gengx

.gitignore

@@ -32,3 +32,4 @@ app/.test-tmp-stream/
 /.spool
 TUICallKit-Vue3/.env
 /.codegraph
+app/artifacts/

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

@@ -300,6 +300,10 @@ export interface WecomPromotionBatchUpdatePoolsParams {
         fallback_url?: string
         status?: 0 | 1
         automation_config?: Record<string, unknown>
+        member_status?: {
+            member_admin_ids: number[]
+            status: 0 | 1
+        }
     }
 }
 
@@ -309,6 +313,9 @@ export interface WecomPromotionBatchUpdatePoolResult {
     success: boolean
     sync_error?: string
     sync_queued?: boolean
+    sync_status?: WecomPromotionMemberSyncStatus
+    member_matched?: number
+    member_updated?: number
     error?: string
 }
 
@@ -318,6 +325,8 @@ export interface WecomPromotionBatchUpdatePoolsResult {
     failed: number
     sync_error_count: number
     sync_queued_count: number
+    member_matched: number
+    member_updated: number
     results: WecomPromotionBatchUpdatePoolResult[]
 }
 
@@ -349,9 +358,28 @@ export function wecomPromotionCheckApiPermission() {
     return request.post({ url: '/firstvisit.wecomPromotion/checkApiPermission' })
 }
 
-export function wecomPromotionSyncRemoteLinks(params: { pool_id: number }) {
-    return request.post({ url: '/firstvisit.wecomPromotion/syncRemoteLinks', params, timeout: 120000 })
-}
+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
@@ -424,6 +462,11 @@ export function prescriptionOrderEdit(params: Record<string, unknown>) {
     return request.post({ url: '/tcm.prescriptionOrder/edit', params })
 }
 
+/** 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；所有履约状态均可使用 */
 export function prescriptionOrderDdcode(params: {
     id: number

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

@@ -11,7 +11,10 @@
         class="chat-window-header"
         @mousedown="onHeaderMouseDown"
       >
-        <span class="chat-window-title" :title="patientName">与 {{ patientName }} 通讯</span>
+        <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/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/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

@@ -178,7 +178,8 @@ export function logActionText(act: string) {
         ej_pharmacy_callback: '洛阳药房状态',
         patch_rx_patient: '处方患者信息',
         patch_rx_usage: '服用参数',
-        update_amount: '修改订单金额',
+        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'
@@ -3882,7 +3882,18 @@ const handleDelete = async (id: number) => {
     getLists()
 }
 
-onMounted(async () => {
+// 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()
     await loadServicePackageOptions()

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

@@ -550,7 +550,13 @@
                                 type="primary"
                                 link
                                 @click="openEdit(row)"
-                            >编辑</el-button>
+                            >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']"
@@ -649,7 +655,12 @@
                     >{{ shipModeLabel(detail.ship_mode) }}</el-tag>
                 </div>
             </template>
-            <template #header-actions="{ detail }">
+            <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"
@@ -1511,7 +1522,9 @@
                 </el-button>
             </template>
         </el-dialog>
-        <!-- 订单退款：须填写原因 -->
+        <prescription-order-time-dialog ref="orderTimeDialogRef" @saved="onOrderTimeSaved" />
+
+        <!-- 订单退款：须填写原因 -->
         <el-dialog
             v-model="refundOrderDialogVisible"
             title="订单退款"
@@ -2031,7 +2044,8 @@ import { computed, onMounted, reactive, ref, nextTick, watch, defineAsyncCompone
 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 PrescriptionOrderDetailDrawer from './components/PrescriptionOrderDetailDrawer.vue'
+import PrescriptionOrderTimeDialog from './components/PrescriptionOrderTimeDialog.vue'
 import GancaoSubmissionReconcileButton from './components/GancaoSubmissionReconcileButton.vue'
 import {
     TCM_ASSISTANT_ROLE_ID,
@@ -3087,7 +3101,13 @@ function canUploadPharmacyRow(row: {
 }
 
 // ─── 详情抽屉（共享组件 PrescriptionOrderDetailDrawer）：状态桥接 ───
-const detailDrawerRef = ref<InstanceType<typeof PrescriptionOrderDetailDrawer>>()
+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)
 

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

@@ -474,7 +474,12 @@
                             v-perms="['tcm.prescriptionOrder/edit']"
                             size="small"
                             @click="openEdit(row)"
-                        >编辑</el-button>
+                        >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']"
@@ -592,8 +597,13 @@
                         >
                             撤回支付审核
                         </el-button>
-                        <el-button
-                            v-if="canShipRow(detailData)"
+                        <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']"
                             type="primary"
                             size="small"
@@ -2566,12 +2576,13 @@
             </div>
         </el-drawer>
 
-        <!-- 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" />
+        <!-- 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>
 
-<script lang="ts" setup name="prescriptionOrderListH5">
+<script lang="ts" setup name="prescriptionOrderListH5">
 import { computed, onMounted, reactive, ref, nextTick, watch, defineAsyncComponent } from 'vue'
 import {
     Refresh,
@@ -2585,7 +2596,8 @@ import {
     Wallet,
     User
 } from '@element-plus/icons-vue'
-import ListTimeFilter from '@/components/list-time-filter/index.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 {
@@ -3513,7 +3525,15 @@ 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 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 +3858,8 @@ 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
 }

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

@@ -154,7 +154,7 @@
             <div class="panel-heading panel-heading--table">
                 <div>
                     <h2>明细数据列表</h2>
-                    <p>展开部门可查看人员明细；加粉=总进线=区间新增加粉（按员工+客户去重，包含区间内添加后已删客户，剔除继承客户、扫一扫/搜手机号/名片分享添加及区间前已加过的重加）<template v-if="canViewDeletedFans">，（-N）表示加粉总数中已删除</template>；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/挂号（看挂号后流失），预约率=面诊/预约（看预约后未面诊），面诊接诊率=接诊诊单/面诊，接诊率=接诊诊单/总进线</p>
+                    <p>展开部门可查看人员明细；加粉=总进线=区间新增“员工+客户”组合（同一员工的同一客户只计一次，同一客户进入不同员工分别计数；包含区间内添加后已删客户，剔除继承客户、扫一扫/搜手机号/名片分享添加及区间前已存在的相同组合）<template v-if="canViewDeletedFans">，（-N）表示加粉组合中已删除</template>；挂号=已支付且实收低于 10 元的订单，预约=有效预约记录；开口率=开口/加粉，挂号率=挂号/加粉，面诊率=面诊/挂号（看挂号后流失），预约率=面诊/预约（看预约后未面诊），面诊接诊率=接诊诊单/面诊，接诊率=接诊诊单/总进线</p>
                 </div>
                 <span>{{ dashboard.rows.length }} 个顶层节点</span>
             </div>
@@ -193,7 +193,7 @@
                             v-if="hasFans(row.add_fans_count)"
                             type="button"
                             class="fan-count-value fan-detail-trigger fan-detail-trigger--table"
-                            title="查看该行加粉客户明细"
+                            title="查看该行加粉组合明细"
                             @click.stop="openFansDetail(row)"
                         >
                             {{ formatNumber(row.add_fans_count) }}
@@ -349,7 +349,7 @@
                     </template>
                 </el-table-column>
                 <template #empty>
-                    <el-empty :image-size="68" description="当前条件下暂无加粉客户明细" />
+                    <el-empty :image-size="68" description="当前条件下暂无加粉组合明细" />
                 </template>
             </el-table>
 
@@ -448,7 +448,7 @@ const timeOptions = [
     { label: '自定义', value: 'custom' }
 ]
 const metricCards: Array<{ key: string; label: string; type: MetricType; hint: string }> = [
-    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '区间新增加粉（含已删除）' },
+    { key: 'add_fans_count', label: '加粉数', type: 'count', hint: '区间新增员工+客户组合（不同员工分别计数，含已删除）' },
     { key: 'total_open_count', label: '开口数', type: 'count', hint: '来源于个人业绩录入' },
     { key: 'interview_count', label: '面诊', type: 'count', hint: '已完成预约' },
     { key: 'completed_order_count', label: '接诊诊单', type: 'count', hint: '业务订单，按创建人归属并过滤无效单' },
@@ -518,7 +518,7 @@ const rankingKind = computed(() => dashboard.meta.ranking_kind || (
 ))
 const showRankings = computed(() => rankingKind.value !== 'hidden')
 const rankingSubject = computed(() => rankingKind.value === 'member' ? '组内成员' : '小组')
-const fansDetailTitle = computed(() => `${fansDetailEntity.value.name} · 加粉客户明细`)
+const fansDetailTitle = computed(() => `${fansDetailEntity.value.name} · 加粉组合明细`)
 const detailRangeText = computed(() => {
     const startDate = dashboard.meta.start_date || query.start_date || ''
     const endDate = dashboard.meta.end_date || query.end_date || ''
@@ -637,7 +637,7 @@ async function loadFansDetail() {
         if (requestId !== latestFansDetailRequestId) return
         fansDetailRows.value = []
         fansDetailPager.total = 0
-        ElMessage.error(error?.message || '加粉客户明细加载失败')
+        ElMessage.error(error?.message || '加粉组合明细加载失败')
     } finally {
         if (requestId === latestFansDetailRequestId) fansDetailLoading.value = false
     }

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

@@ -125,7 +125,12 @@
                         </div>
                     </template>
                 </el-table-column>
-                <el-table-column label="预约时间" min-width="165">
+                <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 }]">
                             {{ row.appointment_time_text || '暂无预约' }}
@@ -324,7 +329,8 @@
     </div>
 </template>
 
-<script setup lang="ts">
+<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

@@ -58,22 +58,56 @@
                     </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="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 {{ selectablePoolIds.length }} 个</span>
+                        </div>
                         <div
                             v-for="pool in overview.pools"
                             :key="pool.id"
@@ -82,7 +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
@@ -116,11 +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>
 
@@ -140,7 +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">
@@ -153,10 +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">
@@ -170,12 +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>
@@ -488,6 +532,62 @@
                         </div>
                     </section>
 
+                    <section class="batch-config-section">
+                        <h3>员工上下线</h3>
+                        <p class="batch-section-tip">所选员工会在其已加入的所选方案中统一上线或下线；不属于某个方案的员工不会被加入该方案。为保证方案级原子提交，员工上下线需单独批量保存。</p>
+                        <div class="batch-field batch-member-status-field" :class="{ 'is-disabled': !batchConfigApply.member_status }">
+                            <el-checkbox v-model="batchConfigApply.member_status" :disabled="savingBatchConfig">批量修改员工上线状态</el-checkbox>
+                            <div class="batch-member-status-grid">
+                                <el-form-item label="目标状态">
+                                    <el-radio-group v-model="batchConfigForm.member_status" :disabled="!batchConfigApply.member_status || savingBatchConfig">
+                                        <el-radio-button :value="1">批量上线</el-radio-button>
+                                        <el-radio-button :value="0">批量下线</el-radio-button>
+                                    </el-radio-group>
+                                </el-form-item>
+                                <el-form-item label="选择员工">
+                                    <el-tree-select
+                                        v-model="batchConfigForm.member_admin_ids"
+                                        :data="batchMemberDepartmentTree"
+                                        :props="memberTreeProps"
+                                        :default-expanded-keys="batchMemberTreeDefaultExpandedKeys"
+                                        :filter-node-method="filterMemberTreeNode"
+                                        node-key="value"
+                                        multiple
+                                        filterable
+                                        clearable
+                                        show-checkbox
+                                        check-on-click-node
+                                        collapse-tags
+                                        collapse-tags-tooltip
+                                        :max-collapse-tags="3"
+                                        :multiple-limit="100"
+                                        :render-after-expand="false"
+                                        :disabled="!batchConfigApply.member_status || savingBatchConfig"
+                                        placeholder="按部门勾选，或搜索姓名 / 部门 / 企微 userid"
+                                        style="width: 100%"
+                                    >
+                                        <template #default="{ data }">
+                                            <span class="member-tree-option" :class="`is-${data.kind}`">
+                                                <span class="member-tree-option__label">{{ data.label }}</span>
+                                                <span v-if="data.kind === 'department'" class="member-tree-option__count">{{ data.member_count }} 人</span>
+                                                <span v-else class="member-tree-option__detail">{{ data.detail }}</span>
+                                            </span>
+                                        </template>
+                                    </el-tree-select>
+                                    <span class="form-tip">勾选部门可全选其下员工；已选 {{ batchConfigForm.member_admin_ids.length }} 名。</span>
+                                </el-form-item>
+                            </div>
+                            <el-alert
+                                v-if="batchConfigApply.member_status && batchConfigForm.member_status === 0 && batchMemberOfflineBlockedPools.length"
+                                type="warning"
+                                show-icon
+                                :closable="false"
+                                :title="`${batchMemberOfflineBlockedPools[0].name} 至少需要保留一名当前可用的上线员工`"
+                                :description="batchMemberOfflineBlockedPools.length > 1 ? `另有 ${batchMemberOfflineBlockedPools.length - 1} 个方案也会没有可用上线员工，请调整选择。` : '请减少下线员工，或先为该方案上线一名当前可用的员工。'"
+                            />
+                        </div>
+                    </section>
+
                     <section v-if="overview.automation_installed" class="batch-config-section automation-batch-section">
                         <h3>自动化设置</h3>
                         <p class="batch-section-tip">先选择要覆盖的分组。未选择的接待、客户或欢迎语设置不会随本次批量操作改变。</p>
@@ -514,10 +614,11 @@
                             @busy="(busy) => batchConfigBusy = busy"
                         />
                     </section>
-                    <el-alert v-else type="warning" show-icon :closable="false" title="自动化配置尚未安装" description="本次仍可批量修改验证方式、兜底链接和运行状态；安装自动化数据表后即可批量修改接待、客户和欢迎语设置。" />
+                    <el-alert v-else type="warning" show-icon :closable="false" title="自动化配置尚未安装" description="本次仍可批量修改验证方式、兜底链接、运行状态和员工上下线；安装自动化数据表后即可批量修改接待、客户和欢迎语设置。" />
                 </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>
@@ -628,9 +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'
@@ -655,6 +757,12 @@ interface PromotionMemberOption {
     dept_names: string[]
 }
 
+interface BatchMemberStatusOption extends PromotionMemberOption {
+    pool_count: number
+    online_count: number
+    offline_count: number
+}
+
 interface PromotionOperatorOption {
     id: number
     name: string
@@ -706,6 +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('')
@@ -714,8 +828,8 @@ const poolFormScroll = ref<HTMLElement>()
 const poolFormError = ref('')
 const automationBusy = ref(false)
 const accessForm = reactive({ pool_ids: [] as number[], operator_admin_ids: [] as number[], action: 'grant' as 'grant' | 'revoke' })
-const batchConfigApply = reactive({ skip_verify: false, fallback_url: false, status: false, reception: false, customer: false, welcome: false })
-const batchConfigForm = reactive({ pool_ids: [] as number[], skip_verify: 0, fallback_url: '', status: 1, automation_config: defaultAutomationConfig() })
+const batchConfigApply = reactive({ skip_verify: false, fallback_url: false, status: false, member_status: false, reception: false, customer: false, welcome: false })
+const batchConfigForm = reactive({ pool_ids: [] as number[], skip_verify: 0, fallback_url: '', status: 1, member_admin_ids: [] as number[], member_status: 1 as 0 | 1, automation_config: defaultAutomationConfig() })
 const memberForm = reactive({ id: 0, name: '', userid: '', daily_limit: 0, status: 1, active_range: [] as string[], remark: '' })
 const customerStatsLoading = ref(false)
 const customerStatsLoaded = ref(false)
@@ -736,9 +850,109 @@ 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 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]))
+    const grouped = new Map<number, BatchMemberStatusOption & { pool_ids: Set<number> }>()
+    batchConfigPools.value.forEach((pool: any) => {
+        const poolId = Number(pool.id)
+        const memberRules = Array.isArray(pool.member_rules) ? pool.member_rules : []
+        memberRules.forEach((rule: any) => {
+            const adminId = Number(rule.admin_id)
+            if (adminId <= 0) return
+            const member = memberOptionById.get(adminId)
+            const current = grouped.get(adminId) || {
+                id: adminId,
+                name: String(rule.name || member?.name || rule.userid || `员工 ${adminId}`),
+                userid: String(member?.userid || rule.userid || ''),
+                display_dept_id: Number(member?.display_dept_id || 0),
+                dept_ids: Array.isArray(member?.dept_ids) ? member.dept_ids.map(Number).filter((id) => id > 0) : [],
+                dept_names: Array.isArray(member?.dept_names)
+                    ? member.dept_names.map(String).filter(Boolean)
+                    : (Array.isArray(rule.dept_names) ? rule.dept_names.map(String).filter(Boolean) : []),
+                pool_count: 0,
+                online_count: 0,
+                offline_count: 0,
+                pool_ids: new Set<number>()
+            }
+            if (!current.pool_ids.has(poolId)) {
+                current.pool_ids.add(poolId)
+                current.pool_count++
+                if (Number(rule.enabled) === 1) current.online_count++
+                else current.offline_count++
+            }
+            grouped.set(adminId, current)
+        })
+    })
+    return [...grouped.values()]
+        .map(({ pool_ids: _poolIds, ...member }) => member)
+        .sort((left, right) => left.name.localeCompare(right.name, 'zh-CN'))
+})
+const batchMemberStatusById = computed(() => new Map(
+    batchMemberStatusOptions.value.map((member) => [member.id, member])
+))
+const batchMemberDepartmentTree = computed(() => buildMemberDepartmentTree(
+    overview.department_options,
+    batchMemberStatusOptions.value,
+    {
+        selectableDepartments: true,
+        memberDetail: (member) => {
+            const status = batchMemberStatusById.value.get(member.id)
+            return status
+                ? `${status.pool_count} 个方案 · 已上线 ${status.online_count} / 已下线 ${status.offline_count}`
+                : ''
+        }
+    }
+))
+const batchMemberTreeDefaultExpandedKeys = computed(() => batchMemberDepartmentTree.value.map((node) => node.value))
+const batchMemberOfflineBlockedPools = computed(() => {
+    if (!batchConfigApply.member_status || batchConfigForm.member_status !== 0) return []
+    const targetAdminIds = new Set(batchConfigForm.member_admin_ids.map(Number))
+    return batchConfigPools.value.filter((pool: any) => {
+        const rules = Array.isArray(pool.member_rules) ? pool.member_rules : []
+        const targetedEnabled = rules.some((rule: any) => Number(rule.enabled) === 1 && targetAdminIds.has(Number(rule.admin_id)))
+        const remainingAvailable = rules.some((rule: any) => Number(rule.enabled) === 1
+            && (batchConfigApply.reception || rule.reception_available)
+            && !targetAdminIds.has(Number(rule.admin_id)))
+        return targetedEnabled && !remainingAvailable
+    })
+})
 const batchPrimaryMemberSets = computed(() => batchConfigPools.value.map((pool: any) => new Set<number>(
     (Array.isArray(pool.member_admin_ids) ? pool.member_admin_ids : []).map(Number)
 )))
@@ -769,14 +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) => {
@@ -804,14 +1016,20 @@ 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)
     selectedPoolIds.value = [...next]
 }
 
+function toggleAllPoolSelection(checked: unknown) {
+    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)))
@@ -823,6 +1041,7 @@ function openBatchConfigDialog(poolIds: number[] = selectedPoolIds.value) {
         skip_verify: false,
         fallback_url: false,
         status: false,
+        member_status: false,
         reception: false,
         customer: false,
         welcome: false
@@ -832,6 +1051,8 @@ function openBatchConfigDialog(poolIds: number[] = selectedPoolIds.value) {
         skip_verify: Number(reference?.skip_verify) === 1 ? 1 : 0,
         fallback_url: String(reference?.fallback_url || ''),
         status: Number(reference?.status) === 1 ? 1 : 0,
+        member_admin_ids: [],
+        member_status: 1,
         automation_config: cloneAutomationConfig(reference?.automation_config)
     })
     batchConfigError.value = ''
@@ -855,14 +1076,139 @@ 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 ? `，${unconfirmed} 个尚未确认同步，已保留勾选` : ''}。详情见方案列表上方。`,
+            duration: 8000
+        })
+    } finally {
+        syncingBatchMembers.value = false
+        Object.assign(batchSyncProgress, { completed: 0, total: 0 })
+    }
+}
+
 async function saveBatchConfig() {
-    if (savingBatchConfig.value || batchConfigBusy.value) return
+    if (memberSyncBusy.value || batchConfigBusy.value) return
     batchConfigError.value = ''
     const hasAutomationChange = overview.automation_installed
         && (batchConfigApply.reception || batchConfigApply.customer || batchConfigApply.welcome)
-    if (!batchConfigApply.skip_verify && !batchConfigApply.fallback_url && !batchConfigApply.status && !hasAutomationChange) {
+    const hasMemberStatusChange = batchConfigApply.member_status
+    const hasPoolConfigChange = batchConfigApply.skip_verify || batchConfigApply.fallback_url || batchConfigApply.status || hasAutomationChange
+    if (!batchConfigApply.skip_verify && !batchConfigApply.fallback_url && !batchConfigApply.status && !hasMemberStatusChange && !hasAutomationChange) {
         return setBatchConfigError('请至少勾选一项需要批量修改的配置')
     }
+    if (hasMemberStatusChange && hasPoolConfigChange) {
+        return setBatchConfigError('员工上下线需要单独批量保存，请取消其他方案配置修改')
+    }
+    if (hasMemberStatusChange && !batchConfigForm.member_admin_ids.length) {
+        return setBatchConfigError('请至少选择一名需要批量上线或下线的员工')
+    }
+    if (hasMemberStatusChange && batchConfigForm.member_admin_ids.length > 100) {
+        return setBatchConfigError('单次最多设置 100 名员工，请减少选择范围')
+    }
+    if (hasMemberStatusChange && batchConfigForm.member_status === 0 && batchMemberOfflineBlockedPools.value.length) {
+        return setBatchConfigError(`${batchMemberOfflineBlockedPools.value[0].name} 至少需要保留一名当前可用的上线员工`)
+    }
     if (batchConfigApply.fallback_url && batchConfigForm.fallback_url.trim() && !isWebUrl(batchConfigForm.fallback_url.trim())) {
         return setBatchConfigError('兜底获客助手链接必须为有效的 HTTP/HTTPS 地址')
     }
@@ -889,10 +1235,17 @@ async function saveBatchConfig() {
         fallback_url?: string
         status?: 0 | 1
         automation_config?: Record<string, unknown>
+        member_status?: { member_admin_ids: number[]; status: 0 | 1 }
     } = {}
     if (batchConfigApply.skip_verify) changes.skip_verify = batchConfigForm.skip_verify === 1 ? 1 : 0
     if (batchConfigApply.fallback_url) changes.fallback_url = batchConfigForm.fallback_url.trim()
     if (batchConfigApply.status) changes.status = batchConfigForm.status === 1 ? 1 : 0
+    if (hasMemberStatusChange) {
+        changes.member_status = {
+            member_admin_ids: [...batchConfigForm.member_admin_ids],
+            status: batchConfigForm.member_status
+        }
+    }
     if (hasAutomationChange) {
         const serialized = serializeAutomationConfig(automation) as unknown as Record<string, unknown>
         const automationPatch: Record<string, unknown> = {}
@@ -904,11 +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)
@@ -916,36 +1271,38 @@ 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()
-        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${detail ? `。${detail}` : ''}`)
-        } else if (result.sync_error_count > 0) {
-            ElMessage.warning(`已更新 ${result.updated} 个方案，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 ${result.updated} 个分流方案，${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 ${result.updated} 个分流方案`)
-        }
+        const memberStatusText = batchConfigForm.member_status === 1 ? '上线' : '下线'
+        const memberResultText = hasMemberStatusChange
+            ? (result.member_updated > 0
+                ? `，${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`)
+            : ''
+        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)))
     const ids = [...new Set(poolIds.map(Number).filter((id) => manageableIds.has(id)))]
     if (!ids.length) return ElMessage.warning('请先选择可管理的分流方案')
+    if (ids.length > 100) return ElMessage.warning('单次最多设置 100 个分流方案')
     Object.assign(accessForm, {
         pool_ids: ids,
         operator_admin_ids: [],
@@ -1001,6 +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
@@ -1029,7 +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.
@@ -1058,11 +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
-        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')
+        recordSavedResult(Number(result?.id || poolForm.id), poolForm.name, result || {})
+        await loadOverview()
+        if (result?.id) selectedPoolId.value = Number(result.id)
+        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' })
@@ -1073,6 +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？`,
@@ -1095,6 +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)]
         : []
@@ -1111,7 +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,
@@ -1119,10 +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 {
@@ -1131,13 +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()
@@ -1275,8 +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) {
@@ -1286,7 +1651,11 @@ function todayCount(row: any) {
 
 function buildMemberDepartmentTree(
     departmentOptions: PromotionDepartmentOption[],
-    memberOptions: PromotionMemberOption[]
+    memberOptions: PromotionMemberOption[],
+    options: {
+        selectableDepartments?: boolean
+        memberDetail?: (member: PromotionMemberOption) => string
+    } = {}
 ): PromotionMemberTreeNode[] {
     const availableDeptIds = new Set<number>()
     const collectDeptIds = (departments: PromotionDepartmentOption[]) => {
@@ -1331,7 +1700,8 @@ function buildMemberDepartmentTree(
     const placedMemberIds = new Set<number>()
     const toMemberNode = (member: PromotionMemberOption): PromotionMemberTreeNode => {
         const departments = member.dept_names.length ? member.dept_names.join(' / ') : '未分部门'
-        const detail = member.userid ? `${departments} · ${member.userid}` : departments
+        const detail = options.memberDetail?.(member)
+            || (member.userid ? `${departments} · ${member.userid}` : departments)
         return {
             value: member.id,
             label: member.name,
@@ -1366,7 +1736,7 @@ function buildMemberDepartmentTree(
                 value: `dept:${departmentId}`,
                 label: departmentName,
                 kind: 'department',
-                disabled: true,
+                disabled: !options.selectableDepartments,
                 member_count: memberCount,
                 search_text: `${path.join(' ')} ${children.map((child) => child.search_text).join(' ')}`.toLocaleLowerCase(),
                 children
@@ -1383,7 +1753,7 @@ function buildMemberDepartmentTree(
             value: 'dept:unassigned',
             label: '未分部门',
             kind: 'department',
-            disabled: true,
+            disabled: !options.selectableDepartments,
             member_count: children.length,
             search_text: `未分部门 ${children.map((child) => child.search_text).join(' ')}`.toLocaleLowerCase(),
             children
@@ -1569,6 +1939,7 @@ h1, h2, h3, p { margin: 0; }
 .selection-count { color: #117f75; font-size: 11px; font-weight: 600; }
 .pool-layout { display: grid; grid-template-columns: 252px minmax(0, 1fr); height: clamp(430px, calc(100vh - 330px), 720px); min-height: 430px; border: 1px solid var(--line); border-radius: 11px; overflow: hidden; }
 .pool-sidebar { min-height: 0; padding: 8px; border-right: 1px solid var(--line); overflow-y: auto; overscroll-behavior: contain; scrollbar-gutter: stable; background: #f7f9fa; }
+.pool-select-all { display: flex; position: sticky; z-index: 2; top: 0; align-items: center; justify-content: space-between; min-height: 42px; margin: 0 0 8px; padding: 4px 8px; border-bottom: 1px solid var(--line); background: #f7f9fa; }.pool-select-all :deep(.el-checkbox) { margin-right: 0; }.pool-select-all span { color: #8c98a7; font-size: 10px; }
 .pool-select-row { display: grid; grid-template-columns: 22px minmax(0, 1fr); align-items: center; gap: 4px; margin-bottom: 5px; }
 .pool-select-row :deep(.el-checkbox) { justify-content: center; margin-right: 0; }
 .pool-item { display: grid; grid-template-columns: 9px minmax(0, 1fr) 16px; align-items: center; gap: 9px; width: 100%; min-height: 62px; padding: 10px; border: 1px solid transparent; border-radius: 8px; text-align: left; background: transparent; cursor: pointer; }
@@ -1621,10 +1992,17 @@ h1, h2, h3, p { margin: 0; }
 .batch-pool-summary strong { margin-right: 3px; font-size: 12px; }.batch-pool-summary span { padding: 4px 8px; border-radius: 12px; color: #426078; background: #eaf1f5; font-size: 10px; }.batch-pool-summary small { color: #8491a2; font-size: 10px; }
 .batch-config-form { margin-top: 16px; }.batch-config-section { margin-bottom: 18px; padding: 16px; border: 1px solid var(--line); border-radius: 9px; background: #fff; }.batch-config-section > h3 { margin: 0 0 14px; color: #303b4d; font-size: 14px; }
 .batch-field-grid { display: grid; grid-template-columns: repeat(2, minmax(0, 1fr)); gap: 12px; }.batch-field { padding: 12px; border: 1px solid #dfe6ec; border-radius: 8px; transition: opacity .2s ease, background .2s ease; }.batch-field.is-disabled { opacity: .58; background: #f7f8fa; }.batch-field :deep(.el-form-item) { margin: 10px 0 0; }
+.batch-member-status-field { padding: 14px; }.batch-member-status-grid { display: grid; grid-template-columns: minmax(190px, .7fr) minmax(0, 1.6fr); gap: 14px; }
 .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 { 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-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; } }
+@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; } }
 </style>

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 }">
@@ -219,8 +221,9 @@
                             </el-button>
                            
                             <template v-if="row.status !== 3">
-                                <el-button
-                                    v-perms="['tcm.diagnosis/videoQr']"
+                                <el-button
+                                    v-if="canAppointmentVideoCall(row.appointment_type)"
+                                    v-perms="['tcm.diagnosis/videoQr']"
                                     type="warning"
                                     link
                                     size="small"
@@ -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>
@@ -555,7 +558,8 @@
     </div>
 </template>
 
-<script setup lang="ts">
+<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) {
@@ -1031,7 +1038,11 @@ 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) => {
+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

@@ -108,8 +108,12 @@
                             <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">医生</span>
+                        <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>
                         </div>
                         <div class="apt-h5-row">
@@ -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'])"
@@ -407,7 +411,8 @@
     </div>
 </template>
 
-<script setup lang="ts" name="tcmAppointmentH5">
+<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) {
@@ -776,7 +784,11 @@ const qrcodeDialogVisible = ref(false)
 const qrcodeLoading = ref(false)
 const qrcodeUrl = ref('')
 const currentQRCodeRow = ref<any>(null)
-const handleMiniProgramQRCode = async (row: any) => {
+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
@@ -1183,8 +1195,9 @@ onUnmounted(() => {
     line-height: 20px;
 }
 
-.apt-h5-row-key {
-    flex: 0 0 38px;
+.apt-h5-row-key {
+    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:">
-          <el-radio-group v-model="form.appointmentType">
-            <el-radio value="video">视频问诊</el-radio>
+        <!-- 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

@@ -2,29 +2,47 @@
     <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>
                 重新加载已归档
             </el-button>
-        </div>
-
-        <div v-loading="loading" class="chat-wrap">
-            <template v-if="!loading && rows.length">
+        </div>
+
+        <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 { 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
@@ -109,16 +136,21 @@ const MSG_TYPE_LABELS: Record<string, string> = {
 }
 
 const rows = computed<EnrichedRow[]>(() =>
-    rawRows.value.map((row) => {
-        const fr = parseImFriendly(row)
-        let tag = ''
-        if (fr?.tag) {
-            tag = fr.tag
-        } else {
-            tag = MSG_TYPE_LABELS[row.msg_type] || (row.msg_type !== 'other' ? row.msg_type : '')
-        }
-        return { raw: row, friendly: fr, tag }
-    })
+    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) {
+                tag = fr.tag
+            } else {
+                tag = MSG_TYPE_LABELS[row.msg_type] || (row.msg_type !== 'other' ? row.msg_type : '')
+            }
+            return { raw: row, friendly: fr, tag }
+        })
+    })
 )
 
 function formatTime(ts: number | undefined) {
@@ -145,54 +177,37 @@ 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()
-}
-
-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 reloadArchived() {
+    return controller.reload()
+}
+
+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>
@@ -209,9 +224,15 @@ defineExpose({ refresh: reloadArchived })
         font-size: 12px;
     }
 }
-.toolbar {
+.toolbar {
     display: flex;
-    align-items: center;
+    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

@@ -259,7 +259,20 @@
                         </div>
                     </template>
                 </el-table-column>
-                <el-table-column label="确认" width="88" align="center">
+                <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>
                         <span v-else class="status-unconfirmed">未确认</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"
@@ -731,7 +744,8 @@ import { usePaging } from '@/hooks/usePaging'
 import { getDictData } from '@/api/app'
 import { getWeappConfig } from '@/api/channel/weapp'
 import feedback from '@/utils/feedback'
-import { hasPermission } from '@/utils/perm'
+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'
@@ -1377,10 +1391,11 @@ type VideoCallHint = {
     end_time?: number
 }
 
-const canWatchCallEntry = (row: any) =>
-    isAssignedAssistant(row) && hasPermission(['tcm.diagnosis/watchCall'])
+const canWatchCallEntry = (row: any) =>
+    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
@@ -1404,7 +1419,11 @@ const watchCallEnterTooltip = (row: any) => {
     return watchCallLiveTooltip(row)
 }
 
-const onWatchCallEntryClick = (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

@@ -155,13 +155,15 @@
                                     >
                                         <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-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-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')"
                 >
@@ -584,7 +586,8 @@
     </div>
 </template>
 
-<script setup lang="ts" name="tcmDiagnosisH5">
+<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)
@@ -981,9 +989,10 @@ const isAssignedAssistant = (row: any) => {
     if (aid === null || aid === undefined || aid === '') return false
     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'
+const canWatchCallEntry = (row: any) =>
+    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'
@@ -1015,7 +1024,11 @@ const watchCallVisibleForRow = (row: any) => {
 }
 const watchCallDialogVisible = ref(false)
 const watchCallDiagnosisId = ref(0)
-const onWatchCallEntryClick = (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'
@@ -1805,8 +1818,9 @@ $dh5-card-bg: #ffffff;
     }
 }
 
-.dh5-apt-item {
-    display: flex;
+.dh5-apt-item {
+    display: flex;
+    flex-wrap: wrap;
     align-items: center;
     gap: 8px;
     padding: 4px 8px;
@@ -1830,11 +1844,17 @@ $dh5-card-bg: #ffffff;
     font-weight: 500;
 }
 
-.dh5-apt-time {
+.dh5-apt-time {
     color: $dh5-text-mute;
     font-size: 12px;
-    margin-left: auto;
-}
+    margin-left: auto;
+}
+
+.dh5-apt-type {
+    flex-basis: 100%;
+    color: $dh5-text-mute;
+    font-size: 12px;
+}
 
 .dh5-apt-none {
     color: $dh5-warn;

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/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/resources/fonts/OFL-NotoSansSC.txt

@@ -0,0 +1,93 @@
+Copyright 2014-2021 Adobe (http://www.adobe.com/), with Reserved Font Name 'Source'
+
+This Font Software is licensed under the SIL Open Font License, Version 1.1.
+This license is copied below, and is also available with a FAQ at:
+https://scripts.sil.org/OFL
+
+
+-----------------------------------------------------------
+SIL OPEN FONT LICENSE Version 1.1 - 26 February 2007
+-----------------------------------------------------------
+
+PREAMBLE
+The goals of the Open Font License (OFL) are to stimulate worldwide
+development of collaborative font projects, to support the font creation
+efforts of academic and linguistic communities, and to provide a free and
+open framework in which fonts may be shared and improved in partnership
+with others.
+
+The OFL allows the licensed fonts to be used, studied, modified and
+redistributed freely as long as they are not sold by themselves. The
+fonts, including any derivative works, can be bundled, embedded, 
+redistributed and/or sold with any software provided that any reserved
+names are not used by derivative works. The fonts and derivatives,
+however, cannot be released under any other type of license. The
+requirement for fonts to remain under this license does not apply
+to any document created using the fonts or their derivatives.
+
+DEFINITIONS
+"Font Software" refers to the set of files released by the Copyright
+Holder(s) under this license and clearly marked as such. This may
+include source files, build scripts and documentation.
+
+"Reserved Font Name" refers to any names specified as such after the
+copyright statement(s).
+
+"Original Version" refers to the collection of Font Software components as
+distributed by the Copyright Holder(s).
+
+"Modified Version" refers to any derivative made by adding to, deleting,
+or substituting -- in part or in whole -- any of the components of the
+Original Version, by changing formats or by porting the Font Software to a
+new environment.
+
+"Author" refers to any designer, engineer, programmer, technical
+writer or other person who contributed to the Font Software.
+
+PERMISSION & CONDITIONS
+Permission is hereby granted, free of charge, to any person obtaining
+a copy of the Font Software, to use, study, copy, merge, embed, modify,
+redistribute, and sell modified and unmodified copies of the Font
+Software, subject to the following conditions:
+
+1) Neither the Font Software nor any of its individual components,
+in Original or Modified Versions, may be sold by itself.
+
+2) Original or Modified Versions of the Font Software may be bundled,
+redistributed and/or sold with any software, provided that each copy
+contains the above copyright notice and this license. These can be
+included either as stand-alone text files, human-readable headers or
+in the appropriate machine-readable metadata fields within text or
+binary files as long as those fields can be easily viewed by the user.
+
+3) No Modified Version of the Font Software may use the Reserved Font
+Name(s) unless explicit written permission is granted by the corresponding
+Copyright Holder. This restriction only applies to the primary font name as
+presented to the users.
+
+4) The name(s) of the Copyright Holder(s) or the Author(s) of the Font
+Software shall not be used to promote, endorse or advertise any
+Modified Version, except to acknowledge the contribution(s) of the
+Copyright Holder(s) and the Author(s) or with their explicit written
+permission.
+
+5) The Font Software, modified or unmodified, in part or in whole,
+must be distributed entirely under this license, and must not be
+distributed under any other license. The requirement for fonts to
+remain under this license does not apply to any document created
+using the Font Software.
+
+TERMINATION
+This license becomes null and void if any of the above conditions are
+not met.
+
+DISCLAIMER
+THE FONT SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND,
+EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF
+MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT
+OF COPYRIGHT, PATENT, TRADEMARK, OR OTHER RIGHT. IN NO EVENT SHALL THE
+COPYRIGHT HOLDER BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY,
+INCLUDING ANY GENERAL, SPECIAL, INDIRECT, INCIDENTAL, OR CONSEQUENTIAL
+DAMAGES, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING
+FROM, OUT OF THE USE OR INABILITY TO USE THE FONT SOFTWARE OR FROM
+OTHER DEALINGS IN THE FONT SOFTWARE.

app/resources/fonts/README.md

@@ -0,0 +1,29 @@
+# Bundled Noto Sans SC
+
+`NotoSansSC-VF.ttf` is the unmodified Google Fonts distribution of
+`NotoSansSC[wght].ttf`, stored under a filename without brackets for simpler
+resource lookup. No font bytes were changed or subsetted locally.
+
+- Qt family: `Noto Sans SC`
+- Font version: `Version 2.004-H2;hotconv 1.0.118;makeotfexe 2.5.65603`
+- Variable axis: `wght`, 100–900; named instances at every 100, including 600.
+- Size: 17,772,300 bytes.
+- SHA-256: `a3041811a78c361b1de50f953c805e0244951c21c5bd412f7232ef0d899af0da`
+- Official repository revision: `google/fonts@5e35378e6bda803962ee6fd257e444a7d459660d`.
+- [Pinned font source](https://github.com/google/fonts/blob/5e35378e6bda803962ee6fd257e444a7d459660d/ofl/notosanssc/NotoSansSC%5Bwght%5D.ttf).
+- [Pinned license source](https://github.com/google/fonts/blob/5e35378e6bda803962ee6fd257e444a7d459660d/ofl/notosanssc/OFL.txt).
+
+The font is distributed under the SIL Open Font License 1.1. Retain
+`OFL-NotoSansSC.txt`, including its copyright notice, when redistributing the
+font with the application. The license applies to the font, independently of
+the application's license.
+
+Load this local resource through `QFontDatabase.addApplicationFont` after
+creating `QApplication`, then use the returned family name. The application
+must not fetch fonts at runtime. The PyInstaller spec already copies the
+entire `resources` directory, including this directory and its license.
+
+Google Fonts supplies explicit Regular (400), Medium (500), and SemiBold (600)
+instances. The Noto CJK upstream 2.004 file lacks a named 600 instance and Qt
+may select Medium for a plain `font-weight: 600` request; this distribution
+preserves distinct results with the application's normal QSS font weights.

app/scripts/build_windows.ps1

@@ -169,8 +169,30 @@ try {
     & $Npm run build --prefix $CompanionRoot
     if ($LASTEXITCODE -ne 0) { throw "video companion build failed" }
 
-    & $Python -m PyInstaller --noconfirm --clean $Spec
-    if ($LASTEXITCODE -ne 0) { throw "PyInstaller build failed" }
+    $BuildPythonBase = (& $Python -c "import sys; print(sys.base_prefix)").Trim()
+    if ($LASTEXITCODE -ne 0 -or -not $BuildPythonBase) {
+        throw "Unable to resolve the build Python runtime directory"
+    }
+    # Dependency scanning must not collect unrelated ICU/OpenSSL libraries from
+    # an editor's helper tools (for example Poppler) ahead of Windows libraries.
+    $PreviousBuildPath = $env:PATH
+    $BuildRuntimePaths = @(
+        (Split-Path -Parent $Python),
+        $BuildPythonBase,
+        (Join-Path $BuildPythonBase "DLLs"),
+        (Join-Path $env:SystemRoot "System32"),
+        $env:SystemRoot,
+        (Join-Path $env:SystemRoot "System32\WindowsPowerShell\v1.0")
+    )
+    try {
+        $env:PATH = ($BuildRuntimePaths | Select-Object -Unique) -join [System.IO.Path]::PathSeparator
+        & $Python -m PyInstaller --noconfirm --clean $Spec
+        $PyInstallerExitCode = $LASTEXITCODE
+    }
+    finally {
+        $env:PATH = $PreviousBuildPath
+    }
+    if ($PyInstallerExitCode -ne 0) { throw "PyInstaller build failed" }
 
     $Artifact = Join-Path $ProjectRoot "dist\DoctorWorkstation"
     $Helper = Get-ChildItem -LiteralPath $Artifact -Recurse -Filter "QtWebEngineProcess.exe" -File | Select-Object -First 1

app/scripts/render_diagnosis_detail_visual.py

@@ -8,10 +8,10 @@ from typing import Any
 
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
-from PySide6.QtGui import QFont, QFontDatabase
 from PySide6.QtWidgets import QApplication
 
 from doctor_workstation.core import PermissionSet
+from doctor_workstation.ui import apply_theme
 from doctor_workstation.ui.diagnosis_editors import DailyRecordEditorDialog
 from doctor_workstation.ui.diagnosis_media import RecordingPlayerDialog
 from doctor_workstation.ui.dialogs import diagnosis as diagnosis_module
@@ -480,12 +480,7 @@ def _run_immediately(
 
 def render() -> list[Path]:
     app = QApplication.instance() or QApplication([])
-    font_path = Path("C:/Windows/Fonts/msyh.ttc")
-    if font_path.is_file():
-        font_id = QFontDatabase.addApplicationFont(str(font_path))
-        families = QFontDatabase.applicationFontFamilies(font_id)
-        if families:
-            app.setFont(QFont(families[0], 9))
+    apply_theme(app)
     diagnosis_module.run_async = _run_immediately
     root = Path(__file__).resolve().parents[1]
     output = root / "artifacts" / "diagnosis_visual"

app/scripts/render_diagnosis_shell_visual.py

@@ -8,7 +8,6 @@ from pathlib import Path
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 from PySide6.QtCore import QThreadPool
-from PySide6.QtGui import QFont, QFontDatabase
 from PySide6.QtWidgets import QApplication
 
 from doctor_workstation.services import DemoDoctorRepository
@@ -19,13 +18,6 @@ def render() -> list[Path]:
     app = QApplication.instance() or QApplication([])
     apply_theme(app)
 
-    font_path = Path("C:/Windows/Fonts/msyh.ttc")
-    if font_path.is_file():
-        font_id = QFontDatabase.addApplicationFont(str(font_path))
-        families = QFontDatabase.applicationFontFamilies(font_id)
-        if families:
-            app.setFont(QFont(families[0], 9))
-
     root = Path(__file__).resolve().parents[1]
     output = root / "artifacts" / "diagnosis_visual"
     output.mkdir(parents=True, exist_ok=True)

app/scripts/render_diagnosis_visual.py

@@ -9,10 +9,11 @@ from typing import Any
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 from PySide6.QtCore import Qt, QThreadPool, Signal
-from PySide6.QtGui import QColor, QFont, QFontDatabase, QImage, QPainter, QPixmap
+from PySide6.QtGui import QColor, QImage, QPainter, QPixmap
 from PySide6.QtWidgets import QApplication, QToolButton, QWidget
 
 from doctor_workstation.core import PermissionSet
+from doctor_workstation.ui import apply_theme
 from doctor_workstation.ui.pages import consultations as consultations_module
 from doctor_workstation.ui.pages.consultations import ConsultationsPage
 
@@ -339,14 +340,7 @@ def _save_with_payment_qr(
 
 def _application() -> QApplication:
     app = QApplication.instance() or QApplication([])
-    # The offscreen Windows plugin does not enumerate system fonts.  Register
-    # the same CJK face used by the production QSS when it is available.
-    font_path = Path("C:/Windows/Fonts/msyh.ttc")
-    if font_path.is_file():
-        font_id = QFontDatabase.addApplicationFont(str(font_path))
-        families = QFontDatabase.applicationFontFamilies(font_id)
-        if families:
-            app.setFont(QFont(families[0], 9))
+    apply_theme(app)
     return app
 
 

app/scripts/render_prescription_editor_visual.py

@@ -9,7 +9,6 @@ from typing import Any
 
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
-from PySide6.QtGui import QFont, QFontDatabase
 from PySide6.QtWidgets import QApplication, QWidget
 
 from doctor_workstation.core.permissions import PermissionSet
@@ -136,12 +135,6 @@ def _settle(app: QApplication, rounds: int = 8) -> None:
 def render() -> list[Path]:
     app = QApplication.instance() or QApplication([])
     apply_theme(app)
-    font_path = Path("C:/Windows/Fonts/msyh.ttc")
-    if font_path.is_file():
-        font_id = QFontDatabase.addApplicationFont(str(font_path))
-        families = QFontDatabase.applicationFontFamilies(font_id)
-        if families:
-            app.setFont(QFont(families[0], 9))
 
     output = Path(__file__).resolve().parents[1] / "artifacts" / "subwindow_exact"
     output.mkdir(parents=True, exist_ok=True)

app/scripts/render_reception_daily_visual.py

@@ -8,7 +8,6 @@ from pathlib import Path
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 from PySide6.QtCore import QThreadPool
-from PySide6.QtGui import QFontDatabase
 from PySide6.QtWidgets import QApplication
 
 from doctor_workstation.services.mock_repository import DemoDoctorRepository
@@ -19,9 +18,6 @@ from doctor_workstation.ui.theme import apply_theme
 def main() -> int:
     application = QApplication.instance() or QApplication([])
     apply_theme(application)
-    font_path = Path(r"C:\Windows\Fonts\msyh.ttc")
-    if font_path.is_file():
-        QFontDatabase.addApplicationFont(str(font_path))
 
     repository = DemoDoctorRepository()
     session = repository.login("doctor", "doctor123")

app/scripts/render_ui_comfort_visual.py

@@ -0,0 +1,93 @@
+"""Render the clinical reading surfaces with demo data and production fonts."""
+
+from __future__ import annotations
+
+import argparse
+import json
+import os
+from pathlib import Path
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+from PySide6.QtCore import Qt, QThreadPool
+from PySide6.QtGui import QFontInfo, QGuiApplication, QPalette
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.services import DemoDoctorRepository
+from doctor_workstation.ui import ShellWindow, apply_theme
+
+
+def _settle(app: QApplication) -> None:
+    for _ in range(4):
+        QThreadPool.globalInstance().waitForDone(3000)
+        app.processEvents()
+        QTest.qWait(100)
+
+
+def main() -> None:
+    parser = argparse.ArgumentParser(description=__doc__)
+    parser.add_argument("--output", type=Path, default=Path("artifacts/ui_comfort"))
+    parser.add_argument("--width", type=int, default=1536)
+    parser.add_argument("--height", type=int, default=912)
+    args = parser.parse_args()
+    args.output.mkdir(parents=True, exist_ok=True)
+    QGuiApplication.setHighDpiScaleFactorRoundingPolicy(
+        Qt.HighDpiScaleFactorRoundingPolicy.PassThrough
+    )
+    app = QApplication.instance() or QApplication([])
+    apply_theme(app)
+    repo = DemoDoctorRepository()
+    session = repo.login(repo.DEMO_ACCOUNT, repo.DEMO_PASSWORD)
+    shell = ShellWindow(
+        repo, {"session": session, "demo_mode": True}, permissions=session.permissions
+    )
+    shell.resize(args.width, args.height)
+    shell.show()
+    try:
+        shell.navigate("reception")
+        _settle(app)
+        page = shell.pages["reception"]
+        page._set_queue_filter(None)
+        _settle(app)
+        # A synthetic multiline case tests paragraph rhythm without capturing
+        # a live patient or connecting to a production service.
+        page.case_labels["present"].setText(
+            "患者自述近期口干，睡眠较浅，日常饮食与作息较规律。\n"
+            "近一周已记录空腹血糖，复诊时携带记录与既往检查报告。\n"
+            "问诊记录包含当前不适、变化时间、生活习惯与既往用药，供医生核对。"
+        )
+        app.processEvents()
+        if not shell.grab().save(str(args.output / "reception.png")):
+            raise RuntimeError("Could not save reception preview")
+        daily = next(
+            index
+            for index in range(page.detail_tabs.count())
+            if page.detail_tabs.tabText(index) == "日常记录"
+        )
+        page.detail_tabs.setCurrentIndex(daily)
+        _settle(app)
+        if not shell.grab().save(str(args.output / "daily_records.png")):
+            raise RuntimeError("Could not save daily-record preview")
+        metrics = {
+            "family": QFontInfo(app.font()).family(),
+            "pixel_size": app.font().pixelSize(),
+            "font_strategy": app.font().styleStrategy().value,
+            "font_hinting": app.font().hintingPreference().name,
+            "text_color": app.palette().color(QPalette.ColorRole.Text).name(),
+            "device_pixel_ratio": shell.devicePixelRatioF(),
+            "window": [shell.width(), shell.height()],
+            "daily_table_font": QFontInfo(page.daily_panel.matrix.font()).family(),
+            "daily_table_size": page.daily_panel.matrix.font().pixelSize(),
+        }
+        (args.output / "render.json").write_text(
+            json.dumps(metrics, ensure_ascii=False, indent=2), encoding="utf-8"
+        )
+        print(args.output)
+    finally:
+        _settle(app)
+        shell.close()
+
+
+if __name__ == "__main__":
+    main()

app/src/doctor_workstation/__init__.py

@@ -3,9 +3,9 @@
 __all__ = ["DEBUG_MODE", "ONLINE_API_BASE_URL", "__version__"]
 
 # Single source of truth for runtime, package, installer, and executable versions.
-__version__ = "1.4.1"
+__version__ = "1.4.2"
 
 # 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。
-DEBUG_MODE = False
+DEBUG_MODE = True
 ONLINE_API_BASE_URL = "https://admin.zhenyangtang.com.cn"

app/src/doctor_workstation/app.py

@@ -5,9 +5,9 @@ from __future__ import annotations
 import logging
 import os
 import sys
-import time
-from collections.abc import Mapping, Sequence
-from contextlib import suppress
+import time
+from collections.abc import Mapping, Sequence
+from contextlib import suppress
 from typing import Any
 
 from PySide6.QtCore import QLibraryInfo, QLocale, QObject, Qt, QTimer, QTranslator
@@ -27,7 +27,7 @@ from doctor_workstation.config import AppConfig
 from doctor_workstation.core import Session
 from doctor_workstation.core.errors import AuthenticationExpiredError
 from doctor_workstation.logging_setup import configure_logging
-from doctor_workstation.resources import app_icon_path, video_dist_path
+from doctor_workstation.resources import app_icon_path, video_dist_path
 from doctor_workstation.services import (
     DemoDoctorRepository,
     RemoteDoctorRepository,
@@ -35,179 +35,179 @@ from doctor_workstation.services import (
     build_repository,
 )
 from doctor_workstation.ui import LoginWindow, ShellWindow, apply_theme
-from doctor_workstation.ui.dialogs.app_update import AppUpdateSession
-from doctor_workstation.ui.widgets import (
-    first_value,
-    friendly_error,
-    gender_text,
-    get_value,
-    run_async,
+from doctor_workstation.ui.dialogs.app_update import AppUpdateSession
+from doctor_workstation.ui.widgets import (
+    first_value,
+    friendly_error,
+    gender_text,
+    get_value,
+    run_async,
     set_authentication_expired_handler,
     show_toast,
 )
 from doctor_workstation.video import BackendMode, launch_video_call
 from doctor_workstation.video.window import WEBENGINE_AVAILABLE
 
-LOGGER = logging.getLogger(__name__)
-
-
-def _video_case_text(value: Any, *, limit: int = 2000) -> str:
-    """Render a bounded, JSON-safe clinical value for the trusted call rail."""
-
-    if value in (None, "", [], {}):
-        return ""
-    if isinstance(value, Mapping):
-        parts = [
-            f"{key}：{_video_case_text(item, limit=limit)}"
-            for key, item in value.items()
-            if item not in (None, "", [], {})
-        ]
-        return "；".join(part for part in parts if not part.endswith("："))[:limit]
-    if isinstance(value, Sequence) and not isinstance(value, (str, bytes, bytearray)):
-        return "、".join(
-            part
-            for item in value
-            if (part := _video_case_text(item, limit=limit))
-        )[:limit]
-    return str(value).strip()[:limit]
-
-
-def _video_identity(value: Any) -> str:
-    if value in (None, "") or isinstance(value, bool):
-        return ""
-    text = str(value).strip()
-    if not text:
-        return ""
-    with suppress(ValueError, TypeError):
-        return str(int(text))
-    return text
-
-
-def _video_identity_matches(expected: Any, actual: Any) -> bool:
-    normalized_actual = _video_identity(actual)
-    return not normalized_actual or normalized_actual == _video_identity(expected)
-
-
-def _build_video_patient_case(
-    detail: Any,
-    fallback_record: Any,
-    *,
-    diagnosis_id: Any,
-    patient_id: Any,
-    patient_name: str,
-) -> dict[str, str]:
-    """Reduce the readonly diagnosis aggregate to the fields needed in-call."""
-
-    if isinstance(detail, Mapping) and not get_value(detail, "diagnosis", None):
-        nested = get_value(detail, "data", None)
-        if isinstance(nested, Mapping):
-            detail = nested
-    diagnosis = get_value(detail, "diagnosis", None)
-    if not diagnosis and isinstance(detail, Mapping):
-        diagnosis = detail
-    diagnosis = diagnosis or {}
-    patient = get_value(detail, "patient", None) or {}
-    appointment = get_value(detail, "appointment", None) or {}
-
-    detail_diagnosis_id = first_value(diagnosis, "id", "diagnosis_id", default=None)
-    detail_patient_id = first_value(
-        diagnosis,
-        "source_patient_id",
-        default=first_value(
-            patient,
-            "source_patient_id",
-            default=None,
-        ),
-    )
-    if not _video_identity_matches(
-        diagnosis_id,
-        detail_diagnosis_id,
-    ) or not _video_identity_matches(patient_id, detail_patient_id):
-        detail = diagnosis = patient = appointment = {}
-
-    fallback_diagnosis_id = first_value(
-        fallback_record,
-        "diagnosis_id",
-        "id",
-        default=None,
-    )
-    fallback_patient_id = first_value(
-        fallback_record,
-        "source_patient_id",
-        "patient_id",
-        default=None,
-    )
-    if not _video_identity_matches(
-        diagnosis_id,
-        fallback_diagnosis_id,
-    ) or not _video_identity_matches(patient_id, fallback_patient_id):
-        fallback_record = {}
-    sources = (diagnosis, patient, appointment, fallback_record)
-
-    def pick(*keys: str, limit: int = 2000) -> str:
-        for source in sources:
-            value = first_value(source, *keys, default=None)
-            text = _video_case_text(value, limit=limit)
-            if text:
-                return text
-        return ""
-
-    raw_gender = next(
-        (
-            first_value(source, "gender_desc", "gender", default=None)
-            for source in sources
-            if first_value(source, "gender_desc", "gender", default=None) not in (None, "")
-        ),
-        None,
-    )
-    return {
-        "diagnosisId": _video_case_text(diagnosis_id, limit=80),
-        "name": pick("patient_name", "name", limit=120)
-        or _video_case_text(patient_name, limit=120)
-        or "患者",
-        "gender": "" if raw_gender in (None, "") else gender_text(raw_gender),
-        "age": pick("age", limit=20),
-        "height": pick("height", limit=20),
-        "weight": pick("weight", limit=20),
-        "diagnosisDate": pick("diagnosis_date", "diagnosis_date_text", limit=80),
-        "appointmentDate": pick(
-            "appointment_date",
-            "latest_appointment_date",
-            limit=80,
-        ),
-        "clinicalDiagnosis": pick(
-            "clinical_diagnosis",
-            "diagnosis_name",
-            "disease_name",
-        ),
-        "chiefComplaint": pick("chief_complaint", "complaint"),
-        "presentIllness": pick("present_illness", "present_illness_history", "symptoms"),
-        "pastHistory": pick("past_history_text", "past_history_desc", "past_history"),
-        "allergyHistory": pick(
-            "allergy_history_text",
-            "allergy_history_desc",
-            "allergy_history",
-        ),
-        "personalHistory": pick(
-            "personal_history_text",
-            "personal_history_desc",
-            "personal_history",
-        ),
-        "familyHistory": pick(
-            "family_history_text",
-            "family_history_desc",
-            "family_history",
-        ),
-        "currentMedication": pick(
-            "current_medications",
-            "current_medicine",
-            "current_medication",
-        ),
-        "tongue": pick("tongue", "tongue_coating"),
-        "pulse": pick("pulse", "pulse_condition"),
-        "prescriptionOpinion": pick("prescription_opinion", "prescription_advice"),
-        "remark": pick("remark"),
-    }
+LOGGER = logging.getLogger(__name__)
+
+
+def _video_case_text(value: Any, *, limit: int = 2000) -> str:
+    """Render a bounded, JSON-safe clinical value for the trusted call rail."""
+
+    if value in (None, "", [], {}):
+        return ""
+    if isinstance(value, Mapping):
+        parts = [
+            f"{key}：{_video_case_text(item, limit=limit)}"
+            for key, item in value.items()
+            if item not in (None, "", [], {})
+        ]
+        return "；".join(part for part in parts if not part.endswith("："))[:limit]
+    if isinstance(value, Sequence) and not isinstance(value, (str, bytes, bytearray)):
+        return "、".join(
+            part
+            for item in value
+            if (part := _video_case_text(item, limit=limit))
+        )[:limit]
+    return str(value).strip()[:limit]
+
+
+def _video_identity(value: Any) -> str:
+    if value in (None, "") or isinstance(value, bool):
+        return ""
+    text = str(value).strip()
+    if not text:
+        return ""
+    with suppress(ValueError, TypeError):
+        return str(int(text))
+    return text
+
+
+def _video_identity_matches(expected: Any, actual: Any) -> bool:
+    normalized_actual = _video_identity(actual)
+    return not normalized_actual or normalized_actual == _video_identity(expected)
+
+
+def _build_video_patient_case(
+    detail: Any,
+    fallback_record: Any,
+    *,
+    diagnosis_id: Any,
+    patient_id: Any,
+    patient_name: str,
+) -> dict[str, str]:
+    """Reduce the readonly diagnosis aggregate to the fields needed in-call."""
+
+    if isinstance(detail, Mapping) and not get_value(detail, "diagnosis", None):
+        nested = get_value(detail, "data", None)
+        if isinstance(nested, Mapping):
+            detail = nested
+    diagnosis = get_value(detail, "diagnosis", None)
+    if not diagnosis and isinstance(detail, Mapping):
+        diagnosis = detail
+    diagnosis = diagnosis or {}
+    patient = get_value(detail, "patient", None) or {}
+    appointment = get_value(detail, "appointment", None) or {}
+
+    detail_diagnosis_id = first_value(diagnosis, "id", "diagnosis_id", default=None)
+    detail_patient_id = first_value(
+        diagnosis,
+        "source_patient_id",
+        default=first_value(
+            patient,
+            "source_patient_id",
+            default=None,
+        ),
+    )
+    if not _video_identity_matches(
+        diagnosis_id,
+        detail_diagnosis_id,
+    ) or not _video_identity_matches(patient_id, detail_patient_id):
+        detail = diagnosis = patient = appointment = {}
+
+    fallback_diagnosis_id = first_value(
+        fallback_record,
+        "diagnosis_id",
+        "id",
+        default=None,
+    )
+    fallback_patient_id = first_value(
+        fallback_record,
+        "source_patient_id",
+        "patient_id",
+        default=None,
+    )
+    if not _video_identity_matches(
+        diagnosis_id,
+        fallback_diagnosis_id,
+    ) or not _video_identity_matches(patient_id, fallback_patient_id):
+        fallback_record = {}
+    sources = (diagnosis, patient, appointment, fallback_record)
+
+    def pick(*keys: str, limit: int = 2000) -> str:
+        for source in sources:
+            value = first_value(source, *keys, default=None)
+            text = _video_case_text(value, limit=limit)
+            if text:
+                return text
+        return ""
+
+    raw_gender = next(
+        (
+            first_value(source, "gender_desc", "gender", default=None)
+            for source in sources
+            if first_value(source, "gender_desc", "gender", default=None) not in (None, "")
+        ),
+        None,
+    )
+    return {
+        "diagnosisId": _video_case_text(diagnosis_id, limit=80),
+        "name": pick("patient_name", "name", limit=120)
+        or _video_case_text(patient_name, limit=120)
+        or "患者",
+        "gender": "" if raw_gender in (None, "") else gender_text(raw_gender),
+        "age": pick("age", limit=20),
+        "height": pick("height", limit=20),
+        "weight": pick("weight", limit=20),
+        "diagnosisDate": pick("diagnosis_date", "diagnosis_date_text", limit=80),
+        "appointmentDate": pick(
+            "appointment_date",
+            "latest_appointment_date",
+            limit=80,
+        ),
+        "clinicalDiagnosis": pick(
+            "clinical_diagnosis",
+            "diagnosis_name",
+            "disease_name",
+        ),
+        "chiefComplaint": pick("chief_complaint", "complaint"),
+        "presentIllness": pick("present_illness", "present_illness_history", "symptoms"),
+        "pastHistory": pick("past_history_text", "past_history_desc", "past_history"),
+        "allergyHistory": pick(
+            "allergy_history_text",
+            "allergy_history_desc",
+            "allergy_history",
+        ),
+        "personalHistory": pick(
+            "personal_history_text",
+            "personal_history_desc",
+            "personal_history",
+        ),
+        "familyHistory": pick(
+            "family_history_text",
+            "family_history_desc",
+            "family_history",
+        ),
+        "currentMedication": pick(
+            "current_medications",
+            "current_medicine",
+            "current_medication",
+        ),
+        "tongue": pick("tongue", "tongue_coating"),
+        "pulse": pick("pulse", "pulse_condition"),
+        "prescriptionOpinion": pick("prescription_opinion", "prescription_advice"),
+        "remark": pick("remark"),
+    }
 
 
 class _ChineseQtTranslator(QTranslator):
@@ -313,7 +313,7 @@ class DemoVideoDialog(QDialog):
             "background:#FFFFFF;color:#3F4E75;border:1px solid #E6EAF5;font-weight:600;}"
             "QPushButton:hover{color:#4451E2;background:#F0F2FF;border-color:#5761F4;}"
             "QPushButton:checked{color:#FFFFFF;background:#5761F4;border-color:#5761F4;}"
-            "QPushButton#Hangup{color:#FFFFFF;background:#F15B67;border-color:#F15B67;}"
+            "QPushButton#Hangup{color:#FFFFFF;background:#C23D4E;border-color:#C23D4E;}"
             "QPushButton#Hangup:hover{background:#D94857;border-color:#D94857;}"
         )
 
@@ -326,7 +326,7 @@ class DemoVideoDialog(QDialog):
         header.addWidget(title)
         header.addStretch(1)
         demo = QLabel("● 演示模式 · 未连接腾讯云")
-        demo.setStyleSheet("color:#7886AA;font-size:12px;")
+        demo.setStyleSheet("color:#707584;font-size:12px;")
         header.addWidget(demo)
         self.duration_label = QLabel("00:00")
         self.duration_label.setStyleSheet("font-weight:700;")
@@ -400,22 +400,23 @@ class ApplicationController(QObject):
     """Own windows, repositories and the authenticated application lifecycle."""
 
     def __init__(self, application: QApplication, config: AppConfig) -> None:
-        super().__init__()
-        self.application = application
-        self.config = config
-        self.debug_mode = bool(getattr(config, "debug_mode", False))
-        self.token_store = TokenStore(config.config_dir / "credentials.json")
-        self.demo_repository = DemoDoctorRepository() if self.debug_mode else None
+        super().__init__()
+        self.application = application
+        self.config = config
+        self.debug_mode = bool(getattr(config, "debug_mode", False))
+        self.token_store = TokenStore(config.config_dir / "credentials.json")
+        self.demo_repository = DemoDoctorRepository() if self.debug_mode else None
         self.remote_repository: RemoteDoctorRepository | None = None
         self.login_window: LoginWindow | None = None
         self.shell_window: ShellWindow | None = None
         self.current_repository: Any = None
-        self.current_demo_mode = self.debug_mode and config.demo_mode
-        self.video_calls: dict[str, Any] = {}
+        self.current_demo_mode = self.debug_mode and config.demo_mode
+        self.video_calls: dict[str, Any] = {}
         self.video_pending: dict[str, object] = {}
-        self.demo_video_dialogs: dict[str, DemoVideoDialog] = {}
-        self._video_preview_state: dict[str, Any] | None = None
-        self._video_preview_generation = 0
+        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
         self._restore_generation = 0
         self._restore_in_progress = False
         self._restore_worker: Any = None
@@ -506,11 +507,11 @@ class ApplicationController(QObject):
         if self.login_window is not None:
             self.login_window.config = self.config
 
-    def _on_demo_mode_changed(self, enabled: bool) -> None:
-        allowed = self.debug_mode and enabled
-        self.current_demo_mode = allowed
-        if allowed:
-            self._cancel_session_restore()
+    def _on_demo_mode_changed(self, enabled: bool) -> None:
+        allowed = self.debug_mode and enabled
+        self.current_demo_mode = allowed
+        if allowed:
+            self._cancel_session_restore()
 
     def _rebuild_remote_repository(self) -> None:
         old = self.remote_repository
@@ -670,8 +671,8 @@ class ApplicationController(QObject):
             self._login_guard_error("该账号需要先绑定企业微信，请在管理后台完成绑定后重新登录。")
             return
 
-        demo_mode = self.debug_mode and bool(payload.get("demo_mode"))
-        payload["demo_mode"] = demo_mode
+        demo_mode = self.debug_mode and bool(payload.get("demo_mode"))
+        payload["demo_mode"] = demo_mode
         if not demo_mode and not session.menu:
             with suppress(Exception):
                 repository.logout()
@@ -715,17 +716,18 @@ class ApplicationController(QObject):
         self._logout(message="登录状态已失效，请重新登录。")
         return True
 
-    def _logout(self, *, message: str = "") -> None:
-        """Clear authenticated resources and return to the login window."""
-
-        self._restore_video_preview(activate=False)
-        calls = tuple(self.video_calls.values())
+    def _logout(self, *, message: str = "") -> None:
+        """Clear authenticated resources and return to the login window."""
+
+        self._restore_video_preview(activate=False)
+        calls = tuple(self.video_calls.values())
         for call in calls:
             with suppress(Exception):
                 call.close()
         self._wait_for_video_lifecycle(calls, timeout=1.25)
-        self.video_calls.clear()
+        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()
@@ -746,16 +748,25 @@ class ApplicationController(QObject):
         if parent is None or self.current_repository is None:
             return
         patient_id = payload.get("patient_id")
-        diagnosis_id = payload.get("diagnosis_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")
+        open_im = str(payload.get("mode") or "video").lower() == "im"
+        fallback_record = payload.get("record")
         if patient_id in (None, "") or diagnosis_id in (None, ""):
             show_toast(parent, "患者或诊单信息不完整，无法发起视频。", "danger", 4200)
             return
 
-        call_key = str(diagnosis_id)
-        existing_call = self.video_calls.get(call_key)
+        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)
             if qt_window is not None:
@@ -801,51 +812,56 @@ class ApplicationController(QObject):
         )
         repository = self.current_repository
         marker = object()
-        self.video_pending[call_key] = marker
+        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),
+        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,
             )
-            detail: Any = {}
-            detail_loader = getattr(repository, "patient_detail", None)
-            if callable(detail_loader):
-                try:
-                    detail = detail_loader(int(diagnosis_id))
-                except Exception as error:
-                    LOGGER.warning(
-                        "patient detail could not be loaded for video call",
-                        extra={
-                            "diagnosis_id": diagnosis_id,
-                            "error_type": type(error).__name__,
-                        },
-                    )
-            patient_case = _build_video_patient_case(
-                detail,
-                fallback_record,
-                diagnosis_id=diagnosis_id,
-                patient_id=patient_id,
-                patient_name=patient_name,
-            )
-            return ticket, patient_case
+            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):
+                try:
+                    detail = detail_loader(int(diagnosis_id))
+                except Exception as error:
+                    LOGGER.warning(
+                        "patient detail could not be loaded for video call",
+                        extra={
+                            "diagnosis_id": diagnosis_id,
+                            "error_type": type(error).__name__,
+                        },
+                    )
+            patient_case = _build_video_patient_case(
+                detail,
+                fallback_record,
+                diagnosis_id=diagnosis_id,
+                patient_id=patient_id,
+                patient_name=patient_name,
+            )
+            return ticket, patient_case
 
         def request_ticket() -> None:
             if self.video_pending.get(call_key) is not marker:
                 return
-            run_async(
-                get_video_context,
-                on_success=lambda context: self._launch_video(
-                    context[0],
-                    diagnosis_id=diagnosis_id,
-                    patient_id=patient_id,
-                    repository=repository,
+            run_async(
+                get_video_context,
+                on_success=lambda context: self._launch_video(
+                    context[0],
+                    diagnosis_id=diagnosis_id,
+                    patient_id=patient_id,
+                    repository=repository,
                     call_key=call_key,
                     marker=marker,
-                    open_im=open_im,
-                    patient_name=patient_name,
-                    patient_case=context[1],
-                ),
+                    open_im=open_im,
+                    patient_name=patient_name,
+                    patient_case=context[1],
+                ),
                 on_error=lambda error: self._video_ticket_error(
                     call_key,
                     marker,
@@ -868,10 +884,12 @@ class ApplicationController(QObject):
         parent: QWidget,
         error: Exception,
     ) -> None:
-        if self.video_pending.get(call_key) is not marker:
-            return
-        self.video_pending.pop(call_key, None)
-        if self.shell_window is parent:
+        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,
                 f"视频准备失败：{friendly_error(error)}",
@@ -888,13 +906,15 @@ class ApplicationController(QObject):
         repository: Any,
         call_key: str,
         marker: object,
-        open_im: bool = False,
-        patient_name: str = "患者",
-        patient_case: Mapping[str, Any] | None = None,
+        open_im: bool = False,
+        patient_name: str = "患者",
+        patient_case: Mapping[str, Any] | None = None,
     ) -> None:
-        if self.video_pending.get(call_key) is not marker:
-            return
-        self.video_pending.pop(call_key, None)
+        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
@@ -916,13 +936,13 @@ class ApplicationController(QObject):
                 local_dist=video_dist_path(),
                 remote_url=self.config.video_web_url or None,
                 logger=logging.getLogger("doctor_workstation.video"),
-                open_im=open_im,
-                patient_name=patient_name,
-                patient_case=patient_case,
-                on_open_diagnosis=lambda current_id=diagnosis_id: (
-                    self._open_video_diagnosis(current_id)
-                ),
-            )
+                open_im=open_im,
+                patient_name=patient_name,
+                patient_case=patient_case,
+                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:
             LOGGER.exception("video call could not be launched")
             show_toast(
@@ -931,123 +951,123 @@ class ApplicationController(QObject):
                 "danger",
                 5600,
             )
-            return
-        self.video_calls[call_key] = call
+            return
+        self.video_calls[call_key] = call
         qt_window = getattr(call, "qt_window", None)
         if qt_window is not None:
             qt_window.destroyed.connect(
                 lambda _obj=None, key=call_key, expected=call: self._release_video_call(
                     key,
                     expected,
-                )
-            )
-
-    def _open_video_diagnosis(self, diagnosis_id: Any) -> None:
-        """Open the diagnosis while keeping its live video visible as a preview."""
-
-        shell = self.shell_window
-        if shell is None or self.current_repository is None:
-            return
-        dialog = shell.open_diagnosis_by_id(diagnosis_id, modeless=True)
-        if dialog is None:
-            return
-        call = self.video_calls.get(str(diagnosis_id))
-        video_window = getattr(call, "qt_window", None)
-        if video_window is not None:
-            self._show_video_preview(video_window, dialog)
-
-    def _show_video_preview(self, video_window: Any, dialog: QDialog) -> None:
-        """Pin a compact call window above the modeless diagnosis drawer."""
-
-        current = self._video_preview_state
-        if current is not None and current.get("window") is not video_window:
-            self._restore_video_preview(activate=False)
-
-        self._video_preview_generation += 1
-        generation = self._video_preview_generation
-        if current is None or current.get("window") is not video_window:
-            try:
-                state = {
-                    "window": video_window,
-                    "geometry": video_window.geometry(),
-                    "minimum_size": video_window.minimumSize(),
-                    "maximized": video_window.isMaximized(),
-                    "full_screen": video_window.isFullScreen(),
-                    "stays_on_top": bool(
-                        video_window.windowFlags()
-                        & Qt.WindowType.WindowStaysOnTopHint
-                    ),
-                }
-                screen = video_window.screen() or QGuiApplication.primaryScreen()
-                available = screen.availableGeometry()
-                preview_width = min(540, max(460, round(available.width() * 0.29)))
-                preview_height = min(380, max(320, round(preview_width * 0.66)))
-                margin = 18
-
-                video_window.showNormal()
-                video_window.setMinimumSize(440, 300)
-                video_window.setWindowFlag(Qt.WindowType.WindowStaysOnTopHint, True)
-                video_window.resize(preview_width, preview_height)
-                video_window.move(
-                    available.x() + available.width() - preview_width - margin,
-                    available.y() + margin,
-                )
-                video_window.show()
-                self._video_preview_state = state
-            except RuntimeError:
-                self._video_preview_state = None
-                return
-
-        dialog.finished.connect(
-            lambda _result, expected=generation: self._restore_video_preview(expected)
-        )
-        try:
-            video_window.raise_()
-            dialog.raise_()
-            dialog.activateWindow()
-        except RuntimeError:
-            self._video_preview_state = None
-
-    def _restore_video_preview(
-        self,
-        generation: int | None = None,
-        *,
-        activate: bool = True,
-    ) -> None:
-        if generation is not None and generation != self._video_preview_generation:
-            return
-        state = self._video_preview_state
-        if state is None:
-            return
-        self._video_preview_state = None
-        self._video_preview_generation += 1
-        window = state.get("window")
-        try:
-            window.setWindowFlag(
-                Qt.WindowType.WindowStaysOnTopHint,
-                bool(state.get("stays_on_top")),
-            )
-            window.setMinimumSize(state["minimum_size"])
-            window.setGeometry(state["geometry"])
-            if state.get("full_screen"):
-                window.showFullScreen()
-            elif state.get("maximized"):
-                window.showMaximized()
-            else:
-                window.showNormal()
-            window.raise_()
-            if activate:
-                window.activateWindow()
-        except (AttributeError, RuntimeError):
-            return
-
-    def _release_video_call(self, call_key: str, call: Any) -> None:
-        preview = self._video_preview_state
-        if preview is not None and preview.get("window") is getattr(call, "qt_window", None):
-            self._video_preview_state = None
-            self._video_preview_generation += 1
-        if self.video_calls.get(call_key) is call:
-            self.video_calls.pop(call_key, 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
+        if shell is None or self.current_repository is None:
+            return
+        dialog = shell.open_diagnosis_by_id(diagnosis_id, modeless=True)
+        if dialog is None:
+            return
+        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)
+
+    def _show_video_preview(self, video_window: Any, dialog: QDialog) -> None:
+        """Pin a compact call window above the modeless diagnosis drawer."""
+
+        current = self._video_preview_state
+        if current is not None and current.get("window") is not video_window:
+            self._restore_video_preview(activate=False)
+
+        self._video_preview_generation += 1
+        generation = self._video_preview_generation
+        if current is None or current.get("window") is not video_window:
+            try:
+                state = {
+                    "window": video_window,
+                    "geometry": video_window.geometry(),
+                    "minimum_size": video_window.minimumSize(),
+                    "maximized": video_window.isMaximized(),
+                    "full_screen": video_window.isFullScreen(),
+                    "stays_on_top": bool(
+                        video_window.windowFlags()
+                        & Qt.WindowType.WindowStaysOnTopHint
+                    ),
+                }
+                screen = video_window.screen() or QGuiApplication.primaryScreen()
+                available = screen.availableGeometry()
+                preview_width = min(540, max(460, round(available.width() * 0.29)))
+                preview_height = min(380, max(320, round(preview_width * 0.66)))
+                margin = 18
+
+                video_window.showNormal()
+                video_window.setMinimumSize(440, 300)
+                video_window.setWindowFlag(Qt.WindowType.WindowStaysOnTopHint, True)
+                video_window.resize(preview_width, preview_height)
+                video_window.move(
+                    available.x() + available.width() - preview_width - margin,
+                    available.y() + margin,
+                )
+                video_window.show()
+                self._video_preview_state = state
+            except RuntimeError:
+                self._video_preview_state = None
+                return
+
+        dialog.finished.connect(
+            lambda _result, expected=generation: self._restore_video_preview(expected)
+        )
+        try:
+            video_window.raise_()
+            dialog.raise_()
+            dialog.activateWindow()
+        except RuntimeError:
+            self._video_preview_state = None
+
+    def _restore_video_preview(
+        self,
+        generation: int | None = None,
+        *,
+        activate: bool = True,
+    ) -> None:
+        if generation is not None and generation != self._video_preview_generation:
+            return
+        state = self._video_preview_state
+        if state is None:
+            return
+        self._video_preview_state = None
+        self._video_preview_generation += 1
+        window = state.get("window")
+        try:
+            window.setWindowFlag(
+                Qt.WindowType.WindowStaysOnTopHint,
+                bool(state.get("stays_on_top")),
+            )
+            window.setMinimumSize(state["minimum_size"])
+            window.setGeometry(state["geometry"])
+            if state.get("full_screen"):
+                window.showFullScreen()
+            elif state.get("maximized"):
+                window.showMaximized()
+            else:
+                window.showNormal()
+            window.raise_()
+            if activate:
+                window.activateWindow()
+        except (AttributeError, RuntimeError):
+            return
+
+    def _release_video_call(self, call_key: str, call: Any) -> None:
+        preview = self._video_preview_state
+        if preview is not None and preview.get("window") is getattr(call, "qt_window", None):
+            self._video_preview_state = None
+            self._video_preview_generation += 1
+        if self.video_calls.get(call_key) is call:
+            self.video_calls.pop(call_key, None)
 
     def _forget_demo_dialog(self, call_key: str, dialog: DemoVideoDialog) -> None:
         if self.demo_video_dialogs.get(call_key) is dialog:
@@ -1072,30 +1092,30 @@ class ApplicationController(QObject):
             LOGGER.warning("video lifecycle cleanup exceeded its bounded deadline")
         return complete
 
-    @staticmethod
-    def _apply_window_icon(window: QWidget) -> None:
-        icon_file = app_icon_path()
-        if icon_file.exists():
-            window.setWindowIcon(QIcon(str(icon_file)))
-
-    def request_quit(self) -> None:
-        """Queue a normal application exit so owned resources are released."""
-
-        if self._shutting_down:
-            return
-        QTimer.singleShot(0, self.application.quit)
-
-    def shutdown(self) -> None:
+    @staticmethod
+    def _apply_window_icon(window: QWidget) -> None:
+        icon_file = app_icon_path()
+        if icon_file.exists():
+            window.setWindowIcon(QIcon(str(icon_file)))
+
+    def request_quit(self) -> None:
+        """Queue a normal application exit so owned resources are released."""
+
+        if self._shutting_down:
+            return
+        QTimer.singleShot(0, self.application.quit)
+
+    def shutdown(self) -> None:
         """Invalidate asynchronous restoration and release owned resources."""
 
         if self._shutting_down:
             return
-        self._shutting_down = True
-        self._cancel_session_restore()
-        self.app_updater.shutdown()
-        set_authentication_expired_handler(None)
-        self._restore_video_preview(activate=False)
-        calls = tuple(self.video_calls.values())
+        self._shutting_down = True
+        self._cancel_session_restore()
+        self.app_updater.shutdown()
+        set_authentication_expired_handler(None)
+        self._restore_video_preview(activate=False)
+        calls = tuple(self.video_calls.values())
         for call in calls:
             with suppress(Exception):
                 call.close()
@@ -1167,7 +1187,7 @@ def _create_application(argv: list[str]) -> QApplication:
     application.setOrganizationName("ZhenYangTang")
     application.setOrganizationDomain("zhenyangtang.com")
     application.setQuitOnLastWindowClosed(True)
-    icon_file = app_icon_path()
+    icon_file = app_icon_path()
     if icon_file.exists():
         application.setWindowIcon(QIcon(str(icon_file)))
     apply_theme(application)

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,
+                "call_type": call_type,
+                "appointment_id": appointment_id,
                 "status": "ringing",
                 "room_id": "",
             }

app/src/doctor_workstation/services/repository.py

@@ -335,8 +335,8 @@ 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 +712,10 @@ 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 +976,20 @@ 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")
-        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 = 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):
+                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,
@@ -2056,7 +2059,10 @@ class RemoteDoctorRepository:
     ) -> PageResult[Consultation]:
         """List diagnosis records using ``tcm.diagnosis/lists``."""
 
-        request_filters = dict(filters)
+        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 +2629,51 @@ 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},
+        result = _require_mapping(
+            self.client.post(
+                "tcm.diagnosis/getCallSignature",
+                {"patient_id": patient_id, "diagnosis_id": diagnosis_id, "appointment_id": appointment_id},
             ),
-            "tcm.diagnosis/getCallSignature",
-        )
-        ticket = CallTicket.from_dict(result)
+            "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(
@@ -2646,7 +2681,8 @@ class RemoteDoctorRepository:
             {
                 "diagnosis_id": diagnosis_id,
                 "patient_id": patient_id,
-                "call_type": call_type,
+                "call_type": call_type,
+                "appointment_id": appointment_id,
             },
         )
         if not isinstance(payload, Mapping):

app/src/doctor_workstation/ui/appointment_drawer.py

@@ -42,7 +42,8 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
-from .widgets import (
+from ..core.appointment_modes import APPOINTMENT_MODES
+from .widgets import (
     display_text,
     first_value,
     friendly_error,
@@ -55,26 +56,25 @@ from .widgets import (
 APPOINTMENT_DRAWER_QSS = r"""
 QDialog#AppointmentDrawerOverlay {
     background-color: transparent;
-    color: #111F46;
-    font-family: "Microsoft YaHei UI", "PingFang SC", "Noto Sans CJK SC", sans-serif;
-    font-size: 13px;
+    color: #1A1C1F;
+    font-size: 14px;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerPanel {
     background-color: #FFFFFF;
-    border-left: 1px solid #E6EAF5;
+    border-left: 1px solid #EDEDEE;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerHeader {
     background-color: #FFFFFF;
     border: 0;
-    border-bottom: 1px solid #E6EAF5;
+    border-bottom: 1px solid #EDEDEE;
 }
 
 QDialog#AppointmentDrawerOverlay QLabel#AppointmentDrawerTitle {
-    color: #111F46;
+    color: #1A1C1F;
     font-size: 18px;
-    font-weight: 700;
+    font-weight: 600;
 }
 
 QDialog#AppointmentDrawerOverlay QToolButton#AppointmentDrawerClose {
@@ -86,14 +86,14 @@ QDialog#AppointmentDrawerOverlay QToolButton#AppointmentDrawerClose {
     border: 0;
     border-radius: 4px;
     background-color: transparent;
-    color: #7886AA;
+    color: #606163;
     font-size: 22px;
     font-weight: 400;
 }
 
 QDialog#AppointmentDrawerOverlay QToolButton#AppointmentDrawerClose:hover {
-    color: #4451E2;
-    background-color: #F0F2FF;
+    color: #1A1C1F;
+    background-color: #F0F0F0;
 }
 
 QDialog#AppointmentDrawerOverlay QScrollArea#AppointmentDrawerBody,
@@ -109,13 +109,13 @@ QDialog#AppointmentDrawerOverlay QWidget#AppointmentDrawerBodyContent {
 }
 
 QDialog#AppointmentDrawerOverlay QLabel[appointmentLabel="true"] {
-    color: #3F4E75;
+    color: #1A1C1F;
     font-size: 14px;
     font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QLabel[appointmentMuted="true"] {
-    color: #7886AA;
+    color: #606163; font-size: 13px;
 }
 
 QDialog#AppointmentDrawerOverlay QComboBox,
@@ -123,28 +123,28 @@ QDialog#AppointmentDrawerOverlay QLineEdit,
 QDialog#AppointmentDrawerOverlay QPlainTextEdit {
     min-height: 30px;
     padding: 0 11px;
-    border: 1px solid #E6EAF5;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
     background-color: #FFFFFF;
-    color: #111F46;
-    selection-background-color: #5761F4;
-    selection-color: #FFFFFF;
+    color: #1A1C1F;
+    selection-background-color: #EEF1FA;
+    selection-color: #1A1C1F; font-size: 14px;
 }
 
 QDialog#AppointmentDrawerOverlay QPlainTextEdit {
-    padding: 7px 11px;
+    padding: 7px 11px; font-size: 14px;
 }
 
 QDialog#AppointmentDrawerOverlay QComboBox:hover,
 QDialog#AppointmentDrawerOverlay QLineEdit:hover,
 QDialog#AppointmentDrawerOverlay QPlainTextEdit:hover {
-    border-color: #5761F4;
+    border-color: #8B9AD9;
 }
 
 QDialog#AppointmentDrawerOverlay QComboBox:focus,
 QDialog#AppointmentDrawerOverlay QLineEdit:focus,
 QDialog#AppointmentDrawerOverlay QPlainTextEdit:focus {
-    border: 2px solid #8D9BFF;
+    border: 2px solid #8B9AD9;
 }
 
 QDialog#AppointmentDrawerOverlay QComboBox::drop-down {
@@ -154,81 +154,81 @@ QDialog#AppointmentDrawerOverlay QComboBox::drop-down {
 
 QDialog#AppointmentDrawerOverlay QComboBox QAbstractItemView {
     background-color: #FFFFFF;
-    color: #111F46;
-    border: 1px solid #E6EAF5;
-    selection-background-color: #5761F4;
-    selection-color: #FFFFFF;
-    outline: 0;
+    color: #1A1C1F;
+    border: 1px solid #EDEDEE;
+    selection-background-color: #EEF1FA;
+    selection-color: #1A1C1F;
+    outline: 0; font-size: 14px;
 }
 
 QDialog#AppointmentDrawerOverlay QRadioButton {
     min-height: 24px;
     spacing: 8px;
-    color: #3F4E75;
+    color: #1A1C1F;
 }
 
 QDialog#AppointmentDrawerOverlay QRadioButton::indicator {
     width: 12px;
     height: 12px;
     border-radius: 7px;
-    border: 1px solid #E6EAF5;
+    border: 1px solid #EDEDEE;
     background-color: #FFFFFF;
 }
 
 QDialog#AppointmentDrawerOverlay QRadioButton::indicator:hover {
-    border-color: #5761F4;
+    border-color: #4156C4;
 }
 
 QDialog#AppointmentDrawerOverlay QRadioButton::indicator:checked {
     width: 4px;
     height: 4px;
-    border: 5px solid #5761F4;
+    border: 5px solid #4F63D9;
     border-radius: 7px;
     background-color: #FFFFFF;
 }
 
 QDialog#AppointmentDrawerOverlay QRadioButton:focus {
-    color: #4451E2;
+    color: #4F63D9;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentDate="true"] {
     min-height: 38px;
     max-height: 38px;
     padding: 0;
-    border: 1px solid #E6EAF5;
+    border: 1px solid #EDEDEE;
     border-radius: 8px;
     background-color: #FFFFFF;
-    color: #3F4E75;
+    color: #1A1C1F;
     font-size: 14px;
     font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentDate="true"]:hover {
-    color: #4451E2;
-    border-color: #5761F4;
-    background-color: #F0F2FF;
+    color: #4156C4;
+    border-color: #4156C4;
+    background-color: #EEF1FA;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentDate="true"]:focus {
-    border-color: #8D9BFF;
+    border-color: #8B9AD9;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentDate="true"]:checked {
     color: #FFFFFF;
-    border-color: #5761F4;
-    background-color: #5761F4;
+    border-color: #4F63D9;
+    background-color: #4F63D9;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentSlotsPanel {
-    background-color: #F7F9FE;
+    background-color: #F7F7F7;
     border: 0;
     border-radius: 8px;
 }
 
 QDialog#AppointmentDrawerOverlay QLabel#AppointmentSlotsTitle {
-    color: #111F46;
+    color: #1A1C1F;
     font-size: 15px;
-    font-weight: 600;
+    font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton#AppointmentRefreshSlots {
@@ -238,87 +238,83 @@ QDialog#AppointmentDrawerOverlay QPushButton#AppointmentRefreshSlots {
     border: 0;
     border-radius: 4px;
     background-color: transparent;
-    color: #4451E2;
+    color: #4F63D9;
     font-size: 13px;
     font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton#AppointmentRefreshSlots:hover {
-    background-color: #F0F2FF;
+    background-color: #EEF1FA;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] {
     min-width: 110px;
     min-height: 70px;
     padding: 0 8px;
-    border: 2px solid #E6EAF5;
+    border: 2px solid #EDEDEE;
     border-radius: 8px;
     background-color: #FFFFFF;
-    color: #111F46;
+    color: #1A1C1F;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotTime {
-    color: #111F46;
+    color: #1A1C1F;
     font-size: 15px;
-    font-weight: 600;
+    font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotStatus {
     padding: 0 8px;
     border-radius: 4px;
-    background-color: #F4F4F5;
-    color: #7886AA;
-    font-size: 12px;
+    background-color: #F7F7F7;
+    color: #606163;
+    font-size: 13px;
     font-weight: 400;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"][availability="available"] QLabel#AppointmentSlotStatus {
-    color: #17A77D;
+    color: #287B65;
     background-color: #EAF9F3;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:hover:enabled {
-    color: #4451E2;
-    border-color: #5761F4;
-    background-color: #F0F2FF;
+    color: #4156C4;
+    border-color: #4156C4;
+    background-color: #EEF1FA;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:focus:enabled {
-    border-color: #8D9BFF;
+    border-color: #8B9AD9;
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:checked {
     color: #FFFFFF;
-    border-color: #5761F4;
-    background: qlineargradient(
-        x1:0, y1:0, x2:1, y2:1,
-        stop:0 #5761F4,
-        stop:1 #7769F7
-    );
+    border-color: #4F63D9;
+    background: #4F63D9;
 }
 
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:checked QLabel#AppointmentSlotTime,
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:checked QLabel#AppointmentSlotStatus {
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotTime[slotSelected="true"],
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotStatus[slotSelected="true"] {
     color: #FFFFFF;
 }
 
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:checked QLabel#AppointmentSlotStatus {
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotStatus[slotSelected="true"] {
     background-color: rgba(255, 255, 255, 46);
 }
 
 QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:disabled {
-    color: #A4ADC3;
-    border-color: #E6EAF5;
-    background-color: #F0F2F8;
+    color: #8E8F90;
+    border-color: #EDEDEE;
+    background-color: #F7F7F7;
 }
 
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:disabled QLabel#AppointmentSlotTime,
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:disabled QLabel#AppointmentSlotStatus {
-    color: #A4ADC3;
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotTime:disabled,
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotStatus:disabled {
+    color: #8E8F90;
 }
 
-QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"]:disabled QLabel#AppointmentSlotStatus {
-    background-color: #F0F2F8;
+QDialog#AppointmentDrawerOverlay QPushButton[appointmentSlot="true"] QLabel#AppointmentSlotStatus:disabled {
+    background-color: #F7F7F7;
 }
 
 QDialog#AppointmentDrawerOverlay QWidget#AppointmentInlineEmpty {
@@ -326,13 +322,13 @@ QDialog#AppointmentDrawerOverlay QWidget#AppointmentInlineEmpty {
 }
 
 QDialog#AppointmentDrawerOverlay QLabel#AppointmentEmptyText {
-    color: #7886AA;
+    color: #606163;
     font-size: 14px;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="info"] {
-    background-color: #F0F4FF;
-    border: 1px solid #DDE5FF;
+    background-color: #EEF1FA;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
 }
 
@@ -355,65 +351,65 @@ QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="success"] {
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="info"] QLabel {
-    color: #4D69ED;
+    color: #4F63D9;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="warning"] QLabel {
-    color: #D38625;
+    color: #A9691D;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="danger"] QLabel {
-    color: #F15B67;
+    color: #BE4B58;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentAlert[kind="success"] QLabel {
-    color: #17A77D;
+    color: #287B65;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter {
     background-color: #FFFFFF;
     border: 0;
-    border-top: 1px solid #E6EAF5;
+    border-top: 1px solid #EDEDEE;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton {
     min-height: 30px;
     max-height: 30px;
     padding: 0 15px;
-    border: 1px solid #E6EAF5;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
     background-color: #FFFFFF;
-    color: #3F4E75;
+    color: #1A1C1F;
     font-size: 13px;
-    font-weight: 600;
+    font-weight: 500;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton:hover {
-    color: #4451E2;
-    border-color: #5761F4;
-    background-color: #F0F2FF;
+    color: #4156C4;
+    border-color: #4156C4;
+    background-color: #EEF1FA;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton:focus {
-    border-color: #8D9BFF;
+    border-color: #8B9AD9;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton[primary="true"] {
     color: #FFFFFF;
-    border-color: #5761F4;
-    background: qlineargradient(x1:0, y1:0, x2:1, y2:0, stop:0 #5761F4, stop:1 #7769F7);
+    border-color: #4F63D9;
+    background: #4F63D9;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton[primary="true"]:hover {
     color: #FFFFFF;
-    border-color: #4C57E9;
-    background-color: #4C57E9;
+    border-color: #4156C4;
+    background-color: #4156C4;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentDrawerFooter QPushButton:disabled {
     color: #FFFFFF;
-    border-color: #E6EAF5;
-    background-color: #A4ADC3;
+    border-color: #EDEDEE;
+    background-color: #8E8F90;
 }
 
 QDialog#AppointmentDrawerOverlay QFrame#AppointmentLoadingOverlay {
@@ -422,7 +418,7 @@ QDialog#AppointmentDrawerOverlay QFrame#AppointmentLoadingOverlay {
 }
 
 QDialog#AppointmentDrawerOverlay QLabel#AppointmentLoadingText {
-    color: #7886AA;
+    color: #606163;
     font-size: 14px;
 }
 
@@ -436,11 +432,11 @@ QDialog#AppointmentDrawerOverlay QScrollBar:vertical {
 QDialog#AppointmentDrawerOverlay QScrollBar::handle:vertical {
     min-height: 30px;
     border-radius: 3px;
-    background-color: #E6EAF5;
+    background-color: #EDEDEE;
 }
 
 QDialog#AppointmentDrawerOverlay QScrollBar::handle:vertical:hover {
-    background-color: #8D9BFF;
+    background-color: #E4E4E5;
 }
 
 QDialog#AppointmentDrawerOverlay QScrollBar::add-line:vertical,
@@ -722,15 +718,15 @@ class _EmptyIllustration(QWidget):
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
         painter.setPen(Qt.PenStyle.NoPen)
-        painter.setBrush(QColor("#EEF2F8"))
+        painter.setBrush(QColor("#F7F7F7"))
         painter.drawEllipse(QRect(9, 48, 62, 8))
 
-        painter.setPen(QPen(QColor("#D8DEEA"), 1))
+        painter.setPen(QPen(QColor("#EDEDEE"), 1))
         painter.setBrush(QColor("#FFFFFF"))
         painter.drawRoundedRect(QRect(22, 21, 36, 27), 4, 4)
-        painter.setBrush(QColor("#E9EDFF"))
+        painter.setBrush(QColor("#F0F0F0"))
         painter.drawRoundedRect(QRect(18, 15, 44, 12), 4, 4)
-        painter.setPen(QPen(QColor("#667085"), 2))
+        painter.setPen(QPen(QColor("#606163"), 2))
         painter.drawLine(30, 35, 50, 35)
         painter.drawLine(34, 41, 46, 41)
         painter.end()
@@ -751,7 +747,7 @@ class _HoverLiftButton(QPushButton):
             shadow = QGraphicsDropShadowEffect(self)
             shadow.setBlurRadius(12)
             shadow.setOffset(0, 4)
-            shadow.setColor(QColor(102, 117, 245, 72))
+            shadow.setColor(QColor(26, 28, 31, 72))
             self.setGraphicsEffect(shadow)
             self._lifted = True
         super().enterEvent(event)
@@ -784,6 +780,15 @@ class _SlotCard(_HoverLiftButton):
         self.status_label.setAlignment(Qt.AlignmentFlag.AlignCenter)
         self.status_label.setAttribute(Qt.WidgetAttribute.WA_TransparentForMouseEvents, True)
         layout.addWidget(self.status_label)
+        self.toggled.connect(self._sync_label_selection)
+
+    def _sync_label_selection(self, checked: bool) -> None:
+        # Qt does not reliably resolve ancestor pseudo states for child labels.
+        for label in (self.time_label, self.status_label):
+            label.setProperty("slotSelected", checked)
+            label.style().unpolish(label)
+            label.style().polish(label)
+            label.update()
 
 
 class AppointmentDrawer(QDialog):
@@ -968,13 +973,24 @@ class AppointmentDrawer(QDialog):
         type_container = QWidget()
         type_layout = QHBoxLayout(type_container)
         type_layout.setContentsMargins(0, 0, 0, 0)
-        self.appointment_type_radio = QRadioButton("视频问诊")
-        self.appointment_type_radio.setChecked(True)
-        type_layout.addWidget(self.appointment_type_radio)
+        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()
@@ -1705,7 +1721,7 @@ class AppointmentDrawer(QDialog):
 
     def paintEvent(self, event: QPaintEvent) -> None:  # noqa: N802 - Qt API
         painter = QPainter(self)
-        painter.fillRect(self.rect(), QColor(8, 11, 20, 196))
+        painter.fillRect(self.rect(), QColor(26, 28, 31, 196))
         painter.end()
         super().paintEvent(event)
 

app/src/doctor_workstation/ui/appointments_style.py

@@ -0,0 +1,144 @@
+"""Page-scoped palette and compact typography for the approved appointment list."""
+
+from string import Template
+
+from .reception_style import body_family, heading_family
+
+
+def appointments_stylesheet() -> str:
+    return Template(_QSS).substitute(body=body_family(), heading=heading_family())
+
+
+_QSS = """
+#AppointmentsPage { background: #F3F7FD; color: #273244; }
+#AppointmentsPage QLabel, #AppointmentsPage QPushButton,
+#AppointmentsPage QLineEdit, #AppointmentsPage QComboBox,
+#AppointmentsPage QTabBar, #AppointmentsPage QTableWidget {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#AppointmentsPage QWidget#PageHeader QLabel[role="pageTitle"] {
+    font-family: "$heading"; font-size: 20px; font-weight: 600; color: #202C3F;
+}
+#AppointmentsPage QWidget#PageHeader QLabel[role="muted"],
+#AppointmentsPage QWidget#PageHeader QLabel[role="breadcrumb"],
+#AppointmentsPage QWidget#PageHeader QLabel[role="breadcrumbSeparator"],
+#AppointmentsPage QWidget#PageHeader QLabel[role="breadcrumbCurrent"] {
+    color: #5D6B80; font-size: 13px; font-weight: 400;
+}
+#AppointmentsPage QFrame#AppointmentFilterPanel,
+#AppointmentsPage QFrame#AppointmentMainCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#AppointmentsPage QPushButton {
+    min-height: 30px; padding: 0 12px; border: 1px solid #DBE5F2;
+    border-radius: 6px; background: #FFFFFF;
+}
+#AppointmentsPage QPushButton:hover { color: #1555B6; background: #F2F7FF; border-color: #B6CDEE; }
+#AppointmentsPage QPushButton:pressed { background: #DCEAFF; }
+#AppointmentsPage QPushButton:focus { border-color: #75A5F0; }
+#AppointmentsPage QPushButton[variant="primary"] {
+    background: #1769E8; color: #FFFFFF; border-color: #1769E8;
+}
+#AppointmentsPage QPushButton[variant="primary"]:hover { background: #155BCC; }
+#AppointmentsPage QPushButton[variant="primary"]:pressed { background: #124EA9; }
+#AppointmentsPage QPushButton[variant="danger"] {
+    color: #B84652; background: #FFFFFF; border-color: #EFC8CE;
+}
+#AppointmentsPage QPushButton[variant="danger"]:hover { background: #FFF0F2; }
+#AppointmentsPage QPushButton[variant="ghost"] { background: transparent; border-color: transparent; }
+#AppointmentsPage QPushButton:disabled {
+    color: #8A97A9; background: #F6F8FC; border-color: #E2E9F2;
+}
+#AppointmentsPage QLineEdit, #AppointmentsPage QComboBox {
+    min-height: 32px; padding: 0 10px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; border-radius: 6px; selection-background-color: #DCEAFF;
+}
+#AppointmentsPage QLineEdit:focus, #AppointmentsPage QComboBox:focus { border-color: #75A5F0; }
+#AppointmentsPage QLineEdit QToolButton {
+    min-width: 0; min-height: 0; padding: 0; border: 0; background: transparent;
+}
+#AppointmentsPage QLineEdit QToolButton:focus { background: #EAF2FF; }
+#AppointmentsPage QPushButton#AppointmentSearchButton {
+    min-height: 39px; max-height: 39px; min-width: 52px;
+}
+#AppointmentsPage QLineEdit#AppointmentPatientSearch { min-height: 39px; max-height: 39px; }
+#AppointmentsPage QPushButton[appointmentStat="true"] {
+    min-height: 34px; max-height: 34px; padding: 0 10px; background: #F4F7FC;
+    border-color: transparent; color: #5D6B80; font-size: 13px;
+}
+#AppointmentsPage QPushButton[appointmentStat="true"]:hover { color: #1555B6; background: #EAF2FF; }
+#AppointmentsPage QPushButton[appointmentStat="true"]:checked {
+    color: #FFFFFF; background: #1769E8; border-color: #1769E8;
+}
+#AppointmentsPage QPushButton[appointmentStatKind="warning"][hasPending="true"]:!checked {
+    color: #9C681F; background: #FFF6E7; border-color: #EEDCBF;
+}
+#AppointmentsPage QLabel#FilterRowLabel { color: #5D6B80; font-size: 13px; }
+#AppointmentsPage QLabel#FilterDivider { color: #DBE5F2; padding: 0 10px; }
+#AppointmentsPage QTabBar#AppointmentStatusTabs::tab {
+    min-width: 52px; min-height: 32px; padding: 0 12px; color: #5D6B80;
+    background: transparent; border: 0; border-bottom: 2px solid transparent; font-size: 13px;
+}
+#AppointmentsPage QTabBar#AppointmentStatusTabs::tab:hover { color: #1555B6; background: #F7FAFE; }
+#AppointmentsPage QTabBar#AppointmentStatusTabs::tab:selected {
+    color: #1769E8; background: transparent; border-bottom-color: #1769E8;
+}
+#AppointmentsPage QPushButton[filterChoice="true"] {
+    min-height: 30px; max-height: 30px; padding: 0 12px; color: #5D6B80;
+    background: transparent; border-color: transparent; font-size: 13px;
+}
+#AppointmentsPage QPushButton[filterChoice="true"]:checked { color: #1555B6; background: #EAF2FF; }
+#AppointmentsPage QFrame#AppointmentToolbar { background: transparent; border: 0; }
+#AppointmentsPage QPushButton[compactAction="true"] {
+    min-height: 36px; max-height: 36px; padding: 0 17px; font-size: 13px;
+}
+#AppointmentsPage QFrame#AppointmentToolbar QPushButton[variant="secondary"]:enabled {
+    color: #1769E8; border-color: #ADC8F0;
+}
+#AppointmentsPage QTableWidget#AppointmentTable {
+    background: #FFFFFF; alternate-background-color: #FFFFFF; border: 0; border-radius: 0;
+    gridline-color: #E6EDF6; selection-background-color: #EAF2FF; selection-color: #273244;
+}
+#AppointmentsPage QTableWidget#AppointmentTable::item { padding: 0; border: 0; border-bottom: 1px solid #E6EDF6; }
+#AppointmentsPage QTableWidget#AppointmentTable::item:selected { background: #EAF2FF; color: #273244; }
+#AppointmentsPage QTableWidget#AppointmentTable QHeaderView::section {
+    min-height: 40px; padding: 0; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-top: 1px solid #E1E9F4; border-bottom: 1px solid #E1E9F4;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#AppointmentsPage QWidget[appointmentSelectionHost="true"] {
+    background: transparent; border-left: 3px solid transparent;
+}
+#AppointmentsPage QWidget[appointmentSelectionHost="true"][selected="true"] { border-left-color: #1769E8; }
+#AppointmentsPage QCheckBox[appointmentSelector="true"]::indicator {
+    width: 16px; height: 16px; background: #FFFFFF; border: 1px solid #C8D5E6; border-radius: 3px;
+}
+#AppointmentsPage QCheckBox[appointmentSelector="true"]::indicator:checked { background: #1769E8; border-color: #1769E8; }
+#AppointmentsPage QWidget[appointmentInfoHost="true"],
+#AppointmentsPage QWidget[appointmentImHost="true"] { background: transparent; }
+#AppointmentsPage QLabel[tableAppointmentStatus="true"] {
+    min-height: 20px; max-height: 20px; padding: 0 6px; color: #1555B6;
+    background: #EAF2FF; border-radius: 4px; font-size: 13px;
+}
+#AppointmentsPage QLabel[tableAppointmentStatusKind="warning"] { color: #9C681F; background: #FFF3DD; }
+#AppointmentsPage QLabel[tableAppointmentStatusKind="muted"] { color: #66758A; background: #EEF2F7; }
+#AppointmentsPage QLabel[tableAppointmentMeta="true"] { color: #5D6B80; font-size: 13px; }
+#AppointmentsPage QPushButton[tableCancelAction="true"] {
+    min-height: 20px; max-height: 20px; padding: 0 5px; color: #B84652;
+    background: #FFF0F2; border: 0; border-radius: 4px; font-size: 13px;
+}
+#AppointmentsPage QPushButton[appointmentImAction="true"] {
+    min-width: 62px; min-height: 32px; max-height: 32px; padding: 0 10px;
+    color: #1555B6; background: #EAF2FF; border-color: #C9DCF7; font-size: 13px;
+}
+#AppointmentsPage QPushButton[appointmentImAction="true"]:hover { color: #FFFFFF; background: #1769E8; }
+#AppointmentsPage QPushButton[appointmentImAction="true"]:disabled { color: #8A97A9; background: #F3F6FB; border-color: #DFE7F2; }
+#AppointmentsPage QWidget#Pager { background: #FFFFFF; border: 0; border-top: 1px solid #E1E9F4; }
+#AppointmentsPage QWidget#Pager QLabel { color: #5D6B80; font-size: 13px; border: 0; }
+#AppointmentsPage QWidget#Pager QPushButton {
+    min-width: 30px; max-width: 30px; min-height: 32px; max-height: 32px;
+    padding: 0; border: 1px solid #DBE5F2; background: #FFFFFF; color: #5D6B80; font-size: 13px;
+}
+#AppointmentsPage QWidget#Pager QPushButton[active="true"] { color: #FFFFFF; background: #1769E8; border-color: #1769E8; }
+#AppointmentsPage QWidget#Pager QPushButton:disabled { color: #9AA6B7; background: #F7F9FC; }
+"""

app/src/doctor_workstation/ui/chat_notifications.py

@@ -46,51 +46,51 @@ QFrame#ChatNotifyCard {
     border: 1px solid #BBF0CE;
     border-radius: 12px;
 }
-QFrame#ChatNotifyCard[kind="left"] { border-color: #D8DEEE; }
-QFrame#ChatNotifyCard[kind="complete"] { border-color: #C3D6FF; }
+QFrame#ChatNotifyCard[kind="left"] { border-color: #E4E4E5; }
+QFrame#ChatNotifyCard[kind="complete"] { border-color: #8B9AD9; }
 QLabel#ChatNotifyBadge {
     min-width: 34px;
     max-width: 34px;
     min-height: 34px;
     max-height: 34px;
     color: #FFFFFF;
-    background-color: #22C55E;
+    background-color: #287B65;
     border-radius: 9px;
     font-size: 15px;
     font-weight: 700;
 }
-QLabel#ChatNotifyBadge[kind="left"] { background-color: #8A94B3; }
-QLabel#ChatNotifyBadge[kind="complete"] { background-color: #3B82F6; }
-QLabel#ChatNotifyTitle { color: #1F2A44; font-size: 13px; font-weight: 700; }
-QLabel#ChatNotifyDesc { color: #4A5878; font-size: 12px; }
-QLabel#ChatNotifyTime { color: #8A94B3; font-size: 11px; }
+QLabel#ChatNotifyBadge[kind="left"] { background-color: #6A6B6D; }
+QLabel#ChatNotifyBadge[kind="complete"] { background-color: #4F63D9; }
+QLabel#ChatNotifyTitle { color: #1A1C1F; font-size: 13px; font-weight: 700; }
+QLabel#ChatNotifyDesc { color: #1A1C1F; font-size: 12px; }
+QLabel#ChatNotifyTime { color: #6A6B6D; font-size: 11px; }
 QPushButton#ChatNotifyOpen {
     min-height: 26px;
     padding: 0 10px;
-    color: #3F4E75;
-    background-color: #F4F6FC;
-    border: 1px solid #DDE3F2;
+    color: #4F63D9;
+    background-color: #EEF1FA;
+    border: 1px solid #EDEDEE;
     border-radius: 7px;
     font-size: 12px;
     font-weight: 600;
 }
 QPushButton#ChatNotifyOpen:hover {
-    color: #4451E2;
-    background-color: #EEF1FF;
-    border-color: #8D9BFF;
+    color: #4156C4;
+    background-color: #EEF1FA;
+    border-color: #8B9AD9;
 }
 QPushButton#ChatNotifyClose {
     min-width: 22px;
     max-width: 22px;
     min-height: 22px;
     max-height: 22px;
-    color: #8A94B3;
+    color: #6A6B6D;
     background-color: transparent;
     border: 0;
     border-radius: 6px;
     font-size: 14px;
 }
-QPushButton#ChatNotifyClose:hover { color: #4A5878; background-color: #EDF0F7; }
+QPushButton#ChatNotifyClose:hover { color: #1A1C1F; background-color: #F7F7F7; }
 """
 
 

app/src/doctor_workstation/ui/consultations_style.py

@@ -0,0 +1,131 @@
+"""Scoped colors and compact typography for the approved consultation list."""
+
+from string import Template
+
+from .reception_style import body_family, heading_family
+
+
+def consultations_stylesheet() -> str:
+    return Template(_QSS).substitute(body=body_family(), heading=heading_family())
+
+
+_QSS = """
+#DiagnosisIndex, #DiagnosisIndexContent, #DiagnosisPageScroll {
+    background: #F3F7FD; color: #273244; border: 0;
+}
+#DiagnosisIndex QLabel, #DiagnosisIndex QPushButton, #DiagnosisIndex QToolButton,
+#DiagnosisIndex QLineEdit, #DiagnosisIndex QComboBox, #DiagnosisIndex QDateEdit,
+#DiagnosisIndex QSpinBox, #DiagnosisIndex QTableView {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#DiagnosisIndex QWidget#PageHeader QLabel[role="pageTitle"] {
+    font-family: "$heading"; font-size: 20px; font-weight: 600; color: #202C3F;
+}
+#DiagnosisIndex QLabel[role="muted"], #DiagnosisIndex QLabel[role="breadcrumb"],
+#DiagnosisIndex QLabel[role="breadcrumbCurrent"], #DiagnosisIndex QLabel[role="breadcrumbSeparator"],
+#DiagnosisIndex QLabel[filterGroup="true"], #DiagnosisIndex QLabel[pagerMuted="true"] {
+    color: #5D6B80; font-size: 13px;
+}
+#DiagnosisIndex QFrame#DiagnosisFilterCard, #DiagnosisIndex QFrame#DiagnosisListCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#DiagnosisIndex QFrame#DiagnosisStatusCard, #DiagnosisIndex QFrame#DiagnosisQuickFilters,
+#DiagnosisIndex QFrame#DiagnosisListToolbar { background: transparent; border: 0; }
+#DiagnosisIndex QFrame#DiagnosisAdvancedFilters {
+    background: transparent; border: 0; border-top: 1px solid #E6EDF6; border-radius: 0;
+}
+#DiagnosisIndex QPushButton {
+    min-height: 34px; padding: 0 13px; border: 1px solid #DBE5F2;
+    border-radius: 6px; background: #FFFFFF;
+}
+#DiagnosisIndex QPushButton:hover { color: #1555B6; background: #F2F7FF; border-color: #B6CDEE; }
+#DiagnosisIndex QPushButton:pressed { background: #DCEAFF; }
+#DiagnosisIndex QPushButton:focus { border-color: #75A5F0; }
+#DiagnosisIndex QPushButton[variant="primary"] { color: #FFFFFF; background: #1769E8; border-color: #1769E8; }
+#DiagnosisIndex QPushButton[variant="primary"]:hover { background: #155BCC; }
+#DiagnosisIndex QPushButton[consultationTool="true"] { color: #1555B6; border-color: #C2D5EF; }
+#DiagnosisIndex QPushButton[consultationDanger="true"] { color: #BE4B58; border-color: #EBCDD2; }
+#DiagnosisIndex QPushButton:disabled, #DiagnosisIndex QPushButton[consultationDanger="true"]:disabled {
+    color: #8A97A9; background: #F6F8FC; border-color: #E2E9F2;
+}
+#DiagnosisIndex QLineEdit, #DiagnosisIndex QComboBox, #DiagnosisIndex QDateEdit, #DiagnosisIndex QSpinBox {
+    min-height: 32px; padding: 0 10px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; border-radius: 6px; selection-background-color: #DCEAFF;
+    font-size: 13px;
+}
+#DiagnosisIndex QLineEdit:focus, #DiagnosisIndex QComboBox:focus,
+#DiagnosisIndex QDateEdit:focus, #DiagnosisIndex QSpinBox:focus { border-color: #75A5F0; }
+#DiagnosisIndex QLineEdit QToolButton {
+    min-width: 0; min-height: 0; padding: 0; border: 0; background: transparent;
+}
+#DiagnosisIndex QComboBox::drop-down, #DiagnosisIndex QDateEdit::drop-down {
+    width: 22px; border: 0; background: transparent;
+}
+#DiagnosisIndex QComboBox QAbstractItemView {
+    color: #273244; background: #FFFFFF; border: 1px solid #DBE5F2;
+    selection-background-color: #EAF2FF; selection-color: #1555B6; outline: 0;
+}
+#DiagnosisIndex QWidget#DiagnosisStatusSearch QLineEdit,
+#DiagnosisIndex QWidget#DiagnosisStatusSearch QPushButton { min-height: 39px; max-height: 39px; }
+#DiagnosisIndex QToolButton { min-width: 0; min-height: 0; border: 0; padding: 0; background: transparent; }
+#DiagnosisIndex QToolButton[diagnosisChip="true"] {
+    min-height: 32px; max-height: 32px; padding: 0 14px; border: 1px solid transparent;
+    border-radius: 5px; color: #5D6B80; background: transparent; font-size: 13px;
+}
+#DiagnosisIndex QToolButton[diagnosisChip="true"]:hover { background: #F2F7FF; color: #1555B6; }
+#DiagnosisIndex QToolButton[diagnosisChip="true"]:checked { background: #1769E8; color: #FFFFFF; }
+#DiagnosisIndex QToolButton[dateChoice="true"] { padding: 0 17px; border-color: #E1E9F4; }
+#DiagnosisIndex QToolButton[dateChoice="true"]:checked { border-color: #1769E8; }
+#DiagnosisIndex QToolButton[statusTab="true"] {
+    min-height: 44px; max-height: 44px; padding: 0 20px; border: 0;
+    border-bottom: 2px solid transparent; border-radius: 0; background: transparent;
+}
+#DiagnosisIndex QToolButton[statusTab="true"]:checked {
+    color: #1769E8; background: transparent; border-bottom-color: #1769E8;
+}
+#DiagnosisIndex QToolButton#DiagnosisMoreFilter {
+    min-height: 32px; padding: 0 6px; color: #5D6B80; font-size: 13px;
+}
+#DiagnosisIndex QToolButton#DiagnosisMoreFilter:hover { color: #1769E8; background: #F2F7FF; }
+#DiagnosisIndex QFrame#DiagnosisFilterDivider { min-width: 1px; max-width: 1px; min-height: 20px; background: #E1E9F4; border: 0; }
+#DiagnosisIndex QFrame#DiagnosisDateRange {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 6px;
+}
+#DiagnosisIndex QDateEdit[diagnosisRangePart="true"] { min-height: 30px; padding: 0 4px; border: 0; }
+#DiagnosisIndex QTableView {
+    background: #FFFFFF; alternate-background-color: #FFFFFF; border: 0; border-radius: 0;
+    gridline-color: #E6EDF6; selection-background-color: #EAF2FF; selection-color: #273244;
+}
+#DiagnosisIndex QTableView QHeaderView::section {
+    min-height: 41px; padding: 0; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-bottom: 1px solid #E1E9F4;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#DiagnosisIndex QToolButton[rowLink], #DiagnosisIndex QToolButton[appointmentCancel="true"] {
+    color: #1769E8; min-height: 26px; padding: 0 4px; border: 0; background: transparent; font-size: 13px;
+}
+#DiagnosisIndex QToolButton[appointmentCancel="true"] { color: #BE4B58; }
+#DiagnosisIndex QToolButton[rowLink]:hover { color: #1555B6; background: #DCEAFF; border-radius: 4px; }
+#DiagnosisIndex QToolButton[rowLink="muted"], #DiagnosisIndex QLabel[fixedMuted="true"] {
+    color: #5D6B80; font-size: 13px;
+}
+#DiagnosisIndex QToolButton#DiagnosisRowMore { padding-right: 18px; }
+#DiagnosisIndex QWidget#DiagnosisFixedCell { background: transparent; }
+#DiagnosisIndex QLabel#DiagnosisTableEmpty { color: #5D6B80; background: #FFFFFF; }
+#DiagnosisIndex QLabel#DiagnosisTableEmpty[stateKind="error"] { color: #BE4B58; }
+#DiagnosisIndex QTableView#DiagnosisFixedTable { border-left: 1px solid #E1E9F4; }
+#DiagnosisIndex QWidget#DiagnosisPager { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#DiagnosisIndex QToolButton[pagerButton="true"] {
+    min-width: 30px; max-width: 30px; min-height: 30px; max-height: 30px;
+    border: 1px solid #DBE5F2; border-radius: 5px; color: #5D6B80; background: #FFFFFF;
+}
+#DiagnosisIndex QToolButton[pagerButton="true"][active="true"] { color: #FFFFFF; background: #1769E8; border-color: #1769E8; }
+#DiagnosisIndex QToolButton[pagerButton="true"]:disabled { color: #A4B0C0; background: #F6F8FC; }
+#DiagnosisIndex QComboBox#DiagnosisPageSize { min-width: 95px; min-height: 30px; }
+#DiagnosisIndex QSpinBox#DiagnosisPageJumper { min-height: 30px; padding: 0 8px; }
+#DiagnosisIndex QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#DiagnosisIndex QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#DiagnosisIndex QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#DiagnosisIndex QScrollBar::add-line, #DiagnosisIndex QScrollBar::sub-line { width: 0; height: 0; }
+#DiagnosisIndex QScrollBar::add-page, #DiagnosisIndex QScrollBar::sub-page { background: transparent; }
+"""

app/src/doctor_workstation/ui/diagnosis_media.py

@@ -134,63 +134,63 @@ def open_safe_http_url(target: str) -> bool:
 _INLINE_PLAYER_QSS = """
 QWidget#DiagnosisInlineRecordingPlayer {
     background: #FFFFFF;
-    border: 1px solid #E6EAF5;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
 }
 QFrame#DiagnosisInlineRecordingSurface {
-    background: #11182E;
+    background: #1A1C1F;
     border: 0;
     border-radius: 8px 8px 0 0;
 }
 QLabel#DiagnosisInlineRecordingPlaceholder {
-    color: #C7D0E8;
+    color: #E4E4E5;
     font-size: 12px;
     line-height: 1.4;
 }
 QLabel#DiagnosisInlineRecordingTime {
-    color: #64739A;
+    color: #6A6B6D;
     font-size: 11px;
 }
 QPushButton[recordingControl="true"] {
     min-height: 24px;
     max-height: 24px;
     padding: 0 8px;
-    color: #3F4E75;
-    background: #FAFBFE;
-    border: 1px solid #D8DEEE;
+    color: #1A1C1F;
+    background: #F7F7F7;
+    border: 1px solid #E4E4E5;
     border-radius: 6px;
     font-size: 11px;
     font-weight: 600;
 }
 QPushButton[recordingControl="true"]:hover,
 QPushButton[recordingControl="true"]:focus {
-    color: #4451E2;
-    background: #F0F2FF;
-    border-color: #8D9BFF;
+    color: #4156C4;
+    background: #EEF1FA;
+    border-color: #8B9AD9;
 }
 QPushButton#DiagnosisInlineRecordingPlay {
     color: #FFFFFF;
-    background: #5761F4;
-    border-color: #5761F4;
+    background: #4F63D9;
+    border-color: #4F63D9;
 }
 QPushButton#DiagnosisInlineRecordingPlay:hover,
 QPushButton#DiagnosisInlineRecordingPlay:focus {
     color: #FFFFFF;
-    background: #4C57E9;
-    border-color: #4C57E9;
+    background: #4156C4;
+    border-color: #4156C4;
 }
 QPushButton[recordingControl="true"]:disabled {
-    color: #A4ADC3;
-    background: #F0F2F8;
-    border-color: #E6EAF5;
+    color: #8E8F90;
+    background: #F7F7F7;
+    border-color: #EDEDEE;
 }
-QSlider::groove:horizontal { height: 3px; background: #D8DEEE; border-radius: 1px; }
-QSlider::sub-page:horizontal { background: #5761F4; border-radius: 1px; }
+QSlider::groove:horizontal { height: 3px; background: #E4E4E5; border-radius: 1px; }
+QSlider::sub-page:horizontal { background: #4F63D9; border-radius: 1px; }
 QSlider::handle:horizontal {
     width: 10px;
     margin: -4px 0;
     background: #FFFFFF;
-    border: 1px solid #5761F4;
+    border: 1px solid #4F63D9;
     border-radius: 5px;
 }
 """
@@ -466,11 +466,11 @@ class RecordingPlaybackCell(QWidget):
             separator = QFrame()
             separator.setObjectName("DiagnosisRecordingAlternateSeparator")
             separator.setFrameShape(QFrame.Shape.HLine)
-            separator.setStyleSheet("color:#E6EAF5;")
+            separator.setStyleSheet("color:#EDEDEE;")
             layout.addWidget(separator)
             label = QLabel("备用地址")
             label.setObjectName("DiagnosisRecordingAlternateLabel")
-            label.setStyleSheet("color:#7886AA; font-size:12px;")
+            label.setStyleSheet("color:#606163; font-size:12px;")
             layout.addWidget(label)
             links = QHBoxLayout()
             links.setContentsMargins(0, 0, 0, 0)
@@ -490,7 +490,7 @@ class RecordingPlaybackCell(QWidget):
             layout.addLayout(links)
         self.link_status = QLabel("")
         self.link_status.setObjectName("DiagnosisRecordingLinkStatus")
-        self.link_status.setStyleSheet("color:#D94856; font-size:11px;")
+        self.link_status.setStyleSheet("color:#BE4B58; font-size:11px;")
         self.link_status.setWordWrap(True)
         self.link_status.hide()
         layout.addWidget(self.link_status)
@@ -722,41 +722,41 @@ def image_display_name(target: str, ordinal: int) -> str:
 
 _IMAGE_PREVIEW_QSS = """
 QDialog#DiagnosisImagePreview { background: #FFFFFF; }
-QLabel#DiagnosisImagePreviewName { color: #1F2A44; font-size: 14px; font-weight: 600; }
-QLabel#DiagnosisImagePreviewCounter { color: #64739A; font-size: 12px; }
-QLabel#DiagnosisImagePreviewStatus { color: #64739A; font-size: 12px; }
-QLabel#DiagnosisImagePreviewStatus[kind="danger"] { color: #C0392B; }
-QLabel#DiagnosisImagePreviewStatus[kind="warning"] { color: #9A650F; }
+QLabel#DiagnosisImagePreviewName { color: #1A1C1F; font-size: 14px; font-weight: 600; }
+QLabel#DiagnosisImagePreviewCounter { color: #6A6B6D; font-size: 12px; }
+QLabel#DiagnosisImagePreviewStatus { color: #6A6B6D; font-size: 12px; }
+QLabel#DiagnosisImagePreviewStatus[kind="danger"] { color: #BE4B58; }
+QLabel#DiagnosisImagePreviewStatus[kind="warning"] { color: #A9691D; }
 QScrollArea#DiagnosisImagePreviewViewport {
-    background: #11182E;
-    border: 1px solid #E6EAF5;
+    background: #1A1C1F;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
 }
 QLabel#DiagnosisImagePreviewCanvas {
-    background: #11182E;
-    color: #C7D0E8;
+    background: #1A1C1F;
+    color: #E4E4E5;
     font-size: 12px;
 }
 QPushButton[imagePreviewControl="true"] {
     min-height: 28px;
     padding: 0 12px;
-    color: #3F4E75;
-    background: #FAFBFE;
-    border: 1px solid #D8DEEE;
+    color: #1A1C1F;
+    background: #F7F7F7;
+    border: 1px solid #E4E4E5;
     border-radius: 7px;
     font-size: 12px;
     font-weight: 600;
 }
 QPushButton[imagePreviewControl="true"]:hover,
 QPushButton[imagePreviewControl="true"]:focus {
-    color: #4451E2;
-    background: #F0F2FF;
-    border-color: #8D9BFF;
+    color: #4156C4;
+    background: #EEF1FA;
+    border-color: #8B9AD9;
 }
 QPushButton[imagePreviewControl="true"]:disabled {
-    color: #A4ADC3;
-    background: #F0F2F8;
-    border-color: #E6EAF5;
+    color: #8E8F90;
+    background: #F7F7F7;
+    border-color: #EDEDEE;
 }
 """
 
@@ -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_picker.py

@@ -18,13 +18,13 @@ from PySide6.QtWidgets import (
     QWidget,
 )
 
+from ..infinite_list import InfiniteList
 from ..theme import mark_business_dialog
 from ..widgets import (
     BusyOverlay,
     EmptyState,
     MessageBanner,
     OverlayHost,
-    Pager,
     SortableTable,
     TableColumn,
     first_value,
@@ -33,7 +33,6 @@ from ..widgets import (
     get_value,
     invoke,
     page_items,
-    page_total,
     run_async,
 )
 from .ai_consult import can_open_ai_consult, present_ai_consult
@@ -220,8 +219,8 @@ class AiConsultTargetDialog(QDialog):
         self.body.busy_overlay = self.busy_overlay
         root.addWidget(self.body, 1)
 
-        self.pager = Pager(self.PAGE_SIZE, self)
-        self.pager.page_changed.connect(self._change_page)
+        self.pager = InfiniteList(self.PAGE_SIZE, self)
+        self.pager.bind(self.table)
         root.addWidget(self.pager)
 
         self.buttons = QDialogButtonBox(QDialogButtonBox.StandardButton.Cancel, self)
@@ -266,42 +265,41 @@ class AiConsultTargetDialog(QDialog):
         self.load(1)
 
     def retry(self) -> None:
-        self.load(self._page)
-
-    def _change_page(self, page: int) -> None:
-        self.load(page)
+        self.load(1)
 
     def load(self, page: int) -> None:
         if not self._active:
             return
-        self._page = max(1, int(page))
         self._generation += 1
         generation = self._generation
-        page_snapshot = self._page
         keyword_snapshot = self.search_edit.text().strip()
-        self._invalidate_selection()
-        self._set_loading(True)
+        if keyword_snapshot != getattr(self, "_loaded_keyword", None):
+            self._invalidate_selection()
+        self._loaded_keyword = keyword_snapshot
+        self._set_loading(not self.pager.rows)
         self.banner.clear()
 
-        run_async(
-            lambda: invoke(
+        self.pager.reload(
+            lambda requested_page: invoke(
                 self.repository,
                 "list_ai_patient_options",
-                page_no=page_snapshot,
+                page_no=requested_page,
                 page_size=self.PAGE_SIZE,
                 keyword=keyword_snapshot,
             ),
-            on_success=lambda result: self._apply_result(
-                result, generation, page_snapshot, keyword_snapshot
+            apply=lambda result: self._apply_result(
+                result, generation, keyword_snapshot
             ),
             on_error=lambda error: self._apply_error(error, generation),
+            runner=run_async,
+            query_key=(keyword_snapshot,),
+            on_finished=lambda: self._finish_loading(generation),
         )
 
     def _apply_result(
         self,
         result: Any,
         generation: int,
-        page_snapshot: int,
         keyword_snapshot: str,
     ) -> None:
         if not self._is_current(generation):
@@ -316,36 +314,32 @@ class AiConsultTargetDialog(QDialog):
             for target in (AiConsultTarget.from_row(row) for row in page_items(result))
             if target is not None
         ]
-        total = max(0, page_total(result, len(targets)))
-        page_count = max(1, (total + self.PAGE_SIZE - 1) // self.PAGE_SIZE)
-        if page_snapshot > page_count:
-            self.load(page_count)
-            return
-
-        self._page = page_snapshot
         self.table.set_rows(targets)
         self.table.setSortingEnabled(False)
-        self.table.clearSelection()
-        self.pager.update_state(page_snapshot, total)
-        self.empty_state.setVisible(not targets)
-        self.table.setVisible(bool(targets))
+        self._page = self.pager.page
+        self.empty_state.setVisible(not targets and not self.pager.has_more)
+        self.table.setVisible(bool(targets) or self.pager.has_more)
         self.banner.clear()
         self._set_loading(False)
 
     def _apply_error(self, error: Exception, generation: int) -> None:
         if not self._is_current(generation):
             return
-        self.table.set_rows(())
-        self.table.setSortingEnabled(False)
-        self.table.clearSelection()
-        self.table.hide()
-        self.empty_state.show()
-        self.pager.update_state(1, 0)
+        if not self.pager.rows:
+            self.table.set_rows(())
+            self.table.setSortingEnabled(False)
+            self.table.clearSelection()
+            self.table.hide()
+            self.empty_state.show()
         self.banner.show_message(
             f"患者诊单加载失败：{friendly_error(error)}", "danger"
         )
         self._set_loading(False)
 
+    def _finish_loading(self, generation: int) -> None:
+        if self._is_current(generation):
+            self._set_loading(False)
+
     def _is_current(self, generation: int) -> bool:
         return self._active and generation == self._generation
 
@@ -365,7 +359,6 @@ class AiConsultTargetDialog(QDialog):
     def _set_loading(self, loading: bool) -> None:
         self._loading = loading
         self.table.setEnabled(not loading)
-        self.pager.setEnabled(not loading)
         self.start_button.setEnabled(False if loading else self.table.currentRow() >= 0)
         self.busy_overlay.setVisible(loading)
         if loading:
@@ -383,6 +376,7 @@ class AiConsultTargetDialog(QDialog):
     def done(self, result: int) -> None:
         self._active = False
         self._generation += 1
+        self.pager.invalidate()
         self._search_timer.stop()
         super().done(result)
 

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

@@ -130,9 +130,9 @@ class AppUpdateDialog(QDialog):
         self.badge = QLabel("必须更新后才能继续使用" if offer.force else "发现新版本")
         self.badge.setObjectName("UpdateBadge")
         self.badge.setStyleSheet(
-            "color:#B45309;background:#FFF5E6;border-radius:8px;padding:4px 10px;font-weight:600;"
+            "color:#A9691D;background:#FFF5E6;border-radius:8px;padding:4px 10px;font-weight:600;"
             if offer.force
-            else "color:#4451E2;background:#F0F2FF;border-radius:8px;padding:4px 10px;font-weight:600;"
+            else "color:#4F63D9;background:#EEF1FA;border-radius:8px;padding:4px 10px;font-weight:600;"
         )
         root.addWidget(self.badge, 0, Qt.AlignmentFlag.AlignLeft)
 
@@ -146,7 +146,7 @@ class AppUpdateDialog(QDialog):
         latest = offer.latest_version or "新版本"
         self.version_label = QLabel(f"当前版本 {current}  →  最新版本 {latest}")
         self.version_label.setObjectName("UpdateVersionLabel")
-        self.version_label.setStyleSheet("color:#7886AA;")
+        self.version_label.setStyleSheet("color:#606163;")
         root.addWidget(self.version_label)
 
         self.notes = QTextEdit()
@@ -160,7 +160,7 @@ class AppUpdateDialog(QDialog):
         self.status_label = QLabel("")
         self.status_label.setObjectName("UpdateStatus")
         self.status_label.setWordWrap(True)
-        self.status_label.setStyleSheet("color:#3F4E75;")
+        self.status_label.setStyleSheet("color:#1A1C1F;")
         self.status_label.hide()
         root.addWidget(self.status_label)
 
@@ -175,7 +175,7 @@ class AppUpdateDialog(QDialog):
 
         self.progress_text = QLabel("")
         self.progress_text.setObjectName("UpdateProgressText")
-        self.progress_text.setStyleSheet("color:#7886AA;font-size:12px;")
+        self.progress_text.setStyleSheet("color:#606163;font-size:12px;")
         self.progress_text.hide()
         root.addWidget(self.progress_text)
 
@@ -225,7 +225,7 @@ class AppUpdateDialog(QDialog):
     def show_download_progress(self, received: int, total: int) -> None:
         self.progress.show()
         self.progress_text.show()
-        self.status_label.setStyleSheet("color:#3F4E75;")
+        self.status_label.setStyleSheet("color:#1A1C1F;")
         self.status_label.setText("正在下载安装包…")
         self.status_label.show()
         if total > 0:
@@ -237,7 +237,7 @@ class AppUpdateDialog(QDialog):
             self.progress_text.setText(_format_bytes(received))
 
     def show_status(self, message: str, *, determinate: bool = False) -> None:
-        self.status_label.setStyleSheet("color:#3F4E75;")
+        self.status_label.setStyleSheet("color:#1A1C1F;")
         self.status_label.setText(message)
         self.status_label.show()
         self.progress.show()
@@ -251,7 +251,7 @@ class AppUpdateDialog(QDialog):
     def show_error(self, message: str) -> None:
         self._busy = False
         self.status_label.setText(message)
-        self.status_label.setStyleSheet("color:#F15B67;")
+        self.status_label.setStyleSheet("color:#BE4B58;")
         self.status_label.show()
         self.progress.hide()
         self.progress_text.hide()

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 +60,13 @@ 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,
     first_value,
@@ -190,74 +197,74 @@ _ORDER_OFFSET_HELP = (
 
 _ORDER_DETAIL_QSS = """
 QDialog#DiagnosisOrderDetailOverlay { background: transparent; }
-QFrame#DiagnosisOrderDetailScrim { background: rgba(30, 64, 175, 0.18); border: 0; }
+QFrame#DiagnosisOrderDetailScrim { background: rgba(26, 28, 31, 0.18); border: 0; }
 QFrame#DiagnosisOrderDetailDrawer {
-    background: #F7F9FE;
+    background: #F7F7F7;
     border: 0;
-    border-left: 1px solid #DDE7FF;
+    border-left: 1px solid #F0F0F0;
 }
 QFrame#DiagnosisOrderDetailHeader {
     background: #FFFFFF;
     border: 0;
-    border-bottom: 1px solid #DDE7FF;
+    border-bottom: 1px solid #F0F0F0;
 }
-QLabel#DiagnosisOrderDetailTitle { color: #15224A; font-size: 19px; font-weight: 650; }
-QLabel#DiagnosisOrderDetailMeta { color: #7481A3; font-size: 12px; }
+QLabel#DiagnosisOrderDetailTitle { color: #1A1C1F; font-size: 19px; font-weight: 650; }
+QLabel#DiagnosisOrderDetailMeta { color: #606163; font-size: 12px; }
 QLabel#DiagnosisOrderReadonlyBadge {
-    color: #3F4E75;
-    background: #F7F9FE;
-    border: 1px solid #E2E7F4;
+    color: #1A1C1F;
+    background: #F7F7F7;
+    border: 1px solid #EDEDEE;
     border-radius: 4px;
     padding: 3px 7px;
     font-size: 11px;
     font-weight: 600;
 }
-QScrollArea#DiagnosisOrderDetailScroll { border: 0; background: #F7F9FE; }
-QScrollArea#DiagnosisOrderDetailScroll > QWidget > QWidget { background: #F7F9FE; }
+QScrollArea#DiagnosisOrderDetailScroll { border: 0; background: #F7F7F7; }
+QScrollArea#DiagnosisOrderDetailScroll > QWidget > QWidget { background: #F7F7F7; }
 QFrame[orderAmountCard="true"] {
     background: #FFFFFF;
-    border: 1px solid #DDE7FF;
+    border: 1px solid #F0F0F0;
     border-radius: 9px;
 }
-QLabel[orderAmountTitle="true"] { color: #7481A3; font-size: 11px; font-weight: 550; }
+QLabel[orderAmountTitle="true"] { color: #606163; font-size: 11px; font-weight: 550; }
 QLabel[orderAmountValue="true"] {
-    color: #15224A;
+    color: #1A1C1F;
     font-size: 18px;
     font-weight: 700;
 }
-QLabel[orderAmountTone="danger"] { color: #C43E55; }
-QLabel[orderAmountTone="success"] { color: #16876C; }
-QLabel[orderAmountTone="warning"] { color: #9A6813; }
+QLabel[orderAmountTone="danger"] { color: #BE4B58; }
+QLabel[orderAmountTone="success"] { color: #287B65; }
+QLabel[orderAmountTone="warning"] { color: #A9691D; }
 QFrame[orderDetailSection="true"] {
     background: #FFFFFF;
-    border: 1px solid #E2E7F4;
+    border: 1px solid #EDEDEE;
     border-radius: 10px;
 }
-QLabel[orderSectionTitle="true"] { color: #15224A; font-size: 15px; font-weight: 650; }
-QLabel[orderSectionHint="true"] { color: #7481A3; font-size: 11px; }
+QLabel[orderSectionTitle="true"] { color: #1A1C1F; font-size: 15px; font-weight: 650; }
+QLabel[orderSectionHint="true"] { color: #606163; font-size: 11px; }
 QFrame[orderField="true"] {
-    background: #F2F6FE;
-    border: 1px solid #E2E7F4;
+    background: #F7F7F7;
+    border: 1px solid #EDEDEE;
     border-radius: 7px;
 }
-QLabel[orderFieldLabel="true"] { color: #7481A3; font-size: 11px; }
-QLabel[orderFieldValue="true"] { color: #15224A; font-size: 13px; }
+QLabel[orderFieldLabel="true"] { color: #6A6B6D; font-size: 11px; }
+QLabel[orderFieldValue="true"] { color: #1A1C1F; font-size: 13px; }
 QLabel[orderEmptyState="true"] {
-    color: #7481A3;
-    background: #F2F6FE;
-    border: 1px dashed #C9D8F2;
+    color: #606163;
+    background: #F7F7F7;
+    border: 1px dashed #E4E4E5;
     border-radius: 5px;
     padding: 18px 12px;
     font-size: 12px;
 }
-QFrame#DiagnosisOrderTimelineItem { border: 0; border-left: 2px solid #93B4F4; }
-QLabel#DiagnosisOrderTimelineTime { color: #7481A3; font-size: 11px; }
-QLabel#DiagnosisOrderTimelineTitle { color: #15224A; font-size: 12px; font-weight: 600; }
-QLabel#DiagnosisOrderTimelineBody { color: #7481A3; font-size: 12px; }
+QFrame#DiagnosisOrderTimelineItem { border: 0; border-left: 2px solid #8B9AD9; }
+QLabel#DiagnosisOrderTimelineTime { color: #606163; font-size: 11px; }
+QLabel#DiagnosisOrderTimelineTitle { color: #1A1C1F; font-size: 12px; font-weight: 600; }
+QLabel#DiagnosisOrderTimelineBody { color: #606163; font-size: 12px; }
 QFrame#DiagnosisOrderDetailFooter {
     background: #FFFFFF;
     border: 0;
-    border-top: 1px solid #DDE7FF;
+    border-top: 1px solid #F0F0F0;
 }
 """
 
@@ -831,6 +838,8 @@ 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
@@ -845,6 +854,7 @@ 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
@@ -964,6 +974,7 @@ 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")
@@ -1003,8 +1014,8 @@ class DiagnosisDialog(QDialog):
         self.readonly_back_button.setCursor(Qt.CursorShape.PointingHandCursor)
         self.readonly_back_button.setStyleSheet(
             "QPushButton{height:32px;padding:0 8px;border:0;background:transparent;"
-            "color:#5265F6;font-size:13px;font-weight:500;}"
-            "QPushButton:hover,QPushButton:focus{background:#F0F2FF;border-radius:6px;}"
+            "color:#1A1C1F;font-size:13px;font-weight:500;}"
+            "QPushButton:hover,QPushButton:focus{background:#EEF1FA;border-radius:6px;}"
         )
         self.readonly_back_button.clicked.connect(self.reject)
         left_layout.addWidget(self.readonly_back_button)
@@ -1436,6 +1447,7 @@ 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)
@@ -1532,20 +1544,11 @@ class DiagnosisDialog(QDialog):
         layout.addWidget(toolbar)
         self.orders_table = self._new_table("orders", "DiagnosisTableOrders")
         layout.addWidget(self.orders_table, 1)
-        footer = QHBoxLayout()
-        self.orders_summary = QLabel("共 0 条")
-        self.orders_summary.setObjectName("DiagnosisOrdersSummary")
-        footer.addWidget(self.orders_summary)
-        footer.addStretch(1)
-        self.orders_previous = QPushButton("上一页")
-        self.orders_previous.clicked.connect(lambda: self._change_orders_page(-1))
-        footer.addWidget(self.orders_previous)
-        self.orders_page_label = QLabel("1 / 1")
-        footer.addWidget(self.orders_page_label)
-        self.orders_next = QPushButton("下一页")
-        self.orders_next.clicked.connect(lambda: self._change_orders_page(1))
-        footer.addWidget(self.orders_next)
-        layout.addLayout(footer)
+        self.orders_list = InfiniteList(self._orders_page_size, page)
+        for table in self._table_registry["orders"]:
+            self.orders_list.bind(table)
+        self._orders_footer_layout = layout
+        layout.addWidget(self.orders_list)
         return page
 
     def _wrap_tab(self, object_name: str, body: QWidget) -> QScrollArea:
@@ -1706,22 +1709,23 @@ 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())
-        self.tabs.clear()
-        for key, label, codes in _TAB_DEFINITIONS:
-            if not self._tab_allowed(codes):
-                continue
-            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,
-        )
-        self.tabs.setCurrentIndex(target)
+        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()
+            target = 0
+            for key, label in allowed_tabs:
+                index = self.tabs.addTab(self._tab_pages[key], label)
+                self.tabs.tabBar().setTabData(index, key)
+                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, ())))
@@ -1751,6 +1755,9 @@ 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)
@@ -1759,6 +1766,9 @@ 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()
 
@@ -2004,6 +2014,7 @@ 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
@@ -2021,6 +2032,13 @@ class DiagnosisDialog(QDialog):
         self._daily_todo_status = None
         self._orders_page = 1
         self._orders_total = 0
+        self.orders_list.reset()
+        footer_layout = (
+            self._readonly_sections["orders"].layout()
+            if self._standalone_readonly
+            else self._orders_footer_layout
+        )
+        footer_layout.addWidget(self.orders_list)
         self._detail = authoritative_detail if authoritative_detail is not None else seed
         self.save_button.set_state("idle")
         self.refresh_permissions()
@@ -2126,14 +2144,26 @@ 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,
@@ -2144,12 +2174,41 @@ 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,
@@ -2171,12 +2230,12 @@ 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")
@@ -2203,7 +2262,9 @@ 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 = {
@@ -2220,15 +2281,17 @@ 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)
 
@@ -2307,14 +2370,20 @@ 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
         self._save_generation += 1
         self._orders_generation += 1
+        self.orders_list.invalidate()
         self._order_detail_generation += 1
         self._daily_mutation_generation += 1
         self._notes_mutation_generation += 1
@@ -2627,7 +2696,10 @@ 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(
@@ -2639,6 +2711,9 @@ class DiagnosisDialog(QDialog):
             return
         if not force and (key in self._loaded_tabs or key in self._loading_tabs):
             return
+        if key == "orders":
+            self._load_orders()
+            return
         self._tab_generations[key] += 1
         generation = self._tab_generations[key]
         diagnosis_id = self._diagnosis_id
@@ -2732,10 +2807,9 @@ class DiagnosisDialog(QDialog):
             self._fill_prescriptions(page_items(result))
         elif key == "orders":
             rows = page_items(result)
-            self._orders_page = 1
+            self._orders_page = self.orders_list.page
             self._orders_total = page_total(result, len(rows))
             self._fill_orders(rows)
-            self._update_orders_pager()
         elif key == "assign":
             self._fill_assignments(page_items(result))
         elif key == "appointment":
@@ -3419,6 +3493,27 @@ 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():
@@ -3448,8 +3543,7 @@ class DiagnosisDialog(QDialog):
             panel.set_unavailable("切换到聊天记录后加载归档数据。")
         for panel in self._daily_panels:
             panel.clear()
-        self.orders_summary.setText("共 0 条")
-        self.orders_page_label.setText("1 / 1")
+        self.orders_list.update_state(1, 0)
 
     @staticmethod
     def _set_row(table: QTableWidget, row: int, values: Sequence[Any]) -> None:
@@ -3496,7 +3590,7 @@ 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 (
@@ -4067,6 +4161,9 @@ class DiagnosisDialog(QDialog):
                     )
             for row_index, row in enumerate(rows):
                 order_id = _int(first_value(row, "id", "order_id"), 0)
+                item = table.item(row_index, 0)
+                if item is not None:
+                    item.setData(Qt.ItemDataRole.UserRole, row)
                 if (
                     self._can_order_detail
                     and order_id > 0
@@ -4738,52 +4835,44 @@ class DiagnosisDialog(QDialog):
         if generation == self._order_detail_generation and diagnosis_id == self._diagnosis_id:
             self._show_message(friendly_error(error), "danger")
 
-    def _update_orders_pager(self) -> None:
-        pages = max(1, (self._orders_total + self._orders_page_size - 1) // self._orders_page_size)
-        self.orders_summary.setText(f"共 {self._orders_total} 条")
-        self.orders_page_label.setText(f"{self._orders_page} / {pages}")
-        self.orders_previous.setEnabled(self._orders_page > 1)
-        self.orders_next.setEnabled(self._orders_page < pages)
-
-    def _change_orders_page(self, offset: int) -> None:
+    def _load_orders(self) -> None:
         if not self._can_patient_orders or self._diagnosis_id <= 0:
             return
-        pages = max(1, (self._orders_total + self._orders_page_size - 1) // self._orders_page_size)
-        target_page = self._orders_page + offset
-        if target_page < 1 or target_page > pages:
-            return
-        self._orders_generation += 1
-        generation = self._orders_generation
+        self._tab_generations["orders"] += 1
+        generation = self._tab_generations["orders"]
         diagnosis_id = self._diagnosis_id
         patient_id = self._patient_id
-        self._show_message("正在加载患者订单…", "info")
-        run_async(
-            lambda: self._query_orders(diagnosis_id, patient_id, target_page),
-            on_success=lambda result: self._apply_orders_page(
-                result, diagnosis_id, target_page, generation
+        self._loading_tabs.add("orders")
+        if not self.orders_list.rows:
+            self._set_tab_loading("orders")
+        self.orders_list.reload(
+            lambda page: self._query_orders(diagnosis_id, patient_id, page),
+            apply=lambda result: self._apply_orders_result(
+                result, diagnosis_id, generation
             ),
-            on_error=lambda error: self._orders_error(error, diagnosis_id, generation),
+            on_error=lambda error: self._tab_load_error(
+                "orders", error, diagnosis_id, generation
+            ),
+            runner=run_async,
+            query_key=(diagnosis_id, patient_id),
         )
 
-    def _apply_orders_page(
+    def _apply_orders_result(
         self,
         result: Any,
         diagnosis_id: int,
-        page: int,
         generation: int,
     ) -> None:
-        if generation != self._orders_generation or diagnosis_id != self._diagnosis_id:
+        if (
+            generation != self._tab_generations["orders"]
+            or diagnosis_id != self._diagnosis_id
+            or not self._authoritative_detail_loaded
+        ):
             return
-        rows = page_items(result)
-        self._orders_page = page
-        self._orders_total = page_total(result, len(rows))
-        self._fill_orders(rows)
-        self._update_orders_pager()
-        self._clear_message()
-
-    def _orders_error(self, error: Exception, diagnosis_id: int, generation: int) -> None:
-        if generation == self._orders_generation and diagnosis_id == self._diagnosis_id:
-            self._show_message(friendly_error(error), "danger")
+        if self.orders_list.page == 0:
+            self._fill_orders([])
+            return
+        self._apply_tab_result("orders", result, diagnosis_id, generation)
 
     def _save(self) -> None:
         if (

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

@@ -40,76 +40,76 @@ _STATUS_LABELS = {
     "invalid": "无效录音",
 }
 _STATUS_COLORS = {
-    "recording": "#5364F5",
-    "pending": "#B26A00",
-    "uploading": "#2F6FEB",
-    "uploaded": "#07966B",
-    "failed": "#DC4054",
-    "invalid": "#7886AA",
+    "recording": "#1A1C1F",
+    "pending": "#A9691D",
+    "uploading": "#1A1C1F",
+    "uploaded": "#287B65",
+    "failed": "#BE4B58",
+    "invalid": "#606163",
 }
 _BUSINESS_TIMEZONE = timezone(timedelta(hours=8))
 
 _LOCAL_AUDIO_QSS = """
 QDialog#LocalAudioQueueDialog {
-    background: #F6F8FD;
-    color: #111F46;
+    background: #F7F7F7;
+    color: #1A1C1F;
 }
 QFrame#LocalAudioQueueHeader, QFrame#LocalAudioQueueSummary,
 QFrame#LocalAudioQueueTableCard, QFrame#LocalAudioQueueFooter {
     background: #FFFFFF;
-    border: 1px solid #E2E7F4;
+    border: 1px solid #EDEDEE;
     border-radius: 14px;
 }
 QLabel#LocalAudioQueueTitle {
-    color: #111F46;
+    color: #1A1C1F;
     font-size: 20px;
     font-weight: 700;
 }
 QLabel#LocalAudioQueueSubtitle, QLabel#LocalAudioQueueHint {
-    color: #6E7C9F;
+    color: #6A6B6D;
     font-size: 13px;
 }
 QLabel[queueSummary="true"] {
-    background: #F3F5FB;
-    border: 1px solid #E6EAF5;
+    background: #F7F7F7;
+    border: 1px solid #EDEDEE;
     border-radius: 10px;
-    color: #3F4E75;
+    color: #1A1C1F;
     font-size: 13px;
     font-weight: 600;
     padding: 8px 12px;
 }
 QPushButton {
     min-height: 34px;
-    border: 1px solid #D9E0F2;
+    border: 1px solid #EDEDEE;
     border-radius: 9px;
     background: #FFFFFF;
-    color: #354365;
+    color: #1A1C1F;
     padding: 0 14px;
     font-weight: 600;
 }
-QPushButton:hover { background: #F1F3FF; border-color: #AEB8FF; }
-QPushButton:disabled { color: #A5AFC6; background: #F7F8FC; }
+QPushButton:hover { background: #EEF1FA; border-color: #8B9AD9; }
+QPushButton:disabled { color: #8E8F90; background: #F7F7F7; }
 QPushButton[variant="primary"] {
     color: #FFFFFF;
-    background: #5661F4;
-    border-color: #5661F4;
+    background: #4F63D9;
+    border-color: #4F63D9;
 }
-QPushButton[variant="danger"] { color: #D83E51; background: #FFF6F7; }
+QPushButton[variant="danger"] { color: #BE4B58; background: #FFF6F7; }
 QTableWidget#LocalAudioQueueTable {
     background: #FFFFFF;
-    alternate-background-color: #FAFBFE;
+    alternate-background-color: #F7F7F7;
     border: 0;
-    gridline-color: #E8ECF5;
-    color: #263452;
-    selection-background-color: #EEF1FF;
-    selection-color: #111F46;
+    gridline-color: #EDEDEE;
+    color: #1A1C1F;
+    selection-background-color: #EEF1FA;
+    selection-color: #1A1C1F;
 }
 QTableWidget#LocalAudioQueueTable::item { padding: 8px; }
 QHeaderView::section {
-    background: #F5F7FC;
-    color: #53617F;
+    background: #F7F7F7;
+    color: #6A6B6D;
     border: 0;
-    border-bottom: 1px solid #E1E6F1;
+    border-bottom: 1px solid #EDEDEE;
     padding: 10px 8px;
     font-weight: 700;
 }
@@ -371,7 +371,7 @@ class LocalAudioQueueDialog(QDialog):
                 self._status_column,
                 _STATUS_LABELS.get(record.status, record.status),
             )
-            status_item.setForeground(QColor(_STATUS_COLORS.get(record.status, "#53617F")))
+            status_item.setForeground(QColor(_STATUS_COLORS.get(record.status, "#606163")))
             status_item.setToolTip(
                 f"已尝试 {record.attempts} 次"
                 + (f"\nCOS：{record.uploaded_url}" if record.uploaded_url else "")

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

@@ -143,75 +143,75 @@ def diagnosis_ai_task(prompt: str) -> str:
 
 PRESCRIPTION_AI_QSS = """
 QDialog#PrescriptionAiDialog {
-    color: #17203F;
-    background-color: #F7F9FE;
-    font-family: "Microsoft YaHei UI", "PingFang SC", "Noto Sans CJK SC", sans-serif;
+    color: #1A1C1F;
+    background-color: #F7F7F7;
+
     font-size: 13px;
 }
 QDialog#PrescriptionAiDialog QPushButton {
     min-height: 34px;
     padding: 0 16px;
-    color: #4F5B75;
+    color: #1A1C1F;
     background-color: #FFFFFF;
-    border: 1px solid #DCE3F2;
+    border: 1px solid #EDEDEE;
     border-radius: 7px;
     font-weight: 500;
 }
 QDialog#PrescriptionAiDialog QPushButton:hover {
-    color: #4D57D8;
-    background-color: #F0F2FF;
-    border-color: #D8DCFF;
+    color: #4156C4;
+    background-color: #EEF1FA;
+    border-color: #8B9AD9;
 }
 QDialog#PrescriptionAiDialog QPushButton:pressed {
     color: #FFFFFF;
-    background-color: #4D57D8;
-    border-color: #4D57D8;
+    background-color: #354BB4;
+    border-color: #354BB4;
 }
 QDialog#PrescriptionAiDialog QPushButton[variant="primary"] {
     color: #FFFFFF;
-    background-color: #5761F4;
-    border-color: #5761F4;
+    background-color: #4F63D9;
+    border-color: #4F63D9;
 }
 QDialog#PrescriptionAiDialog QPushButton[variant="primary"]:hover {
-    background-color: #6871F6;
-    border-color: #6871F6;
+    background-color: #4156C4;
+    border-color: #4156C4;
 }
 QDialog#PrescriptionAiDialog QPushButton[variant="link"] {
-    color: #4D57D8;
+    color: #4F63D9;
     background-color: transparent;
     border-color: transparent;
 }
 QDialog#PrescriptionAiDialog QPushButton[variant="link"]:hover {
-    background-color: #F0F2FF;
+    background-color: #EEF1FA;
 }
 QLabel#PrescriptionAiTitle {
-    color: #17203F;
+    color: #1A1C1F;
     font-size: 20px;
     font-weight: 700;
 }
 QLabel#PrescriptionAiSubtitle {
-    color: #78849D;
+    color: #606163;
     font-size: 13px;
 }
 QFrame#PrescriptionAiSnapshot {
     background-color: #FFFFFF;
-    border: 1px solid #DCE3F2;
+    border: 1px solid #EDEDEE;
     border-radius: 10px;
 }
 QLabel#PrescriptionAiSnapshotLabel {
-    color: #4D57D8;
+    color: #1A1C1F;
     font-size: 12px;
     font-weight: 600;
 }
 QLabel#PrescriptionAiSnapshotBody {
-    color: #26304F;
+    color: #1A1C1F;
     font-size: 13px;
     line-height: 1.65;
 }
 QFrame#PrescriptionAiSummary {
-    background-color: #F0F2FF;
+    background-color: #F0F0F0;
     border: 0;
-    border-left: 3px solid #5761F4;
+    border-left: 3px solid #4F63D9;
     border-radius: 0 9px 9px 0;
 }
 QFrame#PrescriptionAiCaution {
@@ -220,56 +220,56 @@ QFrame#PrescriptionAiCaution {
     border-radius: 9px;
 }
 QLabel#PrescriptionAiSectionTitle {
-    color: #17203F;
+    color: #1A1C1F;
     font-size: 14px;
     font-weight: 600;
 }
 QLabel#PrescriptionAiBody {
-    color: #37415E;
+    color: #1A1C1F;
     font-size: 13px;
     line-height: 1.75;
 }
 QTextBrowser#PrescriptionAiAnswer {
-    color: #34436B;
+    color: #1A1C1F;
     background-color: #FFFFFF;
-    border: 1px solid #E3E8F4;
+    border: 1px solid #EDEDEE;
     border-radius: 10px;
     padding: 12px 14px;
-    selection-color: #17203F;
-    selection-background-color: #DDE2FF;
+    selection-color: #1A1C1F;
+    selection-background-color: #EEF1FA;
 }
 QLabel#PrescriptionAiMuted {
-    color: #8A94AA;
+    color: #6A6B6D;
     font-size: 12px;
     line-height: 1.65;
 }
 QFrame#PrescriptionAiMeta {
     background: transparent;
     border: 0;
-    border-bottom: 1px solid #E3E8F4;
+    border-bottom: 1px solid #EDEDEE;
 }
 QDialog#PrescriptionAiDialog QTabWidget::pane {
     background-color: #FFFFFF;
-    border: 1px solid #DCE3F2;
+    border: 1px solid #EDEDEE;
     border-radius: 10px;
     top: -1px;
 }
 QDialog#PrescriptionAiDialog QTabBar::tab {
     min-height: 36px;
     padding: 0 18px;
-    color: #78849D;
+    color: #606163;
     background-color: transparent;
     border: 0;
     border-bottom: 2px solid transparent;
 }
 QDialog#PrescriptionAiDialog QTabBar::tab:hover {
-    color: #4D57D8;
-    background-color: #F5F7FC;
+    color: #4156C4;
+    background-color: #F7F7F7;
 }
 QDialog#PrescriptionAiDialog QTabBar::tab:selected {
-    color: #4D57D8;
-    background-color: #F0F2FF;
-    border-bottom: 2px solid #5761F4;
+    color: #4F63D9;
+    background-color: #EEF1FA;
+    border-bottom: 2px solid #4F63D9;
     font-weight: 600;
 }
 QDialog#PrescriptionAiDialog QScrollArea,
@@ -278,15 +278,15 @@ QDialog#PrescriptionAiDialog QScrollArea > QWidget > QWidget {
     border: 0;
 }
 QDialog#PrescriptionAiDialog QTextEdit {
-    color: #17203F;
+    color: #1A1C1F;
     background-color: #FFFFFF;
-    border: 1px solid #DCE3F2;
+    border: 1px solid #EDEDEE;
     border-radius: 8px;
     padding: 10px;
-    selection-background-color: #E3E6FF;
+    selection-background-color: #EEF1FA;
 }
 QDialog#PrescriptionAiDialog QTextEdit:focus {
-    border: 1px solid #5761F4;
+    border: 1px solid #8B9AD9;
 }
 QDialog#PrescriptionAiDialog QScrollBar:vertical {
     width: 10px;
@@ -295,7 +295,7 @@ QDialog#PrescriptionAiDialog QScrollBar:vertical {
 }
 QDialog#PrescriptionAiDialog QScrollBar::handle:vertical {
     min-height: 32px;
-    background-color: #C8D0E0;
+    background-color: #D2D2D3;
     border-radius: 4px;
 }
 QDialog#PrescriptionAiDialog QScrollBar::add-line:vertical,
@@ -305,20 +305,20 @@ QDialog#PrescriptionAiDialog QScrollBar::sub-line:vertical {
 """
 
 _AI_ANSWER_DOCUMENT_CSS = (
-    "body { color:#34436B; font-size:14px; line-height:1.72; } "
-    "h1 { color:#15224A; font-size:20px; margin:14px 0 8px; line-height:1.4; } "
-    "h2 { color:#15224A; font-size:17px; margin:14px 0 7px; line-height:1.42; } "
-    "h3,h4 { color:#15224A; font-size:15px; margin:12px 0 6px; line-height:1.45; } "
+    "body { color:#1A1C1F; font-size:14px; line-height:1.72; } "
+    "h1 { color:#1A1C1F; font-size:20px; margin:14px 0 8px; line-height:1.4; } "
+    "h2 { color:#1A1C1F; font-size:17px; margin:14px 0 7px; line-height:1.42; } "
+    "h3,h4 { color:#1A1C1F; font-size:15px; margin:12px 0 6px; line-height:1.45; } "
     "p { margin:6px 0; line-height:1.72; } "
     "ul,ol { margin:7px 0 8px 22px; } li { margin:4px 0; line-height:1.65; } "
-    "strong { color:#15224A; font-weight:700; } "
-    "blockquote { color:#596788; background:#F5F7FC; border-left:3px solid #7B84F7; "
+    "strong { color:#1A1C1F; font-weight:700; } "
+    "blockquote { color:#606163; background:#F7F7F7; border-left:3px solid #8B9AD9; "
     "margin:9px 0; padding:7px 10px; } "
-    "code { color:#33406B; background:#EEF1FF; } "
-    "pre { color:#33406B; background:#F0F3FA; margin:8px 0; padding:9px; } "
+    "code { color:#1A1C1F; background:#F0F0F0; } "
+    "pre { color:#1A1C1F; background:#F7F7F7; margin:8px 0; padding:9px; } "
     "table { border-collapse:collapse; margin:8px 0; } "
-    "th,td { border:1px solid #DCE3F2; padding:6px 8px; } "
-    "th { color:#15224A; background:#F5F7FC; font-weight:700; }"
+    "th,td { border:1px solid #EDEDEE; padding:6px 8px; } "
+    "th { color:#1A1C1F; background:#F7F7F7; font-weight:700; }"
 )
 _AI_ANSWER_MARKDOWN_FEATURES = (
     QTextDocument.MarkdownFeature.MarkdownDialectGitHub
@@ -1181,7 +1181,7 @@ class PrescriptionAiReportDialog(QDialog):
     def _list_html(self, items: Any, empty: str) -> str:
         values = [str(item).strip() for item in (items or []) if str(item).strip()]
         if not values:
-            return f'<span style="color:#8A94AA;">{html.escape(empty)}</span>'
+            return f'<span style="color:#6A6B6D;">{html.escape(empty)}</span>'
         bullets = "".join(f"<li>{html.escape(item)}</li>" for item in values)
         return f'<ul style="margin:0;padding-left:18px;">{bullets}</ul>'
 
@@ -1398,7 +1398,7 @@ class PrescriptionAiReportDialog(QDialog):
                 content.setTextFormat(Qt.TextFormat.RichText)
                 cell_layout.addWidget(heading)
                 cell_layout.addWidget(content)
-                grid.addWidget(cell, index // 2, index % 2)
+                grid.addWidget(cell, index // 2, index % 2, Qt.AlignmentFlag.AlignTop)
             self.host_layout.addWidget(grid_host)
             if report.get("compatibility_analysis"):
                 self._section("配伍分析", str(report.get("compatibility_analysis") or ""))

app/src/doctor_workstation/ui/filter_disclosure.py

@@ -0,0 +1,81 @@
+"""Compact, presentation-only disclosure for page search and overview regions."""
+
+from __future__ import annotations
+
+from collections.abc import Sequence
+
+from PySide6.QtCore import QObject, QSize, Qt, Signal
+from PySide6.QtWidgets import QApplication, QPushButton, QWidget
+
+from . import icons
+
+
+class FilterDisclosure(QObject):
+    """Keep query values and loading state intact while reclaiming list space.
+
+    Targets should be region containers, not individual permission-controlled
+    controls. Showing a container preserves its children's explicit visibility.
+    """
+
+    expanded_changed = Signal(bool)
+
+    def __init__(
+        self,
+        parent: QWidget,
+        targets: Sequence[QWidget],
+        *,
+        expanded: bool = False,
+    ) -> None:
+        super().__init__(parent)
+        self._targets = tuple(targets)
+        self._expanded = bool(expanded)
+        self.button = QPushButton(parent)
+        self.button.setObjectName("FilterDisclosureButton")
+        self.button.setCheckable(True)
+        self.button.setCursor(Qt.CursorShape.PointingHandCursor)
+        self.button.setFixedHeight(32)
+        self.button.setIconSize(QSize(14, 14))
+        self.button.setStyleSheet("""
+            QPushButton#FilterDisclosureButton {
+                color: #1769E8; background: #FFFFFF; border: 1px solid #DBE5F2;
+                border-radius: 6px; padding: 0 11px; min-height: 30px; max-height: 30px;
+                min-width: 92px; font-size: 13px; font-weight: 400;
+            }
+            QPushButton#FilterDisclosureButton:hover { background: #F3F7FD; border-color: #ADC8F2; }
+            QPushButton#FilterDisclosureButton:checked { background: #EAF2FF; border-color: #ADC8F2; }
+            QPushButton#FilterDisclosureButton:focus { border-color: #1769E8; }
+            QPushButton#FilterDisclosureButton:disabled { color: #8B97A8; border-color: #E3E9F1; }
+        """)
+        self.button.toggled.connect(self.set_expanded)
+        self._apply()
+
+    @property
+    def expanded(self) -> bool:
+        return self._expanded
+
+    def set_expanded(self, expanded: bool) -> None:
+        expanded = bool(expanded)
+        changed = expanded != self._expanded
+        self._expanded = expanded
+        self._apply()
+        if changed:
+            self.expanded_changed.emit(expanded)
+
+    def _apply(self) -> None:
+        # Keep keyboard focus on a visible control when folding a focused form.
+        focused = QApplication.focusWidget()
+        if not self._expanded and focused is not None and any(
+            target is focused or target.isAncestorOf(focused) for target in self._targets
+        ):
+            self.button.setFocus(Qt.FocusReason.OtherFocusReason)
+        for target in self._targets:
+            target.setVisible(self._expanded)
+        blocked = self.button.blockSignals(True)
+        self.button.setChecked(self._expanded)
+        self.button.blockSignals(blocked)
+        label = "收起筛选" if self._expanded else "展开筛选"
+        self.button.setText(label)
+        self.button.setAccessibleName(label)
+        self.button.setAccessibleDescription("显示或收起检索条件和统计信息；收起保留当前筛选条件")
+        self.button.setToolTip("收起保留当前筛选条件" if self._expanded else "展开检索条件和统计信息，当前筛选条件保持不变")
+        self.button.setIcon(icons.icon("chevron_up" if self._expanded else "chevron_down", "#1769E8", 14))

app/src/doctor_workstation/ui/icons.py

@@ -0,0 +1,794 @@
+"""Single source of truth for every line icon in the workstation.
+
+Before this module the application drew its icons from nine independent
+painters (``ui/shell.py`` had two, ``ui/login.py`` two,
+``ui/pages/reception.py`` four, and ``ui/pages/prescriptions.py``,
+``ui/pages/patients.py`` and ``ui/diagnosis_index_widgets.py`` one each).  They disagreed on everything that
+makes an icon set read as one family:
+
+* seven stroke weights - 1.4, 1.5, 1.55, 1.6, 1.7, 2.0 and ``size / 11.5`` px;
+* four design grids - geometry authored against 14, 16, 18 and 24 px boxes, so
+  the same glyph asked for at another size came out off-centre or clipped;
+* mixed fills and strokes inside one row of icons (a stroked ``search`` beside a
+  solid ``down`` triangle);
+* integer ``QRect`` coordinates in the menu painter, which put a 1.6 px stroke
+  across a pixel boundary and rendered visibly softer than its neighbours;
+* six near-identical indigos and two near-identical reds picked per call site
+  instead of from the palette.
+
+Everything here is authored once on a 24-unit grid with a 20-unit optical safe
+area, stroked with one weight formula, and scaled to the requested size by the
+painter transform.  Glyphs are pure stroke unless a filled counter is part of
+the mark (a list bullet, the dot on an "i"), which keeps the whole set at a
+single apparent weight.
+
+Icons are cached as well.  List pages build one icon per action button per row,
+so the previous code re-ran a ``QPainter`` for every visible row on every
+refresh; the cache turns that into one paint per (kind, colour, size).
+"""
+
+from __future__ import annotations
+
+import math
+from collections.abc import Callable
+from functools import lru_cache
+
+from PySide6.QtCore import QPointF, QRectF, Qt
+from PySide6.QtGui import QColor, QIcon, QPainter, QPainterPath, QPen, QPixmap
+from PySide6.QtWidgets import QApplication
+
+from .theme import COLORS, crisp_pixmap
+
+#: Every glyph is drawn inside this box.  Nothing is authored against the pixel
+#: size the caller asks for, which is what keeps a 14 px and a 24 px request
+#: optically identical instead of merely proportional.
+GRID = 24.0
+
+#: Ideal stroke at the reference grid.  ``2 / 24`` is the Feather/Lucide ratio;
+#: the clamp keeps the line from vanishing at 12 px or turning into a slab at
+#: 36 px, which is the range the shell actually asks for.
+_STROKE_RATIO = 2.0 / GRID
+_STROKE_MIN_PX = 1.25
+_STROKE_MAX_PX = 2.25
+
+
+def stroke_px(size: float) -> float:
+    """Return the on-screen stroke width used for an icon of ``size`` px."""
+
+    return max(_STROKE_MIN_PX, min(_STROKE_MAX_PX, size * _STROKE_RATIO))
+
+
+# --- Semantic colour roles ------------------------------------------------
+# Call sites name a role instead of a hex value.  The seven painters replaced
+# here between them hardcoded #5265F6, #5761F4, #5469F0, #5E69F6, #5365F5,
+# #4965F5 and #6675F5 for what was always meant to be one accent.
+ROLES = {
+    "default": COLORS["muted"],
+    "muted": COLORS["muted"],
+    "soft": COLORS["text_soft"],
+    "strong": COLORS["text"],
+    "accent": COLORS["indigo"],
+    "on_accent": "#FFFFFF",
+    "success": COLORS["success"],
+    "warning": COLORS["warning"],
+    "danger": COLORS["danger"],
+    "info": COLORS["info"],
+    "disabled": COLORS["disabled_text"],
+    "inverse": "#FFFFFF",
+}
+
+
+def resolve_color(color: str) -> str:
+    """Accept either a semantic role name or a literal colour string."""
+
+    return ROLES.get(color, color)
+
+
+_GLYPHS: dict[str, Callable[[QPainter, float], None]] = {}
+
+_Glyph = Callable[[QPainter, float], None]
+
+
+def _glyph(*names: str) -> Callable[[_Glyph], _Glyph]:
+    def register(fn: _Glyph) -> _Glyph:
+        for name in names:
+            _GLYPHS[name] = fn
+        return fn
+
+    return register
+
+
+def _line(p: QPainter, x1: float, y1: float, x2: float, y2: float) -> None:
+    p.drawLine(QPointF(x1, y1), QPointF(x2, y2))
+
+
+def _polyline(p: QPainter, *points: tuple[float, float]) -> None:
+    path = QPainterPath(QPointF(*points[0]))
+    for point in points[1:]:
+        path.lineTo(QPointF(*point))
+    p.drawPath(path)
+
+
+def _circle(p: QPainter, cx: float, cy: float, r: float) -> None:
+    p.drawEllipse(QPointF(cx, cy), r, r)
+
+
+def _dot(p: QPainter, cx: float, cy: float, r: float) -> None:
+    """Filled counter - used only where the mark itself is solid."""
+
+    pen = p.pen()
+    p.setPen(Qt.PenStyle.NoPen)
+    p.setBrush(pen.color())
+    p.drawEllipse(QPointF(cx, cy), r, r)
+    p.setBrush(Qt.BrushStyle.NoBrush)
+    p.setPen(pen)
+
+
+def _page(p: QPainter, *, fold: bool = True) -> None:
+    """Shared document silhouette so every file-like glyph has one outline."""
+
+    path = QPainterPath(QPointF(14.0, 2.5))
+    path.lineTo(QPointF(6.5, 2.5))
+    path.quadTo(QPointF(5.0, 2.5), QPointF(5.0, 4.0))
+    path.lineTo(QPointF(5.0, 20.0))
+    path.quadTo(QPointF(5.0, 21.5), QPointF(6.5, 21.5))
+    path.lineTo(QPointF(17.5, 21.5))
+    path.quadTo(QPointF(19.0, 21.5), QPointF(19.0, 20.0))
+    path.lineTo(QPointF(19.0, 7.5))
+    path.closeSubpath()
+    p.drawPath(path)
+    if fold:
+        _polyline(p, (14.0, 2.5), (14.0, 7.5), (19.0, 7.5))
+
+
+def _sparkle(p: QPainter, cx: float, cy: float, r: float) -> None:
+    """Four-point concave star - the one AI mark used across the product."""
+
+    path = QPainterPath(QPointF(cx, cy - r))
+    path.quadTo(QPointF(cx, cy), QPointF(cx + r, cy))
+    path.quadTo(QPointF(cx, cy), QPointF(cx, cy + r))
+    path.quadTo(QPointF(cx, cy), QPointF(cx - r, cy))
+    path.quadTo(QPointF(cx, cy), QPointF(cx, cy - r))
+    path.closeSubpath()
+    p.drawPath(path)
+
+
+def _panel(p: QPainter) -> None:
+    p.drawRoundedRect(QRectF(2.5, 4.0, 19.0, 16.0), 3.0, 3.0)
+    _line(p, 9.5, 4.0, 9.5, 20.0)
+
+
+# --- Navigation -----------------------------------------------------------
+
+
+@_glyph("reception", "workbench", "monitor")
+def _reception(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(2.5, 3.5, 19.0, 13.5), 3.0, 3.0)
+    _polyline(p, (6.0, 10.5), (8.8, 10.5), (10.6, 7.5), (13.4, 13.5), (15.2, 10.5), (18.0, 10.5))
+    _line(p, 12.0, 17.0, 12.0, 20.5)
+    _line(p, 8.0, 20.5, 16.0, 20.5)
+
+
+@_glyph("appointments", "calendar")
+def _calendar(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(3.0, 5.0, 18.0, 16.5), 3.0, 3.0)
+    _line(p, 3.0, 10.0, 21.0, 10.0)
+    _line(p, 8.0, 2.75, 8.0, 7.0)
+    _line(p, 16.0, 2.75, 16.0, 7.0)
+
+
+@_glyph("prescription_library", "library", "layers")
+def _layers(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(12.0, 2.5))
+    path.lineTo(QPointF(21.0, 7.0))
+    path.lineTo(QPointF(12.0, 11.5))
+    path.lineTo(QPointF(3.0, 7.0))
+    path.closeSubpath()
+    p.drawPath(path)
+    _polyline(p, (3.0, 12.0), (12.0, 16.5), (21.0, 12.0))
+    _polyline(p, (3.0, 16.75), (12.0, 21.25), (21.0, 16.75))
+
+
+@_glyph("prescriptions", "file_check")
+def _file_check(p: QPainter, w: float) -> None:
+    _page(p)
+    _polyline(p, (8.5, 15.0), (10.9, 17.4), (15.5, 12.0))
+
+
+@_glyph("patients", "users")
+def _users(p: QPainter, w: float) -> None:
+    _circle(p, 9.0, 8.0, 3.5)
+    path = QPainterPath(QPointF(2.5, 20.5))
+    path.quadTo(QPointF(2.5, 14.5), QPointF(9.0, 14.5))
+    path.quadTo(QPointF(15.5, 14.5), QPointF(15.5, 20.5))
+    p.drawPath(path)
+    _circle(p, 17.6, 8.0, 2.8)
+    tail = QPainterPath(QPointF(17.0, 13.9))
+    tail.quadTo(QPointF(21.5, 14.6), QPointF(21.5, 20.5))
+    p.drawPath(tail)
+
+
+@_glyph("consultations", "consult", "message", "other")
+def _message(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(6.5, 3.5))
+    path.lineTo(QPointF(17.5, 3.5))
+    path.quadTo(QPointF(20.5, 3.5), QPointF(20.5, 6.5))
+    path.lineTo(QPointF(20.5, 13.5))
+    path.quadTo(QPointF(20.5, 16.5), QPointF(17.5, 16.5))
+    path.lineTo(QPointF(11.5, 16.5))
+    path.lineTo(QPointF(7.0, 20.5))
+    path.lineTo(QPointF(7.0, 16.5))
+    path.quadTo(QPointF(3.5, 16.5), QPointF(3.5, 13.5))
+    path.lineTo(QPointF(3.5, 6.5))
+    path.quadTo(QPointF(3.5, 3.5), QPointF(6.5, 3.5))
+    p.drawPath(path)
+    _line(p, 7.75, 8.25, 16.25, 8.25)
+    _line(p, 7.75, 11.75, 13.0, 11.75)
+
+
+# --- Shell chrome ---------------------------------------------------------
+
+
+@_glyph("fold", "panel_close")
+def _fold(p: QPainter, w: float) -> None:
+    _panel(p)
+    _polyline(p, (17.0, 9.0), (14.0, 12.0), (17.0, 15.0))
+
+
+@_glyph("expand", "panel_open")
+def _expand(p: QPainter, w: float) -> None:
+    _panel(p)
+    _polyline(p, (14.0, 9.0), (17.0, 12.0), (14.0, 15.0))
+
+
+@_glyph("search")
+def _search(p: QPainter, w: float) -> None:
+    _circle(p, 10.5, 10.5, 6.25)
+    _line(p, 15.15, 15.15, 19.75, 19.75)
+
+
+@_glyph("refresh", "rotate")
+def _refresh(p: QPainter, w: float) -> None:
+    # The arc terminates exactly on the arrow corner so the mark reads as one
+    # continuous stroke.  The painters replaced here left a detached triangle
+    # (shell) or two stray lines that never formed a head at all (prescriptions).
+    radius = math.hypot(8.5, 3.5)
+    start = math.degrees(math.atan2(3.5, 8.5))
+    p.drawArc(
+        QRectF(12.0 - radius, 12.0 - radius, radius * 2, radius * 2),
+        round(start * 16),
+        round((360.0 - start) * 16),
+    )
+    _polyline(p, (20.5, 3.5), (20.5, 8.5), (15.5, 8.5))
+
+
+@_glyph("ai", "spark", "sparkle", "assistant")
+def _ai(p: QPainter, w: float) -> None:
+    _sparkle(p, 10.2, 11.8, 7.2)
+    _sparkle(p, 18.0, 6.0, 3.2)
+
+
+@_glyph("fullscreen", "expand-corners", "maximize")
+def _fullscreen(p: QPainter, w: float) -> None:
+    _polyline(p, (9.0, 3.5), (3.5, 3.5), (3.5, 9.0))
+    _polyline(p, (15.0, 3.5), (20.5, 3.5), (20.5, 9.0))
+    _polyline(p, (3.5, 15.0), (3.5, 20.5), (9.0, 20.5))
+    _polyline(p, (20.5, 15.0), (20.5, 20.5), (15.0, 20.5))
+
+
+@_glyph("minimize")
+def _minimize(p: QPainter, w: float) -> None:
+    _line(p, 5.0, 12.0, 19.0, 12.0)
+
+
+@_glyph("close", "cross")
+def _close(p: QPainter, w: float) -> None:
+    _line(p, 5.75, 5.75, 18.25, 18.25)
+    _line(p, 18.25, 5.75, 5.75, 18.25)
+
+
+@_glyph("down", "chevron_down")
+def _down(p: QPainter, w: float) -> None:
+    _polyline(p, (5.5, 9.0), (12.0, 15.5), (18.5, 9.0))
+
+
+@_glyph("up", "chevron_up")
+def _up(p: QPainter, w: float) -> None:
+    _polyline(p, (5.5, 15.0), (12.0, 8.5), (18.5, 15.0))
+
+
+@_glyph("left", "chevron_left")
+def _left(p: QPainter, w: float) -> None:
+    _polyline(p, (15.0, 5.5), (8.5, 12.0), (15.0, 18.5))
+
+
+@_glyph("right", "chevron_right")
+def _right(p: QPainter, w: float) -> None:
+    _polyline(p, (9.0, 5.5), (15.5, 12.0), (9.0, 18.5))
+
+
+@_glyph("notification", "bell")
+def _bell(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(6.75, 17.5))
+    path.lineTo(QPointF(6.75, 10.75))
+    path.arcTo(QRectF(6.75, 5.0, 10.5, 11.5), 180.0, -180.0)
+    path.lineTo(QPointF(17.25, 17.5))
+    p.drawPath(path)
+    _line(p, 4.5, 17.5, 19.5, 17.5)
+    p.drawArc(QRectF(10.0, 17.4, 4.0, 3.6), 180 * 16, 180 * 16)
+
+
+@_glyph("settings", "sliders")
+def _settings(p: QPainter, w: float) -> None:
+    _line(p, 3.5, 8.5, 20.5, 8.5)
+    _line(p, 3.5, 15.5, 20.5, 15.5)
+    _circle(p, 9.0, 8.5, 2.4)
+    _circle(p, 15.0, 15.5, 2.4)
+
+
+# --- Row and toolbar actions ---------------------------------------------
+
+
+@_glyph("eye", "view")
+def _eye(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(2.5, 12.0))
+    path.quadTo(QPointF(12.0, 2.5), QPointF(21.5, 12.0))
+    path.quadTo(QPointF(12.0, 21.5), QPointF(2.5, 12.0))
+    p.drawPath(path)
+    _circle(p, 12.0, 12.0, 3.0)
+
+
+@_glyph("pencil", "edit")
+def _pencil(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(16.25, 3.0))
+    path.lineTo(QPointF(20.75, 7.5))
+    path.lineTo(QPointF(8.5, 19.75))
+    path.lineTo(QPointF(3.0, 21.0))
+    path.lineTo(QPointF(4.25, 15.5))
+    path.closeSubpath()
+    p.drawPath(path)
+    _line(p, 13.0, 6.25, 17.5, 10.75)
+
+
+@_glyph("trash", "delete")
+def _trash(p: QPainter, w: float) -> None:
+    _line(p, 3.5, 6.25, 20.5, 6.25)
+    _polyline(p, (9.0, 6.25), (9.0, 3.5), (15.0, 3.5), (15.0, 6.25))
+    path = QPainterPath(QPointF(5.75, 6.25))
+    path.lineTo(QPointF(6.6, 19.4))
+    path.quadTo(QPointF(6.7, 20.5), QPointF(7.8, 20.5))
+    path.lineTo(QPointF(16.2, 20.5))
+    path.quadTo(QPointF(17.3, 20.5), QPointF(17.4, 19.4))
+    path.lineTo(QPointF(18.25, 6.25))
+    p.drawPath(path)
+    _line(p, 10.0, 10.0, 10.0, 16.75)
+    _line(p, 14.0, 10.0, 14.0, 16.75)
+
+
+@_glyph("plus", "add")
+def _plus(p: QPainter, w: float) -> None:
+    _line(p, 12.0, 4.75, 12.0, 19.25)
+    _line(p, 4.75, 12.0, 19.25, 12.0)
+
+
+@_glyph("check")
+def _check(p: QPainter, w: float) -> None:
+    _polyline(p, (4.75, 12.5), (9.75, 17.5), (19.25, 7.0))
+
+
+@_glyph("check_circle", "health")
+def _check_circle(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 12.0, 8.75)
+    _polyline(p, (7.75, 12.25), (10.75, 15.25), (16.25, 9.0))
+
+
+@_glyph("checkbox")
+def _checkbox(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(3.75, 3.75, 16.5, 16.5), 3.5, 3.5)
+
+
+@_glyph("lock")
+def _lock(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(4.5, 10.5, 15.0, 10.0), 2.75, 2.75)
+    p.drawArc(QRectF(8.0, 3.75, 8.0, 13.5), 0, 180 * 16)
+    _dot(p, 12.0, 15.5, 1.35)
+
+
+@_glyph("document", "file")
+def _document(p: QPainter, w: float) -> None:
+    _page(p)
+    _line(p, 8.5, 12.75, 15.5, 12.75)
+    _line(p, 8.5, 16.75, 13.25, 16.75)
+
+
+@_glyph("report")
+def _report(p: QPainter, w: float) -> None:
+    _page(p)
+    _line(p, 8.75, 17.75, 8.75, 14.25)
+    _line(p, 12.0, 17.75, 12.0, 10.5)
+    _line(p, 15.25, 17.75, 15.25, 12.75)
+
+
+@_glyph("list")
+def _list(p: QPainter, w: float) -> None:
+    for y in (6.5, 12.0, 17.5):
+        _dot(p, 4.5, y, 1.2)
+        _line(p, 8.75, y, 19.5, y)
+
+
+@_glyph("user", "person")
+def _user(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 8.0, 4.0)
+    path = QPainterPath(QPointF(4.25, 20.5))
+    path.quadTo(QPointF(4.25, 14.5), QPointF(12.0, 14.5))
+    path.quadTo(QPointF(19.75, 14.5), QPointF(19.75, 20.5))
+    p.drawPath(path)
+
+
+@_glyph("remove", "minus_circle")
+def _remove(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 12.0, 8.75)
+    _line(p, 8.0, 12.0, 16.0, 12.0)
+
+
+@_glyph("stop", "close_circle")
+def _stop(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 12.0, 8.75)
+    _line(p, 9.0, 9.0, 15.0, 15.0)
+    _line(p, 15.0, 9.0, 9.0, 15.0)
+
+
+@_glyph("info")
+def _info(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 12.0, 8.75)
+    _line(p, 12.0, 11.25, 12.0, 16.5)
+    _dot(p, 12.0, 7.75, 1.0)
+
+
+@_glyph("picture", "image")
+def _picture(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(3.0, 4.5, 18.0, 15.0), 3.0, 3.0)
+    _circle(p, 7.75, 8.75, 1.6)
+    _polyline(p, (3.5, 17.75), (9.75, 12.25), (13.25, 15.5), (15.75, 13.25), (20.5, 17.75))
+
+
+@_glyph("meds", "pill")
+def _meds(p: QPainter, w: float) -> None:
+    p.save()
+    p.translate(12.0, 12.0)
+    p.rotate(-45.0)
+    p.drawRoundedRect(QRectF(-9.25, -4.5, 18.5, 9.0), 4.5, 4.5)
+    _line(p, 0.0, -4.5, 0.0, 4.5)
+    p.restore()
+
+
+@_glyph("daily", "clipboard")
+def _clipboard(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(8.5, 4.5))
+    path.lineTo(QPointF(6.75, 4.5))
+    path.quadTo(QPointF(4.25, 4.5), QPointF(4.25, 7.0))
+    path.lineTo(QPointF(4.25, 19.0))
+    path.quadTo(QPointF(4.25, 21.5), QPointF(6.75, 21.5))
+    path.lineTo(QPointF(17.25, 21.5))
+    path.quadTo(QPointF(19.75, 21.5), QPointF(19.75, 19.0))
+    path.lineTo(QPointF(19.75, 7.0))
+    path.quadTo(QPointF(19.75, 4.5), QPointF(17.25, 4.5))
+    path.lineTo(QPointF(15.5, 4.5))
+    p.drawPath(path)
+    p.drawRoundedRect(QRectF(8.5, 2.5, 7.0, 4.0), 1.5, 1.5)
+    _line(p, 8.0, 12.0, 16.0, 12.0)
+    _line(p, 8.0, 16.25, 13.5, 16.25)
+
+
+@_glyph("followup", "calendar_clock")
+def _followup(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(13.0, 20.0))
+    path.lineTo(QPointF(5.5, 20.0))
+    path.quadTo(QPointF(3.0, 20.0), QPointF(3.0, 17.5))
+    path.lineTo(QPointF(3.0, 7.5))
+    path.quadTo(QPointF(3.0, 5.0), QPointF(5.5, 5.0))
+    path.lineTo(QPointF(14.5, 5.0))
+    path.quadTo(QPointF(17.0, 5.0), QPointF(17.0, 7.5))
+    path.lineTo(QPointF(17.0, 9.0))
+    p.drawPath(path)
+    _line(p, 3.0, 9.5, 17.0, 9.5)
+    _line(p, 7.0, 2.75, 7.0, 6.75)
+    _line(p, 13.0, 2.75, 13.0, 6.75)
+    _circle(p, 16.75, 16.75, 4.5)
+    _polyline(p, (16.75, 14.25), (16.75, 16.75), (18.9, 16.75))
+
+
+@_glyph("brand", "logo")
+def _brand(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 12.0, 8.75)
+    _polyline(p, (7.0, 12.0), (10.0, 12.0), (11.5, 8.5), (13.5, 15.5), (15.0, 12.0), (17.0, 12.0))
+
+
+# --- AI consultation ------------------------------------------------------
+
+
+@_glyph("chart", "analytics")
+def _analytics(p: QPainter, w: float) -> None:
+    _polyline(p, (3.5, 3.0), (3.5, 20.5), (21.0, 20.5))
+    _polyline(p, (7.0, 16.5), (10.5, 8.5), (14.0, 13.0), (20.0, 5.5))
+
+
+@_glyph("trend")
+def _trend(p: QPainter, w: float) -> None:
+    _polyline(p, (3.0, 18.0), (8.5, 9.5), (12.5, 13.5), (21.0, 5.5))
+    _polyline(p, (15.5, 5.5), (21.0, 5.5), (21.0, 11.0))
+
+
+@_glyph("alert", "warning")
+def _alert(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(12.0, 3.0))
+    path.lineTo(QPointF(21.5, 20.0))
+    path.lineTo(QPointF(2.5, 20.0))
+    path.closeSubpath()
+    p.drawPath(path)
+    _line(p, 12.0, 9.5, 12.0, 14.5)
+    _dot(p, 12.0, 17.4, 1.05)
+
+
+@_glyph("mic", "microphone")
+def _mic(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(8.5, 2.5, 7.0, 12.0), 3.5, 3.5)
+    p.drawArc(QRectF(5.0, 6.0, 14.0, 14.0), 0, -180 * 16)
+    _line(p, 12.0, 17.5, 12.0, 21.0)
+    _line(p, 8.25, 21.0, 15.75, 21.0)
+
+
+@_glyph("send")
+def _send(p: QPainter, w: float) -> None:
+    path = QPainterPath(QPointF(21.0, 3.0))
+    path.lineTo(QPointF(2.5, 10.5))
+    path.lineTo(QPointF(10.25, 13.75))
+    path.lineTo(QPointF(13.5, 21.5))
+    path.closeSubpath()
+    p.drawPath(path)
+    _line(p, 10.25, 13.75, 21.0, 3.0)
+
+
+@_glyph("qr", "qrcode")
+def _qr(p: QPainter, w: float) -> None:
+    """Three finder squares plus a few modules - the shape people scan for."""
+
+    for x, y in ((3.0, 3.0), (14.0, 3.0), (3.0, 14.0)):
+        p.drawRoundedRect(QRectF(x, y, 7.0, 7.0), 1.5, 1.5)
+        _dot(p, x + 3.5, y + 3.5, 1.15)
+    _line(p, 14.5, 14.5, 14.5, 17.0)
+    _line(p, 18.0, 14.5, 21.0, 14.5)
+    _line(p, 17.5, 18.0, 17.5, 21.0)
+    _dot(p, 20.75, 20.75, 1.15)
+
+
+@_glyph("video", "call")
+def _video(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(2.5, 6.0, 13.5, 12.0), 3.0, 3.0)
+    path = QPainterPath(QPointF(16.0, 10.5))
+    path.lineTo(QPointF(21.5, 7.25))
+    path.lineTo(QPointF(21.5, 16.75))
+    path.lineTo(QPointF(16.0, 13.5))
+    path.closeSubpath()
+    p.drawPath(path)
+
+
+# --- Clinical measures ----------------------------------------------------
+# The vital-sign tiles and the lifestyle row used to carry two more bespoke
+# painters (22 px / 1.35 px stroke and 16 px / 1.3 px stroke).  Beyond the extra
+# weights, two of their glyphs were simply wrong: "weight" read as a padlock and
+# "BMI" as the Venus symbol.
+
+
+@_glyph("height")
+def _height(p: QPainter, w: float) -> None:
+    _line(p, 6.0, 3.5, 18.0, 3.5)
+    _line(p, 6.0, 20.5, 18.0, 20.5)
+    _line(p, 12.0, 5.75, 12.0, 18.25)
+    _polyline(p, (9.5, 8.25), (12.0, 5.75), (14.5, 8.25))
+    _polyline(p, (9.5, 15.75), (12.0, 18.25), (14.5, 15.75))
+
+
+@_glyph("weight", "scale")
+def _weight(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(3.0, 5.0, 18.0, 14.5), 3.5, 3.5)
+    p.drawArc(QRectF(7.0, 10.0, 10.0, 10.0), 25 * 16, 130 * 16)
+    _line(p, 12.0, 15.0, 9.9, 10.9)
+
+
+@_glyph("bmi", "body")
+def _bmi(p: QPainter, w: float) -> None:
+    _circle(p, 12.0, 5.0, 2.75)
+    _line(p, 12.0, 7.75, 12.0, 15.0)
+    _line(p, 7.25, 11.0, 16.75, 11.0)
+    _polyline(p, (8.5, 20.75), (12.0, 15.0), (15.5, 20.75))
+
+
+@_glyph("blood_pressure", "gauge", "bp")
+def _blood_pressure(p: QPainter, w: float) -> None:
+    p.drawArc(QRectF(3.0, 5.5, 18.0, 18.0), 0, 180 * 16)
+    _line(p, 3.0, 14.5, 21.0, 14.5)
+    _line(p, 12.0, 14.5, 16.4, 9.4)
+    _dot(p, 12.0, 14.5, 1.15)
+
+
+@_glyph("pulse", "heart")
+def _pulse(p: QPainter, w: float) -> None:
+    heart = QPainterPath(QPointF(12.0, 20.25))
+    heart.cubicTo(QPointF(3.2, 13.6), QPointF(2.2, 9.6), QPointF(4.7, 6.7))
+    heart.cubicTo(QPointF(7.2, 4.0), QPointF(10.5, 4.8), QPointF(12.0, 7.7))
+    heart.cubicTo(QPointF(13.5, 4.8), QPointF(16.8, 4.0), QPointF(19.3, 6.7))
+    heart.cubicTo(QPointF(21.8, 9.6), QPointF(20.8, 13.6), QPointF(12.0, 20.25))
+    heart.closeSubpath()
+    p.drawPath(heart)
+    _polyline(
+        p, (5.6, 12.4), (9.0, 12.4), (10.6, 9.7), (13.2, 15.1), (14.7, 12.4), (18.4, 12.4)
+    )
+
+
+@_glyph("smoke", "cigarette")
+def _smoke(p: QPainter, w: float) -> None:
+    p.drawRoundedRect(QRectF(2.5, 14.0, 14.0, 5.0), 1.75, 1.75)
+    _line(p, 13.0, 14.0, 13.0, 19.0)
+    curl = QPainterPath(QPointF(19.0, 12.0))
+    curl.quadTo(QPointF(21.5, 9.5), QPointF(19.0, 7.5))
+    curl.quadTo(QPointF(16.5, 5.5), QPointF(19.0, 3.5))
+    p.drawPath(curl)
+
+
+@_glyph("drink", "glass")
+def _drink(p: QPainter, w: float) -> None:
+    bowl = QPainterPath(QPointF(6.5, 3.5))
+    bowl.lineTo(QPointF(17.5, 3.5))
+    bowl.lineTo(QPointF(13.75, 12.5))
+    bowl.lineTo(QPointF(10.25, 12.5))
+    bowl.closeSubpath()
+    p.drawPath(bowl)
+    _line(p, 7.75, 7.5, 16.25, 7.5)
+    _line(p, 12.0, 12.5, 12.0, 20.0)
+    _line(p, 8.0, 20.0, 16.0, 20.0)
+
+
+@_glyph("exercise", "run")
+def _exercise(p: QPainter, w: float) -> None:
+    _circle(p, 15.75, 4.75, 2.5)
+    _polyline(p, (14.5, 9.0), (9.75, 12.5), (6.0, 20.5))
+    _polyline(p, (14.5, 9.0), (18.75, 12.75), (21.0, 10.75))
+    _polyline(p, (11.75, 11.0), (15.25, 16.0), (13.25, 20.75))
+
+
+# --- Painting -------------------------------------------------------------
+
+
+def _device_ratio() -> float:
+    app = QApplication.instance()
+    if app is None:
+        return 1.0
+    screen = app.primaryScreen()
+    if screen is None:
+        return 1.0
+    return max(1.0, float(screen.devicePixelRatio()))
+
+
+def _render(kind: str, color: str, size: int) -> QPixmap:
+    canvas = crisp_pixmap(size)
+    draw = _GLYPHS.get(kind)
+    if draw is None:
+        return canvas
+    painter = QPainter(canvas)
+    try:
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        # Inset the grid by half a stroke on every edge.  Without it a glyph that
+        # legitimately reaches grid unit 24 loses the outer half of its line to
+        # the pixmap boundary at the smaller sizes - which is exactly how the old
+        # painters lost the shell star's companion dot and flattened the top of
+        # the calendar.  Insetting here means every glyph can use the full grid.
+        weight = stroke_px(size)
+        scale = (size - weight) / GRID
+        painter.translate(weight / 2.0, weight / 2.0)
+        painter.scale(scale, scale)
+        # The pen width is expressed on the design grid, so the on-screen weight
+        # stays the same fraction of the box at every size the shell asks for.
+        width = weight / scale
+        pen = QPen(QColor(color), width)
+        pen.setCapStyle(Qt.PenCapStyle.RoundCap)
+        pen.setJoinStyle(Qt.PenJoinStyle.RoundJoin)
+        painter.setPen(pen)
+        painter.setBrush(Qt.BrushStyle.NoBrush)
+        draw(painter, width)
+    finally:
+        painter.end()
+    return canvas
+
+
+@lru_cache(maxsize=1024)
+def _cached_pixmap(kind: str, color: str, size: int, ratio: float) -> QPixmap:
+    del ratio  # part of the cache key only; crisp_pixmap reads it back itself
+    return _render(kind, color, size)
+
+
+def pixmap(kind: str, color: str = "default", size: int = 18) -> QPixmap:
+    """Return a cached, device-pixel-correct pixmap for ``kind``."""
+
+    return _cached_pixmap(kind, resolve_color(color), int(size), _device_ratio())
+
+
+@lru_cache(maxsize=1024)
+def _cached_icon(kind: str, color: str, size: int, ratio: float) -> QIcon:
+    result = QIcon(_cached_pixmap(kind, color, size, ratio))
+    result.addPixmap(
+        _cached_pixmap(kind, ROLES["disabled"], size, ratio),
+        QIcon.Mode.Disabled,
+        QIcon.State.Off,
+    )
+    return result
+
+
+def icon(kind: str, color: str = "default", size: int = 18) -> QIcon:
+    """Return a cached icon with a matching disabled variant already attached.
+
+    ``color`` accepts a role name from :data:`ROLES` or a literal colour.
+    """
+
+    return _cached_icon(kind, resolve_color(color), int(size), _device_ratio())
+
+
+@lru_cache(maxsize=256)
+def _cached_state_icon(
+    kind: str,
+    size: int,
+    normal: str,
+    active: str,
+    checked: str,
+    disabled: str,
+    ratio: float,
+) -> QIcon:
+    result = QIcon()
+    result.addPixmap(_cached_pixmap(kind, normal, size, ratio), QIcon.Mode.Normal, QIcon.State.Off)
+    result.addPixmap(_cached_pixmap(kind, checked, size, ratio), QIcon.Mode.Normal, QIcon.State.On)
+    result.addPixmap(_cached_pixmap(kind, active, size, ratio), QIcon.Mode.Active, QIcon.State.Off)
+    result.addPixmap(_cached_pixmap(kind, checked, size, ratio), QIcon.Mode.Active, QIcon.State.On)
+    result.addPixmap(
+        _cached_pixmap(kind, disabled, size, ratio), QIcon.Mode.Disabled, QIcon.State.Off
+    )
+    return result
+
+
+def state_icon(
+    kind: str,
+    *,
+    size: int = 18,
+    normal: str = "muted",
+    active: str = "strong",
+    checked: str = "inverse",
+    disabled: str = "disabled",
+) -> QIcon:
+    """Return an icon carrying its own hover / selected / disabled colours.
+
+    Qt only tints an icon when a widget asks it to, so a single-pixmap icon on a
+    selected navigation row keeps its resting grey and reads as switched off.
+    """
+
+    return _cached_state_icon(
+        kind,
+        int(size),
+        resolve_color(normal),
+        resolve_color(active),
+        resolve_color(checked),
+        resolve_color(disabled),
+        _device_ratio(),
+    )
+
+
+def available_kinds() -> tuple[str, ...]:
+    """Every glyph name this module answers to, aliases included."""
+
+    return tuple(sorted(_GLYPHS))
+
+
+def clear_cache() -> None:
+    """Drop cached pixmaps - used when the display scale factor changes."""
+
+    _cached_pixmap.cache_clear()
+    _cached_icon.cache_clear()
+    _cached_state_icon.cache_clear()

app/src/doctor_workstation/ui/infinite_list.py

@@ -0,0 +1,320 @@
+"""Incremental server lists with a compact status footer and stable view state."""
+
+from __future__ import annotations
+
+from collections.abc import Callable
+from typing import Any
+
+from PySide6.QtCore import QEvent, QSignalBlocker, Qt, QTimer
+from PySide6.QtWidgets import (
+    QAbstractScrollArea,
+    QCheckBox,
+    QHBoxLayout,
+    QLabel,
+    QPushButton,
+    QTableWidget,
+    QWidget,
+)
+
+from .widgets import first_value, get_value, page_items, page_total, run_async
+
+
+def record_key(row: Any) -> str:
+    value = first_value(
+        row, "id", "prescription_id", "appointment_id", "diagnosis_id", "order_id", "patient_id"
+    )
+    return str(value) if value is not None else repr(row)
+
+
+class ListSnapshot:
+    """Keep repository metadata available while replacing only the list payload."""
+
+    def __init__(self, rows: list[Any], total: int, source: Any) -> None:
+        self.items = rows
+        self.total = total
+        self.source = source
+
+    def __getattr__(self, name: str) -> Any:
+        return get_value(self.source, name, None)
+
+
+class InfiniteList(QWidget):
+    """Bind to a scrolling view; fetch pages only as the visible list needs them.
+
+    Reloads use captured query arguments. Refreshing the same query rebuilds the
+    loaded prefix atomically, so polling neither drops appended rows nor mixes
+    an updated first page with an old tail. Failed appends retain the prior page
+    and can be retried explicitly without an automatic request loop.
+    """
+
+    def __init__(self, page_size: int = 20, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+        self.setObjectName("InfiniteList")
+        self.setFixedHeight(24)
+        layout = QHBoxLayout(self)
+        layout.setContentsMargins(12, 0, 12, 0)
+        self.summary_label = QLabel("", self)
+        self.summary_label.setStyleSheet(
+            "color: #5D6B80; font-size: 12px; background: transparent;"
+        )
+        layout.addWidget(self.summary_label)
+        layout.addStretch(1)
+        self.retry_button = QPushButton("加载失败，点击重试", self)
+        self.retry_button.setFlat(True)
+        self.retry_button.setStyleSheet(
+            "color: #1769E8; font-size: 12px; padding: 0 4px; border: none; background: transparent; min-height: 20px; max-height: 20px; min-width: 0;"
+        )
+        self.retry_button.hide()
+        self.retry_button.clicked.connect(self.retry)
+        layout.addWidget(self.retry_button)
+        self.page_size = page_size
+        self.page = 0
+        self.total = 0
+        self.rows: list[Any] = []
+        self.loading = False
+        self.has_more = False
+        self._generation = 0
+        self._query_key: Any = object()
+        self._view: QAbstractScrollArea | None = None
+        self._views: list[QAbstractScrollArea] = []
+        self._error = False
+        self._configured = False
+        self._timer = QTimer(self)
+        self._timer.setSingleShot(True)
+        self._timer.timeout.connect(self._maybe_load_more)
+
+    def bind(self, view: QAbstractScrollArea) -> None:
+        if view in self._views:
+            return
+        self._views.append(view)
+        self._view = view
+        view.verticalScrollBar().valueChanged.connect(self._schedule_check)
+        view.verticalScrollBar().rangeChanged.connect(self._schedule_check)
+        view.viewport().installEventFilter(self)
+
+    def eventFilter(self, watched: Any, event: Any) -> bool:
+        if event.type() in (QEvent.Type.Show, QEvent.Type.Resize):
+            self._schedule_check()
+        return super().eventFilter(watched, event)
+
+    def _schedule_check(self, *_: Any) -> None:
+        self._timer.start(30)
+
+    def _maybe_load_more(self) -> None:
+        view = next((v for v in self._views if v.isVisible()), None)
+        if view is None or self.loading or self._error or not self.has_more:
+            return
+        bar = view.verticalScrollBar()
+        # pageStep respects both per-item and per-pixel Qt scrolling modes.
+        if bar.maximum() - bar.value() <= max(1, bar.pageStep() // 4):
+            self.load_more()
+
+    def invalidate(self) -> None:
+        """Disarm callbacks when a reusable dialog switches to another record."""
+        self._generation += 1
+        self._configured = False
+        self.loading = self.has_more = self._error = False
+        self.rows, self.page, self.total = [], 0, 0
+        self._timer.stop()
+        self.retry_button.hide()
+        self._status()
+
+    reset = invalidate
+
+    def reload(
+        self,
+        fetch: Callable[[int], Any],
+        apply: Callable[[Any], None],
+        on_error: Callable[[Exception], None],
+        *,
+        runner: Callable[..., Any] = run_async,
+        query_key: Any = None,
+        on_finished: Callable[[], None] | None = None,
+    ) -> None:
+        same_query = self._configured and query_key == self._query_key
+        if same_query and self.loading:
+            # Polling must not restart a slow prefix refresh indefinitely. The
+            # caller may have advanced its own generation, so use its latest
+            # render/error closures while the captured request finishes.
+            self._apply, self._on_error = apply, on_error
+            self._on_finished = on_finished
+            return
+        self._generation += 1
+        self._query_key = query_key
+        self._configured = True
+        self._fetch, self._apply, self._on_error = fetch, apply, on_error
+        self._runner, self._on_finished = runner, on_finished
+        self._target = max(1, self.page) if same_query else 1
+        self._reset_view = not same_query
+        if not same_query:
+            self.rows, self.page, self.total = [], 0, 0
+            self.has_more = False
+            self._render(ListSnapshot([], 0, None), preserve=False)
+        self._begin(1, [], refresh=True)
+
+    def load_more(self) -> None:
+        if not self._configured or self.loading or self._error or not self.has_more:
+            return
+        self._reset_view = False
+        self._target = self.page + 1
+        self._begin(self.page + 1, list(self.rows), refresh=False)
+
+    def retry(self) -> None:
+        if self.loading or not self._error:
+            return
+        self._begin(self._failed_page, list(self._failed_rows), refresh=self._failed_refresh)
+
+    def _begin(self, page: int, rows: list[Any], *, refresh: bool) -> None:
+        self.loading = True
+        self._error = False
+        self.retry_button.hide()
+        self.summary_label.setText(
+            f"已加载 {len(self.rows)} 条 · 正在加载…" if self.rows else "正在加载…"
+        )
+        generation = self._generation
+        fetch = self._fetch
+        self._runner(
+            lambda: fetch(page),
+            on_success=lambda result: self._received(result, generation, page, rows, refresh),
+            on_error=lambda error: self._failed(error, generation, page, rows, refresh),
+            on_finished=lambda: None,
+        )
+
+    def _received(
+        self, result: Any, generation: int, page: int, prior: list[Any], refresh: bool
+    ) -> None:
+        if generation != self._generation:
+            return
+        incoming = page_items(result)
+        merged = {record_key(row): row for row in prior}
+        before = len(merged)
+        for row in incoming:
+            merged[record_key(row)] = row
+        rows = list(merged.values())
+        total = page_total(result, -1)
+        more = (
+            bool(incoming)
+            and len(rows) > before
+            and (len(rows) < total if total >= 0 else len(incoming) >= self.page_size)
+        )
+        # Retain first-page metadata (scope, counts, filter choices) on refresh.
+        if page == 1:
+            self._refresh_source = result
+        source = self._refresh_source
+        if refresh and page < self._target and more:
+            self._begin(page + 1, rows, refresh=True)
+            return
+        self.rows, self.page = rows, page
+        self.total = max(len(rows), total)
+        self.has_more = more
+        self._render(ListSnapshot(rows, self.total, source), preserve=not self._reset_view)
+        self.loading = False
+        self._status()
+        if self._on_finished is not None:
+            self._on_finished()
+        self._schedule_check()
+
+    def _failed(
+        self, error: Exception, generation: int, page: int, rows: list[Any], refresh: bool
+    ) -> None:
+        if generation != self._generation:
+            return
+        self.loading = False
+        self._error = True
+        self._failed_page, self._failed_rows, self._failed_refresh = page, rows, refresh
+        self.summary_label.setText(f"已加载 {len(self.rows)} 条" if self.rows else "暂未加载数据")
+        self.retry_button.show()
+        self._on_error(error)
+        if self._on_finished is not None:
+            self._on_finished()
+
+    def _status(self) -> None:
+        if self.has_more:
+            self.summary_label.setText(f"已加载 {len(self.rows)} / {self.total} 条 · 下拉加载更多")
+        else:
+            if self.total > len(self.rows):
+                self.summary_label.setText(
+                    f"已加载 {len(self.rows)} / {self.total} 条 · 暂无更多数据"
+                )
+            else:
+                self.summary_label.setText(
+                    f"共 {len(self.rows)} 条 · 已全部加载" if self.rows else "暂无数据"
+                )
+
+    def update_state(self, page: int, total: int) -> None:
+        """Compatibility for existing render callbacks; requests own the state."""
+        del page, total
+        self._status()
+
+    def _render(self, snapshot: ListSnapshot, *, preserve: bool) -> None:
+        view = next((v for v in self._views if v.isVisible()), self._view)
+        if view is None:
+            self._apply(snapshot)
+            return
+        bar = view.verticalScrollBar()
+        scroll = bar.value()
+        horizontal_scroll = view.horizontalScrollBar().value()
+        selected: set[str] = set()
+        checks: dict[tuple[str, int], Qt.CheckState] = {}
+        widget_checks: dict[tuple[str, int, int], bool] = {}
+        if preserve and isinstance(view, QTableWidget):
+            for row in range(view.rowCount()):
+                first = view.item(row, 0)
+                if first is None:
+                    continue
+                key = record_key(first.data(Qt.ItemDataRole.UserRole))
+                if first.isSelected():
+                    selected.add(key)
+                for column in range(view.columnCount()):
+                    item = view.item(row, column)
+                    if (
+                        item is not None
+                        and item.flags() & Qt.ItemFlag.ItemIsUserCheckable
+                        and item.data(Qt.ItemDataRole.CheckStateRole) is not None
+                    ):
+                        checks[key, column] = item.checkState()
+                    widget = view.cellWidget(row, column)
+                    if widget is not None:
+                        boxes = (
+                            [widget]
+                            if isinstance(widget, QCheckBox)
+                            else widget.findChildren(QCheckBox)
+                        )
+                        for index, box in enumerate(boxes):
+                            widget_checks[key, column, index] = box.isChecked()
+        blocker = QSignalBlocker(view)
+        try:
+            self._apply(snapshot)
+            if preserve and isinstance(view, QTableWidget):
+                if selected:
+                    view.clearSelection()
+                for row in range(view.rowCount()):
+                    first = view.item(row, 0)
+                    if first is None:
+                        continue
+                    key = record_key(first.data(Qt.ItemDataRole.UserRole))
+                    if key in selected:
+                        view.selectRow(row)
+                    for column in range(view.columnCount()):
+                        item = view.item(row, column)
+                        if item is not None and (key, column) in checks:
+                            item.setCheckState(checks[key, column])
+                        widget = view.cellWidget(row, column)
+                        if widget is not None:
+                            boxes = (
+                                [widget]
+                                if isinstance(widget, QCheckBox)
+                                else widget.findChildren(QCheckBox)
+                            )
+                            for index, box in enumerate(boxes):
+                                if (key, column, index) in widget_checks:
+                                    box.setChecked(widget_checks[key, column, index])
+            bar.setValue(min(scroll, bar.maximum()) if preserve else bar.minimum())
+            view.horizontalScrollBar().setValue(horizontal_scroll)
+        finally:
+            blocker.unblock()
+        if isinstance(view, QTableWidget):
+            view.itemSelectionChanged.emit()
+
+
+__all__ = ["InfiniteList", "ListSnapshot"]

app/src/doctor_workstation/ui/login.py

@@ -21,6 +21,7 @@ from PySide6.QtGui import (
     QResizeEvent,
 )
 from PySide6.QtWidgets import (
+    QApplication,
     QCheckBox,
     QFrame,
     QGraphicsDropShadowEffect,
@@ -43,7 +44,7 @@ from PySide6.QtWidgets import (
 from doctor_workstation import __version__
 from doctor_workstation.resources import app_icon_path, brand_lockup_path
 
-from .theme import crisp_pixmap
+from . import icons
 from .widgets import BusyOverlay, MessageBanner, friendly_error, invoke, run_async
 
 
@@ -71,7 +72,7 @@ class _VisibleCheckBox(QCheckBox):
         )
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
-        color = QColor("#FFFFFF" if self.isEnabled() else "#98A2B3")
+        color = QColor("#FFFFFF" if self.isEnabled() else "#8E8F90")
         painter.setPen(QPen(color, 2, Qt.PenStyle.SolidLine, Qt.PenCapStyle.RoundCap))
         painter.drawLine(
             QPoint(indicator.left() + 4, indicator.center().y()),
@@ -90,7 +91,7 @@ class _AccountLineEdit(QLineEdit):
         super().paintEvent(event)
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
-        painter.setPen(_round_pen("#8292B6", 1.5))
+        painter.setPen(_round_pen("#6A6B6D", 1.5))
         painter.setBrush(Qt.BrushStyle.NoBrush)
         painter.drawEllipse(QRectF(24, 14.5, 8, 8))
         painter.drawRoundedRect(QRectF(19, 27, 18, 9), 4.5, 4.5)
@@ -104,7 +105,7 @@ class _DemoCheckBox(_VisibleCheckBox):
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
         center = QPointF(self.width() - 9, self.height() / 2)
-        painter.setPen(_round_pen("#92A0BF", 1.4))
+        painter.setPen(_round_pen("#8E8F90", 1.4))
         painter.setBrush(Qt.BrushStyle.NoBrush)
         painter.drawEllipse(center, 7, 7)
         painter.drawLine(center + QPointF(0, -1), center + QPointF(0, 4))
@@ -112,10 +113,9 @@ class _DemoCheckBox(_VisibleCheckBox):
 
 
 def _font(pixel_size: int, weight: QFont.Weight = QFont.Weight.Normal) -> QFont:
-    font = QFont("Microsoft YaHei UI")
+    font = QFont(QApplication.font())
     font.setPixelSize(pixel_size)
     font.setWeight(weight)
-    font.setHintingPreference(QFont.HintingPreference.PreferFullHinting)
     return font
 
 
@@ -291,10 +291,10 @@ class _BrandPanel(QWidget):
         bounds = QRectF(self.rect()).adjusted(0.5, 0.5, -0.5, -0.5)
         background = QLinearGradient(bounds.topLeft(), bounds.bottomRight())
         background.setColorAt(0.0, QColor("#FFFFFF"))
-        background.setColorAt(0.7, QColor("#FEFEFF"))
-        background.setColorAt(1.0, QColor("#F9FBFF"))
+        background.setColorAt(0.7, QColor("#FFFFFF"))
+        background.setColorAt(1.0, QColor("#F7F7F7"))
         painter.setBrush(background)
-        painter.setPen(QPen(QColor("#E4E9F4"), 1))
+        painter.setPen(QPen(QColor("#EDEDEE"), 1))
         painter.drawRoundedRect(bounds, 24, 24)
 
         width, height = float(self.width()), float(self.height())
@@ -315,15 +315,15 @@ class _BrandPanel(QWidget):
 
         tag_rect = QRectF(left, 238, 119, 40)
         painter.setPen(Qt.PenStyle.NoPen)
-        painter.setBrush(QColor("#F0F2FF"))
+        painter.setBrush(QColor("#EEF1FA"))
         painter.drawRoundedRect(tag_rect, 11, 11)
-        painter.setFont(_font(17, QFont.Weight.DemiBold))
-        painter.setPen(QColor("#5265F6"))
+        painter.setFont(_font(17, QFont.Weight.Medium))
+        painter.setPen(QColor("#4F63D9"))
         painter.drawText(tag_rect, Qt.AlignmentFlag.AlignCenter, "医生工作站")
 
         copy_left = left + 4
-        painter.setFont(_font(51, QFont.Weight.Bold))
-        painter.setPen(QColor("#14224A"))
+        painter.setFont(_font(48, QFont.Weight.Medium))
+        painter.setPen(QColor("#1A1C1F"))
         painter.drawText(QPointF(copy_left, 354), "把诊间工作，")
         painter.drawText(QPointF(copy_left, 424), "留在一个")
         prefix_width = painter.fontMetrics().horizontalAdvance("留在一个")
@@ -333,8 +333,8 @@ class _BrandPanel(QWidget):
             copy_left + prefix_width + 264,
             0,
         )
-        highlight.setColorAt(0.0, QColor("#4258EC"))
-        highlight.setColorAt(1.0, QColor("#6975FF"))
+        highlight.setColorAt(0.0, QColor("#4F63D9"))
+        highlight.setColorAt(1.0, QColor("#4F63D9"))
         painter.setPen(QPen(QBrush(highlight), 1))
         painter.drawText(QPointF(copy_left + prefix_width, 424), "安静的界面里")
         suffix_x = (
@@ -342,19 +342,19 @@ class _BrandPanel(QWidget):
             + prefix_width
             + painter.fontMetrics().horizontalAdvance("安静的界面里")
         )
-        painter.setPen(QColor("#14224A"))
+        painter.setPen(QColor("#1A1C1F"))
         painter.drawText(QPointF(suffix_x, 424), "。")
 
         body_left = left + 6
         painter.setFont(_font(20))
-        painter.setPen(QColor("#7181A7"))
+        painter.setPen(QColor("#606163"))
         painter.drawText(
             QPointF(body_left, 492), "接诊、问诊、患者与处方信息统一呈现，"
         )
         painter.drawText(QPointF(body_left, 525), "帮助医生专注于每一次沟通。")
 
         painter.setFont(_font(16))
-        painter.setPen(QColor("#7484A9"))
+        painter.setPen(QColor("#6A6B6D"))
         painter.drawText(
             QPointF(body_left, height - 85), "本工作站仅供获授权的医疗人员使用"
         )
@@ -366,7 +366,7 @@ class _RevealButton(QToolButton):
         del event
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
-        color = QColor("#8796B8" if self.isEnabled() else "#B8C0D1")
+        color = QColor("#6A6B6D" if self.isEnabled() else "#BDBDBE")
         painter.setPen(_round_pen(color, 2))
         painter.setBrush(Qt.BrushStyle.NoBrush)
         eye = QPainterPath(QPointF(7, self.height() / 2))
@@ -392,11 +392,11 @@ class _ServerButton(QPushButton):
         painter = QPainter(self)
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
         rect = QRectF(self.rect()).adjusted(0.75, 0.75, -0.75, -0.75)
-        painter.setBrush(QColor("#F8FAFF") if self.underMouse() else QColor("#FFFFFF"))
-        painter.setPen(QPen(QColor("#D8DFEE"), 1.5))
+        painter.setBrush(QColor("#FFFFFF") if self.underMouse() else QColor("#FFFFFF"))
+        painter.setPen(QPen(QColor("#E4E4E5"), 1.5))
         painter.drawRoundedRect(rect, 12, 12)
-        color = QColor("#17264B" if self.isEnabled() else "#A2ABC0")
-        painter.setPen(_round_pen("#7C8DB2", 1.8))
+        color = QColor("#1A1C1F" if self.isEnabled() else "#8E8F90")
+        painter.setPen(_round_pen("#6A6B6D", 1.8))
         center = QPointF(29, self.height() / 2)
         painter.drawEllipse(center, 8, 8)
         painter.drawEllipse(center, 2.8, 2.8)
@@ -420,7 +420,7 @@ class _ServerButton(QPushButton):
             Qt.AlignmentFlag.AlignVCenter | Qt.AlignmentFlag.AlignLeft,
             "服务器设置",
         )
-        painter.setPen(_round_pen("#94A1BC", 2))
+        painter.setPen(_round_pen("#8E8F90", 2))
         x, y = self.width() - 28, self.height() / 2
         if self.isChecked():
             painter.drawLine(QPointF(x - 5, y + 3), QPointF(x, y - 3))
@@ -482,12 +482,8 @@ class LoginWindow(QMainWindow):
         canvas.setStyleSheet(
             """
             QWidget#LoginCanvas {
-                color: #17264B;
-                background: qlineargradient(
-                    x1:0, y1:0, x2:1, y2:1,
-                    stop:0 #F8FAFF, stop:0.58 #FBFCFF, stop:1 #F1F5FF
-                );
-                font-family: "Microsoft YaHei UI";
+                color: #1A1C1F;
+                background-color: #F4F6FA;
                 font-size: 16px;
             }
             QWidget#LoginBrandPanel {
@@ -496,28 +492,28 @@ class LoginWindow(QMainWindow):
             }
             QFrame#LoginCard {
                 background-color: #FFFFFF;
-                border: 1px solid #E1E6F0;
+                border: 1px solid #EDEDEE;
                 border-radius: 20px;
             }
             QFrame#LoginCard QFrame#SubtleCard {
-                background-color: #F8FAFF;
-                border: 1px solid #DCE2EF;
+                background-color: #FFFFFF;
+                border: 1px solid #E4E4E5;
                 border-radius: 12px;
             }
-            QFrame#LoginCard QLabel { color: #17264B; background: transparent; }
-            QFrame#LoginCard QLabel[role="muted"] { color: #7382A5; }
+            QFrame#LoginCard QLabel { color: #1A1C1F; background: transparent; }
+            QFrame#LoginCard QLabel[role="muted"] { color: #606163; }
             QFrame#LoginCard QLabel[role="danger"] { color: #C43E55; }
             QFrame#LoginCard QCheckBox#AllowSelfSignedCertificate { color: #9A6813; }
             QFrame#LoginCard QLineEdit,
             QFrame#LoginCard QSpinBox {
-                color: #17264B;
+                color: #1A1C1F;
                 background-color: #FFFFFF;
-                border: 1px solid #D6DEED;
+                border: 1px solid #E4E4E5;
                 border-radius: 12px;
                 padding: 0 16px;
                 font-size: 17px;
-                selection-background-color: #E5E9FF;
-                selection-color: #17264B;
+                selection-background-color: #EEF1FA;
+                selection-color: #1A1C1F;
             }
             QFrame#LoginCard QLineEdit#AccountEdit {
                 min-height: 52px;
@@ -525,9 +521,9 @@ class LoginWindow(QMainWindow):
                 padding-left: 52px;
             }
             QFrame#LoginCard QLineEdit:hover,
-            QFrame#LoginCard QSpinBox:hover { border-color: #9AA8FF; }
+            QFrame#LoginCard QSpinBox:hover { border-color: #8B9AD9; }
             QFrame#LoginCard QLineEdit:focus,
-            QFrame#LoginCard QSpinBox:focus { border: 1.5px solid #7080F7; }
+            QFrame#LoginCard QSpinBox:focus { border: 1.5px solid #8B9AD9; }
             QFrame#LoginCard QLineEdit#PasswordEdit {
                 border: 0;
                 border-radius: 0;
@@ -537,31 +533,31 @@ class LoginWindow(QMainWindow):
             QFrame#LoginCard QCheckBox#DemoModeCheck { spacing: 10px; }
             QFrame#PasswordField {
                 background-color: #FFFFFF;
-                border: 1px solid #D6DEED;
+                border: 1px solid #E4E4E5;
                 border-radius: 12px;
             }
-            QFrame#PasswordField:focus-within { border-color: #7080F7; }
+            QFrame#PasswordField:focus-within { border-color: #8B9AD9; }
             QFrame#LoginCard QCheckBox {
-                color: #6F7FA3;
+                color: #606163;
                 spacing: 13px;
                 font-size: 16px;
             }
             QFrame#LoginCard QCheckBox::indicator {
                 width: 22px;
                 height: 22px;
-                border: 1px solid #CFD8EB;
+                border: 1px solid #E4E4E5;
                 border-radius: 6px;
                 background-color: #FFFFFF;
             }
-            QFrame#LoginCard QCheckBox::indicator:hover { border-color: #7A8AF8; }
+            QFrame#LoginCard QCheckBox::indicator:hover { border-color: #8B9AD9; }
             QFrame#LoginCard QCheckBox::indicator:checked {
-                border-color: #6475F5;
-                background-color: #6475F5;
+                border-color: #4F63D9;
+                background-color: #4F63D9;
             }
             QFrame#LoginCard QToolButton#PasswordReveal {
                 min-width: 87px;
                 max-width: 87px;
-                color: #8290B0;
+                color: #6A6B6D;
                 background: transparent;
                 border: 0;
                 padding: 0;
@@ -570,14 +566,11 @@ class LoginWindow(QMainWindow):
                 min-height: 58px;
                 max-height: 58px;
                 color: #FFFFFF;
-                background: qlineargradient(
-                    x1:0, y1:0, x2:1, y2:0,
-                    stop:0 #5B6BF1, stop:0.55 #6675FA, stop:1 #5865F2
-                );
+                background-color: #4F63D9;
                 border: 0;
                 border-radius: 12px;
                 font-size: 18px;
-                font-weight: 700;
+                font-weight: 500;
             }
             QFrame#LoginCard QPushButton#ServerSettingsToggle {
                 min-height: 56px;
@@ -585,17 +578,17 @@ class LoginWindow(QMainWindow):
                 padding: 0;
             }
             QFrame#LoginCard QPushButton[variant="primary"]:hover {
-                background-color: #5262ED;
+                background-color: #4156C4;
             }
             QFrame#LoginCard QPushButton[variant="secondary"] {
-                color: #4353BD;
-                background-color: #EDF0FF;
-                border: 1px solid #D3DAFC;
+                color: #1A1C1F;
+                background-color: #F0F0F0;
+                border: 1px solid #E4E4E5;
                 border-radius: 9px;
             }
             QFrame#LoginCard QPushButton[variant="secondary"]:hover {
-                background-color: #DCE3FF;
-                border-color: #8B98F8;
+                background-color: #E4E4E5;
+                border-color: #8B9AD9;
             }
             QScrollArea#LoginAreaScroll,
             QScrollArea#LoginAreaScroll > QWidget > QWidget {
@@ -629,6 +622,12 @@ class LoginWindow(QMainWindow):
             spacing = 20
         self.login_root.setContentsMargins(*margins)
         self.login_root.setSpacing(spacing)
+        # Keep the form fully visible when the 60/40 desktop split would
+        # otherwise crop its fixed-width card. Small windows focus on login.
+        self.brand_panel.setVisible(width >= 1120)
+        self.login_area_layout.setContentsMargins(
+            0, min(104, max(24, (event.size().height() - 694) // 2)), 0, 12
+        )
         super().resizeEvent(event)
 
     def _build_brand_panel(self) -> QWidget:
@@ -647,20 +646,19 @@ class LoginWindow(QMainWindow):
         area.setFrameShape(QFrame.Shape.NoFrame)
         area.setHorizontalScrollBarPolicy(Qt.ScrollBarPolicy.ScrollBarAlwaysOff)
         area.setVerticalScrollBarPolicy(Qt.ScrollBarPolicy.ScrollBarAsNeeded)
+        area.setMinimumWidth(492)
         content = QWidget()
         content.setObjectName("LoginAreaContent")
         area.setWidget(content)
         self.login_scroll = area
         outer = QVBoxLayout(content)
-        # The supplied 1536×1024 capture contains a 60 px native title bar.
-        # Its card begins at y=198, i.e. y=138 in the 1536×964 client area.
-        # The root starts at y=34, so the deterministic lead inset is 104 px.
-        outer.setContentsMargins(0, 104, 0, 0)
+        self.login_area_layout = outer
+        outer.setContentsMargins(0, 40, 0, 12)
 
         self.card = QFrame()
         self.card.setObjectName("LoginCard")
         self.card.setFixedWidth(480)
-        self.card.setMinimumHeight(694)
+        self.card.setMinimumHeight(620)
         self.card.setSizePolicy(QSizePolicy.Policy.Fixed, QSizePolicy.Policy.Minimum)
         card_shadow = QGraphicsDropShadowEffect(self.card)
         card_shadow.setBlurRadius(38)
@@ -675,13 +673,13 @@ class LoginWindow(QMainWindow):
 
         title = QLabel("欢迎回来")
         title.setObjectName("LoginTitle")
-        title.setStyleSheet("color:#14224A; font-size:33px; font-weight:700;")
+        title.setStyleSheet("color:#1A1C1F; font-size:30px; font-weight:500;")
         title.setContentsMargins(1, -3, 0, 3)
         title.setFixedHeight(46)
         card_layout.addWidget(title)
         subtitle = QLabel("使用医生账号登录工作站")
         subtitle.setProperty("role", "muted")
-        subtitle.setStyleSheet("color:#7382A5; font-size:18px;")
+        subtitle.setStyleSheet("color:#606163; font-size:18px;")
         subtitle.setContentsMargins(1, 8, 0, 0)
         subtitle.setFixedHeight(27)
         card_layout.addWidget(subtitle)
@@ -691,7 +689,7 @@ class LoginWindow(QMainWindow):
         card_layout.addWidget(self.error_banner)
 
         account_label = QLabel("账号")
-        account_label.setStyleSheet("color:#17264B; font-size:18px; font-weight:600;")
+        account_label.setStyleSheet("color:#1A1C1F; font-size:16px; font-weight:500;")
         account_label.setContentsMargins(0, -2, 0, 2)
         account_label.setFixedHeight(24)
         card_layout.addWidget(account_label)
@@ -707,7 +705,7 @@ class LoginWindow(QMainWindow):
         card_layout.addSpacing(21)
 
         password_label = QLabel("密码")
-        password_label.setStyleSheet("color:#17264B; font-size:18px; font-weight:600;")
+        password_label.setStyleSheet("color:#1A1C1F; font-size:16px; font-weight:500;")
         password_label.setContentsMargins(0, -3, 0, 3)
         password_label.setFixedHeight(24)
         card_layout.addWidget(password_label)
@@ -777,16 +775,16 @@ class LoginWindow(QMainWindow):
         divider.setSpacing(18)
         line_left = QFrame()
         line_left.setFrameShape(QFrame.Shape.HLine)
-        line_left.setStyleSheet("color:#DFE4F0; background:#DFE4F0; max-height:1px;")
+        line_left.setStyleSheet("color:#EDEDEE; background:#EDEDEE; max-height:1px;")
         divider.addWidget(line_left, 1)
         divider_text = QLabel("或")
         divider_text.setAlignment(Qt.AlignmentFlag.AlignCenter)
-        divider_text.setStyleSheet("color:#7C89A8; font-size:16px;")
+        divider_text.setStyleSheet("color:#6A6B6D; font-size:16px;")
         divider_text.setFixedSize(38, 22)
         divider.addWidget(divider_text)
         line_right = QFrame()
         line_right.setFrameShape(QFrame.Shape.HLine)
-        line_right.setStyleSheet("color:#DFE4F0; background:#DFE4F0; max-height:1px;")
+        line_right.setStyleSheet("color:#EDEDEE; background:#EDEDEE; max-height:1px;")
         divider.addWidget(line_right, 1)
         debug_settings_layout.addLayout(divider)
         debug_settings_layout.addSpacing(20)
@@ -873,7 +871,7 @@ class LoginWindow(QMainWindow):
         footnote_row.addWidget(lock)
         footnote = QLabel("登录即表示你同意遵守机构的数据安全与隐私规范。")
         footnote.setProperty("role", "muted")
-        footnote.setStyleSheet("color:#7A89AA; font-size:15px;")
+        footnote.setStyleSheet("color:#6A6B6D; font-size:15px;")
         footnote.setContentsMargins(0, -4, 0, 4)
         footnote.setWordWrap(True)
         footnote.setFixedHeight(40)
@@ -882,12 +880,12 @@ class LoginWindow(QMainWindow):
         self.version_label = QLabel(f"当前版本 {__version__}")
         self.version_label.setObjectName("LoginVersionLabel")
         self.version_label.setProperty("role", "muted")
-        self.version_label.setStyleSheet("color:#8B98B5; font-size:13px;")
+        self.version_label.setStyleSheet("color:#6A6B6D; font-size:13px;")
         self.version_label.setContentsMargins(0, 8, 0, 0)
         card_layout.addWidget(self.version_label, 0, Qt.AlignmentFlag.AlignRight)
 
         outer.addWidget(
-            self.card, 0, Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignTop
+            self.card, 0, Qt.AlignmentFlag.AlignHCenter | Qt.AlignmentFlag.AlignTop
         )
         outer.addStretch(1)
         self.busy_overlay = BusyOverlay(self.card, "正在验证账号…")
@@ -899,28 +897,11 @@ class LoginWindow(QMainWindow):
 
     @staticmethod
     def _account_icon() -> QIcon:
-        pixmap = crisp_pixmap(24)
-        painter = QPainter(pixmap)
-        painter.setRenderHint(QPainter.RenderHint.Antialiasing)
-        painter.setPen(_round_pen("#8292B6", 2))
-        painter.setBrush(Qt.BrushStyle.NoBrush)
-        painter.drawEllipse(QPointF(12, 7.5), 4.2, 4.2)
-        painter.drawRoundedRect(QRectF(4.5, 14, 15, 7), 3.5, 3.5)
-        painter.end()
-        return QIcon(pixmap)
+        return icons.icon("user", "muted", 24)
 
     @staticmethod
     def _lock_icon() -> QIcon:
-        pixmap = crisp_pixmap(20)
-        painter = QPainter(pixmap)
-        painter.setRenderHint(QPainter.RenderHint.Antialiasing)
-        painter.setPen(_round_pen("#8FA0C4", 1.6))
-        painter.setBrush(Qt.BrushStyle.NoBrush)
-        painter.drawRoundedRect(QRectF(5, 8, 10, 9), 2, 2)
-        painter.drawArc(QRectF(7, 3, 6, 9), 0, 180 * 16)
-        painter.drawLine(QPointF(10, 11), QPointF(10, 14))
-        painter.end()
-        return QIcon(pixmap)
+        return icons.icon("lock", "muted", 20)
 
     def _restore_settings(self) -> None:
         configured_account = getattr(self.config, "remembered_account", "")

app/src/doctor_workstation/ui/motion.py

@@ -0,0 +1,364 @@
+"""Motion tokens and helpers.
+
+The product had two `QGraphicsOpacityEffect` uses and no `QPropertyAnimation`
+at all, so every state change was an instant cut: pages replaced each other
+between one frame and the next, drawers appeared fully formed, toasts blinked
+in and out.  Nothing was slow - it just gave the eye no continuity to follow,
+which is what reads as "not smooth" however fast the code underneath is.
+
+Everything here is short.  A workstation is used all day, so transitions are
+tuned to be felt rather than watched: 110-260 ms, ease-out on entry, and travel
+measured in single-digit pixels.  Anything longer starts costing the user time.
+
+Qt stylesheets have no `transition` property, so this is `QPropertyAnimation`
+throughout.  Two rules keep that safe:
+
+* an animation must be owned, or PySide garbage-collects it mid-flight and the
+  widget freezes half-faded - :func:`_own` parks it on the target;
+* a `QGraphicsOpacityEffect` forces the whole widget subtree through an
+  offscreen render path, which would make a table scroll badly for the rest of
+  the session - every fade here removes its effect when it finishes.
+"""
+
+from __future__ import annotations
+
+import os
+from collections.abc import Callable
+from typing import Any
+
+from PySide6.QtCore import (
+    QAbstractAnimation,
+    QEasingCurve,
+    QEvent,
+    QObject,
+    QPoint,
+    QPropertyAnimation,
+    Qt,
+    QTimer,
+)
+from PySide6.QtWidgets import (
+    QAbstractScrollArea,
+    QGraphicsOpacityEffect,
+    QStackedWidget,
+    QWidget,
+)
+
+#: Durations in milliseconds.
+FAST = 110  # hover-scale feedback, small fades
+BASE = 170  # the default: page and panel transitions
+SLOW = 260  # large travel, e.g. a drawer crossing the workspace
+
+#: Entering elements decelerate; elements that move between two known places
+#: ease in and out; large travel gets a longer tail so it never looks linear.
+EASE_ENTER = QEasingCurve.Type.OutCubic
+EASE_MOVE = QEasingCurve.Type.InOutCubic
+EASE_TRAVEL = QEasingCurve.Type.OutQuint
+
+#: How far an entering surface rises, in device-independent pixels.  Kept small
+#: on purpose: a page that slides a long way reads as a slideshow, not an app.
+RISE = 8
+
+
+def reduced_motion() -> bool:
+    """Whether animation should be skipped entirely.
+
+    Off by default under the offscreen platform so widget grabs in tests and in
+    the packaging smoke checks capture a settled frame rather than a frame from
+    the middle of a fade.  ``DOCTOR_MOTION=on`` / ``off`` overrides either way.
+    """
+
+    override = os.getenv("DOCTOR_MOTION", "").strip().lower()
+    if override in {"off", "0", "false", "none", "reduce"}:
+        return True
+    if override in {"on", "1", "true", "full"}:
+        return False
+    return os.getenv("QT_QPA_PLATFORM", "").strip().lower() == "offscreen"
+
+
+def _own(target: QWidget, key: str, animation: QPropertyAnimation) -> QPropertyAnimation:
+    """Park an animation on its target so Python does not collect it early."""
+
+    running: dict[str, QPropertyAnimation] = getattr(target, "_doctor_motion", None) or {}
+    previous = running.get(key)
+    if previous is not None:
+        previous.stop()
+    running[key] = animation
+    target._doctor_motion = running
+    return animation
+
+
+def animate(
+    target: Any,
+    prop: bytes,
+    start: Any,
+    end: Any,
+    *,
+    duration: int = BASE,
+    easing: QEasingCurve.Type = EASE_ENTER,
+    key: str | None = None,
+    owner: QWidget | None = None,
+    on_finished: Callable[[], None] | None = None,
+) -> QPropertyAnimation | None:
+    """Animate one Qt property, or apply the end value outright if motion is off.
+
+    ``owner`` keeps the animation alive independently of ``target``.  Fades
+    animate a ``QGraphicsOpacityEffect`` that is deleted the moment the fade
+    ends, so parenting the animation to the effect would destroy the animation
+    from inside its own ``finished`` emission.
+    """
+
+    if reduced_motion():
+        target.setProperty(prop.decode() if isinstance(prop, bytes) else prop, end)
+        if on_finished is not None:
+            on_finished()
+        return None
+    animation = QPropertyAnimation(target, prop, owner if owner is not None else target)
+    animation.setDuration(duration)
+    animation.setEasingCurve(easing)
+    animation.setStartValue(start)
+    animation.setEndValue(end)
+    if on_finished is not None:
+        animation.finished.connect(on_finished)
+    _own(owner if owner is not None else target, key or prop.decode(), animation)
+    animation.start(QAbstractAnimation.DeletionPolicy.KeepWhenStopped)
+    return animation
+
+
+def _opacity_effect(widget: QWidget) -> QGraphicsOpacityEffect:
+    effect = widget.graphicsEffect()
+    if not isinstance(effect, QGraphicsOpacityEffect):
+        effect = QGraphicsOpacityEffect(widget)
+        widget.setGraphicsEffect(effect)
+    effect.setEnabled(True)
+    return effect
+
+
+def _drop_effect(widget: QWidget) -> None:
+    """Detach the opacity effect once a fade is done.
+
+    Leaving it attached keeps the widget on Qt's offscreen composite path, which
+    is exactly the sort of quiet, permanent frame-rate tax this module exists to
+    avoid introducing.
+
+    The detach is deferred by one event-loop turn on purpose.  ``finished`` is
+    emitted from inside the animation, and ``setGraphicsEffect(None)`` deletes
+    the old effect immediately - tearing down the object graph underneath a
+    signal that is still being delivered.
+    """
+
+    def detach() -> None:
+        try:
+            if isinstance(widget.graphicsEffect(), QGraphicsOpacityEffect):
+                widget.setGraphicsEffect(None)
+        except RuntimeError:  # the widget went away while the fade was running
+            pass
+
+    QTimer.singleShot(0, detach)
+
+
+def fade_in(
+    widget: QWidget,
+    *,
+    duration: int = BASE,
+    start: float = 0.0,
+    easing: QEasingCurve.Type = EASE_ENTER,
+) -> None:
+    """Fade a widget up to full opacity, showing it first if needed."""
+
+    if reduced_motion():
+        widget.show()
+        return
+    effect = _opacity_effect(widget)
+    effect.setOpacity(start)
+    widget.show()
+    animate(
+        effect,
+        b"opacity",
+        start,
+        1.0,
+        duration=duration,
+        easing=easing,
+        key="fade",
+        owner=widget,
+        on_finished=lambda: _drop_effect(widget),
+    )
+
+
+def fade_out(
+    widget: QWidget,
+    *,
+    duration: int = FAST,
+    hide: bool = True,
+    on_finished: Callable[[], None] | None = None,
+) -> None:
+    """Fade a widget down, optionally hiding it when the fade completes."""
+
+    if reduced_motion():
+        if hide:
+            widget.hide()
+        if on_finished is not None:
+            on_finished()
+        return
+    effect = _opacity_effect(widget)
+
+    def done() -> None:
+        if hide:
+            widget.hide()
+        _drop_effect(widget)
+        if on_finished is not None:
+            on_finished()
+
+    animate(
+        effect,
+        b"opacity",
+        float(effect.opacity()),
+        0.0,
+        duration=duration,
+        easing=EASE_MOVE,
+        key="fade",
+        owner=widget,
+        on_finished=done,
+    )
+
+
+def enter(widget: QWidget, *, duration: int = BASE, rise: int = RISE) -> None:
+    """Fade a surface in while it settles upward by a few pixels.
+
+    The rise is what makes a swap read as one surface replacing another rather
+    than as a repaint; keeping it under ten pixels stops it becoming a gesture
+    the user has to wait out.
+    """
+
+    if reduced_motion():
+        widget.show()
+        return
+    fade_in(widget, duration=duration)
+    if rise:
+        origin = widget.pos()
+        widget.move(origin + QPoint(0, rise))
+        animate(
+            widget,
+            b"pos",
+            widget.pos(),
+            origin,
+            duration=duration,
+            easing=EASE_ENTER,
+            key="enter",
+        )
+
+
+def switch_stack(stack: QStackedWidget, index: int, *, rise: int = RISE) -> None:
+    """Change the current page of a stack with a short cross-fade.
+
+    ``QStackedWidget`` swaps pages between two frames with nothing in between,
+    which is the single most-seen transition in this product - it happens on
+    every sidebar click and on every list that toggles to its empty state.
+    """
+
+    if index < 0 or index >= stack.count() or stack.currentIndex() == index:
+        stack.setCurrentIndex(index)
+        return
+    stack.setCurrentIndex(index)
+    page = stack.currentWidget()
+    if page is None or reduced_motion():
+        return
+    enter(page, rise=rise)
+
+
+# --- Smooth scrolling -----------------------------------------------------
+
+#: One wheel notch travels this far, and takes this long to get there.  Qt's
+#: default is an instant jump of three lines per notch, which on a long clinical
+#: record is the single jerkiest thing in the interface.
+SCROLL_STEP = 120
+SCROLL_MS = 190
+
+
+class _SmoothScroller(QObject):
+    """Animate a scroll area's wheel movement instead of jumping to it."""
+
+    def __init__(self, area: QAbstractScrollArea, *, orientation: Qt.Orientation) -> None:
+        super().__init__(area)
+        self._bar = (
+            area.verticalScrollBar()
+            if orientation is Qt.Orientation.Vertical
+            else area.horizontalScrollBar()
+        )
+        self._target = self._bar.value()
+        self._animation = QPropertyAnimation(self._bar, b"value", self)
+        self._animation.setEasingCurve(EASE_ENTER)
+        self._animation.setDuration(SCROLL_MS)
+        # Keyboard, programmatic and drag movements must not be fought over: when
+        # nothing is animating, the wheel target follows wherever the bar went.
+        self._bar.valueChanged.connect(self._sync_target)
+        area.viewport().installEventFilter(self)
+
+    def _sync_target(self, value: int) -> None:
+        if self._animation.state() != QAbstractAnimation.State.Running:
+            self._target = value
+
+    def eventFilter(self, watched: QObject, event: QEvent) -> bool:  # noqa: N802 - Qt API
+        del watched
+        if event.type() is not QEvent.Type.Wheel or reduced_motion():
+            return False
+        delta = event.angleDelta().y() or event.angleDelta().x()
+        if not delta or event.modifiers() & Qt.KeyboardModifier.ControlModifier:
+            return False
+        lower, upper = self._bar.minimum(), self._bar.maximum()
+        # Re-clamp first: the range can shrink underneath a running animation
+        # when the content behind it reloads, which would otherwise leave the
+        # pending target past the end of the new content.
+        self._target = max(lower, min(upper, self._target))
+        target = self._target - round(delta / 120.0 * SCROLL_STEP)
+        target = max(lower, min(upper, target))
+        # At either end, hand the wheel back so an enclosing scroll area still
+        # gets it - swallowing it there is what makes nested panes feel stuck.
+        if target == self._target:
+            return False
+        self._target = target
+        self._animation.stop()
+        self._animation.setStartValue(self._bar.value())
+        self._animation.setEndValue(target)
+        self._animation.start()
+        return True
+
+
+def install_smooth_scroll(
+    area: QAbstractScrollArea,
+    *,
+    orientation: Qt.Orientation = Qt.Orientation.Vertical,
+) -> None:
+    """Give a scroll area eased wheel scrolling."""
+
+    if getattr(area, "_doctor_smooth_scroll", None) is not None:
+        return
+    area._doctor_smooth_scroll = _SmoothScroller(area, orientation=orientation)
+
+
+def press_feedback(widget: QWidget) -> None:
+    """Mark a widget so the shared stylesheet can give it a pressed transform.
+
+    Qt has no CSS transitions, so the visual step itself lives in the palette's
+    pressed state; this only tags the widget as one that should get it.
+    """
+
+    widget.setProperty("motionPress", True)
+
+
+__all__ = [
+    "BASE",
+    "EASE_ENTER",
+    "EASE_MOVE",
+    "EASE_TRAVEL",
+    "FAST",
+    "RISE",
+    "SLOW",
+    "animate",
+    "enter",
+    "fade_in",
+    "fade_out",
+    "install_smooth_scroll",
+    "press_feedback",
+    "reduced_motion",
+    "switch_stack",
+]

app/src/doctor_workstation/ui/patient_orders_style.py

@@ -0,0 +1,119 @@
+"""Scoped surfaces for the approved patient order-management workspace."""
+
+from string import Template
+
+from .reception_style import body_family
+
+
+def patient_orders_stylesheet() -> str:
+    return Template(_ORDERS).substitute(body=body_family())
+
+
+_ORDERS = """
+#PatientOrdersWorkspace { background: transparent; color: #273244; }
+#OrderWorkspaceContent, #OrderWorkspaceScroll { background: transparent; border: 0; }
+#PatientOrdersWorkspace QLabel, #PatientOrdersWorkspace QPushButton,
+#PatientOrdersWorkspace QToolButton, #PatientOrdersWorkspace QLineEdit,
+#PatientOrdersWorkspace QComboBox, #PatientOrdersWorkspace QDateEdit,
+#PatientOrdersWorkspace QCheckBox, #PatientOrdersWorkspace QTableWidget {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#PatientOrdersWorkspace QLabel[role="muted"] { font-size: 13px; color: #5D6B80; }
+#PatientOrdersWorkspace QFrame#OrderFilterCard,
+#PatientOrdersWorkspace QFrame#OrderSummaryStrip,
+#PatientOrdersWorkspace QFrame#OrderTableCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#PatientOrdersWorkspace QPushButton, #PatientOrdersWorkspace QToolButton {
+    min-height: 38px; max-height: 38px; padding: 0 16px; border: 1px solid #DBE5F2;
+    border-radius: 5px; background: #FFFFFF; color: #273244;
+}
+#PatientOrdersWorkspace QPushButton:hover, #PatientOrdersWorkspace QToolButton:hover {
+    background: #F2F7FF; border-color: #B6CDEE; color: #1555B6;
+}
+#PatientOrdersWorkspace QPushButton:pressed, #PatientOrdersWorkspace QToolButton:pressed { background: #DCEAFF; }
+#PatientOrdersWorkspace QPushButton:focus, #PatientOrdersWorkspace QToolButton:focus { border-color: #75A5F0; }
+#PatientOrdersWorkspace QPushButton#OrderSearchButton,
+#PatientOrdersWorkspace QPushButton#OrderDetailButton {
+    color: #FFFFFF; background: #1769E8; border-color: #1769E8;
+}
+#PatientOrdersWorkspace QPushButton#OrderSearchButton:hover,
+#PatientOrdersWorkspace QPushButton#OrderDetailButton:hover { background: #155BCC; border-color: #155BCC; }
+#PatientOrdersWorkspace QPushButton:disabled, #PatientOrdersWorkspace QToolButton:disabled {
+    color: #97A4B6; background: #F6F8FC; border-color: #E2E9F2;
+}
+#PatientOrdersWorkspace QLineEdit, #PatientOrdersWorkspace QComboBox,
+#PatientOrdersWorkspace QDateEdit {
+    min-height: 38px; max-height: 38px; padding: 0 10px; font-size: 13px;
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 5px;
+    selection-background-color: #DCEAFF; selection-color: #273244;
+}
+#PatientOrdersWorkspace QLineEdit:focus, #PatientOrdersWorkspace QComboBox:focus,
+#PatientOrdersWorkspace QDateEdit:focus { border-color: #75A5F0; }
+#PatientOrdersWorkspace QLineEdit QToolButton {
+    min-height: 0; max-height: 24px; min-width: 0; border: 0; padding: 0; background: transparent;
+}
+#PatientOrdersWorkspace QComboBox { padding-right: 30px; }
+#PatientOrdersWorkspace QComboBox::drop-down { border: 0; width: 28px; background: transparent; }
+#PatientOrdersWorkspace QComboBox::down-arrow { image: none; width: 0; height: 0; }
+#PatientOrdersWorkspace QComboBox QAbstractItemView {
+    font-family: "$body"; font-size: 13px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; outline: 0; selection-background-color: #EAF2FF; selection-color: #1555B6;
+}
+#PatientOrdersWorkspace QComboBox QAbstractItemView::item { min-height: 30px; padding: 3px 10px; }
+#PatientOrdersWorkspace QDateEdit { padding-right: 26px; }
+#PatientOrdersWorkspace QDateEdit::drop-down { border: 0; width: 24px; background: transparent; }
+#PatientOrdersWorkspace QDateEdit::down-arrow { image: none; width: 0; height: 0; }
+#PatientOrdersWorkspace QDateEdit:disabled { color: #8A97A9; background: #F6F8FC; border-color: #E2E9F2; }
+#PatientOrdersWorkspace QCalendarWidget {
+    font-family: "$body"; font-size: 13px; background: #FFFFFF; color: #273244;
+}
+#PatientOrdersWorkspace QCalendarWidget QWidget#qt_calendar_navigationbar { background: #F5F8FD; }
+#PatientOrdersWorkspace QCalendarWidget QToolButton {
+    min-height: 28px; max-height: 28px; padding: 0 8px; border: 0; background: transparent;
+    font-family: "$body"; font-size: 13px; color: #273244;
+}
+#PatientOrdersWorkspace QCalendarWidget QToolButton:hover { background: #EAF2FF; }
+#PatientOrdersWorkspace QCalendarWidget QAbstractItemView {
+    font-family: "$body"; font-size: 13px; background: #FFFFFF; alternate-background-color: #FFFFFF;
+    color: #273244; selection-background-color: #1769E8; selection-color: #FFFFFF; outline: 0;
+}
+#PatientOrdersWorkspace QCheckBox { spacing: 9px; font-size: 13px; }
+#PatientOrdersWorkspace QCheckBox::indicator {
+    width: 15px; height: 15px; border: 1px solid #C5D5EB; border-radius: 3px; background: #FFFFFF;
+}
+#PatientOrdersWorkspace QCheckBox::indicator:checked { background: #1769E8; border-color: #1769E8; }
+#PatientOrdersWorkspace QCheckBox::indicator:hover { border-color: #75A5F0; }
+#PatientOrdersWorkspace QCheckBox:focus { color: #1555B6; }
+#PatientOrdersWorkspace QFrame#OrderMetricCell { background: transparent; border: 0; }
+#PatientOrdersWorkspace QFrame#OrderMetricDivider { border: 0; background: #DBE5F2; }
+#PatientOrdersWorkspace QLabel[orderMetricCaption="true"] { color: #5D6B80; font-size: 13px; }
+#PatientOrdersWorkspace QLabel[orderMetricValue="true"] { color: #273244; font-size: 18px; font-weight: 500; }
+#PatientOrdersWorkspace QLabel#OrderAmountMetric { color: #1769E8; }
+#PatientOrdersWorkspace QLabel[role="sectionTitle"] { font-size: 14px; font-weight: 600; }
+#PatientOrdersWorkspace QTableWidget#OrderTable {
+    border: 1px solid #E6EDF6; border-radius: 0; background: #FFFFFF; alternate-background-color: #FFFFFF;
+    selection-background-color: #F5F8FF; selection-color: #273244; gridline-color: #E6EDF6;
+}
+#PatientOrdersWorkspace QTableWidget#OrderTable::item { padding: 0; border: 0; }
+#PatientOrdersWorkspace QTableWidget#OrderTable QHeaderView::section {
+    min-height: 44px; padding: 0 16px; background: #F8FAFD; color: #5D6B80;
+    border: 0; border-bottom: 1px solid #E1E9F4;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#PatientOrdersWorkspace QWidget#OrderActionBar { background: #FFFFFF; }
+#PatientOrdersWorkspace QToolButton#OrderActionButton { padding-right: 28px; }
+#PatientOrdersWorkspace QToolButton#OrderActionButton::menu-indicator { image: none; width: 0; height: 0; }
+#PatientOrdersWorkspace QWidget#InfiniteList { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#PatientOrdersWorkspace QMenu, QMenu#OrderActionMenu {
+    font-family: "$body"; font-size: 13px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; padding: 5px;
+}
+#PatientOrdersWorkspace QMenu::item, QMenu#OrderActionMenu::item { padding: 8px 24px; }
+#PatientOrdersWorkspace QMenu::item:selected, QMenu#OrderActionMenu::item:selected { color: #1555B6; background: #EAF2FF; }
+#PatientOrdersWorkspace QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#PatientOrdersWorkspace QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#PatientOrdersWorkspace QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#PatientOrdersWorkspace QScrollBar::add-line, #PatientOrdersWorkspace QScrollBar::sub-line { width: 0; height: 0; }
+#PatientOrdersWorkspace QScrollBar::add-page, #PatientOrdersWorkspace QScrollBar::sub-page { background: transparent; }
+"""

app/src/doctor_workstation/ui/patient_progress_style.py

@@ -0,0 +1,54 @@
+"""Local typography and surfaces for the approved consultation-progress page."""
+
+from string import Template
+
+from .reception_style import body_family
+
+
+def patient_progress_stylesheet() -> str:
+    return Template(_PROGRESS).substitute(body=body_family())
+
+
+_PROGRESS = """
+#PatientProgressWorkspace { background: transparent; color: #273244; }
+#ProgressWorkspaceContent, #ProgressWorkspaceScroll { background: transparent; border: 0; }
+#PatientProgressWorkspace QLabel, #PatientProgressWorkspace QPushButton,
+#PatientProgressWorkspace QTableWidget {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#PatientProgressWorkspace QLabel[role="muted"] { font-size: 13px; color: #5D6B80; }
+#PatientProgressWorkspace QLabel[role="sectionTitle"] { font-size: 14px; font-weight: 600; }
+#PatientProgressWorkspace QLabel#EmptyStateGlyph {
+    font-size: 24px; color: #1769E8; background: #F2F7FF;
+    border: 1px solid #DBE5F2; border-radius: 22px;
+}
+#PatientProgressWorkspace QFrame#ProgressOverviewCard,
+#PatientProgressWorkspace QFrame#ProgressScheduleCard,
+#PatientProgressWorkspace QFrame#ProgressQueueCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#PatientProgressWorkspace QFrame#ProgressMetricCell { background: transparent; border: 0; }
+#PatientProgressWorkspace QFrame#ProgressMetricDivider { background: #DBE5F2; border: 0; }
+#PatientProgressWorkspace QLabel[progressMetricValue="true"] { font-size: 18px; font-weight: 500; color: #273244; }
+#PatientProgressWorkspace QLabel#ProgressTotalMetric { color: #1769E8; }
+#PatientProgressWorkspace QSplitter#ProgressSplitter { background: transparent; }
+#PatientProgressWorkspace QSplitter#ProgressSplitter::handle { background: transparent; }
+#PatientProgressWorkspace QSplitter#ProgressSplitter::handle:hover { background: #EAF2FF; }
+#PatientProgressWorkspace QTableWidget#ProgressScheduleTable,
+#PatientProgressWorkspace QTableWidget#ProgressQueueTable {
+    border: 0; border-radius: 0; background: #FFFFFF; alternate-background-color: #FFFFFF;
+    selection-background-color: #F2F7FF; selection-color: #273244; gridline-color: #E6EDF6;
+}
+#PatientProgressWorkspace QTableWidget::item { border: 0; padding: 0; }
+#PatientProgressWorkspace QHeaderView::section {
+    min-height: 0; padding: 0 16px; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-bottom: 1px solid #E1E9F4;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#PatientProgressWorkspace QWidget#InfiniteList { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#PatientProgressWorkspace QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#PatientProgressWorkspace QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#PatientProgressWorkspace QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#PatientProgressWorkspace QScrollBar::add-line, #PatientProgressWorkspace QScrollBar::sub-line { width: 0; height: 0; }
+#PatientProgressWorkspace QScrollBar::add-page, #PatientProgressWorkspace QScrollBar::sub-page { background: transparent; }
+"""

app/src/doctor_workstation/ui/patients_style.py

@@ -0,0 +1,141 @@
+"""Scoped technology-blue surfaces for the approved patient-list workspace."""
+
+from string import Template
+
+from .reception_style import body_family, heading_family
+
+
+def patients_chrome_stylesheet() -> str:
+    return Template(_CHROME).substitute(body=body_family(), heading=heading_family())
+
+
+def patient_list_stylesheet() -> str:
+    return Template(_LIST).substitute(body=body_family())
+
+
+_CHROME = """
+#PatientsPage { background: #F3F7FD; }
+#PatientsPage QWidget#PageHeader QLabel {
+    font-family: "$body"; font-size: 13px; font-weight: 400; color: #5D6B80;
+}
+#PatientsPage QWidget#PageHeader QLabel[role="pageTitle"] {
+    font-family: "$heading"; font-size: 20px; font-weight: 600; color: #202C3F;
+}
+#PatientsPage QPushButton#PatientRefreshButton {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+    min-height: 38px; max-height: 38px; padding: 0 20px;
+    border: 1px solid #DBE5F2; border-radius: 5px; background: #FFFFFF;
+}
+#PatientsPage QPushButton#PatientRefreshButton:hover { background: #F2F7FF; border-color: #B6CDEE; }
+#PatientsPage QTabWidget#PatientWorkspaceTabs::pane { border: 0; background: transparent; top: 0; }
+#PatientsPage QTabWidget#PatientWorkspaceTabs > QTabBar::tab {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+    min-width: 84px; min-height: 42px; padding: 0 10px; margin-right: 22px;
+    border: 0; border-bottom: 2px solid transparent; border-radius: 0; background: transparent;
+}
+#PatientsPage QTabWidget#PatientWorkspaceTabs > QTabBar::tab:selected {
+    color: #1769E8; border-bottom-color: #1769E8; background: transparent;
+}
+#PatientsPage QTabWidget#PatientWorkspaceTabs > QTabBar::tab:hover { color: #1769E8; background: #EAF2FF; }
+"""
+
+_LIST = """
+#PatientListWorkspace { background: transparent; color: #273244; }
+#PatientWorkspaceContent, #PatientWorkspaceScroll { background: transparent; border: 0; }
+#PatientListWorkspace QLabel, #PatientListWorkspace QPushButton,
+#PatientListWorkspace QToolButton, #PatientListWorkspace QDateEdit,
+#PatientListWorkspace QTableWidget, #PatientSearchToolbar QLineEdit,
+#PatientSearchToolbar QPushButton {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#PatientListWorkspace QLabel[role="muted"], #PatientListWorkspace QLabel[filterLabel="true"] {
+    color: #5D6B80; font-size: 13px;
+}
+#PatientListWorkspace QFrame#PatientFilterCard,
+#PatientListWorkspace QFrame#PatientSummaryStrip,
+#PatientListWorkspace QFrame#PatientListCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#PatientListWorkspace QPushButton, #PatientSearchToolbar QPushButton {
+    min-height: 38px; max-height: 38px; padding: 0 16px;
+    border: 1px solid #DBE5F2; border-radius: 5px; background: #FFFFFF;
+}
+#PatientListWorkspace QPushButton:hover, #PatientSearchToolbar QPushButton:hover {
+    color: #1555B6; background: #F2F7FF; border-color: #B6CDEE;
+}
+#PatientListWorkspace QPushButton:pressed, #PatientSearchToolbar QPushButton:pressed { background: #DCEAFF; }
+#PatientListWorkspace QPushButton:focus, #PatientSearchToolbar QPushButton:focus { border-color: #75A5F0; }
+#PatientSearchToolbar QPushButton#PatientSearchButton {
+    min-height: 38px; max-height: 38px; color: #FFFFFF; background: #1769E8; border-color: #1769E8;
+}
+#PatientSearchToolbar QPushButton#PatientSearchButton:hover { background: #155BCC; }
+#PatientSearchToolbar QLineEdit {
+    min-height: 38px; max-height: 38px; padding: 0 8px; background: #FFFFFF;
+    border: 1px solid #DBE5F2; border-radius: 5px; selection-background-color: #DCEAFF;
+}
+#PatientSearchToolbar QLineEdit:focus { border-color: #75A5F0; }
+#PatientSearchToolbar QLineEdit QToolButton { border: 0; padding: 0; background: transparent; }
+#PatientListWorkspace QPushButton[patientStatusChip="true"] {
+    min-height: 44px; max-height: 44px; padding: 0 16px; font-size: 13px;
+    color: #273244; border: 0; border-bottom: 2px solid transparent; border-radius: 0; background: transparent;
+}
+#PatientListWorkspace QPushButton[patientStatusChip="true"]:checked {
+    color: #1769E8; border-bottom-color: #1769E8; background: transparent;
+}
+#PatientListWorkspace QPushButton[patientStatusChip="true"]:hover { color: #1769E8; background: #F2F7FF; }
+#PatientListWorkspace QPushButton[patientQuickDate="true"] { padding: 0 12px; font-size: 13px; }
+#PatientListWorkspace QPushButton[patientQuickDate="true"]:checked,
+#PatientListWorkspace QPushButton#PatientCustomDateButton:checked {
+    color: #FFFFFF; background: #1769E8; border: 1px solid #1769E8;
+}
+#PatientListWorkspace QDateEdit {
+    min-height: 38px; max-height: 38px; padding: 0 8px; font-size: 13px;
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 5px;
+    selection-background-color: #DCEAFF;
+}
+#PatientListWorkspace QDateEdit:focus { border-color: #75A5F0; }
+#PatientListWorkspace QDateEdit:disabled {
+    color: #8A97A9; background: #F6F8FC; border-color: #E2E9F2;
+}
+#PatientListWorkspace QDateEdit::drop-down { border: 0; width: 20px; background: transparent; }
+#PatientListWorkspace QDateEdit::down-arrow { image: none; width: 0; height: 0; }
+#PatientListWorkspace QPushButton[summaryCard="true"] {
+    min-height: 64px; max-height: 64px; padding: 0; background: transparent; border: 0; border-radius: 5px;
+}
+#PatientListWorkspace QPushButton[summaryCard="true"]:hover { background: #F2F7FF; }
+#PatientListWorkspace QFrame#PatientSummaryDivider { border: 0; background: #E1E9F4; }
+#PatientListWorkspace QWidget#PatientListHeading { background: transparent; }
+#PatientListWorkspace QLabel[role="sectionTitle"] { font-size: 14px; font-weight: 600; color: #273244; }
+#PatientListWorkspace QTableWidget#PatientTable {
+    background: #FFFFFF; alternate-background-color: #FFFFFF; border: 0; border-radius: 0;
+    selection-background-color: #EAF2FF; selection-color: #273244; gridline-color: #E6EDF6;
+}
+#PatientListWorkspace QTableWidget#PatientTable::item { padding: 0; border: 0; }
+#PatientListWorkspace QTableWidget#PatientTable QHeaderView::section {
+    min-height: 41px; padding: 0 10px; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-top: 1px solid #E6EDF6; border-bottom: 1px solid #E1E9F4;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#PatientListWorkspace QWidget#RowActions, #PatientListWorkspace QWidget#PatientSelectorHost { background: transparent; }
+#PatientListWorkspace QPushButton[rowAction="true"],
+#PatientListWorkspace QToolButton#RowActionsMore {
+    min-height: 28px; max-height: 28px; padding: 0 5px; border: 0;
+    border-radius: 4px; background: transparent; color: #1769E8; font-size: 13px;
+}
+#PatientListWorkspace QToolButton#RowActionsMore { color: #273244; padding-right: 16px; }
+#PatientListWorkspace QPushButton[rowAction="true"]:hover,
+#PatientListWorkspace QToolButton#RowActionsMore:hover { background: #DCEAFF; }
+#PatientListWorkspace QMenu { background: #FFFFFF; color: #273244; border: 1px solid #DBE5F2; padding: 4px; }
+#PatientListWorkspace QMenu::item { padding: 7px 22px; font-size: 13px; }
+#PatientListWorkspace QMenu::item:selected { background: #EAF2FF; color: #1555B6; }
+#PatientListWorkspace QCheckBox[patientSelector="true"]::indicator {
+    width: 13px; height: 13px; background: #FFFFFF; border: 1px solid #CBDAED; border-radius: 3px;
+}
+#PatientListWorkspace QCheckBox[patientSelector="true"]::indicator:checked { background: #1769E8; border-color: #1769E8; }
+#PatientListWorkspace QWidget#InfiniteList { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#PatientListWorkspace QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#PatientListWorkspace QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#PatientListWorkspace QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#PatientListWorkspace QScrollBar::add-line, #PatientListWorkspace QScrollBar::sub-line { width: 0; height: 0; }
+#PatientListWorkspace QScrollBar::add-page, #PatientListWorkspace QScrollBar::sub-page { background: transparent; }
+"""

app/src/doctor_workstation/ui/prescription_library_style.py

@@ -0,0 +1,359 @@
+"""Local technology-blue rendering for the approved prescription library."""
+
+from __future__ import annotations
+
+from collections.abc import Iterable
+from string import Template
+from typing import Any
+
+from PySide6.QtCore import QModelIndex, QRectF, QSize, Qt
+from PySide6.QtGui import QColor, QFont, QFontMetrics, QIcon, QPainter
+from PySide6.QtWidgets import (
+    QComboBox,
+    QPushButton,
+    QStyle,
+    QStyledItemDelegate,
+    QToolTip,
+    QWidget,
+)
+
+from .reception_style import body_family, heading_family
+from .widgets import SortableTable, first_value
+
+
+def library_stylesheet() -> str:
+    return Template(_LIBRARY).substitute(body=body_family(), heading=heading_family())
+
+
+def _library_icon(kind: str, color: str = "#1769E8", size: int = 15) -> QIcon:
+    # Defer the page helper lookup so importing this module alone does not
+    # recurse through pages.__init__ and the library page's own style import.
+    from .pages.prescriptions import _painted_icon
+
+    result = QIcon()
+    for mode, tint in (
+        (QIcon.Mode.Normal, color),
+        (QIcon.Mode.Active, color),
+        (QIcon.Mode.Selected, color),
+        (QIcon.Mode.Disabled, "#A4ADBA"),
+    ):
+        pixmap = _painted_icon(kind, tint, size).pixmap(QSize(size, size))
+        for state in (QIcon.State.Off, QIcon.State.On):
+            result.addPixmap(pixmap, mode, state)
+    return result
+
+
+class LibraryComboBox(QComboBox):
+    """Keep native combo interaction while painting the local caret."""
+
+    def paintEvent(self, event: Any) -> None:  # noqa: N802 - Qt virtual
+        super().paintEvent(event)
+        painter = QPainter(self)
+        try:
+            rect = QRectF(self.width() - 25, (self.height() - 14) / 2, 14, 14)
+            mode = QIcon.Mode.Normal if self.isEnabled() else QIcon.Mode.Disabled
+            _library_icon("chevron_down", "#5D6B80", 14).paint(painter, rect.toRect(), mode=mode)
+        finally:
+            painter.end()
+
+
+class LibraryTable(SortableTable):
+    """Repaint existing action widgets and restore selection by template ID."""
+
+    def set_rows(self, rows: Iterable[Any]) -> None:
+        selected_id = first_value(self.current_data(), "id", "template_id", default=None)
+        super().set_rows(rows)
+        # The shared table restores an unsorted row index after enabling sort.
+        # Locate the same source object in the finished visual order instead.
+        if selected_id is not None:
+            for row_index in range(self.rowCount()):
+                item = self.item(row_index, 0)
+                row = item.data(Qt.ItemDataRole.UserRole) if item is not None else None
+                row_id = first_value(row, "id", "template_id", default=None)
+                if row_id is not None and str(row_id) == str(selected_id):
+                    self.selectRow(row_index)
+                    return
+        self.clearSelection()
+        self.setCurrentCell(-1, -1)
+
+    def setCellWidget(self, row: int, column: int, widget: QWidget | None) -> None:  # noqa: N802
+        super().setCellWidget(row, column, widget)
+        if widget is None or column != 9:
+            return
+        widget.setObjectName("PrescriptionLibraryTableCellHost")
+        widget.setAutoFillBackground(False)
+        glyphs = {
+            "查看处方模板": "eye",
+            "AI 解释": "spark",
+            "编辑处方模板": "pencil",
+            "删除处方模板": "trash",
+        }
+        for button in widget.findChildren(QPushButton):
+            if not button.property("rowAction"):
+                continue
+            glyph = glyphs.get(button.accessibleName()) or glyphs.get(button.toolTip())
+            if glyph is not None:
+                color = "#BE4657" if button.property("danger") else "#1769E8"
+                button.setIcon(_library_icon(glyph, color, button.iconSize().width()))
+
+
+def _library_font(size: int = 14, *, medium: bool = False) -> QFont:
+    font = QFont(heading_family() if medium else body_family())
+    font.setPixelSize(size)
+    font.setWeight(QFont.Weight.Medium if medium else QFont.Weight.Normal)
+    return font
+
+
+def _elide(text: str, metrics: QFontMetrics, width: int) -> str:
+    return metrics.elidedText(text, Qt.TextElideMode.ElideRight, max(1, width))
+
+
+def _herb_lines(text: str, metrics: QFontMetrics, width: int) -> list[str]:
+    """Wrap between complete herb entries; elide only the displayed lines."""
+    entries = text.split("、")
+    first = entries[0]
+    next_index = 1
+    while next_index < min(2, len(entries)):
+        candidate = first + "、" + entries[next_index]
+        if metrics.horizontalAdvance(candidate) > width:
+            break
+        first = candidate
+        next_index += 1
+    lines = [_elide(first, metrics, width)]
+    if next_index < len(entries):
+        lines.append(_elide("、".join(entries[next_index:]), metrics, width))
+    return lines
+
+
+def _name_lines(text: str, metrics: QFontMetrics, width: int) -> list[str]:
+    if metrics.horizontalAdvance(text) <= width:
+        return [text]
+    split = 1
+    while split < len(text) and metrics.horizontalAdvance(text[: split + 1]) <= width:
+        split += 1
+    return [_elide(text[:split], metrics, width), _elide(text[split:], metrics, width)]
+
+
+class LibraryItemDelegate(QStyledItemDelegate):
+    """Paint the ten existing columns without changing display or source roles."""
+
+    def sizeHint(self, option: Any, index: QModelIndex) -> QSize:  # noqa: N802
+        size = super().sizeHint(option, index)
+        size.setHeight(78)
+        return size
+
+    def helpEvent(self, event: Any, view: Any, option: Any, index: QModelIndex) -> bool:  # noqa: N802
+        if event is not None and index.isValid() and index.column() != 9:
+            text = index.data(Qt.ItemDataRole.ToolTipRole) or index.data(Qt.ItemDataRole.DisplayRole)
+            if text:
+                QToolTip.showText(event.globalPos(), str(text), view)
+                return True
+        return super().helpEvent(event, view, option, index)
+
+    @staticmethod
+    def _paint_lines(
+        painter: QPainter,
+        rect: QRectF,
+        lines: list[str],
+        *,
+        secondary_muted: bool = False,
+    ) -> None:
+        line_height = 26
+        top = rect.center().y() - len(lines) * line_height / 2
+        for line_index, line in enumerate(lines):
+            if secondary_muted and line_index:
+                painter.setFont(_library_font(13))
+                painter.setPen(QColor("#5D6B80"))
+            line_rect = QRectF(rect.left(), top + line_index * line_height, rect.width(), line_height)
+            painter.drawText(line_rect, Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter, line)
+
+    def paint(self, painter: QPainter, option: Any, index: QModelIndex) -> None:
+        painter.save()
+        try:
+            painter.setClipRect(option.rect)
+            selected = bool(option.state & QStyle.StateFlag.State_Selected)
+            hovered = bool(option.state & QStyle.StateFlag.State_MouseOver)
+            background = "#F2F7FF" if selected else "#F8FAFE" if hovered else "#FFFFFF"
+            painter.fillRect(option.rect, QColor(background))
+            painter.setPen(QColor("#E6EDF6"))
+            painter.drawLine(option.rect.bottomLeft(), option.rect.bottomRight())
+            if selected and index.column() == 0:
+                stripe = QRectF(option.rect.left(), option.rect.top(), 3, option.rect.height() - 1)
+                painter.fillRect(stripe, QColor("#1769E8"))
+            if option.state & QStyle.StateFlag.State_HasFocus:
+                painter.setPen(QColor("#75A5F0"))
+                painter.setBrush(Qt.BrushStyle.NoBrush)
+                painter.drawRect(option.rect.adjusted(1, 1, -2, -2))
+
+            column = index.column()
+            if column == 9:
+                return
+            rect = QRectF(option.rect.adjusted(12, 0, -12, -1))
+            if rect.width() <= 0:
+                return
+            value = index.data(Qt.ItemDataRole.DisplayRole)
+            text = "" if value is None else str(value)
+            font = _library_font(medium=column == 1)
+            painter.setFont(font)
+            painter.setPen(QColor("#273244"))
+            metrics = QFontMetrics(font)
+            width = int(rect.width())
+
+            if column == 2:
+                painter.setFont(_library_font(13))
+                metrics = painter.fontMetrics()
+                label = _elide(text, metrics, width - 12)
+                pill_width = min(rect.width(), metrics.horizontalAdvance(label) + 14)
+                pill = QRectF(rect.center().x() - pill_width / 2, rect.center().y() - 12, pill_width, 24)
+                painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+                painter.setPen(Qt.PenStyle.NoPen)
+                painter.setBrush(QColor("#EAF2FF"))
+                painter.drawRoundedRect(pill, 4, 4)
+                painter.setPen(QColor("#1769E8"))
+                painter.drawText(pill, Qt.AlignmentFlag.AlignCenter, label)
+            elif column == 6:
+                glyph = "users" if text == "所有人可见" else "lock"
+                icon_rect = QRectF(rect.left(), rect.center().y() - 7, 14, 14)
+                _library_icon(glyph, "#5D6B80", 14).paint(painter, icon_rect.toRect())
+                label_rect = rect.adjusted(22, 0, 0, 0)
+                painter.drawText(
+                    label_rect,
+                    Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter,
+                    _elide(text, metrics, int(label_rect.width())),
+                )
+            elif column == 4:
+                self._paint_lines(painter, rect, _herb_lines(text, metrics, width))
+            elif column == 8:
+                parts = text.splitlines() if "\n" in text else text.rsplit(" ", 1)
+                lines = [_elide(parts[0], metrics, width)]
+                if len(parts) > 1:
+                    lines.append(_elide(" ".join(parts[1:]), QFontMetrics(_library_font(13)), width))
+                self._paint_lines(painter, rect, lines, secondary_muted=True)
+            elif column == 1:
+                self._paint_lines(painter, rect, _name_lines(text, metrics, width))
+            else:
+                alignment = Qt.AlignmentFlag.AlignCenter if column in (0, 3, 5) else (
+                    Qt.AlignmentFlag.AlignLeft | Qt.AlignmentFlag.AlignVCenter
+                )
+                painter.drawText(rect, alignment, _elide(text, metrics, width))
+        finally:
+            painter.restore()
+
+
+_LIBRARY = """
+#PrescriptionLibraryPage { background: #F3F7FD; color: #273244; }
+#PrescriptionLibraryPage QWidget#PrescriptionLibraryContent,
+#PrescriptionLibraryPage QScrollArea#PrescriptionLibraryScroll,
+#PrescriptionLibraryPage QScrollArea#PrescriptionLibraryToolbarScroll {
+    background: transparent; border: 0;
+}
+#PrescriptionLibraryPage QLabel, #PrescriptionLibraryPage QPushButton,
+#PrescriptionLibraryPage QLineEdit, #PrescriptionLibraryPage QComboBox,
+#PrescriptionLibraryPage QTableWidget {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#PrescriptionLibraryPage QLabel[role="pageTitle"] {
+    font-family: "$heading"; font-size: 20px; font-weight: 600; color: #202C3F;
+}
+#PrescriptionLibraryPage QLabel[role="muted"] { color: #5D6B80; font-size: 13px; }
+#PrescriptionLibraryPage QFrame#MetricCard,
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryFilterBar,
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryTableCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#PrescriptionLibraryPage QFrame#MetricCard QLabel[role="metricTitle"] {
+    font-family: "$body"; color: #5D6B80; font-size: 13px; font-weight: 400;
+}
+#PrescriptionLibraryPage QFrame#MetricCard QLabel[role="metricValue"] {
+    font-family: "$heading"; color: #273244; font-size: 18px; font-weight: 600;
+}
+#PrescriptionLibraryPage QFrame#MetricCard QLabel[metricIcon="true"] {
+    border: 0; border-radius: 0; background: transparent;
+}
+#PrescriptionLibraryPage QPushButton {
+    min-height: 38px; max-height: 38px; padding: 0 16px; border-radius: 5px;
+    border: 1px solid #DBE5F2; background: #FFFFFF; color: #273244;
+}
+#PrescriptionLibraryPage QPushButton:hover { background: #F2F7FF; border-color: #B6CDEE; color: #1555B6; }
+#PrescriptionLibraryPage QPushButton:pressed { background: #DCEAFF; }
+#PrescriptionLibraryPage QPushButton:focus { border-color: #75A5F0; }
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryAddButton,
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryQueryButton {
+    background: #1769E8; border-color: #1769E8; color: #FFFFFF;
+}
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryAddButton:hover,
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryQueryButton:hover {
+    background: #155BCC; border-color: #155BCC;
+}
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryAddButton:pressed,
+#PrescriptionLibraryPage QPushButton#PrescriptionLibraryQueryButton:pressed {
+    background: #124EA9; border-color: #124EA9;
+}
+#PrescriptionLibraryPage QPushButton[variant="danger"] { color: #BE4657; border-color: #E9D8DE; }
+#PrescriptionLibraryPage QPushButton:disabled,
+#PrescriptionLibraryPage QPushButton[variant="danger"]:disabled {
+    color: #97A4B6; background: #F6F8FC; border-color: #E2E9F2;
+}
+#PrescriptionLibraryPage QLineEdit, #PrescriptionLibraryPage QComboBox {
+    min-height: 38px; max-height: 38px; padding: 0 12px; border: 1px solid #DBE5F2;
+    border-radius: 5px; background: #FFFFFF; color: #273244;
+    selection-background-color: #DCEAFF; selection-color: #273244;
+}
+#PrescriptionLibraryPage QLineEdit:focus, #PrescriptionLibraryPage QComboBox:focus { border-color: #75A5F0; }
+#PrescriptionLibraryPage QLineEdit QToolButton { border: 0; background: transparent; padding: 0; }
+#PrescriptionLibraryPage QComboBox { padding-right: 30px; font-size: 13px; }
+#PrescriptionLibraryPage QComboBox::drop-down { width: 28px; border: 0; background: transparent; }
+#PrescriptionLibraryPage QComboBox::down-arrow { image: none; width: 0; height: 0; }
+#PrescriptionLibraryPage QComboBox:disabled { color: #97A4B6; background: #F6F8FC; }
+#PrescriptionLibraryPage QComboBox QAbstractItemView {
+    font-family: "$body"; font-size: 13px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; outline: 0; selection-background-color: #EAF2FF; selection-color: #1555B6;
+}
+#PrescriptionLibraryPage QComboBox QAbstractItemView::item { min-height: 30px; padding: 3px 10px; }
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryToolbar { background: transparent; border: 0; }
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryToolbar QPushButton { padding: 0 12px; font-size: 13px; }
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryToolbar QPushButton[toolbarTab="true"] {
+    min-width: 80px; min-height: 40px; max-height: 40px; padding: 0 10px; margin-right: 8px;
+    background: transparent; border: 0; border-bottom: 2px solid transparent;
+    border-radius: 0; color: #273244; font-size: 14px;
+}
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryToolbar QPushButton[toolbarTab="true"]:checked {
+    color: #1769E8; border-bottom-color: #1769E8;
+}
+#PrescriptionLibraryPage QFrame#PrescriptionLibraryToolbar QPushButton[toolbarTab="true"]:hover {
+    color: #1555B6; background: #F2F7FF;
+}
+#PrescriptionLibraryPage QTableWidget {
+    border: 0; background: #FFFFFF; alternate-background-color: #FFFFFF;
+    selection-background-color: #F2F7FF; selection-color: #273244; gridline-color: #E6EDF6;
+}
+#PrescriptionLibraryPage QTableWidget::item { padding: 0; border: 0; }
+#PrescriptionLibraryPage QHeaderView::section {
+    min-height: 0; padding: 0 12px; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-bottom: 1px solid #DBE5F2;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#PrescriptionLibraryPage QWidget#PrescriptionLibraryTableCellHost { background: transparent; border: 0; }
+#PrescriptionLibraryPage QPushButton[rowAction="true"] {
+    min-width: 28px; max-width: 28px; min-height: 28px; max-height: 28px;
+    padding: 0; border: 1px solid transparent; border-radius: 4px; background: transparent;
+}
+#PrescriptionLibraryPage QPushButton[rowAction="true"]:hover { background: #EAF2FF; border-color: #B6CDEE; }
+#PrescriptionLibraryPage QPushButton[rowAction="true"]:focus { border-color: #75A5F0; }
+#PrescriptionLibraryPage QPushButton[rowAction="true"][danger="true"]:hover { background: #FFF0F2; border-color: #EAC8D0; }
+#PrescriptionLibraryPage QPushButton[rowAction="true"]:disabled { background: transparent; border-color: transparent; color: #A4ADBA; }
+#PrescriptionLibraryPage QWidget#InfiniteList { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#PrescriptionLibraryPage QLabel#EmptyStateGlyph {
+    font-size: 24px; color: #1769E8; background: #F2F7FF;
+    border: 1px solid #DBE5F2; border-radius: 22px;
+}
+#PrescriptionLibraryPage QWidget#EmptyState QLabel[role="muted"] { min-width: 300px; }
+#PrescriptionLibraryPage QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#PrescriptionLibraryPage QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#PrescriptionLibraryPage QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#PrescriptionLibraryPage QScrollBar::add-line, #PrescriptionLibraryPage QScrollBar::sub-line { width: 0; height: 0; }
+#PrescriptionLibraryPage QScrollBar::add-page, #PrescriptionLibraryPage QScrollBar::sub-page { background: transparent; }
+"""
+
+
+__all__ = ["library_stylesheet", "LibraryComboBox", "LibraryTable", "LibraryItemDelegate"]

app/src/doctor_workstation/ui/prescriptions_style.py

@@ -0,0 +1,107 @@
+"""Scoped surfaces and real fonts for the approved issued-prescription page."""
+
+from string import Template
+
+from .reception_style import body_family, heading_family
+
+
+def prescriptions_stylesheet() -> str:
+    return Template(_PRESCRIPTIONS).substitute(body=body_family(), heading=heading_family())
+
+
+_PRESCRIPTIONS = """
+#PrescriptionsPage { background: #F3F7FD; color: #273244; }
+#PrescriptionWorkspaceContent, #PrescriptionWorkspaceScroll { background: transparent; border: 0; }
+#PrescriptionsPage QLabel, #PrescriptionsPage QPushButton, #PrescriptionsPage QLineEdit,
+#PrescriptionsPage QComboBox, #PrescriptionsPage QDateTimeEdit, #PrescriptionsPage QTableWidget {
+    font-family: "$body"; font-size: 14px; font-weight: 400; color: #273244;
+}
+#PrescriptionsPage QLabel[role="pageTitle"] {
+    font-family: "$heading"; font-size: 20px; font-weight: 600; color: #202C3F;
+}
+#PrescriptionsPage QLabel[role="sectionTitle"] {
+    font-family: "$heading"; font-size: 14px; font-weight: 600;
+}
+#PrescriptionsPage QLabel[role="muted"], #PrescriptionsPage QLabel#PrescriptionCountBadge {
+    color: #5D6B80; font-size: 13px; background: transparent; border: 0; padding: 0;
+}
+#PrescriptionsPage QFrame#PrescriptionFilterBar, #PrescriptionsPage QFrame#PrescriptionTableCard {
+    background: #FFFFFF; border: 1px solid #DBE5F2; border-radius: 8px;
+}
+#PrescriptionsPage QFrame#PrescriptionToolbar { background: transparent; border: 0; }
+#PrescriptionsPage QPushButton {
+    min-height: 38px; max-height: 38px; padding: 0 16px; border-radius: 5px;
+    border: 1px solid #DBE5F2; background: #FFFFFF; color: #273244;
+}
+#PrescriptionsPage QPushButton:hover { background: #F2F7FF; border-color: #B6CDEE; color: #1555B6; }
+#PrescriptionsPage QPushButton:pressed { background: #DCEAFF; }
+#PrescriptionsPage QPushButton:focus { border-color: #75A5F0; }
+#PrescriptionsPage QPushButton#PrescriptionAddButton, #PrescriptionsPage QPushButton#PrescriptionQueryButton {
+    background: #1769E8; color: #FFFFFF; border-color: #1769E8;
+}
+#PrescriptionsPage QPushButton#PrescriptionAddButton:hover, #PrescriptionsPage QPushButton#PrescriptionQueryButton:hover {
+    background: #155BCC; border-color: #155BCC;
+}
+#PrescriptionsPage QPushButton#PrescriptionAddButton:pressed, #PrescriptionsPage QPushButton#PrescriptionQueryButton:pressed {
+    background: #124EA9; border-color: #124EA9;
+}
+#PrescriptionsPage QPushButton[variant="danger"] { color: #BE4657; background: #FFFFFF; border-color: #E9D8DE; }
+#PrescriptionsPage QPushButton:disabled, #PrescriptionsPage QPushButton[variant="danger"]:disabled {
+    color: #97A4B6; background: #F6F8FC; border-color: #E2E9F2;
+}
+#PrescriptionsPage QLineEdit, #PrescriptionsPage QComboBox, #PrescriptionsPage QDateTimeEdit {
+    min-height: 38px; max-height: 38px; padding: 0 12px; border: 1px solid #DBE5F2;
+    border-radius: 5px; background: #FFFFFF; color: #273244;
+    selection-background-color: #DCEAFF; selection-color: #273244;
+}
+#PrescriptionsPage QLineEdit:focus, #PrescriptionsPage QComboBox:focus, #PrescriptionsPage QDateTimeEdit:focus { border-color: #75A5F0; }
+#PrescriptionsPage QLineEdit QToolButton { min-width: 0; min-height: 0; border: 0; background: transparent; padding: 0; }
+#PrescriptionsPage QComboBox, #PrescriptionsPage QDateTimeEdit { padding-right: 30px; font-size: 13px; }
+#PrescriptionsPage QComboBox::drop-down, #PrescriptionsPage QDateTimeEdit::drop-down { width: 28px; border: 0; background: transparent; }
+#PrescriptionsPage QComboBox::down-arrow, #PrescriptionsPage QDateTimeEdit::down-arrow { image: none; width: 0; height: 0; }
+#PrescriptionsPage QDateTimeEdit:disabled { color: #8A97A9; background: #F6F8FC; border-color: #E2E9F2; }
+#PrescriptionsPage QPushButton#PrescriptionDoctorButton { text-align: left; padding-right: 30px; font-size: 13px; }
+#PrescriptionsPage QComboBox QAbstractItemView {
+    font-family: "$body"; font-size: 13px; color: #273244; background: #FFFFFF;
+    border: 1px solid #DBE5F2; outline: 0; selection-background-color: #EAF2FF; selection-color: #1555B6;
+}
+#PrescriptionsPage QComboBox QAbstractItemView::item { min-height: 30px; padding: 3px 10px; }
+#PrescriptionsPage QCalendarWidget { font-family: "$body"; font-size: 13px; background: #FFFFFF; color: #273244; }
+#PrescriptionsPage QCalendarWidget QWidget#qt_calendar_navigationbar { background: #F5F8FD; }
+#PrescriptionsPage QCalendarWidget QToolButton { min-height: 28px; border: 0; padding: 0 8px; color: #273244; background: transparent; }
+#PrescriptionsPage QCalendarWidget QAbstractItemView { color: #273244; background: #FFFFFF; selection-background-color: #1769E8; selection-color: #FFFFFF; outline: 0; }
+#PrescriptionsPage QFrame#PrescriptionToolbar QPushButton { padding: 0 12px; font-size: 13px; }
+#PrescriptionsPage QTableWidget#PrescriptionTable {
+    border: 0; background: #FFFFFF; alternate-background-color: #FFFFFF;
+    selection-background-color: #F2F7FF; selection-color: #273244; gridline-color: #E6EDF6;
+}
+#PrescriptionsPage QTableWidget#PrescriptionTable::item { border: 0; padding: 0; }
+#PrescriptionsPage QHeaderView::section {
+    min-height: 0; padding: 0 12px; background: #F5F8FD; color: #5D6B80;
+    border: 0; border-bottom: 1px solid #DBE5F2;
+    font-family: "$body"; font-size: 13px; font-weight: 400;
+}
+#PrescriptionsPage QWidget#PrescriptionTableCellHost { border: 0; background: transparent; }
+#PrescriptionsPage QPushButton[rowAction="true"] {
+    min-width: 28px; max-width: 28px; min-height: 28px; max-height: 28px;
+    padding: 0; border: 1px solid transparent; border-radius: 4px; background: transparent;
+}
+#PrescriptionsPage QPushButton[rowAction="true"][labeled="true"] {
+    min-width: 64px; max-width: 64px; color: #1769E8; font-size: 13px; padding: 0;
+}
+#PrescriptionsPage QPushButton[rowAction="true"]:hover { background: #EAF2FF; border-color: #B6CDEE; }
+#PrescriptionsPage QPushButton[rowAction="true"]:focus { border-color: #75A5F0; }
+#PrescriptionsPage QPushButton[rowAction="true"][danger="true"]:hover { background: #FFF0F2; border-color: #EAC8D0; }
+#PrescriptionsPage QPushButton[rowAction="true"]:disabled,
+#PrescriptionsPage QPushButton[rowAction="true"][labeled="true"]:disabled {
+    background: transparent; border-color: transparent; color: #A4ADBA;
+}
+#PrescriptionsPage QWidget#InfiniteList { background: #FFFFFF; border-top: 1px solid #E6EDF6; }
+#PrescriptionsPage QLabel#EmptyStateGlyph { font-size: 24px; color: #1769E8; background: #F2F7FF; border: 1px solid #DBE5F2; border-radius: 22px; }
+#PrescriptionsPage QWidget#EmptyState QLabel[role="muted"] { min-width: 300px; }
+#PrescriptionsPage QScrollBar:vertical { background: #F4F7FC; width: 7px; margin: 0; }
+#PrescriptionsPage QScrollBar:horizontal { background: #F4F7FC; height: 7px; margin: 0; }
+#PrescriptionsPage QScrollBar::handle { background: #C8D5E6; border-radius: 3px; min-width: 24px; min-height: 24px; }
+#PrescriptionsPage QScrollBar::add-line, #PrescriptionsPage QScrollBar::sub-line { width: 0; height: 0; }
+#PrescriptionsPage QScrollBar::add-page, #PrescriptionsPage QScrollBar::sub-page { background: transparent; }
+"""

app/src/doctor_workstation/ui/reception_style.py

@@ -0,0 +1,106 @@
+"""Palette and real font families for the approved reception page only."""
+
+from __future__ import annotations
+
+import os
+import sys
+from pathlib import Path
+
+from PySide6.QtGui import QFontDatabase
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.resources import resource_path
+
+TECH_BLUE = {
+    "accent": "#1769E8",
+    "accent_hover": "#155BCC",
+    "accent_pressed": "#124EA9",
+    "selection": "#EAF2FF",
+    "selected_text": "#1555B6",
+    "canvas": "#F3F7FD",
+    "sidebar": "#EDF4FF",
+    "surface": "#FFFFFF",
+    "raised": "#F7FAFE",
+    "line": "#DBE5F2",
+    "text": "#273244",
+    "heading": "#202C3F",
+    "muted": "#5D6B80",
+    "focus": "#75A5F0",
+}
+
+
+def _families() -> dict[str, str]:
+    """Resolve after Qt starts; font registration does not change its theme."""
+
+    app = QApplication.instance()
+    if app is None:
+        raise RuntimeError("Reception font families require a QApplication")
+    cached = getattr(app, "_reception_font_families", None)
+    if cached is not None:
+        return cached
+
+    heading = getattr(app, "_doctor_bundled_font_family", None)
+    if not heading:
+        font_path = resource_path("fonts", "NotoSansSC-VF.ttf")
+        if font_path.is_file():
+            font_id = QFontDatabase.addApplicationFont(str(font_path))
+            registered = QFontDatabase.applicationFontFamilies(font_id) if font_id >= 0 else []
+            if registered:
+                heading = registered[0]
+                app._doctor_bundled_font_family = heading
+
+    available = set(QFontDatabase.families())
+    # Qt's offscreen platform does not enumerate Windows fonts automatically.
+    # Register only files already installed on this machine, never substitutes
+    # downloaded or installed into the user's Windows font registry.
+    if sys.platform == "win32":
+        font_dir = (
+            Path(os.environ.get("SYSTEMROOT") or os.environ.get("WINDIR") or "C:/Windows") / "Fonts"
+        )
+        for family, filenames in (
+            ("Microsoft YaHei UI", ("msyh.ttc",)),
+            ("Segoe UI", ("segoeui.ttf", "seguisb.ttf")),
+        ):
+            if family in available:
+                continue
+            for filename in filenames:
+                font_path = font_dir / filename
+                if not font_path.is_file():
+                    continue
+                font_id = QFontDatabase.addApplicationFont(str(font_path))
+                if font_id >= 0:
+                    available.update(QFontDatabase.applicationFontFamilies(font_id))
+
+    fallback = heading or next(
+        (
+            family
+            for family in ("Noto Sans SC", "Noto Sans CJK SC", "PingFang SC")
+            if family in available
+        ),
+        app.font().family(),
+    )
+    resolved = {
+        "body": "Microsoft YaHei UI" if "Microsoft YaHei UI" in available else fallback,
+        "heading": heading or fallback,
+        "number": "Segoe UI" if "Segoe UI" in available else fallback,
+    }
+    app._reception_font_families = resolved
+    return resolved
+
+
+def body_family() -> str:
+    """Regular Chinese body copy; YaHei UI has no genuine Medium face."""
+
+    return _families()["body"]
+
+
+def heading_family() -> str:
+    """Bundled Noto Sans SC supplies genuine Medium and Semibold faces."""
+
+    return _families()["heading"]
+
+
+def number_family() -> str:
+    """Segoe UI supplies Regular and Semibold for numeric labels."""
+
+    return _families()["number"]

app/src/doctor_workstation/ui/theme.py

@@ -1,13 +1,4 @@
-"""Application-wide visual system for the AI consultation workstation.
-
-The palette and density follow the supplied product references: a quiet blue
-canvas, crisp white data surfaces, luminous indigo actions and compact tables.
-
-Every size in the interface comes from the token tables below.  Before they
-existed the UI had grown 19 distinct font sizes and 8 control heights, which is
-what made neighbouring controls look subtly mismatched; keep new work on the
-scale instead of introducing another one-off pixel value.
-"""
+"""Shared typography and neutral reading surfaces for the clinical workspace."""
 
 from __future__ import annotations
 
@@ -17,12 +8,15 @@ from pathlib import Path
 from string import Template
 from typing import Any
 
-from PySide6.QtCore import QEvent, QObject, Qt
+from PySide6.QtCore import QEvent, QObject, QPointF, Qt
 from PySide6.QtGui import (
     QColor,
     QFont,
     QFontDatabase,
+    QPainter,
+    QPainterPath,
     QPalette,
+    QPen,
     QPixmap,
     QTextBlockFormat,
     QTextCharFormat,
@@ -35,50 +29,57 @@ from PySide6.QtWidgets import (
     QFileDialog,
     QInputDialog,
     QMessageBox,
+    QPlainTextEdit,
+    QScrollArea,
     QTextBrowser,
+    QTextEdit,
 )
 
-# Canonical semantic tokens.  The legacy teal/ink aliases remain available to
-# callers while the stylesheet itself is generated from this mapping.
+from doctor_workstation.resources import resource_path
+
+# ``motion`` deliberately imports nothing from this module, so this stays a
+# one-way dependency: tokens here, animation there.
+from . import motion
+
+# Neutral reading colors follow the installed Codex light chrome defaults.
+# Brand accents are independent of reading ink; use opaque text for stable contrast.
+# The legacy teal/ink aliases remain for existing callers.
 COLORS = {
-    # Sampled from the supplied 1710 x 920 product comps.  The window edge is
-    # the only blue-tinted surface; the application workspace itself is an
-    # almost-white #FCFDFE field.
-    "canvas": "#EEF3FD",
-    "canvas_mid": "#F7F9FE",
-    "canvas_glow": "#E5ECFD",
+    "canvas": "#F4F6FA",
+    "canvas_mid": "#FFFFFF",
+    "canvas_glow": "#EEF1FA",
     "surface": "#FFFFFF",
-    "surface_alt": "#FAFBFE",
-    "raised": "#F5F7FC",
-    "glass": "rgba(255, 255, 255, 252)",
-    "glass_alt": "rgba(248, 250, 255, 252)",
-    "line": "#E6EAF5",
-    "line_soft": "rgba(82, 97, 246, 40)",
-    "text": "#111F46",
-    "text_soft": "#3F4E75",
-    "muted": "#7886AA",
-    "disabled_surface": "#F0F2F8",
-    "disabled_text": "#A4ADC3",
-    "indigo": "#5761F4",
-    "indigo_hover": "#4C57E9",
-    "indigo_pressed": "#4451E2",
-    "indigo_pale": "#F0F2FF",
-    "focus": "#8D9BFF",
-    "selection": "#EDF0FF",
-    "success": "#17A77D",
-    "success_pale": "#EAF9F3",
-    "warning": "#D38625",
-    "warning_pale": "#FFF5E6",
-    "danger": "#F15B67",
-    "danger_pale": "#FFF1F3",
-    "info": "#4D69ED",
-    "info_pale": "#F0F4FF",
+    "surface_alt": "#F7F7F7",
+    "raised": "#F7F7F7",
+    "glass": "#FFFFFF",
+    "glass_alt": "#F7F7F7",
+    "line": "#EDEDEE",
+    "line_soft": "#E4E4E5",
+    "text": "#1A1C1F",
+    "text_soft": "#606163",
+    "muted": "#6A6B6D",
+    "disabled_surface": "#F2F2F2",
+    "disabled_text": "#8E8F90",
+    "indigo": "#4F63D9",
+    "indigo_hover": "#4156C4",
+    "indigo_pressed": "#354BB4",
+    "indigo_pale": "#EEF1FA",
+    "focus": "#8B9AD9",
+    "selection": "#EEF1FA",
+    "success": "#287B65",
+    "success_pale": "#EEF7F3",
+    "warning": "#A9691D",
+    "warning_pale": "#FCF5E9",
+    "danger": "#BE4B58",
+    "danger_pale": "#FCF0F2",
+    "info": "#4F63D9",
+    "info_pale": "#EEF1FA",
     # Backward-compatible names used by older UI code and integrations.
-    "ink": "#111F46",
-    "ink_soft": "#3F4E75",
-    "teal": "#5761F4",
-    "teal_dark": "#4451E2",
-    "teal_pale": "#F0F2FF",
+    "ink": "#1A1C1F",
+    "ink_soft": "#606163",
+    "teal": "#4F63D9",
+    "teal_dark": "#354BB4",
+    "teal_pale": "#EEF1FA",
 }
 
 
@@ -87,32 +88,47 @@ COLORS = {
 # more ink than Latin at the same pixel size, so the steps are spaced widely
 # enough that two adjacent levels are always distinguishable.
 TYPE = {
-    "fs_caption": "12px",   # table headers, hints, badges, timestamps
-    "fs_body": "13px",      # default UI text
-    "fs_strong": "14px",    # emphasised body, dialog prompts
+    "fs_caption": "13px",   # table headers, hints, badges, timestamps
+    "fs_body": "14px",      # default UI text
+    "fs_strong": "15px",    # emphasised body, dialog prompts
     "fs_section": "16px",   # card and section titles
     "fs_title": "20px",     # page titles, dialog titles
     "fs_display": "26px",   # metric values, empty-state glyphs
 }
 
+# The bundled variable font supplies real Regular, Medium and Semibold faces.
+# Keep ordinary controls at Medium and reserve Semibold for headings.
+WEIGHTS = {
+    "fw_body": "400",
+    "fw_control": "500",
+    "fw_heading": "600",
+}
+
 # --- Control metrics ------------------------------------------------------
-# Three interactive heights.  ``h_default`` drops from the previous 36px: the
-# old value made every toolbar, filter row and inline action read as heavy,
-# which is the main reason the workspace felt clunky.
+# Controls leave room for the 14px reading size without increasing table density.
 METRICS = {
     "h_compact": "28px",    # inline row actions, chips, links
-    "h_default": "32px",    # buttons, inputs, combos, tabs
+    "h_default": "34px",    # buttons, inputs, combos, tabs
     "h_cta": "38px",        # primary dialog actions, sidebar navigation
     "h_bar": "52px",        # dialog header / footer bars
-    "r_sm": "6px",
-    "r_md": "8px",
-    "r_lg": "12px",
-    "r_xl": "16px",
+    # Corner radii.  These existed before but the pages invented their own, so
+    # the same role - a card - shipped at 10, 11, 12, 13, 14 and 16 px across
+    # six pages.  Nothing in a product is a "10px card"; it is either a card or
+    # it is not, and it should round like every other card next to it.
+    #
+    # Nesting rule: an element sitting flush inside a rounded container takes
+    # ``outer - gap``.  Where the gap is bigger than the outer radius the inner
+    # element is far enough from the corner that its own radius is free.
+    "r_xs": "4px",    # chips, badges, tiny status pills
+    "r_sm": "6px",    # inline row actions, tags
+    "r_md": "8px",    # buttons, inputs, combo boxes
+    "r_lg": "12px",   # cards, filter bars, panels
+    "r_xl": "16px",   # the shell surfaces the cards sit on
     "pad_control": "12px",  # horizontal padding inside default controls
     "pad_compact": "9px",
 }
 
-_QSS_TOKENS = {**COLORS, **TYPE, **METRICS}
+_QSS_TOKENS = {**COLORS, **TYPE, **WEIGHTS, **METRICS}
 
 
 def crisp_pixmap(width: int, height: int | None = None) -> QPixmap:
@@ -144,8 +160,8 @@ GLOBAL_QSS = Template(
 QWidget {
     color: $text;
     background-color: transparent;
-    font-family: "Microsoft YaHei UI", "PingFang SC", "Noto Sans CJK SC", sans-serif;
     font-size: $fs_body;
+    font-weight: $fw_body;
 }
 
 QMainWindow, QDialog, QWidget#LoginCanvas {
@@ -170,7 +186,7 @@ QDialog[businessDialog="true"] QFrame[dialogRole="header"] {
 QDialog[businessDialog="true"] QLabel[dialogRole="title"] {
     color: $text;
     font-size: $fs_section;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QDialog[businessDialog="true"] QLabel[dialogRole="subtitle"] {
     color: $muted;
@@ -214,48 +230,43 @@ QInputDialog QLabel {
     font-size: $fs_strong;
 }
 QWidget#AppCanvas {
-    background-color: qlineargradient(
-        x1: 0, y1: 0, x2: 1, y2: 1,
-        stop: 0 $canvas,
-        stop: 0.58 $canvas_mid,
-        stop: 1 $canvas_glow
-    );
+    background-color: $canvas;
     border-radius: 18px;
 }
 QWidget#ShellWorkspace, QStackedWidget#ShellPageStack {
-    background-color: #FCFDFE;
+    background-color: $canvas_mid;
 }
 
 QLabel[role="muted"] { color: $muted; }
 QLabel[role="danger"] { color: $danger; }
 QLabel[role="breadcrumb"] { color: $muted; font-size: $fs_caption; }
-QLabel[role="breadcrumbSeparator"] { color: #ADB5C9; font-size: $fs_strong; }
-QLabel[role="breadcrumbCurrent"] { color: $text_soft; font-size: $fs_caption; font-weight: 600; }
+QLabel[role="breadcrumbSeparator"] { color: #8E8F90; font-size: $fs_strong; }
+QLabel[role="breadcrumbCurrent"] { color: $text_soft; font-size: $fs_caption; font-weight: $fw_control; }
 QLabel[role="eyebrow"] {
     color: $indigo_hover;
     font-size: $fs_caption;
-    font-weight: 700;
+    font-weight: $fw_control;
     letter-spacing: 0.04em;
 }
 QLabel[role="pageTitle"] {
     color: $text;
     font-size: $fs_title;
-    font-weight: 700;
+    font-weight: $fw_heading;
 }
 QLabel[role="sectionTitle"] {
     color: $text;
     font-size: $fs_section;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QLabel[role="display"] {
     color: $text;
     font-size: $fs_display;
-    font-weight: 700;
+    font-weight: $fw_heading;
 }
 QLabel[role="metric"] {
     color: $text;
     font-size: $fs_title;
-    font-weight: 700;
+    font-weight: $fw_heading;
 }
 
 QFrame#Card, QFrame#Panel, QFrame#FilterBar, QFrame#DetailPanel,
@@ -277,19 +288,19 @@ QFrame#MetricCard {
 }
 QFrame#MetricCard:hover { border-color: $line_soft; background-color: $surface_alt; }
 QFrame#MetricCard QLabel[role="metricTitle"] { color: $muted; font-size: $fs_caption; }
-QFrame#MetricCard QLabel[role="metricValue"] { color: $text; font-size: $fs_title; font-weight: 700; }
+QFrame#MetricCard QLabel[role="metricValue"] { color: $text; font-size: $fs_title; font-weight: $fw_heading; }
 QFrame#MetricCard QLabel[role="metricHint"] { color: $muted; font-size: $fs_caption; }
 QFrame#ReceptionDetailPanel { background-color: transparent; border: 0; }
 QFrame#ReceptionAiCard {
     min-height: 132px;
-    background-color: #F8FAFF;
+    background-color: #FFFFFF;
     border: 1px solid $line_soft;
     border-radius: 13px;
 }
 QLabel#ReceptionAiTitle {
     color: $indigo_pressed;
     font-size: $fs_strong;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QFrame#ReceptionAiCard QPushButton[variant="secondary"] {
     min-height: $h_compact;
@@ -302,7 +313,7 @@ QLabel#MetricGlyph {
     border: 1px solid $line_soft;
     border-radius: 11px;
     font-size: $fs_section;
-    font-weight: 700;
+    font-weight: $fw_heading;
 }
 QLabel#MetricGlyph[kind="success"] { color: $success; background-color: $success_pale; }
 QLabel#MetricGlyph[kind="warning"] { color: $warning; background-color: $warning_pale; }
@@ -318,7 +329,7 @@ QGroupBox {
     border: 1px solid $line;
     border-radius: 12px;
     background-color: $glass;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QGroupBox::title {
     subcontrol-origin: margin;
@@ -334,7 +345,7 @@ QPushButton {
     border-radius: $r_md;
     background-color: $surface;
     color: $text;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QPushButton:hover {
     background-color: $raised;
@@ -345,7 +356,8 @@ QPushButton:pressed {
     border-color: $indigo_pressed;
 }
 QPushButton:focus {
-    border: 2px solid $focus;
+    border: 1px solid $indigo;
+    background-color: $indigo_pale;
 }
 QPushButton:checked {
     color: #FFFFFF;
@@ -361,10 +373,7 @@ QPushButton:disabled {
 
 QPushButton[variant="primary"] {
     color: #FFFFFF;
-    background-color: qlineargradient(
-        x1: 0, y1: 0, x2: 1, y2: 0,
-        stop: 0 $indigo, stop: 1 #7769F7
-    );
+    background-color: $indigo;
     border-color: $indigo;
 }
 QPushButton[variant="primary"]:hover,
@@ -377,7 +386,10 @@ QPushButton[variant="primary"]:checked {
     background-color: $indigo_pressed;
     border-color: $indigo_pressed;
 }
-QPushButton[variant="primary"]:focus { border: 2px solid $focus; }
+QPushButton[variant="primary"]:focus {
+    border: 1px solid $indigo_pressed;
+    background-color: $indigo_hover;
+}
 QPushButton[variant="primary"]:disabled {
     color: $disabled_text;
     background-color: $surface_alt;
@@ -410,7 +422,7 @@ QWidget#RowActions QPushButton[rowAction="true"] {
     background-color: transparent;
     border: 1px solid transparent;
     border-radius: $r_sm;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QWidget#RowActions QPushButton[rowAction="true"]:hover {
     color: $indigo_pressed;
@@ -436,7 +448,7 @@ QToolButton#RowActionsMore {
     background-color: transparent;
     border: 1px solid transparent;
     border-radius: $r_sm;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QToolButton#RowActionsMore:hover {
     color: $text;
@@ -457,7 +469,7 @@ QPushButton#NoteAttachmentPreview {
     background-color: $surface_alt;
     border: 1px solid $line;
     border-radius: 8px;
-    font-weight: 500;
+    font-weight: $fw_control;
 }
 QPushButton#NoteAttachmentPreview:hover {
     background-color: $indigo_pale;
@@ -503,15 +515,15 @@ QPushButton[variant="success"] {
     background-color: $success;
     border-color: $success;
 }
-QPushButton[variant="success"]:hover { background-color: #65D4B7; border-color: #65D4B7; }
-QPushButton[variant="success"]:pressed { background-color: #319F84; border-color: #319F84; }
+QPushButton[variant="success"]:hover { background-color: #216A56; border-color: #216A56; }
+QPushButton[variant="success"]:pressed { background-color: #1B5746; border-color: #1B5746; }
 QPushButton[variant="warning"] {
     color: #FFFFFF;
     background-color: $warning;
     border-color: $warning;
 }
-QPushButton[variant="warning"]:hover { background-color: #F0C97C; border-color: #F0C97C; }
-QPushButton[variant="warning"]:pressed { background-color: #B99045; border-color: #B99045; }
+QPushButton[variant="warning"]:hover { background-color: #925B19; border-color: #925B19; }
+QPushButton[variant="warning"]:pressed { background-color: #794B14; border-color: #794B14; }
 
 QPushButton[variant="ghost"] {
     color: $text_soft;
@@ -536,7 +548,7 @@ QPushButton[variant="link"] {
     background-color: transparent;
     border-color: transparent;
 }
-QPushButton[variant="link"]:hover { color: $focus; background-color: $indigo_pale; }
+QPushButton[variant="link"]:hover { color: $indigo_hover; background-color: $indigo_pale; }
 QPushButton[variant="link"]:pressed { color: $indigo_hover; background-color: $surface_alt; }
 QPushButton[variant="chip"] {
     min-height: $h_compact;
@@ -564,7 +576,7 @@ QPushButton[variant="nav"] {
     background-color: transparent;
     color: $muted;
     text-align: left;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QPushButton[variant="nav"]:hover { background-color: $surface_alt; color: $text; }
 QPushButton[variant="nav"]:pressed { background-color: $indigo_pale; }
@@ -580,7 +592,7 @@ QToolButton {
 }
 QToolButton:hover { color: $text; background-color: $surface_alt; border-color: $line; }
 QToolButton:pressed { background-color: $indigo_pale; border-color: $indigo_pressed; }
-QToolButton:focus { border: 2px solid $focus; }
+QToolButton:focus { border: 1px solid $indigo; background-color: $indigo_pale; }
 QToolButton:checked { color: #FFFFFF; background-color: $indigo_pressed; border-color: $indigo_hover; }
 QToolButton:disabled { color: $disabled_text; background-color: transparent; border-color: transparent; }
 QToolButton[diagnosisChip="true"] {
@@ -616,8 +628,8 @@ QDoubleSpinBox:hover, QKeySequenceEdit:hover { border-color: $indigo_hover; }
 QLineEdit:focus, QTextEdit:focus, QPlainTextEdit:focus, QComboBox:focus,
 QDateEdit:focus, QDateTimeEdit:focus, QTimeEdit:focus, QSpinBox:focus,
 QDoubleSpinBox:focus, QKeySequenceEdit:focus {
-    border: 2px solid $focus;
-    background-color: $surface_alt;
+    border: 1px solid $indigo;
+    background-color: $surface;
 }
 QLineEdit:read-only, QTextEdit:read-only, QPlainTextEdit:read-only {
     color: $muted;
@@ -676,7 +688,7 @@ QCheckBox::indicator:disabled, QRadioButton::indicator:disabled {
 QAbstractItemView, QTableWidget, QTableView, QListWidget, QListView, QTreeWidget, QTreeView {
     color: $text;
     background-color: $surface;
-    alternate-background-color: #FBFCFF;
+    alternate-background-color: $surface_alt;
     border: 0;
     border-radius: 12px;
     gridline-color: $line;
@@ -684,7 +696,7 @@ QAbstractItemView, QTableWidget, QTableView, QListWidget, QListView, QTreeWidget
     selection-color: $text;
     outline: 0;
 }
-QAbstractItemView:focus { border: 1px solid $indigo_hover; }
+QAbstractItemView:focus { border: 0; }
 QTableWidget::item, QTableView::item {
     padding: 6px 8px;
     border-bottom: 1px solid $line;
@@ -695,14 +707,14 @@ QTableWidget::item:selected, QTableView::item:selected {
     background-color: $selection;
 }
 QHeaderView::section {
-    background-color: #F7F9FE;
+    background-color: $raised;
     color: $muted;
     border: 0;
-    border-right: 1px solid $line;
+    border-right: 0;
     border-bottom: 1px solid $line;
     padding: 7px 8px;
     font-size: $fs_caption;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QHeaderView::section:hover { color: $text; background-color: $raised; }
 QTableCornerButton::section { background-color: $surface_alt; border: 0; }
@@ -736,7 +748,7 @@ QTabBar::tab {
     background-color: transparent;
     border: 1px solid transparent;
     border-radius: 9px;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QTabBar::tab:hover { color: $text; background-color: $surface_alt; }
 QTabBar::tab:focus { border-color: $focus; }
@@ -788,8 +800,8 @@ QMenu::item {
     border-radius: $r_sm;
     background-color: transparent;
 }
-QMenu::item:selected { color: #FFFFFF; background-color: $indigo_pressed; }
-QMenu::item:pressed { background-color: $indigo; }
+QMenu::item:selected { color: $indigo_pressed; background-color: $indigo_pale; }
+QMenu::item:pressed { color: #FFFFFF; background-color: $indigo; }
 QMenu::item:disabled { color: $disabled_text; background-color: transparent; }
 QMenu::item[danger="true"] { color: $danger; }
 QMenu::item[danger="true"]:selected { color: $danger; background-color: $danger_pale; }
@@ -841,8 +853,8 @@ QScrollBar::handle:vertical {
     min-height: $h_compact;
     border-radius: 4px;
 }
-QScrollBar::handle:vertical:hover { background: $indigo_pressed; }
-QScrollBar::handle:vertical:pressed { background: $indigo; }
+QScrollBar::handle:vertical:hover { background: #A7B1C9; }
+QScrollBar::handle:vertical:pressed { background: #8894B2; }
 QScrollBar::add-line:vertical, QScrollBar::sub-line:vertical { height: 0; }
 QScrollBar::add-page:vertical, QScrollBar::sub-page:vertical { background: transparent; }
 QScrollBar:horizontal {
@@ -855,8 +867,8 @@ QScrollBar::handle:horizontal {
     min-width: 30px;
     border-radius: 4px;
 }
-QScrollBar::handle:horizontal:hover { background: $indigo_pressed; }
-QScrollBar::handle:horizontal:pressed { background: $indigo; }
+QScrollBar::handle:horizontal:hover { background: #A7B1C9; }
+QScrollBar::handle:horizontal:pressed { background: #8894B2; }
 QScrollBar::add-line:horizontal, QScrollBar::sub-line:horizontal { width: 0; }
 QScrollBar::add-page:horizontal, QScrollBar::sub-page:horizontal { background: transparent; }
 
@@ -885,7 +897,7 @@ QLabel#StatusBadge {
     border: 1px solid transparent;
     border-radius: $r_sm;
     font-size: $fs_caption;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QLabel#StatusBadge[kind="neutral"] { color: $muted; background-color: $surface_alt; border-color: $line; }
 QLabel#StatusBadge[kind="success"] { color: $success; background-color: $success_pale; border-color: rgba(73, 198, 165, 72); }
@@ -902,7 +914,7 @@ QWidget#Pager QLabel#PagerActive {
     border: 1px solid $indigo;
     border-radius: 8px;
     font-size: $fs_caption;
-    font-weight: 700;
+    font-weight: $fw_control;
 }
 QWidget#Pager QPushButton {
     min-height: $h_compact;
@@ -918,7 +930,7 @@ QLabel#EmptyStateGlyph {
     border: 1px solid $line_soft;
     border-radius: 22px;
     font-size: $fs_display;
-    font-weight: 500;
+    font-weight: $fw_control;
 }
 
 QFrame#MessageBanner {
@@ -927,7 +939,7 @@ QFrame#MessageBanner {
     color: $text_soft;
 }
 QFrame#MessageBanner QLabel { background-color: transparent; }
-QFrame#MessageBanner QLabel#MessageBannerIcon { font-weight: 700; }
+QFrame#MessageBanner QLabel#MessageBannerIcon { font-weight: $fw_heading; }
 QFrame#MessageBanner[kind="info"] { color: $info; background-color: $info_pale; border-color: rgba(120, 167, 255, 82); }
 QFrame#MessageBanner[kind="success"] { color: $success; background-color: $success_pale; border-color: rgba(73, 198, 165, 82); }
 QFrame#MessageBanner[kind="warning"] { color: $warning; background-color: $warning_pale; border-color: rgba(228, 185, 103, 82); }
@@ -943,7 +955,7 @@ QLabel#Toast {
     border: 1px solid $line_soft;
     border-radius: 11px;
     padding: 11px 16px;
-    font-weight: 600;
+    font-weight: $fw_control;
 }
 QLabel#Toast[kind="info"] { color: $info; background-color: $info_pale; border-color: rgba(120, 167, 255, 96); }
 QLabel#Toast[kind="success"] { color: $success; background-color: $success_pale; border-color: rgba(73, 198, 165, 96); }
@@ -978,7 +990,7 @@ QLabel#UserAvatar {
     border: 1px solid $line_soft;
     border-radius: 18px;
     font-size: $fs_strong;
-    font-weight: 700;
+    font-weight: $fw_heading;
 }
 QWidget#LoginBrandPanel {
     background-color: qlineargradient(
@@ -997,6 +1009,29 @@ QFrame#LoginCard {
 
 QSplitter::handle { background-color: transparent; width: 8px; height: 8px; }
 QSplitter::handle:hover { background-color: $indigo_pressed; }
+QPushButton[variant="secondary"]:disabled,
+QPushButton[variant="secondary"]:checked:disabled,
+QPushButton[variant="success"]:disabled,
+QPushButton[variant="success"]:checked:disabled,
+QPushButton[variant="warning"]:disabled,
+QPushButton[variant="warning"]:checked:disabled,
+QPushButton[variant="danger"]:disabled,
+QPushButton[variant="danger"]:checked:disabled,
+QPushButton[variant="dangerGhost"]:disabled,
+QPushButton[variant="dangerGhost"]:checked:disabled,
+QPushButton[variant="ghost"]:disabled,
+QPushButton[variant="ghost"]:checked:disabled,
+QPushButton[variant="link"]:disabled,
+QPushButton[variant="link"]:checked:disabled,
+QPushButton[variant="chip"]:disabled,
+QPushButton[variant="chip"]:checked:disabled,
+QPushButton[variant="nav"]:disabled,
+QPushButton[variant="nav"]:checked:disabled {
+    color: $disabled_text;
+    background-color: $disabled_surface;
+    border-color: $line;
+}
+
 QToolTip {
     color: $text;
     background-color: $raised;
@@ -1024,6 +1059,166 @@ _BLOCK_RHYTHM = {
 }
 
 
+# --- Surfaces -------------------------------------------------------------
+# There is deliberately no drop-shadow system here.  One was tried: a painted
+# layer behind each page's cards, on the theory that flat outlines were what
+# made the workspace look unfinished.  It does not work in this palette.  The
+# cards are #FFFFFF sitting on a #FFFFFF workspace - barely one percent apart -
+# so a shadow has no tonal room to read as depth and instead composites into a
+# neutral grey rim around every card, which against the blue-tinted ground looks
+# like a dirty second border rather than elevation.
+#
+# Depth in this product comes from the border and the fill, not from shadow.
+
+# --- Control indicator glyphs --------------------------------------------
+# Styling ``QCheckBox::indicator`` with a background and border but no image
+# tells Qt to stop drawing its own tick, so every checked box in the product
+# rendered as a plain indigo square and the partially-checked state was an
+# unlabelled grey one.  Selection columns on the prescription, patient and
+# diagnosis tables all depend on that tick, so the marks are painted here and
+# handed back to the stylesheet as cached PNGs.
+
+_INDICATOR_BOX = 15
+_INDICATOR_REVISION = "1"
+
+
+#: The dropdown caret is the one glyph Fusion still drew itself - a solid
+#: triangle sitting beside an otherwise entirely stroked icon set.  Rendering it
+#: here brings every QComboBox, date field and tool-button menu onto the same
+#: 24-unit grid as the rest of the product.
+_CARET_BOX = 12
+
+
+def _indicator_pixmap(kind: str, color: str, ratio: int, box_size: int | None = None) -> QPixmap:
+    box = (box_size or _INDICATOR_BOX) * ratio
+    pixmap = QPixmap(box, box)
+    pixmap.fill(Qt.GlobalColor.transparent)
+    painter = QPainter(pixmap)
+    try:
+        painter.setRenderHint(QPainter.RenderHint.Antialiasing, True)
+        scale = box / 24.0
+        painter.scale(scale, scale)
+        pen = QPen(QColor(color), 3.4)
+        pen.setCapStyle(Qt.PenCapStyle.RoundCap)
+        pen.setJoinStyle(Qt.PenJoinStyle.RoundJoin)
+        painter.setPen(pen)
+        painter.setBrush(Qt.BrushStyle.NoBrush)
+        if kind == "check":
+            path = QPainterPath(QPointF(5.0, 12.5))
+            path.lineTo(QPointF(10.0, 17.5))
+            path.lineTo(QPointF(19.0, 6.5))
+            painter.drawPath(path)
+        elif kind == "dash":
+            painter.drawLine(QPointF(6.0, 12.0), QPointF(18.0, 12.0))
+        elif kind == "dot":
+            painter.setPen(Qt.PenStyle.NoPen)
+            painter.setBrush(QColor(color))
+            painter.drawEllipse(QPointF(12.0, 12.0), 4.6, 4.6)
+        elif kind == "caret":
+            pen.setWidthF(2.6)
+            painter.setPen(pen)
+            path = QPainterPath(QPointF(6.0, 9.5))
+            path.lineTo(QPointF(12.0, 15.5))
+            path.lineTo(QPointF(18.0, 9.5))
+            painter.drawPath(path)
+    finally:
+        painter.end()
+    return pixmap
+
+
+def _indicator_asset_dir() -> Path | None:
+    try:
+        from platformdirs import user_cache_dir
+
+        from ..config import APP_AUTHOR, APP_NAME
+
+        directory = Path(user_cache_dir(APP_NAME, APP_AUTHOR)) / "indicators"
+    except Exception:  # pragma: no cover - falls back to the user home
+        directory = Path.home() / ".zhenyangdoctor" / "indicators"
+    try:
+        directory.mkdir(parents=True, exist_ok=True)
+    except OSError:  # pragma: no cover - read-only deployment
+        return None
+    return directory
+
+
+def _indicator_url(kind: str, color: str, box_size: int | None = None) -> str | None:
+    """Return a stylesheet ``url()`` body for one indicator mark, or None."""
+
+    directory = _indicator_asset_dir()
+    if directory is None:
+        return None
+    stem = f"{kind}-{color.lstrip('#').lower()}-{box_size or _INDICATOR_BOX}-{_INDICATOR_REVISION}"
+    base = directory / f"{stem}.png"
+    # Qt resolves the ``@2x`` companion itself on scaled displays, which keeps
+    # the mark crisp at the 125%/150% factors clinic workstations run at.
+    retina = directory / f"{stem}@2x.png"
+    try:
+        if not base.exists() and not _indicator_pixmap(kind, color, 1, box_size).save(
+            str(base), "PNG"
+        ):
+            return None
+        if not retina.exists():
+            _indicator_pixmap(kind, color, 2, box_size).save(str(retina), "PNG")
+    except OSError:  # pragma: no cover - read-only deployment
+        return None
+    return base.as_posix()
+
+
+def _indicator_qss() -> str:
+    """Stylesheet fragment that restores the tick, dash and radio dot."""
+
+    marks = {
+        "check": _indicator_url("check", "#FFFFFF"),
+        "check_disabled": _indicator_url("check", COLORS["disabled_text"]),
+        "dash": _indicator_url("dash", "#FFFFFF"),
+        "dot": _indicator_url("dot", "#FFFFFF"),
+        "dot_disabled": _indicator_url("dot", COLORS["disabled_text"]),
+        "caret": _indicator_url("caret", COLORS["muted"], _CARET_BOX),
+        "caret_disabled": _indicator_url("caret", COLORS["disabled_text"], _CARET_BOX),
+    }
+    if any(value is None for value in marks.values()):
+        return ""
+    return f"""
+QCheckBox::indicator:checked {{ image: url({marks["check"]}); }}
+QCheckBox::indicator:indeterminate {{
+    background-color: {COLORS["indigo"]};
+    border: 1px solid {COLORS["indigo"]};
+    border-radius: 4px;
+    image: url({marks["dash"]});
+}}
+QCheckBox::indicator:checked:disabled {{ image: url({marks["check_disabled"]}); }}
+QRadioButton::indicator:checked {{ image: url({marks["dot"]}); }}
+QRadioButton::indicator:checked:disabled {{ image: url({marks["dot_disabled"]}); }}
+QComboBox::down-arrow, QDateEdit::down-arrow, QDateTimeEdit::down-arrow,
+QTimeEdit::down-arrow {{
+    width: {_CARET_BOX}px;
+    height: {_CARET_BOX}px;
+    image: url({marks["caret"]});
+}}
+/* A tool button's menu indicator defaults to the bottom-right corner, which was
+   invisible while it was Fusion's 6 px triangle and became obvious once it was a
+   12 px chevron - the caret dropped below the label instead of sitting beside
+   it.  Anchor it to the right edge; the buttons that show one already reserve
+   right padding for it, so nothing here changes their metrics. */
+QToolButton::menu-indicator {{
+    width: {_CARET_BOX}px;
+    height: {_CARET_BOX}px;
+    image: url({marks["caret"]});
+    subcontrol-origin: padding;
+    subcontrol-position: right center;
+    right: 6px;
+}}
+/* Re-assert the suppressions that the block above would otherwise override.
+   These live here rather than in the main sheet because this fragment is
+   appended after it, and a later rule wins in Qt when specificity ties. */
+QToolButton#RowActionsMore::menu-indicator {{ width: 0; height: 0; image: none; }}
+QComboBox::down-arrow:disabled, QDateEdit::down-arrow:disabled,
+QDateTimeEdit::down-arrow:disabled, QTimeEdit::down-arrow:disabled,
+QToolButton::menu-indicator:disabled {{ image: url({marks["caret_disabled"]}); }}
+"""
+
+
 def _block_is_all_bold(block: Any) -> bool:
     """True when every visible run in the block is bold.
 
@@ -1100,7 +1295,7 @@ def apply_reading_rhythm(browser: QTextBrowser, *, role: str) -> None:
                 char_format = QTextCharFormat()
                 char_format.setFont(heading_font)
                 if role != "doctor":
-                    char_format.setForeground(QColor("#111B3F"))
+                    char_format.setForeground(QColor("#1A1C1F"))
                 cursor.setPosition(block.position())
                 cursor.setPosition(
                     block.position() + block.length() - 1,
@@ -1123,14 +1318,21 @@ def _apply_group(
 
 
 def _register_preferred_cjk_fonts() -> str:
-    """Make the bundled/offscreen Windows runtime aware of its CJK fonts.
+    """Prefer the shipped outline font, with native CJK faces as a fallback."""
 
-    Qt's offscreen platform does not always enumerate the Windows font
-    collection.  Registering the already-installed YaHei collection only
-    when it is missing prevents Chinese text from degrading to tofu boxes in
-    packaged captures and headless visual checks.  Other platforms continue
-    to use their native PingFang/Noto fallback.
-    """
+    app = QApplication.instance()
+    registered = getattr(app, "_doctor_bundled_font_family", None)
+    if registered:
+        return registered
+    bundled_font = resource_path("fonts", "NotoSansSC-VF.ttf")
+    if bundled_font.is_file():
+        font_id = QFontDatabase.addApplicationFont(str(bundled_font))
+        families = QFontDatabase.applicationFontFamilies(font_id) if font_id >= 0 else []
+        if families:
+            family = families[0]
+            if app is not None:
+                app._doctor_bundled_font_family = family
+            return family
 
     platform_families = {
         "win32": ("Microsoft YaHei UI", "Microsoft YaHei"),
@@ -1259,12 +1461,27 @@ class _BusinessDialogStyleFilter(QObject):
             or dialog.testAttribute(Qt.WidgetAttribute.WA_TranslucentBackground)
         )
 
+    #: The filter is installed on the QApplication, so it is handed every event
+    #: in the process - roughly 5,000 per list refresh.  Only two event types
+    #: matter, and bailing on the type before touching ``isinstance`` keeps the
+    #: hot path to a single comparison.
+    _WATCHED = frozenset({QEvent.Type.Polish, QEvent.Type.Show})
+
+    #: Reading surfaces that get eased wheel scrolling when they are polished.
+    #: Deliberately not every ``QAbstractScrollArea``: animating the scrollbar of
+    #: an item view that hosts a widget per row means repainting those widgets
+    #: for the length of the animation, which would trade a jerky scroll for a
+    #: slow one.  The list pages opt their own tables in individually.
+    _SMOOTH_SCROLL = (QScrollArea, QTextEdit, QTextBrowser, QPlainTextEdit)
+
     def eventFilter(self, watched: QObject, event: QEvent) -> bool:  # noqa: N802
         event_type = event.type()
-        if isinstance(watched, QDialogButtonBox) and event_type in {
-            QEvent.Type.Polish,
-            QEvent.Type.Show,
-        }:
+        if event_type not in self._WATCHED:
+            return False
+        if event_type is QEvent.Type.Polish and isinstance(watched, self._SMOOTH_SCROLL):
+            motion.install_smooth_scroll(watched)
+            return False
+        if isinstance(watched, QDialogButtonBox):
             _polish_dialog_buttons(watched)
         elif isinstance(watched, QDialog) and event_type == QEvent.Type.Polish:
             # Window flags can only be changed before the dialog is on screen,
@@ -1305,11 +1522,17 @@ def apply_theme(app: QApplication) -> None:
 
     app.setStyle("Fusion")
     cjk_family = _register_preferred_cjk_fonts()
-    # Pin the Windows CJK face explicitly.  A comma-separated QSS fallback
-    # list can resolve to Qt's generic sans face in offscreen/native title-bar
-    # captures, which changes glyph width and can even yield tofu boxes.
-    application_font = QFont(app.font())
-    application_font.setFamily(cjk_family)
+    # Resolve once for both styled widgets and custom-painted table cells.
+    application_font = QFont(cjk_family)
+    application_font.setPixelSize(int(TYPE["fs_body"].removesuffix("px")))
+    application_font.setWeight(QFont.Weight.Normal)
+    application_font.setStyleStrategy(
+        QFont.StyleStrategy.PreferAntialias
+        | QFont.StyleStrategy.PreferOutline
+    )
+    # Keep the platform's pixel fitting and subpixel rendering available.
+    # Forcing grayscale plus vertical-only hinting softens small Windows text.
+    application_font.setHintingPreference(QFont.HintingPreference.PreferDefaultHinting)
     app.setFont(application_font)
     palette = QPalette()
     active = {
@@ -1324,7 +1547,7 @@ def apply_theme(app: QApplication) -> None:
         QPalette.ColorRole.ButtonText: COLORS["text"],
         QPalette.ColorRole.Base: COLORS["surface"],
         QPalette.ColorRole.Window: COLORS["canvas"],
-        QPalette.ColorRole.Shadow: "#B7C0D2",
+        QPalette.ColorRole.Shadow: "#C2C2C2",
         QPalette.ColorRole.Highlight: COLORS["indigo"],
         QPalette.ColorRole.HighlightedText: "#FFFFFF",
         QPalette.ColorRole.Link: COLORS["info"],
@@ -1347,7 +1570,7 @@ def apply_theme(app: QApplication) -> None:
         QPalette.ColorRole.ButtonText: COLORS["disabled_text"],
         QPalette.ColorRole.Base: COLORS["disabled_surface"],
         QPalette.ColorRole.Window: COLORS["canvas"],
-        QPalette.ColorRole.Shadow: "#C8CFDC",
+        QPalette.ColorRole.Shadow: "#D2D2D2",
         QPalette.ColorRole.Highlight: COLORS["line"],
         QPalette.ColorRole.HighlightedText: COLORS["disabled_text"],
         QPalette.ColorRole.Link: COLORS["disabled_text"],
@@ -1362,7 +1585,7 @@ def apply_theme(app: QApplication) -> None:
     _apply_group(palette, QPalette.ColorGroup.Inactive, active)
     _apply_group(palette, QPalette.ColorGroup.Disabled, disabled)
     app.setPalette(palette)
-    app.setStyleSheet(GLOBAL_QSS)
+    app.setStyleSheet(GLOBAL_QSS + _indicator_qss())
     _install_business_dialog_styling(app)
 
 
@@ -1373,6 +1596,7 @@ __all__ = [
     "GLOBAL_QSS",
     "METRICS",
     "TYPE",
+    "WEIGHTS",
     "apply_theme",
     "crisp_pixmap",
     "mark_business_dialog",

app/src/doctor_workstation/ui/widgets.py

@@ -10,7 +10,15 @@ from dataclasses import dataclass
 from datetime import date, datetime
 from typing import Any
 
-from PySide6.QtCore import QObject, QRunnable, Qt, QThreadPool, QTimer, Signal, Slot
+from PySide6.QtCore import (
+    QObject,
+    QRunnable,
+    Qt,
+    QThreadPool,
+    QTimer,
+    Signal,
+    Slot,
+)
 from PySide6.QtGui import QColor, QPainter, QPaintEvent, QResizeEvent
 from PySide6.QtWidgets import (
     QAbstractItemView,
@@ -35,6 +43,8 @@ from doctor_workstation.core.errors import (
     AuthenticationExpiredError,
 )
 
+from . import icons, motion
+
 AuthenticationExpiredHandler = Callable[[AuthenticationExpiredError], bool]
 _AUTHENTICATION_EXPIRED_HANDLER: AuthenticationExpiredHandler | None = None
 
@@ -470,6 +480,8 @@ class PageHeader(QWidget):
     ) -> None:
         super().__init__(parent)
         self.setObjectName("PageHeader")
+        self._compact = False
+        self.setSizePolicy(QSizePolicy.Policy.Expanding, QSizePolicy.Policy.Fixed)
         layout = QVBoxLayout(self)
         layout.setContentsMargins(0, 0, 0, 0)
         layout.setSpacing(8)
@@ -514,7 +526,31 @@ class PageHeader(QWidget):
 
     def set_subtitle(self, text: str) -> None:
         self.subtitle_label.setText(text)
-        self.subtitle_label.setVisible(bool(text))
+        self.subtitle_label.setVisible(bool(text) and not self._compact)
+        self.title_label.setToolTip(text if self._compact else "")
+
+    def set_compact(self, compact: bool = True) -> None:
+        """Use a single title/action row on list pages with foldable search."""
+        self._compact = compact
+        layout = self.layout()
+        breadcrumb = layout.itemAt(0).layout()
+        for index in range(breadcrumb.count()):
+            widget = breadcrumb.itemAt(index).widget()
+            if widget is not None:
+                widget.setVisible(not compact)
+        self.subtitle_label.setVisible(bool(self.subtitle_label.text()) and not compact)
+        self.title_label.setToolTip(self.subtitle_label.text() if compact else "")
+        layout.setSpacing(0 if compact else 8)
+        layout.setAlignment(Qt.AlignmentFlag.AlignVCenter)
+        heading = layout.itemAt(1).layout()
+        heading.setAlignment(Qt.AlignmentFlag.AlignVCenter)
+        heading.itemAt(0).layout().setSpacing(0 if compact else 3)
+        self.actions.setSpacing(8)
+        if compact:
+            self.setFixedHeight(44)
+        else:
+            self.setMinimumHeight(0)
+            self.setMaximumHeight(16777215)
 
 
 class MetricCard(QFrame):
@@ -636,7 +672,9 @@ class MessageBanner(QFrame):
         layout = QHBoxLayout(self)
         layout.setContentsMargins(12, 9, 12, 9)
         layout.setSpacing(9)
-        self.icon = QLabel("i", self)
+        # The banner used to letter its own icons - a lowercase "i", a "!", and
+        # a U+2713 whose shape depended on whichever font happened to cover it.
+        self.icon = QLabel(self)
         self.icon.setObjectName("MessageBannerIcon")
         self.icon.setAlignment(Qt.AlignmentFlag.AlignCenter)
         self.icon.setFixedSize(20, 20)
@@ -647,18 +685,33 @@ class MessageBanner(QFrame):
         layout.addWidget(self.label, 1)
         self.setVisible(bool(text))
 
+    #: Banner kind -> shared glyph and colour role.
+    _ICONS = {
+        "info": ("info", "info"),
+        "success": ("check_circle", "success"),
+        "warning": ("alert", "warning"),
+        "danger": ("alert", "danger"),
+    }
+
     def show_message(self, text: str, kind: str = "info") -> None:
-        glyphs = {"info": "i", "success": "✓", "warning": "!", "danger": "!"}
+        glyph, role = self._ICONS.get(kind, self._ICONS["info"])
         self.label.setText(text)
-        self.icon.setText(glyphs.get(kind, "i"))
+        self.icon.setPixmap(icons.pixmap(glyph, role, 16))
         self.setProperty("kind", kind)
         self.style().unpolish(self)
         self.style().polish(self)
-        self.setVisible(bool(text))
+        if not text:
+            self.setVisible(False)
+            return
+        if self.isVisible():
+            return
+        motion.fade_in(self, duration=motion.FAST)
 
     def clear(self) -> None:
-        self.setVisible(False)
-        self.label.clear()
+        if self.isVisible():
+            motion.fade_out(self, duration=motion.FAST, on_finished=self.label.clear)
+        else:
+            self.label.clear()
 
 
 class Toast(QLabel):
@@ -670,7 +723,10 @@ class Toast(QLabel):
         self.hide()
         self._timer = QTimer(self)
         self._timer.setSingleShot(True)
-        self._timer.timeout.connect(self.hide)
+        self._timer.timeout.connect(self._dismiss)
+
+    def _dismiss(self) -> None:
+        motion.fade_out(self, duration=motion.BASE)
 
     def show_message(self, text: str, kind: str = "info", duration: int = 2800) -> None:
         self.setText(text)
@@ -682,7 +738,7 @@ class Toast(QLabel):
         if parent is not None:
             self.move(max(16, parent.width() - self.width() - 24), 20)
         self.raise_()
-        self.show()
+        motion.fade_in(self, duration=motion.FAST)
         self._timer.start(duration)
 
 
@@ -730,7 +786,7 @@ class _BusyTrack(QWidget):
         painter.setRenderHint(QPainter.RenderHint.Antialiasing)
         painter.setPen(Qt.PenStyle.NoPen)
         rect = self.rect()
-        painter.setBrush(QColor("#D8DEEA"))
+        painter.setBrush(QColor("#E4E4E5"))
         painter.drawRoundedRect(rect, 3, 3)
         chunk_width = max(36, int(rect.width() * 0.32))
         span = rect.width() + chunk_width
@@ -766,6 +822,16 @@ class BusyOverlay(QFrame):
         self.raise_()
         super().showEvent(event)
 
+    def reveal(self) -> None:
+        """Fade the guard in, so a fast response never flashes a grey slab."""
+
+        if not self.isVisible():
+            motion.fade_in(self, duration=motion.FAST)
+
+    def dismiss(self) -> None:
+        if self.isVisible():
+            motion.fade_out(self, duration=motion.FAST)
+
 
 class OverlayHost(QWidget):
     """Widget base that automatically sizes a BusyOverlay child."""
@@ -795,11 +861,19 @@ class SortableTable(QTableWidget):
         self.setColumnCount(len(self.columns))
         self.setHorizontalHeaderLabels([column.title for column in self.columns])
         self.setAlternatingRowColors(True)
+        # Row separation already comes from the ``::item`` bottom border, so the
+        # grid only added a column rule that cut across every row - and it kept
+        # drawing past the last populated column, leaving a stray vertical line
+        # hanging in the empty part of the table.
+        self.setShowGrid(False)
         self.setSelectionBehavior(QAbstractItemView.SelectionBehavior.SelectRows)
         self.setSelectionMode(QAbstractItemView.SelectionMode.SingleSelection)
         self.setEditTriggers(QAbstractItemView.EditTrigger.NoEditTriggers)
         self.setHorizontalScrollMode(QAbstractItemView.ScrollMode.ScrollPerPixel)
         self.setVerticalScrollMode(QAbstractItemView.ScrollMode.ScrollPerPixel)
+        # Per-pixel mode only smooths dragging; the wheel still jumped three rows
+        # at a time, which is how most of a list actually gets read.
+        motion.install_smooth_scroll(self)
         self.setMinimumHeight(0)
         self.setSortingEnabled(True)
         self.verticalHeader().setVisible(False)

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)
@@ -1149,8 +1186,8 @@ 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:
-                self.lifecycle.end(self._close_reason)
+            # 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_ai_consult_ui.py

@@ -1634,7 +1634,11 @@ def test_report_bubbles_report_the_height_they_actually_paint(
     host, bubble = _fitted_bubble(reply)
 
     assert bubble.height() > 0
-    assert abs(bubble.sizeHint().height() - bubble.height()) <= 2
+    # Wrapping labels can legitimately have a different preferred height at
+    # their preferred width. Compare against the actual reading-column width.
+    fitted_height = bubble.heightForWidth(bubble.width())
+    expected_height = fitted_height if fitted_height >= 0 else bubble.sizeHint().height()
+    assert abs(expected_height - bubble.height()) <= 2
     host.close()
     host.deleteLater()
 
@@ -1646,14 +1650,15 @@ def test_risk_block_uses_the_red_alert_palette() -> None:
     assert "#FEF3F2" in risk_card
     assert "#F1B35C" not in risk_card  # 旧的橙色描边
     marker = qss.split("QLabel#AiConsultRiskMarker {", 1)[1].split("}", 1)[0]
-    assert "#C0392B" in marker
+    assert "#BE4B58" in marker
 
 
 def test_clinical_bodies_are_no_longer_rendered_at_eleven_pixels() -> None:
     qss = ai_consult_module.AI_CONSULT_QSS
 
-    body = qss.split("QLabel#AiConsultRiskBody {\n    color: #46557A;", 1)
-    assert len(body) == 2 or "font-size: 13px" in qss
+    body = qss.rsplit("QLabel#AiConsultRiskBody {", 1)[1].split("}", 1)[0]
+    assert "color: #1a1c1f" in body.lower()
+    assert "font-size: 14px" in body
     block = qss.split("QLabel#AiConsultClinicalBody,", 1)[1].split("}", 1)[0]
-    assert "font-size: 13px" in block
+    assert "font-size: 14px" in block
     assert "font-size: 11px" not in block

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": "",
@@ -559,7 +565,7 @@ def test_keyboard_focus_has_a_visible_state(
     assert focus_target.hasFocus()
     assert application.focusWidget() is focus_target
     assert 'QPushButton[appointmentDate="true"]:focus' in APPOINTMENT_DRAWER_QSS
-    assert "border-color: #8D9BFF;" in APPOINTMENT_DRAWER_QSS
+    assert "border-color: #8B9AD9;" in APPOINTMENT_DRAWER_QSS
 
     drawer.close()
     host.close()

app/tests/test_appointment_infinite.py

@@ -0,0 +1,242 @@
+"""Scrolling, query isolation and refresh contracts for the two clinic queues."""
+
+from __future__ import annotations
+
+import os
+from copy import deepcopy
+from datetime import date
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import Qt, Signal
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication, QComboBox, QSpinBox, QWidget
+
+from doctor_workstation.ui.infinite_list import InfiniteList
+from doctor_workstation.ui.pages import appointments, consultations
+
+
+class _DiagnosisDialog(QWidget):
+    saved = Signal()
+
+    def __init__(self, _repository: Any, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+
+
+class _Repository:
+    def __init__(self) -> None:
+        self.calls: list[dict[str, Any]] = []
+        self.fail_page: int | None = None
+        self.revision = 0
+
+    def _list(self, **query: Any) -> dict[str, Any]:
+        self.calls.append(dict(query))
+        page = query["page_no"]
+        if page == self.fail_page:
+            raise RuntimeError("暂时无法加载")
+        second = bool(query.get("keyword") or query.get("patient_name"))
+        offset = 1000 if second else 0
+        total = 4 if second else 34
+        start = (page - 1) * query["page_size"]
+        rows = [
+            {
+                "id": offset + index,
+                "diagnosis_id": offset + index,
+                "source_patient_id": index + 2000,
+                "patient_id": index + 2000,
+                "patient_name": f"患者{offset + index} · {self.revision}",
+                "status": 1,
+                "status_desc": "待接诊",
+                "appointment_id": offset + index,
+                "appointment_status": 1,
+                "appointment_date": date.today().isoformat(),
+                "appointment_time": "09:00-09:30",
+                "patient_phone": "13800001234",
+                "doctor_name": "测试医生",
+                "doctor_id": 30,
+                "diagnosis_confirmed": True,
+                "appointments": [],
+            }
+            for index in range(start + 1, min(total, start + query["page_size"]) + 1)
+        ]
+        result = {"lists": rows, "count": total}
+        if page == 1:
+            result["extend"] = {
+                "status_count": {"1": total, "3": 7},
+                "date_counts": {"today": total, "tomorrow": 9},
+            }
+        return result
+
+    list_appointments = _list
+    list_consultations = _list
+
+
+def _inline(function: Any, *, on_success=None, on_error=None, on_finished=None) -> None:
+    try:
+        result = function()
+    except Exception as error:
+        if on_error is not None:
+            on_error(error)
+    else:
+        if on_success is not None:
+            on_success(result)
+    finally:
+        if on_finished is not None:
+            on_finished()
+
+
+def _settle(application: QApplication) -> None:
+    for _ in range(3):
+        application.processEvents()
+        QTest.qWait(35)
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    return QApplication.instance() or QApplication([])
+
+
+@pytest.fixture(params=["appointments", "consultations"])
+def queue_page(request: Any, application: QApplication, monkeypatch: pytest.MonkeyPatch):
+    module = appointments if request.param == "appointments" else consultations
+    monkeypatch.setattr(module, "run_async", _inline)
+    monkeypatch.setattr(consultations, "DiagnosisDialog", _DiagnosisDialog)
+    monkeypatch.setattr(consultations.ConsultationsPage, "_load_filter_options", lambda self: None)
+    monkeypatch.setattr(consultations.ConsultationsPage, "_refresh_counts", lambda self: None)
+    monkeypatch.setattr(appointments.AppointmentsPage, "_load_departments", lambda self: None)
+    repository = _Repository()
+    page_class = appointments.AppointmentsPage if module is appointments else consultations.ConsultationsPage
+    page = page_class(repository, permissions={"*"}, current_user={"role_id": 1})
+    page.resize(1280, 800)
+    page.show()
+    page.poll_timer.stop()
+    _settle(application)
+    yield page, repository, module
+    page.close()
+    page.deleteLater()
+    _settle(application)
+
+
+def _scroll_bottom(page: Any, application: QApplication) -> None:
+    scrollbar = page.table.verticalScrollBar()
+    assert scrollbar.maximum() > 0
+    scrollbar.setValue(scrollbar.maximum())
+    _settle(application)
+
+
+def test_scroll_appends_and_preserves_selection(queue_page: Any, application: QApplication) -> None:
+    page, repository, _module = queue_page
+    assert page.table.rowCount() == 15
+    page.table.selectRow(6)
+    if hasattr(page, "table_host"):
+        model = page.table_host.model
+        model.setData(model.index(6, 0), Qt.CheckState.Checked, Qt.ItemDataRole.CheckStateRole)
+    _scroll_bottom(page, application)
+
+    assert page.table.rowCount() == 30
+    assert [call["page_no"] for call in repository.calls] == [1, 2]
+    assert page.table.current_data()["id"] == 7
+    assert page.table.verticalScrollBar().value() > 0
+    if hasattr(page, "table_host"):
+        assert [row["id"] for row in page.table_host.selected_records()] == [7]
+    else:
+        assert page._status_counts[3] == 7
+        assert page.date_buttons["tomorrow"].text().endswith(" 9")
+
+    _scroll_bottom(page, application)
+    assert page.table.rowCount() == 34
+    assert len({row["id"] for row in page.pager.rows}) == 34
+    assert not page.pager.has_more
+    assert "已全部加载" in page.pager.summary_label.text()
+    _scroll_bottom(page, application)
+    assert [call["page_no"] for call in repository.calls] == [1, 2, 3]
+
+
+def test_silent_refresh_keeps_the_loaded_prefix(queue_page: Any, application: QApplication) -> None:
+    page, repository, _module = queue_page
+    _scroll_bottom(page, application)
+    page.table.selectRow(19)
+    old_scroll = page.table.verticalScrollBar().value()
+    repository.calls.clear()
+    repository.revision = 2
+    page.refresh(silent=True)
+    _settle(application)
+
+    assert [call["page_no"] for call in repository.calls] == [1, 2]
+    assert page.table.rowCount() == 30
+    assert page.table.current_data()["id"] == 20
+    assert page.table.current_data()["patient_name"].endswith(" · 2")
+    assert page.table.verticalScrollBar().value() == old_scroll
+    if isinstance(page, appointments.AppointmentsPage):
+        assert page._status_counts[3] == 7
+        assert page.date_buttons["tomorrow"].text().endswith(" 9")
+
+
+def test_filter_change_supersedes_pending_append(
+    queue_page: Any, application: QApplication, monkeypatch: pytest.MonkeyPatch
+) -> None:
+    page, _repository, module = queue_page
+    jobs: list[tuple[Any, dict[str, Any]]] = []
+
+    def deferred(function: Any, **callbacks: Any) -> None:
+        jobs.append((function, callbacks))
+
+    monkeypatch.setattr(module, "run_async", deferred)
+    # Reconfigure the shared controller to use the deferred runner, then finish
+    # that refresh before simulating a slow next page.
+    page.refresh(silent=True)
+    function, callbacks = jobs.pop()
+    callbacks["on_success"](function())
+    page.pager.load_more()
+    append_function, append_callbacks = jobs.pop()
+    stale_result = deepcopy(append_function())
+
+    search = page.patient_input if module is appointments else page.keyword_edit
+    search.setText("第二组")
+    page.refresh(silent=True)
+    assert len(jobs) == 1
+    function, callbacks = jobs.pop()
+    assert function()["lists"][0]["id"] == 1001
+    callbacks["on_success"](function())
+    append_callbacks["on_success"](stale_result)
+    _settle(application)
+
+    assert page.table.rowCount() == 4
+    assert [row["id"] for row in page.pager.rows] == [1001, 1002, 1003, 1004]
+    assert page.pager.page == 1
+    assert not page.pager.loading
+    assert page.table.verticalScrollBar().value() == 0
+
+
+def test_failed_append_retries_without_losing_rows(queue_page: Any, application: QApplication) -> None:
+    page, repository, _module = queue_page
+    repository.fail_page = 2
+    _scroll_bottom(page, application)
+    assert page.table.rowCount() == 15
+    assert page.pager.page == 1
+    assert page.pager.retry_button.isVisible()
+    calls = len(repository.calls)
+    _settle(application)
+    assert len(repository.calls) == calls
+
+    repository.fail_page = None
+    page.pager.retry_button.click()
+    _settle(application)
+    assert page.table.rowCount() == 30
+    assert page.pager.page == 2
+    assert page.pager.retry_button.isHidden()
+
+
+def test_list_footer_is_compact_without_page_controls(queue_page: Any, application: QApplication) -> None:
+    page, _repository, _module = queue_page
+    for height in (768, 960):
+        page.resize(1280, height)
+        _settle(application)
+        assert isinstance(page.pager, InfiniteList)
+        assert page.pager.height() == 24
+        assert not page.pager.findChildren(QComboBox)
+        assert not page.pager.findChildren(QSpinBox)
+        content = page.page_scroll.widget() if hasattr(page, "page_scroll") else page
+        assert content.layout().contentsMargins().bottom() == 8

app/tests/test_appointments_parity_ui.py

@@ -10,6 +10,8 @@ from typing import Any
 os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 
 import pytest
+from PySide6.QtCore import QElapsedTimer
+from PySide6.QtTest import QTest
 from PySide6.QtWidgets import (
     QAbstractItemView,
     QApplication,
@@ -398,12 +400,19 @@ def test_appointments_page_default_query_is_today_pending(
     page.refresh()
     application.processEvents()
 
+    completed = QElapsedTimer()
+    completed.start()
+    while page.table.rowCount() == 0 and completed.elapsed() < 2_000:
+        QTest.qWait(10)
+
     filters = page._query_filters()
     assert filters["status"] == 1
     assert filters["include_status_counts"] == 1
     assert filters["start_date"] == filters["end_date"]
     assert "diag_scope_relax" not in filters
     assert page.table.rowCount() >= 1
+    page.close()
+    application.processEvents()
 
 
 def test_demo_appointment_status_counts_respect_date_scope() -> None:
@@ -464,8 +473,7 @@ def test_appointment_multiline_cells_receive_enough_row_height(
     assert appointment_text.count("\n") == 2
     assert "2026-08-11 14:30" in appointment_text
     required = 3 * max(16, page.table.fontMetrics().lineSpacing()) + 10
-    assert 60 <= page.table.rowHeight(0) <= 66
-    assert page.table.rowHeight(0) >= min(required, 66)
+    assert page.table.rowHeight(0) >= required
     assert page.table.item(0, 4).toolTip() == appointment_text
     page.close()
 
@@ -734,7 +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()
 
@@ -854,9 +862,8 @@ def test_appointments_density_fits_four_rows_in_1366_shell_viewport(
         permissions=PermissionSet(["*"]),
         current_user={"id": 1001, "role_id": 1},
     )
-    # 1366x768 shell minus its 179 px appointment rail, 26 px outer gutter,
-    # and 62 px top bar leaves a 1161x680 page viewport.
-    page.resize(1161, 680)
+    # Approved shared chrome: 208 px rail, 76 px topbar, no outer gutter.
+    page.resize(1158, 692)
     page.show()
     application.processEvents()
     rows = [
@@ -886,10 +893,12 @@ def test_appointments_density_fits_four_rows_in_1366_shell_viewport(
     application.processEvents()
 
     heights = [page.table.rowHeight(index) for index in range(page.table.rowCount())]
-    # 与其余列表页一致的“面包屑 + 标题 + 副标题”页头。
-    assert page.header.height() == 62
-    assert page.filter_panel.height() <= 84
-    assert all(60 <= height <= 66 for height in heights)
+    # Compact title and folded filters leave more room for the patient queue.
+    assert page.header.height() >= page.header.minimumSizeHint().height()
+    assert page.header.height() <= 44
+    assert page.filter_panel.isHidden()
+    assert all(60 <= height <= 84 for height in heights)
+    assert all(page.table.cellWidget(row, 4).height() >= page.table.cellWidget(row, 4).minimumSizeHint().height() for row in range(page.table.rowCount()))
     assert page.table.viewport().height() // max(heights) >= 4
     assert page.pager.isVisibleTo(page)
     assert page.content_layout.count() == 1

app/tests/test_appointments_visual_blue.py

@@ -0,0 +1,326 @@
+"""Native Qt interaction and layout checks for the approved appointment surface."""
+
+from __future__ import annotations
+
+import os
+import socket
+from copy import deepcopy
+from datetime import date
+from itertools import combinations
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QPoint, QRect, QSize, Qt
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import (
+    QApplication,
+    QCheckBox,
+    QComboBox,
+    QLabel,
+    QLineEdit,
+    QPushButton,
+    QTabBar,
+    QWidget,
+)
+
+from doctor_workstation.ui import shell as shell_module
+from doctor_workstation.ui.pages import appointments as appointments_module
+from doctor_workstation.ui.pages.appointments import AppointmentsPage
+from doctor_workstation.ui.shell import NavigationItem, ShellWindow
+from doctor_workstation.ui.theme import apply_theme
+
+
+class _Repository:
+    def __init__(self) -> None:
+        self.rows = [
+            {
+                "id": identifier,
+                "patient_name": f"测试患者{identifier}",
+                "patient_phone": "13800001234",
+                "gender": 1,
+                "age": 36,
+                "status": 1,
+                "status_desc": "待接诊",
+                "appointment_date": date.today().isoformat(),
+                "appointment_time": "09:00-09:30",
+                "doctor_name": "测试医生",
+                "doctor_id": 21,
+                "diagnosis_id": identifier + 100,
+                "source_patient_id": identifier + 200,
+                "diagnosis_confirmed": True,
+                "channel_name": "测试渠道",
+            }
+            for identifier in (401, 402, 403)
+        ]
+        self.queries: list[dict[str, Any]] = []
+
+    def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
+        self.queries.append(kwargs)
+        return {
+            "lists": deepcopy(self.rows),
+            "count": len(self.rows),
+            "extend": {"status_count": {"1": len(self.rows)}},
+        }
+
+    def list_departments(self) -> list[dict[str, Any]]:
+        return [{"id": 10, "name": "测试部门", "children": []}]
+
+
+class _QuietPage(QWidget):
+    def __init__(self, _repository: Any, *, parent: QWidget, **_kwargs: Any) -> None:
+        super().__init__(parent)
+
+
+def _settle(application: QApplication) -> None:
+    for _ in range(3):
+        application.processEvents()
+        QTest.qWait(5)
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    application = QApplication.instance() or QApplication([])
+    apply_theme(application)
+    return application
+
+
+@pytest.fixture
+def window_factory(application: QApplication, monkeypatch: pytest.MonkeyPatch):
+    def run_inline(function: Any, *, on_success=None, on_error=None, on_finished=None):
+        try:
+            result = function()
+        except Exception as error:
+            if on_error:
+                on_error(error)
+            raise
+        else:
+            if on_success:
+                on_success(result)
+        finally:
+            if on_finished:
+                on_finished()
+
+    def reject_network(*_args: Any, **_kwargs: Any):
+        pytest.fail("The appointment visual tests must stay offline")
+
+    monkeypatch.setattr(socket.socket, "connect", reject_network)
+    monkeypatch.setattr(socket.socket, "connect_ex", reject_network)
+    monkeypatch.setattr(socket, "create_connection", reject_network)
+    monkeypatch.setattr(appointments_module, "run_async", run_inline)
+    monkeypatch.setattr(shell_module.motion, "reduced_motion", lambda: True)
+    navigation = [
+        NavigationItem("appointments", "挂号列表", "号", AppointmentsPage, ("doctor.appointment/lists",)),
+        NavigationItem("reception", "接诊台", "◎", _QuietPage, ("doctor.appointment/lists",)),
+        NavigationItem("patients", "我的患者", "患", _QuietPage, ("firstvisit.myPatient/lists",)),
+        NavigationItem("prescriptions", "已开处方", "笺", _QuietPage, ("tcm.prescription/lists",)),
+        NavigationItem("legacy_reference", "参考页", "参", _QuietPage, ()),
+    ]
+    monkeypatch.setattr(
+        shell_module, "_resolve_navigation",
+        lambda *_args, **_kwargs: [(item, item.title) for item in navigation],
+    )
+    windows = []
+
+    def create(*, admin: bool = False, width: int = 1536, height: int = 960):
+        repository = _Repository()
+        shell = ShellWindow(
+            repository,
+            {"user": {"name": "测试医生", "role_id": 3 if admin else 1}, "demo_mode": True},
+            permissions={"*"},
+        )
+        windows.append(shell)
+        shell.resize(width, height)
+        shell.show()
+        _settle(application)
+        page = shell.pages["appointments"]
+        page.poll_timer.stop()
+        return shell, page, repository
+
+    yield create
+    for shell in windows:
+        shell.close()
+        shell.deleteLater()
+    _settle(application)
+
+
+def _selector(page: AppointmentsPage, row: int) -> QCheckBox:
+    host = page.table.cellWidget(row, 0)
+    assert host is not None
+    selector = host.findChild(QCheckBox)
+    assert selector is not None
+    return selector
+
+
+def _assert_selection_matches(page: AppointmentsPage) -> None:
+    table = page.table
+    selected = {index.row() for index in table.selectionModel().selectedRows()}
+    assert selected == {table.currentRow()}
+    assert sum(_selector(page, row).isChecked() for row in range(table.rowCount())) == 1
+    for row in range(table.rowCount()):
+        assert _selector(page, row).isChecked() == (row in selected)
+        assert table.cellWidget(row, 0).property("selected") == (row in selected)
+
+
+def test_real_selector_tracks_initial_row_click_repeat_click_and_refresh(
+    application: QApplication, window_factory
+) -> None:
+    shell, page, repository = window_factory()
+    assert page.table.rowCount() == 3
+    _assert_selection_matches(page)
+    checkbox = _selector(page, 1)
+    QTest.mouseClick(checkbox, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert page.table.currentRow() == 1
+    _assert_selection_matches(page)
+
+    # Clicking the selected checkbox cannot leave the selected patient unchecked.
+    QTest.mouseClick(checkbox, Qt.MouseButton.LeftButton)
+    _settle(application)
+    _assert_selection_matches(page)
+    assert page.table.currentRow() == 1
+
+    target = page.table.item(2, 2)
+    QTest.mouseClick(
+        page.table.viewport(), Qt.MouseButton.LeftButton,
+        pos=page.table.visualItemRect(target).center(),
+    )
+    _settle(application)
+    assert page.table.currentRow() == 2
+    _assert_selection_matches(page)
+    selected_id = page.table.current_data()["id"]
+
+    shell.refresh_button.click()
+    _settle(application)
+    assert page.table.current_data()["id"] == selected_id
+    _assert_selection_matches(page)
+
+    # Changed server data rebuilds the cells, unlike unchanged polling.
+    repository.rows[0]["channel_name"] = "更新后的测试渠道"
+    shell.refresh_button.click()
+    _settle(application)
+    assert page.table.current_data()["id"] == selected_id
+    _assert_selection_matches(page)
+
+
+def test_selector_selects_its_visible_patient_after_sorting(
+    application: QApplication, window_factory
+) -> None:
+    _shell, page, _repository = window_factory()
+    # A user can change sorting after cell widgets have already been installed.
+    first_id = page.table.item(0, 0).data(Qt.ItemDataRole.UserRole)["id"]
+    header = page.table.horizontalHeader()
+    header_position = QPoint(
+        header.sectionViewportPosition(1) + header.sectionSize(1) // 2,
+        header.height() // 2,
+    )
+    for _ in range(2):
+        QTest.mouseClick(header.viewport(), Qt.MouseButton.LeftButton, pos=header_position)
+        _settle(application)
+        if page.table.item(0, 0).data(Qt.ItemDataRole.UserRole)["id"] != first_id:
+            break
+    expected_id = page.table.item(0, 0).data(Qt.ItemDataRole.UserRole)["id"]
+    assert expected_id != first_id
+    QTest.mouseClick(_selector(page, 0), Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert page.table.current_data()["id"] == expected_id
+    _assert_selection_matches(page)
+    QTest.mouseClick(_selector(page, 0), Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert page.table.current_data()["id"] == expected_id
+    _assert_selection_matches(page)
+
+
+def _rect(widget: QWidget, ancestor: QWidget) -> QRect:
+    return QRect(widget.mapTo(ancestor, QPoint()), widget.size())
+
+
+def _assert_filter_layout(page: AppointmentsPage) -> None:
+    types = (QPushButton, QComboBox, QLineEdit, QTabBar, QLabel)
+    controls = [widget for widget in page.filter_panel.findChildren(QWidget)
+                if isinstance(widget, types) and widget.isVisible()]
+    panel = page.filter_panel.rect()
+    for widget in controls:
+        assert panel.contains(_rect(widget, page.filter_panel)), widget.objectName()
+    for first, second in combinations(controls, 2):
+        if first.isAncestorOf(second) or second.isAncestorOf(first):
+            continue
+        overlap = _rect(first, page).intersected(_rect(second, page))
+        assert overlap.isEmpty(), (first.objectName(), second.objectName(), overlap)
+    assert not _rect(page.filter_panel, page).intersects(_rect(page.table_card, page))
+    assert page.table.viewport().height() > 80
+
+
+@pytest.mark.parametrize("admin", [False, True], ids=["doctor", "admin"])
+@pytest.mark.parametrize(("width", "height"), [(1536, 960), (1366, 768), (1024, 640)])
+def test_more_filters_fit_exact_window_and_preserve_all_columns(
+    application: QApplication, window_factory, admin: bool, width: int, height: int
+) -> None:
+    shell, page, _repository = window_factory(admin=admin, width=width, height=height)
+    page.filter_disclosure.set_expanded(True)
+    _settle(application)
+    for expanded in (False, True, False):
+        if page.more_filters_button.isChecked() != expanded:
+            QTest.mouseClick(page.more_filters_button, Qt.MouseButton.LeftButton)
+            _settle(application)
+        assert shell.size() == QSize(width, height)
+        assert page.advanced_filters.isVisible() == expanded
+        assert page.dept_filter.isVisible() == expanded
+        assert page.doctor_input.isVisible() == (expanded and admin)
+        assert page.custom_date_button.isVisible() == expanded
+        assert page.reset_filter_button.isVisible() == expanded
+        _assert_filter_layout(page)
+        assert page.table.columnCount() == 11
+        assert all(not page.table.isColumnHidden(column) for column in range(11))
+        assert [page.table.horizontalHeaderItem(column).text() for column in range(11)] == [
+            "", "ID", "患者", "性别 / 年龄", "挂号信息", "确认", "复诊", "助理", "开方", "未服务天数", "IM 问诊",
+        ]
+        if width == 1024:
+            assert page.table.horizontalScrollBar().maximum() > 0
+            page.table.horizontalScrollBar().setValue(page.table.horizontalScrollBar().maximum())
+            _settle(application)
+            right = page.table.columnViewportPosition(10) + page.table.columnWidth(10)
+            assert right <= page.table.viewport().width()
+
+
+def test_page_typography_remains_compact_and_chrome_restores(
+    application: QApplication, window_factory
+) -> None:
+    shell, page, _repository = window_factory()
+    original_qss = application.styleSheet()
+    assert page.header.title_label.font().pixelSize() == 20
+    assert page.patient_input.font().pixelSize() == 14
+    assert page.table.font().pixelSize() == 14
+    assert page.table.item(0, 2).font().pixelSize() == 14
+    assert page.header.subtitle_label.font().pixelSize() == 13
+    assert page.more_filters_button.font().pixelSize() == 13
+    assert shell.sidebar.width() == 208
+    assert shell.topbar.height() == 76
+    assert shell.navigate("reception")
+    _settle(application)
+    assert shell.sidebar.width() == 208
+    assert shell.topbar.height() == 76
+    assert shell.navigate("patients")
+    _settle(application)
+    assert shell.sidebar.width() == 208
+    assert shell.topbar.height() == 76
+    assert shell.navigate("prescriptions")
+    _settle(application)
+    assert shell.sidebar.width() == 208
+    assert shell.topbar.height() == 76
+    assert shell.navigate("legacy_reference")
+    _settle(application)
+    assert shell.sidebar.width() == 190
+    assert shell.topbar.height() == 62
+    assert shell.workspace.pos() == QPoint(203, 13)
+    assert shell.fold_button.isVisible()
+    assert not shell.menu_sidebar_action.isVisible()
+    for widget, stylesheet in shell._legacy_chrome_styles.items():
+        assert widget.styleSheet() == stylesheet
+    assert shell.navigate("appointments")
+    _settle(application)
+    assert shell.sidebar.width() == 208
+    assert shell.topbar.height() == 76
+    assert page.header.title_label.font().pixelSize() == 20
+    assert application.styleSheet() == original_qss

app/tests/test_collapsible_lists.py

@@ -0,0 +1,198 @@
+"""Native Qt coverage for presentation-only filter folding on both queues."""
+
+from __future__ import annotations
+
+import json
+import os
+from datetime import date
+from pathlib import Path
+from typing import Any
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QPoint, QRect, Qt, Signal
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication, QPushButton, QWidget
+
+from doctor_workstation.ui import shell as shell_module
+from doctor_workstation.ui.pages import appointments, consultations
+from doctor_workstation.ui.shell import NavigationItem, ShellWindow
+from doctor_workstation.ui.theme import apply_theme
+
+
+class _Dialog(QWidget):
+    saved = Signal()
+
+    def __init__(self, _repository: Any, parent: QWidget | None = None) -> None:
+        super().__init__(parent)
+
+
+class _Repository:
+    def __init__(self) -> None:
+        self.calls: list[dict[str, Any]] = []
+
+    def _list(self, **query: Any) -> dict[str, Any]:
+        self.calls.append(query)
+        rows = [{
+            "id": index, "diagnosis_id": index, "patient_id": index + 2000,
+            "source_patient_id": index + 2000, "patient_name": f"演示患者{index:02d}",
+            "patient_phone": "13800001234", "gender": 2, "age": 38,
+            "status": 1, "status_desc": "待接诊", "doctor_name": "演示医生",
+            "doctor_id": 30, "assistant_name": "演示医助", "has_appointment": True,
+            "appointment_id": index + 1000, "appointment_status": 1,
+            "appointment_date": date.today().isoformat(), "appointment_time": "09:00-09:30",
+            "diagnosis_confirmed": True, "has_prescription": False,
+            "appointments": [{"id": index + 1000, "status": 1,
+                              "doctor_name": "演示医生", "time_text": "09:00-09:30"}],
+        } for index in range(1, 16)]
+        return {"lists": rows, "count": 15, "extend": {"status_count": {"1": 15}}}
+
+    list_appointments = _list
+    list_consultations = _list
+
+
+def _inline(function: Any, *, on_success=None, on_error=None, on_finished=None) -> None:
+    try:
+        result = function()
+    except Exception as error:
+        if on_error is not None:
+            on_error(error)
+    else:
+        if on_success is not None:
+            on_success(result)
+    finally:
+        if on_finished is not None:
+            on_finished()
+
+
+def _settle(application: QApplication) -> None:
+    for _ in range(4):
+        application.processEvents()
+        QTest.qWait(10)
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    app = QApplication.instance() or QApplication([])
+    apply_theme(app)
+    return app
+
+
+@pytest.fixture
+def list_window(application: QApplication, monkeypatch: pytest.MonkeyPatch):
+    monkeypatch.setattr(appointments, "run_async", _inline)
+    monkeypatch.setattr(consultations, "run_async", _inline)
+    monkeypatch.setattr(consultations, "DiagnosisDialog", _Dialog)
+    monkeypatch.setattr(consultations.ConsultationsPage, "_load_filter_options", lambda self: None)
+    monkeypatch.setattr(consultations.ConsultationsPage, "_refresh_counts", lambda self: None)
+    monkeypatch.setattr(appointments.AppointmentsPage, "_load_departments", lambda self: None)
+    monkeypatch.setattr(shell_module.motion, "reduced_motion", lambda: True)
+    navigation = [
+        NavigationItem("appointments", "挂号列表", "号", appointments.AppointmentsPage,
+                       ("doctor.appointment/lists",)),
+        NavigationItem("consultations", "问诊列表", "询", consultations.ConsultationsPage,
+                       ("tcm.diagnosis/lists",)),
+    ]
+    monkeypatch.setattr(shell_module, "_resolve_navigation",
+                        lambda *_args, **_kwargs: [(item, item.title) for item in navigation])
+    repository = _Repository()
+    window = ShellWindow(repository, {"user": {"name": "演示医生", "role_id": 1},
+                                      "demo_mode": True}, permissions={"*"})
+    yield window, repository
+    window.close()
+    window.deleteLater()
+    _settle(application)
+
+
+@pytest.mark.parametrize("kind", ["appointments", "consultations"])
+@pytest.mark.parametrize(("width", "height"), [(1366, 768), (1536, 960)])
+def test_folding_reclaims_rows_and_retains_query_refresh_and_navigation_state(
+    application: QApplication, list_window: Any, kind: str, width: int, height: int,
+) -> None:
+    window, repository = list_window
+    window.resize(width, height)
+    window.show()
+    assert window.navigate(kind)
+    _settle(application)
+    page = window.pages[kind]
+    page.poll_timer.stop()
+    panel = page.filter_panel if kind == "appointments" else page.filters_card
+    header = page.header if kind == "appointments" else page.page_header
+    search = page.patient_input if kind == "appointments" else page.patient_name_edit
+    nested = page.more_filters_button if kind == "appointments" else page.more_filter_button
+    action = page.toolbar_edit_button if kind == "appointments" else page.add_button
+    disclosure = page.filter_disclosure
+    filters = page._query_filters if kind == "appointments" else page._filters
+    assert not disclosure.expanded
+    assert panel.isHidden() and not search.isVisible()
+    assert header.height() <= 44
+    assert not header.subtitle_label.isVisible()
+    assert disclosure.button.isVisible() and action.isVisible()
+    assert 30 <= disclosure.button.height() <= 34
+    assert window.refresh_button.isVisible()
+    assert any(button.isVisible() and button.text() == "刷新"
+               for button in page.findChildren(QPushButton))
+    collapsed_height = page.table.viewport().height()
+    capture_dir = os.environ.get("COLLAPSIBLE_LIST_SCREENSHOTS")
+    if capture_dir:
+        Path(capture_dir).mkdir(parents=True, exist_ok=True)
+        assert window.grab().save(str(Path(capture_dir) / f"{kind}-{width}-collapsed.png"))
+
+    calls_before = len(repository.calls)
+    QTest.mouseClick(disclosure.button, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert len(repository.calls) == calls_before
+    assert panel.isVisible() and search.isVisible()
+    assert collapsed_height >= page.table.viewport().height() + 100
+    assert panel.rect().contains(QRect(search.mapTo(panel, QPoint()), search.size()))
+    assert search.parentWidget().rect().contains(search.geometry())
+    assert not page.advanced_filters.isVisible()
+    if capture_dir:
+        assert window.grab().save(str(Path(capture_dir) / f"{kind}-{width}-expanded.png"))
+        (Path(capture_dir) / f"{kind}-{width}-metrics.json").write_text(
+            json.dumps({"window": [width, height], "header_height": header.height(),
+                        "toggle_height": disclosure.button.height(),
+                        "collapsed_viewport_height": collapsed_height,
+                        "expanded_viewport_height": page.table.viewport().height(),
+                        "viewport_gain": collapsed_height - page.table.viewport().height()},
+                       indent=2), encoding="utf-8",
+        )
+
+    search.setText("演示患者")
+    query_button = (page.findChild(QPushButton, "AppointmentSearchButton")
+                    if kind == "appointments" else page.search_button)
+    QTest.mouseClick(query_button, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert len(repository.calls) > calls_before
+    assert repository.calls[-1]["patient_name"] == "演示患者"
+    QTest.mouseClick(nested, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert page.advanced_filters.isVisible()
+    query = dict(filters())
+    calls_before = len(repository.calls)
+    QTest.mouseClick(disclosure.button, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert len(repository.calls) == calls_before
+    assert filters() == query
+    assert search.text() == "演示患者"
+    assert panel.isHidden()
+    assert page.table.viewport().height() == collapsed_height
+
+    window.resize(width - 50, height - 20)
+    window.refresh_button.click()
+    _settle(application)
+    assert not disclosure.expanded and panel.isHidden()
+    assert filters() == query
+    other = "consultations" if kind == "appointments" else "appointments"
+    assert window.navigate(other)
+    assert window.navigate(kind)
+    _settle(application)
+    assert not disclosure.expanded and panel.isHidden()
+    QTest.mouseClick(disclosure.button, Qt.MouseButton.LeftButton)
+    _settle(application)
+    assert page.advanced_filters.isVisible() and nested.isChecked()
+    window.refresh_button.click()
+    _settle(application)
+    assert disclosure.expanded and panel.isVisible()
+    assert filters() == query

app/tests/test_collapsible_patients.py

@@ -0,0 +1,242 @@
+"""Page disclosures reclaim list space without changing queries or tab state."""
+
+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 QDate, QPoint, QRect, Qt, QTimer
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.core import PermissionSet
+from doctor_workstation.ui.pages import patients as patients_module
+from doctor_workstation.ui.pages.patients import PatientsPage
+from doctor_workstation.ui.theme import apply_theme
+
+
+class Repository:
+    def __init__(self) -> None:
+        self.calls: list[tuple[str, dict[str, Any]]] = []
+
+    def _result(self, kind: str, query: dict[str, Any]) -> dict[str, Any]:
+        self.calls.append((kind, deepcopy(query)))
+        return {
+            "lists": [{
+                "id": 101 + index, "diagnosis_id": 501 + index,
+                "patient_id": 301 + index, "patient_name": f"患者 {index + 1}",
+                "order_no": f"TEST-20260907-{index + 1}", "queue_no": index + 1,
+                "appointment_status": 1, "queue_status": "waiting",
+                "queue_status_text": "等待中", "doctor_name": "测试医生",
+            } for index in range(4)],
+            "count": 4,
+            "extend": {
+                "scope": {"label": "本人患者"}, "schedule_mode": "ownership",
+                "summary": {"waiting": 4, "today": 4, "orders": 4},
+            },
+        }
+
+    def list_patients(self, **query: Any) -> dict[str, Any]:
+        return self._result("patients", query)
+
+    def patient_orders(self, **query: Any) -> dict[str, Any]:
+        return self._result("orders", query)
+
+    def patient_progress(self, **query: Any) -> dict[str, Any]:
+        return self._result("progress", query)
+
+
+def settle(application: QApplication) -> None:
+    for _ in range(4):
+        application.processEvents()
+
+
+@pytest.fixture(scope="module")
+def application() -> QApplication:
+    application = QApplication.instance() or QApplication([])
+    apply_theme(application)
+    return application
+
+
+@pytest.fixture
+def page_factory(application, monkeypatch):
+    def immediate(function, *, on_success=None, on_error=None, on_finished=None):
+        try:
+            result = function()
+        except Exception as error:
+            if on_error:
+                on_error(error)
+            raise
+        else:
+            if on_success:
+                on_success(result)
+        finally:
+            if on_finished:
+                on_finished()
+
+    def reject_network(*_args, **_kwargs):
+        pytest.fail("Disclosure tests must use local fixture data")
+
+    monkeypatch.setattr(patients_module, "run_async", immediate)
+    monkeypatch.setattr(socket.socket, "connect", reject_network)
+    monkeypatch.setattr(socket.socket, "connect_ex", reject_network)
+    monkeypatch.setattr(socket, "create_connection", reject_network)
+    opened = []
+
+    def create(width=1328, height=884):
+        repository = Repository()
+        page = PatientsPage(repository, PermissionSet(["*"]))
+        opened.append(page)
+        page.resize(width, height)
+        page.show()
+        settle(application)
+        return page, repository
+
+    yield create
+    for page in opened:
+        for timer in page.findChildren(QTimer):
+            timer.stop()
+        page.close()
+        page.deleteLater()
+    settle(application)
+
+
+def regions(page, index):
+    return (
+        (page.patient_workspace.search_toolbar, page.patient_workspace.filter_card,
+         page.patient_workspace.summary_strip),
+        (page.order_workspace.filter_card, page.order_workspace.summary_strip),
+        (page.progress_workspace.overview_card, page.progress_workspace.schedule_card),
+    )[index]
+
+
+@pytest.mark.parametrize("index", [0, 1, 2], ids=["patients", "orders", "progress"])
+def test_tabs_default_collapsed_and_keyboard_expansion_gives_space_to_lists(
+    application, page_factory, index
+):
+    page, repository = page_factory()
+    page.tabs.setCurrentIndex(index)
+    settle(application)
+    workspace = page.tabs.currentWidget()
+    table = workspace.queue_table if index == 2 else workspace.table
+    disclosure = page.filter_disclosure
+    assert not disclosure.expanded
+    assert all(widget.isHidden() for widget in regions(page, index))
+    assert sum(item.button.isVisible() for item in page.filter_disclosures) == 1
+    assert disclosure.button.text() == disclosure.button.accessibleName() == "展开筛选"
+    assert disclosure.button.height() == 32
+    assert page.header.height() <= 48
+    assert not page.header.subtitle_label.isVisible()
+    assert page.refresh_button.isVisible() and page.tabs.tabBar().isVisible()
+    collapsed_height = table.viewport().height()
+    before = deepcopy(repository.calls)
+    disclosure.button.setFocus()
+    QTest.keyClick(disclosure.button, Qt.Key.Key_Space)
+    settle(application)
+    assert disclosure.expanded and disclosure.button.text() == "收起筛选"
+    assert all(widget.isVisible() for widget in regions(page, index))
+    assert collapsed_height >= table.viewport().height() + 100
+    assert repository.calls == before
+    QTest.mouseClick(disclosure.button, Qt.MouseButton.LeftButton)
+    settle(application)
+    assert table.viewport().height() == collapsed_height
+    assert table.isVisible() and workspace.pager.isVisible()
+    assert repository.calls == before
+
+
+@pytest.mark.parametrize("index", [0, 1], ids=["patient-filters", "order-filters"])
+def test_search_values_survive_collapse_refresh_and_tab_switch(
+    application, page_factory, index
+):
+    page, repository = page_factory()
+    page.tabs.setCurrentIndex(index)
+    page.filter_disclosure.set_expanded(True)
+    settle(application)
+    workspace = page.tabs.currentWidget()
+    workspace.keyword_edit.setText("  林青  ")
+    if index == 0:
+        QTest.mouseClick(workspace.custom_date_button, Qt.MouseButton.LeftButton)
+    else:
+        workspace.use_dates.setChecked(True)
+        workspace.rx_audit.setCurrentIndex(2)
+    workspace.start_date.setDate(QDate(2026, 9, 1))
+    workspace.end_date.setDate(QDate(2026, 9, 7))
+    QTest.mouseClick(workspace.search_button, Qt.MouseButton.LeftButton)
+    settle(application)
+    query = deepcopy(repository.calls[-1])
+    before = deepcopy(repository.calls)
+    page.filter_disclosure.set_expanded(False)
+    settle(application)
+    assert repository.calls == before
+    assert workspace.keyword_edit.text() == "  林青  "
+    assert workspace.start_date.date() == QDate(2026, 9, 1)
+    assert workspace.end_date.date() == QDate(2026, 9, 7)
+    QTest.mouseClick(page.refresh_button, Qt.MouseButton.LeftButton)
+    settle(application)
+    assert repository.calls[-1] == query
+    assert not page.filter_disclosure.expanded
+    page.tabs.setCurrentIndex(2)
+    assert not page.filter_disclosure.expanded
+    page.filter_disclosure.set_expanded(True)
+    page.tabs.setCurrentIndex(index)
+    settle(application)
+    assert not page.filter_disclosure.expanded
+    assert repository.calls[-1] == query
+    page.filter_disclosure.set_expanded(True)
+    settle(application)
+    assert workspace.keyword_edit.isVisible() and workspace.start_date.isEnabled()
+    assert (workspace.custom_date_button.isChecked() if index == 0 else
+            workspace.rx_audit.currentIndex() == 2 and workspace.use_dates.isChecked())
+    page.tabs.setCurrentIndex(2)
+    assert page.filter_disclosure.expanded
+
+
+@pytest.mark.parametrize(("width", "height"), [(1328, 884), (1158, 692), (816, 564)])
+def test_resize_keeps_collapsed_regions_hidden_and_queue_reachable(
+    application, page_factory, width, height
+):
+    page, _repository = page_factory()
+    page.resize(width, height)
+    for index in range(3):
+        page.tabs.setCurrentIndex(index)
+        settle(application)
+        workspace = page.tabs.currentWidget()
+        assert all(widget.isHidden() for widget in regions(page, index))
+        for widget in (page.filter_disclosure.button, page.refresh_button):
+            assert page.rect().contains(QRect(widget.mapTo(page, QPoint()), widget.size()))
+        assert workspace.scroll.verticalScrollBar().maximum() == 0
+        assert workspace.pager.isVisibleTo(page)
+        if index == 2:
+            assert workspace.splitter.minimumHeight() == 222
+            assert workspace.queue_card.isVisible()
+            assert workspace.queue_card.height() == workspace.splitter.height()
+    page.hide()
+    page.show()
+    settle(application)
+    assert not page.filter_disclosure.expanded
+    assert all(widget.isHidden() for widget in regions(page, 2))
+
+
+def test_collapsed_refresh_coalesces_identical_in_flight_queries(
+    application, page_factory, monkeypatch
+):
+    page, _repository = page_factory()
+    pending = []
+    monkeypatch.setattr(
+        patients_module, "run_async",
+        lambda function, **callbacks: pending.append((function, callbacks)),
+    )
+    page.refresh()
+    page.refresh()
+    assert len(pending) == 1
+    function, callbacks = pending[0]
+    callbacks["on_success"](function())
+    settle(application)
+    assert page.patient_workspace.table.rowCount() == 4
+    assert not page.filter_disclosure.expanded
+    assert not page.patient_workspace.search_toolbar.isVisible()

app/tests/test_collapsible_reception.py

@@ -0,0 +1,140 @@
+from __future__ import annotations
+
+import os
+
+os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
+
+import pytest
+from PySide6.QtCore import QDate, QPoint, Qt
+from PySide6.QtTest import QTest
+from PySide6.QtWidgets import QApplication
+
+from doctor_workstation.core import PermissionSet
+from doctor_workstation.ui.pages import reception as reception_module
+from doctor_workstation.ui.pages.reception import ReceptionPage
+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(application):
+    for _ in range(8):
+        application.processEvents()
+
+
+@pytest.fixture
+def page(application, monkeypatch):
+    monkeypatch.setattr(reception_module, "run_async", lambda *_args, **_kwargs: None)
+    widget = ReceptionPage(object(), PermissionSet(["*"]))
+    widget.resize(1280, 800)
+    widget.show()
+    widget.poll_timer.stop()
+    widget.detail_stack.setCurrentIndex(1)
+    settle(application)
+    yield widget
+    widget.close()
+    widget.deleteLater()
+    settle(application)
+
+
+def test_default_fold_reclaims_queue_space_and_keeps_clinical_workspace(page, application):
+    assert not page.filter_disclosure.expanded
+    assert page.filter_disclosure.button.text() == "展开筛选"
+    assert page.refresh_button.isVisible()
+    assert page.queue_filter_summary.isVisible()
+    assert not page.queue_filter_panel.isVisible()
+    assert not page.queue_date_button.isVisible()
+    assert not page.search_edit.isVisible()
+    assert all(not button.isVisible() for button in page._queue_filter_buttons.values())
+    assert page.detail_tabs.isVisible()
+    assert page.patient_name_label.isVisible()
+    assert page.clinical_info_group.isVisible()
+    clinical_geometry = page.detail_stack.geometry()
+    collapsed_height = page.queue_stack.height()
+
+    QTest.mouseClick(page.filter_disclosure.button, Qt.MouseButton.LeftButton)
+    settle(application)
+    assert page.filter_disclosure.expanded
+    assert page.filter_disclosure.button.text() == "收起筛选"
+    assert page.queue_date_button.isVisible()
+    assert page.search_edit.isVisible()
+    assert all(button.isVisible() for button in page._queue_filter_buttons.values())
+    assert collapsed_height - page.queue_stack.height() >= 64
+    assert page.detail_stack.geometry() == clinical_geometry
+
+
+def test_toggle_keeps_queries_patient_draft_loaded_pages_and_resize_state(page, application, monkeypatch):
+    requests = []
+    monkeypatch.setattr(page, "_request_queue_page", lambda query, **options: requests.append((query, options)))
+    page.filter_disclosure.set_expanded(True)
+    page.queue_date_button._pick_date(QDate(2026, 8, 3))
+    page._queue_filter_buttons[None].click()
+    page.search_edit.setText("  折叠测试患者  ")
+    QTest.keyClick(page.search_edit, Qt.Key.Key_Return)
+    assert requests[-1][0]["patient_name"] == "折叠测试患者"
+    assert requests[-1][0]["status"] is None
+    assert requests[-1][0]["start_date"] == requests[-1][0]["end_date"] == "2026-08-03"
+    assert page.queue_filter_summary.text() == "2026-08-03 · 全部状态 · 姓名已筛选"
+    assert "折叠测试患者" in page.queue_filter_summary.toolTip()
+
+    page._selected_appointment_id = 51
+    page._queue_records = [{"id": index} for index in range(1, 31)]
+    page._queue_page = 2
+    page._queue_total = 40
+    page.note_edit.setPlainText("尚未保存的接诊备注")
+    page.detail_tabs.setCurrentIndex(4)
+    query_snapshot = dict(page._queue_query)
+    request_count = len(requests)
+    loading = page._queue_loading
+
+    for expanded in (False, True, False):
+        page.filter_disclosure.set_expanded(expanded)
+        page.resize(816 if expanded else 1280, 800)
+        settle(application)
+        assert page.filter_disclosure.expanded is expanded
+        assert page.queue_filter_panel.isVisible() is expanded
+        assert len(requests) == request_count
+        assert page._selected_appointment_id == 51
+        assert page._queue_page == 2
+        assert len(page._queue_records) == 30
+        assert page._queue_loading is loading
+        assert page._queue_query == query_snapshot
+        assert page.search_edit.text() == "  折叠测试患者  "
+        assert page.note_edit.toPlainText() == "尚未保存的接诊备注"
+        assert page.detail_tabs.currentIndex() == 4
+
+    page.refresh(workspace_refresh=True)
+    assert not page.filter_disclosure.expanded
+    assert requests[-1][0]["patient_name"] == "折叠测试患者"
+    assert requests[-1][0]["status"] is None
+    assert requests[-1][0]["start_date"] == "2026-08-03"
+    assert requests[-1][0]["page_size"] == 30
+    assert page._selected_appointment_id == 51
+
+
+@pytest.mark.parametrize("width", [816, 1280])
+def test_expanded_queue_controls_fit_at_supported_page_widths(page, application, width):
+    page.filter_disclosure.set_expanded(True)
+    page.resize(width, 800)
+    page._update_queue_filter_counts({"extend": {"status_count": {"1": 23, "2": 11, "3": 42}}}, [])
+    settle(application)
+    panel = page.queue_panel
+    controls = [
+        page.refresh_button,
+        page.filter_disclosure.button,
+        page.queue_date_button,
+        page.search_edit,
+        *page._queue_filter_buttons.values(),
+    ]
+    for widget in controls:
+        position = widget.mapTo(panel, QPoint())
+        assert position.x() >= 0
+        assert position.x() + widget.width() <= panel.width()
+        assert widget.width() >= widget.minimumSizeHint().width()
+    assert page.queue_date_button.geometry().right() < page.search_edit.geometry().left()
+    assert page.filter_disclosure.button.height() == page.search_edit.height() == 32

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_consultations_parity_ui.py

@@ -365,9 +365,11 @@ def test_refresh_generation_ignores_late_results(
         return object()
 
     monkeypatch.setattr(consultations_module, "run_async", queue_async)
-    page = ConsultationsPage(SimpleNamespace(), permissions=PermissionSet(["*"]))
-    page.refresh(silent=True)
-    page.refresh(silent=True)
+    page = ConsultationsPage(SimpleNamespace(), permissions=PermissionSet(["*"]))
+    page.refresh(silent=True)
+    # Identical in-flight requests are deduplicated; a new query supersedes one.
+    page.keyword_edit.setText("新患者")
+    page.refresh(silent=True)
 
     callbacks[1]["on_success"]({"lists": [_row(id=902, diagnosis_id=902)], "count": 1})
     callbacks[0]["on_success"]({"lists": [_row(id=901, diagnosis_id=901)], "count": 1})

app/tests/test_diagnosis_drawer_visual.py

@@ -986,14 +986,14 @@ def test_choice_chips_keep_visible_checked_style_when_readonly(
     application.processEvents()
     # Sample the pad (not glyph center) so white text does not hide the fill.
     enabled_color = selected.grab().toImage().pixelColor(6, selected.height() // 2)
-    assert enabled_color.name().lower() == "#f0f2ff"
+    assert enabled_color.name().lower() == "#eef1fa"
     diet.setReadOnly(True)
     application.processEvents()
     disabled_color = selected.grab().toImage().pixelColor(6, selected.height() // 2)
     assert selected.isChecked()
     assert selected.isEnabled()
     assert diet.isReadOnly()
-    assert disabled_color.name().lower() == "#f0f2ff"
+    assert disabled_color.name().lower() == "#eef1fa"
     dialog.close()
     application.processEvents()
 
@@ -1013,7 +1013,7 @@ def test_view_only_drawer_shows_selected_choice_chips(
     selected = next(button for button in diet._buttons if button.isChecked())
     application.processEvents()
     color = selected.grab().toImage().pixelColor(6, selected.height() // 2)
-    assert color.name().lower() == "#f0f2ff"
+    assert color.name().lower() == "#eef1fa"
     assert diet.isReadOnly()
     assert not dialog.save_button.isVisibleTo(dialog)
     dialog.close()

app/tests/test_diagnosis_index_visual.py

@@ -10,11 +10,14 @@ os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")
 import pytest
 from PySide6.QtCore import QAbstractTableModel, QPoint, QRect, Qt, Signal
 from PySide6.QtGui import QColor, QImage, QPainter
+from PySide6.QtTest import QTest
 from PySide6.QtWidgets import (
     QAbstractItemView,
     QApplication,
+    QComboBox,
     QFrame,
     QSizePolicy,
+    QSpinBox,
     QToolButton,
     QWidget,
 )
@@ -161,27 +164,44 @@ def _page() -> ConsultationsPage:
     return ConsultationsPage(_CancellationRepository(), permissions=PermissionSet(["*"]))
 
 
+def _caret_matches(button: object, direction: str) -> bool:
+    """The disclosure caret is now a shared glyph, not Fusion's arrow type.
+
+    ``setArrowType`` drew a solid triangle - the one filled mark in an otherwise
+    all-stroke icon set - so the state is carried by the icon instead, and the
+    direction has to be checked by comparing what was actually painted.
+    """
+
+    from doctor_workstation.ui import icons
+
+    painted = button.icon().pixmap(14, 14).toImage()
+    expected = icons.pixmap(direction, "muted", 14).toImage()
+    return painted == expected
+
+
 def test_visual_hierarchy_and_filter_contract(
     application: QApplication,
 ) -> None:
     page = _page()
     content_layout = page.page_scroll.widget().layout()
     margins = content_layout.contentsMargins()
-    assert (margins.left(), margins.top(), margins.right(), margins.bottom()) == (18, 10, 18, 10)
-    assert content_layout.spacing() == 8
+    # The approved blue shell has no outer gutter; the page owns this spacing.
+    assert (margins.left(), margins.top(), margins.right(), margins.bottom()) == (27, 24, 26, 8)
+    assert content_layout.spacing() == 10
     status_card = page.findChild(QFrame, "DiagnosisStatusCard")
     assert status_card is not None
-    assert page.page_header.height() == 62
-    assert status_card.height() == 50
+    assert page.page_header.maximumHeight() >= page.page_header.minimumSizeHint().height()
+    assert status_card.height() == 54
     assert page.findChild(QFrame, "DiagnosisFilterCard") is not None
     assert page.findChild(QFrame, "DiagnosisListCard") is not None
-    assert page.filters_card.height() == 90
-    assert page.keyword_edit.maximumWidth() == 380
+    assert page.filters_card.isHidden()
+    assert page.page_header.height() <= 44
+    assert page.keyword_edit.maximumWidth() == 340
     assert list(page.status_buttons) == ["1", "", "4", "2", "3"]
     assert page.status_buttons["1"].isChecked()
     assert not page.advanced_filters.isVisible()
     assert page.more_filter_button.text() == "更多筛选"
-    assert page.more_filter_button.arrowType() == Qt.ArrowType.DownArrow
+    assert _caret_matches(page.more_filter_button, "down")
     assert [page._date_button_labels[key] for key in page.date_buttons] == [
         "昨天挂号",
         "前天挂号",
@@ -228,7 +248,7 @@ def test_pending_assign_and_secondary_chip_semantics(
     page._toggle_advanced_filters(True)
     assert not page.advanced_filters.isHidden()
     assert page.more_filter_button.text() == "收起"
-    assert page.more_filter_button.arrowType() == Qt.ArrowType.UpArrow
+    assert _caret_matches(page.more_filter_button, "up")
     assert page.unserved_sort_combo.isHidden()
     date_ranges = page.advanced_filters.findChildren(QFrame, "DiagnosisDateRange")
     assert len(date_ranges) == 2
@@ -237,15 +257,81 @@ def test_pending_assign_and_secondary_chip_semantics(
     application.processEvents()
 
 
+def test_toolbar_cancel_tracks_single_appointment_without_changing_checked_rows(
+    application: QApplication,
+) -> None:
+    page = _page()
+    single = _row(880)
+    multiple = _row(881, appointments=[
+        {"id": 8801, "status": 1}, {"id": 8802, "status": 3},
+    ])
+    page.table_host.set_rows([single, multiple])
+    page.table.selectRow(0)
+    page._selection_changed()
+    assert page.cancel_toolbar_button.isEnabled()
+    assert page.case_toolbar_button.isEnabled()
+    assert not page.call_toolbar_button.isEnabled()
+    page.table.selectRow(1)
+    page._selection_changed()
+    assert not page.cancel_toolbar_button.isEnabled()
+    assert page.table_host.selected_records() == []
+    page.table_host.set_rows([])
+    page._selection_changed()
+    assert not page.case_toolbar_button.isEnabled()
+    assert not page.prescription_toolbar_button.isEnabled()
+    page.close()
+    application.processEvents()
+
+
+@pytest.mark.parametrize("size", [(816, 564), (1328, 884)])
+def test_filter_rows_and_toolbar_stay_inside_their_panels_when_wrapping(
+    application: QApplication,
+    monkeypatch: pytest.MonkeyPatch,
+    size: tuple[int, int],
+) -> None:
+    page = _page()
+    monkeypatch.setattr(page, "refresh", lambda silent=False: None)
+    page.resize(*size)
+    page.show()
+    page.filter_disclosure.set_expanded(True)
+    for expanded in (False, True):
+        page._toggle_advanced_filters(expanded)
+        if expanded:
+            page._choose_pending_assign()
+        for _ in range(4):
+            application.processEvents()
+        controls = [*page.date_buttons.values(), page.custom_date_edit,
+                    page.confirmed_combo, page.department_combo, page.keyword_edit,
+                    page.more_filter_button]
+        if expanded:
+            controls.extend([page.pending_assign_month, page.pending_assign_keyword,
+                             page.channel_combo, page.latest_assign_end_date])
+        rectangles = [QRect(control.mapTo(page.filters_card, QPoint()), control.size())
+                      for control in controls if control.isVisible()]
+        assert all(page.filters_card.rect().contains(rect) for rect in rectangles)
+        for index, rect in enumerate(rectangles):
+            assert all(not rect.intersects(other) for other in rectangles[index + 1:])
+        for button in (page.add_button, page.cancel_toolbar_button,
+                       page.complete_toolbar_button, page.refresh_button):
+            if button.isVisible():
+                assert page.list_toolbar.rect().contains(
+                    QRect(button.mapTo(page.list_toolbar, QPoint()), button.size())
+                )
+    page.close()
+    application.processEvents()
+
+
 def test_dedicated_model_fixed_columns_selection_and_sort(
     application: QApplication,
+    monkeypatch: pytest.MonkeyPatch,
 ) -> None:
     page = _page()
     assert isinstance(page.table.model(), QAbstractTableModel)
     assert isinstance(page.table.model(), DiagnosisTableModel)
-    assert page.table_host.LEFT_WIDTHS == (48, 70, 60, 100, 175, 88, 120, 100, 72, 110)
-    assert page.table_host.FIXED_WIDTHS == (120, 410)
-    assert page.table_host.fixed.width() == 532
+    assert page.table_host.LEFT_WIDTHS == (48, 70, 82, 102, 244, 90, 84, 90, 88, 122)
+    # Reference-aligned video/actions remain frozen in a compact 250px pane.
+    assert page.table_host.FIXED_WIDTHS == (92, 158)
+    assert page.table_host.fixed.width() == 250
     assert page.table.isColumnHidden(10)
     assert page.table_host.fixed.isColumnHidden(9)
     assert not page.table_host.fixed.isColumnHidden(10)
@@ -267,6 +353,9 @@ def test_dedicated_model_fixed_columns_selection_and_sort(
     page.table_host.sort_unserved_requested.connect(requested.append)
     assert page.table_host.model.headerData(9, Qt.Orientation.Horizontal) == "未服务天数"
     assert page.table_host.model._sort_direction == ""
+    # This model/action test keeps its fixture rows; a real server sort starts
+    # a new query and intentionally resets the loaded list.
+    monkeypatch.setattr(page, "refresh", lambda silent=False: None)
     page.table_host.main.horizontalHeader().sectionClicked.emit(9)
     assert requested == ["desc"]
     assert page.table_host.model._sort_direction == "desc"
@@ -300,7 +389,7 @@ def test_dedicated_model_fixed_columns_selection_and_sort(
     application.processEvents()
 
 
-def test_empty_loading_and_full_pager_keep_the_table_shell(
+def test_empty_loading_and_compact_footer_keep_the_table_shell(
     application: QApplication,
 ) -> None:
     page = _page()
@@ -321,13 +410,13 @@ def test_empty_loading_and_full_pager_keep_the_table_shell(
     page.loading_overlay.stop()
 
     page.pager.update_state(3, 97)
-    assert 40 <= page.pager.height() <= 44
+    assert page.pager.height() == 24
     pager_margins = page.pager.layout().contentsMargins()
-    assert pager_margins.top() >= 4
-    assert pager_margins.bottom() >= 4
-    assert [page.pager.size_combo.itemData(index) for index in range(4)] == [15, 20, 30, 40]
-    assert len([button for button in page.pager._page_buttons if not button.isHidden()]) == 5
-    assert page.pager.jumper.maximum() == 7
+    assert pager_margins.top() == 0
+    assert pager_margins.bottom() == 0
+    assert not page.pager.findChildren(QComboBox)
+    assert not page.pager.findChildren(QSpinBox)
+    assert not page.pager.findChildren(QToolButton)
     page.close()
     application.processEvents()
 
@@ -335,11 +424,11 @@ def test_empty_loading_and_full_pager_keep_the_table_shell(
 @pytest.mark.parametrize(
     ("record", "stripe", "channel"),
     [
-        (_row(701, DiagnosisViewRecord=[{"is_confirmed": 0}]), "#9a6813", "warning"),
-        (_row(702, has_appointment=0, appointments=[]), "#2f6edb", "info"),
+        (_row(701, DiagnosisViewRecord=[{"is_confirmed": 0}]), "#a9691d", "warning"),
+        (_row(702, has_appointment=0, appointments=[]), "#4f63d9", "info"),
     ],
 )
-def test_semantic_hover_preserves_gradient_and_three_pixel_stripe(
+def test_semantic_hover_preserves_three_pixel_stripe_on_neutral_background(
     application: QApplication,
     record: dict[str, Any],
     stripe: str,
@@ -363,8 +452,9 @@ def test_semantic_hover_preserves_gradient_and_three_pixel_stripe(
     assert image.pixelColor(0, 20).name() == stripe
     assert image.pixelColor(1, 20).name() == stripe
     assert image.pixelColor(2, 20).name() == stripe
-    gradient = image.pixelColor(6, 20)
-    assert gradient.name() != "#f8f8f8", f"{channel} hover collapsed to a neutral row"
+    assert image.pixelColor(3, 20).name() == "#f7f7f7", f"{channel} stripe widened"
+    assert image.pixelColor(6, 20).name() == "#f7f7f7"
+    assert image.pixelColor(40, 20).name() == "#f7f7f7"
 
 
 def test_page_hides_fixed_shadow_and_preserves_admin_token_contract(
@@ -378,9 +468,7 @@ def test_page_hides_fixed_shadow_and_preserves_admin_token_contract(
     assert shadow.isHidden()
     assert shadow.width() == 12
     assert shadow.geometry().right() == page.table_host.fixed.geometry().left() - 1
-    assert 'font-family: "PingFang SC", Arial, "Hiragino Sans GB", "Microsoft YaHei"' in (
-        DIAGNOSIS_INDEX_QSS
-    )
+    assert "font-family:" not in DIAGNOSIS_INDEX_QSS
     assert "QTableView:focus" in DIAGNOSIS_INDEX_QSS
     assert "QToolButton[rowLink]:focus" in DIAGNOSIS_INDEX_QSS
     assert '#DiagnosisIndex QToolButton[diagnosisChip="true"][semantic="warning"]' in (
@@ -491,7 +579,7 @@ def test_full_more_menu_requires_each_real_repository_capability(
             min(danger_image.width(), danger_rect.right() + 1),
         ):
             color = danger_image.pixelColor(x, y)
-            if color.red() > 190 and color.green() < 150 and color.blue() < 150:
+            if color.red() > color.green() + 60 and color.red() > color.blue() + 60:
                 red_text_pixels += 1
     assert red_text_pixels > 8, "删除文案必须由 danger 色绘制，不能回退成原生黑色"
     more.menu().hide()
@@ -642,7 +730,7 @@ def test_error_state_is_persistent_until_rows_replace_it(application: QApplicati
 
 @pytest.mark.parametrize(
     ("size", "minimum_visible_rows"),
-    [((1366, 768), 4), ((1710, 920), 7)],
+    [((1366, 768), 3), ((1710, 920), 4)],
 )
 def test_two_desktop_sizes_keep_pager_visible_and_scroll_rows_inside_table(
     application: QApplication,
@@ -686,9 +774,10 @@ def test_two_desktop_sizes_keep_pager_visible_and_scroll_rows_inside_table(
     application.processEvents()
 
 
-def test_frozen_rows_track_main_pixel_scroll_and_host_height_is_page_size_stable(
+def test_frozen_rows_track_main_pixel_scroll_and_host_height_is_append_stable(
     application: QApplication,
     monkeypatch: pytest.MonkeyPatch,
+    immediate_async: None,
 ) -> None:
     page = _page()
     rows = [
@@ -704,15 +793,26 @@ def test_frozen_rows_track_main_pixel_scroll_and_host_height_is_page_size_stable
     for _ in range(4):
         application.processEvents()
     host_height = page.table_host.height()
+    calls: list[int] = []
 
-    monkeypatch.setattr(page, "refresh", lambda silent=False: None)
-    page._change_page_size(40)
-    page.table_host.set_rows(rows)
+    def list_consultations(**query: Any) -> dict[str, Any]:
+        calls.append(query["page_no"])
+        start = (query["page_no"] - 1) * query["page_size"]
+        return {"lists": rows[start:start + query["page_size"]], "count": len(rows)}
+
+    monkeypatch.setattr(page.repository, "list_consultations", list_consultations, raising=False)
+    page.refresh(silent=True)
+    for _ in range(2):
+        page.table.verticalScrollBar().setValue(page.table.verticalScrollBar().maximum())
+        QTest.qWait(50)
+        application.processEvents()
     for _ in range(4):
         application.processEvents()
 
     main_scroll = page.table.verticalScrollBar()
     fixed_scroll = page.table_host.fixed.verticalScrollBar()
+    assert calls == [1, 2, 3]
+    assert page.table.rowCount() == 40
     assert page.table_host.height() == host_height
     assert main_scroll.maximum() == fixed_scroll.maximum()
     main_scroll.setValue(main_scroll.maximum() // 2)