first commit

server/database/av_permission_log.sql

@@ -0,0 +1,15 @@
+-- 音视频权限拒绝日志表
+CREATE TABLE IF NOT EXISTS `zyt_av_permission_log` (
+  `id`          int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `patient_id`  varchar(64)      NOT NULL DEFAULT '' COMMENT '患者ID（patient_xxx格式）',
+  `doctor_id`   varchar(64)      NOT NULL DEFAULT '' COMMENT '医生ID（doctor_xxx格式）',
+  `denied_scope` varchar(32)     NOT NULL DEFAULT '' COMMENT '被拒绝的权限 scope（camera/record）',
+  `scene`        varchar(32)     NOT NULL DEFAULT '' COMMENT '触发场景（makeCall / incoming）',
+  `action`       varchar(16)     NOT NULL DEFAULT 'cancel' COMMENT '用户行为：cancel=取消 / open_setting=去设置',
+  `wx_version`  varchar(32)      NOT NULL DEFAULT '' COMMENT '微信基础库版本',
+  `create_time` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '创建时间（Unix秒）',
+  PRIMARY KEY (`id`),
+  KEY `idx_patient` (`patient_id`),
+  KEY `idx_doctor`  (`doctor_id`),
+  KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci COMMENT='音视频权限拒绝行为日志';

server/database/diagnosis_view_records.sql

@@ -0,0 +1,21 @@
+-- 诊单查看记录表
+CREATE TABLE IF NOT EXISTS `la_diagnosis_view_records` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `user_id` int(11) NOT NULL DEFAULT '0' COMMENT '查看用户ID',
+  `diagnosis_id` int(11) NOT NULL DEFAULT '0' COMMENT '诊单ID',
+  `patient_id` int(11) NOT NULL DEFAULT '0' COMMENT '患者ID',
+  `share_user_id` int(11) NOT NULL DEFAULT '0' COMMENT '分享用户ID',
+  `view_count` int(11) NOT NULL DEFAULT '1' COMMENT '查看次数',
+  `first_view_time` int(11) NOT NULL DEFAULT '0' COMMENT '首次查看时间',
+  `last_view_time` int(11) NOT NULL DEFAULT '0' COMMENT '最后查看时间',
+  `is_confirmed` tinyint(1) NOT NULL DEFAULT '0' COMMENT '是否已确认 0-未确认 1-已确认',
+  `confirmed_time` int(11) NOT NULL DEFAULT '0' COMMENT '确认时间',
+  `create_time` int(11) NOT NULL DEFAULT '0' COMMENT '创建时间',
+  `update_time` int(11) NOT NULL DEFAULT '0' COMMENT '更新时间',
+  `delete_time` int(11) DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_user_diagnosis` (`user_id`, `diagnosis_id`),
+  KEY `idx_diagnosis` (`diagnosis_id`),
+  KEY `idx_patient` (`patient_id`),
+  KEY `idx_share_user` (`share_user_id`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci COMMENT='诊单查看记录表';

server/database/migrations/2024_03_10_create_order_tables.php

@@ -0,0 +1,69 @@
+<?php
+
+use think\migration\Migrator;
+use think\migration\Migration;
+
+class CreateOrderTables extends Migration
+{
+    /**
+     * Change Method.
+     *
+     * Write your reversible migrations using this method.
+     *
+     * More information on writing migrations is available here:
+     * http://docs.phinx.io/en/latest/migrations.html#the-abstractmigration-class
+     *
+     * The following commands can be used in this method and Phinx will
+     * log all of them to the migrations log:
+     *
+     *    createTable
+     *    renameTable
+     *    addColumn
+     *    addCustomColumn
+     *    renameColumn
+     *    addIndex
+     *    addForeignKey
+     *    addTimestamps
+     *    update
+     *    delete
+     *    dropTable
+     *    truncateTable
+     *    addSoftDelete
+     */
+    public function change()
+    {
+        // 订单表
+        $table = $this->table('la_order', ['engine' => 'InnoDB', 'collation' => 'utf8mb4_unicode_ci', 'comment' => '订单表']);
+        $table->addColumn('order_no', 'string', ['limit' => 50, 'comment' => '订单号'])
+            ->addColumn('patient_id', 'integer', ['comment' => '患者ID'])
+            ->addColumn('creator_id', 'integer', ['comment' => '创建人ID（推广ID）'])
+            ->addColumn('order_type', 'tinyinteger', ['comment' => '订单类型 1-挂号费 2-问诊费 3-药品费用'])
+            ->addColumn('amount', 'decimal', ['precision' => 10, 'scale' => 2, 'comment' => '订单金额'])
+            ->addColumn('status', 'tinyinteger', ['default' => 1, 'comment' => '订单状态 1-待支付 2-已支付 3-已取消 4-已退款'])
+            ->addColumn('payment_method', 'string', ['limit' => 20, 'null' => true, 'comment' => '支付方式 alipay-支付宝 wechat-微信 bank-银行卡'])
+            ->addColumn('payment_time', 'datetime', ['null' => true, 'comment' => '支付时间'])
+            ->addColumn('remark', 'string', ['limit' => 500, 'default' => '', 'comment' => '备注'])
+            ->addColumn('create_time', 'datetime', ['default' => 'CURRENT_TIMESTAMP', 'comment' => '创建时间'])
+            ->addColumn('update_time', 'datetime', ['default' => 'CURRENT_TIMESTAMP', 'update' => 'CURRENT_TIMESTAMP', 'comment' => '更新时间'])
+            ->addColumn('delete_time', 'datetime', ['null' => true, 'comment' => '删除时间'])
+            ->addIndex(['order_no'], ['unique' => true])
+            ->addIndex(['patient_id'])
+            ->addIndex(['creator_id'])
+            ->addIndex(['status'])
+            ->addIndex(['create_time'])
+            ->create();
+
+        // 订单详情表
+        $table = $this->table('la_order_detail', ['engine' => 'InnoDB', 'collation' => 'utf8mb4_unicode_ci', 'comment' => '订单详情表']);
+        $table->addColumn('order_id', 'integer', ['comment' => '订单ID'])
+            ->addColumn('related_type', 'string', ['limit' => 20, 'comment' => '关联类型 appointment-挂号 diagnosis-问诊 medicine-药品'])
+            ->addColumn('related_id', 'integer', ['comment' => '关联ID'])
+            ->addColumn('quantity', 'integer', ['default' => 1, 'comment' => '数量'])
+            ->addColumn('unit_price', 'decimal', ['precision' => 10, 'scale' => 2, 'comment' => '单价'])
+            ->addColumn('total_price', 'decimal', ['precision' => 10, 'scale' => 2, 'comment' => '总价'])
+            ->addColumn('create_time', 'datetime', ['default' => 'CURRENT_TIMESTAMP', 'comment' => '创建时间'])
+            ->addIndex(['order_id'])
+            ->addIndex(['related_type', 'related_id'])
+            ->create();
+    }
+}

server/database/migrations/20260326_doctor_appointment_channel_source.sql

@@ -0,0 +1,3 @@
+-- 预约表：渠道来源（字典 type_value = channels）
+ALTER TABLE `zyt_doctor_appointment`
+  ADD COLUMN `channel_source` varchar(64) NOT NULL DEFAULT '' COMMENT '渠道来源(字典channels)' AFTER `remark`;

server/database/migrations/20260326_doctor_roster_segments.sql

@@ -0,0 +1,18 @@
+-- 医生排班：一条记录 = 一段连续可挂号时间（支持同日多段、白班/夜班）
+-- 表前缀默认 zyt_，与 config/database.php 中 prefix 一致
+
+ALTER TABLE `zyt_doctor_roster`
+  ADD COLUMN `start_time` varchar(5) DEFAULT NULL COMMENT '接诊开始 HH:mm' AFTER `period`,
+  ADD COLUMN `end_time` varchar(5) DEFAULT NULL COMMENT '接诊结束 HH:mm' AFTER `start_time`,
+  ADD COLUMN `shift_type` varchar(20) DEFAULT NULL COMMENT 'day白班/night夜班' AFTER `end_time`,
+  ADD COLUMN `slot_minutes` smallint unsigned NOT NULL DEFAULT 15 COMMENT '号源间隔分钟' AFTER `shift_type`;
+
+-- 历史数据：按原上午/下午补全时间
+UPDATE `zyt_doctor_roster` SET `start_time`='09:00', `end_time`='12:00' WHERE `period`='morning' AND (`start_time` IS NULL OR `start_time`='');
+UPDATE `zyt_doctor_roster` SET `start_time`='14:00', `end_time`='18:00' WHERE `period`='afternoon' AND (`start_time` IS NULL OR `start_time`='');
+
+-- 原唯一键限制「每天仅上午+下午」，需改为按时段区分
+ALTER TABLE `zyt_doctor_roster` DROP INDEX `uk_doctor_date_period`;
+
+-- 防止同一天重复录入完全相同的时间段（含软删字段，与 ThinkPHP 软删一致）
+ALTER TABLE `zyt_doctor_roster` ADD UNIQUE KEY `uk_doctor_date_segment` (`doctor_id`,`date`,`start_time`,`end_time`,`delete_time`);

server/database/migrations/20260327_doctor_medicine_pinyin_abbr.sql

@@ -0,0 +1,3 @@
+-- 药材库：拼音首字母连写，供列表检索（如 甘草 -> gc）
+ALTER TABLE `zyt_doctor_medicine`
+  ADD COLUMN `name_pinyin_abbr` varchar(64) NOT NULL DEFAULT '' COMMENT '名称拼音首字母(小写连写)' AFTER `name`;

server/database/migrations/2026_03_18_add_order_trade_no.php

@@ -0,0 +1,16 @@
+<?php
+
+use think\migration\Migrator;
+use think\migration\Migration;
+
+class AddOrderTradeNo extends Migration
+{
+    public function change()
+    {
+        $table = $this->table('la_order');
+        if (!$table->hasColumn('trade_no')) {
+            $table->addColumn('trade_no', 'string', ['limit' => 64, 'null' => true, 'comment' => '支付平台交易号', 'after' => 'payment_time'])
+                ->update();
+        }
+    }
+}

server/database/migrations/2026_03_18_add_order_wechat_payee_payer.php

@@ -0,0 +1,20 @@
+<?php
+
+use think\migration\Migrator;
+use think\migration\Migration;
+
+class AddOrderWechatPayeePayer extends Migration
+{
+    public function change()
+    {
+        $table = $this->table('la_order');
+        if (!$table->hasColumn('payee_userid')) {
+            $table->addColumn('payee_userid', 'string', ['limit' => 64, 'null' => true, 'comment' => '收款人企业微信userid', 'after' => 'creator_id'])
+                ->update();
+        }
+        if (!$table->hasColumn('payer_external_userid')) {
+            $table->addColumn('payer_external_userid', 'string', ['limit' => 128, 'null' => true, 'comment' => '付款人企业微信客户external_userid', 'after' => 'payee_userid'])
+                ->update();
+        }
+    }
+}

server/database/migrations/2026_03_18_allow_order_patient_null.php

@@ -0,0 +1,17 @@
+<?php
+
+use think\migration\Migrator;
+use think\migration\Migration;
+
+/**
+ * 企业微信直接收款时自动创建订单，patient_id 可为空（待关联患者）
+ */
+class AllowOrderPatientNull extends Migration
+{
+    public function change()
+    {
+        $this->table('la_order')
+            ->changeColumn('patient_id', 'integer', ['null' => true, 'comment' => '患者ID（诊单ID），空表示待关联'])
+            ->update();
+    }
+}

server/database/migrations/2026_03_19_add_prescription_case_record.sql

@@ -0,0 +1,2 @@
+-- 处方表增加详细病历字段（每次开方保存一份诊单快照）
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `case_record` longtext DEFAULT NULL COMMENT '详细病历（诊单快照JSON）' AFTER `clinical_diagnosis`;

server/database/migrations/2026_03_19_appointment_status_event.sql

@@ -0,0 +1,29 @@
+-- 挂号单状态自动更新 - MySQL 事件（可选，需开启 event_scheduler）
+-- 表名请根据实际前缀修改（如 zyt_doctor_appointment、la_doctor_appointment）
+
+-- 创建事件：每10分钟执行一次
+-- SET GLOBAL event_scheduler = ON;  -- 需先开启事件调度器
+
+DELIMITER $$
+
+DROP EVENT IF EXISTS evt_update_appointment_status$$
+
+CREATE EVENT evt_update_appointment_status
+ON SCHEDULE EVERY 10 MINUTE
+DO
+BEGIN
+    -- 1. 超过8小时 -> 已取消(status=2)
+    UPDATE zyt_doctor_appointment
+    SET status = 2, update_time = UNIX_TIMESTAMP()
+    WHERE status = 1
+      AND CONCAT(appointment_date, ' ', IFNULL(appointment_time, '00:00:00')) <= DATE_SUB(NOW(), INTERVAL 8 HOUR);
+
+    -- 2. 已过时间但未超8小时 -> 已过号(status=4)
+    UPDATE zyt_doctor_appointment
+    SET status = 4, update_time = UNIX_TIMESTAMP()
+    WHERE status = 1
+      AND CONCAT(appointment_date, ' ', IFNULL(appointment_time, '00:00:00')) < NOW()
+      AND CONCAT(appointment_date, ' ', IFNULL(appointment_time, '00:00:00')) > DATE_SUB(NOW(), INTERVAL 8 HOUR);
+END$$
+
+DELIMITER ;

server/database/migrations/2026_03_30_diagnosis_current_medications.sql

@@ -0,0 +1,3 @@
+-- 诊单：在用药物（患者当前服用的西药/中成药等）
+ALTER TABLE `zyt_tcm_diagnosis`
+    ADD COLUMN `current_medications` varchar(2000) NOT NULL DEFAULT '' COMMENT '在用药物' AFTER `remark`;

server/database/migrations/2026_03_30_drop_unique_appointment_include_status.sql

@@ -0,0 +1,5 @@
+-- 问题：UNIQUE(doctor_id, appointment_date, appointment_time, status) 允许「一条已预约 + 一条已取消」
+-- 同一时段若先后有两名患者预约并取消，第二条 UPDATE status=2 会与第一条已取消行唯一键冲突（1062）。
+-- 解决：去掉该唯一索引；「档期仅一条已预约」由 AppointmentLogic::create 中 status=1 存在性检查保证。
+ALTER TABLE `zyt_doctor_appointment` DROP INDEX `unique_appointment`;
+ALTER TABLE `zyt_doctor_appointment` ADD KEY `idx_doctor_date_time_status` (`doctor_id`, `appointment_date`, `appointment_time`, `status`);

server/database/migrations/2026_03_30_prescription_visible_roles_audit.sql

@@ -0,0 +1,8 @@
+-- 处方：指定角色可见（非共享时除创建者外，所列角色用户也可查看）；审核状态与审核信息
+ALTER TABLE `zyt_tcm_prescription`
+    ADD COLUMN `visible_role_ids` varchar(500) NOT NULL DEFAULT '' COMMENT '额外可见角色ID，逗号分隔，与创建者/共享并列' AFTER `is_shared`,
+    ADD COLUMN `audit_status` tinyint(1) NOT NULL DEFAULT 1 COMMENT '审核：0待审核 1已通过 2已驳回(同时作废)' AFTER `visible_role_ids`,
+    ADD COLUMN `audit_time` int(10) unsigned DEFAULT NULL COMMENT '审核时间' AFTER `audit_status`,
+    ADD COLUMN `audit_by` int(11) unsigned DEFAULT NULL COMMENT '审核人ID' AFTER `audit_time`,
+    ADD COLUMN `audit_by_name` varchar(50) NOT NULL DEFAULT '' COMMENT '审核人姓名' AFTER `audit_by`,
+    ADD COLUMN `audit_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '审核意见' AFTER `audit_by_name`;

server/database/migrations/2026_03_31_tcm_diagnosis_assign_log.sql

@@ -0,0 +1,15 @@
+-- 诊单指派医助操作记录（单次指派一条，批量指派为多条）
+CREATE TABLE IF NOT EXISTS `zyt_tcm_diagnosis_assign_log` (
+    `id` int unsigned NOT NULL AUTO_INCREMENT COMMENT '主键',
+    `diagnosis_id` int unsigned NOT NULL DEFAULT 0 COMMENT '诊单ID',
+    `from_assistant_id` int unsigned NOT NULL DEFAULT 0 COMMENT '原医助管理员ID，0表示未指派',
+    `to_assistant_id` int unsigned NOT NULL DEFAULT 0 COMMENT '新医助管理员ID',
+    `operator_admin_id` int unsigned NOT NULL DEFAULT 0 COMMENT '操作人管理员ID',
+    `operator_name` varchar(64) NOT NULL DEFAULT '' COMMENT '操作人姓名',
+    `operator_account` varchar(64) NOT NULL DEFAULT '' COMMENT '操作人账号',
+    `ip` varchar(45) NOT NULL DEFAULT '' COMMENT '操作IP',
+    `create_time` int unsigned NOT NULL DEFAULT 0 COMMENT '操作时间',
+    PRIMARY KEY (`id`),
+    KEY `idx_diagnosis_id` (`diagnosis_id`),
+    KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_general_ci COMMENT='诊单指派医助操作记录';

server/database/migrations/2026_04_01_diabetes_discovery_year_varchar.sql

@@ -0,0 +1,3 @@
+-- 发现糖尿病患病史：支持文字描述（如半年、1年）或纯数字
+ALTER TABLE `zyt_tcm_diagnosis`
+    MODIFY COLUMN `diabetes_discovery_year` varchar(50) DEFAULT NULL COMMENT '发现糖尿病患病史（如：半年、1年、或纯数字年数）';

server/database/migrations/2026_04_02_tcm_prescription_assistant_id.sql

@@ -0,0 +1,4 @@
+-- 处方表：关联诊单所属医助（admin.id），便于统计「这张处方对应哪位医助的患者」
+ALTER TABLE `zyt_tcm_prescription`
+  ADD COLUMN `assistant_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '诊单医助(admin id)，0=无' AFTER `creator_id`,
+  ADD KEY `idx_assistant` (`assistant_id`);

server/database/migrations/2026_04_07_create_tcm_prescription_order.sql

@@ -0,0 +1,35 @@
+-- 处方业务订单（履约/双审流程），与支付单表 zyt_order 分离
+CREATE TABLE IF NOT EXISTS `zyt_tcm_prescription_order` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `order_no` varchar(50) NOT NULL COMMENT '业务订单号',
+  `prescription_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '消费者处方ID',
+  `diagnosis_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '诊单ID',
+  `creator_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建人管理员ID',
+  `recipient_name` varchar(50) NOT NULL DEFAULT '' COMMENT '收货人',
+  `recipient_phone` varchar(20) NOT NULL DEFAULT '' COMMENT '收货手机',
+  `shipping_address` varchar(500) NOT NULL DEFAULT '' COMMENT '收货地址',
+  `is_follow_up` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '是否复诊 0否1是',
+  `medication_days` int(11) DEFAULT NULL COMMENT '用药疗程(天)',
+  `prev_staff` varchar(100) NOT NULL DEFAULT '' COMMENT '上次医生/医助',
+  `service_channel` varchar(100) NOT NULL DEFAULT '' COMMENT '服务渠道',
+  `service_package` varchar(100) NOT NULL DEFAULT '' COMMENT '服务套餐',
+  `tracking_number` varchar(80) NOT NULL DEFAULT '' COMMENT '快递单号',
+  `fee_type` tinyint(2) unsigned NOT NULL DEFAULT 3 COMMENT '费用类别 1挂号2问诊3药品4首付5尾款6其他7全部',
+  `amount` decimal(10,2) NOT NULL DEFAULT 0.00 COMMENT '业务订单金额',
+  `internal_cost` decimal(10,2) DEFAULT NULL COMMENT '内部成本(财务可见)',
+  `remark_extra` varchar(500) NOT NULL DEFAULT '' COMMENT '备注补充',
+  `linked_pay_order_id` int(11) unsigned DEFAULT NULL COMMENT '关联支付单 zyt_order.id',
+  `prescription_audit_status` tinyint(2) unsigned NOT NULL DEFAULT 0 COMMENT '处方审核 0待审1通过2驳回',
+  `prescription_audit_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '处方审核意见',
+  `payment_slip_audit_status` tinyint(2) unsigned NOT NULL DEFAULT 0 COMMENT '支付单审核 0待审1通过2驳回',
+  `payment_slip_audit_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '支付单审核意见',
+  `fulfillment_status` tinyint(2) unsigned NOT NULL DEFAULT 1 COMMENT '1待双审通过 2履约中 3已完成 4已取消',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(10) unsigned NOT NULL DEFAULT 0,
+  `delete_time` int(10) unsigned DEFAULT NULL,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_order_no` (`order_no`),
+  KEY `idx_prescription_id` (`prescription_id`),
+  KEY `idx_diagnosis_id` (`diagnosis_id`),
+  KEY `idx_creator_id` (`creator_id`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='处方业务订单(非支付单)';

server/database/migrations/2026_04_07_prescription_order_menu.sql

@@ -0,0 +1,93 @@
+-- 处方业务订单：后台菜单与接口权限（zyt_system_menu）
+-- 执行前请确认表前缀为 zyt_；若库中已有相同 perms 的行请跳过或删除重复项。
+-- 菜单挂在「消费者处方」同级目录下（与 consumer/prescription/index 共用父级 pid）
+
+SET @rx_pid := (
+    SELECT pid FROM zyt_system_menu
+    WHERE type = 'C'
+      AND (
+          component = 'consumer/prescription/index'
+          OR component LIKE '%consumer/prescription/index%'
+      )
+    LIMIT 1
+);
+SET @rx_pid := IFNULL(@rx_pid, 0);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @rx_pid, 'C', '处方业务订单', 'local-icon-dingdan', 48,
+    'tcm.prescriptionOrder/lists', 'consumer/prescription_order', 'consumer/prescription/order_list',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists');
+
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '详情', '', 1, 'tcm.prescriptionOrder/detail', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/detail');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '创建', '', 2, 'tcm.prescriptionOrder/create', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/create');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '编辑', '', 3, 'tcm.prescriptionOrder/edit', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/edit');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '修改快递单号', '', 31, 'tcm.prescriptionOrder/ddcode', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/ddcode');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '处方审核', '', 4, 'tcm.prescriptionOrder/auditPrescription', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/auditPrescription');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '支付单审核', '', 5, 'tcm.prescriptionOrder/auditPayment', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/auditPayment');

server/database/migrations/2026_04_08_prescription_order_audit_remarks.sql

@@ -0,0 +1,4 @@
+-- 业务订单审核意见（已建表可执行；若列已存在会报错，可忽略或手动删重跑）
+ALTER TABLE `zyt_tcm_prescription_order`
+  ADD COLUMN `prescription_audit_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '处方审核意见' AFTER `prescription_audit_status`,
+  ADD COLUMN `payment_slip_audit_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '支付单审核意见' AFTER `payment_slip_audit_status`;

server/database/migrations/2026_04_09_prescription_order_menu_withdraw_paid.sql

@@ -0,0 +1,24 @@
+-- 处方业务订单：撤回、拉取可关联已支付单（权限节点）
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '撤回订单', '', 6, 'tcm.prescriptionOrder/withdraw', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/withdraw');
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '可关联支付单', '', 7, 'tcm.prescriptionOrder/paidPayOrders', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/paidPayOrders');

server/database/migrations/2026_04_09_prescription_order_pay_links.sql

@@ -0,0 +1,16 @@
+-- 处方业务订单 ↔ 支付单(zyt_order) 多对多关联
+CREATE TABLE IF NOT EXISTS `zyt_tcm_prescription_order_pay_order` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `prescription_order_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '业务订单ID',
+  `pay_order_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT 'zyt_order.id，已支付',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_po_pay` (`prescription_order_id`,`pay_order_id`),
+  KEY `idx_pay_order` (`pay_order_id`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='业务订单关联支付单';
+
+-- 历史单条关联字段迁入关联表（幂等：忽略重复）
+INSERT IGNORE INTO `zyt_tcm_prescription_order_pay_order` (`prescription_order_id`, `pay_order_id`, `create_time`)
+SELECT `id`, `linked_pay_order_id`, UNIX_TIMESTAMP()
+FROM `zyt_tcm_prescription_order`
+WHERE `linked_pay_order_id` IS NOT NULL AND `linked_pay_order_id` > 0 AND `delete_time` IS NULL;

server/database/migrations/2026_04_10_prescription_order_express_company.sql

@@ -0,0 +1,3 @@
+-- 业务订单：快递公司（顺丰/京东/自动），用于物流轨迹查询
+ALTER TABLE `zyt_tcm_prescription_order`
+    ADD COLUMN `express_company` varchar(20) NOT NULL DEFAULT '' COMMENT '快递公司 sf=顺丰 jd=京东 auto=自动' AFTER `tracking_number`;

server/database/migrations/2026_04_10_prescription_order_logistics_menu.sql

@@ -0,0 +1,13 @@
+-- 处方业务订单：物流轨迹查询权限
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '物流轨迹', '', 8, 'tcm.prescriptionOrder/logisticsTrace', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/logisticsTrace');

server/database/migrations/2026_04_11_prescription_order_view_rx_herbs.sql

@@ -0,0 +1,13 @@
+-- 处方业务订单详情：查看处方药材明细（无此权限时接口不返回 herbs）
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '药材明细', '', 9, 'tcm.prescriptionOrder/viewRxHerbs', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/viewRxHerbs');

server/database/migrations/2026_04_16_prescription_order_gancao_callback.sql

@@ -0,0 +1,7 @@
+-- 甘草订单状态回调：增加回调状态、流程、药房、备注字段
+ALTER TABLE `zyt_tcm_prescription_order`
+    ADD COLUMN `gancao_order_state` smallint(6) NOT NULL DEFAULT 0 COMMENT '甘草订单状态 10审核中 11审核通过 110制作中 20物流中 30完成 90拦截 91撤单 92驳回' AFTER `gancao_submit_time`,
+    ADD COLUMN `gancao_flow_name` varchar(100) NOT NULL DEFAULT '' COMMENT '甘草当前加工流名（回调ext.flow_name）' AFTER `gancao_order_state`,
+    ADD COLUMN `gancao_supplier` varchar(100) NOT NULL DEFAULT '' COMMENT '甘草制作药房（回调ext.supplier）' AFTER `gancao_flow_name`,
+    ADD COLUMN `gancao_shipping_name` varchar(50) NOT NULL DEFAULT '' COMMENT '甘草物流商名称（回调ext.shipping_name）' AFTER `gancao_supplier`,
+    ADD COLUMN `gancao_remark` varchar(500) NOT NULL DEFAULT '' COMMENT '甘草回调备注（拦截/撤单/驳回原因等）' AFTER `gancao_shipping_name`;

server/database/migrations/2026_04_16_prescription_order_gancao_scm.sql

@@ -0,0 +1,17 @@
+-- 甘草药管家处方单号回写 + 菜单权限
+ALTER TABLE `zyt_tcm_prescription_order`
+    ADD COLUMN `gancao_reciperl_order_no` varchar(32) NOT NULL DEFAULT '' COMMENT '甘草处方订单号 recipel_order_no' AFTER `remark_extra`,
+    ADD COLUMN `gancao_submit_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '提交甘草成功时间戳' AFTER `gancao_reciperl_order_no`;
+
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '上传甘草药方', '', 9, 'tcm.prescriptionOrder/submitGancaoRecipel', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/submitGancaoRecipel');

server/database/migrations/2026_04_20_create_qywx_msg_tables.sql

@@ -0,0 +1,105 @@
+-- 企业微信 员工↔客户 消息收发相关表
+-- 1) 会话索引（员工 userid × 客户 external_userid × 群 roomid 三元组，用于前端会话列表）
+-- 2) 消息归档（会话存档 SDK 拉取落库；msgid 唯一，支持撤回更新）
+-- 3) 消息归档附件（大型媒体独立存储，按需下载到本地/对象存储）
+-- 4) 发消息任务（企业群发 add_msg_template 一次投递记录 + 每客户明细）
+
+CREATE TABLE IF NOT EXISTS `zyt_qywx_msg_session` (
+  `id` bigint(20) unsigned NOT NULL AUTO_INCREMENT,
+  `staff_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '企微员工 userid',
+  `external_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '客户 external_userid；群聊时为 roomid 对应的主联系客户，可留空',
+  `roomid` varchar(64) NOT NULL DEFAULT '' COMMENT '企微群聊 roomid；单聊为空',
+  `session_type` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '1=单聊 2=群聊',
+  `last_msg_id` varchar(64) NOT NULL DEFAULT '' COMMENT '最近一条归档消息 msgid（来自会话存档）',
+  `last_msg_seq` bigint(20) unsigned NOT NULL DEFAULT 0 COMMENT '最近一条归档消息 seq',
+  `last_msg_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '最近一条归档消息 Unix 秒',
+  `last_msg_type` varchar(32) NOT NULL DEFAULT '' COMMENT '最近一条消息类型',
+  `last_msg_summary` varchar(512) NOT NULL DEFAULT '' COMMENT '最近一条消息摘要（纯文本，用于列表）',
+  `unread_staff` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '员工侧未读（后台管理员打开会话后清零）',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_session` (`staff_userid`,`external_userid`,`roomid`),
+  KEY `idx_staff_time` (`staff_userid`,`last_msg_time`),
+  KEY `idx_ext_time` (`external_userid`,`last_msg_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微消息会话索引';
+
+CREATE TABLE IF NOT EXISTS `zyt_qywx_msg_archive` (
+  `id` bigint(20) unsigned NOT NULL AUTO_INCREMENT,
+  `msgid` varchar(64) NOT NULL DEFAULT '' COMMENT '企微会话存档 msgid，官方唯一键',
+  `seq` bigint(20) unsigned NOT NULL DEFAULT 0 COMMENT '拉取 seq（单调递增，断点续拉）',
+  `action` varchar(16) NOT NULL DEFAULT 'send' COMMENT 'send/recall/switch',
+  `from_user` varchar(64) NOT NULL DEFAULT '' COMMENT '发送方 userid / external_userid',
+  `from_type` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '0=未知 1=员工 2=客户',
+  `to_list` text COMMENT '接收方列表 JSON（单聊通常仅 1 个）',
+  `roomid` varchar(64) NOT NULL DEFAULT '' COMMENT '群 roomid，单聊为空',
+  `msgtype` varchar(32) NOT NULL DEFAULT '' COMMENT 'text/image/voice/video/file/link/location/emotion/chatrecord/markdown/news/meeting/calendar/mixed/weapp/voip_doc_share/...',
+  `content` mediumtext COMMENT '文本/卡片摘要（mixed/chatrecord 会序列化 JSON）',
+  `media_id` varchar(128) NOT NULL DEFAULT '' COMMENT 'sdkfileid：作为 GetMediaData 入参',
+  `md5sum` varchar(64) NOT NULL DEFAULT '' COMMENT '企微下发的 md5sum',
+  `file_name` varchar(512) NOT NULL DEFAULT '' COMMENT '原始文件名',
+  `file_size` bigint(20) unsigned NOT NULL DEFAULT 0 COMMENT '字节',
+  `file_ext` varchar(32) NOT NULL DEFAULT '' COMMENT '扩展名',
+  `play_length` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '语音/视频时长 秒',
+  `raw` mediumtext COMMENT '解密后的原始 JSON，兜底',
+  `send_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '消息时间 Unix 秒',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_msgid` (`msgid`),
+  KEY `idx_seq` (`seq`),
+  KEY `idx_room_time` (`roomid`,`send_time`),
+  KEY `idx_from_time` (`from_user`,`send_time`),
+  KEY `idx_send_time` (`send_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微会话存档消息';
+
+CREATE TABLE IF NOT EXISTS `zyt_qywx_msg_archive_media` (
+  `id` bigint(20) unsigned NOT NULL AUTO_INCREMENT,
+  `msgid` varchar(64) NOT NULL DEFAULT '' COMMENT '关联 zyt_qywx_msg_archive.msgid',
+  `sdkfileid` varchar(128) NOT NULL DEFAULT '',
+  `status` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '0=待下载 1=成功 2=失败',
+  `retry_count` int(11) unsigned NOT NULL DEFAULT 0,
+  `file_path` varchar(1024) NOT NULL DEFAULT '' COMMENT '本地/对象存储相对路径',
+  `file_url` varchar(1024) NOT NULL DEFAULT '' COMMENT '可公网访问的地址（如已迁 CDN）',
+  `file_size` bigint(20) unsigned NOT NULL DEFAULT 0,
+  `md5sum` varchar(64) NOT NULL DEFAULT '',
+  `error` varchar(512) NOT NULL DEFAULT '',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_msg_sdk` (`msgid`,`sdkfileid`),
+  KEY `idx_status` (`status`,`retry_count`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微会话存档消息媒介文件';
+
+CREATE TABLE IF NOT EXISTS `zyt_qywx_msg_send_task` (
+  `id` bigint(20) unsigned NOT NULL AUTO_INCREMENT,
+  `admin_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '后台发起人 admin id',
+  `sender_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '代发员工 userid（add_msg_template 的 sender）',
+  `external_userids` text COMMENT '目标客户 external_userid JSON 数组',
+  `chat_type` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '1=single 2=group（对应企微 chat_type）',
+  `msg_payload` mediumtext COMMENT '消息体 JSON（含 text/image/video/file/link/miniprogram 任意组合）',
+  `msg_template_id` varchar(64) NOT NULL DEFAULT '' COMMENT '企微返回 msgid（提醒员工确认发送的 ID）',
+  `fail_list` text COMMENT '企微返回的 fail_list',
+  `status` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '0=待提交 1=已提交等待员工确认 2=已确认发送 3=失败',
+  `error` varchar(512) NOT NULL DEFAULT '',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  KEY `idx_sender_time` (`sender_userid`,`create_time`),
+  KEY `idx_template` (`msg_template_id`),
+  KEY `idx_status` (`status`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微员工代发消息任务';
+
+-- 断点续拉游标（seq 持久化；一行一条，按 staff_userid 维度）
+CREATE TABLE IF NOT EXISTS `zyt_qywx_msg_archive_cursor` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `cursor_key` varchar(64) NOT NULL DEFAULT '' COMMENT '默认 global；如需按员工分片则存 staff_userid',
+  `seq` bigint(20) unsigned NOT NULL DEFAULT 0,
+  `last_pull_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `last_pull_count` int(11) unsigned NOT NULL DEFAULT 0,
+  `last_error` varchar(512) NOT NULL DEFAULT '',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_cursor_key` (`cursor_key`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微会话存档拉取游标';

server/database/migrations/2026_04_21_order_action_log.sql

@@ -0,0 +1,13 @@
+-- 支付单（zyt_order）后台操作日志：操作人、动作、时间
+CREATE TABLE IF NOT EXISTS `zyt_order_action_log` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `order_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT 'zyt_order.id',
+  `admin_id` int(11) unsigned NOT NULL DEFAULT 0,
+  `admin_name` varchar(64) NOT NULL DEFAULT '' COMMENT '操作人姓名快照',
+  `action` varchar(32) NOT NULL DEFAULT '' COMMENT '动作码',
+  `summary` varchar(500) NOT NULL DEFAULT '' COMMENT '补充说明',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  KEY `idx_order_id` (`order_id`),
+  KEY `idx_admin_id_time` (`admin_id`, `create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='支付单操作日志';

server/database/migrations/2026_04_21_tcm_diagnosis_phone_plain_menu.sql

@@ -0,0 +1,5 @@
+-- 诊单编辑页：查看完整手机号（无此权限时仅脱敏，需点击展开）
+-- 将按钮挂在「中医诊单」菜单下（perms = tcm.diagnosis/lists）；若库中结构不同请改 pid。
+INSERT INTO `zyt_system_menu` (`pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`, `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`)
+SELECT `id`, 'A', '手机号明文', '', 21, 'tcm.diagnosis/phonePlain', '', '', '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM `zyt_system_menu` WHERE `perms` = 'tcm.diagnosis/lists' LIMIT 1;

server/database/migrations/2026_04_21_tcm_prescription_is_system_auto.sql

@@ -0,0 +1,3 @@
+-- 处方：系统代开标记（如医生在挂号列表点「完成」后自动生成、无药材配方）
+ALTER TABLE `zyt_tcm_prescription`
+    ADD COLUMN `is_system_auto` tinyint(1) UNSIGNED NOT NULL DEFAULT 0 COMMENT '系统代开：1=完成挂号等自动生成' AFTER `is_shared`;

server/database/migrations/2026_04_22_drop_order_assistant_id.sql

@@ -0,0 +1,3 @@
+-- 已改为仅更新「创建人 creator_id」，不再使用 assistant_id 列；若已执行过 add 脚本可执行本脚本清理
+-- 若表上无此列，执行会报错，可忽略或先 SHOW COLUMNS 确认
+ALTER TABLE `zyt_order` DROP INDEX `idx_assistant_id`, DROP COLUMN `assistant_id`;

server/database/migrations/2026_04_22_order_assistant_id.sql

@@ -0,0 +1,5 @@
+-- 支付单指派医助：后台批量指派、列表筛选
+-- 表前缀 zyt_ 与 .env 中 PREFIX 一致
+ALTER TABLE `zyt_order`
+    ADD COLUMN `assistant_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '指派医助 la_admin.id，0=未指派' AFTER `creator_id`,
+    ADD KEY `idx_assistant_id` (`assistant_id`);

server/database/migrations/2026_04_22_prescription_order_logs_menu.sql

@@ -0,0 +1,13 @@
+-- 处方业务订单：查看「操作日志」区块与 /tcm.prescriptionOrder/logs 接口
+SET @po_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @po_menu_id, 'A', '操作日志', '', 9, 'tcm.prescriptionOrder/logs', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @po_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'tcm.prescriptionOrder/logs');

server/database/migrations/2026_04_23_create_media_channel_source_and_account_cost_channel.sql

@@ -0,0 +1,29 @@
+CREATE TABLE IF NOT EXISTS `zyt_qywx_media_channel` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `channel_code` varchar(80) NOT NULL DEFAULT '' COMMENT '渠道编码：由 tag_id 或 tag_name 生成',
+  `channel_name` varchar(100) NOT NULL DEFAULT '' COMMENT '渠道名称（展示名）',
+  `source_tag_id` varchar(64) NOT NULL DEFAULT '' COMMENT '企微标签ID',
+  `source_tag_name` varchar(100) NOT NULL DEFAULT '' COMMENT '企微标签名',
+  `source_group_name` varchar(100) NOT NULL DEFAULT '' COMMENT '企微标签组名',
+  `tag_uniq_key` varchar(120) NOT NULL DEFAULT '' COMMENT '标签唯一键：优先 tag_id，否则 tag_name 哈希',
+  `status` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '状态：1=启用',
+  `last_seen_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '最近扫描命中时间',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_channel_code` (`channel_code`),
+  UNIQUE KEY `uk_tag_uniq_key` (`tag_uniq_key`),
+  KEY `idx_status` (`status`),
+  KEY `idx_last_seen_time` (`last_seen_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企微渠道标签源表';
+
+ALTER TABLE `zyt_account_cost`
+  ADD COLUMN `media_channel_code` varchar(80) NOT NULL DEFAULT '' COMMENT '渠道编码' AFTER `cost_date`,
+  ADD COLUMN `media_channel_name` varchar(100) NOT NULL DEFAULT '' COMMENT '渠道名称' AFTER `media_channel_code`,
+  ADD COLUMN `dept_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '绑定部门ID' AFTER `media_channel_name`,
+  ADD COLUMN `dept_name` varchar(100) NOT NULL DEFAULT '' COMMENT '绑定部门名称' AFTER `dept_id`;
+
+ALTER TABLE `zyt_account_cost`
+  DROP INDEX `uk_cost_date`,
+  ADD UNIQUE KEY `uk_cost_date_channel_dept` (`cost_date`, `media_channel_code`, `dept_id`),
+  ADD KEY `idx_cost_date_channel_dept` (`cost_date`, `media_channel_code`, `dept_id`);

server/database/migrations/2026_04_24_system_role_data_scope.sql

@@ -0,0 +1,9 @@
+-- 角色表新增数据范围（数据隔离）字段
+-- 1=全部数据（免隔离，root 默认全部）
+-- 2=本部门及子部门（按 admin_dept 关联 + dept 树的后代汇总可见 admin_id）
+-- 3=仅本部门
+-- 4=仅本人
+-- 迁移后保持旧行为：所有现有角色默认 1（全部），需要管理员按需逐角色改为 2/3/4 激活隔离
+ALTER TABLE `zyt_system_role`
+    ADD COLUMN `data_scope` tinyint(1) NOT NULL DEFAULT 1
+        COMMENT '数据范围：1全部 2本部门及下级 3仅本部门 4仅本人' AFTER `sort`;

server/database/migrations/2026_05_11_diagnosis_assign_read.sql

@@ -0,0 +1,7 @@
+-- 二诊医助：新指派患者已读标记
+ALTER TABLE `zyt_tcm_diagnosis`
+  ADD COLUMN `assign_read_at` int(10) unsigned DEFAULT NULL
+  COMMENT '医助查看指派时间戳，NULL 未读（新指派红旗）' AFTER `assistant_id`;
+
+-- 已有数据标记为已读，避免全部显示红旗
+UPDATE `zyt_tcm_diagnosis` SET `assign_read_at` = UNIX_TIMESTAMP() WHERE `assistant_id` > 0;

server/database/migrations/2026_05_11_order_exempt_menu.sql

@@ -0,0 +1,13 @@
+-- 支付单：设置/取消豁免权（权限节点）
+SET @order_menu_id := (SELECT id FROM zyt_system_menu WHERE perms = 'order.order/lists' LIMIT 1);
+
+INSERT INTO zyt_system_menu (
+    pid, type, name, icon, sort, perms, paths, component,
+    selected, params, is_cache, is_show, is_disable, create_time, update_time
+)
+SELECT
+    @order_menu_id, 'A', '设置豁免权', '', 0, 'order.order/setExempt', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @order_menu_id IS NOT NULL
+  AND NOT EXISTS (SELECT 1 FROM zyt_system_menu WHERE perms = 'order.order/setExempt');

server/database/migrations/2026_05_11_order_is_exempt.sql

@@ -0,0 +1,3 @@
+ALTER TABLE `zyt_order`
+  ADD COLUMN `is_exempt` tinyint(1) unsigned NOT NULL DEFAULT 0
+  COMMENT '豁免权：1=关联此单时跳过定金门槛校验' AFTER `status`;

server/database/migrations/2026_08_11_add_prescription_ai_report_menu.sql

@@ -0,0 +1,168 @@
+-- 处方库 AI 双模型解释：持久化表 + 读取/刷新/编辑三个独立 API 权限。
+-- 三个 perms 必须与 PrescriptionLibraryController action 一一对应，否则
+-- AuthMiddleware 会把未注册 URI 当作无需鉴权的普通接口直接放行。
+
+CREATE TABLE IF NOT EXISTS `zyt_prescription_library_ai_report` (
+  `id` bigint unsigned NOT NULL AUTO_INCREMENT COMMENT '报告ID',
+  `prescription_id` int unsigned NOT NULL COMMENT '处方库ID',
+  `model_key` varchar(32) NOT NULL COMMENT '服务端模型配置键：qwen/openai',
+  `model_name` varchar(100) NOT NULL DEFAULT '' COMMENT '生成时实际模型名称',
+  `model_label` varchar(50) NOT NULL DEFAULT '' COMMENT '模型展示名',
+  `report_content` mediumtext NOT NULL COMMENT '报告原始内容',
+  `message_id` varchar(191) NOT NULL DEFAULT '' COMMENT 'Dify message_id',
+  `prompt_version` varchar(50) NOT NULL DEFAULT '' COMMENT '提示词版本',
+  `prescription_fingerprint` char(64) NOT NULL DEFAULT '' COMMENT '生成时处方内容SHA-256',
+  `generated_by` int unsigned NOT NULL DEFAULT 0 COMMENT '最近生成管理员ID',
+  `generated_time` int unsigned NOT NULL DEFAULT 0 COMMENT '最近生成时间',
+  `edited_by` int unsigned NOT NULL DEFAULT 0 COMMENT '最近人工编辑管理员ID',
+  `edited_time` int unsigned NOT NULL DEFAULT 0 COMMENT '最近人工编辑时间',
+  `create_time` int unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_prescription_model` (`prescription_id`, `model_key`),
+  KEY `idx_generated_by_time` (`generated_by`, `generated_time`),
+  KEY `idx_edited_by_time` (`edited_by`, `edited_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='处方库AI解释报告';
+
+START TRANSACTION;
+
+SET @prescription_library_menu_id := (
+    SELECT `id`
+    FROM `zyt_system_menu`
+    WHERE `type` = 'C'
+      AND (
+          `component` = 'consumer/prescription/list'
+          OR `component` LIKE '%consumer/prescription/list%'
+      )
+    ORDER BY `id`
+    LIMIT 1
+);
+
+-- 读取已保存报告：打开弹窗只读库，不调用上游模型。
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@prescription_library_menu_id, 0), 'A', '查看AI解释', '', 51,
+    'tcm.prescriptionLibrary/aiReports', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/aiReports'
+);
+
+-- 刷新报告：固定同时生成 qwen/openai，不接受前端模型配置。
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@prescription_library_menu_id, 0), 'A', '刷新AI解释', '', 52,
+    'tcm.prescriptionLibrary/generateAiReports', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/generateAiReports'
+);
+
+-- 批量生成前只读发现：仅返回当前数据范围内完全没有报告的处方，不调用模型。
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@prescription_library_menu_id, 0), 'A', '查询待生成AI解释', '', 54,
+    'tcm.prescriptionLibrary/missingAiReports', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/missingAiReports'
+);
+
+-- 人工编辑必须是独立权限，不能依赖刷新权限隐式放行。
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@prescription_library_menu_id, 0), 'A', '编辑AI解释', '', 53,
+    'tcm.prescriptionLibrary/editAiReport', '', '',
+    '', '', 0, 1, 0, UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/editAiReport'
+);
+
+SET @prescription_ai_read_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/aiReports'
+    ORDER BY `id` LIMIT 1
+);
+SET @prescription_ai_refresh_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/generateAiReports'
+    ORDER BY `id` LIMIT 1
+);
+SET @prescription_ai_missing_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/missingAiReports'
+    ORDER BY `id` LIMIT 1
+);
+SET @prescription_ai_edit_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.prescriptionLibrary/editAiReport'
+    ORDER BY `id` LIMIT 1
+);
+
+-- 已能查看处方库/处方的角色继承“读取已保存报告”。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT DISTINCT `role_menu`.`role_id`, @prescription_ai_read_menu_id
+FROM `zyt_system_role_menu` AS `role_menu`
+INNER JOIN `zyt_system_menu` AS `menu` ON `menu`.`id` = `role_menu`.`menu_id`
+WHERE @prescription_ai_read_menu_id IS NOT NULL
+  AND (
+      `menu`.`perms` IN (
+          'tcm.prescriptionLibrary/lists',
+          'tcm.prescriptionLibrary/detail',
+          'tcm.prescriptionLibrary/aiReport',
+          'wcf.prescription/lists',
+          'wcf.prescription/read'
+      )
+      OR `menu`.`id` = @prescription_library_menu_id
+  );
+
+-- 保持现有 AI 生成能力：能读取 AI 报告的角色默认继承刷新权限，之后可独立撤销。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT `role_id`, @prescription_ai_refresh_menu_id
+FROM `zyt_system_role_menu`
+WHERE @prescription_ai_read_menu_id IS NOT NULL
+  AND @prescription_ai_refresh_menu_id IS NOT NULL
+  AND `menu_id` = @prescription_ai_read_menu_id;
+
+-- 能刷新单处方 AI 报告的角色继承批量发现权限；接口本身仍独立鉴权。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT `role_id`, @prescription_ai_missing_menu_id
+FROM `zyt_system_role_menu`
+WHERE @prescription_ai_refresh_menu_id IS NOT NULL
+  AND @prescription_ai_missing_menu_id IS NOT NULL
+  AND `menu_id` = @prescription_ai_refresh_menu_id;
+
+-- 编辑仅继承给已有处方库编辑能力的角色，权限项本身仍可独立配置。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT DISTINCT `role_menu`.`role_id`, @prescription_ai_edit_menu_id
+FROM `zyt_system_role_menu` AS `role_menu`
+INNER JOIN `zyt_system_menu` AS `menu` ON `menu`.`id` = `role_menu`.`menu_id`
+WHERE @prescription_ai_edit_menu_id IS NOT NULL
+  AND (
+      `menu`.`perms` IN (
+          'tcm.prescriptionLibrary/edit',
+          'wcf.prescription/edit'
+      )
+  );
+
+COMMIT;

server/database/migrations/2026_08_12_add_call_transcription_fields.sql

@@ -0,0 +1,27 @@
+-- 医生工作站视频接通后的实时录音转写。
+-- 转写摘要固化到每条通话记录，分段表用唯一键保证 WebChannel 重试幂等。
+
+ALTER TABLE `zyt_tcm_call_record`
+  ADD COLUMN `transcription_session_id` varchar(128) NOT NULL DEFAULT '' COMMENT '实时转写会话ID',
+  ADD COLUMN `transcription_language` varchar(32) NOT NULL DEFAULT '' COMMENT '转写源语言',
+  ADD COLUMN `transcription_status` varchar(16) NOT NULL DEFAULT '' COMMENT 'running/completed/partial/failed',
+  ADD COLUMN `transcription_segment_count` int unsigned NOT NULL DEFAULT 0 COMMENT '已持久化完成分段数',
+  ADD COLUMN `transcript_text` longtext NULL COMMENT '按时间和说话人生成的面诊对话文字',
+  ADD COLUMN `transcription_started_at` int unsigned NOT NULL DEFAULT 0 COMMENT '转写开始Unix时间',
+  ADD COLUMN `transcription_finished_at` int unsigned NOT NULL DEFAULT 0 COMMENT '转写完成Unix时间';
+
+CREATE TABLE IF NOT EXISTS `zyt_tcm_call_transcript_segment` (
+  `id` bigint unsigned NOT NULL AUTO_INCREMENT COMMENT '分段ID',
+  `call_record_id` int unsigned NOT NULL COMMENT '通话记录ID',
+  `transcription_session_id` varchar(128) NOT NULL COMMENT '实时转写会话ID',
+  `segment_id` varchar(160) NOT NULL COMMENT '腾讯云完成分段ID',
+  `speaker_user_id` varchar(160) NOT NULL DEFAULT '' COMMENT '说话人TRTC用户ID',
+  `speaker_role` varchar(20) NOT NULL DEFAULT 'unknown' COMMENT 'doctor/patient/unknown',
+  `timestamp_ms` bigint unsigned NOT NULL DEFAULT 0 COMMENT '分段时间戳（毫秒）',
+  `text` text NOT NULL COMMENT '完成分段文字，最多4000字符',
+  `create_time` int unsigned NOT NULL DEFAULT 0,
+  `update_time` int unsigned NOT NULL DEFAULT 0,
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_call_session_segment` (`call_record_id`, `transcription_session_id`, `segment_id`),
+  KEY `idx_call_session_time` (`call_record_id`, `transcription_session_id`, `timestamp_ms`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='视频面诊实时转写完成分段';

server/database/migrations/2026_08_12_call_transcription_permissions.sql

@@ -0,0 +1,89 @@
+-- 实时转写接口继承现有“1v1通话”权限，避免未注册 action 被默认放行。
+
+START TRANSACTION;
+
+SET @video_call_menu_id := (
+    SELECT `id`
+    FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/video-call'
+    ORDER BY `id`
+    LIMIT 1
+);
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT @video_call_menu_id, 'A', '启动通话转写', '', 1,
+       'tcm.diagnosis/startCallTranscription', '', '', '', '', 0, 1, 0,
+       UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @video_call_menu_id IS NOT NULL
+  AND NOT EXISTS (
+      SELECT 1 FROM `zyt_system_menu`
+      WHERE `perms` = 'tcm.diagnosis/startCallTranscription'
+  );
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT @video_call_menu_id, 'A', '保存通话转写分段', '', 2,
+       'tcm.diagnosis/upsertCallTranscriptSegments', '', '', '', '', 0, 1, 0,
+       UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @video_call_menu_id IS NOT NULL
+  AND NOT EXISTS (
+      SELECT 1 FROM `zyt_system_menu`
+      WHERE `perms` = 'tcm.diagnosis/upsertCallTranscriptSegments'
+  );
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT @video_call_menu_id, 'A', '完成通话转写', '', 3,
+       'tcm.diagnosis/finishCallTranscription', '', '', '', '', 0, 1, 0,
+       UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE @video_call_menu_id IS NOT NULL
+  AND NOT EXISTS (
+      SELECT 1 FROM `zyt_system_menu`
+      WHERE `perms` = 'tcm.diagnosis/finishCallTranscription'
+  );
+
+SET @transcription_start_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/startCallTranscription'
+    ORDER BY `id` LIMIT 1
+);
+SET @transcription_segment_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/upsertCallTranscriptSegments'
+    ORDER BY `id` LIMIT 1
+);
+SET @transcription_finish_menu_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/finishCallTranscription'
+    ORDER BY `id` LIMIT 1
+);
+
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT `role_id`, @transcription_start_menu_id
+FROM `zyt_system_role_menu`
+WHERE `menu_id` = @video_call_menu_id
+  AND @transcription_start_menu_id IS NOT NULL;
+
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT `role_id`, @transcription_segment_menu_id
+FROM `zyt_system_role_menu`
+WHERE `menu_id` = @video_call_menu_id
+  AND @transcription_segment_menu_id IS NOT NULL;
+
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT `role_id`, @transcription_finish_menu_id
+FROM `zyt_system_role_menu`
+WHERE `menu_id` = @video_call_menu_id
+  AND @transcription_finish_menu_id IS NOT NULL;
+
+COMMIT;

server/database/migrations/2026_08_14_patient_ai_report.sql

@@ -0,0 +1,107 @@
+-- 患者级 AI 诊断报告：不可变生成快照 + 两个独立接口权限。
+-- 重要：本表故意不设置 (patient_id, model_key) 唯一键；每次生成必须 INSERT，历史绝不覆盖。
+
+CREATE TABLE IF NOT EXISTS `zyt_patient_ai_report` (
+  `id` bigint unsigned NOT NULL AUTO_INCREMENT COMMENT '患者AI报告快照ID',
+  `patient_id` int unsigned NOT NULL COMMENT '稳定患者ID(tcm_diagnosis.patient_id)',
+  `diagnosis_id` int unsigned DEFAULT NULL COMMENT '生成时数据域内最新诊单ID',
+  `model_key` varchar(32) NOT NULL COMMENT '服务端模型配置键(qwen/openai)',
+  `model_name` varchar(100) NOT NULL DEFAULT '' COMMENT '生成时实际模型名称快照',
+  `model_label` varchar(50) NOT NULL DEFAULT '' COMMENT '模型展示名快照',
+  `report_json` longtext NOT NULL COMMENT '结构化报告JSON',
+  `diagnosis` mediumtext NOT NULL COMMENT '结构化诊断分析',
+  `risk_assessment_json` text NOT NULL COMMENT '风险评估JSON数组',
+  `treatment_advice` mediumtext NOT NULL COMMENT '治疗与复核建议',
+  `disclaimer` varchar(255) NOT NULL DEFAULT '' COMMENT '固定医疗免责声明',
+  `source_snapshot` longtext NOT NULL COMMENT '生成时结构化来源快照JSON，仅服务端保存',
+  `source_summary_json` text NOT NULL COMMENT '用于历史列表的非原文来源计数摘要JSON',
+  `source_diagnosis_ids_json` text NOT NULL COMMENT '生成时全部来源诊单ID集合，用于历史行级权限复核',
+  `source_hash` char(64) NOT NULL COMMENT '规范化来源快照SHA-256',
+  `prompt_version` varchar(64) NOT NULL DEFAULT '' COMMENT '服务端提示词版本',
+  `message_id` varchar(191) NOT NULL DEFAULT '' COMMENT '上游消息ID，仅用于服务端审计',
+  `generated_at` int unsigned NOT NULL COMMENT '模型生成Unix时间',
+  `admin_id` int unsigned NOT NULL DEFAULT 0 COMMENT '发起生成的管理员ID',
+  `department_id` int unsigned NOT NULL DEFAULT 0 COMMENT '生成时首个所属部门ID快照',
+  `department_name` varchar(100) NOT NULL DEFAULT '' COMMENT '生成时首个所属部门名称快照',
+  `department_snapshot_json` text NOT NULL COMMENT '生成时全部所属部门JSON快照',
+  `created_at` int unsigned NOT NULL COMMENT '记录创建Unix时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_patient_generated` (`patient_id`, `generated_at`, `id`),
+  KEY `idx_patient_model_generated` (`patient_id`, `model_key`, `generated_at`, `id`),
+  KEY `idx_diagnosis` (`diagnosis_id`),
+  KEY `idx_admin_generated` (`admin_id`, `generated_at`),
+  KEY `idx_department_generated` (`department_id`, `generated_at`),
+  KEY `idx_source_hash` (`source_hash`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='患者级AI诊断报告不可变快照';
+
+SET @patient_ai_parent_id := (
+    SELECT `id`
+    FROM `zyt_system_menu`
+    WHERE `type` = 'C'
+      AND `perms` IN ('tcm.diagnosis/lists', 'doctor.appointment/lists')
+    ORDER BY FIELD(`perms`, 'tcm.diagnosis/lists', 'doctor.appointment/lists'), `id`
+    LIMIT 1
+);
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@patient_ai_parent_id, 0), 'A', '查看患者AI诊断报告', '', 66,
+    'tcm.diagnosis/patientAiReports', '', '', '', '', 0, 1, 0,
+    UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/patientAiReports'
+);
+
+INSERT INTO `zyt_system_menu` (
+    `pid`, `type`, `name`, `icon`, `sort`, `perms`, `paths`, `component`,
+    `selected`, `params`, `is_cache`, `is_show`, `is_disable`, `create_time`, `update_time`
+)
+SELECT
+    COALESCE(@patient_ai_parent_id, 0), 'A', '生成患者AI诊断报告', '', 67,
+    'tcm.diagnosis/generatePatientAiReport', '', '', '', '', 0, 1, 0,
+    UNIX_TIMESTAMP(), UNIX_TIMESTAMP()
+FROM DUAL
+WHERE NOT EXISTS (
+    SELECT 1 FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/generatePatientAiReport'
+);
+
+SET @patient_ai_read_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/patientAiReports'
+    ORDER BY `id` LIMIT 1
+);
+SET @patient_ai_generate_id := (
+    SELECT `id` FROM `zyt_system_menu`
+    WHERE `perms` = 'tcm.diagnosis/generatePatientAiReport'
+    ORDER BY `id` LIMIT 1
+);
+
+-- 已能查看诊单/旧诊单AI报告的角色继承患者报告读取权限；之后仍可在角色菜单中单独撤销。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT DISTINCT `rm`.`role_id`, @patient_ai_read_id
+FROM `zyt_system_role_menu` AS `rm`
+INNER JOIN `zyt_system_menu` AS `m` ON `m`.`id` = `rm`.`menu_id`
+WHERE @patient_ai_read_id IS NOT NULL
+  AND `m`.`perms` IN (
+      'tcm.diagnosis/lists',
+      'tcm.diagnosis/detail',
+      'tcm.diagnosis/readonlyDetail',
+      'tcm.diagnosis/aiReports'
+  );
+
+-- 生成是独立能力，只从原有AI生成/结构化分析能力继承，不因能查看诊单而自动开放。
+INSERT IGNORE INTO `zyt_system_role_menu` (`role_id`, `menu_id`)
+SELECT DISTINCT `rm`.`role_id`, @patient_ai_generate_id
+FROM `zyt_system_role_menu` AS `rm`
+INNER JOIN `zyt_system_menu` AS `m` ON `m`.`id` = `rm`.`menu_id`
+WHERE @patient_ai_generate_id IS NOT NULL
+  AND `m`.`perms` IN (
+      'tcm.diagnosis/generateAiReports',
+      'tcm.diagnosis/aiAnalysis'
+  );

server/database/migrations/add_chief_complaint_fields.sql

@@ -0,0 +1,5 @@
+-- 添加主诉相关字段到诊单表
+ALTER TABLE `zyt_tcm_diagnosis` 
+ADD COLUMN `diabetes_discovery_year` int(3) DEFAULT NULL COMMENT '发现糖尿病就患病史（年）' AFTER `diabetes_type`,
+ADD COLUMN `local_hospital_diagnosis` varchar(255) DEFAULT '' COMMENT '当地医院诊断结果（多选，逗号分隔）' AFTER `diabetes_discovery_year`,
+ADD COLUMN `local_hospital_name` varchar(255) DEFAULT '' COMMENT '当地就诊医院名称' AFTER `local_hospital_diagnosis`;

server/database/migrations/add_doctor_fields_to_admin.sql

@@ -0,0 +1,24 @@
+-- 为管理员表添加医生相关字段
+-- 执行时间：请根据实际情况修改
+
+-- 添加基本信息字段
+ALTER TABLE `zyt_admin` 
+ADD COLUMN `gender` tinyint(1) DEFAULT 1 COMMENT '性别：1=男，2=女' AFTER `name`,
+ADD COLUMN `age` int(3) DEFAULT NULL COMMENT '年龄' AFTER `gender`,
+ADD COLUMN `phone` varchar(20) DEFAULT NULL COMMENT '手机号' AFTER `age`;
+
+-- 添加专业信息字段
+ALTER TABLE `zyt_admin` 
+ADD COLUMN `title` varchar(50) DEFAULT NULL COMMENT '职称' AFTER `phone`,
+ADD COLUMN `department` varchar(100) DEFAULT NULL COMMENT '所属科室' AFTER `title`,
+ADD COLUMN `specialty` text DEFAULT NULL COMMENT '擅长领域' AFTER `department`;
+
+-- 添加履历信息字段
+ALTER TABLE `zyt_admin` 
+ADD COLUMN `education` text DEFAULT NULL COMMENT '教育背景' AFTER `specialty`,
+ADD COLUMN `experience` text DEFAULT NULL COMMENT '工作经历' AFTER `education`,
+ADD COLUMN `honors` text DEFAULT NULL COMMENT '荣誉资质' AFTER `experience`;
+
+-- 添加索引
+ALTER TABLE `zyt_admin` ADD INDEX `idx_phone` (`phone`);
+ALTER TABLE `zyt_admin` ADD INDEX `idx_gender` (`gender`);

server/database/migrations/add_doctor_signature_to_prescription.sql

@@ -0,0 +1,2 @@
+-- 处方单增加医师电子签名字段
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `doctor_signature` longtext DEFAULT NULL COMMENT '医师电子签名(base64)' AFTER `doctor_name`;

server/database/migrations/add_dose_unit_to_prescription.sql

@@ -0,0 +1,2 @@
+-- 处方剂量单位（剂、丸、袋、盒等）
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `dose_unit` varchar(20) NOT NULL DEFAULT '剂' COMMENT '剂量单位：剂、丸、袋、盒、瓶、膏、贴、包、片、粒' AFTER `dose_count`;

server/database/migrations/add_external_first_add_time_to_qywx_external_contact.sql

@@ -0,0 +1,4 @@
+-- 企微侧「首次添加为外部联系人」时间：follow_user[].createtime 的最小值（同步时写入）
+ALTER TABLE `zyt_qywx_external_contact`
+  ADD COLUMN `external_first_add_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '企微侧首次添加外部联系人时间(Unix秒)' AFTER `follow_admin_ids`,
+  ADD KEY `idx_external_first_add_time` (`external_first_add_time`);

server/database/migrations/add_follow_admin_ids_to_qywx_external_contact.sql

@@ -0,0 +1,4 @@
+-- 企微客户跟进人：解析 follow_user.userid 后匹配 zyt_admin.work_wechat_userid，写入后台管理员 id 列表（JSON 数组）
+-- 使用可空列：兼容各 MySQL 版本向已有数据表加 TEXT 列；同步与接口均按空视为 []
+ALTER TABLE `zyt_qywx_external_contact`
+  ADD COLUMN `follow_admin_ids` text NULL COMMENT '跟进人对应后台管理员ID列表JSON' AFTER `follow_users`;

server/database/migrations/add_order_wechat_payee_payer.sql

@@ -0,0 +1,5 @@
+-- 订单表增加收款人、付款人字段（企业微信对外收款同步用）
+-- 将 zyt_ 替换为你的表前缀（.env 中 PREFIX）
+
+ALTER TABLE `zyt_order` ADD COLUMN `payee_userid` VARCHAR(64) NULL COMMENT '收款人企业微信userid' AFTER `creator_id`;
+ALTER TABLE `zyt_order` ADD COLUMN `payer_external_userid` VARCHAR(128) NULL COMMENT '付款人企业微信客户external_userid' AFTER `payee_userid`;

server/database/migrations/add_photo_fields_to_diagnosis.sql

@@ -0,0 +1,6 @@
+-- 为诊单表添加舌苔照片和检查报告字段
+ALTER TABLE `tcm_diagnosis` ADD COLUMN `tongue_photo` VARCHAR(500) COMMENT '舌苔照片URL' AFTER `tongue_coating`;
+ALTER TABLE `tcm_diagnosis` ADD COLUMN `examination_report` LONGTEXT COMMENT '检查报告图片URL列表(逗号分隔)' AFTER `tongue_photo`;
+
+-- 添加索引以提高查询性能
+ALTER TABLE `tcm_diagnosis` ADD INDEX `idx_tongue_photo` (`tongue_photo`);

server/database/migrations/add_shared_to_prescription.sql

@@ -0,0 +1,11 @@
+-- 处方增加共享字段
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `is_shared` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否共享：0-不共享(仅自己可见) 1-共享(所有人可见)' AFTER `template_id`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `prescription_name` varchar(100) NOT NULL DEFAULT '' COMMENT '处方名称' AFTER `sn`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_days` int(11) NOT NULL DEFAULT 7 COMMENT '服用天数' AFTER `dose_unit`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_time` varchar(50) NOT NULL DEFAULT '饭前' COMMENT '服用时间：饭前、饭后、饭中、空腹、睡前、晨起、随时' AFTER `usage_days`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_way` varchar(50) NOT NULL DEFAULT '温水送服' COMMENT '服用方式：温水送服、开水冲服、黄酒送服等' AFTER `usage_time`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `dietary_taboo` varchar(200) NOT NULL DEFAULT '' COMMENT '忌口（逗号分隔）：辛辣食物、生冷食物、油腻食物等' AFTER `usage_way`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_notes` varchar(200) NOT NULL DEFAULT '' COMMENT '其他服用说明' AFTER `dietary_taboo`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `prescription_type` varchar(50) NOT NULL DEFAULT '浓缩水丸' COMMENT '处方类型：浓缩水丸、饮片、颗粒、丸剂、散剂等' AFTER `prescription_name`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `tongue_image` varchar(255) NOT NULL DEFAULT '' COMMENT '舌象图片' AFTER `tongue`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `pulse_condition` varchar(100) NOT NULL DEFAULT '' COMMENT '脉象详情' AFTER `pulse`;

server/database/migrations/add_shared_to_prescription_safe.sql

@@ -0,0 +1,81 @@
+-- 处方增加共享字段（安全版本 - 字段存在则跳过）
+
+-- 1. 处方名称
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'prescription_name';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `prescription_name` varchar(100) NOT NULL DEFAULT "" COMMENT "处方名称" AFTER `sn`', 'SELECT "prescription_name already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 2. 处方类型
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'prescription_type';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `prescription_type` varchar(50) NOT NULL DEFAULT "浓缩水丸" COMMENT "处方类型：浓缩水丸、饮片、颗粒、丸剂、散剂等" AFTER `prescription_name`', 'SELECT "prescription_type already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 3. 舌象图片
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'tongue_image';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `tongue_image` varchar(255) NOT NULL DEFAULT "" COMMENT "舌象图片" AFTER `tongue`', 'SELECT "tongue_image already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 4. 脉象详情
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'pulse_condition';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `pulse_condition` varchar(100) NOT NULL DEFAULT "" COMMENT "脉象详情" AFTER `pulse`', 'SELECT "pulse_condition already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 5. 服用天数
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'usage_days';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_days` int(11) NOT NULL DEFAULT 7 COMMENT "服用天数" AFTER `dose_unit`', 'SELECT "usage_days already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 6. 服用时间
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'usage_time';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_time` varchar(50) NOT NULL DEFAULT "饭前" COMMENT "服用时间：饭前、饭后、饭中、空腹、睡前、晨起、随时" AFTER `usage_instruction`', 'SELECT "usage_time already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 7. 服用方式
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'usage_way';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_way` varchar(50) NOT NULL DEFAULT "温水送服" COMMENT "服用方式：温水送服、开水冲服、黄酒送服等" AFTER `usage_time`', 'SELECT "usage_way already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 8. 忌口
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'dietary_taboo';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `dietary_taboo` varchar(200) NOT NULL DEFAULT "" COMMENT "忌口（逗号分隔）：辛辣食物、生冷食物、油腻食物等" AFTER `usage_way`', 'SELECT "dietary_taboo already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 9. 其他服用说明
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'usage_notes';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_notes` varchar(200) NOT NULL DEFAULT "" COMMENT "其他服用说明" AFTER `dietary_taboo`', 'SELECT "usage_notes already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;
+
+-- 10. 是否共享
+SET @col_exists = 0;
+SELECT COUNT(*) INTO @col_exists FROM information_schema.COLUMNS WHERE TABLE_SCHEMA = DATABASE() AND TABLE_NAME = 'zyt_tcm_prescription' AND COLUMN_NAME = 'is_shared';
+SET @sql = IF(@col_exists = 0, 'ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `is_shared` tinyint(1) NOT NULL DEFAULT 0 COMMENT "是否共享：0-不共享(仅自己可见) 1-共享(所有人可见)" AFTER `template_id`', 'SELECT "is_shared already exists"');
+PREPARE stmt FROM @sql;
+EXECUTE stmt;
+DEALLOCATE PREPARE stmt;

server/database/migrations/add_vital_signs_fields.sql

@@ -0,0 +1,12 @@
+-- 添加生命体征、地区和婚姻状态字段到诊断表
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `marital_status` tinyint(1) DEFAULT NULL COMMENT '婚姻状态：0-未婚 1-已婚 2-离异' AFTER `age`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `height` int(3) DEFAULT NULL COMMENT '身高(cm)' AFTER `marital_status`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `weight` decimal(5,2) DEFAULT NULL COMMENT '体重(kg)' AFTER `height`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `region` varchar(100) DEFAULT '' COMMENT '地区' AFTER `weight`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `systolic_pressure` int(3) DEFAULT NULL COMMENT '收缩压(mmHg)' AFTER `region`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `diastolic_pressure` int(3) DEFAULT NULL COMMENT '舒张压(mmHg)' AFTER `systolic_pressure`;
+ALTER TABLE `zyt_tcm_diagnosis` ADD COLUMN `fasting_blood_sugar` decimal(5,2) DEFAULT NULL COMMENT '空腹血糖(mmol/L)' AFTER `diastolic_pressure`;
+
+-- 添加索引以提高查询性能
+ALTER TABLE `zyt_tcm_diagnosis` ADD KEY `idx_region` (`region`);
+ALTER TABLE `zyt_tcm_diagnosis` ADD KEY `idx_marital_status` (`marital_status`);

server/database/migrations/add_void_to_prescription.sql

@@ -0,0 +1,5 @@
+-- 处方作废字段
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `void_status` tinyint(1) NOT NULL DEFAULT 0 COMMENT '作废状态：0-正常 1-已作废' AFTER `doctor_signature`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `void_time` int(10) unsigned DEFAULT NULL COMMENT '作废时间' AFTER `void_status`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `void_by` int(11) unsigned DEFAULT NULL COMMENT '作废操作人ID' AFTER `void_time`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `void_by_name` varchar(50) DEFAULT '' COMMENT '作废操作人姓名' AFTER `void_by`;

server/database/migrations/add_work_wechat_userid_to_admin.sql

@@ -0,0 +1,4 @@
+-- 给管理员表增加企业微信UserId字段，用于企业微信授权登录匹配
+ALTER TABLE `zyt_admin`
+ADD COLUMN `work_wechat_userid` varchar(64) DEFAULT '' COMMENT '企业微信UserId' AFTER `multipoint_login`,
+ADD INDEX `idx_work_wechat_userid` (`work_wechat_userid`);

server/database/migrations/create_express_tracking_tables.sql

@@ -0,0 +1,154 @@
+-- ============================================
+-- 物流追踪系统数据库表
+-- ============================================
+
+-- 1. 物流订单表（主表）
+CREATE TABLE IF NOT EXISTS `zyt_express_tracking` (
+    `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+    `order_id` int(11) NOT NULL DEFAULT '0' COMMENT '关联订单ID（prescription_order表）',
+    `order_type` varchar(50) NOT NULL DEFAULT 'prescription' COMMENT '订单类型',
+    `tracking_number` varchar(80) NOT NULL DEFAULT '' COMMENT '快递单号',
+    `express_company` varchar(50) NOT NULL DEFAULT 'auto' COMMENT '快递公司编码',
+    `express_company_name` varchar(100) NOT NULL DEFAULT '' COMMENT '快递公司名称',
+    `recipient_phone` varchar(20) NOT NULL DEFAULT '' COMMENT '收件人手机号',
+    `recipient_name` varchar(100) NOT NULL DEFAULT '' COMMENT '收件人姓名',
+    `recipient_address` varchar(500) NOT NULL DEFAULT '' COMMENT '收件地址',
+    
+    -- 物流状态
+    `current_state` varchar(10) NOT NULL DEFAULT '0' COMMENT '当前物流状态：0在途,1揽收,2疑难,3签收,4退签,5派件,6退回,7转投,8清关,10待清关,11清关中,12已清关,13清关异常,14拒签',
+    `current_state_text` varchar(50) NOT NULL DEFAULT '' COMMENT '当前状态文本',
+    `is_signed` tinyint(1) NOT NULL DEFAULT '0' COMMENT '是否已签收：0否，1是',
+    `sign_time` int(11) NOT NULL DEFAULT '0' COMMENT '签收时间',
+    
+    -- 最新轨迹
+    `latest_trace_time` varchar(50) NOT NULL DEFAULT '' COMMENT '最新轨迹时间',
+    `latest_trace_context` varchar(500) NOT NULL DEFAULT '' COMMENT '最新轨迹内容',
+    `latest_location` varchar(200) NOT NULL DEFAULT '' COMMENT '最新位置',
+    
+    -- 查询信息
+    `last_query_time` int(11) NOT NULL DEFAULT '0' COMMENT '最后查询时间',
+    `query_count` int(11) NOT NULL DEFAULT '0' COMMENT '查询次数',
+    `data_source` varchar(50) NOT NULL DEFAULT '' COMMENT '数据来源：kuaidi100/official',
+    
+    -- 预计信息
+    `estimated_arrival_time` varchar(50) NOT NULL DEFAULT '' COMMENT '预计到达时间',
+    `total_time` varchar(50) NOT NULL DEFAULT '' COMMENT '总耗时',
+    `remain_time` varchar(50) NOT NULL DEFAULT '' COMMENT '剩余时间',
+    
+    -- 自动更新控制
+    `auto_update` tinyint(1) NOT NULL DEFAULT '1' COMMENT '是否自动更新：0否，1是',
+    `update_interval` int(11) NOT NULL DEFAULT '1800' COMMENT '更新间隔（秒），默认30分钟',
+    `next_update_time` int(11) NOT NULL DEFAULT '0' COMMENT '下次更新时间',
+    
+    -- 通知设置
+    `notify_on_sign` tinyint(1) NOT NULL DEFAULT '1' COMMENT '签收时通知：0否，1是',
+    `notify_on_problem` tinyint(1) NOT NULL DEFAULT '1' COMMENT '异常时通知：0否，1是',
+    `notified_states` varchar(500) NOT NULL DEFAULT '' COMMENT '已通知的状态（JSON数组）',
+    
+    -- 扩展信息
+    `route_info` text COMMENT '路由信息（JSON）',
+    `extra_data` text COMMENT '扩展数据（JSON）',
+    
+    -- 时间戳
+    `create_time` int(11) NOT NULL DEFAULT '0' COMMENT '创建时间',
+    `update_time` int(11) NOT NULL DEFAULT '0' COMMENT '更新时间',
+    `delete_time` int(11) DEFAULT NULL COMMENT '删除时间',
+    
+    PRIMARY KEY (`id`),
+    UNIQUE KEY `uk_tracking_number` (`tracking_number`),
+    KEY `idx_order_id` (`order_id`),
+    KEY `idx_state` (`current_state`),
+    KEY `idx_auto_update` (`auto_update`, `next_update_time`),
+    KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='物流追踪主表';
+
+-- 2. 物流轨迹明细表
+CREATE TABLE IF NOT EXISTS `zyt_express_trace` (
+    `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+    `tracking_id` int(11) NOT NULL DEFAULT '0' COMMENT '关联tracking表ID',
+    `tracking_number` varchar(80) NOT NULL DEFAULT '' COMMENT '快递单号（冗余，便于查询）',
+    
+    -- 轨迹信息
+    `trace_time` varchar(50) NOT NULL DEFAULT '' COMMENT '轨迹时间',
+    `trace_time_stamp` int(11) NOT NULL DEFAULT '0' COMMENT '轨迹时间戳',
+    `trace_context` varchar(1000) NOT NULL DEFAULT '' COMMENT '轨迹内容',
+    
+    -- 状态信息
+    `status` varchar(50) NOT NULL DEFAULT '' COMMENT '物流状态名称',
+    `status_code` varchar(10) NOT NULL DEFAULT '' COMMENT '物流状态码',
+    
+    -- 位置信息
+    `location` varchar(200) NOT NULL DEFAULT '' COMMENT '当前位置',
+    `area_code` varchar(50) NOT NULL DEFAULT '' COMMENT '行政区域编码',
+    `area_name` varchar(200) NOT NULL DEFAULT '' COMMENT '行政区域名称',
+    `area_center` varchar(100) NOT NULL DEFAULT '' COMMENT '区域中心坐标',
+    
+    -- 扩展信息
+    `extra_data` text COMMENT '扩展数据（JSON）',
+    
+    -- 时间戳
+    `create_time` int(11) NOT NULL DEFAULT '0' COMMENT '创建时间',
+    
+    PRIMARY KEY (`id`),
+    KEY `idx_tracking_id` (`tracking_id`),
+    KEY `idx_tracking_number` (`tracking_number`),
+    KEY `idx_trace_time_stamp` (`trace_time_stamp`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='物流轨迹明细表';
+
+-- 3. 物流状态变更记录表
+CREATE TABLE IF NOT EXISTS `zyt_express_state_log` (
+    `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+    `tracking_id` int(11) NOT NULL DEFAULT '0' COMMENT '关联tracking表ID',
+    `tracking_number` varchar(80) NOT NULL DEFAULT '' COMMENT '快递单号',
+    
+    -- 状态变更
+    `old_state` varchar(10) NOT NULL DEFAULT '' COMMENT '旧状态',
+    `old_state_text` varchar(50) NOT NULL DEFAULT '' COMMENT '旧状态文本',
+    `new_state` varchar(10) NOT NULL DEFAULT '' COMMENT '新状态',
+    `new_state_text` varchar(50) NOT NULL DEFAULT '' COMMENT '新状态文本',
+    
+    -- 变更信息
+    `change_time` int(11) NOT NULL DEFAULT '0' COMMENT '变更时间',
+    `change_reason` varchar(500) NOT NULL DEFAULT '' COMMENT '变更原因（最新轨迹内容）',
+    
+    -- 通知信息
+    `is_notified` tinyint(1) NOT NULL DEFAULT '0' COMMENT '是否已通知：0否，1是',
+    `notify_time` int(11) NOT NULL DEFAULT '0' COMMENT '通知时间',
+    `notify_result` varchar(500) NOT NULL DEFAULT '' COMMENT '通知结果',
+    
+    -- 时间戳
+    `create_time` int(11) NOT NULL DEFAULT '0' COMMENT '创建时间',
+    
+    PRIMARY KEY (`id`),
+    KEY `idx_tracking_id` (`tracking_id`),
+    KEY `idx_tracking_number` (`tracking_number`),
+    KEY `idx_change_time` (`change_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='物流状态变更记录表';
+
+-- 4. 物流查询日志表
+CREATE TABLE IF NOT EXISTS `zyt_express_query_log` (
+    `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+    `tracking_number` varchar(80) NOT NULL DEFAULT '' COMMENT '快递单号',
+    `express_company` varchar(50) NOT NULL DEFAULT '' COMMENT '快递公司编码',
+    
+    -- 查询信息
+    `query_type` varchar(50) NOT NULL DEFAULT 'manual' COMMENT '查询类型：manual手动，auto自动',
+    `query_source` varchar(50) NOT NULL DEFAULT '' COMMENT '查询来源：kuaidi100/official',
+    `query_time` int(11) NOT NULL DEFAULT '0' COMMENT '查询时间',
+    
+    -- 查询结果
+    `is_success` tinyint(1) NOT NULL DEFAULT '0' COMMENT '是否成功：0否，1是',
+    `error_code` varchar(50) NOT NULL DEFAULT '' COMMENT '错误码',
+    `error_message` varchar(500) NOT NULL DEFAULT '' COMMENT '错误信息',
+    
+    -- 响应信息
+    `response_time` int(11) NOT NULL DEFAULT '0' COMMENT '响应时间（毫秒）',
+    `trace_count` int(11) NOT NULL DEFAULT '0' COMMENT '轨迹数量',
+    
+    -- 时间戳
+    `create_time` int(11) NOT NULL DEFAULT '0' COMMENT '创建时间',
+    
+    PRIMARY KEY (`id`),
+    KEY `idx_tracking_number` (`tracking_number`),
+    KEY `idx_query_time` (`query_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='物流查询日志表';

server/database/migrations/create_fan_tables.sql

@@ -0,0 +1,40 @@
+-- 粉丝表
+CREATE TABLE IF NOT EXISTS `zyt_fan` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `name` varchar(50) NOT NULL DEFAULT '' COMMENT '姓名',
+  `phone` varchar(20) NOT NULL DEFAULT '' COMMENT '手机号',
+  `id_card` varchar(18) NOT NULL DEFAULT '' COMMENT '身份证号码',
+  `age` tinyint(3) unsigned NOT NULL DEFAULT 0 COMMENT '年龄',
+  `gender` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '性别: 0=未知 1=男 2=女',
+  `remark` varchar(500) NOT NULL DEFAULT '' COMMENT '备注',
+  `creator_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建人ID',
+  `creator_name` varchar(50) NOT NULL DEFAULT '' COMMENT '创建人名称',
+  `status` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '状态: 0=禁用 1=启用',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int(10) unsigned DEFAULT NULL COMMENT '修改时间',
+  `delete_time` int(10) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_phone` (`phone`),
+  KEY `idx_id_card` (`id_card`),
+  KEY `idx_name` (`name`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='粉丝表';
+
+-- 粉丝回访记录表
+CREATE TABLE IF NOT EXISTS `zyt_fan_visit_record` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `fan_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '关联粉丝ID',
+  `visit_type` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '回访类型: 1=电话 2=微信 3=短信 4=上门 5=其他',
+  `visit_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '回访时间',
+  `content` text COMMENT '回访内容',
+  `result` varchar(500) NOT NULL DEFAULT '' COMMENT '回访结果',
+  `next_visit_time` int(10) unsigned DEFAULT NULL COMMENT '下次回访时间',
+  `operator_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '操作人ID',
+  `operator_name` varchar(50) NOT NULL DEFAULT '' COMMENT '操作人名称',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int(10) unsigned DEFAULT NULL COMMENT '修改时间',
+  `delete_time` int(10) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_fan_id` (`fan_id`),
+  KEY `idx_visit_time` (`visit_time`),
+  KEY `idx_operator_id` (`operator_id`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='粉丝回访记录表';

server/database/migrations/create_prescription_library.sql

@@ -0,0 +1,17 @@
+-- 处方库表
+CREATE TABLE IF NOT EXISTS `zyt_prescription_library` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `prescription_name` varchar(100) NOT NULL DEFAULT '' COMMENT '处方名称',
+  `formula_type` varchar(20) NOT NULL DEFAULT '主方' COMMENT '处方类型：主方、辅方',
+  `herbs` text COMMENT '药材列表JSON：[{name, dosage}]',
+  `is_public` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否公开：0-仅自己可见 1-所有人可见',
+  `creator_id` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '创建人ID',
+  `creator_name` varchar(50) NOT NULL DEFAULT '' COMMENT '创建人姓名',
+  `create_time` int(10) unsigned NOT NULL DEFAULT '0' COMMENT '创建时间',
+  `update_time` int(10) unsigned NOT NULL DEFAULT '0' COMMENT '更新时间',
+  `delete_time` int(10) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_creator` (`creator_id`),
+  KEY `idx_is_public` (`is_public`),
+  KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='处方库表';

server/database/migrations/create_qywx_external_contact.sql

@@ -0,0 +1,42 @@
+-- 企业微信外部联系人（客户）表
+CREATE TABLE IF NOT EXISTS `zyt_qywx_external_contact` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `external_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '外部联系人ID',
+  `name` varchar(64) NOT NULL DEFAULT '' COMMENT '客户名称',
+  `avatar` varchar(255) NOT NULL DEFAULT '' COMMENT '头像URL',
+  `type` tinyint(1) unsigned NOT NULL DEFAULT 1 COMMENT '类型：1=微信用户，2=企业微信用户',
+  `gender` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '性别：0=未知，1=男，2=女',
+  `unionid` varchar(64) NOT NULL DEFAULT '' COMMENT '微信unionid',
+  `position` varchar(64) NOT NULL DEFAULT '' COMMENT '职位',
+  `corp_name` varchar(128) NOT NULL DEFAULT '' COMMENT '企业名称',
+  `corp_full_name` varchar(255) NOT NULL DEFAULT '' COMMENT '企业全称',
+  `external_profile` text COMMENT '外部联系人扩展信息JSON',
+  `follow_users` text COMMENT '跟进人列表JSON',
+  `follow_admin_ids` text NULL COMMENT '跟进人对应后台管理员ID列表JSON',
+  `external_first_add_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '企微侧首次添加外部联系人时间(Unix秒)',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '添加时间',
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
+  `delete_time` int(11) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_external_userid` (`external_userid`),
+  KEY `idx_name` (`name`),
+  KEY `idx_unionid` (`unionid`),
+  KEY `idx_external_first_add_time` (`external_first_add_time`),
+  KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企业微信外部联系人表';
+
+-- 企业微信同步设置表
+CREATE TABLE IF NOT EXISTS `zyt_qywx_sync_settings` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `setting_key` varchar(64) NOT NULL DEFAULT '' COMMENT '设置键',
+  `setting_value` text COMMENT '设置值JSON',
+  `create_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '更新时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_setting_key` (`setting_key`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企业微信同步设置表';
+
+-- 插入默认同步设置
+INSERT INTO `zyt_qywx_sync_settings` (`setting_key`, `setting_value`, `create_time`, `update_time`)
+VALUES ('customer_sync', '{"auto_sync":false,"interval":3600,"last_sync_time":0,"sync_status":"idle"}', UNIX_TIMESTAMP(), UNIX_TIMESTAMP())
+ON DUPLICATE KEY UPDATE `update_time` = UNIX_TIMESTAMP();

server/database/migrations/create_qywx_external_contact_event.sql

@@ -0,0 +1,22 @@
+-- 企业微信「客户联系」事件流水表
+-- 用途：
+--   1) 记录每一次 change_external_contact 推送，用于"今天进来多少人(=add_external_contact 次数)"等精确统计；
+--   2) 独立于 zyt_qywx_external_contact（会被软删/UPSERT 覆盖），保证统计零误差；
+--   3) 企微对非 2xx 响应最多重试 3 次，(change_type, user_id, external_userid, event_time) 唯一键保证幂等。
+CREATE TABLE IF NOT EXISTS `zyt_qywx_external_contact_event` (
+  `id` bigint(20) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `change_type` varchar(32) NOT NULL DEFAULT '' COMMENT 'change_external_contact 下的子类型，如 add_external_contact/del_external_contact/del_follow_user/transfer_fail 等',
+  `user_id` varchar(64) NOT NULL DEFAULT '' COMMENT '企业员工 userid（可能为空）',
+  `external_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '外部联系人 external_userid（可能为空，如渠道活码尚未产生客户）',
+  `state` varchar(128) NOT NULL DEFAULT '' COMMENT '企微 State（推广渠道自定义参数），用于分渠道统计',
+  `fail_reason` varchar(64) NOT NULL DEFAULT '' COMMENT 'transfer_fail 等事件的失败原因',
+  `welcome_code` tinyint(1) unsigned NOT NULL DEFAULT 0 COMMENT '是否带欢迎码（1=带；不落 code 原文以免泄漏）',
+  `event_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '企微 CreateTime（事件发生时间戳，秒）',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '本地入库时间（秒）',
+  `raw` text DEFAULT NULL COMMENT '事件原文 JSON（调试用，可定期清理）',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_change_user_ext_time` (`change_type`, `user_id`, `external_userid`, `event_time`),
+  KEY `idx_change_time` (`change_type`, `event_time`),
+  KEY `idx_event_time` (`event_time`),
+  KEY `idx_state` (`state`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企业微信外部联系人事件流水（用于进入计数）';

server/database/migrations/create_tcm_im_chat_message.sql

@@ -0,0 +1,27 @@
+-- 诊单腾讯云 IM 单聊消息归档（定时从 admin_getroammsg 同步，突破云端约 7 天漫游限制）
+-- 执行前请确认库名与表前缀（默认前缀 zyt_）
+
+CREATE TABLE IF NOT EXISTS `zyt_tcm_im_chat_message` (
+  `id` bigint unsigned NOT NULL AUTO_INCREMENT COMMENT '主键',
+  `diagnosis_id` int unsigned NOT NULL DEFAULT 0 COMMENT '诊单ID',
+  `patient_id` int unsigned NOT NULL DEFAULT 0 COMMENT '患者ID（冗余，便于按患者维度排查/统计）',
+  `msg_id` varchar(160) NOT NULL DEFAULT '' COMMENT '业务唯一键：MsgSeq_MsgRandom_From_Account',
+  `from_account` varchar(64) NOT NULL DEFAULT '' COMMENT '发送方 IM UserID',
+  `to_account` varchar(64) NOT NULL DEFAULT '' COMMENT '接收方 IM UserID',
+  `msg_time` int unsigned NOT NULL DEFAULT 0 COMMENT '消息时间 Unix 时间戳',
+  `is_from_doctor` tinyint unsigned NOT NULL DEFAULT 0 COMMENT '是否医生/医助侧发送',
+  `msg_type` varchar(32) NOT NULL DEFAULT '' COMMENT 'text/image/file/sound/video/custom/...',
+  `text` mediumtext COMMENT '文本或自定义消息 Data',
+  `image_url` varchar(1024) NOT NULL DEFAULT '' COMMENT '图片 URL',
+  `file_url` varchar(1024) NOT NULL DEFAULT '' COMMENT '文件/语音/视频 URL',
+  `file_name` varchar(512) NOT NULL DEFAULT '' COMMENT '文件名',
+  `raw_elem_type` varchar(64) NOT NULL DEFAULT '' COMMENT 'TIM 元素类型',
+  `from_staff_name` varchar(64) NOT NULL DEFAULT '' COMMENT '医生侧姓名快照',
+  `doctor_peer_account` varchar(64) NOT NULL DEFAULT '' COMMENT '拉取会话时使用的医生侧账号 doctor_*',
+  `create_time` int unsigned NOT NULL DEFAULT 0 COMMENT '入库时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_msg_id` (`msg_id`),
+  KEY `idx_diagnosis_time` (`diagnosis_id`,`msg_time`),
+  KEY `idx_patient_time` (`patient_id`,`msg_time`),
+  KEY `idx_msg_time` (`msg_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COLLATE=utf8mb4_unicode_ci COMMENT='诊单IM聊天记录归档';

server/database/migrations/create_tcm_prescription.sql

@@ -0,0 +1,38 @@
+-- 中医处方单表
+CREATE TABLE IF NOT EXISTS `zyt_tcm_prescription` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT COMMENT '主键ID',
+  `sn` varchar(50) NOT NULL DEFAULT '' COMMENT '处方编号',
+  `diagnosis_id` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '诊单ID',
+  `appointment_id` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '预约ID',
+  `patient_id` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '患者ID',
+  `patient_name` varchar(50) NOT NULL DEFAULT '' COMMENT '患者姓名',
+  `gender` tinyint(1) NOT NULL DEFAULT '0' COMMENT '性别：0-女 1-男',
+  `age` int(3) NOT NULL DEFAULT '0' COMMENT '年龄',
+  `phone` varchar(20) DEFAULT '' COMMENT '电话',
+  `visit_no` varchar(50) DEFAULT '' COMMENT '门诊号',
+  `prescription_date` date DEFAULT NULL COMMENT '处方日期',
+  `pulse` varchar(100) DEFAULT '' COMMENT '脉象',
+  `tongue` varchar(100) DEFAULT '' COMMENT '舌象',
+  `clinical_diagnosis` varchar(500) DEFAULT '' COMMENT '临床诊断',
+  `herbs` text COMMENT '中药列表JSON：[{name, dosage}]',
+  `dose_count` int(11) NOT NULL DEFAULT '1' COMMENT '剂数',
+  `usage_instruction` varchar(200) DEFAULT '水煎服一日二次' COMMENT '用法',
+  `amount` decimal(10,2) NOT NULL DEFAULT '0.00' COMMENT '金额',
+  `doctor_name` varchar(50) DEFAULT '' COMMENT '医师姓名',
+  `template_id` int(11) unsigned DEFAULT '0' COMMENT '模板ID',
+  `creator_id` int(11) unsigned NOT NULL DEFAULT '0' COMMENT '创建人ID',
+  `create_time` int(10) unsigned NOT NULL DEFAULT '0' COMMENT '创建时间',
+  `update_time` int(10) unsigned NOT NULL DEFAULT '0' COMMENT '更新时间',
+  `delete_time` int(10) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  UNIQUE KEY `uk_sn` (`sn`),
+  KEY `idx_diagnosis` (`diagnosis_id`),
+  KEY `idx_appointment` (`appointment_id`),
+  KEY `idx_patient` (`patient_id`),
+  KEY `idx_create_time` (`create_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='中医处方单表';
+-- 处方增加共享字段
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `is_shared` tinyint(1) NOT NULL DEFAULT 0 COMMENT '是否共享：0-不共享(仅自己可见) 1-共享(所有人可见)' AFTER `template_id`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `prescription_name` varchar(100) NOT NULL DEFAULT '' COMMENT '处方名称' AFTER `sn`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_days` int(11) NOT NULL DEFAULT 7 COMMENT '服用天数' AFTER `dose_unit`;
+ALTER TABLE `zyt_tcm_prescription` ADD COLUMN `usage_method` varchar(200) NOT NULL DEFAULT '' COMMENT '服用说明' AFTER `usage_days`;

server/database/migrations/create_wechat_chat_record.sql

@@ -0,0 +1,27 @@
+-- 企业微信聊天记录表（关联诊单/患者，记录企业微信沟通内容）
+CREATE TABLE IF NOT EXISTS `zyt_wechat_chat_record` (
+  `id` int(11) unsigned NOT NULL AUTO_INCREMENT,
+  `diagnosis_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '关联诊单ID',
+  `patient_id` int(11) unsigned NOT NULL DEFAULT 0 COMMENT '关联患者ID',
+  `staff_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '企业微信成员UserId',
+  `staff_name` varchar(64) NOT NULL DEFAULT '' COMMENT '成员名称',
+  `external_userid` varchar(64) NOT NULL DEFAULT '' COMMENT '客户的企业微信external_userid',
+  `external_name` varchar(128) NOT NULL DEFAULT '' COMMENT '客户名称',
+  `msg_type` varchar(20) NOT NULL DEFAULT 'text' COMMENT '消息类型: text/image/file/link/note',
+  `content` text COMMENT '消息内容/摘要',
+  `media_url` varchar(500) NOT NULL DEFAULT '' COMMENT '媒体文件URL（图片/文件）',
+  `chat_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '聊天时间戳',
+  `direction` tinyint(1) NOT NULL DEFAULT 0 COMMENT '方向: 0=员工发出 1=客户发出',
+  `create_time` int(10) unsigned NOT NULL DEFAULT 0 COMMENT '创建时间',
+  `update_time` int(10) unsigned DEFAULT NULL COMMENT '修改时间',
+  `delete_time` int(10) unsigned DEFAULT NULL COMMENT '删除时间',
+  PRIMARY KEY (`id`),
+  KEY `idx_diagnosis_id` (`diagnosis_id`),
+  KEY `idx_patient_id` (`patient_id`),
+  KEY `idx_staff_userid` (`staff_userid`),
+  KEY `idx_chat_time` (`chat_time`)
+) ENGINE=InnoDB DEFAULT CHARSET=utf8mb4 COMMENT='企业微信聊天记录';
+
+-- 给患者诊单表增加企业微信外部联系人ID（用于自动匹配）
+ALTER TABLE `zyt_diagnosis`
+ADD COLUMN `external_userid` varchar(64) DEFAULT '' COMMENT '企业微信外部联系人ID' AFTER `assistant_id`;

server/database/migrations/rollback_doctor_fields_from_admin.sql

@@ -0,0 +1,18 @@
+-- 回滚：删除管理员表的医生相关字段
+-- 警告：执行此脚本将删除这些字段的所有数据
+
+-- 删除索引
+ALTER TABLE `zyt_admin` DROP INDEX `idx_phone`;
+ALTER TABLE `zyt_admin` DROP INDEX `idx_gender`;
+
+-- 删除字段
+ALTER TABLE `zyt_admin` 
+DROP COLUMN `gender`,
+DROP COLUMN `age`,
+DROP COLUMN `phone`,
+DROP COLUMN `title`,
+DROP COLUMN `department`,
+DROP COLUMN `specialty`,
+DROP COLUMN `education`,
+DROP COLUMN `experience`,
+DROP COLUMN `honors`;

server/database/migrations/sync_existing_tracking_numbers.sql

@@ -0,0 +1,62 @@
+-- =====================================================
+-- 同步现有订单的快递单号到物流追踪表
+-- =====================================================
+-- 执行时间：2026-04-07
+-- 说明：将 zyt_tcm_prescription_order 表中已有的快递单号同步到 zyt_express_tracking 表
+-- =====================================================
+
+-- 插入现有订单的快递单号到物流追踪表
+-- 只插入有快递单号且不为空的订单
+INSERT INTO `zyt_express_tracking` (
+    `order_id`,
+    `order_type`,
+    `tracking_number`,
+    `express_company`,
+    `recipient_phone`,
+    `recipient_name`,
+    `recipient_address`,
+    `auto_update`,
+    `update_interval`,
+    `next_update_time`,
+    `create_time`,
+    `update_time`
+)
+SELECT 
+    o.`id` AS `order_id`,
+    'prescription' AS `order_type`,
+    o.`tracking_number`,
+    CASE 
+        WHEN o.`express_company` = '' OR o.`express_company` IS NULL THEN 'auto'
+        ELSE o.`express_company`
+    END AS `express_company`,
+    o.`recipient_phone`,
+    o.`recipient_name`,
+    o.`shipping_address` AS `recipient_address`,
+    1 AS `auto_update`,
+    600 AS `update_interval`,
+    UNIX_TIMESTAMP() AS `next_update_time`,
+    UNIX_TIMESTAMP() AS `create_time`,
+    UNIX_TIMESTAMP() AS `update_time`
+FROM `zyt_tcm_prescription_order` o
+WHERE o.`tracking_number` IS NOT NULL 
+    AND o.`tracking_number` != ''
+    AND o.`delete_time` IS NULL
+    AND NOT EXISTS (
+        -- 避免重复插入
+        SELECT 1 FROM `zyt_express_tracking` t 
+        WHERE t.`tracking_number` = o.`tracking_number`
+    );
+
+-- 显示同步结果
+SELECT 
+    COUNT(*) AS '已同步的快递单号数量'
+FROM `zyt_express_tracking`
+WHERE `delete_time` IS NULL;
+
+-- 显示待更新的快递单号（未签收的）
+SELECT 
+    COUNT(*) AS '待自动更新的快递单号数量'
+FROM `zyt_express_tracking`
+WHERE `auto_update` = 1
+    AND `is_signed` = 0
+    AND `delete_time` IS NULL;