ige

admin/src/views/tcm/diagnosis/components/DailyMatrix.vue

@@ -205,8 +205,8 @@
                     </header>
                     <dl class="daily-matrix__detail-fields">
                         <dt>运动</dt><dd>{{ record.exercise_type || '—' }}</dd>
-                        <dt>时长</dt><dd>{{ record.duration ?? '—' }} 分钟</dd>
-                        <dt>强度</dt><dd>{{ record.intensity_text || intensityLabel(record.intensity) }}</dd>
+                        <dt>时长</dt><dd>{{ record.duration == null ? '未记录' : `${record.duration} 分钟` }}</dd>
+                        <dt>强度</dt><dd>{{ intensityLabel(record.intensity) }}</dd>
                         <dt>备注</dt><dd>{{ record.note || '—' }}</dd>
                     </dl>
                     <div v-if="record.images?.length" class="daily-matrix__detail-images">
@@ -343,11 +343,13 @@
                         <el-option label="其他" value="其他" />
                     </el-select>
                 </el-form-item>
-                <el-form-item label="运动时长（分钟）" required>
-                    <el-input-number v-model="exerciseForm.duration" :min="0" :max="300" />
+                <el-form-item label="运动时长（分钟）" :required="!exerciseForm.id">
+                    <el-input-number v-model="exerciseForm.duration" :min="0" :max="300" placeholder="未记录" />
+                    <span v-if="exerciseForm.id" class="ml-2 text-info">留空表示未记录</span>
                 </el-form-item>
-                <el-form-item label="运动强度" required>
-                    <el-select v-model="exerciseForm.intensity" placeholder="请选择运动强度" class="w-full">
+                <el-form-item label="运动强度">
+                    <el-select v-model="exerciseIntensity" placeholder="未记录" class="w-full">
+                        <el-option label="未记录" value="" />
                         <el-option label="低强度" :value="1" />
                         <el-option label="中强度" :value="2" />
                         <el-option label="高强度" :value="3" />
@@ -492,8 +494,8 @@ interface ExerciseRecord {
     patient_id?: number
     record_date?: string
     exercise_type?: string
-    duration?: number
-    intensity?: number
+    duration?: number | null
+    intensity?: number | null
     intensity_text?: string
     images?: string[]
     note?: string
@@ -547,6 +549,11 @@ const trackingSubmitting = ref(false)
 const bloodForm = ref<BloodRecord>(createBloodForm())
 const dietForm = ref<DietRecord>(createDietForm())
 const exerciseForm = ref<ExerciseRecord>(createExerciseForm())
+// el-option uses a string sentinel; persisted unknowns remain SQL/JSON null.
+const exerciseIntensity = computed<number | ''>({
+    get: () => exerciseForm.value.intensity ?? '',
+    set: (value) => { exerciseForm.value.intensity = value === '' ? null : value }
+})
 const trackingForm = ref({
     note_date: '',
     existing_content: '',
@@ -719,8 +726,8 @@ function recordTimePeriodLabel(record: BloodRecord) {
     return labels[period] || period || '未提供时段'
 }
 
-function intensityLabel(value?: number) {
-    return ({ 1: '低强度', 2: '中强度', 3: '高强度' } as Record<number, string>)[Number(value)] || '—'
+function intensityLabel(value?: number | null) {
+    return ({ 1: '低强度', 2: '中强度', 3: '高强度' } as Record<number, string>)[Number(value)] || '未记录'
 }
 
 function bloodDetailFields(record: BloodRecord) {
@@ -880,7 +887,7 @@ function getCell(metric: string, date: string): { value: string; isHigh: boolean
         return { value: count ? '✓' : '', isHigh: false, hasRecord: count > 0 }
     }
     if (metric === 'exercise') {
-        return { value: exercise.map((record) => record.duration ? `${record.duration}min` : record.exercise_type || '已记录').join(' / '), isHigh: false, hasRecord: exercise.length > 0 }
+        return { value: exercise.map((record) => record.duration != null ? `${record.duration}min` : record.exercise_type || '已记录').join(' / '), isHigh: false, hasRecord: exercise.length > 0 }
     }
     if (metric === 'tracking') {
         return { value: tracking?.content ? summarizeTracking(tracking.content) : '', isHigh: false, hasRecord: !!tracking?.content }
@@ -970,7 +977,12 @@ function openDietRecord(source: DietRecord | undefined, date: string) {
 
 function openExerciseRecord(source: ExerciseRecord | undefined, date: string) {
     if (!canEditDailyRecord.value) return
-    exerciseForm.value = { ...createExerciseForm(date), ...source, images: [...(source?.images || [])] }
+    exerciseForm.value = {
+        ...createExerciseForm(date), ...source,
+        // Existing omissions must not inherit the defaults used only for manual new records.
+        ...(source ? { duration: source.duration ?? null, intensity: source.intensity ?? null } : {}),
+        images: [...(source?.images || [])]
+    }
     exerciseDialogVisible.value = true
 }
 
@@ -1063,12 +1075,12 @@ async function submitExercise() {
         feedback.msgWarning('请选择运动类型')
         return
     }
-    if (!exerciseForm.value.duration) {
+    if (!exerciseForm.value.id && !exerciseForm.value.duration) {
         feedback.msgWarning('请输入运动时长')
         return
     }
     const targetDiagnosisId = diagnosisId.value
-    const payload = { ...exerciseForm.value }
+    const payload = { ...exerciseForm.value, duration: exerciseForm.value.duration ?? null, intensity: exerciseForm.value.intensity ?? null }
     exerciseSubmitting.value = true
     try {
         if (payload.id) {

admin/src/views/tcm/diagnosis/components/FollowupAudioPanel.vue

@@ -34,8 +34,8 @@
                 <el-table-column label="状态" width="145">
                     <template #default="{ row }"><el-tag size="small" :type="statusType(row.status)">{{ followupTaskStatus(row) }}</el-tag><div v-if="row.transcript_available && (row.status === 'failed' || row.status === 'needs_reconciliation')" class="task-time">转写已保留</div></template>
                 </el-table-column>
-                <el-table-column label="操作" width="65" align="right">
-                    <template #default="{ row }"><el-button link type="primary" :disabled="busy" @click="openTask(row.id)">查看</el-button></template>
+                <el-table-column label="操作" width="112" align="right">
+                    <template #default="{ row }"><el-button link type="primary" :disabled="busy" @click="openTask(row.id)">查看</el-button><el-button v-if="!viewOnly && row.can_delete !== undefined" link type="danger" :disabled="busy || !canDeleteTask(row)" :title="row.delete_block_reason || '删除未入单录音任务'" @click="deleteRecording(row)">删除</el-button></template>
                 </el-table-column>
             </el-table>
         </div>
@@ -43,7 +43,7 @@
         <section v-if="selectedId && detail" class="task-detail" aria-label="录音任务详情">
             <div class="detail-heading">
                 <div class="recording-title"><h3>{{ detail.file_name }}</h3><span>通话时间 {{ detail.recorded_at }}</span></div>
-                <el-tag size="small" :type="statusType(detail.status)">{{ followupTaskStatus(detail) }}</el-tag>
+                <div class="detail-actions"><el-tag size="small" :type="statusType(detail.status)">{{ followupTaskStatus(detail) }}</el-tag><el-button v-if="!viewOnly && detail.can_delete !== undefined" link type="danger" :disabled="busy || !canDeleteTask(detail)" :title="detail.delete_block_reason || '删除未入单录音任务'" @click="deleteRecording(detail)">删除录音</el-button></div>
             </div>
             <p v-if="detail.status === 'running' || detail.status === 'queued'" class="processing-state" role="status">{{ followupProgressText(detail) }}</p>
             <el-alert v-if="detail.error_message || detail.status === 'failed'" :type="detail.status === 'failed' ? 'error' : 'warning'" :closable="false" :title="detail.error_message || '任务处理失败，不能写入；请先核对失败原因。'" />
@@ -56,13 +56,25 @@
                 <p>{{ detail.summary || '暂无回访摘要' }}</p>
                 <div class="summary-counts"><span>{{ detail.status === 'applied' ? '已写入' : '已选' }} <strong>{{ selectedCount }}</strong> 项</span><span>待核实 <strong>{{ pendingCount }}</strong> 项</span></div>
             </div>
-            <section v-if="hasStereo" class="channel-role-box" aria-label="声道角色人工标注">
+            <el-alert v-if="detail.status === 'review' && !reviewItems.length" type="warning" :closable="false" title="未生成可写入信息" :description="detail.uncertainties.length ? `本次提炼保留了 ${detail.uncertainties.length} 条待核实原因，已展示在下方。请结合原文回听核对，尤其注意声道角色是否相符。` : '请查看回访摘要并回听录音；本次没有可供确认写入的结构化候选。'" show-icon />
+            <section v-if="hasStereo && !['queued', 'running'].includes(detail.status)" class="channel-role-box" aria-label="声道角色人工标注">
                 <div v-if="savedChannelRoles !== 'unconfirmed' && !editingRoles && !roleDirty" class="role-summary"><span>{{ savedChannelRoles === 'left_service' ? '左客服端 / 右患者或家属端' : '右客服端 / 左患者或家属端' }} · 已确认</span><el-button v-if="canEditReview" link type="primary" @click="editingRoles = true">修改</el-button></div>
                 <label v-else>声道角色（人工确认）<el-select :model-value="channelRoles" :disabled="!canEditReview || (busy && mutation !== 'save')" @update:model-value="setChannelRoles"><el-option label="角色待确认" value="unconfirmed" /><el-option label="左客服端 / 右患者或家属端" value="left_service" /><el-option label="右客服端 / 左患者或家属端" value="right_service" /></el-select></label>
                 <p v-if="savedChannelRoles === 'unconfirmed' || editingRoles || roleDirty" class="muted">声道不等于已核实的说话人身份。角色标注不自动重新提炼；变更后保存草稿会取消全部采纳，须重新核对。</p>
                 <p v-if="savedChannelRoles !== 'unconfirmed' && !roleDirty" class="muted">当前角色已确认，无需再次选择；只有左右标错时才需修改。</p>
                 <p v-if="roleDirty" class="review-error" role="status">角色标注正在等待保存；保存后请逐项重新核对。</p>
             </section>
+            <section v-if="detail.role_check?.conflict || (detail.can_reextract !== undefined && savedChannelRoles !== extractionRoles && savedChannelRoles !== 'unconfirmed')" class="role-reextract" aria-label="角色纠错与重新提炼">
+                <strong>{{ detail.role_check?.conflict ? '声道角色与转写内容可能不一致' : '审核角色已修改，原提炼结果尚未更新' }}</strong>
+                <p>{{ detail.role_check?.message || '修改角色标注不会自动改变已生成的建议，可按核实后的角色重新提炼。' }}</p>
+                <blockquote v-for="(evidence, index) in detail.role_check?.evidence || []" :key="index"><span>{{ evidence.channel === 0 ? '左声道' : '右声道' }} · {{ audioTimestamp(evidence.start_ms) }}：{{ evidence.text }}</span><el-button v-if="detail.audio_available" link type="primary" @click="loadDialogue(evidence.start_ms)">回听依据</el-button></blockquote>
+                <p>当前提炼依据：{{ extractionRoleLabel(extractionRoles) }}。{{ reextractTarget !== 'unconfirmed' ? `待确认的新角色：${extractionRoleLabel(reextractTarget)}。` : '请先回听并修改上方角色标注。' }}建议仅供核对，系统不会自动交换角色。</p>
+                <el-button type="primary" plain :disabled="!canReextract || busy || dirty || reextractTarget === 'unconfirmed' || reextractTarget === extractionRoles" @click="reextractWithRoles">确认角色并重新提炼</el-button>
+                <p v-if="dirty">请先完成当前单项核对或取消编辑，等待审核草稿保存后再重新提炼。</p>
+                <p v-else-if="detail.reextract_block_reason">{{ detail.reextract_block_reason }}</p>
+                <p class="muted">复用已完成的转写，不重复语音识别；旧结果保留，重新提炼不自动写入病例。</p>
+            </section>
+            <p v-if="(detail.extraction_revision || 0) > 0" class="muted">第 {{ (detail.extraction_revision || 0) + 1 }} 版提炼 · {{ extractionRoleLabel(extractionRoles) }} · 历史结果已保留</p>
             <FollowupAudioReview :key="selectedId" ref="reviewRef" v-model:items="reviewItems" :fields="detail.fields || capabilities.fields" :disabled="!canEditReview || uploading || (mutation !== '' && mutation !== 'save')" :can-daily="capabilities.can_daily" :applied="detail.status === 'applied'" :uncertainties="detail.uncertainties" :snapshot-items="detail.items" :channel-roles="savedChannelRoles" :save-state="saveState" :persisted-revision="persistedRevision" @saved-next="saveDraft(true)" @seek="loadDialogue">
                 <template #player>
                     <div class="audio-player">
@@ -144,13 +156,13 @@
 import { computed, nextTick, onBeforeUnmount, onMounted, ref, watch } from 'vue'
 import { ElMessage, ElMessageBox } from 'element-plus'
 import {
-    FollowupAudioError, followupAudioApply, followupAudioBlob, followupAudioCreate,
+    FollowupAudioError, followupAudioReextract, followupAudioDelete, followupAudioApply, followupAudioBlob, followupAudioCreate,
     followupAudioDetail, followupAudioLists, followupAudioRetry, followupAudioSaveDraft,
     followupAudioUploadChunk, followupAudioUploadComplete, followupAudioUploadSession,
     type FollowupAudioChannel, type FollowupCapabilities, type FollowupChannelRoles, type FollowupReviewItem, type FollowupTaskDetail, type FollowupTaskSummary
 } from '@/api/followupAudio'
 import FollowupAudioReview from './FollowupAudioReview.vue'
-import { channelPlaybackLabel, dialogueWindows, dialoguePlaybackStart, audioTimestamp, changedReviewTarget, cloneReviewItems, createFollowupScope, followupAudioReady, followupCanApply, followupCanReview, followupChannelLabel, followupError, followupFeatureEnabled, followupProgressText, followupTaskStatus, hasStereoTranscript, normalizedChannelRoles, rebaseReviewItems, retainedTranscriptNotice, reviewFieldIssue, reviewIssue, reviewPending, uploadChunks, uploadIssue } from './followupAudioState'
+import { channelPlaybackLabel, dialogueWindows, dialoguePlaybackStart, audioTimestamp, changedReviewTarget, cloneReviewItems, createFollowupScope, followupAudioReady, followupCanApply, followupCanReview, followupChannelLabel, followupError, followupFeatureEnabled, followupProgressText, followupTaskStatus, hasStereoTranscript, normalizedChannelRoles, rebaseReviewItems, retainedTranscriptNotice, reviewBatchIssue, reviewFieldIssue, reviewIssue, reviewPending, uploadChunks, uploadIssue } from './followupAudioState'
 import { createFollowupAudioPlayback, type FollowupPlaybackChannel } from './followupAudioPlayback'
 const props = withDefaults(defineProps<{
     diagnosisId: number; viewOnly?: boolean; active?: boolean; capabilities: FollowupCapabilities;
@@ -194,7 +206,7 @@ const uploading = ref(false)
 const uploadProgress = ref(0)
 const uploadStage = ref('')
 const createUncertain = ref(false)
-const mutation = ref<'save' | 'apply' | 'retry' | ''>('')
+const mutation = ref<'save' | 'apply' | 'retry' | 'delete' | 'reextract' | ''>('')
 const errorMessage = ref('')
 const audioUrl = ref('')
 const audioElement = ref<HTMLAudioElement | null>(null)
@@ -210,6 +222,12 @@ const audioReady = computed(() => followupAudioReady(props.capabilities))
 const canUpload = computed(() => !props.viewOnly && featureEnabled.value && audioReady.value && props.capabilities.can_upload && props.capabilities.models.length > 0)
 const canEditReview = computed(() => !props.viewOnly && followupCanReview(props.capabilities, !!detail.value?.preview_only) && detail.value?.status === 'review')
 const canApplyReview = computed(() => !props.viewOnly && followupCanApply(props.capabilities, !!detail.value?.preview_only) && detail.value?.status === 'review')
+const extractionRoles = computed(() => normalizedChannelRoles(detail.value?.extraction_channel_roles))
+const reextractTarget = computed<FollowupChannelRoles>(() => {
+    if (savedChannelRoles.value !== 'unconfirmed' && savedChannelRoles.value !== extractionRoles.value) return savedChannelRoles.value
+    return normalizedChannelRoles(detail.value?.role_check?.suggested_roles)
+})
+const canReextract = computed(() => !props.viewOnly && featureEnabled.value && detail.value?.status === 'review' && detail.value?.can_reextract === true)
 const selectedCount = computed(() => reviewItems.value.filter(item => item.selected).length)
 const pendingCount = computed(() => reviewItems.value.filter(item => reviewPending(item, detail.value?.fields || props.capabilities.fields, props.capabilities.can_daily)).length + (detail.value?.uncertainties.length || 0))
 const applyIssue = computed(() => previewOnly.value ? '测试预览仅保存审核草稿，不允许确认写入病历'
@@ -220,7 +238,7 @@ const applyIssue = computed(() => previewOnly.value ? '测试预览仅保存审
     : hasStereo.value && savedChannelRoles.value === 'unconfirmed' ? '请先回听并确认声道角色，保存草稿后重新核对建议'
     : changedReviewTarget(reviewItems.value, detail.value?.items || [])
     ? '写入目标或记录日期已更改，请先保存审核草稿取得新快照，再核对并采纳'
-    : reviewItems.value.map(item => reviewFieldIssue(item, detail.value?.fields || props.capabilities.fields) || reviewIssue(item, props.capabilities.can_daily)).find(Boolean) || '')
+    : reviewBatchIssue(reviewItems.value, detail.value?.fields || props.capabilities.fields) || reviewItems.value.map(item => reviewFieldIssue(item, detail.value?.fields || props.capabilities.fields) || reviewIssue(item, props.capabilities.can_daily)).find(Boolean) || '')
 const effectiveActive = computed(() => props.active && featureEnabled.value && documentVisible.value)
 const scope = createFollowupScope()
 let timer: ReturnType<typeof setTimeout> | undefined
@@ -270,9 +288,25 @@ function setChannelRoles(value: unknown) {
     if (!canEditReview.value || (busy.value && mutation.value !== 'save') || !hasStereo.value || !['unconfirmed', 'left_service', 'right_service'].includes(String(value))) return
     channelRoles.value = value as FollowupChannelRoles
 }
-async function readDetail(id: number, preserve = false) {
+function taskUnavailable(error: unknown): boolean {
+    return error instanceof FollowupAudioError && (error.code === 'FOLLOWUP_AUDIO_TASK_UNAVAILABLE' || error.message.includes('FOLLOWUP_AUDIO_TASK_UNAVAILABLE'))
+}
+function forgetUnavailableTask(id: number) {
+    if (selectedId.value !== id) return
+    stop(); resetRoles(); selectedId.value = 0; detail.value = null; reviewItems.value = []; snapshot.value = '[]'; detailSections.value = []
+    tasks.value = tasks.value.filter(row => row.id !== id)
+    errorMessage.value = '录音已删除或不再可访问，已关闭本页缓存与播放；未写入病例。'
+    void refresh()
+}
+async function readDetail(id: number, preserve = false, verifyOnly = false) {
     const ticket = scope.capture()
-    const fresh = await followupAudioDetail(id, ticket.signal)
+    let fresh: FollowupTaskDetail
+    try { fresh = await followupAudioDetail(id, ticket.signal) }
+    catch (error) {
+        if (scope.current(ticket) && id === selectedId.value && taskUnavailable(error)) { forgetUnavailableTask(id); return }
+        throw error
+    }
+    if (verifyOnly && detail.value && fresh.version === detail.value.version && fresh.status === detail.value.status) return
     if (!scope.current(ticket) || id !== selectedId.value || (detail.value && fresh.version < detail.value.version)) return
     preserve = preserve || (!!detail.value && dirty.value)
     const newlyApplied = detail.value?.status === 'review' && fresh.status === 'applied'
@@ -292,6 +326,9 @@ async function refresh() {
         const updated = tasks.value.find(task => task.id === selectedId.value)
         if (updated && (!detail.value || updated.version > detail.value.version || (updated.version >= detail.value.version && updated.status !== detail.value.status) || updated.status === 'running')) {
             await readDetail(updated.id, dirty.value)
+        } else if (!updated && selectedId.value && detail.value) {
+            // A limited list can omit older tasks; only an authoritative detail denial revokes them.
+            await readDetail(selectedId.value, false, true)
         }
     } catch (error) { if (scope.current(ticket)) errorMessage.value = followupError(error) }
     finally {
@@ -382,6 +419,7 @@ async function submitUpload() {
 }
 async function handleReviewError(error: unknown) {
     const ticket = scope.capture()
+    if (taskUnavailable(error) && detail.value) { forgetUnavailableTask(detail.value.id); return }
     errorMessage.value = followupError(error)
     const stale = error instanceof FollowupAudioError && error.code === 'FOLLOWUP_AUDIO_STALE_REVIEW'
     if (stale || /STALE_REVIEW|版本|快照|已变化/.test(errorMessage.value)) {
@@ -488,6 +526,57 @@ async function applySelected() {
     } catch (error) { if (scope.current(ticket)) await handleReviewError(error) }
     finally { if (scope.current(ticket)) { mutation.value = ''; await refresh() } }
 }
+function extractionRoleLabel(roles: FollowupChannelRoles): string {
+    return roles === 'left_service' ? '左客服 / 右患者或家属' : roles === 'right_service' ? '右客服 / 左患者或家属' : '角色未确认'
+}
+async function reextractWithRoles() {
+    const roles = reextractTarget.value
+    if (!canReextract.value || !detail.value || busy.value || roles === 'unconfirmed' || roles === extractionRoles.value) return
+    if (dirty.value) { ElMessage.warning('请先完成或取消当前审核修改，等待草稿保存后再重新提炼'); return }
+    const ticket = scope.capture(), id = detail.value.id, version = detail.value.version, diagnosisId = props.diagnosisId
+    const current = () => scope.current(ticket) && diagnosisId === props.diagnosisId && selectedId.value === id
+    clearAutosave(); clearTimer(); mutation.value = 'reextract'; errorMessage.value = ''
+    let confirmed = false
+    try {
+        await ElMessageBox.confirm(`确认已回听并核实角色为“${extractionRoleLabel(roles)}”？将保留旧版结果，复用已完成的转写重新提炼，不重复语音识别；新建议须重新审核，不自动写入病例。`, '确认角色并重新提炼', { type: 'warning', confirmButtonText: '角色正确，开始重新提炼', cancelButtonText: '返回回听' })
+        if (!current() || !canReextract.value || dirty.value) return
+        confirmed = true
+        const fresh = await followupAudioReextract({ id, version, channel_roles: roles }, ticket.signal)
+        if (!current()) return
+        installDetail(fresh, false); saveState.value = 'idle'; editingRoles.value = false
+        ElMessage.success('已提交重新提炼，将复用原转写；新结果仍需审核，不自动写入病例')
+    } catch (error) { if (confirmed && current()) await handleReviewError(error) }
+    finally { if (current()) { mutation.value = ''; scheduleAutosave(); await refresh() } }
+}
+function canDeleteTask(task: FollowupTaskSummary): boolean {
+    return !props.viewOnly && featureEnabled.value && task.can_delete === true && ['review', 'failed'].includes(task.status)
+}
+async function deleteRecording(task: FollowupTaskSummary) {
+    if (busy.value || !canDeleteTask(task)) return
+    const ticket = scope.capture(), diagnosisId = props.diagnosisId, id = task.id, version = task.version
+    const current = () => scope.current(ticket) && diagnosisId === props.diagnosisId
+    clearAutosave(); clearTimer(); mutation.value = 'delete'; errorMessage.value = ''
+    let confirmed = false
+    try {
+        await ElMessageBox.confirm('删除后，该录音任务及审核草稿将从列表移除，未保存修改会丢弃；不删除或回滚病例。原录音和转写仍按原保留期限清理。重新上传同一文件将创建新的分析任务。确认删除？', '删除录音任务', { type: 'warning', confirmButtonText: '确认删除', cancelButtonText: '保留录音' })
+        if (!current() || !canDeleteTask(task)) return
+        confirmed = true
+        await followupAudioDelete({ id, version }, ticket.signal)
+        if (!current()) return
+        // Fence pending playback, autosaves and reads; deletion never revives a stale draft.
+        if (selectedId.value === id) {
+            stop(); resetRoles(); selectedId.value = 0; detail.value = null; reviewItems.value = []; snapshot.value = '[]'; detailSections.value = []
+        }
+        tasks.value = tasks.value.filter(row => row.id !== id)
+        errorMessage.value = ''
+        ElMessage.success('录音任务已删除，未修改病例。原资料按保留策略清理。')
+        await refresh()
+    } catch (error) {
+        if (confirmed && current()) errorMessage.value = followupError(error)
+    } finally {
+        if (current()) { mutation.value = ''; scheduleAutosave(); await refresh() }
+    }
+}
 async function retryTask() {
     if (!detail.value?.can_retry || detail.value.status !== 'failed' || !canUpload.value || busy.value) return
     const ticket = scope.capture()
@@ -577,6 +666,11 @@ h3 { margin: 0; font-size: 14px; font-weight: 600; }
 .detail-heading { align-items: flex-start; }
 .recording-title { min-width: 0; }
 .recording-title h3 { overflow-wrap: anywhere; line-height: 1.6; }
+.role-reextract { padding: 12px; border: 1px solid var(--el-color-warning-light-5); background: var(--el-color-warning-light-9); border-radius: 6px; display: grid; gap: 8px; }
+.role-reextract p { margin: 0; line-height: 1.6; }
+.role-reextract blockquote { margin: 0; padding: 8px; background: var(--el-bg-color); white-space: pre-wrap; overflow-wrap: anywhere; }
+.role-reextract :deep(.el-button) { justify-self: start; }
+.detail-actions { display: flex; align-items: center; gap: 12px; flex-wrap: wrap; }
 .detail-heading :deep(.el-tag) { flex-shrink: 0; }
 .detail-loading { padding: 32px; text-align: center; color: var(--el-text-color-secondary); }
 .processing-state, .applied-note { margin: 0; color: var(--el-text-color-secondary); font-size: 13px; }

admin/src/views/tcm/diagnosis/components/FollowupAudioReview.vue

@@ -32,8 +32,8 @@
                 </el-table-column>
             </el-table>
         </div>
-        <section v-if="group === 'pending' && uncertainties?.length" class="uncertainty-list" aria-label="原文待核实信息">
-            <strong>原文中还需补充的信息</strong>
+        <section v-if="(group === 'pending' || !items.length) && uncertainties?.length" class="uncertainty-list" aria-label="原文待核实信息">
+            <strong>本次未能确认的信息与原因</strong>
             <ul><li v-for="(value, index) in uncertainties" :key="index">{{ uncertaintyText(value) }}</li></ul>
         </section>
         <section ref="reviewWorkspace" class="review-workspace" tabindex="-1" aria-label="同页核对与回听">

admin/src/views/tcm/diagnosis/components/followupAudioState.ts

@@ -70,6 +70,22 @@ export function fieldText(value: FollowupValue | undefined, field: FollowupField
 export function hasEditableReviewFields(item: FollowupReviewItem, fields: FollowupFields): boolean {
     return Object.keys(item.values).some(key => fields[item.kind]?.some(field => field.key === key && !field.readonly))
 }
+/** Prevent multiple selected writes to the same diagnosis field; never silently pick a last value. */
+export function reviewBatchIssue(items: FollowupReviewItem[], fields: FollowupFields): string {
+    const touched = new Set<string>()
+    for (const item of items.filter(item => item.selected)) {
+        if (item.kind === 'diagnosis') {
+            for (const key of Object.keys(item.values)) {
+                if (touched.has(key)) {
+                    const label = fields.diagnosis?.find(field => field.key === key)?.label || key
+                    return `${label}存在多条选中建议，请合并内容到一项或仅保留一项后再确认写入`
+                }
+                touched.add(key)
+            }
+        }
+    }
+    return ''
+}
 export function reviewFieldIssue(item: FollowupReviewItem, fields: FollowupFields): string {
     if (!item.selected) return ''
     for (const key of Object.keys(item.values)) {

admin/src/views/tcm/diagnosis/edit.vue

@@ -671,9 +671,14 @@
                     <el-empty v-else description="请先保存诊单后查看" />
                 </el-tab-pane>
 
-                <el-tab-pane v-if="followupCapabilities?.enabled && formData.id" label="回访录音" name="followupAudio" lazy>
+                <el-tab-pane v-if="formData.id && hasFollowupAudioPermission" label="回访录音" name="followupAudio" lazy>
+                    <el-alert v-if="followupCapabilitiesLoading" title="正在检查回访录音状态…" type="info" :closable="false" show-icon />
+                    <div v-else-if="followupCapabilitiesError" role="alert">
+                        <el-alert :title="followupCapabilitiesError" type="error" :closable="false" show-icon />
+                        <el-button class="mt-3" @click="loadFollowupCapabilities">重新加载</el-button>
+                    </div>
                     <FollowupAudioPanel
-                        v-if="visible && formData.id && followupCapabilities"
+                        v-else-if="visible && followupCapabilities?.enabled && followupCapabilitiesDiagnosisId === Number(formData.id)"
                         :key="Number(formData.id)"
                         ref="followupAudioRef"
                         :diagnosis-id="Number(formData.id)"
@@ -684,6 +689,13 @@
                         :before-apply="canApplyFollowup"
                         @applied="handleFollowupApplied"
                     />
+                    <el-alert
+                        v-else
+                        :title="followupCapabilities?.test_scope_allowed === false ? '当前诊单未开放回访录音' : '当前未启用回访录音，请联系管理员确认'"
+                        type="info"
+                        :closable="false"
+                        show-icon
+                    />
                 </el-tab-pane>
 
                 <!-- 病历记录标签页（开方后自动显示） -->
@@ -833,6 +845,9 @@ const prescriptionRef = ref()
 const dailyMatrixRef = ref<{ refresh?: () => Promise<void> | void } | null>(null)
 const followupAudioRef = ref<{ confirmLeave: () => Promise<boolean> } | null>(null)
 const followupCapabilities = ref<FollowupCapabilities | null>(null)
+const followupCapabilitiesLoading = ref(false)
+const followupCapabilitiesError = ref('')
+const followupCapabilitiesDiagnosisId = ref<number | null>(null)
 const basicSnapshot = ref('')
 let diagnosisGeneration = 0
 let capabilitiesRequest: AbortController | undefined
@@ -847,6 +862,7 @@ const submitting = ref(false)
 /** 拥有后手机号可正常编辑，失焦不再强制脱敏 */
 const hasPhonePlainPermission = computed(() => hasPermission(['tcm.diagnosis/phonePlain']))
 const hasDailyRecordPermission = computed(() => hasPermission(['tcm.diagnosis/dailyRecord']))
+const hasFollowupAudioPermission = computed(() => hasPermission(['tcm.diagnosis/followupAudio']))
 const patientBasicLocked = ref(false)
 const canEditPatientBasicFromApi = ref(true)
 const latestPrescriptionOrder = ref<{
@@ -1021,18 +1037,50 @@ async function handleFollowupApplied(diagnosisId: number) {
         if (generation === diagnosisGeneration) feedback.msgWarning('录音已采纳，但病历或日常记录刷新失败，请手动刷新查看')
     }
 }
-watch([visible, () => formData.value.id], async ([isVisible, id]) => {
+function resetFollowupCapabilities() {
     capabilitiesRequest?.abort()
+    capabilitiesRequest = undefined
     followupCapabilities.value = null
-    if (!isVisible || !id) return
+    followupCapabilitiesDiagnosisId.value = null
+    followupCapabilitiesLoading.value = false
+    followupCapabilitiesError.value = ''
+}
+async function loadFollowupCapabilities(): Promise<void> {
+    // A rapid second click must not create another request for the same context.
+    if (followupCapabilitiesLoading.value) return
+    resetFollowupCapabilities()
+    const id = Number(formData.value.id)
+    if (!visible.value || !id || !hasFollowupAudioPermission.value) return
+    const generation = diagnosisGeneration
     const request = new AbortController()
     capabilitiesRequest = request
+    followupCapabilitiesLoading.value = true
+    const isCurrent = () => capabilitiesRequest === request && !request.signal.aborted
+        && generation === diagnosisGeneration && visible.value && Number(formData.value.id) === id
     try {
-        const result = await followupAudioCapabilities(Number(id), request.signal)
-        if (!request.signal.aborted && visible.value && String(formData.value.id) === String(id)) followupCapabilities.value = result
-    } catch { /* Fail closed: an unavailable capability endpoint must not expose this feature. */ }
-})
-onBeforeUnmount(() => { diagnosisGeneration++; capabilitiesRequest?.abort() })
+        const result = await followupAudioCapabilities(id, request.signal)
+        if (!isCurrent()) return
+        if (typeof result?.enabled !== 'boolean') throw new Error('Invalid capability response')
+        followupCapabilities.value = result
+        followupCapabilitiesDiagnosisId.value = id
+    } catch {
+        if (!isCurrent()) return
+        // No endpoint failure (including permission denial) may mount the panel.
+        followupCapabilitiesError.value = '回访录音状态加载失败，请重新加载；若仍失败，请联系管理员检查权限或服务状态'
+    } finally {
+        if (isCurrent()) {
+            followupCapabilitiesLoading.value = false
+            capabilitiesRequest = undefined
+        }
+    }
+}
+watch([visible, () => formData.value.id, hasFollowupAudioPermission], () => {
+    // Invalidate synchronously on patient switches and permission changes.
+    if (!hasFollowupAudioPermission.value && activeTab.value === 'followupAudio') activeTab.value = 'basic'
+    resetFollowupCapabilities()
+    void loadFollowupCapabilities()
+}, { flush: 'sync' })
+onBeforeUnmount(() => { diagnosisGeneration++; resetFollowupCapabilities() })
 
 /** 就诊卡创建来源（与 zyt_tcm_diagnosis.create_source 一致） */
 const createSourceOptions = [
@@ -1360,7 +1408,7 @@ const open = async (type: string, id?: number) => {
     const generation = ++diagnosisGeneration
     submitting.value = false
     basicSnapshot.value = ''
-    followupCapabilities.value = null
+    resetFollowupCapabilities()
     formData.value.id = ''
     viewOnly.value = false
     mode.value = type
@@ -1390,7 +1438,7 @@ const openViewOnly = async (id: number) => {
     const generation = ++diagnosisGeneration
     submitting.value = false
     basicSnapshot.value = ''
-    followupCapabilities.value = null
+    resetFollowupCapabilities()
     formData.value.id = ''
     viewOnly.value = true
     mode.value = 'edit'
@@ -1490,8 +1538,7 @@ const handleOpenPrescription = () => {
 const handleClose = async () => {
     if (followupAudioRef.value && !await followupAudioRef.value.confirmLeave()) return
     diagnosisGeneration++
-    capabilitiesRequest?.abort()
-    followupCapabilities.value = null
+    resetFollowupCapabilities()
     basicSnapshot.value = ''
     formRef.value?.resetFields()
     formData.value = {