更新

app/src/doctor_workstation/services/mock_repository.py

@@ -2696,11 +2696,15 @@ class DemoDoctorRepository:
     ) -> dict[str, Any]:
         """Return the demo archive in the server response envelope shape."""
 
-        with self._lock:
-            consultation = self._find_consultation(diagnosis_id)
-            return deepcopy(
-                {
-                    "lists": self._im_messages.get(diagnosis_id, []),
+        with self._lock:
+            consultation = self._find_consultation(diagnosis_id)
+            rows = [
+                {**row, "diagnosis_id": diagnosis_id}
+                for row in self._im_messages.get(diagnosis_id, [])
+            ]
+            return deepcopy(
+                {
+                    "lists": rows,
                     "patient_im_id": f"patient_{consultation.patient_id}",
                     "patient_name": consultation.patient_name,
                     "doctor_accounts_queried": [] if only_archived else ["doctor_1001"],

app/src/doctor_workstation/ui/dialogs/ai_consult.py

@@ -2192,7 +2192,9 @@ class AiConsultDialog(QDialog):
             "messages", {"value": None, "error": "未返回资料。"}
         )
         message_rows, rejected_messages = _owned_rows(
-            message_section.get("value"), self.diagnosis_id
+            message_section.get("value"),
+            self.diagnosis_id,
+            require_owner=True,
         )
         message_section["value"] = message_rows
         if rejected_messages:

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

@@ -1575,9 +1575,17 @@ class AppointmentsPage(QWidget):
         )
         present_diagnosis_ai_report(self.repository, self.permissions, self, payload)
 
-    def _open_ai_consult(self) -> None:
+    def open_selected_ai_consult(self) -> bool:
+        """Open the diagnosis-scoped assistant for the selected appointment."""
+
         row = self._current_row()
         diagnosis_id = _diagnosis_id(row)
+        if (
+            row is None
+            or diagnosis_id <= 0
+            or not can_open_ai_consult(self.permissions)
+        ):
+            return False
         present_ai_consult(
             self.repository,
             self.permissions,
@@ -1587,6 +1595,11 @@ class AppointmentsPage(QWidget):
             seed=row,
             source_title="问诊列表",
         )
+        return True
+
+    def _open_ai_consult(self) -> None:
+        if not self.open_selected_ai_consult():
+            show_toast(self, "请先选择一条有关联诊单的问诊记录。", "warning")
 
     def _request_video(self) -> None:
         if not _canonical_allowed(

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

@@ -2977,9 +2977,17 @@ class ConsultationsPage(QWidget):
             return
         self._diagnosis_dialog.open_view_only(diagnosis_id, seed=record)
 
-    def _open_ai_consult(self) -> None:
+    def open_selected_ai_consult(self) -> bool:
+        """Open the assistant with the selected diagnosis as its authority key."""
+
         record = self.table.current_data()
         diagnosis_id = _as_int(first_value(record, "diagnosis_id", "id", default=0))
+        if (
+            record is None
+            or diagnosis_id <= 0
+            or not can_open_ai_consult(self.permissions)
+        ):
+            return False
         present_ai_consult(
             self.repository,
             self.permissions,
@@ -2989,8 +2997,13 @@ class ConsultationsPage(QWidget):
                 first_value(record, "source_patient_id", "patient_id", default=0)
             ),
             seed=record,
-            source_title="患者列表",
+            source_title="问诊列表",
         )
+        return True
+
+    def _open_ai_consult(self) -> None:
+        if not self.open_selected_ai_consult():
+            show_toast(self, "请先选择一条有效诊单。", "warning")
 
     def _open_edit(self) -> None:
         if not _canonical_allowed(self.permissions, "tcm.diagnosis/edit"):

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

@@ -2740,6 +2740,24 @@ class PatientsPage(QWidget):
             source_title="我的患者",
         )
 
+    def open_selected_ai_consult(self) -> bool:
+        """Open AI chat for the selected row in the active patient workspace."""
+
+        if not can_open_ai_consult(self.permissions):
+            return False
+        workspace = self.tabs.currentWidget()
+        row = None
+        for table_name in ("table", "queue_table"):
+            table = getattr(workspace, table_name, None)
+            current_data = getattr(table, "current_data", None)
+            if callable(current_data):
+                row = current_data()
+                break
+        if row is None or self._diagnosis_id(row) <= 0:
+            return False
+        self._open_ai_consult(row)
+        return True
+
     def _open_order_diagnosis(self, row: Any) -> None:
         editable = _canonical_allowed(self.permissions, "tcm.diagnosis/edit")
         readable = _canonical_allowed(self.permissions, "tcm.diagnosis/readonlyDetail")

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

@@ -8647,17 +8647,14 @@ class ReceptionPage(QWidget):
             task=diagnosis_ai_task(prompt),
         )
 
-    def _open_ai_consult(self) -> None:
-        if not self._can_ai_assistant:
-            show_toast(self, "当前账号没有使用 AI 问诊助手的权限。", "danger")
-            return
-        if self._detail_loading:
-            show_toast(self, "患者病历仍在加载，请稍候。", "warning")
-            return
+    def open_selected_ai_consult(self) -> bool:
+        """Open AI chat only when the reception selection has a diagnosis."""
+
+        if not self._can_ai_assistant or self._detail_loading:
+            return False
         context = self._selection_context()
         if context is None or context[2] is None:
-            show_toast(self, "当前患者缺少诊单编号。", "danger")
-            return
+            return False
         seed = self._selected_detail or self._selected_record or {}
         present_ai_consult(
             self.repository,
@@ -8668,6 +8665,17 @@ class ReceptionPage(QWidget):
             seed=seed,
             source_title="接诊台",
         )
+        return True
+
+    def _open_ai_consult(self) -> None:
+        if self.open_selected_ai_consult():
+            return
+        if not self._can_ai_assistant:
+            show_toast(self, "当前账号没有使用 AI 问诊助手的权限。", "danger")
+        elif self._detail_loading:
+            show_toast(self, "患者病历仍在加载，请稍候。", "warning")
+        else:
+            show_toast(self, "请先选择一位有诊单的患者。", "warning")
 
     def _open_ai_report(
         self,

app/src/doctor_workstation/ui/shell.py

@@ -40,6 +40,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from .dialogs.ai_consult import can_open_ai_consult
 from .dialogs.local_audio_queue import LocalAudioQueueDialog
 from .pages import (
     AppointmentsPage,
@@ -872,6 +873,7 @@ class ShellWindow(QMainWindow):
                 if session_permissions is not None
                 else get_value(self.current_user, "permissions", None)
             )
+        self._can_ai_assistant = can_open_ai_consult(self.permissions)
         session_menu = get_value(self.session, "menu", None)
         self.menu = (
             session_menu if session_menu is not None else get_value(session, "menu", [])
@@ -1116,6 +1118,7 @@ class ShellWindow(QMainWindow):
         outer_assistant.setContentsMargins(13, 0, 13, 0)
         outer_assistant.addWidget(self.assistant_card)
         layout.addLayout(outer_assistant)
+        self.assistant_card.setVisible(self._can_ai_assistant)
 
         self.upload_settings_button = QPushButton("设置  ›", sidebar)
         self.upload_settings_button.setObjectName("ShellSettingsButton")
@@ -1288,6 +1291,7 @@ class ShellWindow(QMainWindow):
         self.ai_top_button.setAccessibleName("AI 助手")
         self.ai_top_button.clicked.connect(self._open_ai_assistant)
         layout.addWidget(self.ai_top_button)
+        self.ai_top_button.setVisible(self._can_ai_assistant)
 
         self.notification_button = _PaintedIconButton(
             "notification", size=38, parent=topbar
@@ -1456,7 +1460,9 @@ class ShellWindow(QMainWindow):
             else self._expanded_sidebar_width()
         )
         self.brand_copy.setVisible(not self._sidebar_collapsed)
-        self.assistant_card.setVisible(not self._sidebar_collapsed)
+        self.assistant_card.setVisible(
+            self._can_ai_assistant and not self._sidebar_collapsed
+        )
         self.upload_settings_button.setVisible(not self._sidebar_collapsed)
         margins = (7, 14, 7, 0) if self._sidebar_collapsed else (12, 19, 12, 0)
         self.nav_layout.setContentsMargins(*margins)
@@ -1542,12 +1548,35 @@ class ShellWindow(QMainWindow):
         show_toast(self, f"正在当前页面搜索“{query}”。", "info")
 
     def _open_ai_assistant(self) -> None:
-        self.navigate("reception")
+        if not self._can_ai_assistant:
+            show_toast(self, "当前账号没有使用 AI 问诊助手的权限。", "danger")
+            return
+
+        current_page = self.stack.currentWidget()
+        opener = getattr(current_page, "open_selected_ai_consult", None)
+        if callable(opener) and bool(opener()):
+            return
+
+        reception = self.pages.get("reception")
+        if reception is None or not self.navigate("reception"):
+            show_toast(
+                self,
+                "当前账号没有可用的接诊台；请从问诊列表或患者列表选择诊单后使用 AI 分析。",
+                "warning",
+                4800,
+            )
+            return
+
+        if reception is not current_page:
+            reception_opener = getattr(reception, "open_selected_ai_consult", None)
+            if callable(reception_opener) and bool(reception_opener()):
+                return
+
         show_toast(
             self,
-            "已进入接诊台；选择患者后可查看 AI 报告与辅助分析。",
+            "请先在接诊台选择一位有诊单的患者，再点击“开始对话”。",
             "info",
-            3600,
+            4200,
         )
 
     def _open_local_audio_settings(self) -> None: