更新

server/database/migrations/add_chief_complaint_fields.sql

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+-- 添加主诉相关字段到诊单表
+ALTER TABLE `zyt_tcm_diagnosis` 
+ADD COLUMN `diabetes_discovery_year` int(3) DEFAULT NULL COMMENT '发现糖尿病就患病史（年）' AFTER `diabetes_type`,
+ADD COLUMN `local_hospital_diagnosis` varchar(255) DEFAULT '' COMMENT '当地医院诊断结果（多选，逗号分隔）' AFTER `diabetes_discovery_year`,
+ADD COLUMN `local_hospital_name` varchar(255) DEFAULT '' COMMENT '当地就诊医院名称' AFTER `local_hospital_diagnosis`;

server/database/migrations/add_photo_fields_to_diagnosis.sql

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+-- 为诊单表添加舌苔照片和检查报告字段
+ALTER TABLE `tcm_diagnosis` ADD COLUMN `tongue_photo` VARCHAR(500) COMMENT '舌苔照片URL' AFTER `tongue_coating`;
+ALTER TABLE `tcm_diagnosis` ADD COLUMN `examination_report` LONGTEXT COMMENT '检查报告图片URL列表(逗号分隔)' AFTER `tongue_photo`;
+
+-- 添加索引以提高查询性能
+ALTER TABLE `tcm_diagnosis` ADD INDEX `idx_tongue_photo` (`tongue_photo`);

server/database/migrations/add_vital_signs_fields.sql

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+-- 添加生命体征、地区和婚姻状态字段到诊断表
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `marital_status` tinyint(1) DEFAULT NULL COMMENT '婚姻状态：0-未婚 1-已婚 2-离异' AFTER `age`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `height` int(3) DEFAULT NULL COMMENT '身高(cm)' AFTER `marital_status`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `weight` decimal(5,2) DEFAULT NULL COMMENT '体重(kg)' AFTER `height`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `region` varchar(100) DEFAULT '' COMMENT '地区' AFTER `weight`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `systolic_pressure` int(3) DEFAULT NULL COMMENT '收缩压(mmHg)' AFTER `region`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `diastolic_pressure` int(3) DEFAULT NULL COMMENT '舒张压(mmHg)' AFTER `systolic_pressure`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `fasting_blood_sugar` decimal(5,2) DEFAULT NULL COMMENT '空腹血糖(mmol/L)' AFTER `diastolic_pressure`;
+
+-- 添加索引以提高查询性能
+ALTER TABLE `zyt_tcm_diagnosis` ADD KEY `idx_region` (`region`);
+ALTER TABLE `zyt_tcm_diagnosis` ADD KEY `idx_marital_status` (`marital_status`);

server/database/migrations/add_work_wechat_userid_to_admin.sql

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+-- 给管理员表增加企业微信UserId字段，用于企业微信授权登录匹配
+ALTER TABLE `zyt_admin`
+ADD COLUMN `work_wechat_userid` varchar(64) DEFAULT '' COMMENT '企业微信UserId' AFTER `multipoint_login`,
+ADD INDEX `idx_work_wechat_userid` (`work_wechat_userid`);