更新

`Merge branch 'master' into chufang-9-9

admin/scripts/verify-appointment-type.cjs

@@ -0,0 +1,67 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const vm = require('node:vm')
+const ts = require('typescript')
+const { parse, compileScript, compileTemplate, compileStyleAsync } = require('@vue/compiler-sfc')
+
+const root = path.resolve(__dirname, '..')
+const read = (relative) => fs.readFileSync(path.join(root, 'src', relative), 'utf8')
+const utils = ts.transpileModule(read('utils/appointment-type.ts'), {
+    compilerOptions: { module: ts.ModuleKind.CommonJS }
+}).outputText
+const exportsObject = {}
+vm.runInNewContext(utils, { exports: exportsObject })
+for (const [value, expected] of [
+    ['video', '视频问诊'], ['text', '图文问诊'], [undefined, '视频问诊'],
+    [null, '视频问诊'], ['', '视频问诊'], [' ', '视频问诊'],
+    ['phone', '电话问诊'], ['other', '未知']
+]) {
+    assert.equal(exportsObject.appointmentTypeDescription(value), expected)
+}
+
+const callers = [
+    'views/tcm/appointment/list.vue',
+    'views/tcm/appointment/list_h5.vue',
+    'views/patient/reception/index.vue'
+]
+for (const caller of callers) {
+    assert.match(read(caller), /chatDialogRef\.value\?\.open\(\{[\s\S]*?appointmentType: row\.appointment_type,/)
+    assert.match(read(caller), /appointmentId: Number\(row\.id\)/)
+}
+const chat = read('components/chat-dialog/index.vue')
+assert.match(chat, /appointmentType\.value = data\.appointmentType/)
+assert.match(chat, /class="chat-appointment-type">\{\{ appointmentTypeLabel \}\}/)
+const form = read('views/tcm/diagnosis/appointment.vue')
+assert.match(form, /<el-radio value="text">图文问诊<\/el-radio>/)
+assert.match(form, /appointmentType: 'video'/)
+assert.match(form, /form\.appointmentType = 'video'/)
+assert.match(form, /appointment_type: form\.appointmentType/)
+
+async function main() {
+    const components = [
+        ...callers, 'components/chat-dialog/index.vue',
+        'views/tcm/diagnosis/appointment.vue', 'views/consumer/prescription/guahao.vue',
+        'views/first_visit/my_patients/index.vue', 'views/tcm/diagnosis/index.vue', 'views/tcm/diagnosis/index_h5.vue'
+    ]
+    for (const filename of components) {
+        const { descriptor, errors } = parse(read(filename), { filename })
+        assert.deepEqual(errors, [], `${filename} parses`)
+        const script = compileScript(descriptor, { id: filename })
+        const template = compileTemplate({
+            source: descriptor.template.content,
+            filename, id: filename,
+            compilerOptions: { bindingMetadata: script.bindings }
+        })
+        assert.deepEqual(template.errors, [], `${filename} template compiles`)
+        for (const style of descriptor.styles) {
+            const result = await compileStyleAsync({
+                source: style.content, filename: path.join(root, 'src', filename),
+                id: filename, scoped: style.scoped, preprocessLang: style.lang
+            })
+            assert.deepEqual(result.errors, [], `${filename} styles compile`)
+        }
+    }
+    console.log(`Appointment type defaults/labels, ${callers.length} chat entry contracts, ${components.length} Vue components: OK`)
+}
+main().catch((error) => { console.error(error); process.exitCode = 1 })

admin/src/api/first_visit.ts

@@ -313,6 +313,7 @@ export interface WecomPromotionBatchUpdatePoolResult {
     success: boolean
     sync_error?: string
     sync_queued?: boolean
+    sync_status?: WecomPromotionMemberSyncStatus
     member_matched?: number
     member_updated?: number
     error?: string
@@ -361,6 +362,25 @@ export function wecomPromotionSyncRemoteLinks(params: { pool_id: number }) {
     return request.post({ url: '/firstvisit.wecomPromotion/syncRemoteLinks', params, timeout: 120000 })
 }
 
+export type WecomPromotionMemberSyncStatus = 'synced' | 'pending' | 'failed' | 'blocked'
+
+export interface WecomPromotionMemberSyncResult {
+    pool_id: number
+    sync_status: WecomPromotionMemberSyncStatus
+    sync_error: string
+    sync_queued: boolean
+    range_userids: string[]
+    range_department_ids: string[]
+}
+
+export function wecomPromotionSyncMemberRange(params: { pool_id: number }) {
+    return request.post<WecomPromotionMemberSyncResult>({
+        url: '/firstvisit.wecomPromotion/syncMemberRange',
+        params,
+        timeout: 120000
+    }, { ignoreCancelToken: true, isOpenRetry: false })
+}
+
 export function wecomPromotionRemoteLinkDetail(params: { id: number }) {
     return request.get({ url: '/firstvisit.wecomPromotion/remoteLinkDetail', params })
 }

admin/src/api/tcm.ts

@@ -275,14 +275,52 @@ export function generateOrderQrcode(params: any) {
 
 // ========== IM / 企业微信聊天记录 ==========
 
-/** 腾讯云 IM 单聊漫游消息（诊单维度：患者 patient_* 与医生 doctor_*） */
-export function getImChatMessages(params: { diagnosis_id: number; only_archived?: 0 | 1 }) {
-    return request.get({ url: '/tcm.diagnosis/getImChatMessages', params })
+export interface ImChatMessagesResponse {
+    lists: any[]
+    patient_im_id?: string
+    patient_name?: string
+    sync_error?: string
 }
 
-/** 触发后台异步同步：从腾讯云 IM 拉取诊单聊天记录入归档表，请求即返回 */
-export function triggerImChatSync(data: { diagnosis_id: number }) {
-    return request.post({ url: '/tcm.diagnosis/triggerImChatSync', data })
+export interface ImChatSyncProgress {
+    sync_token?: string
+    completed: boolean
+    phase?: 'checking_accounts' | 'syncing' | 'completed'
+    checked_accounts?: number
+    candidate_accounts?: number
+    skipped_accounts?: number
+    inserted: number
+    processed_peers: number
+    total_peers: number
+    error?: string
+    errors?: string[]
+}
+
+/** 保留接口错误原因，并由面板决定何时提示同步完成。 */
+function unwrapImChatResponse<T>(response: { code: number; data: T; msg?: string }): T {
+    if (Number(response?.code) !== 1) {
+        const detail = response?.data as any
+        throw new Error(response?.msg || detail?.error || detail?.message || '聊天记录请求失败')
+    }
+    return response.data
+}
+
+/** 当前患者所有诊单的 IM 归档消息。 */
+export async function getImChatMessages(params: { diagnosis_id: number; only_archived?: 0 | 1 }): Promise<ImChatMessagesResponse> {
+    const response = await request.get(
+        { url: '/tcm.diagnosis/getImChatMessages', params, timeout: 30000 },
+        { isTransformResponse: false, ignoreCancelToken: true, isOpenRetry: false, retryCount: 0 }
+    )
+    return unwrapImChatResponse<ImChatMessagesResponse>(response)
+}
+
+/** 同步一页云端消息，继续传入返回的 token，直到 completed 为 true。 */
+export async function triggerImChatSync(data: { diagnosis_id: number; sync_token?: string; scope?: 'current' }): Promise<ImChatSyncProgress> {
+    const response = await request.post(
+        { url: '/tcm.diagnosis/triggerImChatSync', data, timeout: 30000 },
+        { isTransformResponse: false, ignoreCancelToken: true, isOpenRetry: false, retryCount: 0 }
+    )
+    return unwrapImChatResponse<ImChatSyncProgress>(response)
 }
 
 // 获取企业微信聊天记录
@@ -424,7 +462,12 @@ export function prescriptionOrderEdit(params: Record<string, unknown>) {
     return request.post({ url: '/tcm.prescriptionOrder/edit', params })
 }
 
-/** 仅修改业务订单的承运商与快递单号；所有履约状态均可使用 */
+/** 仅修改处方业务订单创建时间，需独立的 editTime 权限 */
+export function prescriptionOrderEditTime(params: { id: number; create_time: string }) {
+    return request.post({ url: '/tcm.prescriptionOrder/editTime', params })
+}
+
+/** 仅修改业务订单的承运商与快递单号；处方和支付单均审核通过后，所有履约状态均可使用 */
 export function prescriptionOrderDdcode(params: {
     id: number
     express_company: string

admin/src/api/user.ts

@@ -45,3 +45,16 @@ export function unbindWorkWechat() {
 export function changeFirstPassword(params: { password: string; password_confirm: string }) {
     return request.post({ url: '/login/changeFirstPassword', params })
 }
+
+// 统一账号登录开关和服务器生成的固定登录入口
+export function getIamConfig() {
+    return request.get({ url: '/iam/config' }, { withToken: false })
+}
+
+// 浏览器绑定的一次性兑换码；不重试，也不将旧业务 token 带入认证
+export function iamLogin(ticket: string) {
+    return request.post(
+        { url: '/iam/exchange', params: { ticket, terminal: config.terminal }, withCredentials: true },
+        { withToken: false, isOpenRetry: false }
+    )
+}

admin/src/components/chat-dialog/index.vue

@@ -11,7 +11,10 @@
         class="chat-window-header"
         @mousedown="onHeaderMouseDown"
       >
+        <div class="chat-window-heading">
           <span class="chat-window-title" :title="patientName">与 {{ patientName }} 通讯</span>
+          <el-tag size="small" type="info" class="chat-appointment-type">{{ appointmentTypeLabel }}</el-tag>
+        </div>
         <div class="chat-header-actions" @mousedown.stop>
           <el-button type="danger" link class="chat-close-btn" @click="handleClose">
             <el-icon><Close /></el-icon>
@@ -52,18 +55,19 @@
                     <ImagePicker />
                     <FilePicker />
                     <!-- 仅在 TUICallKit 初始化成功后展示音视频入口，避免“初始化登录未完成”错误 -->
-                    <AudioCallPicker v-if="isCallReady" />
+                    <AudioCallPicker v-if="isCallReady && canAudioCall" />
                     <!-- 视频接通后 doBindCallRoom → 后端 bindCallRoom 会调 CreateCloudRecording，RecordParams.RecordMode=2（混流/合流），见 TrtcCloudRecordingService -->
-                    <VideoCallPicker v-if="isCallReady" />
+                    <VideoCallPicker v-if="isCallReady && canVideoCall" />
                     <!-- 群组视频通话（基于 TUICallKitServer.calls，多人通话入口） -->
                     <el-button
-                      v-if="isCallReady"
+                      v-if="isCallReady && canVideoCall"
                       size="small"
                       type="primary"
                       @click="startGroupVideoCall"
                     >
                       群视频
                     </el-button>
+                    <span v-if="appointmentType === 'text'" class="text-consultation-hint">图文问诊，不支持音视频通话</span>
                   </div>
                 </template>
               </MessageInput>
@@ -135,11 +139,15 @@ import {
   bindCallRoom,
   endCall,
   getCallSignature,
+  triggerImChatSync,
   startCall
 } from '@/api/tcm'
 import { CallLocalRecorder } from '@/utils/call-local-recorder'
+import { createImChatArchiveTrigger } from '@/utils/im-chat-archive-trigger'
 import { captureVideoFrameFromElement } from '@/utils/call-video-screenshot'
 import feedback from '@/utils/feedback'
+import { appointmentTypeDescription, canAppointmentVideoCall } from '@/utils/appointment-type'
+import { checkAppointmentOutgoingCall, registerAppointmentCallGuard } from '@/utils/appointment-call-guard'
 import {
   formatTUICallUserError,
   getTUICallPackageArrearsMessage,
@@ -180,6 +188,18 @@ const visible = ref(false)
 const isReady = ref(false)
 const error = ref('')
 const patientName = ref('')
+const appointmentType = ref<string | null | undefined>('video')
+const appointmentId = ref(0)
+const confirmedTypeLabel = ref('')
+const appointmentTypeLabel = computed(() => confirmedTypeLabel.value || appointmentTypeDescription(appointmentType.value))
+const serverAllowsVideo = ref(false)
+const serverAllowsAudio = ref(false)
+const callDisabledReason = ref('正在确认挂号类型')
+const canVideoCall = computed(() => serverAllowsVideo.value && canAppointmentVideoCall(appointmentType.value))
+const canAudioCall = computed(() => serverAllowsAudio.value && (canAppointmentVideoCall(appointmentType.value) || appointmentType.value === 'phone'))
+let releaseAppointmentCallGuard: (() => void) | undefined
+let chatContextVersion = 0
+let outgoingCallType = 2
 const patientId = ref<number | null>(null)
 const diagnosisId = ref<number | null>(null)
 const loadingText = ref('正在初始化...')
@@ -191,6 +211,68 @@ const { login, logout } = useLoginState()
 const { setActiveConversation, createC2CConversation, activeConversation } = useConversationListState()
 const userStore = useUserStore()
 
+const syncChatArchive = createImChatArchiveTrigger(triggerImChatSync, () => {
+  console.warn('[chat-dialog] 聊天记录归档未完成，可在诊单聊天记录中重试同步')
+})
+let chatArchiveTimer: ReturnType<typeof setInterval> | undefined
+let chatArchiveDebounce: ReturnType<typeof setTimeout> | undefined
+function queueChatArchive() {
+  const id = diagnosisId.value
+  if (!visible.value || !isReady.value || !id) return
+  if (chatArchiveDebounce) clearTimeout(chatArchiveDebounce)
+  chatArchiveDebounce = setTimeout(() => {
+    chatArchiveDebounce = undefined
+    void syncChatArchive(id)
+  }, 500)
+}
+function stopChatArchiveWatch(flush = false) {
+  if (chatArchiveTimer) clearInterval(chatArchiveTimer)
+  if (chatArchiveDebounce) clearTimeout(chatArchiveDebounce)
+  chatArchiveTimer = undefined
+  chatArchiveDebounce = undefined
+  if (flush && diagnosisId.value && isReady.value) void syncChatArchive(diagnosisId.value)
+  TUIChatEngine?.chat?.off?.(TencentCloudChat.EVENT.CONVERSATION_LIST_UPDATED, queueChatArchive)
+}
+function startChatArchiveWatch() {
+  stopChatArchiveWatch()
+  TUIChatEngine?.chat?.on?.(TencentCloudChat.EVENT.CONVERSATION_LIST_UPDATED, queueChatArchive)
+  chatArchiveTimer = setInterval(queueChatArchive, 15000)
+  queueChatArchive()
+}
+
+function syncAppointmentCallPolicy(res: {
+  appointment_type?: string | null; appointment_type_desc?: string;
+  appointment_id?: number; can_video_call?: boolean; can_audio_call?: boolean; call_disabled_reason?: string
+}) {
+  if ('appointment_type' in res) appointmentType.value = res.appointment_type
+  confirmedTypeLabel.value = res.appointment_type_desc || ''
+  serverAllowsVideo.value = res.can_video_call === true
+  serverAllowsAudio.value = res.can_audio_call === true
+  callDisabledReason.value = res.call_disabled_reason || '当前挂号不支持该通话方式'
+  if (Number(res.appointment_id) > 0) appointmentId.value = Number(res.appointment_id)
+}
+
+async function prepareAppointmentCall(callType: number) {
+  const contextVersion = chatContextVersion
+  const allowed = () => callType === 1 ? canAudioCall.value : canVideoCall.value
+  if (!visible.value || !allowed()) {
+    const message = appointmentType.value === 'text' ? '图文问诊不支持音视频通话' : callDisabledReason.value
+    feedback.msgWarning(message)
+    throw new Error(message)
+  }
+  // 发起前重新读取服务端挂号，防止打开聊天后问诊类型已被修改。
+  const res = await getCallSignature({
+    patient_id: patientId.value, diagnosis_id: diagnosisId.value, appointment_id: appointmentId.value
+  })
+  if (!visible.value || chatContextVersion !== contextVersion) throw new Error('当前问诊已切换，请重新发起通话')
+  syncAppointmentCallPolicy(res)
+  if (!allowed()) {
+    feedback.msgWarning(callDisabledReason.value)
+    throw new Error(callDisabledReason.value)
+  }
+  outgoingCallType = callType
+}
+
 /** TUICallKit CallStatus（与 @tencentcloud/call-uikit-vue 一致） */
 const CALL_STATUS_IDLE = 'idle'
 const CALL_STATUS_CALLING = 'calling'
@@ -622,6 +704,7 @@ function installTUICallKitRoomHooks() {
     const original = server[methodName]
     if (typeof original !== 'function') return
     server[methodName] = async function patched(...args: unknown[]) {
+      await checkAppointmentOutgoingCall(args[0])
       const result = await original.apply(server, args)
       await flushAndBindRoomAfterTUICallApi(methodName)
       return result
@@ -689,7 +772,8 @@ async function ensureCallRecordStarted() {
     await startCall({
       diagnosis_id: diagnosisId.value,
       patient_id: patientId.value,
-      call_type: 2
+      appointment_id: appointmentId.value,
+      call_type: outgoingCallType
     })
   } catch (e) {
     console.warn('[chat-dialog] startCall 记录失败', e)
@@ -933,6 +1017,9 @@ onMounted(() => {
 })
 
 onUnmounted(() => {
+  stopChatArchiveWatch(true)
+  chatContextVersion++
+  releaseAppointmentCallGuard?.()
   clearLocalRecordingStartTimer()
   localCallRecorder.reset()
   tearDownCallRoomBinding?.()
@@ -995,7 +1082,8 @@ watch(() => activeConversation.value, async (newConversation) => {
       try {
         const res = await getCallSignature({ 
           patient_id: newConversation.userProfile.userID.replace("patient_", ""),
-          diagnosis_id: diagnosisId.value
+          diagnosis_id: diagnosisId.value,
+          appointment_id: appointmentId.value
         })
         syncLochostVodFromSignature(res)
         patientUserId.value = res.patientUserId
@@ -1010,13 +1098,23 @@ watch(() => activeConversation.value, async (newConversation) => {
   }
 })
 
-const open = async (data: { patientId: number; patientName: string; diagnosisId?: number }) => {
+const open = async (data: { patientId: number; patientName: string; diagnosisId?: number; appointmentId?: number; appointmentType?: string | null }) => {
+  stopChatArchiveWatch(true)
+  const contextVersion = ++chatContextVersion
+  releaseAppointmentCallGuard?.()
+  releaseAppointmentCallGuard = registerAppointmentCallGuard(prepareAppointmentCall)
   visible.value = true
   isMinimized.value = false
   posX.value = 100
   posY.value = 80
   resetCallKitPositionToLeft()
   patientName.value = data.patientName
+  appointmentType.value = data.appointmentType
+  appointmentId.value = Number(data.appointmentId || 0)
+  confirmedTypeLabel.value = ''
+  serverAllowsVideo.value = false
+  serverAllowsAudio.value = false
+  callDisabledReason.value = '正在确认挂号类型'
   patientId.value = data.patientId
   diagnosisId.value = data.diagnosisId || null
   error.value = ''
@@ -1029,8 +1127,11 @@ const open = async (data: { patientId: number; patientName: string; diagnosisId?
     // 获取医生的签名信息
     const res = await getCallSignature({ 
       patient_id: data.patientId,
-      diagnosis_id: data.diagnosisId || 0
+      diagnosis_id: data.diagnosisId || 0,
+      appointment_id: appointmentId.value
     })
+    if (contextVersion !== chatContextVersion || !visible.value) return
+    syncAppointmentCallPolicy(res)
     syncLochostVodFromSignature(res)
     assistant_ids.value = res.assistant_id
     console.log('后端返回的签名数据:', res)
@@ -1116,7 +1217,9 @@ const open = async (data: { patientId: number; patientName: string; diagnosisId?
     
     // 等待 UIKit 初始化完成后创建并激活会话
     setTimeout(async () => {
+      if (contextVersion !== chatContextVersion || !visible.value) return
       isReady.value = true
+      startChatArchiveWatch()
       
       // 使用 nextTick 确保组件已渲染
       await nextTick()
@@ -1157,6 +1260,10 @@ const open = async (data: { patientId: number; patientName: string; diagnosisId?
 
 // 群组视频通话（多人通话）：当前医生作为发起方，默认先邀请当前会话患者
 const startGroupVideoCall = async () => {
+  if (!canVideoCall.value) {
+    feedback.msgWarning(appointmentType.value === 'text' ? '图文问诊不支持视频通话' : callDisabledReason.value)
+    return
+  }
   if (!isCallReady.value) {
     feedback.msgWarning('通话服务初始化中，请稍后再试')
     return
@@ -1173,7 +1280,8 @@ const startGroupVideoCall = async () => {
       console.warn('assistant_id 为空，尝试重新获取')
       const res = await getCallSignature({ 
         patient_id: patientId.value!,
-        diagnosis_id: diagnosisId.value
+        diagnosis_id: diagnosisId.value,
+        appointment_id: appointmentId.value
       })
       syncLochostVodFromSignature(res)
       assistant_ids.value = res.assistant_id
@@ -1353,6 +1461,9 @@ const onHeaderMouseUp = () => {
 }
 
 const handleClose = async () => {
+  stopChatArchiveWatch(true)
+  chatContextVersion++
+  releaseAppointmentCallGuard?.()
   unbindImHangupMessageListener()
   // 关闭时如有通话中/拨通中，先结束本地录制再挂断（不依赖悬浮窗是否显示）
   if (isCallReady.value) {
@@ -1426,6 +1537,18 @@ defineExpose({ open })
   justify-content: space-between;
   flex-shrink: 0;
 
+  .chat-window-heading {
+    display: flex;
+    align-items: center;
+    min-width: 0;
+    gap: 4px;
+  }
+
+  .chat-appointment-type {
+    flex-shrink: 0;
+    margin-right: 8px;
+  }
+
   .chat-window-title {
     font-size: 16px;
     font-weight: 500;
@@ -1510,6 +1633,12 @@ defineExpose({ open })
 }
 
 /* 消息工具栏样式 */
+.text-consultation-hint {
+  color: #909399;
+  font-size: 12px;
+  line-height: 20px;
+}
+
 .message-toolbar {
   display: flex;
   gap: 8px;

admin/src/stores/modules/user.ts

@@ -1,7 +1,7 @@
 import { defineStore } from 'pinia'
 import type { RouteRecordRaw } from 'vue-router'
 
-import { getUserInfo, login, logout, workWechatLogin } from '@/api/user'
+import { getUserInfo, iamLogin, login, logout, workWechatLogin } from '@/api/user'
 import { TOKEN_KEY } from '@/enums/cacheEnums'
 import { PageEnum } from '@/enums/pageEnum'
 import router, { filterAsyncRoutes } from '@/router'
@@ -83,6 +83,13 @@ const useUserStore = defineStore({
                     })
             })
         },
+        async iamLogin(ticket: string) {
+            const data = await iamLogin(ticket)
+            this.token = data.token
+            this.isPaw = data.is_paw ?? 1
+            cache.set(TOKEN_KEY, data.token)
+            return data
+        },
         getUserInfo() {
             return new Promise((resolve, reject) => {
                 getUserInfo()

admin/src/utils/appointment-call-guard.ts

@@ -0,0 +1,19 @@
+type OutgoingCallGuard = (callType: number) => Promise<void>
+
+// 通话 SDK 为全局单例；使用当前窗口的校验器，避免首个组件闭包保留旧患者类型。
+let activeGuard: OutgoingCallGuard | undefined
+
+export function registerAppointmentCallGuard(guard: OutgoingCallGuard): () => void {
+    activeGuard = guard
+    return () => {
+        if (activeGuard === guard) activeGuard = undefined
+    }
+}
+
+export async function checkAppointmentOutgoingCall(params: unknown): Promise<void> {
+    const guard = activeGuard
+    if (!guard) throw new Error('请先打开本次挂号的聊天窗口')
+    const type = params && typeof params === 'object' && 'type' in params ? Number(params.type) : 2
+    await guard(type === 1 ? 1 : 2)
+    if (activeGuard !== guard) throw new Error('当前问诊已切换，请重新发起通话')
+}

admin/src/utils/appointment-type.ts

@@ -0,0 +1,13 @@
+/** 展示当前挂号的问诊方式；旧记录的空值默认视频。 */
+export function appointmentTypeDescription(value?: string | null): string {
+    if (value == null || value.trim() === '') return '视频问诊'
+    if (value === 'text') return '图文问诊'
+    if (value === 'video') return '视频问诊'
+    if (value === 'phone') return '电话问诊'
+    return '未知'
+}
+
+/** 图文及未知问诊方式不提供视频；只有已存在挂号的历史空值沿用视频。 */
+export function canAppointmentVideoCall(value?: string | null): boolean {
+    return value == null || value.trim() === '' || value === 'video'
+}

admin/src/utils/im-chat-archive-trigger.ts

@@ -0,0 +1,42 @@
+/** 合并聊天窗口的收发事件；每次同步只接受后端读取的云端消息，不上报客户端正文。 */
+export function createImChatArchiveTrigger(
+    syncPage: (params: { diagnosis_id: number; scope: 'current'; sync_token?: string }) => Promise<{
+        sync_token?: string; completed: boolean; errors?: string[]
+    }>,
+    onError: (error: unknown) => void = () => {}
+) {
+    const jobs = new Map<number, { again: boolean; promise: Promise<void> }>()
+    return (diagnosisId: number): Promise<void> => {
+        if (!Number.isInteger(diagnosisId) || diagnosisId <= 0) return Promise.resolve()
+        const pending = jobs.get(diagnosisId)
+        if (pending) {
+            pending.again = true
+            return pending.promise
+        }
+        const job = { again: false, promise: Promise.resolve() }
+        jobs.set(diagnosisId, job)
+        job.promise = (async () => {
+            try {
+                do {
+                    job.again = false
+                    let token: string | undefined
+                    for (;;) {
+                        const result = await syncPage({ diagnosis_id: diagnosisId, scope: 'current', sync_token: token })
+                        if (result.completed) {
+                            if (result.errors?.length) throw new Error(result.errors.join('；'))
+                            break
+                        }
+                        if (!result.sync_token) throw new Error('聊天记录同步未返回进度')
+                        token = result.sync_token
+                    }
+                    // 同步期间收到新消息时再追一次，覆盖新消息晚于本轮首页的情况。
+                } while (job.again)
+            } catch (error) {
+                onError(error)
+            } finally {
+                jobs.delete(diagnosisId)
+            }
+        })()
+        return job.promise
+    }
+}

admin/src/utils/im-chat-history.ts

@@ -0,0 +1,245 @@
+import { reactive } from 'vue'
+import type { ImChatMessagesResponse, ImChatSyncProgress } from '@/api/tcm'
+
+type NoticeKind = 'success' | 'warning' | 'error'
+type TimerHandle = ReturnType<typeof setTimeout>
+
+interface HistoryDependencies {
+    load: (diagnosisId: number) => Promise<ImChatMessagesResponse>
+    sync: (diagnosisId: number, token?: string) => Promise<ImChatSyncProgress>
+    notify?: (kind: NoticeKind, message: string) => void
+    now?: () => number
+    setTimer?: (callback: () => void, delay: number) => TimerHandle
+    clearTimer?: (timer: TimerHandle) => void
+    visible?: boolean
+}
+
+interface Session {
+    diagnosisId: number
+    generation: number
+    archiveRequest?: Promise<boolean>
+    syncRequest?: Promise<void>
+}
+
+/** Each visible diagnosis owns its requests and one timer; late responses cannot update another patient. */
+export function createImChatHistory(deps: HistoryDependencies) {
+    const state = reactive({
+        rows: [] as any[],
+        patientImId: '',
+        patientName: '',
+        loading: false,
+        syncing: false,
+        hasLoaded: false,
+        readError: '',
+        syncError: '',
+        partialErrors: [] as string[],
+        inserted: 0,
+        processedPeers: 0,
+        totalPeers: 0,
+        phase: '',
+        checkedAccounts: 0,
+        candidateAccounts: 0,
+        skippedAccounts: 0,
+        lastSyncAt: null as number | null
+    })
+    const now = deps.now ?? Date.now
+    const setTimer = deps.setTimer ?? setTimeout
+    const clearTimer = deps.clearTimer ?? clearTimeout
+    let diagnosisId = 0
+    let generation = 0
+    let visible = deps.visible ?? true
+    let disposed = false
+    let session: Session | undefined
+    let timer: TimerHandle | undefined
+
+    function current(target: Session) {
+        return !disposed && visible && target === session && target.generation === generation && target.diagnosisId === diagnosisId
+    }
+
+    function clearScheduledSync() {
+        if (timer !== undefined) clearTimer(timer)
+        timer = undefined
+    }
+
+    function invalidate() {
+        generation++
+        clearScheduledSync()
+        session = undefined
+        state.loading = false
+        state.syncing = false
+    }
+
+    async function loadArchived(target: Session, freshAfterPending = false): Promise<boolean> {
+        if (!current(target)) return false
+        if (target.archiveRequest) {
+            const result = await target.archiveRequest
+            if (!freshAfterPending || !current(target)) return result
+            return loadArchived(target)
+        }
+        state.loading = true
+        const request = Promise.resolve().then(async () => {
+            if (!current(target)) return false
+            try {
+                const response = await deps.load(target.diagnosisId)
+                if (!current(target)) return false
+                if (!Array.isArray(response?.lists)) throw new Error('聊天记录接口返回的数据不完整')
+                state.rows = response.lists
+                state.patientImId = response.patient_im_id || ''
+                state.patientName = response.patient_name || ''
+                state.hasLoaded = true
+                state.readError = ''
+                return true
+            } catch (error) {
+                if (current(target)) state.readError = imChatErrorMessage(error, '读取聊天记录失败')
+                return false
+            }
+        })
+        target.archiveRequest = request
+        try {
+            return await request
+        } finally {
+            if (target.archiveRequest === request) target.archiveRequest = undefined
+            if (current(target)) state.loading = false
+        }
+    }
+
+    function scheduleSync(target: Session) {
+        clearScheduledSync()
+        if (!current(target)) return
+        timer = setTimer(() => {
+            timer = undefined
+            if (current(target)) void sync(target)
+        }, 30000)
+    }
+
+    async function sync(target: Session, manual = false): Promise<void> {
+        if (!current(target)) return
+        if (target.syncRequest) return target.syncRequest
+        clearScheduledSync()
+        state.syncing = true
+        state.syncError = ''
+        state.partialErrors = []
+        state.inserted = 0
+        state.processedPeers = 0
+        state.totalPeers = 0
+        state.phase = 'checking_accounts'
+        state.checkedAccounts = 0
+        state.candidateAccounts = 0
+        state.skippedAccounts = 0
+        const request = Promise.resolve().then(async () => {
+            let token: string | undefined
+            let pagesSinceRefresh = 0
+            let lastRefreshAt = now()
+            const errors = new Set<string>()
+            try {
+                while (current(target)) {
+                    const progress = await deps.sync(target.diagnosisId, token)
+                    if (!current(target)) return
+                    if (typeof progress?.completed !== 'boolean') throw new Error('同步接口未返回有效的完成状态')
+                    state.inserted = Number(progress.inserted) || 0
+                    state.processedPeers = Number(progress.processed_peers) || 0
+                    state.totalPeers = Number(progress.total_peers) || 0
+                    state.phase = progress.phase || 'syncing'
+                    state.checkedAccounts = Number(progress.checked_accounts) || 0
+                    state.candidateAccounts = Number(progress.candidate_accounts) || 0
+                    state.skippedAccounts = Number(progress.skipped_accounts) || 0
+                    for (const error of [progress.error, ...(progress.errors || [])]) {
+                        if (typeof error === 'string' && error.trim()) errors.add(error)
+                    }
+                    state.partialErrors = [...errors]
+                    if (progress.completed) {
+                        const refreshed = await loadArchived(target, true)
+                        if (!current(target)) return
+                        state.lastSyncAt = now()
+                        if (manual) {
+                            if (errors.size) deps.notify?.('warning', `同步完成，部分会话失败：${[...errors].join('；')}`)
+                            else if (!refreshed) deps.notify?.('warning', `同步已完成，但读取聊天记录失败：${state.readError}`)
+                            else deps.notify?.('success', `聊天记录已更新，本次新增 ${state.inserted} 条`)
+                        }
+                        return
+                    }
+                    if (!progress.sync_token) throw new Error('同步接口未返回继续同步所需的进度标识')
+                    token = progress.sync_token
+                    pagesSinceRefresh++
+                    if (pagesSinceRefresh >= 3 || now() - lastRefreshAt >= 2000) {
+                        await loadArchived(target, true)
+                        pagesSinceRefresh = 0
+                        lastRefreshAt = now()
+                    }
+                }
+            } catch (error) {
+                if (!current(target)) return
+                state.syncError = imChatErrorMessage(error, '同步聊天记录失败')
+                if (manual) deps.notify?.('error', state.syncError)
+            }
+        })
+        target.syncRequest = request
+        try {
+            await request
+        } finally {
+            if (target.syncRequest === request) target.syncRequest = undefined
+            if (current(target)) {
+                state.syncing = false
+                scheduleSync(target)
+            }
+        }
+    }
+
+    function start() {
+        if (disposed || !visible || !diagnosisId) return
+        const target: Session = { diagnosisId, generation }
+        session = target
+        void loadArchived(target)
+        void sync(target)
+    }
+
+    function setDiagnosis(value: number) {
+        const nextId = Number(value) > 0 ? Number(value) : 0
+        if (disposed || (nextId === diagnosisId && session)) return
+        invalidate()
+        diagnosisId = nextId
+        state.rows = []
+        state.patientImId = ''
+        state.patientName = ''
+        state.hasLoaded = false
+        state.readError = ''
+        state.syncError = ''
+        state.partialErrors = []
+        state.inserted = 0
+        state.processedPeers = 0
+        state.totalPeers = 0
+        state.phase = ''
+        state.checkedAccounts = 0
+        state.candidateAccounts = 0
+        state.skippedAccounts = 0
+        state.lastSyncAt = null
+        start()
+    }
+
+    function setVisible(value: boolean) {
+        if (disposed || value === visible) return
+        visible = value
+        invalidate()
+        if (visible) start()
+    }
+
+    function dispose() {
+        disposed = true
+        invalidate()
+    }
+
+    return {
+        state,
+        setDiagnosis,
+        setVisible,
+        dispose,
+        reload: () => session ? loadArchived(session) : Promise.resolve(false),
+        sync: () => session ? sync(session, true) : Promise.resolve()
+    }
+}
+
+export function imChatErrorMessage(error: unknown, fallback: string): string {
+    if (typeof error === 'string' && error.trim()) return error
+    const detail = error as any
+    return detail?.response?.data?.msg || detail?.msg || detail?.error || detail?.message || fallback
+}

admin/src/views/account/login.vue

@@ -11,11 +11,11 @@
                     <div class="text-center text-3xl font-medium mb-8">{{ config.web_name }}</div>
 
                     <!-- 企业微信自动授权中 -->
-                    <div v-if="wxWorkAutoLogin" class="text-center py-10">
+                    <div v-if="wxWorkAutoLogin || iamLoading" class="text-center py-10">
                         <el-icon class="is-loading mb-4" :size="40" color="var(--el-color-primary)">
                             <Loading />
                         </el-icon>
-                        <div class="text-gray-500">企业微信授权登录中...</div>
+                        <div class="text-gray-500">{{ iamLoading ? '统一账号登录中...' : '企业微信授权登录中...' }}</div>
                     </div>
 
                     <template v-else>
@@ -78,6 +78,20 @@
                                 请使用企业微信扫描二维码登录
                             </div>
                         </template>
+
+                        <section v-if="iamEnabled" class="iam-login-alternative" aria-label="其他登录方式">
+                            <div class="iam-login-divider" aria-hidden="true">其他登录方式</div>
+                            <el-button class="iam-login-entry" size="large" @click="handleIamLogin">
+                                <span class="iam-login-entry__content">
+                                    <icon name="local-icon-anquan" size="22" />
+                                    <span>统一账号快捷登录</span>
+                                </span>
+                                <span class="iam-login-entry__arrow" aria-hidden="true">
+                                    <icon name="el-icon-ArrowRight" size="16" />
+                                </span>
+                            </el-button>
+                            <p class="iam-login-hint">使用统一身份平台账号登录</p>
+                        </section>
                     </template>
                 </div>
             </div>
@@ -99,7 +113,7 @@ import LayoutFooter from '@/layout/components/footer.vue'
 import useAppStore from '@/stores/modules/app'
 import useUserStore from '@/stores/modules/user'
 import cache from '@/utils/cache'
-import { getWorkWechatConfig } from '@/api/user'
+import { getIamConfig, getWorkWechatConfig } from '@/api/user'
 
 const passwordRef = shallowRef<InputInstance>()
 const formRef = shallowRef<FormInstance>()
@@ -118,6 +132,66 @@ const rules = {
     password: [{ required: true, message: '请输入密码', trigger: ['blur'] }]
 }
 
+// 统一账号登录是可选入口，不取代账号密码或企业微信登录。
+const iamEnabled = ref(false)
+const iamLoginUrl = ref('')
+const iamLoading = ref(false)
+let iamCallbackHandled = false
+
+const loadIamConfig = async () => {
+    try {
+        const result = await getIamConfig()
+        const url = new URL(result?.loginUrl || '', window.location.origin)
+        if (result?.enabled === true && url.protocol === 'https:') {
+            iamLoginUrl.value = url.href
+            iamEnabled.value = true
+        }
+    } catch {
+        // IAM 不可用时，原有登录入口保持可用。
+    }
+}
+
+const handleIamLogin = () => {
+    if (iamEnabled.value && iamLoginUrl.value) {
+        window.location.assign(iamLoginUrl.value)
+    }
+}
+
+const handleIamCallback = async (ticket: string | null, error: string | null) => {
+    if (iamCallbackHandled) return
+    iamCallbackHandled = true
+    // 在任何 await 和兑换前移除票据，刷新不会重复兑换；保留其他 query/hash。
+    const cleanUrl = new URL(window.location.href)
+    cleanUrl.searchParams.delete('iam_ticket')
+    cleanUrl.searchParams.delete('iam_error')
+    // 同一回调不得随后被识别为企业微信授权。
+    cleanUrl.searchParams.delete('code')
+    cleanUrl.searchParams.delete('state')
+    window.history.replaceState(window.history.state, '', cleanUrl.pathname + cleanUrl.search + cleanUrl.hash)
+    if (error || !ticket) {
+        ElMessage.error(error || '统一账号登录凭证无效，请重新登录')
+        return
+    }
+    iamLoading.value = true
+    try {
+        const result = await userStore.iamLogin(ticket)
+        if (result.is_paw === 0) {
+            await router.push('/change-password')
+            return
+        }
+        if (result.need_bind_work_wechat) {
+            await router.push('/bind-work-wechat')
+            return
+        }
+        redirectAfterLogin()
+    } catch (error: any) {
+        ElMessage.error(error?.msg || error?.message || '统一账号登录失败，请重新登录或使用账号密码')
+        loginMode.value = 'account'
+    } finally {
+        iamLoading.value = false
+    }
+}
+
 // 企业微信相关
 const loginMode = ref<'account' | 'wxwork'>('account')
 const wxWorkEnabled = ref(false)
@@ -243,7 +317,12 @@ onMounted(async () => {
 
     // 检查 URL 中是否有企业微信回调 code
     const urlParams = new URLSearchParams(window.location.search)
-    const wxCode = urlParams.get('code')
+    void loadIamConfig()
+    const hasIamCallback = urlParams.has('iam_ticket') || urlParams.has('iam_error')
+    if (hasIamCallback) {
+        await handleIamCallback(urlParams.get('iam_ticket'), urlParams.get('iam_error'))
+    }
+    const wxCode = hasIamCallback ? null : urlParams.get('code')
     const wxState = urlParams.get('state')
 
     if (wxCode && wxState === 'admin_login') {
@@ -263,7 +342,7 @@ onMounted(async () => {
             wxWorkConfig.value = { corp_id: res.corp_id, agent_id: res.agent_id }
 
             // 在企业微信内：自动跳转 OAuth 授权
-            if (isInWxWork()) {
+            if (isInWxWork() && !hasIamCallback) {
                 const redirectUri = encodeURIComponent(getRedirectUri())
                 const authUrl =
                     `https://open.weixin.qq.com/connect/oauth2/authorize` +
@@ -286,6 +365,82 @@ onMounted(async () => {
 </script>
 
 <style lang="scss" scoped>
+.iam-login-alternative {
+    margin-top: 28px;
+}
+
+.iam-login-divider {
+    display: flex;
+    align-items: center;
+    gap: 14px;
+    margin-bottom: 18px;
+    color: var(--el-text-color-secondary);
+    font-size: 13px;
+    line-height: 20px;
+
+    &::before,
+    &::after {
+        content: '';
+        flex: 1;
+        height: 1px;
+        background: var(--el-border-color-light);
+    }
+}
+
+.iam-login-entry.el-button {
+    --el-button-bg-color: var(--el-color-primary-light-9);
+    --el-button-text-color: var(--el-color-primary);
+    --el-button-border-color: var(--el-color-primary-light-5);
+    --el-button-hover-bg-color: var(--el-color-primary-light-8);
+    --el-button-hover-text-color: var(--el-color-primary);
+    --el-button-hover-border-color: var(--el-color-primary);
+    --el-button-active-bg-color: var(--el-color-primary-light-8);
+    --el-button-active-border-color: var(--el-color-primary);
+    position: relative;
+    width: 100%;
+    min-height: 48px;
+    height: auto;
+    margin: 0;
+    padding: 12px 34px;
+    border-radius: 8px;
+    font-weight: 600;
+    font-size: 14px;
+    transition: background-color 150ms ease, border-color 150ms ease;
+
+    &:focus-visible {
+        outline: 2px solid var(--el-color-primary);
+        outline-offset: 3px;
+    }
+}
+
+.iam-login-entry__content {
+    display: inline-flex;
+    align-items: center;
+    justify-content: center;
+    gap: 10px;
+}
+
+.iam-login-entry__arrow {
+    position: absolute;
+    right: 14px;
+    display: inline-flex;
+    align-items: center;
+}
+
+.iam-login-hint {
+    margin: 14px 0 0;
+    text-align: center;
+    color: var(--el-text-color-secondary);
+    font-size: 12px;
+    line-height: 20px;
+}
+
+@media (prefers-reduced-motion: reduce) {
+    .iam-login-entry.el-button {
+        transition: none;
+    }
+}
+
 .login {
     background-image: url('./images/login_bg.png');
     @apply min-h-screen bg-no-repeat bg-center bg-cover;

admin/src/views/consumer/prescription/components/PrescriptionOrderTimeDialog.vue

@@ -0,0 +1,93 @@
+<template>
+    <el-dialog
+        v-model="visible"
+        title="修改订单创建时间"
+        width="min(440px, 94vw)"
+        append-to-body
+        destroy-on-close
+        :close-on-click-modal="false"
+        :close-on-press-escape="!submitting"
+        :show-close="!submitting"
+    >
+        <el-form ref="formRef" :model="form" :rules="rules" label-position="top">
+            <el-form-item label="业务订单">
+                <span class="break-all">{{ orderNo || `#${form.id}` }}</span>
+            </el-form-item>
+            <el-form-item label="创建时间" prop="create_time">
+                <el-date-picker
+                    v-model="form.create_time"
+                    type="datetime"
+                    format="YYYY-MM-DD HH:mm:ss"
+                    value-format="YYYY-MM-DD HH:mm:ss"
+                    placeholder="请选择创建时间"
+                    :clearable="false"
+                    :disabled="submitting"
+                    class="!w-full"
+                />
+            </el-form-item>
+        </el-form>
+        <p class="text-xs text-gray-500">保存后，列表和业绩统计将按新的创建时间归属日期，修改记录可在订单日志中查看。</p>
+        <template #footer>
+            <el-button :disabled="submitting" @click="visible = false">取消</el-button>
+            <el-button type="primary" :loading="submitting" @click="submit">保存</el-button>
+        </template>
+    </el-dialog>
+</template>
+
+<script lang="ts" setup>
+import { nextTick, reactive, ref } from 'vue'
+import type { FormInstance, FormRules } from 'element-plus'
+import { prescriptionOrderEditTime } from '@/api/tcm'
+import feedback from '@/utils/feedback'
+
+const emit = defineEmits<{ (event: 'saved', id: number): void }>()
+const visible = ref(false)
+const submitting = ref(false)
+const orderNo = ref('')
+const formRef = ref<FormInstance>()
+const form = reactive({ id: 0, create_time: '' })
+const rules: FormRules = {
+    create_time: [{ required: true, message: '请选择创建时间', trigger: 'change' }]
+}
+
+// 列表可能返回日期字符串或历史 Unix 时间戳；保留秒，避免只打开弹窗就丢失精度。
+function editableTime(value: unknown): string {
+    const raw = String(value ?? '').trim()
+    if (/^\d{4}-\d{2}-\d{2}[ T]\d{2}:\d{2}(:\d{2})?$/.test(raw)) {
+        return raw.replace('T', ' ').padEnd(19, ':00')
+    }
+    if (!/^\d+$/.test(raw) || Number(raw) <= 0) return ''
+    const timestamp = Number(raw)
+    const date = new Date(timestamp < 1e11 ? timestamp * 1000 : timestamp)
+    if (Number.isNaN(date.getTime())) return ''
+    const pad = (part: number) => String(part).padStart(2, '0')
+    return `${date.getFullYear()}-${pad(date.getMonth() + 1)}-${pad(date.getDate())} ${pad(date.getHours())}:${pad(date.getMinutes())}:${pad(date.getSeconds())}`
+}
+
+function open(row: { id?: unknown; order_no?: unknown; create_time?: unknown }) {
+    if (submitting.value || !Number(row.id)) return
+    form.id = Number(row.id)
+    form.create_time = editableTime(row.create_time)
+    orderNo.value = String(row.order_no || '')
+    visible.value = true
+    nextTick(() => formRef.value?.clearValidate())
+}
+
+async function submit() {
+    if (submitting.value || !formRef.value) return
+    submitting.value = true
+    try {
+        if (!(await formRef.value.validate().catch(() => false))) return
+        await prescriptionOrderEditTime({ id: form.id, create_time: form.create_time })
+        feedback.msgSuccess('订单创建时间已修改')
+        visible.value = false
+        emit('saved', form.id)
+    } catch {
+        // 请求拦截器展示错误，保留已填写的时间便于重试。
+    } finally {
+        submitting.value = false
+    }
+}
+
+defineExpose({ open })
+</script>

admin/src/views/consumer/prescription/components/prescription-order-utils.ts

@@ -179,6 +179,7 @@ export function logActionText(act: string) {
         patch_rx_patient: '处方患者信息',
         patch_rx_usage: '服用参数',
         update_amount: '修改订单金额',
+        edit_time: '修改创建时间',
         complete: '完成订单',
         refund: '退款',
         manual_log: '手工备注',

admin/src/views/consumer/prescription/guahao.vue

@@ -42,6 +42,13 @@
                         />
                     </el-select>
                 </el-form-item>
+                <el-form-item label="挂号类型">
+                    <el-select v-model="queryParams.appointment_type" placeholder="全部" clearable class="!w-[140px]">
+                        <el-option label="全部" value="" />
+                        <el-option label="视频问诊" value="video" />
+                        <el-option label="图文问诊" value="text" />
+                    </el-select>
+                </el-form-item>
                 <el-form-item label="状态">
                     <el-select v-model="queryParams.status" placeholder="全部" clearable class="!w-[130px]">
                         <el-option label="已预约" :value="1" />
@@ -115,7 +122,9 @@
                         <div class="text-gray-500">{{ formatHm(row.appointment_time) }} · {{ row.period_desc }}</div>
                     </template>
                 </el-table-column>
-                <el-table-column label="类型" prop="appointment_type_desc" width="100" />
+                <el-table-column label="挂号类型" width="110">
+                    <template #default="{ row }">{{ appointmentTypeDescription(row.appointment_type) }}</template>
+                </el-table-column>
                 <el-table-column label="渠道" min-width="130" show-overflow-tooltip>
                     <template #default="{ row }">
                         <div class="text-sm">{{ row.channel_source_desc || '—' }}</div>
@@ -178,11 +187,10 @@
                         <el-radio-button label="all">全天</el-radio-button>
                     </el-radio-group>
                 </el-form-item>
-                <el-form-item label="问诊类型" required>
+                <el-form-item label="挂号类型" required>
                     <el-select v-model="editForm.appointment_type" class="!w-full">
                         <el-option label="视频问诊" value="video" />
                         <el-option label="图文问诊" value="text" />
-                        <el-option label="电话问诊" value="phone" />
                     </el-select>
                 </el-form-item>
                 <el-form-item label="渠道来源" required>
@@ -293,6 +301,7 @@
 import DaterangePicker from '@/components/daterange-picker/index.vue'
 import { getDictData } from '@/api/app'
 import { appointmentAdminEdit, appointmentBatchEditChannel, appointmentLists } from '@/api/doctor'
+import { appointmentTypeDescription } from '@/utils/appointment-type'
 import { getAssistants } from '@/api/tcm'
 import { usePaging } from '@/hooks/usePaging'
 import feedback from '@/utils/feedback'
@@ -303,6 +312,7 @@ const queryParams = reactive({
     patient_name: '',
     doctor_name: '',
     assistant_id: undefined as number | undefined,
+    appointment_type: '',
     status: '' as number | '',
     channel_source: '' as string
 })
@@ -313,6 +323,7 @@ const queryInit = {
     patient_name: '',
     doctor_name: '',
     assistant_id: undefined as number | undefined,
+    appointment_type: '',
     status: '' as number | '',
     channel_source: ''
 }

admin/src/views/consumer/prescription/index.vue

@@ -1585,7 +1585,7 @@ import DaterangePicker from '@/components/daterange-picker/index.vue'
 import MedicineNameSelect from '@/components/medicine-name-select/index.vue'
 import PrescriptionSlip from '@/components/prescription-slip/index.vue'
 import { Search, Download, Printer, EditPen } from '@element-plus/icons-vue'
-import { computed, onMounted, reactive, ref, watch, nextTick, defineAsyncComponent } from 'vue'
+import { computed, onMounted, onActivated, onDeactivated, reactive, ref, watch, nextTick, defineAsyncComponent } from 'vue'
 import { useRouter } from 'vue-router'
 import html2canvas from 'html2canvas'
 import jsPDF from 'jspdf'
@@ -3882,6 +3882,17 @@ const handleDelete = async (id: number) => {
     getLists()
 }
 
+// 从订单页返回缓存的处方列表时，重新读取退款后的占用状态。
+let refreshOnReturn = false
+onDeactivated(() => {
+    refreshOnReturn = true
+})
+onActivated(() => {
+    if (!refreshOnReturn) return
+    refreshOnReturn = false
+    getLists()
+})
+
 onMounted(async () => {
     await loadRoleOptions()
     await loadRegionData()

admin/src/views/consumer/prescription/order_list.vue

@@ -551,6 +551,12 @@
                                 link
                                 @click="openEdit(row)"
                             >编辑</el-button>
+                            <el-button
+                                v-perms="['tcm.prescriptionOrder/editTime']"
+                                type="primary"
+                                link
+                                @click="orderTimeDialogRef?.open(row)"
+                            >修改创建时间</el-button>
                             <el-button
                                 v-if="canQuickTrackRow(row)"
                                 v-perms="['tcm.prescriptionOrder/ddcode']"
@@ -650,6 +656,11 @@
                 </div>
             </template>
             <template #header-actions="{ detail }">
+                <el-button
+                    v-perms="['tcm.prescriptionOrder/editTime']"
+                    size="small"
+                    @click="orderTimeDialogRef?.open(detail)"
+                >修改创建时间</el-button>
                 <gancao-submission-reconcile-button
                     :order="detail"
                     @resolved="handleGancaoSubmissionResolved"
@@ -860,7 +871,16 @@
                                             <el-option label="京东快递" value="jd" />
                                             <el-option label="极兔速递" value="jt" />
                                         </el-select>
-                                        <el-input v-model="editForm.tracking_number" maxlength="80" placeholder="快递单号" class="flex-1 min-w-0" />
+                                        <el-input
+                                            v-model="editForm.tracking_number"
+                                            disabled
+                                            maxlength="80"
+                                            placeholder="快递单号"
+                                            class="flex-1 min-w-0"
+                                        />
+                                    </div>
+                                    <div class="text-xs text-gray-400 mt-1">
+                                        编辑订单后需重新审核；双审通过后，请通过列表的单号操作填写或修改
                                     </div>
                                 </el-form-item>
                             </el-col>
@@ -1056,7 +1076,16 @@
                                             <el-option label="京东快递" value="jd" />
                                             <el-option label="极兔速递" value="jt" />
                                         </el-select>
-                                        <el-input v-model="editForm.tracking_number" maxlength="80" placeholder="快递单号" class="flex-1 min-w-0" />
+                                        <el-input
+                                            v-model="editForm.tracking_number"
+                                            disabled
+                                            maxlength="80"
+                                            placeholder="快递单号"
+                                            class="flex-1 min-w-0"
+                                        />
+                                    </div>
+                                    <div class="text-xs text-gray-400 mt-1">
+                                        编辑订单后需重新审核；双审通过后，请通过列表的单号操作填写或修改
                                     </div>
                                 </el-form-item>
                             </el-col>
@@ -1511,6 +1540,8 @@
                 </el-button>
             </template>
         </el-dialog>
+        <prescription-order-time-dialog ref="orderTimeDialogRef" @saved="onOrderTimeSaved" />
+
         <!-- 订单退款：须填写原因 -->
         <el-dialog
             v-model="refundOrderDialogVisible"
@@ -2032,6 +2063,7 @@ import { useRoute } from 'vue-router'
 import { ArrowDown, InfoFilled, QuestionFilled, Search, Calendar, Document, Link as LinkIcon, Wallet } from '@element-plus/icons-vue'
 import ListTimeFilter from '@/components/list-time-filter/index.vue'
 import PrescriptionOrderDetailDrawer from './components/PrescriptionOrderDetailDrawer.vue'
+import PrescriptionOrderTimeDialog from './components/PrescriptionOrderTimeDialog.vue'
 import GancaoSubmissionReconcileButton from './components/GancaoSubmissionReconcileButton.vue'
 import {
     TCM_ASSISTANT_ROLE_ID,
@@ -2961,9 +2993,13 @@ function canWithdrawRow(row: { fulfillment_status?: number }) {
     return Number(row.fulfillment_status) === 1
 }
 
-function canShipRow(row: { fulfillment_status?: number }) {
-    // 履约中(2) 可发货
-    return Number(row.fulfillment_status) === 2
+function canShipRow(row: {
+    fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    // 履约中(2) 且处方、支付单均审核通过才可发货
+    return Number(row.fulfillment_status) === 2 && isDualAuditPassed(row)
 }
 
 type ShipMode = 'gancao' | 'direct'
@@ -3059,8 +3095,11 @@ function canRefundRow(row: { fulfillment_status?: number; payment_slip_audit_sta
     return (fs === 5 || fs === 6 || fs === 3 || fs === 9) && Number(row.payment_slip_audit_status) === 1
 }
 
-function canQuickTrackRow(_row: { fulfillment_status?: number }) {
-    return true
+function canQuickTrackRow(row: {
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    return isDualAuditPassed(row)
 }
 
 function canUploadPharmacyRow(row: {
@@ -3088,6 +3127,12 @@ function canUploadPharmacyRow(row: {
 
 // ─── 详情抽屉（共享组件 PrescriptionOrderDetailDrawer）：状态桥接 ───
 const detailDrawerRef = ref<InstanceType<typeof PrescriptionOrderDetailDrawer>>()
+const orderTimeDialogRef = ref<InstanceType<typeof PrescriptionOrderTimeDialog>>()
+
+async function onOrderTimeSaved(id: number) {
+    getLists()
+    await detailDrawerRef.value?.refreshIfCurrent(id)
+}
 /** 当前详情数据（组件内部 ref 的桥接；可原地修改属性，整体刷新请用 detailDrawerRef.refresh()） */
 const detailData = computed(() => (detailDrawerRef.value?.detail ?? null) as Record<string, any> | null)
 
@@ -3607,7 +3652,6 @@ async function submitEdit() {
             service_channel: editForm.service_channel || '',
             service_package: Array.isArray(editForm.service_package) ? editForm.service_package.join(',') : '',
             express_company: editForm.express_company || 'auto',
-            tracking_number: editForm.tracking_number || '',
             fee_type: editForm.fee_type,
             amount: editForm.amount,
             remark_extra: editForm.remark_extra || '',
@@ -3895,7 +3939,17 @@ const quickTrackForm = reactive({
     tracking_number: ''
 })
 
-function openQuickTrack(row: { id: number; express_company?: unknown; tracking_number?: unknown }) {
+function openQuickTrack(row: {
+    id: number
+    express_company?: unknown
+    tracking_number?: unknown
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    if (!canQuickTrackRow(row)) {
+        feedback.msgWarning('处方审核和支付单审核均通过后，才可填写或修改快递单号')
+        return
+    }
     quickTrackRowId.value = row.id
     quickTrackForm.express_company = String(row.express_company || 'auto') || 'auto'
     quickTrackForm.tracking_number = String(row.tracking_number || '')
@@ -3943,7 +3997,19 @@ function resolveShipModeForRow(row: { id: number; ship_mode?: unknown }) {
     return normalizeShipMode(row.ship_mode)
 }
 
-function openShip(row: { id: number; express_company?: unknown; tracking_number?: unknown; ship_mode?: unknown }) {
+function openShip(row: {
+    id: number
+    express_company?: unknown
+    tracking_number?: unknown
+    ship_mode?: unknown
+    fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    if (!canShipRow(row)) {
+        feedback.msgWarning('仅处方审核和支付单审核均通过的履约中订单可填写单号并发货')
+        return
+    }
     shipRowId.value = Number(row.id)
     shipForm.ship_mode = resolveShipModeForRow(row)
     shipForm.express_company = String(row.express_company || 'auto') || 'auto'

admin/src/views/consumer/prescription/order_list_h5.vue

@@ -475,6 +475,11 @@
                             size="small"
                             @click="openEdit(row)"
                         >编辑</el-button>
+                        <el-button
+                            v-perms="['tcm.prescriptionOrder/editTime']"
+                            size="small"
+                            @click="orderTimeDialogRef?.open(row)"
+                        >修改创建时间</el-button>
                         <el-button
                             v-if="canQuickTrackRow(row)"
                             v-perms="['tcm.prescriptionOrder/ddcode']"
@@ -592,6 +597,11 @@
                         >
                             撤回支付审核
                         </el-button>
+                        <el-button
+                            v-perms="['tcm.prescriptionOrder/editTime']"
+                            size="small"
+                            @click="orderTimeDialogRef?.open(detailData)"
+                        >修改创建时间</el-button>
                         <el-button
                             v-if="canShipRow(detailData)"
                             v-perms="['tcm.prescriptionOrder/ship']"
@@ -1614,7 +1624,16 @@
                                             <el-option label="京东快递" value="jd" />
                                             <el-option label="极兔速递" value="jt" />
                                         </el-select>
-                                        <el-input v-model="editForm.tracking_number" maxlength="80" placeholder="快递单号" class="flex-1 min-w-0" />
+                                        <el-input
+                                            v-model="editForm.tracking_number"
+                                            disabled
+                                            maxlength="80"
+                                            placeholder="快递单号"
+                                            class="flex-1 min-w-0"
+                                        />
+                                    </div>
+                                    <div class="text-xs text-gray-400 mt-1">
+                                        编辑订单后需重新审核；双审通过后，请通过列表的单号操作填写或修改
                                     </div>
                                 </el-form-item>
                             </el-col>
@@ -2568,6 +2587,7 @@
 
         <!-- 与 consumer/prescription/index、诊单 edit 同一套界面：只读诊单与全部分页签 -->
         <TcmDiagnosisEditView ref="diagnosisViewRef" />
+        <prescription-order-time-dialog ref="orderTimeDialogRef" @saved="onOrderTimeSaved" />
     </div>
 </template>
 
@@ -2586,6 +2606,7 @@ import {
     User
 } from '@element-plus/icons-vue'
 import ListTimeFilter from '@/components/list-time-filter/index.vue'
+import PrescriptionOrderTimeDialog from './components/PrescriptionOrderTimeDialog.vue'
 import GancaoSubmissionReconcileButton from './components/GancaoSubmissionReconcileButton.vue'
 import { useListTimeFilter } from '@/hooks/useListTimeFilter'
 import {
@@ -3410,9 +3431,13 @@ function canWithdrawRow(row: { fulfillment_status?: number }) {
     return Number(row.fulfillment_status) === 1
 }
 
-function canShipRow(row: { fulfillment_status?: number }) {
-    // 履约中(2) 可发货
-    return Number(row.fulfillment_status) === 2
+function canShipRow(row: {
+    fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    // 履约中(2) 且处方、支付单均审核通过才可发货
+    return Number(row.fulfillment_status) === 2 && isDualAuditPassed(row)
 }
 
 function canAddPayOrderRow(row: { fulfillment_status?: number }) {
@@ -3432,8 +3457,11 @@ function canRefundRow(row: { fulfillment_status?: number; payment_slip_audit_sta
     return (fs === 5 || fs === 6 || fs === 3 || fs === 9) && Number(row.payment_slip_audit_status) === 1
 }
 
-function canQuickTrackRow(_row: { fulfillment_status?: number }) {
-    return true
+function canQuickTrackRow(row: {
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    return isDualAuditPassed(row)
 }
 
 function canUploadPharmacyRow(row: {
@@ -3514,6 +3542,14 @@ function canUpdateAmount(row: { id?: number; fulfillment_status?: number } | nul
 const detailVisible = ref(false)
 const detailLoading = ref(false)
 const detailData = ref<Record<string, any> | null>(null)
+const orderTimeDialogRef = ref<InstanceType<typeof PrescriptionOrderTimeDialog>>()
+
+async function onOrderTimeSaved(id: number) {
+    getLists()
+    if (detailVisible.value && Number(detailData.value?.id) === id) {
+        await openDetail(id)
+    }
+}
 
 const detailServicePackageText = computed(() =>
     formatServicePackageLabels(detailData.value?.service_package, servicePackageOptions.value)
@@ -3838,7 +3874,8 @@ function logActionText(act: string) {
         patch_rx_patient: '处方患者信息',
         update_amount: '修改订单金额',
         complete: '完成订单',
-        refund: '退款'
+        refund: '退款',
+        edit_time: '修改创建时间'
     }
     return m[act] || act
 }
@@ -4519,7 +4556,6 @@ async function submitEdit() {
             service_channel: editForm.service_channel || '',
             service_package: Array.isArray(editForm.service_package) ? editForm.service_package.join(',') : '',
             express_company: editForm.express_company || 'auto',
-            tracking_number: editForm.tracking_number || '',
             fee_type: editForm.fee_type,
             amount: editForm.amount,
             remark_extra: editForm.remark_extra || '',
@@ -4767,7 +4803,17 @@ const quickTrackForm = reactive({
     tracking_number: ''
 })
 
-function openQuickTrack(row: { id: number; express_company?: unknown; tracking_number?: unknown }) {
+function openQuickTrack(row: {
+    id: number
+    express_company?: unknown
+    tracking_number?: unknown
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    if (!canQuickTrackRow(row)) {
+        feedback.msgWarning('处方审核和支付单审核均通过后，才可填写或修改快递单号')
+        return
+    }
     quickTrackRowId.value = row.id
     quickTrackForm.express_company = String(row.express_company || 'auto') || 'auto'
     quickTrackForm.tracking_number = String(row.tracking_number || '')
@@ -4819,7 +4865,19 @@ const shipDialogModeDisplay = computed(() =>
     shipForm.ship_mode === 'direct' ? '洛阳药房直发' : '甘草药房直发'
 )
 
-function openShip(row: { id: number; express_company?: unknown; tracking_number?: unknown; ship_mode?: unknown }) {
+function openShip(row: {
+    id: number
+    express_company?: unknown
+    tracking_number?: unknown
+    ship_mode?: unknown
+    fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    if (!canShipRow(row)) {
+        feedback.msgWarning('仅处方审核和支付单审核均通过的履约中订单可填写单号并发货')
+        return
+    }
     shipRowId.value = row.id
     shipForm.ship_mode = String(row.ship_mode || 'gancao') || 'gancao'
     shipForm.express_company = String(row.express_company || 'auto') || 'auto'

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

@@ -125,6 +125,11 @@
                         </div>
                     </template>
                 </el-table-column>
+                <el-table-column label="挂号类型" min-width="110">
+                    <template #default="{ row }">
+                        {{ Number(row.appointment_id) > 0 ? appointmentTypeDescription(row.appointment_type) : '—' }}
+                    </template>
+                </el-table-column>
                 <el-table-column label="预约时间" min-width="165">
                     <template #default="{ row }">
                         <span :class="['appointment-time', { empty: !row.appointment_time_text }]">
@@ -325,6 +330,7 @@
 </template>
 
 <script setup lang="ts">
+import { appointmentTypeDescription } from '@/utils/appointment-type'
 import { computed, defineAsyncComponent, onMounted, reactive, ref } from 'vue'
 import { useRouter } from 'vue-router'
 import dayjs from 'dayjs'

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

@@ -58,31 +58,55 @@
                     </div>
                     <div class="section-heading-actions">
                         <span v-if="selectedPoolIds.length" class="selection-count">已选 {{ selectedPoolIds.length }} 个方案</span>
+                        <el-button
+                            :icon="Refresh"
+                            :loading="syncingBatchMembers"
+                            :disabled="!selectedPoolIds.length || memberSyncBusy || togglingMemberId > 0 || deletingPoolId > 0"
+                            @click="syncSelectedMemberRanges"
+                        >批量同步成员范围</el-button>
                         <el-button
                             :icon="Edit"
-                            :disabled="!selectedPoolIds.length"
+                            :disabled="!selectedManageablePoolCount || memberSyncBusy"
                             @click="openBatchConfigDialog()"
                         >批量修改方案</el-button>
                         <el-button
                             :icon="User"
-                            :disabled="!selectedPoolIds.length"
+                            :disabled="!selectedManageablePoolCount || memberSyncBusy"
                             @click="openAccessDialog()"
                         >批量设置访问操作</el-button>
-                        <el-button type="primary" :icon="Plus" @click="openPoolDialog()">新建分流方案</el-button>
+                        <el-button type="primary" :icon="Plus" :disabled="memberSyncBusy" @click="openPoolDialog()">新建分流方案</el-button>
                     </div>
                 </div>
 
+                <section v-if="operationResults.length" class="member-sync-results" aria-live="polite">
+                    <strong>本次保存与企微同步结果</strong>
+                    <p v-if="syncingBatchMembers" role="status">正在同步企微 {{ batchSyncProgress.completed }} / {{ batchSyncProgress.total }} 个方案，请等待完成。</p>
+                    <ul>
+                        <li v-for="result in operationResults" :key="result.id">
+                            <span>{{ result.name || `方案 ${result.id}` }}：{{ operationResultText(result) }}</span>
+                            <el-button
+                                v-if="result.success && result.sync_status !== 'synced' && canSyncPool(result.id)"
+                                type="primary"
+                                link
+                                :loading="syncingPoolId === result.id"
+                                :disabled="memberSyncBusy"
+                                @click="syncMemberRange(result.id)"
+                            >重试同步</el-button>
+                        </li>
+                    </ul>
+                </section>
+
                 <div v-if="overview.pools.length" class="pool-layout">
                     <aside class="pool-sidebar">
                         <div class="pool-select-all">
                             <el-checkbox
-                                :model-value="allManageablePoolsSelected"
-                                :indeterminate="someManageablePoolsSelected"
-                                :disabled="!manageablePoolIds.length"
-                                aria-label="全选可管理的分流方案"
+                                :model-value="allSelectablePoolsSelected"
+                                :indeterminate="someSelectablePoolsSelected"
+                                :disabled="!selectablePoolIds.length || memberSyncBusy"
+                                aria-label="全选可操作的分流方案"
                                 @change="toggleAllPoolSelection"
                             >全选</el-checkbox>
-                            <span>可选 {{ manageablePoolIds.length }} 个</span>
+                            <span>可选 {{ selectablePoolIds.length }} 个</span>
                         </div>
                         <div
                             v-for="pool in overview.pools"
@@ -92,7 +116,7 @@
                         >
                             <el-checkbox
                                 :model-value="selectedPoolIds.includes(Number(pool.id))"
-                                :disabled="!pool.can_manage_access"
+                                :disabled="(!pool.can_manage_access && !pool.can_operate) || memberSyncBusy"
                                 :aria-label="`选择方案 ${pool.name}`"
                                 @change="(checked) => togglePoolSelection(pool, checked)"
                                 @click.stop
@@ -126,11 +150,12 @@
                             </div>
                             <div class="toolbar-actions">
                                 <el-button :icon="CircleCheck" :loading="checkingApi" @click="checkApiPermission">验证 API</el-button>
+                                <el-button v-if="selectedPool.can_operate" :icon="Refresh" :loading="syncingPoolId === Number(selectedPool.id)" :disabled="!selectedPool.official_link || memberSyncBusy || togglingMemberId > 0" @click="syncMemberRange(Number(selectedPool.id))">同步成员范围</el-button>
                                 <el-button :icon="DocumentCopy" :disabled="!selectedPool.main_url" @click="copyText(selectedPool.main_url, '官方获客链接')">复制链接</el-button>
                                 <el-button :icon="DocumentCopy" @click="copyText(selectedPool.install_code, 'JS 安装代码')">复制 JS</el-button>
-                                <el-button v-if="selectedPool.can_manage_access" :icon="User" @click="openAccessDialog([Number(selectedPool.id)])">设置访问操作</el-button>
-                                <el-button v-if="selectedPool.can_operate" :icon="Edit" @click="openPoolDialog(selectedPool)">编辑方案</el-button>
-                                <el-button v-if="selectedPool.can_delete" type="danger" plain :icon="Delete" :loading="deletingPoolId === Number(selectedPool.id)" :disabled="deletingPoolId > 0" @click="removePool(selectedPool)">删除</el-button>
+                                <el-button v-if="selectedPool.can_manage_access" :icon="User" :disabled="memberSyncBusy" @click="openAccessDialog([Number(selectedPool.id)])">设置访问操作</el-button>
+                                <el-button v-if="selectedPool.can_operate" :icon="Edit" :disabled="memberSyncBusy" @click="openPoolDialog(selectedPool)">编辑方案</el-button>
+                                <el-button v-if="selectedPool.can_delete" type="danger" plain :icon="Delete" :loading="deletingPoolId === Number(selectedPool.id)" :disabled="deletingPoolId > 0 || memberSyncBusy" @click="removePool(selectedPool)">删除</el-button>
                             </div>
                         </div>
 
@@ -150,7 +175,16 @@
                             show-icon
                             :closable="false"
                             title="企业微信原生多人路由"
-                            description="当前全部可用医助会同时写入官方链接的成员范围，由企业微信在打开和添加阶段直接进行多人路由。回调只用于统计实际承接结果，并在禁用、过期或达到上限后更新成员范围。"
+                            description="上线开关和可用性表示本地规则；企微范围显示上次远端确认结果。“待移出”的成员仍可能获客，只有同步完成才会从官方链接移除。"
+                        />
+
+                        <el-alert
+                            class="legacy-sync-alert member-sync-state"
+                            :type="selectedSyncState.type"
+                            show-icon
+                            :closable="false"
+                            :title="selectedSyncState.title"
+                            :description="selectedSyncState.description"
                         />
 
                         <div class="member-table-area">
@@ -163,10 +197,10 @@
                                     </div>
                                 </template>
                             </el-table-column>
-                            <el-table-column label="企微范围同步" width="130" align="center">
+                            <el-table-column label="企微范围（上次确认）" width="165" align="center">
                                 <template #default="{ row }">
                                     <span class="status-tag" :class="routeStatus(row).className">{{ routeStatus(row).label }}</span>
-                                    <div v-if="Number(row.sync_status) === 3" class="sync-retry-tip">同步失败，后台重试中</div>
+                                    <div v-if="Number(row.sync_status) === 3" class="sync-retry-tip">同步失败，请查看上方原因</div>
                                 </template>
                             </el-table-column>
                             <el-table-column label="今日 / 上限" width="125" align="center">
@@ -180,12 +214,12 @@
                             </el-table-column>
                             <el-table-column label="上线" width="90" align="center">
                                 <template #default="{ row }">
-                                    <el-switch :model-value="Number(row.enabled) === 1" :disabled="!selectedPool.can_operate" :loading="togglingMemberId === Number(row.id)" @change="(value) => handleMemberToggle(row, value)" />
+                                    <el-switch :model-value="Number(row.enabled) === 1" :disabled="!selectedPool.can_operate || togglingMemberId > 0 || memberSyncBusy" :loading="togglingMemberId === Number(row.id)" @change="(value) => handleMemberToggle(row, value)" />
                                 </template>
                             </el-table-column>
                             <el-table-column label="操作" min-width="100" fixed="right">
                                 <template #default="{ row }">
-                                    <el-button v-if="selectedPool.can_operate" type="primary" link @click="openMemberDialog(row)">编辑规则</el-button>
+                                    <el-button v-if="selectedPool.can_operate" type="primary" link :disabled="memberSyncBusy" @click="openMemberDialog(row)">编辑规则</el-button>
                                 </template>
                             </el-table-column>
                             <template #empty><el-empty :image-size="72" description="编辑方案并选择获客医助" /></template>
@@ -584,6 +618,7 @@
                 </el-form>
             </div>
             <template #footer>
+                <span v-if="batchSyncProgress.total" class="uploading-save-tip" role="status">本地配置已保存，正在同步企微 {{ batchSyncProgress.completed }} / {{ batchSyncProgress.total }} 个方案</span>
                 <span v-if="batchConfigBusy" class="uploading-save-tip">正在处理标签或素材，请稍候</span>
                 <el-button :disabled="savingBatchConfig || batchConfigBusy" @click="batchConfigDialogVisible = false">取消</el-button>
                 <el-button type="primary" :loading="savingBatchConfig" :disabled="batchConfigBusy" @click="saveBatchConfig">批量保存</el-button>
@@ -694,9 +729,10 @@ import {
     wecomPromotionSaveMember,
     wecomPromotionSavePool,
     wecomPromotionSyncCustomers,
+    wecomPromotionSyncMemberRange,
     wecomPromotionToggleMember
 } from '@/api/first_visit'
-import type { WecomPromotionCustomerChatStatus } from '@/api/first_visit'
+import type { WecomPromotionBatchUpdatePoolResult, WecomPromotionCustomerChatStatus, WecomPromotionMemberSyncResult } from '@/api/first_visit'
 
 import WecomFloatingWidgetBuilder from './components/WecomFloatingWidgetBuilder.vue'
 import PromotionAutomationForm from './components/PromotionAutomationForm.vue'
@@ -778,6 +814,12 @@ const accessDialogVisible = ref(false)
 const savingAccess = ref(false)
 const batchConfigDialogVisible = ref(false)
 const savingBatchConfig = ref(false)
+const syncingPoolId = ref(0)
+const syncingBatchMembers = ref(false)
+const memberSyncBusy = computed(() => syncingBatchMembers.value || syncingPoolId.value > 0 || savingBatchConfig.value)
+const batchSyncProgress = reactive({ completed: 0, total: 0 })
+type MemberOperationResult = WecomPromotionBatchUpdatePoolResult & { sync_only?: boolean }
+const operationResults = ref<MemberOperationResult[]>([])
 const batchConfigBusy = ref(false)
 const batchConfigScroll = ref<HTMLElement>()
 const batchConfigError = ref('')
@@ -808,19 +850,42 @@ const customerStats = reactive({
 
 const selectedPool = computed(() => overview.pools.find((item: any) => Number(item.id) === selectedPoolId.value))
 const selectedMemberRules = computed(() => Array.isArray(selectedPool.value?.member_rules) ? selectedPool.value.member_rules : [])
+const selectedSyncState = computed(() => {
+    const pool = selectedPool.value
+    const sync = pool?.dispatch_sync || {}
+    const remote = Array.isArray(pool?.official_link?.range_userids) ? pool.official_link.range_userids.map(String) : []
+    const planned = selectedMemberRules.value.filter((row: any) => eligibility(row).className === 'is-ok').map((row: any) => String(row.userid))
+    const names = new Map<string, string>(selectedMemberRules.value.map((row: any) => [String(row.userid), String(row.name || row.userid)]))
+    const remoteNames = remote.map((id: string) => names.get(id) || id).join('、') || '暂无确认记录'
+    const plannedNames = planned.map((id: string) => names.get(id) || id).join('、') || '暂无可用成员'
+    const lastSync = pool?.official_link?.last_sync_time
+    const detail = `当前计划：${plannedNames}；上次企微确认：${remoteNames}${lastSync ? `（${formatCustomerTime(lastSync)}）` : ''}。`
+    const error = String(sync.last_error || pool?.official_link?.sync_error || '')
+    if (Number(sync.status) === 3 || error) return { type: 'warning' as const, title: '企微成员范围尚未同步成功', description: `${detail}${error || '同步失败，请点击“同步成员范围”重试。'}` }
+    if (Number(sync.status) === 4) return { type: 'warning' as const, title: '企微成员范围同步受阻', description: `${detail}请检查可用成员后重试同步。` }
+    if ([1, 2].includes(Number(sync.status))) return { type: 'warning' as const, title: '本地规则已保存，企微成员范围同步待完成', description: `${detail}可点击“同步成员范围”立即重试。` }
+    const hasDepartments = (pool?.official_link?.range_department_ids || []).length > 0
+    const matches = remote.length > 0 && new Set(remote).size === new Set(planned).size && planned.every((id: string) => remote.includes(id)) && !hasDepartments
+    if (!matches) return { type: 'warning' as const, title: '当前计划与上次企微范围不一致', description: `${detail}${hasDepartments ? '企微范围仍包含部门。' : ''}请点击“同步成员范围”更新并确认。` }
+    return { type: 'info' as const, title: '上次确认的企微成员范围与当前计划一致', description: detail }
+})
 const selectedInstallPool = computed(() => overview.pools.find((item: any) => Number(item.id) === selectedInstallPoolId.value))
 const accessDialogPools = computed(() => overview.pools.filter((item: any) => accessForm.pool_ids.includes(Number(item.id))))
 const manageablePoolIds = computed(() => overview.pools
     .filter((pool: any) => pool.can_manage_access)
     .map((pool: any) => Number(pool.id)))
+const selectablePoolIds = computed(() => overview.pools
+    .filter((pool: any) => pool.can_manage_access || pool.can_operate)
+    .map((pool: any) => Number(pool.id)))
 const selectedManageablePoolCount = computed(() => {
     const selected = new Set(selectedPoolIds.value)
     return manageablePoolIds.value.filter((id) => selected.has(id)).length
 })
-const allManageablePoolsSelected = computed(() => manageablePoolIds.value.length > 0
-    && selectedManageablePoolCount.value === manageablePoolIds.value.length)
-const someManageablePoolsSelected = computed(() => selectedManageablePoolCount.value > 0
-    && selectedManageablePoolCount.value < manageablePoolIds.value.length)
+const selectedSelectablePoolCount = computed(() => selectablePoolIds.value.filter((id) => selectedPoolIds.value.includes(id)).length)
+const allSelectablePoolsSelected = computed(() => selectablePoolIds.value.length > 0
+    && selectedSelectablePoolCount.value === selectablePoolIds.value.length)
+const someSelectablePoolsSelected = computed(() => selectedSelectablePoolCount.value > 0
+    && selectedSelectablePoolCount.value < selectablePoolIds.value.length)
 const batchConfigPools = computed(() => overview.pools.filter((item: any) => batchConfigForm.pool_ids.includes(Number(item.id))))
 const batchMemberStatusOptions = computed<BatchMemberStatusOption[]>(() => {
     const memberOptionById = new Map(overview.member_options.map((member) => [Number(member.id), member]))
@@ -918,14 +983,12 @@ const customerMemberOptions = computed(() => customerStats.member_options.length
         department_name: Array.isArray(item.dept_names) ? item.dept_names.join(' / ') : (item.department_name || item.dept_name || '')
     })))
 
-watch(() => overview.pools.map((item: any) => `${Number(item.id)}:${item.can_manage_access ? 1 : 0}`).join(','), () => {
+watch(() => overview.pools.map((item: any) => `${Number(item.id)}:${item.can_manage_access ? 1 : 0}:${item.can_operate ? 1 : 0}`).join(','), () => {
     const ids = overview.pools.map((item: any) => Number(item.id))
-    const manageableIds = new Set(overview.pools
-        .filter((item: any) => item.can_manage_access)
-        .map((item: any) => Number(item.id)))
+    const selectableIds = new Set(selectablePoolIds.value)
     if (!selectedPoolId.value || !ids.includes(selectedPoolId.value)) selectedPoolId.value = ids[0]
     if (!selectedInstallPoolId.value || !ids.includes(selectedInstallPoolId.value)) selectedInstallPoolId.value = ids[0]
-    selectedPoolIds.value = selectedPoolIds.value.filter((id) => manageableIds.has(id))
+    selectedPoolIds.value = selectedPoolIds.value.filter((id) => selectableIds.has(id))
 }, { immediate: true })
 
 watch(activeTab, (tab) => {
@@ -953,7 +1016,7 @@ async function loadOverview() {
 }
 
 function togglePoolSelection(pool: any, checked: unknown) {
-    if (!pool?.can_manage_access) return
+    if (memberSyncBusy.value || (!pool?.can_manage_access && !pool?.can_operate)) return
     const id = Number(pool.id)
     const next = new Set(selectedPoolIds.value)
     checked ? next.add(id) : next.delete(id)
@@ -961,10 +1024,12 @@ function togglePoolSelection(pool: any, checked: unknown) {
 }
 
 function toggleAllPoolSelection(checked: unknown) {
-    selectedPoolIds.value = checked ? [...manageablePoolIds.value] : []
+    if (memberSyncBusy.value) return
+    selectedPoolIds.value = checked ? [...selectablePoolIds.value] : []
 }
 
 function openBatchConfigDialog(poolIds: number[] = selectedPoolIds.value) {
+    if (memberSyncBusy.value) return
     const manageableIds = new Set(overview.pools
         .filter((pool: any) => pool.can_manage_access)
         .map((pool: any) => Number(pool.id)))
@@ -1011,8 +1076,119 @@ function setBatchConfigError(message: string) {
     ElMessage.warning(message)
 }
 
+function syncErrorMessage(error: unknown, fallback: string) {
+    if (typeof error === 'string' && error) return error
+    if (error && typeof error === 'object' && 'message' in error && typeof error.message === 'string') return error.message
+    return fallback
+}
+
+function operationResultText(result: MemberOperationResult) {
+    if (!result.success) return `本地保存失败：${result.error || '请检查配置后重试'}`
+    const prefix = result.sync_only ? '' : '本地已保存，'
+    if (result.sync_status === 'synced') return `${prefix}企微成员范围已确认同步`
+    if (result.sync_status === 'blocked' || result.sync_status === 'failed' || result.sync_error) {
+        return `${prefix}企微同步${result.sync_status === 'blocked' ? '受阻' : '失败'}：${result.sync_error || '请重试同步'}`
+    }
+    return `${prefix}企微成员范围尚未确认同步，请重试同步`
+}
+
+function recordOperationResult(result: MemberOperationResult) {
+    const index = operationResults.value.findIndex((item) => item.id === result.id)
+    if (index < 0) operationResults.value.push(result)
+    else operationResults.value[index] = result
+}
+
+function notifySavedResult(label: string, result: Partial<WecomPromotionMemberSyncResult>) {
+    if (result.sync_status === 'synced') {
+        ElMessage.success(`${label}，企微成员范围已确认同步`)
+    } else {
+        const reason = result.sync_error || '企微成员范围尚未确认同步，请点击“同步成员范围”重试'
+        ElMessage.warning({ message: `${label}。${reason}`, duration: 8000 })
+    }
+}
+
+function recordSavedResult(poolId: number, name: string, result: Partial<WecomPromotionMemberSyncResult>) {
+    recordOperationResult({ id: poolId, name, success: true, sync_status: result.sync_status, sync_error: result.sync_error, sync_queued: result.sync_queued })
+}
+
+function canSyncPool(poolId: number) {
+    const pool = overview.pools.find((item: any) => Number(item.id) === poolId)
+    return Boolean(pool?.can_operate && pool?.official_link)
+}
+
+async function requestMemberSync(poolId: number): Promise<Partial<WecomPromotionMemberSyncResult>> {
+    try {
+        return await wecomPromotionSyncMemberRange({ pool_id: poolId })
+    } catch (error: unknown) {
+        return { pool_id: poolId, sync_status: 'failed', sync_error: syncErrorMessage(error, '同步请求失败，请重试确认企微范围'), sync_queued: false }
+    }
+}
+
+async function syncMemberRange(poolId: number) {
+    if (memberSyncBusy.value || togglingMemberId.value || !canSyncPool(poolId)) return
+    const pool = overview.pools.find((item: any) => Number(item.id) === poolId)
+    syncingPoolId.value = poolId
+    try {
+        const result = await requestMemberSync(poolId)
+        recordOperationResult({ id: poolId, name: pool.name, success: true, sync_only: true, ...result })
+        await loadOverview()
+        notifySavedResult('成员范围同步结果', result)
+    } finally {
+        syncingPoolId.value = 0
+    }
+}
+
+async function syncBatchResults(results: MemberOperationResult[]) {
+    operationResults.value = results.map((item) => ({ ...item }))
+    const queued = results.filter((item) => item.success && item.sync_queued)
+    Object.assign(batchSyncProgress, { total: queued.length, completed: 0 })
+    let next = 0
+    // Two workers keep large batches responsive without flooding the enterprise API.
+    await Promise.all(Array.from({ length: Math.min(2, queued.length) }, async () => {
+        while (next < queued.length) {
+            const item = queued[next++]
+            const synced = await requestMemberSync(item.id)
+            recordOperationResult({ ...item, ...synced })
+            batchSyncProgress.completed++
+        }
+    }))
+}
+
+async function syncSelectedMemberRanges() {
+    if (memberSyncBusy.value || togglingMemberId.value || deletingPoolId.value
+        || savingPool.value || savingMember.value || savingAccess.value) return
+    const ids = [...new Set(selectedPoolIds.value.map(Number))]
+    if (!ids.length) return ElMessage.warning('请先勾选需要同步的分流方案')
+    if (ids.length > 100) return ElMessage.warning('单次最多同步 100 个分流方案，请分批选择')
+    const results: MemberOperationResult[] = ids.map((id) => {
+        const pool = overview.pools.find((item: any) => Number(item.id) === id)
+        const eligible = canSyncPool(id)
+        return {
+            id, name: pool?.name || `方案 ${id}`, success: true, sync_only: true,
+            sync_status: eligible ? 'pending' : 'blocked', sync_queued: eligible,
+            sync_error: eligible ? '' : !pool?.can_operate ? '没有该方案的操作权限' : '方案尚未生成官方链接，请先保存方案'
+        }
+    })
+    syncingBatchMembers.value = true
+    try {
+        await syncBatchResults(results)
+        selectedPoolIds.value = operationResults.value.filter((item) => item.sync_status !== 'synced').map((item) => item.id)
+        await loadOverview()
+        const synced = operationResults.value.filter((item) => item.sync_status === 'synced').length
+        const unconfirmed = ids.length - synced
+        ElMessage({
+            type: unconfirmed ? 'warning' : 'success',
+            message: `企微已确认同步 ${synced} 个方案${unconfirmed ? `，${unconfirmed} 个尚未确认同步，已保留勾选` : ''}。详情见方案列表上方。`,
+            duration: 8000
+        })
+    } finally {
+        syncingBatchMembers.value = false
+        Object.assign(batchSyncProgress, { completed: 0, total: 0 })
+    }
+}
+
 async function saveBatchConfig() {
-    if (savingBatchConfig.value || batchConfigBusy.value) return
+    if (memberSyncBusy.value || batchConfigBusy.value) return
     batchConfigError.value = ''
     const hasAutomationChange = overview.automation_installed
         && (batchConfigApply.reception || batchConfigApply.customer || batchConfigApply.welcome)
@@ -1081,11 +1257,13 @@ async function saveBatchConfig() {
     }
 
     savingBatchConfig.value = true
+    operationResults.value = []
     try {
         const result = await wecomPromotionBatchUpdatePools({
             pool_ids: [...batchConfigForm.pool_ids],
             changes
         })
+        operationResults.value = result.results.map((item) => ({ ...item }))
         if (result.updated === 0) {
             const detail = result.results
                 .slice(0, 2)
@@ -1093,37 +1271,32 @@ async function saveBatchConfig() {
                 .join('；')
             return setBatchConfigError(detail || '所选方案均未能保存，请检查配置后重试')
         }
+        await syncBatchResults(result.results)
         batchConfigDialogVisible.value = false
-        selectedPoolIds.value = []
+        selectedPoolIds.value = operationResults.value
+            .filter((item) => !item.success || item.sync_status !== 'synced')
+            .map((item) => item.id)
         await loadOverview()
         const memberStatusText = batchConfigForm.member_status === 1 ? '上线' : '下线'
         const memberResultText = hasMemberStatusChange
             ? (result.member_updated > 0
-                ? `，${result.member_updated} 条员工规则已${memberStatusText}`
-                : `，所选员工均已处于${memberStatusText}状态`)
+                ? `，${result.member_updated} 条本地员工规则已${memberStatusText}`
+                : `，所选员工本地均已处于${memberStatusText}状态`)
             : ''
-        if (result.failed > 0) {
-            const detail = result.results
-                .filter((item) => !item.success)
-                .slice(0, 2)
-                .map((item) => `${item.name || `方案 ${item.id}`}：${item.error || '保存失败'}`)
-                .join('；')
-            ElMessage.warning(`已更新 ${result.updated} 个方案，${result.failed} 个失败${memberResultText}${detail ? `。${detail}` : ''}`)
-        } else if (result.sync_error_count > 0) {
-            ElMessage.warning(`已更新 ${result.updated} 个方案${memberResultText}，其中 ${result.sync_error_count} 个企微范围将在后台自动重试同步`)
-        } else if (result.sync_queued_count > 0) {
-            ElMessage.success(`已批量更新 ${result.updated} 个分流方案${memberResultText}，${result.sync_queued_count} 个企微链接配置将在后台同步`)
-        } else {
-            ElMessage.success(`已批量更新 ${result.updated} 个分流方案${memberResultText}`)
-        }
+        const synced = operationResults.value.filter((item) => item.success && item.sync_status === 'synced').length
+        const unconfirmed = result.updated - synced
+        const summary = `本地已保存 ${result.updated} 个方案${memberResultText}；企微已确认同步 ${synced} 个${unconfirmed ? `，${unconfirmed} 个尚未确认同步` : ''}${result.failed ? `；${result.failed} 个本地保存失败` : ''}`
+        ElMessage({ type: unconfirmed || result.failed ? 'warning' : 'success', message: `${summary}。详情见方案列表上方。`, duration: 8000 })
     } catch (error: any) {
         setBatchConfigError(error?.message || '批量修改分流方案失败')
     } finally {
         savingBatchConfig.value = false
+        Object.assign(batchSyncProgress, { completed: 0, total: 0 })
     }
 }
 
 function openAccessDialog(poolIds: number[] = selectedPoolIds.value) {
+    if (memberSyncBusy.value) return
     const manageableIds = new Set(overview.pools
         .filter((pool: any) => pool.can_manage_access)
         .map((pool: any) => Number(pool.id)))
@@ -1185,6 +1358,7 @@ function accessSummary(pool: any) {
 }
 
 function openPoolDialog(pool?: any) {
+    if (memberSyncBusy.value) return
     const selectableMemberIds = new Set(overview.member_options.map((member) => Number(member.id)))
     poolFormError.value = ''
     automationBusy.value = false
@@ -1213,7 +1387,7 @@ function openPoolDialog(pool?: any) {
 }
 
 async function savePool() {
-    if (savingPool.value || automationBusy.value) return
+    if (savingPool.value || automationBusy.value || memberSyncBusy.value) return
     poolFormError.value = ''
     const automation = cloneAutomationConfig(poolForm.automation_config)
     // Disabled sections do not submit unfinished draft rows or draft attachments.
@@ -1242,11 +1416,10 @@ async function savePool() {
             throw new Error('方案已提交，但服务端未确认标签和欢迎语配置保存成功，请刷新后重试')
         }
         poolDialogVisible.value = false
+        recordSavedResult(Number(result?.id || poolForm.id), poolForm.name, result || {})
         await loadOverview()
         if (result?.id) selectedPoolId.value = Number(result.id)
-        result?.sync_error
-            ? ElMessage.warning('方案已保存，企业微信多人范围将在后台自动重试同步')
-            : ElMessage.success(poolForm.id ? '分流方案已保存' : '分流方案和官方获客链接已创建')
+        notifySavedResult(poolForm.id ? '本地方案已保存' : '分流方案已创建', result || {})
     } catch (error: any) {
         poolFormError.value = error?.message || (typeof error === 'string' ? error : '分流方案保存失败，请检查配置或稍后重试')
         poolFormScroll.value?.scrollTo({ top: 0, behavior: 'smooth' })
@@ -1257,6 +1430,7 @@ async function savePool() {
 }
 
 async function removePool(pool: any) {
+    if (memberSyncBusy.value) return
     try {
         await ElMessageBox.confirm(
             `删除“${pool.name}”将同时永久删除企业微信后台中的官方获客链接，已投放的链接会失效且无法恢复。确认继续？`,
@@ -1279,6 +1453,7 @@ async function removePool(pool: any) {
 }
 
 function openMemberDialog(row: any) {
+    if (memberSyncBusy.value) return
     const range = Number(row.active_start) > 0 && Number(row.active_end) > 0
         ? [formatPickerTime(row.active_start), formatPickerTime(row.active_end)]
         : []
@@ -1295,7 +1470,10 @@ function openMemberDialog(row: any) {
 }
 
 async function saveMemberRule() {
+    if (savingMember.value || memberSyncBusy.value) return
     savingMember.value = true
+    const poolId = Number(selectedPool.value?.id)
+    const poolName = String(selectedPool.value?.name || '')
     try {
         const result: any = await wecomPromotionSaveMember({
             ...memberForm,
@@ -1303,10 +1481,9 @@ async function saveMemberRule() {
             active_end: memberForm.active_range?.[1] || ''
         })
         memberDialogVisible.value = false
+        recordSavedResult(poolId, poolName, result || {})
         await loadOverview()
-        result?.sync_error
-            ? ElMessage.warning('规则已保存，企业微信成员范围将在后台自动重试同步')
-            : ElMessage.success('医助分流规则已保存')
+        notifySavedResult('本地医助规则已保存', result || {})
     } catch (error: any) {
         ElMessage.error(error?.message || '医助分流规则保存失败')
     } finally {
@@ -1315,13 +1492,15 @@ async function saveMemberRule() {
 }
 
 async function handleMemberToggle(row: any, value: unknown) {
+    if (togglingMemberId.value || memberSyncBusy.value) return
     togglingMemberId.value = Number(row.id)
+    const poolId = Number(selectedPool.value?.id)
+    const poolName = String(selectedPool.value?.name || '')
     try {
         const result: any = await wecomPromotionToggleMember({ id: Number(row.id), status: value ? 1 : 0 })
+        recordSavedResult(poolId, poolName, result || {})
         await loadOverview()
-        result?.sync_error
-            ? ElMessage.warning('成员状态已保存，企业微信成员范围将在后台自动重试同步')
-            : ElMessage.success('成员规则已保存，企微多人路由范围已重新计算')
+        notifySavedResult('本地成员状态已保存', result || {})
     } catch (error: any) {
         ElMessage.error(error?.message || '成员状态更新失败')
         await loadOverview()
@@ -1459,8 +1638,10 @@ function eligibility(row: any) {
 
 function routeStatus(row: any) {
     const available = eligibility(row).className === 'is-ok'
-    if (row.is_in_remote_range) return { label: available ? '企微路由中' : '待移出', className: available ? 'is-online' : 'is-offline' }
-    return { label: available ? '待同步' : '未在路由范围', className: 'is-offline' }
+    if (row.is_in_remote_range === true || Number(row.is_in_remote_range) === 1) {
+        return { label: available ? '企微范围内' : '待移出（仍在企微）', className: available ? 'is-online' : 'is-pending' }
+    }
+    return { label: available ? '待加入企微' : '未在企微范围', className: 'is-offline' }
 }
 
 function todayCount(row: any) {
@@ -1815,6 +1996,12 @@ h1, h2, h3, p { margin: 0; }
 .batch-section-tip { margin: -6px 0 12px; color: #8491a2; font-size: 11px; line-height: 1.6; }.batch-section-selectors { display: flex; flex-wrap: wrap; gap: 8px; margin-bottom: 14px; }.batch-section-selectors :deep(.el-checkbox) { margin-right: 0; }.automation-batch-section :deep(.automation-note) { margin-top: 14px; }
 .uploading-save-tip { color: #b88230; font-size: 12px; margin-right: 16px; }
 .sync-retry-tip { color: #b88230; font-size: 10px; line-height: 1.6; margin-top: 4px; }
+.status-tag.is-pending { color: #a36413; background: #fff1dd; }
+.member-sync-state :deep(.el-alert__description) { max-height: 84px; overflow-y: auto; overflow-wrap: anywhere; }
+.member-sync-results { margin-bottom: 14px; padding: 12px 14px; border: 1px solid var(--line); border-radius: 8px; background: #f8fafb; font-size: 12px; }
+.member-sync-results ul { max-height: 150px; margin: 8px 0 0; padding: 0; overflow-y: auto; list-style: none; }
+.member-sync-results li { display: flex; align-items: center; justify-content: space-between; gap: 12px; padding: 5px 0; }
+.member-sync-results li span { overflow-wrap: anywhere; }.member-sync-results .el-button { flex-shrink: 0; }
 :global(.promotion-pool-dialog) { max-width: calc(100vw - 32px); margin-top: 5vh; }
 @media (max-width: 1100px) { .heading-actions { flex-wrap: wrap; justify-content: flex-end; }.metric-grid, .customer-metric-grid { grid-template-columns: repeat(2, minmax(0,1fr)); }.pool-layout { grid-template-columns: 210px minmax(0,1fr); }.pool-toolbar { align-items: flex-start; flex-direction: column; } }
 @media (max-width: 760px) { .promotion-page { padding: 10px; }.page-header, .section-heading { align-items: flex-start; flex-direction: column; }.section-heading-actions { width: 100%; justify-content: flex-start; }.update-time { display: none; }.metric-grid, .customer-metric-grid, .form-grid, .rule-form-grid, .batch-field-grid, .batch-member-status-grid { grid-template-columns: 1fr; }.tab-nav { overflow-x: auto; }.tab-nav button { min-width: 112px; }.tab-content { padding: 14px; }.pool-layout { height: auto; min-height: 0; grid-template-columns: 1fr; }.pool-sidebar { display: flex; overflow-x: auto; overflow-y: hidden; border-right: 0; border-bottom: 1px solid var(--line); scrollbar-gutter: auto; }.pool-select-all { position: static; min-width: 126px; flex: 0 0 126px; margin: 0 6px 0 0; border-right: 1px solid var(--line); border-bottom: 0; }.pool-main { overflow: visible; }.member-table-area { height: 420px; min-height: 320px; flex: none; }.pool-select-row { min-width: 220px; }.pool-item { min-width: 190px; }.callback-list > div { grid-template-columns: 1fr 48px; padding: 8px 0; }.callback-list dt { grid-column: 1 / -1; }.install-pool-select { width: 100%; }.customer-heading-actions { width: 100%; justify-content: flex-end; }.customer-filter-bar :deep(.el-form-item) { width: 100%; margin-right: 0; }.customer-filter-bar :deep(.el-form-item__content), .customer-filter-bar .el-select { width: 100%; }.customer-filter-bar .filter-actions :deep(.el-form-item__content) { justify-content: flex-end; }.customer-pagination { align-items: flex-start; flex-direction: column; }.customer-pagination :deep(.el-pagination) { max-width: 100%; flex-wrap: wrap; justify-content: flex-start; }.access-pool-preview > div { grid-template-columns: 1fr; gap: 3px; } }

admin/src/views/patient/reception/index.vue

@@ -225,6 +225,7 @@ interface QueueRow {
     assistant_name?: string
     appointment_date?: string
     appointment_time?: string
+    appointment_type?: string | null
     gender?: number
     age?: number | null
     status?: number
@@ -450,12 +451,15 @@ const handleCall = async (row: QueueRow) => {
     try {
         const res = await getCallSignature({
             patient_id: sourcePatientId,
+            appointment_id: Number(row.id),
             diagnosis_id: diagnosisId
         })
         chatDialogRef.value?.open({
             patientId: sourcePatientId,
             patientName: row.patient_name,
             diagnosisId,
+            appointmentId: Number(row.id),
+            appointmentType: row.appointment_type,
             signatureData: res
         })
     } catch (error: any) {

admin/src/views/tcm/appointment/list.vue

@@ -163,7 +163,9 @@
                 </el-table-column>
 
 
-                <!-- <el-table-column label="预约类型" prop="appointment_type_desc" width="100" show-overflow-tooltip /> -->
+                <el-table-column label="面诊类型" width="110">
+                    <template #default="{ row }">{{ appointmentTypeDescription(row.appointment_type) }}</template>
+                </el-table-column>
 
                 <el-table-column label="确认诊单" width="90" align="center">
                     <template #default="{ row }">
@@ -220,6 +222,7 @@
                            
                             <template v-if="row.status !== 3">
                                 <el-button
+                                    v-if="canAppointmentVideoCall(row.appointment_type)"
                                     v-perms="['tcm.diagnosis/videoQr']"
                                     type="warning"
                                     link
@@ -237,7 +240,7 @@
                                     size="small"
                                     @click="handleChat(row)"
                                 >
-                                    通话
+                                    {{ canAppointmentVideoCall(row.appointment_type) ? '通话' : '图文沟通' }}
                                 </el-button>
                                 <el-button
                                     v-perms="['doctor.appointment/complete']"
@@ -340,8 +343,8 @@
                             <span class="detail-value">{{ detailData.period === 'morning' ? '上午' : '下午' }}</span>
                         </div>
                         <div class="detail-item">
-                            <span class="detail-label">预约类型</span>
-                            <span class="detail-value">{{ detailData.appointment_type_desc }}</span>
+                            <span class="detail-label">面诊类型</span>
+                            <span class="detail-value">{{ appointmentTypeDescription(detailData.appointment_type) }}</span>
                         </div>
                     </div>
                 </div>
@@ -556,6 +559,7 @@
 </template>
 
 <script setup lang="ts">
+import { appointmentTypeDescription, canAppointmentVideoCall } from '@/utils/appointment-type'
 import { usePaging } from '@/hooks/usePaging'
 import { defineAsyncComponent, onMounted, onUnmounted, watch } from 'vue'
 import { appointmentLists, cancelAppointment, completeAppointment, appointmentDetail } from '@/api/doctor'
@@ -1012,7 +1016,8 @@ const handleChat = async (row: any) => {
         // 获取聊天签名信息
         const res = await getCallSignature({
             patient_id: sourcePatientId,
-            diagnosis_id: diagnosisId
+            diagnosis_id: diagnosisId,
+            appointment_id: Number(row.id)
         })
 
         console.log('获取聊天签名成功:', res)
@@ -1022,6 +1027,8 @@ const handleChat = async (row: any) => {
             patientId: sourcePatientId,
             patientName: row.patient_name,
             diagnosisId,
+            appointmentId: Number(row.id),
+            appointmentType: row.appointment_type,
             signatureData: res // 传入签名数据
         })
     } catch (error: any) {
@@ -1032,6 +1039,10 @@ const handleChat = async (row: any) => {
 
 // 生成小程序二维码（跳转小程序路径：pages/login/login）
 const handleMiniProgramQRCode = async (row: any) => {
+    if (!canAppointmentVideoCall(row.appointment_type)) {
+        feedback.msgWarning('仅视频问诊可生成视频二维码')
+        return
+    }
     if (!row.patient_id) {
         feedback.msgWarning('患者信息不完整')
         return

admin/src/views/tcm/appointment/list_h5.vue

@@ -108,6 +108,10 @@
                             <span class="apt-h5-row-key">预约</span>
                             <span class="apt-h5-row-val">{{ row.appointment_date || '-' }} {{ row.appointment_time || '' }}</span>
                         </div>
+                        <div class="apt-h5-row">
+                            <span class="apt-h5-row-key">面诊类型</span>
+                            <span class="apt-h5-row-val">{{ appointmentTypeDescription(row.appointment_type) }}</span>
+                        </div>
                         <div class="apt-h5-row">
                             <span class="apt-h5-row-key">医生</span>
                             <span class="apt-h5-row-val">{{ row.doctor_name || '-' }}</span>
@@ -147,7 +151,7 @@
                             :icon="Phone"
                             @click="handleChat(row)"
                         >
-                            通话
+                            {{ canAppointmentVideoCall(row.appointment_type) ? '通话' : '图文沟通' }}
                         </el-button>
                         <el-button
                             v-if="hasPermission(['tcm.diagnosis/kaifang'])"
@@ -179,7 +183,7 @@
             >
                 <div v-if="moreSheetRow" class="apt-h5-actions">
                     <button
-                        v-if="moreSheetRow.status !== 3 && hasPermission(['tcm.diagnosis/videoQr'])"
+                        v-if="moreSheetRow.status !== 3 && canAppointmentVideoCall(moreSheetRow.appointment_type) && hasPermission(['tcm.diagnosis/videoQr'])"
                         class="apt-h5-action"
                         @click="runAction('videoQr')"
                     >
@@ -236,7 +240,7 @@
                             <div><span>医生</span><strong>{{ detailData.doctor_name || '-' }}</strong></div>
                             <div><span>预约时间</span><strong>{{ detailData.appointment_date || '-' }} {{ detailData.appointment_time || '' }}</strong></div>
                             <div><span>时段</span><strong>{{ detailData.period === 'morning' ? '上午' : detailData.period === 'afternoon' ? '下午' : '-' }}</strong></div>
-                            <div><span>预约类型</span><strong>{{ detailData.appointment_type_desc || '-' }}</strong></div>
+                            <div><span>面诊类型</span><strong>{{ appointmentTypeDescription(detailData.appointment_type) }}</strong></div>
                         </div>
                     </section>
 
@@ -336,7 +340,7 @@
                         plain
                         @click="handleChat(detailActionRow)"
                     >
-                        通话
+                        {{ canAppointmentVideoCall(detailActionRow.appointment_type) ? '通话' : '图文沟通' }}
                     </el-button>
                     <el-button
                         v-if="detailActionRow.status !== 3 && hasPermission(['doctor.appointment/complete'])"
@@ -408,6 +412,7 @@
 </template>
 
 <script setup lang="ts" name="tcmAppointmentH5">
+import { appointmentTypeDescription, canAppointmentVideoCall } from '@/utils/appointment-type'
 import { appointmentDetail, appointmentLists, cancelAppointment, completeAppointment } from '@/api/doctor'
 import { getWeappConfig } from '@/api/channel/weapp'
 import {
@@ -656,12 +661,15 @@ const handleChat = async (row: any) => {
     try {
         const res = await getCallSignature({
             patient_id: sourcePatientId,
-            diagnosis_id: diagnosisId
+            diagnosis_id: diagnosisId,
+            appointment_id: Number(row.id)
         })
         chatDialogRef.value?.open({
             patientId: sourcePatientId,
             patientName: row.patient_name,
             diagnosisId,
+            appointmentId: Number(row.id),
+            appointmentType: row.appointment_type,
             signatureData: res
         })
     } catch (e: any) {
@@ -777,6 +785,10 @@ const qrcodeLoading = ref(false)
 const qrcodeUrl = ref('')
 const currentQRCodeRow = ref<any>(null)
 const handleMiniProgramQRCode = async (row: any) => {
+    if (!canAppointmentVideoCall(row.appointment_type)) {
+        feedback.msgWarning('仅视频问诊可生成视频二维码')
+        return
+    }
     if (!row.patient_id) {
         feedback.msgWarning('患者信息不完整')
         return
@@ -1184,7 +1196,8 @@ onUnmounted(() => {
 }
 
 .apt-h5-row-key {
-    flex: 0 0 38px;
+    flex: 0 0 60px;
+    white-space: nowrap;
     color: #8a94a6;
 }
 

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

@@ -30,10 +30,11 @@
           </el-radio-group>
         </el-form-item>
 
-        <!-- 预约类型 -->
-        <el-form-item label="预约类型:">
+        <!-- 挂号类型 -->
+        <el-form-item label="挂号类型:">
           <el-radio-group v-model="form.appointmentType">
             <el-radio value="video">视频问诊</el-radio>
+            <el-radio value="text">图文问诊</el-radio>
           </el-radio-group>
         </el-form-item>
 

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

@@ -2,16 +2,16 @@
     <div class="im-chat-record-panel">
         <el-alert type="info" show-icon :closable="false" class="mb-4" title="说明">
             <p class="panel-tip">
-                展示单聊记录：已合并患者  与
+                展示患者所有诊单中与
                 <strong>所有医生 / 医助账号</strong>分别产生的会话，按时间排序。
-                数据由后台定时任务从腾讯云 IM 漫游消息同步至本地归档；点击下方按钮可立即触发后台同步。
+                打开页面后自动加载并同步最新消息，页面可见期间每 30 秒继续检查更新。
             </p>
         </el-alert>
 
         <div class="toolbar mb-3">
             <el-button type="primary" link :loading="syncing" @click="triggerSync">
                 <el-icon class="mr-1"><Promotion /></el-icon>
-                同步最新（后台异步）
+                同步最新
             </el-button>
             <el-button type="primary" link :loading="loading" @click="reloadArchived">
                 <el-icon class="mr-1"><Refresh /></el-icon>
@@ -19,12 +19,30 @@
             </el-button>
         </div>
 
-        <div v-loading="loading" class="chat-wrap">
-            <template v-if="!loading && rows.length">
+        <p v-if="syncing" class="sync-status" role="status" aria-live="polite">
+            <template v-if="history.phase === 'checking_accounts'">
+                正在核验聊天账号<span v-if="history.candidateAccounts">，{{ history.checkedAccounts }} / {{ history.candidateAccounts }}</span>
+            </template>
+            <template v-else>正在同步聊天记录<span v-if="history.totalPeers">，已处理 {{ history.processedPeers }} / {{ history.totalPeers }} 个会话</span>，新增 {{ history.inserted }} 条</template>
+        </p>
+        <p v-else-if="history.lastSyncAt" class="sync-status">上次同步：{{ formatTime(history.lastSyncAt) }}</p>
+        <p v-if="history.skippedAccounts" class="sync-status">已跳过 {{ history.skippedAccounts }} 个未注册或已失效的聊天账号，已有归档不受影响。</p>
+        <el-alert v-if="history.readError" type="error" show-icon :closable="false" class="mb-3" :title="`读取聊天记录失败：${history.readError}`" />
+        <el-alert v-if="history.syncError" type="error" show-icon :closable="false" class="mb-3" :title="`同步失败：${history.syncError}`" />
+        <el-alert v-if="history.partialErrors.length" type="warning" show-icon :closable="false" class="mb-3" title="聊天记录未完全同步">
+            <p v-for="error in history.partialErrors.slice(0, 3)" :key="error" class="panel-tip">{{ error }}</p>
+            <details v-if="history.partialErrors.length > 3">
+                <summary>查看其余 {{ history.partialErrors.length - 3 }} 项同步问题</summary>
+                <p v-for="error in history.partialErrors.slice(3)" :key="error" class="panel-tip">{{ error }}</p>
+            </details>
+        </el-alert>
+
+        <div v-loading="loading && !rows.length" class="chat-wrap">
+            <template v-if="rows.length">
                 <div class="chat-list">
                     <div
                         v-for="item in rows"
-                        :key="item.raw.msg_id"
+                        :key="`${item.raw.from_account || ''}-${item.raw.to_account || ''}-${item.raw.msg_id}`"
                         class="chat-row"
                         :class="item.raw.is_from_doctor ? 'from-doctor' : 'from-patient'"
                     >
@@ -64,31 +82,40 @@
                     </div>
                 </div>
             </template>
-            <el-empty v-else-if="!loading" description="暂无 IM 聊天记录" />
+            <el-empty v-else-if="!loading" :description="emptyDescription" />
         </div>
     </div>
 </template>
 
 <script setup lang="ts">
-import { ref, shallowRef, watch, computed } from 'vue'
+import { watch, computed, toRefs, onMounted, onBeforeUnmount, onActivated, onDeactivated } from 'vue'
 import dayjs from 'dayjs'
 import { Refresh, Promotion } from '@element-plus/icons-vue'
 import { ElMessage } from 'element-plus'
 import { getImChatMessages, triggerImChatSync } from '@/api/tcm'
 import type { FriendlyParse } from '@/utils/im-business-message-parse'
 import { parseImBusinessPayload } from '@/utils/im-business-message-parse'
+import { createImChatHistory } from '@/utils/im-chat-history'
 
 const props = defineProps<{
     diagnosisId: number
 }>()
 
-const loading = ref(false)
-const syncing = ref(false)
-const rawRows = shallowRef<any[]>([])
-const patientImId = ref('')
-const patientName = ref('')
-
-const patientImHint = computed(() => patientImId.value || 'patient_*')
+const documentVisible = () => typeof document === 'undefined' || document.visibilityState !== 'hidden'
+const controller = createImChatHistory({
+    load: (diagnosisId) => getImChatMessages({ diagnosis_id: diagnosisId, only_archived: 1 }),
+    sync: (diagnosisId, syncToken) => triggerImChatSync({ diagnosis_id: diagnosisId, ...(syncToken ? { sync_token: syncToken } : {}) }),
+    notify: (kind, message) => ElMessage[kind](message),
+    visible: documentVisible()
+})
+const history = controller.state
+const { loading, syncing, rows: rawRows, patientName } = toRefs(history)
+const emptyDescription = computed(() => {
+    if (history.readError) return '聊天记录读取失败，请重试'
+    if (history.syncError || history.partialErrors.length) return '暂未读取到聊天记录，请重试同步'
+    if (syncing.value) return '正在同步聊天记录…'
+    return history.hasLoaded ? '暂无聊天记录' : '正在加载聊天记录…'
+})
 
 interface EnrichedRow {
     raw: any
@@ -109,7 +136,11 @@ const MSG_TYPE_LABELS: Record<string, string> = {
 }
 
 const rows = computed<EnrichedRow[]>(() =>
-    rawRows.value.map((row) => {
+    rawRows.value.flatMap((row) => {
+        const messages = row.msg_type === 'composite' && Array.isArray(row.parts)
+            ? row.parts.map((part: any, index: number) => ({ ...row, ...part, msg_id: `${row.msg_id}:${index}` }))
+            : [row]
+        return messages.map((row: any) => {
             const fr = parseImFriendly(row)
             let tag = ''
             if (fr?.tag) {
@@ -119,6 +150,7 @@ const rows = computed<EnrichedRow[]>(() =>
             }
             return { raw: row, friendly: fr, tag }
         })
+    })
 )
 
 function formatTime(ts: number | undefined) {
@@ -145,55 +177,38 @@ function senderLabel(row: any) {
     return patientName.value ? `患者（${patientName.value}）` : '患者'
 }
 
-async function load() {
-    if (!props.diagnosisId) return
-    loading.value = true
-    try {
-        const res = (await getImChatMessages({
-            diagnosis_id: props.diagnosisId,
-            only_archived: 1
-        })) as {
-            lists?: any[]
-            patient_im_id?: string
-            patient_name?: string
-        }
-        rawRows.value = res?.lists || []
-        patientImId.value = res?.patient_im_id || ''
-        patientName.value = res?.patient_name || ''
-    } catch (e) {
-        console.error(e)
-        rawRows.value = []
-    } finally {
-        loading.value = false
-    }
-}
-
 function reloadArchived() {
-    load()
+    return controller.reload()
 }
 
-async function triggerSync() {
-    if (!props.diagnosisId) return
-    syncing.value = true
-    try {
-        await triggerImChatSync({ diagnosis_id: props.diagnosisId })
-        ElMessage.success('已发起后台同步，几秒后请点击"重新加载已归档"查看新消息')
-    } catch (e) {
-        console.error(e)
-        ElMessage.error('发起同步失败')
-    } finally {
-        syncing.value = false
-    }
+function triggerSync() {
+    return controller.sync()
 }
 
 watch(
     () => props.diagnosisId,
-    () => {
-        load()
-    },
+    (diagnosisId) => controller.setDiagnosis(diagnosisId),
     { immediate: true }
 )
 
+let activated = true
+function updateVisibility() {
+    controller.setVisible(activated && documentVisible())
+}
+onMounted(() => document.addEventListener('visibilitychange', updateVisibility))
+onActivated(() => {
+    activated = true
+    updateVisibility()
+})
+onDeactivated(() => {
+    activated = false
+    updateVisibility()
+})
+onBeforeUnmount(() => {
+    document.removeEventListener('visibilitychange', updateVisibility)
+    controller.dispose()
+})
+
 defineExpose({ refresh: reloadArchived })
 </script>
 
@@ -212,6 +227,12 @@ defineExpose({ refresh: reloadArchived })
 .toolbar {
     display: flex;
     align-items: center;
+    flex-wrap: wrap;
+}
+.sync-status {
+    margin: 0 0 12px;
+    font-size: 12px;
+    color: var(--el-text-color-secondary);
 }
 .chat-wrap {
     min-height: 120px;

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

@@ -259,6 +259,19 @@
                         </div>
                     </template>
                 </el-table-column>
+                <el-table-column label="挂号类型" min-width="120">
+                    <template #default="{ row }">
+                        <template v-if="appointmentRows(row).length">
+                            <div v-for="apt in appointmentRows(row)" :key="apt.id || `${apt.doctor_id}-${apt.time_text}`" class="mb-2">
+                                <div>{{ appointmentTypeDescription(apt.appointment_type) }}</div>
+                                <div v-if="appointmentRows(row).length > 1" class="text-xs text-gray-500">
+                                    {{ apt.doctor_name || '—' }} · {{ apt.time_text || '—' }}
+                                </div>
+                            </div>
+                        </template>
+                        <span v-else class="apt-none">—</span>
+                    </template>
+                </el-table-column>
                 <el-table-column label="确认" width="88" align="center">
                     <template #default="{ row }">
                         <span v-if="isDiagnosisConfirmed(row)" class="status-confirmed">已确认</span>
@@ -388,7 +401,7 @@
                                             <el-icon><Remove /></el-icon>取消指派
                                         </el-dropdown-item>
                                         <el-dropdown-item v-if="isAppointmentActiveForVideo(row) && hasPermission(['tcm.diagnosis/videoQr'])" command="videoQr"><el-icon><Picture /></el-icon>视频二维码</el-dropdown-item>
-                                        <el-dropdown-item v-if="hasPermission(['tcm.diagnosis/guahao']) && isAppointmentActiveForVideo(row)" command="confirmQr"><el-icon><Picture /></el-icon>二维码</el-dropdown-item>
+                                        <el-dropdown-item v-if="hasPermission(['tcm.diagnosis/guahao']) && hasActiveAppointment(row)" command="confirmQr"><el-icon><Picture /></el-icon>二维码</el-dropdown-item>
                                         <el-dropdown-item
                                             v-if="canCancelAppointmentFromDropdown(row) && hasPermission(['tcm.diagnosis/guahao'])"
                                             command="cancelApt"
@@ -732,6 +745,7 @@ import { getDictData } from '@/api/app'
 import { getWeappConfig } from '@/api/channel/weapp'
 import feedback from '@/utils/feedback'
 import { hasPermission } from '@/utils/perm'
+import { appointmentTypeDescription, canAppointmentVideoCall } from '@/utils/appointment-type'
 import { Loading, Warning, List, CircleCheck, Clock, ArrowDown, Picture, User, Document, Delete, CircleClose, Remove } from '@element-plus/icons-vue'
 import useUserStore from '@/stores/modules/user'
 import { useRoute, useRouter } from 'vue-router'
@@ -1378,9 +1392,10 @@ type VideoCallHint = {
 }
 
 const canWatchCallEntry = (row: any) =>
-    isAssignedAssistant(row) && hasPermission(['tcm.diagnosis/watchCall'])
+    isAppointmentActiveForVideo(row) && isAssignedAssistant(row) && hasPermission(['tcm.diagnosis/watchCall'])
 
-const watchCallState = (row: any) => (row.video_call_hint?.state as string) || 'none'
+const watchCallState = (row: any) =>
+    isAppointmentActiveForVideo(row) ? (row.video_call_hint?.state as string) || 'none' : 'none'
 
 const watchCallLiveTooltip = (row: any) => {
     const h = row.video_call_hint as VideoCallHint | undefined
@@ -1405,6 +1420,10 @@ const watchCallEnterTooltip = (row: any) => {
 }
 
 const onWatchCallEntryClick = (row: any) => {
+    if (!canWatchCallEntry(row)) {
+        feedback.msgWarning('仅已预约的视频问诊可进入视频旁观')
+        return
+    }
     if (watchCallState(row) !== 'live') {
         feedback.msgWarning('医生尚未接通或未同步房间号，请稍后再试')
         return
@@ -1716,7 +1735,7 @@ const handleRowAction = (cmd: string, row: any) => {
         case 'cancelAssign': handleCancelAssign(row); break
         case 'videoQr':
             if (!isAppointmentActiveForVideo(row)) {
-                feedback.msgWarning('仅「已预约」状态可生成视频二维码')
+                feedback.msgWarning('仅已预约的视频问诊可生成视频二维码')
                 return
             }
             handleVideoQRCode(row)
@@ -1753,7 +1772,8 @@ const appointmentRows = (row: any) => {
         status: row.appointment_status,
         doctor_id: row.appointment_doctor_id,
         doctor_name: row.appointment_doctor_name,
-        time_text: row.appointment_time_text
+        time_text: row.appointment_time_text,
+        appointment_type: row.appointment_type
     }]
 }
 
@@ -1779,12 +1799,14 @@ const appointmentCellClasses = (row: any) => {
  * 找到当前可用的已预约挂号。
  * 同一诊单当天可能先完成一条挂号、随后又新增一条预约，此时行级 appointment_* 仍可能指向旧记录。
  */
-const activeAppointment = (row: any) =>
-    appointmentRows(row).find((apt: any) => Number(apt?.status) === 1) ?? null
+const activeAppointment = (row: any, videoOnly = false) =>
+    appointmentRows(row).find((apt: any) =>
+        Number(apt?.status) === 1 && (!videoOnly || canAppointmentVideoCall(apt.appointment_type))
+    ) ?? null
 
 /** 二维码必须使用已预约挂号对应的医生和时间，不能继续沿用行级旧挂号字段。 */
-const activeAppointmentRow = (row: any) => {
-    const apt = activeAppointment(row)
+const activeAppointmentRow = (row: any, videoOnly = false) => {
+    const apt = activeAppointment(row, videoOnly)
     if (!apt) return null
 
     return {
@@ -1794,12 +1816,14 @@ const activeAppointmentRow = (row: any) => {
         appointment_status: apt.status,
         appointment_doctor_id: apt.doctor_id,
         appointment_doctor_name: apt.doctor_name,
-        appointment_time_text: apt.time_text
+        appointment_time_text: apt.time_text,
+        appointment_type: apt.appointment_type
     }
 }
 
-/** 任一挂号记录处于已预约(1)即可进视频/小程序码。 */
-const isAppointmentActiveForVideo = (row: any) => !!activeAppointment(row)
+/** 诊单二维码适用于所有已预约挂号；视频入口仅适用于视频问诊。 */
+const hasActiveAppointment = (row: any) => !!activeAppointment(row)
+const isAppointmentActiveForVideo = (row: any) => !!activeAppointment(row, true)
 
 /** 已预约、已过号可取消（后端同步限制），针对行上主字段 */
 const canCancelAppointmentRow = (row: any) => {
@@ -1983,11 +2007,11 @@ const submitFillIdCard = async () => {
     }
 }
 
-// 生成视频二维码（跳转登录页）- 仅已预约(1)可生成
+// 生成视频二维码（跳转登录页）- 仅已预约的视频问诊可生成
 const handleVideoQRCode = async (row: any) => {
-    const qrcodeRow = activeAppointmentRow(row)
+    const qrcodeRow = activeAppointmentRow(row, true)
     if (!qrcodeRow) {
-        feedback.msgWarning('仅「已预约」状态可生成视频二维码')
+        feedback.msgWarning('仅已预约的视频问诊可生成视频二维码')
         return
     }
     if (!qrcodeRow.patient_id) {

admin/src/views/tcm/diagnosis/index_h5.vue

@@ -156,12 +156,14 @@
                                         <span class="dh5-apt-status">{{ appointmentStatusLabelByStatus(apt.status) }}</span>
                                         <span class="dh5-apt-doctor">{{ apt.doctor_name || '-' }}</span>
                                         <span class="dh5-apt-time">{{ apt.time_text || '-' }}</span>
+                                        <span class="dh5-apt-type">挂号类型：{{ appointmentTypeDescription(apt.appointment_type) }}</span>
                                     </div>
                                 </template>
                                 <template v-else>
                                     <span class="dh5-apt-status">{{ appointmentStatusLabel(row) }}</span>
                                     <span class="dh5-apt-doctor">{{ row.appointment_doctor_name || '-' }}</span>
                                     <span class="dh5-apt-time">{{ row.appointment_time_text || '-' }}</span>
+                                    <span class="dh5-apt-type">挂号类型：{{ appointmentTypeDescription(row.appointment_type) }}</span>
                                 </template>
                             </template>
                             <span v-else class="dh5-apt-none">未挂号</span>
@@ -299,7 +301,7 @@
                     <span>视频二维码</span>
                 </button>
                 <button
-                    v-if="isAppointmentActiveForVideo(moreSheetRow) && hasPermission(['tcm.diagnosis/guahao'])"
+                    v-if="hasActiveAppointment(moreSheetRow) && hasPermission(['tcm.diagnosis/guahao'])"
                     class="dh5-action"
                     @click="runAction('confirmQr')"
                 >
@@ -585,6 +587,7 @@
 </template>
 
 <script setup lang="ts" name="tcmDiagnosisH5">
+import { appointmentTypeDescription, canAppointmentVideoCall } from '@/utils/appointment-type'
 import {
     tcmDiagnosisLists,
     tcmDiagnosisDelete,
@@ -924,7 +927,8 @@ const appointmentRows = (row: any) => {
         status: row.appointment_status,
         doctor_id: row.appointment_doctor_id,
         doctor_name: row.appointment_doctor_name,
-        time_text: row.appointment_time_text
+        time_text: row.appointment_time_text,
+        appointment_type: row.appointment_type
     }]
 }
 
@@ -949,11 +953,13 @@ const appointmentRowClass = (row: any) => {
 /**
  * 同一诊单可能同时有已完成的旧挂号和已预约的新挂号，二维码应使用明细里的有效预约。
  */
-const activeAppointment = (row: any) =>
-    appointmentRows(row).find((apt: any) => Number(apt?.status) === 1) ?? null
+const activeAppointment = (row: any, videoOnly = false) =>
+    appointmentRows(row).find((apt: any) =>
+        Number(apt?.status) === 1 && (!videoOnly || canAppointmentVideoCall(apt.appointment_type))
+    ) ?? null
 
-const activeAppointmentRow = (row: any) => {
-    const apt = activeAppointment(row)
+const activeAppointmentRow = (row: any, videoOnly = false) => {
+    const apt = activeAppointment(row, videoOnly)
     if (!apt) return null
 
     return {
@@ -963,11 +969,13 @@ const activeAppointmentRow = (row: any) => {
         appointment_status: apt.status,
         appointment_doctor_id: apt.doctor_id,
         appointment_doctor_name: apt.doctor_name,
-        appointment_time_text: apt.time_text
+        appointment_time_text: apt.time_text,
+        appointment_type: apt.appointment_type
     }
 }
 
-const isAppointmentActiveForVideo = (row: any) => !!activeAppointment(row)
+const hasActiveAppointment = (row: any) => !!activeAppointment(row)
+const isAppointmentActiveForVideo = (row: any) => !!activeAppointment(row, true)
 
 const canCancelAppointmentRow = (row: any) => {
     const s = Number(row.appointment_status)
@@ -982,8 +990,9 @@ const isAssignedAssistant = (row: any) => {
     return Number(aid) === Number(userStore.userInfo?.id)
 }
 const canWatchCallEntry = (row: any) =>
-    isAssignedAssistant(row) && hasPermission(['tcm.diagnosis/watchCall'])
-const watchCallState = (row: any) => (row.video_call_hint?.state as string) || 'none'
+    isAppointmentActiveForVideo(row) && isAssignedAssistant(row) && hasPermission(['tcm.diagnosis/watchCall'])
+const watchCallState = (row: any) =>
+    isAppointmentActiveForVideo(row) ? (row.video_call_hint?.state as string) || 'none' : 'none'
 const watchCallShowEnterButton = (row: any) => {
     const st = watchCallState(row)
     return st === 'live' || st === 'pending_room'
@@ -1016,6 +1025,10 @@ const watchCallVisibleForRow = (row: any) => {
 const watchCallDialogVisible = ref(false)
 const watchCallDiagnosisId = ref(0)
 const onWatchCallEntryClick = (row: any) => {
+    if (!canWatchCallEntry(row)) {
+        feedback.msgWarning('仅已预约的视频问诊可进入视频旁观')
+        return
+    }
     if (watchCallState(row) !== 'live') {
         feedback.msgWarning('医生未接通或未同步房间号，请稍后再试')
         return
@@ -1087,7 +1100,7 @@ const runAction = (cmd: string) => {
         case 'assign': handleSingleAssign(row); break
         case 'videoQr':
             if (!isAppointmentActiveForVideo(row)) {
-                feedback.msgWarning('仅「已预约」状态可生成视频二维码')
+                feedback.msgWarning('仅已预约的视频问诊可生成视频二维码')
                 return
             }
             handleVideoQRCode(row); break
@@ -1262,9 +1275,9 @@ const qrcodeAppointmentTimeText = computed(() => {
 })
 
 const handleVideoQRCode = async (row: any) => {
-    const qrcodeRow = activeAppointmentRow(row)
+    const qrcodeRow = activeAppointmentRow(row, true)
     if (!qrcodeRow) {
-        feedback.msgWarning('仅「已预约」状态可生成视频二维码'); return
+        feedback.msgWarning('仅已预约的视频问诊可生成视频二维码'); return
     }
     if (!qrcodeRow.patient_id) { feedback.msgWarning('患者信息不完整'); return }
     lastQRCodeType.value = 'video'
@@ -1807,6 +1820,7 @@ $dh5-card-bg: #ffffff;
 
 .dh5-apt-item {
     display: flex;
+    flex-wrap: wrap;
     align-items: center;
     gap: 8px;
     padding: 4px 8px;
@@ -1836,6 +1850,12 @@ $dh5-card-bg: #ffffff;
     margin-left: auto;
 }
 
+.dh5-apt-type {
+    flex-basis: 100%;
+    color: $dh5-text-mute;
+    font-size: 12px;
+}
+
 .dh5-apt-none {
     color: $dh5-warn;
     font-weight: 600;

admin/tests/appointment-call-mode.test.cjs

@@ -0,0 +1,146 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const ts = require('typescript')
+const vue = require('vue')
+const { renderToString } = require('@vue/server-renderer')
+const { parse, compileScript, compileTemplate } = require('@vue/compiler-sfc')
+
+const src = path.join(__dirname, '../src')
+function moduleFrom(source, mockRequire = require, browserWindow = {}) {
+    const code = ts.transpileModule(source.replaceAll('import.meta.env.DEV', 'false'), {
+        compilerOptions: { module: ts.ModuleKind.CommonJS, target: ts.ScriptTarget.ES2022 }
+    }).outputText
+    const module = { exports: {} }
+    new Function('require', 'module', 'exports', 'window', code)(mockRequire, module, module.exports, browserWindow)
+    return module.exports
+}
+const read = (file) => fs.readFileSync(path.join(src, file), 'utf8')
+const types = moduleFrom(read('utils/appointment-type.ts'))
+const { descriptor } = parse(read('components/chat-dialog/index.vue'))
+const script = compileScript(descriptor, { id: 'appointment-call-mode' })
+const template = compileTemplate({ source: descriptor.template.content, filename: 'chat-dialog.vue', id: 'appointment-call-mode', compilerOptions: { bindingMetadata: script.bindings } })
+assert.deepEqual(template.errors, [])
+const render = moduleFrom(template.code).render
+const passthrough = { setup: (_, { slots }) => () => vue.h('div', [slots.default?.(), slots.headerToolbar?.()]) }
+const picker = text => ({ setup: () => () => vue.h('button', text) })
+
+function chat(policy = {}) {
+    const requests = [], warnings = [], sdkCalls = []
+    const guard = moduleFrom(read('utils/appointment-call-guard.ts'))
+    const server = Object.fromEntries(['calls', 'call', 'groupCall'].map(name => [name, async params => { sdkCalls.push({ name, params }) }]))
+    const api = { getCallSignature: async params => { requests.push(params); return policy } }
+    const result = moduleFrom(script.content, name => {
+        if (name === 'vue') return { ...vue, onMounted() {}, onUnmounted() {} }
+        if (name === '@/utils/appointment-type') return types
+        if (name === '@/utils/appointment-call-guard') return guard
+        if (name === '@/utils/im-chat-archive-trigger') return moduleFrom(read('utils/im-chat-archive-trigger.ts'))
+        if (name === '@/api/tcm') return api
+        if (name === '@/utils/feedback') return { default: { msgWarning: text => warnings.push(text) } }
+        if (name === '@/stores/modules/user') return { default: () => ({ userInfo: {} }) }
+        if (name === '@/utils/call-local-recorder') return { CallLocalRecorder: class {} }
+        if (name === '@tencentcloud/chat-uikit-vue3') return {
+            useLoginState: () => ({}), useConversationListState: () => ({ activeConversation: vue.ref(null) }),
+            Chat: passthrough, UIKitProvider: passthrough, MessageInput: passthrough, MessageList: passthrough,
+            EmojiPicker: picker('表情'), ImagePicker: picker('图片'), FilePicker: picker('文件'),
+            AudioCallPicker: picker('语音拨打'), VideoCallPicker: picker('视频拨打')
+        }
+        if (name === '@tencentcloud/call-uikit-vue') return { TUICallKitServer: server, TUICallType: { VIDEO_CALL: 2 }, TUIStore: {}, StoreName: {}, NAME: {} }
+        return {}
+    }).default.setup({}, { expose() {} })
+    result.visible.value = true
+    result.isReady.value = true
+    result.isCallReady.value = true
+    result.patientId.value = 50
+    result.diagnosisId.value = 70
+    result.appointmentId.value = 90
+    result.syncAppointmentCallPolicy(policy)
+    guard.registerAppointmentCallGuard(result.prepareAppointmentCall)
+    return { state: result, guard, server, requests, warnings, sdkCalls, api }
+}
+const policy = type => ({ appointment_id: 90, appointment_type: type, appointment_type_desc: types.appointmentTypeDescription(type), can_video_call: type === 'video', can_audio_call: type === 'video' || type === 'phone', call_disabled_reason: type === 'text' ? '图文问诊不支持音视频通话' : '当前挂号不支持该通话方式' })
+
+test('type labels and video capability preserve legacy video while rejecting text and unknown', () => {
+    for (const value of ['text', 'phone', 'unknown']) assert.equal(types.canAppointmentVideoCall(value), false)
+    for (const value of ['video', '', ' ', null, undefined]) assert.equal(types.canAppointmentVideoCall(value), true)
+    assert.equal(types.appointmentTypeDescription('text'), '图文问诊')
+})
+
+test('rendered real chat template keeps text tools while excluding call controls in text mode', async () => {
+    async function markup(type) {
+        const { state } = chat(policy(type))
+        const app = vue.createSSRApp({ render: () => render({}, [], {}, vue.proxyRefs(state)) })
+        app.config.warnHandler = () => {}
+        for (const name of ['el-tag', 'el-button', 'el-tooltip', 'el-icon', 'el-alert']) app.component(name, passthrough)
+        const context = {}
+        await renderToString(app, context)
+        return context.teleports.body
+    }
+    const text = await markup('text')
+    assert.match(text, /图文问诊/)
+    for (const tool of ['表情', '图片', '文件']) assert.match(text, new RegExp(tool))
+    assert.doesNotMatch(text, /视频拨打|语音拨打|群视频/)
+    const video = await markup('video')
+    assert.match(video, /视频问诊/)
+    assert.match(video, /视频拨打/)
+    assert.match(video, /群视频/)
+})
+
+test('text mode hides all live call entries and refuses direct group invocation', async () => {
+    const { state, requests, sdkCalls } = chat(policy('text'))
+    assert.equal(state.appointmentTypeLabel.value, '图文问诊')
+    assert.equal(state.canVideoCall.value, false)
+    assert.equal(state.canAudioCall.value, false)
+    await state.startGroupVideoCall()
+    await assert.rejects(state.prepareAppointmentCall(2), /图文问诊/)
+    assert.deepEqual(requests, [])
+    assert.deepEqual(sdkCalls, [])
+    assert.match(descriptor.template.content, /<VideoCallPicker v-if="isCallReady && canVideoCall"/)
+    assert.match(descriptor.template.content, /<AudioCallPicker v-if="isCallReady && canAudioCall"/)
+})
+
+test('all SDK outgoing paths stop before touching SDK when current appointment is text', async () => {
+    const { state, server, sdkCalls } = chat(policy('text'))
+    state.installTUICallKitRoomHooks()
+    for (const method of ['call', 'calls', 'groupCall']) await assert.rejects(server[method]({ type: 2 }), /图文问诊/)
+    assert.deepEqual(sdkCalls, [])
+})
+
+test('video preflight uses actual appointment and prevents a server-side change to text', async () => {
+    const { state, requests, api } = chat(policy('video'))
+    assert.equal(state.canVideoCall.value, true)
+    await state.prepareAppointmentCall(2)
+    assert.deepEqual(requests, [{ patient_id: 50, diagnosis_id: 70, appointment_id: 90 }])
+    api.getCallSignature = async () => policy('text')
+    await assert.rejects(state.prepareAppointmentCall(2), /图文问诊/)
+    assert.equal(state.canVideoCall.value, false)
+    assert.equal(state.appointmentTypeLabel.value, '图文问诊')
+})
+
+test('historical phone is audio-only; missing server confirmation never enables video', async () => {
+    const { state } = chat(policy('phone'))
+    assert.equal(state.canAudioCall.value, true)
+    assert.equal(state.canVideoCall.value, false)
+    await state.prepareAppointmentCall(1)
+    await assert.rejects(state.prepareAppointmentCall(2))
+    state.syncAppointmentCallPolicy({ appointment_type: 'video' })
+    assert.equal(state.canVideoCall.value, false)
+    state.syncAppointmentCallPolicy({ appointment_type: null, appointment_type_desc: '未挂号', can_video_call: false, can_audio_call: false })
+    assert.equal(state.appointmentTypeLabel.value, '未挂号')
+    assert.equal(state.canVideoCall.value, false)
+})
+
+test('singleton call guard switches to current chat and cancels a pending old context', async () => {
+    const guard = moduleFrom(read('utils/appointment-call-guard.ts'))
+    let resolveOld
+    const releaseOld = guard.registerAppointmentCallGuard(() => new Promise(resolve => { resolveOld = resolve }))
+    const pending = guard.checkAppointmentOutgoingCall({ type: 2 })
+    const releaseNew = guard.registerAppointmentCallGuard(async () => { throw new Error('图文问诊') })
+    releaseOld()
+    await assert.rejects(guard.checkAppointmentOutgoingCall({ type: 2 }), /图文问诊/)
+    resolveOld()
+    await assert.rejects(pending, /问诊已切换/)
+    releaseNew()
+    await assert.rejects(guard.checkAppointmentOutgoingCall({ type: 2 }), /先打开/)
+})

admin/tests/appointment-type-filter.test.cjs

@@ -0,0 +1,125 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const { execFileSync } = require('node:child_process')
+const { DatabaseSync } = require('node:sqlite')
+const ts = require('typescript')
+const vue = require('vue')
+const { parse, compileScript, compileTemplate } = require('@vue/compiler-sfc')
+
+const root = path.resolve(__dirname, '../..')
+const sql = JSON.parse(execFileSync(process.env.PHP_BINARY || 'php', [path.join(root, 'server/tests/AppointmentTypeFilterSqlFixture.php')], { encoding: 'utf8' }))
+const db = new DatabaseSync(':memory:')
+db.exec(`
+    CREATE TABLE doctor_appointment (id INTEGER, patient_id INTEGER, doctor_id INTEGER, assistant_id INTEGER, appointment_type TEXT, status INTEGER, appointment_date TEXT, appointment_time TEXT);
+    CREATE TABLE tcm_diagnosis (id INTEGER, patient_id INTEGER, patient_name TEXT, phone TEXT, gender INTEGER, age INTEGER, weight INTEGER, height INTEGER, assistant_id INTEGER, delete_time INTEGER);
+    CREATE TABLE admin (id INTEGER, name TEXT);
+    INSERT INTO tcm_diagnosis VALUES (100, 1000, '患者甲', '', 1, 30, 60, 170, 301, NULL), (101, 1001, '患者乙', '', 1, 31, 61, 171, 302, NULL), (102, 1002, '已删除', '', 1, 30, 60, 170, 301, 1);
+    INSERT INTO admin VALUES (201, '医生甲'), (202, '医生乙'), (301, '医助甲'), (302, '医助乙');
+`)
+const add = db.prepare('INSERT INTO doctor_appointment VALUES (?, ?, ?, 301, ?, ?, ?, ?)')
+const fixtures = [
+    [1, 100, 201, 'video', 1],
+    [2, 100, 201, null, 1],
+    [3, 100, 201, '', 2],
+    [4, 101, 202, '   ', 3],
+    [5, 101, 202, '\t\r\n\v ', 4],
+    [6, 100, 201, 'text', 1],
+    [7, 101, 202, 'text', 3],
+    [8, 100, 201, 'phone', 1],
+    [9, 100, 201, 'unknown', 1],
+    [10, 100, 201, 'Video', 1],
+    [11, 100, 201, 'video ', 1],
+    [12, 102, 201, null, 1],
+    [13, 102, 201, 'text', 1]
+]
+for (const [id, patient, doctor, type, status] of fixtures) add.run(id, patient, doctor, type, status, '2026-09-09', `${String(id).padStart(2, '0')}:00:00`)
+
+// SQLite's explicit BINARY collation has the same exact text comparison semantics used here.
+// The remaining statements are the SQL emitted by the real ThinkPHP list/count/tab paths.
+const execute = statement => db.prepare(statement.replace(/BINARY a\.appointment_type/g, 'a.appointment_type COLLATE BINARY')).all()
+const result = name => ({
+    ids: execute(sql[name].lists).map(row => row.id),
+    count: execute(sql[name].count)[0].think_count,
+    tabs: Object.fromEntries(execute(sql[name].tabs).map(row => [row.status, row.cnt]))
+})
+
+test('video query includes legacy blanks and keeps list, total and status counts aligned', () => {
+    assert.deepEqual(result('video'), { ids: [1, 2, 3, 4, 5], count: 5, tabs: { 1: 2, 2: 1, 3: 1, 4: 1 } })
+})
+
+test('text query excludes video, unknown and historical phone records', () => {
+    assert.deepEqual(result('text'), { ids: [6, 7], count: 2, tabs: { 1: 1, 3: 1 } })
+})
+
+test('all and omitted filters retain historical types without admitting deleted diagnoses', () => {
+    for (const name of ['omitted', 'all', 'null']) {
+        const actual = result(name)
+        assert.equal(actual.count, 11)
+        assert.deepEqual(actual.ids.toSorted((a, b) => a - b), [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11])
+        assert.equal(Object.values(actual.tabs).reduce((sum, count) => sum + count, 0), 11)
+    }
+})
+
+test('type filter composes with status, doctor and patient filters without OR leakage', () => {
+    assert.deepEqual(result('video_status_1'), { ids: [1, 2], count: 2, tabs: { 1: 2, 2: 1, 3: 1, 4: 1 } })
+    assert.deepEqual(result('text_doctor'), { ids: [6], count: 1, tabs: { 1: 1 } })
+    assert.deepEqual(result('video_patient'), { ids: [4, 5], count: 2, tabs: { 3: 1, 4: 1 } })
+})
+
+test('pagination limits only visible rows while count and tabs retain the full filtered set', () => {
+    assert.deepEqual(result('video_page'), { ids: [2, 3], count: 5, tabs: { 1: 2, 2: 1, 3: 1, 4: 1 } })
+})
+
+test('unsupported filter values return no rows or counts instead of being converted to video', () => {
+    for (const name of Object.keys(sql).filter(name => name.startsWith('invalid_'))) {
+        assert.deepEqual(result(name), { ids: [], count: 0, tabs: {} }, name)
+    }
+})
+
+function moduleFrom(source, dependencies = require, globals = {}) {
+    const compiled = ts.transpileModule(source, { compilerOptions: { target: ts.ScriptTarget.ES2022, module: ts.ModuleKind.CommonJS } }).outputText
+    const module = { exports: {} }
+    new Function('require', 'module', 'exports', ...Object.keys(globals), compiled)(dependencies, module, module.exports, ...Object.values(globals))
+    return module.exports
+}
+
+const pageFile = path.join(root, 'admin/src/views/consumer/prescription/guahao.vue')
+const { descriptor, errors } = parse(fs.readFileSync(pageFile, 'utf8'), { filename: pageFile })
+assert.deepEqual(errors, [])
+const script = compileScript(descriptor, { id: 'appointment-type-filter' })
+
+test('actual page and paging hook send type on query and clear it together with all fields on reset', async () => {
+    const calls = []
+    const paging = moduleFrom(fs.readFileSync(path.join(root, 'admin/src/hooks/usePaging.ts'), 'utf8'))
+    const component = moduleFrom(script.content, name => {
+        if (name === 'vue') return vue
+        if (name === '@/hooks/usePaging') return paging
+        if (name === '@/api/doctor') return { appointmentLists: async params => { calls.push({ ...params }); return { lists: [], count: 0 } } }
+        if (name === '@/utils/appointment-type') return { appointmentTypeDescription: value => value }
+        return {}
+    }, { reactive: vue.reactive, ref: vue.ref, computed: vue.computed, onMounted() {}, onActivated() {} })
+    const page = component.default.setup({}, { expose() {} })
+    assert.equal(calls[0].appointment_type, '')
+    page.pager.page = 4
+    page.queryParams.appointment_type = 'text'
+    page.queryParams.patient_name = '张'
+    page.resetPage()
+    assert.equal(calls.at(-1).page_no, 1)
+    assert.equal(calls.at(-1).appointment_type, 'text')
+    assert.equal(calls.at(-1).patient_name, '张')
+    page.pager.page = 3
+    page.queryParams.appointment_type = 'video'
+    page.resetPage()
+    assert.equal(calls.at(-1).appointment_type, 'video')
+    page.resetFilter()
+    assert.equal(calls.at(-1).appointment_type, '')
+    assert.equal(calls.at(-1).patient_name, '')
+    assert.equal(calls.at(-1).page_no, 1)
+    await Promise.resolve()
+})
+
+test('updated filter template compiles with existing page bindings', () => {
+    assert.deepEqual(compileTemplate({ source: descriptor.template.content, filename: pageFile, id: 'appointment-type-filter', compilerOptions: { bindingMetadata: script.bindings } }).errors, [])
+})

admin/tests/im-chat-archive-trigger.test.cjs

@@ -0,0 +1,89 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const ts = require('typescript')
+
+const source = fs.readFileSync(path.join(__dirname, '../src/utils/im-chat-archive-trigger.ts'), 'utf8')
+const compiled = ts.transpileModule(source, { compilerOptions: { module: ts.ModuleKind.CommonJS } }).outputText
+const mod = { exports: {} }
+new Function('module', 'exports', compiled)(mod, mod.exports)
+const { createImChatArchiveTrigger } = mod.exports
+const deferred = () => {
+    let resolve, reject
+    const promise = new Promise((a, b) => { resolve = a; reject = b })
+    return { promise, resolve, reject }
+}
+
+test('all pages use server-owned current-doctor scope and carry the continuation token', async () => {
+    const calls = []
+    const sync = createImChatArchiveTrigger(async params => {
+        calls.push(params)
+        return { completed: calls.length === 3, sync_token: 'next-page' }
+    })
+    await sync(12116)
+    assert.deepEqual(calls, [
+        { diagnosis_id: 12116, scope: 'current', sync_token: undefined },
+        { diagnosis_id: 12116, scope: 'current', sync_token: 'next-page' },
+        { diagnosis_id: 12116, scope: 'current', sync_token: 'next-page' }
+    ])
+})
+
+test('many events while syncing coalesce, then perform one catch-up scan for new messages', async () => {
+    const page = deferred()
+    let calls = 0
+    const sync = createImChatArchiveTrigger(() => {
+        calls++
+        return calls === 1 ? page.promise : Promise.resolve({ completed: true })
+    })
+    const first = sync(10)
+    assert.equal(sync(10), first)
+    assert.equal(sync(10), first)
+    assert.equal(calls, 1)
+    page.resolve({ completed: true })
+    await first
+    assert.equal(calls, 2)
+    await sync(10)
+    assert.equal(calls, 3)
+})
+
+test('switching patients keeps in-flight requests bound to their original diagnosis', async () => {
+    const old = deferred(), calls = []
+    const sync = createImChatArchiveTrigger(params => {
+        calls.push(params)
+        if (params.diagnosis_id === 10 && !params.sync_token) return old.promise
+        return Promise.resolve({ completed: true })
+    })
+    const first = sync(10)
+    await sync(20)
+    old.resolve({ completed: false, sync_token: 'old-patient' })
+    await first
+    assert.deepEqual(calls.map(p => [p.diagnosis_id, p.sync_token]), [[10, undefined], [20, undefined], [10, 'old-patient']])
+})
+
+test('partial failure and network failure are reported and do not poison later retries', async () => {
+    const warnings = []
+    let count = 0
+    const sync = createImChatArchiveTrigger(async () => {
+        count++
+        if (count === 1) return { completed: true, errors: ['cloud unavailable'] }
+        if (count === 2) throw new Error('request timeout')
+        return { completed: true }
+    }, error => warnings.push(error.message))
+    await sync(10)
+    await sync(10)
+    await sync(10)
+    assert.deepEqual(warnings, ['cloud unavailable', 'request timeout'])
+    assert.equal(count, 3)
+})
+
+test('invalid IDs never request and missing progress stops a malformed response loop', async () => {
+    const warnings = []
+    let count = 0
+    const sync = createImChatArchiveTrigger(async () => { count++; return { completed: false } }, error => warnings.push(error.message))
+    for (const id of [0, -1, NaN, 1.5]) await sync(id)
+    assert.equal(count, 0)
+    await sync(10)
+    assert.equal(count, 1)
+    assert.match(warnings[0], /未返回进度/)
+})

admin/tests/im-chat-history.test.cjs

@@ -0,0 +1,392 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const ts = require('typescript')
+const { parse, compileScript, compileTemplate, compileStyle } = require('@vue/compiler-sfc')
+
+function loadTs(filename, dependencies = require) {
+    const source = fs.readFileSync(filename, 'utf8')
+    const compiled = ts.transpileModule(source, { compilerOptions: { target: ts.ScriptTarget.ES2022, module: ts.ModuleKind.CommonJS } }).outputText
+    const module = { exports: {} }
+    new Function('require', 'module', 'exports', compiled)(dependencies, module, module.exports)
+    return module.exports
+}
+
+const { createImChatHistory } = loadTs(path.join(__dirname, '../src/utils/im-chat-history.ts'))
+const archive = (id, text = '已归档消息') => ({ lists: [{ msg_id: id, text }], patient_im_id: `patient_${id}`, patient_name: `患者${id}` })
+const progress = (completed, extra = {}) => ({ completed, sync_token: 'session-token', inserted: 2, processed_peers: 1, total_peers: 2, ...extra })
+const deferred = () => {
+    let resolve, reject
+    const promise = new Promise((yes, no) => { resolve = yes; reject = no })
+    return { promise, resolve, reject }
+}
+const settle = async () => { for (let i = 0; i < 50; i++) await Promise.resolve() }
+
+function fixture(overrides = {}) {
+    let time = 100000, nextTimer = 0
+    const timers = new Map(), calls = [], notices = []
+    const controller = createImChatHistory({
+        load: async (id) => { calls.push(['load', id]); return overrides.load ? overrides.load(id) : archive(id) },
+        sync: async (id, token) => { calls.push(['sync', id, token]); return overrides.sync ? overrides.sync(id, token) : progress(true) },
+        notify: (kind, message) => notices.push({ kind, message }),
+        now: () => time,
+        setTimer: (callback, delay) => { const id = ++nextTimer; timers.set(id, { callback, at: time + delay }); return id },
+        clearTimer: (id) => timers.delete(id),
+        visible: overrides.visible
+    })
+    return {
+        controller, state: controller.state, calls, notices, timers,
+        setTime(value) { time = value },
+        advance(ms) {
+            time += ms
+            for (const [id, timer] of [...timers]) {
+                if (timer.at <= time) { timers.delete(id); timer.callback() }
+            }
+        }
+    }
+}
+
+test('archive appears immediately while automatic cloud sync is pending, then refreshes on completion', async () => {
+    const pending = deferred()
+    let reads = 0
+    const f = fixture({ load: async () => archive(++reads), sync: () => pending.promise })
+    f.controller.setDiagnosis(10)
+    await settle()
+    assert.equal(f.state.rows[0].msg_id, 1)
+    assert.equal(f.state.syncing, true)
+    assert.equal(f.state.loading, false)
+    assert.equal(f.timers.size, 0)
+    pending.resolve(progress(true))
+    await settle()
+    assert.equal(f.state.rows[0].msg_id, 2)
+    assert.equal(f.state.syncing, false)
+    assert.equal(f.timers.size, 1)
+    assert.deepEqual(f.notices, [])
+    f.controller.dispose()
+})
+
+test('account verification progress and skipped staff are displayed separately from sync failures', async () => {
+    const checked = deferred(), finished = deferred()
+    let step = 0
+    const f = fixture({ sync: async () => {
+        step++
+        if (step === 1) return progress(false, { phase: 'checking_accounts', checked_accounts: 100, candidate_accounts: 185, skipped_accounts: 98 })
+        if (step === 2) return checked.promise
+        return finished.promise
+    } })
+    f.controller.setDiagnosis(1)
+    await settle()
+    assert.equal(f.state.phase, 'checking_accounts')
+    assert.equal(f.state.checkedAccounts, 100)
+    assert.equal(f.state.candidateAccounts, 185)
+    assert.deepEqual(f.state.partialErrors, [])
+    checked.resolve(progress(false, { phase: 'syncing', checked_accounts: 185, candidate_accounts: 185, skipped_accounts: 183, total_peers: 1 }))
+    await settle()
+    assert.equal(f.state.totalPeers, 1)
+    assert.equal(f.state.skippedAccounts, 183)
+    finished.resolve(progress(true, { phase: 'completed', skipped_accounts: 183, total_peers: 1 }))
+    await settle()
+    assert.equal(f.state.syncError, '')
+    assert.deepEqual(f.state.partialErrors, [])
+    f.controller.setDiagnosis(2)
+    assert.equal(f.state.skippedAccounts, 0)
+    f.controller.dispose()
+})
+
+test('completion waits for initial archive read and starts a fresh read after it', async () => {
+    const initial = deferred()
+    let reads = 0
+    const f = fixture({ load: () => ++reads === 1 ? initial.promise : Promise.resolve(archive(2)) })
+    f.controller.setDiagnosis(10)
+    await settle()
+    assert.equal(reads, 1)
+    initial.resolve(archive(1))
+    await settle()
+    assert.equal(reads, 2)
+    assert.equal(f.state.rows[0].msg_id, 2)
+    assert.equal(f.timers.size, 1)
+    f.controller.dispose()
+})
+
+test('sync tokens continue across pages and archive refreshes every three pages and on completion', async () => {
+    const lastPage = deferred()
+    let pages = 0, reads = 0
+    const f = fixture({
+        load: async () => archive(++reads),
+        sync: async () => ++pages < 4 ? progress(false, { sync_token: `token-${pages}`, inserted: pages }) : lastPage.promise
+    })
+    f.controller.setDiagnosis(10)
+    await settle()
+    assert.equal(pages, 4)
+    assert.equal(reads, 2)
+    assert.deepEqual(f.calls.filter(call => call[0] === 'sync').map(call => call[2]), [undefined, 'token-1', 'token-2', 'token-3'])
+    assert.equal(f.state.inserted, 3)
+    lastPage.resolve(progress(true, { inserted: 4, processed_peers: 2 }))
+    await settle()
+    assert.equal(reads, 3)
+    assert.equal(f.state.inserted, 4)
+    f.controller.dispose()
+})
+
+test('a slow page refreshes archive after two seconds even before three pages', async () => {
+    const lastPage = deferred()
+    let pages = 0, reads = 0
+    const f = fixture({
+        load: async () => archive(++reads),
+        sync: async () => {
+            if (++pages === 1) { f.setTime(102100); return progress(false) }
+            return lastPage.promise
+        }
+    })
+    f.controller.setDiagnosis(10)
+    await settle()
+    assert.equal(reads, 2)
+    assert.equal(f.state.syncing, true)
+    f.controller.dispose()
+    lastPage.resolve(progress(true))
+    await settle()
+})
+
+test('switching diagnosis ignores old archive, old sync errors, and old completion timers', async () => {
+    const oldRead = deferred(), oldSync = deferred()
+    const f = fixture({ load: (id) => id === 1 ? oldRead.promise : Promise.resolve(archive(id)), sync: (id) => id === 1 ? oldSync.promise : Promise.resolve(progress(true)) })
+    f.controller.setDiagnosis(1)
+    await settle()
+    f.controller.setDiagnosis(2)
+    await settle()
+    oldRead.resolve(archive(1))
+    oldSync.reject(new Error('旧患者同步失败'))
+    await settle()
+    assert.equal(f.state.patientName, '患者2')
+    assert.equal(f.state.rows[0].msg_id, 2)
+    assert.equal(f.state.syncError, '')
+    assert.equal(f.timers.size, 1)
+    assert.equal(f.calls.filter(call => call[0] === 'load' && call[1] === 1).length, 1)
+    f.controller.dispose()
+})
+
+test('dispose invalidates in-flight requests and never refreshes or schedules after completion', async () => {
+    const pending = deferred()
+    const f = fixture({ sync: () => pending.promise })
+    f.controller.setDiagnosis(1)
+    await settle()
+    const before = f.calls.length
+    f.controller.dispose()
+    pending.resolve(progress(true))
+    await settle()
+    assert.equal(f.calls.length, before)
+    assert.equal(f.timers.size, 0)
+    assert.equal(f.state.syncing, false)
+    f.controller.setVisible(true)
+    f.controller.setDiagnosis(2)
+    assert.equal(f.calls.length, before)
+})
+
+test('read and sync failures preserve existing rows and expose the original errors', async () => {
+    let readFails = false, syncFails = false
+    const f = fixture({
+        load: async () => { if (readFails) throw { response: { data: { msg: '归档服务读取失败' } } }; return archive(1) },
+        sync: async () => { if (syncFails) throw new Error('腾讯云凭证无效'); return progress(true) }
+    })
+    f.controller.setDiagnosis(1)
+    await settle()
+    readFails = true
+    await f.controller.reload()
+    assert.equal(f.state.rows[0].msg_id, 1)
+    assert.equal(f.state.readError, '归档服务读取失败')
+    syncFails = true
+    await f.controller.sync()
+    assert.equal(f.state.rows[0].msg_id, 1)
+    assert.equal(f.state.syncError, '腾讯云凭证无效')
+    assert.deepEqual(f.notices, [{ kind: 'error', message: '腾讯云凭证无效' }])
+    assert.equal(f.timers.size, 1)
+    f.controller.dispose()
+})
+
+test('only a manual completed sync emits success; concurrent clicks share the in-flight run', async () => {
+    let pending
+    const f = fixture({ sync: () => pending ? pending.promise : Promise.resolve(progress(true)) })
+    f.controller.setDiagnosis(1)
+    await settle()
+    assert.deepEqual(f.notices, [])
+    pending = deferred()
+    const manual = f.controller.sync()
+    const duplicate = f.controller.sync()
+    await settle()
+    assert.equal(f.calls.filter(call => call[0] === 'sync').length, 2)
+    assert.deepEqual(f.notices, [])
+    pending.resolve(progress(true, { inserted: 7 }))
+    await Promise.all([manual, duplicate])
+    assert.deepEqual(f.notices, [{ kind: 'success', message: '聊天记录已更新，本次新增 7 条' }])
+    assert.equal(f.timers.size, 1)
+    f.controller.dispose()
+})
+
+test('completed partial failure refreshes rows, ends the loop, and never reports full success', async () => {
+    let partial = false, reads = 0
+    const f = fixture({ load: async () => archive(++reads), sync: async () => progress(true, partial ? { error: '医生账号失败', errors: ['医生账号失败', '医助账号失败'] } : {}) })
+    f.controller.setDiagnosis(1)
+    await settle()
+    partial = true
+    await f.controller.sync()
+    assert.deepEqual([...f.state.partialErrors], ['医生账号失败', '医助账号失败'])
+    assert.equal(f.state.rows[0].msg_id, 3)
+    assert.equal(f.state.syncing, false)
+    assert.equal(f.notices.length, 1)
+    assert.equal(f.notices[0].kind, 'warning')
+    assert.match(f.notices[0].message, /医生账号失败；医助账号失败/)
+    f.controller.dispose()
+})
+
+test('missing token and missing completed state stop safely without claiming success', async () => {
+    for (const response of [{ completed: false }, { inserted: 0 }]) {
+        const f = fixture({ sync: async () => response })
+        f.controller.setDiagnosis(1)
+        await settle()
+        assert.equal(f.calls.filter(call => call[0] === 'sync').length, 1)
+        assert.match(f.state.syncError, /同步接口未返回/)
+        assert.equal(f.state.rows[0].msg_id, 1)
+        assert.equal(f.notices.length, 0)
+        f.controller.dispose()
+    }
+})
+
+test('one 30-second timer starts only after completion and never overlaps a pending run', async () => {
+    let pending
+    const f = fixture({ sync: () => pending ? pending.promise : Promise.resolve(progress(true)) })
+    f.controller.setDiagnosis(1)
+    await settle()
+    f.advance(29999)
+    await settle()
+    assert.equal(f.calls.filter(call => call[0] === 'sync').length, 1)
+    pending = deferred()
+    f.advance(1)
+    await settle()
+    assert.equal(f.calls.filter(call => call[0] === 'sync').length, 2)
+    assert.equal(f.timers.size, 0)
+    f.advance(90000)
+    await settle()
+    assert.equal(f.calls.filter(call => call[0] === 'sync').length, 2)
+    pending.resolve(progress(true))
+    await settle()
+    assert.equal(f.timers.size, 1)
+    f.controller.dispose()
+    assert.equal(f.timers.size, 0)
+})
+
+test('hidden or deactivated panels stop scheduling and resume with existing rows retained', async () => {
+    const f = fixture({ visible: false })
+    f.controller.setDiagnosis(1)
+    await settle()
+    assert.deepEqual(f.calls, [])
+    f.controller.setVisible(true)
+    await settle()
+    assert.equal(f.state.rows[0].msg_id, 1)
+    f.controller.setVisible(false)
+    assert.equal(f.timers.size, 0)
+    const before = f.calls.length
+    f.advance(60000)
+    await settle()
+    assert.equal(f.calls.length, before)
+    f.controller.setVisible(true)
+    assert.equal(f.state.rows[0].msg_id, 1)
+    await settle()
+    assert.equal(f.timers.size, 1)
+    f.controller.dispose()
+})
+
+test('IM API functions retain raw backend reasons, send progress tokens, and disable retries', async () => {
+    const calls = []
+    let reply = { code: 1, data: progress(true), msg: '不应自动显示的成功提示', show: 1 }
+    const request = {}
+    for (const method of ['get', 'post']) request[method] = async (config, options) => { calls.push({ method, config, options }); return reply }
+    const api = loadTs(path.join(__dirname, '../src/api/tcm.ts'), (name) => {
+        if (name === '@/utils/request') return { default: request }
+        throw new Error(`Unexpected import: ${name}`)
+    })
+    assert.equal((await api.triggerImChatSync({ diagnosis_id: 2, sync_token: 'resume' })).completed, true)
+    reply = { code: 1, data: archive(2) }
+    assert.equal((await api.getImChatMessages({ diagnosis_id: 2, only_archived: 1 })).lists[0].msg_id, 2)
+    assert.deepEqual(calls[0].config.data, { diagnosis_id: 2, sync_token: 'resume' })
+    for (const call of calls) {
+        assert.equal(call.config.timeout, 30000)
+        assert.deepEqual(call.options, { isTransformResponse: false, ignoreCancelToken: true, isOpenRetry: false, retryCount: 0 })
+    }
+    reply = { code: 0, data: [], msg: '腾讯云错误：签名校验失败' }
+    await assert.rejects(api.triggerImChatSync({ diagnosis_id: 2 }), /腾讯云错误：签名校验失败/)
+})
+
+test('chat panel script, template, and scoped styles compile', () => {
+    const filename = path.join(__dirname, '../src/views/tcm/diagnosis/components/ImChatRecordPanel.vue')
+    const { descriptor, errors } = parse(fs.readFileSync(filename, 'utf8'), { filename })
+    assert.deepEqual(errors, [])
+    const script = compileScript(descriptor, { id: 'im-chat-history' })
+    assert.deepEqual(compileTemplate({ source: descriptor.template.content, filename, id: 'im-chat-history', compilerOptions: { bindingMetadata: script.bindings } }).errors, [])
+    assert.deepEqual(compileStyle({ source: descriptor.styles[0].content, filename, id: 'im-chat-history', scoped: true, preprocessLang: 'scss' }).errors, [])
+})
+
+test('actual panel setup wires archived reads, continued sync, patient switches, and lifecycle cleanup', async () => {
+    const vue = require('vue')
+    const hooks = {}, listeners = new Map(), timers = new Map(), apiCalls = []
+    const pending = deferred()
+    let timerId = 0
+    const originalDocument = global.document
+    global.document = {
+        visibilityState: 'visible',
+        addEventListener: (name, callback) => listeners.set(name, callback),
+        removeEventListener: (name) => listeners.delete(name)
+    }
+    const scope = vue.effectScope()
+    try {
+        const filename = path.join(__dirname, '../src/views/tcm/diagnosis/components/ImChatRecordPanel.vue')
+        const { descriptor } = parse(fs.readFileSync(filename, 'utf8'), { filename })
+        const script = compileScript(descriptor, { id: 'im-chat-panel-setup' })
+        const compiled = ts.transpileModule(script.content, { compilerOptions: { module: ts.ModuleKind.CommonJS, target: ts.ScriptTarget.ES2022 } }).outputText
+        const module = { exports: {} }
+        new Function('require', 'module', 'exports', compiled)((name) => {
+            if (name === 'vue') return { ...vue, ...Object.fromEntries(['onMounted', 'onBeforeUnmount', 'onActivated', 'onDeactivated'].map(hook => [hook, callback => { hooks[hook] = callback }])) }
+            if (name === 'dayjs') return { default: require('dayjs') }
+            if (name === '@element-plus/icons-vue') return {}
+            if (name === 'element-plus') return { ElMessage: { success() {}, warning() {}, error() {} } }
+            if (name === '@/utils/im-business-message-parse') return { parseImBusinessPayload: () => null }
+            if (name === '@/utils/im-chat-history') return { createImChatHistory: (deps) => createImChatHistory({ ...deps, setTimer: callback => { const id = ++timerId; timers.set(id, callback); return id }, clearTimer: id => timers.delete(id) }) }
+            if (name === '@/api/tcm') return {
+                getImChatMessages: async params => { apiCalls.push(['read', params]); return archive(params.diagnosis_id) },
+                triggerImChatSync: async params => { apiCalls.push(['sync', params]); return params.diagnosis_id === 1 ? pending.promise : progress(true) }
+            }
+            throw new Error(`Unexpected panel import: ${name}`)
+        }, module, module.exports)
+        const props = vue.reactive({ diagnosisId: 1 })
+        const panel = scope.run(() => module.exports.default.setup(props, { expose() {} }))
+        hooks.onMounted()
+        await settle()
+        assert.equal(panel.rows.value[0].raw.msg_id, 1)
+        assert.deepEqual(apiCalls[0], ['read', { diagnosis_id: 1, only_archived: 1 }])
+        assert.deepEqual(apiCalls[1], ['sync', { diagnosis_id: 1 }])
+        props.diagnosisId = 2
+        await settle()
+        assert.equal(panel.rows.value[0].raw.msg_id, 2)
+        pending.resolve(progress(true))
+        await settle()
+        assert.equal(panel.rows.value[0].raw.msg_id, 2)
+        assert.equal(timers.size, 1)
+        panel.history.rows = [{
+            msg_id: 'multi-part', msg_type: 'composite', from_account: 'doctor_20', to_account: 'patient_2', time: 1700000000,
+            parts: [{ msg_type: 'text', text: '第一段' }, { msg_type: 'image', image_url: 'https://example.invalid/chat.png' }, { msg_type: 'text', text: '第三段' }]
+        }]
+        assert.deepEqual(panel.rows.value.map(item => [item.raw.msg_id, item.raw.msg_type]), [
+            ['multi-part:0', 'text'], ['multi-part:1', 'image'], ['multi-part:2', 'text']
+        ])
+        assert.equal(panel.rows.value[2].raw.text, '第三段')
+        assert.ok(panel.rows.value.every(item => item.raw.to_account === 'patient_2'))
+        global.document.visibilityState = 'hidden'
+        listeners.get('visibilitychange')()
+        assert.equal(timers.size, 0)
+        hooks.onBeforeUnmount()
+        assert.equal(listeners.size, 0)
+    } finally {
+        scope.stop()
+        global.document = originalDocument
+    }
+})

admin/tests/prescription-order-time.test.cjs

@@ -0,0 +1,102 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const { parse, compileScript, compileTemplate } = require('@vue/compiler-sfc')
+const ts = require('typescript')
+const vue = require('vue')
+
+const filename = path.join(__dirname, '../src/views/consumer/prescription/components/PrescriptionOrderTimeDialog.vue')
+const source = fs.readFileSync(filename, 'utf8')
+const { descriptor, errors } = parse(source, { filename })
+assert.deepEqual(errors, [])
+const script = compileScript(descriptor, { id: 'order-time-test' })
+const template = compileTemplate({
+    source: descriptor.template.content,
+    filename,
+    id: 'order-time-test',
+    compilerOptions: { bindingMetadata: script.bindings }
+})
+assert.deepEqual(template.errors, [])
+const compiled = ts.transpileModule(script.content, {
+    compilerOptions: { module: ts.ModuleKind.CommonJS, target: ts.ScriptTarget.ES2022 }
+}).outputText
+
+function dialog(save = async () => ({})) {
+    const calls = []
+    const events = []
+    const module = { exports: {} }
+    const mockRequire = (name) => {
+        if (name === 'vue') return vue
+        if (name === '@/api/tcm') return {
+            prescriptionOrderEditTime: async (payload) => {
+                calls.push(payload)
+                return save(payload)
+            }
+        }
+        if (name === '@/utils/feedback') return { default: { msgSuccess() {} } }
+        throw new Error(`Unexpected dependency: ${name}`)
+    }
+    new Function('require', 'module', 'exports', compiled)(mockRequire, module, module.exports)
+    const state = module.exports.default.setup({}, {
+        expose() {},
+        emit: (...event) => events.push(event)
+    })
+    state.formRef.value = { validate: async () => true, clearValidate() {} }
+    return { state, calls, events }
+}
+
+test('opening and saving preserves creation time seconds and submits only the selected order', async () => {
+    const { state, calls, events } = dialog()
+    state.open({ id: 42, order_no: 'RX42', create_time: '2026-09-09 11:12:37' })
+    assert.equal(state.form.create_time, '2026-09-09 11:12:37')
+    state.form.create_time = '2026-08-31 09:08:07'
+    await state.submit()
+    assert.deepEqual(calls, [{ id: 42, create_time: '2026-08-31 09:08:07' }])
+    assert.deepEqual(events, [['saved', 42]])
+    assert.equal(state.visible.value, false)
+})
+
+test('legacy seconds, milliseconds and strings populate the same local picker time', () => {
+    const { state } = dialog()
+    const date = new Date(2026, 8, 9, 11, 12, 37)
+    for (const value of [date.getTime() / 1000, String(date.getTime() / 1000), date.getTime(), '2026-09-09T11:12:37']) {
+        state.open({ id: 1, create_time: value })
+        assert.equal(state.form.create_time, '2026-09-09 11:12:37')
+    }
+    state.open({ id: 1, create_time: '2026-09-09 11:12' })
+    assert.equal(state.form.create_time, '2026-09-09 11:12:00')
+    state.open({ id: 1, create_time: 0 })
+    assert.equal(state.form.create_time, '')
+})
+
+test('validation failures do not send requests, and failed saves retain editable input', async () => {
+    const { state, calls, events } = dialog(async () => { throw new Error('denied') })
+    state.open({ id: 9, create_time: '2026-09-09 11:12:37' })
+    state.formRef.value.validate = async () => { throw new Error('required') }
+    await state.submit()
+    assert.equal(calls.length, 0)
+    state.formRef.value.validate = async () => true
+    await state.submit()
+    assert.equal(state.visible.value, true)
+    assert.equal(state.submitting.value, false)
+    assert.equal(state.form.create_time, '2026-09-09 11:12:37')
+    assert.deepEqual(events, [])
+})
+
+test('a pending request cannot submit twice or switch its target order', async () => {
+    let finish
+    const pending = new Promise((resolve) => { finish = resolve })
+    const { state, calls, events } = dialog(() => pending)
+    state.open({ id: 7, create_time: '2026-09-09 11:12:37' })
+    const saving = state.submit()
+    await state.submit()
+    await new Promise((resolve) => setImmediate(resolve))
+    state.open({ id: 8, create_time: '2026-09-08 00:00:00' })
+    await state.submit()
+    assert.equal(calls.length, 1)
+    assert.equal(state.form.id, 7)
+    finish({})
+    await saving
+    assert.deepEqual(events, [['saved', 7]])
+})

admin/tests/prescription-order-tracking.test.cjs

@@ -0,0 +1,156 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const ts = require('typescript')
+const vue = require('vue')
+const { parse, compileScript, compileTemplate } = require('@vue/compiler-sfc')
+
+const handlers = [
+    'isDualAuditPassed', 'canQuickTrackRow', 'canShipRow', 'openQuickTrack',
+    'submitQuickTrack', 'openShip', 'openEdit', 'submitEdit', 'resetEditOrderDialog'
+]
+const stateNames = [
+    'quickTrackVisible', 'quickTrackSaving', 'quickTrackRowId', 'quickTrackForm',
+    'shipVisible', 'shipRowId', 'shipForm', 'editVisible', 'editDialogLoading',
+    'editSaving', 'editOrderStep', 'editOrderPrescription',
+    'editFormRef', 'editForm', 'editDepositMin'
+]
+
+for (const page of ['order_list.vue', 'order_list_h5.vue']) {
+    const filename = path.join(__dirname, '../src/views/consumer/prescription', page)
+    const { descriptor, errors } = parse(fs.readFileSync(filename, 'utf8'), { filename })
+    assert.deepEqual(errors, [])
+    const script = compileScript(descriptor, { id: page })
+    const ast = ts.createSourceFile(filename + '.ts', descriptor.scriptSetup.content, ts.ScriptTarget.Latest, true)
+    // Execute the actual order handlers with only network and unrelated UI dependencies stubbed.
+    const declarations = new Map()
+    for (const node of ast.statements) {
+        if (ts.isFunctionDeclaration(node) && node.name) declarations.set(node.name.text, node.getText(ast))
+        if (ts.isVariableStatement(node)) {
+            for (const declaration of node.declarationList.declarations) {
+                declarations.set(declaration.name.getText(ast), `const ${declaration.getText(ast)}`)
+            }
+        }
+    }
+    const selected = [...handlers, ...stateNames]
+    for (const name of selected) assert.ok(declarations.has(name), `${page}: missing ${name}`)
+    const compiled = ts.transpileModule(selected.map(name => declarations.get(name)).join('\n'), {
+        compilerOptions: { target: ts.ScriptTarget.ES2022, module: ts.ModuleKind.CommonJS }
+    }).outputText
+
+    function instance(detail = {}, saveTracking = async () => {}) {
+        const warnings = []
+        const errors = []
+        const edits = []
+        const tracks = []
+        const globals = {
+            ref: vue.ref, reactive: vue.reactive, nextTick: vue.nextTick,
+            feedback: { msgWarning: message => warnings.push(message), msgError: message => errors.push(message), msgSuccess() {} },
+            prescriptionOrderDetail: async () => ({ data: detail }),
+            prescriptionOrderEdit: async payload => edits.push(payload),
+            prescriptionOrderDdcode: async payload => { tracks.push(payload); await saveTracking(payload) },
+            canEditRow: () => true,
+            parseServicePackageValues: () => [],
+            loadEditPaidOrders: async () => {},
+            resolveShipModeForRow: row => row.ship_mode || 'gancao',
+            editGancaoLogisticsOnlyMode: vue.ref(false),
+            editGancaoDisplayNo: vue.ref(''),
+            detailDrawerRef: vue.ref(null),
+            detailVisible: vue.ref(false),
+            getLists() {}
+        }
+        const state = new Function(...Object.keys(globals), `${compiled}\nreturn { ${selected.join(', ')} }`)(...Object.values(globals))
+        state.editFormRef.value = { validate: async () => {}, clearValidate() {} }
+        return { state, warnings, errors, edits, tracks }
+    }
+
+    test(`${page}: only two approved audits unlock tracking, including legacy string statuses`, () => {
+        const { state } = instance()
+        for (const rx of [undefined, null, 0, 1, 2, '0', '1', '2']) {
+            for (const pay of [undefined, null, 0, 1, 2, '0', '1', '2']) {
+                const row = { prescription_audit_status: rx, payment_slip_audit_status: pay, fulfillment_status: 2 }
+                const allowed = [1, '1'].includes(rx) && [1, '1'].includes(pay)
+                assert.equal(state.canQuickTrackRow(row), allowed, `tracking: ${rx}/${pay}`)
+                assert.equal(state.canShipRow(row), allowed, `shipping: ${rx}/${pay}`)
+            }
+        }
+        for (const status of [1, 3, 4, 5, 6, 9]) {
+            assert.equal(state.canShipRow({ prescription_audit_status: 1, payment_slip_audit_status: 1, fulfillment_status: status }), false)
+        }
+    })
+
+    test(`${page}: direct handler calls cannot open tracking or shipping before both approvals`, () => {
+        for (const [rx, pay] of [[0, 0], [1, 0], [0, 1], [2, 1], [1, 2]]) {
+            const { state, warnings } = instance()
+            const row = { id: 42, prescription_audit_status: rx, payment_slip_audit_status: pay, fulfillment_status: 2 }
+            state.openQuickTrack(row)
+            state.openShip(row)
+            assert.equal(state.quickTrackVisible.value, false)
+            assert.equal(state.shipVisible.value, false)
+            assert.equal(state.quickTrackRowId.value, 0)
+            assert.equal(state.shipRowId.value, 0)
+            assert.equal(warnings.length, 2)
+        }
+    })
+
+    test(`${page}: approved orders can fill or replace the number and preserve the carrier`, async () => {
+        for (const oldNumber of ['', 'SF-OLD']) {
+            const { state, tracks } = instance()
+            const row = { id: 42, prescription_audit_status: 1, payment_slip_audit_status: 1, fulfillment_status: 2, express_company: 'sf', tracking_number: oldNumber }
+            state.openQuickTrack(row)
+            assert.equal(state.quickTrackVisible.value, true)
+            assert.equal(state.quickTrackForm.tracking_number, oldNumber)
+            state.quickTrackForm.tracking_number = ' SF-NEW '
+            await state.submitQuickTrack()
+            assert.deepEqual(tracks, [{ id: 42, express_company: 'sf', tracking_number: 'SF-NEW' }])
+            assert.equal(state.quickTrackVisible.value, false)
+            state.openShip(row)
+            assert.equal(state.shipVisible.value, true)
+        }
+    })
+
+    test(`${page}: a server rejection after audit revocation retains the dialog and entered number`, async () => {
+        const { state } = instance({}, async () => { throw new Error('audit revoked') })
+        state.openQuickTrack({ id: 42, prescription_audit_status: 1, payment_slip_audit_status: 1 })
+        state.quickTrackForm.tracking_number = 'SF-NEW'
+        await state.submitQuickTrack()
+        assert.equal(state.quickTrackVisible.value, true)
+        assert.equal(state.quickTrackSaving.value, false)
+        assert.equal(state.quickTrackForm.tracking_number, 'SF-NEW')
+    })
+
+    test(`${page}: editing preserves the existing number while saving other fields before approval`, async () => {
+        const { state, edits, errors } = instance({ id: 42, prescription_audit_status: 1, payment_slip_audit_status: 0, tracking_number: 'SF-EXISTING' })
+        await state.openEdit({ id: 42, prescription_audit_status: 1, payment_slip_audit_status: 1 })
+        assert.deepEqual(errors, [])
+        assert.equal(state.editForm.tracking_number, 'SF-EXISTING')
+        state.editForm.tracking_number = 'FORGED'
+        state.editForm.recipient_name = '修改后的收货人'
+        state.editOrderStep.value = 2
+        await state.submitEdit()
+        assert.equal(edits.length, 1)
+        assert.equal(edits[0].recipient_name, '修改后的收货人')
+        assert.equal(Object.hasOwn(edits[0], 'tracking_number'), false)
+    })
+
+    test(`${page}: ordinary editing cannot change tracking while resetting an approved payment audit`, async () => {
+        const { state, edits, errors } = instance({ id: 42, prescription_audit_status: '1', payment_slip_audit_status: '1' })
+        await state.openEdit({ id: 42 })
+        assert.deepEqual(errors, [])
+        state.editForm.tracking_number = 'SF-NEW'
+        state.editOrderStep.value = 2
+        await state.submitEdit()
+        assert.equal(edits.length, 1)
+        assert.equal(Object.hasOwn(edits[0], 'tracking_number'), false)
+    })
+
+    test(`${page}: template compiles with tracking controls bound to audit restrictions`, () => {
+        const template = compileTemplate({ source: descriptor.template.content, filename, id: page, compilerOptions: { bindingMetadata: script.bindings } })
+        assert.deepEqual(template.errors, [])
+        const inputs = [...descriptor.template.content.matchAll(/<el-input\b[^>]*v-model="editForm\.tracking_number"[^>]*>/g)]
+        assert.equal(inputs.length, page === 'order_list.vue' ? 2 : 1)
+        for (const [input] of inputs) assert.match(input, /\sdisabled(?:\s|\/?>)/)
+        assert.match(descriptor.template.content, /v-if="canQuickTrackRow\(row\)"/)
+    })
+}

admin/tests/wecom-promotion-member-sync.test.cjs

@@ -0,0 +1,362 @@
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const test = require('node:test')
+const { parse, compileScript, compileTemplate, compileStyle } = require('@vue/compiler-sfc')
+const ts = require('typescript')
+const vue = require('vue')
+
+const filename = path.join(__dirname, '../src/views/first_visit/wecom_promotion/index.vue')
+const { descriptor, errors } = parse(fs.readFileSync(filename, 'utf8'), { filename })
+assert.deepEqual(errors, [])
+const script = compileScript(descriptor, { id: 'member-sync-test' })
+const template = compileTemplate({ source: descriptor.template.content, filename, id: 'member-sync-test', compilerOptions: { bindingMetadata: script.bindings } })
+assert.deepEqual(template.errors, [])
+assert.deepEqual(compileStyle({ source: descriptor.styles[0].content, filename, id: 'member-sync-test', scoped: true, preprocessLang: 'scss' }).errors, [])
+
+function loadModule(source, mockRequire) {
+    const compiled = ts.transpileModule(source, { compilerOptions: { module: ts.ModuleKind.CommonJS, target: ts.ScriptTarget.ES2022 } }).outputText
+    const module = { exports: {} }
+    new Function('require', 'module', 'exports', compiled)(mockRequire, module, module.exports)
+    return module.exports
+}
+
+const automation = loadModule(fs.readFileSync(path.join(path.dirname(filename), 'components/promotion-automation.ts'), 'utf8'), require)
+const member = (id, enabled = 1) => ({ id, admin_id: id, userid: `member-${id}`, name: `医助 ${id}`, enabled, reception_available: enabled === 1, is_in_remote_range: true })
+const pool = (id = 1) => ({ id, name: `方案 ${id}`, status: 1, can_operate: true, can_manage_access: true, member_admin_ids: [1, 2], member_rules: [member(1), member(2, 0)], official_link: { range_userids: ['member-1', 'member-2'] }, dispatch_sync: { status: 1 } })
+
+function page(api = {}, pools = [pool()]) {
+    const messages = []
+    const emitMessage = (type, value) => messages.push({ type, message: typeof value === 'string' ? value : value.message })
+    const ElMessage = (value) => emitMessage(value.type, value)
+    for (const type of ['success', 'warning', 'error']) ElMessage[type] = (value) => emitMessage(type, value)
+    const instance = loadModule(script.content, (name) => {
+        if (name === 'vue') return { ...vue, onMounted() {} }
+        if (name === 'element-plus') return { ElMessage, ElMessageBox: {} }
+        if (name === '@element-plus/icons-vue') return {}
+        if (name === '@/api/first_visit') return { wecomPromotionOverview: async () => ({ pools }), ...api }
+        if (name.endsWith('.vue')) return {}
+        if (name === './components/promotion-automation') return automation
+        throw new Error(`Unexpected dependency: ${name}`)
+    }).default.setup({}, { expose() {} })
+    Object.assign(instance.overview, { pools })
+    instance.selectedPoolId.value = pools[0]?.id
+    return { state: instance, messages }
+}
+
+test('disabled local member still in remote snapshot is explicitly pending removal', () => {
+    const { state } = page()
+    assert.equal(state.routeStatus(member(2, 0)).label, '待移出（仍在企微）')
+    assert.equal(state.routeStatus({ ...member(1), is_in_remote_range: '0' }).label, '待加入企微')
+    assert.match(state.selectedSyncState.value.description, /当前计划：医助 1；上次企微确认：医助 1、医助 2/)
+    state.overview.pools[0].dispatch_sync = { status: 3, last_error: '可信 IP 校验失败' }
+    assert.match(state.selectedSyncState.value.description, /可信 IP 校验失败/)
+})
+
+test('single toggles never infer remote success from an empty error or planned dispatch', async () => {
+    const calls = []
+    const { state, messages } = page({ wecomPromotionToggleMember: async (payload) => { calls.push(payload); return { sync_error: '', dispatch: { queued: true } } } })
+    await state.handleMemberToggle(member(2), false)
+    assert.deepEqual(calls, [{ id: 2, status: 0 }])
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /尚未确认同步/)
+    assert.doesNotMatch(messages.at(-1).message, /已确认同步|已重新计算/)
+    assert.match(state.operationResultText(state.operationResults.value[0]), /尚未确认同步/)
+})
+
+test('single rule save reports explicit remote confirmation and preserves precise failures', async () => {
+    const { state, messages } = page({ wecomPromotionSaveMember: async () => ({ sync_status: 'failed', sync_error: '企微成员范围不一致' }) })
+    Object.assign(state.memberForm, { id: 2, active_range: [] })
+    await state.saveMemberRule()
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /企微成员范围不一致/)
+    state.notifySavedResult('本地已保存', { sync_status: 'synced' })
+    assert.equal(messages.at(-1).type, 'success')
+    assert.match(messages.at(-1).message, /企微成员范围已确认同步/)
+})
+
+test('pool saves with queued work retain a warning instead of implying official link completion', async () => {
+    const { state, messages } = page({ wecomPromotionSavePool: async () => ({ id: 1, sync_status: 'pending', sync_queued: true, sync_error: '' }) })
+    Object.assign(state.poolForm, { id: 1, name: '方案 1', member_admin_ids: [1] })
+    await state.savePool()
+    assert.equal(state.poolDialogVisible.value, false)
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /尚未确认同步/)
+    assert.equal(state.operationResults.value[0].sync_queued, true)
+})
+
+test('manual retry targets only its pool and does not import remote links', async () => {
+    const calls = []
+    const { state, messages } = page({ wecomPromotionSyncMemberRange: async (payload) => { calls.push(payload); return { pool_id: 1, sync_status: 'synced', sync_error: '', sync_queued: false } } })
+    await state.syncMemberRange(1)
+    assert.deepEqual(calls, [{ pool_id: 1 }])
+    assert.equal(state.operationResults.value[0].sync_status, 'synced')
+    assert.equal(state.syncingPoolId.value, 0)
+    assert.equal(messages.at(-1).type, 'success')
+    state.overview.pools[0].can_operate = false
+    await state.syncMemberRange(1)
+    assert.equal(calls.length, 1)
+})
+
+test('batch sync awaits all queued successful pools with at most two concurrent requests', async () => {
+    const pending = []
+    let active = 0
+    let maximum = 0
+    const { state } = page({ wecomPromotionSyncMemberRange: ({ pool_id }) => new Promise((resolve) => {
+        active++
+        maximum = Math.max(maximum, active)
+        pending.push({ id: pool_id, finish: (result) => { active--; resolve({ pool_id, ...result }) } })
+    }) })
+    const results = [1, 2, 3].map((id) => ({ id, name: `方案 ${id}`, success: true, sync_queued: true }))
+    results.push({ id: 4, name: '保存失败方案', success: false, sync_queued: true, error: '无权限' })
+    const saving = state.syncBatchResults(results)
+    assert.deepEqual(pending.map((item) => item.id), [1, 2])
+    pending[0].finish({ sync_status: 'synced', sync_error: '' })
+    await new Promise((resolve) => setImmediate(resolve))
+    assert.deepEqual(pending.map((item) => item.id), [1, 2, 3])
+    assert.equal(state.batchSyncProgress.completed, 1)
+    pending[1].finish({ sync_status: 'failed', sync_error: '范围校验失败' })
+    pending[2].finish({ sync_status: 'pending', sync_error: '' })
+    await saving
+    assert.equal(maximum, 2)
+    assert.equal(state.batchSyncProgress.completed, 3)
+    assert.deepEqual(state.operationResults.value.map((item) => item.sync_status), ['synced', 'failed', 'pending', undefined])
+    assert.match(state.operationResultText(state.operationResults.value[1]), /范围校验失败/)
+    assert.match(state.operationResultText(state.operationResults.value[3]), /本地保存失败：无权限/)
+})
+
+test('batch save retains partial failures and never reports queued work as remote success', async () => {
+    const pools = [pool(1), pool(2), pool(3)]
+    const syncedIds = []
+    const { state, messages } = page({
+        wecomPromotionBatchUpdatePools: async () => ({ updated: 2, failed: 1, member_updated: 2, results: [
+            { id: 1, name: '方案 1', success: true, sync_queued: true },
+            { id: 2, name: '方案 2', success: true, sync_queued: true },
+            { id: 3, name: '方案 3', success: false, error: '保存失败' }
+        ] }),
+        wecomPromotionSyncMemberRange: async ({ pool_id }) => {
+            syncedIds.push(pool_id)
+            if (pool_id === 2) throw '企微请求超时'
+            return { pool_id, sync_status: 'synced', sync_error: '', sync_queued: false }
+        }
+    }, pools)
+    Object.assign(state.batchConfigApply, { member_status: true })
+    Object.assign(state.batchConfigForm, { pool_ids: [1, 2, 3], member_admin_ids: [2], member_status: 0 })
+    state.batchConfigDialogVisible.value = true
+    await state.saveBatchConfig()
+    assert.deepEqual(syncedIds, [1, 2])
+    assert.equal(state.savingBatchConfig.value, false)
+    assert.equal(state.batchConfigDialogVisible.value, false)
+    assert.deepEqual(state.selectedPoolIds.value, [2, 3])
+    assert.match(messages.at(-1).message, /企微已确认同步 1 个，1 个尚未确认同步；1 个本地保存失败/)
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(state.operationResults.value[1].sync_error, /企微请求超时/)
+})
+
+test('direct batch sync snapshots and deduplicates selection, limits concurrency, and waits for refresh', async () => {
+    const pools = [pool(1), pool(2), pool(3), pool(4)]
+    const pending = []
+    const unrelatedCalls = []
+    let active = 0
+    let maximum = 0
+    let refreshCount = 0
+    let finishRefresh
+    const api = Object.fromEntries([
+        'wecomPromotionBatchUpdatePools', 'wecomPromotionSavePool', 'wecomPromotionSaveMember',
+        'wecomPromotionBatchSetOperators', 'wecomPromotionSyncCustomers', 'wecomPromotionToggleMember'
+    ].map((name) => [name, async (payload) => { unrelatedCalls.push({ name, payload }); return {} }]))
+    const { state, messages } = page({
+        ...api,
+        wecomPromotionOverview: () => {
+            refreshCount++
+            return new Promise((resolve) => { finishRefresh = () => resolve({ pools }) })
+        },
+        wecomPromotionSyncMemberRange: ({ pool_id }) => new Promise((resolve) => {
+            active++
+            maximum = Math.max(maximum, active)
+            pending.push({ id: pool_id, finish: () => {
+                active--
+                resolve({ pool_id, sync_status: 'synced', sync_error: '', sync_queued: false })
+            } })
+        })
+    }, pools)
+    state.selectedPoolIds.value = [1, 1, 2, 3]
+    let completed = false
+    const syncing = state.syncSelectedMemberRanges().then(() => { completed = true })
+    assert.equal(state.syncingBatchMembers.value, true)
+    assert.deepEqual(pending.map((item) => item.id), [1, 2])
+    assert.deepEqual({ ...state.batchSyncProgress }, { completed: 0, total: 3 })
+
+    // A changed ref must not alter the already-dispatched batch's work list.
+    state.selectedPoolIds.value = [4]
+    pending[0].finish()
+    await new Promise((resolve) => setImmediate(resolve))
+    assert.deepEqual(pending.map((item) => item.id), [1, 2, 3])
+    assert.equal(state.batchSyncProgress.completed, 1)
+    assert.equal(refreshCount, 0)
+    pending[1].finish()
+    await new Promise((resolve) => setImmediate(resolve))
+    assert.equal(state.batchSyncProgress.completed, 2)
+    assert.equal(completed, false)
+    assert.equal(refreshCount, 0)
+    pending[2].finish()
+    await new Promise((resolve) => setImmediate(resolve))
+    assert.equal(maximum, 2)
+    assert.equal(refreshCount, 1)
+    assert.equal(state.syncingBatchMembers.value, true)
+    assert.equal(state.batchSyncProgress.completed, 3)
+    assert.equal(completed, false)
+    finishRefresh()
+    await syncing
+
+    assert.equal(state.syncingBatchMembers.value, false)
+    assert.deepEqual({ ...state.batchSyncProgress }, { completed: 0, total: 0 })
+    assert.deepEqual(state.selectedPoolIds.value, [])
+    assert.deepEqual(state.operationResults.value.map((item) => item.id), [1, 2, 3])
+    assert.ok(state.operationResults.value.every((item) => item.sync_only && item.sync_status === 'synced'))
+    assert.deepEqual(unrelatedCalls, [])
+    assert.equal(messages.at(-1).type, 'success')
+    assert.match(messages.at(-1).message, /已确认同步 3 个/)
+    assert.doesNotMatch(messages.at(-1).message, /本地.*保存/)
+    for (const result of state.operationResults.value) {
+        assert.match(state.operationResultText(result), /已确认同步/)
+        assert.doesNotMatch(state.operationResultText(result), /本地.*保存/)
+    }
+})
+
+test('direct batch sync keeps failed, pending and blocked pools selected with precise results', async () => {
+    const pools = [pool(1), pool(2), pool(3), { ...pool(4), official_link: null }, { ...pool(5), can_operate: false }]
+    const calls = []
+    let refreshCount = 0
+    const { state, messages } = page({
+        wecomPromotionOverview: async () => { refreshCount++; return { pools } },
+        wecomPromotionSyncMemberRange: async ({ pool_id }) => {
+            calls.push(pool_id)
+            if (pool_id === 2) throw new Error('企微请求超时，请检查网络')
+            return { pool_id, sync_status: pool_id === 1 ? 'synced' : 'pending', sync_queued: pool_id === 3, sync_error: '' }
+        }
+    }, pools)
+    state.selectedPoolIds.value = [1, 2, 3, 4, 5]
+    await state.syncSelectedMemberRanges()
+
+    assert.deepEqual(calls, [1, 2, 3])
+    assert.equal(refreshCount, 1)
+    assert.deepEqual(state.selectedPoolIds.value, [2, 3, 4, 5])
+    assert.deepEqual(state.operationResults.value.map((item) => item.sync_status), ['synced', 'failed', 'pending', 'blocked', 'blocked'])
+    assert.ok(state.operationResults.value.every((item) => item.sync_only))
+    assert.match(state.operationResults.value[1].sync_error, /企微请求超时，请检查网络/)
+    assert.equal(state.operationResults.value[2].sync_queued, true)
+    assert.match(state.operationResultText(state.operationResults.value[3]), /链接/)
+    assert.match(state.operationResultText(state.operationResults.value[4]), /权限|无权/)
+    for (const result of state.operationResults.value) assert.doesNotMatch(state.operationResultText(result), /本地.*保存/)
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /已确认同步 1 个/)
+    assert.match(messages.at(-1).message, /4 个尚未确认同步/)
+    assert.doesNotMatch(messages.at(-1).message, /本地.*保存/)
+    assert.equal(state.syncingBatchMembers.value, false)
+    assert.deepEqual({ ...state.batchSyncProgress }, { completed: 0, total: 0 })
+})
+
+test('direct batch sync prevents duplicate requests and freezes member and selection changes while busy', async () => {
+    const pools = [pool(1), pool(2)]
+    const calls = []
+    const toggles = []
+    let finish
+    const { state } = page({
+        wecomPromotionSyncMemberRange: ({ pool_id }) => {
+            calls.push(pool_id)
+            return new Promise((resolve) => { finish = () => resolve({ pool_id, sync_status: 'synced' }) })
+        },
+        wecomPromotionToggleMember: async (payload) => { toggles.push(payload); return { sync_status: 'synced' } }
+    }, pools)
+    state.selectedPoolIds.value = [1]
+    const syncing = state.syncSelectedMemberRanges()
+    await state.syncSelectedMemberRanges()
+    await state.syncMemberRange(2)
+    await state.handleMemberToggle(member(2), false)
+    state.togglePoolSelection(pools[0], false)
+    state.togglePoolSelection(pools[1], true)
+    assert.deepEqual(state.selectedPoolIds.value, [1])
+    state.toggleAllPoolSelection(false)
+    assert.deepEqual(state.selectedPoolIds.value, [1])
+    state.toggleAllPoolSelection(true)
+    assert.deepEqual(state.selectedPoolIds.value, [1])
+    assert.deepEqual(calls, [1])
+    assert.deepEqual(toggles, [])
+    finish()
+    await syncing
+    assert.equal(state.syncingBatchMembers.value, false)
+})
+
+test('direct batch sync cannot begin while a single sync, member toggle or batch save is active', async () => {
+    const calls = []
+    const { state } = page({ wecomPromotionSyncMemberRange: async (payload) => { calls.push(payload); return { sync_status: 'synced' } } })
+    state.selectedPoolIds.value = [1]
+    for (const [busy, value] of [[state.syncingPoolId, 1], [state.togglingMemberId, 2], [state.savingBatchConfig, true]]) {
+        busy.value = value
+        await state.syncSelectedMemberRanges()
+        assert.deepEqual(calls, [])
+        assert.equal(state.syncingBatchMembers.value, false)
+        busy.value = typeof value === 'boolean' ? false : 0
+    }
+})
+
+test('direct batch sync rejects empty and oversized selections but accepts 100 unique pools', async () => {
+    const pools = Array.from({ length: 101 }, (_, index) => pool(index + 1))
+    const calls = []
+    const { state, messages } = page({ wecomPromotionSyncMemberRange: async ({ pool_id }) => {
+        calls.push(pool_id)
+        return { pool_id, sync_status: 'synced' }
+    } }, pools)
+    await state.syncSelectedMemberRanges()
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /选择|勾选/)
+    assert.deepEqual(calls, [])
+    state.selectedPoolIds.value = pools.map((item) => item.id)
+    await state.syncSelectedMemberRanges()
+    assert.equal(messages.at(-1).type, 'warning')
+    assert.match(messages.at(-1).message, /100/)
+    assert.deepEqual(calls, [])
+    assert.equal(state.syncingBatchMembers.value, false)
+    state.selectedPoolIds.value = [...pools.slice(0, 100).map((item) => item.id), 1]
+    await state.syncSelectedMemberRanges()
+    assert.deepEqual(calls, pools.slice(0, 100).map((item) => item.id))
+    assert.equal(messages.at(-1).type, 'success')
+})
+
+test('shared operators can select and sync pools while access and configuration stay manager-only', async () => {
+    const pools = [
+        { ...pool(1), can_manage_access: false },
+        { ...pool(2), can_operate: false },
+        { ...pool(3), can_operate: false, can_manage_access: false },
+        pool(4)
+    ]
+    const calls = []
+    const { state, messages } = page({ wecomPromotionSyncMemberRange: async ({ pool_id }) => {
+        calls.push(pool_id)
+        return { pool_id, sync_status: 'synced' }
+    } }, pools)
+    assert.deepEqual(state.selectablePoolIds.value, [1, 2, 4])
+    state.togglePoolSelection(pools[0], true)
+    state.togglePoolSelection(pools[2], true)
+    await vue.nextTick()
+    assert.deepEqual(state.selectedPoolIds.value, [1])
+    state.openAccessDialog()
+    assert.equal(state.accessDialogVisible.value, false)
+    assert.equal(messages.at(-1).type, 'warning')
+    state.openBatchConfigDialog()
+    assert.equal(state.batchConfigDialogVisible.value, false)
+    assert.equal(messages.at(-1).type, 'warning')
+    await state.syncSelectedMemberRanges()
+    assert.deepEqual(calls, [1])
+
+    state.toggleAllPoolSelection(true)
+    assert.deepEqual(state.selectedPoolIds.value, [1, 2, 4])
+    state.openAccessDialog()
+    assert.deepEqual(state.accessForm.pool_ids, [2, 4])
+    state.openBatchConfigDialog()
+    assert.deepEqual(state.batchConfigForm.pool_ids, [2, 4])
+    state.overview.pools[0].can_operate = false
+    await vue.nextTick()
+    assert.deepEqual(state.selectedPoolIds.value, [2, 4])
+})

app/research/issued-prescription-ai-ui-redesign.md

@@ -0,0 +1,26 @@
+# 已开处方 → AI 界面改造
+
+## 功能分析
+
+这是基于已保存资料快照的双模型分析与医生复核工作台。主流程是确认患者和批次、查看模型完成情况、对照原方差异、核查资料缺口、记录所选模型的复核意见。
+
+保留六个入口：对比总览、完整报告、候选与逐味、资料与缺口、处理进度、历史与趋势。历史批次切换、刷新、重新分析、单模型重试、独立复核草稿及保存继续使用现有服务和权限逻辑。医生原方及支持报告仍可访问。
+
+## 设计决定
+
+- 主程序 `shell.py` 将 prescriptions 等业务页列为科技蓝页面。因此继续复用 `reception_style.TECH_BLUE`：主色 #1769E8，背景 #F3F7FD，白色面板，分割线 #DBE5F2。没有采用主程序其他页面的靛蓝令牌，也没有修改全局主题。
+- 深蓝渐变横幅改为白色标题工具栏。批次状态放在顶行，患者及原方信息单独成行，当前导航用浅蓝背景与蓝色底线标识。
+- 缩小一致度圆环和数字，保留共同药味、候选药味与药味重合的计算依据；修复指标区样式误把分隔线应用到每个子标签的问题。
+- 总览由三栏改成剂量差异主区与固定复核侧栏。三方交集和附件覆盖改为可展开的摘要，减少初始屏幕空白和对主图的挤压。
+- 复核模型和复核状态并排显示，意见输入和保存按钮放在一起。顶部保存动作显示当前模型名，切换时同步更新。
+- 短窗口收起次要信息，保留剂量主图和复核输入；展开图表时剂量滚动区域可让出高度。列表内容保持最小高度，避免刷新后条目重叠。
+- 保留未知值与零值区分、不可比/历史状态处理、模型各自失败重试以及现有一致度说明。
+
+## 验证
+
+- 处方 AI 五组回归测试覆盖数据处理、权限、异步读取、逐味比较、页面、模型复核与布局。
+- 新增八种窗口/展开状态组合的控件边界检查，以及展开/收起不改变比较数据和复核清单的检查。
+- 离线模拟数据预览覆盖 1440×940、1280×860、1024×700、940×640，各内容页面、展开图表、运行中、失败、历史及统计窗口。
+- 预览输出：`app/artifacts/issued_prescription_redesign/`。模拟数据仅供 UI 验证，不对应真实患者。
+
+本次改动在现有未提交工作区基础上完成，仅调整桌面呈现与相关回归检查；没有重新打包或发布桌面安装程序。

app/scripts/render_issued_prescription_ai.py

@@ -0,0 +1,281 @@
+"""Render the prescription comparison window with synthetic, offline data."""
+
+from __future__ import annotations
+
+import os
+from copy import deepcopy
+from pathlib import Path
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.ui.dialogs import issued_prescription_ai as ai
+from doctor_workstation.ui.theme import apply_theme
+
+
+def example_batch() -> dict[str, Any]:
+    """Three prescriptions that actually differ, so every state of the page has something to draw."""
+
+    doctor = {"生地黄": 16, "天花粉": 15, "干石斛": 20, "醋五味子": 6,
+              "生麦冬": 12, "茯苓": 10, "红参片": 6, "生牡丹皮": 10}
+    candidates = {
+        "qwen": {"生地黄": 15, "干石斛": 12, "醋五味子": 6, "生麦冬": 12, "茯苓": 15, "麸炒白术": 12, "丹参": 15},
+        "openai": {"生地黄": 12, "醋五味子": 6, "生麦冬": 10, "茯苓": 12, "生白芍": 5, "炒酸枣仁": 6},
+    }
+    reports = {
+        "qwen": {"summary": "界面演示数据：对照药味组成、剂量及用法，辅助医生逐项复核。",
+                 "diagnosis": "消渴病，气阴两虚兼血热。兼证需结合舌脉资料核实。",
+                 "analysis": "阅读药方对比页，查看同名药材的剂量差异、仅医生方药味与仅候选方药味。",
+                 "risk_assessment": [{"level": "high", "label": "血压数据缺失，影响补气药安全性评估"},
+                                     {"level": "medium", "label": "肝肾功能具体指标未提供"}],
+                 "missing_information": ["甲状腺功能及眼底检查报告缺失", "舌象与脉诊仅有附件，无文本记录"]},
+        "openai": {"summary": "界面演示数据：两份候选方独立生成，引用编号可回查原始资料。",
+                   "diagnosis": "已记录气阴两虚证；辨证依据需补充。",
+                   "analysis": "候选方以益气养阴为主，安神药味为本模型新增，需要医师确认。",
+                   "risk_assessment": [{"level": "high", "label": "缺少当前用药记录，无法排除配伍风险"}],
+                   "missing_information": ["舌象与脉诊仅有附件，无文本记录", "近期体重变化及 BMI 数据缺失"]},
+    }
+    models = {}
+    for key, doses in candidates.items():
+        herbs, rows = [], []
+        for name in sorted(set(doctor) | set(doses), key=lambda item: (item not in doses, item)):
+            common = {"name": name, "unit": "g", "dose_basis": "per_dose", "formula_type": "主方"}
+            left, right = doctor.get(name), doses.get(name)
+            if right is not None:
+                herbs.append({**common, "dosage": right})
+            rows.append({
+                **common, "key": name,
+                "doctor": {**common, "dosage": left} if left is not None else None,
+                "candidate": {**common, "dosage": right, "source_rows": [len(herbs) - 1]} if right is not None else None,
+                "doctor_dosage": left, "candidate_dosage": right,
+                "match_type": "candidate_only" if left is None else "doctor_only" if right is None else "matched",
+                "contribution": min(left, right) / max(left, right) if left and right else None,
+            })
+        matched = sum(row["match_type"] == "matched" for row in rows)
+        denominator = len(doctor) + len(herbs)
+        models[key] = {
+            "status": "success", "report_id": 10 if key == "qwen" else 11,
+            "candidate": {"status": "available_for_review", "prescription_name": "候选药方 · 界面示例",
+                          "herbs": herbs, "dose_basis": "per_dose", "prescription_type": "浓缩水丸",
+                          "usage_instruction": "服法由医生复核后确认。", "usage_days": 7, "times_per_day": 2,
+                          "rationale": "这是用于检查界面排版的模拟药方，不对应真实患者。",
+                          "risk_warnings": ["药味与剂量差异需要逐项复核。"]},
+            "comparison": {"status": "comparable",
+                           "score": 200 * sum(row["contribution"] or 0 for row in rows) / denominator,
+                           "herb_score": 200 * matched / denominator, "matched_count": matched,
+                           "doctor_count": len(doctor), "candidate_count": len(herbs), "rows": rows,
+                           "reason": "药味与剂量可比；服法与疗程需单独复核。", "usage_differences": []},
+            "report": reports[key],
+            "coverage": {"status": "incomplete", "complete": False,
+                         "files": [{"file_id": f"a{index:04d}", "type": "image" if index % 3 else "document",
+                                    "status": "processed", "transmitted": True, "version_verified": True}
+                                   for index in range(20 if key == "qwen" else 17)]
+                                  + [{"file_id": f"z{index:04d}", "type": "document", "status": "restricted",
+                                      "transmitted": False, "version_verified": False,
+                                      "reason": "FILE_UNAVAILABLE_OR_UNSUPPORTED"} for index in range(2)]},
+            "progress": {"stage_label": "处理完成", "elapsed_seconds": 135 if key == "qwen" else 591,
+                         "attempt": 1},
+            "usage": {"total_calls": 3, "calls": [
+                {"stage": "text:0", "ok": True, "latency_ms": 3120, "file_count": 0,
+                 "usage": {"completion_tokens": 980}, "error_code": ""},
+                {"stage": "files:0", "ok": True, "latency_ms": 22400,
+                 "file_count": 20 if key == "qwen" else 17,
+                 "usage": {"completion_tokens": 2140}, "error_code": ""},
+                {"stage": "final", "ok": True, "latency_ms": 18800, "file_count": 0,
+                 "usage": {"completion_tokens": 5617}, "error_code": ""}]},
+            "review": {"status": "viewed", "comment": ""},
+            "algorithm_version": "prescription-soft-dice-v1.1.0",
+            "prompt_version": "manual-prescription-required-candidate-v4",
+        }
+    return {"id": 40, "prescription_id": 7556, "patient_id": 1391, "diagnosis_id": 1391,
+            "prescription_revision": 1, "status": "success", "validity": "current",
+            "comparison_type": "non_independent", "models": models, "coverage_status": "partial",
+            "created_at": "2026-09-10 15:29:00", "cutoff_at": "2026-09-10 15:29:00",
+            "source_summary": {"diagnoses_count": 2, "attachment_count": 22, "video_calls_count": 4,
+                               "chat_messages_count": 137, "source_record_count": 31},
+            "doctor_snapshot": {"patient": {"name": "张卫君", "gender": 2, "gender_label": "女", "age": 58},
+                                "diagnosis": {"clinical_diagnosis": "2型糖尿病 消渴病 · 气阴两虚兼血热",
+                                              "chief_complaint": "咳嗽反复1月余"},
+                                "prescription": {"herbs": [{"name": name, "dosage": dose, "unit": "g",
+                                                            "dose_basis": "per_dose", "formula_type": "主方"}
+                                                           for name, dose in doctor.items()],
+                                                 "prescription_type": "浓缩水丸", "dose_count": 1,
+                                                 "usage_instruction": "每日1剂，水煎分服。"}},
+            "missing": [{"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True},
+                        {"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True},
+                        {"code": "ARCHIVE_SYNC_WATERMARK_UNAVAILABLE", "critical": False}]}
+
+
+def example_statistics() -> dict[str, Any]:
+    """Doctor-level shape the statistics window renders; synthetic, but structurally complete."""
+
+    def doctor(identifier: int, name: str, totals: tuple[int, int, int],
+               qwen: tuple[int, float | None], openai: tuple[int, float | None],
+               review: tuple[int, int]) -> dict[str, Any]:
+        total, patients, paired = totals
+        models = {}
+        for key, (eligible, mean) in (("qwen", qwen), ("openai", openai)):
+            share = (0.34, 0.38, 0.18, 0.07, 0.03)
+            models[key] = {"eligible_count": eligible, "mean": mean,
+                           "median": None if mean is None else round(mean - 1.4, 1),
+                           "excluded_reasons": {"SOURCE_HISTORY_VERSIONS_UNAVAILABLE": max(0, total - eligible - 2),
+                                                "incomplete_coverage": min(2, max(0, total - eligible))},
+                           "distribution": {name: round(eligible * fraction)
+                                            for name, fraction in zip(
+                                                ("[0,20)", "[20,40)", "[40,60)", "[60,80)", "[80,100]"),
+                                                share, strict=True)}}
+        evaluated, qualified = review
+        return {"doctor_id": identifier, "doctor_name": name, "total_count": total,
+                "patient_count": patients, "paired_count": paired, "models": models,
+                "review": {"evaluated_count": evaluated, "qualified_count": qualified,
+                           "qualified_rate": None if not evaluated else round(100 * qualified / evaluated, 1)}}
+
+    doctors = [doctor(26, "何医生", (18, 14, 9), (12, 21.4), (9, 18.9), (6, 4)),
+               doctor(31, "李医生", (11, 9, 4), (7, 26.8), (5, 24.1), (3, 1)),
+               doctor(44, "王医生", (6, 5, 1), (2, 15.2), (0, None), (0, 0))]
+    return {"total_count": sum(item["total_count"] for item in doctors),
+            "patient_count": sum(item["patient_count"] for item in doctors), "doctors": doctors}
+
+
+class PreviewRepository:
+    def __init__(self) -> None:
+        self.batch = example_batch()
+
+    def list_prescription_ai_reports(self, **_params: Any) -> dict[str, Any]:
+        return {"enabled": True, "lists": deepcopy(self.history()), "count": len(self.history())}
+
+    def history(self) -> list[dict[str, Any]]:
+        """The current batch plus the earlier ones it supersedes, newest first."""
+
+        older = [
+            {"id": 39, "created_at": "2026-09-10 15:18:00", "status": "success", "validity": "superseded",
+             "comparison_type": "non_independent",
+             "models": {"qwen": {"comparison": {"status": "comparable", "score": 48.9},
+                                 "algorithm_version": "prescription-soft-dice-v1.0.1", "prompt_version": "v3"},
+                        "openai": {"comparison": {"status": "comparable", "score": 41.7},
+                                   "algorithm_version": "prescription-soft-dice-v1.0.1", "prompt_version": "v3"}}},
+            {"id": 38, "created_at": "2026-09-10 14:05:00", "status": "success", "validity": "superseded",
+             "models": {"qwen": {"comparison": {"status": "comparable", "score": 33.4},
+                                 "algorithm_version": "prescription-soft-dice-v1.0.1", "prompt_version": "v3"},
+                        "openai": {"comparison": {"status": "comparable", "score": 31.1},
+                                   "algorithm_version": "prescription-soft-dice-v1.0.1", "prompt_version": "v3"}}},
+            {"id": 37, "created_at": "2026-09-10 13:25:00", "status": "failed", "validity": "superseded",
+             "models": {"qwen": {"error_message": "模型返回未通过校验",
+                                 "algorithm_version": "prescription-soft-dice-v1.0.1"},
+                        "openai": {"comparison": {"status": "not_comparable"}}}},
+            {"id": 36, "created_at": "2026-09-10 12:34:00", "status": "success", "validity": "superseded",
+             "models": {"qwen": {"comparison": {"status": "not_comparable"},
+                                 "algorithm_version": "prescription-soft-dice-v1.0.0"},
+                        "openai": {"comparison": {"status": "not_comparable"}}}},
+        ]
+        return [self.batch, *older]
+
+    def get_prescription_ai_report(self, _batch_id: int) -> dict[str, Any]:
+        return deepcopy(self.batch)
+
+    def prescription_ai_statistics(self, *_args: Any, **_params: Any) -> dict[str, Any]:
+        return deepcopy(example_statistics())
+
+
+def main() -> None:
+    application = QApplication.instance() or QApplication([])
+    apply_theme(application)
+    output = Path(__file__).resolve().parents[1] / "artifacts" / "issued_prescription_redesign"
+    output.mkdir(parents=True, exist_ok=True)
+
+    def immediate(function: Any, **callbacks: Any) -> None:
+        result = function()
+        if callbacks.get("on_success"):
+            callbacks["on_success"](result)
+        if callbacks.get("on_finished"):
+            callbacks["on_finished"]()
+
+    ai.run_async = immediate
+    repository = PreviewRepository()
+    dialog = ai.IssuedPrescriptionAiDialog(repository, ["*"], prescription_id=7556,
+                                          current_user={"name": "张医生"})
+    dialog.show()
+    names = {dialog.tabs.tabText(index): index for index in range(dialog.tabs.count())}
+    for filename, width, height, tab in (
+        ("prescription-1440.png", 1440, 940, "对比总览"),
+        ("prescription-1280.png", 1280, 860, "对比总览"),
+        ("prescription-1024.png", 1024, 700, "对比总览"),
+        ("prescription-940.png", 940, 640, "对比总览"),
+        ("original-1280.png", 1280, 860, "原方记录"),
+        ("analysis-1280.png", 1280, 860, "完整报告"),
+        ("candidate-1280.png", 1280, 860, "方义与用法"),
+        ("per-herb-1440.png", 1440, 940, "候选与逐味"),
+        ("sources-1440.png", 1440, 940, "资料与缺口"),
+        ("history-1440.png", 1440, 940, "历史与趋势"),
+        ("pipeline-1440.png", 1440, 940, "处理进度"),
+    ):
+        dialog.resize(width, height)
+        dialog.tabs.setCurrentIndex(names[tab])
+        for _ in range(4):
+            application.processEvents()
+        assert (dialog.width(), dialog.height()) == (width, height), (filename, dialog.size())
+        assert dialog.grab().save(str(output / filename))
+        print(filename, "window", width, height, "workspace", dialog.tabs.width(), dialog.tabs.height())
+    dialog.tabs.setCurrentIndex(names["完整报告"])
+    dialog._set_report_mode("differences")
+    application.processEvents()
+    assert dialog.grab().save(str(output / "report-differences-1440.png"))
+    dialog._set_report_mode("both")
+    dialog.tabs.setCurrentIndex(names["对比总览"])
+    dialog.resize(1280, 860)
+    for _ in range(4):
+        application.processEvents()
+    dialog.review_model.setCurrentIndex(1)
+    application.processEvents()
+    assert dialog.grab().save(str(output / "openai-1280.png"))
+    dialog.review_model.setCurrentIndex(0)
+    repository.batch["status"] = "running"
+    repository.batch["models"]["openai"].update(status="running", candidate=None, comparison=None, report=None)
+    dialog.refresh()
+    application.processEvents()
+    assert dialog.grab().save(str(output / "partial-1280.png"))
+    repository.batch.update(validity="superseded", status="success")
+    dialog.refresh()
+    application.processEvents()
+    assert dialog.grab().save(str(output / "historical-1280.png"))
+    repository.batch.update(validity="current", status="running")
+    repository.batch["models"]["qwen"].update(status="running", candidate=None, comparison=None, report=None)
+    dialog.refresh()
+    application.processEvents()
+    assert dialog.grab().save(str(output / "pending-1280.png"))
+    # A failed model must state the reason and offer its own retry on the card itself.
+    repository.batch.update(validity="current", status="partial")
+    repository.batch["models"]["qwen"].update(
+        status="failed", error_code="upstream_timeout", error_message="上游模型超时，未返回结果",
+        candidate=None, comparison=None, report=None, retry_count=1, max_retry=3)
+    repository.batch["models"]["openai"] = deepcopy(example_batch()["models"]["openai"])
+    dialog.refresh()
+    application.processEvents()
+    assert dialog.grab().save(str(output / "failed-1280.png"))
+    # The light theme is the same window with the other palette; capture it once.
+    dialog.resize(1440, 940)
+    dialog._switch_theme()
+    for _ in range(12):
+        application.processEvents()
+    dialog.repaint()
+    assert dialog.grab().save(str(output / "light-1440.png"))
+    dialog._switch_theme()
+    for _ in range(4):
+        application.processEvents()
+    dialog.close()
+
+    statistics = ai.PrescriptionAiStatisticsDialog(repository, ["*"])
+    statistics.resize(1240, 880)
+    statistics.show()
+    for _ in range(4):
+        application.processEvents()
+    assert statistics.grab().save(str(output / "statistics-1240.png"))
+    statistics.close()
+    print("statistics-1240.png", statistics.panel.doctors.rowCount(), "doctors")
+    print(output)
+
+
+if __name__ == "__main__":
+    main()

app/src/doctor_workstation/__init__.py

@@ -3,7 +3,7 @@
 __all__ = ["DEBUG_MODE", "ONLINE_API_BASE_URL", "__version__"]
 
 # Single source of truth for runtime, package, installer, and executable versions.
-__version__ = "1.4.1"
+__version__ = "1.4.5"
 
 # 调试模式开启时，登录页显示“演示模式”和“服务器设置”。
 # 正式发布请保持 False；此时程序只使用下面配置的线上域名。

app/src/doctor_workstation/app.py

@@ -413,6 +413,7 @@ class ApplicationController(QObject):
         self.current_demo_mode = self.debug_mode and config.demo_mode
         self.video_calls: dict[str, Any] = {}
         self.video_pending: dict[str, object] = {}
+        self._pending_im_request: tuple[str, object] | None = None
         self.demo_video_dialogs: dict[str, DemoVideoDialog] = {}
         self._video_preview_state: dict[str, Any] | None = None
         self._video_preview_generation = 0
@@ -726,6 +727,7 @@ class ApplicationController(QObject):
         self._wait_for_video_lifecycle(calls, timeout=1.25)
         self.video_calls.clear()
         self.video_pending.clear()
+        self._pending_im_request = None
         for dialog in self.demo_video_dialogs.values():
             dialog.close()
         self.demo_video_dialogs.clear()
@@ -747,6 +749,7 @@ class ApplicationController(QObject):
             return
         patient_id = payload.get("patient_id")
         diagnosis_id = payload.get("diagnosis_id")
+        appointment_id = int(payload.get("appointment_id") or 0)
         patient_name = str(payload.get("patient_name") or "患者")
         open_im = str(payload.get("mode") or "video").lower() == "im"
         fallback_record = payload.get("record")
@@ -754,7 +757,15 @@ class ApplicationController(QObject):
             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)
+        call_key = f"{diagnosis_id}:{appointment_id}"
+        if open_im and self._pending_im_request is not None:
+            pending_key, pending_marker = self._pending_im_request
+            if pending_key != call_key:
+                # Retire a previous selection before any early return, including
+                # when the selected IM window is already open.
+                if self.video_pending.get(pending_key) is pending_marker:
+                    self.video_pending.pop(pending_key, None)
+                self._pending_im_request = None
         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)
@@ -802,12 +813,17 @@ class ApplicationController(QObject):
         repository = self.current_repository
         marker = object()
         self.video_pending[call_key] = marker
+        if open_im:
+            self._pending_im_request = (call_key, marker)
 
         def get_video_context() -> tuple[Any, dict[str, str]]:
             ticket = repository.get_call_ticket(
                 patient_id=int(patient_id),
                 diagnosis_id=int(diagnosis_id),
+                appointment_id=appointment_id,
             )
+            if appointment_id and int(ticket.raw.get("appointment_id") or 0) != appointment_id:
+                raise ValueError("通话凭证与本次挂号不匹配，请重新打开聊天窗口。")
             detail: Any = {}
             detail_loader = getattr(repository, "patient_detail", None)
             if callable(detail_loader):
@@ -871,6 +887,8 @@ class ApplicationController(QObject):
         if self.video_pending.get(call_key) is not marker:
             return
         self.video_pending.pop(call_key, None)
+        if self._pending_im_request == (call_key, marker):
+            self._pending_im_request = None
         if self.shell_window is parent:
             show_toast(
                 parent,
@@ -895,6 +913,8 @@ class ApplicationController(QObject):
         if self.video_pending.get(call_key) is not marker:
             return
         self.video_pending.pop(call_key, None)
+        if self._pending_im_request == (call_key, marker):
+            self._pending_im_request = None
         if (
             self.shell_window is None
             or self.current_repository is not repository
@@ -919,8 +939,8 @@ class ApplicationController(QObject):
                 open_im=open_im,
                 patient_name=patient_name,
                 patient_case=patient_case,
-                on_open_diagnosis=lambda current_id=diagnosis_id: (
-                    self._open_video_diagnosis(current_id)
+                on_open_diagnosis=lambda current_id=diagnosis_id, current_key=call_key: (
+                    self._open_video_diagnosis(current_id, call_key=current_key)
                 ),
             )
         except Exception as error:
@@ -942,7 +962,7 @@ class ApplicationController(QObject):
                 )
             )
 
-    def _open_video_diagnosis(self, diagnosis_id: Any) -> None:
+    def _open_video_diagnosis(self, diagnosis_id: Any, *, call_key: str) -> None:
         """Open the diagnosis while keeping its live video visible as a preview."""
 
         shell = self.shell_window
@@ -951,7 +971,7 @@ class ApplicationController(QObject):
         dialog = shell.open_diagnosis_by_id(diagnosis_id, modeless=True)
         if dialog is None:
             return
-        call = self.video_calls.get(str(diagnosis_id))
+        call = self.video_calls.get(call_key)
         video_window = getattr(call, "qt_window", None)
         if video_window is not None:
             self._show_video_preview(video_window, dialog)

app/src/doctor_workstation/core/appointment_modes.py

@@ -0,0 +1,48 @@
+"""Appointment medium labels, separate from first-visit/follow-up diagnosis type."""
+
+from collections.abc import Mapping
+from typing import Any
+
+APPOINTMENT_MODES = (("视频问诊", "video"), ("图文问诊", "text"))
+
+
+def appointment_type_description(value: Any) -> str:
+    if value is None or isinstance(value, str) and not value.strip():
+        return "视频问诊"
+    return {"video": "视频问诊", "text": "图文问诊", "phone": "电话问诊"}.get(str(value), "未知")
+
+
+def can_appointment_video(value: Any) -> bool:
+    """UI hint only; actual call permission must come from the server ticket."""
+    return value is None or isinstance(value, str) and (not value.strip() or value == "video")
+
+
+def appointment_type_value(record: Any) -> Any:
+    """Read appointment rows and diagnosis-list projections without visit-type aliases."""
+    def read(value: Any, key: str) -> Any:
+        if isinstance(value, Mapping):
+            return value.get(key)
+        result = getattr(value, key, None)
+        raw = getattr(value, "raw", None)
+        return raw.get(key) if result is None and isinstance(raw, Mapping) else result
+
+    appointment_id = read(record, "appointment_id") or read(record, "latest_appointment_id")
+    rows = read(record, "appointments")
+    if isinstance(rows, (list, tuple)) and rows:
+        if appointment_id:
+            for row in rows:
+                if str(read(row, "id")) == str(appointment_id):
+                    return read(row, "appointment_type")
+        elif len(rows) == 1:
+            return read(rows[0], "appointment_type")
+        else:
+            return "unknown"
+    for key in ("appointment_type", "latest_appointment_type"):
+        value = read(record, key)
+        if value is not None and value != "":
+            return value
+    for key in ("appointment", "latest_appointment"):
+        nested = read(record, key)
+        if nested is not None:
+            return read(nested, "appointment_type")
+    return None

app/src/doctor_workstation/services/mock_repository.py

@@ -489,7 +489,7 @@ class DemoDoctorRepository:
                     return detail
         raise ApiBusinessError("挂号不存在", code=0)
 
-    def list_departments(self) -> list[dict[str, Any]]:
+    def list_departments(self, *, apply_data_scope: bool = False) -> list[dict[str, Any]]:
         """Return a small demo department tree."""
 
         return [
@@ -3022,7 +3022,7 @@ class DemoDoctorRepository:
             raise ValueError("order_no is required")
         return {"qrcode_url": f"https://demo.invalid/qrcode/order/{clean}.png"}
 
-    def get_call_ticket(self, patient_id: int, diagnosis_id: int) -> CallTicket:
+    def get_call_ticket(self, patient_id: int, diagnosis_id: int, *, appointment_id: int = 0) -> CallTicket:
         """Return non-production placeholder credentials for UI demonstration."""
 
         with self._lock:
@@ -3036,21 +3036,22 @@ class DemoDoctorRepository:
                 assistant_id="assistant_2001",
                 diagnosis_id=diagnosis_id,
                 is_lochost_vod=False,
-                raw={"demo": True},
+                raw={"demo": True, "appointment_id": appointment_id},
             )
 
     def start_call(
-        self, diagnosis_id: int, patient_id: int, *, call_type: int = 2
+        self, diagnosis_id: int, patient_id: int, *, call_type: int = 2, appointment_id: int = 0
     ) -> dict[str, Any]:
         """Create a mutable demo call record."""
 
         with self._lock:
-            self.get_call_ticket(patient_id, diagnosis_id)
+            self.get_call_ticket(patient_id, diagnosis_id, appointment_id=appointment_id)
             record = {
                 "id": self._next_call_id,
                 "diagnosis_id": diagnosis_id,
                 "patient_id": patient_id,
                 "call_type": call_type,
+                "appointment_id": appointment_id,
                 "status": "ringing",
                 "room_id": "",
             }

app/src/doctor_workstation/services/repository.py

@@ -236,6 +236,27 @@ class DoctorRepository(Protocol):
     def get_prescription(self, prescription_id: int) -> Prescription:
         """Return one issued prescription."""
 
+    def list_prescription_ai_statuses(self, ids: list[int]) -> dict[str, Any]:
+        """Read cached dual-model states for up to 100 prescriptions."""
+
+    def list_prescription_ai_reports(self, *, prescription_id: int = 0, diagnosis_id: int = 0, page_no: int = 1, page_size: int = 20) -> dict[str, Any]:
+        """Read immutable analysis batch history in the authorized scope."""
+
+    def get_prescription_ai_report(self, batch_id: int) -> dict[str, Any]:
+        """Read one analysis batch without starting model work."""
+
+    def regenerate_prescription_ai(self, prescription_id: int, reason: str) -> dict[str, Any]:
+        """Explicitly request a new analysis batch with a reason."""
+
+    def retry_prescription_ai(self, batch_id: int, model_key: str) -> dict[str, Any]:
+        """Retry only the requested failed model."""
+
+    def review_prescription_ai(self, batch_id: int, model_key: str, status: str, comment: str) -> dict[str, Any]:
+        """Save a doctor's review separately from immutable AI output."""
+
+    def prescription_ai_statistics(self, date_from: str, date_to: str, doctor_id: int | None = None) -> dict[str, Any]:
+        """Read baseline agreement statistics, never diagnostic accuracy."""
+
     def create_prescription(
         self,
         prescription: Prescription | Mapping[str, Any] | None = None,
@@ -335,8 +356,8 @@ class DoctorRepository(Protocol):
     def get_appointment_detail(self, appointment_id: int) -> dict[str, Any]:
         """Return one appointment detail from ``doctor.appointment/detail``."""
 
-    def list_departments(self) -> list[dict[str, Any]]:
-        """Return the department tree used by appointment list filters."""
+    def list_departments(self, *, apply_data_scope: bool = False) -> list[dict[str, Any]]:
+        """Return a department tree, optionally scoped to the account's data permissions."""
 
     def get_diagnosis_detail(self, diagnosis_id: int, *, readonly: bool = False) -> dict[str, Any]:
         """Return an editable or permission-aware readonly diagnosis detail."""
@@ -712,10 +733,10 @@ class DoctorRepository(Protocol):
     def generate_order_qrcode(self, order_no: str) -> dict[str, Any]:
         """Generate the payment mini-program QR code for a generic order."""
 
-    def get_call_ticket(self, patient_id: int, diagnosis_id: int) -> CallTicket:
+    def get_call_ticket(self, patient_id: int, diagnosis_id: int, *, appointment_id: int = 0) -> CallTicket:
         """Return short-lived call credentials."""
 
-    def start_call(self, diagnosis_id: int, patient_id: int, *, call_type: int = 2) -> Any:
+    def start_call(self, diagnosis_id: int, patient_id: int, *, call_type: int = 2, appointment_id: int = 0) -> Any:
         """Create a call record."""
 
     def end_call(
@@ -976,17 +997,20 @@ class RemoteDoctorRepository:
         payload = self.client.get("doctor.appointment/detail", {"id": appointment_id})
         return dict(_require_mapping(payload, "doctor.appointment/detail"))
 
-    def list_departments(self) -> list[dict[str, Any]]:
-        """Load the department tree through ``dept.dept/all``."""
+    def list_departments(self, *, apply_data_scope: bool = False) -> list[dict[str, Any]]:
+        """Load ``dept.dept/all`` with optional server-enforced role data scope."""
 
-        payload = self.client.get("dept.dept/all")
+        payload = self.client.get(
+            "dept.dept/all", {"apply_data_scope": 1} if apply_data_scope else None
+        )
+        for _depth in range(5):
             if isinstance(payload, list):
                 return [dict(row) for row in payload if isinstance(row, Mapping)]
             if isinstance(payload, Mapping):
-            rows = payload.get("lists", payload.get("data", payload.get("tree")))
-            if isinstance(rows, list):
-                return [dict(row) for row in rows if isinstance(row, Mapping)]
-        return []
+                payload = payload.get("lists", payload.get("data", payload.get("tree")))
+            else:
+                break
+        raise ApiProtocolError("部门数据格式异常，请重试")
 
     def list_reception_queue(
         self,
@@ -1580,6 +1604,47 @@ class RemoteDoctorRepository:
         )
         return Prescription.from_dict(result)
 
+    def _prescription_ai_request(self, action: str, params: dict[str, Any], *, mutation: bool = False) -> dict[str, Any]:
+        endpoint = f"tcm.prescriptionAi/{action}"
+        payload = _client_request(self.client, "post" if mutation else "get", endpoint, params, timeout=30.0)
+        return dict(_require_mapping(payload, endpoint))
+
+    def list_prescription_ai_statuses(self, ids: list[int]) -> dict[str, Any]:
+        if len(ids) > 100 or any(int(value) <= 0 for value in ids):
+            raise ValueError("statuses requires at most 100 positive prescription IDs")
+        return self._prescription_ai_request("statuses", {"ids": ",".join(str(int(value)) for value in dict.fromkeys(ids))})
+
+    def list_prescription_ai_reports(self, *, prescription_id: int = 0, diagnosis_id: int = 0, page_no: int = 1, page_size: int = 20) -> dict[str, Any]:
+        if bool(prescription_id) == bool(diagnosis_id):
+            raise ValueError("Exactly one prescription_id or diagnosis_id is required")
+        params = {"prescription_id": prescription_id} if prescription_id else {"diagnosis_id": diagnosis_id}
+        params.update(page_no=page_no, page_size=page_size)
+        return self._prescription_ai_request("reports", params)
+
+    def get_prescription_ai_report(self, batch_id: int) -> dict[str, Any]:
+        return self._prescription_ai_request("detail", {"batch_id": batch_id})
+
+    def regenerate_prescription_ai(self, prescription_id: int, reason: str) -> dict[str, Any]:
+        if not reason.strip():
+            raise ValueError("重新分析需要填写原因")
+        return self._prescription_ai_request("regenerate", {"prescription_id": prescription_id, "reason": reason.strip()}, mutation=True)
+
+    def retry_prescription_ai(self, batch_id: int, model_key: str) -> dict[str, Any]:
+        if model_key not in {"qwen", "openai"}:
+            raise ValueError("Unknown model_key")
+        return self._prescription_ai_request("retry", {"batch_id": batch_id, "model_key": model_key}, mutation=True)
+
+    def review_prescription_ai(self, batch_id: int, model_key: str, status: str, comment: str) -> dict[str, Any]:
+        if model_key not in {"qwen", "openai"} or status not in {"viewed", "needs_information", "not_adopted", "reviewed"}:
+            raise ValueError("Invalid review state")
+        return self._prescription_ai_request("review", {"batch_id": batch_id, "model_key": model_key, "status": status, "comment": comment}, mutation=True)
+
+    def prescription_ai_statistics(self, date_from: str, date_to: str, doctor_id: int | None = None) -> dict[str, Any]:
+        params: dict[str, Any] = {"date_from": date_from, "date_to": date_to}
+        if doctor_id is not None:
+            params["doctor_id"] = doctor_id
+        return self._prescription_ai_request("statistics", params)
+
     def create_prescription(
         self,
         prescription: Prescription | Mapping[str, Any] | None = None,
@@ -2057,6 +2122,9 @@ class RemoteDoctorRepository:
         """List diagnosis records using ``tcm.diagnosis/lists``."""
 
         request_filters = dict(filters)
+        department_id = request_filters.pop("department_id", None)
+        if department_id not in (None, ""):
+            request_filters.setdefault("assistant_dept_id", department_id)
         start_date = str(request_filters.pop("start_date", "") or "").strip()
         end_date = str(request_filters.pop("end_date", "") or "").strip()
         if start_date and start_date == end_date:
@@ -2623,22 +2691,51 @@ class RemoteDoctorRepository:
             )
         return result
 
-    def get_call_ticket(self, patient_id: int, diagnosis_id: int) -> CallTicket:
+    def get_call_ticket(self, patient_id: int, diagnosis_id: int, *, appointment_id: int = 0) -> CallTicket:
         """Obtain short-lived Tencent credentials for a consultation call."""
 
         result = _require_mapping(
             self.client.post(
                 "tcm.diagnosis/getCallSignature",
-                {"patient_id": patient_id, "diagnosis_id": diagnosis_id},
+                {"patient_id": patient_id, "diagnosis_id": diagnosis_id, "appointment_id": appointment_id},
             ),
             "tcm.diagnosis/getCallSignature",
         )
+        policy_fields = {
+            "appointment_id", "appointmentId", "appointment_type", "appointment_type_desc",
+            "can_video_call", "can_audio_call", "call_disabled_reason",
+        }
+        if appointment_id > 0 and not policy_fields.intersection(result):
+            # Older signature endpoints authenticate the patient/diagnosis but
+            # do not echo the appointment. Keep the requested chat context;
+            # never treat it as server authorization for an audio/video call.
+            if (
+                str(result.get("diagnosis_id", "")).strip() != str(diagnosis_id)
+                or str(result.get("patient_id", "")).strip() != str(patient_id)
+                or result.get("patientUserId") != f"patient_{patient_id}"
+            ):
+                raise ValueError("聊天凭证与当前患者或诊单不匹配，请重新打开聊天窗口。")
+            result = dict(result)
+            result.update(
+                appointment_id=appointment_id,
+                can_video_call=False,
+                can_audio_call=False,
+                call_disabled_reason="暂未获取到本次挂号的通话权限，仍可图文聊天",
+            )
+        if appointment_id > 0:
+            returned_id = result.get("appointment_id")
+            if (
+                isinstance(returned_id, bool)
+                or not isinstance(returned_id, (int, str))
+                or str(returned_id).strip() != str(appointment_id)
+            ):
+                raise ValueError("通话凭证与本次挂号不匹配，请重新打开聊天窗口。")
         ticket = CallTicket.from_dict(result)
         if ticket.diagnosis_id is None:
             ticket.diagnosis_id = diagnosis_id
         return ticket
 
-    def start_call(self, diagnosis_id: int, patient_id: int, *, call_type: int = 2) -> Any:
+    def start_call(self, diagnosis_id: int, patient_id: int, *, call_type: int = 2, appointment_id: int = 0) -> Any:
         """Create the server-side call record before ringing participants."""
 
         payload = self.client.post(
@@ -2647,6 +2744,7 @@ class RemoteDoctorRepository:
                 "diagnosis_id": diagnosis_id,
                 "patient_id": patient_id,
                 "call_type": call_type,
+                "appointment_id": appointment_id,
             },
         )
         if not isinstance(payload, Mapping):

app/src/doctor_workstation/ui/appointment_drawer.py

@@ -42,6 +42,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ..core.appointment_modes import APPOINTMENT_MODES
 from .widgets import (
     display_text,
     first_value,
@@ -975,10 +976,21 @@ class AppointmentDrawer(QDialog):
         self.appointment_type_radio = QRadioButton("视频问诊")
         self.appointment_type_radio.setChecked(True)
         type_layout.addWidget(self.appointment_type_radio)
+        self.text_appointment_type_radio = QRadioButton("图文问诊")
+        type_layout.addWidget(self.text_appointment_type_radio)
+        self.appointment_type_group = QButtonGroup(self)
+        self.appointment_type_group.addButton(self.appointment_type_radio, 0)
+        self.appointment_type_group.addButton(self.text_appointment_type_radio, 1)
         type_layout.addStretch(1)
         self._add_form_row("预约类型:", type_container)
         self.appointment_type = QComboBox(self)
-        self.appointment_type.addItem("视频问诊", "video")
+        for label, value in APPOINTMENT_MODES:
+            self.appointment_type.addItem(label, value)
+        self.appointment_type_group.idClicked.connect(self.appointment_type.setCurrentIndex)
+        self.appointment_type.currentIndexChanged.connect(
+            lambda index: self.appointment_type_group.button(index).setChecked(True)
+            if self.appointment_type_group.button(index) is not None else None
+        )
         self.appointment_type.hide()
 
         patient_container = QWidget()

app/src/doctor_workstation/ui/diagnosis_drawer.py

@@ -2801,6 +2801,7 @@ class NotesTimeline(QWidget):
     upload_requested = Signal(str)
     delete_attachment_requested = Signal(int, str, str)
     open_attachment_requested = Signal(str)
+    preview_images_requested = Signal(object, int)
 
     def __init__(self, *, editable: bool = False, parent: QWidget | None = None) -> None:
         super().__init__(parent)
@@ -2881,9 +2882,12 @@ class NotesTimeline(QWidget):
             images = _pick(note, "tongue_images", "images", default=[]) or []
             if not isinstance(images, Sequence) or isinstance(images, (str, bytes, bytearray)):
                 images = [images]
+            image_paths = [
+                str(_pick(image, "url", "path", "file_url", default=image) or "")
+                for image in images
+            ]
             note_id = int(_pick(note, "id", "note_id", default=0) or 0)
-            for image in images:
-                path = str(_pick(image, "url", "path", "file_url", default=image) or "")
+            for image_index, path in enumerate(image_paths):
                 image_host = QWidget()
                 image_layout = QGridLayout(image_host)
                 image_layout.setContentsMargins(0, 0, 0, 0)
@@ -2899,7 +2903,9 @@ class NotesTimeline(QWidget):
                 )
                 thumb.setEnabled(bool(path))
                 thumb.clicked.connect(
-                    lambda _checked=False, target=path: self.open_attachment_requested.emit(target)
+                    lambda _checked=False, sources=image_paths, index=image_index: (
+                        self.preview_images_requested.emit(sources, index)
+                    )
                 )
                 image_layout.addWidget(thumb, 0, 0)
                 if self._can_delete and note_id > 0 and path:

app/src/doctor_workstation/ui/diagnosis_index_widgets.py

@@ -61,6 +61,11 @@ from PySide6.QtWidgets import (
     QWidgetItem,
 )
 
+from ..core.appointment_modes import (
+    appointment_type_description,
+    appointment_type_value,
+    can_appointment_video,
+)
 from . import icons
 from .reception_style import TECH_BLUE, body_family, heading_family
 from .widgets import display_text, first_value, gender_text, get_value
@@ -112,7 +117,7 @@ def _blue_appointment_text(record: Any, appointment: Any) -> tuple[str, str]:
     This returns display strings without mutating either repository record.
     """
 
-    current_id = _as_int(first_value(record, "appointment_id", default=0))
+    current_id = _as_int(first_value(record, "appointment_id", "latest_appointment_id", default=0))
     appointment_id = _as_int(first_value(appointment, "id", "appointment_id", default=0))
     current = current_id > 0 and appointment_id == current_id
     doctor = first_value(appointment, "doctor_name", "appointment_doctor_name")
@@ -130,6 +135,11 @@ def _blue_appointment_text(record: Any, appointment: Any) -> tuple[str, str]:
     when = time_text if date_text and date_text in time_text else " ".join(
         part for part in (date_text, time_text) if part
     )
+    mode = appointment_type_value(appointment)
+    if current and get_value(appointment, "appointment_type", None) is None:
+        mode = appointment_type_value(record)
+    if appointment_id > 0:
+        when = f"{when} · {appointment_type_description(mode)}"
     return display_text(doctor, "—"), when
 
 
@@ -298,6 +308,7 @@ def _appointments(record: Any) -> list[Any]:
         {
             "id": first_value(record, "appointment_id"),
             "status": first_value(record, "appointment_status"),
+            "appointment_type": appointment_type_value(record),
             "doctor_name": first_value(
                 record, "appointment_doctor_name", "doctor_name", default=""
             ),
@@ -393,6 +404,7 @@ def _video_ids_complete(record: Any) -> bool:
         first_value(
             record,
             "appointment_id",
+            "latest_appointment_id",
             default=first_value(
                 _appointments(record)[0] if _appointments(record) else None,
                 "id",
@@ -771,6 +783,7 @@ class DiagnosisTableModel(QAbstractTableModel):
                     for part in (
                         display_text(first_value(apt, "doctor_name"), "-"),
                         display_text(first_value(apt, "time_text", "appointment_time"), "-"),
+                        appointment_type_description(appointment_type_value(apt)),
                     )
                     if part
                 )
@@ -1776,12 +1789,14 @@ class DiagnosisTableHost(QFrame):
         layout.setAlignment(Qt.AlignmentFlag.AlignCenter)
         video_capable = self.action_policy.get("video_call", False)
         call_state = video_call_state(record)
-        if video_capable and _appointment_active(record) and call_state == "live":
+        is_text = appointment_type_value(record) == "text"
+        if video_capable and _appointment_active(record) and (is_text or call_state == "live"):
             button = QToolButton(host)
-            button.setText("进入视频问诊")
+            button.setText("图文沟通" if is_text else "进入视频问诊")
             button.setProperty("rowLink", "primary")
             button.setCursor(Qt.CursorShape.PointingHandCursor)
-            button.setToolTip("医生已发起视频会话，点击进入（将使用摄像头和麦克风）")
+            button.setToolTip("发送文字、图片和文件；不支持音视频通话" if is_text
+                              else "医生已发起视频会话，点击进入（将使用摄像头和麦克风）")
             button.setEnabled(_video_ids_complete(record))
             if not button.isEnabled():
                 button.setToolTip("患者、诊单或挂号标识不完整，无法进入视频问诊")
@@ -1900,7 +1915,8 @@ class DiagnosisTableHost(QFrame):
                         "cancel_assign", item
                     ),
                 )
-        if self.action_policy.get("video_qr", False) and _appointment_active(record):
+        if (self.action_policy.get("video_qr", False) and _appointment_active(record)
+                and can_appointment_video(appointment_type_value(record))):
             _add_menu_action(
                 menu,
                 "视频二维码",
@@ -1973,6 +1989,8 @@ class DiagnosisTableHost(QFrame):
         return button
 
     def _columns_resized(self, *_args: int) -> None:
+        if getattr(self, "_fitting_columns", False):
+            return
         if self.tech_blue:
             self._sync_row_heights()
         self._schedule_fixed_height_sync()
@@ -2001,6 +2019,7 @@ class DiagnosisTableHost(QFrame):
             self._fixed_height_timer.start(0)
 
     def _sync_fixed_height(self) -> None:
+        self._fit_main_columns()
         # Use actual viewport geometry: scrollbar extent and QSS frame padding
         # can differ from sizeHint(). The unmanaged sibling cannot raise any
         # ancestor's minimum height, so style changes cannot create feedback.
@@ -2017,6 +2036,31 @@ class DiagnosisTableHost(QFrame):
         self._position_empty()
         self._position_fixed_shadow()
 
+    def _fit_main_columns(self) -> None:
+        """Fill wide viewports without shrinking clinical columns on small ones.
+
+        The right-hand view is pinned independently. A wider main viewport used
+        to expose unpainted space after its last fixed-width column, breaking
+        both the header and selected-row background after a search.
+        """
+        widths = list(self.LEFT_WIDTHS)
+        extra = max(0, self.main.viewport().width() - sum(widths))
+        # Give longer patient, appointment and follow-up text most of the space.
+        for column, weight in ((2, 1), (4, 3), (6, 2), (7, 1), (9, 1)):
+            widths[column] += extra * weight // 8
+        widths[4] += max(0, self.main.viewport().width() - sum(widths))
+        if widths == [self.main.columnWidth(column) for column in range(10)]:
+            return
+        self._fitting_columns = True
+        try:
+            for column, width in enumerate(widths):
+                self.main.setColumnWidth(column, width)
+        finally:
+            self._fitting_columns = False
+        # Wrapping changes with the allocated width; both panes must use the
+        # same recalculated heights, including appointment action overlays.
+        self._sync_row_heights()
+
     def _position_empty(self) -> None:
         viewport = self.main.viewport()
         top = self.main.y() + viewport.y()

app/src/doctor_workstation/ui/diagnosis_media.py

@@ -1103,6 +1103,11 @@ class ImagePreviewDialog(QDialog):
         self._invalidate_request()
         super().closeEvent(event)
 
+    def done(self, result: int) -> None:
+        # QDialog.reject() (including Escape) bypasses closeEvent.
+        self._invalidate_request()
+        super().done(result)
+
 
 def _clock(milliseconds: int) -> str:
     seconds = max(0, int(milliseconds) // 1000)

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

@@ -5729,6 +5729,7 @@ class AiConsultDialog(QDialog):
                 "usage_notes",
             }
             seed.update({key: deepcopy(value) for key, value in draft.items() if key in allowed})
+            seed["ai_assisted"] = True
         dialog = PrescriptionEditorDialog(
             self.repository,
             seed,

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

@@ -33,6 +33,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ...core.appointment_modes import appointment_type_description, appointment_type_value
 from ..diagnosis_drawer import (
     DIAGNOSIS_QSS,
     CaseGrid,
@@ -59,7 +60,12 @@ from ..diagnosis_drawer import (
     set_tag_item,
 )
 from ..diagnosis_editors import DailyRecordEditorDialog
-from ..diagnosis_media import RecordingPlaybackCell, RecordingPlayerDialog
+from ..diagnosis_media import (
+    ImagePreviewDialog,
+    RecordingPlaybackCell,
+    RecordingPlayerDialog,
+    safe_image_sources,
+)
 from ..infinite_list import InfiniteList
 from ..widgets import (
     display_text,
@@ -72,6 +78,7 @@ from ..widgets import (
     page_total,
     run_async,
 )
+from .issued_prescription_ai import can_open_issued_ai, present_issued_prescription_ai
 from .local_audio_queue import LocalAudioQueueDialog
 from .prescription_ai import can_open_diagnosis_ai_report, present_diagnosis_ai_report
 
@@ -832,6 +839,8 @@ class DiagnosisDialog(QDialog):
         self._saving = False
         self._load_mode = "readonly"
         self._generation = 0
+        self._dictionary_requested_generation = -1
+        self._dictionary_error_message = ""
         self._save_generation = 0
         self._orders_generation = 0
         self._order_detail_generation = 0
@@ -846,6 +855,7 @@ class DiagnosisDialog(QDialog):
         self._loading_tabs: set[str] = set()
         self._daily_todo_status: int | None = None
         self._recording_players: list[RecordingPlayerDialog] = []
+        self._image_preview: ImagePreviewDialog | None = None
         self._inline_recording_cells: list[RecordingPlaybackCell] = []
         self._last_order_detail_dialog: QDialog | None = None
         self._local_audio_dialog: LocalAudioQueueDialog | None = None
@@ -965,6 +975,7 @@ class DiagnosisDialog(QDialog):
         self._add_readonly_section("daily", "日常记录", daily)
         notes = NotesTimeline(editable=False)
         notes.open_attachment_requested.connect(self._open_safe_resource)
+        notes.preview_images_requested.connect(self._preview_note_images)
         self._notes_timelines.append(notes)
         self._add_readonly_section("notes", "医生备注 & 舌苔照片 & 检查报告", notes)
         orders = self._new_table("orders", "DiagnosisReadonlyOrdersTable")
@@ -1057,6 +1068,12 @@ class DiagnosisDialog(QDialog):
         self.readonly_ai_button.setCursor(Qt.CursorShape.PointingHandCursor)
         self.readonly_ai_button.clicked.connect(self._open_ai_report)
         heading_row.addWidget(self.readonly_ai_button, 0)
+        self.readonly_prescription_ai_button = QPushButton("处方 AI 对照", card)
+        self.readonly_prescription_ai_button.setProperty("variant", "secondary")
+        self.readonly_prescription_ai_button.setCursor(Qt.CursorShape.PointingHandCursor)
+        self.readonly_prescription_ai_button.setVisible(can_open_issued_ai(self.permissions) and callable(getattr(self.repository, "list_prescription_ai_reports", None)))
+        self.readonly_prescription_ai_button.clicked.connect(self._open_prescription_ai_report)
+        heading_row.addWidget(self.readonly_prescription_ai_button, 0)
         layout.addLayout(heading_row)
         patient_hero = QFrame()
         patient_hero.setObjectName("DiagnosisReadonlyPatientHero")
@@ -1437,6 +1454,7 @@ class DiagnosisDialog(QDialog):
         timeline.upload_requested.connect(self._upload_doctor_note_material)
         timeline.delete_attachment_requested.connect(self._delete_doctor_note_attachment)
         timeline.open_attachment_requested.connect(self._open_safe_resource)
+        timeline.preview_images_requested.connect(self._preview_note_images)
         self.drawer_notes_timeline = timeline
         self._notes_timelines.append(timeline)
         return self._wrap_tab("DiagnosisTabNotes", timeline)
@@ -1698,22 +1716,26 @@ class DiagnosisDialog(QDialog):
         if hasattr(self, "readonly_ai_button"):
             self.readonly_ai_button.setVisible(can_open_diagnosis_ai_report(self.permissions))
             self.readonly_ai_button.setEnabled(self._diagnosis_id > 0)
-        current_key = self.tabs.tabBar().tabData(self.tabs.currentIndex())
+        if hasattr(self, "readonly_prescription_ai_button"):
+            self.readonly_prescription_ai_button.setVisible(can_open_issued_ai(self.permissions) and callable(getattr(self.repository, "list_prescription_ai_reports", None)))
+            self.readonly_prescription_ai_button.setEnabled(self._diagnosis_id > 0)
+        previous_key = self._current_tab_key()
+        allowed_tabs = [
+            (key, label) for key, label, codes in _TAB_DEFINITIONS if self._tab_allowed(codes)
+        ]
+        if [self.tabs.tabBar().tabData(i) for i in range(self.tabs.count())] != [
+            key for key, _label in allowed_tabs
+        ]:
+            blocked = self.tabs.blockSignals(True)
             self.tabs.clear()
-        for key, label, codes in _TAB_DEFINITIONS:
-            if not self._tab_allowed(codes):
-                continue
+            target = 0
+            for key, label in allowed_tabs:
                 index = self.tabs.addTab(self._tab_pages[key], label)
                 self.tabs.tabBar().setTabData(index, key)
-        target = next(
-            (
-                index
-                for index in range(self.tabs.count())
-                if self.tabs.tabBar().tabData(index) == current_key
-            ),
-            0,
-        )
+                if key == previous_key:
+                    target = index
             self.tabs.setCurrentIndex(target)
+            self.tabs.blockSignals(blocked)
         section_codes = {key: codes for key, _label, codes in _TAB_DEFINITIONS}
         for key, section in self._readonly_sections.items():
             section.setVisible(self._tab_allowed(section_codes.get(key, ())))
@@ -1743,6 +1765,9 @@ class DiagnosisDialog(QDialog):
         self._sync_order_offset_actions()
         for panel in self._chat_panels:
             panel.sync_button.setVisible(self._can_chat_sync)
+        self._sync_save_button()
+        if self._current_tab_key() != previous_key:
+            self._tab_changed(self.tabs.currentIndex())
 
     def _show_message(self, text: str, kind: str = "info", action_text: str = "") -> None:
         self.drawer_banner.show_message(text, kind, action_text)
@@ -1751,6 +1776,9 @@ class DiagnosisDialog(QDialog):
             self.readonly_error.show()
 
     def _clear_message(self) -> None:
+        if self._dictionary_error_message and self._authoritative_detail_loaded:
+            self._show_message(self._dictionary_error_message, "warning", action_text="重试")
+            return
         self.drawer_banner.clear()
         self.readonly_error.hide()
 
@@ -1942,6 +1970,10 @@ class DiagnosisDialog(QDialog):
         )
         present_diagnosis_ai_report(self.repository, self.permissions, self, row)
 
+    def _open_prescription_ai_report(self) -> None:
+        if self._diagnosis_id > 0:
+            present_issued_prescription_ai(self.repository, self.permissions, self, diagnosis_id=self._diagnosis_id)
+
     def open_view_only(
         self,
         diagnosis_id: int,
@@ -1996,6 +2028,7 @@ class DiagnosisDialog(QDialog):
         )
         self._authoritative_detail_loaded = False
         self._saving = False
+        self._dictionary_error_message = ""
         self._generation += 1
         self._save_generation += 1
         self._orders_generation += 1
@@ -2125,14 +2158,26 @@ class DiagnosisDialog(QDialog):
             ),
             0,
         )
+        return {"detail": detail, "patient_id": patient_id}
+
+    def _load_dictionary_choices(self) -> dict[str, Any]:
+        """Load optional editor labels without extending the authoritative-detail gate."""
         dictionaries: dict[str, list[tuple[str, Any]]] = {}
         dictionary_errors: list[str] = []
-        if callable(getattr(self.repository, "get_dictionary", None)):
-            dictionary_types = {
+        dictionary_types = sorted(
+            {
                 "diagnosis_type",
                 *(item[0] for item in _CHOICE_DICTIONARIES.values()),
             }
-            for dictionary_type in sorted(dictionary_types):
+        )
+        if callable(getattr(self.repository, "get_dictionaries", None)):
+            raw = invoke(self.repository, "get_dictionaries", dictionary_types=dictionary_types)
+            dictionaries = {
+                key: _dictionary_choices(get_value(raw, key, []), key)
+                for key in dictionary_types
+            }
+        elif callable(getattr(self.repository, "get_dictionary", None)):
+            for dictionary_type in dictionary_types:
                 try:
                     raw = invoke(
                         self.repository,
@@ -2143,12 +2188,41 @@ class DiagnosisDialog(QDialog):
                 except Exception as error:
                     dictionary_errors.append(f"{dictionary_type} 字典：{friendly_error(error)}")
         return {
-            "detail": detail,
-            "patient_id": patient_id,
             "dictionaries": dictionaries,
             "dictionary_errors": dictionary_errors,
         }
 
+    def _ensure_dictionary_loaded(self, *, force: bool = False) -> None:
+        if self._standalone_readonly or not self._authoritative_detail_loaded:
+            return
+        generation = self._generation
+        if not force and self._dictionary_requested_generation == generation:
+            return
+        self._dictionary_requested_generation = generation
+        clear_error = self.drawer_banner.label.text() == self._dictionary_error_message
+        self._dictionary_error_message = ""
+        if clear_error:
+            self._clear_message()
+        run_async(
+            self._load_dictionary_choices,
+            on_success=lambda result: self._dictionary_choices_loaded(result, generation),
+            on_error=lambda error: self._dictionary_choices_loaded(
+                {"dictionary_errors": [f"病历选项加载失败：{friendly_error(error)}"]}, generation
+            ),
+        )
+
+    def _dictionary_choices_loaded(self, result: Any, generation: int) -> None:
+        if generation != self._generation or not self._authoritative_detail_loaded:
+            return
+        # A clinician may already have edited fields while the optional labels load.
+        # Update only choices; re-rendering the detail would overwrite that draft.
+        self._apply_dictionary_choices(get_value(result, "dictionaries", {}) or {}, preserve=True)
+        errors = get_value(result, "dictionary_errors", []) or []
+        if errors:
+            self._dictionary_requested_generation = -1
+            self._dictionary_error_message = "；".join(str(item) for item in errors)
+            self._show_message(self._dictionary_error_message, "warning", action_text="重试")
+
     def _query_orders(self, diagnosis_id: int, patient_id: int, page: int) -> Any:
         filters: dict[str, Any] = {
             "context_diagnosis_id": diagnosis_id,
@@ -2170,12 +2244,12 @@ class DiagnosisDialog(QDialog):
         detail = get_value(result, "detail", None)
         self._detail = detail
         self._patient_id = _int(get_value(result, "patient_id", 0), 0)
-        self._apply_dictionary_choices(get_value(result, "dictionaries", {}) or {})
         self._authoritative_detail_loaded = True
         self._show_authoritative_content(True)
         self._render(detail, [], [])
         self._sync_form_interactivity()
         self._sync_save_button()
+        self._set_loading(False)
         errors = get_value(result, "dictionary_errors", []) or []
         if errors:
             self._show_message("；".join(str(item) for item in errors), "warning")
@@ -2202,7 +2276,9 @@ class DiagnosisDialog(QDialog):
         if generation == self._generation:
             self._set_loading(False)
 
-    def _apply_dictionary_choices(self, dictionaries: Mapping[str, Any]) -> None:
+    def _apply_dictionary_choices(
+        self, dictionaries: Mapping[str, Any], *, preserve: bool = False
+    ) -> None:
         diagnosis_type_editor = self.edit_fields.get("diagnosis_type")
         if isinstance(diagnosis_type_editor, DiagnosisComboBox):
             labels = {
@@ -2219,15 +2295,17 @@ class DiagnosisDialog(QDialog):
                         ("会诊", "consultation"),
                     )
                 ),
-                preserve=False,
+                preserve=preserve,
             )
         for key, (dictionary_type, _multiple) in _CHOICE_DICTIONARIES.items():
+            if dictionary_type not in dictionaries:
+                continue
             editor = self._choice_fields.get(key)
             choices = list(dictionaries.get(dictionary_type, []))
             if not _multiple:
                 choices.insert(0, ("无", ""))
             if editor is not None:
-                editor.set_choices(choices, preserve=False)
+                editor.set_choices(choices, preserve=preserve)
         # Defer until the drawer has a real width so wrapped chips get height.
         QTimer.singleShot(0, self._sync_choice_field_heights)
 
@@ -2306,9 +2384,14 @@ class DiagnosisDialog(QDialog):
         if not self._authoritative_detail_loaded:
             self._retry_detail()
             return
+        if (self._dictionary_error_message
+                and self.drawer_banner.label.text() == self._dictionary_error_message):
+            self._ensure_dictionary_loaded(force=True)
+            return
         self._ensure_tab_loaded(self._current_tab_key(), force=True)
 
     def _invalidate_requests(self) -> None:
+        self._close_image_preview()
         self._stop_watching_local_audio_uploads()
         self._video_reload_pending = False
         self._generation += 1
@@ -2627,7 +2710,10 @@ class DiagnosisDialog(QDialog):
                 table.set_empty_text(message)
 
     def _ensure_tab_loaded(self, key: str, *, force: bool = False) -> None:
-        if key == "basic" or not self._authoritative_detail_loaded or self._diagnosis_id <= 0:
+        if not self._authoritative_detail_loaded or self._diagnosis_id <= 0:
+            return
+        if key == "basic":
+            self._ensure_dictionary_loaded(force=force)
             return
         if key == "daily":
             source = next(
@@ -3421,6 +3507,27 @@ class DiagnosisDialog(QDialog):
         self._sync_order_offset_actions()
         self._mutation_error(error, diagnosis_id, generation, "offset")
 
+    def _close_image_preview(self) -> None:
+        preview, self._image_preview = self._image_preview, None
+        if preview is not None:
+            with suppress(RuntimeError):
+                preview.close()
+
+    def _image_preview_finished(self, _result: int) -> None:
+        if self.sender() is self._image_preview:
+            self._image_preview = None
+
+    def _preview_note_images(self, sources: Sequence[str], index: int) -> None:
+        """Keep the diagnosis open while viewing the clicked note's image group."""
+        if not safe_image_sources(sources):
+            QMessageBox.warning(self, "无法预览", "仅支持 HTTP(S) 服务端图片。")
+            return
+        self._close_image_preview()
+        preview = ImagePreviewDialog(sources, index=index, title="舌象图片预览", parent=self)
+        self._image_preview = preview
+        preview.finished.connect(self._image_preview_finished)
+        preview.open()
+
     def _open_safe_resource(self, target: str) -> None:
         url = QUrl(str(target).strip())
         if not url.isValid() or url.scheme().lower() not in {"https", "http"} or not url.host():
@@ -3497,7 +3604,7 @@ class DiagnosisDialog(QDialog):
                 first_value(row, "assistant_name"),
                 first_value(row, "appointment_date"),
                 first_value(row, "appointment_time", "period"),
-                first_value(row, "appointment_type_text", "appointment_type"),
+                appointment_type_description(appointment_type_value(row)),
                 " / ".join(
                     part
                     for part in (

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

@@ -0,0 +1,375 @@
+"""Painted charts for the prescription analysis window, in the workstation's tech blue.
+
+Every widget draws only what the saved report contains: a value that is missing stays visibly
+absent instead of being drawn as zero, and no chart implies a medical judgement by colour.
+"""
+
+from __future__ import annotations
+
+from collections.abc import Mapping
+from typing import Any
+
+from PySide6.QtCore import QPointF, QRectF, QSize, Qt
+from PySide6.QtGui import QColor, QFont, QPainter, QPaintEvent
+from PySide6.QtWidgets import QSizePolicy, QWidget
+
+from .issued_prescription_ai_theme import CONSOLE as TECH_BLUE
+
+# Colour names resolve through the active palette at paint time, so a theme switch needs no
+# rebuild here: the next repaint already draws in the new colours.
+
+
+class _Palette:
+    """Attribute access into the live palette: ``COLOUR.qwen`` is always the current hue."""
+
+    __slots__ = ("_keys",)
+
+    def __init__(self, **keys: str) -> None:
+        object.__setattr__(self, "_keys", dict(keys))
+
+    def __getattr__(self, name: str) -> str:
+        return TECH_BLUE[self._keys[name]]
+
+
+COLOUR = _Palette(doctor="muted", qwen="qwen", openai="openai", track="raised",
+                  limited="amber", ink="heading", muted="muted")
+
+
+def _mapping(value: Any) -> dict[str, Any]:
+    return dict(value) if isinstance(value, Mapping) else {}
+
+
+def _count(value: Any) -> int:
+    if value is None or isinstance(value, bool):
+        return 0
+    try:
+        number = int(float(value))
+    except (TypeError, ValueError):
+        return 0
+    return max(0, number)
+
+
+class DonutGauge(QWidget):
+    """A ring reading one percentage. An unavailable value leaves the track empty, never zero."""
+
+    def __init__(self, accent: str, parent: QWidget | None = None, *, diameter: int = 88,
+                 thickness: int = 11, track: str = COLOUR.track) -> None:
+        super().__init__(parent)
+        self._accent, self._track = accent, track
+        self._thickness = thickness
+        self._value: float | None = None
+        self.setFixedSize(diameter, diameter)
+        self.setAccessibleName("一致度环形图")
+        self.set_value(None)
+
+    def set_value(self, value: Any) -> None:
+        parsed = None
+        try:
+            parsed = None if value is None or isinstance(value, bool) else float(value)
+        except (TypeError, ValueError):
+            parsed = None
+        self._value = None if parsed is None or parsed < 0 or parsed > 100 else parsed
+        self.setAccessibleDescription("暂无可比结果" if self._value is None else f"{self._value:.1f}%")
+        self.update()
+
+    def value(self) -> float | None:
+        return self._value
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        inset = self._thickness / 2 + 1
+        box = QRectF(inset, inset, self.width() - 2 * inset, self.height() - 2 * inset)
+        pen = painter.pen()
+        pen.setWidthF(self._thickness)
+        pen.setCapStyle(Qt.PenCapStyle.FlatCap)
+        pen.setColor(QColor(self._track))
+        painter.setPen(pen)
+        painter.setBrush(Qt.BrushStyle.NoBrush)
+        painter.drawEllipse(box)
+        if self._value:
+            pen.setColor(QColor(self._accent))
+            pen.setCapStyle(Qt.PenCapStyle.RoundCap)
+            painter.setPen(pen)
+            # Qt angles are sixteenths of a degree; start at twelve o'clock and run clockwise.
+            painter.drawArc(box, 90 * 16, -int(360 * 16 * self._value / 100))
+        painter.end()
+
+
+class VennChart(QWidget):
+    """Doctor / model-A / model-B herb sets with their real intersection counts."""
+
+    def __init__(self, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self._sets: dict[str, int] = {}
+        self._labels = ("医生原方", "千问", "OpenAI")
+        self.setMinimumHeight(96)
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Expanding)
+
+    def set_counts(self, counts: Mapping[str, int], labels: tuple[str, str, str] | None = None) -> None:
+        """Regions: doctor_only, qwen_only, openai_only, doctor_qwen, doctor_openai, qwen_openai, all."""
+
+        self._sets = {key: _count(value) for key, value in _mapping(counts).items()}
+        if labels:
+            self._labels = labels
+        total = sum(self._sets.values())
+        self.setAccessibleDescription(
+            "三方用药交集：" + " · ".join(f"{key} {value}" for key, value in self._sets.items()) if total
+            else "尚无可比较的候选药方")
+        self.update()
+
+    def has_data(self) -> bool:
+        return any(self._sets.values())
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        if not self.has_data():
+            return
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        # The three set names sit above and below the circles, so their bands are reserved first.
+        top_band, bottom_band = 18.0, 18.0
+        available = max(40.0, self.height() - top_band - bottom_band)
+        side = min(self.width() * 0.62, available / 1.34)
+        radius = side / 2
+        offset = radius * 0.52
+        centre_x = self.width() / 2
+        centre_y = top_band + available / 2 - offset * 0.1
+        circles = (
+            (centre_x - offset, centre_y - offset * 0.55, COLOUR.doctor),
+            (centre_x + offset, centre_y - offset * 0.55, COLOUR.qwen),
+            (centre_x, centre_y + offset * 0.75, COLOUR.openai),
+        )
+        painter.setPen(Qt.PenStyle.NoPen)
+        for x, y, colour in circles:
+            fill = QColor(colour)
+            fill.setAlpha(52)
+            painter.setBrush(fill)
+            painter.drawEllipse(QPointF(x, y), radius, radius)
+
+        font = QFont(self.font())
+        font.setPixelSize(13)
+        font.setBold(True)
+        painter.setFont(font)
+        regions = (
+            ("doctor_only", centre_x - offset * 1.5, centre_y - offset * 0.75, COLOUR.doctor),
+            ("qwen_only", centre_x + offset * 1.5, centre_y - offset * 0.75, COLOUR.qwen),
+            ("openai_only", centre_x, centre_y + offset * 1.45, COLOUR.openai),
+            ("doctor_qwen", centre_x, centre_y - offset * 0.95, COLOUR.ink),
+            ("doctor_openai", centre_x - offset * 0.85, centre_y + offset * 0.55, COLOUR.ink),
+            ("qwen_openai", centre_x + offset * 0.85, centre_y + offset * 0.55, COLOUR.ink),
+            ("all", centre_x, centre_y + offset * 0.1, COLOUR.ink),
+        )
+        for key, x, y, colour in regions:
+            value = self._sets.get(key, 0)
+            if not value:
+                continue
+            painter.setPen(QColor(colour))
+            painter.drawText(QRectF(x - 22, y - 10, 44, 20), Qt.AlignmentFlag.AlignCenter, str(value))
+
+        font.setPixelSize(11)
+        font.setBold(False)
+        painter.setFont(font)
+        painter.setPen(QColor(COLOUR.muted))
+        top = centre_y - offset * 0.55 - radius - 17
+        painter.setPen(QColor(COLOUR.doctor))
+        painter.drawText(QRectF(0, top, centre_x - 6, 16),
+                         Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter, self._labels[0])
+        painter.setPen(QColor(COLOUR.qwen))
+        painter.drawText(QRectF(centre_x + 6, top, centre_x - 6, 16),
+                         Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter, self._labels[1])
+        painter.setPen(QColor(COLOUR.openai))
+        painter.drawText(QRectF(0, centre_y + offset * 0.75 + radius + 1, self.width(), 16),
+                         Qt.AlignmentFlag.AlignCenter, self._labels[2])
+        painter.end()
+
+    def minimumSizeHint(self) -> QSize:
+        return QSize(200, 96)
+
+
+class DivergingDoses(QWidget):
+    """Per-herb dose difference against the doctor's prescription, one row per herb."""
+
+    ROW = 30
+
+    def __init__(self, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self._rows: list[dict[str, Any]] = []
+        self._span = 1.0
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Preferred)
+
+    def set_rows(self, rows: list[Mapping[str, Any]]) -> None:
+        """Each row: name, doctor, qwen, openai (floats or None), unit."""
+
+        self._rows = []
+        for row in rows:
+            value = _mapping(row)
+            entry = {"name": str(value.get("name") or ""), "unit": str(value.get("unit") or "")}
+            for key in ("doctor", "qwen", "openai"):
+                raw = value.get(key)
+                entry[key] = None if raw is None or isinstance(raw, bool) else float(raw)
+            self._rows.append(entry)
+        deltas = [abs((row[key] or 0) - (row["doctor"] or 0))
+                  for row in self._rows for key in ("qwen", "openai")
+                  if row[key] is not None and row["doctor"] is not None]
+        self._span = max(1.0, max(deltas, default=1.0))
+        self.setAccessibleDescription("剂量差异：" + " · ".join(
+            f"{row['name']} 千问 {self._delta_text(row, 'qwen')} OpenAI {self._delta_text(row, 'openai')}"
+            for row in self._rows) if self._rows else "暂无可比药味")
+        self.setMinimumHeight(self.ROW * max(1, len(self._rows)) + 18)
+        self.updateGeometry()
+        self.update()
+
+    def _delta_text(self, row: Mapping[str, Any], key: str) -> str:
+        if row.get(key) is None or row.get("doctor") is None:
+            return "—"
+        delta = row[key] - row["doctor"]
+        return "一致" if abs(delta) < 1e-9 else f"{delta:+g}{row.get('unit') or ''}"
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        if not self._rows:
+            return
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        label_width, value_width = 96, 96
+        left = label_width + 10
+        right = self.width() - value_width - 10
+        middle = (left + right) / 2
+        scale = max(1.0, (right - left) / 2) / self._span
+        font = QFont(self.font())
+        font.setPixelSize(12)
+        painter.setFont(font)
+        for index, row in enumerate(self._rows):
+            top = index * self.ROW + 4
+            painter.setPen(QColor(COLOUR.ink))
+            painter.drawText(QRectF(0, top, label_width, self.ROW - 8),
+                             Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter, row["name"])
+            painter.setPen(QColor(COLOUR.track))
+            painter.drawLine(QPointF(middle, top), QPointF(middle, top + self.ROW - 10))
+            for offset, key, colour in ((0, "qwen", COLOUR.qwen), (10, "openai", COLOUR.openai)):
+                if row[key] is None or row["doctor"] is None:
+                    continue
+                delta = (row[key] - row["doctor"]) * scale
+                bar = QRectF(min(middle, middle + delta), top + offset, max(abs(delta), 2.0), 8)
+                painter.setPen(Qt.PenStyle.NoPen)
+                painter.setBrush(QColor(colour))
+                painter.drawRoundedRect(bar, 3, 3)
+            painter.setPen(QColor(COLOUR.muted))
+            painter.drawText(QRectF(right + 8, top, value_width - 8, self.ROW - 8),
+                             Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter,
+                             f"{self._delta_text(row, 'qwen')} / {self._delta_text(row, 'openai')}")
+        painter.end()
+
+
+class WaffleCoverage(QWidget):
+    """One square per attachment: read, limited, or not delivered."""
+
+    def __init__(self, parent: QWidget | None = None, *, columns: int = 11) -> None:
+        super().__init__(parent)
+        self._columns = max(4, columns)
+        self._read = self._limited = self._total = 0
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Preferred)
+
+    def set_counts(self, read: int, limited: int, total: int | None = None) -> None:
+        self._read, self._limited = _count(read), _count(limited)
+        self._total = max(_count(total), self._read + self._limited)
+        self.setAccessibleDescription(
+            f"附件 {self._total} 个：已读 {self._read}，受限或不支持 {self._limited}" if self._total else "本次没有附件")
+        rows = max(1, -(-self._total // self._columns)) if self._total else 0
+        self.setMinimumHeight(rows * 16 + max(0, rows - 1) * 4)
+        self.updateGeometry()
+        self.update()
+
+    def has_data(self) -> bool:
+        return self._total > 0
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        if not self._total:
+            return
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        painter.setPen(Qt.PenStyle.NoPen)
+        gap = 4
+        size = max(8.0, min(16.0, (self.width() - gap * (self._columns - 1)) / self._columns))
+        for index in range(self._total):
+            column, row = index % self._columns, index // self._columns
+            colour = COLOUR.qwen if index < self._read else (COLOUR.limited if index < self._read + self._limited else COLOUR.track)
+            painter.setBrush(QColor(colour))
+            painter.drawRoundedRect(QRectF(column * (size + gap), row * (size + gap), size, size), 4, 4)
+        painter.end()
+
+
+class TrendBars(QWidget):
+    """Grouped bars per batch: one column per model, oldest batch first."""
+
+    def __init__(self, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self._points: list[dict[str, Any]] = []
+        self.setMinimumHeight(170)
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Preferred)
+
+    def set_points(self, points: list[Mapping[str, Any]]) -> None:
+        """Each point: label plus qwen/openai scores; None keeps the slot visibly empty."""
+
+        self._points = []
+        for point in points:
+            value = _mapping(point)
+            entry = {"label": str(value.get("label") or "")}
+            for key in ("qwen", "openai"):
+                raw = value.get(key)
+                entry[key] = None if raw is None or isinstance(raw, bool) else float(raw)
+            self._points.append(entry)
+        described = [f"{entry['label']} 千问 {self._text(entry['qwen'])} OpenAI {self._text(entry['openai'])}"
+                     for entry in self._points]
+        self.setAccessibleDescription("一致度趋势：" + (" · ".join(described) or "暂无批次"))
+        self.setToolTip("\n".join(described) or "暂无批次")
+        self.update()
+
+    @staticmethod
+    def _text(value: float | None) -> str:
+        return "—" if value is None else f"{value:.1f}%"
+
+    def has_data(self) -> bool:
+        return any(point.get(key) is not None for point in self._points for key in ("qwen", "openai"))
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        if not self._points:
+            return
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        # The top band is left free so each bar can print its own figure above it.
+        left, right, top, bottom = 44.0, self.width() - 10.0, 24.0, self.height() - 24.0
+        values = [point[key] for point in self._points for key in ("qwen", "openai") if point[key] is not None]
+        ceiling = max(10.0, max(values, default=10.0))
+        font = QFont(self.font())
+        font.setPixelSize(10)
+        painter.setFont(font)
+        for fraction in (0.0, 0.5, 1.0):
+            y = bottom - (bottom - top) * fraction
+            painter.setPen(QColor(COLOUR.track))
+            painter.drawLine(QPointF(left, y), QPointF(right, y))
+            painter.setPen(QColor(COLOUR.muted))
+            painter.drawText(QRectF(0, y - 8, left - 6, 16),
+                             Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter,
+                             f"{ceiling * fraction:.0f}%")
+        slot = (right - left) / max(1, len(self._points))
+        width = min(26.0, slot / 3.6)
+        # The two bars of a batch sit side by side, far enough apart for each figure to fit above.
+        gap = width / 2 + 4
+        for index, point in enumerate(self._points):
+            centre = left + slot * (index + 0.5)
+            for offset, key, colour in ((-gap, "qwen", COLOUR.qwen), (gap, "openai", COLOUR.openai)):
+                value = point[key]
+                if value is None:
+                    continue
+                height = (bottom - top) * min(1.0, value / ceiling)
+                painter.setPen(Qt.PenStyle.NoPen)
+                painter.setBrush(QColor(colour))
+                painter.drawRoundedRect(QRectF(centre + offset - width / 2, bottom - height, width, height), 3, 3)
+                # The design prints each figure above its bar, in that model's own colour.
+                painter.setPen(QColor(colour))
+                painter.drawText(QRectF(centre + offset - 21, bottom - height - 17, 42, 14),
+                                 Qt.AlignmentFlag.AlignCenter, f"{value:.1f}%")
+            painter.setPen(QColor(COLOUR.muted))
+            painter.drawText(QRectF(centre - slot / 2, bottom + 4, slot, 16),
+                             Qt.AlignmentFlag.AlignCenter, point["label"])
+        painter.end()

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

@@ -0,0 +1,644 @@
+"""Native, read-only prescription comparison using saved report snapshots only."""
+
+from __future__ import annotations
+
+from collections.abc import Mapping
+from copy import deepcopy
+from dataclasses import dataclass, replace
+from decimal import Decimal, InvalidOperation
+from typing import Any
+
+from PySide6.QtCore import QRectF, QSize, Qt
+from PySide6.QtGui import QColor, QFont, QPainter, QPaintEvent
+from PySide6.QtWidgets import (
+    QAbstractItemView,
+    QButtonGroup,
+    QFrame,
+    QHBoxLayout,
+    QHeaderView,
+    QLabel,
+    QLineEdit,
+    QPushButton,
+    QScrollArea,
+    QSizePolicy,
+    QTableWidget,
+    QTableWidgetItem,
+    QVBoxLayout,
+    QWidget,
+)
+
+from .issued_prescription_ai_labels import EXTRA_FIELD_LABELS, SYSTEM_LABELS, system_text
+from .issued_prescription_ai_progress import ACTIVE_STATES, SUCCESS_STATES
+
+MODEL_NAMES = {"qwen": "千问", "openai": "OpenAI"}
+MODEL_COLORS = {"qwen": "#3676C8", "openai": "#268578"}
+DOCTOR_COLOR = "#526479"
+INK, MUTED, LINE = "#23384C", "#758395", "#E6EDF3"
+_UNITS = {
+    "g": "克", "克": "克", "mg": "毫克", "毫克": "毫克", "kg": "千克", "千克": "千克",
+    "ml": "毫升", "毫升": "毫升", "l": "升", "升": "升", "iu": "国际单位", "国际单位": "国际单位",
+    **{unit: unit for unit in ("片", "丸", "粒", "袋", "包", "支", "滴", "枚", "个", "条", "付", "帖", "两", "钱")},
+}
+_BASES = {"per_dose": "每剂", "每剂": "每剂", "per_day": "每日", "每日": "每日", "每天": "每日"}
+_FORMULAS = {"main": "主方", "1": "主方", "主方": "主方", "aux": "辅方", "auxiliary": "辅方", "2": "辅方", "辅方": "辅方"}
+_STALE = {
+    "stale": "处方已变更", "superseded": "处方已变更", "prescription_changed": "处方已变更",
+    "source_updated": "资料已更新", "invalid": "报告已失效", "voided": "处方已作废",
+    "deleted": "处方已删除", "revoked": "资料权限已变更",
+}
+
+
+def _mapping(value: Any) -> dict[str, Any]:
+    return dict(value) if isinstance(value, Mapping) else {}
+
+
+def _text(value: Any) -> str:
+    """Never stringify a structured payload, which could expose internal identifiers."""
+    return str(value).strip() if isinstance(value, (str, int, float, Decimal)) and not isinstance(value, bool) else ""
+
+
+def _reason(value: Any) -> str:
+    if isinstance(value, Mapping):
+        return _reason(value.get("reason") or value.get("message") or value.get("code"))
+    if isinstance(value, list):
+        return "；".join(filter(None, (_reason(item) for item in value)))
+    return system_text(value, SYSTEM_LABELS, EXTRA_FIELD_LABELS, strict=True) if _text(value) else ""
+
+
+def _number(value: Any) -> Decimal | None:
+    if not _text(value):
+        return None
+    try:
+        number = Decimal(str(value))
+    except (InvalidOperation, ValueError):
+        return None
+    return number if number.is_finite() and number >= 0 else None
+
+
+def _formula(value: Any) -> str:
+    return _FORMULAS.get(_text(value), "主辅方未注明")
+
+
+def _metadata(value: Any) -> str:
+    return system_text(value, SYSTEM_LABELS, EXTRA_FIELD_LABELS, strict=True) if _text(value) else ""
+
+
+def _join_instructions(values: list[str]) -> str:
+    parts = [part.strip() for value in values for part in value.split("；")]
+    return "；".join(dict.fromkeys(part for part in parts if part and part.lower() not in {"无", "明确无", "none"}))
+
+
+def _instructions(snapshot: dict[str, Any]) -> str:
+    """Read both original herb fields and the service's normalized usage snapshot."""
+    fields = ("instructions", "decoction_instruction", "special_usage", "usage_instruction", "usage_time", "usage_way")
+    usage = _mapping(snapshot.get("usage"))
+    values = [_text(owner.get(field)) for owner in (snapshot, usage) for field in fields]
+    if not usage:
+        values.append(_text(snapshot.get("usage")))
+    return _join_instructions(values)
+
+
+@dataclass(frozen=True)
+class _Dose:
+    raw: Any
+    unit: str
+    basis: str
+    formula: str
+    processing: str
+    route: str
+    group: str
+    instructions: str = ""
+
+    @property
+    def number(self) -> Decimal | None:
+        return _number(self.raw)
+
+    @property
+    def scale(self) -> tuple[str, str] | None:
+        unit, basis = _UNITS.get(self.unit.lower()), _BASES.get(self.basis)
+        return (unit, basis) if unit and basis else None
+
+    @property
+    def label(self) -> str:
+        amount = _text(self.raw)
+        if not amount:
+            return "—"
+        unit = _UNITS.get(self.unit.lower()) or _metadata(self.unit) or "单位未注明"
+        basis = _BASES.get(self.basis) or "基准未确认"
+        return f"{amount} {unit} / {basis}"
+
+    @property
+    def identity(self) -> tuple[str, str, str, str]:
+        # Unknown enum values must remain distinct even when their display label is generic.
+        return (_FORMULAS.get(self.formula, self.formula), SYSTEM_LABELS.get(self.processing, self.processing), SYSTEM_LABELS.get(self.route, self.route), self.group)
+
+
+@dataclass(frozen=True)
+class _Row:
+    name: str
+    context: str
+    doctor: _Dose | None
+    candidate: _Dose | None
+    match_type: str
+    origin: str = "comparison"
+    source_details: str = ""
+    source_names: tuple[str, ...] = ()
+
+    @property
+    def scale(self) -> tuple[str, str] | None:
+        if self.origin != "comparison":
+            return None
+        doses = [dose for dose in (self.doctor, self.candidate) if dose is not None]
+        if not doses or any(dose.scale is None for dose in doses):
+            return None
+        if len({dose.scale for dose in doses}) != 1 or len({dose.identity for dose in doses}) != 1:
+            return None
+        return doses[0].scale
+
+    @property
+    def incompatibility(self) -> str:
+        if self.origin == "uncompared":
+            return "未纳入对比，仅保留候选原方；医生剂量未知"
+        if self.origin == "original":
+            return "候选原方附列；对应关系未保存，不推断同药"
+        if self.doctor is not None and self.candidate is not None:
+            if self.doctor.identity != self.candidate.identity:
+                return "主辅方、炮制或给药分组不同，不作条形比较"
+            if self.doctor.scale and self.candidate.scale and self.doctor.scale != self.candidate.scale:
+                return "单位或剂量基准不同，不作条形比较"
+        return "单位或每剂／每日基准未明确，不作条形比较"
+
+    def usage_description(self, model_name: str) -> str:
+        return "；".join(filter(None, ("医生：" + self.doctor.instructions if self.doctor and self.doctor.instructions else "", model_name + "：" + self.candidate.instructions if self.candidate and self.candidate.instructions else "")))
+
+    def description(self, model_name: str) -> str:
+        dosage = f"{self.name}，{self.context}；医生：{self.doctor.label if self.doctor else '—'}；{model_name}：{self.candidate.label if self.candidate else '—'}"
+        return "；".join(filter(None, (dosage, self.usage_description(model_name), self.source_details)))
+
+
+def _dose(row: dict[str, Any], side: str) -> _Dose | None:
+    # An explicit null snapshot takes precedence over contradictory legacy flat fields.
+    if side in row and row[side] is None:
+        return None
+    nested = _mapping(row.get(side))
+    keys = ("doctor_dosage", "doctor_dose") if side == "doctor" else ("candidate_dosage", "candidate_dose", "ai_dose")
+    raw = nested.get("dosage") if "dosage" in nested else next((row[key] for key in keys if key in row), None)
+    if not nested and raw is None:
+        return None
+    values = {key: _text(nested[key] if key in nested else row.get(key)) for key in ("unit", "dose_basis", "formula_type", "processing", "administration_route", "group")}
+    instructions = _instructions(nested) or _instructions(row)
+    return _Dose(raw, values["unit"], values["dose_basis"], values["formula_type"], values["processing"], values["administration_route"], values["group"], instructions)
+
+
+def _row(value: dict[str, Any]) -> _Row:
+    doctor, candidate = _dose(value, "doctor"), _dose(value, "candidate")
+    details = []
+    for dose in (doctor, candidate):
+        if dose is not None:
+            detail = " · ".join(filter(None, (_formula(dose.formula), _metadata(dose.processing), _metadata(dose.route), _metadata(dose.group))))
+            if detail not in details:
+                details.append(detail)
+    context = " / ".join(details) or _formula(value.get("formula_type"))
+    if len(details) > 1:
+        context = "医生与模型：" + context
+    return _Row(_text(value.get("name") or value.get("canonical_name") or value.get("herb_name")) or "药名未保存", context, doctor, candidate, _text(value.get("match_type")))
+
+
+def _original_row(herb: Any, *, origin: str) -> _Row:
+    saved = dict(herb) if isinstance(herb, Mapping) else {"name": _text(herb) or "药材记录需核对"}
+    row = _row({"name": saved.get("name"), "doctor": None, "candidate": saved, "match_type": "candidate_only"})
+    note = "未纳入对比" if origin == "uncompared" else "候选原方附列 · 对应关系未保存"
+    return replace(row, origin=origin, context=note + " · " + row.context)
+
+
+def _saved_rows(candidate: dict[str, Any], comparison: dict[str, Any]) -> list[_Row]:
+    saved = comparison.get("rows")
+    comparison_rows = [dict(value) for value in saved if isinstance(value, Mapping)] if isinstance(saved, list) else []
+    herbs = candidate.get("herbs")
+    herbs = herbs if isinstance(herbs, list) else []
+    result: list[_Row] = []
+    covered: set[int] = set()
+    missing_correspondence = False
+    for value in comparison_rows:
+        row = _row(value)
+        if row.candidate is not None and herbs:
+            indices = _mapping(value.get("candidate")).get("source_rows")
+            # The service uses zero-based array_values indices; never infer correspondence
+            # from names, doses, order, or the number of normalized rows.
+            valid_trace = isinstance(indices, list) and bool(indices) and all(isinstance(index, int) and not isinstance(index, bool) and 0 <= index < len(herbs) for index in indices)
+            if valid_trace:
+                indices = list(dict.fromkeys(indices))
+                covered.update(indices)
+                originals = [_original_row(herbs[index], origin="original") for index in indices]
+                details = "；".join(f"第 {index + 1} 项 {original.name} {original.candidate.label if original.candidate else '—'}" + ("，" + original.candidate.instructions if original.candidate and original.candidate.instructions else "") for index, original in zip(indices, originals, strict=True))
+                instructions = _join_instructions([row.candidate.instructions, *[original.candidate.instructions for original in originals if original.candidate]])
+                row = replace(row, candidate=replace(row.candidate, instructions=instructions), source_details="候选原方记录：" + details, source_names=tuple(original.name for original in originals))
+            else:
+                missing_correspondence = True
+        result.append(row)
+    # Normalization can omit unknown names, processing conflicts, or incompatible duplicate
+    # entries. Keep every unaccounted original, but do not claim its doctor counterpart.
+    origin = "original" if missing_correspondence else "uncompared"
+    result.extend(_original_row(herb, origin=origin) for index, herb in enumerate(herbs) if index not in covered)
+    return result
+
+
+class _DoseChart(QWidget):
+    """A scrollable painted chart; the adjacent table provides native accessibility."""
+
+    ROW_HEIGHT = 80
+    GROUP_HEIGHT = 38
+
+    def __init__(self, parent: QWidget) -> None:
+        super().__init__(parent)
+        self.setObjectName("PrescriptionDoseChart")
+        self.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Preferred)
+        self.setAccessibleName("药方逐味剂量对比图")
+        self.rows: list[_Row] = []
+        self.groups: list[tuple[tuple[str, str] | None, list[_Row], Decimal]] = []
+        self.model_key = "qwen"
+        self.message = "暂无药方数据"
+        self.bars_enabled = False
+
+    def set_rows(self, rows: list[_Row], model_key: str, *, bars_enabled: bool, message: str) -> None:
+        self.rows, self.model_key, self.bars_enabled, self.message = rows, model_key, bars_enabled, message
+        grouped: dict[tuple[str, str] | None, list[_Row]] = {}
+        for row in rows:
+            grouped.setdefault(row.scale if bars_enabled else None, []).append(row)
+        self.groups = []
+        for scale, members in grouped.items():
+            numbers = [dose.number for row in members for dose in (row.doctor, row.candidate) if dose is not None and dose.number is not None]
+            self.groups.append((scale, members, max(numbers, default=Decimal(0))))
+        color_name = "蓝色" if model_key == "qwen" else "青绿色"
+        descriptions = [message, f"医生为深灰蓝；{MODEL_NAMES[model_key]}为{color_name}。各单位与基准组独立标尺，组间长度不可比较。缺失值为—，不按零计算。"]
+        for row in rows:
+            descriptions.append(row.description(MODEL_NAMES[model_key]))
+            if bars_enabled and row.scale is None:
+                descriptions.append(row.incompatibility)
+            if any(dose is not None and _text(dose.raw) and dose.number is None for dose in (row.doctor, row.candidate)):
+                descriptions.append("非数值、负数及非有限剂量保留原值，未绘制条形。")
+        self.setAccessibleDescription("\n".join(descriptions))
+        height = 16 + sum(self.GROUP_HEIGHT + len(members) * self.ROW_HEIGHT for _, members, _ in self.groups)
+        self.setMinimumHeight(max(120, height))
+        self.updateGeometry()
+        self.update()
+
+    def sizeHint(self) -> QSize:
+        return QSize(440, self.minimumHeight())
+
+    def minimumSizeHint(self) -> QSize:
+        return QSize(0, 0)
+
+    def paintEvent(self, event: QPaintEvent) -> None:
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing)
+        painter.fillRect(self.rect(), QColor("#FFFFFF"))
+        painter.setFont(self.font())
+        if not self.rows:
+            painter.setPen(QColor(MUTED))
+            painter.drawText(self.rect().adjusted(24, 12, -24, -12), Qt.AlignmentFlag.AlignCenter | Qt.TextFlag.TextWordWrap, self.message)
+            return
+        width, y = max(0, self.width() - 32), 8
+        normal = QFont(self.font())
+        bold = QFont(normal)
+        bold.setBold(True)
+        for scale, members, maximum in self.groups:
+            painter.fillRect(QRectF(16, y, width, self.GROUP_HEIGHT - 8), QColor("#F3F6F9"))
+            painter.setFont(bold)
+            painter.setPen(QColor(INK))
+            heading = f"{scale[0]} · {scale[1]}　独立标尺 0–{maximum}" if scale else "原始剂量 · 不作条形比较"
+            painter.drawText(QRectF(24, y, max(0, width - 16), self.GROUP_HEIGHT - 8), Qt.AlignmentFlag.AlignVCenter, painter.fontMetrics().elidedText(heading, Qt.TextElideMode.ElideRight, max(0, width - 16)))
+            y += self.GROUP_HEIGHT
+            for row in members:
+                if y + self.ROW_HEIGHT >= event.rect().top() and y <= event.rect().bottom():
+                    painter.setFont(bold)
+                    painter.setPen(QColor(INK))
+                    title = f"{row.name}  ·  {row.context}"
+                    painter.drawText(QRectF(16, y, width, 21), Qt.AlignmentFlag.AlignVCenter, painter.fontMetrics().elidedText(title, Qt.TextElideMode.ElideRight, width))
+                    painter.setFont(normal)
+                    if scale is None:
+                        painter.setPen(QColor(MUTED))
+                        detail = "；".join(("医生 " + (row.doctor.label if row.doctor else "—"), MODEL_NAMES[self.model_key] + " " + (row.candidate.label if row.candidate else "—")))
+                        painter.drawText(QRectF(16, y + 24, width, 22), Qt.AlignmentFlag.AlignVCenter, painter.fontMetrics().elidedText(detail, Qt.TextElideMode.ElideRight, width))
+                        note = row.incompatibility if self.bars_enabled else "按已保存原值列示，详见左侧药材表"
+                        painter.drawText(QRectF(16, y + 49, width, 22), Qt.AlignmentFlag.AlignVCenter, painter.fontMetrics().elidedText(note, Qt.TextElideMode.ElideRight, width))
+                    else:
+                        for index, (dose, color, name) in enumerate(((row.doctor, DOCTOR_COLOR, "医生"), (row.candidate, MODEL_COLORS[self.model_key], MODEL_NAMES[self.model_key]))):
+                            bar_y = y + 24 + index * 20
+                            painter.setPen(QColor(color))
+                            painter.drawText(QRectF(16, bar_y - 5, 54, 22), Qt.AlignmentFlag.AlignVCenter, name)
+                            value = dose.label if dose else "—"
+                            label_width = min(max(118, painter.fontMetrics().horizontalAdvance(value) + 8), max(118, width // 2))
+                            bar_x, bar_width = 76, max(8, width - 66 - label_width - 12)
+                            if dose is not None and dose.number is not None:
+                                painter.setPen(Qt.PenStyle.NoPen)
+                                painter.setBrush(QColor("#F0F3F7"))
+                                painter.drawRoundedRect(QRectF(bar_x, bar_y, bar_width, 9), 3, 3)
+                                fraction = float(dose.number / maximum) if maximum else 0.0
+                                if fraction > 0:
+                                    painter.setBrush(QColor(color))
+                                    painter.drawRoundedRect(QRectF(bar_x, bar_y, bar_width * fraction, 9), 3, 3)
+                            painter.setPen(QColor(INK))
+                            painter.drawText(QRectF(bar_x + bar_width + 10, bar_y - 5, label_width, 22), Qt.AlignmentFlag.AlignVCenter, painter.fontMetrics().elidedText(value, Qt.TextElideMode.ElideRight, int(label_width)))
+                    painter.setPen(QColor(LINE))
+                    painter.drawLine(16, y + self.ROW_HEIGHT - 6, self.width() - 16, y + self.ROW_HEIGHT - 6)
+                y += self.ROW_HEIGHT
+
+
+class PrescriptionComparisonPanel(QWidget):
+    """Switch between saved candidate prescriptions without issuing any requests."""
+
+    def __init__(self, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.setObjectName("PrescriptionComparisonPanel")
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Expanding)
+        self._batch: dict[str, Any] = {}
+        self._rows: list[_Row] = []
+        self._model_key = "qwen"
+        self._bars_enabled = False
+        self._chart_message = "暂无药方数据"
+        self._candidate_count: int | None = None
+        self._updating_rows = False
+        self.setStyleSheet(f"""
+            QWidget#PrescriptionComparisonPanel {{ background: transparent; }}
+            QFrame#PrescriptionPane {{ background: white; border: 1px solid {LINE}; border-radius: 9px; }}
+            QLabel {{ color: {INK}; background: transparent; }}
+            QLabel#PrescriptionTitle {{ font-size: 20px; font-weight: 700; }}
+            QLabel#PrescriptionCaption {{ color: {MUTED}; font-size: 12px; }}
+            QLabel#PrescriptionStatus {{ color: #5F7287; font-size: 12px; }}
+            QPushButton#PrescriptionModel {{ border: 1px solid #DAE4EE; background: white; color: #607388;
+                border-radius: 6px; padding: 6px 19px; font-weight: 600; }}
+            QPushButton#PrescriptionModel[model="qwen"]:checked {{ background: #EDF4FE; color: #3676C8; border-color: #AAC7EB; }}
+            QPushButton#PrescriptionModel[model="openai"]:checked {{ background: #EDF7F4; color: #268578; border-color: #A5D2C6; }}
+            QLineEdit#PrescriptionSearch {{ background: white; border: 1px solid #DAE4EE; border-radius: 6px; padding: 6px 10px; }}
+            QTableWidget#PrescriptionHerbs {{ background: white; border: 0; color: {INK}; gridline-color: {LINE}; }}
+            QTableWidget#PrescriptionHerbs::item {{ padding: 4px 7px; border-bottom: 1px solid #EDF1F5; }}
+            QTableWidget#PrescriptionHerbs::item:selected {{ background: #EDF4FC; color: {INK}; }}
+            QHeaderView::section {{ background: #F4F7FA; color: #687C91; border: 0; padding: 7px; font-weight: 600; }}
+            QScrollArea {{ background: white; border: 0; }}
+        """)
+        layout = QVBoxLayout(self)
+        layout.setContentsMargins(10, 8, 10, 8)
+        layout.setSpacing(10)
+        toolbar = QHBoxLayout()
+        toolbar.setSpacing(7)
+        self.model_buttons: dict[str, QPushButton] = {}
+        self.model_group = QButtonGroup(self)
+        for model_key, name in MODEL_NAMES.items():
+            button = QPushButton(name, self)
+            button.setObjectName("PrescriptionModel")
+            button.setProperty("model", model_key)
+            button.setCheckable(True)
+            button.setChecked(model_key == self._model_key)
+            button.setAccessibleName(f"查看{name}候选方与医生方对比")
+            button.clicked.connect(lambda _checked=False, key=model_key: self._select_model(key))
+            self.model_group.addButton(button)
+            self.model_buttons[model_key] = button
+            toolbar.addWidget(button)
+        toolbar.addStretch(1)
+        self.search = QLineEdit(self)
+        self.search.setObjectName("PrescriptionSearch")
+        self.search.setPlaceholderText("搜索药名")
+        self.search.setAccessibleName("搜索药名，同时筛选药材表和图表")
+        self.search.setClearButtonEnabled(True)
+        self.search.setMaximumWidth(240)
+        self.search.textChanged.connect(self._filter_rows)
+        toolbar.addWidget(self.search)
+        layout.addLayout(toolbar)
+        panes = QHBoxLayout()
+        panes.setSpacing(12)
+        left = QFrame(self)
+        left.setObjectName("PrescriptionPane")
+        left.setMinimumWidth(0)
+        left.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Expanding)
+        left_layout = QVBoxLayout(left)
+        left_layout.setContentsMargins(15, 13, 15, 10)
+        left_layout.setSpacing(6)
+        self.caption_label = self._label("千问 · 候选药方", left, "PrescriptionCaption")
+        self.name_label = self._label("暂无候选药方", left, "PrescriptionTitle")
+        self.name_label.setWordWrap(True)
+        self.name_label.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Preferred)
+        self.usage_label = self._label("", left, "PrescriptionCaption")
+        self.usage_label.setWordWrap(True)
+        left_layout.addWidget(self.caption_label)
+        left_layout.addWidget(self.name_label)
+        left_layout.addWidget(self.usage_label)
+        self.herb_table = QTableWidget(0, 3, left)
+        self.herb_table.setObjectName("PrescriptionHerbs")
+        self.herb_table.setAccessibleName("候选药方药材与医生剂量对照表")
+        self.herb_table.setHorizontalHeaderLabels(["药材 / 主辅方", "医生剂量", "千问剂量"])
+        self.herb_table.verticalHeader().hide()
+        self.herb_table.horizontalHeader().setSectionResizeMode(QHeaderView.ResizeMode.Stretch)
+        self.herb_table.horizontalHeader().setMinimumSectionSize(36)
+        self.herb_table.setShowGrid(False)
+        self.herb_table.setWordWrap(True)
+        self.herb_table.setEditTriggers(QAbstractItemView.EditTrigger.NoEditTriggers)
+        self.herb_table.setSelectionBehavior(QAbstractItemView.SelectionBehavior.SelectRows)
+        self.herb_table.setSelectionMode(QAbstractItemView.SelectionMode.SingleSelection)
+        self.herb_table.itemSelectionChanged.connect(self._focus_chart_row)
+        self.herb_table.setVerticalScrollMode(QAbstractItemView.ScrollMode.ScrollPerPixel)
+        self.herb_table.setMinimumSize(0, 0)
+        self.herb_table.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Expanding)
+        left_layout.addWidget(self.herb_table, 1)
+        self.empty_label = self._label("选择报告后显示已保存的候选药方", left, "PrescriptionCaption")
+        self.empty_label.setWordWrap(True)
+        left_layout.addWidget(self.empty_label)
+        self.count_label = self._label("", left, "PrescriptionCaption")
+        self.count_label.setWordWrap(True)
+        left_layout.addWidget(self.count_label)
+        panes.addWidget(left, 5)
+        right = QFrame(self)
+        right.setObjectName("PrescriptionPane")
+        right.setMinimumWidth(0)
+        right.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Expanding)
+        right_layout = QVBoxLayout(right)
+        right_layout.setContentsMargins(15, 13, 15, 10)
+        right_layout.setSpacing(6)
+        title = self._label("逐味剂量对比", right)
+        title.setStyleSheet("font-size: 15px; font-weight: 700;")
+        legend_row = QHBoxLayout()
+        legend_row.addWidget(title)
+        legend_row.addStretch()
+        self.legend = self._label("● 医生  ● 千问", right, "PrescriptionCaption")
+        self.legend.setTextFormat(Qt.TextFormat.RichText)
+        legend_row.addWidget(self.legend)
+        right_layout.addLayout(legend_row)
+        self.status_label = self._label("", right, "PrescriptionStatus")
+        self.status_label.setWordWrap(True)
+        self.status_label.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Preferred)
+        right_layout.addWidget(self.status_label)
+        self.chart_scroll = QScrollArea(right)
+        self.chart_scroll.setWidgetResizable(True)
+        self.chart_scroll.setHorizontalScrollBarPolicy(Qt.ScrollBarPolicy.ScrollBarAlwaysOff)
+        self.chart_scroll.setMinimumSize(0, 0)
+        self.chart_scroll.setSizePolicy(QSizePolicy.Policy.Ignored, QSizePolicy.Policy.Expanding)
+        self.chart_scroll.setAccessibleName("可滚动查看全部药味的剂量图")
+        self.chart = _DoseChart(self.chart_scroll)
+        self.chart_scroll.setWidget(self.chart)
+        right_layout.addWidget(self.chart_scroll, 1)
+        footnote = self._label("同组同标尺，组间勿比较；剂量差异不代表医疗优劣。", right, "PrescriptionCaption")
+        footnote.setWordWrap(True)
+        right_layout.addWidget(footnote)
+        panes.addWidget(right, 5)
+        layout.addLayout(panes, 1)
+        self._render()
+
+    @staticmethod
+    def _label(text: str, parent: QWidget, name: str = "") -> QLabel:
+        label = QLabel(text, parent)
+        label.setTextFormat(Qt.TextFormat.PlainText)
+        label.setObjectName(name)
+        return label
+
+    @property
+    def selected_model(self) -> str:
+        return self._model_key
+
+    def minimumSizeHint(self) -> QSize:
+        return QSize(0, 0)
+
+    def set_batch(self, batch: dict) -> None:
+        data = _mapping(batch)
+        if data == self._batch:
+            return
+        self._batch = deepcopy(data)
+        self._render()
+
+    def _select_model(self, model_key: str) -> None:
+        if model_key == self._model_key:
+            return
+        self._model_key = model_key
+        self._render()
+
+    def _state(self, model: dict[str, Any], candidate: dict[str, Any], comparison: dict[str, Any]) -> tuple[bool, str]:
+        if not self._batch:
+            return False, "选择一份报告后，查看已保存的候选药方与剂量对比。"
+        validity = _text(self._batch.get("validity"))
+        if validity and validity not in {"current", "valid"}:
+            return False, (_STALE.get(validity) or "报告有效性未确认") + "；仅查看历史原值，暂停条形比较。"
+        status = _text(model.get("status"))
+        candidate_status = _text(candidate.get("status"))
+        if status in ACTIVE_STATES or candidate_status in ACTIVE_STATES:
+            return False, f"{MODEL_NAMES[self._model_key]}正在生成候选方，完成后显示剂量对比。"
+        if status in _STALE:
+            return False, _STALE[status] + "；仅查看历史原值。"
+        if status in {"failed", "cancelled", "canceled", "blocked"}:
+            return False, "候选方分析未完成；已保存内容仅供查看。"
+        if candidate_status in {"insufficient_data", "withheld_for_risk", "no_medication", "no_medication_recommended"}:
+            headline = {"insufficient_data": "资料不足，暂未提供候选药方", "withheld_for_risk": "因风险暂缓候选用药", "no_medication": "建议暂不使用药物", "no_medication_recommended": "建议暂不使用药物"}[candidate_status]
+            return False, headline + ("；" + _reason(candidate.get("reason")) if candidate.get("reason") else "。")
+        if status and status not in SUCCESS_STATES | {"partial"}:
+            return False, "模型状态未确认；仅列示已保存原值。"
+        if candidate_status and candidate_status not in {"available_for_review", "success", "succeeded", "completed"}:
+            return False, "候选方状态未确认；仅列示已保存原值。"
+        if comparison.get("status") == "not_comparable":
+            return False, "本报告不可比：" + (_reason(comparison.get("reason") or comparison.get("reason_code")) or "未通过单位、剂量或资料完整性核验。")
+        saved_rows = comparison.get("rows")
+        if not isinstance(saved_rows, list) or not any(isinstance(row, Mapping) for row in saved_rows):
+            return False, "尚无已保存的逐味对比；医生剂量以—表示，不推算历史处方。"
+        if comparison.get("status") != "comparable":
+            return False, "可比状态未确认；仅列示已保存原值。"
+        prefix = "报告有效性未注明；" if not validity else ""
+        return True, prefix + "按明确单位与每剂／每日基准分组；缺失剂量不按零计算。"
+
+    def _render(self) -> None:
+        model = _mapping(_mapping(self._batch.get("models")).get(self._model_key))
+        candidate, comparison = _mapping(model.get("candidate")), _mapping(model.get("comparison"))
+        self._rows = _saved_rows(candidate, comparison)
+        self._bars_enabled, self._chart_message = self._state(model, candidate, comparison)
+        name = MODEL_NAMES[self._model_key]
+        self.caption_label.setText(f"{name} · 候选药方")
+        candidate_herbs = candidate.get("herbs")
+        self._candidate_count = len(candidate_herbs) if isinstance(candidate_herbs, list) else None
+        has_herbs = isinstance(candidate_herbs, list) and bool(candidate_herbs)
+        if any(row.origin == "original" for row in self._rows):
+            self._chart_message += " 候选原方另行附列；历史对应关系未保存，不推断同药。"
+        elif comparison.get("rows") and any(row.origin == "uncompared" for row in self._rows):
+            self._chart_message += " 未纳入对比的候选药材已补列原值。"
+        empty_title = "候选方生成中" if model.get("status") in ACTIVE_STATES else "暂无候选药方"
+        self.name_label.setText(_text(candidate.get("prescription_name")) or ("已保存候选方" if has_herbs else empty_title))
+        self.name_label.setToolTip(self.name_label.text())
+        usage = []
+        if _text(candidate.get("usage_instruction")):
+            usage.append(_text(candidate["usage_instruction"]))
+        if _number(candidate.get("times_per_day")) is not None:
+            usage.append(f"每日 {candidate['times_per_day']} 次")
+        if _number(candidate.get("usage_days")) is not None:
+            usage.append(f"共 {candidate['usage_days']} 天")
+        usage_text = " · ".join(usage)
+        self.usage_label.setText(usage_text[:100] + ("…" if len(usage_text) > 100 else ""))
+        self.usage_label.setToolTip(usage_text)
+        self.usage_label.setVisible(bool(usage_text))
+        self.status_label.setText(self._chart_message)
+        self.legend.setText(f'<span style="color:{DOCTOR_COLOR}">● 医生</span>&nbsp;&nbsp;<span style="color:{MODEL_COLORS[self._model_key]}">● {name}</span>')
+        self.herb_table.setHorizontalHeaderLabels(["药材 / 主辅方", "医生剂量", f"{name}剂量"])
+        self._filter_rows()
+
+    def _filter_rows(self) -> None:
+        self._updating_rows = True
+        query = self.search.text().strip().casefold()
+        rows = [row for row in self._rows if any(query in name.casefold() for name in (row.name, *row.source_names))]
+        table_scroll = self.herb_table.verticalScrollBar().value()
+        chart_scroll = self.chart_scroll.verticalScrollBar().value()
+        selected_row = self.herb_table.currentRow()
+        selected_name = self.herb_table.item(selected_row, 0).text() if selected_row >= 0 and self.herb_table.item(selected_row, 0) else ""
+        self.herb_table.setRowCount(len(rows))
+        for index, row in enumerate(rows):
+            name_text = row.name + "\n" + row.context
+            instructions = row.usage_description(MODEL_NAMES[self._model_key])
+            if instructions:
+                name_text += "\n" + instructions
+            values = (name_text, row.doctor.label if row.doctor else "—", row.candidate.label if row.candidate else "—")
+            for column, value in enumerate(values):
+                item = QTableWidgetItem(value)
+                item.setToolTip(row.description(MODEL_NAMES[self._model_key]))
+                item.setData(Qt.ItemDataRole.AccessibleTextRole, value)
+                if column == 0:
+                    item.setData(Qt.ItemDataRole.UserRole, row)
+                item.setData(Qt.ItemDataRole.AccessibleDescriptionRole, row.description(MODEL_NAMES[self._model_key]))
+                item.setTextAlignment(Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter)
+                if column == 1:
+                    item.setForeground(QColor(DOCTOR_COLOR))
+                if column == 2:
+                    item.setForeground(QColor(MODEL_COLORS[self._model_key]))
+                self.herb_table.setItem(index, column, item)
+            self.herb_table.setRowHeight(index, max(48, self.herb_table.fontMetrics().height() * (3 if instructions else 2) + 12))
+            if name_text == selected_name:
+                self.herb_table.selectRow(index)
+        self.herb_table.verticalScrollBar().setValue(table_scroll)
+        self.herb_table.setVisible(bool(rows))
+        self.empty_label.setText("没有匹配的药名，请调整搜索。" if self._rows and not rows else self._chart_message)
+        self.empty_label.setVisible(not rows)
+        comparison_count = sum(row.origin == "comparison" for row in self._rows)
+        uncompared_count = sum(row.origin == "uncompared" for row in self._rows)
+        original_count = sum(row.origin == "original" for row in self._rows)
+        counts = [f"候选原方 {self._candidate_count} 项" if self._candidate_count is not None else "候选原方未保存", f"对比 {comparison_count} 项"]
+        if uncompared_count:
+            counts.append(f"未纳入 {uncompared_count} 项")
+        if original_count:
+            counts.append(f"原方附列 {original_count} 项")
+        if query:
+            counts.append(f"搜索显示 {len(rows)} 项")
+        self.count_label.setText(" · ".join(counts))
+        self.count_label.setToolTip("原方项数来自候选药材完整清单；对比项数来自已保存的标准化记录。附列药材不推断与对比记录的对应关系；— 表示该侧未保存剂量。")
+        self.count_label.setVisible(bool(self._rows))
+        empty_message = "没有匹配的药名" if self._rows and not rows else self._chart_message
+        self.chart.set_rows(rows, self._model_key, bars_enabled=self._bars_enabled, message=empty_message)
+        self.chart_scroll.verticalScrollBar().setValue(chart_scroll)
+        self._updating_rows = False
+
+    def _focus_chart_row(self) -> None:
+        if self._updating_rows:
+            return
+        item = self.herb_table.item(self.herb_table.currentRow(), 0)
+        if item is None:
+            return
+        target = item.data(Qt.ItemDataRole.UserRole)
+        y = 8
+        for _scale, members, _maximum in self.chart.groups:
+            y += self.chart.GROUP_HEIGHT
+            for row in members:
+                if row is target:
+                    self.chart_scroll.verticalScrollBar().setValue(y)
+                    return
+                y += self.chart.ROW_HEIGHT

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

@@ -0,0 +1,558 @@
+"""The console chrome: the agreement comparison bar and the numbered step rail.
+
+Both widgets read only what the saved batch carries. A model without a comparable candidate keeps
+an empty track instead of a zero-length bar, and the rail's counters stay blank until the batch
+actually reports them.
+"""
+
+from __future__ import annotations
+
+from collections.abc import Mapping
+from typing import Any
+
+from PySide6.QtCore import QPointF, QRectF, QSize, Qt, Signal
+from PySide6.QtGui import (
+    QBrush,
+    QColor,
+    QFont,
+    QFontMetricsF,
+    QLinearGradient,
+    QPainter,
+    QPainterPath,
+    QPaintEvent,
+    QPalette,
+)
+from PySide6.QtWidgets import (
+    QFrame,
+    QHBoxLayout,
+    QLabel,
+    QProgressBar,
+    QPushButton,
+    QSizePolicy,
+    QVBoxLayout,
+    QWidget,
+)
+
+from .issued_prescription_ai_theme import CONSOLE, MODEL_HUE, MODEL_TEXT, num_font
+
+MODEL_NAMES = {"qwen": "千问", "openai": "OpenAI"}
+
+
+def _number(value: Any) -> float | None:
+    if value is None or isinstance(value, bool):
+        return None
+    try:
+        parsed = float(value)
+    except (TypeError, ValueError):
+        return None
+    return parsed
+
+
+def _mapping(value: Any) -> dict[str, Any]:
+    return dict(value) if isinstance(value, Mapping) else {}
+
+
+def _score(model: Mapping[str, Any]) -> float | None:
+    comparison = _mapping(_mapping(model).get("comparison"))
+    status = comparison.get("status") or _mapping(model).get("comparison_status")
+    if status != "comparable":
+        return None
+    value = _number(comparison.get("score", _mapping(model).get("score")))
+    return None if value is None or value < 0 or value > 100 else value
+
+
+class ScaleTrack(QWidget):
+    """A 0–100 track: the model's own fill, and a grey mark where the other model stands."""
+
+    # The design's scale: a 12px band for the rival's label, a 13px rail, then the axis row.
+    LABEL_BAND = 13.0
+    RAIL_TOP = 16.0
+    RAIL_HEIGHT = 13.0
+    AXIS_TOP = 31.0
+
+    def __init__(self, model_key: str, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.model_key = model_key
+        self._value: float | None = None
+        self._other: float | None = None
+        self._other_label = ""
+        self.setFixedHeight(44)
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Fixed)
+
+    def set_values(self, value: float | None, other: float | None, other_label: str) -> None:
+        self._value, self._other, self._other_label = value, other, other_label
+        self.setAccessibleDescription("暂无可比结果" if value is None else f"{value:.1f}%")
+        self.setToolTip("" if other is None else f"{other_label} 在 {other:.1f}%")
+        self.update()
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        top, height = self.RAIL_TOP, self.RAIL_HEIGHT
+        radius = height / 2
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.setBrush(QColor(CONSOLE["raised"]))
+        painter.drawRoundedRect(QRectF(0, top, self.width(), height), radius, radius)
+        if self._value:
+            filled = self.width() * self._value / 100
+            hue = QColor(MODEL_HUE[self.model_key])
+            faded = QColor(hue)
+            faded.setAlphaF(0.45)
+            gradient = QLinearGradient(QPointF(0, top), QPointF(filled, top))
+            gradient.setColorAt(0.0, faded)
+            gradient.setColorAt(1.0, hue)
+            painter.setBrush(QBrush(gradient))
+            painter.drawRoundedRect(QRectF(0, top, filled, height), radius, radius)
+        # Quarter dividers sit on the rail itself, as the design draws them.
+        painter.setPen(QColor(CONSOLE["grid_line"]))
+        for fraction in (0.25, 0.5, 0.75):
+            x = self.width() * fraction
+            painter.drawLine(QPointF(x, top), QPointF(x, top + height))
+        axis = QFont(self.font())
+        axis.setPixelSize(9)
+        painter.setFont(axis)
+        painter.setPen(QColor(CONSOLE["faint"]))
+        for fraction in (0.0, 0.25, 0.5, 0.75, 1.0):
+            label = f"{int(fraction * 100)}%"
+            width = 44.0
+            left = self.width() * fraction - width / 2
+            align = Qt.AlignmentFlag.AlignCenter
+            if fraction == 0.0:
+                left, align = 0.0, Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter
+            elif fraction == 1.0:
+                left, align = self.width() - width, Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter
+            painter.drawText(QRectF(left, self.AXIS_TOP, width, 12), align, label)
+        if self._other is not None:
+            x = self.width() * self._other / 100
+            marker = QColor(CONSOLE["muted"])
+            marker.setAlphaF(0.8)
+            painter.setPen(Qt.PenStyle.NoPen)
+            painter.setBrush(marker)
+            painter.drawRoundedRect(QRectF(x - 1, top - 4, 2, height + 8), 1, 1)
+            painter.setPen(QColor(CONSOLE["faint"]))
+            painter.drawText(QRectF(max(0.0, min(x - 60, self.width() - 120)), 0, 120, self.LABEL_BAND),
+                             Qt.AlignmentFlag.AlignCenter, f"{self._other_label} 在此")
+        painter.end()
+
+
+class ScoreLabel(QLabel):
+    """The big figure with its unit set small and raised, the way the design prints it.
+
+    ``text()`` still returns the whole string, so callers and tests read one plain value.
+    """
+
+    SIZE = 27
+    UNIT_SIZE = 13
+
+    def _parts(self) -> tuple[str, str]:
+        text = self.text()
+        for unit in ("%", "pt"):
+            if text.endswith(unit) and len(text) > len(unit):
+                return text[: -len(unit)], unit
+        return text, ""
+
+    def sizeHint(self) -> QSize:  # noqa: N802 - Qt virtual
+        figure, unit = self._parts()
+        width = QFontMetricsF(num_font(self.SIZE, weight=QFont.Weight.DemiBold)).horizontalAdvance(figure)
+        if unit:
+            width += 2 + QFontMetricsF(num_font(self.UNIT_SIZE)).horizontalAdvance(unit)
+        return QSize(int(width) + 1, int(self.SIZE * 1.1) + 1)
+
+    def minimumSizeHint(self) -> QSize:  # noqa: N802 - Qt virtual
+        return self.sizeHint()
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        figure, unit = self._parts()
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        figure_font = num_font(self.SIZE, weight=QFont.Weight.DemiBold)
+        painter.setFont(figure_font)
+        painter.setPen(self.palette().color(QPalette.ColorRole.WindowText))
+        metrics = QFontMetricsF(figure_font)
+        baseline = (self.height() + metrics.capHeight()) / 2
+        painter.drawText(QPointF(0, baseline), figure)
+        if unit:
+            unit_font = num_font(self.UNIT_SIZE)
+            painter.setFont(unit_font)
+            painter.setPen(QColor(CONSOLE["muted"]))
+            painter.drawText(QPointF(metrics.horizontalAdvance(figure) + 2,
+                                     baseline - metrics.capHeight() + QFontMetricsF(unit_font).capHeight()),
+                             unit)
+        painter.end()
+
+
+class AgreementBar(QFrame):
+    """Both models' agreement on one scale, with the gap between them stated in points."""
+
+    def __init__(self, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.setObjectName("AiAgreement")
+        layout = QHBoxLayout(self)
+        layout.setContentsMargins(22, 16, 22, 16)
+        layout.setSpacing(24)
+        self.blocks: dict[str, dict[str, Any]] = {}
+        for index, key in enumerate(("qwen", "openai")):
+            if index:
+                divider = QFrame(self)
+                divider.setObjectName("AiFactDivider")
+                divider.setFixedWidth(1)
+                layout.addWidget(divider)
+                layout.addWidget(self._delta_block())
+                divider = QFrame(self)
+                divider.setObjectName("AiFactDivider")
+                divider.setFixedWidth(1)
+                layout.addWidget(divider)
+            # Both heads line up at the top, so a model that failed does not slide its column down.
+            layout.addWidget(self._model_block(key), 1, Qt.AlignmentFlag.AlignTop)
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        """The design runs a blue-to-violet bar down the card's left edge, inside its rounding."""
+
+        super().paintEvent(event)
+        card = QPainterPath()
+        card.addRoundedRect(QRectF(1, 1, self.width() - 2, self.height() - 2), 9, 9)
+        strip = QPainterPath()
+        strip.addRect(QRectF(0, 0, 4, self.height()))
+        gradient = QLinearGradient(QPointF(0, 0), QPointF(0, self.height()))
+        gradient.setColorAt(0.0, QColor(CONSOLE["accent"]))
+        gradient.setColorAt(1.0, QColor(CONSOLE["openai"]))
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.fillPath(card.intersected(strip), QBrush(gradient))
+        painter.end()
+
+    def _model_block(self, key: str) -> QWidget:
+        holder = QWidget(self)
+        column = QVBoxLayout(holder)
+        column.setContentsMargins(0, 0, 0, 0)
+        column.setSpacing(9)
+        head = QHBoxLayout()
+        head.setSpacing(9)
+        dot = QLabel(holder)
+        dot.setFixedSize(9, 9)
+        dot.setStyleSheet(f"background: {MODEL_HUE[key]}; border-radius: 3px;")
+        head.addWidget(dot)
+        name = QLabel(MODEL_NAMES[key], holder)
+        name.setStyleSheet(f"color: {CONSOLE['heading']}; font-size: 13.8px; font-weight: 600;")
+        head.addWidget(name)
+        status = QLabel("尚无报告", holder)
+        status.setTextFormat(Qt.TextFormat.PlainText)
+        head.addWidget(status)
+        coverage = QLabel("", holder)
+        coverage.setTextFormat(Qt.TextFormat.PlainText)
+        coverage.setStyleSheet(
+            f"background: {CONSOLE['amber_dim']}; color: {CONSOLE['amber_text']};"
+            f" border: 1px solid {CONSOLE['amber']}; border-radius: 9px; padding: 1px 8px; font-size: 9.9px;")
+        head.addWidget(coverage)
+        elapsed = QLabel("", holder)
+        elapsed.setTextFormat(Qt.TextFormat.PlainText)
+        elapsed.setStyleSheet(
+            f"background: transparent; color: {CONSOLE['faint']};"
+            f" border: 1px solid {CONSOLE['line']}; border-radius: 9px; padding: 1px 8px; font-size: 9.9px;")
+        head.addWidget(elapsed)
+        head.addStretch(1)
+        column.addLayout(head)
+        score = ScoreLabel("—", holder)
+        score.setObjectName(f"AiAgreementScore{key.capitalize()}")
+        score.setTextFormat(Qt.TextFormat.PlainText)
+        column.addWidget(score)
+        caption = QLabel("药味与剂量一致率", holder)
+        caption.setStyleSheet(f"color: {CONSOLE['faint']}; font-size: 10.5px;")
+        column.addWidget(caption)
+        track = ScaleTrack(key, holder)
+        column.addWidget(track)
+
+        # A failed model states why it stopped and offers its retry on its own block, which is
+        # the only place in the console that belongs to that model alone.
+        failure = QWidget(holder)
+        failure_row = QHBoxLayout(failure)
+        failure_row.setContentsMargins(0, 2, 0, 0)
+        failure_row.setSpacing(8)
+        failure_text = QLabel("", failure)
+        failure_text.setTextFormat(Qt.TextFormat.PlainText)
+        failure_text.setWordWrap(True)
+        failure_text.setStyleSheet(f"color: {CONSOLE['rose_text']}; font-size: 12px;")
+        failure_row.addWidget(failure_text, 1)
+        retry_slot = QHBoxLayout()
+        retry_slot.setContentsMargins(0, 0, 0, 0)
+        retry_slot.setSpacing(6)
+        failure_row.addLayout(retry_slot)
+        failure.setVisible(False)
+        column.addWidget(failure)
+
+        stage = QLabel("等待处理进度", holder)
+        stage.setTextFormat(Qt.TextFormat.PlainText)
+        stage.setWordWrap(True)
+        stage.setStyleSheet(f"color: {MODEL_TEXT[key]}; font-size: 12px;")
+        stage.hide()
+        # The plain bar stays as a value carrier for callers and accessibility tools; the painted
+        # track above is the visual, so it is never added to the layout.
+        carrier = QProgressBar(holder)
+        carrier.setRange(0, 1000)
+        carrier.setTextVisible(False)
+        carrier.setFixedHeight(4)
+        carrier.setAccessibleName(f"{MODEL_NAMES[key]}与医生方的药味及剂量一致度")
+        carrier.setVisible(False)
+        self.blocks[key] = {"score": score, "coverage": coverage, "elapsed": elapsed, "track": track,
+                            "status": status, "failure": failure, "failure_text": failure_text,
+                            "retry_slot": retry_slot, "stage": stage, "carrier": carrier}
+        return holder
+
+    def views(self, key: str) -> dict[str, Any]:
+        """Widget map kept stable for the dialog and its regression tests."""
+
+        block = self.blocks[key]
+        return {"card": self, "model_label": block["score"], "status_chip": block["status"],
+                "coverage_chip": block["coverage"], "score": block["score"], "elapsed": block["elapsed"],
+                "agreement_bar": block["carrier"], "gauge": block["track"], "stage": block["stage"],
+                "failure": block["failure"], "failure_text": block["failure_text"]}
+
+    def attach_action(self, key: str, button: QWidget) -> None:
+        """Host a dialog-owned action (retry) inside that model's failure row."""
+
+        self.blocks[key]["retry_slot"].addWidget(button)
+
+    def set_failure(self, key: str, message: str, retryable: bool) -> None:
+        block = self.blocks[key]
+        block["failure_text"].setText(message)
+        block["failure"].setVisible(bool(message))
+        slot = block["retry_slot"]
+        for index in range(slot.count()):
+            widget = slot.itemAt(index).widget()
+            if widget is not None:
+                widget.setVisible(retryable)
+
+    def _delta_block(self) -> QWidget:
+        holder = QWidget(self)
+        holder.setFixedWidth(180)
+        column = QVBoxLayout(holder)
+        column.setContentsMargins(0, 6, 0, 0)
+        column.setSpacing(2)
+        column.addStretch(1)
+        self.delta = QLabel("—", holder)
+        self.delta.setTextFormat(Qt.TextFormat.PlainText)
+        self.delta.setAlignment(Qt.AlignmentFlag.AlignCenter)
+        self.delta.setFont(num_font(20, weight=QFont.Weight.DemiBold))
+        self.delta.setStyleSheet(f"color: {CONSOLE['accent_text']}; font-size: 19.5px; font-weight: 600;")
+        column.addWidget(self.delta)
+        self.delta_note = QLabel("等待两个模型", holder)
+        self.delta_note.setAlignment(Qt.AlignmentFlag.AlignCenter)
+        self.delta_note.setStyleSheet(f"color: {CONSOLE['faint']}; font-size: 10.2px;")
+        column.addWidget(self.delta_note)
+        self.overlap = QLabel("", holder)
+        self.overlap.setAlignment(Qt.AlignmentFlag.AlignCenter)
+        self.overlap.setStyleSheet(f"color: {CONSOLE['faint']}; font-size: 10.2px;")
+        column.addWidget(self.overlap)
+        column.addStretch(1)
+        return holder
+
+    def apply(self, batch: Mapping[str, Any] | None, *, coverage: Mapping[str, str] | None = None,
+              elapsed: Mapping[str, str] | None = None) -> None:
+        data = _mapping(batch)
+        models = _mapping(data.get("models"))
+        scores = {key: _score(_mapping(models.get(key))) for key in ("qwen", "openai")}
+        for key in ("qwen", "openai"):
+            block = self.blocks[key]
+            value = scores[key]
+            block["score"].setText("—" if value is None else f"{value:.1f}%")
+            other = scores["openai" if key == "qwen" else "qwen"]
+            block["track"].set_values(value, other, MODEL_NAMES["openai" if key == "qwen" else "qwen"])
+            text = _mapping(coverage).get(key, "")
+            block["coverage"].setText(text)
+            block["coverage"].setVisible(bool(text))
+            spent = _mapping(elapsed).get(key, "")
+            block["elapsed"].setText(spent)
+            block["elapsed"].setVisible(bool(spent))
+        if scores["qwen"] is None or scores["openai"] is None:
+            self.delta.setText("—")
+            self.delta_note.setText("两个模型都可比后才给差值")
+            self.overlap.setText("")
+            return
+        gap = scores["qwen"] - scores["openai"]
+        leader = MODEL_NAMES["qwen"] if gap >= 0 else MODEL_NAMES["openai"]
+        self.delta.setText(f"{'+' if gap >= 0 else '−'}{abs(gap):.1f}pt")
+        self.delta_note.setText(f"{leader}领先" if gap else "两模型持平")
+        overlaps = []
+        for key in ("qwen", "openai"):
+            herb = _number(_mapping(_mapping(models.get(key)).get("comparison")).get("herb_score"))
+            overlaps.append("—" if herb is None else f"{herb:.1f}%")
+        self.overlap.setText("药味重合 " + " / ".join(overlaps))
+
+
+class _StepButton(QPushButton):
+    """A step row; the design marks the selected one with a rounded bar down its left edge."""
+
+    BAR_INSET = 9
+    BAR_WIDTH = 3
+
+    def paintEvent(self, event: Any) -> None:  # noqa: N802 - Qt virtual
+        super().paintEvent(event)
+        if not self.isChecked():
+            return
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.setBrush(QColor(CONSOLE["accent"]))
+        painter.drawRoundedRect(
+            QRectF(0, self.BAR_INSET, self.BAR_WIDTH, self.height() - self.BAR_INSET * 2), 1.5, 1.5)
+        painter.end()
+
+
+class StepRail(QFrame):
+    """The six destinations as numbered steps, with what this batch needs looked at below them."""
+
+    selected = Signal(str)
+    save_requested = Signal()
+
+    FOCUS_ROWS = (("differences", "剂量差异", "项", "amber_text"),
+                  ("critical", "关键缺口", "项", "rose_text"),
+                  ("restricted", "附件受限", "个", "text"),
+                  ("consensus", "三方共识", "味", "accent_text"))
+
+    def __init__(self, steps: tuple[tuple[str, str], ...], parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.setObjectName("AiRail")
+        self.setFixedWidth(232)
+        layout = QVBoxLayout(self)
+        layout.setContentsMargins(0, 0, 0, 0)
+        layout.setSpacing(12)
+
+        nav = QFrame(self)
+        nav.setObjectName("AiPanel")
+        nav_layout = QVBoxLayout(nav)
+        nav_layout.setContentsMargins(6, 6, 6, 6)
+        nav_layout.setSpacing(0)
+        self._tones: dict[str, str] = {}
+        self.buttons: dict[str, QPushButton] = {}
+        self.badges: dict[str, QLabel] = {}
+        self.numbers: dict[str, QLabel] = {}
+        self.names: dict[str, QLabel] = {}
+        for index, (key, text) in enumerate(steps, start=1):
+            button = _StepButton(nav)
+            button.setObjectName("AiStep")
+            button.setCheckable(True)
+            button.setChecked(index == 1)
+            button.setCursor(Qt.CursorShape.PointingHandCursor)
+            button.setFixedHeight(42)
+            button.clicked.connect(lambda _checked=False, target=key: self.selected.emit(target))
+            row = QHBoxLayout(button)
+            row.setContentsMargins(11, 0, 11, 0)
+            row.setSpacing(10)
+            number = QLabel(f"{index:02d}", button)
+            number.setObjectName("AiStepNumber")
+            number.setFixedSize(22, 22)
+            number.setAlignment(Qt.AlignmentFlag.AlignCenter)
+            number.setFont(num_font(10, weight=QFont.Weight.Bold))
+            row.addWidget(number)
+            name = QLabel(text, button)
+            name.setObjectName("AiStepName")
+            row.addWidget(name, 1)
+            badge = QLabel("", button)
+            badge.setObjectName("AiStepBadge")
+            badge.setAlignment(Qt.AlignmentFlag.AlignCenter)
+            badge.setMinimumWidth(20)
+            badge.setFixedHeight(17)
+            badge.setFont(num_font(10))
+            row.addWidget(badge, 0, Qt.AlignmentFlag.AlignVCenter)
+            self.buttons[key] = button
+            self.badges[key] = badge
+            self.numbers[key] = number
+            self.names[key] = name
+            nav_layout.addWidget(button)
+        layout.addWidget(nav)
+        self.set_current(steps[0][0] if steps else "")
+
+        focus = QFrame(self)
+        focus.setObjectName("AiPanel")
+        focus_layout = QVBoxLayout(focus)
+        focus_layout.setContentsMargins(12, 13, 12, 14)
+        focus_layout.setSpacing(7)
+        caption = QLabel("本次关注", focus)
+        caption.setStyleSheet(f"color: {CONSOLE['faint']}; font-size: 10.2px; letter-spacing: 1.4px;"
+                              " padding-left: 4px;")
+        focus_layout.addWidget(caption)
+        self.focus_values: dict[str, QLabel] = {}
+        for key, text, unit, tone in self.FOCUS_ROWS:
+            row = QFrame(focus)
+            row.setObjectName("AiFocusRow")
+            row_layout = QHBoxLayout(row)
+            row_layout.setContentsMargins(10, 8, 10, 8)
+            row_layout.setSpacing(8)
+            name = QLabel(text, row)
+            name.setStyleSheet(f"color: {CONSOLE['muted']}; font-size: 11.25px;")
+            row_layout.addWidget(name)
+            row_layout.addStretch(1)
+            value = QLabel(f"— {unit}", row)
+            value.setTextFormat(Qt.TextFormat.PlainText)
+            value.setFont(num_font(14))
+            value.setStyleSheet(f"color: {CONSOLE[tone]};")
+            row_layout.addWidget(value)
+            self.focus_values[key] = value
+            focus_layout.addWidget(row)
+        self.save_button = QPushButton("保存本次复核", focus)
+        self.save_button.setObjectName("AiPrimaryAction")
+        self.save_button.setFixedHeight(34)
+        self.save_button.clicked.connect(self.save_requested.emit)
+        focus_layout.addWidget(self.save_button)
+        layout.addWidget(focus)
+        layout.addStretch(1)
+
+    BADGE_TONES = {"hot": ("rose_dim", "rose_text"), "warn": ("amber_dim", "amber_text")}
+
+    def set_current(self, key: str) -> None:
+        """The selected step is a tinted row with a blue index chip, not a solid blue button."""
+
+        for target, button in self.buttons.items():
+            selected = target == key
+            button.setChecked(selected)
+            self.numbers[target].setStyleSheet(
+                f"background: {CONSOLE['accent'] if selected else CONSOLE['raised']};"
+                f" color: {'#F2F7FF' if selected else CONSOLE['faint']}; border-radius: 6px;")
+            self.names[target].setStyleSheet(
+                f"color: {CONSOLE['heading'] if selected else CONSOLE['muted']}; font-size: 12.6px;"
+                + (" font-weight: 600;" if selected else ""))
+            self._paint_badge(target)
+
+    def _paint_badge(self, key: str) -> None:
+        background, colour = self.BADGE_TONES.get(self._tones.get(key, ""), ("raised", "faint"))
+        self.badges[key].setStyleSheet(
+            f"background: {CONSOLE[background]}; color: {CONSOLE[colour]};"
+            " border-radius: 8px; padding: 0 6px;")
+
+    def set_badges(self, counts: Mapping[str, Any], tones: Mapping[str, str] | None = None) -> None:
+        """Counts, and the severity that decides whether one reads as rose, amber or quiet."""
+
+        self._tones = dict(tones or {})
+        for key, badge in self.badges.items():
+            value = counts.get(key)
+            badge.setText("" if value in (None, "") else str(value))
+            badge.setVisible(bool(badge.text()))
+            self._paint_badge(key)
+
+    def set_focus(self, counts: Mapping[str, Any]) -> None:
+        for key, _text, unit, _tone in self.FOCUS_ROWS:
+            value = counts.get(key)
+            self.focus_values[key].setText(f"{'—' if value is None else value} {unit}")
+
+
+def rail_qss() -> str:
+    """The rail and agreement styles for the palette that is active right now."""
+
+    return f"""
+QFrame#AiRail {{ background: transparent; border: 0; }}
+QFrame#AiFocusRow {{ background: {CONSOLE['surface_2']}; border: 0; border-radius: 7px; }}
+QPushButton#AiStep {{ background: transparent; border: 1px solid transparent; border-radius: 7px;
+    text-align: left; }}
+QPushButton#AiStep:hover {{ background: {CONSOLE['surface_2']}; }}
+QPushButton#AiStep:checked {{ background: {CONSOLE['selection']};
+    border-color: {CONSOLE['selection_line']}; }}
+QLabel#AiStepNumber {{ color: {CONSOLE['faint']}; }}
+QLabel#AiStepName {{ color: {CONSOLE['muted']}; font-size: 12.6px; }}
+QLabel#AiStepBadge {{ color: {CONSOLE['faint']}; background: {CONSOLE['raised']};
+    border-radius: 8px; padding: 0 6px; }}
+QFrame#AiAgreement {{ background: {CONSOLE['surface']}; border: 1px solid {CONSOLE['line_soft']};
+    border-radius: 10px; }}
+QLabel#AiAgreementScoreQwen {{ color: {MODEL_TEXT['qwen']}; font-size: 27px; font-weight: 600; }}
+QLabel#AiAgreementScoreOpenai {{ color: {MODEL_TEXT['openai']}; font-size: 27px; font-weight: 600; }}
+"""

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

@@ -0,0 +1,254 @@
+"""Painted glyphs for the prescription analysis window.
+
+The window ships no image assets, so every icon in the design is drawn here with QPainter at the
+size it is used. Each glyph is line art on a transparent background; the colour is supplied by the
+caller, which keeps a glyph usable on a card, inside a tinted tile, or on the navigation bar.
+"""
+
+from __future__ import annotations
+
+from PySide6.QtCore import QPointF, QRectF, QSize, Qt
+from PySide6.QtGui import (
+    QBrush,
+    QColor,
+    QIcon,
+    QLinearGradient,
+    QPainter,
+    QPaintEvent,
+    QPen,
+    QPixmap,
+    QPolygonF,
+)
+from PySide6.QtWidgets import QSizePolicy, QWidget
+
+from .issued_prescription_ai_theme import CONSOLE as TECH_BLUE
+
+
+def _pen(painter: QPainter, colour: str, width: float) -> QPen:
+    pen = QPen(QColor(colour))
+    pen.setWidthF(width)
+    pen.setCapStyle(Qt.PenCapStyle.RoundCap)
+    pen.setJoinStyle(Qt.PenJoinStyle.RoundJoin)
+    painter.setPen(pen)
+    painter.setBrush(Qt.BrushStyle.NoBrush)
+    return pen
+
+
+def paint_glyph(painter: QPainter, kind: str, box: QRectF, colour: str) -> None:
+    """Draw one glyph inside ``box``. Unknown names draw nothing rather than a placeholder."""
+
+    painter.save()
+    painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+    x, y, w, h = box.x(), box.y(), box.width(), box.height()
+    stroke = max(1.2, min(w, h) / 11)
+    if kind == "bars":
+        _pen(painter, colour, stroke)
+        for index, height in enumerate((0.45, 0.75, 0.6)):
+            left = x + w * (0.22 + index * 0.28)
+            painter.drawLine(QPointF(left, y + h * 0.82), QPointF(left, y + h * (0.82 - height)))
+    elif kind == "doc":
+        _pen(painter, colour, stroke)
+        painter.drawRoundedRect(QRectF(x + w * 0.22, y + h * 0.12, w * 0.56, h * 0.76), w * 0.08, w * 0.08)
+        for index in range(2):
+            top = y + h * (0.38 + index * 0.2)
+            painter.drawLine(QPointF(x + w * 0.34, top), QPointF(x + w * 0.66, top))
+    elif kind == "box":
+        _pen(painter, colour, stroke)
+        top, bottom, middle = y + h * 0.2, y + h * 0.8, y + h * 0.5
+        left, right = x + w * 0.16, x + w * 0.84
+        painter.drawPolygon(QPolygonF([QPointF(x + w * 0.5, top), QPointF(right, middle * 0.75 + top * 0.25),
+                                       QPointF(right, bottom - h * 0.12), QPointF(x + w * 0.5, bottom),
+                                       QPointF(left, bottom - h * 0.12), QPointF(left, middle * 0.75 + top * 0.25)]))
+        painter.drawLine(QPointF(x + w * 0.5, y + h * 0.5), QPointF(x + w * 0.5, bottom))
+    elif kind == "image":
+        _pen(painter, colour, stroke)
+        painter.drawRoundedRect(QRectF(x + w * 0.16, y + h * 0.22, w * 0.68, h * 0.56), w * 0.08, w * 0.08)
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.24, y + h * 0.7), QPointF(x + w * 0.42, y + h * 0.48),
+                                        QPointF(x + w * 0.58, y + h * 0.66), QPointF(x + w * 0.68, y + h * 0.56)]))
+        painter.setBrush(QColor(colour))
+        painter.drawEllipse(QPointF(x + w * 0.64, y + h * 0.36), stroke * 0.9, stroke * 0.9)
+    elif kind == "clock":
+        _pen(painter, colour, stroke)
+        painter.drawEllipse(QRectF(x + w * 0.16, y + h * 0.16, w * 0.68, h * 0.68))
+        centre = QPointF(x + w * 0.5, y + h * 0.5)
+        painter.drawLine(centre, QPointF(x + w * 0.5, y + h * 0.3))
+        painter.drawLine(centre, QPointF(x + w * 0.66, y + h * 0.58))
+    elif kind == "trend":
+        _pen(painter, colour, stroke)
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.18, y + h * 0.68), QPointF(x + w * 0.4, y + h * 0.46),
+                                        QPointF(x + w * 0.56, y + h * 0.58), QPointF(x + w * 0.82, y + h * 0.28)]))
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.62, y + h * 0.28), QPointF(x + w * 0.82, y + h * 0.28),
+                                        QPointF(x + w * 0.82, y + h * 0.48)]))
+    elif kind == "bell":
+        _pen(painter, colour, stroke)
+        painter.drawPolyline(QPolygonF([
+            QPointF(x + w * 0.24, y + h * 0.68), QPointF(x + w * 0.3, y + h * 0.58),
+            QPointF(x + w * 0.3, y + h * 0.42), QPointF(x + w * 0.5, y + h * 0.2),
+            QPointF(x + w * 0.7, y + h * 0.42), QPointF(x + w * 0.7, y + h * 0.58),
+            QPointF(x + w * 0.76, y + h * 0.68), QPointF(x + w * 0.24, y + h * 0.68)]))
+        painter.drawArc(QRectF(x + w * 0.4, y + h * 0.66, w * 0.2, h * 0.18), 0, -180 * 16)
+    elif kind == "clipboard":
+        _pen(painter, colour, stroke)
+        painter.drawRoundedRect(QRectF(x + w * 0.22, y + h * 0.2, w * 0.56, h * 0.66), w * 0.08, w * 0.08)
+        painter.drawLine(QPointF(x + w * 0.36, y + h * 0.48), QPointF(x + w * 0.64, y + h * 0.48))
+        painter.drawLine(QPointF(x + w * 0.36, y + h * 0.64), QPointF(x + w * 0.56, y + h * 0.64))
+    elif kind == "pencil":
+        _pen(painter, colour, stroke)
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.24, y + h * 0.76), QPointF(x + w * 0.28, y + h * 0.6),
+                                        QPointF(x + w * 0.64, y + h * 0.24), QPointF(x + w * 0.78, y + h * 0.38),
+                                        QPointF(x + w * 0.42, y + h * 0.74), QPointF(x + w * 0.24, y + h * 0.76)]))
+    elif kind == "bulb":
+        _pen(painter, colour, stroke)
+        painter.drawArc(QRectF(x + w * 0.28, y + h * 0.18, w * 0.44, h * 0.46), 0, 180 * 16)
+        painter.drawLine(QPointF(x + w * 0.28, y + h * 0.41), QPointF(x + w * 0.38, y + h * 0.62))
+        painter.drawLine(QPointF(x + w * 0.72, y + h * 0.41), QPointF(x + w * 0.62, y + h * 0.62))
+        painter.drawLine(QPointF(x + w * 0.38, y + h * 0.66), QPointF(x + w * 0.62, y + h * 0.66))
+        painter.drawLine(QPointF(x + w * 0.42, y + h * 0.78), QPointF(x + w * 0.58, y + h * 0.78))
+    elif kind == "flask":
+        _pen(painter, colour, stroke)
+        painter.drawLine(QPointF(x + w * 0.38, y + h * 0.2), QPointF(x + w * 0.62, y + h * 0.2))
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.44, y + h * 0.2), QPointF(x + w * 0.44, y + h * 0.44),
+                                        QPointF(x + w * 0.24, y + h * 0.78), QPointF(x + w * 0.76, y + h * 0.78),
+                                        QPointF(x + w * 0.56, y + h * 0.44), QPointF(x + w * 0.56, y + h * 0.2)]))
+    elif kind == "alert":
+        _pen(painter, colour, stroke)
+        painter.drawEllipse(QRectF(x + w * 0.16, y + h * 0.16, w * 0.68, h * 0.68))
+        painter.drawLine(QPointF(x + w * 0.5, y + h * 0.33), QPointF(x + w * 0.5, y + h * 0.56))
+        painter.setBrush(QColor(colour))
+        painter.drawEllipse(QPointF(x + w * 0.5, y + h * 0.68), stroke * 0.7, stroke * 0.7)
+    elif kind == "paperclip":
+        _pen(painter, colour, stroke)
+        painter.drawRoundedRect(QRectF(x + w * 0.18, y + h * 0.22, w * 0.64, h * 0.5), w * 0.1, w * 0.1)
+        painter.drawLine(QPointF(x + w * 0.3, y + h * 0.72), QPointF(x + w * 0.3, y + h * 0.84))
+    elif kind == "info":
+        _pen(painter, colour, stroke)
+        painter.drawEllipse(QRectF(x + w * 0.16, y + h * 0.16, w * 0.68, h * 0.68))
+        painter.drawLine(QPointF(x + w * 0.5, y + h * 0.46), QPointF(x + w * 0.5, y + h * 0.68))
+        painter.setBrush(QColor(colour))
+        painter.drawEllipse(QPointF(x + w * 0.5, y + h * 0.34), stroke * 0.7, stroke * 0.7)
+    elif kind == "refresh":
+        _pen(painter, colour, stroke)
+        painter.drawArc(QRectF(x + w * 0.2, y + h * 0.2, w * 0.6, h * 0.6), 40 * 16, 280 * 16)
+        painter.setBrush(QColor(colour))
+        painter.drawPolygon(QPolygonF([QPointF(x + w * 0.72, y + h * 0.12), QPointF(x + w * 0.86, y + h * 0.34),
+                                       QPointF(x + w * 0.6, y + h * 0.32)]))
+    elif kind == "save":
+        _pen(painter, colour, stroke)
+        painter.drawRoundedRect(QRectF(x + w * 0.2, y + h * 0.2, w * 0.6, h * 0.6), w * 0.08, w * 0.08)
+        painter.drawLine(QPointF(x + w * 0.36, y + h * 0.2), QPointF(x + w * 0.36, y + h * 0.42))
+        painter.drawLine(QPointF(x + w * 0.36, y + h * 0.42), QPointF(x + w * 0.64, y + h * 0.42))
+        painter.drawLine(QPointF(x + w * 0.64, y + h * 0.42), QPointF(x + w * 0.64, y + h * 0.2))
+        painter.drawRect(QRectF(x + w * 0.36, y + h * 0.56, w * 0.28, h * 0.24))
+    elif kind == "chevron":
+        _pen(painter, colour, stroke)
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.4, y + h * 0.28), QPointF(x + w * 0.62, y + h * 0.5),
+                                        QPointF(x + w * 0.4, y + h * 0.72)]))
+    elif kind == "shield":
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.setBrush(QColor(colour))
+        painter.drawPolygon(QPolygonF([QPointF(x + w * 0.5, y + h * 0.16), QPointF(x + w * 0.82, y + h * 0.3),
+                                       QPointF(x + w * 0.82, y + h * 0.56), QPointF(x + w * 0.5, y + h * 0.84),
+                                       QPointF(x + w * 0.18, y + h * 0.56), QPointF(x + w * 0.18, y + h * 0.3)]))
+    elif kind == "check":
+        _pen(painter, colour, stroke * 1.2)
+        painter.drawPolyline(QPolygonF([QPointF(x + w * 0.32, y + h * 0.52), QPointF(x + w * 0.45, y + h * 0.65),
+                                        QPointF(x + w * 0.7, y + h * 0.37)]))
+    elif kind == "spark":
+        # The 千问 mark: three crossing strokes forming a six-pointed star.
+        _pen(painter, colour, stroke * 1.1)
+        centre = QPointF(x + w * 0.5, y + h * 0.5)
+        radius = min(w, h) * 0.3
+        for angle in (90, 30, -30):
+            from math import cos, radians, sin
+            dx, dy = cos(radians(angle)) * radius, -sin(radians(angle)) * radius
+            painter.drawLine(QPointF(centre.x() - dx, centre.y() - dy), QPointF(centre.x() + dx, centre.y() + dy))
+    elif kind == "knot":
+        # The OpenAI mark, reduced to the interlocking hexagon it is built from.
+        _pen(painter, colour, stroke)
+        from math import cos, radians, sin
+        centre = QPointF(x + w * 0.5, y + h * 0.5)
+        radius = min(w, h) * 0.3
+        points = [QPointF(centre.x() + cos(radians(angle)) * radius, centre.y() + sin(radians(angle)) * radius)
+                  for angle in range(0, 360, 60)]
+        painter.drawPolygon(QPolygonF(points))
+        painter.drawLine(points[0], points[3])
+    painter.restore()
+
+
+class Glyph(QWidget):
+    """A single painted icon at a fixed size."""
+
+    def __init__(self, kind: str, colour: str, size: int = 18, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.kind, self.colour = kind, colour
+        self.setFixedSize(size, size)
+        self.setAttribute(Qt.WidgetAttribute.WA_TransparentForMouseEvents)
+
+    def set_colour(self, colour: str) -> None:
+        if colour != self.colour:
+            self.colour = colour
+            self.update()
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        painter = QPainter(self)
+        paint_glyph(painter, self.kind, QRectF(0, 0, self.width(), self.height()), self.colour)
+        painter.end()
+
+
+class LogoTile(QWidget):
+    """A rounded tile with a glyph on it: the window mark and the two model marks."""
+
+    def __init__(self, kind: str, *, start: str, end: str, glyph: str = "#FFFFFF",
+                 size: int = 34, radius: float = 10.0, circle: bool = False,
+                 parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.kind, self.start, self.end, self.glyph_colour = kind, start, end, glyph
+        self.radius, self.circle = radius, circle
+        self.setFixedSize(size, size)
+        self.setSizePolicy(QSizePolicy.Policy.Fixed, QSizePolicy.Policy.Fixed)
+        self.setAttribute(Qt.WidgetAttribute.WA_TransparentForMouseEvents)
+
+    def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt virtual
+        painter = QPainter(self)
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        box = QRectF(0, 0, self.width(), self.height())
+        gradient = QLinearGradient(box.topLeft(), box.bottomRight())
+        gradient.setColorAt(0.0, QColor(self.start))
+        gradient.setColorAt(1.0, QColor(self.end))
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.setBrush(QBrush(gradient))
+        if self.circle:
+            painter.drawEllipse(box)
+        else:
+            painter.drawRoundedRect(box, self.radius, self.radius)
+        paint_glyph(painter, self.kind, box, self.glyph_colour)
+        painter.end()
+
+    def minimumSizeHint(self) -> QSize:
+        return QSize(self.width(), self.height())
+
+
+def window_mark(parent: QWidget | None = None, size: int = 38) -> LogoTile:
+    tile = LogoTile("check", start=TECH_BLUE["accent"], end=TECH_BLUE["accent_pressed"],
+                    size=size, radius=11, parent=parent)
+    tile.setAccessibleName("诊断与药方对照")
+    return tile
+
+
+def model_mark(model_key: str, parent: QWidget | None = None, size: int = 30) -> LogoTile:
+    if model_key == "openai":
+        return LogoTile("knot", start=TECH_BLUE["openai_dim"], end=TECH_BLUE["surface_2"],
+                        glyph=TECH_BLUE["openai_text"], size=size, circle=True, parent=parent)
+    return LogoTile("spark", start=TECH_BLUE["qwen_dim"], end=TECH_BLUE["surface_2"],
+                    glyph=TECH_BLUE["qwen_text"], size=size, radius=9, parent=parent)
+
+
+def glyph_icon(kind: str, colour: str, size: int = 16) -> QIcon:
+    """The same line art as a QIcon, for buttons that place their own icon and label."""
+
+    pixmap = QPixmap(size, size)
+    pixmap.fill(Qt.GlobalColor.transparent)
+    painter = QPainter(pixmap)
+    paint_glyph(painter, kind, QRectF(0, 0, size, size), colour)
+    painter.end()
+    return QIcon(pixmap)

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

@@ -0,0 +1,343 @@
+"""Presentation-only Chinese labels for saved prescription analysis payloads.
+
+Keep source identifiers, enum keys and statistics untouched in the repository data.
+Only explicitly structured metadata is localized; clinical prose is not translated.
+"""
+
+from __future__ import annotations
+
+import re
+from collections.abc import Mapping
+from typing import Any
+
+SOURCE_LABELS = {
+    "diagnoses": "诊单", "doctor_notes": "医生笔记", "tracking_notes": "随访记录",
+    "prescriptions": "历史处方", "call_records": "问诊通话", "video_calls": "视频问诊",
+    "transcript_segments": "转写片段", "chat_records": "聊天记录", "daily_records": "日常记录",
+    "blood_records": "血糖血压记录", "blood_glucose_pressure": "血糖血压记录",
+    "diet_records": "饮食记录", "diet": "饮食记录", "exercise_records": "运动记录", "exercise": "运动记录",
+    "im_messages": "即时聊天记录", "tencent_im": "即时聊天记录",
+    "wechat_messages": "企业微信聊天记录", "wechat_work": "企业微信聊天记录",
+    "target_plan": "本次处方方案", "clinical": "临床资料", "file": "附件",
+    "tongue": "舌象", "tongue_image": "舌象图片", "tongue_images": "舌象图片",
+    "clinical_attachment": "临床附件", "patient": "患者资料",
+}
+
+SYSTEM_LABELS = {
+    "SOURCE_HISTORY_VERSIONS_UNAVAILABLE": "来源历史版本无法核验",
+    "ARCHIVE_SYNC_WATERMARK_UNAVAILABLE": "归档同步完整性尚未核验",
+    "TRANSCRIPT_NOT_VERIFIED_COMPLETE": "问诊转写完整性尚未核验",
+    "TRANSCRIPT_NOT_FINAL": "问诊转写尚未完整归档",
+    "TRANSCRIPT_PARTIAL": "问诊转写仅部分完成", "TRANSCRIPT_FAILED": "问诊转写失败",
+    "TRANSCRIPT_RUNNING": "问诊转写进行中", "TRANSCRIPT_PENDING": "等待问诊转写",
+    "SOURCE_AUTHORIZATION_LINK_UNAVAILABLE": "来源缺少可核验的授权关联",
+    "SOURCE_PATIENT_CONFLICT": "来源的患者关联存在冲突",
+    "SOURCE_ACCESS_RESTRICTED": "来源访问受限",
+    "UNLINKED_SOURCE_REQUIRES_AUTHORIZATION": "未关联来源需核验访问权限",
+    "SOURCE_READ_UNAVAILABLE": "来源暂时无法读取",
+    "ATTACHMENT_TARGET_PLAN_LEAKAGE_UNVERIFIED": "附件可能包含本次处方，独立性未核验",
+    "UNSTRUCTURED_TARGET_PLAN_LEAKAGE_UNVERIFIED": "非结构化资料可能包含本次处方，独立性未核验",
+    "TARGET_PLAN_COPY_ISOLATED": "已隔离资料中复制的本次处方内容",
+    "CRITICAL_CLINICAL_FACT_MISSING": "关键临床资料缺失",
+    "FILE_STORAGE_AUTHORIZATION_UNVERIFIED": "附件存储访问权限尚未核验",
+    "FILE_CONTENT_VERSION_UNVERIFIED": "附件内容版本尚未核验",
+    "PATIENT_BINDING_REQUIRED": "需完善患者与诊单关联",
+    "PATIENT_BINDING_OR_PERMISSION_REQUIRED": "需核验患者关联与资料访问权限",
+    "ACCESS_REVOKED": "资料访问权限已变更", "SOURCE_CHANGED": "资料或处方已更新，请查看新版本",
+    "BUDGET_PAUSED": "已达到分析预算，等待额度恢复",
+    "CONFIG_INVALID": "模型配置无效，请联系管理员", "CONFIG_DISABLED": "模型分析尚未启用",
+    "UPSTREAM_AUTH_FAILED": "模型服务认证失败，请联系管理员",
+    "UPSTREAM_TIMEOUT": "模型响应超时，可稍后重试", "UPSTREAM_BUSY": "模型服务繁忙，可稍后重试",
+    "UPSTREAM_UNAVAILABLE": "模型服务暂不可用", "UPSTREAM_REJECTED": "模型服务未接受本次请求",
+    "UPSTREAM_FAILED": "模型服务处理失败", "EMPTY_RESPONSE": "模型未返回内容",
+    "INCOMPLETE_RESPONSE": "模型返回内容不完整", "INVALID_RESPONSE": "模型返回内容未通过校验",
+    "RESPONSE_INVALID": "模型返回内容未通过校验", "INVALID_REPORT_OUTPUT": "模型报告未通过格式校验",
+    "INVALID_EVIDENCE_OUTPUT": "模型证据来源未通过校验",
+    "INVALID_FILE_EVIDENCE_OUTPUT": "模型附件证据未通过校验",
+    "CONTEXT_TOO_LARGE": "资料超过本次处理预算",
+    "INPUT_TOKEN_BUDGET_EXCEEDED": "输入资料超过本次处理预算",
+    "SYNTHESIS_BUDGET_EXCEEDED": "资料汇总超过本次处理预算",
+    "FINAL_CONTEXT_EXCEEDS_BUDGET": "来源与缺口说明超过汇总预算，请联系管理员",
+    "TOTAL_CALL_BUDGET_EXCEEDED": "模型调用次数达到本次上限",
+    "SOURCE_UNIT_EXCEEDS_BUDGET": "单条来源资料超过处理预算",
+    "RESPONSE_SIZE_EXCEEDED": "模型返回内容超过长度上限",
+    "LEASE_EXPIRED": "工作进程中断，任务等待恢复",
+    "SOURCE_PREPARATION_FAILED": "来源资料准备失败", "INTERNAL_ERROR": "分析处理异常，可稍后重试",
+    "GENERATION_FAILED": "报告生成失败，可稍后重试", "CHECKPOINT_REJECTED": "分析进度保存未通过校验",
+    "INVALID_PROFILE": "模型配置未通过校验", "INVALID_FROZEN_CONTEXT": "冻结资料未通过校验",
+    "INVALID_FILE_MANIFEST": "附件清单未通过校验", "SOURCE_GAP": "来源资料存在缺口",
+    "FILE_CAPABILITY_DISABLED": "模型附件处理能力尚未启用",
+    "FILE_UNAVAILABLE_OR_UNSUPPORTED": "附件不可用或格式不受支持",
+    "FILE_TYPE_UNSUPPORTED": "附件格式不受支持",
+    "STRICT_FILES_INVALID_OR_LIMIT": "附件校验未通过或超过处理上限",
+    "FILE_DELIVERY_UNVERIFIED": "附件送达情况尚未核验",
+    "MODEL_REPORTED_UNREADABLE": "模型无法读取附件", "MODEL_REPORTED_UNSUPPORTED": "模型不支持此附件",
+    "MODEL_FILE_OUTPUT_INVALID": "模型未能正确解析这组附件",
+    "AI_ANALYSIS_CIPHER_INVALID": "报告加密数据无法读取",
+    "AI_ANALYSIS_ENCRYPTION_FAILED": "报告加密保存失败",
+    "AI_ANALYSIS_KEY_INVALID": "报告加密配置无效", "AI_ANALYSIS_KEY_UNAVAILABLE": "报告加密配置不可用",
+    "formulation_mismatch": "剂型不同，未提供经确认的换算规则",
+    "dose_basis_mismatch": "剂量基准不同", "unit_mismatch": "剂量单位不同",
+    "unknown_formulation": "剂型缺失或不受支持", "empty_prescription": "处方为空或药味结构无效",
+    "catalog_unavailable": "缺少可用的药材字典", "invalid_herb": "药味结构无效",
+    "ambiguous_herb_name": "药名存在多种字典匹配", "unknown_herb_name": "药名未匹配药材字典",
+    "doctor_identity_mismatch": "医生药材编号与规范药名不一致",
+    "processing_conflict": "炮制信息与药材字典冲突或无效",
+    "ambiguous_herb_role": "主辅方、给药途径或分组不明确",
+    "missing_or_unknown_unit": "剂量单位缺失或不受支持",
+    "missing_or_unknown_dose_basis": "每剂或每日剂量基准不明确",
+    "invalid_dosage": "剂量数值无效", "invalid_herb_usage": "药味煎服说明格式无效",
+    "duplicate_semantics_conflict": "重复药项的单位、剂量基准或煎服说明不一致",
+    "no_medication": "建议暂不使用药物", "no_medication_recommended": "建议暂不使用药物",
+    "baseline_ineligible": "不符合独立基线统计条件", "incomplete_coverage": "资料覆盖不完整",
+    "missing_result": "缺少模型结果", "invalid_score": "一致度分值无效",
+    "missing_algorithm_version": "缺少算法版本", "transcript_not_final": "问诊转写尚未完整归档",
+    "event_patient_conflict": "开方事件的患者关联冲突", "duplicate_baseline_conflict": "重复基线结果存在冲突",
+    "review_conflict": "复核记录存在冲突", "review_not_completed": "复核尚未完成",
+    "review_not_independent": "复核不具独立性", "review_disputed": "复核存在争议",
+    "review_not_evaluable": "复核不可评价", "invalid_review_outcome": "复核结论无效",
+    "unknown_review_sampling": "复核抽样方式未确认", "start_at_required": "需设置分析起始时间",
+    "processed": "已处理", "restricted": "访问受限", "error": "处理失败", "timeout": "处理超时",
+    "delivered": "已送达", "unreadable": "不可读", "unsupported": "不支持", "parsed": "已解析",
+    "ok": "可比条件已通过", "doctor": "医生方", "candidate": "候选方", "both": "双方",
+    "low": "低风险", "medium": "中风险", "high": "高风险", "none": "无",
+    "main": "主方", "oral": "口服", "external": "外用",
+    "raw": "生品", "image": "图片", "document": "文档", "remote_url": "远程附件",
+    "stratified_versions": "按版本分层统计", "single_version": "单一版本", "no_valid_samples": "无有效样本",
+    "no_samples": "未建立复核样本", "recorded": "已记录", "conflict": "存在冲突",
+    "not_evaluable": "不可评价", "qualified": "合格", "needs_revision": "需修订", "unqualified": "不合格",
+    "random": "随机抽样", "stratified": "分层抽样", "risk_directed": "按风险抽样",
+    "stratified_sampling": "按抽样方式分层统计",
+    "spelling_aliases_only_no_quantity_conversion": "仅规范单位写法，不进行剂量换算",
+    "g": "克", "mg": "毫克", "kg": "千克", "ml": "毫升", "mL": "毫升", "l": "升", "L": "升",
+    "qwen": "千问", "openai": "OpenAI",
+}
+
+EXTRA_FIELD_LABELS = {
+    "source": "来源", "code": "原因说明", "reason_code": "原因说明", "error_code": "错误原因",
+    "error_message": "错误说明", "message": "说明", "detail": "详情", "details": "详细记录",
+    "reason_message": "原因说明", "field": "字段", "value": "记录值", "side": "所属处方",
+    "row": "药项序号", "rows": "逐味记录", "key": "药项标识", "id": "编号", "medicine_id": "药材编号",
+    "prescription_id": "处方编号", "diagnosis_id": "诊单编号", "patient_id": "患者编号",
+    "doctor_id": "医生编号", "doctor_name": "医生姓名", "model_key": "模型", "model_name": "模型名称",
+    "configured_model_name": "配置的模型名称", "comparison_status": "可比状态", "coverage_status": "资料覆盖状态",
+    "comparison_type": "比较类型", "validity": "报告有效性", "version_verified": "内容版本已核验",
+    "source_record_count": "来源记录总数", "missing_count": "资料缺口数", "snapshot_complete": "资料快照完整",
+    "may_be_truncated": "资料可能截断", "history_versioning": "历史版本核验", "archive_sync_verified": "归档同步已核验",
+    "file_ids": "附件编号", "evidence_file_ids": "证据附件编号", "covered_source_ids": "已覆盖来源编号",
+    "source_kind": "来源类型", "kind": "来源类型", "type": "类型", "purpose": "用途",
+    "transfer_method": "附件传递方式", "content_hash": "内容指纹", "dictionary_hash": "药材字典指纹",
+    "source_hash": "来源指纹", "url": "附件地址", "uri": "附件地址", "path": "附件路径",
+    "age": "年龄", "gender": "性别", "gender_label": "性别说明", "allergy_history": "过敏史",
+    "pregnancy_history": "妊娠与哺乳情况", "current_medications": "当前用药",
+    "allergy_history_text": "过敏史正文", "allergy_history_desc": "过敏史说明",
+    "pregnancy_history_text": "妊娠与哺乳正文", "pregnancy_history_desc": "妊娠与哺乳说明",
+    "current_medicine": "当前用药", "current_medication": "当前用药",
+    "prescription": "处方", "prescription_opinion": "处方意见", "prescription_advice": "处方建议",
+    "treatment_principle": "治则", "doctor_advice": "医嘱", "prescription_date": "开方日期",
+    "issues": "需核对问题", "formulation": "剂型", "items": "药项", "bases": "剂量基准",
+    "merges": "重复药项合并", "defaults": "默认值记录", "identity_complete": "药项身份核验完整",
+    "raw_herb_count": "原始药项数", "source_rows": "原始药项序号", "source_names": "原始药名",
+    "original_dosages": "原始剂量", "usage": "煎服说明", "doctor": "医生方", "candidate": "候选方",
+    "dictionary_versions": "药材字典版本", "unit_policy": "单位处理规则", "denominator": "一致度计算分母",
+    "matched_contribution_sum": "共同药项贡献合计", "special_usage": "特殊用法",
+    "decoction_instruction": "煎药说明", "usage_note": "服法备注", "before": "处理前", "after": "处理后",
+    "dosage_amount": "每次用量", "dosage_unit": "每次用量单位", "dosage_bag_count": "每次袋数", "aux_usage": "辅助用法",
+    "score": "药味剂量一致度", "herb_score": "纯药味重合度", "model": "模型",
+    "schema_version": "资料格式版本", "decision_at": "处方决策时间", "created_at": "建立时间", "updated_at": "更新时间",
+    "source_diagnosis_ids": "来源诊单编号", "redaction_manifest": "处方内容隔离清单",
+    "total_count": "开方事件数", "total_events": "开方事件数", "patient_count": "患者数",
+    "eligible_count": "有效比较数", "valid_count": "有效比较数", "excluded_count": "排除样本数",
+    "coverage_rate": "覆盖率", "coverage_percent": "覆盖率", "paired_count": "双模型共同有效样本数",
+    "excluded_reasons": "排除原因及数量", "exclusion_reasons": "排除原因及数量", "exclusion_reason": "排除原因",
+    "aggregation_status": "统计汇总方式", "paired_strata": "双模型版本分层", "models": "模型统计",
+    "review": "专家复核", "reviews": "专家复核", "evaluated_count": "可评价样本数", "evaluable_count": "可评价样本数",
+    "qualified_count": "合格样本数", "qualified_rate": "合格率", "qualification_rate": "合格率",
+    "reviewed_events": "已复核事件数", "unreviewed_events": "未复核事件数", "sampling_method": "抽样方式",
+    "sampling_groups": "抽样分组", "sampling_coverage_percent": "抽样覆盖率", "outcomes": "复核结论分布",
+    "outcome": "复核结论", "independent": "独立复核", "disputed": "存在争议",
+    "confidence_interval": "置信区间", "confidence_interval_reason": "置信区间说明",
+    "unknown_patient_events": "患者身份未确认事件数", "repeated_patient_events": "重复患者事件数",
+    "invalid_row_count": "无效记录数", "metric": "统计指标",
+}
+
+ENUM_FIELDS = {
+    "status", "comparison_status", "coverage_status", "comparison_type", "validity", "dose_basis", "bases",
+    "match_type", "match", "side", "level", "kind", "source_kind", "type", "purpose", "transfer_method",
+    "sample_status", "aggregation_status", "history_versioning", "sampling_method", "outcome", "unit_policy",
+    "model_key", "model", "unit", "formula_type",
+}
+REASON_FIELDS = {
+    "reason", "reason_message", "reason_code", "error_code", "error_message", "code", "message",
+    "missing", "missing_information", "baseline_exclusion_reasons", "excluded_reasons", "exclusion_reasons", "exclusion_reason",
+}
+SOURCE_FIELDS = {
+    "source", "source_id", "source_ids", "file_id", "file_ids", "evidence_file_ids", "covered_source_ids",
+    "evidence_references", "redaction_manifest",
+}
+
+_MACHINE_KEY = re.compile(r"[A-Za-z][A-Za-z0-9]*(?:_[A-Za-z0-9]+)+\Z")
+_UPPER_CODE = re.compile(r"(?<![A-Za-z0-9_])[A-Z][A-Z0-9]*(?:_[A-Z0-9]+)+(?![A-Za-z0-9_])")
+_SOURCE_ID = re.compile(r"([a-z][a-z0-9_]*)[:：]([^\s,，;；：<>]+)\Z")
+_KNOWN_SOURCE_IN_TEXT = re.compile(r"(?<![A-Za-z0-9_])(" + "|".join(SOURCE_LABELS) + r")[:：]([A-Za-z0-9]+)(?![A-Za-z0-9_])")
+
+
+def plain_text(value: Any) -> str:
+    if value is None or value == "":
+        return "—"
+    if isinstance(value, bool):
+        return "是" if value else "否"
+    return str(value)
+
+
+def source_text(value: Any, fields: Mapping[str, str]) -> str:
+    """Localize a source prefix, preserving its entire numeric or opaque ID."""
+    text = plain_text(value)
+    if text in SOURCE_LABELS:
+        return SOURCE_LABELS[text]
+    if text.startswith("clinical."):
+        field = text.removeprefix("clinical.")
+        return "临床资料 · " + fields.get(field, "待核对项目")
+    match = _SOURCE_ID.fullmatch(text)
+    if match:
+        prefix, identifier = match.groups()
+        # Redaction manifests append a field name after the numeric source ID.
+        if ":" in identifier:
+            identifier, field = identifier.split(":", 1)
+            return f"{SOURCE_LABELS.get(prefix, '其他来源')}（编号：{identifier}） · {fields.get(field, '待核对字段')}"
+        return f"{SOURCE_LABELS.get(prefix, '其他来源')}（编号：{identifier}）"
+    if _MACHINE_KEY.fullmatch(text) or re.fullmatch(r"[A-Za-z][A-Za-z0-9_-]*", text):
+        return "来源类型待核对"
+    return _KNOWN_SOURCE_IN_TEXT.sub(lambda match: source_text(f"{match[1]}:{match[2]}", fields), text)
+
+
+def system_text(value: Any, labels: Mapping[str, str], fields: Mapping[str, str], *, strict: bool = False) -> str:
+    """Translate metadata, including historical ``CODE: source:id`` gap strings."""
+    text = plain_text(value)
+    if "\n" in text:
+        return "\n".join(system_text(line, labels, fields, strict=strict) for line in text.split("\n"))
+    if text in labels:
+        return labels[text]
+    if text in SOURCE_LABELS:
+        return SOURCE_LABELS[text]
+    if text in fields:
+        return fields[text]
+    # Only a technical prefix permits parsing the rest as a source identifier.
+    compound = re.fullmatch(r"([A-Za-z][A-Za-z0-9_]+)\s*[:：]\s*(.*)", text, re.DOTALL)
+    if compound and (compound[1] in labels or _MACHINE_KEY.fullmatch(compound[1])):
+        prefix = labels.get(compound[1], "未识别的系统原因，请联系管理员核对")
+        return prefix + "：" + source_text(compound[2], fields)
+    if _MACHINE_KEY.fullmatch(text):
+        return "未识别的系统标识，请联系管理员核对"
+    # Historic reports can include a known source/code inside a Chinese gap explanation.
+    text = _UPPER_CODE.sub(lambda match: labels.get(match[0], "未识别的系统原因，请联系管理员核对"), text)
+    text = _KNOWN_SOURCE_IN_TEXT.sub(lambda match: source_text(f"{match[1]}:{match[2]}", fields), text)
+    if strict and re.fullmatch(r"[A-Za-z][A-Za-z0-9 ._-]*", text):
+        return "未识别的系统状态，请联系管理员核对"
+    return text
+
+
+def field_text(key: Any, fields: Mapping[str, str], labels: Mapping[str, str]) -> str:
+    text = str(key)
+    if text in fields:
+        return fields[text]
+    if text.endswith("_count") and text.removesuffix("_count") in SOURCE_LABELS:
+        return SOURCE_LABELS[text.removesuffix("_count")] + "数"
+    translated = system_text(text, labels, fields)
+    if translated != text:
+        return translated
+    if text in SOURCE_LABELS or text.startswith("clinical.") or _SOURCE_ID.fullmatch(text):
+        return source_text(text, fields)
+    return "其他字段（待核对）" if re.search(r"[A-Za-z]", text) and not re.search(r"[\u4e00-\u9fff]", text) else text
+
+
+def value_text(value: Any, field: str, labels: Mapping[str, str], fields: Mapping[str, str]) -> str:
+    if field in SOURCE_FIELDS:
+        return source_text(value, fields)
+    if field == "field":
+        return field_text(value, fields, labels)
+    if field == "coverage_status":
+        return {"partial": "资料不全", "pending": "资料待核对", "unavailable": "暂无覆盖信息"}.get(str(value)) or system_text(value, labels, fields, strict=True)
+    if field == "history_versioning" and value == "unavailable":
+        return "历史版本无法核验"
+    if field == "formula_type" and value == "auxiliary":
+        return "辅方"
+    if field.endswith("version") or field.endswith("versions"):
+        text = plain_text(value)
+        for prefix, name in (
+            ("manual-prescription-independent-v", "手动处方独立分析"),
+            ("manual-prescription-available-evidence-v", "手动处方已读资料分析"),
+            ("prescription-soft-dice-v", "处方药味剂量一致度算法"),
+            ("prescription-evidence-v", "处方证据资料格式"),
+            ("prescription-source-access-v", "处方来源权限格式"),
+        ):
+            if text.startswith(prefix) and re.fullmatch(r"\d+(?:\.\d+)*", text.removeprefix(prefix)):
+                return f"{name} · 第 {text.removeprefix(prefix)} 版"
+        return text
+    if field in ENUM_FIELDS:
+        return system_text(value, labels, fields, strict=True)
+    if field in REASON_FIELDS:
+        return system_text(value, labels, fields, strict=field in {"code", "error_code", "reason_code"})
+    if field.endswith(("_status", "_state", "_code")):
+        return system_text(value, labels, fields, strict=True)
+    if field and field not in fields:
+        return system_text(value, labels, fields)
+    return plain_text(value)
+
+
+STATE_LABELS = {
+    "blank": "尚未开方", "not_generated": "尚无分析记录", "unavailable": "暂无可比结果",
+    "not_applicable": "尚未开方", "not_started": "尚未分析", "pending": "待分析",
+    "preparing": "准备资料", "waiting_sources": "等待转写/资料", "retry_wait": "等待重试", "blocked": "需完善资料关联",
+    "queued": "待分析", "waiting": "等待资料", "waiting_transcript": "等待转写",
+    "waiting_transcription": "等待转写", "running": "分析中", "processing": "分析中",
+    "retrying": "重试中", "succeeded": "已完成", "completed": "已完成", "success": "已完成",
+    "partial": "部分完成", "failed": "需重试", "cancelled": "已取消", "canceled": "已取消",
+    "stale": "处方已变更", "superseded": "处方已变更", "invalid": "已失效",
+    "prescription_changed": "处方已变更", "source_updated": "资料已更新", "voided": "处方已作废", "deleted": "处方已删除", "revoked": "权限已撤销",
+    "current": "当前版本", "valid": "当前有效", "complete": "资料清单完整",
+    "incomplete": "资料不全", "missing": "资料缺失", "unknown": "未确认",
+    "needs_patient_link": "需完善患者关联", "patient_unlinked": "需完善患者关联",
+    "independent_baseline": "独立基线", "baseline": "独立基线",
+    "latest_context": "最新资料对照", "supplemental": "最新资料对照",
+    "assisted_revision": "AI 辅助后修订", "ai_assisted": "AI 辅助后修订",
+    "non_independent": "非独立对照", "auxiliary": "辅助复核",
+    "comparable": "可比", "not_comparable": "不可比",
+    "available_for_review": "供医生复核", "insufficient_data": "资料不足，暂不提供候选用药",
+    "withheld_for_risk": "因风险暂缓候选用药", "viewed": "已查看", "needs_information": "需补充资料",
+    "not_adopted": "不采纳", "reviewed": "已复核",
+    "per_dose": "每剂", "per_day": "每日", "matched": "共同药味", "doctor_only": "仅医生方", "candidate_only": "仅模型方",
+    "insufficient_sample": "样本不足", "descriptive_only": "仅作描述性统计",
+}
+FIELD_LABELS = {
+    "summary": "概要", "timeline": "病程", "analysis": "综合分析", "tcm_analysis": "中医辨证",
+    "diagnosis": "辨证分析", "treatment_advice": "治疗与随访建议", "risk_assessment": "需复核风险",
+    "evidence_references": "证据来源编号", "missing_information": "待补充资料", "level": "风险等级", "label": "说明",
+    "risk_warnings": "需复核风险", "risks": "风险", "follow_up": "随访建议", "evidence": "依据",
+    "sources": "来源", "manifest": "来源清单", "missing": "资料缺口", "status": "状态",
+    "reason": "原因", "name": "药名", "herb_name": "规范药名", "canonical_name": "规范药名",
+    "processing": "炮制", "dosage": "剂量", "dose": "剂量", "unit": "单位", "dose_basis": "剂量基准",
+    "formula_type": "主辅方", "doctor_dosage": "医生剂量", "candidate_dosage": "模型剂量",
+    "doctor_dose": "医生剂量", "candidate_dose": "模型剂量", "ai_dose": "模型剂量",
+    "contribution": "匹配贡献", "ratio": "匹配贡献", "match_ratio": "匹配贡献", "match": "匹配情况",
+    "prescription_name": "候选方名称", "prescription_type": "剂型", "herbs": "药味",
+    "dose_count": "剂数", "usage_days": "疗程（天）", "times_per_day": "每日服次",
+    "usage_instruction": "服法", "usage_time": "服药时间", "usage_way": "给药途径",
+    "rationale": "方义与依据", "usage_differences": "用法、疗程与风险差异", "normalization": "规范化记录",
+    "algorithm_version": "算法版本", "dictionary_version": "药材字典版本", "model_version": "模型版本",
+    "prompt_version": "提示词版本", "doctor_count": "医生药项数", "candidate_count": "候选药项数",
+    "matched_count": "共同药项数", "coverage": "模型资料覆盖", "source_summary": "来源汇总",
+    "cutoff_at": "资料截止时间", "generated_at": "报告生成时间", "comment": "复核意见",
+    "match_type": "增减药项", "administration_route": "给药途径", "group": "用药组",
+    "delivered": "已送达", "unreadable": "不可读", "unsupported": "不支持", "parsed": "已解析",
+    "diagnosis_count": "病历数", "prescription_count": "历史处方数", "chat_count": "聊天记录数",
+    "daily_record_count": "日常记录数", "transcript_count": "转写数", "attachment_count": "附件数",
+    "files": "附件处理清单", "source_ids": "已读取来源编号", "source_id": "来源编号", "file_id": "附件编号",
+    "complete": "资料清单完整", "source_complete": "文字来源齐全", "transmitted": "附件已送达", "critical": "关键资料缺口",
+    "baseline_eligible": "独立基线统计资格", "baseline_exclusion_reasons": "基线排除原因", "instructions": "特殊煎服说明",
+    "versions": "版本信息", "strata": "按版本分层", "count": "样本数", "mean": "均值", "median": "中位数",
+    "distribution": "一致度分布", "sample_status": "样本说明",
+}
+STATE_LABELS.update(SYSTEM_LABELS)
+FIELD_LABELS.update(EXTRA_FIELD_LABELS)
+

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

@@ -0,0 +1,135 @@
+"""Honest presentation of server checkpoints, without fabricated totals or ETA."""
+
+from __future__ import annotations
+
+from collections.abc import Mapping
+from dataclasses import dataclass
+from typing import Any
+
+ACTIVE_STATES = {"pending", "preparing", "queued", "waiting", "waiting_sources", "waiting_transcript", "waiting_transcription", "running", "processing", "retrying", "retry_wait"}
+SUCCESS_STATES = {"succeeded", "completed", "success"}
+TERMINAL_STATES = SUCCESS_STATES | {"partial", "failed", "cancelled", "canceled", "blocked", "stale", "superseded", "invalid", "revoked", "deleted", "voided"}
+STAGES = {
+    "preparing": "准备资料", "waiting_sources": "等待转写与资料", "queued": "排队等待处理",
+    "text": "分析文字资料", "files": "分析附件", "reduce": "汇总资料要点",
+    "final": "生成完整报告", "validating": "校验报告", "comparing": "计算用药对照",
+    "completed": "已完成", "retry_wait": "等待重试", "failed": "处理失败", "cancelled": "已取消",
+    "unknown": "等待阶段详情",
+}
+COMPACT_STAGES = {"preparing": "准备资料", "waiting_sources": "等待资料", "queued": "排队中", "text": "文字",
+                  "files": "附件", "reduce": "汇总", "final": "生成报告", "validating": "校验", "comparing": "用药对照",
+                  "completed": "已完成", "retry_wait": "待重试", "failed": "失败", "cancelled": "已取消", "unknown": "处理中"}
+STATUS_STAGE = {"pending": "queued", "waiting": "waiting_sources", "waiting_transcript": "waiting_sources",
+                "waiting_transcription": "waiting_sources", "retrying": "retry_wait",
+                **{state: "completed" for state in SUCCESS_STATES}, "canceled": "cancelled", "partial": "completed", "blocked": "failed"}
+
+
+def _mapping(value: Any) -> dict[str, Any]:
+    return dict(value) if isinstance(value, Mapping) else {}
+
+
+def _integer(value: Any) -> int | None:
+    # Counts/timestamps are integer contract fields, not arbitrary numeric text.
+    return value if isinstance(value, int) and not isinstance(value, bool) and value >= 0 else None
+
+
+def duration(seconds: int) -> str:
+    seconds = max(0, seconds)
+    if seconds < 60:
+        return f"{seconds} 秒"
+    if seconds < 3600:
+        return f"{seconds // 60} 分 {seconds % 60:02d} 秒"
+    return f"{seconds // 3600} 小时 {seconds % 3600 // 60:02d} 分"
+
+
+@dataclass(frozen=True)
+class ProgressView:
+    stage: str
+    headline: str
+    detail: str
+    completed: int | None = None
+    total: int | None = None
+    busy: bool = False
+
+
+def progress_view(owner: Any, *, fallback_status: str = "", seconds: int = 0, live: bool = True) -> ProgressView:
+    data = _mapping(owner)
+    progress = _mapping(data.get("progress"))
+    status = str(data.get("status") or fallback_status)
+    stage = str(progress.get("stage") or STATUS_STAGE.get(status, status))
+    if stage not in STAGES:
+        stage = "unknown"
+    terminal = status in TERMINAL_STATES
+    if terminal:
+        stage = STATUS_STAGE.get(status, status)
+        if stage not in STAGES:
+            stage = "unknown"
+    active = status in ACTIVE_STATES and not terminal and stage not in {"completed", "failed", "cancelled"}
+    advance = max(0, seconds) if active else 0
+    headline = STAGES[stage]
+    if status == "partial":
+        headline = "部分模型已完成"
+    if stage == "unknown":
+        headline = "正在处理，等待阶段详情" if active else "暂无处理进度"
+    completed = _integer(progress.get("completed_units"))
+    total = _integer(progress.get("total_units"))
+    if stage not in {"text", "files", "reduce"} or total is None or not 0 < total <= 1_000_000 or completed is None or completed > total:
+        completed = total = None
+    if total is not None:
+        headline += f" · 本阶段 {completed}/{total} 组"
+
+    details = []
+    attempt = _integer(progress.get("attempt"))
+    if attempt is not None and 0 < attempt <= 1_000_000:
+        details.append(f"第 {attempt} 次尝试")
+    elapsed = _integer(progress.get("elapsed_seconds"))
+    stage_elapsed = _integer(progress.get("stage_elapsed_seconds"))
+    if elapsed is not None:
+        # Retry metadata freezes the previous attempt's duration. Only its
+        # scheduling countdown and update age continue between server polls.
+        details.append("已用时 " + duration(elapsed + (0 if stage == "retry_wait" else advance)))
+    if stage_elapsed is not None and active and stage != "retry_wait":
+        details.append("本阶段 " + duration(stage_elapsed + advance))
+    remaining = _integer(progress.get("wait_remaining_seconds"))
+    if stage in {"preparing", "waiting_sources", "retry_wait"} and remaining is not None and active:
+        remaining = max(0, remaining - advance)
+        details.append("资料等待窗口剩余 " + duration(remaining) if remaining else "等待窗口已到，等待服务端确认")
+        if stage == "retry_wait":
+            details[-1] = "距下次重试 " + duration(remaining) if remaining else "重试时间已到，等待服务端确认"
+    server_time = _integer(progress.get("server_time"))
+    updated_at = _integer(progress.get("updated_at"))
+    if active and server_time is not None and updated_at is not None and updated_at > 0:
+        details.append("阶段更新于 " + duration(max(0, server_time - updated_at) + advance) + "前")
+    if not progress and active:
+        details.append("服务端暂未提供分阶段进度")
+    notice = progress.get("notice")
+    terminal_notice = stage in {"failed", "cancelled"} and progress.get("stage") == stage and progress.get("phase") == "failed"
+    if isinstance(notice, str) and notice.strip() and (not terminal or terminal_notice):
+        details.append(notice.strip())
+    elif stage in {"final", "text", "files", "reduce"} and active:
+        details.append("等待模型响应；耗时取决于资料量与模型服务")
+    return ProgressView(stage, headline, " · ".join(details), completed, total, live and active)
+
+
+def flow_text(batch: Any) -> str:
+    data = _mapping(batch)
+    status = data.get("status")
+    if not data:
+        return "准备资料 → 双模型分析 → 用药对照 → 完成"
+    if data.get("validity") not in (None, "", "current", "valid"):
+        return "此批次已失效 · 以下为最后保存的处理记录"
+    models = [_mapping(_mapping(data.get("models")).get(key)) for key in ("qwen", "openai")]
+    complete = sum(model.get("status") in SUCCESS_STATES for model in models)
+    failed = sum(model.get("status") == "failed" for model in models)
+    stages = [progress_view(model).stage for model in models]
+    batch_stage = progress_view(data).stage
+    if status in {"failed", "cancelled", "canceled", "blocked"}:
+        return f"处理已停止 · {complete}/2 个模型完成" + (f" · {failed} 个模型失败" if failed else "")
+    if batch_stage in {"preparing", "waiting_sources"}:
+        return "准备资料：进行中 → 双模型分析：待开始 → 用药对照：待开始 → 完成：待处理"
+    prepared = "已完成" if any(models) else "待确认"
+    comparisons = sum(model.get("status") in SUCCESS_STATES and bool(model.get("comparison")) for model in models)
+    compare_state = f"{comparisons}/2 已处理" if comparisons else "进行中" if "comparing" in stages else "待处理"
+    analysis = f"{complete}/2 完成" + (f"，{failed} 个失败" if failed else "，进行中" if status not in TERMINAL_STATES else "")
+    end = "已完成" if complete == 2 else "部分完成" if status == "partial" else "待处理"
+    return f"准备资料：{prepared} → 双模型分析：{analysis} → 用药对照：{compare_state} → 完成：{end}"

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

@@ -0,0 +1,210 @@
+"""The analysis console's palette, and the switch between its dark and light themes.
+
+The prescription analysis window has its own theme, separate from the workstation's light chrome:
+tech blue for the interface itself, and two model hues (cyan for 千问, violet for OpenAI) that stay
+apart from the interface colour and from each other. Severity keeps amber and rose, so a reading
+never depends on hue alone.
+
+``CONSOLE`` is the active palette and is mutated in place by :func:`use_theme`, so every module
+that imported it sees the new values. Anything derived from it — a stylesheet string, a colour
+constant — must be rebuilt in a callback registered through :func:`on_theme_changed`.
+
+Key names mirror ``reception_style.TECH_BLUE`` so a widget can take either palette.
+"""
+
+from __future__ import annotations
+
+import ctypes
+import sys
+from collections.abc import Callable
+from typing import Any
+
+from PySide6.QtGui import QFont
+
+DARK: dict[str, str] = {
+    # ground and cards
+    "canvas": "#080D18",
+    "canvas_soft": "#0C1322",
+    "surface": "#0F1726",
+    "surface_2": "#131D2E",
+    "raised": "#1A2637",
+    "line": "#22304A",
+    "line_soft": "#18233A",
+    # type
+    "heading": "#E8EFFB",
+    "text": "#B6C5DA",
+    "muted": "#8195AF",
+    "faint": "#6A7F99",
+    "selected_text": "#E8EFFB",
+    # interface colour
+    "accent": "#2E7BF6",
+    "accent_text": "#6BA5FF",
+    "accent_pressed": "#1A5FD0",
+    "selection": "#142645",
+    "selection_line": "#1B3E77",
+    # model hues
+    "qwen": "#17BFDD",
+    "qwen_text": "#55D8EE",
+    "qwen_dim": "#10303C",
+    "openai": "#9B7BFF",
+    "openai_text": "#B69FFF",
+    "openai_dim": "#241F48",
+    # severity
+    "amber": "#F5B942",
+    "amber_text": "#F8C661",
+    "amber_dim": "#2C2415",
+    "rose": "#F4697A",
+    "rose_text": "#F88694",
+    "rose_dim": "#2C1620",
+    "ok": "#2E7BF6",
+    "zebra": "#0E1626",
+    "grid_line": "#191F2C",
+}
+
+LIGHT: dict[str, str] = {
+    "canvas": "#F1F5FC",
+    "canvas_soft": "#E7EEFA",
+    "surface": "#FFFFFF",
+    "surface_2": "#F5F8FE",
+    "raised": "#E8EFFA",
+    "line": "#D5E1F2",
+    "line_soft": "#E3EBF8",
+    "heading": "#0A182E",
+    "text": "#2A3C56",
+    "muted": "#54697F",
+    "faint": "#7A8DA3",
+    "selected_text": "#0A182E",
+    "accent": "#1A5FD0",
+    "accent_text": "#124DAE",
+    "accent_pressed": "#0E3F90",
+    "selection": "#E8EFFA",
+    "selection_line": "#AEC7EE",
+    "qwen": "#0C89AC",
+    "qwen_text": "#086C88",
+    "qwen_dim": "#E2F5FA",
+    "openai": "#6B4AE0",
+    "openai_text": "#5537C6",
+    "openai_dim": "#EDE8FE",
+    "amber": "#B4791A",
+    "amber_text": "#8F5F0B",
+    "amber_dim": "#FCF2DF",
+    "rose": "#D0435A",
+    "rose_text": "#AE3149",
+    "rose_dim": "#FCE9EC",
+    "ok": "#1A5FD0",
+    "zebra": "#FAFBFE",
+    "grid_line": "#DDE4EE",
+}
+
+CONSOLE: dict[str, str] = dict(DARK)
+_THEME = "dark"
+_LISTENERS: list[Callable[[], None]] = []
+
+
+def current_theme() -> str:
+    return _THEME
+
+
+def on_theme_changed(callback: Callable[[], None]) -> Callable[[], None]:
+    """Register a rebuild for anything derived from the palette; returns the callback."""
+
+    _LISTENERS.append(callback)
+    return callback
+
+
+def use_theme(name: str) -> str:
+    """Switch the active palette in place and let every derived value rebuild itself."""
+
+    global _THEME
+    palette = LIGHT if name == "light" else DARK
+    _THEME = "light" if name == "light" else "dark"
+    CONSOLE.clear()
+    CONSOLE.update(palette)
+    _rebuild()
+    return _THEME
+
+
+def toggle_theme() -> str:
+    return use_theme("light" if _THEME == "dark" else "dark")
+
+
+def _rebuild() -> None:
+    for callback in list(_LISTENERS):
+        callback()
+
+
+MODEL_HUE = {"qwen": CONSOLE["qwen"], "openai": CONSOLE["openai"]}
+MODEL_TEXT = {"qwen": CONSOLE["qwen_text"], "openai": CONSOLE["openai_text"]}
+MODEL_DIM = {"qwen": CONSOLE["qwen_dim"], "openai": CONSOLE["openai_dim"]}
+
+
+@on_theme_changed
+def _rebuild_model_hues() -> None:
+    MODEL_HUE.update({"qwen": CONSOLE["qwen"], "openai": CONSOLE["openai"]})
+    MODEL_TEXT.update({"qwen": CONSOLE["qwen_text"], "openai": CONSOLE["openai_text"]})
+    MODEL_DIM.update({"qwen": CONSOLE["qwen_dim"], "openai": CONSOLE["openai_dim"]})
+
+
+RADIUS = 10
+RADIUS_SM = 7
+
+# The design sets numbers in a condensed face so columns of figures line up; the fallbacks keep
+# the same tabular behaviour when Bahnschrift is missing.
+NUM_FAMILIES = ("Bahnschrift", "Segoe UI", "Microsoft YaHei UI", "Microsoft YaHei")
+
+
+def num_font(size: int, *, weight: QFont.Weight | None = None) -> QFont:
+    """A tabular face for figures, at the pixel size the design states."""
+
+    font = QFont()
+    font.setFamilies(list(NUM_FAMILIES))
+    font.setPixelSize(size)
+    if weight is not None:
+        font.setWeight(weight)
+    font.setStyleStrategy(QFont.StyleStrategy.PreferAntialias)
+    return font
+
+
+# Windows draws the title bar itself, so the console's dark ground stops at the frame unless the
+# window asks DWM for a matching caption. Windows 11 (build 22000+) honours these attributes;
+# anywhere else the call fails and the native bar is left as it is.
+_DWMWA_USE_IMMERSIVE_DARK_MODE = 20
+_DWMWA_BORDER_COLOR = 34
+_DWMWA_CAPTION_COLOR = 35
+_DWMWA_TEXT_COLOR = 36
+
+
+def _colorref(value: str) -> int:
+    """A ``#RRGGBB`` string as the ``0x00BBGGRR`` integer DWM expects."""
+
+    colour = value.lstrip("#")
+    red, green, blue = (int(colour[index:index + 2], 16) for index in (0, 2, 4))
+    return (blue << 16) | (green << 8) | red
+
+
+def apply_window_chrome(widget: Any) -> bool:
+    """Paint the native title bar in the palette that is active right now.
+
+    Returns whether DWM accepted the change, so a caller can tell "not Windows 11" from "done".
+    """
+
+    if sys.platform != "win32":
+        return False
+    handle = int(widget.winId())
+    if not handle:
+        return False
+    try:
+        dwm = ctypes.windll.dwmapi
+    except (AttributeError, OSError):  # pragma: no cover - not Windows
+        return False
+    dark = ctypes.c_int(1 if _THEME == "dark" else 0)
+    caption = ctypes.c_uint(_colorref(CONSOLE["canvas"]))
+    text = ctypes.c_uint(_colorref(CONSOLE["heading"]))
+    border = ctypes.c_uint(_colorref(CONSOLE["line"]))
+    applied = False
+    for attribute, value in ((_DWMWA_USE_IMMERSIVE_DARK_MODE, dark), (_DWMWA_CAPTION_COLOR, caption),
+                             (_DWMWA_TEXT_COLOR, text), (_DWMWA_BORDER_COLOR, border)):
+        result = dwm.DwmSetWindowAttribute(ctypes.c_void_p(handle), ctypes.c_int(attribute),
+                                           ctypes.byref(value), ctypes.sizeof(value))
+        applied = applied or result == 0
+    return applied

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

@@ -20,6 +20,7 @@ from datetime import date
 from pathlib import Path
 from time import monotonic
 from typing import Any
+from uuid import uuid4
 
 from PySide6.QtCore import (
     QBuffer,
@@ -2658,6 +2659,8 @@ class PrescriptionEditorDialog(QDialog):
             else None
         )
         self._source = _mapping(prescription)
+        self._save_fingerprint = ""
+        self._save_request_key = ""
         self._loading_data = False
         self._linked_order_generation = 0
         self._diagnosis_view: _StructuredDiagnosisDialog | None = None
@@ -3786,6 +3789,7 @@ class PrescriptionEditorDialog(QDialog):
             "audit_remark",
             "business_prescription_audit_rejected",
             "business_prescription_audit_remark",
+            "ai_assisted",
         )
         result = {key: self._source.get(key) for key in hidden_keys if key in self._source}
         if self.mode == "add":
@@ -3838,6 +3842,20 @@ class PrescriptionEditorDialog(QDialog):
             result["dosage_amount"] = dosage_amount
         else:
             result.pop("dosage_amount", None)
+        # This editor has no independent-assistance attestation control. Only
+        # retain positive evidence of AI exposure; a seed's false is not a new
+        # doctor-confirmed statement that this submission was unassisted.
+        if result.get("ai_assisted") in (True, 1, "1", "true"):
+            result["ai_assisted"] = True
+        else:
+            result.pop("ai_assisted", None)
+        # A repeated submit of unchanged editor content keeps its idempotency key.
+        # Unknown AI exposure is omitted, rather than falsely asserted as False.
+        fingerprint = json.dumps(result, ensure_ascii=False, sort_keys=True, default=str)
+        if fingerprint != self._save_fingerprint:
+            self._save_fingerprint = fingerprint
+            self._save_request_key = str(uuid4())
+        result["request_key"] = self._save_request_key
         return result
 
     def _herb_validation_label(self, global_index: int) -> str:

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

@@ -36,6 +36,11 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ...core.appointment_modes import (
+    appointment_type_description,
+    appointment_type_value,
+    can_appointment_video,
+)
 from ..appointments_style import appointments_stylesheet
 from ..dialogs import DiagnosisDialog
 from ..dialogs.ai_consult import can_open_ai_consult, present_ai_consult
@@ -312,7 +317,8 @@ def _appointment_info_cell(_value: Any, row: Any) -> str:
     channel = display_text(
         first_value(row, "channel_name", "channel_source_name", "source_name"), "—"
     )
-    return f"{status}  {doctor}\n{date_text} {time_text}\n最近渠道：{channel}"
+    mode = appointment_type_description(appointment_type_value(row))
+    return f"{status}  {doctor}\n{date_text} {time_text} · {mode}\n最近渠道：{channel}"
 
 
 def _revisit_cell(_value: Any, row: Any) -> str:
@@ -1273,7 +1279,16 @@ class AppointmentsPage(QWidget):
                 host,
             )
             date_label.setProperty("tableAppointmentMeta", True)
-            layout.addWidget(date_label)
+            date_row = QHBoxLayout()
+            date_row.setContentsMargins(0, 0, 0, 0)
+            date_row.setSpacing(6)
+            date_row.addWidget(date_label)
+            mode_label = QLabel(appointment_type_description(appointment_type_value(row)), host)
+            mode_label.setObjectName("AppointmentModeLabel")
+            mode_label.setProperty("tableAppointmentMeta", True)
+            date_row.addWidget(mode_label)
+            date_row.addStretch(1)
+            layout.addLayout(date_row)
             channel = display_text(
                 first_value(row, "channel_name", "channel_source_name", "source_name"),
                 "—",
@@ -1310,7 +1325,8 @@ class AppointmentsPage(QWidget):
             layout.setContentsMargins(5, 0, 5, 0)
             layout.setAlignment(Qt.AlignmentFlag.AlignCenter)
 
-            button = QPushButton("IM 问诊", host)
+            is_text = appointment_type_value(row) == "text"
+            button = QPushButton("图文沟通" if is_text else "IM 问诊", host)
             button.setObjectName("AppointmentImConsultButton")
             button.setProperty("appointmentImAction", True)
             patient_name = display_text(first_value(row, "patient_name"), "患者")
@@ -1338,7 +1354,8 @@ class AppointmentsPage(QWidget):
             elif status_error:
                 tooltip = status_error
             else:
-                tooltip = "打开患者 IM，可发送消息并从会话中发起视频"
+                tooltip = ("打开图文问诊，可发送文字、图片和文件；不支持音视频通话"
+                           if is_text else "打开患者 IM，可发送消息；通话能力由本次挂号决定")
             button.setToolTip(tooltip)
             button.clicked.connect(
                 lambda _checked=False, source=row: self._run_video_row_action(
@@ -1427,6 +1444,7 @@ class AppointmentsPage(QWidget):
         self.edit_button.setEnabled(has_row and _diagnosis_id(row) > 0)
         self.qr_button.setEnabled(
             not_completed
+            and can_appointment_video(appointment_type_value(row))
             and _video_patient_id(row) > 0
             and _as_int(first_value(row, "doctor_id", default=0)) > 0
         )
@@ -1450,6 +1468,7 @@ class AppointmentsPage(QWidget):
         self.toolbar_edit_button.setEnabled(has_row and _diagnosis_id(row) > 0)
         self.toolbar_qr_button.setEnabled(
             not_completed
+            and can_appointment_video(appointment_type_value(row))
             and _video_patient_id(row) > 0
             and _as_int(first_value(row, "doctor_id", default=0)) > 0
         )
@@ -1538,6 +1557,7 @@ class AppointmentsPage(QWidget):
             {
                 "source": "appointments",
                 "appointment_id": appointment_id,
+                "appointment_type": appointment_type_value(row),
                 "patient_id": patient_id,
                 "diagnosis_id": diagnosis_id,
                 "patient_name": first_value(row, "patient_name", default="患者"),
@@ -1562,6 +1582,9 @@ class AppointmentsPage(QWidget):
         row = self._current_row()
         if row is None or _status_value(row) == 3:
             return
+        if not can_appointment_video(appointment_type_value(row)):
+            show_toast(self, "本次挂号不支持视频问诊二维码。", "warning")
+            return
         diagnosis_id = _diagnosis_id(row)
         patient_id = _video_patient_id(row)
         doctor_id = _as_int(first_value(row, "doctor_id", default=0))
@@ -2214,7 +2237,7 @@ class AppointmentsPage(QWidget):
                     ("时段", period_text),
                     (
                         "预约类型",
-                        first_value(detail, "appointment_type_desc", "appointment_type_text"),
+                        appointment_type_description(appointment_type_value(detail)),
                     ),
                 ],
             ),

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

@@ -15,6 +15,7 @@ from PySide6.QtGui import QDesktopServices, QPixmap
 from PySide6.QtNetwork import QNetworkAccessManager, QNetworkReply, QNetworkRequest
 from PySide6.QtWidgets import (
     QComboBox,
+    QCompleter,
     QDateEdit,
     QDialog,
     QDialogButtonBox,
@@ -37,6 +38,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ...core.appointment_modes import appointment_type_value, can_appointment_video
 from .. import icons
 from ..consultations_style import consultations_stylesheet
 from ..diagnosis_index_widgets import (
@@ -98,6 +100,31 @@ def _as_int(value: Any, default: int = 0) -> int:
         return default
 
 
+def _department_options(rows: Any) -> list[tuple[int, str]]:
+    """Flatten the server-scoped tree without deriving extra options from profiles."""
+    if not isinstance(rows, (list, tuple)):
+        raise ValueError("部门数据格式异常，请重试")
+    options: list[tuple[int, str]] = []
+    seen: set[int] = set()
+
+    def visit(nodes: Sequence[Any], parents: tuple[str, ...] = ()) -> None:
+        for node in nodes:
+            if not isinstance(node, Mapping):
+                continue
+            label = str(node.get("name") or "").strip()
+            department_id = _as_int(node.get("id"))
+            path = (*parents, label) if label else parents
+            if department_id > 0 and label and department_id not in seen:
+                options.append((department_id, " / ".join(path)))
+                seen.add(department_id)
+            children = node.get("children")
+            if isinstance(children, (list, tuple)):
+                visit(children, path)
+
+    visit(rows)
+    return options
+
+
 def _as_bool(value: Any) -> bool:
     if isinstance(value, str):
         return value.strip().lower() in {"1", "true", "yes", "on"}
@@ -200,7 +227,7 @@ def _appointment_status(record: Any) -> Any:
 
 
 def _appointment_id(record: Any) -> int:
-    value = first_value(record, "appointment_id", default=None)
+    value = first_value(record, "appointment_id", "latest_appointment_id", default=None)
     if value is None:
         value = first_value(get_value(record, "latest_appointment", None), "id", default=None)
     if value is None:
@@ -264,6 +291,7 @@ def _video_payload(record: Any) -> dict[str, Any]:
     return {
         "source": "consultations",
         "appointment_id": _appointment_id(record),
+        "appointment_type": appointment_type_value(record),
         "patient_id": first_value(record, "patient_id", "source_patient_id"),
         "diagnosis_id": first_value(record, "diagnosis_id", "id"),
         "patient_name": first_value(record, "patient_name", default="患者"),
@@ -931,6 +959,9 @@ class ConsultationsPage(QWidget):
         self._generation = 0
         self._count_generation = 0
         self._options_generation = 0
+        self._departments_generation = 0
+        self._departments_loaded = False
+        self._departments_loading = False
         self._prescription_generation = 0
         self._mutation_generation = 0
         self._menu_generation = 0
@@ -1174,13 +1205,19 @@ class ConsultationsPage(QWidget):
         self.confirmed_combo = self.diagnosis_confirmed_combo
         self.department_combo = self._fixed_combo((("全部部门", ""),))
         self.department_combo.setObjectName("DiagnosisDepartmentFilter")
-        department_name = display_text(
-            first_value(current_user, "department_name", "department", "dept_name", default=""),
-            "",
-        )
-        department_id = first_value(current_user, "department_id", "dept_id", default="")
-        if department_name:
-            self.department_combo.addItem(department_name, department_id or department_name)
+        self.department_combo.setEditable(True)
+        self.department_combo.setInsertPolicy(QComboBox.InsertPolicy.NoInsert)
+        self.department_combo.completer().setCompletionMode(QCompleter.CompletionMode.PopupCompletion)
+        self.department_combo.completer().setFilterMode(Qt.MatchFlag.MatchContains)
+        self.department_combo.completer().setCaseSensitivity(Qt.CaseSensitivity.CaseInsensitive)
+        self.department_combo.lineEdit().setPlaceholderText("输入部门名称搜索")
+        self.department_combo.lineEdit().returnPressed.connect(self._search)
+        self.department_retry_button = QToolButton()
+        self.department_retry_button.setObjectName("DiagnosisDepartmentRetry")
+        self.department_retry_button.setText("重试")
+        self.department_retry_button.setAccessibleName("重新加载部门")
+        self.department_retry_button.clicked.connect(lambda: self._load_departments(force=True))
+        self.department_retry_button.hide()
         self.unserved_sort_combo = self._fixed_combo(
             (
                 ("未服务天数默认排序", ""),
@@ -1202,9 +1239,9 @@ class ConsultationsPage(QWidget):
         self.secondary_filter_flow.flow.addWidget(
             self._filter_field("确认诊单：", self.diagnosis_confirmed_combo)
         )
-        self.secondary_filter_flow.flow.addWidget(
-            self._filter_field("部门：", self.department_combo)
-        )
+        department_field = self._filter_field("部门：", self.department_combo)
+        department_field.layout().addWidget(self.department_retry_button)
+        self.secondary_filter_flow.flow.addWidget(department_field)
         self.keyword_edit = QLineEdit(secondary_filters)
         self.keyword_edit.setObjectName("DiagnosisKeyword")
         self.keyword_edit.setPlaceholderText("搜索患者姓名、手机号、病历号")
@@ -1865,6 +1902,15 @@ class ConsultationsPage(QWidget):
         self.refresh()
 
     def _validate_ranges(self) -> bool:
+        if (
+            self.department_combo.isEnabled()
+            and self.department_combo.currentText().strip()
+            and self.department_combo.currentText() != self.department_combo.itemText(
+                self.department_combo.currentIndex()
+            )
+        ):
+            self.banner.show_message("请从部门搜索结果中选择部门，或清空部门筛选。", "warning")
+            return False
         pairs = (
             (
                 self._date_value(self.latest_appointment_start_date),
@@ -1918,7 +1964,11 @@ class ConsultationsPage(QWidget):
             "keyword": self.keyword_edit.text().strip(),
             "patient_name": self.patient_name_edit.text().strip(),
             "doctor_name": self.doctor_edit.text().strip(),
-            "department_id": self._combo_value(self.department_combo),
+            "assistant_dept_id": (
+                self.department_combo.currentData() or ""
+                if self.department_combo.currentText().strip()
+                else ""
+            ),
             "has_appointment": self._combo_value(self.has_appointment_combo),
             "diagnosis_confirmed": self._combo_value(self.diagnosis_confirmed_combo),
             "diagnosis_type": self._combo_value(self.diagnosis_type_combo),
@@ -2130,6 +2180,59 @@ class ConsultationsPage(QWidget):
         }
         self._update_quick_buttons()
 
+    def _load_departments(self, *, force: bool = False) -> None:
+        if not force and (self._departments_loaded or self._departments_loading):
+            return
+        self._departments_generation += 1
+        generation = self._departments_generation
+        self._departments_loading = True
+        self.department_combo.setEnabled(False)
+        self.department_combo.setToolTip("正在加载可选部门…")
+        self.department_retry_button.hide()
+
+        def load() -> list[tuple[int, str]]:
+            # Call directly: invoke() can discard unsupported kwargs, which would
+            # silently remove the permission scope on an older repository.
+            return _department_options(self.repository.list_departments(apply_data_scope=True))
+
+        run_async(
+            load,
+            on_success=lambda options: self._apply_departments(options, generation),
+            on_error=lambda error: self._departments_error(error, generation),
+        )
+
+    def _apply_departments(self, options: list[tuple[int, str]], generation: int) -> None:
+        if generation != self._departments_generation:
+            return
+        current = self.department_combo.currentData()
+        blocked = self.department_combo.blockSignals(True)
+        self.department_combo.clear()
+        self.department_combo.addItem("全部部门" if options else "暂无可选部门", "")
+        for department_id, label in options:
+            self.department_combo.addItem(label, department_id)
+        self.department_combo.setCurrentIndex(max(0, self.department_combo.findData(current)))
+        self.department_combo.blockSignals(blocked)
+        self._departments_loaded = True
+        self._departments_loading = False
+        self.department_combo.setEnabled(bool(options))
+        self.department_combo.setToolTip(
+            "输入部门名称搜索；选择父级包含下级部门" if options else "当前账号暂无可选部门"
+        )
+        self.department_retry_button.setVisible(not options)
+
+    def _departments_error(self, error: Exception, generation: int) -> None:
+        if generation != self._departments_generation:
+            return
+        self._departments_loading = False
+        self._departments_loaded = False
+        self.department_combo.clear()
+        self.department_combo.addItem("部门加载失败", "")
+        self.department_combo.setEnabled(False)
+        message = f"部门加载失败：{friendly_error(error)}。点击重试。"
+        self.department_combo.setToolTip(message)
+        self.department_retry_button.setToolTip(message)
+        self.department_retry_button.show()
+
     def _load_filter_options(self) -> None:
         if self._options_loaded:
             return
@@ -2555,6 +2658,10 @@ class ConsultationsPage(QWidget):
         ).strip()
 
     def _request_video_qr(self) -> None:
+        record = self.table.current_data()
+        if record is not None and not can_appointment_video(appointment_type_value(record)):
+            show_toast(self, "本次挂号不支持视频问诊二维码。", "warning")
+            return
         self._request_qr(
             capability="video_qr",
             permission="tcm.diagnosis/videoQr",
@@ -2949,11 +3056,11 @@ class ConsultationsPage(QWidget):
         self.video_button.setEnabled(
             has_record
             and is_video_available(record)
-            and video_call_is_live(record)
+            and (appointment_type_value(record) == "text" or video_call_is_live(record))
             and valid_ids
         )
         self.call_toolbar_button.setEnabled(self.video_button.isEnabled())
-        self.video_qr_toolbar_button.setEnabled(has_record)
+        self.video_qr_toolbar_button.setEnabled(has_record and can_appointment_video(appointment_type_value(record)))
         self.complete_toolbar_button.setEnabled(has_record)
         self.case_toolbar_button.setEnabled(has_record)
         self.prescription_toolbar_button.setEnabled(has_record and not self._prescription_busy)
@@ -3397,7 +3504,7 @@ class ConsultationsPage(QWidget):
         if record is None or not is_video_available(record):
             self.banner.show_message("仅当前“已预约”的挂号可进入视频问诊。", "warning")
             return
-        if not video_call_is_live(record):
+        if appointment_type_value(record) != "text" and not video_call_is_live(record):
             self.banner.show_message("医生尚未发起视频会话，请等待会话开始。", "warning")
             return
         payload = _video_payload(record)
@@ -3423,6 +3530,7 @@ class ConsultationsPage(QWidget):
 
     def showEvent(self, event: Any) -> None:
         super().showEvent(event)
+        self._load_departments()
         self._load_filter_options()
         if not self.poll_timer.isActive():
             self.poll_timer.start()

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

@@ -43,6 +43,11 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ...core.appointment_modes import (
+    APPOINTMENT_MODES,
+    appointment_type_description,
+    appointment_type_value,
+)
 from .. import icons
 from ..appointment_drawer import AppointmentDrawer
 from ..dialogs import DiagnosisDialog, present_ai_consult, present_order_detail
@@ -499,7 +504,8 @@ class _LegacyAppointmentDialog(QDialog):
         form = QFormLayout()
         form.setVerticalSpacing(10)
         self.appointment_type = QComboBox()
-        self.appointment_type.addItem("视频问诊", "video")
+        for label, value in APPOINTMENT_MODES:
+            self.appointment_type.addItem(label, value)
         form.addRow("预约类型 *", self.appointment_type)
         self.channel_source = QComboBox()
         self.channel_source.addItem("正在加载渠道…", "")
@@ -1372,7 +1378,9 @@ class _PatientInfoDelegate(QStyledItemDelegate):
             date_text, separator, time_text = value.partition(" ")
             if separator and time_text:
                 draw(date_text, top)
-                draw(time_text, bottom)
+                has_appointment = _as_int(first_value(row, "appointment_id", default=0)) > 0
+                mode = appointment_type_description(appointment_type_value(row)) if has_appointment else ""
+                draw(f"{time_text} · {mode}" if mode else time_text, bottom)
             else:
                 draw(value, rect)
         else:
@@ -3005,7 +3013,7 @@ class PatientProgressWorkspace(QWidget):
                     "appointment_time",
                     "预约时间",
                     95,
-                    lambda value, _row: display_text(value)[:5],
+                    lambda value, row: f"{display_text(value)[:5]} · {appointment_type_description(appointment_type_value(row))}",
                 ),
                 TableColumn(
                     "ahead_count",

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

@@ -8,7 +8,7 @@ from html import escape
 from math import ceil
 from typing import Any
 
-from PySide6.QtCore import QDateTime, QModelIndex, QRectF, QSize, Qt
+from PySide6.QtCore import QDateTime, QEvent, QModelIndex, QRectF, QSize, Qt, QTimer
 from PySide6.QtGui import (
     QColor,
     QFont,
@@ -20,6 +20,7 @@ from PySide6.QtGui import (
     QTextOption,
 )
 from PySide6.QtWidgets import (
+    QAbstractItemView,
     QApplication,
     QComboBox,
     QDateTimeEdit,
@@ -33,6 +34,7 @@ from PySide6.QtWidgets import (
     QLineEdit,
     QListWidget,
     QListWidgetItem,
+    QMenu,
     QMessageBox,
     QPushButton,
     QScrollArea,
@@ -48,6 +50,15 @@ from PySide6.QtWidgets import (
 )
 
 from .. import icons, motion
+from ..dialogs.issued_prescription_ai import (
+    PrescriptionAiStatisticsDialog,
+    agreement_text,
+    batch_running,
+    can_open_issued_ai,
+    present_issued_prescription_ai,
+    state_text,
+    status_tooltip,
+)
 from ..dialogs.prescription import (
     AuditPrescriptionDialog,
     DiagnosisDetailDialog,
@@ -434,6 +445,21 @@ def _formula(value: Any) -> str:
     return "辅方" if text in {"2", "aux", "auxiliary", "辅方"} else "主方"
 
 
+def _is_blank_prescription(row: Any) -> bool:
+    if row is None or _truthy(get_value(row, "is_system_auto")):
+        return True
+    raw = getattr(row, "raw", None)
+    source = raw if isinstance(raw, Mapping) and raw else row
+    missing = object()
+    herbs = get_value(source, "herbs", missing)
+    # Compact historical rows may omit herbs; omission is not an empty prescription.
+    if herbs is missing:
+        return False
+    return not isinstance(herbs, (list, tuple)) or not any(
+        str(get_value(herb, "name", "") or "").strip() for herb in herbs
+    )
+
+
 def _order_warnings(row: Any) -> list[str]:
     """Match the PC list's linked-order checks, including blank herb rows."""
 
@@ -563,6 +589,164 @@ def _create_time_cell(value: Any, _row: Any) -> str:
     return format_record_time(raw)
 
 
+class _DoctorOptionDelegate(QStyledItemDelegate):
+    """Draw an explicit checked state independent of native item indicators."""
+
+    def sizeHint(self, option: Any, index: QModelIndex) -> QSize:
+        return QSize(220, 36)
+
+    def paint(self, painter: QPainter, option: Any, index: QModelIndex) -> None:
+        checked = index.data(Qt.ItemDataRole.CheckStateRole) == Qt.CheckState.Checked.value
+        painter.save()
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing)
+        rect = option.rect.adjusted(2, 1, -2, -1)
+        hovered = bool(option.state & QStyle.StateFlag.State_MouseOver)
+        painter.setPen(Qt.PenStyle.NoPen)
+        painter.setBrush(QColor("#EAF2FF" if checked else "#F3F7FD" if hovered else "#FFFFFF"))
+        painter.drawRoundedRect(rect, 5, 5)
+        box = QRectF(rect.left() + 10, rect.center().y() - 8, 16, 16)
+        painter.setPen(QPen(QColor("#1769E8" if checked else "#B8C7DA"), 1))
+        painter.setBrush(QColor("#1769E8" if checked else "#FFFFFF"))
+        painter.drawRoundedRect(box, 3, 3)
+        if checked:
+            pen = QPen(QColor("#FFFFFF"), 2)
+            pen.setCapStyle(Qt.PenCapStyle.RoundCap)
+            painter.setPen(pen)
+            x, y = int(box.x()), int(box.y())
+            painter.drawLine(x + 4, y + 8, x + 7, y + 11)
+            painter.drawLine(x + 7, y + 11, x + 12, y + 5)
+        font = QFont(body_family())
+        font.setPixelSize(13)
+        painter.setFont(font)
+        painter.setPen(QColor("#273244"))
+        text_rect = rect.adjusted(38, 0, -54, 0)
+        label = painter.fontMetrics().elidedText(str(index.data() or ""), Qt.TextElideMode.ElideRight, text_rect.width())
+        painter.drawText(text_rect, Qt.AlignmentFlag.AlignVCenter, label)
+        if checked:
+            painter.setPen(QColor("#1769E8"))
+            painter.drawText(rect.adjusted(0, 0, -12, 0), Qt.AlignmentFlag.AlignRight | Qt.AlignmentFlag.AlignVCenter, "已选")
+        if option.state & QStyle.StateFlag.State_HasFocus:
+            painter.setBrush(Qt.BrushStyle.NoBrush)
+            painter.setPen(QPen(QColor("#ADC8F2"), 1))
+            painter.drawRoundedRect(rect, 5, 5)
+        painter.restore()
+
+    def editorEvent(self, event: Any, model: Any, option: Any, index: QModelIndex) -> bool:
+        # The list handles whole-row toggles, independent of the native checkbox hit area.
+        return False
+
+
+class _DoctorOptionsList(QListWidget):
+    @staticmethod
+    def _toggle(item: QListWidgetItem | None) -> None:
+        if item is not None and item.flags() & Qt.ItemFlag.ItemIsEnabled:
+            item.setCheckState(Qt.CheckState.Unchecked if item.checkState() == Qt.CheckState.Checked
+                               else Qt.CheckState.Checked)
+
+    def mousePressEvent(self, event: Any) -> None:
+        if event.button() == Qt.MouseButton.LeftButton:
+            item = self.itemAt(event.position().toPoint())
+            self.setCurrentItem(item)
+            self._toggle(item)
+            event.accept()
+            return
+        super().mousePressEvent(event)
+
+    def mouseReleaseEvent(self, event: Any) -> None:
+        if event.button() == Qt.MouseButton.LeftButton:
+            event.accept()
+            return
+        super().mouseReleaseEvent(event)
+
+    def keyPressEvent(self, event: Any) -> None:
+        if event.key() == Qt.Key.Key_Space:
+            if not event.isAutoRepeat():
+                self._toggle(self.currentItem())
+            event.accept()
+            return
+        super().keyPressEvent(event)
+
+
+class _DoctorSelectionDialog(QDialog):
+    def __init__(self, options: Mapping[int, str], selected: set[int], parent: QWidget) -> None:
+        super().__init__(parent)
+        self.setObjectName("DoctorSelectionDialog")
+        self.setWindowTitle("选择医生")
+        self.resize(420, 500)
+        self.setStyleSheet("""
+            QDialog#DoctorSelectionDialog { background: #FFFFFF; color: #273244; }
+            QListWidget#DoctorOptionsList { background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 6px; padding: 3px; }
+            QLabel#DoctorSelectionCount { color: #1769E8; font-size: 13px; }
+            QDialog#DoctorSelectionDialog QLineEdit { border: 1px solid #DBE5F2; border-radius: 6px; }
+            QDialog#DoctorSelectionDialog QLineEdit:focus { border-color: #1769E8; }
+            QDialog#DoctorSelectionDialog QPushButton { background: #FFFFFF; color: #273244; border: 1px solid #DBE5F2; border-radius: 6px; }
+            QDialog#DoctorSelectionDialog QPushButton:hover { background: #F3F7FD; border-color: #ADC8F2; }
+            QDialog#DoctorSelectionDialog QPushButton:disabled { color: #8A97A9; }
+            QDialog#DoctorSelectionDialog QPushButton#ConfirmDoctorSelection { background: #1769E8; color: #FFFFFF; border-color: #1769E8; }
+            QDialog#DoctorSelectionDialog QPushButton#ConfirmDoctorSelection:hover { background: #125DCE; border-color: #125DCE; }
+        """)
+        layout = QVBoxLayout(self)
+        layout.setContentsMargins(16, 16, 16, 16)
+        layout.setSpacing(10)
+        self.search = QLineEdit(self)
+        self.search.setObjectName("DoctorOptionSearch")
+        self.search.setPlaceholderText("搜索医生姓名")
+        self.search.setClearButtonEnabled(True)
+        layout.addWidget(self.search)
+        summary = QHBoxLayout()
+        self.count_label = QLabel(self)
+        self.count_label.setObjectName("DoctorSelectionCount")
+        summary.addWidget(self.count_label, 1)
+        self.clear_button = QPushButton("清空选择", self)
+        self.clear_button.clicked.connect(self._clear)
+        summary.addWidget(self.clear_button)
+        layout.addLayout(summary)
+        self.listing = _DoctorOptionsList(self)
+        self.listing.setObjectName("DoctorOptionsList")
+        self.listing.setSelectionMode(QAbstractItemView.SelectionMode.NoSelection)
+        self.listing.setHorizontalScrollBarPolicy(Qt.ScrollBarPolicy.ScrollBarAlwaysOff)
+        self.listing.setMouseTracking(True)
+        self.listing.setItemDelegate(_DoctorOptionDelegate(self.listing))
+        for doctor_id, name in sorted(options.items(), key=lambda item: item[1]):
+            item = QListWidgetItem(name)
+            item.setToolTip(name)
+            item.setData(Qt.ItemDataRole.UserRole, doctor_id)
+            item.setFlags(item.flags() | Qt.ItemFlag.ItemIsUserCheckable)
+            item.setCheckState(Qt.CheckState.Checked if doctor_id in selected else Qt.CheckState.Unchecked)
+            self.listing.addItem(item)
+        layout.addWidget(self.listing, 1)
+        self.buttons = QDialogButtonBox(QDialogButtonBox.StandardButton.Cancel | QDialogButtonBox.StandardButton.Ok, self)
+        self.buttons.button(QDialogButtonBox.StandardButton.Ok).setText("确定")
+        self.buttons.button(QDialogButtonBox.StandardButton.Ok).setObjectName("ConfirmDoctorSelection")
+        self.buttons.button(QDialogButtonBox.StandardButton.Cancel).setText("取消")
+        self.buttons.accepted.connect(self.accept)
+        self.buttons.rejected.connect(self.reject)
+        layout.addWidget(self.buttons)
+        self.listing.itemChanged.connect(self._update_summary)
+        self.search.textChanged.connect(self._filter)
+        self._update_summary()
+
+    def selected_ids(self) -> set[int]:
+        return {_int(self.listing.item(i).data(Qt.ItemDataRole.UserRole))
+                for i in range(self.listing.count())
+                if self.listing.item(i).checkState() == Qt.CheckState.Checked}
+
+    def _update_summary(self, *_args: Any) -> None:
+        count = len(self.selected_ids())
+        self.count_label.setText(f"已选 {count} 位医生")
+        self.clear_button.setEnabled(count > 0)
+
+    def _filter(self, text: str) -> None:
+        query = text.strip().casefold()
+        for i in range(self.listing.count()):
+            item = self.listing.item(i)
+            item.setHidden(query not in item.text().casefold())
+
+    def _clear(self) -> None:
+        for i in range(self.listing.count()):
+            self.listing.item(i).setCheckState(Qt.CheckState.Unchecked)
+
+
 class DoctorMultiSelect(QWidget):
     """Compact checkable doctor selector fed by list rows/extend data."""
 
@@ -592,35 +776,13 @@ class DoctorMultiSelect(QWidget):
         self._update_text()
 
     def _choose(self) -> None:
-        dialog = QDialog(self)
-        dialog.setWindowTitle("选择医生")
-        dialog.resize(360, 430)
-        layout = QVBoxLayout(dialog)
-        listing = QListWidget()
-        for doctor_id, name in sorted(self._options.items(), key=lambda item: item[1]):
-            item = QListWidgetItem(name)
-            item.setData(Qt.ItemDataRole.UserRole, doctor_id)
-            item.setFlags(item.flags() | Qt.ItemFlag.ItemIsUserCheckable)
-            item.setCheckState(
-                Qt.CheckState.Checked if doctor_id in self._selected else Qt.CheckState.Unchecked
-            )
-            listing.addItem(item)
-        layout.addWidget(listing)
-        buttons = QDialogButtonBox(
-            QDialogButtonBox.StandardButton.Cancel | QDialogButtonBox.StandardButton.Ok
-        )
-        buttons.accepted.connect(dialog.accept)
-        buttons.rejected.connect(dialog.reject)
-        layout.addWidget(buttons)
-        if dialog.exec() != QDialog.DialogCode.Accepted:
-            return
-        self._selected = {
-            _int(listing.item(index).data(Qt.ItemDataRole.UserRole))
-            for index in range(listing.count())
-            if listing.item(index).checkState() == Qt.CheckState.Checked
-        }
-        self._selected.discard(0)
+        dialog = _DoctorSelectionDialog(self._options, self._selected, self)
+        try:
+            if dialog.exec() == QDialog.DialogCode.Accepted:
+                self._selected = dialog.selected_ids() - {0}
                 self._update_text()
+        finally:
+            dialog.deleteLater()
 
     def _update_text(self) -> None:
         if not self._selected:
@@ -740,7 +902,7 @@ class _PrescriptionInfoDelegate(QStyledItemDelegate):
             painter.setPen(QColor(foreground))
             painter.drawText(pill, Qt.AlignmentFlag.AlignCenter, label)
         elif column != 2:
-            lines = text.rsplit("  ·  ", 2) if column == 5 else text.rsplit(" ", 1) if column == 10 else [text]
+            lines = text.rsplit("  ·  ", 2) if column == 5 else text.rsplit(" ", 1) if column == 10 else text.splitlines() if column == 12 else [text]
             if len(lines) > 1:
                 primary, secondary = lines[0], " · ".join(lines[1:]) if column == 5 else lines[1]
                 if column == 5:
@@ -843,6 +1005,17 @@ class PrescriptionsPage(QWidget):
         self._diagnosis_detail_generation = 0
         self._diagnosis_detail_target = 0
         self._mutation_pending = False
+        self._ai_statuses: dict[int, dict[str, Any]] = {}
+        self._ai_enabled = False
+        self._ai_request_token = 0
+        self._ai_pending = False
+        self._ai_timer = QTimer(self)
+        self._ai_timer.setInterval(5000)
+        self._ai_timer.timeout.connect(self._load_ai_statuses)
+        self._ai_scroll_timer = QTimer(self)
+        self._ai_scroll_timer.setSingleShot(True)
+        self._ai_scroll_timer.setInterval(180)
+        self._ai_scroll_timer.timeout.connect(self._load_ai_statuses)
 
         outer = QVBoxLayout(self)
         outer.setContentsMargins(28, 16, 26, 8)
@@ -874,6 +1047,10 @@ class PrescriptionsPage(QWidget):
         self.orders_button.setVisible(has_permission(permissions, "tcm.prescriptionOrder/lists"))
         self.orders_button.clicked.connect(lambda: self._open_orders())
         header.add_action(self.orders_button)
+        self.ai_statistics_button = QPushButton("AI 一致度统计", header)
+        self.ai_statistics_button.setVisible(has_permission(permissions, "tcm.prescriptionAi/statistics", default=False) and callable(getattr(repository, "prescription_ai_statistics", None)))
+        self.ai_statistics_button.clicked.connect(self._open_ai_statistics)
+        header.add_action(self.ai_statistics_button)
         self.add_button = QPushButton("新增处方", header)
         self.add_button.setObjectName("PrescriptionAddButton")
         self.add_button.setMinimumWidth(122)
@@ -1020,6 +1197,9 @@ class PrescriptionsPage(QWidget):
         toolbar.addStretch(1)
         self.view_button = self._action_button("查看", "cf.prescription/read", self._view_selected)
         toolbar.addWidget(self.view_button)
+        self.ai_report_button = self._action_button("AI 报告", "tcm.prescriptionAi/reports", self._open_ai_report)
+        self.ai_report_button.hide()
+        toolbar.addWidget(self.ai_report_button)
         self.patch_button = self._action_button(
             "修改患者", "tcm.prescription/patchPatient", self._patch_selected
         )
@@ -1046,6 +1226,14 @@ class PrescriptionsPage(QWidget):
         refresh.clicked.connect(self.refresh)
         toolbar.addWidget(refresh)
         layout.addWidget(toolbar_scroll)
+        self.ai_status_notice = QLabel("AI 分析：正在检查服务状态。", card)
+        self.ai_status_notice.setObjectName("PrescriptionAiStatusNotice")
+        self.ai_status_notice.setProperty("role", "muted")
+        self.ai_status_notice.setTextFormat(Qt.TextFormat.PlainText)
+        self.ai_status_notice.setWordWrap(True)
+        self.ai_status_notice.setMargin(12)
+        self.ai_status_notice.setAccessibleName("AI 分析状态")
+        layout.addWidget(self.ai_status_notice)
         self.stack = QStackedWidget()
         table_host = QWidget()
         table_layout = QVBoxLayout(table_host)
@@ -1064,6 +1252,8 @@ class PrescriptionsPage(QWidget):
                 TableColumn("doctor_name", "医生信息", 180, _doctor_cell),
                 TableColumn("assistant_name", "医助", 125),
                 TableColumn("create_time", "创建时间", 180, _create_time_cell),
+                TableColumn("__ai_status__", "AI 分析", 144, lambda _value, _row: "—"),
+                TableColumn("__ai_agreement__", "与 AI 一致度", 130, lambda _value, _row: "—"),
             ]
         )
         self.table.setObjectName("PrescriptionTable")
@@ -1078,6 +1268,11 @@ class PrescriptionsPage(QWidget):
         self.table.horizontalHeader().moveSection(2, 10)
         for column, width in enumerate((42, 192, 144, 108, 94, 144, 108, 80, 137, 83, 128)):
             self.table.setColumnWidth(column, width)
+        self.table.setColumnHidden(11, True)
+        self.table.setColumnHidden(12, True)
+        self.table.horizontalHeaderItem(12).setToolTip("分别显示千问、OpenAI 的药味与剂量一致度；点击查看逐味贡献。")
+        self.table.horizontalHeader().viewport().installEventFilter(self)
+        self.table.verticalScrollBar().valueChanged.connect(lambda _value: self._schedule_ai_statuses())
         self.table.setWordWrap(False)
         # Rows are not uniform: the number column's delegate grows a row that
         # carries an order warning so the warning text stays readable without a
@@ -1091,6 +1286,9 @@ class PrescriptionsPage(QWidget):
         self.table.horizontalHeaderItem(0).setTextAlignment(Qt.AlignmentFlag.AlignCenter)
         self.table.itemSelectionChanged.connect(self._selection_changed)
         self.table.itemDoubleClicked.connect(lambda _item: self._view_selected())
+        self.table.itemClicked.connect(lambda item: self._open_ai_report() if item.column() in {11, 12} else None)
+        self.table.setContextMenuPolicy(Qt.ContextMenuPolicy.CustomContextMenu)
+        self.table.customContextMenuRequested.connect(self._open_ai_context_menu)
         table_layout.addWidget(self.table, 1)
         self.pager = InfiniteList(self._page_size)
         self.pager.bind(self.table)
@@ -1138,6 +1336,19 @@ class PrescriptionsPage(QWidget):
         if column == 1:
             self.table.resizeRowsToContents()
 
+    def eventFilter(self, watched: Any, event: Any) -> bool:
+        if hasattr(self, "table") and watched is self.table.horizontalHeader().viewport() and event.type() in {QEvent.Type.MouseButtonPress, QEvent.Type.MouseButtonRelease, QEvent.Type.MouseButtonDblClick}:
+            header = self.table.horizontalHeader()
+            position = event.position().toPoint()
+            column = header.logicalIndexAt(position)
+            if column in {11, 12} and event.button() == Qt.MouseButton.LeftButton:
+                relative = position.x() - header.sectionViewportPosition(column)
+                # Keep native column resizing, but never rank mixed-model display
+                # text or treat unavailable values as numeric zero through sorting.
+                if 5 < relative < header.sectionSize(column) - 5:
+                    return True
+        return super().eventFilter(watched, event)
+
     def _action_button(
         self,
         text: str,
@@ -1218,6 +1429,10 @@ class PrescriptionsPage(QWidget):
         self._search()
 
     def refresh(self) -> None:
+        self._ai_timer.stop()
+        self._ai_request_token += 1
+        self._ai_pending = False
+        self._ai_statuses.clear()
         self._loading = True
         self._refresh_pending = False
         self._generation += 1
@@ -1257,6 +1472,7 @@ class PrescriptionsPage(QWidget):
         rows = page_items(result)
         self.table.set_rows(rows)
         self._decorate_rows()
+        self._render_ai_statuses()
         total = page_total(result, len(rows))
         self.pager.update_state(requested_page, total)
         self.count_badge.setText(f"共 {total} 条")
@@ -1279,6 +1495,7 @@ class PrescriptionsPage(QWidget):
         if rows and self.table.currentRow() < 0:
             self.table.selectRow(0)
         self._selection_changed()
+        self._load_ai_statuses()
 
     def _decorate_rows(self) -> None:
         """Apply the reference table's tags, checkbox, avatar, and row actions."""
@@ -1363,6 +1580,14 @@ class PrescriptionsPage(QWidget):
                         actions_host,
                     )
                 )
+            if self._ai_enabled and can_open_issued_ai(self.permissions) and not _is_blank_prescription(row):
+                actions.addWidget(
+                    _row_action_button(
+                        "eye", "AI 报告",
+                        lambda _checked=False, target=row: self._run_row_action(target, self._open_ai_report),
+                        actions_host, label="AI",
+                    )
+                )
             if has_permission(self.permissions, "cf.prescription/edit"):
                 actions.addWidget(
                     _row_action_button(
@@ -1396,6 +1621,178 @@ class PrescriptionsPage(QWidget):
         self._sync_row_mutation_actions()
         self.table.resizeRowsToContents()
 
+    def _visible_ai_ids(self) -> list[int]:
+        if not self.isVisible() or not self.table.isVisible():
+            return []
+        ids = []
+        viewport = self.table.viewport().rect()
+        for index in range(self.table.rowCount()):
+            item = self.table.item(index, 0)
+            # Column 0 may be horizontally off-screen; use row geometry only.
+            top = self.table.rowViewportPosition(index)
+            if item is None or top + self.table.rowHeight(index) <= 0 or top >= viewport.height():
+                continue
+            row = item.data(Qt.ItemDataRole.UserRole)
+            if _is_blank_prescription(row):
+                continue
+            value = _int(first_value(row, "id", "prescription_id"), 0)
+            if value > 0:
+                ids.append(value)
+        return list(dict.fromkeys(ids))[:100]
+
+    def _schedule_ai_statuses(self) -> None:
+        if self.isVisible():
+            self._ai_scroll_timer.start()
+
+    def _load_ai_statuses(self) -> None:
+        only_blank = self.table.rowCount() > 0 and all(
+            _is_blank_prescription(self.table.item(index, 0).data(Qt.ItemDataRole.UserRole))
+            for index in range(self.table.rowCount())
+        )
+        self.ai_status_notice.setVisible(not only_blank)
+        if only_blank:
+            self._ai_timer.stop()
+            self._set_ai_columns(False)
+            return
+        method = getattr(self.repository, "list_prescription_ai_statuses", None)
+        if not has_permission(self.permissions, "tcm.prescriptionAi/statuses", default=False):
+            self.ai_status_notice.setText("AI 分析：当前账号没有查看分析状态的权限，请联系管理员授权。")
+            return
+        if not callable(method):
+            self.ai_status_notice.setText("AI 分析：当前数据模式暂不支持此功能。")
+            return
+        if self._ai_pending:
+            return
+        ids = self._visible_ai_ids()
+        ids = [value for value in ids if value not in self._ai_statuses or batch_running(self._ai_statuses[value])]
+        if not ids:
+            self._ai_timer.stop()
+            if self.table.rowCount() == 0:
+                self.ai_status_notice.setText("AI 分析：当前列表没有处方，暂无可查看的分析结果。")
+            return
+        self._ai_pending = True
+        self._ai_request_token += 1
+        token, generation = self._ai_request_token, self._generation
+        run_async(
+            lambda: method(ids),
+            on_success=lambda result: self._ai_statuses_ready(result, ids, token, generation),
+            on_error=lambda error: self._ai_statuses_error(error, token, generation),
+            on_finished=lambda: self._ai_statuses_finished(token),
+        )
+
+    def _ai_statuses_finished(self, token: int) -> None:
+        if token == self._ai_request_token:
+            self._ai_pending = False
+
+    def _set_ai_columns(self, enabled: bool) -> None:
+        changed = enabled != self._ai_enabled
+        self._ai_enabled = enabled
+        for column in (11, 12):
+            self.table.setColumnHidden(column, not enabled)
+        if enabled:
+            header = self.table.horizontalHeader()
+            header.moveSection(header.visualIndex(11), header.visualIndex(4) + 1)
+            header.moveSection(header.visualIndex(12), header.visualIndex(11) + 1)
+            self.table.setColumnWidth(11, 144)
+            self.table.setColumnWidth(12, 130)
+            self.table.setColumnWidth(2, 178)
+        if changed:
+            self._decorate_rows()
+
+    def _ai_statuses_ready(self, result: Any, ids: list[int], token: int, generation: int) -> None:
+        if token != self._ai_request_token or generation != self._generation or not self.isVisible():
+            return
+        data = _row_mapping(result)
+        self._set_ai_columns(data.get("enabled") is True)
+        if not self._ai_enabled:
+            self._ai_timer.stop()
+            notice = "AI 分析未启用：暂不生成报告或一致度，请联系管理员启用。"
+            if can_open_issued_ai(self.permissions):
+                notice += "已有报告仍可从“AI 报告”查看。"
+            self.ai_status_notice.setText(notice)
+            self.ai_status_notice.setToolTip("")
+            self.ai_report_button.setToolTip("自动分析未启用；仍可查看已保存的历史报告。")
+            return
+        self.ai_status_notice.setText("AI 分析已启用：保存手工处方后自动生成两份报告，并显示药味与剂量一致度。")
+        self.ai_status_notice.setToolTip("")
+        self.ai_report_button.setToolTip("查看两份 AI 报告、候选处方和逐味对照。")
+        for value in ids:
+            self._ai_statuses[value] = {}
+        for batch in data.get("items") or []:
+            value = _int(get_value(batch, "prescription_id"), 0)
+            if value in ids:
+                self._ai_statuses[value] = _row_mapping(batch)
+        self._render_ai_statuses()
+        if any(batch_running(self._ai_statuses.get(value)) for value in self._visible_ai_ids()):
+            self._ai_timer.start()
+        else:
+            self._ai_timer.stop()
+
+    def _render_ai_statuses(self) -> None:
+        sorting = self.table.isSortingEnabled()
+        self.table.setSortingEnabled(False)
+        changed = False
+        try:
+            for index in range(self.table.rowCount()):
+                row = self.table.item(index, 0).data(Qt.ItemDataRole.UserRole)
+                value = _int(first_value(row, "id", "prescription_id"), 0)
+                batch = self._ai_statuses.get(value)
+                blank = _is_blank_prescription(row)
+                if batch is None and not blank:
+                    continue
+                state = "" if blank else (state_text(batch) if batch else "尚无分析记录")
+                agreement = "" if blank else agreement_text(batch)
+                for column, text in ((11, state), (12, agreement)):
+                    item = self.table.item(index, column)
+                    if item.text() != text:
+                        item.setText(text)
+                        changed = True
+                    item.setToolTip("" if blank else status_tooltip(batch))
+                    item.setData(Qt.ItemDataRole.AccessibleTextRole, text)
+            if changed:
+                self.table.resizeRowsToContents()
+        finally:
+            self.table.setSortingEnabled(sorting)
+
+    def _ai_statuses_error(self, error: Exception, token: int, generation: int) -> None:
+        if token == self._ai_request_token and generation == self._generation:
+            self._ai_timer.stop()
+            self._set_ai_columns(False)
+            self.ai_status_notice.setText("AI 分析暂不可用：请稍后刷新；持续无法使用时，请联系管理员检查服务。")
+            self.ai_status_notice.setToolTip(friendly_error(error))
+            self.ai_report_button.setToolTip("AI 状态暂不可用：" + friendly_error(error))
+
+    def _open_ai_report(self) -> None:
+        row = self._selected()
+        if _is_blank_prescription(row):
+            return
+        value = _int(first_value(row, "id", "prescription_id"), 0)
+        if value > 0:
+            present_issued_prescription_ai(self.repository, self.permissions, self, prescription_id=value)
+
+    def _open_ai_context_menu(self, position: Any) -> None:
+        if not can_open_issued_ai(self.permissions) or not callable(getattr(self.repository, "list_prescription_ai_reports", None)):
+            return
+        item = self.table.itemAt(position)
+        if item is None:
+            return
+        self.table.selectRow(item.row())
+        row = self._selected()
+        if _is_blank_prescription(row):
+            return
+        menu = QMenu(self.table)
+        action = menu.addAction("AI 报告 / 逐味对照")
+        action.triggered.connect(lambda: self._run_row_action(row, self._open_ai_report))
+        self._ai_context_menu = menu
+        menu.popup(self.table.viewport().mapToGlobal(position))
+
+    def _open_ai_statistics(self) -> None:
+        if not has_permission(self.permissions, "tcm.prescriptionAi/statistics", default=False):
+            return
+        dialog = PrescriptionAiStatisticsDialog(self.repository, self.permissions, self)
+        dialog.setAttribute(Qt.WidgetAttribute.WA_DeleteOnClose, True)
+        dialog.show()
+
     def _run_row_action(self, row: Any, callback: Callable[[], None]) -> None:
         target_id = _int(first_value(row, "id", "prescription_id", default=None), 0)
         if target_id <= 0:
@@ -1430,6 +1827,13 @@ class PrescriptionsPage(QWidget):
         row = self.table.current_data()
         active = not self._mutation_pending
         self.view_button.setEnabled(active and row is not None)
+        ai_available = (
+            not _is_blank_prescription(row)
+            and can_open_issued_ai(self.permissions)
+            and callable(getattr(self.repository, "list_prescription_ai_reports", None))
+        )
+        self.ai_report_button.setVisible(ai_available)
+        self.ai_report_button.setEnabled(ai_available)
         self.patch_button.setEnabled(active and can_patch_patient(row))
         self.create_order_button.setEnabled(active and can_create_order(row))
         self.edit_button.setEnabled(active and can_edit_or_delete(row))
@@ -1802,6 +2206,15 @@ class PrescriptionsPage(QWidget):
         super().showEvent(event)
         if self.table.rowCount() == 0 and not self._loading:
             self.refresh()
+        elif not self._loading:
+            self._load_ai_statuses()
+
+    def hideEvent(self, event: Any) -> None:
+        self._ai_timer.stop()
+        self._ai_scroll_timer.stop()
+        self._ai_request_token += 1
+        self._ai_pending = False
+        super().hideEvent(event)
 
 
 __all__ = [

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

@@ -73,6 +73,7 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ...core.appointment_modes import appointment_type_description, appointment_type_value
 from .. import icons
 from ..diagnosis_drawer import DailyRecordPanel
 from ..diagnosis_editors import FlowLayout
@@ -7824,6 +7825,7 @@ class ReceptionPage(QWidget):
         meta_parts = [f"{gender} · {display_text(age)}岁", phone]
         if visit_id not in (None, ""):
             meta_parts.append(f"就诊号：{display_text(visit_id)}")
+        meta_parts.append(appointment_type_description(appointment_type_value(appointment)))
         self.patient_meta_label.setText("   |   ".join(meta_parts))
         self.patient_meta_label.setToolTip(" · ".join(condition_parts))
         status_number = (
@@ -7866,15 +7868,7 @@ class ReceptionPage(QWidget):
             display_text(first_value(appointment, "assistant_name"))
         )
         self.appointment_labels["type"].setText(
-            display_text(
-                first_value(
-                    appointment,
-                    "appointment_type_text",
-                    "type_text",
-                    "appointment_type",
-                    "type",
-                )
-            )
+            appointment_type_description(appointment_type_value(appointment))
         )
         self.appointment_labels["channel"].setText(
             display_text(
@@ -8928,6 +8922,12 @@ class ReceptionPage(QWidget):
         self.video_button.setEnabled(
             appointment_id is not None and diagnosis_id is not None and patient_id is not None
         )
+        is_text = appointment_type_value(appointment) == "text"
+        self.video_button.setText("图文沟通" if is_text else "IM 问诊")
+        self.video_button.setToolTip(
+            "发送文字、图片和文件；图文问诊不支持音视频通话" if is_text
+            else "打开患者 IM，会话通话能力由本次挂号决定"
+        )
         self.edit_button.setEnabled(diagnosis_id is not None)
         report_enabled = (
             self._can_ai_report
@@ -9684,6 +9684,7 @@ class ReceptionPage(QWidget):
         payload = {
             "source": "reception",
             "appointment_id": appointment_id,
+            "appointment_type": appointment_type_value(appointment),
             "patient_id": patient_id,
             "diagnosis_id": diagnosis_id,
             "patient_name": first_value(

app/src/doctor_workstation/ui/widgets.py

@@ -127,6 +127,13 @@ def format_record_time(value: Any, default: str = "—") -> str:
     raw = str(value).strip()
     if not raw:
         return default
+    # The API sends 0 for "not set yet" (a snapshot cutoff that has not been frozen, an
+    # unfinished task); rendering it as a bare 0 or as 1970 would read as a real time.
+    try:
+        if float(raw) <= 0:
+            return default
+    except ValueError:
+        pass
     if _UNIX_TIMESTAMP_RE.fullmatch(raw):
         stamp = float(raw)
         if stamp >= 10_000_000_000:

app/src/doctor_workstation/video/launcher.py

@@ -85,6 +85,18 @@ def _normalized_key(key: Any) -> str:
     return "".join(character for character in str(key).lower() if character.isalnum())
 
 
+def _appointment_id(value: Any) -> int:
+    if value is None:
+        return 0
+    try:
+        parsed = int(value)
+    except (TypeError, ValueError) as exc:
+        raise VideoTicketError("appointment_id must be a nonnegative integer") from exc
+    if isinstance(value, bool) or parsed < 0 or str(value) != str(parsed):
+        raise VideoTicketError("appointment_id must be a nonnegative integer")
+    return parsed
+
+
 _FORBIDDEN_SECRET_KEYS = {"sdksecret", "sdksecretkey", "secretkey"}
 
 
@@ -138,7 +150,8 @@ def _ticket_mapping(ticket: Any) -> Mapping[str, Any]:
         if hasattr(ticket, attribute_name)
     }
     if adapted:
-        return adapted
+        # Preserve server policy and identities; model attributes alone omit them.
+        return {**(dict(raw) if isinstance(raw, Mapping) else {}), **adapted}
     raise VideoTicketError("backend ticket must be a mapping or call-ticket object")
 
 
@@ -199,8 +212,15 @@ class VideoCallRequest:
     patient_id: Identifier | None = None
     call_record_id: Identifier | None = None
     backend_mode: BackendMode = BackendMode.EMBEDDED
+    appointment_id: int = 0
+    appointment_type: Any = None
+    appointment_type_desc: str = ""
+    can_video_call: bool = False
+    can_audio_call: bool = False
+    call_disabled_reason: str = ""
 
     def __post_init__(self) -> None:
+        object.__setattr__(self, "appointment_id", _appointment_id(self.appointment_id))
         object.__setattr__(self, "sdk_app_id", _sdk_app_id(self.sdk_app_id))
         object.__setattr__(self, "user_id", _non_empty_string(self.user_id, "userID"))
         object.__setattr__(self, "user_sig", _non_empty_string(self.user_sig, "userSig"))
@@ -257,6 +277,13 @@ class VideoCallRequest:
             "userSig": self.user_sig,
             "targetUserId": self.target_user_id,
             "diagnosisId": self.diagnosis_id,
+            "patientId": self.patient_id,
+            "appointmentId": self.appointment_id,
+            "appointment_type": self.appointment_type,
+            "appointment_type_desc": self.appointment_type_desc,
+            "can_video_call": self.can_video_call is True,
+            "can_audio_call": self.can_audio_call is True,
+            "call_disabled_reason": self.call_disabled_reason,
         }
 
     def safe_log_context(self) -> dict[str, Any]:
@@ -340,6 +367,12 @@ def normalize_backend_ticket(
         diagnosis_id=normalized_diagnosis,
         patient_id=normalized_patient,
         call_record_id=payload_call_record,
+        appointment_id=_appointment_id(payload.get("appointment_id", 0)),
+        appointment_type=payload.get("appointment_type"),
+        appointment_type_desc=str(payload.get("appointment_type_desc") or ""),
+        can_video_call=payload.get("can_video_call") is True,
+        can_audio_call=payload.get("can_audio_call") is True,
+        call_disabled_reason=str(payload.get("call_disabled_reason") or ""),
         backend_mode=BackendMode.parse(backend_mode),
     )
 

app/src/doctor_workstation/video/lifecycle.py

@@ -18,7 +18,7 @@ from dataclasses import dataclass
 from pathlib import Path
 from typing import Any, TypeVar
 
-from .launcher import VideoCallRequest
+from .launcher import VideoCallRequest, normalize_backend_ticket
 
 ResultT = TypeVar("ResultT")
 
@@ -288,7 +288,29 @@ class OrderedCallLifecycle:
         with self._lock:
             return self.bound_room_id or self._claimed_room_id
 
-    def start(self) -> Future[bool]:
+    def refresh_call_policy(self) -> Future[dict[str, Any]]:
+        """Fetch policy for this exact immutable consultation on the worker."""
+        def operation() -> dict[str, Any]:
+            ticket = self.repository.get_call_ticket(
+                patient_id=self.request.patient_id,
+                diagnosis_id=self.request.diagnosis_id,
+                appointment_id=self.request.appointment_id,
+            )
+            refreshed = normalize_backend_ticket(
+                ticket, patient_id=self.request.patient_id,
+                diagnosis_id=self.request.diagnosis_id,
+            )
+            if (refreshed.appointment_id != self.request.appointment_id
+                    or refreshed.target_user_id != self.request.target_user_id
+                    or refreshed.user_id != self.request.user_id
+                    or refreshed.sdk_app_id != self.request.sdk_app_id):
+                raise ValueError("当前问诊已变更，请重新打开聊天窗口")
+            return refreshed.to_web_config()
+        return self._worker.submit("refresh_policy", operation)
+
+    def start(self, *, call_type: int = 2) -> Future[bool]:
+        if type(call_type) is not int or call_type not in (1, 2):
+            raise ValueError("call_type must be 1 or 2")
         with self._lock:
             if self._start_future is not None:
                 return self._start_future
@@ -297,7 +319,8 @@ class OrderedCallLifecycle:
                 raise ValueError("video repository does not implement start_call")
             payload: dict[str, Any] = {
                 "diagnosis_id": self.request.diagnosis_id,
-                "call_type": 2,
+                "call_type": call_type,
+                "appointment_id": self.request.appointment_id,
             }
             if self.request.patient_id is not None:
                 payload["patient_id"] = self.request.patient_id

app/src/doctor_workstation/video/window.py

@@ -279,6 +279,7 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
         call_ended = Signal(str)  # type: ignore[misc]
         call_error = Signal(str)  # type: ignore[misc]
         _start_completed = Signal(bool)  # type: ignore[misc]
+        _policy_completed = Signal(str, object)  # type: ignore[misc]
         _room_completed = Signal(str, bool, str)  # type: ignore[misc]
         _screenshot_completed = Signal(bool, str)  # type: ignore[misc]
         _transcription_completed = Signal(str, str, str, bool, str)  # type: ignore[misc]
@@ -369,6 +370,7 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             self._connect_permissions()
 
             self._start_completed.connect(self._on_lifecycle_started)
+            self._policy_completed.connect(self._on_policy_completed)
             self._room_completed.connect(self._on_room_completed)
             self._screenshot_completed.connect(self._on_screenshot_completed)
             self._transcription_completed.connect(self._on_transcription_completed)
@@ -509,7 +511,10 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
                     QTimer.singleShot(0, self._open_diagnosis_safely)
                 return
             if event == "call-start-request":
-                self._start_call_cycle()
+                self._start_call_cycle(call_type=message.get("callType", 2))
+                return
+            if event == "call-policy-request":
+                self._refresh_call_policy(str(message.get("requestId") or ""))
                 return
             if event == "screenshot":
                 self._save_screenshot(str(message.get("dataUrl") or ""))
@@ -934,16 +939,48 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
                 "本次本地录音未正常结束，文件已保留以便排查。",
             )
 
-        def _start_call_cycle(self) -> None:
-            if self._closing or self._start_requested:
-                return
+        def _prepare_call_cycle(self) -> None:
             if self._call_cycle_closed:
                 self.lifecycle = self._lifecycle_factory()
                 self._lifecycles.append(self.lifecycle)
                 self._call_cycle_closed = False
+
+        def _refresh_call_policy(self, request_id: str) -> None:
+            if not request_id or self._closing or self._shutdown_requested:
+                return
+            self._prepare_call_cycle()
+            def completed(future: Future[dict[str, Any]]) -> None:
+                try:
+                    policy = future.result()
+                except Exception:
+                    policy = {"call_disabled_reason": "无法确认本次挂号通话权限，请重新打开聊天窗口"}
+                with suppress(RuntimeError):
+                    self._policy_completed.emit(request_id, policy)
+            try:
+                self.lifecycle.refresh_call_policy().add_done_callback(completed)
+            except Exception:
+                self._on_policy_completed(request_id, {})
+
+        def _on_policy_completed(self, request_id: str, policy: dict[str, Any]) -> None:
+            if self._closing or self._shutdown_requested or self._released:
+                return
+            # Send policy only; refreshed credentials never enter logs or notices.
+            payload = {key: policy.get(key) for key in (
+                "appointmentId", "appointment_type", "can_video_call", "can_audio_call",
+                "call_disabled_reason", "appointment_type_desc",
+            )}
+            self._page.runJavaScript(
+                "window.doctorConsultation?.callPolicyResult?.("
+                + json.dumps(request_id) + "," + json.dumps(payload, ensure_ascii=True) + ");"
+            )
+
+        def _start_call_cycle(self, *, call_type: int = 2) -> None:
+            if self._closing or self._shutdown_requested or self._start_requested:
+                return
+            self._prepare_call_cycle()
             self._start_requested = True
             try:
-                future = self.lifecycle.start()
+                future = self.lifecycle.start(call_type=call_type)
             except Exception:
                 self._start_requested = False
                 self._on_lifecycle_started(False)
@@ -1149,7 +1186,7 @@ if WEBENGINE_AVAILABLE:  # pragma: no cover - GUI behavior needs an integration
             self._closing = True
             self._media_active = False
             self._shutdown_timer.stop()
-            if self._start_requested and not self._call_cycle_closed:
+            # Also retire policy-only workers for IM sessions without a live call.
             self.lifecycle.end(self._close_reason)
             self._abort_local_audio_recording("")
             self._release_webengine()

app/tests/test_appointment_drawer_visual.py

@@ -278,8 +278,10 @@ def test_field_order_density_and_conditional_channel_row(
     application.processEvents()
 
 
+@pytest.mark.parametrize("mode", ["video", "text"])
 def test_roster_slot_states_conflict_refresh_and_submit_contract(
     application: QApplication,
+    mode: str,
 ) -> None:
     repository = _VisualRepository(today_conflict=True)
     host, drawer = _show_drawer(
@@ -318,6 +320,10 @@ def test_roster_slot_states_conflict_refresh_and_submit_contract(
     assert unavailable.status_label.isVisible()
     assert unavailable.accessibleName() == "10:00-10:30 已约"
     available.click()
+    if mode == "text":
+        drawer.text_appointment_type_radio.click()
+        assert drawer.text_appointment_type_radio.isChecked()
+        assert not drawer.appointment_type_radio.isChecked()
     drawer.channel_source.setCurrentIndex(drawer.channel_source.findData("online"))
     assert drawer.ok_button.isEnabled()
 
@@ -328,7 +334,7 @@ def test_roster_slot_states_conflict_refresh_and_submit_contract(
         "appointment_date": tomorrow,
         "appointment_time": "09:30-10:00",
         "period": "all",
-        "appointment_type": "video",
+        "appointment_type": mode,
         "remark": "",
         "channel_source": "online",
         "channel_source_detail": "",

app/tests/test_appointments_parity_ui.py

@@ -742,7 +742,7 @@ def test_im_entry_does_not_require_a_live_video_hint(
     assert buttons_by_name["与已接通患者进行 IM 问诊"].isEnabled()
     waiting = buttons_by_name["与等待患者进行 IM 问诊"]
     assert waiting.isEnabled()
-    assert waiting.toolTip() == "打开患者 IM，可发送消息并从会话中发起视频"
+    assert waiting.toolTip() == "打开患者 IM，可发送消息；通话能力由本次挂号决定"
     page.close()
     application.processEvents()
 

app/tests/test_consultation_departments.py

@@ -0,0 +1,215 @@
+"""Permission-scoped department loading and diagnosis HTTP filter contracts."""
+
+from __future__ import annotations
+
+import os
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import Signal
+from PySide6.QtWidgets import QApplication, QWidget
+
+from doctor_workstation.core.errors import ApiBusinessError, ApiProtocolError
+from doctor_workstation.services.repository import RemoteDoctorRepository
+from doctor_workstation.ui.pages import consultations as module
+
+TREE = [
+    {"id": 10, "name": "医助部", "children": [
+        {"id": "11", "name": "一组", "children": [
+            {"id": 12, "name": "专病组", "children": []},
+        ]},
+    ]},
+    {"id": 20, "name": "另一部门", "children": []},
+]
+
+
+class Client:
+    def __init__(self, departments: Any = TREE) -> None:
+        self.departments = departments
+        self.calls: list[tuple[str, dict[str, Any]]] = []
+
+    def get(self, endpoint: str, params: dict[str, Any] | None = None) -> Any:
+        self.calls.append((endpoint, dict(params or {})))
+        if endpoint == "dept.dept/all":
+            if isinstance(self.departments, Exception):
+                raise self.departments
+            return self.departments
+        return {"lists": [], "count": 0}
+
+
+class DetailStub(QWidget):
+    saved = Signal()
+
+    def __init__(self, _repository: Any, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.fixture
+def page(application: QApplication, monkeypatch: pytest.MonkeyPatch):
+    monkeypatch.setattr(module, "DiagnosisDialog", DetailStub)
+    # Test only this page's controls; loading a global stylesheet is unrelated.
+    client = Client()
+    result = module.ConsultationsPage(
+        RemoteDoctorRepository(client),
+        current_user={"department_id": 99, "department_name": "个人所属部门"},
+    )
+    yield result, client
+    result.poll_timer.stop()
+    result.close()
+    result.deleteLater()
+    application.processEvents()
+
+
+def immediate(function: Any, *, on_success: Any = None, on_error: Any = None,
+              on_finished: Any = None, **_kwargs: Any) -> None:
+    try:
+        value = function()
+    except Exception as error:
+        if on_error:
+            on_error(error)
+    else:
+        if on_success:
+            on_success(value)
+    finally:
+        if on_finished:
+            on_finished()
+
+
+@pytest.mark.parametrize("payload", [TREE, {"lists": TREE}, {"tree": TREE}, {"data": {"lists": TREE}}])
+def test_repository_scoped_tree_shapes(payload: Any) -> None:
+    client = Client(payload)
+    assert RemoteDoctorRepository(client).list_departments(apply_data_scope=True) == TREE
+    assert client.calls == [("dept.dept/all", {"apply_data_scope": 1})]
+
+
+def test_repository_malformed_is_not_a_permission_empty_result() -> None:
+    with pytest.raises(ApiProtocolError):
+        RemoteDoctorRepository(Client({"unexpected": 1})).list_departments(apply_data_scope=True)
+
+
+def test_repository_maps_legacy_department_key_and_preserves_canonical() -> None:
+    client = Client()
+    repository = RemoteDoctorRepository(client)
+    repository.list_consultations(department_id=12)
+    assert client.calls[-1][1]["assistant_dept_id"] == 12
+    assert "department_id" not in client.calls[-1][1]
+    repository.list_consultations(department_id=12, assistant_dept_id=20)
+    assert client.calls[-1][1]["assistant_dept_id"] == 20
+
+
+def test_nested_options_search_and_selected_id_reach_list_and_counts(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    widget._load_departments()
+    combo = widget.department_combo
+    assert combo.count() == 5
+    assert combo.itemText(3) == "医助部 / 一组 / 专病组"
+    assert combo.findData(99) == -1
+    assert combo.isEditable()
+    combo.completer().setCompletionPrefix("专病")
+    assert combo.completer().completionCount() == 1
+    combo.setCurrentIndex(combo.findData(12))
+    widget._search()
+    calls = [params for endpoint, params in client.calls if endpoint == "tcm.diagnosis/lists"]
+    assert calls
+    assert all(params["assistant_dept_id"] == 12 for params in calls)
+    assert all("department_id" not in params for params in calls)
+    assert calls[-1]["page_size"] == 15
+
+
+def test_unselected_search_text_never_becomes_an_id_or_silently_searches_all(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    widget._load_departments()
+    widget.department_combo.setEditText("不存在的部门")
+    widget._search()
+    assert not any(endpoint == "tcm.diagnosis/lists" for endpoint, _ in client.calls)
+    widget.department_combo.setEditText("")
+    widget._search()
+    assert widget._shared_filters()["assistant_dept_id"] == ""
+
+
+def test_permission_empty_has_no_profile_fallback_and_can_retry(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    client.departments = []
+    widget._load_departments()
+    assert widget.department_combo.count() == 1
+    assert widget.department_combo.currentData() == ""
+    assert widget.department_combo.currentText() == "暂无可选部门"
+    assert not widget.department_combo.isEnabled()
+    assert not widget.department_retry_button.isHidden()
+    client.departments = TREE
+    widget.department_retry_button.click()
+    assert widget.department_combo.isEnabled()
+    assert widget.department_combo.findData(12) > 0
+    assert all(params == {"apply_data_scope": 1} for _, params in client.calls)
+
+
+def test_permission_error_stays_scoped_and_retry_recovers(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    client.departments = ApiBusinessError("无权限访问部门")
+    widget._load_departments()
+    assert not widget._departments_loaded
+    assert not widget._departments_loading
+    assert widget.department_combo.currentText() == "部门加载失败"
+    assert "无权限" in widget.department_combo.toolTip()
+    assert not widget.department_retry_button.isHidden()
+    client.departments = TREE
+    widget.department_retry_button.click()
+    assert widget._departments_loaded
+    assert widget.department_retry_button.isHidden()
+    assert all(params == {"apply_data_scope": 1} for _, params in client.calls)
+
+
+def test_inflight_dedup_and_stale_success_or_failure_cannot_override_selection(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, _client = page
+    jobs: list[dict[str, Any]] = []
+    monkeypatch.setattr(module, "run_async", lambda function, **callbacks: jobs.append(callbacks))
+    widget._load_departments()
+    widget._load_departments()
+    assert len(jobs) == 1
+    widget._load_departments(force=True)
+    assert len(jobs) == 2
+    jobs[1]["on_success"]([(12, "当前部门")])
+    widget.department_combo.setCurrentIndex(1)
+    jobs[0]["on_success"]([(99, "旧部门")])
+    jobs[0]["on_error"](RuntimeError("旧请求失败"))
+    assert widget.department_combo.currentData() == 12
+    assert widget.department_combo.findData(99) == -1
+    assert widget._departments_loaded
+    assert widget.department_combo.isEnabled()
+
+
+def test_refresh_of_options_preserves_selected_id(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, _client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    widget._load_departments()
+    widget.department_combo.setCurrentIndex(widget.department_combo.findData(12))
+    widget._load_departments(force=True)
+    assert widget.department_combo.currentData() == 12
+
+
+def test_legacy_repository_is_not_called_without_scope(page: Any, monkeypatch: pytest.MonkeyPatch) -> None:
+    widget, _client = page
+    monkeypatch.setattr(module, "run_async", immediate)
+    calls: list[bool] = []
+
+    class OldRepository:
+        def list_departments(self):
+            calls.append(True)
+            return TREE
+
+    widget.repository = OldRepository()
+    widget._load_departments()
+    assert calls == []
+    assert not widget._departments_loaded
+    assert not widget.department_retry_button.isHidden()

app/tests/test_diagnosis_loading.py

@@ -0,0 +1,240 @@
+"""Critical-path request counts and late metadata safety, without global Qt styling."""
+
+from __future__ import annotations
+
+import os
+import time
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.core import PermissionSet
+from doctor_workstation.services.repository import RemoteDoctorRepository
+from doctor_workstation.ui.dialogs import diagnosis as module
+
+
+class Client:
+    def __init__(self, delay: float = 0) -> None:
+        self.calls: list[tuple[str, dict[str, Any]]] = []
+        self.delay = delay
+
+    def get(self, endpoint: str, params: dict[str, Any]) -> Any:
+        self.calls.append((endpoint, params))
+        time.sleep(self.delay)
+        if endpoint == "config/dict":
+            return {
+                key: [{"name": "口干", "value": "dry"}, {"name": "口苦", "value": "bitter"}]
+                for key in params["type"].split(",")
+            }
+        if endpoint.endswith("Detail") or endpoint.endswith("/detail"):
+            return {
+                "id": params["id"], "patient_id": params["id"] + 1000,
+                "patient_name": f"Patient {params['id']}", "appetite": ["dry"],
+                "diagnosis_type": "first_visit", "chief_complaint": "Original",
+            }
+        return {"lists": [], "count": 0}
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.fixture
+def queued(monkeypatch: pytest.MonkeyPatch) -> list[dict[str, Any]]:
+    jobs: list[dict[str, Any]] = []
+
+    def enqueue(function: Any, **callbacks: Any) -> object:
+        jobs.append({"function": function, **callbacks})
+        return object()
+
+    monkeypatch.setattr(module, "run_async", enqueue)
+    return jobs
+
+
+def complete(job: dict[str, Any]) -> None:
+    job["on_success"](job["function"]())
+    if job.get("on_finished"):
+        job["on_finished"]()
+
+
+def dialog_for(client: Client) -> module.DiagnosisDialog:
+    return module.DiagnosisDialog(
+        RemoteDoctorRepository(client), permissions=PermissionSet(["*"])
+    )
+
+
+def test_detail_unlocks_before_single_batch_and_preserves_draft(
+    application: QApplication, queued: list[dict[str, Any]]
+) -> None:
+    client = Client()
+    dialog = dialog_for(client)
+    try:
+        dialog.open_for(501, editable=True, seed={"patient_name": "Unverified"})
+        assert dialog.isVisible()
+        assert dialog.drawer_loading.isVisibleTo(dialog)
+        assert dialog.edit_fields["patient_name"].isReadOnly()
+        assert not dialog.save_button.isEnabled()
+        assert len(queued) == 1
+        complete(queued[0])
+        assert client.calls == [("tcm.diagnosis/detail", {"id": 501})]
+        assert dialog._authoritative_detail_loaded
+        assert dialog.save_button.isEnabled()
+        assert not dialog.drawer_loading.isVisibleTo(dialog)
+        assert len(queued) == 2
+        dialog.edit_fields["chief_complaint"].setPlainText("Unsaved draft")
+        dialog.edit_fields["appetite"].setPlainText("bitter")
+        complete(queued[1])
+        assert len(client.calls) == 2
+        assert client.calls[1][0] == "config/dict"
+        assert len(client.calls[1][1]["type"].split(",")) == 16
+        assert dialog.edit_fields["appetite"].toPlainText() == "bitter"
+        assert dialog.edit_fields["chief_complaint"].toPlainText() == "Unsaved draft"
+        assert dialog._loaded_tabs == set()
+        assert not any("getCallRecords" in endpoint for endpoint, _params in client.calls)
+        dialog._ensure_tab_loaded("basic")
+        dialog.refresh_permissions()
+        assert len(queued) == 2
+        assert len(client.calls) == 2
+    finally:
+        dialog.close()
+
+
+@pytest.mark.parametrize("close", [False, True])
+def test_late_detail_and_dictionary_callbacks_cannot_touch_another_opening(
+    application: QApplication, queued: list[dict[str, Any]], close: bool
+) -> None:
+    dialog = dialog_for(Client())
+    try:
+        dialog.open_for(501, editable=True)
+        detail_job = queued[0]
+        complete(detail_job)
+        metadata_job = queued[1]
+        if close:
+            dialog.close()
+        else:
+            dialog.open_for(502, editable=True)
+            complete(queued[2])
+        dialog.edit_fields["chief_complaint"].setPlainText("Keep current draft")
+        before = dialog.edit_fields["patient_name"].toPlainText()
+        complete(detail_job)
+        complete(metadata_job)
+        assert dialog.edit_fields["patient_name"].toPlainText() == before
+        assert dialog.edit_fields["chief_complaint"].toPlainText() == "Keep current draft"
+        if not close:
+            assert before == "Patient 502"
+            assert dialog._patient_id == 1502
+    finally:
+        dialog.close()
+
+
+def test_dictionary_failure_does_not_relock_valid_detail_or_erase_choices(
+    application: QApplication, queued: list[dict[str, Any]]
+) -> None:
+    dialog = dialog_for(Client())
+    try:
+        dialog.open_for(501, editable=True)
+        complete(queued[0])
+        queued[1]["on_error"](RuntimeError("Delayed metadata unavailable"))
+        assert dialog._authoritative_detail_loaded
+        assert dialog.save_button.isEnabled()
+        assert dialog.edit_fields["appetite"].toPlainText() == "dry"
+        assert not dialog.drawer_loading.isVisibleTo(dialog)
+        dialog._retry_current()
+        assert len(queued) == 3
+        complete(queued[2])
+    finally:
+        dialog.close()
+
+
+def test_inactive_basic_tab_defers_dictionary_request_until_selected(
+    application: QApplication, queued: list[dict[str, Any]]
+) -> None:
+    client = Client()
+    dialog = dialog_for(client)
+    try:
+        notes_index = next(
+            i for i in range(dialog.tabs.count()) if dialog.tabs.tabBar().tabData(i) == "notes"
+        )
+        dialog.tabs.setCurrentIndex(notes_index)
+        dialog.open_for(501, editable=True)
+        complete(queued[0])
+        assert dialog._current_tab_key() == "notes"
+        assert dialog._dictionary_requested_generation != dialog._generation
+        assert len(client.calls) == 1
+        # The only secondary request is for the active notes tab, not all tabs.
+        assert len(queued) == 2
+        dialog.tabs.setCurrentIndex(0)
+        assert len(queued) == 3
+        complete(queued[2])
+        assert client.calls[-1][0] == "config/dict"
+        dialog.tabs.setCurrentIndex(notes_index)
+        dialog.tabs.setCurrentIndex(0)
+        assert len(queued) == 3
+    finally:
+        dialog.close()
+
+
+@pytest.mark.parametrize("retry_from_banner", [False, True])
+def test_dictionary_error_survives_other_tab_success_and_retries_correct_request(
+    application: QApplication, queued: list[dict[str, Any]], retry_from_banner: bool,
+) -> None:
+    client = Client()
+    dialog = dialog_for(client)
+    try:
+        dialog.open_for(501, editable=True)
+        complete(queued[0])
+        metadata_job = queued[1]
+        notes_index = next(i for i in range(dialog.tabs.count())
+                           if dialog.tabs.tabBar().tabData(i) == "notes")
+        dialog.tabs.setCurrentIndex(notes_index)
+        notes_job = queued[2]
+        metadata_job["on_error"](RuntimeError("Metadata unavailable"))
+        complete(notes_job)
+        assert dialog.drawer_banner.label.text() == dialog._dictionary_error_message
+        assert dialog.drawer_banner.label.text().startswith("病历选项加载失败")
+        dialog.edit_fields["chief_complaint"].setPlainText("Keep draft across retry")
+        if retry_from_banner:
+            dialog.drawer_banner.action_requested.emit()
+        else:
+            dialog.tabs.setCurrentIndex(0)
+        assert len(queued) == 4
+        complete(queued[3])
+        assert client.calls[-1][0] == "config/dict"
+        assert not dialog._dictionary_error_message
+        assert dialog.edit_fields["chief_complaint"].toPlainText() == "Keep draft across retry"
+        assert dialog._authoritative_detail_loaded
+    finally:
+        dialog.close()
+
+
+def test_controlled_latency_removes_sixteen_round_trips_from_detail_gate(
+    application: QApplication,
+) -> None:
+    client = Client(delay=0.02)
+    dialog = dialog_for(client)
+    try:
+        types = sorted({"diagnosis_type", *(row[0] for row in module._CHOICE_DICTIONARIES.values())})
+        started = time.perf_counter()
+        dialog.repository.get_diagnosis_detail(501)
+        for key in types:
+            dialog.repository.get_dictionary(key)
+        old_time = time.perf_counter() - started
+        old_calls = len(client.calls)
+        client.calls.clear()
+        started = time.perf_counter()
+        detail = dialog._load_bundle(501, "edit")
+        new_time = time.perf_counter() - started
+        assert detail["detail"]["id"] == 501
+        assert len(client.calls) == 1
+        dialog._load_dictionary_choices()
+        assert len(client.calls) == 2
+        assert old_calls == 17
+        assert new_time < old_time / 4
+        print(f"controlled 20 ms RTT: old gate={old_time:.3f}s/17 calls; "
+              f"new gate={new_time:.3f}s/1 call; total new=2 calls")
+    finally:
+        dialog.close()

app/tests/test_diagnosis_media_thumbnail_visual.py

@@ -356,8 +356,11 @@ def test_notes_render_cover_thumbnail_and_keep_safe_open_and_single_delete(
     assert thumb._apply_payload(_png_bytes(192, 96), thumb._generation)
     assert thumb.property("loadState") == "ready"
     assert thumb._rendered_pixmap.size() == QSize(64, 64)
+    previews: list[tuple[list[str], int]] = []
+    timeline.preview_images_requested.connect(lambda sources, index: previews.append((sources, index)))
     thumb.click()
-    assert opened == [tongue_url]
+    assert opened == []
+    assert previews == [([tongue_url], 0)]
 
     remove_buttons = timeline.findChildren(QPushButton, "DiagnosisAttachmentRemove")
     assert len(remove_buttons) == 2

app/tests/test_diagnosis_notes_image_preview.py

@@ -0,0 +1,149 @@
+from __future__ import annotations
+
+import os
+from pathlib import Path
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QBuffer, QCoreApplication, QEvent, QIODevice, QPoint, Qt
+from PySide6.QtGui import QColor, QDesktopServices, QFont, QImage, QPainter
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+from test_diagnosis_drawer_visual import (
+    ActionRepository,
+    _open_dialog,
+    _select_tab,
+)
+from test_diagnosis_drawer_visual import (
+    application as application,
+)
+from test_diagnosis_drawer_visual import (
+    immediate_async as immediate_async,
+)
+from test_diagnosis_media_thumbnail_visual import (
+    _FakeManager,
+    _hold_remote_load,
+    _png_bytes,
+)
+
+from doctor_workstation.ui.diagnosis_drawer import _RemoteImageButton
+from doctor_workstation.ui.diagnosis_media import ImagePreviewDialog
+from doctor_workstation.ui.theme import _register_preferred_cjk_fonts
+
+
+def _synthetic_image() -> bytes:
+    image = QImage(1600, 1200, QImage.Format.Format_ARGB32)
+    image.fill(QColor("#F4E3D8"))
+    painter = QPainter(image)
+    painter.setRenderHint(QPainter.RenderHint.Antialiasing)
+    painter.setPen(Qt.PenStyle.NoPen)
+    painter.setBrush(QColor("#C37B85"))
+    painter.drawEllipse(440, 160, 720, 900)
+    painter.setPen(QColor("#67434A"))
+    painter.setFont(QFont("Arial", 36))
+    painter.drawText(image.rect(), Qt.AlignmentFlag.AlignCenter, "SYNTHETIC TEST IMAGE")
+    painter.end()
+    buffer = QBuffer()
+    assert buffer.open(QIODevice.OpenModeFlag.WriteOnly)
+    assert image.save(buffer, "PNG")
+    return bytes(buffer.data())
+
+
+@pytest.mark.parametrize("mode", ["edit", "readonly"])
+def test_real_note_thumbnail_click_keeps_drawer_and_previews_all_eight_images(
+    application: QApplication, monkeypatch: pytest.MonkeyPatch, mode: str,
+) -> None:
+    """Exercise the wired drawer click, not just the standalone lightbox class."""
+    monkeypatch.setattr(_RemoteImageButton, "load_url", _hold_remote_load)
+    external: list[str] = []
+    monkeypatch.setattr(QDesktopServices, "openUrl", lambda url: external.append(url.toString()) or True)
+    application.setFont(QFont(_register_preferred_cjk_fonts(), 10))
+    payload = _synthetic_image()
+
+    def offline_request(preview: ImagePreviewDialog, target: str) -> None:
+        preview._invalidate_request()
+        preview.apply_payload(payload, preview._generation)
+
+    monkeypatch.setattr(ImagePreviewDialog, "_request", offline_request)
+    dialog = _open_dialog(application, (1440, 900), mode=mode, repository=ActionRepository())
+    urls = [f"https://media.example.invalid/tongue-{index}.jpg" for index in range(8)]
+    if mode == "edit":
+        _select_tab(dialog, "notes")
+    dialog._fill_notes([{"id": 7001, "note_date": "2026-09-08", "content": "合成测试图片", "tongue_images": urls}])
+    QCoreApplication.sendPostedEvents(None, QEvent.Type.DeferredDelete)
+    timeline = dialog.drawer_notes_timeline if mode == "edit" else dialog._notes_timelines[0]
+    application.processEvents()
+    thumbs = timeline.findChildren(_RemoteImageButton, "DiagnosisTongueThumb")
+    assert len(thumbs) == 8
+    for thumb in thumbs:
+        assert thumb._apply_payload(payload, thumb._generation)
+    original_parent = dialog.parentWidget()
+    original_generation = dialog._generation
+    for index in (0, 7, 3):
+        QTest.mouseClick(thumbs[index], Qt.MouseButton.LeftButton, pos=QPoint(24, 32))
+        application.processEvents()
+        assert external == [], "Thumbnail click must not launch the system browser"
+        preview = dialog._image_preview
+        assert isinstance(preview, ImagePreviewDialog)
+        assert preview.isVisible() and preview.parentWidget() is dialog
+        assert dialog.isVisible() and dialog.parentWidget() is original_parent
+        assert dialog._generation == original_generation
+        assert preview.current_source == urls[index]
+        assert preview.sources == urls
+        assert not preview.canvas.pixmap().isNull()
+        fitted_width = preview.canvas.pixmap().width()
+        QTest.mouseClick(preview.zoom_button, Qt.MouseButton.LeftButton)
+        assert preview.canvas.pixmap().width() == 1600 > fitted_width
+        QTest.mouseClick(preview.next_button, Qt.MouseButton.LeftButton)
+        assert preview.current_source == urls[(index + 1) % 8]
+        QTest.mouseClick(preview.previous_button, Qt.MouseButton.LeftButton)
+        assert preview.current_source == urls[index]
+        if mode == "edit" and index == 7:
+            output = Path(__file__).resolve().parents[2] / "artifacts/patient-render-image-fix"
+            output.mkdir(parents=True, exist_ok=True)
+            assert dialog.grab().save(str(output / "notes-eight-thumbnails.png"))
+            QTest.mouseClick(preview.zoom_button, Qt.MouseButton.LeftButton)
+            application.processEvents()
+            assert preview.grab().save(str(output / "notes-image-preview.png"))
+        if index == 3:
+            QTest.keyClick(preview, Qt.Key.Key_Escape)
+        else:
+            QTest.mouseClick(preview.close_button, Qt.MouseButton.LeftButton)
+        application.processEvents()
+        assert dialog.isVisible() and timeline.isVisible()
+        assert dialog._image_preview is None
+        QCoreApplication.sendPostedEvents(None, QEvent.Type.DeferredDelete)
+    assert external == []
+    QTest.mouseClick(thumbs[4], Qt.MouseButton.LeftButton, pos=QPoint(24, 32))
+    preview = dialog._image_preview
+    QTest.mouseClick(preview.external_button, Qt.MouseButton.LeftButton)
+    assert external == [urls[4]]
+    dialog.reject()
+    application.processEvents()
+    assert dialog._image_preview is None
+
+
+@pytest.mark.parametrize("close_with_escape", [False, True])
+def test_preview_close_cancels_pending_response(
+    application: QApplication, monkeypatch: pytest.MonkeyPatch, close_with_escape: bool,
+) -> None:
+    monkeypatch.setattr(ImagePreviewDialog, "_request", lambda self, target: None)
+    preview = ImagePreviewDialog(["https://media.example.invalid/pending.jpg"])
+    manager = _FakeManager(preview)
+    manager.queue(_png_bytes(80, 60))
+    preview._manager = manager
+    monkeypatch.undo()
+    preview.reload_current()
+    reply = manager.replies[-1]
+    generation = preview._generation
+    preview.show()
+    if close_with_escape:
+        QTest.keyClick(preview, Qt.Key.Key_Escape)
+    else:
+        QTest.mouseClick(preview.close_button, Qt.MouseButton.LeftButton)
+    assert reply.aborted
+    assert preview._generation > generation
+    reply.finished.emit()
+    assert preview._pixmap.isNull()
+    application.processEvents()

app/tests/test_diagnosis_table_blue.py

@@ -52,14 +52,14 @@ def test_display_fallback_requires_exact_current_appointment_id(application: QAp
     row = _row()
     before = copy.deepcopy(row)
     assert _blue_appointment_text(row, row["appointments"][0]) == (
-        "陈医生（演示）", "2026-09-05 09:00-09:30",
+        "陈医生（演示）", "2026-09-05 09:00-09:30 · 视频问诊",
     )
     assert _blue_appointment_text(row, row["appointments"][1]) == (
-        "—", "2026-08-06 时间 —",
+        "—", "2026-08-06 时间 — · 视频问诊",
     )
     nested = {"id": row["appointment_id"], "doctor_name": "原医生",
               "appointment_date": "2026-09-07", "time_text": "2026-09-07 11:00-11:30"}
-    assert _blue_appointment_text(row, nested) == ("原医生", "2026-09-07 11:00-11:30")
+    assert _blue_appointment_text(row, nested) == ("原医生", "2026-09-07 11:00-11:30 · 视频问诊")
     assert _blue_appointment_text(row, {}) == ("—", "时间 —")
     for missing_id in (0, "", None):
         assert _blue_appointment_text({**row, "appointment_id": missing_id}, {}) == ("—", "时间 —")
@@ -70,13 +70,13 @@ def test_display_fallback_requires_exact_current_appointment_id(application: QAp
         host.set_rows([row])
     assert "陈医生" not in legacy.model.index(0, 4).data()
     assert blue.model.index(0, 4).data().splitlines() == [
-        "陈医生（演示） · 2026-09-05 09:00-09:30", "— · 2026-08-06 时间 —",
+        "陈医生（演示） · 2026-09-05 09:00-09:30 · 视频问诊", "— · 2026-08-06 时间 — · 视频问诊",
     ]
     assert blue.model.index(0, 9).data() == "—"
     blue.set_rows([{**row, "appointments": [], "appointment_id": None}])
     assert blue.model.index(0, 4).data() == "— · 时间 —"
     blue.set_rows([{**row, "appointments": []}])
-    assert blue.model.index(0, 4).data() == "陈医生（演示） · 2026-09-05 09:00-09:30"
+    assert blue.model.index(0, 4).data() == "陈医生（演示） · 2026-09-05 09:00-09:30 · 视频问诊"
     legacy.close()
     blue.close()
 

app/tests/test_diagnosis_table_fill.py

@@ -0,0 +1,75 @@
+"""Regressions for the blank strip between query results and pinned actions."""
+from __future__ import annotations
+
+import os
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QPoint
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.ui.diagnosis_index_widgets import DiagnosisTableHost
+from doctor_workstation.ui.theme import apply_theme
+
+
+@pytest.fixture(scope="module")
+def application():
+    app = QApplication.instance() or QApplication([])
+    apply_theme(app)
+    return app
+
+
+def settle(app):
+    for _ in range(4):
+        app.processEvents()
+        QTest.qWait(15)
+
+
+def rows(count):
+    return [{"id": i + 1, "patient_name": f"演示患者{i + 1}", "age": 55,
+             "gender": 1, "has_appointment": 0, "diagnosis_confirmed": 1}
+            for i in range(count)]
+
+
+@pytest.mark.parametrize("blue", [True, False])
+def test_filter_results_fill_viewport_through_scrollbar_and_window_changes(application, blue):
+    host = DiagnosisTableHost(tech_blue=blue, action_policy={"view": True, "edit": True})
+    host.resize(1650, 680)
+    host.show()
+    for width, count in ((1650, 70), (1650, 2), (1900, 2), (900, 2),
+                         (1900, 0), (1900, 2), (1366, 80), (1650, 2)):
+        host.resize(width, 680)
+        host.set_rows(rows(count))
+        settle(application)
+        main = host.main
+        viewport = main.viewport()
+        base_width = sum(host.LEFT_WIDTHS)
+        assert main.horizontalHeader().length() == max(base_width, viewport.width())
+        assert all(main.columnWidth(i) >= minimum for i, minimum in enumerate(host.LEFT_WIDTHS))
+        assert main.viewport().height() == host.fixed.viewport().height()
+        assert main.verticalScrollBar().maximum() == host.fixed.verticalScrollBar().maximum()
+        if viewport.width() >= base_width:
+            assert main.horizontalScrollBar().maximum() == 0
+            if count:
+                main.selectRow(1)
+                settle(application)
+                row = main.visualRect(host.model.index(1, 9))
+                point = QPoint(viewport.width() - 4, row.bottom() - 5)
+                # A real data cell, rather than the QTableView's blank background,
+                # must occupy the entire strip leading into the pinned actions.
+                assert main.indexAt(point).row() == 1
+                assert main.indexAt(point).column() == 9
+                if blue:
+                    capture = viewport.grab()
+                    scale = capture.devicePixelRatio()
+                    pixel = QPoint(round(point.x() * scale), round(point.y() * scale))
+                    assert capture.toImage().pixelColor(pixel).name() == "#eaf2ff"
+        else:
+            assert main.horizontalScrollBar().maximum() > 0
+            main.horizontalScrollBar().setValue(main.horizontalScrollBar().maximum())
+            settle(application)
+            assert main.visualRect(host.model.index(0, 9)).right() < viewport.width()
+    host.close()
+    host.deleteLater()

app/tests/test_doctor_selection.py

@@ -0,0 +1,102 @@
+"""Doctor choices remain explicit and transactional across mouse/search/keyboard use."""
+import os
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QPoint, Qt, QTimer
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.ui.pages.prescriptions import DoctorMultiSelect, _DoctorSelectionDialog
+from doctor_workstation.ui.theme import apply_theme
+
+
+@pytest.fixture(scope="module")
+def application():
+    app = QApplication.instance() or QApplication([])
+    apply_theme(app)
+    return app
+
+
+@pytest.fixture
+def dialog(application):
+    parent = DoctorMultiSelect()
+    widget = _DoctorSelectionDialog({1: "医生甲", 2: "医生乙", 3: "医生丙"}, {1}, parent)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+    parent.deleteLater()
+    application.processEvents()
+
+
+def item_for(dialog, doctor_id):
+    return next(dialog.listing.item(i) for i in range(dialog.listing.count())
+                if dialog.listing.item(i).data(Qt.ItemDataRole.UserRole) == doctor_id)
+
+
+def test_row_and_checkbox_toggle_once_and_keyboard(dialog, application):
+    item = item_for(dialog, 2)
+    rect = dialog.listing.visualItemRect(item)
+    QTest.mouseClick(dialog.listing.viewport(), Qt.MouseButton.LeftButton, pos=rect.center())
+    assert dialog.selected_ids() == {1, 2}
+    assert dialog.count_label.text() == "已选 2 位医生"
+    QTest.mouseClick(dialog.listing.viewport(), Qt.MouseButton.LeftButton,
+                     pos=QPoint(rect.left() + 20, rect.center().y()))
+    assert dialog.selected_ids() == {1}
+    dialog.listing.setCurrentItem(item)
+    dialog.listing.setFocus()
+    QTest.keyClick(dialog.listing, Qt.Key.Key_Space)
+    assert dialog.selected_ids() == {1, 2}
+    QTest.keyClick(dialog.listing, Qt.Key.Key_Space)
+    assert dialog.selected_ids() == {1}
+
+
+def test_filter_preserves_checks_and_clear_includes_hidden(dialog):
+    dialog.search.setText("乙")
+    assert item_for(dialog, 1).isHidden()
+    assert not item_for(dialog, 2).isHidden()
+    assert dialog.selected_ids() == {1}
+    dialog.clear_button.click()
+    assert dialog.selected_ids() == set()
+    assert not dialog.clear_button.isEnabled()
+    dialog.search.clear()
+    assert not item_for(dialog, 1).isHidden()
+
+
+def test_checked_row_blue_and_unchecked_white(dialog, application):
+    application.processEvents()
+    image = dialog.listing.viewport().grab().toImage()
+    scale = image.devicePixelRatio()
+    colors = []
+    for doctor_id in (1, 2):
+        rect = dialog.listing.visualItemRect(item_for(dialog, doctor_id))
+        colors.append(image.pixelColor(int((rect.right() - 70) * scale),
+                                       int(rect.center().y() * scale)).name())
+    assert colors == ["#eaf2ff", "#ffffff"]
+
+
+def test_accept_commits_cancel_preserves_and_reopen_restores(application):
+    selector = DoctorMultiSelect()
+    selector.update_options([{"id": 1, "name": "医生甲"}, {"id": 2, "name": "医生乙"}])
+    seen = []
+
+    def choose(accept):
+        modal = application.activeModalWidget()
+        seen.append(modal.selected_ids())
+        item_for(modal, 2).setCheckState(Qt.CheckState.Checked)
+        modal.accept() if accept else modal.reject()
+
+    QTimer.singleShot(0, lambda: choose(False))
+    selector._choose()
+    assert selector.values() == []
+    QTimer.singleShot(0, lambda: choose(True))
+    selector._choose()
+    assert selector.values() == [2]
+    assert selector.button.text() == "医生乙"
+    QTimer.singleShot(0, lambda: choose(False))
+    selector._choose()
+    assert seen == [set(), set(), {2}]
+    assert selector.values() == [2]
+    selector.deleteLater()

app/tests/test_issued_prescription_ai_comparison.py

@@ -0,0 +1,399 @@
+"""Offline rendering and data-integrity checks for the prescription workspace."""
+
+from __future__ import annotations
+
+import os
+import socket
+from copy import deepcopy
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QEvent, QObject, Qt
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication, QVBoxLayout, QWidget
+
+from doctor_workstation.ui.dialogs.issued_prescription_ai_comparison import (
+    PrescriptionComparisonPanel,
+)
+
+
+def saved_row(name: str = "黄芪", *, doctor: Any = 30, candidate: Any = 15, unit: str = "g", basis: str = "per_dose", formula: str = "主方", processing: str = "生品") -> dict[str, Any]:
+    identity = {"name": name, "processing": processing, "formula_type": formula, "administration_route": "口服", "group": "", "unit": unit, "dose_basis": basis}
+    return {**identity, "key": "a1b2c3d4" * 8, "doctor": {**identity, "dosage": doctor}, "candidate": {**identity, "dosage": candidate}, "doctor_dosage": doctor, "candidate_dosage": candidate, "match_type": "matched"}
+
+
+def saved_batch(rows: list[dict[str, Any]] | None = None) -> dict[str, Any]:
+    rows = rows if rows is not None else [saved_row(), saved_row("白术", doctor=9, candidate=12)]
+    herbs = []
+    for row in rows:
+        if row.get("candidate"):
+            original = deepcopy(row["candidate"])
+            original.pop("source_rows", None)
+            row["candidate"].setdefault("source_rows", [len(herbs)])
+            herbs.append(original)
+    candidate = {"status": "available_for_review", "prescription_name": "补中益气汤加减", "herbs": herbs, "usage_instruction": "水煎温服", "times_per_day": 2, "usage_days": 7}
+    qwen = {"status": "succeeded", "candidate": candidate, "comparison": {"status": "comparable", "score": 68.5, "herb_score": 100, "rows": rows}}
+    openai = deepcopy(qwen)
+    openai["candidate"]["prescription_name"] = "益气健脾方"
+    return {"id": 44, "validity": "current", "status": "completed", "models": {"qwen": qwen, "openai": openai}}
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.fixture(autouse=True)
+def no_network(monkeypatch: pytest.MonkeyPatch) -> None:
+    def denied(*_args: Any, **_kwargs: Any) -> None:
+        pytest.fail("The comparison panel must never contact external systems")
+    monkeypatch.setattr(socket.socket, "connect", denied)
+    monkeypatch.setattr(socket.socket, "connect_ex", denied)
+    monkeypatch.setattr(socket, "create_connection", denied)
+
+
+@pytest.fixture
+def panel(application: QApplication):
+    host = QWidget()
+    host.resize(1120, 400)
+    layout = QVBoxLayout(host)
+    layout.setContentsMargins(0, 0, 0, 0)
+    widget = PrescriptionComparisonPanel(host)
+    layout.addWidget(widget)
+    host.show()
+    application.processEvents()
+    yield widget
+    host.close()
+    host.deleteLater()
+    application.processEvents()
+
+
+def test_saved_snapshot_is_readable_and_model_switch_is_explicit(panel: PrescriptionComparisonPanel, application: QApplication) -> None:
+    data = saved_batch()
+    before = deepcopy(data)
+    panel.set_batch(data)
+    application.processEvents()
+    assert data == before
+    assert panel.selected_model == "qwen"
+    assert panel.model_buttons["qwen"].isChecked()
+    assert panel.name_label.text() == "补中益气汤加减"
+    assert panel.herb_table.rowCount() == 2
+    assert panel.herb_table.item(0, 1).text() == "30 克 / 每剂"
+    assert panel.herb_table.item(0, 2).text() == "15 克 / 每剂"
+    assert "主方" in panel.herb_table.item(0, 0).text()
+    assert "a1b2c3d4" not in panel.chart.accessibleDescription()
+    assert "药味剂量一致度" not in panel.chart.accessibleDescription()
+    assert "水煎温服" in panel.usage_label.text()
+    assert panel.chart.bars_enabled
+    assert panel.chart.groups[0][0] == ("克", "每剂")
+    panel.model_buttons["openai"].click()
+    assert panel.selected_model == "openai"
+    assert panel.name_label.text() == "益气健脾方"
+    assert panel.herb_table.horizontalHeaderItem(2).text() == "OpenAI剂量"
+    assert panel.chart.model_key == "openai"
+
+
+@pytest.mark.parametrize("candidate_key", ["candidate_dose", "candidate_dosage", "ai_dose"])
+def test_legacy_flat_doses_remain_supported(panel: PrescriptionComparisonPanel, candidate_key: str) -> None:
+    data = saved_batch()
+    data["models"]["qwen"]["comparison"]["rows"] = [{"name": "黄芪", "doctor_dose": 0, candidate_key: "12.50", "unit": "g", "dose_basis": "每剂", "formula_type": "主方"}]
+    panel.set_batch(data)
+    assert panel.herb_table.item(0, 1).text() == "0 克 / 每剂"
+    assert panel.herb_table.item(0, 2).text() == "12.50 克 / 每剂"
+    assert panel.chart.rows[0].doctor.number == 0
+
+
+def test_absent_historical_doctor_is_never_replaced_with_current_prescription(panel: PrescriptionComparisonPanel) -> None:
+    data = saved_batch()
+    data["models"]["qwen"]["comparison"]["rows"] = []
+    data["prescription"] = {"herbs": [{"name": "黄芪", "dosage": 99, "unit": "g", "dose_basis": "per_dose"}]}
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 2
+    assert panel.herb_table.item(0, 1).text() == "—"
+    assert panel.herb_table.item(0, 2).text() == "15 克 / 每剂"
+    assert not panel.chart.bars_enabled
+    assert "历史处方" in panel.status_label.text()
+    assert "99" not in panel.chart.accessibleDescription()
+
+
+@pytest.mark.parametrize("rows", [None, {}, "unavailable"])
+def test_malformed_comparison_keeps_candidate_list_without_claiming_a_snapshot(panel: PrescriptionComparisonPanel, rows: Any) -> None:
+    data = saved_batch()
+    data["models"]["qwen"]["comparison"]["rows"] = rows
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 2
+    assert panel.herb_table.item(0, 1).text() == "—"
+    assert not panel.chart.bars_enabled
+
+
+def test_explicit_missing_snapshot_and_nested_unknown_unit_override_flat_values(panel: PrescriptionComparisonPanel) -> None:
+    row = saved_row()
+    row["doctor"] = None
+    row["candidate"]["unit"] = None
+    panel.set_batch(saved_batch([row]))
+    assert panel.herb_table.item(0, 1).text() == "—"
+    assert "单位未注明" in panel.herb_table.item(0, 2).text()
+    assert panel.chart.groups[0][0] is None
+    assert "未明确" in panel.chart.accessibleDescription()
+
+
+def test_incomparable_report_retains_original_doses_without_bars(panel: PrescriptionComparisonPanel) -> None:
+    data = saved_batch()
+    data["models"]["qwen"]["comparison"].update(status="not_comparable", score=99, reason="dose_basis_mismatch")
+    panel.set_batch(data)
+    assert "剂量基准不同" in panel.status_label.text()
+    assert not panel.chart.bars_enabled
+    assert panel.herb_table.item(0, 1).text() == "30 克 / 每剂"
+    assert all(scale is None for scale, _rows, _maximum in panel.chart.groups)
+    assert "99" not in panel.chart.accessibleDescription()
+
+
+def test_units_and_bases_have_independent_scales_and_mismatched_rows_are_excluded(panel: PrescriptionComparisonPanel) -> None:
+    rows = [saved_row("黄芪"), saved_row("白术", unit="mg", doctor=1000), saved_row("茯苓", basis="per_day", doctor=60), saved_row("甘草")]
+    rows[-1]["candidate"]["dose_basis"] = "per_day"
+    panel.set_batch(saved_batch(rows))
+    assert [scale for scale, _members, _maximum in panel.chart.groups] == [("克", "每剂"), ("毫克", "每剂"), ("克", "每日"), None]
+    assert panel.chart.groups[0][2] == 30
+    assert panel.chart.groups[1][2] == 1000
+    assert "单位或剂量基准不同" in panel.chart.accessibleDescription()
+    assert "每日" in panel.herb_table.item(3, 2).text()
+
+
+def test_main_auxiliary_and_processing_rows_never_merge(panel: PrescriptionComparisonPanel) -> None:
+    rows = [saved_row("甘草", formula="主方"), saved_row("甘草", formula="辅方"), saved_row("甘草", processing="炙品")]
+    rows[2]["candidate"]["processing"] = "生品"
+    panel.set_batch(saved_batch(rows))
+    assert panel.herb_table.rowCount() == 3
+    assert "主方" in panel.herb_table.item(0, 0).text()
+    assert "辅方" in panel.herb_table.item(1, 0).text()
+    assert panel.chart.rows[2].scale is None
+    assert "炮制" in panel.chart.accessibleDescription()
+
+
+@pytest.mark.parametrize("skipped_index", [0, 1])
+def test_zero_based_trace_preserves_candidate_herbs_skipped_during_normalization(panel: PrescriptionComparisonPanel, skipped_index: int) -> None:
+    normalized = saved_row("黄芪")
+    normalized["candidate"]["source_rows"] = [1 - skipped_index]
+    data = saved_batch([normalized])
+    original = deepcopy(data["models"]["qwen"]["candidate"]["herbs"][0])
+    excluded = {**original, "name": "黄芪", "processing": "炮制待核对", "dosage": 8, "instructions": "先煎 30 分钟"}
+    herbs = [original]
+    herbs.insert(skipped_index, excluded)
+    data["models"]["qwen"]["candidate"]["herbs"] = herbs
+    # Even a contradictory comparable status must not grant the omitted raw herb a bar.
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 2
+    assert panel.herb_table.item(0, 2).text() == "15 克 / 每剂"
+    assert "未纳入对比" in panel.herb_table.item(1, 0).text()
+    assert "炮制待核对" in panel.herb_table.item(1, 0).text()
+    assert panel.herb_table.item(1, 1).text() == "—"
+    assert panel.herb_table.item(1, 2).text() == "8 克 / 每剂"
+    assert panel.chart.rows[1].scale is None
+    assert "先煎 30 分钟" in panel.chart.accessibleDescription()
+    assert "原方 2 项" in panel.count_label.text() and "未纳入 1 项" in panel.count_label.text()
+
+
+def test_merged_source_rows_cover_each_original_once_and_keep_original_doses(panel: PrescriptionComparisonPanel) -> None:
+    merged = saved_row("黄芪", candidate=10)
+    merged["candidate"]["source_rows"] = [0, 1]
+    data = saved_batch([merged])
+    original = data["models"]["qwen"]["candidate"]["herbs"][0]
+    data["models"]["qwen"]["candidate"]["herbs"] = [{**original, "name": "北芪", "dosage": 4}, {**original, "dosage": 6}, {**original, "name": "未识别药材", "dosage": 5}]
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 2
+    assert panel.herb_table.item(0, 2).text() == "10 克 / 每剂"
+    tooltip = panel.herb_table.item(0, 0).toolTip()
+    assert "第 1 项 北芪 4 克 / 每剂" in tooltip
+    assert "第 2 项 黄芪 6 克 / 每剂" in tooltip
+    assert "未识别药材" in panel.herb_table.item(1, 0).text()
+    assert "未纳入对比" in panel.herb_table.item(1, 0).text()
+    assert "原方 3 项" in panel.count_label.text() and "对比 1 项" in panel.count_label.text()
+    panel.search.setText("北芪")
+    assert panel.herb_table.rowCount() == 1
+    assert "黄芪" in panel.herb_table.item(0, 0).text()
+
+
+def test_legacy_missing_trace_retains_full_original_separately_without_name_matching(panel: PrescriptionComparisonPanel) -> None:
+    data = saved_batch([saved_row("黄芪")])
+    model = data["models"]["qwen"]
+    del model["comparison"]["rows"][0]["candidate"]["source_rows"]
+    original = model["candidate"]["herbs"][0]
+    model["candidate"]["herbs"] = [{**original, "dosage": 4}, {**original, "name": "炮制待核对药材", "dosage": 6}]
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 3
+    assert panel.herb_table.item(0, 2).text() == "15 克 / 每剂"
+    for index, dose in ((1, "4 克 / 每剂"), (2, "6 克 / 每剂")):
+        assert "原方附列" in panel.herb_table.item(index, 0).text()
+        assert panel.herb_table.item(index, 1).text() == "—"
+        assert panel.herb_table.item(index, 2).text() == dose
+        assert panel.chart.rows[index].scale is None
+    assert "对应关系未保存" in panel.status_label.text()
+    assert "原方附列 2 项" in panel.count_label.text()
+
+
+@pytest.mark.parametrize("trace", [[True], [1], [-1], ["0"], []])
+def test_invalid_source_trace_never_hides_an_original_herb(panel: PrescriptionComparisonPanel, trace: list[Any]) -> None:
+    data = saved_batch([saved_row("黄芪")])
+    data["models"]["qwen"]["comparison"]["rows"][0]["candidate"]["source_rows"] = trace
+    panel.set_batch(data)
+    assert panel.herb_table.rowCount() == 2
+    assert "原方附列" in panel.herb_table.item(1, 0).text()
+    assert panel.chart.rows[1].scale is None
+
+
+def test_real_normalized_usage_keeps_all_special_instructions_visible_and_accessible(panel: PrescriptionComparisonPanel) -> None:
+    row = saved_row("石膏")
+    row["doctor"]["usage"] = {"decoction_instruction": "先煎 30 分钟", "special_usage": "布包煎", "usage_time": "饭后", "usage_way": "温服"}
+    row["candidate"]["instructions"] = "后下 5 分钟"
+    row["candidate"]["usage"] = {"instructions": "后下 5 分钟", "decoction_instruction": "另煎", "special_usage": "分次兑服", "usage_instruction": "服前摇匀", "usage_time": "睡前", "usage_way": "温服"}
+    panel.set_batch(saved_batch([row]))
+    name_item = panel.herb_table.item(0, 0)
+    for instruction in ("先煎 30 分钟", "布包煎", "饭后", "温服", "后下 5 分钟", "另煎", "分次兑服", "服前摇匀", "睡前"):
+        assert instruction in name_item.toolTip()
+        assert instruction in name_item.data(Qt.ItemDataRole.AccessibleDescriptionRole)
+        assert instruction in panel.chart.accessibleDescription()
+    assert "先煎 30 分钟" in name_item.text() and "后下 5 分钟" in name_item.text()
+    assert panel.chart.rows[0].candidate.instructions.count("后下 5 分钟") == 1
+    assert panel.herb_table.rowHeight(0) >= panel.herb_table.fontMetrics().height() * 3 + 12
+
+
+def test_clicking_a_table_row_scrolls_to_its_chart_group(panel: PrescriptionComparisonPanel, application: QApplication) -> None:
+    rows = [saved_row(f"药材{index}", unit="g" if index % 2 == 0 else "mg") for index in range(20)]
+    panel.set_batch(saved_batch(rows))
+    application.processEvents()
+    item = panel.herb_table.item(11, 0)
+    panel.herb_table.scrollToItem(item)
+    application.processEvents()
+    panel.chart_scroll.verticalScrollBar().setValue(0)
+    QTest.mouseClick(panel.herb_table.viewport(), Qt.MouseButton.LeftButton, pos=panel.herb_table.visualItemRect(item).center())
+    application.processEvents()
+    assert panel.herb_table.currentRow() == 11
+    # Ten gram rows precede the milligram group; the clicked row is its sixth member.
+    expected_y = 8 + panel.chart.GROUP_HEIGHT * 2 + panel.chart.ROW_HEIGHT * 15
+    assert panel.chart_scroll.verticalScrollBar().value() == expected_y
+
+
+@pytest.mark.parametrize("field", ["processing", "formula_type", "administration_route", "group"])
+def test_unrecognized_identity_values_do_not_become_equal_after_localization(panel: PrescriptionComparisonPanel, field: str) -> None:
+    row = saved_row()
+    row["doctor"][field] = "unknown_first"
+    row["candidate"][field] = "unknown_second"
+    panel.set_batch(saved_batch([row]))
+    assert panel.chart.rows[0].scale is None
+    assert "unknown_first" not in panel.chart.accessibleDescription()
+
+
+@pytest.mark.parametrize("value", [None, "适量", -3, float("nan"), float("inf"), True])
+def test_invalid_or_missing_doses_never_produce_numeric_bars(panel: PrescriptionComparisonPanel, application: QApplication, value: Any) -> None:
+    panel.set_batch(saved_batch([saved_row(doctor=value)]))
+    assert panel.chart.rows[0].doctor.number is None
+    assert panel.chart.groups[0][2] == 15
+    application.processEvents()
+    assert not panel.chart.grab().isNull()
+    if value is None or value is True:
+        assert panel.herb_table.item(0, 1).text() == "—"
+
+
+@pytest.mark.parametrize(("status", "expected"), [("running", "正在生成"), ("failed", "未完成"), ("future_state", "状态未确认")])
+def test_processing_failed_and_unknown_model_states_are_explicit(panel: PrescriptionComparisonPanel, status: str, expected: str) -> None:
+    data = saved_batch()
+    data["models"]["qwen"].update(status=status, candidate=None, comparison=None)
+    panel.set_batch(data)
+    assert expected in panel.status_label.text()
+    assert panel.empty_label.isVisible()
+    assert panel.herb_table.rowCount() == 0
+    assert not panel.chart.bars_enabled
+
+
+@pytest.mark.parametrize("validity", ["stale", "source_updated", "future_validity"])
+def test_outdated_and_unknown_validity_only_show_saved_original_values(panel: PrescriptionComparisonPanel, validity: str) -> None:
+    data = saved_batch()
+    data["validity"] = validity
+    panel.set_batch(data)
+    assert not panel.chart.bars_enabled
+    assert "历史原值" in panel.status_label.text()
+    assert panel.herb_table.rowCount() == 2
+
+
+def test_refresh_preserves_search_model_selection_and_both_scroll_positions(panel: PrescriptionComparisonPanel, application: QApplication) -> None:
+    data = saved_batch([saved_row(f"黄芪{index}") for index in range(40)])
+    panel.set_batch(data)
+    panel.model_buttons["openai"].click()
+    panel.search.setText("黄芪")
+    panel.herb_table.selectRow(10)
+    application.processEvents()
+    panel.herb_table.verticalScrollBar().setValue(180)
+    panel.chart_scroll.verticalScrollBar().setValue(250)
+    before = (panel.herb_table.verticalScrollBar().value(), panel.chart_scroll.verticalScrollBar().value())
+    for _ in range(3):
+        panel.set_batch(deepcopy(data))
+        application.processEvents()
+    assert panel.search.text() == "黄芪"
+    assert panel.selected_model == "openai"
+    assert panel.herb_table.currentRow() == 10
+    assert before == (panel.herb_table.verticalScrollBar().value(), panel.chart_scroll.verticalScrollBar().value())
+    changed = deepcopy(data)
+    changed["models"]["qwen"]["progress"] = {"stage": "completed"}
+    panel.set_batch(changed)
+    application.processEvents()
+    assert panel.search.text() == "黄芪" and panel.selected_model == "openai"
+    assert before == (panel.herb_table.verticalScrollBar().value(), panel.chart_scroll.verticalScrollBar().value())
+    panel.search.setText("黄芪39")
+    assert panel.herb_table.rowCount() == 1
+    assert len(panel.chart.rows) == 1
+    panel.search.setText("未匹配")
+    assert "没有匹配" in panel.empty_label.text()
+
+
+def test_parent_owned_controls_do_not_flash_windows_on_update(application: QApplication) -> None:
+    shown_windows = []
+
+    class WindowObserver(QObject):
+        def eventFilter(self, watched: QObject, event: QEvent) -> bool:
+            if event.type() == QEvent.Type.Show and isinstance(watched, QWidget) and watched.isWindow():
+                shown_windows.append(watched)
+            return False
+
+    observer = WindowObserver()
+    application.installEventFilter(observer)
+    host = QWidget()
+    try:
+        layout = QVBoxLayout(host)
+        widget = PrescriptionComparisonPanel(host)
+        layout.addWidget(widget)
+        widget.set_batch(saved_batch())
+        host.show()
+        application.processEvents()
+        assert shown_windows == [host]
+        shown_windows.clear()
+        widget.set_batch(saved_batch([saved_row("当归")]))
+        widget.model_buttons["openai"].click()
+        widget.set_batch({})
+        application.processEvents()
+        assert shown_windows == []
+        assert all(child.parentWidget() is not None for child in widget.findChildren(QWidget))
+        assert widget.herb_table.rowCount() == 0
+        assert widget.chart.rows == []
+    finally:
+        application.removeEventFilter(observer)
+        host.close()
+        host.deleteLater()
+        application.processEvents()
+
+
+@pytest.mark.parametrize("size", [(1120, 400), (940, 340)])
+def test_compact_sizes_keep_table_and_chart_scrollable(panel: PrescriptionComparisonPanel, application: QApplication, size: tuple[int, int]) -> None:
+    panel.parentWidget().resize(*size)
+    panel.set_batch(saved_batch([saved_row(f"药材{index}") for index in range(60)]))
+    application.processEvents()
+    assert panel.width() <= size[0] and panel.height() <= size[1]
+    assert panel.herb_table.viewport().height() >= 65
+    assert panel.herb_table.viewport().width() >= 320
+    assert panel.chart_scroll.viewport().height() >= 90
+    assert panel.herb_table.verticalScrollBar().maximum() > 0
+    assert panel.chart_scroll.verticalScrollBar().maximum() > 0
+    assert not panel.grab().isNull()
+    assert panel.herb_table.item(0, 2).data(Qt.ItemDataRole.AccessibleTextRole) == "15 克 / 每剂"
+    assert "药材59" in panel.chart.accessibleDescription()

app/tests/test_issued_prescription_ai_pages.py

@@ -0,0 +1,478 @@
+"""The composed pages must show the saved batch exactly, including what is missing from it."""
+
+from __future__ import annotations
+
+from typing import Any
+
+import pytest
+from PySide6.QtWidgets import QApplication, QLabel
+
+from doctor_workstation.ui.dialogs import issued_prescription_ai_pages as pages
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    return QApplication.instance() or QApplication([])
+
+
+def comparison_rows(model: str) -> list[dict[str, Any]]:
+    doses = {"qwen": {"生地黄": 15, "生麦冬": 12, "麸炒白术": 12}, "openai": {"生地黄": 12, "茯苓": 8}}[model]
+    contributions = {"qwen": {"生地黄": 0.94, "生麦冬": 1.0}, "openai": {"生地黄": 0.75}}[model]
+    doctor = {"生地黄": 16, "生麦冬": 12, "红参片": 6, "茯苓": 10}
+    rows = []
+    for name in sorted(set(doses) | set(doctor)):
+        rows.append({
+            "name": name, "unit": "g",
+            "doctor_dosage": doctor.get(name),
+            "candidate_dosage": doses.get(name),
+            "contribution": contributions.get(name),
+        })
+    return rows
+
+
+def batch(**overrides: Any) -> dict[str, Any]:
+    value = {
+        "id": 13, "status": "success", "coverage_status": "partial", "comparison_type": "latest_context",
+        "source_summary": {"attachment_count": 4, "diagnoses_count": 1, "video_calls_count": 3,
+                           "source_record_count": 9},
+        "missing": [{"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True},
+                    {"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True},
+                    {"code": "ARCHIVE_SYNC_WATERMARK_UNAVAILABLE", "critical": False}],
+        "models": {
+            "qwen": {"status": "success", "algorithm_version": "prescription-soft-dice-v1.1.0",
+                     "prompt_version": "manual-prescription-required-candidate-v4",
+                     "comparison": {"status": "comparable", "rows": comparison_rows("qwen")},
+                     "coverage": {"files": [{"status": "processed"}, {"status": "processed"},
+                                            {"status": "processed"}, {"status": "restricted"}]},
+                     "progress": {"stage_label": "处理完成", "elapsed_seconds": 135, "attempt": 1},
+                     "usage": {"total_calls": 2, "calls": [
+                         {"stage": "text:0", "ok": True, "latency_ms": 3400, "file_count": 0,
+                          "usage": {"completion_tokens": 1020}, "error_code": ""},
+                         {"stage": "final", "ok": False, "latency_ms": 14400, "file_count": 0,
+                          "usage": {"completion_tokens": 5617}, "error_code": "INVALID_REPORT_OUTPUT"}]}},
+            "openai": {"status": "success", "comparison": {"status": "comparable", "rows": comparison_rows("openai")},
+                       "progress": {"stage_label": "处理完成", "elapsed_seconds": 593, "attempt": 1},
+                       "usage": {"calls": []}},
+        },
+    }
+    value.update(overrides)
+    return value
+
+
+# ---------------------------------------------------------------- candidates page
+@pytest.fixture
+def per_herb(application: QApplication) -> pages.CandidatesPage:
+    widget = pages.CandidatesPage()
+    widget.resize(1200, 700)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+
+
+def _dose_cells(page: pages.CandidatesPage, row: int) -> tuple[str, str]:
+    return (page.table.cellWidget(row, 1).dose, page.table.cellWidget(row, 2).dose)
+
+
+def _verdict(page: pages.CandidatesPage, row: int) -> str:
+    return page.table.cellWidget(row, 4).findChildren(QLabel)[0].text()
+
+
+def test_per_herb_merges_both_models_into_one_row(per_herb: pages.CandidatesPage) -> None:
+    per_herb.set_batch(batch())
+    names = [per_herb.table.item(row, 0).text() for row in range(per_herb.table.rowCount())]
+    assert names.count("生地黄") == 1
+    row = names.index("生地黄")
+    assert _dose_cells(per_herb, row) == ("15 g", "12 g")
+    assert per_herb.table.item(row, 3).text() == "16 g"
+    assert per_herb.table.cellWidget(row, 1).contribution == 0.94
+    assert per_herb.table.cellWidget(row, 2).contribution == 0.75
+
+
+def test_per_herb_marks_absence_without_inventing_a_dose(per_herb: pages.CandidatesPage) -> None:
+    per_herb.set_batch(batch())
+    names = [per_herb.table.item(row, 0).text() for row in range(per_herb.table.rowCount())]
+    only_doctor = names.index("红参片")
+    assert _dose_cells(per_herb, only_doctor) == ("—", "—")
+    assert per_herb.table.cellWidget(only_doctor, 1).contribution is None
+    assert _verdict(per_herb, only_doctor) == "仅医方使用"
+    added = names.index("麸炒白术")
+    assert per_herb.table.item(added, 3).text() == "未收录"
+    assert _verdict(per_herb, added) == "仅 千问 收录"
+
+
+def test_per_herb_conclusion_states_a_dose_gap_over_the_threshold(per_herb: pages.CandidatesPage) -> None:
+    per_herb.set_batch(batch())
+    names = [per_herb.table.item(row, 0).text() for row in range(per_herb.table.rowCount())]
+    row = names.index("生地黄")
+    assert _verdict(per_herb, row) == "两模型均收录"  # 医方 16，两侧差 1 与 4，未过 5 克阈值
+    source = batch()
+    for model in source["models"].values():
+        for entry in model["comparison"]["rows"]:
+            if entry["name"] == "生地黄":
+                entry["candidate_dosage"] = 9
+    per_herb.set_batch(source)
+    names = [per_herb.table.item(index, 0).text() for index in range(per_herb.table.rowCount())]
+    assert _verdict(per_herb, names.index("生地黄")) == "剂量分歧 7 g"
+
+
+def test_per_herb_filters_count_and_narrow_the_table(
+        per_herb: pages.CandidatesPage, application: QApplication) -> None:
+    per_herb.set_batch(batch())
+    total = per_herb.table.rowCount()
+    assert per_herb.filter_buttons["all"].text() == f"全部 {total}"
+    per_herb.search.setText("生地黄")
+    application.processEvents()
+    assert per_herb.table.rowCount() == 1
+    per_herb.search.clear()
+    per_herb.filter_buttons["doctor"].click()
+    application.processEvents()
+    assert 0 < per_herb.table.rowCount() < total
+    assert all(_verdict(per_herb, row) in {"仅医方使用", "两模型均未收录"}
+               for row in range(per_herb.table.rowCount()))
+    per_herb.filter_buttons["single"].click()
+    application.processEvents()
+    assert all("仅 " in _verdict(per_herb, row) for row in range(per_herb.table.rowCount()))
+
+
+def test_per_herb_cards_show_each_saved_prescription(per_herb: pages.CandidatesPage) -> None:
+    per_herb.set_batch(batch(doctor_snapshot={"prescription": {
+        "herbs": [{"name": "生地黄", "dosage": 16, "unit": "g"}, {"name": "红参片", "dosage": 6, "unit": "g"}],
+        "prescription_type": "浓缩水丸", "dose_count": 1, "usage_instruction": "每日1剂，水煎分服。"}}))
+    doctor = per_herb.cards["doctor"]
+    assert doctor.summary.text() == "2 味 · 浓缩水丸"
+    assert "生地黄" in doctor.herbs.text() and "16 g" in doctor.herbs.text()
+    assert "每日1剂" in doctor.usage.text()
+    assert per_herb.cards["qwen"].summary.text() == "尚无候选方"
+
+
+def test_per_herb_card_grows_for_a_long_usage_note(per_herb: pages.CandidatesPage,
+                                                   application: QApplication) -> None:
+    """A card must not cap itself and cut the herb list or the 方义 in half."""
+
+    note = "方中生黄芪益气固表，生地黄、生麦冬滋阴清热。" * 8
+    per_herb.set_batch(batch(doctor_snapshot={"prescription": {
+        "herbs": [{"name": f"药{index}", "dosage": 15, "unit": "g"} for index in range(20)],
+        "prescription_type": "浓缩水丸", "dose_count": 1, "usage_instruction": note}}))
+    per_herb.resize(1100, 700)
+    application.processEvents()
+    card = per_herb.cards["doctor"]
+    assert "另有 15 味" in card.herbs.text()
+    assert card.usage.height() >= card.usage.heightForWidth(card.usage.width())
+    assert card.height() >= card.herbs.height() + card.usage.height()
+
+
+def test_per_herb_says_when_no_prescription_was_saved(per_herb: pages.CandidatesPage) -> None:
+    per_herb.set_batch({})
+    assert per_herb.cards["doctor"].summary.text() == "未保存原方"
+    assert per_herb.cards["doctor"].herbs.text() == "尚未保存药味"
+    assert per_herb.table.rowCount() == 0
+
+
+# ---------------------------------------------------------------- sources page
+@pytest.fixture
+def sources(application: QApplication) -> pages.SourcesPage:
+    widget = pages.SourcesPage()
+    widget.resize(900, 600)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+
+
+def test_sources_groups_gaps_by_type_and_keeps_criticality(sources: pages.SourcesPage) -> None:
+    sources.set_batch(batch())
+    rows = {sources.gaps.item(row, 0).text(): (sources.gaps.item(row, 1).text(), sources.gaps.item(row, 2).text())
+            for row in range(sources.gaps.rowCount())}
+    transcript = next(key for key in rows if "转写" in key)
+    assert rows[transcript] == ("关键", "2")
+    archive = next(key for key in rows if "归档" in key)
+    assert rows[archive][0] == "一般"
+
+
+def _composition(sources: pages.SourcesPage) -> dict[str, str]:
+    rows = {}
+    for index in range(sources.composition_layout.count()):
+        widget = sources.composition_layout.itemAt(index).widget()
+        labels = widget.findChildren(QLabel)
+        rows[labels[0].text()] = labels[-1].text()
+    return rows
+
+
+def test_sources_reports_attachment_reading_and_composition(sources: pages.SourcesPage) -> None:
+    sources.set_batch(batch())
+    assert "模型实际读取 3 个" in sources.attachment_note.text()
+    assert sources.waffle.accessibleDescription() == "附件 4 个：已读 3，受限或不支持 1"
+    assert _composition(sources)["问诊通话"] == "3"
+    assert "soft-dice" in sources.meta.text()
+
+
+def test_sources_reports_what_each_model_managed_to_read(sources: pages.SourcesPage) -> None:
+    sources.set_batch(batch())
+    rows = {sources.per_model.item(row, 0).text(): (sources.per_model.item(row, 1).text(),
+                                                    sources.per_model.item(row, 3).text())
+            for row in range(sources.per_model.rowCount())}
+    assert rows["千问"] == ("3", "75%")
+    assert "已读取 3" in sources.attachment_legend.text()
+
+
+def test_sources_meta_states_the_cutoff_and_reads_codes_in_chinese(sources: pages.SourcesPage) -> None:
+    sources.set_batch(batch(cutoff_at="2026-09-10 15:29"))
+    text = sources.meta.text()
+    assert "资料截止：2026-09-10 15:29" in text
+    assert "覆盖状态：部分资料缺失" in text  # partial 在覆盖语境里说的是资料，不是进度
+    assert "对照类型：最新资料对照" in text
+    sources.set_batch(batch())
+    assert "资料截止：—" in sources.meta.text()
+
+
+def test_sources_stays_empty_without_a_batch(sources: pages.SourcesPage) -> None:
+    sources.set_batch({})
+    assert _composition(sources) == {}
+    assert sources.gaps.rowCount() == 0
+    assert sources.attachment_note.text() == "本次没有附件"
+    assert not sources.gap_note.isVisible()
+
+
+def test_sources_puts_critical_gaps_first_and_counts_them(sources: pages.SourcesPage) -> None:
+    sources.set_batch(batch())
+    assert "关键" in sources.gaps.item(0, 1).text()
+    assert "3 项 · 关键 2" in sources.gap_title.findChildren(QLabel)[-1].text()
+
+
+# ---------------------------------------------------------------- progress page
+@pytest.fixture
+def progress(application: QApplication) -> pages.ProgressPage:
+    widget = pages.ProgressPage()
+    widget.resize(900, 600)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+
+
+def test_progress_lists_every_call_with_its_outcome(progress: pages.ProgressPage) -> None:
+    progress.set_batch(batch())
+    assert progress.calls.rowCount() == 2
+    assert progress.calls.item(0, 0).text() == "千问"
+    assert progress.calls.item(0, 1).text() == "文字资料 1"  # 阶段键不直接露出
+    assert progress.calls.item(1, 1).text() == "生成候选与报告"
+    assert progress.calls.item(0, 3).text() == "3.4 s"
+    assert progress.calls.item(0, 6).text() == "通过"
+    assert progress.calls.item(1, 5).text() == "5617"
+    # 最慢的一次调用占满耗时分布条，其余按比例
+    assert progress.calls.cellWidget(1, 2)._fraction == 1.0
+    assert progress.calls.cellWidget(0, 2)._fraction < 0.3
+    assert "INVALID_REPORT_OUTPUT" not in progress.calls.item(1, 5).text()
+
+
+def test_progress_shows_each_model_stage_and_attempt(progress: pages.ProgressPage) -> None:
+    progress.set_batch(batch())
+    assert "处理完成" in progress.stage_labels["qwen"].text()
+    assert "第 1 次尝试" in progress.stage_labels["qwen"].text()
+    assert "已用时 2 分 15 秒" in progress.stage_labels["qwen"].text()
+    assert "已用时 9 分 53 秒" in progress.stage_labels["openai"].text()
+
+
+# ---------------------------------------------------------------- history page
+@pytest.fixture
+def history(application: QApplication) -> pages.HistoryPage:
+    widget = pages.HistoryPage()
+    widget.resize(900, 600)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+
+
+def test_history_orders_by_time_and_keeps_uncomparable_slots_empty(history: pages.HistoryPage) -> None:
+    history.set_history([
+        {"id": 13, "created_at": 300, "status": "success", "comparison_type": "latest_context",
+         "models": {"qwen": {"score": 18.9, "comparison_status": "comparable",
+                             "algorithm_version": "prescription-soft-dice-v1.1.0"},
+                    "openai": {"score": 16.7, "comparison_status": "comparable"}}},
+        {"id": 11, "created_at": 100, "status": "failed",
+         "models": {"qwen": {"score": None, "comparison_status": "not_comparable"},
+                    "openai": {"score": None, "comparison_status": "not_comparable"}}},
+    ])
+    description = history.chart.accessibleDescription()
+    assert description.index("11") < description.index("13")  # oldest first on the chart
+    assert "11 千问 — OpenAI —" in description
+    assert history.table.item(0, 0).text() == "#13"  # newest first in the list
+    assert history.table.item(0, 3).text() == "18.9%"
+    assert history.table.item(1, 3).text() == "—"
+    assert history.table.item(0, 5).text() == "v1.1.0"
+    assert history.chart.has_data()
+
+
+def test_history_reads_the_score_from_either_payload_shape(history: pages.HistoryPage) -> None:
+    """列表接口把分数摊平，详情接口留在 comparison 里，两种都要认。"""
+    history.set_history([
+        {"id": 40, "created_at": "2026-09-10 15:29:00", "status": "success", "comparison_type": "non_independent",
+         "models": {"qwen": {"comparison": {"status": "comparable", "score": 94.44}},
+                    "openai": {"comparison": {"status": "not_comparable", "score": 93.3}}}},
+        {"id": 39, "created_at": "2026-09-09 09:00:00", "status": "success",
+         "models": {"qwen": {"score": 42.9, "comparison_status": "comparable"}}},
+    ])
+    assert history.table.item(0, 0).text() == "#40"
+    assert history.table.item(0, 3).text() == "94.4%"
+    assert history.table.item(0, 4).text() == "—"  # 不可比就不给分，哪怕载荷里带着数字
+    assert "分层" in history.strata.text() or "同一套" in history.strata.text()
+    assert history.table.item(1, 3).text() == "42.9%"
+    description = history.chart.accessibleDescription()
+    assert description.index("39") < description.index("40")
+
+
+def test_history_without_any_comparable_batch_draws_nothing(history: pages.HistoryPage) -> None:
+    history.set_history([{"id": 1, "created_at": 1, "models": {"qwen": {"comparison_status": "not_comparable"}}}])
+    assert not history.chart.has_data()
+    assert history.table.rowCount() == 1
+
+
+# ---------------------------------------------------------------- statistics panel
+@pytest.fixture
+def statistics(application: QApplication) -> pages.StatisticsPanel:
+    widget = pages.StatisticsPanel()
+    widget.resize(1000, 600)
+    widget.show()
+    application.processEvents()
+    yield widget
+    widget.close()
+
+
+def statistics_payload() -> dict[str, Any]:
+    return {
+        "total_count": 10, "patient_count": 8,
+        "doctors": [
+            {"doctor_id": 26, "doctor_name": "何医生", "total_count": 6, "patient_count": 5, "paired_count": 3,
+             "models": {"qwen": {"eligible_count": 4, "mean": 18.4, "median": 16.9,
+                                 "excluded_reasons": {"SOURCE_HISTORY_VERSIONS_UNAVAILABLE": 2}},
+                        "openai": {"eligible_count": 3, "mean": 21.0, "median": 19.6,
+                                   "excluded_reasons": {"SOURCE_HISTORY_VERSIONS_UNAVAILABLE": 3}}},
+             "review": {"evaluated_count": 0, "qualified_count": 0, "qualified_rate": None}},
+            {"doctor_id": 31, "doctor_name": "李医生", "total_count": 4, "patient_count": 3, "paired_count": 1,
+             "models": {"qwen": {"eligible_count": 2, "mean": 25.0, "excluded_reasons": {"incomplete_coverage": 2}},
+                        "openai": {"eligible_count": 0, "mean": None, "excluded_reasons": {"incomplete_coverage": 4}}},
+             "review": {"evaluated_count": 2, "qualified_count": 1, "qualified_rate": 50.0}},
+        ],
+    }
+
+
+def test_statistics_headline_counts_and_coverage(statistics: pages.StatisticsPanel) -> None:
+    statistics.set_statistics(statistics_payload())
+    assert statistics.kpi_values["events"].text() == "10"
+    assert "涉及患者 8 人" in statistics.kpi_notes["events"].text()
+    assert statistics.kpi_values["qwen"].text() == "6"
+    assert "覆盖率 60.0%" in statistics.kpi_notes["qwen"].text()
+    assert statistics.kpi_values["openai"].text() == "3"
+
+
+def test_statistics_review_rate_needs_a_review_sample(statistics: pages.StatisticsPanel) -> None:
+    payload = statistics_payload()
+    for doctor in payload["doctors"]:
+        doctor["review"] = {"evaluated_count": 0, "qualified_count": 0, "qualified_rate": None}
+    statistics.set_statistics(payload)
+    assert statistics.kpi_values["review"].text() == "—"
+    assert "尚未建立复核样本" in statistics.kpi_notes["review"].text()
+    statistics.set_statistics(statistics_payload())
+    assert statistics.kpi_values["review"].text() == "50.0%"
+
+
+def _bars(layout) -> list[str]:
+    return [layout.itemAt(index).widget().accessibleDescription() for index in range(layout.count())]
+
+
+def test_statistics_funnel_and_exclusions_are_aggregated(statistics: pages.StatisticsPanel) -> None:
+    statistics.set_statistics(statistics_payload())
+    funnel = _bars(statistics.funnel_layout)
+    assert "范围内开方事件 10" in funnel
+    assert "千问 有效基线比较 6" in funnel
+    assert "两模型配对共同样本 4" in funnel
+    reasons = _bars(statistics.exclusion_layout)
+    assert any(text.endswith(" 5") for text in reasons)  # 来源历史版本无法重建 2 + 3
+    assert all("SOURCE_HISTORY" not in text for text in reasons)
+
+
+def test_statistics_distribution_sums_the_saved_bins(statistics: pages.StatisticsPanel) -> None:
+    payload = statistics_payload()
+    payload["doctors"][0]["models"]["qwen"]["distribution"] = {"[0,20)": 3, "[20,40)": 1}
+    payload["doctors"][1]["models"]["qwen"]["distribution"] = {"[0,20)": 2}
+    statistics.set_statistics(payload)
+    assert statistics.distribution.has_data()
+    assert "千问 5/1/0/0/0" in statistics.distribution.accessibleDescription()
+    assert statistics.distribution.isVisible()
+
+
+def test_statistics_draws_no_distribution_without_samples(statistics: pages.StatisticsPanel) -> None:
+    statistics.set_statistics(statistics_payload())
+    assert not statistics.distribution.has_data()
+    assert statistics.chart_empty.isVisible()
+
+
+def test_statistics_summary_row_pairs_mean_with_median(statistics: pages.StatisticsPanel) -> None:
+    statistics.set_statistics(statistics_payload())
+    assert statistics.summary_values["qwen"].text() == "21.7% / 16.9%"
+    assert statistics.summary_values["paired"].text() == "4 例"
+
+
+def test_statistics_lists_each_doctor_without_ranking(statistics: pages.StatisticsPanel) -> None:
+    statistics.set_statistics(statistics_payload())
+    assert statistics.doctors.rowCount() == 2
+    assert statistics.doctors.item(0, 0).text() == "何医生"
+    assert statistics.doctors.item(0, 3).text() == "4 / 18.4%"
+    assert statistics.doctors.item(1, 4).text() == "0 / —"
+    assert statistics.doctors.item(1, 6).text() == "50.0%"
+    assert "不是医生准确率" in statistics.footnote.text()
+
+
+def test_progress_counts_the_batch_in_the_stat_row(progress: pages.ProgressPage) -> None:
+    progress.set_batch(batch())
+    assert progress.stat_values["calls"].text() == "2 次"
+    assert progress.stat_values["failures"].text() == "1 次"
+    assert progress.stat_values["repairs"].text() == "0 次"
+    assert progress.stat_values["elapsed"].text() == "9 分 53 秒"
+
+
+def test_progress_derives_its_stages_from_the_saved_calls(progress: pages.ProgressPage) -> None:
+    progress.set_batch(batch())
+    names = []
+    layout = progress.stage_lists["qwen"]
+    for index in range(layout.count()):
+        widget = layout.itemAt(index).widget()
+        names.append(widget.findChildren(QLabel)[1].text())
+    assert names == ["文字资料分析", "生成候选与报告"]
+    assert progress.stage_lists["openai"].count() == 0  # 没有调用记录就不编造阶段
+
+
+def test_history_names_the_version_change_between_two_batches(history: pages.HistoryPage) -> None:
+    history.set_history([
+        {"id": 5, "created_at": "2026-09-10 15:29:00", "status": "success",
+         "models": {"qwen": {"comparison": {"status": "comparable", "score": 15.3},
+                             "algorithm_version": "prescription-soft-dice-v1.1.0",
+                             "prompt_version": "v4"}}},
+        {"id": 4, "created_at": "2026-09-10 15:18:00", "status": "success",
+         "models": {"qwen": {"comparison": {"status": "comparable", "score": 18.9},
+                             "algorithm_version": "prescription-soft-dice-v1.0.1",
+                             "prompt_version": "v3"}}},
+    ])
+    text = history.strata.text()
+    assert "比较算法 v1.0.1 → v1.1.0" in text
+    assert "提示词 v3 → v4" in text
+    assert "不能直接相减" in text
+
+
+def test_history_says_when_every_batch_shares_one_version(history: pages.HistoryPage) -> None:
+    history.set_history([
+        {"id": 2, "created_at": "2026-09-10 15:29:00",
+         "models": {"qwen": {"algorithm_version": "prescription-soft-dice-v1.1.0"}}},
+        {"id": 1, "created_at": "2026-09-10 14:29:00",
+         "models": {"qwen": {"algorithm_version": "prescription-soft-dice-v1.1.0"}}},
+    ])
+    assert "全部批次使用同一套算法" in history.strata.text()
+
+
+def test_history_shows_why_a_batch_has_no_score(history: pages.HistoryPage) -> None:
+    history.set_history([{"id": 2, "created_at": "2026-09-10 13:25:00", "status": "failed",
+                          "models": {"qwen": {"error_message": "模型返回未通过校验"}}}])
+    assert "模型返回未通过校验" in history.table.item(0, 2).text()
+    assert history.table.item(0, 3).text() == "—"

app/tests/test_issued_prescription_ai_workspace.py

@@ -0,0 +1,337 @@
+"""Data provenance and native UI checks for the prescription overview page."""
+
+from __future__ import annotations
+
+import os
+from copy import deepcopy
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import Qt
+from PySide6.QtWidgets import QApplication, QLabel, QVBoxLayout, QWidget
+
+from doctor_workstation.ui.dialogs.issued_prescription_ai_workspace import (
+    PrescriptionReviewWorkspace,
+    checklist_items,
+    diagnosis_text,
+    dose_deltas,
+    gap_counts,
+    review_rows,
+)
+
+
+def batch(count: int = 3) -> dict:
+    rows = []
+    herbs = []
+    for index in range(count):
+        herb = {"name": f"药材{index}", "dosage": "15.00", "unit": "g", "dose_basis": "per_dose", "formula_type": "主方", "processing": "生品"}
+        rows.append({"key": f"saved-identity-{index}", "name": herb["name"], "doctor": {**herb, "dosage": "30.00"}, "candidate": {**herb, "source_rows": [index]}, "match_type": "matched"})
+        herbs.append(herb)
+    model = {"status": "succeeded", "report": {"diagnosis": "已保存的辨证意见", "summary": "不能当作诊断的摘要", "missing_information": ["缺少舌脉记录"]}, "candidate": {"status": "available_for_review", "herbs": herbs}, "comparison": {"status": "comparable", "rows": rows}}
+    return {"id": 4, "validity": "current", "models": {"qwen": deepcopy(model), "openai": deepcopy(model)}, "doctor_snapshot": {"patient": {"name": "测试患者", "gender": "male", "age": 50}, "diagnosis": {"western_diagnosis": "已记录西医诊断", "tcm_diagnosis": "已记录中医诊断", "syndrome": "已记录证候"}, "prescription": {"herbs": deepcopy(herbs), "usage_instruction": "水煎服", "usage_days": 7, "times_per_day": 2}}}
+
+
+@pytest.fixture(scope="module")
+def application():
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.fixture
+def workspace(application):
+    host = QWidget()
+    host.resize(1024, 760)
+    layout = QVBoxLayout(host)
+    layout.setContentsMargins(0, 0, 0, 0)
+    widget = PrescriptionReviewWorkspace(host)
+    layout.addWidget(widget)
+    host.show()
+    application.processEvents()
+    yield widget
+    host.close()
+    host.deleteLater()
+    application.processEvents()
+
+
+def test_three_series_need_saved_unique_identity_and_same_baseline():
+    source = batch()
+    before = deepcopy(source)
+    rows, _ = review_rows(source)
+    assert source == before
+    assert len(rows) == 3
+    assert all(set(row.doses) == {"doctor", "qwen", "openai"} for row in rows)
+    assert rows[0].scale == ("克", "每剂")
+    assert rows[0].changed
+    assert "15.00 克 / 每剂" in rows[0].description
+    assert "候选原方记录：第 1 项 药材0" in rows[0].description
+    assert "saved-identity" not in rows[0].description
+
+
+@pytest.mark.parametrize("mutation", ["no_keys", "different_baseline", "duplicate_keys", "different_units", "different_identity"])
+def test_no_guessed_cross_model_join(mutation):
+    source = batch(1)
+    target = source["models"]["openai"]["comparison"]["rows"][0]
+    if mutation == "no_keys":
+        for model in source["models"].values():
+            model["comparison"]["rows"][0].pop("key")
+    elif mutation == "different_baseline":
+        target["doctor"]["dosage"] = 31
+    elif mutation == "duplicate_keys":
+        source["models"]["openai"]["comparison"]["rows"].append(deepcopy(target))
+    elif mutation == "different_units":
+        target["candidate"]["unit"] = "mg"
+    else:
+        target["candidate"]["processing"] = "炙品"
+    rows, _ = review_rows(source)
+    assert len(rows) >= 2
+    assert all(len(row.entries) == 1 for row in rows)
+
+
+@pytest.mark.parametrize("value", ["nan", "-3", "1/2", "Infinity", None])
+def test_invalid_numbers_and_missing_are_never_zero(value):
+    source = batch(1)
+    for model in source["models"].values():
+        model["comparison"]["rows"][0]["candidate"]["dosage"] = value
+    rows, _ = review_rows(source)
+    assert rows[0].scale is None
+    assert not rows[0].changed
+    if value is None:
+        assert rows[0].entries["qwen"].candidate.label == "—"
+
+
+@pytest.mark.parametrize("field,value", [("validity", "stale"), ("validity", "source_updated"), ("validity", None), ("status", "running"), ("status", "failed"), ("comparison", "not_comparable"), ("candidate", "withheld_for_risk")])
+def test_pending_historical_and_error_are_text_only(field, value):
+    source = batch()
+    if field == "validity":
+        source[field] = value
+    else:
+        for model in source["models"].values():
+            if field == "status":
+                model[field] = value
+            else:
+                model[field]["status"] = value
+    rows, _ = review_rows(source)
+    assert rows
+    assert all(row.scale is None for row in rows)
+    assert all(not row.changed for row in rows)
+
+
+def test_unaccounted_candidates_and_missing_trace_survive():
+    source = batch(1)
+    for model in source["models"].values():
+        model["candidate"]["herbs"].append({"name": "未规范炮制药", "dosage": "2.5", "unit": "g"})
+        model["comparison"]["rows"][0]["candidate"].pop("source_rows")
+    rows, _ = review_rows(source)
+    assert len(rows) == 5
+    originals = [row for row in rows if next(iter(row.entries.values())).origin != "comparison"]
+    assert len(originals) == 4
+    assert all(row.scale is None for row in originals)
+    assert sum(row.name == "未规范炮制药" for row in originals) == 2
+
+
+def test_diagnosis_never_fabricated_from_summary():
+    assert diagnosis_text({"report": {"summary": "摘要疾病"}}) == "诊断意见未保存"
+    assert diagnosis_text({"report": {"diagnosis": "辨证原文"}}) == "辨证原文"
+    assert diagnosis_text({"report": {"diagnosis": {"western_diagnosis": "诊断原值"}}}) == "西医诊断：诊断原值"
+
+
+def test_missing_side_is_not_a_zero_dose_difference():
+    source = batch(1)
+    for model in source["models"].values():
+        model["comparison"]["rows"][0]["doctor"] = None
+    rows, _ = review_rows(source)
+    assert rows[0].doctor is None
+    assert not rows[0].changed
+
+
+def test_historical_report_states_itself_instead_of_reporting_zero_differences(workspace):
+    source = batch()
+    source["validity"] = "stale"
+    workspace.set_batch(source)
+    assert "历史或失效报告" in workspace.summary_text
+    assert workspace.doses.rows == []  # 不可比就不画，不是画成 0
+    assert workspace.doses.empty.isVisible()
+
+
+def test_每味药与原方的距离按共同标尺画出(workspace):
+    workspace.set_batch(batch())
+    assert [delta.name for delta in workspace.doses.rows] == ["药材0", "药材1", "药材2"]
+    assert all(delta.deltas["qwen"] == -15 for delta in workspace.doses.rows)
+    assert "3 项剂量差异" in workspace.summary_text
+    axis = workspace.doses.body.findChildren(QWidget)
+    described = [widget.accessibleDescription() for widget in axis if widget.accessibleName() == "剂量差异条"]
+    assert "药材0 千问 −15克 OpenAI −15克" in described
+
+
+def test_a_herb_one_model_never_listed_is_marked_absent_not_zero(workspace):
+    source = batch(1)
+    source["models"]["openai"]["comparison"]["rows"][0]["candidate"] = None
+    source["models"]["openai"]["candidate"]["herbs"] = []
+    workspace.set_batch(source)
+    delta = workspace.doses.rows[0]
+    assert delta.deltas["openai"] is None
+    assert delta.badge == "OpenAI 未收录"
+    assert delta.deltas["qwen"] == -15
+
+
+def test_an_unreadable_saved_dose_takes_the_whole_row_off_the_chart(workspace):
+    source = batch(1)
+    source["models"]["openai"]["comparison"]["rows"][0]["candidate"]["dosage"] = "nan"
+    workspace.set_batch(source)
+    assert workspace.doses.rows == []
+
+
+def test_an_incomparable_basis_keeps_the_row_off_the_chart(workspace):
+    source = batch(1)
+    for model in source["models"].values():
+        model["comparison"]["rows"][0]["doctor"]["dose_basis"] = "per_day"
+    workspace.set_batch(source)
+    assert workspace.doses.rows == []
+
+
+def test_a_pending_model_adds_no_row_and_no_difference(workspace):
+    source = batch(1)
+    source["models"]["openai"] = {"status": "running"}
+    workspace.set_batch(source)
+    assert len(workspace.doses.rows) == 1
+    assert workspace.doses.rows[0].deltas["openai"] is None
+
+
+def test_new_herbs_carry_their_full_dose_and_say_which_model_added_them(workspace):
+    source = batch(1)
+    for model in source["models"].values():
+        model["comparison"]["rows"][0]["doctor"] = None
+    workspace.set_batch(source)
+    delta = workspace.doses.rows[0]
+    assert delta.doctor is None
+    assert delta.deltas["qwen"] == 15
+
+
+def test_gap_counts_split_the_saved_gaps_into_three_buckets() -> None:
+    source = batch(1)
+    source["missing"] = [{"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True},
+                         {"code": "ATTACHMENT_STORAGE_RESTRICTED"},
+                         {"code": "ARCHIVE_SYNC_WATERMARK_UNAVAILABLE"}]
+    assert gap_counts(source) == {"critical": 1, "attachment": 1, "other": 1}
+    assert gap_counts(batch(1)) == {"critical": 0, "attachment": 0, "other": 0}
+
+
+def _conclusion_texts(workspace) -> list[str]:
+    """The numbered sentences, skipping the hairlines the design puts between them."""
+
+    texts = []
+    for index in range(workspace.conclusions.body_layout.count()):
+        widget = workspace.conclusions.body_layout.itemAt(index).widget()
+        labels = widget.findChildren(QLabel) if widget is not None else []
+        if labels:
+            texts.append(labels[-1].text())
+    return texts
+
+
+def test_conclusions_state_the_counts_they_were_built_from(workspace) -> None:
+    workspace.set_batch(batch(3))
+    texts = _conclusion_texts(workspace)
+    assert any("两个模型都给出了候选方" in text for text in texts)
+    assert any("剂量偏差共" in text for text in texts)
+    assert any("没有记录资料缺口" in text for text in texts)
+
+
+def test_conclusions_never_invent_a_score_comparison(workspace) -> None:
+    source = batch(1)
+    source["models"]["openai"]["comparison"]["status"] = "not_comparable"
+    workspace.set_batch(source)
+    texts = _conclusion_texts(workspace)
+    assert any("只有可比的一侧有分数" in text for text in texts)
+
+
+def test_attribution_groups_every_herb_exactly_once(workspace) -> None:
+    source = batch(2)
+    source["models"]["openai"]["candidate"]["herbs"] = [{"name": "药材0", "dosage": "15.00", "unit": "g"}]
+    workspace.set_batch(source)
+    assert workspace.attribution.rows["all"]["count"].text() == "1 味"
+    assert workspace.attribution.rows["doctor_only"]["count"].text() == "0 味"
+    assert workspace.attribution.rows["openai_only"]["count"].text() == "0 味"
+    # 药材1 只有医方与千问共用，四个分组都不含它，标题必须说明这一点
+    assert "合计 2 味" in workspace.attribution.total_note.text()
+    assert "另 1 味为医方与单一模型共用" in workspace.attribution.total_note.text()
+
+
+def test_risk_panel_flags_only_large_changes(workspace) -> None:
+    small = batch(1)
+    for model in small["models"].values():
+        model["comparison"]["rows"][0]["candidate"]["dosage"] = "29.00"
+    workspace.set_batch(small)
+    assert workspace.risks.empty.isVisible()  # 差 1 克不进清单
+    large = batch(1)
+    for model in large["models"].values():
+        model["comparison"]["rows"][0]["candidate"]["dosage"] = "12.00"
+    workspace.set_batch(large)
+    assert workspace.risks.body.isVisible()
+    assert "2 项" in workspace.risks.hint.text()
+
+
+def test_checklist_merges_the_models_and_keeps_the_severe_items_first():
+    source = batch(1)
+    source["models"]["qwen"]["report"]["risk_assessment"] = [{"level": "high", "label": "血压数据缺失"}]
+    source["missing"] = [{"code": "TRANSCRIPT_NOT_VERIFIED_COMPLETE", "critical": True}]
+    items = checklist_items(source)
+    assert items[0][0] == "血压数据缺失"
+    assert items[0][1] == "千问　关键"
+    shared = next(item for item in items if item[0] == "缺少舌脉记录")
+    assert shared[1] == "千问、OpenAI"
+    assert any("转写" in item[0] for item in items)
+
+
+def test_checklist_shows_the_saved_items_and_says_so_when_empty(workspace):
+    workspace.set_batch(batch())
+    assert "1 条 · 按严重度排序" in workspace.checklist.count_note.text()
+    assert not workspace.checklist.empty.isVisible()
+    workspace.set_batch({"id": 9, "validity": "current", "models": {}})
+    assert workspace.checklist.empty.isVisible()
+    assert workspace.checklist.count_note.text() == "暂无待确认项"
+
+
+def test_rerendering_leaves_no_stale_row_widgets(workspace, application):
+    workspace.set_batch(batch(20))
+    application.processEvents()
+    assert len(_axes(workspace)) == 20
+    workspace.set_batch(batch(3))
+    application.processEvents()
+    assert len(_axes(workspace)) == 3
+
+
+def _axes(workspace):
+    return [widget for widget in workspace.doses.body.findChildren(QWidget)
+            if widget.accessibleName() == "剂量差异条" and widget.parentWidget() is not None]
+
+
+def test_page_fits_a_1024_window_without_horizontal_scrolling(workspace, application):
+    workspace.set_batch(batch())
+    application.processEvents()
+    assert workspace.minimumSizeHint().width() <= 900
+    assert workspace.width() == 1024
+    assert workspace.doses.scroll.horizontalScrollBarPolicy() == Qt.ScrollBarPolicy.ScrollBarAlwaysOff
+    assert workspace.checklist.scroll.horizontalScrollBarPolicy() == Qt.ScrollBarPolicy.ScrollBarAlwaysOff
+
+
+def test_dose_deltas_ignore_rows_without_a_shared_scale():
+    source = batch(1)
+    for model in source["models"].values():
+        model["comparison"]["rows"][0]["candidate"]["unit"] = "mg"
+    rows, _states = review_rows(source)
+    assert dose_deltas(rows) == []
+
+
+def test_review_slot_has_no_visible_parentless_widget(workspace, application):
+    before = {widget for widget in application.topLevelWidgets() if widget.isVisible()}
+    first = QLabel("第一模型复核", workspace)
+    second = QLabel("双模型复核", workspace)
+    workspace.set_review_widget(first)
+    workspace.set_review_widget(second)
+    application.processEvents()
+    assert second.parentWidget() is workspace.checklist.review_slot
+    assert not first.isVisible()
+    assert first.parentWidget() is workspace.checklist.review_slot
+    assert {widget for widget in application.topLevelWidgets() if widget.isVisible()} == before
+
+

app/tests/test_patients_ui.py

@@ -279,8 +279,10 @@ def test_workspace_workers_use_gui_thread_query_snapshots(
     application.processEvents()
 
 
+@pytest.mark.parametrize("mode", ["video", "text"])
 def test_appointment_form_uses_rosters_slots_and_diagnosis_id_contract(
     application: QApplication,
+    mode: str,
     immediate_async: None,
 ) -> None:
     tomorrow = QDate.currentDate().addDays(1).toString("yyyy-MM-dd")
@@ -317,6 +319,7 @@ def test_appointment_form_uses_rosters_slots_and_diagnosis_id_contract(
         "doctor_id": 77,
     }
     dialog = _AppointmentDialog(row, repository=Repository())
+    dialog.appointment_type.setCurrentIndex(dialog.appointment_type.findData(mode))
     application.processEvents()
     dialog.channel_source.setCurrentIndex(dialog.channel_source.findData("online"))
     dialog.slot_combo.setCurrentIndex(dialog.slot_combo.findData("09:30-10:00"))
@@ -339,7 +342,7 @@ def test_appointment_form_uses_rosters_slots_and_diagnosis_id_contract(
         "appointment_date": tomorrow,
         "appointment_time": "09:30-10:00",
         "period": "all",
-        "appointment_type": "video",
+        "appointment_type": mode,
         "remark": "复诊预约",
         "channel_source": "online",
         "channel_source_detail": "",

app/tests/test_prescription_list_density.py

@@ -23,7 +23,6 @@ from doctor_workstation.ui.pages import prescription_library as library_module
 from doctor_workstation.ui.pages import prescriptions as prescriptions_module
 from doctor_workstation.ui.pages.prescription_library import PrescriptionLibraryPage
 from doctor_workstation.ui.pages.prescriptions import PrescriptionsPage
-from doctor_workstation.ui.widgets import BusinessPager
 
 
 @pytest.fixture(scope="module")

app/tests/test_prescription_ui.py

@@ -303,7 +303,8 @@ def test_issued_page_sends_exact_filter_dto_and_row_guards(
     page.table.selectRow(0)
     page._selection_changed()
 
-    assert page.table.columnCount() == 11
+    assert page.table.columnCount() == 13
+    assert page.table.isColumnHidden(11) and page.table.isColumnHidden(12)
     assert page.table.horizontalHeaderItem(2).text() == "操作"
     assert page.table.cellWidget(0, 2) is not None
     # 处方类型与审核状态由 _RowDecorationDelegate 绘制标签，不再为每行每列

app/tests/test_prescriptions_tech_blue.py

@@ -122,6 +122,7 @@ def test_shell_preserves_all_columns_filters_and_reachable_pager(
     assert [column.key for column in table.columns] == [
         "__selected__", "sn", "__actions__", "prescription_type", "is_system_auto",
         "patient_name", "audit_status", "void_status", "doctor_name", "assistant_name", "create_time",
+        "__ai_status__", "__ai_agreement__",
     ]
     assert [table.horizontalHeader().logicalIndex(index) for index in range(11)] == [
         0, 1, 3, 4, 5, 6, 7, 8, 9, 10, 2,

app/tests/test_reception_parity_ui.py

@@ -2565,11 +2565,14 @@ def test_reception_ai_analysis_discards_late_qwen_and_openai_results(
     application.processEvents()
 
 
+@pytest.mark.parametrize("mode", [None, "text"])
 def test_video_payload_keeps_three_identifiers_distinct(
     application: QApplication,
     immediate_async: None,
+    mode: str | None,
 ) -> None:
     detail = _detail(41, name="视频患者")
+    detail["appointment"]["appointment_type"] = mode
 
     class Repository:
         def get_reception(self, appointment_id: int) -> dict[str, Any]:
@@ -2586,6 +2589,7 @@ def test_video_payload_keeps_three_identifiers_distinct(
         {
             "source": "reception",
             "appointment_id": 41,
+            "appointment_type": mode,
             "patient_id": 141,
             "diagnosis_id": 241,
             "patient_name": "视频患者",
@@ -2593,6 +2597,7 @@ def test_video_payload_keeps_three_identifiers_distinct(
             "record": detail["appointment"],
         }
     ]
+    assert page.video_button.text() == ("图文沟通" if mode == "text" else "IM 问诊")
     page.close()
     application.processEvents()
 

app/tests/test_repository_parity.py

@@ -476,7 +476,7 @@ def test_remote_start_call_requires_and_normalizes_current_record_id() -> None:
     assert client.post_calls == [
         (
             "tcm.diagnosis/startCall",
-            {"diagnosis_id": 501, "patient_id": 301, "call_type": 2},
+            {"diagnosis_id": 501, "patient_id": 301, "call_type": 2, "appointment_id": 0},
         )
     ]
 

app/tests/test_text_call_policy.py

@@ -0,0 +1,277 @@
+"""Appointment policy must survive repository, launcher and lifecycle boundaries."""
+import logging
+from types import MethodType, SimpleNamespace
+
+import pytest
+
+from doctor_workstation.core.models import CallTicket
+from doctor_workstation.services.repository import RemoteDoctorRepository
+from doctor_workstation.video.launcher import normalize_backend_ticket
+from doctor_workstation.video.lifecycle import OrderedCallLifecycle
+
+
+def ticket(**policy):
+    return CallTicket.from_dict({
+        "sdkAppId": 1400123456, "userId": "doctor_1", "userSig": "test-ticket",
+        "patientUserId": "patient_8", "diagnosis_id": 123, "patient_id": 8,
+        "appointment_id": 456, "appointment_type": "text", **policy,
+    })
+
+
+@pytest.mark.parametrize("value", [None, False, 0, 1, "true", "1", []])
+def test_only_actual_server_true_authorizes_calls(value):
+    request = normalize_backend_ticket(ticket(can_video_call=value, can_audio_call=value))
+    assert request.appointment_id == 456
+    assert request.appointment_type == "text"
+    assert request.patient_id == 8
+    assert request.to_web_config()["can_video_call"] is False
+    assert request.to_web_config()["can_audio_call"] is False
+
+
+def test_raw_policy_preserved_and_missing_policy_denies():
+    request = normalize_backend_ticket(ticket())
+    assert not request.can_video_call and not request.can_audio_call
+    request = normalize_backend_ticket(ticket(appointment_type="phone", can_audio_call=True))
+    assert request.can_audio_call and not request.can_video_call
+
+
+def test_repository_forwards_exact_appointment_and_media_type():
+    class Client:
+        def __init__(self):
+            self.calls = []
+
+        def post(self, endpoint, payload):
+            self.calls.append((endpoint, payload))
+            return {"call_record_id": 99} if endpoint.endswith("startCall") else ticket().raw
+
+    client = Client()
+    repository = RemoteDoctorRepository(client)
+    assert repository.get_call_ticket(8, 123, appointment_id=456).raw["appointment_type"] == "text"
+    repository.start_call(123, 8, call_type=1, appointment_id=456)
+    assert client.calls == [
+        ("tcm.diagnosis/getCallSignature", {"patient_id": 8, "diagnosis_id": 123, "appointment_id": 456}),
+        ("tcm.diagnosis/startCall", {"patient_id": 8, "diagnosis_id": 123, "appointment_id": 456, "call_type": 1}),
+    ]
+
+
+def test_lifecycle_refreshes_exact_identity_and_uses_actual_media():
+    class Repository:
+        def __init__(self):
+            self.calls = []
+            self.appointment_id = 456
+
+        def get_call_ticket(self, **payload):
+            self.calls.append(payload)
+            return ticket(appointment_id=self.appointment_id, can_audio_call=True)
+
+        def start_call(self, **payload):
+            self.calls.append(payload)
+            return {"call_record_id": 99}
+
+        def end_call(self, **payload):
+            return {}
+
+    repository = Repository()
+    lifecycle = OrderedCallLifecycle(normalize_backend_ticket(ticket()), repository, logging.getLogger(__name__))
+    try:
+        assert lifecycle.refresh_call_policy().result(timeout=2)["can_audio_call"] is True
+        assert repository.calls[-1] == {"patient_id": 8, "diagnosis_id": 123, "appointment_id": 456}
+        assert lifecycle.start(call_type=1).result(timeout=2)
+        assert repository.calls[-1]["call_type"] == 1
+        assert repository.calls[-1]["appointment_id"] == 456
+        repository.appointment_id = 457
+        with pytest.raises(ValueError, match="当前问诊已变更"):
+            lifecycle.refresh_call_policy().result(timeout=2)
+    finally:
+        lifecycle.end("test").result(timeout=2)
+
+
+@pytest.fixture
+def chat_controller(monkeypatch):
+    """Exercise the real controller callbacks without launching Qt or Tencent."""
+    from doctor_workstation import app as app_module
+
+    queued = []
+    launched = []
+    previews = []
+    diagnoses = []
+    dialog = object()
+
+    def get_call_ticket(patient_id, diagnosis_id, *, appointment_id):
+        return ticket(patient_id=patient_id, diagnosis_id=diagnosis_id, appointment_id=appointment_id)
+
+    def launch_video_call(_ticket, **kwargs):
+        window = SimpleNamespace(
+            show=lambda: None,
+            raise_=lambda: None,
+            activateWindow=lambda: None,
+            destroyed=SimpleNamespace(connect=lambda _callback: None),
+        )
+        call = SimpleNamespace(open_im=kwargs["open_im"], qt_window=window, close=lambda: None)
+        launched.append((call, kwargs))
+        return call
+
+    def open_diagnosis_by_id(diagnosis_id, *, modeless):
+        diagnoses.append((diagnosis_id, modeless))
+        return dialog
+
+    monkeypatch.setattr(app_module, "run_async", lambda function, **callbacks: queued.append((function, callbacks)))
+    monkeypatch.setattr(app_module, "launch_video_call", launch_video_call)
+    monkeypatch.setattr(app_module, "show_toast", lambda *_args, **_kwargs: None)
+    monkeypatch.setattr(app_module, "_build_video_patient_case", lambda *_args, **_kwargs: {})
+    monkeypatch.setattr(app_module, "WEBENGINE_AVAILABLE", True)
+    monkeypatch.setattr(app_module, "QTimer", SimpleNamespace(singleShot=lambda _delay, callback: callback()))
+    controller = SimpleNamespace(
+        shell_window=SimpleNamespace(open_diagnosis_by_id=open_diagnosis_by_id),
+        current_repository=SimpleNamespace(get_call_ticket=get_call_ticket),
+        current_demo_mode=False,
+        video_calls={}, video_pending={}, demo_video_dialogs={}, _pending_im_request=None,
+        config=SimpleNamespace(video_mode="embedded", video_web_url=""),
+        _show_video_preview=lambda window, diagnosis_dialog: previews.append((window, diagnosis_dialog)),
+    )
+    for method in ("_request_video", "_launch_video", "_video_ticket_error", "_open_video_diagnosis"):
+        setattr(controller, method, MethodType(getattr(app_module.ApplicationController, method), controller))
+
+    def request(appointment_id, diagnosis_id=123):
+        controller._request_video({
+            "patient_id": 8, "diagnosis_id": diagnosis_id,
+            "appointment_id": appointment_id, "mode": "im",
+        })
+
+    def complete(index):
+        function, callbacks = queued[index]
+        callbacks["on_success"](function())
+
+    return SimpleNamespace(
+        controller=controller, request=request, complete=complete, queued=queued,
+        launched=launched, previews=previews, diagnoses=diagnoses, dialog=dialog,
+    )
+
+
+def test_diagnosis_callback_previews_exact_appointment_session(chat_controller):
+    case = chat_controller
+    case.request(456)
+    case.complete(0)
+    call, launch_args = case.launched[0]
+    case.controller.video_calls["123:457"] = SimpleNamespace(qt_window=object())
+
+    launch_args["on_open_diagnosis"]()
+    assert case.diagnoses == [(123, True)]
+    assert case.previews == [(call.qt_window, case.dialog)]
+
+    case.controller.video_calls.pop("123:456")
+    launch_args["on_open_diagnosis"]()
+    assert len(case.previews) == 1  # A closed session cannot borrow another appointment's video.
+
+
+@pytest.mark.parametrize("second_diagnosis", [123, 124])
+@pytest.mark.parametrize("completion_order", [(0, 1), (1, 0)])
+def test_latest_im_selection_retires_pending_callbacks(chat_controller, second_diagnosis, completion_order):
+    case = chat_controller
+    case.request(456)
+    case.request(457, diagnosis_id=second_diagnosis)
+    assert list(case.controller.video_pending) == [f"{second_diagnosis}:457"]
+
+    for index in completion_order:
+        case.complete(index)
+
+    assert list(case.controller.video_calls) == [f"{second_diagnosis}:457"]
+    assert len(case.launched) == 1
+    assert case.controller.video_pending == {}
+    assert case.controller._pending_im_request is None
+
+
+def test_reselecting_open_im_also_retires_other_pending_selection(chat_controller):
+    case = chat_controller
+    case.request(456)
+    case.complete(0)
+    original_call = case.launched[0][0]
+    case.request(457)
+    # The previous page may still be finishing its native shutdown. Treat a
+    # reactivated current page like any other current selection.
+    case.controller.video_calls["123:456"] = original_call
+    case.request(456)
+    case.complete(1)
+    assert list(case.controller.video_calls) == ["123:456"]
+    assert case.controller.video_pending == {}
+    assert len(case.launched) == 1
+
+
+def test_repeated_pending_im_selection_does_not_duplicate_request(chat_controller):
+    case = chat_controller
+    case.request(456)
+    case.request(456)
+    assert len(case.queued) == 1
+    case.complete(0)
+    assert list(case.controller.video_calls) == ["123:456"]
+
+
+def legacy_signature_repository(**changes):
+    response = {
+        "sdkAppId": 1400123456, "userId": "doctor_1", "userSig": "test-ticket",
+        "patientUserId": "patient_8", "diagnosis_id": 123, "patient_id": 8,
+        **changes,
+    }
+    repository = RemoteDoctorRepository(SimpleNamespace(post=lambda *_args: response))
+    repository.patient_detail = lambda _diagnosis_id: {}
+    return repository, response
+
+
+def test_legacy_signature_opens_im_with_requested_context_and_no_media(chat_controller):
+    case = chat_controller
+    repository, response = legacy_signature_repository()
+    case.controller.current_repository = repository
+    case.request(456)
+    case.complete(0)
+    assert list(case.controller.video_calls) == ["123:456"]
+    assert case.launched[0][1]["open_im"] is True
+    request = normalize_backend_ticket(repository.get_call_ticket(8, 123, appointment_id=456))
+    assert request.appointment_id == 456
+    assert request.target_user_id == "patient_8"
+    assert request.can_video_call is False and request.can_audio_call is False
+    assert request.call_disabled_reason
+    assert "appointment_id" not in response  # Never mutate the HTTP response/shared cache.
+    lifecycle = OrderedCallLifecycle(request, repository, logging.getLogger(__name__))
+    try:
+        refreshed = lifecycle.refresh_call_policy().result(timeout=2)
+        assert refreshed["appointmentId"] == 456
+        assert refreshed["can_video_call"] is False and refreshed["can_audio_call"] is False
+    finally:
+        lifecycle.end("test").result(timeout=2)
+
+
+@pytest.mark.parametrize("changes", [
+    {"diagnosis_id": 124}, {"patient_id": 9}, {"patientUserId": "patient_9"},
+    {"diagnosis_id": None}, {"patient_id": None}, {"patientUserId": None},
+])
+def test_legacy_signature_requires_full_matching_identity(changes):
+    repository, _ = legacy_signature_repository(**changes)
+    with pytest.raises(ValueError, match="患者或诊单不匹配"):
+        repository.get_call_ticket(8, 123, appointment_id=456)
+
+
+@pytest.mark.parametrize("returned_id", [457, 0, None, "", True, -1, 456.9, 456.0, "bad"])
+def test_explicit_wrong_or_invalid_appointment_is_never_replaced(returned_id):
+    repository, _ = legacy_signature_repository(appointment_id=returned_id)
+    with pytest.raises(ValueError, match="本次挂号不匹配"):
+        repository.get_call_ticket(8, 123, appointment_id=456)
+
+
+@pytest.mark.parametrize("fragment", [
+    {"can_video_call": True}, {"can_audio_call": True}, {"appointment_type": "text"},
+    {"appointmentId": 457}, {"call_disabled_reason": ""},
+])
+def test_partial_policy_is_not_treated_as_legacy_signature(fragment):
+    repository, _ = legacy_signature_repository(**fragment)
+    with pytest.raises(ValueError, match="本次挂号不匹配"):
+        repository.get_call_ticket(8, 123, appointment_id=456)
+
+
+@pytest.mark.parametrize("returned_id", [456, "456"])
+def test_modern_exact_appointment_policy_is_preserved(returned_id):
+    repository, _ = legacy_signature_repository(
+        appointment_id=returned_id, appointment_type="video", can_video_call=True, can_audio_call=True,
+    )
+    request = normalize_backend_ticket(repository.get_call_ticket(8, 123, appointment_id=456))
+    assert request.appointment_id == 456
+    assert request.can_video_call is True and request.can_audio_call is True

app/tests/test_text_consult_ui.py

@@ -0,0 +1,103 @@
+"""Appointment medium stays attached to its own row and opens text chat without RTC."""
+import os
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import Qt
+from PySide6.QtWidgets import QApplication, QLabel, QPushButton, QToolButton
+
+from doctor_workstation.core import PermissionSet
+from doctor_workstation.core.appointment_modes import (
+    appointment_type_description,
+    appointment_type_value,
+    can_appointment_video,
+)
+from doctor_workstation.services import DemoDoctorRepository
+from doctor_workstation.ui.diagnosis_index_widgets import _blue_appointment_text
+from doctor_workstation.ui.pages import appointments, consultations
+
+
+@pytest.fixture(scope="module")
+def application():
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.mark.parametrize("value,label,video", [
+    ("text", "图文问诊", False), ("video", "视频问诊", True),
+    (None, "视频问诊", True), (" ", "视频问诊", True),
+    ("phone", "电话问诊", False), ("unexpected", "未知", False),
+])
+def test_appointment_type_never_uses_diagnosis_visit_type(value, label, video):
+    assert appointment_type_description(value) == label
+    assert can_appointment_video(value) is video
+    assert appointment_type_value({"appointment_type": value, "consultation_type": "复诊"}) == value or value == ""
+
+
+def test_nested_type_uses_current_appointment_id_not_another_latest():
+    row = {"appointment_id": 12, "latest_appointment_type": "video", "appointments": [
+        {"id": 11, "appointment_type": "video"}, {"id": 12, "appointment_type": "text"},
+    ]}
+    assert appointment_type_value(row) == "text"
+    assert "图文问诊" in _blue_appointment_text(row, row["appointments"][1])[1]
+    assert "视频问诊" in _blue_appointment_text(row, row["appointments"][0])[1]
+    assert appointment_type_value({"appointments": row["appointments"]}) == "unknown"
+
+
+def test_appointment_text_chat_carries_exact_ids_and_blocks_video_qr(application, monkeypatch):
+    monkeypatch.setattr(appointments, "run_async", lambda *_a, **_kw: None)
+    notices = []
+    monkeypatch.setattr(appointments, "show_toast", lambda _parent, message, *_a: notices.append(message))
+    page = appointments.AppointmentsPage(DemoDoctorRepository(), PermissionSet(["*"]))
+    rows = [{"id": 71, "patient_id": 501, "diagnosis_id": 501, "source_patient_id": 901,
+             "patient_name": "图文患者", "doctor_id": 7, "status": 1, "appointment_type": "text"},
+            {"id": 72, "patient_id": 502, "diagnosis_id": 502, "source_patient_id": 902,
+             "patient_name": "视频患者", "doctor_id": 8, "status": 1, "appointment_type": "video"}]
+    try:
+        page._loaded({"lists": rows, "count": 2}, page._generation, False)
+        emitted = []
+        page.video_requested.connect(emitted.append)
+        page.table.sortItems(1, Qt.SortOrder.DescendingOrder)
+        text_row = next(i for i in range(2) if page.table.item(i, 0).data(Qt.ItemDataRole.UserRole)["id"] == 71)
+        button = page.table.cellWidget(text_row, 10).findChild(QPushButton, "AppointmentImConsultButton")
+        assert button.text() == "图文沟通" and button.isEnabled()
+        assert page.table.cellWidget(text_row, 4).findChild(QLabel, "AppointmentModeLabel").text() == "图文问诊"
+        button.click()
+        assert emitted[-1]["appointment_id"] == 71
+        assert emitted[-1]["diagnosis_id"] == 501
+        assert emitted[-1]["patient_id"] == 901
+        assert emitted[-1]["appointment_type"] == "text"
+        assert emitted[-1]["mode"] == "im"
+        assert not page.toolbar_qr_button.isEnabled()
+        page._request_video_qr()
+        assert notices[-1] == "本次挂号不支持视频问诊二维码。"
+    finally:
+        page.close()
+        page.deleteLater()
+
+
+def test_consultation_text_entry_does_not_wait_for_live_video(application, monkeypatch):
+    monkeypatch.setattr(consultations, "run_async", lambda *_a, **_kw: None)
+    row = {"id": 501, "patient_id": 901, "patient_name": "图文患者", "has_appointment": 1,
+           "appointment_status": 1, "latest_appointment_id": 71,
+           "appointments": [{"id": 71, "status": 1, "appointment_type": "text"}],
+           "video_call_hint": {"state": "none"}}
+    page = consultations.ConsultationsPage(DemoDoctorRepository(), PermissionSet(["*"]))
+    try:
+        page.table_host.set_rows([row])
+        page.table.selectRow(0)
+        page._selection_changed()
+        buttons = page.table_host.findChildren(QToolButton)
+        text_button = next(button for button in buttons if button.text() == "图文沟通")
+        assert text_button.isEnabled()
+        assert page.video_button.isEnabled()
+        assert not page.video_qr_toolbar_button.isEnabled()
+        emitted = []
+        page.video_requested.connect(emitted.append)
+        page._request_video()
+        assert emitted[-1]["appointment_id"] == 71
+        assert emitted[-1]["appointment_type"] == "text"
+        assert emitted[-1]["mode"] == "im"
+    finally:
+        page.close()
+        page.deleteLater()

app/tests/test_video_contract.py

@@ -642,6 +642,13 @@ def test_normalizes_admin_ticket_aliases_to_companion_contract() -> None:
         "userSig": "short-lived-ticket",
         "targetUserId": "patient_8",
         "diagnosisId": 123,
+        "patientId": 8,
+        "appointmentId": 0,
+        "appointment_type": None,
+        "appointment_type_desc": "",
+        "can_video_call": False,
+        "can_audio_call": False,
+        "call_disabled_reason": "",
     }
 
 

app/tests/test_widgets_format.py

@@ -46,6 +46,15 @@ def test_format_record_time_with_datetime_returns_minute_precision() -> None:
     assert format_record_time(date(2026, 8, 20)) == "2026-08-20"
 
 
+def test_format_record_time_with_unset_epoch_returns_default() -> None:
+    # The API sends 0 (and occasionally "0") for a snapshot cutoff or finish time that does
+    # not exist yet; it must not be rendered as a bare 0 or as 1970.
+    assert format_record_time(0) == "—"
+    assert format_record_time("0") == "—"
+    assert format_record_time(-1) == "—"
+    assert format_record_time(0, default="未开始") == "未开始"
+
+
 def test_format_record_time_with_garbage_returns_raw_value() -> None:
     assert format_record_time("not-a-timestamp") == "not-a-timestamp"
 

app/video_companion/dist/index.html

@@ -6,7 +6,7 @@
     <meta name="color-scheme" content="light" />
     <link rel="icon" type="image/png" href="./favicon.png" />
     <title>视频面诊</title>
-    <script type="module" crossorigin src="./assets/index-B_ek5NUi.js"></script>
+    <script type="module" crossorigin src="./assets/index-CNqfE3p9.js"></script>
     <link rel="stylesheet" crossorigin href="./assets/index-BMSk91Wa.css">
   </head>
   <body>

app/video_companion/src/App.vue

@@ -60,6 +60,8 @@ const props = defineProps<{
   chatReady: Readonly<Ref<boolean>>
   chatBusy: Readonly<Ref<boolean>>
   notice: Readonly<Ref<string>>
+  canVideoCall: Readonly<Ref<boolean>>
+  callDisabledReason: Readonly<Ref<string>>
   hasMoreMessages: Readonly<Ref<boolean>>
   transcriptionState: Readonly<Ref<string>>
   localRecordingState: Readonly<Ref<string>>
@@ -308,6 +310,7 @@ watch(
         </button>
         <button
           class="primary-action"
+          v-if="canVideoCall.value"
           type="button"
           :disabled="actionBusy || isCalling || !chatReady.value"
           @click="runAction(onStartVideo)"
@@ -383,6 +386,9 @@ watch(
       </div>
 
       <footer class="composer">
+        <div v-if="callDisabledReason.value" class="inline-notice" role="status">
+          {{ callDisabledReason.value }}
+        </div>
         <div v-if="localError || notice.value" class="inline-notice" :class="{ 'inline-notice--error': localError }">
           {{ localError || notice.value }}
         </div>

app/video_companion/src/appointment-call-guard.ts

@@ -0,0 +1,29 @@
+type Guard = (callType: number) => Promise<void>
+
+/** Each SDK entrypoint uses the current conversation, including after async work. */
+export function installAppointmentCallGuard(api: Record<string, any>): (guard: Guard) => () => void {
+  let activeGuard: Guard | undefined
+  for (const method of ['call', 'calls', 'groupCall']) {
+    const original = api[method]
+    if (typeof original !== 'function') continue
+    api[method] = async function (params: any, ...rest: any[]) {
+      const guard = activeGuard
+      if (!guard) throw new Error('请先打开本次挂号的聊天窗口')
+      const type = params?.type === 1 ? 1 : 2
+      const dispatched = { ...params, type }
+      await guard(type)
+      if (activeGuard !== guard) throw new Error('当前问诊已切换，请重新发起通话')
+      return original.call(this, dispatched, ...rest)
+    }
+  }
+  return (guard: Guard) => {
+    activeGuard = guard
+    return () => { if (activeGuard === guard) activeGuard = undefined }
+  }
+}
+
+export function assertCallPolicy(policy: Record<string, unknown>, type: number): void {
+  if ((type === 1 ? policy.can_audio_call : policy.can_video_call) !== true) {
+    throw new Error(String(policy.call_disabled_reason || '本次挂号不支持该通话方式'))
+  }
+}

app/video_companion/src/env.d.ts

@@ -6,6 +6,12 @@ declare module 'tim-upload-plugin' {
 }
 
 interface DoctorCallConfig {
+  patientId?: number | string | null
+  appointmentId?: number
+  appointment_type?: unknown
+  can_video_call?: unknown
+  can_audio_call?: unknown
+  call_disabled_reason?: string
   SDKAppID?: number | string
   sdkAppId?: number | string
   userID?: string
@@ -53,6 +59,7 @@ interface DoctorConsultationApi {
   startVideo(): Promise<void>
   hangup(): Promise<void>
   hostCallReady(ok: boolean, message?: string): void
+  callPolicyResult(requestId: string, policy: Record<string, unknown>): void
   recordingResult(ok: boolean, message: string): void
   roomBindingResult(roomId: string, ok: boolean, message: string): void
   screenshotResult(ok: boolean, message: string): void

app/video_companion/src/main.ts

@@ -10,6 +10,7 @@ import {
 } from '@trtc/calls-uikit-vue'
 
 import App from './App.vue'
+import { assertCallPolicy, installAppointmentCallGuard } from './appointment-call-guard'
 import './style.css'
 
 type CallPhase = 'ready' | 'starting' | 'dialing' | 'connected' | 'ended' | 'error'
@@ -20,6 +21,8 @@ type TranscriptionState = 'idle' | 'starting' | 'recording' | 'stopping' | 'erro
 type LocalRecordingState = 'idle' | 'starting' | 'recording' | 'stopping' | 'uploading' | 'error'
 
 interface NormalizedCallConfig {
+  appointmentId: number
+  policy: Record<string, unknown>
   SDKAppID: number
   userID: string
   userSig: string
@@ -77,6 +80,7 @@ interface BridgeMessage {
   event:
     | 'ready'
     | 'call-start-request'
+    | 'call-policy-request'
     | 'status'
     | 'room'
     | 'hangup'
@@ -86,6 +90,8 @@ interface BridgeMessage {
     | 'transcription-segment'
     | 'transcription-stop'
   diagnosisId?: number | string
+  callType?: number
+  requestId?: string
   status?: string
   roomId?: string
   message?: string
@@ -179,6 +185,13 @@ const messages = ref<UiChatMessage[]>([])
 const chatReady = ref(false)
 const chatBusy = ref(false)
 const notice = ref('')
+const canVideoCall = ref(false)
+const callDisabledReason = ref('正在确认本次挂号通话权限')
+const registerCallGuard = installAppointmentCallGuard(TUICallKitAPI)
+let releaseCallGuard: (() => void) | undefined
+let contextGeneration = 0
+let policySequence = 0
+const pendingCallPolicies = new Map<string, (policy: Record<string, unknown>) => void>()
 const hasMoreMessages = ref(false)
 const transcriptionState = ref<TranscriptionState>('idle')
 const localRecordingState = ref<LocalRecordingState>('idle')
@@ -381,6 +394,13 @@ function normalizeConfig(config: DoctorCallConfig): NormalizedCallConfig {
     : '患者'
   return {
     SDKAppID,
+    appointmentId: Number(config.appointmentId || 0),
+    policy: {
+      can_video_call: config.can_video_call,
+      can_audio_call: config.can_audio_call,
+      appointment_type: config.appointment_type,
+      call_disabled_reason: config.call_disabled_reason,
+    },
     userID: cleanString(config.userID ?? config.userId, '医生用户ID'),
     userSig: cleanString(config.userSig, '用户签名'),
     targetUserId: cleanString(config.targetUserId ?? config.patientUserId, '患者用户ID'),
@@ -1740,13 +1760,42 @@ TUICallKitAPI.setCallback({
 TUICallKitAPI.setLanguage('zh-cn')
 TUICallKitAPI.enableFloatWindow(false)
 
-function requestHostCallStart(): Promise<boolean> {
+function syncCallPolicy(policy: Record<string, unknown>): void {
+  canVideoCall.value = policy.can_video_call === true
+  callDisabledReason.value = policy.appointment_type === 'text'
+    ? '图文问诊，不支持音视频通话'
+    : String(policy.call_disabled_reason || (canVideoCall.value ? '' : '本次挂号不支持视频通话'))
+}
+
+function requestCallPolicy(): Promise<Record<string, unknown>> {
+  if (!window.qtVideoBridge?.notify) return Promise.reject(new Error('无法确认本次挂号通话权限'))
+  const requestId = `${contextGeneration}:${++policySequence}`
+  return new Promise((resolve) => {
+    pendingCallPolicies.set(requestId, resolve)
+    emit({ source: 'doctor-call', event: 'call-policy-request', requestId, diagnosisId: activeConfig?.diagnosisId })
+    window.setTimeout(() => {
+      const pending = pendingCallPolicies.get(requestId)
+      if (!pending) return
+      pendingCallPolicies.delete(requestId)
+      pending({ call_disabled_reason: '通话权限确认超时，请重试' })
+    }, 15000)
+  })
+}
+
+function callPolicyResult(requestId: string, policy: Record<string, unknown>): void {
+  const resolve = pendingCallPolicies.get(requestId)
+  if (!resolve) return
+  pendingCallPolicies.delete(requestId)
+  resolve(policy)
+}
+
+function requestHostCallStart(callType = 2): Promise<boolean> {
   if (!activeConfig) return Promise.resolve(false)
-  if (!window.qtVideoBridge?.notify) return Promise.resolve(true)
+  if (!window.qtVideoBridge?.notify) return Promise.resolve(false)
   return new Promise<boolean>((resolve) => {
     const currentResolver = resolve
     resolveHostCallReady = currentResolver
-    emit({ source: 'doctor-call', event: 'call-start-request', diagnosisId: activeConfig?.diagnosisId })
+    emit({ source: 'doctor-call', event: 'call-start-request', diagnosisId: activeConfig?.diagnosisId, callType })
     window.setTimeout(() => {
       if (resolveHostCallReady !== currentResolver) return
       resolveHostCallReady = null
@@ -1765,9 +1814,12 @@ function hostCallReady(ok: boolean, message = ''): void {
 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')
+  const config = activeConfig
+  const generation = contextGeneration
   starting = true
   try {
     if (hangupNotification) await hangupNotification
+    if (activeConfig !== config || generation !== contextGeneration) throw new Error('当前问诊已切换')
     if (!activeConfig || !endNotified) throw new Error('已有视频通话正在进行')
     hangupNotification = null
     callCycleGeneration += 1
@@ -1782,8 +1834,6 @@ async function startVideo(): Promise<void> {
     localRecordingSessionId = ''
     localRecordingMimeType = ''
     notice.value = ''
-    const allowed = await requestHostCallStart()
-    if (!allowed) throw new Error(notice.value || '服务器未能创建视频通话记录')
     await TUICallKitAPI.init({
       SDKAppID: activeConfig.SDKAppID,
       userID: activeConfig.userID,
@@ -1791,6 +1841,7 @@ async function startVideo(): Promise<void> {
       ...(chat ? { tim: chat, isFromChat: true } : {}),
     })
     await nextTick()
+    if (activeConfig !== config || generation !== contextGeneration) throw new Error('当前问诊已切换')
     phase.value = 'dialing'
     statusText.value = '正在呼叫患者'
     appendVideoCallStatus('dialing', '正在呼叫患者')
@@ -1807,11 +1858,12 @@ async function startVideo(): Promise<void> {
     emit({ source: 'doctor-call', event: 'status', diagnosisId: activeConfig.diagnosisId, status: 'dialing' })
   } catch (error) {
     const message = safeErrorMessage(error, '无法发起视频通话')
+    if (activeConfig !== config || generation !== contextGeneration) throw new Error(message)
     phase.value = 'error'
     statusText.value = message
     appendVideoCallStatus('failed', `视频通话发起失败：${message}`)
     endNotified = true
-    emit({ source: 'doctor-call', event: 'error', diagnosisId: activeConfig.diagnosisId, message })
+    emit({ source: 'doctor-call', event: 'error', diagnosisId: activeConfig?.diagnosisId, message })
     throw new Error(message)
   } finally {
     starting = false
@@ -1867,6 +1919,31 @@ function roomBindingResult(roomId: string, ok: boolean, message: string): void {
 async function open(config: DoctorCallConfig): Promise<void> {
   if (activeConfig) await close()
   activeConfig = normalizeConfig(config)
+  const current = activeConfig
+  const generation = ++contextGeneration
+  syncCallPolicy(current.policy)
+  releaseCallGuard = registerCallGuard(async (type) => {
+    const assertCurrent = () => {
+      if (activeConfig !== current || generation !== contextGeneration) {
+        throw new Error('当前问诊已切换，请重新发起通话')
+      }
+      if (document.visibilityState === 'hidden') throw new Error('请先返回本次挂号的聊天窗口')
+    }
+    const refresh = async () => {
+      assertCurrent()
+      const policy = await requestCallPolicy()
+      assertCurrent()
+      syncCallPolicy(policy)
+      if (policy.appointmentId !== current.appointmentId) throw new Error('本次挂号已变更，请重新打开聊天窗口')
+      assertCallPolicy(policy, type)
+    }
+    await refresh()
+    if (!await requestHostCallStart(type)) throw new Error(notice.value || '服务器未能创建通话记录')
+    assertCurrent()
+    // Refresh again after asynchronous record creation, immediately before SDK dispatch.
+    await refresh()
+    assertCurrent()
+  })
   mode.value = activeConfig.mode
   patientName.value = activeConfig.patientName
   patientCase.value = activeConfig.patientCase
@@ -1908,6 +1985,13 @@ async function open(config: DoctorCallConfig): Promise<void> {
 }
 
 async function close(): Promise<void> {
+  releaseCallGuard?.()
+  releaseCallGuard = undefined
+  contextGeneration += 1
+  for (const resolve of pendingCallPolicies.values()) resolve({})
+  pendingCallPolicies.clear()
+  resolveHostCallReady?.(false)
+  resolveHostCallReady = null
   if (!endNotified) await hangup()
   if (hangupNotification) await hangupNotification
   unsubscribeTranscriber()
@@ -1933,6 +2017,7 @@ window.doctorConsultation = {
   startVideo,
   hangup,
   hostCallReady,
+  callPolicyResult,
   recordingResult,
   roomBindingResult,
   screenshotResult,
@@ -1951,6 +2036,8 @@ createApp(App, {
   chatReady: readonly(chatReady),
   chatBusy: readonly(chatBusy),
   notice: readonly(notice),
+  canVideoCall: readonly(canVideoCall),
+  callDisabledReason: readonly(callDisabledReason),
   hasMoreMessages: readonly(hasMoreMessages),
   transcriptionState: readonly(transcriptionState),
   localRecordingState: readonly(localRecordingState),

app/video_companion/tests/appointment-call-guard.test.cjs

@@ -0,0 +1,68 @@
+const { test } = require('node:test')
+const assert = require('node:assert/strict')
+const fs = require('node:fs')
+const path = require('node:path')
+const ts = require('typescript')
+const source = fs.readFileSync(path.join(__dirname, '../src/appointment-call-guard.ts'), 'utf8')
+const compiled = ts.transpileModule(source, { compilerOptions: { module: ts.ModuleKind.CommonJS } }).outputText
+const target = { exports: {} }
+new Function('module', 'exports', compiled)(target, target.exports)
+const { installAppointmentCallGuard, assertCallPolicy } = target.exports
+
+for (const method of ['call', 'calls', 'groupCall']) {
+  test(`${method}: current server policy controls every invocation`, async () => {
+    const dispatched = []
+    const api = { [method]: async (params) => dispatched.push(params.type) }
+    const register = installAppointmentCallGuard(api)
+    await assert.rejects(api[method]({ type: 2 }), /请先打开/)
+    let serverPolicy = { can_video_call: true, can_audio_call: true }
+    let refreshes = 0
+    register(async (type) => { refreshes++; assertCallPolicy(serverPolicy, type) })
+    await api[method]({ type: 2 })
+    serverPolicy = { appointment_type: 'text', can_audio_call: false, can_video_call: false }
+    await assert.rejects(api[method]({ type: 2 }))
+    await assert.rejects(api[method]({ type: 1 }))
+    assert.deepEqual(dispatched, [2])
+    assert.equal(refreshes, 3)
+  })
+
+  test(`${method}: close or replacement rejects an in-flight authorization`, async () => {
+    let resume
+    let dispatched = 0
+    const api = { [method]: async () => dispatched++ }
+    const register = installAppointmentCallGuard(api)
+    const release = register(() => new Promise((resolve) => { resume = resolve }))
+    const pending = api[method]({ type: 2 })
+    release()
+    register(async () => {})
+    resume()
+    await assert.rejects(pending, /已切换/)
+    assert.equal(dispatched, 0)
+    release() // Releasing the old window cannot remove the replacement guard.
+    await api[method]({ type: 1 })
+    assert.equal(dispatched, 1)
+  })
+}
+
+test('strict booleans fail closed, audio and video permissions remain separate', () => {
+  for (const value of [undefined, null, false, 0, 1, 'true', '1']) {
+    assert.throws(() => assertCallPolicy({ can_video_call: value }, 2))
+    assert.throws(() => assertCallPolicy({ can_audio_call: value }, 1))
+  }
+  assert.doesNotThrow(() => assertCallPolicy({ can_audio_call: true }, 1))
+  assert.throws(() => assertCallPolicy({ can_audio_call: true }, 2))
+})
+
+test('an awaiting caller cannot change the authorized media type', async () => {
+  let resume
+  let actual
+  const api = { calls: async (params) => { actual = params.type } }
+  const register = installAppointmentCallGuard(api)
+  register(() => new Promise((resolve) => { resume = resolve }))
+  const params = { type: 1 }
+  const pending = api.calls(params)
+  params.type = 2
+  resume()
+  await pending
+  assert.equal(actual, 1)
+})

artifacts/appointment-modes/README.md

@@ -0,0 +1,28 @@
+# 挂号类型展示与图文问诊通话限制
+
+按用户确认，仅使用现有视频问诊、图文问诊，不新增线下面诊选项。新预约默认视频，历史电话记录继续准确展示。
+
+## 交付
+
+- 挂号编辑和预约抽屉明确标注“挂号类型”。我的患者、诊单 PC/H5 显示当前挂号类型，多次挂号分别展示；未挂号显示 `—`。
+- 医生面诊 PC/H5 的列表及详情显示“面诊类型”；聊天窗口传递并核对本次挂号 ID，避免同一诊单多条挂号类型串用。
+- 图文问诊保留文本、图片、文件沟通，隐藏语音、视频及群视频入口。直接调用群视频方法或 SDK `call/calls/groupCall` 也会校验；发起前重新读取服务端类型，拒绝已改为图文的挂号。
+- 服务端签名响应携带本次挂号类型及通话权限；发起通话接口在创建通话记录前再次校验。签名仍供图文聊天使用，未禁用聊天登录。
+- 视频二维码及旁观入口仅供视频问诊使用，普通诊单二维码仍支持图文问诊。
+- 多条有效挂号未指定 ID 时允许获取聊天签名，但不猜测可视频的挂号；明确挂号 ID 必须属于当前诊单。历史空类型仅在挂号确实存在时沿用原视频默认值。
+
+## 验证
+
+- `node --test admin/tests/appointment-call-mode.test.cjs`：7 项行为回归通过，包含实际 SFC 脚本执行及真实聊天模板渲染，校验图文无通话按钮、视频仍有按钮、直调拦截、服务端类型变化及跨窗口状态切换。
+- `node admin/scripts/verify-appointment-type.cjs`：9 个 Vue 组件脚本、模板、样式编译通过，3 个聊天入口传递挂号 ID 的约束通过。
+- `php server/tests/AppointmentCallPolicyTest.php`：34 个断言通过，内存模型替身，验证挂号选择、图文限制、跨诊单 ID 拒绝及旧数据兼容。
+- `php server/tests/AppointmentTypeTest.php`、`php server/tests/CallSignatureIdentityContractTest.php` 通过；修改 PHP 语法检查通过。
+- 全量 `vue-tsc` 已执行，仍有原有模块报错；本次新增工具和聊天组件无报错。编辑过的两个列表仅在原有 `@command` 回调出现已有 `cmd` 隐式 any，未在本次扩大修复范围。输出见 `typecheck.log`。
+- `git diff --check` 通过。
+- 全量生产构建通过（1 分 53 秒），输出到任务临时目录，未覆盖站点发布目录；完整输出见 `build.log`，仍有既有的大分包警告。
+
+分项记录：[页面](ui.md)、[患者列表后端](backend.md)、[服务端通话策略](call-policy.md)。测试使用虚构数据，不连接业务数据库，不生成真实二维码，不登录腾讯云或拨打实际通话。未进行完整浏览器/真实租户联调。
+
+## 上线
+
+本次未部署，无新增表字段或 SQL 迁移。需将前后端一起上线：新页面以签名接口返回的通话权限为准，旧后端不返回确认字段时不会开放通话按钮。

artifacts/appointment-modes/backend.md

@@ -0,0 +1,19 @@
+# 挂号类型展示：后端交付
+
+按用户澄清，仅补已有问诊类型的展示；未新增线下面诊选项。
+
+## 变更
+
+- `server/app/adminapi/lists/firstvisit/MyPatientLists.php`：查询主挂号的 `appointment_type`，并从同一条主挂号返回 `appointment_id`、医生、时间、`appointment_type` 与 `appointment_type_desc`。沿用当前日期和状态筛选的主挂号选择逻辑，避免把最新一条挂号类型拼到另一条挂号上。
+- 无挂号时返回 `appointment_type = null`、`appointment_type_desc = ''`，避免误示为视频挂号。已有挂号的历史空值仍按原枚举规则显示视频问诊。
+- `server/app/adminapi/lists/firstvisit/MyPatientProgressLists.php`：类型和标签统一使用 `AppointmentTypeEnum`。历史 `phone` 显示电话问诊，未知类型显示未知，不再错误回退为面诊。
+- `server/tests/AppointmentTypeTest.php`：补主挂号选择与类型一致性、日期/状态切换、无挂号、历史空值/电话/未知标签的回归覆盖；确认 `offline` 仍不允许写入。
+
+## 验证
+
+- `php server/tests/AppointmentTypeTest.php`：通过。
+- 上述两个列表文件及测试文件的 `php -l`：通过。
+- `git diff --check`：通过。
+- 已确认枚举、创建/编辑验证逻辑及 SQL 文件均无本次变更。
+
+测试未连接业务数据库、未执行 SQL 或迁移、未发出外部请求。视频通话限制由主代理另行实现和验证。

artifacts/appointment-modes/build.log

@@ -0,0 +1,495 @@
+vite v6.4.2 building for production...
+
+ WARN 
+(!) outDir D:\web\zyt\artifacts\appointment-modes\admin-build is not inside project root and will not be emptied.
+Use --emptyOutDir to override.
+
+
+transforming...
+✓ 4061 modules transformed.
+
+ WARN  node_modules/.pnpm/tcplayer.js@5.3.4-beta.32/node_modules/tcplayer.js/dist/tcplayer.v5.3.4.min.js (3199:26): Use of eval in "node_modules/.pnpm/tcplayer.js@5.3.4-beta.32/node_modules/tcplayer.js/dist/tcplayer.v5.3.4.min.js" is strongly discouraged as it poses security risks and may cause issues with minification.
+
+rendering chunks...
+computing gzip size...
+../artifacts/appointment-modes/admin-build/assets/default_avatar-C6VB7PGm.png                                                           6.09 kB
+../artifacts/appointment-modes/admin-build/assets/no_perms-jDxcYpYC.png                                                                14.62 kB
+../artifacts/appointment-modes/admin-build/index.html                                                                                  31.87 kB │ gzip:    16.16 kB
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+
+ WARN 
+(!) Some chunks are larger than 500 kB after minification. Consider:
+- Using dynamic import() to code-split the application
+- Use build.rollupOptions.output.manualChunks to improve chunking: https://rollupjs.org/configuration-options/#output-manualchunks
+- Adjust chunk size limit for this warning via build.chunkSizeWarningLimit.
+
+✓ built in 1m 53s