zyt/app/tests/test_reception_parity_ui.py

from __future__ import annotations

import json
import os
from datetime import date, timedelta
from pathlib import Path
from typing import Any

os.environ.setdefault("QT_QPA_PLATFORM", "offscreen")

import httpx
import pytest
from PySide6.QtCore import (
    QDate,
    QEvent,
    QEventLoop,
    QObject,
    QPoint,
    Qt,
    QThreadPool,
    QTimer,
)
from PySide6.QtGui import QPalette
from PySide6.QtWidgets import (
    QApplication,
    QLabel,
    QPushButton,
    QScrollArea,
    QVBoxLayout,
    QWidget,
)

from doctor_workstation.core import PermissionSet
from doctor_workstation.services import api_client as api_client_module
from doctor_workstation.services.api_client import ApiClient
from doctor_workstation.services.mock_repository import DemoDoctorRepository
from doctor_workstation.services.repository import RemoteDoctorRepository
from doctor_workstation.ui import widgets as widgets_module
from doctor_workstation.ui.pages import reception as reception_module
from doctor_workstation.ui.pages.reception import (
    NOTE_LIMIT,
    QueueRow,
    ReceptionPage,
    _is_image_attachment,
)
from doctor_workstation.ui.widgets import StatusBadge


@pytest.fixture(scope="module")
def application() -> QApplication:
    return QApplication.instance() or QApplication([])


@pytest.mark.parametrize("width", [1114, 1320, 1494])
def test_visible_history_updates_grow_clinical_card_without_clipping(
    application: QApplication,
    queued_async: list[dict[str, Any]],
    width: int,
) -> None:
    page = ReceptionPage(DemoDoctorRepository(), PermissionSet(["*"]))
    page.resize(width, 824)
    page.show()
    try:
        application.processEvents()
        page.detail_stack.setCurrentIndex(1)
        for _ in range(8):
            application.processEvents()
        label = page.case_labels["present"]
        clinical = page.clinical_info_group
        initial_height = clinical.height()
        initial_scroll_maximum = page.detail_scroll.verticalScrollBar().maximum()
        history = (
            "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。"
        )
        label.setText(history)
        application.processEvents()
        assert label.text() == history
        assert label.height() >= label.heightForWidth(label.width())

        label.setText("\n".join([history] * 5))
        application.processEvents()
        assert label.height() >= label.heightForWidth(label.width())
        assert clinical.height() > initial_height
        assert page.detail_scroll.verticalScrollBar().maximum() > initial_scroll_maximum
        assert label.maximumHeight() > label.height()

        expanded_height = clinical.height()
        label.setText("无特殊不适。")
        application.processEvents()
        assert label.height() >= label.heightForWidth(label.width())
        assert clinical.height() < expanded_height
    finally:
        page.close()
        page.deleteLater()
        application.processEvents()


@pytest.fixture
def immediate_async(monkeypatch: pytest.MonkeyPatch) -> None:
    def run_immediately(
        function: Any,
        *args: Any,
        on_success: Any = None,
        on_error: Any = None,
        on_finished: Any = None,
        pool: Any = None,
        priority: int = 0,
        **kwargs: Any,
    ) -> object:
        del pool, priority
        try:
            result = function(*args, **kwargs)
        except Exception as error:
            if on_error:
                on_error(error)
        else:
            if on_success:
                on_success(result)
        finally:
            if on_finished:
                on_finished()
        return object()

    monkeypatch.setattr(reception_module, "run_async", run_immediately)


@pytest.fixture
def queued_async(monkeypatch: pytest.MonkeyPatch) -> list[dict[str, Any]]:
    """Capture asynchronous work so tests can advance each model independently."""

    jobs: list[dict[str, Any]] = []

    def queue(function: Any, *args: Any, **options: Any) -> object:
        jobs.append(
            {
                "function": function,
                "args": args,
                **options,
            }
        )
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue)
    return jobs


def test_api_client_reuses_a_bounded_transport_across_qt_runnables(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    created: list[Any] = []

    class PooledClient:
        def __init__(self, **_options: Any) -> None:
            self.closed = False
            created.append(self)

        def request(self, _method: str, url: str, **_options: Any) -> httpx.Response:
            return httpx.Response(200, json={"code": 1, "data": url})

        def close(self) -> None:
            self.closed = True

    monkeypatch.setattr(api_client_module.httpx, "Client", PooledClient)
    client = ApiClient("https://example.test", max_parallel_requests=2)
    pool = QThreadPool()
    pool.setMaxThreadCount(1)
    pool.setExpiryTimeout(-1)
    remaining = 40
    results: list[str] = []
    loop = QEventLoop()

    def finished() -> None:
        nonlocal remaining
        remaining -= 1
        if remaining == 0:
            loop.quit()

    for index in range(remaining):
        widgets_module.run_async(
            lambda index=index: client.get(f"patient/{index}"),
            on_success=results.append,
            on_finished=finished,
            pool=pool,
        )
    QTimer.singleShot(5_000, loop.quit)
    loop.exec()
    assert pool.waitForDone(2_000)
    client.close()

    assert remaining == 0
    assert len(results) == 40
    assert len(created) == 1
    assert created[0].closed
    application.processEvents()


def test_clearing_ai_layout_does_not_promote_children_to_windows(
    application: QApplication,
) -> None:
    host = QWidget()
    layout = QVBoxLayout(host)
    dynamic_label = QLabel("正在加载患者 AI 分析", host)
    layout.addWidget(dynamic_label)
    host.show()
    application.processEvents()
    destroyed: list[bool] = []
    dynamic_label.destroyed.connect(lambda: destroyed.append(True))

    reception_module._clear_ai_layout(layout)

    assert layout.count() == 0
    assert destroyed == [True]
    assert dynamic_label not in application.topLevelWidgets()

    host.close()
    host.deleteLater()


def test_queue_row_never_shows_loading_fields_as_parentless_windows(
    application: QApplication,
) -> None:
    tracked_names = {
        "StatusBadge",
        "ReceptionQueueTime",
        "ReceptionQueueMetric",
    }

    class OrphanShowRecorder(QObject):
        def __init__(self) -> None:
            super().__init__()
            self.object_names: list[str] = []

        def eventFilter(self, watched: QObject, event: QEvent) -> bool:  # noqa: N802
            if (
                event.type() == QEvent.Type.Show
                and isinstance(watched, QWidget)
                and watched.objectName() in tracked_names
                and watched.parentWidget() is None
                and watched.isWindow()
            ):
                self.object_names.append(watched.objectName())
            return False

    recorder = OrphanShowRecorder()
    application.installEventFilter(recorder)
    try:
        active_row = QueueRow(
            {
                "patient_name": "问诊患者",
                "status": 2,
                "status_desc": "问诊中",
                "fasting_blood_sugar": 8.6,
            }
        )
        waiting_row = QueueRow(
            {
                "patient_name": "待接诊患者",
                "status": 1,
                "appointment_time": "14:30",
            }
        )
    finally:
        application.removeEventFilter(recorder)

    assert recorder.object_names == []
    for row in (active_row, waiting_row):
        for object_name in tracked_names:
            widget = row.findChild(QWidget, object_name)
            assert widget is not None
            assert widget.parentWidget() is row
            assert not widget.isWindow()
        row.deleteLater()


@pytest.mark.parametrize(
    ("path", "expected"),
    [
        ("https://cdn.test/tongue.JPG?token=1", True),
        ("https://cdn.test/report.webp", True),
        ("https://cdn.test/report.pdf", False),
    ],
)
def test_note_attachment_preview_type_is_extension_aware(path: str, expected: bool) -> None:
    assert _is_image_attachment(path) is expected


def test_note_attachments_expand_images_and_keep_file_open(
    application: QApplication,
    immediate_async: None,
) -> None:
    page = ReceptionPage(DemoDoctorRepository(), PermissionSet([]))
    page._render_notes(
        [
            {
                "id": 1,
                "note_date": "2026-08-12",
                "tongue_images": ["https://cdn.test/tongue.jpg"],
                "report_files": [
                    "https://cdn.test/check.png",
                    "https://cdn.test/check.pdf",
                ],
            }
        ]
    )

    previews = page.notes_container.findChildren(
        QPushButton, "NoteAttachmentPreview"
    )
    assert len(previews) == 2
    assert all(button.text() == "" for button in previews)
    assert all(not button.icon().isNull() for button in previews)
    labels = [button.text() for button in page.notes_container.findChildren(QPushButton)]
    assert labels.count("打开") == 1
    page.close()
    application.processEvents()


def test_queue_status_badge_is_not_clipped_in_narrow_panel(
    application: QApplication,
) -> None:
    row = QueueRow(
        {
            "patient_name": "张蒙",
            "status": 1,
            "status_desc": "问诊中",
            "appointment_time": "12:45:00",
            "gender": 1,
            "age": 36,
            "assistant_name": "苏亚梅",
        }
    )
    row.setFixedWidth(280)
    row.show()
    application.processEvents()

    badge = row.findChild(StatusBadge)
    assert badge is not None
    assert badge.height() >= 24
    assert badge.width() >= 54
    assert badge.geometry().right() < row.width()

    row.close()
    application.processEvents()


def test_queue_condition_summary_never_exposes_raw_dict(
    application: QApplication,
) -> None:
    row = QueueRow(
        {
            "patient_name": "结构患者",
            "status": 1,
            "gender": 1,
            "age": 52,
            "diagnosis": {
                "clinical_diagnosis": "2 型糖尿病",
                "chief_complaint": "口渴多饮",
                "disease_course_text": "病程 10 年",
            },
        }
    )
    summary = row.findChild(QLabel, "ReceptionQueueSubline")
    assert summary is not None
    assert summary.text() == "2 型糖尿病 · 病程 10 年"
    assert "{" not in summary.text()

    fallback = QueueRow(
        {
            "patient_name": "待完善患者",
            "status": 1,
            "gender": 2,
            "age": 40,
            "diagnosis": {"unknown": {"raw": "不能泄露"}},
        }
    )
    fallback_summary = fallback.findChild(QLabel, "ReceptionQueueSubline")
    assert fallback_summary is not None
    assert fallback_summary.text() == "暂无病情摘要"
    assert "{" not in fallback_summary.text()

    row.close()
    fallback.close()
    application.processEvents()


def _detail(
    appointment_id: int,
    *,
    name: str,
    status: int = 1,
    phone: str = "13800138000",
) -> dict[str, Any]:
    patient_id = appointment_id + 100
    diagnosis_id = appointment_id + 200
    return {
        "appointment": {
            "id": appointment_id,
            "patient_id": patient_id,
            "patient_name": name,
            "status": status,
            "appointment_date": date.today().isoformat(),
            "appointment_time": "09:30",
            "doctor_name": "张医生",
            "assistant_name": "李医助",
            "appointment_type_text": "复诊",
            "channel_text": "线上",
            "remark": "准时到诊",
        },
        "patient": {
            "id": patient_id,
            "phone": phone,
            "gender": 2,
            "age": 42,
            "height": 165,
            "weight": 55,
            "region_text": "浙江省杭州市",
        },
        "diagnosis": {
            "id": diagnosis_id,
            "patient_id": patient_id,
            "patient_name": name,
            "phone": phone,
            "chief_complaint": "反复口渴",
            "present_illness": "持续两周",
            "clinical_diagnosis": "消渴",
        },
    }


def _analysis_payload(
    label: str = "高血糖风险",
    *,
    model: str = "qwen",
) -> dict[str, Any]:
    is_openai = model == "openai"
    return {
        "diagnosis_advice": (
            "OpenAI：建议结合客观检查复核当前糖尿病控制情况"
            if is_openai
            else "2 型糖尿病，血糖控制不佳"
        ),
        "risk_assessment": [
            {"label": label, "level": "high"},
            {"label": "心血管风险", "level": "medium"},
            {"label": "肾脏风险", "level": "low"},
        ],
        "treatment_advice": (
            "OpenAI：复核近期检查趋势并评估联合用药安全性。"
            if is_openai
            else "建议调整降糖方案，考虑联合用药，加强生活方式干预。"
        ),
        "model_key": model,
        "model_label": "OpenAI" if is_openai else "千问",
        "model_name": "gpt-5.2" if is_openai else "qwen3.6-35b",
        "generated_at": "2026-08-14 10:31:00" if is_openai else "2026-08-14 10:30:00",
    }


def test_queue_uses_admin_same_day_contract(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            return {"lists": [], "count": 0}

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.search_edit.setText("  王小明  ")
    page.refresh()

    assert calls == [
        {
            "status": 1,
            "start_date": date.today().isoformat(),
            "end_date": date.today().isoformat(),
                "page_no": 1,
                "page_size": 15,
                "patient_name": "王小明",
                "include_status_counts": 1,
        }
    ]

    page.queue_tabs.setCurrentIndex(1)
    assert calls[-1]["status"] == 4
    assert calls[-1]["start_date"] == calls[-1]["end_date"]
    page.close()
    application.processEvents()


def test_reception_daily_records_use_backend_matrix_contract(
    application: QApplication,
    immediate_async: None,
) -> None:
    today = date.today().isoformat()
    tracking_calls: list[tuple[int, str, str]] = []
    note_calls: list[int] = []

    class Repository:
        fail_tracking = False

        def list_appointments(self, **_kwargs: Any) -> dict[str, Any]:
            return {
                "lists": [
                    {
                        "id": 71,
                        "diagnosis_id": 271,
                        # Production appointment.patient_id is the diagnosis id.
                        "patient_id": 271,
                        "patient_name": "日常记录患者",
                        "status": 1,
                        "appointment_time": "09:30:00",
                    }
                ],
                "count": 1,
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 71
            return {
                "appointment": {
                    "id": 71,
                    "patient_id": 271,
                    "patient_name": "日常记录患者",
                    "status": 1,
                },
                "diagnosis": {
                    "id": 271,
                    "patient_id": 971,
                    "patient_name": "日常记录患者",
                    "age": 56,
                },
                "tracking_notes": [
                    {"note_date": today, "content": "内嵌备注降级数据"}
                ],
            }

        def get_tracking_window(
            self,
            diagnosis_id: int,
            *,
            start_date: str,
            end_date: str,
        ) -> dict[str, Any]:
            tracking_calls.append((diagnosis_id, start_date, end_date))
            if self.fail_tracking:
                raise RuntimeError("tracking unavailable")
            return {
                "diagnosis_id": diagnosis_id,
                "start_date": start_date,
                "end_date": end_date,
                "blood_records": [
                    {
                        "record_date": today,
                        "record_time": "08:30:00",
                        "fasting_blood_sugar": 9.6,
                        "postprandial_blood_sugar": 11.4,
                        "other_blood_sugar": 8.5,
                        "systolic_pressure": 141,
                        "diastolic_pressure": 90,
                        "western_medicine": "二甲双胍",
                        "insulin": "睡前 8U",
                        "source": 1,
                    }
                ],
                "diet_records": [
                    {
                        "record_date": today,
                        "breakfast_foods": ["小米粥"],
                        "lunch_foods": ["杂粮饭"],
                        "dinner_foods": ["青菜"],
                    }
                ],
                "exercise_records": [
                    {
                        "record_date": today,
                        "exercise_type": "快走",
                        "duration": 45,
                        "intensity_text": "中等",
                    }
                ],
            }

        def list_tracking_notes(self, diagnosis_id: int) -> list[dict[str, Any]]:
            note_calls.append(diagnosis_id)
            return [{"note_date": today, "content": "睡眠改善，继续随访"}]

    repository = Repository()
    page = ReceptionPage(repository, PermissionSet([]))
    page.refresh()
    application.processEvents()

    assert [
        page.detail_tabs.tabText(index) for index in range(page.detail_tabs.count())
    ] == ["问诊信息", "检查报告", "用药记录", "日常记录", "随访记录", "健康数据"]
    assert tracking_calls == [
        (271, (date.today() - timedelta(days=6)).isoformat(), today)
    ]
    assert note_calls == [271]
    assert page._selection_context()[-1] == 971

    matrix = page.daily_panel.matrix
    assert matrix.objectName() == "ReceptionDailyRecordsTable"
    assert matrix.rowCount() == 11
    assert matrix.columnCount() == 8
    assert matrix.horizontalHeaderItem(0).text() == "指标"
    assert matrix.horizontalHeaderItem(1).text() == today[5:]
    assert [matrix.item(row, 0).text() for row in range(11)] == [
        "空腹血糖",
        "餐后2h血糖",
        "其他血糖",
        "血压",
        "西药",
        "胰岛素",
        "早餐",
        "午餐",
        "晚餐",
        "运动",
        "跟踪备注",
    ]
    assert matrix.item(0, 1).text() == "9.6 · 自录 ↑"
    assert matrix.item(0, 1).data(Qt.ItemDataRole.UserRole)["high"] is True
    assert matrix.item(1, 1).text() == "11.4 · 自录 ↑"
    assert matrix.item(2, 1).text() == "8.5 · 自录"
    assert matrix.item(2, 1).data(Qt.ItemDataRole.UserRole)["high"] is False
    assert matrix.item(3, 1).text() == "141/90 · 自录 ↑"
    assert matrix.item(4, 1).text() == "二甲双胍"
    assert matrix.item(5, 1).text() == "睡前 8U"
    assert matrix.item(6, 1).text() == "已记录"
    assert matrix.item(9, 1).text() == "45min"
    assert matrix.item(10, 1).text() == "睡眠改善，继续随访"
    assert "睡眠改善" in page.followup_text.text()

    page.daily_panel.range_buttons["30"].click()
    assert tracking_calls[-1] == (
        271,
        (date.today() - timedelta(days=29)).isoformat(),
        today,
    )
    assert page.daily_panel.matrix.columnCount() == 31

    preserved = page.daily_panel.matrix.item(0, 1).text()
    repository.fail_tracking = True
    page.daily_panel.refresh_button.click()
    assert page.daily_panel.matrix.item(0, 1).text() == preserved
    assert "已保留上次数据" in page.daily_panel.state.label.text()

    page.close()
    application.processEvents()


def test_queue_date_picker_filters_the_selected_day(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            return {"lists": [], "count": 0}

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.show()
    application.processEvents()
    page.filter_disclosure.button.click()
    page.queue_date_button.click()
    calendar = page.queue_date_button.calendarWidget()
    assert calendar.isVisible()
    page.queue_date_button._pick_date(QDate(2026, 8, 1))
    assert not calendar.isVisible()
    assert page.queue_date_button.text() == "2026-08-01"
    assert page._queue_date == "2026-08-01"
    assert calls[-1]["start_date"] == "2026-08-01"
    assert calls[-1]["end_date"] == "2026-08-01"
    page.close()
    application.processEvents()


def test_silent_queue_polls_reuse_rows_and_do_not_restart_detail_or_ai(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(10, name="轮询患者")

    class Repository:
        queue_calls = 0
        detail_calls = 0
        analysis_calls: list[tuple[int, str]]

        def __init__(self) -> None:
            self.analysis_calls = []

        def list_appointments(self, **_kwargs: Any) -> dict[str, Any]:
            self.queue_calls += 1
            return {
                "lists": [
                    {
                        **detail["appointment"],
                        "diagnosis_id": detail["diagnosis"]["id"],
                        "clinical_diagnosis": "消渴",
                        "server_revision": self.queue_calls,
                    }
                ],
                "count": 20 + self.queue_calls,
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 10
            self.detail_calls += 1
            return detail

        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            assert diagnosis_id == 210
            self.analysis_calls.append((diagnosis_id, model))
            return _analysis_payload(model=model)

    repository = Repository()
    page = ReceptionPage(
        repository,
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page.refresh()
    first_item = page.queue_list.item(0)
    first_row = page.queue_list.itemWidget(first_item)

    for _index in range(3):
        page.poll_timer.timeout.emit()

    assert repository.queue_calls == 4
    assert repository.detail_calls == 1
    assert repository.analysis_calls == [(210, "qwen"), (210, "openai")]
    assert page.queue_list.item(0) is first_item
    assert page.queue_list.itemWidget(first_item) is first_row
    assert first_item.data(Qt.ItemDataRole.UserRole)["server_revision"] == 4
    assert page.queue_summary.text() == "已加载 1 / 共 24 位患者"

    page.refresh()
    assert repository.detail_calls == 2
    assert repository.analysis_calls == [(210, "qwen"), (210, "openai")]
    assert page.queue_list.item(0) is first_item

    page.close()
    application.processEvents()


def test_silent_poll_replaces_only_the_queue_row_with_visible_changes(
    application: QApplication,
    immediate_async: None,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    original_queue_row = reception_module.QueueRow
    constructed: list[int] = []

    class CountingQueueRow(original_queue_row):
        def __init__(self, record: Any, parent: QWidget | None = None) -> None:
            constructed.append(int(record["id"]))
            super().__init__(record, parent)

    monkeypatch.setattr(reception_module, "QueueRow", CountingQueueRow)

    class Repository:
        calls = 0

        def list_appointments(self, **_kwargs: Any) -> dict[str, Any]:
            self.calls += 1
            rows = [
                {
                    "id": index,
                    "diagnosis_id": 200 + index,
                    "patient_id": 100 + index,
                    "patient_name": f"患者{index}",
                    "clinical_diagnosis": "消渴",
                    "status": 1,
                }
                for index in range(1, 4)
            ]
            if self.calls > 1:
                rows[1]["clinical_diagnosis"] = "消渴 · 气阴两虚"
            return {"lists": rows, "count": 3}

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            return {
                "appointment": {"id": appointment_id, "patient_id": 100 + appointment_id},
                "diagnosis": {
                    "id": 200 + appointment_id,
                    "patient_id": 100 + appointment_id,
                },
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.refresh()
    items = [page.queue_list.item(index) for index in range(3)]
    widgets = [page.queue_list.itemWidget(item) for item in items]
    assert constructed == [1, 2, 3]

    page.refresh(silent=True)

    assert all(page.queue_list.item(index) is items[index] for index in range(3))
    assert page.queue_list.itemWidget(items[0]) is widgets[0]
    assert page.queue_list.itemWidget(items[1]) is not widgets[1]
    assert page.queue_list.itemWidget(items[2]) is widgets[2]
    assert constructed == [1, 2, 3, 2]
    changed_row = page.queue_list.itemWidget(items[1])
    assert changed_row.findChild(QLabel, "ReceptionQueueSubline").text() == "消渴 · 气阴两虚"
    page.close()
    application.processEvents()


def test_timer_poll_does_not_supersede_an_in_flight_queue_request(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        jobs.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(object(), PermissionSet([]))
    page.refresh()
    generation = page._queue_generation

    for _index in range(3):
        page.poll_timer.timeout.emit()

    assert len(jobs) == 1
    assert page._queue_generation == generation

    jobs[0]["on_success"]({"lists": [], "count": 0})
    jobs[0]["on_finished"]()
    assert not page._queue_loading

    page.close()
    application.processEvents()


def test_silent_queue_error_does_not_replace_the_visible_banner(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        jobs.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(object(), PermissionSet([]))

    page.refresh(silent=True)
    jobs[0]["on_error"](RuntimeError("background unavailable"))
    assert page.queue_banner.label.text() == ""
    jobs[0]["on_finished"]()

    page.refresh()
    jobs[1]["on_error"](RuntimeError("foreground unavailable"))
    assert page.queue_banner.label.text()
    assert page.queue_banner.property("kind") == "danger"

    page.close()
    application.processEvents()


def test_fast_patient_switch_rejects_late_detail(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    callbacks: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        callbacks.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(object(), PermissionSet(["*"]))
    first = {"id": 11, "patient_id": 111, "diagnosis_id": 211, "patient_name": "甲患者"}
    second = {"id": 22, "patient_id": 122, "diagnosis_id": 222, "patient_name": "乙患者"}

    page._select_record(first)
    page.note_edit.setPlainText("甲患者的未保存草稿")
    page._pending_report_files = [r"C:\records\first.pdf"]
    page._select_record(second)
    assert len(callbacks) == 2
    assert page.patient_name_label.text() == "乙患者"
    assert page.note_edit.toPlainText() == ""
    assert page._pending_report_files == []

    callbacks[0]["on_success"]({"detail": _detail(11, name="甲患者")})
    callbacks[0]["on_finished"]()
    assert page._selected_appointment_id == 22
    assert page.patient_name_label.text() == "乙患者"
    assert page._selected_detail is None

    callbacks[1]["on_success"]({"detail": _detail(22, name="乙患者")})
    callbacks[1]["on_finished"]()
    assert page._selected_detail == _detail(22, name="乙患者")
    assert page.patient_name_label.text() == "乙患者"
    assert "反复口渴" in page.diagnosis_text.text()
    page.close()
    application.processEvents()


def test_rapid_aba_switch_prioritizes_current_detail_and_skips_stale_bundles(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    first = _detail(73, name="甲患者")
    second = _detail(74, name="乙患者")

    class Repository:
        def __init__(self) -> None:
            self.calls: list[int] = []

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            self.calls.append(appointment_id)
            return first if appointment_id == 73 else second

    repository = Repository()
    page = ReceptionPage(repository, PermissionSet([]))

    page._select_record(first["appointment"])
    page._select_record(second["appointment"])
    page._select_record(first["appointment"])

    assert [job["priority"] for job in queued_async] == [1, 2, 3]
    for stale_job in queued_async[:2]:
        assert stale_job["function"]() == {"cancelled": True}
        stale_job["on_finished"]()
    assert repository.calls == []

    current_job = queued_async[2]
    current_job["on_success"](current_job["function"]())
    current_job["on_finished"]()

    assert repository.calls == [73]
    assert page._selected_appointment_id == 73
    assert page.patient_name_label.text() == "甲患者"
    assert not page._detail_loading

    page.close()
    application.processEvents()


def test_switching_patient_resets_stale_daily_panel_loading(
    application: QApplication,
) -> None:
    page = ReceptionPage(object(), PermissionSet([]))
    page.daily_panel.set_loading(True)
    assert page.daily_panel._loading
    assert not page.daily_panel.refresh_button.isEnabled()

    page._reset_detail_content(
        seed={"id": 75, "patient_name": "新患者", "diagnosis_id": 275}
    )

    assert not page.daily_panel._loading
    assert page.daily_panel.refresh_button.isEnabled()
    assert all(button.isEnabled() for button in page.daily_panel.range_buttons.values())
    assert page.daily_panel.start_date.isEnabled()
    assert page.daily_panel.end_date.isEnabled()

    page.close()
    application.processEvents()


def test_stale_daily_worker_skips_repository_after_patient_switch(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    first = _detail(76, name="日常甲患者")
    second = _detail(77, name="日常乙患者")

    class Repository:
        def __init__(self) -> None:
            self.tracking_calls: list[int] = []

        def get_tracking_window(self, diagnosis_id: int, **_options: Any) -> dict[str, Any]:
            self.tracking_calls.append(diagnosis_id)
            return {}

    repository = Repository()
    page = ReceptionPage(repository, PermissionSet([]))
    page._select_record(first["appointment"])
    queued_async[0]["on_success"]({"detail": first, "warnings": []})
    page._request_daily_range("2026-08-13", "2026-08-19")
    stale_daily_job = queued_async[1]
    page._select_record(second["appointment"])

    assert stale_daily_job["function"]() == {"cancelled": True}
    assert repository.tracking_calls == []
    assert not page.daily_panel._loading
    assert page.daily_panel.refresh_button.isEnabled()

    page.close()
    application.processEvents()


def test_medication_case_prioritizes_clinical_information_and_keeps_plain_summary(
    application: QApplication,
) -> None:
    page = ReceptionPage(object(), PermissionSet([]))
    detail = _detail(31, name="层级患者")
    diagnosis = dict(detail["diagnosis"])
    diagnosis.update(
        {
            "diagnosis_date": 0,
            "diagnosis_type_text": "复诊",
            "systolic": 168,
            "diastolic": 102,
            "blood_pressure_status": "偏高",
            "fasting_blood_sugar": "空腹6.8",
            "fasting_blood_sugar_status": "偏高",
            "current_medications": ["二甲双胍缓释片早晚分服", "格列吡嗪餐前服用"],
            "allergy_history_text": "青霉素过敏",
            "symptoms": "口干口苦、多饮多汗、腰膝酸软。" * 14,
            "tongue": "舌红、苔黄腻",
            "pulse": "脉弦滑",
            "past_history_text": "高血压、高脂血症",
            "remark": "重点复核用药剂量与低血糖风险。【完整病例末尾】",
        }
    )
    page.resize(1280, 800)
    page.show()
    application.processEvents()
    page.detail_stack.setCurrentIndex(1)
    medication_tab = next(
        index for index in range(page.detail_tabs.count())
        if page.detail_tabs.tabText(index) == "用药记录"
    )
    page.detail_tabs.setCurrentIndex(medication_tab)
    application.processEvents()
    page._render_case(
        {**detail["appointment"], "has_prescription": True},
        detail["patient"],
        diagnosis,
    )
    application.processEvents()

    assert page.diagnosis_card.objectName() == "ReceptionMedicationCaseCard"
    assert page.diagnosis_card.accessibleName() == "完整病例"
    assert page.medication_scroll.objectName() == "ReceptionMedicationScroll"
    assert page.medication_scroll.accessibleName() == "用药记录与完整病例滚动区域"
    assert page.medication_scroll.horizontalScrollBar().maximum() == 0
    assert page.medication_scroll.verticalScrollBar().maximum() > 0

    assert page.diagnosis_text.isHidden()
    assert page.diagnosis_text.textFormat() == Qt.TextFormat.PlainText
    assert page._case_summary_text == page.diagnosis_text.text()
    assert "<" not in page._case_summary_text
    assert "【完整病例末尾】" in page._case_summary_text
    assert page.case_metric_labels["diagnosis_date"].text() == "未记录"
    assert page.case_metric_labels["fasting_glucose"].text() == "6.8 mmol/L"
    assert page.case_metric_labels["fasting_glucose"].property("alert") is True
    assert page.case_metric_labels["blood_pressure"].text() == "168/102 mmHg"

    medication = page.case_section_frames["medication"]
    assert medication.isVisible()
    medication_captions = [
        label.text()
        for label in medication.findChildren(QLabel, "ReceptionCaseFieldCaption")
    ]
    medication_values = [
        label
        for label in medication.findChildren(QLabel, "ReceptionCaseFieldValue")
    ]
    assert medication_captions == ["当前用药", "过敏史"]
    assert medication_values[0].text().startswith("二甲双胍缓释片")
    assert medication_values[0].property("important") is True
    assert medication_values[1].property("risk") is True

    title = page.findChild(QLabel, "ReceptionMedicationCaseTitle")
    caption = medication.findChild(QLabel, "ReceptionCaseFieldCaption")
    value = medication.findChild(QLabel, "ReceptionCaseFieldValue")
    assert title is not None and title.font().pixelSize() == 18
    assert caption is not None and caption.font().pixelSize() == 13
    assert value is not None and value.font().pixelSize() == 14
    assert title.font().weight() == 600
    assert caption.font().weight() == 400
    assert value.font().weight() == 600
    assert title.palette().color(QPalette.ColorRole.WindowText).name() == "#273244"
    assert caption.palette().color(QPalette.ColorRole.WindowText).name() == "#5d6b80"
    assert value.palette().color(QPalette.ColorRole.WindowText).name() == "#273244"
    assert value.wordWrap()
    assert value.textInteractionFlags() & Qt.TextInteractionFlag.TextSelectableByMouse

    for _ in range(5):
        page.medication_scroll.verticalScrollBar().setValue(
            page.medication_scroll.verticalScrollBar().maximum()
        )
        application.processEvents()
    assert (
        page.medication_scroll.verticalScrollBar().value()
        == page.medication_scroll.verticalScrollBar().maximum()
    )
    page.close()
    application.processEvents()


def test_current_detail_finishes_without_waiting_for_stale_patient_request(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        jobs.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(object(), PermissionSet(["*"]))
    first = {"id": 71, "patient_id": 171, "diagnosis_id": 271, "patient_name": "慢患者"}
    second = {"id": 72, "patient_id": 172, "diagnosis_id": 272, "patient_name": "当前患者"}

    page._select_record(first)
    page._select_record(second)
    jobs[1]["on_success"]({"detail": _detail(72, name="当前患者")})
    jobs[1]["on_finished"]()

    assert not page._detail_loading
    assert page.ai_button.isEnabled()

    jobs[0]["on_finished"]()
    assert not page._detail_loading
    assert page._selected_appointment_id == 72
    assert page.ai_button.isEnabled()

    page.close()
    application.processEvents()


def test_queue_load_more_accumulates_to_total_boundary(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []
    all_rows = [
        {
            "id": index,
            "patient_id": 1000 + index,
            "diagnosis_id": 2000 + index,
            "patient_name": f"患者{index:02d}",
            "status": 1,
        }
        for index in range(1, 23)
    ]

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            start = (kwargs["page_no"] - 1) * kwargs["page_size"]
            return {
                "lists": all_rows[start : start + kwargs["page_size"]],
                "count": len(all_rows),
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            row = all_rows[appointment_id - 1]
            return {
                "appointment": row,
                "diagnosis": {"id": row["diagnosis_id"], "patient_id": row["patient_id"]},
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.refresh()
    assert page.queue_list.count() == 15
    assert page._queue_has_more()
    assert not hasattr(page, "load_more_button")
    assert not hasattr(page, "add_patient_button")

    page._load_more()
    assert [call["page_no"] for call in calls] == [1, 2]
    assert all(call["page_size"] == 15 for call in calls)
    assert page.queue_list.count() == 22
    assert page.queue_summary.text() == "共 22 位患者"
    assert not page._queue_has_more()
    page.close()
    application.processEvents()


def test_silent_poll_keeps_already_loaded_queue_pages(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []
    all_rows = [
        {
            "id": index,
            "patient_id": 1000 + index,
            "diagnosis_id": 2000 + index,
            "patient_name": f"患者{index:02d}",
            "status": 1,
        }
        for index in range(1, 28)
    ]

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(dict(kwargs))
            start = (kwargs["page_no"] - 1) * kwargs["page_size"]
            return {
                "lists": all_rows[start : start + kwargs["page_size"]],
                "count": len(all_rows),
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            row = all_rows[appointment_id - 1]
            return {
                "appointment": row,
                "diagnosis": {"id": row["diagnosis_id"], "patient_id": row["patient_id"]},
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.refresh()
    page._load_more()
    assert page.queue_list.count() == 27
    assert page._queue_page == 2
    calls.clear()
    page.refresh(silent=True)
    assert page.queue_list.count() == 27
    assert page._queue_page == 2
    assert calls[-1]["page_no"] == 1
    assert calls[-1]["page_size"] >= 27
    page.close()
    application.processEvents()


def test_queue_shows_loading_indicator_while_page_request_is_open(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    class Repository:
        def list_appointments(self, **_kwargs: Any) -> dict[str, Any]:
            return {
                "lists": [
                    {"id": 1, "patient_name": "加载患者", "status": 1},
                ],
                "count": 16,
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            return {
                "appointment": {
                    "id": appointment_id,
                    "patient_id": 1001,
                    "status": 1,
                },
                "diagnosis": {"id": 2001, "patient_id": 1001},
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.refresh()
    assert page.queue_loading_indicator.isVisibleTo(page)
    assert page.queue_loading_indicator.label.text() == "正在加载…"
    assert page.queue_loading_indicator.spinner._timer.isActive()

    queued_async[0]["on_success"](
        {
            "lists": [{"id": 1, "patient_name": "加载患者", "status": 1}],
            "count": 16,
        }
    )
    queued_async[0]["on_finished"]()
    assert not page.queue_loading_indicator.isVisibleTo(page)
    assert not page.queue_loading_indicator.spinner._timer.isActive()

    page._load_more()
    assert page.queue_loading_indicator.isVisibleTo(page)
    load_more_job = queued_async[-1]
    load_more_job["on_success"](
        {
            "lists": [{"id": 2, "patient_name": "第二页患者", "status": 1}],
            "count": 16,
        }
    )
    load_more_job["on_finished"]()
    assert not page.queue_loading_indicator.isVisibleTo(page)
    page.close()
    application.processEvents()


def test_queue_scrolls_to_bottom_loads_next_page(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []
    all_rows = [
        {
            "id": index,
            "patient_id": 1000 + index,
            "diagnosis_id": 2000 + index,
            "patient_name": f"患者{index:02d}",
            "status": 1,
        }
        for index in range(1, 23)
    ]

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            start = (kwargs["page_no"] - 1) * kwargs["page_size"]
            return {
                "lists": all_rows[start : start + kwargs["page_size"]],
                "count": len(all_rows),
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            row = all_rows[appointment_id - 1]
            return {
                "appointment": row,
                "diagnosis": {"id": row["diagnosis_id"], "patient_id": row["patient_id"]},
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.resize(1280, 640)
    page.show()
    application.processEvents()
    assert page.queue_list.count() == 15
    scrollbar = page.queue_list.verticalScrollBar()
    assert scrollbar.maximum() > 0
    scrollbar.setValue(scrollbar.maximum())
    application.processEvents()
    assert [call["page_no"] for call in calls] == [1, 2]
    assert page.queue_list.count() == 22
    page.close()
    application.processEvents()


def test_search_and_tab_changes_reset_accumulated_pages(
    application: QApplication,
    immediate_async: None,
) -> None:
    calls: list[dict[str, Any]] = []

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            if kwargs["status"] == 4:
                rows = [{"id": 401, "patient_name": "过号患者", "status": 4}]
            elif kwargs["patient_name"]:
                rows = [{"id": 201, "patient_name": "搜索患者", "status": 1}]
            else:
                rows = [
                    {"id": index, "patient_name": f"患者{index}", "status": 1}
                    for index in range(1, 19)
                ]
            start = (kwargs["page_no"] - 1) * kwargs["page_size"]
            return {"lists": rows[start : start + kwargs["page_size"]], "count": len(rows)}

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            return {
                "appointment": {
                    "id": appointment_id,
                    "patient_id": appointment_id + 1000,
                    "status": 1,
                },
                "diagnosis": {
                    "id": appointment_id + 2000,
                    "patient_id": appointment_id + 1000,
                },
            }

    page = ReceptionPage(Repository(), PermissionSet([]))
    page.refresh()
    page._load_more()
    assert page.queue_list.count() == 18

    page.search_edit.setText("搜索")
    page.refresh()
    assert page.queue_list.count() == 1
    assert page._queue_page == 1
    assert calls[-1]["patient_name"] == "搜索"

    page.queue_tabs.setCurrentIndex(1)
    assert page.queue_list.count() == 1
    assert page._queue_page == 1
    assert calls[-1]["status"] == 4
    page.close()
    application.processEvents()


def test_queue_worker_uses_frozen_widget_snapshot(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[Any] = []
    calls: list[dict[str, Any]] = []

    def queue_async(function: Any, **_options: Any) -> object:
        jobs.append(function)
        return object()

    class Repository:
        def list_appointments(self, **kwargs: Any) -> dict[str, Any]:
            calls.append(kwargs)
            return {"lists": [], "count": 0}

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(Repository(), PermissionSet([]))
    page.search_edit.setText("甲患者")
    page.refresh()
    page.search_edit.blockSignals(True)
    page.search_edit.setText("乙患者")
    page.search_edit.blockSignals(False)
    page.queue_tabs.blockSignals(True)
    page.queue_tabs.setCurrentIndex(1)
    page.queue_tabs.blockSignals(False)

    jobs[0]()
    assert calls == [
        {
            "status": 1,
            "start_date": date.today().isoformat(),
            "end_date": date.today().isoformat(),
                "page_no": 1,
                "page_size": 15,
                "patient_name": "甲患者",
                "include_status_counts": 1,
        }
    ]
    page.close()
    application.processEvents()


def test_phone_permission_and_ungated_notify_video_actions(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(31, name="脱敏患者")

    class Repository:
        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 31
            return detail

    masked_page = ReceptionPage(Repository(), PermissionSet([]))
    masked_page._select_record(detail["appointment"])
    assert masked_page.patient_labels["phone"].text() == "138****8000"
    assert not masked_page.notify_button.isHidden()
    assert not masked_page.video_button.isHidden()

    plain_page = ReceptionPage(Repository(), PermissionSet(["tcm.diagnosis/phonePlain"]))
    plain_page._select_record(detail["appointment"])
    assert plain_page.patient_labels["phone"].text() == "13800138000"
    assert plain_page.appointment_labels["doctor"].text() == "张医生"
    assert plain_page.appointment_labels["assistant"].text() == "李医助"
    assert plain_page.patient_labels["region"].text() == "浙江省杭州市"

    masked_page.close()
    plain_page.close()
    application.processEvents()


def test_im_consult_is_visible_immediately_after_history(
    application: QApplication,
) -> None:
    page = ReceptionPage(DemoDoctorRepository(), PermissionSet([]))
    page.resize(1280, 760)
    page.detail_stack.setCurrentIndex(1)
    page.show()
    application.processEvents()

    assert page.video_button.text() == "IM 问诊"
    assert page.video_button.objectName() == "ReceptionImButton"
    assert not page.video_button.isHidden()
    assert page.history_button.geometry().right() < page.video_button.geometry().left()
    assert page.video_button.geometry().right() < page.more_button.geometry().left()
    assert "IM 问诊" not in [
        action.text() for action in page.more_button.menu().actions()
    ]

    page.close()
    application.processEvents()


@pytest.mark.parametrize("width", [1280, 1494])
@pytest.mark.parametrize("permissions", [[], ["*"]])
def test_notify_assistant_is_a_visible_header_action_not_a_more_menu_item(
    application: QApplication,
    queued_async: list[dict[str, Any]],
    width: int,
    permissions: list[str],
) -> None:
    page = ReceptionPage(DemoDoctorRepository(), PermissionSet(permissions))
    page.resize(width, 760)
    page.show()
    try:
        application.processEvents()
        # The first show initiates a queue reload and clears the selection.
        # Present a synthetic selected patient after that initial reset.
        page.patient_name_label.setText("测试患者")
        page.patient_meta_label.setText("女 · 42岁 · 138****8000 | 就诊号：31")
        page.detail_stack.setCurrentIndex(1)
        for _ in range(4):
            application.processEvents()
        hero = page.notify_button.parentWidget()
        assert hero.objectName() == "ReceptionHero"
        assert page.notify_button.isVisibleTo(page)
        assert page.notify_button.text() == "通知医助"
        assert page.notify_button.width() >= page.notify_button.sizeHint().width()
        assert page.notify_button.height() > 0
        assert "通知医助" not in [action.text() for action in page.more_button.menu().actions()]
        buttons = [
            button
            for button in (
                page.notify_button,
                page.history_button,
                page.video_button,
                page.more_button,
                page.complete_button,
            )
            if button.isVisibleTo(page)
        ]
        for button in buttons:
            assert hero.rect().contains(button.geometry())
            assert button.width() >= button.sizeHint().width()
            right = button.mapTo(page.detail_scroll.viewport(), QPoint(button.width(), 0)).x()
            assert right <= page.detail_scroll.viewport().width()
        for previous, following in zip(buttons, buttons[1:], strict=False):
            assert previous.geometry().right() < following.geometry().left()
    finally:
        page.close()
        application.processEvents()


def test_notify_header_button_keeps_appointment_context_and_pending_state(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    sent: list[int] = []

    class Repository:
        def notify_assistant(self, appointment_id: int) -> dict[str, bool]:
            sent.append(appointment_id)
            return {"success": True}

    page = ReceptionPage(Repository(), PermissionSet([]))
    try:
        page._update_action_state({}, {})
        assert not page.notify_button.isEnabled()
        page._selected_appointment_id = 31
        page._selected_record = {"id": 31, "status": 1}
        page._update_action_state(page._selected_record, {})
        assert page.notify_button.isEnabled()
        queued_async.clear()
        page.notify_button.click()
        assert not page.notify_button.isEnabled()
        page.notify_button.click()
        assert len(queued_async) == 1
        notification = queued_async.pop()
        notification["function"]()
        assert sent == [31]
        notification["on_finished"]()
        assert page.notify_button.isEnabled()

        page.notify_button.click()
        notification = queued_async.pop()
        page._selected_appointment_id = 32
        page._selected_record = {"id": 32, "status": 1}
        page._detail_generation += 1
        # An old request still targets its original appointment and cannot
        # re-enable a pending notification for a newly selected patient.
        notification["function"]()
        notification["on_finished"]()
        assert sent == [31, 31]
        assert not page.notify_button.isEnabled()
    finally:
        page.close()
        application.processEvents()


def test_reception_ai_report_button_follows_permission(
    application: QApplication,
    immediate_async: None,
) -> None:
    hidden = ReceptionPage(DemoDoctorRepository(), PermissionSet([]))
    assert hidden.ai_button.isHidden()
    hidden.close()

    page = ReceptionPage(
        DemoDoctorRepository(),
        PermissionSet(["doctor.appointment/reception"]),
    )
    assert not page.ai_button.isHidden()
    assert not page.ai_button.isEnabled()
    assert not page.ai_question_edit.isEnabled()
    assert not page.ai_send_button.isEnabled()
    page.close()
    application.processEvents()


def test_reception_assistant_maps_prompt_to_report_model(
    application: QApplication,
    immediate_async: None,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    detail = _detail(32, name="AI 患者")
    opened: list[dict[str, Any]] = []

    class Repository:
        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 32
            return detail

    monkeypatch.setattr(
        reception_module,
        "present_diagnosis_ai_assistant",
        lambda repository, parent, **options: opened.append(options),
    )
    page = ReceptionPage(
        Repository(),
        PermissionSet(["doctor.appointment/reception", "tcm.diagnosis/aiAssistant"]),
    )
    page._select_record(detail["appointment"])

    assert page.ai_question_edit.isEnabled()
    assert page.ai_question_edit.maxLength() == 500
    assert all(button.isEnabled() for button in page.ai_prompt_buttons)
    page._open_ai_report_for_prompt("并发症筛查")
    page.ai_question_edit.setText("请给出中药用药调整建议")
    page._submit_ai_question()

    assert [item["diagnosis_id"] for item in opened] == [232, 232]
    assert [item["task"] for item in opened] == [
        "complication_risk",
        "medication_review",
    ]
    assert opened[1]["prompt"] == "请给出中药用药调整建议"
    page.close()
    application.processEvents()


def test_reception_auto_loads_structured_ai_analysis_and_matches_reference_geometry(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(33, name="智能分析患者")
    analysis_calls: list[tuple[int, str]] = []

    class Repository:
        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 33
            return detail

        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            analysis_calls.append((diagnosis_id, model))
            return _analysis_payload(model=model)

    page = ReceptionPage(
        Repository(),
        PermissionSet(
            [
                "tcm.diagnosis/aiAnalysis",
                "tcm.diagnosis/aiAssistant",
            ]
        ),
    )
    page.resize(1494, 832)
    page.show()
    page._select_record(detail["appointment"])
    application.processEvents()

    assert analysis_calls == [(233, "qwen"), (233, "openai")]
    assert [
        (
            page.ai_analysis_model_selector.itemText(index),
            page.ai_analysis_model_selector.itemData(index),
        )
        for index in range(page.ai_analysis_model_selector.count())
    ] == [("千问", "qwen"), ("OpenAI", "openai")]
    assert page.ai_analysis_model_selector.currentData() == "qwen"
    assert page._ai_analysis_state == "success"
    assert page.ai_analysis_stack.currentWidget() is page.ai_analysis_content_page
    assert page.ai_summary_label.isVisible()
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"
    assert page.ai_treatment_label.text().startswith("建议调整降糖方案")
    assert page.ai_summary_label.textFormat() == Qt.TextFormat.PlainText
    assert page.ai_treatment_label.textFormat() == Qt.TextFormat.PlainText
    chips = [
        label
        for label in page.ai_risk_chip_host.findChildren(QLabel)
        if label.property("receptionRiskChip")
    ]
    assert [label.text() for label in chips] == ["高血糖风险", "心血管风险", "肾脏风险"]
    assert all(label.textFormat() == Qt.TextFormat.PlainText for label in chips)
    assert [label.property("riskLevel") for label in chips] == ["high", "medium", "low"]
    assert "千问" in page.ai_analysis_title.toolTip()
    assert [button.text() for button in page.ai_prompt_buttons] == [
        "基于当前病史，下一步检查建议？",
        "该患者的用药调整建议？",
        "糖尿病教育要点有哪些？",
        "并发症筛查建议？",
    ]
    assert page.ai_send_button.text() == ""
    assert page.ai_send_button.accessibleName() == "发送 AI 问诊问题"
    expand_button = page.ai_analysis_expand_button
    assert expand_button.objectName() == "ReceptionAiAnalysisExpandButton"
    assert expand_button.property("iconKind") == "expand-corners"
    assert expand_button.text() == ""
    assert expand_button.accessibleName() == "查看完整 AI 智能分析"
    assert expand_button.toolTip() == "放大查看 AI 智能分析"
    assert expand_button.isEnabled()
    assert expand_button.focusPolicy() != Qt.FocusPolicy.NoFocus
    assert expand_button.size().width() == expand_button.size().height() == 28
    title_right = page.ai_analysis_title.mapTo(
        page.ai_analysis_card,
        QPoint(page.ai_analysis_title.width(), 0),
    ).x()
    button_left = expand_button.mapTo(page.ai_analysis_card, QPoint(0, 0)).x()
    button_right = expand_button.mapTo(
        page.ai_analysis_card,
        QPoint(expand_button.width(), 0),
    ).x()
    assert button_left > title_right
    assert button_right <= page.ai_analysis_card.contentsRect().right() + 1

    left = page.ai_analysis_card.geometry()
    right = page.ai_assistant_card.geometry()
    assert left.height() < 470
    assert page.ai_analysis_card.minimumHeight() == 0
    assert page.ai_analysis_card.maximumHeight() > 520
    assert page.ai_analysis_card.findChildren(QScrollArea) == []
    assert left.height() == right.height()
    assert right.left() - left.right() - 1 == 10
    assert abs(left.width() / (left.width() + right.width()) - 0.425) < 0.01
    assert page.ai_summary_label.width() <= page.ai_analysis_card.contentsRect().width()
    assert page.ai_summary_label.minimumSizeHint().width() <= 48

    calls_before_switch = list(analysis_calls)
    page.ai_analysis_model_selector.setCurrentIndex(
        page.ai_analysis_model_selector.findData("openai")
    )
    assert page.ai_analysis_model_selector.currentData() == "openai"
    assert page.ai_summary_label.text().startswith("OpenAI：")
    page.ai_analysis_model_selector.setCurrentIndex(
        page.ai_analysis_model_selector.findData("qwen")
    )
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"
    assert analysis_calls == calls_before_switch
    assert page.detail_scroll.objectName() == "ReceptionDetailScroll"
    assert (
        page.detail_scroll.verticalScrollBarPolicy()
        == Qt.ScrollBarPolicy.ScrollBarAsNeeded
    )
    page.resize(1494, 620)
    application.processEvents()
    assert page.detail_scroll.verticalScrollBar().maximum() > 0

    page.close()
    application.processEvents()


def test_reception_dual_ai_queues_openai_only_after_qwen_is_visible(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    detail = _detail(83, name="双模型排队患者")
    calls: list[tuple[int, str]] = []

    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            calls.append((diagnosis_id, model))
            return _analysis_payload(f"{model} 排队风险", model=model)

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page._select_record(detail["appointment"])
    assert len(queued_async) == 1

    queued_async[0]["on_success"]({"detail": detail, "warnings": []})
    queued_async[0]["on_finished"]()
    assert len(queued_async) == 2
    assert calls == []
    assert page.ai_analysis_model_selector.currentData() == "qwen"
    assert page._ai_analysis_model_states == {"qwen": "loading", "openai": "waiting"}

    qwen_result = queued_async[1]["function"](*queued_async[1]["args"])
    assert calls == [(283, "qwen")]
    queued_async[1]["on_success"](qwen_result)

    assert len(queued_async) == 3
    assert calls == [(283, "qwen")]
    assert page.ai_analysis_model_selector.currentData() == "qwen"
    assert page._ai_analysis_state == "success"
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"
    assert page._ai_analysis_payloads["qwen"] == qwen_result
    assert page._ai_analysis_model_states["openai"] == "loading"
    assert page.ai_analysis_secondary_status.property("secondaryState") == "loading"
    assert "OpenAI 正在生成" in page.ai_analysis_secondary_status.text()
    assert page.ai_analysis_expand_button.isEnabled()

    openai_result = queued_async[2]["function"](*queued_async[2]["args"])
    assert calls == [(283, "qwen"), (283, "openai")]
    queued_async[2]["on_success"](openai_result)
    assert page.ai_analysis_model_selector.currentData() == "qwen"
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"

    jobs_before_switch = len(queued_async)
    calls_before_switch = list(calls)
    page.ai_analysis_model_selector.setCurrentIndex(
        page.ai_analysis_model_selector.findData("openai")
    )
    assert page.ai_summary_label.text().startswith("OpenAI：")
    assert "openai 排队风险" in page.ai_risk_label.text()
    page.ai_analysis_model_selector.setCurrentIndex(
        page.ai_analysis_model_selector.findData("qwen")
    )
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"
    assert len(queued_async) == jobs_before_switch
    assert calls == calls_before_switch

    page.close()
    application.processEvents()


def test_saturated_fallback_ai_slots_do_not_leave_current_analysis_loading(
    application: QApplication,
    queued_async: list[dict[str, Any]],
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    detail = _detail(86, name="后台分析繁忙患者")
    calls: list[tuple[int, str]] = []

    class BusyAutomaticSlots:
        @staticmethod
        def acquire(*, blocking: bool) -> bool:
            assert not blocking
            return False

        @staticmethod
        def release() -> None:
            raise AssertionError("an unacquired slot must not be released")

    monkeypatch.setattr(
        reception_module,
        "_AI_AUTOMATIC_GENERATION_SETTLE_SECONDS",
        0.0,
    )
    monkeypatch.setattr(
        reception_module,
        "_AI_AUTOMATIC_REQUEST_SLOTS",
        BusyAutomaticSlots(),
    )

    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            calls.append((diagnosis_id, model))
            raise AssertionError("busy automatic work must not enter repository")

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page._select_record(detail["appointment"])
    queued_async[0]["on_success"]({"detail": detail, "warnings": []})
    automatic_qwen_job = queued_async[1]
    deferred = automatic_qwen_job["function"](*automatic_qwen_job["args"])
    automatic_qwen_job["on_success"](deferred)
    automatic_qwen_job["on_finished"]()

    assert deferred is reception_module._ASYNC_REQUEST_DEFERRED
    assert calls == []
    assert page._ai_analysis_model_states["qwen"] == "error"
    assert not page._ai_analysis_loading
    assert page.ai_analysis_retry_button.isEnabled()
    assert "后台分析任务较多" in page.ai_analysis_state_label.text()
    page.close()
    application.processEvents()


def test_reception_openai_failure_keeps_qwen_success_visible(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    detail = _detail(84, name="第二模型失败患者")
    calls: list[tuple[int, str]] = []

    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            calls.append((diagnosis_id, model))
            if model == "openai":
                raise RuntimeError("openai upstream unavailable")
            return _analysis_payload("保留的千问风险", model=model)

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page._select_record(detail["appointment"])
    queued_async[0]["on_success"]({"detail": detail, "warnings": []})
    qwen_result = queued_async[1]["function"](*queued_async[1]["args"])
    queued_async[1]["on_success"](qwen_result)
    assert len(queued_async) == 3

    with pytest.raises(RuntimeError) as failure:
        queued_async[2]["function"](*queued_async[2]["args"])
    queued_async[2]["on_error"](failure.value)

    assert calls == [(284, "qwen"), (284, "openai")]
    assert page.ai_analysis_model_selector.currentData() == "qwen"
    assert page._ai_analysis_state == "success"
    assert page._ai_analysis_payload == qwen_result
    assert page._ai_analysis_payloads == {"qwen": qwen_result}
    assert page.ai_summary_label.text() == "2 型糖尿病，血糖控制不佳"
    assert "保留的千问风险" in page.ai_risk_label.text()
    assert page.ai_analysis_expand_button.isEnabled()
    assert page.ai_analysis_secondary_status.property("secondaryState") == "error"
    assert "千问结果已保留" in page.ai_analysis_secondary_status.text()
    assert "OpenAI分析加载失败" in page.ai_analysis_secondary_status.text()

    page.close()
    application.processEvents()


def test_reception_ai_analysis_permission_error_retry_states(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(34, name="状态患者")

    class Repository:
        def __init__(self) -> None:
            self.fail = True
            self.calls: list[tuple[int, str]] = []

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            return detail

        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            self.calls.append((diagnosis_id, model))
            if self.fail:
                raise RuntimeError("analysis unavailable")
            return _analysis_payload("重试后风险", model=model)

    denied_repository = Repository()
    denied = ReceptionPage(denied_repository, PermissionSet([]))
    denied._select_record(detail["appointment"])
    assert denied_repository.calls == []
    assert denied._ai_analysis_state == "permission"
    assert denied._ai_analysis_payload is None
    assert denied._ai_analysis_payloads == {}
    assert not denied.ai_analysis_model_selector.isEnabled()
    assert not denied.ai_analysis_expand_button.isEnabled()
    assert "没有查看" in denied.ai_analysis_state_label.text()
    assert denied.ai_analysis_retry_button.isHidden()
    denied.close()

    repository = Repository()
    page = ReceptionPage(
        repository,
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page.show()
    page._select_record(detail["appointment"])
    application.processEvents()
    assert repository.calls == [(234, "qwen")]
    assert page._ai_analysis_state == "error"
    assert page._ai_analysis_payload is None
    assert not page.ai_analysis_expand_button.isEnabled()
    assert "加载失败" in page.ai_analysis_state_label.text()
    assert not page.ai_analysis_retry_button.isHidden()

    page._load_detail(detail["appointment"], silent=True, clear=False)
    assert repository.calls == [(234, "qwen")]
    assert page._ai_analysis_state == "error"

    repository.fail = False
    page.ai_analysis_retry_button.click()
    application.processEvents()
    assert repository.calls == [
        (234, "qwen"),
        (234, "qwen"),
        (234, "openai"),
    ]
    assert page._ai_analysis_state == "success"
    assert page.ai_analysis_expand_button.isEnabled()
    assert "重试后风险" in page.ai_risk_label.text()

    page.close()
    application.processEvents()


def test_saved_diagnosis_forces_a_fresh_structured_ai_analysis(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(38, name="病历更新患者")

    class Repository:
        def __init__(self) -> None:
            self.analysis_calls: list[tuple[int, str]] = []
            self.model_counts = {"qwen": 0, "openai": 0}

        def list_appointments(self, **_kwargs: Any) -> dict[str, Any]:
            return {
                "lists": [
                    {
                        **detail["appointment"],
                        "diagnosis_id": detail["diagnosis"]["id"],
                    }
                ],
                "count": 1,
            }

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 38
            return detail

        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            assert diagnosis_id == 238
            self.analysis_calls.append((diagnosis_id, model))
            self.model_counts[model] += 1
            return _analysis_payload(
                f"第 {self.model_counts[model]} 次{model}分析",
                model=model,
            )

    repository = Repository()
    page = ReceptionPage(
        repository,
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page.refresh()
    assert repository.analysis_calls == [(238, "qwen"), (238, "openai")]

    page._diagnosis_saved()
    assert repository.analysis_calls == [
        (238, "qwen"),
        (238, "openai"),
        (238, "qwen"),
        (238, "openai"),
    ]
    assert "第 2 次qwen分析" in page.ai_risk_label.text()

    page.close()
    application.processEvents()


def test_ai_analysis_dialog_switches_complete_cached_payloads_without_requests(
    application: QApplication,
    immediate_async: None,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    detail = _detail(39, name="完整分析患者")
    diagnosis_texts = {
        "qwen": ("千问诊断建议需要完整展示，不能在卡片中被截断。" * 80)
        + "[千问诊断末尾]",
        "openai": ("OpenAI 诊断建议需要独立完整展示并支持模型对照。" * 80)
        + "[OpenAI诊断末尾]",
    }
    treatment_texts = {
        "qwen": ("千问治疗建议应支持长文本滚动阅读，并允许复制。" * 80)
        + "[千问治疗末尾]",
        "openai": ("OpenAI 治疗建议应保留全部上下文与检查复核事项。" * 80)
        + "[OpenAI治疗末尾]",
    }
    payloads = {
        model: {
            "diagnosis_advice": diagnosis_texts[model],
            "risk_assessment": [
                {
                    "label": f"{model} 风险项目 {index}",
                    "level": ("high", "medium", "low")[(index - 1) % 3],
                }
                for index in range(1, 7)
            ],
            "treatment_advice": treatment_texts[model],
            "model_key": model,
            "model_label": "千问" if model == "qwen" else "OpenAI",
            "model_name": "qwen3.6-35b" if model == "qwen" else "gpt-5.2",
            "generated_at": (
                "2026-08-14 11:05:14"
                if model == "qwen"
                else "2026-08-14 11:06:20"
            ),
            "raw_marker": {
                "model": model,
                "tail": f"{model}-payload-complete",
            },
        }
        for model in ("qwen", "openai")
    }

    class Repository:
        def __init__(self) -> None:
            self.analysis_calls: list[tuple[int, str]] = []

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 39
            return detail

        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            assert diagnosis_id == 239
            self.analysis_calls.append((diagnosis_id, model))
            return payloads[model]

    dialogs: list[Any] = []

    def capture_dialog(dialog: Any) -> int:
        dialogs.append(dialog)
        dialog.show()
        application.processEvents()
        return 0

    monkeypatch.setattr(reception_module._ReceptionAiAnalysisDialog, "exec", capture_dialog)
    repository = Repository()
    page = ReceptionPage(
        repository,
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    page.resize(1494, 832)
    page.show()
    page._select_record(detail["appointment"])
    application.processEvents()

    card_risks = [
        label
        for label in page.ai_risk_chip_host.findChildren(QLabel)
        if label.property("receptionRiskChip")
    ]
    assert [label.text() for label in card_risks] == [
        "qwen 风险项目 1",
        "qwen 风险项目 2",
        "qwen 风险项目 3",
    ]
    calls_before_dialog = list(repository.analysis_calls)
    page.ai_analysis_expand_button.click()

    assert calls_before_dialog == [(239, "qwen"), (239, "openai")]
    assert repository.analysis_calls == calls_before_dialog
    assert len(dialogs) == 1
    dialog = dialogs[0]
    assert dialog.objectName() == "ReceptionAiAnalysisDialog"
    assert dialog.parent() is page
    assert dialog.isModal()
    assert dialog.property("businessDialog") is True
    scroll = dialog.findChild(QScrollArea, "ReceptionAiAnalysisDialogScroll")
    assert scroll is not None
    assert scroll.widgetResizable()
    assert (
        scroll.horizontalScrollBarPolicy()
        == Qt.ScrollBarPolicy.ScrollBarAlwaysOff
    )
    diagnosis_label = dialog.findChild(
        QLabel,
        "ReceptionAiAnalysisDialogDiagnosisText",
    )
    treatment_label = dialog.findChild(
        QLabel,
        "ReceptionAiAnalysisDialogTreatmentText",
    )
    assert diagnosis_label is not None
    assert treatment_label is not None
    assert [
        (dialog.model_selector.itemText(index), dialog.model_selector.itemData(index))
        for index in range(dialog.model_selector.count())
    ] == [("千问", "qwen"), ("OpenAI", "openai")]
    assert dialog.model_selector.currentData() == "qwen"
    assert diagnosis_label.text() == diagnosis_texts["qwen"]
    assert treatment_label.text() == treatment_texts["qwen"]
    assert diagnosis_label.text().endswith("[千问诊断末尾]")
    assert treatment_label.text().endswith("[千问治疗末尾]")
    assert diagnosis_label.textFormat() == Qt.TextFormat.PlainText
    assert treatment_label.textFormat() == Qt.TextFormat.PlainText
    dialog_risks = [
        label
        for label in dialog.findChildren(QLabel)
        if label.property("dialogAiRisk")
    ]
    assert [label.text() for label in dialog_risks] == [
        f"qwen 风险项目 {index}" for index in range(1, 7)
    ]
    assert [label.property("riskLevel") for label in dialog_risks] == [
        "high",
        "medium",
        "low",
        "high",
        "medium",
        "low",
    ]
    assert dialog.payloads == payloads
    assert dialog.payloads["qwen"]["raw_marker"]["tail"] == "qwen-payload-complete"

    dialog.model_selector.setCurrentIndex(dialog.model_selector.findData("openai"))
    application.processEvents()
    assert dialog.active_model == "openai"
    assert diagnosis_label.text() == diagnosis_texts["openai"]
    assert treatment_label.text() == treatment_texts["openai"]
    assert diagnosis_label.text().endswith("[OpenAI诊断末尾]")
    assert treatment_label.text().endswith("[OpenAI治疗末尾]")
    assert "OpenAI" in dialog.meta_label.text()
    dialog_risks = [
        label
        for label in dialog.findChildren(QLabel)
        if label.property("dialogAiRisk")
    ]
    assert [label.text() for label in dialog_risks] == [
        f"openai 风险项目 {index}" for index in range(1, 7)
    ]
    assert [label.property("riskLevel") for label in dialog_risks] == [
        "high",
        "medium",
        "low",
        "high",
        "medium",
        "low",
    ]
    assert dialog.payloads["openai"]["raw_marker"]["tail"] == (
        "openai-payload-complete"
    )
    assert repository.analysis_calls == calls_before_dialog
    dialog.resize(640, 420)
    application.processEvents()
    assert scroll.verticalScrollBar().maximum() > 0
    assert dialog.close_button.accessibleName() == "关闭 AI 智能分析详情"
    dialog.close_button.click()
    assert not dialog.isVisible()

    page.close()
    application.processEvents()


def test_legacy_single_model_repository_survives_same_patient_detail_refresh(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []
    calls: list[int] = []

    def queue_async(function: Any, **options: Any) -> object:
        jobs.append({"function": function, **options})
        return object()

    class Repository:
        def get_diagnosis_ai_analysis(self, diagnosis_id: int) -> dict[str, Any]:
            calls.append(diagnosis_id)
            result = _analysis_payload("刷新期间返回")
            result["diagnosis_advice"] = "详情刷新后仍接收"
            return result

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    detail = _detail(37, name="同一患者")

    page._select_record(detail["appointment"])
    jobs[0]["on_success"]({"detail": detail, "warnings": []})
    assert len(jobs) == 2
    assert page._ai_analysis_state == "loading"

    page._load_detail(detail["appointment"], silent=True, clear=False)
    assert len(jobs) == 3
    jobs[2]["on_success"]({"detail": detail, "warnings": []})
    assert len(jobs) == 3

    result = jobs[1]["function"]()
    jobs[1]["on_success"](result)
    assert calls == [237]
    assert len(jobs) == 3
    assert page._ai_analysis_state == "success"
    assert page.ai_summary_label.text() == "详情刷新后仍接收"
    assert "刷新期间返回" in page.ai_risk_label.text()
    assert page._ai_analysis_model_states["openai"] == "unsupported"
    assert page.ai_analysis_secondary_status.property("secondaryState") == "unsupported"
    assert "仅支持千问" in page.ai_analysis_secondary_status.text()

    page.close()
    application.processEvents()


def test_detail_failure_stops_ai_loading_and_keeps_retry_available(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        jobs.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)

    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            raise AssertionError(
                "queued async test must not execute AI worker inline: "
                f"{diagnosis_id}/{model}"
            )

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    record = {
        "id": 81,
        "patient_id": 181,
        "diagnosis_id": 281,
        "patient_name": "失败患者",
    }

    page._select_record(record)
    assert page._ai_analysis_state == "loading"
    jobs[0]["on_error"](RuntimeError("detail unavailable"))

    assert page._ai_analysis_state == "error"
    assert not page._ai_analysis_loading
    assert "病历加载失败" in page.ai_analysis_state_label.text()
    assert not page.ai_analysis_retry_button.isHidden()

    jobs[0]["on_finished"]()
    assert not page._detail_loading
    assert "正在" not in page.patient_meta_label.text()
    assert "正在" not in page.diagnosis_text.text()
    assert "正在" not in page.health_summary_label.text()
    assert "正在" not in page.followup_text.text()
    assert not page.daily_panel._loading
    assert page.daily_panel.refresh_button.isEnabled()

    page.close()
    application.processEvents()


def test_finished_only_detail_request_cannot_leave_loading_placeholders(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    page = ReceptionPage(object(), PermissionSet(["*"]))
    record = {
        "id": 86,
        "patient_id": 186,
        "diagnosis_id": 286,
        "patient_name": "无结果患者",
    }

    page._select_record(record)
    queued_async[0]["on_finished"]()

    assert not page._detail_loading
    assert page._selected_detail is None
    assert page.detail_banner.property("kind") == "danger"
    assert "正在" not in page.patient_meta_label.text()
    assert "正在" not in page.diagnosis_text.text()
    assert "正在" not in page.health_summary_label.text()
    assert "正在" not in page.followup_text.text()
    assert not page.daily_panel._loading
    assert page.daily_panel.refresh_button.isEnabled()
    assert page._ai_analysis_state == "error"

    page.close()
    application.processEvents()


def test_finished_only_patient_ai_query_becomes_retryable(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    detail = _detail(87, name="AI 无结果患者")

    class Repository:
        def list_patient_ai_reports(self, patient_id: int) -> dict[str, Any]:
            raise AssertionError(f"queued worker must not run inline: {patient_id}")

        def generate_patient_ai_report(
            self,
            patient_id: int,
            *,
            model: str,
        ) -> dict[str, Any]:
            raise AssertionError(f"queued worker must not run inline: {patient_id}/{model}")

    page = ReceptionPage(
        Repository(),
        PermissionSet(
            [
                "tcm.diagnosis/patientAiReports",
                "tcm.diagnosis/generatePatientAiReport",
            ]
        ),
    )
    page._select_record(detail["appointment"])
    queued_async[0]["on_success"]({"detail": detail, "warnings": []})
    assert len(queued_async) == 2
    assert page._ai_analysis_state == "loading"

    queued_async[1]["on_finished"]()

    assert page._ai_analysis_state == "error"
    assert not page._ai_analysis_loading
    assert "请重试" in page.ai_analysis_state_label.text()
    assert not page.ai_analysis_retry_button.isHidden()

    page.ai_analysis_retry_button.click()
    assert len(queued_async) == 3
    assert page._ai_analysis_state == "loading"

    page.close()
    application.processEvents()


def test_ai_success_clears_loading_before_worker_finished(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[dict[str, Any]] = []

    def queue_async(_function: Any, **options: Any) -> object:
        jobs.append(options)
        return object()

    monkeypatch.setattr(reception_module, "run_async", queue_async)

    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            raise AssertionError(
                "queued async test must not execute AI worker inline: "
                f"{diagnosis_id}/{model}"
            )

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    detail = _detail(82, name="成功患者")

    page._select_record(detail["appointment"])
    jobs[0]["on_success"]({"detail": detail, "warnings": []})
    assert len(jobs) == 2
    assert page._ai_analysis_loading

    jobs[1]["on_success"](_analysis_payload())
    assert len(jobs) == 3
    assert page._ai_analysis_state == "success"
    assert not page._ai_analysis_loading
    assert page._ai_analysis_model_states["openai"] == "loading"

    page.close()
    application.processEvents()


def test_reception_ai_analysis_discards_late_qwen_and_openai_results(
    application: QApplication,
    queued_async: list[dict[str, Any]],
) -> None:
    class Repository:
        def get_diagnosis_ai_analysis(
            self,
            diagnosis_id: int,
            model: str,
        ) -> dict[str, Any]:
            raise AssertionError("queued async test must not execute worker inline")

    page = ReceptionPage(
        Repository(),
        PermissionSet(["tcm.diagnosis/aiAnalysis"]),
    )
    first = _detail(35, name="第一位患者")
    second = _detail(36, name="第二位患者")
    third = _detail(37, name="第三位患者")

    page._select_record(first["appointment"])
    queued_async[0]["on_success"]({"detail": first, "warnings": []})
    assert len(queued_async) == 2

    page._select_record(second["appointment"])
    assert queued_async[1]["function"]() is reception_module._ASYNC_REQUEST_CANCELLED
    queued_async[2]["on_success"]({"detail": second, "warnings": []})
    assert len(queued_async) == 4
    second_qwen = _analysis_payload("第二位千问风险")
    second_qwen["diagnosis_advice"] = "第二位患者千问分析"
    queued_async[3]["on_success"](second_qwen)
    assert len(queued_async) == 5

    page._select_record(third["appointment"])
    assert queued_async[4]["function"]() is reception_module._ASYNC_REQUEST_CANCELLED
    queued_async[5]["on_success"]({"detail": third, "warnings": []})
    assert len(queued_async) == 7
    third_qwen = _analysis_payload("第三位千问风险")
    third_qwen["diagnosis_advice"] = "第三位患者千问分析"
    queued_async[6]["on_success"](third_qwen)
    assert len(queued_async) == 8
    third_openai = _analysis_payload("第三位 OpenAI 风险", model="openai")
    third_openai["diagnosis_advice"] = "第三位患者 OpenAI 分析"
    queued_async[7]["on_success"](third_openai)

    assert page._selected_appointment_id == 37
    assert page._ai_analysis_payloads == {
        "qwen": third_qwen,
        "openai": third_openai,
    }
    assert page.ai_summary_label.text() == "第三位患者千问分析"

    jobs_before_stale_results = len(queued_async)
    stale_qwen = _analysis_payload("第一位迟到千问风险")
    stale_qwen["diagnosis_advice"] = "第一位患者迟到千问结果"
    queued_async[1]["on_success"](stale_qwen)
    stale_openai = _analysis_payload("第二位迟到 OpenAI 风险", model="openai")
    stale_openai["diagnosis_advice"] = "第二位患者迟到 OpenAI 结果"
    queued_async[4]["on_success"](stale_openai)

    assert len(queued_async) == jobs_before_stale_results
    assert page._selected_appointment_id == 37
    assert page._ai_analysis_payloads == {
        "qwen": third_qwen,
        "openai": third_openai,
    }
    assert page.ai_summary_label.text() == "第三位患者千问分析"
    assert "第三位千问风险" in page.ai_risk_label.text()
    page.ai_analysis_model_selector.setCurrentIndex(
        page.ai_analysis_model_selector.findData("openai")
    )
    assert page.ai_summary_label.text() == "第三位患者 OpenAI 分析"
    assert "第三位 OpenAI 风险" in page.ai_risk_label.text()

    page.close()
    application.processEvents()


def test_video_payload_keeps_three_identifiers_distinct(
    application: QApplication,
    immediate_async: None,
) -> None:
    detail = _detail(41, name="视频患者")

    class Repository:
        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            assert appointment_id == 41
            return detail

    page = ReceptionPage(Repository(), PermissionSet([]))
    page._select_record(detail["appointment"])
    emitted: list[dict[str, Any]] = []
    page.video_requested.connect(emitted.append)
    page._request_video()

    assert emitted == [
        {
            "source": "reception",
            "appointment_id": 41,
            "patient_id": 141,
            "diagnosis_id": 241,
            "patient_name": "视频患者",
            "mode": "im",
            "record": detail["appointment"],
        }
    ]
    page.close()
    application.processEvents()


def test_completion_revalidates_server_status_before_write(
    application: QApplication,
) -> None:
    completed: list[int] = []

    class Repository:
        status = 3

        def get_reception(self, appointment_id: int) -> dict[str, Any]:
            return {
                "appointment": {
                    "id": appointment_id,
                    "patient_id": 151,
                    "status": self.status,
                }
            }

        def complete_appointment(self, appointment_id: int) -> dict[str, bool]:
            completed.append(appointment_id)
            return {"ok": True}

    repository = Repository()
    page = ReceptionPage(repository, PermissionSet(["doctor.appointment/complete"]))

    with pytest.raises(ValueError, match="状态已变化"):
        page._complete_after_revalidation(51)
    assert completed == []

    repository.status = 4
    assert page._complete_after_revalidation(51) == ""
    assert completed == [51]
    page.close()
    application.processEvents()


def test_note_limit_and_attachment_payload_contract(
    application: QApplication,
    monkeypatch: pytest.MonkeyPatch,
) -> None:
    jobs: list[tuple[Any, dict[str, Any]]] = []
    received: list[dict[str, Any]] = []
    uploads: list[dict[str, Any]] = []

    def queue_async(function: Any, **options: Any) -> object:
        jobs.append((function, options))
        return object()

    class Repository:
        def upload_material(self, **kwargs: Any) -> str:
            uploads.append(kwargs)
            suffix = "tongue.jpg" if kwargs["material_type"] == "image" else "report.pdf"
            return f"/uploads/{kwargs['material_type']}/{suffix}"

        def add_doctor_note(self, diagnosis_id: int, content: str, **kwargs: Any) -> None:
            received.append({"diagnosis_id": diagnosis_id, "content": content, **kwargs})

    monkeypatch.setattr(reception_module, "run_async", queue_async)
    page = ReceptionPage(Repository(), PermissionSet(["doctor.appointment/addDoctorNote"]))
    detail = _detail(61, name="备注患者")
    page._selected_record = detail["appointment"]
    page._selected_appointment_id = 61
    page._selected_detail = detail
    page._detail_generation = 7
    page.note_edit.setPlainText("字" * (NOTE_LIMIT + 20))
    page._pending_tongue_images = [r"C:\records\tongue.jpg"]
    page._pending_report_files = [r"C:\records\report.pdf"]

    assert len(page.note_edit.toPlainText()) == NOTE_LIMIT
    assert page.note_counter.text() == f"{NOTE_LIMIT} / {NOTE_LIMIT}"
    page._save_note()
    assert len(jobs) == 1
    jobs[0][0]()

    assert uploads == [
        {"path": r"C:\records\tongue.jpg", "material_type": "image", "cid": 0},
        {"path": r"C:\records\report.pdf", "material_type": "file", "cid": 0},
    ]
    assert received == [
        {
            "diagnosis_id": 261,
            "content": "字" * NOTE_LIMIT,
            "tongue_images": ["/uploads/image/tongue.jpg"],
            "report_files": ["/uploads/file/report.pdf"],
        }
    ]
    jobs[0][1]["on_finished"]()
    assert not page._note_busy
    page.close()
    application.processEvents()


def test_remote_note_uses_multipart_then_server_urls_only(
    application: QApplication,
    tmp_path: Path,
) -> None:
    requests: list[httpx.Request] = []
    tongue = tmp_path / "tongue.jpg"
    report = tmp_path / "report.pdf"
    tongue.write_bytes(b"tongue-image")
    report.write_bytes(b"report-file")

    def handler(request: httpx.Request) -> httpx.Response:
        requests.append(request)
        if request.url.path.endswith("/upload/image"):
            return httpx.Response(
                200,
                json={"code": 1, "data": {"uri": "/materials/tongue.jpg"}},
            )
        if request.url.path.endswith("/upload/file"):
            return httpx.Response(
                200,
                json={"code": 1, "data": {"url": "https://cdn.test/report.pdf"}},
            )
        return httpx.Response(200, json={"code": 1, "data": {"id": 9}})

    with ApiClient(
        "https://example.test",
        transport=httpx.MockTransport(handler),
    ) as client:
        repository = RemoteDoctorRepository(client)
        page = ReceptionPage(repository, PermissionSet([]))
        result = page._upload_and_add_note(
            501,
            "两阶段备注",
            [str(tongue)],
            [str(report)],
        )

    assert result == {"id": 9}
    assert [request.url.path.rsplit("/", 2)[-2:] for request in requests] == [
        ["upload", "image"],
        ["upload", "file"],
        ["doctor.appointment", "addDoctorNote"],
    ]
    for upload_request in requests[:2]:
        assert upload_request.headers["content-type"].startswith("multipart/form-data; boundary=")
        assert b'name="cid"' in upload_request.content
        assert b"\r\n0\r\n" in upload_request.content
    note_payload = json.loads(requests[-1].content)
    assert note_payload == {
        "diagnosis_id": 501,
        "content": "两阶段备注",
        "tongue_images": ["/materials/tongue.jpg"],
        "report_files": ["https://cdn.test/report.pdf"],
    }
    assert str(tmp_path) not in requests[-1].content.decode("utf-8")
    page.close()
    application.processEvents()


def test_partial_upload_failure_never_submits_note(
    application: QApplication,
) -> None:
    submitted: list[dict[str, Any]] = []

    class Repository:
        def upload_material(self, path: str, material_type: str, cid: int = 0) -> str:
            del material_type, cid
            if path.endswith("bad.pdf"):
                raise OSError("磁盘读取失败")
            return "/materials/good.jpg"

        def add_doctor_note(self, **kwargs: Any) -> None:
            submitted.append(kwargs)

    page = ReceptionPage(Repository(), PermissionSet([]))
    with pytest.raises(RuntimeError, match="bad.pdf.*上传失败"):
        page._upload_and_add_note(
            501,
            "不会提交",
            [r"C:\records\good.jpg"],
            [r"C:\records\bad.pdf"],
        )
    assert submitted == []
    page.close()
    application.processEvents()