-- 医生接诊备注表(按天一条,多次追加更新) CREATE TABLE IF NOT EXISTS `zyt_doctor_note` ( `id` int(11) unsigned NOT NULL AUTO_INCREMENT, `diagnosis_id` int(11) unsigned NOT NULL COMMENT '诊单ID (tcm_diagnosis.id)', `doctor_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '医生ID (system_admin.id)', `note_date` date NOT NULL COMMENT '记录日期', `content` text DEFAULT NULL COMMENT '备注文字(多次追加以换行分隔,带时间戳前缀)', `tongue_images` json DEFAULT NULL COMMENT '舌苔/截屏照片路径数组', `report_files` json DEFAULT NULL COMMENT '检查报告图片路径数组', `create_time` int(10) unsigned NOT NULL DEFAULT 0, `update_time` int(10) unsigned NOT NULL DEFAULT 0, `delete_time` int(10) unsigned DEFAULT NULL, PRIMARY KEY (`id`), UNIQUE KEY `uk_diagnosis_date` (`diagnosis_id`, `note_date`), KEY `idx_doctor` (`doctor_id`) ) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='医生接诊备注'; ALTER TABLE `zyt_doctor_note` ADD COLUMN `report_files` json DEFAULT NULL COMMENT '检查报告图片路径数组' AFTER `tongue_images`;