenStore:
-    """Store access tokens, but never user passwords.
+    """Store tokens and optional login passwords with OS-protected storage.
 
     If a working ``keyring`` backend is importable, the token is stored there
     and the JSON file contains at most the remembered account name and the
-    non-secret API scope.  Otherwise the JSON file is atomically written with
+    non-secret API scope.  Login passwords use the keyring first; on Windows,
-    owner-only ``0600`` permissions.
+    an unavailable keyring falls back to a DPAPI-encrypted blob that only the
+    current Windows user can decrypt.  Plaintext passwords are never written.
     """
 
     def __init__(
@@ -103,7 +107,7 @@ class TokenStore:
         """Persist a token plus optional account and API-scope metadata.
 
         Passing an empty ``account`` explicitly forgets a previously remembered
-        account.  Passwords are never accepted or persisted.
+        account and its keyring password.
         """
 
         cleaned = token.strip()
@@ -115,6 +119,17 @@ class TokenStore:
         data = self._read_file()
         if account is not None:
             account_value = account.strip()
+            previous_account = str(data.get("account") or "").strip()
+            previous_scope = self._normalise_scope(data.get("scope"))
+            next_scope = (
+                self._normalise_scope(scope) if scope is not None else previous_scope
+            )
+            if previous_account and (
+                previous_account != account_value
+                or (account_value and previous_scope != next_scope)
+            ):
+                self.clear_password(account=previous_account, scope=previous_scope)
+                data.pop("credential", None)
             if account_value:
                 data["account"] = account_value
             else:
@@ -137,7 +152,7 @@ class TokenStore:
         self._write_file(data)
 
     def clear_token(self) -> None:
-        """Delete the token while retaining an explicitly remembered account."""
+        """Delete the token while retaining remembered login credentials."""
 
         if self._uses_keyring and self._keyring is not None:
             try:
@@ -146,11 +161,12 @@ class TokenStore:
                 self._uses_keyring = False
         data = self._read_file()
         data.pop("token", None)
+        if not data.get("account"):
             data.pop("scope", None)
         self._write_file(data)
 
     def load_account(self) -> str | None:
-        """Load the remembered login account; no password is ever stored."""
+        """Load the non-secret remembered login account."""
 
         value = self._read_file().get("account")
         return str(value) if isinstance(value, str) and value else None
@@ -167,13 +183,104 @@ class TokenStore:
         self._write_file(data)
 
     def clear_account(self) -> None:
-        """Forget the remembered account without changing the stored token."""
+        """Forget the remembered account and its keyring password."""
 
+        data = self._read_file()
+        self.clear_password(
+            account=str(data.get("account") or ""),
+            scope=str(data.get("scope") or ""),
+        )
         self.save_account("")
 
+    def load_password(self, *, account: str, scope: str) -> str | None:
+        """Load one scoped password from keyring or a Windows DPAPI blob."""
+
+        target = self._password_target(account, scope)
+        if not target:
+            return None
+        if self._uses_keyring and self._keyring is not None:
+            try:
+                value = self._keyring.get_password(self.service_name, target)
+                if value:
+                    return str(value)
+            except Exception:
+                self._uses_keyring = False
+        data = self._read_file()
+        if self._password_target(
+            str(data.get("account") or ""),
+            str(data.get("scope") or ""),
+        ) != target:
+            return None
+        credential = data.get("credential")
+        if not isinstance(credential, str) or not credential:
+            return None
+        return self._unprotect_password(credential, target)
+
+    def save_password(self, password: str, *, account: str, scope: str) -> bool:
+        """Save one password using keyring or Windows user-scoped DPAPI."""
+
+        target = self._password_target(account, scope)
+        if not target or not password:
+            return False
+        data = self._read_file()
+        previous_target = self._password_target(
+            str(data.get("account") or ""),
+            str(data.get("scope") or ""),
+        )
+        if (
+            previous_target
+            and previous_target != target
+            and self._uses_keyring
+            and self._keyring is not None
+        ):
+            with suppress(Exception):
+                self._keyring.delete_password(self.service_name, previous_target)
+        if self._uses_keyring and self._keyring is not None:
+            try:
+                self._keyring.set_password(self.service_name, target, password)
+            except Exception:
+                self._uses_keyring = False
+            else:
+                data["account"] = account.strip()
+                data["scope"] = self._normalise_scope(scope)
+                data.pop("credential", None)
+                self._write_file(data)
+                return True
+        protected = self._protect_password(password, target)
+        if not protected:
+            return False
+        data["account"] = account.strip()
+        data["scope"] = self._normalise_scope(scope)
+        data["credential"] = protected
+        self._write_file(data)
+        return True
+
+    def clear_password(self, *, account: str, scope: str) -> None:
+        """Delete one scoped login password from the OS keyring."""
+
+        target = self._password_target(account, scope)
+        if not target:
+            return
+        if self._uses_keyring and self._keyring is not None:
+            with suppress(Exception):
+                self._keyring.delete_password(self.service_name, target)
+        data = self._read_file()
+        stored_target = self._password_target(
+            str(data.get("account") or ""),
+            str(data.get("scope") or ""),
+        )
+        if stored_target == target and "credential" in data:
+            data.pop("credential", None)
+            self._write_file(data)
+
     def clear(self) -> None:
         """Delete both token and remembered account information."""
 
+        data = self._read_file()
+        self.clear_password(
+            account=str(data.get("account") or ""),
+            scope=str(data.get("scope") or ""),
+        )
         if self._uses_keyring and self._keyring is not None:
             try:
                 self._keyring.delete_password(self.service_name, self.token_name)
@@ -225,6 +332,120 @@ class TokenStore:
 
         return str(value or "").strip().rstrip("/")
 
+    def _password_target(self, account: str, scope: str) -> str:
+        """Return an opaque keyring name isolated by account and API server."""
+
+        clean_account = account.strip().casefold()
+        clean_scope = self._normalise_scope(scope).casefold()
+        if not clean_account or not clean_scope:
+            return ""
+        digest = hashlib.sha256(f"{clean_scope}\n{clean_account}".encode()).hexdigest()
+        return f"login-password:{digest}"
+
+    def _protect_password(self, password: str, target: str) -> str | None:
+        """Return a Windows DPAPI blob, or ``None`` on unsupported systems."""
+
+        if os.name != "nt":
+            return None
+        try:
+            encrypted = self._crypt_protect(
+                password.encode("utf-8"),
+                self._credential_entropy(target),
+            )
+        except (OSError, ValueError):
+            return None
+        return base64.b64encode(encrypted).decode("ascii")
+
+    def _unprotect_password(self, protected: str, target: str) -> str | None:
+        """Decrypt a Windows DPAPI blob for this account/server target."""
+
+        if os.name != "nt":
+            return None
+        try:
+            encrypted = base64.b64decode(protected, validate=True)
+            plaintext = self._crypt_unprotect(
+                encrypted,
+                self._credential_entropy(target),
+            )
+            return plaintext.decode("utf-8")
+        except (OSError, UnicodeError, ValueError):
+            return None
+
+    def _credential_entropy(self, target: str) -> bytes:
+        return hashlib.sha256(f"{self.service_name}\n{target}".encode()).digest()
+
+    @staticmethod
+    def _crypt_protect(data: bytes, entropy: bytes) -> bytes:
+        from ctypes import wintypes
+
+        class DataBlob(ctypes.Structure):
+            _fields_ = [
+                ("size", wintypes.DWORD),
+                ("data", ctypes.POINTER(ctypes.c_ubyte)),
+            ]
+
+        def make_blob(value: bytes) -> tuple[DataBlob, ctypes.Array[Any]]:
+            buffer = ctypes.create_string_buffer(value)
+            blob = DataBlob(
+                len(value),
+                ctypes.cast(buffer, ctypes.POINTER(ctypes.c_ubyte)),
+            )
+            return blob, buffer
+
+        source, _source_buffer = make_blob(data)
+        optional_entropy, _entropy_buffer = make_blob(entropy)
+        destination = DataBlob()
+        if not ctypes.windll.crypt32.CryptProtectData(
+            ctypes.byref(source),
+            None,
+            ctypes.byref(optional_entropy),
+            None,
+            None,
+            0x01,
+            ctypes.byref(destination),
+        ):
+            raise ctypes.WinError()
+        try:
+            return ctypes.string_at(destination.data, destination.size)
+        finally:
+            ctypes.windll.kernel32.LocalFree(destination.data)
+
+    @staticmethod
+    def _crypt_unprotect(data: bytes, entropy: bytes) -> bytes:
+        from ctypes import wintypes
+
+        class DataBlob(ctypes.Structure):
+            _fields_ = [
+                ("size", wintypes.DWORD),
+                ("data", ctypes.POINTER(ctypes.c_ubyte)),
+            ]
+
+        def make_blob(value: bytes) -> tuple[DataBlob, ctypes.Array[Any]]:
+            buffer = ctypes.create_string_buffer(value)
+            blob = DataBlob(
+                len(value),
+                ctypes.cast(buffer, ctypes.POINTER(ctypes.c_ubyte)),
+            )
+            return blob, buffer
+
+        source, _source_buffer = make_blob(data)
+        optional_entropy, _entropy_buffer = make_blob(entropy)
+        destination = DataBlob()
+        if not ctypes.windll.crypt32.CryptUnprotectData(
+            ctypes.byref(source),
+            None,
+            ctypes.byref(optional_entropy),
+            None,
+            None,
+            0x01,
+            ctypes.byref(destination),
+        ):
+            raise ctypes.WinError()
+        try:
+            return ctypes.string_at(destination.data, destination.size)
+        finally:
+            ctypes.windll.kernel32.LocalFree(destination.data)
+
     def _read_file(self) -> dict[str, Any]:
         try:
             content = self.path.read_text(encoding="utf-8")
@@ -234,10 +455,18 @@ class TokenStore:
         if not isinstance(value, dict):
             return {}
         # Explicit allow-list guarantees accidental password-like fields are ignored.
-        return {key: value[key] for key in ("token", "account", "scope") if key in value}
+        return {
+            key: value[key]
+            for key in ("token", "account", "scope", "credential")
+            if key in value
+        }
 
     def _write_file(self, data: dict[str, Any]) -> None:
-        safe = {key: data[key] for key in ("token", "account", "scope") if data.get(key)}
+        safe = {
+            key: data[key]
+            for key in ("token", "account", "scope", "credential")
+            if data.get(key)
+        }
         if not safe:
             with suppress(OSError):
                 self.path.unlink(missing_ok=True)

app/src/doctor_workstation/ui/login.py

@@ -2,6 +2,7 @@
 
 from __future__ import annotations
 
+from contextlib import suppress
 from typing import Any
 
 from PySide6.QtCore import QPoint, QSettings, Qt, QTimer, Signal
@@ -70,8 +71,9 @@ class LoginWindow(QMainWindow):
     ``login_succeeded`` emits a dictionary containing ``user``, ``session``,
     ``repository`` and ``demo_mode``.  Keeping the selected repository in the
     payload lets the composition root construct the shell without guessing.
-    ``remember_account`` is captured before the worker starts and is forwarded
+    The remember-password choice is captured before the worker starts.  The
-    to the repository so every account metadata store follows the same choice.
+    repository receives the corresponding account-metadata flag, while this
+    window stores the password only after authentication succeeds.
     """
 
     login_succeeded = Signal(object)
@@ -87,6 +89,7 @@ class LoginWindow(QMainWindow):
         config: Any | None = None,
         demo_repository: Any | None = None,
         settings: QSettings | None = None,
+        credential_store: Any | None = None,
         parent: QWidget | None = None,
     ) -> None:
         super().__init__(parent)
@@ -96,9 +99,12 @@ class LoginWindow(QMainWindow):
             demo_repository = getattr(config, "demo_repository", None)
         self.demo_repository = demo_repository
         self.settings = settings or QSettings("ZhenYangTang", "DoctorWorkstation")
+        self.credential_store = credential_store
         self.active_repository = repository
         self.authenticated_user: Any = None
         self._loading = False
+        self._restored_account = ""
+        self._restored_scope = ""
 
         self.setWindowTitle("甄养堂 · 医生工作站")
         self.setMinimumSize(860, 590)
@@ -214,7 +220,7 @@ class LoginWindow(QMainWindow):
         layout.addLayout(brand_row)
         layout.addStretch(2)
 
-        eyebrow = QLabel("DOCTOR WORKSTATION")
+        eyebrow = QLabel("医生工作站")
         eyebrow.setStyleSheet(
             "color:#4F63D9; font-size:11px; font-weight:700; letter-spacing:1px;"
         )
@@ -300,8 +306,8 @@ class LoginWindow(QMainWindow):
         card_layout.addLayout(password_row)
 
         choices = QHBoxLayout()
-        self.remember_check = _VisibleCheckBox("记住账号")
+        self.remember_check = _VisibleCheckBox("记住密码")
-        self.remember_check.setToolTip("仅保存账号，不保存密码")
+        self.remember_check.setToolTip("密码使用系统安全凭据或 Windows DPAPI 加密，不保存明文")
         choices.addWidget(self.remember_check)
         choices.addStretch(1)
         self.demo_check = _VisibleCheckBox("演示模式")
@@ -394,8 +400,6 @@ class LoginWindow(QMainWindow):
     def _restore_settings(self) -> None:
         configured_account = getattr(self.config, "remembered_account", "")
         remembered = str(self.settings.value("auth/remembered_account", configured_account) or "")
-        self.account_edit.setText(remembered)
-        self.remember_check.setChecked(bool(remembered))
         configured_url = getattr(self.config, "base_url", "") or getattr(
             self.config, "api_base_url", ""
         )
@@ -418,11 +422,49 @@ class LoginWindow(QMainWindow):
         self.allow_self_signed_check.setChecked(not verify_ssl)
         if self.demo_repository is not None and bool(getattr(self.config, "demo_mode", False)):
             self.demo_check.setChecked(True)
+        self.account_edit.setText(remembered)
+        self.restore_remembered_credentials()
         if remembered:
             self.password_edit.setFocus()
         else:
             self.account_edit.setFocus()
 
+    def _credential_scope(self) -> str:
+        if hasattr(self, "server_url_edit"):
+            scope = self.server_url_edit.text().strip()
+            if scope:
+                return scope.rstrip("/")
+        return str(
+            getattr(self.config, "base_url", "")
+            or getattr(self.config, "api_base_url", "")
+            or ""
+        ).strip().rstrip("/")
+
+    def restore_remembered_credentials(self) -> None:
+        """Restore a password from the OS keyring without touching config files."""
+
+        configured_account = getattr(self.config, "remembered_account", "")
+        account = str(
+            self.settings.value("auth/remembered_account", configured_account) or ""
+        ).strip()
+        scope = self._credential_scope()
+        password = ""
+        should_restore = _setting_bool(
+            self.settings.value("auth/remember_password", False),
+            False,
+        )
+        loader = getattr(self.credential_store, "load_password", None)
+        if should_restore and account and scope and callable(loader):
+            try:
+                password = str(loader(account=account, scope=scope) or "")
+            except Exception:
+                password = ""
+        self.account_edit.setText(account)
+        self.password_edit.setText(password)
+        self.remember_check.setChecked(bool(password))
+        self._restored_account = account if password else ""
+        self._restored_scope = scope if password else ""
+
     def _toggle_password(self, visible: bool) -> None:
         self.password_edit.setEchoMode(
             QLineEdit.EchoMode.Normal if visible else QLineEdit.EchoMode.Password
@@ -557,6 +599,7 @@ class LoginWindow(QMainWindow):
                 payload,
                 account,
                 remember_account,
+                password,
             ),
             on_error=self._on_login_error,
             on_finished=lambda: self._set_loading(False),
@@ -604,15 +647,39 @@ class LoginWindow(QMainWindow):
         payload: dict[str, Any],
         account: str,
         remember_account: bool | None = None,
+        password: str | None = None,
     ) -> None:
         if remember_account is None:
             remember_account = self.remember_check.isChecked()
+        scope = self._credential_scope()
+        is_demo = bool(payload.get("demo_mode"))
+        password_saved = False
+        clearer = getattr(self.credential_store, "clear_password", None)
+        if callable(clearer) and self._restored_account and (
+            not remember_account
+            or self._restored_account != account
+            or self._restored_scope != scope
+        ):
+            with suppress(Exception):
+                clearer(account=self._restored_account, scope=self._restored_scope)
         if remember_account:
             self.settings.setValue("auth/remembered_account", account)
+            saver = getattr(self.credential_store, "save_password", None)
+            if not is_demo and password and scope and callable(saver):
+                try:
+                    password_saved = bool(saver(password, account=account, scope=scope))
+                except Exception:
+                    password_saved = False
         else:
             self.settings.remove("auth/remembered_account")
+            if callable(clearer):
+                with suppress(Exception):
+                    clearer(account=account, scope=scope)
+        self.settings.setValue("auth/remember_password", password_saved)
         self.settings.sync()
         self._emit_config_update(remembered_account=account if remember_account else "")
+        self._restored_account = account if password_saved else ""
+        self._restored_scope = scope if password_saved else ""
         self.password_edit.clear()
         self.authenticated_user = payload.get("user")
         self.login_succeeded.emit(payload)

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

@@ -843,6 +843,7 @@ class AppointmentsPage(QWidget):
                 "patient_id": patient_id,
                 "diagnosis_id": diagnosis_id,
                 "patient_name": first_value(row, "patient_name", default="患者"),
+                "mode": "im",
                 "record": row,
             }
         )

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

@@ -8,9 +8,10 @@ from datetime import date, timedelta
 from pathlib import Path
 from typing import Any
 
-from PySide6.QtCore import Qt, QTimer, Signal
+from PySide6.QtCore import Qt, QTimer, QUrl, Signal
-from PySide6.QtGui import QTextCursor
+from PySide6.QtGui import QDesktopServices, QPixmap, QTextCursor
 from PySide6.QtWidgets import (
+    QDialog,
     QFileDialog,
     QFrame,
     QGridLayout,
@@ -22,6 +23,7 @@ from PySide6.QtWidgets import (
     QMessageBox,
     QPushButton,
     QScrollArea,
+    QSizePolicy,
     QSplitter,
     QStackedWidget,
     QTabBar,
@@ -118,6 +120,13 @@ def _attachment_name(value: object) -> str:
     return name or text
 
 
+def _is_image_attachment(value: object) -> bool:
+    """Return whether a server attachment can be previewed as an image."""
+
+    path = str(value or "").split("?", 1)[0].split("#", 1)[0].lower()
+    return path.endswith((".jpg", ".jpeg", ".png", ".gif", ".bmp", ".webp"))
+
+
 def _is_local_material_reference(value: str) -> bool:
     """Reject local filesystem references before a note JSON is constructed."""
 
@@ -139,12 +148,14 @@ class QueueRow(QWidget):
         layout.setContentsMargins(12, 9, 12, 9)
         layout.setSpacing(5)
         top = QHBoxLayout()
+        top.setSpacing(8)
         name = QLabel(
             display_text(first_value(record, "patient_name", "name", default="未命名患者"))
         )
         name.setStyleSheet("font-size:14px; font-weight:700; color:#172033;")
-        top.addWidget(name)
+        name.setMinimumWidth(0)
-        top.addStretch(1)
+        name.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Preferred)
+        top.addWidget(name, 1)
         status_number = _as_int(first_value(record, "status", default=1), 1) or 1
         badge = StatusBadge(
             display_text(
@@ -157,7 +168,12 @@ class QueueRow(QWidget):
             ),
             STATUS_KIND.get(status_number, "neutral"),
         )
-        top.addWidget(badge)
+        badge.setMinimumWidth(max(54, badge.sizeHint().width()))
+        top.addWidget(
+            badge,
+            0,
+            Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignTop,
+        )
         layout.addLayout(top)
         time = first_value(
             record, "appointment_time_text", "appointment_time", "time", default="时间待确认"
@@ -168,6 +184,10 @@ class QueueRow(QWidget):
             f"{display_text(first_value(record, 'age'))}岁"
         )
         meta.setProperty("role", "muted")
+        # Long timestamps must not dictate the minimum width of the whole
+        # queue row and push the status badge underneath the viewport edge.
+        meta.setMinimumWidth(0)
+        meta.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Preferred)
         layout.addWidget(meta)
         assistant = first_value(record, "assistant_name", default=None)
         if assistant:
@@ -211,6 +231,7 @@ class ReceptionPage(QWidget):
         self._pending_tongue_images: list[str] = []
         self._pending_report_files: list[str] = []
         self._note_busy = False
+        self._attachment_preview_generation = 0
 
         self._can_complete = has_permission(self.permissions, "doctor.appointment/complete")
         self._can_note = has_permission(self.permissions, "doctor.appointment/addDoctorNote")
@@ -335,7 +356,8 @@ class ReceptionPage(QWidget):
         self.notify_button = QPushButton("通知医助")
         self.notify_button.clicked.connect(self._notify_assistant)
         action_row.addWidget(self.notify_button)
-        self.video_button = QPushButton("发起视频")
+        self.video_button = QPushButton("IM 问诊")
+        self.video_button.setToolTip("打开患者 IM，可发送消息并从会话中发起视频")
         self.video_button.setProperty("variant", "secondary")
         self.video_button.clicked.connect(self._request_video)
         action_row.addWidget(self.video_button)
@@ -1245,13 +1267,25 @@ class ReceptionPage(QWidget):
                 ("report_files", "检查报告"),
             ):
                 for path in _sequence(first_value(note, image_type, default=[])):
+                    path_text = str(path).strip()
                     attachment = QWidget()
                     attachment_layout = QHBoxLayout(attachment)
                     attachment_layout.setContentsMargins(0, 0, 0, 0)
-                    label = QLabel(f"{caption}：{_attachment_name(path)}")
+                    label = QLabel(f"{caption}：{_attachment_name(path_text)}")
-                    label.setToolTip(str(path))
+                    label.setToolTip(path_text)
                     label.setTextInteractionFlags(Qt.TextInteractionFlag.TextSelectableByMouse)
                     attachment_layout.addWidget(label, 1)
+                    preview_button = QPushButton(
+                        "预览" if _is_image_attachment(path_text) else "打开"
+                    )
+                    preview_button.setProperty("variant", "secondary")
+                    preview_button.setEnabled(bool(path_text))
+                    preview_button.clicked.connect(
+                        lambda _checked=False, current_path=path_text, button=preview_button: (
+                            self._preview_note_attachment(current_path, button)
+                        )
+                    )
+                    attachment_layout.addWidget(preview_button)
                     if self._can_note and note_id is not None:
                         delete_button = QPushButton("删除")
                         delete_button.setProperty("variant", "secondary")
@@ -1266,6 +1300,97 @@ class ReceptionPage(QWidget):
                     layout.addWidget(attachment)
             self.notes_layout.addWidget(card)
 
+    def _preview_note_attachment(self, path: str, button: QPushButton) -> None:
+        """Preview note images in-app and open non-image reports safely."""
+
+        target = str(path or "").strip()
+        if not target:
+            return
+        if not _is_image_attachment(target):
+            url = QUrl(target)
+            if (
+                not url.isValid()
+                or url.scheme().lower() not in {"https", "http"}
+                or not url.host()
+            ):
+                show_toast(self, "附件地址无效，无法打开。", "warning", 4200)
+                return
+            if not QDesktopServices.openUrl(url):
+                show_toast(self, "系统未能打开该附件。", "danger", 4200)
+            return
+
+        download = getattr(self.repository, "download_public_image", None)
+        if not callable(download):
+            show_toast(self, "当前数据源不支持图片预览。", "warning", 4200)
+            return
+        self._attachment_preview_generation += 1
+        generation = self._attachment_preview_generation
+        button.setEnabled(False)
+        button.setText("加载中…")
+        run_async(
+            lambda: invoke(self.repository, "download_public_image", url=target),
+            on_success=lambda payload: self._show_note_image_preview(
+                target, payload, button, generation
+            ),
+            on_error=lambda error: self._note_image_preview_failed(
+                error, button, generation
+            ),
+        )
+
+    def _show_note_image_preview(
+        self,
+        path: str,
+        payload: Any,
+        button: QPushButton,
+        generation: int,
+    ) -> None:
+        if generation != self._attachment_preview_generation:
+            return
+        button.setEnabled(True)
+        button.setText("预览")
+        content = bytes(payload or b"")
+        pixmap = QPixmap()
+        if not content or len(content) > 10 * 1024 * 1024 or not pixmap.loadFromData(content):
+            show_toast(self, "服务器返回的图片无法预览。", "danger", 4600)
+            return
+        dialog = QDialog(self)
+        dialog.setWindowTitle(f"预览 · {_attachment_name(path)}")
+        dialog.setModal(True)
+        dialog.resize(920, 680)
+        layout = QVBoxLayout(dialog)
+        layout.setContentsMargins(14, 14, 14, 14)
+        scroll = QScrollArea(dialog)
+        scroll.setWidgetResizable(True)
+        image = QLabel()
+        image.setAlignment(Qt.AlignmentFlag.AlignCenter)
+        image.setPixmap(
+            pixmap.scaled(
+                880,
+                620,
+                Qt.AspectRatioMode.KeepAspectRatio,
+                Qt.TransformationMode.SmoothTransformation,
+            )
+        )
+        scroll.setWidget(image)
+        layout.addWidget(scroll, 1)
+        close_button = QPushButton("关闭")
+        close_button.setProperty("variant", "primary")
+        close_button.clicked.connect(dialog.accept)
+        layout.addWidget(close_button, 0, Qt.AlignmentFlag.AlignRight)
+        dialog.exec()
+
+    def _note_image_preview_failed(
+        self,
+        error: Exception,
+        button: QPushButton,
+        generation: int,
+    ) -> None:
+        if generation != self._attachment_preview_generation:
+            return
+        button.setEnabled(True)
+        button.setText("预览")
+        show_toast(self, f"图片预览失败：{friendly_error(error)}", "danger", 5200)
+
     def _reset_detail_content(self, seed: Any = None) -> None:
         self.patient_name_label.setText(
             display_text(first_value(seed, "patient_name", "name", default="—"))
@@ -1753,6 +1878,7 @@ class ReceptionPage(QWidget):
                 "patient_name",
                 default=first_value(diagnosis, "patient_name", default="患者"),
             ),
+            "mode": "im",
             "record": self._selected_record,
         }
         self.video_requested.emit(payload)

app/src/doctor_workstation/ui/widgets.py

@@ -25,7 +25,13 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
-from doctor_workstation.core.errors import AuthenticationExpiredError
+from doctor_workstation.core.errors import (
+    ApiHttpError,
+    ApiProtocolError,
+    ApiTimeoutError,
+    ApiTransportError,
+    AuthenticationExpiredError,
+)
 
 AuthenticationExpiredHandler = Callable[[AuthenticationExpiredError], bool]
 _AUTHENTICATION_EXPIRED_HANDLER: AuthenticationExpiredHandler | None = None
@@ -331,7 +337,45 @@ def friendly_error(error: Any) -> str:
             "服务器证书不受系统信任。若这是可信内网的自签名服务器，请展开“服务器设置”，"
             "勾选“信任自签名证书（仅内网调试）”后重新登录，设置会自动应用。"
         )
-    return text or "操作未完成，请稍后重试。"
+    if isinstance(error, AuthenticationExpiredError):
+        return "登录状态已失效，请重新登录。"
+    if isinstance(error, ApiTimeoutError) or "timed out" in lowered or "timeout" in lowered:
+        return "连接服务器超时，请检查网络后重试。"
+    if isinstance(error, ApiProtocolError) or any(
+        marker in lowered
+        for marker in (
+            "api response envelope",
+            "api response is not valid json",
+            "invalid json",
+        )
+    ):
+        return "服务器返回的数据格式不正确，请联系管理员检查接口。"
+    if isinstance(error, ApiHttpError):
+        status_code = getattr(error, "status_code", None)
+        suffix = f"（状态码 {status_code}）" if status_code else ""
+        return f"服务器请求失败{suffix}，请稍后重试。"
+    if isinstance(error, ApiTransportError) or any(
+        marker in lowered
+        for marker in (
+            "connection refused",
+            "connecterror",
+            "connection error",
+            "failed to connect",
+            "getaddrinfo failed",
+            "name or service not known",
+            "network is unreachable",
+        )
+    ):
+        return "无法连接服务器，请检查服务器地址与网络。"
+    if any(marker in lowered for marker in ("unauthorized", "forbidden", "permission denied")):
+        return "当前账号无权执行此操作。"
+    if "not found" in lowered:
+        return "未找到所需数据。"
+    if any("\u4e00" <= character <= "\u9fff" for character in text):
+        return text
+    if isinstance(error, TypeError):
+        return "程序执行失败，请重试；若问题持续出现，请联系管理员。"
+    return "操作未完成，请稍后重试。"
 
 
 class PageHeader(QWidget):
@@ -379,6 +423,10 @@ class StatusBadge(QLabel):
         self.setObjectName("StatusBadge")
         self.setAlignment(Qt.AlignmentFlag.AlignCenter)
         self.setSizePolicy(QSizePolicy.Policy.Maximum, QSizePolicy.Policy.Fixed)
+        # QSS padding alone is not a reliable minimum on every Windows DPI
+        # scale.  Keep enough physical row height so badge text is never
+        # squeezed into the thin coloured strip seen in list item widgets.
+        self.setMinimumHeight(24)
         self.set_kind(kind)
 
     def set_kind(self, kind: str) -> None:

app/src/doctor_workstation/video/launcher.py

@@ -359,6 +359,8 @@ class VideoCallLauncher:
         *,
         diagnosis_id: Any = None,
         patient_id: Any = None,
+        open_im: bool = False,
+        patient_name: str = "患者",
     ) -> Any:
         request = self.prepare(
             ticket,
@@ -374,6 +376,8 @@ class VideoCallLauncher:
             remote_url=self.remote_url,
             logger=self.logger,
             browser_opener=self.browser_opener,
+            open_im=open_im,
+            patient_name=patient_name,
         )
 
 
@@ -388,6 +392,8 @@ def launch_video_call(
     remote_url: str | None = None,
     logger: Any = None,
     browser_opener: Callable[[str], bool] | None = None,
+    open_im: bool = False,
+    patient_name: str = "患者",
 ) -> Any:
     """Normalize a ticket and open a call with the requested backend."""
 
@@ -402,4 +408,6 @@ def launch_video_call(
         ticket,
         diagnosis_id=diagnosis_id,
         patient_id=patient_id,
+        open_im=open_im,
+        patient_name=patient_name,
     )

app/src/doctor_workstation/video/lifecycle.py

@@ -262,6 +262,53 @@ class OrderedCallLifecycle:
             self._bind_future = self._worker.submit("bind", operation)
             return self._bind_future
 
+    def save_screenshot(self, content: bytes, filename: str) -> Future[str]:
+        """Upload one video frame and append it to the diagnosis doctor notes."""
+
+        if not content:
+            raise ValueError("screenshot content must not be empty")
+        if len(content) > 10 * 1024 * 1024:
+            raise ValueError("screenshot content exceeds 10 MB")
+        clean_name = str(filename or "callshot.jpg").strip() or "callshot.jpg"
+        with self._lock:
+            if self._end_future is not None:
+                raise RuntimeError("video call has already ended")
+            upload = getattr(self.repository, "upload_material_bytes", None)
+            add_note = getattr(self.repository, "add_doctor_note", None)
+            if not callable(upload) or not callable(add_note):
+                raise ValueError("video repository does not implement screenshot storage")
+
+            def operation() -> str:
+                reference = str(
+                    _call_repository_method(
+                        upload,
+                        {
+                            "content": content,
+                            "filename": clean_name,
+                            "material_type": "image",
+                            "cid": 0,
+                        },
+                    )
+                    or ""
+                ).strip()
+                if not reference:
+                    raise ValueError("screenshot upload returned no server reference")
+                _call_repository_method(
+                    add_note,
+                    {
+                        "diagnosis_id": self.request.diagnosis_id,
+                        "content": "",
+                        "tongue_images": [reference],
+                    },
+                )
+                self.logger.info(
+                    "video screenshot stored in doctor notes",
+                    extra={"video_call": self.request.safe_log_context()},
+                )
+                return reference
+
+            return self._worker.submit("screenshot", operation)
+
     def end(self, reason: str) -> Future[bool]:
         with self._lock:
             if self._end_future is not None:

app/src/doctor_workstation/video/window.py

@@ -7,6 +7,8 @@ actual call requires an isolated QtWebEngine profile and an active QApplication.
 
 from __future__ import annotations
 
+import base64
+import binascii
 import json
 import logging
 import sys
@@ -181,11 +183,33 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             if isinstance(message, Mapping) and message.get("source") == "doctor-call":
                 self._callback(message)
 
+        @Slot(str)  # type: ignore[misc]
+        def saveScreenshot(self, data_url: str) -> None:  # noqa: N802 - Qt bridge API
+            """Forward one bounded JPEG data URL to the trusted desktop host."""
+
+            if not isinstance(data_url, str) or len(data_url) > 14 * 1024 * 1024:
+                self._callback(
+                    {
+                        "source": "doctor-call",
+                        "event": "screenshot-invalid",
+                        "message": "截屏图片过大，无法保存。",
+                    }
+                )
+                return
+            self._callback(
+                {
+                    "source": "doctor-call",
+                    "event": "screenshot",
+                    "dataUrl": data_url,
+                }
+            )
+
     class _EmbeddedVideoWindow(QMainWindow):  # type: ignore[misc, valid-type]
         status_changed = Signal(str)  # type: ignore[misc]
         call_ended = Signal(str)  # type: ignore[misc]
         call_error = Signal(str)  # type: ignore[misc]
         _start_completed = Signal(bool)  # type: ignore[misc]
+        _screenshot_completed = Signal(bool, str)  # type: ignore[misc]
 
         def __init__(
             self,
@@ -194,12 +218,19 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             lifecycle: OrderedCallLifecycle,
             *,
             logger: logging.Logger,
+            lifecycle_factory: Callable[[], OrderedCallLifecycle],
+            open_im: bool = False,
+            patient_name: str = "患者",
         ) -> None:
             super().__init__()
             self.request = request
             self.location = location
             self.lifecycle = lifecycle
+            self._lifecycle_factory = lifecycle_factory
+            self._lifecycles = [lifecycle]
             self.logger = logger
+            self.open_im = bool(open_im)
+            self.patient_name = str(patient_name or "患者").strip() or "患者"
             try:
                 self._policy = TrustedDocumentPolicy.from_url(
                     location.url,
@@ -213,10 +244,14 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             self._companion_ended = False
             self._released = False
             self._close_reason = "window-closed"
+            self._call_cycle_closed = False
+            self._start_requested = False
             self._legacy_grants: list[tuple[Any, Any]] = []
             self._permission_grants: list[Any] = []
 
-            self.setWindowTitle("视频面诊")
+            self.setWindowTitle(
+                f"与 {self.patient_name} IM 问诊" if self.open_im else "视频面诊"
+            )
             self.setAttribute(Qt.WidgetAttribute.WA_DeleteOnClose, True)
             self.resize(1120, 760)
             self.setMinimumSize(760, 520)
@@ -248,6 +283,7 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             self._connect_permissions()
 
             self._start_completed.connect(self._on_lifecycle_started)
+            self._screenshot_completed.connect(self._on_screenshot_completed)
             self.web_view.loadFinished.connect(self._on_load_finished)
             self.web_view.setUrl(QUrl(self.location.url))
 
@@ -326,17 +362,24 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
                 self.close()
                 return
 
-            try:
+            self._media_active = True
-                start_future = self.lifecycle.start()
+            config = {
-            except Exception:
+                **self.request.to_web_config(),
-                self.logger.error(
+                "patientName": self.patient_name,
-                    "video call record could not be queued",
+                "mode": "chat" if self.open_im else "video",
-                    extra={"video_call": self.request.safe_log_context()},
+            }
-                )
+            config_json = json.dumps(config, ensure_ascii=True, separators=(",", ":"))
-                self._close_reason = "record-start-queue-failed"
+            script = f"""
-                self.close()
+                (() => {{
-                return
+                  if (!window.doctorConsultation
-            start_future.add_done_callback(self._notify_start_completed)
+                      || typeof window.doctorConsultation.open !== 'function') {{
+                    return false;
+                  }}
+                  void window.doctorConsultation.open({config_json}).catch(() => undefined);
+                  return true;
+                }})()
+            """
+            self._page.runJavaScript(script, self._after_injection)
 
         def _notify_start_completed(self, future: Future[bool]) -> None:
             try:
@@ -350,25 +393,16 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             if self._closing:
                 return
             if not succeeded:
-                self._close_reason = "record-start-failed"
+                self._start_requested = False
-                self.close()
+                self._call_cycle_closed = True
+                self._page.runJavaScript(
+                    "window.doctorConsultation?.hostCallReady?.(false, "
+                    '"通话记录创建失败，请稍后重试。");'
+                )
                 return
-            self._media_active = True
+            self._page.runJavaScript(
-            config_json = json.dumps(
+                "window.doctorConsultation?.hostCallReady?.(true, '');"
-                self.request.to_web_config(),
-                ensure_ascii=True,
-                separators=(",", ":"),
             )
-            script = f"""
-                (() => {{
-                  if (!window.doctorCall || typeof window.doctorCall.start !== 'function') {{
-                    return false;
-                  }}
-                  void window.doctorCall.start({config_json}).catch(() => undefined);
-                  return true;
-                }})()
-            """
-            self._page.runJavaScript(script, self._after_injection)
 
         def _after_injection(self, result: Any) -> None:
             self._injected = result is not False
@@ -380,6 +414,18 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             if self._closing:
                 return
             event = str(message.get("event", ""))
+            if event == "call-start-request":
+                self._start_call_cycle()
+                return
+            if event == "screenshot":
+                self._save_screenshot(str(message.get("dataUrl") or ""))
+                return
+            if event == "screenshot-invalid":
+                self._on_screenshot_completed(
+                    False,
+                    str(message.get("message") or "截屏图片无效。")[:200],
+                )
+                return
             room_id = message.get("roomId", message.get("room_id"))
             if room_id not in (None, ""):
                 self.lifecycle.bind_room(room_id)
@@ -388,17 +434,81 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             if event == "status":
                 status = str(message.get("status", "unknown"))[:80]
                 self.status_changed.emit(status)
-                if status == "idle":
+                if status == "idle" and not self.open_im:
                     self._close_from_companion("remote-idle")
             elif event == "hangup":
                 status = str(message.get("status", "ended"))[:80]
                 self.call_ended.emit(status)
+                self.lifecycle.end(f"companion-{status}")
+                self._call_cycle_closed = True
+                self._start_requested = False
+                if not self.open_im:
                     self._close_from_companion("companion-hangup")
             elif event == "error":
                 message_text = str(message.get("message", "视频通话错误"))[:400]
                 self.call_error.emit(message_text)
+                if self._start_requested:
+                    self.lifecycle.end("companion-error")
+                    self._call_cycle_closed = True
+                    self._start_requested = False
+                if not self.open_im:
                     self._close_from_companion("companion-error")
 
+        def _start_call_cycle(self) -> None:
+            if self._closing or self._start_requested:
+                return
+            if self._call_cycle_closed:
+                self.lifecycle = self._lifecycle_factory()
+                self._lifecycles.append(self.lifecycle)
+                self._call_cycle_closed = False
+            self._start_requested = True
+            try:
+                future = self.lifecycle.start()
+            except Exception:
+                self._start_requested = False
+                self._on_lifecycle_started(False)
+                return
+            future.add_done_callback(self._notify_start_completed)
+
+        def _save_screenshot(self, data_url: str) -> None:
+            prefix = "data:image/jpeg;base64,"
+            if not data_url.startswith(prefix):
+                self._on_screenshot_completed(False, "截屏图片格式不正确。")
+                return
+            try:
+                content = base64.b64decode(data_url[len(prefix) :], validate=True)
+            except (ValueError, binascii.Error):
+                self._on_screenshot_completed(False, "截屏图片解析失败。")
+                return
+            try:
+                future = self.lifecycle.save_screenshot(
+                    content,
+                    f"callshot-{self.request.diagnosis_id}.jpg",
+                )
+            except Exception as error:
+                self._on_screenshot_completed(False, str(error)[:200])
+                return
+            future.add_done_callback(self._notify_screenshot_completed)
+
+        def _notify_screenshot_completed(self, future: Future[str]) -> None:
+            try:
+                future.result()
+            except Exception as error:
+                succeeded = False
+                message = str(error)[:200] or "截屏保存失败。"
+            else:
+                succeeded = True
+                message = "截屏已保存到患者信息。"
+            with suppress(RuntimeError):
+                self._screenshot_completed.emit(succeeded, message)
+
+        def _on_screenshot_completed(self, succeeded: bool, message: str) -> None:
+            payload = json.dumps(str(message)[:200], ensure_ascii=True)
+            state = "true" if succeeded else "false"
+            self._page.runJavaScript(
+                f"window.doctorConsultation?.screenshotResult?.({state}, {payload});"
+            )
+
         def _close_from_companion(self, reason: str) -> None:
             self._companion_ended = True
             self._close_reason = reason
@@ -415,11 +525,15 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             self._media_active = False
             if self._injected and not self._companion_ended and not self._released:
                 self._page.runJavaScript(
-                    "void window.doctorCall?.hangup?.().catch(() => undefined)"
+                    "void window.doctorConsultation?.close?.().catch(() => undefined)"
                 )
+            if self._start_requested and not self._call_cycle_closed:
                 self.lifecycle.end(self._close_reason)
             self._release_webengine()
 
+        def wait_for_lifecycles(self, timeout: float) -> bool:
+            return all(lifecycle.wait(timeout) for lifecycle in self._lifecycles)
+
         def _release_webengine(self) -> None:
             if self._released:
                 return
@@ -486,6 +600,8 @@ class VideoCallWindow:
         remote_url: str | None = None,
         logger: logging.Logger | None = None,
         browser_opener: Callable[[str], bool] | None = None,
+        open_im: bool = False,
+        patient_name: str = "患者",
     ) -> None:
         del browser_opener  # Reserved for a future authenticated handoff implementation.
         try:
@@ -500,14 +616,23 @@ class VideoCallWindow:
             raise VideoWindowError("embedded video requires an active QApplication")
 
         self.request = request
+        self.repository = repository
+        self.open_im = bool(open_im)
+        self.patient_name = str(patient_name or "患者").strip() or "患者"
         self.logger = logger or _LOGGER
         self.location = resolve_companion_location(
             local_dist=local_dist,
             remote_url=remote_url,
         )
         self.lifecycle = OrderedCallLifecycle(request, repository, self.logger)
+        self._lifecycles = [self.lifecycle]
         self._session: Any = None
 
+    def _new_lifecycle(self) -> OrderedCallLifecycle:
+        lifecycle = OrderedCallLifecycle(self.request, self.repository, self.logger)
+        self._lifecycles.append(lifecycle)
+        return lifecycle
+
     @property
     def qt_window(self) -> Any:
         return self._session
@@ -519,6 +644,9 @@ class VideoCallWindow:
                 self.location,
                 self.lifecycle,
                 logger=self.logger,
+                lifecycle_factory=self._new_lifecycle,
+                open_im=self.open_im,
+                patient_name=self.patient_name,
             )
         except Exception:
             self.lifecycle.end("window-open-failed")
@@ -545,7 +673,9 @@ class VideoCallWindow:
     def wait_for_lifecycle(self, timeout: float = 0.25) -> bool:
         """Wait briefly for ordered backend writes; timeout is capped at five seconds."""
 
-        return self.lifecycle.wait(timeout)
+        if self._session is not None:
+            return self._session.wait_for_lifecycles(timeout)
+        return all(lifecycle.wait(timeout) for lifecycle in self._lifecycles)
 
     wait = wait_for_lifecycle
 
@@ -558,6 +688,8 @@ def open_video_call(
     remote_url: str | None = None,
     logger: logging.Logger | None = None,
     browser_opener: Callable[[str], bool] | None = None,
+    open_im: bool = False,
+    patient_name: str = "患者",
 ) -> VideoCallWindow:
     """Create and immediately open a trusted embedded video window."""
 
@@ -570,6 +702,8 @@ def open_video_call(
         remote_url=remote_url,
         logger=logger,
         browser_opener=browser_opener,
+        open_im=open_im,
+        patient_name=patient_name,
     ).open()
 
 

app/tests/test_api_client.py

@@ -215,21 +215,43 @@ def test_invalid_envelope_raises_protocol_error() -> None:
         client.get("broken")
 
 
-def test_token_store_file_fallback_never_persists_password(tmp_path: Path) -> None:
+def test_token_store_file_fallback_never_persists_plaintext_password(tmp_path: Path) -> None:
-    """The fallback contains only an access token and an optional account name."""
+    """The fallback may contain a Windows DPAPI blob, but never plaintext."""
 
     path = tmp_path / "credentials.json"
     store = TokenStore(path, keyring_backend=None)
     store.save_token("token-value", account="doctor")
+    password_saved = store.save_password(
+        "must-not-reach-disk",
+        account="doctor",
+        scope="https://example.test/adminapi",
+    )
 
     assert store.load_token() == "token-value"
     assert store.load_account() == "doctor"
+    restored = store.load_password(account="doctor", scope="https://example.test/adminapi")
+    if password_saved:
+        assert restored == "must-not-reach-disk"
+    else:
+        assert restored is None
     payload = json.loads(path.read_text(encoding="utf-8"))
-    assert payload == {"token": "token-value", "account": "doctor"}
+    assert payload["token"] == "token-value"
+    assert payload["account"] == "doctor"
     assert "password" not in path.read_text(encoding="utf-8").lower()
+    assert "must-not-reach-disk" not in path.read_text(encoding="utf-8")
     store.clear_token()
     assert store.load_token() is None
     assert store.load_account() == "doctor"
+    after_logout = store.load_password(
+        account="doctor",
+        scope="https://example.test/adminapi",
+    )
+    if password_saved:
+        assert after_logout == "must-not-reach-disk"
+    else:
+        assert after_logout is None
+    store.clear_account()
+    assert store.load_password(account="doctor", scope="https://example.test/adminapi") is None
 
 
 class _MemoryKeyring:
@@ -267,6 +289,33 @@ def test_token_store_prefers_available_keyring(tmp_path: Path) -> None:
     assert json.loads(path.read_text(encoding="utf-8")) == {"account": "doctor"}
 
 
+def test_token_store_keeps_login_password_in_scoped_keyring_only(tmp_path: Path) -> None:
+    backend = _MemoryKeyring()
+    path = tmp_path / "credentials.json"
+    store = TokenStore(path, keyring_backend=backend)
+    scope = "https://example.test/adminapi/"
+
+    assert store.save_password("secret-value", account="doctor", scope=scope)
+    assert (
+        store.load_password(account="doctor", scope="https://example.test/adminapi")
+        == "secret-value"
+    )
+    assert store.load_password(account="doctor", scope="https://other.test/adminapi") is None
+    assert "secret-value" not in path.read_text(encoding="utf-8")
+    assert json.loads(path.read_text(encoding="utf-8")) == {
+        "account": "doctor",
+        "scope": "https://example.test/adminapi",
+    }
+
+    next_scope = "https://next.test/adminapi"
+    assert store.save_password("next-secret", account="doctor", scope=next_scope)
+    assert store.load_password(account="doctor", scope=scope) is None
+    assert store.load_password(account="doctor", scope=next_scope) == "next-secret"
+
+    store.clear_password(account="doctor", scope=next_scope)
+    assert store.load_password(account="doctor", scope=next_scope) is None
+
+
 def test_token_store_scopes_automatic_restore_and_forgets_account(tmp_path: Path) -> None:
     """Automatic restore never returns a token issued for another API base."""
 

app/tests/test_reception_parity_ui.py

@@ -10,13 +10,20 @@ os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 import httpx
 import pytest
-from PySide6.QtWidgets import QApplication
+from PySide6.QtWidgets import QApplication, QPushButton
 
 from doctor_workstation.core import PermissionSet
 from doctor_workstation.services.api_client import ApiClient
+from doctor_workstation.services.mock_repository import DemoDoctorRepository
 from doctor_workstation.services.repository import RemoteDoctorRepository
 from doctor_workstation.ui.pages import reception as reception_module
-from doctor_workstation.ui.pages.reception import NOTE_LIMIT, ReceptionPage
+from doctor_workstation.ui.pages.reception import (
+    NOTE_LIMIT,
+    QueueRow,
+    ReceptionPage,
+    _is_image_attachment,
+)
+from doctor_workstation.ui.widgets import StatusBadge
 
 
 @pytest.fixture(scope="module")
@@ -50,6 +57,71 @@ def immediate_async(monkeypatch: pytest.MonkeyPatch) -> None:
     monkeypatch.setattr(reception_module, "run_async", run_immediately)
 
 
+@pytest.mark.parametrize(
+    ("path", "expected"),
+    [
+        ("https://cdn.test/tongue.JPG?token=1", True),
+        ("https://cdn.test/report.webp", True),
+        ("https://cdn.test/report.pdf", False),
+    ],
+)
+def test_note_attachment_preview_type_is_extension_aware(path: str, expected: bool) -> None:
+    assert _is_image_attachment(path) is expected
+
+
+def test_note_attachments_offer_image_preview_and_file_open(
+    application: QApplication,
+) -> None:
+    page = ReceptionPage(DemoDoctorRepository(), PermissionSet([]))
+    page._render_notes(
+        [
+            {
+                "id": 1,
+                "note_date": "2026-08-12",
+                "tongue_images": ["https://cdn.test/tongue.jpg"],
+                "report_files": [
+                    "https://cdn.test/check.png",
+                    "https://cdn.test/check.pdf",
+                ],
+            }
+        ]
+    )
+
+    labels = [button.text() for button in page.notes_container.findChildren(QPushButton)]
+    assert labels.count("预览") == 2
+    assert labels.count("打开") == 1
+    page.close()
+    application.processEvents()
+
+
+def test_queue_status_badge_is_not_clipped_in_narrow_panel(
+    application: QApplication,
+) -> None:
+    row = QueueRow(
+        {
+            "patient_name": "张蒙",
+            "status": 1,
+            "status_desc": "待接诊",
+            "appointment_time": "12:45:00",
+            "gender": 1,
+            "age": 36,
+            "assistant_name": "苏亚梅",
+        }
+    )
+    row.setFixedWidth(280)
+    row.show()
+    application.processEvents()
+
+    badge = row.findChild(StatusBadge)
+    assert badge is not None
+    assert badge.height() >= 24
+    assert badge.width() >= 54
+    assert badge.geometry().right() < row.width()
+
+    row.close()
+    application.processEvents()
+
+
 def _detail(
     appointment_id: int,
     *,
@@ -361,6 +433,7 @@ def test_video_payload_keeps_three_identifiers_distinct(
             "patient_id": 141,
             "diagnosis_id": 241,
             "patient_name": "视频患者",
+            "mode": "im",
             "record": detail["appointment"],
         }
     ]

app/tests/test_ui_contract.py

@@ -4,7 +4,7 @@ from types import SimpleNamespace
 from typing import Any
 
 from PySide6.QtCore import QSettings
-from PySide6.QtWidgets import QApplication
+from PySide6.QtWidgets import QApplication, QDialogButtonBox, QMessageBox
 
 from doctor_workstation import app as app_module
 from doctor_workstation.app import ApplicationController
@@ -232,11 +232,28 @@ def test_real_demo_login_reaches_success_without_widget_adapter(
     application.processEvents()
 
 
-def test_remembered_account_survives_a_new_login_window(tmp_path: Any) -> None:
+def test_remembered_password_survives_a_new_login_window(tmp_path: Any) -> None:
     application = QApplication.instance() or QApplication([])
-    settings_path = tmp_path / "remember-account.ini"
+    settings_path = tmp_path / "remember-password.ini"
+    secrets: dict[tuple[str, str], str] = {}
+
+    def load_password(*, account: str, scope: str) -> str | None:
+        return secrets.get((account, scope.rstrip("/")))
+
+    def save_password(password: str, *, account: str, scope: str) -> bool:
+        secrets[(account, scope.rstrip("/"))] = password
+        return True
+
+    def clear_password(*, account: str, scope: str) -> None:
+        secrets.pop((account, scope.rstrip("/")), None)
+
+    credentials = SimpleNamespace(
+        load_password=load_password,
+        save_password=save_password,
+        clear_password=clear_password,
+    )
     config = SimpleNamespace(
-        api_base_url="",
+        api_base_url="https://example.test/adminapi",
         request_timeout=30,
         verify_ssl=True,
         demo_mode=False,
@@ -246,8 +263,9 @@ def test_remembered_account_survives_a_new_login_window(tmp_path: Any) -> None:
         object(),
         config=config,
         settings=QSettings(str(settings_path), QSettings.Format.IniFormat),
+        credential_store=credentials,
     )
-    first._on_login_success({}, "admin", True)
+    first._on_login_success({}, "admin", True, "secret-value")
     first.close()
     application.processEvents()
 
@@ -255,12 +273,28 @@ def test_remembered_account_survives_a_new_login_window(tmp_path: Any) -> None:
         object(),
         config=config,
         settings=QSettings(str(settings_path), QSettings.Format.IniFormat),
+        credential_store=credentials,
     )
     assert restored.account_edit.text() == "admin"
+    assert restored.password_edit.text() == "secret-value"
+    assert restored.remember_check.text() == "记住密码"
     assert restored.remember_check.isChecked()
+
+    restored._on_login_success({}, "admin", False, "secret-value")
     restored.close()
     application.processEvents()
 
+    forgotten = LoginWindow(
+        object(),
+        config=config,
+        settings=QSettings(str(settings_path), QSettings.Format.IniFormat),
+        credential_store=credentials,
+    )
+    assert forgotten.password_edit.text() == ""
+    assert not forgotten.remember_check.isChecked()
+    forgotten.close()
+    application.processEvents()
+
 
 def test_server_settings_panel_keeps_controls_separated_at_minimum_window(
     tmp_path: Any,
@@ -386,6 +420,37 @@ def test_certificate_error_explains_self_signed_server_setting() -> None:
     assert "服务器设置" in message
 
 
+def test_qt_standard_dialog_buttons_are_localized_to_chinese() -> None:
+    application = QApplication.instance() or QApplication([])
+    app_module._install_chinese_translations(application)
+
+    question = QMessageBox()
+    question.setStandardButtons(
+        QMessageBox.StandardButton.Yes | QMessageBox.StandardButton.Cancel
+    )
+    assert question.button(QMessageBox.StandardButton.Yes).text() == "是"
+    assert question.button(QMessageBox.StandardButton.Cancel).text() == "取消"
+
+    buttons = QDialogButtonBox(
+        QDialogButtonBox.StandardButton.Ok
+        | QDialogButtonBox.StandardButton.Save
+        | QDialogButtonBox.StandardButton.Close
+    )
+    assert buttons.button(QDialogButtonBox.StandardButton.Ok).text() == "确定"
+    assert buttons.button(QDialogButtonBox.StandardButton.Save).text() == "保存"
+    assert buttons.button(QDialogButtonBox.StandardButton.Close).text() == "关闭"
+
+
+def test_friendly_error_hides_english_technical_messages() -> None:
+    message = friendly_error(
+        TypeError("invoke() takes 2 positional arguments but 3 were given")
+    )
+    assert message == "程序执行失败，请重试；若问题持续出现，请联系管理员。"
+    assert friendly_error(RuntimeError("API response envelope must be an object")) == (
+        "服务器返回的数据格式不正确，请联系管理员检查接口。"
+    )
+
+
 def test_certificate_error_opens_server_settings(tmp_path: Any) -> None:
     application = QApplication.instance() or QApplication([])
     settings = QSettings(str(tmp_path / "certificate-error.ini"), QSettings.Format.IniFormat)

app/tests/test_video_contract.py

@@ -274,6 +274,57 @@ def test_failed_start_prevents_bind_and_end_writes() -> None:
     assert events == ["start"]
 
 
+def test_video_screenshot_is_uploaded_and_appended_to_patient_tongue_images() -> None:
+    events: list[tuple[object, ...]] = []
+
+    class Repository:
+        def start_call(self, diagnosis_id: int, *, call_type: int) -> None:
+            events.append(("start", diagnosis_id, call_type))
+
+        def upload_material_bytes(
+            self,
+            content: bytes,
+            filename: str,
+            material_type: str,
+            cid: int = 0,
+        ) -> str:
+            events.append(("upload", content, filename, material_type, cid))
+            return "/uploads/image/callshot-123.jpg"
+
+        def add_doctor_note(
+            self,
+            diagnosis_id: int,
+            content: str,
+            tongue_images: list[str],
+        ) -> None:
+            events.append(("note", diagnosis_id, content, tongue_images))
+
+        def end_call(self, diagnosis_id: int) -> None:
+            events.append(("end", diagnosis_id))
+
+    request = VideoCallRequest(
+        sdk_app_id=1400123456,
+        user_id="doctor_42",
+        user_sig="short-lived-ticket",
+        target_user_id="patient_8",
+        diagnosis_id=123,
+    )
+    lifecycle = OrderedCallLifecycle(request, Repository(), logging.getLogger(__name__))
+
+    lifecycle.start()
+    screenshot = lifecycle.save_screenshot(b"jpeg-frame", "callshot-123.jpg")
+    lifecycle.end("test")
+
+    assert screenshot.result(timeout=2) == "/uploads/image/callshot-123.jpg"
+    assert lifecycle.wait(1) is True
+    assert events == [
+        ("start", 123, 2),
+        ("upload", b"jpeg-frame", "callshot-123.jpg", "image", 0),
+        ("note", 123, "", ["/uploads/image/callshot-123.jpg"]),
+        ("end", 123),
+    ]
+
+
 def test_https_document_policy_is_exact_and_origin_scoped() -> None:
     policy = TrustedDocumentPolicy.from_url(
         "https://RTC.Example.com/doctor-call/index.html?tenant=a#boot",

app/video_companion/dist/assets/index-BuO_uDya.css

@@ -1 +0,0 @@
-:root{font-family:Inter,PingFang SC,Microsoft YaHei,system-ui,sans-serif;color:#f7f8fa;background:#0b0f14;font-synthesis:none;text-rendering:optimizeLegibility}*{box-sizing:border-box}html,body,#app{width:100%;height:100%;margin:0;overflow:hidden}button,input{font:inherit}.call-stage{position:relative;width:100%;height:100%;min-height:420px;overflow:hidden;background:radial-gradient(circle at 50% 35%,rgba(39,74,83,.22),transparent 38%),#0b0f14}.call-kit,.call-stage :is(.TUICallKit-desktop,.TUICallKit-mobile,#tuicallkit-id){width:100%!important;height:100%!important;max-width:none!important;max-height:none!important}.status-card{position:absolute;inset:50% auto auto 50%;display:grid;grid-template-columns:12px minmax(0,1fr);gap:18px;width:min(520px,calc(100% - 48px));padding:30px 32px;transform:translate(-50%,-50%);border:1px solid rgba(255,255,255,.09);border-radius:20px;background:#131920e6;box-shadow:0 24px 70px #00000052;backdrop-filter:blur(18px)}.eyebrow{margin:0 0 12px;color:#8f9ba8;font-size:12px;font-weight:700;letter-spacing:.16em;text-transform:uppercase}.status-card h1{margin:0;font-size:clamp(22px,3.2vw,34px);font-weight:600;line-height:1.25}.status-hint{margin:14px 0 0;color:#9aa5b1;font-size:14px}.status-dot{width:10px;height:10px;margin-top:5px;border-radius:50%;background:#77818c;box-shadow:0 0 0 5px #77818c1f}.status-dot--starting,.status-dot--live{background:#52c99a;box-shadow:0 0 0 5px #52c99a24}.status-dot--error{background:#f26d6d;box-shadow:0 0 0 5px #f26d6d24}.live-status{position:absolute;z-index:20;top:18px;left:50%;display:flex;align-items:center;gap:10px;padding:9px 14px;transform:translate(-50%);border:1px solid rgba(255,255,255,.1);border-radius:999px;background:#0b0f14c2;color:#e8edf2;font-size:13px;backdrop-filter:blur(14px)}.live-status .status-dot{width:7px;height:7px;margin:0;box-shadow:none}

app/video_companion/dist/index.html

@@ -3,10 +3,10 @@
   <head>
     <meta charset="UTF-8" />
     <meta name="viewport" content="width=device-width, initial-scale=1.0" />
-    <meta name="color-scheme" content="dark" />
+    <meta name="color-scheme" content="light" />
     <title>视频面诊</title>
-    <script type="module" crossorigin src="./assets/index-le5ZH3pL.js"></script>
+    <script type="module" crossorigin src="./assets/index-DwSVWep6.js"></script>
-    <link rel="stylesheet" crossorigin href="./assets/index-BuO_uDya.css">
+    <link rel="stylesheet" crossorigin href="./assets/index-qOBmgxQV.css">
   </head>
   <body>
     <div id="app"></div>

app/video_companion/index.html

@@ -3,7 +3,7 @@
   <head>
     <meta charset="UTF-8" />
     <meta name="viewport" content="width=device-width, initial-scale=1.0" />
-    <meta name="color-scheme" content="dark" />
+    <meta name="color-scheme" content="light" />
     <title>视频面诊</title>
   </head>
   <body>

app/video_companion/package-lock.json

@@ -8,7 +8,9 @@
       "name": "doctor-video-companion",
       "version": "0.1.0",
       "dependencies": {
+        "@tencentcloud/lite-chat": "1.6.18",
         "@trtc/calls-uikit-vue": "4.4.6",
+        "tim-upload-plugin": "1.4.3",
         "vue": "3.5.13"
       },
       "devDependencies": {
@@ -1432,6 +1434,12 @@
         "node": ">=0.10.0"
       }
     },
+    "node_modules/tim-upload-plugin": {
+      "version": "1.4.3",
+      "resolved": "https://registry.npmjs.org/tim-upload-plugin/-/tim-upload-plugin-1.4.3.tgz",
+      "integrity": "sha512-3ZmbA36dr3eG9YGDon9MLBUtbNawYWkL+TBa+VS0Uviguc7PlVSOIVRG2C4irXX16slDT2Kj+HAZapp+Xqp2xg==",
+      "license": "ISC"
+    },
     "node_modules/trtc-cloud-js-sdk": {
       "version": "2.10.19",
       "resolved": "https://registry.npmjs.org/trtc-cloud-js-sdk/-/trtc-cloud-js-sdk-2.10.19.tgz",

app/video_companion/package.json

@@ -9,7 +9,9 @@
     "preview": "vite preview --port 4173"
   },
   "dependencies": {
+    "@tencentcloud/lite-chat": "1.6.18",
     "@trtc/calls-uikit-vue": "4.4.6",
+    "tim-upload-plugin": "1.4.3",
     "vue": "3.5.13"
   },
   "devDependencies": {

app/video_companion/src/App.vue

@@ -1,15 +1,226 @@
 <script setup lang="ts">
 import { TUICallKit } from '@trtc/calls-uikit-vue'
+import { computed, nextTick, ref, watch } from 'vue'
 import type { Ref } from 'vue'
 
-defineProps<{
+interface ChatMessage {
+  id: string
+  mine: boolean
+  type: 'text' | 'image' | 'file' | 'audio' | 'video' | 'system'
+  text: string
+  url: string
+  name: string
+  time: string
+}
+
+const props = defineProps<{
   phase: Readonly<Ref<string>>
   statusText: Readonly<Ref<string>>
+  patientName: Readonly<Ref<string>>
+  mode: Readonly<Ref<string>>
+  messages: Readonly<Ref<ChatMessage[]>>
+  chatReady: Readonly<Ref<boolean>>
+  chatBusy: Readonly<Ref<boolean>>
+  notice: Readonly<Ref<string>>
+  hasMoreMessages: Readonly<Ref<boolean>>
+  onSendText: (text: string) => Promise<void>
+  onSendAttachment: (file: File) => Promise<void>
+  onLoadMore: () => Promise<void>
+  onReconnectChat: () => Promise<void>
+  onStartVideo: () => Promise<void>
+  onHangup: () => Promise<void>
+  onSaveScreenshot: (dataUrl: string) => Promise<void>
 }>()
+
+const draft = ref('')
+const actionBusy = ref(false)
+const localError = ref('')
+const messageList = ref<HTMLElement | null>(null)
+const fileInput = ref<HTMLInputElement | null>(null)
+
+const isChat = computed(() => props.mode.value === 'chat')
+const isCalling = computed(() => ['starting', 'dialing', 'connected'].includes(props.phase.value))
+const videoVisible = computed(() => !isChat.value || isCalling.value)
+const canCapture = computed(() => props.phase.value === 'connected')
+
+watch(
+  () => props.messages.value.length,
+  async () => {
+    await nextTick()
+    if (messageList.value) messageList.value.scrollTop = messageList.value.scrollHeight
+  },
+)
+
+async function runAction(action: () => Promise<void>): Promise<void> {
+  if (actionBusy.value) return
+  actionBusy.value = true
+  localError.value = ''
+  try {
+    await action()
+  } catch (error) {
+    localError.value = error instanceof Error ? error.message : '操作失败，请稍后重试'
+  } finally {
+    actionBusy.value = false
+  }
+}
+
+async function sendText(): Promise<void> {
+  const content = draft.value.trim()
+  if (!content) return
+  await runAction(async () => {
+    await props.onSendText(content)
+    draft.value = ''
+  })
+}
+
+async function selectAttachment(event: Event): Promise<void> {
+  const input = event.target as HTMLInputElement
+  const file = input.files?.[0]
+  input.value = ''
+  if (!file) return
+  await runAction(() => props.onSendAttachment(file))
+}
+
+function findRemoteVideo(): HTMLVideoElement | null {
+  const videos = Array.from(document.querySelectorAll('video'))
+    .filter((video) => video.readyState >= 2 && video.videoWidth > 0 && video.videoHeight > 0)
+  if (!videos.length) return null
+  return videos.sort((left, right) => {
+    const leftArea = left.getBoundingClientRect().width * left.getBoundingClientRect().height
+    const rightArea = right.getBoundingClientRect().width * right.getBoundingClientRect().height
+    return rightArea - leftArea
+  })[0]
+}
+
+async function captureScreenshot(): Promise<void> {
+  await runAction(async () => {
+    const video = findRemoteVideo()
+    if (!video) throw new Error('尚未检测到患者视频画面')
+    const scale = Math.min(1, 1920 / video.videoWidth)
+    const canvas = document.createElement('canvas')
+    canvas.width = Math.max(1, Math.round(video.videoWidth * scale))
+    canvas.height = Math.max(1, Math.round(video.videoHeight * scale))
+    const context = canvas.getContext('2d')
+    if (!context) throw new Error('无法创建截图画布')
+    context.drawImage(video, 0, 0, canvas.width, canvas.height)
+    await props.onSaveScreenshot(canvas.toDataURL('image/jpeg', 0.9))
+  })
+}
 </script>
 
 <template>
-  <main class="call-stage">
+  <main class="consultation-shell" :class="{ 'consultation-shell--video-only': !isChat }">
+    <section v-if="isChat" class="chat-panel">
+      <header class="chat-header">
+        <div class="patient-avatar" aria-hidden="true">{{ patientName.value.slice(0, 1) }}</div>
+        <div class="chat-heading">
+          <h1>{{ patientName.value }}</h1>
+          <p>
+            <span class="connection-dot" :class="{ 'connection-dot--online': chatReady.value }" />
+            {{ chatReady.value ? 'IM 已连接' : statusText.value }}
+          </p>
+        </div>
+        <button
+          v-if="!chatReady.value"
+          class="secondary-action"
+          type="button"
+          :disabled="actionBusy"
+          @click="runAction(onReconnectChat)"
+        >
+          重新连接 IM
+        </button>
+        <button
+          class="primary-action"
+          type="button"
+          :disabled="actionBusy || isCalling || !chatReady.value"
+          @click="runAction(onStartVideo)"
+        >
+          <span aria-hidden="true">▣</span>
+          {{ isCalling ? '视频通话中' : '发起视频' }}
+        </button>
+      </header>
+
+      <div ref="messageList" class="message-list" aria-live="polite">
+        <button
+          v-if="hasMoreMessages.value"
+          class="load-more"
+          type="button"
+          :disabled="chatBusy.value"
+          @click="runAction(onLoadMore)"
+        >
+          {{ chatBusy.value ? '正在读取…' : '查看更早消息' }}
+        </button>
+
+        <div v-if="!messages.value.length && !chatBusy.value" class="empty-chat">
+          <div class="empty-chat__icon" aria-hidden="true">IM</div>
+          <h2>开始问诊沟通</h2>
+          <p>消息会通过腾讯云 IM 实时发送给患者。</p>
+        </div>
+
+        <article
+          v-for="message in messages.value"
+          :key="message.id"
+          class="message-row"
+          :class="{ 'message-row--mine': message.mine }"
+        >
+          <div class="message-meta">{{ message.mine ? '我' : patientName.value }} · {{ message.time }}</div>
+          <div class="message-bubble">
+            <p v-if="message.type === 'text'">{{ message.text }}</p>
+            <img
+              v-else-if="message.type === 'image' && message.url"
+              class="message-image"
+              :src="message.url"
+              alt="问诊图片"
+            >
+            <a
+              v-else-if="message.type === 'file' && message.url"
+              class="message-file"
+              :href="message.url"
+              target="_blank"
+              rel="noreferrer"
+            >
+              <span aria-hidden="true">▤</span>{{ message.name || '查看文件' }}
+            </a>
+            <audio v-else-if="message.type === 'audio' && message.url" :src="message.url" controls />
+            <video v-else-if="message.type === 'video' && message.url" class="message-video" :src="message.url" controls />
+            <p v-else>{{ message.text }}</p>
+          </div>
+        </article>
+      </div>
+
+      <footer class="composer">
+        <div v-if="localError || notice.value" class="inline-notice" :class="{ 'inline-notice--error': localError }">
+          {{ localError || notice.value }}
+        </div>
+        <div class="composer-toolbar">
+          <button type="button" title="发送图片或文件" :disabled="!chatReady.value || actionBusy" @click="fileInput?.click()">
+            ＋ 图片/文件
+          </button>
+          <input ref="fileInput" type="file" accept="image/*,.pdf,.doc,.docx,.xls,.xlsx,.txt" hidden @change="selectAttachment">
+          <span>Enter 发送，Shift + Enter 换行</span>
+        </div>
+        <div class="composer-row">
+          <textarea
+            v-model="draft"
+            rows="3"
+            maxlength="3000"
+            placeholder="输入问诊消息…"
+            :disabled="!chatReady.value"
+            @keydown.enter.exact.prevent="sendText"
+          />
+          <button
+            class="send-button"
+            type="button"
+            :disabled="!chatReady.value || !draft.trim() || actionBusy"
+            @click="sendText"
+          >
+            发送
+          </button>
+        </div>
+      </footer>
+    </section>
+
+    <section v-if="videoVisible" class="video-layer" :class="{ 'video-layer--overlay': isChat }">
       <TUICallKit
         class="call-kit"
         :allowed-minimized="false"
@@ -19,9 +230,9 @@ defineProps<{
       <section v-if="phase.value === 'ready' || phase.value === 'starting' || phase.value === 'error'" class="status-card">
         <span class="status-dot" :class="`status-dot--${phase.value}`" aria-hidden="true" />
         <div>
-        <p class="eyebrow">中医视频面诊</p>
+          <p class="eyebrow">中医视频问诊</p>
-        <h1>{{ statusText.value }}</h1>
+          <h2>{{ statusText.value }}</h2>
-        <p v-if="phase.value === 'ready'" class="status-hint">通话凭证仅由业务后端签发</p>
+          <p class="status-hint">视频通话凭证仅由业务服务器签发</p>
         </div>
       </section>
 
@@ -29,5 +240,24 @@ defineProps<{
         <span class="status-dot status-dot--live" aria-hidden="true" />
         {{ statusText.value }}
       </div>
+
+      <div v-if="isCalling" class="video-actions">
+        <button
+          class="capture-button"
+          type="button"
+          :disabled="!canCapture || actionBusy"
+          @click="captureScreenshot"
+        >
+          截屏并保存患者资料
+        </button>
+        <button class="hangup-button" type="button" :disabled="actionBusy" @click="runAction(onHangup)">
+          结束视频
+        </button>
+      </div>
+
+      <div v-if="localError || notice.value" class="video-notice" :class="{ 'video-notice--error': localError }">
+        {{ localError || notice.value }}
+      </div>
+    </section>
   </main>
 </template>

app/video_companion/src/env.d.ts

@@ -1,5 +1,10 @@
 /// <reference types="vite/client" />
 
+declare module 'tim-upload-plugin' {
+  const plugin: unknown
+  export default plugin
+}
+
 interface DoctorCallConfig {
   SDKAppID?: number | string
   sdkAppId?: number | string
@@ -9,6 +14,8 @@ interface DoctorCallConfig {
   targetUserId?: string
   patientUserId?: string
   diagnosisId: number | string
+  patientName?: string
+  mode?: 'chat' | 'video'
 }
 
 interface DoctorCallApi {
@@ -16,12 +23,23 @@ interface DoctorCallApi {
   hangup(): Promise<void>
 }
 
+interface DoctorConsultationApi {
+  open(config: DoctorCallConfig): Promise<void>
+  close(): Promise<void>
+  startVideo(): Promise<void>
+  hangup(): Promise<void>
+  hostCallReady(ok: boolean, message?: string): void
+  screenshotResult(ok: boolean, message: string): void
+}
+
 interface QtVideoBridge {
   notify?: (payload: string) => void
+  saveScreenshot?: (dataUrl: string) => void
 }
 
 interface Window {
   doctorCall: DoctorCallApi
+  doctorConsultation: DoctorConsultationApi
   qtVideoBridge?: QtVideoBridge
   qt?: { webChannelTransport?: unknown }
   QWebChannel?: new (

app/video_companion/src/main.ts

@@ -1,3 +1,5 @@
+import TencentCloudChat from '@tencentcloud/lite-chat'
+import TIMUploadPlugin from 'tim-upload-plugin'
 import { createApp, nextTick, readonly, ref } from 'vue'
 import {
   NAME,
@@ -11,6 +13,8 @@ import App from './App.vue'
 import './style.css'
 
 type CallPhase = 'ready' | 'starting' | 'dialing' | 'connected' | 'ended' | 'error'
+type CompanionMode = 'chat' | 'video'
+type ChatMessageType = 'text' | 'image' | 'file' | 'audio' | 'video' | 'system'
 
 interface NormalizedCallConfig {
   SDKAppID: number
@@ -18,11 +22,23 @@ interface NormalizedCallConfig {
   userSig: string
   targetUserId: string
   diagnosisId: number | string
+  patientName: string
+  mode: CompanionMode
+}
+
+interface UiChatMessage {
+  id: string
+  mine: boolean
+  type: ChatMessageType
+  text: string
+  url: string
+  name: string
+  time: string
 }
 
 interface BridgeMessage {
   source: 'doctor-call'
-  event: 'ready' | 'status' | 'room' | 'hangup' | 'error'
+  event: 'ready' | 'call-start-request' | 'status' | 'room' | 'hangup' | 'error'
   diagnosisId?: number | string
   status?: string
   roomId?: string
@@ -30,11 +46,25 @@ interface BridgeMessage {
 }
 
 const phase = ref<CallPhase>('ready')
-const statusText = ref('等待桌面端发起视频面诊')
+const statusText = ref('正在连接问诊服务')
+const patientName = ref('患者')
+const mode = ref<CompanionMode>('video')
+const messages = ref<UiChatMessage[]>([])
+const chatReady = ref(false)
+const chatBusy = ref(false)
+const notice = ref('')
+const hasMoreMessages = ref(false)
+
 let activeConfig: NormalizedCallConfig | null = null
-let endNotified = false
+let chat: any = null
+let chatReadyPromise: Promise<void> | null = null
+let resolveChatReady: (() => void) | null = null
+let rejectChatReady: ((reason?: unknown) => void) | null = null
+let nextReqMessageID = ''
+let endNotified = true
 let starting = false
 let emittedRoomId = ''
+let resolveHostCallReady: ((value: boolean) => void) | null = null
 
 function initializeQtWebChannel(): void {
   const transport = window.qt?.webChannelTransport
@@ -48,31 +78,28 @@ function initializeQtWebChannel(): void {
       emit({ source: 'doctor-call', event: 'ready' })
     })
   } catch {
-    console.warn('[doctor-call] Qt WebChannel 初始化失败，将使用 postMessage 通知')
+    console.warn('[doctor-consultation] Qt 通信通道初始化失败')
   }
 }
 
 function postToHost(message: BridgeMessage): boolean {
   let delivered = false
-
   try {
     if (window.parent && window.parent !== window) {
       window.parent.postMessage(message, '*')
       delivered = true
     }
   } catch {
-    // Cross-origin host may reject access; opener remains available as a fallback.
+    // The Qt bridge remains the primary transport.
   }
-
   try {
     if (window.opener && !window.opener.closed) {
       window.opener.postMessage(message, '*')
       delivered = true
     }
   } catch {
-    // The console fallback below is intentionally non-sensitive.
+    // A detached opener is harmless.
   }
-
   return delivered
 }
 
@@ -83,62 +110,358 @@ function emit(message: BridgeMessage): void {
       bridge.notify(JSON.stringify(message))
       return
     } catch {
-      // A detached WebChannel object is equivalent to an unavailable bridge.
+      // Fall through to browser messaging when the bridge has detached.
     }
   }
-
   if (!postToHost(message)) {
-    console.info('[doctor-call]', message.event, message.status ?? message.message ?? '')
+    console.info('[doctor-consultation]', message.event, message.status ?? message.message ?? '')
   }
 }
 
 function cleanString(value: unknown, field: string): string {
-  if (typeof value !== 'string' || value.trim() === '') {
+  if (typeof value !== 'string' || value.trim() === '') throw new Error(`${field}不能为空`)
-    throw new Error(`${field} 不能为空`)
-  }
   return value.trim()
 }
 
 function normalizeConfig(config: DoctorCallConfig): NormalizedCallConfig {
-  if (!config || typeof config !== 'object') throw new Error('通话配置无效')
+  if (!config || typeof config !== 'object') throw new Error('问诊配置无效')
-
+  const SDKAppID = Number(config.SDKAppID ?? config.sdkAppId)
-  const rawSdkAppId = config.SDKAppID ?? config.sdkAppId
+  if (!Number.isSafeInteger(SDKAppID) || SDKAppID <= 0) throw new Error('SDKAppID 必须是正整数')
-  const SDKAppID = Number(rawSdkAppId)
-  if (!Number.isSafeInteger(SDKAppID) || SDKAppID <= 0) {
-    throw new Error('SDKAppID 必须是正整数')
-  }
 
   const diagnosisId = config.diagnosisId
-  if (
+  if (diagnosisId === undefined || diagnosisId === null || String(diagnosisId).trim() === '') {
-    diagnosisId === undefined
+    throw new Error('诊单ID不能为空')
-    || diagnosisId === null
-    || (typeof diagnosisId === 'string' && diagnosisId.trim() === '')
-  ) {
-    throw new Error('diagnosisId 不能为空')
   }
 
   return {
     SDKAppID,
-    userID: cleanString(config.userID ?? config.userId, 'userID'),
+    userID: cleanString(config.userID ?? config.userId, '医生用户ID'),
-    userSig: cleanString(config.userSig, 'userSig'),
+    userSig: cleanString(config.userSig, '用户签名'),
-    targetUserId: cleanString(config.targetUserId ?? config.patientUserId, 'targetUserId'),
+    targetUserId: cleanString(config.targetUserId ?? config.patientUserId, '患者用户ID'),
     diagnosisId: typeof diagnosisId === 'string' ? diagnosisId.trim() : diagnosisId,
+    patientName: typeof config.patientName === 'string' && config.patientName.trim()
+      ? config.patientName.trim()
+      : '患者',
+    mode: config.mode === 'chat' ? 'chat' : 'video',
   }
 }
 
-function safeErrorMessage(error: unknown): string {
+function safeErrorMessage(error: unknown, fallback = '问诊服务发生未知错误'): string {
-  let message = error instanceof Error ? error.message : '视频通话发生未知错误'
+  let message = error instanceof Error ? error.message : fallback
-  if (activeConfig?.userSig) message = message.split(activeConfig.userSig).join('[REDACTED]')
+  if (activeConfig?.userSig) message = message.split(activeConfig.userSig).join('[已隐藏]')
-  return message
+  message = message
-    .replace(/(user\s*sig\s*[:=]\s*)[^\s,;&]+/gi, '$1[REDACTED]')
+    .replace(/(user\s*sig\s*[:=]\s*)[^\s,;&]+/gi, '$1[已隐藏]')
     .slice(0, 400)
+  if (/user\s+not\s+logged\s+in|not\s+logged\s+in/i.test(message)) {
+    return 'IM 登录已失效，请关闭其他患者 IM 窗口后重新打开本会话'
+  }
+  if (/sdk.*not.*ready|not.*ready/i.test(message)) {
+    return 'IM 连接尚未就绪，请稍后重试'
+  }
+  if (/user\s*sig.*expired|signature.*expired/i.test(message)) {
+    return 'IM 登录凭证已过期，请关闭窗口后重新打开'
+  }
+  return message || fallback
+}
+
+function timeText(raw: unknown): string {
+  const seconds = Number(raw)
+  const date = Number.isFinite(seconds) && seconds > 0 ? new Date(seconds * 1000) : new Date()
+  return date.toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit', hour12: false })
+}
+
+function messageUrl(payload: any): string {
+  if (!payload || typeof payload !== 'object') return ''
+  if (typeof payload.url === 'string') return payload.url
+  if (typeof payload.fileUrl === 'string') return payload.fileUrl
+  if (typeof payload.videoUrl === 'string') return payload.videoUrl
+  if (typeof payload.remoteAudioUrl === 'string') return payload.remoteAudioUrl
+  const images = Array.isArray(payload.imageInfoArray) ? payload.imageInfoArray : []
+  const image = images.find((item: any) => item?.type === 0) ?? images.at(-1) ?? images[0]
+  return typeof image?.url === 'string' ? image.url : ''
+}
+
+function parseJsonObject(value: unknown): Record<string, any> | null {
+  if (value && typeof value === 'object' && !Array.isArray(value)) {
+    return value as Record<string, any>
+  }
+  if (typeof value !== 'string' || !value.trim()) return null
+  try {
+    const parsed = JSON.parse(value)
+    return parsed && typeof parsed === 'object' && !Array.isArray(parsed)
+      ? parsed as Record<string, any>
+      : null
+  } catch {
+    return null
+  }
+}
+
+function customMessageContent(payload: any): { hidden: boolean; text: string } {
+  const outer = parseJsonObject(payload?.data) ?? parseJsonObject(payload) ?? {}
+  const inner = parseJsonObject(outer.data) ?? {}
+  const businessID = outer.businessID ?? outer.businessId ?? inner.businessID ?? inner.businessId
+  if (businessID === 1 || String(businessID).toLowerCase().includes('call')) {
+    return { hidden: true, text: '' }
+  }
+  const command = String(outer.command ?? outer.cmd ?? inner.command ?? inner.cmd ?? '').toLowerCase()
+  if (command.includes('call') || command.includes('invite')) {
+    return { hidden: true, text: '' }
+  }
+  const text = [
+    payload?.description,
+    outer.text,
+    outer.content,
+    outer.message,
+    outer.tips,
+    inner.text,
+    inner.content,
+    inner.message,
+  ].find((value) => typeof value === 'string' && value.trim())
+  return { hidden: false, text: text ? String(text).trim() : '系统自定义消息' }
+}
+
+function normalizeMessage(raw: any): UiChatMessage | null {
+  const payload = raw?.payload ?? {}
+  const rawType = String(raw?.type ?? '')
+  let type: ChatMessageType = 'system'
+  let text = '系统消息'
+  if (rawType === TencentCloudChat.TYPES.MSG_TEXT) {
+    type = 'text'
+    text = String(payload.text ?? '')
+  } else if (rawType === TencentCloudChat.TYPES.MSG_IMAGE) {
+    type = 'image'
+    text = '[图片]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_FILE) {
+    type = 'file'
+    text = '[文件]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_AUDIO) {
+    type = 'audio'
+    text = '[语音]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_VIDEO) {
+    type = 'video'
+    text = '[视频]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_CUSTOM) {
+    const custom = customMessageContent(payload)
+    if (custom.hidden) return null
+    text = custom.text
+  } else if (rawType === TencentCloudChat.TYPES.MSG_FACE) {
+    text = '[表情消息]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_LOCATION) {
+    text = `[位置] ${String(payload.description ?? payload.name ?? '').trim()}`.trim()
+  } else if (rawType === TencentCloudChat.TYPES.MSG_MERGER) {
+    text = `[合并消息] ${String(payload.title ?? '').trim()}`.trim()
+  } else if (rawType === TencentCloudChat.TYPES.MSG_GRP_TIP) {
+    text = '[群组通知]'
+  } else if (rawType === TencentCloudChat.TYPES.MSG_GRP_SYS_NOTICE) {
+    text = '[群组系统通知]'
+  }
+  return {
+    id: String(raw?.ID ?? raw?.id ?? `${raw?.time ?? Date.now()}-${Math.random()}`),
+    mine: Boolean(raw?.flow === 'out' || raw?.from === activeConfig?.userID),
+    type,
+    text,
+    url: messageUrl(payload),
+    name: String(payload.fileName ?? payload.name ?? (type === 'file' ? '文件' : '')),
+    time: timeText(raw?.time),
+  }
+}
+
+function mergeMessages(rawList: any[], prepend = false): void {
+  const incoming = rawList
+    .map(normalizeMessage)
+    .filter((item): item is UiChatMessage => item !== null)
+  const combined = prepend ? [...incoming, ...messages.value] : [...messages.value, ...incoming]
+  const seen = new Set<string>()
+  messages.value = combined.filter((item) => {
+    if (seen.has(item.id)) return false
+    seen.add(item.id)
+    return true
+  })
+}
+
+function onMessageReceived(event: any): void {
+  if (!activeConfig) return
+  const expected = `C2C${activeConfig.targetUserId}`
+  const list = Array.isArray(event?.data) ? event.data : []
+  const matched = list.filter((item: any) => {
+    const conversationID = String(item?.conversationID ?? '')
+    return conversationID === expected || item?.from === activeConfig?.targetUserId
+  })
+  if (!matched.length) return
+  mergeMessages(matched)
+  void chat?.setMessageRead?.({ conversationID: expected })
+}
+
+function onSdkReady(): void {
+  chatReady.value = true
+  statusText.value = 'IM 已连接'
+  notice.value = ''
+  resolveChatReady?.()
+  resolveChatReady = null
+  rejectChatReady = null
+}
+
+function onSdkNotReady(event: any): void {
+  const wasReady = chatReady.value
+  chatReady.value = false
+  statusText.value = 'IM 连接已断开'
+  if (wasReady) {
+    notice.value = safeErrorMessage(event?.data?.message ?? event?.message, 'IM 连接已断开，请重新打开会话')
+  }
+}
+
+function onKickedOut(event: any): void {
+  chatReady.value = false
+  statusText.value = 'IM 已在其他窗口登录'
+  const type = String(event?.data?.type ?? event?.data ?? '')
+  notice.value = type.includes('userSigExpired')
+    ? 'IM 登录凭证已过期，请关闭窗口后重新打开'
+    : '当前账号已在另一个 IM 窗口登录，请关闭其他患者 IM 窗口后重新打开本会话'
+}
+
+function onNetStateChange(event: any): void {
+  const state = String(event?.data?.state ?? event?.data ?? '').toUpperCase()
+  if (state.includes('DISCONNECTED')) {
+    statusText.value = 'IM 网络连接中断，正在自动恢复'
+  } else if (state.includes('CONNECTED') && chatReady.value) {
+    statusText.value = 'IM 已连接'
+  }
+}
+
+async function loginChat(): Promise<void> {
+  if (!activeConfig) throw new Error('问诊配置尚未准备好')
+  chatReady.value = false
+  statusText.value = '正在连接患者 IM'
+  chat = TencentCloudChat.create({ SDKAppID: activeConfig.SDKAppID })
+  chat.setLogLevel(2)
+  chat.registerPlugin({ 'tim-upload-plugin': TIMUploadPlugin })
+  chat.on(TencentCloudChat.EVENT.SDK_READY, onSdkReady)
+  chat.on(TencentCloudChat.EVENT.SDK_NOT_READY, onSdkNotReady)
+  chat.on(TencentCloudChat.EVENT.KICKED_OUT, onKickedOut)
+  chat.on(TencentCloudChat.EVENT.NET_STATE_CHANGE, onNetStateChange)
+  chat.on(TencentCloudChat.EVENT.MESSAGE_RECEIVED, onMessageReceived)
+  chatReadyPromise = new Promise<void>((resolve, reject) => {
+    resolveChatReady = resolve
+    rejectChatReady = reject
+  })
+  await chat.login({ userID: activeConfig.userID, userSig: activeConfig.userSig })
+  await Promise.race([
+    chatReadyPromise,
+    new Promise<void>((_, reject) => window.setTimeout(() => reject(new Error('IM 连接超时')), 15000)),
+  ])
+  await loadMessages(false)
+}
+
+async function logoutChat(): Promise<void> {
+  if (!chat) return
+  try {
+    chat.off(TencentCloudChat.EVENT.SDK_READY, onSdkReady)
+    chat.off(TencentCloudChat.EVENT.SDK_NOT_READY, onSdkNotReady)
+    chat.off(TencentCloudChat.EVENT.KICKED_OUT, onKickedOut)
+    chat.off(TencentCloudChat.EVENT.NET_STATE_CHANGE, onNetStateChange)
+    chat.off(TencentCloudChat.EVENT.MESSAGE_RECEIVED, onMessageReceived)
+    await chat.logout()
+  } catch {
+    // Closing the desktop window must not be blocked by a stale IM connection.
+  } finally {
+    chat = null
+    chatReady.value = false
+    chatReadyPromise = null
+    resolveChatReady = null
+    rejectChatReady = null
+  }
+}
+
+async function reconnectChat(): Promise<void> {
+  if (!activeConfig || activeConfig.mode !== 'chat') throw new Error('当前不是 IM 会话')
+  notice.value = ''
+  await logoutChat()
+  await loginChat()
+}
+
+async function loadMessages(prepend: boolean): Promise<void> {
+  if (!chat || !activeConfig || chatBusy.value) return
+  chatBusy.value = true
+  try {
+    const response = await chat.getMessageList({
+      conversationID: `C2C${activeConfig.targetUserId}`,
+      nextReqMessageID: prepend ? nextReqMessageID : '',
+      count: 30,
+    })
+    const data = response?.data ?? {}
+    const list = Array.isArray(data.messageList) ? data.messageList : []
+    nextReqMessageID = String(data.nextReqMessageID ?? '')
+    hasMoreMessages.value = !Boolean(data.isCompleted) && Boolean(nextReqMessageID)
+    mergeMessages(list, prepend)
+    await chat.setMessageRead({ conversationID: `C2C${activeConfig.targetUserId}` })
+  } catch (error) {
+    notice.value = `读取消息失败：${safeErrorMessage(error)}`
+  } finally {
+    chatBusy.value = false
+  }
+}
+
+async function sendText(text: string): Promise<void> {
+  if (
+    !chat
+    || !activeConfig
+    || !chatReady.value
+    || !chat.isReady?.()
+    || chat.getLoginUser?.() !== activeConfig.userID
+  ) {
+    chatReady.value = false
+    statusText.value = 'IM 登录已失效'
+    throw new Error('IM 登录已失效，请关闭其他患者 IM 窗口后重新打开本会话')
+  }
+  const content = text.trim()
+  if (!content) return
+  try {
+    const message = chat.createTextMessage({
+      to: activeConfig.targetUserId,
+      conversationType: TencentCloudChat.TYPES.CONV_C2C,
+      payload: { text: content },
+    })
+    const response = await chat.sendMessage(message)
+    mergeMessages([response?.data?.message ?? response?.data ?? message])
+  } catch (error) {
+    throw new Error(safeErrorMessage(error, '消息发送失败'))
+  }
+}
+
+async function sendAttachment(file: File): Promise<void> {
+  if (
+    !chat
+    || !activeConfig
+    || !chatReady.value
+    || !chat.isReady?.()
+    || chat.getLoginUser?.() !== activeConfig.userID
+  ) {
+    chatReady.value = false
+    statusText.value = 'IM 登录已失效'
+    throw new Error('IM 登录已失效，请关闭其他患者 IM 窗口后重新打开本会话')
+  }
+  if (file.size > 20 * 1024 * 1024) throw new Error('附件不能超过 20MB')
+  const base = {
+    to: activeConfig.targetUserId,
+    conversationType: TencentCloudChat.TYPES.CONV_C2C,
+    payload: { file },
+  }
+  const message = file.type.startsWith('image/')
+    ? chat.createImageMessage(base)
+    : chat.createFileMessage(base)
+  try {
+    const response = await chat.sendMessage(message)
+    mergeMessages([response?.data?.message ?? response?.data ?? message])
+  } catch (error) {
+    throw new Error(safeErrorMessage(error, '附件发送失败'))
+  }
 }
 
 function notifyHangup(status = 'ended'): void {
   if (endNotified) return
   endNotified = true
   phase.value = 'ended'
-  statusText.value = '视频面诊已结束'
+  statusText.value = mode.value === 'chat' ? '视频通话已结束，IM 保持连接' : '视频问诊已结束'
   emit({
     source: 'doctor-call',
     event: 'hangup',
@@ -158,12 +481,7 @@ function emitRoomId(): boolean {
   const roomId = readRoomId()
   if (!roomId || roomId === emittedRoomId) return Boolean(roomId)
   emittedRoomId = roomId
-  emit({
+  emit({ source: 'doctor-call', event: 'room', diagnosisId: activeConfig?.diagnosisId, roomId })
-    source: 'doctor-call',
-    event: 'room',
-    diagnosisId: activeConfig?.diagnosisId,
-    roomId,
-  })
   return true
 }
 
@@ -179,10 +497,9 @@ function handleStatusChanged(payload: unknown): void {
     ? (payload as { newStatus?: unknown }).newStatus
     : payload
   const status = typeof value === 'string' ? value : 'unknown'
-
   if (status === 'connected' || status.startsWith('calling-')) {
     phase.value = 'connected'
-    statusText.value = '视频面诊进行中'
+    statusText.value = '视频问诊进行中'
     void pollRoomId()
   } else if (status === 'calling' || status.startsWith('dialing')) {
     phase.value = 'dialing'
@@ -190,70 +507,71 @@ function handleStatusChanged(payload: unknown): void {
   } else if (status === 'idle' && activeConfig && !starting) {
     notifyHangup(status)
   }
-
+  emit({ source: 'doctor-call', event: 'status', diagnosisId: activeConfig?.diagnosisId, status })
-  emit({
-    source: 'doctor-call',
-    event: 'status',
-    diagnosisId: activeConfig?.diagnosisId,
-    status,
-  })
 }
 
 TUICallKitAPI.setCallback({
   statusChanged: handleStatusChanged,
   afterCalling: () => notifyHangup('after-calling'),
 })
+TUICallKitAPI.setLanguage('zh-cn')
 TUICallKitAPI.enableFloatWindow(false)
 
-async function start(config: DoctorCallConfig): Promise<void> {
+function requestHostCallStart(): Promise<boolean> {
-  if (starting || (activeConfig && !endNotified)) {
+  if (!activeConfig) return Promise.resolve(false)
-    throw new Error('已有视频通话正在进行')
+  if (!window.qtVideoBridge?.notify) return Promise.resolve(true)
-  }
+  return new Promise<boolean>((resolve) => {
+    const currentResolver = resolve
+    resolveHostCallReady = currentResolver
+    emit({ source: 'doctor-call', event: 'call-start-request', diagnosisId: activeConfig?.diagnosisId })
+    window.setTimeout(() => {
+      if (resolveHostCallReady !== currentResolver) return
+      resolveHostCallReady = null
+      resolve(false)
+    }, 15000)
+  })
+}
 
+function hostCallReady(ok: boolean, message = ''): void {
+  const resolver = resolveHostCallReady
+  resolveHostCallReady = null
+  if (message) notice.value = message
+  resolver?.(Boolean(ok))
+}
+
+async function startVideo(): Promise<void> {
+  if (!activeConfig) throw new Error('问诊配置尚未准备好')
+  if (starting || !endNotified) throw new Error('已有视频通话正在进行')
   starting = true
   endNotified = false
   phase.value = 'starting'
-  statusText.value = '正在初始化安全通话'
+  statusText.value = '正在创建安全视频通话'
-
+  notice.value = ''
   try {
-    const normalized = normalizeConfig(config)
+    const allowed = await requestHostCallStart()
-    activeConfig = normalized
+    if (!allowed) throw new Error(notice.value || '服务器未能创建视频通话记录')
-    emittedRoomId = ''
-
     await TUICallKitAPI.init({
-      SDKAppID: normalized.SDKAppID,
+      SDKAppID: activeConfig.SDKAppID,
-      userID: normalized.userID,
+      userID: activeConfig.userID,
-      userSig: normalized.userSig,
+      userSig: activeConfig.userSig,
+      ...(chat ? { tim: chat, isFromChat: true } : {}),
     })
-
     await nextTick()
     phase.value = 'dialing'
     statusText.value = '正在呼叫患者'
-
+    emittedRoomId = ''
     await TUICallKitAPI.calls({
-      userIDList: [normalized.targetUserId],
+      userIDList: [activeConfig.targetUserId],
       type: TUICallType.VIDEO_CALL,
     })
     void pollRoomId()
-
+    emit({ source: 'doctor-call', event: 'status', diagnosisId: activeConfig.diagnosisId, status: 'dialing' })
-    emit({
-      source: 'doctor-call',
-      event: 'status',
-      diagnosisId: normalized.diagnosisId,
-      status: 'dialing',
-    })
   } catch (error) {
-    const message = safeErrorMessage(error)
+    const message = safeErrorMessage(error, '无法发起视频通话')
     phase.value = 'error'
     statusText.value = message
-    emit({
-      source: 'doctor-call',
-      event: 'error',
-      diagnosisId: activeConfig?.diagnosisId,
-      message,
-    })
-    activeConfig = null
     endNotified = true
+    emit({ source: 'doctor-call', event: 'error', diagnosisId: activeConfig.diagnosisId, message })
     throw new Error(message)
   } finally {
     starting = false
@@ -262,28 +580,88 @@ async function start(config: DoctorCallConfig): Promise<void> {
 
 async function hangup(): Promise<void> {
   if (!activeConfig || endNotified) return
-
   try {
     await TUICallKitAPI.hangup()
     notifyHangup('local-hangup')
   } catch (error) {
-    const message = safeErrorMessage(error)
+    const message = safeErrorMessage(error, '结束视频通话失败')
-    emit({
+    emit({ source: 'doctor-call', event: 'error', diagnosisId: activeConfig.diagnosisId, message })
-      source: 'doctor-call',
-      event: 'error',
-      diagnosisId: activeConfig.diagnosisId,
-      message,
-    })
     throw new Error(message)
   }
 }
 
-window.doctorCall = { start, hangup }
+async function saveScreenshot(dataUrl: string): Promise<void> {
+  const bridge = window.qtVideoBridge
+  if (!bridge || typeof bridge.saveScreenshot !== 'function') throw new Error('桌面端截图保存通道不可用')
+  bridge.saveScreenshot(dataUrl)
+  notice.value = '正在保存截图到患者舌像资料…'
+}
+
+function screenshotResult(ok: boolean, message: string): void {
+  notice.value = message || (ok ? '截图已保存到患者舌像资料' : '截图保存失败')
+}
+
+async function open(config: DoctorCallConfig): Promise<void> {
+  if (activeConfig) await close()
+  activeConfig = normalizeConfig(config)
+  mode.value = activeConfig.mode
+  patientName.value = activeConfig.patientName
+  messages.value = []
+  nextReqMessageID = ''
+  hasMoreMessages.value = false
+  endNotified = true
+  phase.value = 'ready'
+  notice.value = ''
+  if (activeConfig.mode === 'chat') {
+    try {
+      await loginChat()
+    } catch (error) {
+      const message = safeErrorMessage(error, 'IM 连接失败')
+      phase.value = 'error'
+      statusText.value = message
+      emit({ source: 'doctor-call', event: 'error', diagnosisId: activeConfig.diagnosisId, message })
+      throw new Error(message)
+    }
+  } else {
+    await startVideo()
+  }
+}
+
+async function close(): Promise<void> {
+  if (!endNotified) await hangup()
+  await logoutChat()
+  activeConfig = null
+  phase.value = 'ended'
+}
+
+window.doctorConsultation = {
+  open,
+  close,
+  startVideo,
+  hangup,
+  hostCallReady,
+  screenshotResult,
+}
+window.doctorCall = { start: open, hangup }
 initializeQtWebChannel()
 
 createApp(App, {
   phase: readonly(phase),
   statusText: readonly(statusText),
+  patientName: readonly(patientName),
+  mode: readonly(mode),
+  messages: readonly(messages),
+  chatReady: readonly(chatReady),
+  chatBusy: readonly(chatBusy),
+  notice: readonly(notice),
+  hasMoreMessages: readonly(hasMoreMessages),
+  onSendText: sendText,
+  onSendAttachment: sendAttachment,
+  onLoadMore: () => loadMessages(true),
+  onReconnectChat: reconnectChat,
+  onStartVideo: startVideo,
+  onHangup: hangup,
+  onSaveScreenshot: saveScreenshot,
 }).mount('#app')
 
 emit({ source: 'doctor-call', event: 'ready' })

app/video_companion/src/style.css

@@ -1,14 +1,12 @@
 :root {
-  font-family: Inter, "PingFang SC", "Microsoft YaHei", system-ui, sans-serif;
+  font-family: "Microsoft YaHei UI", "PingFang SC", "Noto Sans CJK SC", system-ui, sans-serif;
-  color: #f7f8fa;
+  color: #132238;
-  background: #0b0f14;
+  background: #eef3fb;
   font-synthesis: none;
   text-rendering: optimizeLegibility;
 }
 
-* {
+* { box-sizing: border-box; }
-  box-sizing: border-box;
-}
 
 html,
 body,
@@ -20,23 +18,222 @@ body,
 }
 
 button,
-input {
+textarea,
-  font: inherit;
+input { font: inherit; }
+
+button { cursor: pointer; }
+button:disabled { cursor: not-allowed; opacity: .55; }
+
+.consultation-shell {
+  width: 100%;
+  height: 100%;
+  min-width: 760px;
+  min-height: 540px;
+  background: #eef3fb;
 }
 
-.call-stage {
+.chat-panel {
+  display: grid;
+  grid-template-rows: 74px minmax(0, 1fr) auto;
+  width: 100%;
+  height: 100%;
+  background: #f7f9fd;
+}
+
+.chat-header {
+  display: flex;
+  align-items: center;
+  gap: 14px;
+  padding: 12px 20px;
+  border-bottom: 1px solid #d7dfef;
+  background: rgba(255, 255, 255, .96);
+}
+
+.patient-avatar {
+  display: grid;
+  place-items: center;
+  width: 44px;
+  height: 44px;
+  border-radius: 14px;
+  color: #fff;
+  background: #5267df;
+  font-size: 18px;
+  font-weight: 700;
+}
+
+.chat-heading { min-width: 0; flex: 1; }
+.chat-heading h1 { margin: 0; font-size: 18px; line-height: 1.4; }
+.chat-heading p {
+  display: flex;
+  align-items: center;
+  gap: 7px;
+  margin: 3px 0 0;
+  color: #71809a;
+  font-size: 12px;
+}
+
+.connection-dot {
+  width: 7px;
+  height: 7px;
+  border-radius: 50%;
+  background: #a3adbd;
+}
+.connection-dot--online { background: #24a77c; box-shadow: 0 0 0 3px rgba(36, 167, 124, .12); }
+
+.primary-action,
+.send-button,
+.capture-button {
+  border: 1px solid #5166df;
+  border-radius: 9px;
+  color: #fff;
+  background: #5267df;
+  font-weight: 600;
+}
+.secondary-action {
+  padding: 9px 13px;
+  border: 1px solid #c8d2e7;
+  border-radius: 9px;
+  color: #43526b;
+  background: #fff;
+  font-weight: 600;
+}
+.secondary-action:hover { border-color: #7385e9; color: #4055ca; background: #f5f7ff; }
+.primary-action { display: flex; gap: 8px; align-items: center; padding: 10px 16px; }
+.primary-action:hover,
+.send-button:hover,
+.capture-button:hover { background: #4055ca; }
+
+.message-list {
+  overflow-y: auto;
+  padding: 18px max(24px, calc((100% - 920px) / 2));
+  background:
+    radial-gradient(circle at 12% 16%, rgba(82, 103, 223, .055), transparent 25%),
+    #f3f6fb;
+}
+
+.load-more {
+  display: block;
+  margin: 0 auto 18px;
+  padding: 6px 12px;
+  border: 1px solid #d6deed;
+  border-radius: 999px;
+  color: #66758e;
+  background: #fff;
+  font-size: 12px;
+}
+
+.empty-chat {
+  display: grid;
+  justify-items: center;
+  margin-top: min(16vh, 110px);
+  color: #7c89a0;
+  text-align: center;
+}
+.empty-chat__icon {
+  display: grid;
+  place-items: center;
+  width: 62px;
+  height: 62px;
+  margin-bottom: 12px;
+  border: 1px solid #d2daeb;
+  border-radius: 20px;
+  color: #5267df;
+  background: #fff;
+  font-weight: 800;
+}
+.empty-chat h2 { margin: 0; color: #34425a; font-size: 17px; }
+.empty-chat p { margin: 7px 0; font-size: 13px; }
+
+.message-row {
+  display: flex;
+  flex-direction: column;
+  align-items: flex-start;
+  margin: 12px 0;
+}
+.message-row--mine { align-items: flex-end; }
+.message-meta { margin: 0 8px 5px; color: #8995a9; font-size: 11px; }
+.message-bubble {
+  max-width: min(72%, 620px);
+  padding: 10px 13px;
+  border: 1px solid #d8e0ed;
+  border-radius: 5px 15px 15px 15px;
+  background: #fff;
+  box-shadow: 0 4px 14px rgba(29, 47, 80, .05);
+  line-height: 1.6;
+  word-break: break-word;
+}
+.message-row--mine .message-bubble {
+  border-color: #5267df;
+  border-radius: 15px 5px 15px 15px;
+  color: #fff;
+  background: #5267df;
+}
+.message-bubble p { margin: 0; white-space: pre-wrap; }
+.message-image,
+.message-video { display: block; max-width: 360px; max-height: 280px; border-radius: 9px; }
+.message-file { display: flex; align-items: center; gap: 8px; color: inherit; text-decoration: none; }
+.message-bubble audio { max-width: 320px; }
+
+.composer {
+  padding: 10px 18px 14px;
+  border-top: 1px solid #d7dfef;
+  background: #fff;
+}
+.composer-toolbar {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  min-height: 30px;
+  color: #8a96a9;
+  font-size: 11px;
+}
+.composer-toolbar button {
+  padding: 5px 9px;
+  border: 0;
+  border-radius: 7px;
+  color: #5267df;
+  background: #eef1ff;
+  font-size: 12px;
+}
+.composer-row { display: grid; grid-template-columns: minmax(0, 1fr) 86px; gap: 12px; }
+.composer textarea {
+  width: 100%;
+  min-height: 68px;
+  max-height: 150px;
+  padding: 10px 12px;
+  resize: vertical;
+  border: 1px solid #ced8ea;
+  border-radius: 10px;
+  outline: none;
+  color: #15233a;
+  background: #fbfcff;
+  line-height: 1.5;
+}
+.composer textarea:focus { border-color: #6678ed; box-shadow: 0 0 0 3px rgba(82, 103, 223, .11); }
+.send-button { align-self: end; height: 40px; }
+
+.inline-notice {
+  margin-bottom: 7px;
+  color: #3f6f62;
+  font-size: 12px;
+}
+.inline-notice--error { color: #c14455; }
+
+.video-layer {
   position: relative;
   width: 100%;
   height: 100%;
   min-height: 420px;
   overflow: hidden;
+  color: #f7f8fa;
   background:
-    radial-gradient(circle at 50% 35%, rgba(39, 74, 83, 0.22), transparent 38%),
+    radial-gradient(circle at 50% 35%, rgba(60, 86, 130, .28), transparent 38%),
-    #0b0f14;
+    #090d14;
 }
+.video-layer--overlay { position: fixed; z-index: 1000; inset: 0; }
 
 .call-kit,
-.call-stage :is(.TUICallKit-desktop, .TUICallKit-mobile, #tuicallkit-id) {
+.video-layer :is(.TUICallKit-desktop, .TUICallKit-mobile, #tuicallkit-id) {
   width: 100% !important;
   height: 100% !important;
   max-width: none !important;
@@ -52,55 +249,25 @@ input {
   width: min(520px, calc(100% - 48px));
   padding: 30px 32px;
   transform: translate(-50%, -50%);
-  border: 1px solid rgba(255, 255, 255, 0.09);
+  border: 1px solid rgba(255, 255, 255, .1);
   border-radius: 20px;
-  background: rgba(19, 25, 32, 0.9);
+  background: rgba(19, 25, 32, .92);
-  box-shadow: 0 24px 70px rgba(0, 0, 0, 0.32);
+  box-shadow: 0 24px 70px rgba(0, 0, 0, .32);
-  backdrop-filter: blur(18px);
 }
-
+.eyebrow { margin: 0 0 12px; color: #a3afbf; font-size: 12px; font-weight: 700; letter-spacing: .12em; }
-.eyebrow {
+.status-card h2 { margin: 0; font-size: clamp(22px, 3.2vw, 34px); font-weight: 600; line-height: 1.25; }
-  margin: 0 0 12px;
+.status-hint { margin: 14px 0 0; color: #9aa5b1; font-size: 14px; }
-  color: #8f9ba8;
-  font-size: 12px;
-  font-weight: 700;
-  letter-spacing: 0.16em;
-  text-transform: uppercase;
-}
-
-.status-card h1 {
-  margin: 0;
-  font-size: clamp(22px, 3.2vw, 34px);
-  font-weight: 600;
-  line-height: 1.25;
-}
-
-.status-hint {
-  margin: 14px 0 0;
-  color: #9aa5b1;
-  font-size: 14px;
-}
-
 .status-dot {
   width: 10px;
   height: 10px;
   margin-top: 5px;
   border-radius: 50%;
   background: #77818c;
-  box-shadow: 0 0 0 5px rgba(119, 129, 140, 0.12);
+  box-shadow: 0 0 0 5px rgba(119, 129, 140, .12);
 }
-
 .status-dot--starting,
-.status-dot--live {
+.status-dot--live { background: #52c99a; box-shadow: 0 0 0 5px rgba(82, 201, 154, .14); }
-  background: #52c99a;
+.status-dot--error { background: #f26d6d; box-shadow: 0 0 0 5px rgba(242, 109, 109, .14); }
-  box-shadow: 0 0 0 5px rgba(82, 201, 154, 0.14);
-}
-
-.status-dot--error {
-  background: #f26d6d;
-  box-shadow: 0 0 0 5px rgba(242, 109, 109, 0.14);
-}
-
 .live-status {
   position: absolute;
   z-index: 20;
@@ -111,17 +278,41 @@ input {
   gap: 10px;
   padding: 9px 14px;
   transform: translateX(-50%);
-  border: 1px solid rgba(255, 255, 255, 0.1);
+  border: 1px solid rgba(255, 255, 255, .1);
   border-radius: 999px;
-  background: rgba(11, 15, 20, 0.76);
+  background: rgba(11, 15, 20, .8);
-  color: #e8edf2;
   font-size: 13px;
-  backdrop-filter: blur(14px);
 }
+.live-status .status-dot { width: 7px; height: 7px; margin: 0; box-shadow: none; }
 
-.live-status .status-dot {
+.video-actions {
-  width: 7px;
+  position: absolute;
-  height: 7px;
+  z-index: 40;
-  margin: 0;
+  right: 22px;
-  box-shadow: none;
+  bottom: 24px;
+  display: flex;
+  gap: 10px;
+}
+.video-actions button { padding: 10px 15px; border-radius: 10px; font-weight: 600; }
+.hangup-button { border: 1px solid #b44755; color: #fff; background: rgba(161, 47, 61, .9); }
+.hangup-button:hover { background: #be394d; }
+.video-notice {
+  position: absolute;
+  z-index: 40;
+  left: 22px;
+  bottom: 26px;
+  max-width: calc(100% - 420px);
+  padding: 9px 12px;
+  border: 1px solid rgba(82, 201, 154, .35);
+  border-radius: 9px;
+  color: #d9f8eb;
+  background: rgba(20, 78, 62, .84);
+  font-size: 13px;
+}
+.video-notice--error { border-color: rgba(242, 109, 109, .4); color: #ffe4e7; background: rgba(100, 31, 40, .88); }
+
+@media (max-width: 820px) {
+  .consultation-shell { min-width: 620px; }
+  .message-list { padding-inline: 18px; }
+  .message-bubble { max-width: 82%; }
 }

server/app/adminapi/lists/firstvisit/MyPatientProgressLists.php

@@ -77,6 +77,8 @@ class MyPatientProgressLists extends BaseAdminDataLists implements ListsSearchIn
                 'completed' => (int) ($todaySchedule['completed_appointments'] ?? 0),
                 'missed' => (int) ($todaySchedule['missed_appointments'] ?? 0),
                 'empty_slots' => 0,
+                'passed_slots' => 0,
+                'remaining_slots' => 0,
                 'doctor_count' => (int) ($todaySchedule['doctor_count'] ?? 0),
             ]
             : [
@@ -84,7 +86,10 @@ class MyPatientProgressLists extends BaseAdminDataLists implements ListsSearchIn
                 'booked' => (int) ($todaySchedule['booked_slots'] ?? 0),
                 'completed' => 0,
                 'missed' => 0,
-                'empty_slots' => (int) ($todaySchedule['empty_slots'] ?? 0),
+                // 空号口径：剩余可预约号源（未过时刻且未被有效挂号占用），过号单独给出
+                'empty_slots' => (int) ($todaySchedule['remaining_slots'] ?? 0),
+                'passed_slots' => (int) ($todaySchedule['passed_slots'] ?? 0),
+                'remaining_slots' => (int) ($todaySchedule['remaining_slots'] ?? 0),
                 'doctor_count' => (int) ($todaySchedule['doctor_count'] ?? 0),
             ];
 
@@ -365,15 +370,37 @@ class MyPatientProgressLists extends BaseAdminDataLists implements ListsSearchIn
             }
         }
 
+        $today = date('Y-m-d');
+        $nowHm = date('H:i');
+
         foreach ($days as $date => &$day) {
             $doctorDetails = [];
             $total = 0;
             $booked = 0;
+            $passed = 0;
+            $remaining = 0;
             foreach ($doctorSlotSets[$date] ?? [] as $doctorId => $slotSet) {
                 $doctorTotal = count($slotSet);
-                $doctorBooked = count($doctorBookedSets[$date][$doctorId] ?? []);
+                $bookedSet = $doctorBookedSets[$date][$doctorId] ?? [];
+                $doctorBooked = count($bookedSet);
+                $doctorPassed = 0;
+                $doctorRemaining = 0;
+                foreach ($slotSet as $time => $_) {
+                    if (isset($bookedSet[$time])) {
+                        continue;
+                    }
+                    // 与挂号选号一致：今日已过（含当前分钟）的未约号源计为过号，其余为剩余可约
+                    $isPassed = $date < $today || ($date === $today && strcmp((string) $time, $nowHm) <= 0);
+                    if ($isPassed) {
+                        $doctorPassed++;
+                    } else {
+                        $doctorRemaining++;
+                    }
+                }
                 $total += $doctorTotal;
                 $booked += $doctorBooked;
+                $passed += $doctorPassed;
+                $remaining += $doctorRemaining;
                 $scheduleWindows = array_values(array_keys($doctorWindowSets[$date][$doctorId] ?? []));
                 sort($scheduleWindows, SORT_STRING);
                 $doctorDetails[] = [
@@ -382,17 +409,23 @@ class MyPatientProgressLists extends BaseAdminDataLists implements ListsSearchIn
                     'schedule_windows' => $scheduleWindows,
                     'total_slots' => $doctorTotal,
                     'booked_slots' => $doctorBooked,
-                    'empty_slots' => max(0, $doctorTotal - $doctorBooked),
+                    'passed_slots' => $doctorPassed,
+                    'remaining_slots' => $doctorRemaining,
+                    // 空号对外展示剩余可约；过号/未挂号细分见 passed/remaining
+                    'empty_slots' => $doctorRemaining,
                 ];
             }
             usort($doctorDetails, static function (array $left, array $right): int {
-                return $right['booked_slots'] <=> $left['booked_slots']
+                return $right['remaining_slots'] <=> $left['remaining_slots']
+                    ?: $right['booked_slots'] <=> $left['booked_slots']
                     ?: $right['total_slots'] <=> $left['total_slots']
                     ?: strcmp((string) $left['doctor_name'], (string) $right['doctor_name']);
             });
             $day['total_slots'] = $total;
             $day['booked_slots'] = $booked;
-            $day['empty_slots'] = max(0, $total - $booked);
+            $day['passed_slots'] = $passed;
+            $day['remaining_slots'] = $remaining;
+            $day['empty_slots'] = $remaining;
             $day['doctor_count'] = count($doctorDetails);
             $day['doctors'] = $doctorDetails;
         }
@@ -589,6 +622,8 @@ class MyPatientProgressLists extends BaseAdminDataLists implements ListsSearchIn
             'weekday' => $weekdayLabels[(int) date('w', $timestamp)],
             'total_slots' => 0,
             'booked_slots' => 0,
+            'passed_slots' => 0,
+            'remaining_slots' => 0,
             'empty_slots' => 0,
             'doctor_count' => 0,
             'doctors' => [],

server/app/adminapi/logic/stats/ConversionLogic.php

@@ -957,8 +957,13 @@ class ConversionLogic
     }
 
     /**
-     * Aggregate add-contact events by WeCom user once, then project that raw
+     * 区间有效加粉：按企微员工聚合后，再投影到部门/成员/虚拟桶。
-     * snapshot to departments, members and virtual buckets in PHP.
+     *
+     * 口径（对齐企微客户列表，而非原始回调条数）：
+     * - 统计区间内 add_external_contact，按 (user_id, external_userid) 去重；
+     * - 加粉之后、统计结束前须有 msg_audit_approved（排除未完成链路的幽灵事件）；
+     * - 加粉之后、统计结束前若出现 del_external_contact（客户从企微侧删除）则不计。
+     *   不扣减 del_follow_user：企微客户列表中改名带「删」的客户往往仍在列表中。
      *
      * @param array<string, mixed>|null $mediaChannel
      * @param int[]|null $adminIds null means all active/unbound WeCom users
@@ -981,7 +986,7 @@ class ConversionLogic
             }
         }
 
-        $baseKey = self::requestRowsCacheKey('fans', [
+        $baseKey = self::requestRowsCacheKey('fans-effective-v2', [
             $startTimestamp,
             $endTimestamp,
             self::mediaChannelCacheKey($mediaChannel),
@@ -1019,11 +1024,30 @@ class ConversionLogic
             }
         }
 
+        $eventTable = config('database.connections.mysql.prefix') . 'qywx_external_contact_event';
         $query = Db::name('qywx_external_contact_event')
             ->alias('e')
             ->where('e.change_type', 'add_external_contact')
             ->where('e.event_time', 'between', [$startTimestamp, $endTimestamp])
-            ->fieldRaw('e.user_id, COUNT(*) AS add_fans_count')
+            ->whereRaw(
+                'EXISTS (SELECT 1 FROM `' . $eventTable . '` audit_e'
+                . ' WHERE audit_e.user_id = e.user_id'
+                . ' AND audit_e.external_userid = e.external_userid'
+                . ' AND audit_e.change_type = ?'
+                . ' AND audit_e.event_time >= e.event_time'
+                . ' AND audit_e.event_time <= ?)',
+                ['msg_audit_approved', $endTimestamp]
+            )
+            ->whereRaw(
+                'NOT EXISTS (SELECT 1 FROM `' . $eventTable . '` del_e'
+                . ' WHERE del_e.user_id = e.user_id'
+                . ' AND del_e.external_userid = e.external_userid'
+                . ' AND del_e.change_type = ?'
+                . ' AND del_e.event_time >= e.event_time'
+                . ' AND del_e.event_time <= ?)',
+                ['del_external_contact', $endTimestamp]
+            )
+            ->fieldRaw('e.user_id, COUNT(DISTINCT e.external_userid) AS add_fans_count')
             ->group('e.user_id');
         if ($workWechatUserIds !== null) {
             $query->whereIn('e.user_id', $workWechatUserIds);
@@ -1604,6 +1628,8 @@ class ConversionLogic
             $entity['interview_rate'] = self::percent($interviewCount, $appointmentTotalCount);
             $entity['receive_rate'] = self::receiveRate($completedOrderCount, $addFansCount, $interviewCount, $dimension);
             $entity['interview_receive_rate'] = self::percent($completedOrderCount, $interviewCount);
+            // 面诊接诊率：面诊 / 挂号
+            $entity['interview_paid_rate'] = self::percent($interviewCount, $paidAppointmentCount);
             $entity['open_receive_rate'] = self::percent($completedOrderCount, $totalOpenCount);
             $entity['avg_unit_price'] = self::safeDivideMoney($completedOrderAmount, $completedOrderCount);
             $entity['cash_cost'] = self::safeDivideMoney($effectiveAccountCost, $addFansCount);
@@ -1837,6 +1863,7 @@ class ConversionLogic
         $node['interview_rate'] = self::percent($interviewCount, $appointmentTotalCount);
         $node['receive_rate'] = self::receiveRate($completedOrderCount, $addFansCount, $interviewCount, 'dept');
         $node['interview_receive_rate'] = self::percent($completedOrderCount, $interviewCount);
+        $node['interview_paid_rate'] = self::percent($interviewCount, $paidAppointmentCount);
         $node['open_receive_rate'] = self::percent($completedOrderCount, $totalOpenCount);
         $node['avg_unit_price'] = self::safeDivideMoney($completedOrderAmount, $completedOrderCount);
         $node['cash_cost'] = self::safeDivideMoney($effectiveAccountCost, $addFansCount);
@@ -2258,6 +2285,7 @@ class ConversionLogic
             'interview_rate' => 0.0,
             'receive_rate' => 0.0,
             'interview_receive_rate' => 0.0,
+            'interview_paid_rate' => 0.0,
             'open_receive_rate' => 0.0,
             'avg_unit_price' => 0.0,
             'cash_cost' => 0.0,
@@ -2324,6 +2352,7 @@ class ConversionLogic
                 'member'
             ),
             'interview_receive_rate' => self::percent($completedOrderCount, $interviewCount),
+            'interview_paid_rate' => self::percent($interviewCount, $paidAppointmentCount),
             'open_receive_rate' => self::percent($completedOrderCount, $totalOpenCount),
             'avg_unit_price' => self::safeDivideMoney($completedOrderAmount, $completedOrderCount),
             'cash_cost' => self::safeDivideMoney($effectiveAccountCost, $addFansCount),
@@ -2500,6 +2529,7 @@ class ConversionLogic
             $dimension
         );
         $summary['interview_receive_rate'] = self::percent($summary['completed_order_count'], $summary['interview_count']);
+        $summary['interview_paid_rate'] = self::percent($summary['interview_count'], $summary['paid_appointment_count']);
         $summary['open_receive_rate'] = self::percent($summary['completed_order_count'], $summary['total_open_count']);
         $summary['avg_unit_price'] = self::safeDivideMoney($summary['completed_order_amount'], $summary['completed_order_count']);
         $summary['cash_cost'] = self::safeDivideMoney($summary['account_cost'], $summary['add_fans_count']);