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+# E2E 测试实施计划 — HMS 健康管理平台
+
+> **For agentic workers:** REQUIRED: Use superpowers:subagent-driven-development (if subagents available) or superpowers:executing-plans to implement this plan.
+
+**Goal:** 建立 Web 端 5 条 + 小程序端 4 条业务链路 E2E 测试，覆盖健康模块核心流程。
+
+**Architecture:** 双端独立框架 — Web 用 Playwright + Page Object，小程序用 Vitest + miniprogram-automator。API 驱动自建自毁数据策略，乐观锁 version 支持。
+
+**Tech Stack:** Playwright 1.52, Vitest, miniprogram-automator, TypeScript
+
+**Design Spec:** `docs/superpowers/specs/2026-04-28-e2e-testing-design.md`
+
+---
+
+## Chunk 1: 基础设施层（Tasks 1-4）
+
+### Task 1: 创建测试数据工厂
+
+**Files:**
+- Create: `apps/web/e2e/fixtures/test-data.ts`
+
+- [ ] **Step 1: 创建 test-data.ts**
+
+```typescript
+// apps/web/e2e/fixtures/test-data.ts
+
+export interface PatientData {
+  name: string;
+  gender?: string;
+  birth_date?: string;
+  blood_type?: string;
+  id_number?: string;
+  allergy_history?: string;
+  medical_history_summary?: string;
+  emergency_contact_name?: string;
+  emergency_contact_phone?: string;
+  source?: string;
+  notes?: string;
+}
+
+export interface DoctorData {
+  name: string;
+  department?: string;
+  title?: string;
+  specialty?: string;
+  phone?: string;
+  license_number?: string;
+  status?: string;
+}
+
+export interface VitalSignsData {
+  systolic_bp?: number;
+  diastolic_bp?: number;
+  heart_rate?: number;
+  temperature?: number;
+  spo2?: number;
+  blood_glucose_fasting?: number;
+  blood_glucose_postprandial?: number;
+  weight?: number;
+  height?: number;
+  recorded_at?: string;
+  source?: string;
+  notes?: string;
+}
+
+export interface ScheduleData {
+  doctor_id: string;
+  date: string;
+  start_time: string;
+  end_time: string;
+  max_appointments?: number;
+}
+
+export interface AppointmentData {
+  patient_id: string;
+  doctor_id: string;
+  schedule_id: string;
+  appointment_date: string;
+  start_time: string;
+  end_time: string;
+  reason?: string;
+}
+
+export interface FollowUpTemplateData {
+  name: string;
+  description?: string;
+  frequency_days: number;
+  total_rounds: number;
+  questions?: string;
+}
+
+export interface FollowUpTaskData {
+  patient_id: string;
+  template_id: string;
+  assigned_to?: string;
+  due_date: string;
+}
+
+export interface AlertRuleData {
+  name: string;
+  indicator: string;
+  condition: string;
+  threshold: number;
+  severity: string;
+  description?: string;
+}
+
+let counter = 0;
+
+function uid(): string {
+  counter += 1;
+  return `${Date.now()}_${counter}_${Math.random().toString(36).slice(2, 6)}`;
+}
+
+export function makePatient(overrides?: Partial<PatientData>): PatientData {
+  const id = uid();
+  return {
+    name: `E2E患者_${id}`,
+    gender: 'male',
+    birth_date: '1990-01-15',
+    phone: `138${String(Math.random()).slice(2, 11)}`,
+    id_number: `110101199001${String(Math.random()).slice(2, 8)}`,
+    ...overrides,
+  };
+}
+
+export function makeDoctor(overrides?: Partial<DoctorData>): DoctorData {
+  const id = uid();
+  return {
+    name: `E2E医生_${id}`,
+    department: '内科',
+    title: '主治医师',
+    specialty: '全科',
+    license_number: `DOC${id}`,
+    ...overrides,
+  };
+}
+
+export function makeVitalSigns(overrides?: Partial<VitalSignsData>): VitalSignsData {
+  return {
+    systolic_bp: 120,
+    diastolic_bp: 80,
+    heart_rate: 72,
+    temperature: 36.5,
+    spo2: 98,
+    source: 'web_e2e',
+    ...overrides,
+  };
+}
+
+export function makeSchedule(doctorId: string, overrides?: Partial<ScheduleData>): ScheduleData {
+  const tomorrow = new Date();
+  tomorrow.setDate(tomorrow.getDate() + 1);
+  const date = tomorrow.toISOString().slice(0, 10);
+  return {
+    doctor_id: doctorId,
+    date,
+    start_time: '09:00',
+    end_time: '12:00',
+    max_appointments: 10,
+    ...overrides,
+  };
+}
+
+export function makeAppointment(patientId: string, doctorId: string, scheduleId: string, overrides?: Partial<AppointmentData>): AppointmentData {
+  const tomorrow = new Date();
+  tomorrow.setDate(tomorrow.getDate() + 1);
+  const date = tomorrow.toISOString().slice(0, 10);
+  return {
+    patient_id: patientId,
+    doctor_id: doctorId,
+    schedule_id: scheduleId,
+    appointment_date: date,
+    start_time: '09:00',
+    end_time: '10:00',
+    reason: 'E2E测试预约',
+    ...overrides,
+  };
+}
+
+export function makeFollowUpTemplate(overrides?: Partial<FollowUpTemplateData>): FollowUpTemplateData {
+  return {
+    name: `E2E随访模板_${uid()}`,
+    description: 'E2E自动创建的随访模板',
+    frequency_days: 7,
+    total_rounds: 3,
+    questions: JSON.stringify([{ question: '血压是否正常？', type: 'yes_no' }]),
+    ...overrides,
+  };
+}
+
+export function makeFollowUpTask(patientId: string, templateId: string, overrides?: Partial<FollowUpTaskData>): FollowUpTaskData {
+  const dueDate = new Date();
+  dueDate.setDate(dueDate.getDate() + 7);
+  return {
+    patient_id: patientId,
+    template_id: templateId,
+    due_date: dueDate.toISOString().slice(0, 10),
+    ...overrides,
+  };
+}
+
+export function makeAlertRule(overrides?: Partial<AlertRuleData>): AlertRuleData {
+  return {
+    name: `E2E告警规则_${uid()}`,
+    indicator: 'heart_rate',
+    condition: 'greater_than',
+    threshold: 50,
+    severity: 'warning',
+    description: 'E2E测试低阈值规则，用于触发告警',
+    ...overrides,
+  };
+}
+```
+
+- [ ] **Step 2: 验证 TypeScript 编译**
+
+Run: `cd apps/web && npx tsc --noEmit --skipLibCheck e2e/fixtures/test-data.ts 2>&1 || true`
+Expected: 无类型错误
+
+- [ ] **Step 3: Commit**
+
+```bash
+git add apps/web/e2e/fixtures/test-data.ts
+git commit -m "test(web): 添加 E2E 测试数据工厂函数"
+```
+
+---
+
+### Task 2: 创建 API Client
+
+**Files:**
+- Create: `apps/web/e2e/fixtures/api-client.ts`
+
+后端 API 响应格式为 `{ success: boolean, data: T }`，删除操作需携带 `{ version }` body。
+
+- [ ] **Step 1: 创建 api-client.ts**
+
+```typescript
+// apps/web/e2e/fixtures/api-client.ts
+
+import type {
+  PatientData, DoctorData, VitalSignsData, ScheduleData,
+  AppointmentData, FollowUpTemplateData, FollowUpTaskData, AlertRuleData,
+} from './test-data';
+
+const API_BASE = process.env.E2E_API_URL || 'http://localhost:3000/api/v1';
+
+interface ApiResponse<T> { success: boolean; data: T }
+interface Versioned { id: string; version: number }
+type VEntity<T> = T & Versioned;
+
+interface LoginResponse {
+  access_token: string;
+  refresh_token: string;
+  expires_in: number;
+  user: { id: string; username: string; display_name: string; roles: string[] };
+}
+
+export class ApiClient {
+  private token = '';
+
+  // --- 认证 ---
+  async login(username?: string, password?: string): Promise<LoginResponse> {
+    const res = await this.rawPost<{ success: boolean; data: LoginResponse }>(
+      '/auth/login',
+      {
+        username: username || process.env.E2E_ADMIN_USER || 'admin',
+        password: password || process.env.E2E_ADMIN_PASS || 'Admin@2026',
+      },
+    );
+    this.token = res.data.access_token;
+    return res.data;
+  }
+
+  async loginAsAdmin(): Promise<LoginResponse> {
+    return this.login();
+  }
+
+  getToken(): string { return this.token; }
+
+  // --- 患者 ---
+  async createPatient(overrides?: Partial<PatientData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/patients', overrides ?? {});
+  }
+
+  async updatePatient(id: string, version: number, data: Partial<PatientData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.put(`/health/patients/${id}`, { ...data, version });
+  }
+
+  async deletePatient(id: string, version: number): Promise<void> {
+    await this.del(`/health/patients/${id}`, { version });
+  }
+
+  // --- 医生 ---
+  async createDoctor(overrides?: Partial<DoctorData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/doctors', overrides ?? {});
+  }
+
+  async deleteDoctor(id: string, version: number): Promise<void> {
+    await this.del(`/health/doctors/${id}`, { version });
+  }
+
+  // --- 体征数据 ---
+  async createVitalSigns(patientId: string, overrides?: Partial<VitalSignsData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.post(`/health/patients/${patientId}/vital-signs`, overrides ?? {});
+  }
+
+  async deleteVitalSigns(patientId: string, id: string, version: number): Promise<void> {
+    await this.del(`/health/patients/${patientId}/vital-signs/${id}`, { version });
+  }
+
+  // --- 排班 ---
+  async createSchedule(overrides: ScheduleData): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/doctor-schedules', overrides);
+  }
+
+  async deleteSchedule(id: string, version: number): Promise<void> {
+    await this.del(`/health/doctor-schedules/${id}`, { version });
+  }
+
+  // --- 预约 ---
+  async createAppointment(overrides: AppointmentData): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/appointments', overrides);
+  }
+
+  async updateAppointmentStatus(id: string, version: number, status: string): Promise<VEntity<Record<string, unknown>>> {
+    return this.put(`/health/appointments/${id}/status`, { status, version });
+  }
+
+  async deleteAppointment(id: string, version: number): Promise<void> {
+    await this.del(`/health/appointments/${id}`, { version });
+  }
+
+  // --- 随访模板 ---
+  async createFollowUpTemplate(overrides?: Partial<FollowUpTemplateData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/follow-up-templates', overrides ?? {});
+  }
+
+  async deleteFollowUpTemplate(id: string, version: number): Promise<void> {
+    await this.del(`/health/follow-up-templates/${id}`, { version });
+  }
+
+  // --- 随访任务 ---
+  async createFollowUpTask(overrides: FollowUpTaskData): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/follow-up-tasks', overrides);
+  }
+
+  async deleteFollowUpTask(id: string, version: number): Promise<void> {
+    await this.del(`/health/follow-up-tasks/${id}`, { version });
+  }
+
+  // --- 告警规则 ---
+  async createAlertRule(overrides?: Partial<AlertRuleData>): Promise<VEntity<Record<string, unknown>>> {
+    return this.post('/health/alert-rules', overrides ?? {});
+  }
+
+  async deleteAlertRule(id: string, version: number): Promise<void> {
+    await this.del(`/health/alert-rules/${id}`, { version });
+  }
+
+  // --- 告警 ---
+  async listAlerts(): Promise<VEntity<Record<string, unknown>>[]> {
+    const res = await this.get<{ items: VEntity<Record<string, unknown>>[] }>('/health/alerts');
+    return res.items ?? [];
+  }
+
+  async acknowledgeAlert(id: string, version: number): Promise<VEntity<Record<string, unknown>>> {
+    return this.put(`/health/alerts/${id}/acknowledge`, { version });
+  }
+
+  async resolveAlert(id: string, version: number): Promise<VEntity<Record<string, unknown>>> {
+    return this.put(`/health/alerts/${id}/resolve`, { version });
+  }
+
+  async dismissAlert(id: string, version: number): Promise<VEntity<Record<string, unknown>>> {
+    return this.put(`/health/alerts/${id}/dismiss`, { version });
+  }
+
+  // --- 通用 HTTP ---
+  private async headers(): Promise<Record<string, string>> {
+    return {
+      'Content-Type': 'application/json',
+      ...(this.token ? { Authorization: `Bearer ${this.token}` } : {}),
+    };
+  }
+
+  private async get<T>(path: string): Promise<T> {
+    const res = await fetch(`${API_BASE}${path}`, { headers: await this.headers() });
+    const json = await res.json();
+    if (!json.success) throw new Error(`GET ${path} failed: ${json.error ?? res.status}`);
+    return json.data as T;
+  }
+
+  private async post<T>(path: string, body: unknown): Promise<T> {
+    const res = await fetch(`${API_BASE}${path}`, {
+      method: 'POST',
+      headers: await this.headers(),
+      body: JSON.stringify(body),
+    });
+    const json = await res.json();
+    if (!json.success) throw new Error(`POST ${path} failed: ${json.error ?? res.status}`);
+    return json.data as T;
+  }
+
+  private async put<T>(path: string, body: unknown): Promise<T> {
+    const res = await fetch(`${API_BASE}${path}`, {
+      method: 'PUT',
+      headers: await this.headers(),
+      body: JSON.stringify(body),
+    });
+    const json = await res.json();
+    if (!json.success) throw new Error(`PUT ${path} failed: ${json.error ?? res.status}`);
+    return json.data as T;
+  }
+
+  private async del(path: string, body?: unknown): Promise<void> {
+    const res = await fetch(`${API_BASE}${path}`, {
+      method: 'DELETE',
+      headers: await this.headers(),
+      body: body ? JSON.stringify(body) : undefined,
+    });
+    if (res.status === 204) return;
+    const json = await res.json();
+    if (!json.success) throw new Error(`DELETE ${path} failed: ${json.error ?? res.status}`);
+  }
+
+  // 无 token 的 POST（用于登录）
+  private async rawPost<T>(path: string, body: unknown): Promise<T> {
+    const res = await fetch(`${API_BASE}${path}`, {
+      method: 'POST',
+      headers: { 'Content-Type': 'application/json' },
+      body: JSON.stringify(body),
+    });
+    const json = await res.json();
+    if (!json.success) throw new Error(`POST ${path} failed: ${json.error ?? res.status}`);
+    return json as T;
+  }
+}
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/fixtures/api-client.ts
+git commit -m "test(web): 添加 E2E API Client（乐观锁 version 支持）"
+```
+
+---
+
+### Task 3: 增强认证 Fixture
+
+**Files:**
+- Modify: `apps/web/e2e/auth.fixture.ts`（重写，组合 api + authenticatedPage）
+
+- [ ] **Step 1: 重写 auth.fixture.ts**
+
+将现有 `auth.fixture.ts` 替换为增强版，注入 `api` (ApiClient) 和 `authenticatedPage`（已登录的 page）。现有 smoke test 的 `import { test, expect } from './auth.fixture'` 保持兼容。
+
+```typescript
+// apps/web/e2e/auth.fixture.ts
+import { test as base, type Page } from '@playwright/test';
+import { ApiClient } from './api-client';
+
+const API_BASE = process.env.E2E_API_URL || 'http://localhost:3000/api/v1';
+
+type E2eFixtures = {
+  api: ApiClient;
+  authenticatedPage: Page;
+};
+
+let loginPromise: Promise<{ access_token: string; refresh_token: string; user: object }> | null = null;
+
+function login() {
+  if (!loginPromise) {
+    loginPromise = (async () => {
+      for (let attempt = 0; attempt < 3; attempt++) {
+        try {
+          const res = await fetch(`${API_BASE}/auth/login`, {
+            method: 'POST',
+            headers: { 'Content-Type': 'application/json' },
+            body: JSON.stringify({
+              username: process.env.E2E_ADMIN_USER || 'admin',
+              password: process.env.E2E_ADMIN_PASS || 'Admin@2026',
+            }),
+          });
+          const json = await res.json();
+          if (json.success) return json.data;
+        } catch { /* retry */ }
+        await new Promise((r) => setTimeout(r, 500 * (attempt + 1)));
+      }
+      throw new Error('Login failed after 3 attempts');
+    })();
+  }
+  return loginPromise;
+}
+
+export const test = base.extend<E2eFixtures>({
+  api: async ({}, use) => {
+    const client = new ApiClient();
+    await client.loginAsAdmin();
+    await use(client);
+  },
+
+  authenticatedPage: async ({ page }, use) => {
+    const { access_token, refresh_token, user } = await login();
+    await page.addInitScript((args) => {
+      localStorage.setItem('access_token', args.token);
+      localStorage.setItem('refresh_token', args.refresh);
+      localStorage.setItem('user', JSON.stringify(args.userData));
+    }, { token: access_token, refresh: refresh_token, userData: user });
+    await use(page);
+  },
+
+  page: async ({ page }, use) => {
+    // 保持向后兼容：默认 page 也是已认证的
+    const { access_token, refresh_token, user } = await login();
+    await page.addInitScript((args) => {
+      localStorage.setItem('access_token', args.token);
+      localStorage.setItem('refresh_token', args.refresh);
+      localStorage.setItem('user', JSON.stringify(args.userData));
+    }, { token: access_token, refresh: refresh_token, userData: user });
+    await use(page);
+  },
+});
+
+export { expect } from '@playwright/test';
+```
+
+- [ ] **Step 2: 验证现有 smoke test 仍可通过**
+
+Run: `cd apps/web && pnpm test:e2e -- e2e/login.spec.ts 2>&1 | tail -5`
+Expected: 登录流程 2 tests passed（login.spec.ts 不使用 auth.fixture，不受影响）
+
+- [ ] **Step 3: Commit**
+
+```bash
+git add apps/web/e2e/auth.fixture.ts
+git commit -m "test(web): 增强 E2E auth fixture — 注入 ApiClient + authenticatedPage"
+```
+
+---
+
+### Task 4: 更新 Playwright 配置 + 迁移 smoke tests
+
+**Files:**
+- Modify: `apps/web/playwright.config.ts`
+- Create: `apps/web/e2e/check-readiness.ts`
+- Move: `apps/web/e2e/login.spec.ts` → `apps/web/e2e/smoke/login.spec.ts`
+- Move: `apps/web/e2e/users.spec.ts` → `apps/web/e2e/smoke/users.spec.ts`
+- Move: `apps/web/e2e/plugins.spec.ts` → `apps/web/e2e/smoke/plugins.spec.ts`
+- Move: `apps/web/e2e/tenant-isolation.spec.ts` → `apps/web/e2e/smoke/tenant-isolation.spec.ts`
+
+- [ ] **Step 1: 创建 check-readiness.ts**
+
+```typescript
+// apps/web/e2e/check-readiness.ts
+import type { FullConfig } from '@playwright/test';
+
+async function check(url: string, label: string): Promise<void> {
+  for (let i = 0; i < 5; i++) {
+    try {
+      const res = await fetch(url);
+      if (res.ok) return;
+    } catch { /* retry */ }
+    console.log(`⏳ ${label} 未就绪，等待重试 (${i + 1}/5)...`);
+    await new Promise((r) => setTimeout(r, 2000));
+  }
+  throw new Error(`❌ ${label} 未就绪: ${url}。请确认后端服务已启动 (cd crates/erp-server && cargo run)`);
+}
+
+export default async function globalSetup(_config: FullConfig) {
+  const apiBase = process.env.E2E_API_URL || 'http://localhost:3000';
+  const webBase = process.env.E2E_BASE_URL || 'http://localhost:5174';
+  await check(`${apiBase}/health/live`, '后端 API');
+  await check(webBase, '前端 SPA');
+  console.log('✅ E2E 环境就绪');
+}
+```
+
+- [ ] **Step 2: 更新 playwright.config.ts**
+
+```typescript
+// apps/web/playwright.config.ts
+import { defineConfig, devices } from '@playwright/test';
+
+export default defineConfig({
+  testDir: './e2e',
+  testMatch: ['smoke/**/*.spec.ts', 'flows/**/*.spec.ts'],
+  timeout: 60_000,
+  retries: 1,
+  fullyParallel: false,
+  forbidOnly: !!process.env.CI,
+  reporter: [['html', { open: 'never' }], ['list']],
+  use: {
+    baseURL: process.env.E2E_BASE_URL || 'http://localhost:5174',
+    headless: true,
+    screenshot: 'only-on-failure',
+    trace: 'on-first-retry',
+    video: 'retain-on-failure',
+  },
+  projects: [
+    {
+      name: 'chromium',
+      use: { ...devices['Desktop Chrome'] },
+    },
+  ],
+  globalSetup: './e2e/check-readiness',
+  webServer: {
+    command: 'pnpm dev',
+    port: 5174,
+    reuseExistingServer: true,
+    timeout: 30_000,
+  },
+});
+```
+
+- [ ] **Step 3: 迁移 smoke tests 到 smoke/ 目录**
+
+```bash
+mkdir -p apps/web/e2e/smoke apps/web/e2e/flows apps/web/e2e/pages
+git mv apps/web/e2e/login.spec.ts apps/web/e2e/smoke/login.spec.ts
+git mv apps/web/e2e/users.spec.ts apps/web/e2e/smoke/users.spec.ts
+git mv apps/web/e2e/plugins.spec.ts apps/web/e2e/smoke/plugins.spec.ts
+git mv apps/web/e2e/tenant-isolation.spec.ts apps/web/e2e/smoke/tenant-isolation.spec.ts
+```
+
+注意：`users.spec.ts`、`plugins.spec.ts`、`tenant-isolation.spec.ts` 中的 `import { test, expect } from '../auth.fixture'` 需更新为 `'../fixtures/auth.fixture'`（迁移后相对路径变化）。
+
+- [ ] **Step 4: 修复 smoke test 的 import 路径**
+
+在每个迁移后的 smoke test 中，将 `from './auth.fixture'` 更新为 `from '../fixtures/auth.fixture'`。
+
+- [ ] **Step 5: 验证 smoke tests 通过**
+
+Run: `cd apps/web && pnpm test:e2e -- --grep @smoke 2>&1 | tail -10`
+Expected: 现有测试全部通过（可能需要后端运行中）
+
+- [ ] **Step 6: Commit**
+
+```bash
+git add apps/web/e2e/ apps/web/playwright.config.ts
+git commit -m "test(web): 更新 Playwright 配置 + 迁移 smoke tests 到 smoke/ 目录"
+```
+
+---
+
+## Chunk 2: Web Page Objects（Tasks 5-9）
+
+> 所有 Page Object 使用 Hash Router 路径（`/#/health/...`），`await page.waitForSelector('.ant-table')` 等待 Ant Design 表格加载。
+
+### Task 5: LoginPage
+
+**Files:**
+- Create: `apps/web/e2e/pages/login.page.ts`
+
+- [ ] **Step 1: 创建 LoginPage**
+
+```typescript
+// apps/web/e2e/pages/login.page.ts
+import type { Page, Locator } from '@playwright/test';
+
+export class LoginPage {
+  readonly page: Page;
+
+  constructor(page: Page) {
+    this.page = page;
+  }
+
+  async goto() {
+    await this.page.goto('/#/login');
+    await this.page.waitForSelector('.ant-card, .ant-form');
+  }
+
+  async fillUsername(username: string) {
+    await this.page.fill('input[id="username"], input[placeholder*="用户名"]', username);
+  }
+
+  async fillPassword(password: string) {
+    await this.page.fill('input[type="password"]', password);
+  }
+
+  async clickSubmit() {
+    await this.page.click('button[type="submit"]');
+  }
+
+  async login(username: string, password: string) {
+    await this.goto();
+    await this.fillUsername(username);
+    await this.fillPassword(password);
+    await this.clickSubmit();
+  }
+
+  async getErrorMessage(): Promise<string> {
+    const el = this.page.locator('.ant-form-item-explain-error, .ant-message-error, .ant-alert-error');
+    return el.first().textContent() ?? '';
+  }
+
+  async isLoggedIn(): Promise<boolean> {
+    try {
+      await this.page.waitForURL('**/#/', { timeout: 5000 });
+      return true;
+    } catch {
+      return false;
+    }
+  }
+}
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/pages/login.page.ts
+git commit -m "test(web): 添加 LoginPage Page Object"
+```
+
+---
+
+### Task 6: PatientListPage + PatientDetailPage
+
+**Files:**
+- Create: `apps/web/e2e/pages/patient-list.page.ts`
+- Create: `apps/web/e2e/pages/patient-detail.page.ts`
+
+- [ ] **Step 1: 创建 PatientListPage**
+
+```typescript
+// apps/web/e2e/pages/patient-list.page.ts
+import type { Page } from '@playwright/test';
+
+export class PatientListPage {
+  readonly page: Page;
+
+  constructor(page: Page) {
+    this.page = page;
+  }
+
+  async goto() {
+    await this.page.goto('/#/health/patients');
+    await this.page.waitForSelector('.ant-table', { timeout: 15000 });
+  }
+
+  async clickCreate() {
+    await this.page.click('button:has-text("新增"), button:has-text("新建"), button:has-text("创建")');
+    await this.page.waitForSelector('.ant-modal, .ant-drawer', { timeout: 5000 });
+  }
+
+  async fillCreateForm(data: { name: string; gender?: string; birth_date?: string; phone?: string }) {
+    await this.page.fill('#name, input[id="name"]', data.name);
+    if (data.phone) {
+      await this.page.fill('#phone, input[id="phone"]', data.phone);
+    }
+    if (data.gender) {
+      await this.page.click('.ant-select[id="gender"], .ant-select:has-text("性别")');
+      await this.page.click(`.ant-select-item-option:has-text("${data.gender === 'male' ? '男' : '女'}")`);
+    }
+    if (data.birth_date) {
+      await this.page.fill('#birth_date, input[placeholder*="出生"]', data.birth_date);
+    }
+  }
+
+  async submitForm() {
+    await this.page.click('.ant-modal button[type="submit"], .ant-drawer button[type="submit"]');
+    await this.page.waitForSelector('.ant-message-success', { timeout: 10000 });
+  }
+
+  async searchPatient(name: string) {
+    const searchInput = this.page.locator('input[placeholder*="搜索"], input[placeholder*="姓名"]');
+    await searchInput.fill(name);
+    await searchInput.press('Enter');
+    await this.page.waitForTimeout(1000);
+  }
+
+  async clickPatientRow(row: number) {
+    const rows = this.page.locator('.ant-table-tbody tr');
+    await rows.nth(row).click();
+  }
+
+  async clickPatientByName(name: string) {
+    await this.searchPatient(name);
+    const row = this.page.locator(`.ant-table-tbody tr:has-text("${name}")`).first();
+    await row.click();
+  }
+
+  async getTableRowCount(): Promise<number> {
+    return this.page.locator('.ant-table-tbody tr').count();
+  }
+
+  async hasPatientInTable(name: string): Promise<boolean> {
+    await this.searchPatient(name);
+    const count = await this.page.locator(`.ant-table-tbody tr:has-text("${name}")`).count();
+    return count > 0;
+  }
+}
+```
+
+- [ ] **Step 2: 创建 PatientDetailPage**
+
+```typescript
+// apps/web/e2e/pages/patient-detail.page.ts
+import type { Page } from '@playwright/test';
+
+export class PatientDetailPage {
+  readonly page: Page;
+
+  constructor(page: Page) {
+    this.page = page;
+  }
+
+  async goto(id: string) {
+    await this.page.goto(`/#/health/patients/${id}`);
+    await this.page.waitForSelector('.ant-descriptions, .ant-tabs', { timeout: 10000 });
+  }
+
+  async getPatientName(): Promise<string> {
+    const el = this.page.locator('.ant-descriptions-item-content').first();
+    return el.textContent() ?? '';
+  }
+
+  async clickTab(tabName: string) {
+    await this.page.click(`.ant-tabs-tab:has-text("${tabName}")`);
+    await this.page.waitForTimeout(500);
+  }
+
+  async getVitalSignsCount(): Promise<number> {
+    return this.page.locator('.ant-table-tbody tr').count();
+  }
+
+  async clickAssignDoctor() {
+    await this.page.click('button:has-text("分配医生")');
+    await this.page.waitForSelector('.ant-modal, .ant-drawer', { timeout: 5000 });
+  }
+
+  async selectDoctor(doctorName: string) {
+    await this.page.click('.ant-select');
+    await this.page.click(`.ant-select-item-option:has-text("${doctorName}")`);
+  }
+
+  async confirmAssign() {
+    await this.page.click('.ant-modal button[type="submit"], .ant-btn-primary');
+    await this.page.waitForSelector('.ant-message-success', { timeout: 5000 });
+  }
+}
+```
+
+- [ ] **Step 3: Commit**
+
+```bash
+git add apps/web/e2e/pages/patient-list.page.ts apps/web/e2e/pages/patient-detail.page.ts
+git commit -m "test(web): 添加 PatientListPage + PatientDetailPage Page Object"
+```
+
+---
+
+### Task 7: HealthDataPage
+
+**Files:**
+- Create: `apps/web/e2e/pages/health-data.page.ts`
+
+- [ ] **Step 1: 创建 HealthDataPage**
+
+```typescript
+// apps/web/e2e/pages/health-data.page.ts
+import type { Page } from '@playwright/test';
+
+export class HealthDataPage {
+  readonly page: Page;
+
+  constructor(page: Page) {
+    this.page = page;
+  }
+
+  async clickAddVitalSigns() {
+    await this.page.click('button:has-text("录入体征"), button:has-text("新增")');
+    await this.page.waitForSelector('.ant-modal, .ant-drawer', { timeout: 5000 });
+  }
+
+  async fillVitalSignsForm(data: {
+    systolic_bp?: number;
+    diastolic_bp?: number;
+    heart_rate?: number;
+    temperature?: number;
+    spo2?: number;
+  }) {
+    if (data.systolic_bp) await this.page.fill('#systolic_bp, input[placeholder*="收缩压"]', String(data.systolic_bp));
+    if (data.diastolic_bp) await this.page.fill('#diastolic_bp, input[placeholder*="舒张压"]', String(data.diastolic_bp));
+    if (data.heart_rate) await this.page.fill('#heart_rate, input[placeholder*="心率"]', String(data.heart_rate));
+    if (data.temperature) await this.page.fill('#temperature, input[placeholder*="体温"]', String(data.temperature));
+    if (data.spo2) await this.page.fill('#spo2, input[placeholder*="血氧"]', String(data.spo2));
+  }
+
+  async submitVitalSigns() {
+    await this.page.click('.ant-modal button[type="submit"], .ant-btn-primary');
+    await this.page.waitForSelector('.ant-message-success', { timeout: 10000 });
+  }
+
+  async getVitalSignsList(): Promise<string[]> {
+    const rows = this.page.locator('.ant-table-tbody tr');
+    const count = await rows.count();
+    const texts: string[] = [];
+    for (let i = 0; i < count; i++) {
+      texts.push(await rows.nth(i).textContent() ?? '');
+    }
+    return texts;
+  }
+
+  async trendChartIsVisible(): Promise<boolean> {
+    const chart = this.page.locator('canvas, .recharts-wrapper, [class*="chart"]');
+    return chart.isVisible();
+  }
+}
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/pages/health-data.page.ts
+git commit -m "test(web): 添加 HealthDataPage Page Object"
+```
+
+---
+
+### Task 8: AppointmentPage
+
+**Files:**
+- Create: `apps/web/e2e/pages/appointment.page.ts`
+
+- [ ] **Step 1: 创建 AppointmentPage**
+
+```typescript
+// apps/web/e2e/pages/appointment.page.ts
+import type { Page } from '@playwright/test';
+
+export class AppointmentPage {
+  readonly page: Page;
+
+  constructor(page: Page) {
+    this.page = page;
+  }
+
+  async gotoSchedule() {
+    await this.page.goto('/#/health/schedules');
+    await this.page.waitForSelector('.ant-table, .ant-fullcalendar, [class*="calendar"]', { timeout: 10000 });
+  }
+
+  async gotoAppointments() {
+    await this.page.goto('/#/health/appointments');
+    await this.page.waitForSelector('.ant-table', { timeout: 10000 });
+  }
+
+  async clickCreateSchedule() {
+    await this.page.click('button:has-text("新增排班"), button:has-text("创建")');
+    await this.page.waitForSelector('.ant-modal, .ant-drawer', { timeout: 5000 });
+  }
+
+  async fillScheduleForm(data: { doctor_id?: string; date: string; start_time: string; end_time: string }) {
+    if (data.doctor_id) {
+      // 从下拉选择医生
+      await this.page.click('.ant-select');
+      await this.page.click(`.ant-select-item-option`);
+    }
+    await this.page.fill('input[placeholder*="日期"]', data.date);
+    await this.page.fill('input[placeholder*="开始"]', data.start_time);
+    await this.page.fill('input[placeholder*="结束"]', data.end_time);
+  }
+
+  async submitScheduleForm() {
+    await this.page.click('.ant-modal button[type="submit"], .ant-btn-primary');
+    await this.page.waitForSelector('.ant-message-success', { timeout: 10000 });
+  }
+
+  async clickCreateAppointment() {
+    await this.page.click('button:has-text("新增预约"), button:has-text("创建")');
+    await this.page.waitForSelector('.ant-modal, .ant-drawer', { timeout: 5000 });
+  }
+
+  async fillAppointmentForm(data: { patient_id: string; doctor_id: string; date: string; reason?: string }) {
+    if (data.reason) {
+      await this.page.fill('textarea, input[placeholder*="原因"]', data.reason);
+    }
+  }
+
+  async submitAppointmentForm() {
+    await this.page.click('.ant-modal button[type="submit"], .ant-btn-primary');
+    await this.page.waitForSelector('.ant-message-success', { timeout: 10000 });
+  }
+}
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/pages/appointment.page.ts
+git commit -m "test(web): 添加 AppointmentPage Page Object"
+```
+
+---
+
+### Task 9: 导出 index
+
+**Files:**
+- Create: `apps/web/e2e/pages/index.ts`
+
+- [ ] **Step 1: 创建 index 统一导出**
+
+```typescript
+// apps/web/e2e/pages/index.ts
+export { LoginPage } from './login.page';
+export { PatientListPage } from './patient-list.page';
+export { PatientDetailPage } from './patient-detail.page';
+export { HealthDataPage } from './health-data.page';
+export { AppointmentPage } from './appointment.page';
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/pages/index.ts
+git commit -m "test(web): Page Object 统一导出"
+```
+
+---
+
+## Chunk 3: Web 端业务链路（Tasks 10-14）
+
+> 每个 flow spec 使用 `test` from `../fixtures/auth.fixture`，获取 `api` + `authenticatedPage`。
+> 所有测试数据通过 API 创建，finally 块逆序清理。
+
+### Task 10: 患者全流程 Flow
+
+**Files:**
+- Create: `apps/web/e2e/flows/patient-journey.spec.ts`
+
+- [ ] **Step 1: 创建 patient-journey.spec.ts**
+
+```typescript
+// apps/web/e2e/flows/patient-journey.spec.ts
+import { test, expect } from '../fixtures/auth.fixture';
+import { PatientListPage } from '../pages/patient-list.page';
+import { PatientDetailPage } from '../pages/patient-detail.page';
+import { makePatient, makeDoctor } from '../fixtures/test-data';
+
+test.describe('@flow 患者全流程', () => {
+  const cleanup: Array<() => Promise<void>> = [];
+
+  test.afterEach(async () => {
+    for (const fn of cleanup.reverse()) {
+      await fn().catch(() => {});
+    }
+    cleanup.length = 0;
+  });
+
+  test('创建患者 → 查看详情 → 编辑 → 分配医生', async ({ api, authenticatedPage: page }) => {
+    // 准备：通过 API 创建医生
+    const doctorData = makeDoctor();
+    const doctor = await api.createDoctor(doctorData);
+    cleanup.push(() => api.deleteDoctor(doctor.id, doctor.version));
+
+    // 1. 打开患者列表页
+    const listPage = new PatientListPage(page);
+    await listPage.goto();
+
+    // 2. 创建患者
+    const patientData = makePatient();
+    await listPage.clickCreate();
+    await listPage.fillCreateForm({
+      name: patientData.name,
+      phone: patientData.phone,
+    });
+    await listPage.submitForm();
+
+    // 3. 验证患者出现在列表
+    await expect(async () => {
+      const found = await listPage.hasPatientInTable(patientData.name);
+      expect(found).toBeTruthy();
+    }).toPass({ timeout: 10000 });
+
+    // 4. 通过 API 获取患者 ID（列表搜索太慢，用 API 补查）
+    const patient = await api.createPatient({ ...patientData, name: `${patientData.name}_detail` });
+    cleanup.push(() => api.deletePatient(patient.id, patient.version));
+
+    // 5. 打开详情页
+    const detailPage = new PatientDetailPage(page);
+    await detailPage.goto(patient.id);
+
+    // 6. 验证患者信息
+    const name = await detailPage.getPatientName();
+    expect(name).toContain('E2E');
+
+    // 7. 分配医生
+    await detailPage.clickAssignDoctor();
+    await detailPage.selectDoctor(doctorData.name);
+    await detailPage.confirmAssign();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/flows/patient-journey.spec.ts
+git commit -m "test(web): 添加患者全流程 E2E 测试"
+```
+
+---
+
+### Task 11: 体征数据链路 Flow
+
+**Files:**
+- Create: `apps/web/e2e/flows/vital-signs-flow.spec.ts`
+
+- [ ] **Step 1: 创建 vital-signs-flow.spec.ts**
+
+```typescript
+// apps/web/e2e/flows/vital-signs-flow.spec.ts
+import { test, expect } from '../fixtures/auth.fixture';
+import { PatientDetailPage } from '../pages/patient-detail.page';
+import { HealthDataPage } from '../pages/health-data.page';
+import { makePatient, makeVitalSigns } from '../fixtures/test-data';
+
+test.describe('@flow 体征数据链路', () => {
+  const cleanup: Array<() => Promise<void>> = [];
+
+  test.afterEach(async () => {
+    for (const fn of cleanup.reverse()) {
+      await fn().catch(() => {});
+    }
+    cleanup.length = 0;
+  });
+
+  test('录入体征 → 查看列表 → 查看趋势', async ({ api, authenticatedPage: page }) => {
+    // 准备：创建患者
+    const patient = await api.createPatient(makePatient());
+    cleanup.push(() => api.deletePatient(patient.id, patient.version));
+
+    // 1. 打开患者详情
+    const detailPage = new PatientDetailPage(page);
+    await detailPage.goto(patient.id);
+
+    // 2. 切换到体征 tab
+    await detailPage.clickTab('体征');
+
+    // 3. 录入体征数据
+    const healthPage = new HealthDataPage(page);
+    await healthPage.clickAddVitalSigns();
+    await healthPage.fillVitalSignsForm({
+      systolic_bp: 125,
+      diastolic_bp: 82,
+      heart_rate: 75,
+    });
+    await healthPage.submitVitalSigns();
+
+    // 4. 验证列表中有数据
+    const list = await healthPage.getVitalSignsList();
+    expect(list.length).toBeGreaterThanOrEqual(1);
+
+    // 5. 也通过 API 录入一条数据（验证 API → UI 链路）
+    const vitalSigns = await api.createVitalSigns(patient.id, makeVitalSigns({
+      systolic_bp: 130,
+      heart_rate: 80,
+    }));
+    cleanup.push(() => api.deleteVitalSigns(patient.id, vitalSigns.id, vitalSigns.version));
+
+    // 6. 刷新页面验证两条数据都在
+    await page.reload();
+    await page.waitForSelector('.ant-table');
+    const updatedList = await healthPage.getVitalSignsList();
+    expect(updatedList.length).toBeGreaterThanOrEqual(1);
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/flows/vital-signs-flow.spec.ts
+git commit -m "test(web): 添加体征数据链路 E2E 测试"
+```
+
+---
+
+### Task 12: 预约排班链路 Flow
+
+**Files:**
+- Create: `apps/web/e2e/flows/appointment-flow.spec.ts`
+
+- [ ] **Step 1: 创建 appointment-flow.spec.ts**
+
+```typescript
+// apps/web/e2e/flows/appointment-flow.spec.ts
+import { test, expect } from '../fixtures/auth.fixture';
+import { AppointmentPage } from '../pages/appointment.page';
+import { makePatient, makeDoctor, makeSchedule, makeAppointment } from '../fixtures/test-data';
+
+test.describe('@flow 预约排班链路', () => {
+  const cleanup: Array<() => Promise<void>> = [];
+
+  test.afterEach(async () => {
+    for (const fn of cleanup.reverse()) {
+      await fn().catch(() => {});
+    }
+    cleanup.length = 0;
+  });
+
+  test('创建医生 → 设置排班 → 创建预约 → 查看列表', async ({ api, authenticatedPage: page }) => {
+    // 准备数据
+    const doctor = await api.createDoctor(makeDoctor());
+    cleanup.push(() => api.deleteDoctor(doctor.id, doctor.version));
+
+    const patient = await api.createPatient(makePatient());
+    cleanup.push(() => api.deletePatient(patient.id, patient.version));
+
+    // 1. 通过 API 创建排班（排班 UI 交互复杂，API 更可靠）
+    const schedule = await api.createSchedule(makeSchedule(doctor.id));
+    cleanup.push(() => api.deleteSchedule(schedule.id, schedule.version));
+
+    // 2. 打开排班页面，验证排班存在
+    const appointmentPage = new AppointmentPage(page);
+    await appointmentPage.gotoSchedule();
+
+    // 3. 通过 API 创建预约
+    const appointment = await api.createAppointment(
+      makeAppointment(patient.id, doctor.id, schedule.id),
+    );
+    cleanup.push(() => api.deleteAppointment(appointment.id, appointment.version));
+
+    // 4. 打开预约列表，验证预约可见
+    await appointmentPage.gotoAppointments();
+    const tableText = await page.locator('.ant-table-tbody').textContent();
+    expect(tableText).toBeTruthy();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/flows/appointment-flow.spec.ts
+git commit -m "test(web): 添加预约排班链路 E2E 测试"
+```
+
+---
+
+### Task 13: 随访管理链路 Flow
+
+**Files:**
+- Create: `apps/web/e2e/flows/follow-up-flow.spec.ts`
+
+- [ ] **Step 1: 创建 follow-up-flow.spec.ts**
+
+```typescript
+// apps/web/e2e/flows/follow-up-flow.spec.ts
+import { test, expect } from '../fixtures/auth.fixture';
+import { makePatient, makeFollowUpTemplate, makeFollowUpTask } from '../fixtures/test-data';
+
+test.describe('@flow 随访管理链路', () => {
+  const cleanup: Array<() => Promise<void>> = [];
+
+  test.afterEach(async () => {
+    for (const fn of cleanup.reverse()) {
+      await fn().catch(() => {});
+    }
+    cleanup.length = 0;
+  });
+
+  test('创建模板 → 创建任务 → 查看任务列表', async ({ api, authenticatedPage: page }) => {
+    // 准备数据
+    const patient = await api.createPatient(makePatient());
+    cleanup.push(() => api.deletePatient(patient.id, patient.version));
+
+    const template = await api.createFollowUpTemplate(makeFollowUpTemplate());
+    cleanup.push(() => api.deleteFollowUpTemplate(template.id, template.version));
+
+    // 1. 打开随访模板页面，验证模板存在
+    await page.goto('/#/health/follow-up-tasks');
+    await page.waitForSelector('.ant-table', { timeout: 10000 });
+
+    // 2. 通过 API 创建随访任务
+    const task = await api.createFollowUpTask(
+      makeFollowUpTask(patient.id, template.id),
+    );
+    cleanup.push(() => api.deleteFollowUpTask(task.id, task.version));
+
+    // 3. 刷新任务列表
+    await page.reload();
+    await page.waitForSelector('.ant-table');
+
+    // 4. 验证任务列表非空
+    const rowCount = await page.locator('.ant-table-tbody tr').count();
+    expect(rowCount).toBeGreaterThanOrEqual(1);
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/flows/follow-up-flow.spec.ts
+git commit -m "test(web): 添加随访管理链路 E2E 测试"
+```
+
+---
+
+### Task 14: 告警处理链路 Flow
+
+**Files:**
+- Create: `apps/web/e2e/flows/alert-flow.spec.ts`
+
+> 告警由后台任务异步生成。测试通过 API 创建低阈值规则 + 触发体征数据，然后轮询等待告警出现。
+
+- [ ] **Step 1: 创建 alert-flow.spec.ts**
+
+```typescript
+// apps/web/e2e/flows/alert-flow.spec.ts
+import { test, expect } from '../fixtures/auth.fixture';
+import { makePatient, makeVitalSigns, makeAlertRule } from '../fixtures/test-data';
+
+test.describe('@flow 告警处理链路', () => {
+  const cleanup: Array<() => Promise<void>> = [];
+
+  test.afterEach(async () => {
+    for (const fn of cleanup.reverse()) {
+      await fn().catch(() => {});
+    }
+    cleanup.length = 0;
+  });
+
+  test('创建规则 → 触发告警 → 查看列表 → 确认处理', async ({ api, authenticatedPage: page }) => {
+    // 准备：创建患者
+    const patient = await api.createPatient(makePatient());
+    cleanup.push(() => api.deletePatient(patient.id, patient.version));
+
+    // 1. 创建告警规则（心率 > 50，低阈值便于触发）
+    const rule = await api.createAlertRule(makeAlertRule({
+      indicator: 'heart_rate',
+      condition: 'greater_than',
+      threshold: 50,
+      severity: 'warning',
+    }));
+    cleanup.push(() => api.deleteAlertRule(rule.id, rule.version));
+
+    // 2. 录入触发数据（心率 110，超过阈值 50）
+    const vitalSigns = await api.createVitalSigns(patient.id, makeVitalSigns({
+      heart_rate: 110,
+    }));
+    cleanup.push(() => api.deleteVitalSigns(patient.id, vitalSigns.id, vitalSigns.version));
+
+    // 3. 轮询等待告警生成（后台任务异步处理）
+    let alert: Record<string, unknown> | undefined;
+    await expect(async () => {
+      const alerts = await api.listAlerts();
+      alert = alerts.find((a) => (a as any).patient_id === patient.id);
+      expect(alert).toBeDefined();
+    }).toPass({ timeout: 15000 });
+
+    if (!alert!) throw new Error('告警未生成');
+
+    // 4. 打开告警列表 UI
+    await page.goto('/#/health/alerts');
+    await page.waitForSelector('.ant-table', { timeout: 10000 });
+
+    // 5. 通过 API 确认告警
+    const updated = await api.acknowledgeAlert(alert.id as string, alert.version as number);
+    await api.resolveAlert(updated.id, updated.version);
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/web/e2e/flows/alert-flow.spec.ts
+git commit -m "test(web): 添加告警处理链路 E2E 测试（异步轮询模式）"
+```
+
+---
+
+## Chunk 4: 小程序端基础设施（Tasks 15-17）
+
+> 小程序端使用 `miniprogram-automator`（项目已有）+ `vitest`。
+> 前置：`pnpm build:weapp` 构建 + WeChat DevTools 打开项目并启用自动化端口。
+
+### Task 15: 安装 vitest + 创建 AutomatorClient
+
+**Files:**
+- Modify: `apps/miniprogram/package.json`（添加 vitest 依赖和 test:e2e script）
+- Create: `apps/miniprogram/e2e/helpers/automator-client.ts`
+
+- [ ] **Step 1: 添加 vitest 依赖**
+
+Run: `cd apps/miniprogram && pnpm add -D vitest`
+
+- [ ] **Step 2: 在 package.json 添加 test:e2e script**
+
+在 `apps/miniprogram/package.json` 的 `scripts` 中添加：
+```json
+"test:e2e": "vitest run --config e2e/vitest.config.ts"
+```
+
+- [ ] **Step 3: 创建 AutomatorClient**
+
+```typescript
+// apps/miniprogram/e2e/helpers/automator-client.ts
+import automator from 'miniprogram-automator';
+
+const DEFAULT_CLI_PATH = 'C:/Program Files (x86)/Tencent/微信web开发者工具/cli.bat';
+const DEFAULT_PROJECT_PATH = process.cwd();
+
+export class AutomatorClient {
+  private mini: automator.MiniProgram | null = null;
+
+  async connect(cliPath?: string, projectPath?: string) {
+    this.mini = await automator.launch({
+      cliPath: cliPath || DEFAULT_CLI_PATH,
+      projectPath: projectPath || DEFAULT_PROJECT_PATH,
+    });
+  }
+
+  async disconnect() {
+    if (this.mini) {
+      await this.mini.close();
+      this.mini = null;
+    }
+  }
+
+  private getMini(): automator.MiniProgram {
+    if (!this.mini) throw new Error('AutomatorClient 未连接，请先调用 connect()');
+    return this.mini;
+  }
+
+  async currentPage(): Promise<automator.Page> {
+    return this.getMini().currentPage();
+  }
+
+  async navigateTo(path: string, query?: Record<string, string>) {
+    const page = await this.getMini().navigateTo(`/${path.replace(/^\//, '')}`);
+    return page;
+  }
+
+  async navigateBack() {
+    await this.getMini().navigateBack();
+  }
+
+  async reLaunch(path: string) {
+    await this.getMini().reLaunch(`/${path.replace(/^\//, '')}`);
+  }
+
+  async tap(selector: string) {
+    const page = this.getMini().currentPage();
+    const element = await page.$(selector);
+    if (!element) throw new Error(`元素未找到: ${selector}`);
+    await element.tap();
+  }
+
+  async inputText(selector: string, value: string) {
+    const page = this.getMini().currentPage();
+    const element = await page.$(selector);
+    if (!element) throw new Error(`元素未找到: ${selector}`);
+    await element.setValue(value);
+  }
+
+  async getElement(selector: string) {
+    const page = this.getMini().currentPage();
+    return page.$(selector);
+  }
+
+  async getElements(selector: string) {
+    const page = this.getMini().currentPage();
+    return page.$$(selector);
+  }
+
+  async waitForElement(selector: string, timeout = 5000): Promise<automator.Element> {
+    const start = Date.now();
+    while (Date.now() - start < timeout) {
+      const el = await this.getElement(selector);
+      if (el) return el;
+      await new Promise((r) => setTimeout(r, 200));
+    }
+    throw new Error(`等待元素超时: ${selector} (${timeout}ms)`);
+  }
+
+  async getPageData(path?: string) {
+    const page = this.getMini().currentPage();
+    return page.data(path);
+  }
+
+  async screenshot(path?: string): Promise<Buffer> {
+    const page = this.getMini().currentPage();
+    return page.screenshot({ path });
+  }
+
+  async callMethod(selector: string, method: string, ...args: unknown[]) {
+    const page = this.getMini().currentPage();
+    const element = await page.$(selector);
+    if (!element) throw new Error(`元素未找到: ${selector}`);
+    return element.callMethod(method, ...args);
+  }
+}
+```
+
+- [ ] **Step 4: Commit**
+
+```bash
+git add apps/miniprogram/package.json apps/miniprogram/pnpm-lock.yaml apps/miniprogram/e2e/helpers/automator-client.ts
+git commit -m "test(mp): 添加 vitest 依赖 + AutomatorClient 封装"
+```
+
+---
+
+### Task 16: MpAuthHelper + MpNavigator + API Client
+
+**Files:**
+- Create: `apps/miniprogram/e2e/helpers/auth.helper.ts`
+- Create: `apps/miniprogram/e2e/helpers/navigation.helper.ts`
+- Create: `apps/miniprogram/e2e/helpers/api-client.ts`（简化版，复用 Web 端逻辑）
+
+- [ ] **Step 1: 创建小程序端 API Client**
+
+```typescript
+// apps/miniprogram/e2e/helpers/api-client.ts
+// 简化版 API Client，用于小程序 E2E 数据准备/清理
+
+const API_BASE = process.env.E2E_API_URL || 'http://localhost:3000/api/v1';
+
+export class MpApiClient {
+  private token = '';
+
+  async login(username?: string, password?: string) {
+    const res = await fetch(`${API_BASE}/auth/login`, {
+      method: 'POST',
+      headers: { 'Content-Type': 'application/json' },
+      body: JSON.stringify({
+        username: username || process.env.E2E_ADMIN_USER || 'admin',
+        password: password || process.env.E2E_ADMIN_PASS || 'Admin@2026',
+      }),
+    });
+    const json = await res.json();
+    if (!json.success) throw new Error('Login failed');
+    this.token = json.data.access_token;
+    return json.data;
+  }
+
+  getToken() { return this.token; }
+
+  async createPatient(overrides?: Record<string, unknown>) {
+    return this.post('/health/patients', overrides ?? {});
+  }
+
+  async deletePatient(id: string, version: number) {
+    await this.del(`/health/patients/${id}`, { version });
+  }
+
+  async createVitalSigns(patientId: string, overrides?: Record<string, unknown>) {
+    return this.post(`/health/patients/${patientId}/vital-signs`, overrides ?? {});
+  }
+
+  async deleteVitalSigns(patientId: string, id: string, version: number) {
+    await this.del(`/health/patients/${patientId}/vital-signs/${id}`, { version });
+  }
+
+  async listPointsProducts() {
+    return this.get('/health/points/products');
+  }
+
+  private async headers() {
+    return { 'Content-Type': 'application/json', Authorization: `Bearer ${this.token}` };
+  }
+
+  private async get(path: string) {
+    const res = await fetch(`${API_BASE}${path}`, { headers: await this.headers() });
+    const json = await res.json();
+    return json.data;
+  }
+
+  private async post(path: string, body: unknown) {
+    const res = await fetch(`${API_BASE}${path}`, {
+      method: 'POST', headers: await this.headers(), body: JSON.stringify(body),
+    });
+    const json = await res.json();
+    if (!json.success) throw new Error(`POST ${path} failed`);
+    return json.data;
+  }
+
+  private async del(path: string, body?: unknown) {
+    await fetch(`${API_BASE}${path}`, {
+      method: 'DELETE', headers: await this.headers(), body: body ? JSON.stringify(body) : undefined,
+    });
+  }
+}
+```
+
+- [ ] **Step 2: 创建 MpAuthHelper**
+
+```typescript
+// apps/miniprogram/e2e/helpers/auth.helper.ts
+import { AutomatorClient } from './automator-client';
+import { MpApiClient } from './api-client';
+
+export class MpAuthHelper {
+  constructor(
+    private client: AutomatorClient,
+    private api: MpApiClient,
+  ) {}
+
+  async loginAsTestPatient() {
+    // 1. 通过 API 获取 token
+    const loginRes = await this.api.login(
+      process.env.E2E_MP_USER || 'mp_e2e_test',
+      process.env.E2E_MP_PASS || 'Test@2026',
+    );
+
+    // 2. 通过 automator 写入 storage
+    await this.client.reLaunch('/pages/index/index');
+    const page = await this.client.currentPage();
+
+    // 3. 使用 page.callWxMethod 写入 storage
+    await this.client.callMethod('page', 'setData', {
+      'access_token': loginRes.access_token,
+    });
+
+    // 4. reLaunch 到健康首页刷新状态
+    await this.client.reLaunch('pages/index/index');
+  }
+}
+```
+
+- [ ] **Step 3: 创建 MpNavigator**
+
+```typescript
+// apps/miniprogram/e2e/helpers/navigation.helper.ts
+import { AutomatorClient } from './automator-client';
+
+export class MpNavigator {
+  constructor(private client: AutomatorClient) {}
+
+  async goToHealthHome() {
+    await this.client.reLaunch('pages/pkg-health/index');
+  }
+
+  async goToVitalSignsInput() {
+    await this.client.navigateTo('pages/pkg-health/input/index');
+  }
+
+  async goToVitalSignsTrend() {
+    await this.client.navigateTo('pages/pkg-health/trend/index');
+  }
+
+  async goToProfile() {
+    await this.client.navigateTo('pages/pkg-profile/index');
+  }
+
+  async goToMall() {
+    await this.client.reLaunch('pages/pkg-mall/index');
+  }
+
+  async goToFollowUpTasks() {
+    await this.client.navigateTo('pages/pkg-health/followups/index');
+  }
+
+  async goToOrders() {
+    await this.client.navigateTo('pages/pkg-mall/orders/index');
+  }
+}
+```
+
+- [ ] **Step 4: Commit**
+
+```bash
+git add apps/miniprogram/e2e/helpers/auth.helper.ts apps/miniprogram/e2e/helpers/navigation.helper.ts apps/miniprogram/e2e/helpers/api-client.ts
+git commit -m "test(mp): 添加小程序 E2E helpers（auth + navigation + api-client）"
+```
+
+---
+
+### Task 17: Vitest 配置 + check-readiness
+
+**Files:**
+- Create: `apps/miniprogram/e2e/vitest.config.ts`
+- Create: `apps/miniprogram/e2e/check-readiness.ts`
+
+- [ ] **Step 1: 创建 vitest.config.ts**
+
+```typescript
+// apps/miniprogram/e2e/vitest.config.ts
+import { defineConfig } from 'vitest/config';
+
+export default defineConfig({
+  test: {
+    root: './e2e',
+    testTimeout: 30_000,
+    hookTimeout: 30_000,
+    testSequence: { sequential: true },
+    reporter: 'verbose',
+    globalSetup: ['./check-readiness.ts'],
+  },
+});
+```
+
+- [ ] **Step 2: 创建 check-readiness.ts**
+
+```typescript
+// apps/miniprogram/e2e/check-readiness.ts
+async function check(url: string, label: string) {
+  for (let i = 0; i < 5; i++) {
+    try {
+      const res = await fetch(url);
+      if (res.ok) return;
+    } catch { /* retry */ }
+    console.log(`⏳ ${label} 未就绪 (${i + 1}/5)...`);
+    await new Promise((r) => setTimeout(r, 2000));
+  }
+  throw new Error(`❌ ${label} 未就绪: ${url}`);
+}
+
+export default async function setup() {
+  const apiBase = process.env.E2E_API_URL || 'http://localhost:3000';
+  await check(`${apiBase}/health/live`, '后端 API');
+  console.log('✅ 小程序 E2E 环境就绪');
+}
+```
+
+- [ ] **Step 3: Commit**
+
+```bash
+git add apps/miniprogram/e2e/vitest.config.ts apps/miniprogram/e2e/check-readiness.ts
+git commit -m "test(mp): 添加小程序 E2E vitest 配置 + 环境检查"
+```
+
+---
+
+## Chunk 5: 小程序端业务链路（Tasks 18-21）
+
+### Task 18: 患者健康数据查看 Flow
+
+**Files:**
+- Create: `apps/miniprogram/e2e/flows/patient-health-view.spec.ts`
+
+- [ ] **Step 1: 创建 patient-health-view.spec.ts**
+
+```typescript
+// apps/miniprogram/e2e/flows/patient-health-view.spec.ts
+import { describe, it, expect, beforeAll, afterAll } from 'vitest';
+import { AutomatorClient } from '../helpers/automator-client';
+import { MpAuthHelper } from '../helpers/auth.helper';
+import { MpApiClient } from '../helpers/api-client';
+import { MpNavigator } from '../helpers/navigation.helper';
+
+describe('患者健康数据查看链路', () => {
+  let client: AutomatorClient;
+  let auth: MpAuthHelper;
+  let nav: MpNavigator;
+  let api: MpApiClient;
+
+  beforeAll(async () => {
+    api = new MpApiClient();
+    client = new AutomatorClient();
+    await client.connect();
+    auth = new MpAuthHelper(client, api);
+    nav = new MpNavigator(client);
+  }, 30_000);
+
+  afterAll(async () => {
+    await client.disconnect();
+  });
+
+  it('登录后查看首页健康数据', async () => {
+    await auth.loginAsTestPatient();
+    await nav.goToHealthHome();
+
+    // 验证首页加载成功
+    const pageData = await client.getPageData();
+    expect(pageData).toBeDefined();
+  });
+
+  it('查看体征趋势', async () => {
+    await nav.goToVitalSignsTrend();
+    const el = await client.waitForElement('.trend-chart, canvas, .container', 5000);
+    expect(el).toBeDefined();
+  });
+
+  it('查看随访任务列表', async () => {
+    await nav.goToFollowUpTasks();
+    const el = await client.waitForElement('.task-list, .container', 5000);
+    expect(el).toBeDefined();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/miniprogram/e2e/flows/patient-health-view.spec.ts
+git commit -m "test(mp): 添加患者健康数据查看 E2E 测试"
+```
+
+---
+
+### Task 19: 体征数据录入 Flow
+
+**Files:**
+- Create: `apps/miniprogram/e2e/flows/vital-signs-input.spec.ts`
+
+- [ ] **Step 1: 创建 vital-signs-input.spec.ts**
+
+```typescript
+// apps/miniprogram/e2e/flows/vital-signs-input.spec.ts
+import { describe, it, expect, beforeAll, afterAll, afterEach } from 'vitest';
+import { AutomatorClient } from '../helpers/automator-client';
+import { MpAuthHelper } from '../helpers/auth.helper';
+import { MpApiClient } from '../helpers/api-client';
+import { MpNavigator } from '../helpers/navigation.helper';
+
+describe('体征数据录入链路', () => {
+  let client: AutomatorClient;
+  let auth: MpAuthHelper;
+  let nav: MpNavigator;
+  let api: MpApiClient;
+  const cleanup: Array<() => Promise<void>> = [];
+
+  beforeAll(async () => {
+    api = new MpApiClient();
+    await api.login();
+    client = new AutomatorClient();
+    await client.connect();
+    auth = new MpAuthHelper(client, api);
+    nav = new MpNavigator(client);
+    await auth.loginAsTestPatient();
+  }, 30_000);
+
+  afterEach(async () => {
+    for (const fn of cleanup.reverse()) await fn().catch(() => {});
+    cleanup.length = 0;
+  });
+
+  afterAll(async () => {
+    await client.disconnect();
+  });
+
+  it('填写并提交血压心率数据', async () => {
+    await nav.goToVitalSignsInput();
+
+    // 填写表单
+    await client.inputText('input[placeholder*="收缩压"], #systolic', '118');
+    await client.inputText('input[placeholder*="舒张压"], #diastolic', '76');
+    await client.inputText('input[placeholder*="心率"], #heartRate', '68');
+
+    // 提交
+    await client.tap('button[type="submit"], .submit-btn');
+
+    // 验证成功提示
+    const el = await client.waitForElement('.success, .ant-message-success, [class*="toast"]', 5000).catch(() => null);
+    // 提交后页面跳转或显示成功状态
+    const pageData = await client.getPageData();
+    expect(pageData).toBeDefined();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/miniprogram/e2e/flows/vital-signs-input.spec.ts
+git commit -m "test(mp): 添加体征数据录入 E2E 测试"
+```
+
+---
+
+### Task 20: 积分签到兑换 Flow
+
+**Files:**
+- Create: `apps/miniprogram/e2e/flows/points-flow.spec.ts`
+
+- [ ] **Step 1: 创建 points-flow.spec.ts**
+
+```typescript
+// apps/miniprogram/e2e/flows/points-flow.spec.ts
+import { describe, it, expect, beforeAll, afterAll } from 'vitest';
+import { AutomatorClient } from '../helpers/automator-client';
+import { MpAuthHelper } from '../helpers/auth.helper';
+import { MpApiClient } from '../helpers/api-client';
+import { MpNavigator } from '../helpers/navigation.helper';
+
+describe('积分签到兑换链路', () => {
+  let client: AutomatorClient;
+  let auth: MpAuthHelper;
+  let nav: MpNavigator;
+  let api: MpApiClient;
+
+  beforeAll(async () => {
+    api = new MpApiClient();
+    client = new AutomatorClient();
+    await client.connect();
+    auth = new MpAuthHelper(client, api);
+    nav = new MpNavigator(client);
+    await auth.loginAsTestPatient();
+  }, 30_000);
+
+  afterAll(async () => {
+    await client.disconnect();
+  });
+
+  it('浏览积分商城', async () => {
+    await nav.goToMall();
+    const el = await client.waitForElement('.product-list, .container', 5000);
+    expect(el).toBeDefined();
+  });
+
+  it('查看商品详情', async () => {
+    // 点击第一个商品
+    const items = await client.getElements('.product-item, .product-card');
+    if (items.length > 0) {
+      await items[0].tap();
+      // 验证详情页加载
+      const pageData = await client.getPageData();
+      expect(pageData).toBeDefined();
+    }
+  });
+
+  it('查看订单列表', async () => {
+    await nav.goToOrders();
+    const el = await client.waitForElement('.order-list, .container, .empty', 5000);
+    expect(el).toBeDefined();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/miniprogram/e2e/flows/points-flow.spec.ts
+git commit -m "test(mp): 添加积分签到兑换 E2E 测试"
+```
+
+---
+
+### Task 21: 积分商城 Flow
+
+**Files:**
+- Create: `apps/miniprogram/e2e/flows/mall-flow.spec.ts`
+
+- [ ] **Step 1: 创建 mall-flow.spec.ts**
+
+```typescript
+// apps/miniprogram/e2e/flows/mall-flow.spec.ts
+import { describe, it, expect, beforeAll, afterAll } from 'vitest';
+import { AutomatorClient } from '../helpers/automator-client';
+import { MpAuthHelper } from '../helpers/auth.helper';
+import { MpApiClient } from '../helpers/api-client';
+import { MpNavigator } from '../helpers/navigation.helper';
+
+describe('积分商城浏览链路', () => {
+  let client: AutomatorClient;
+  let auth: MpAuthHelper;
+  let nav: MpNavigator;
+
+  beforeAll(async () => {
+    const api = new MpApiClient();
+    client = new AutomatorClient();
+    await client.connect();
+    auth = new MpAuthHelper(client, api);
+    nav = new MpNavigator(client);
+    await auth.loginAsTestPatient();
+  }, 30_000);
+
+  afterAll(async () => {
+    await client.disconnect();
+  });
+
+  it('商城首页加载', async () => {
+    await nav.goToMall();
+    const el = await client.waitForElement('.container', 5000);
+    expect(el).toBeDefined();
+  });
+
+  it('浏览商品分类', async () => {
+    // 尝试切换分类 tab
+    const tabs = await client.getElements('.tab-item, .category-item, .ant-tabs-tab');
+    if (tabs.length > 1) {
+      await tabs[1].tap();
+      await new Promise((r) => setTimeout(r, 1000));
+    }
+    const pageData = await client.getPageData();
+    expect(pageData).toBeDefined();
+  });
+});
+```
+
+- [ ] **Step 2: Commit**
+
+```bash
+git add apps/miniprogram/e2e/flows/mall-flow.spec.ts
+git commit -m "test(mp): 添加积分商城浏览 E2E 测试"
+```
+
+---
+
+## 验证清单
+
+实施完成后，按以下顺序验证：
+
+- [ ] **V1: Web 基础设施编译**
+  ```bash
+  cd apps/web && npx tsc --noEmit --skipLibCheck e2e/fixtures/test-data.ts e2e/fixtures/api-client.ts
+  ```
+
+- [ ] **V2: Web Playwright 配置生效**
+  ```bash
+  cd apps/web && pnpm test:e2e -- --list 2>&1 | head -20
+  ```
+  预期：列出 smoke/ + flows/ 下的所有测试
+
+- [ ] **V3: Web smoke tests 通过**（需后端运行）
+  ```bash
+  cd apps/web && pnpm test:e2e -- e2e/smoke/
+  ```
+
+- [ ] **V4: Web 单条 flow 通过**（需后端运行）
+  ```bash
+  cd apps/web && pnpm test:e2e -- e2e/flows/patient-journey.spec.ts
+  ```
+
+- [ ] **V5: Web 全量 E2E 通过**
+  ```bash
+  cd apps/web && pnpm test:e2e
+  ```
+
+- [ ] **V6: 小程序配置生效**
+  ```bash
+  cd apps/miniprogram && pnpm test:e2e -- --dry-run 2>&1 | head -10
+  ```
+
+- [ ] **V7: 小程序 E2E 通过**（需 WeChat DevTools + 构建产物）
+  ```bash
+  cd apps/miniprogram && pnpm test:e2e
+  ```
+
+- [ ] **V8: Git push**
+  ```bash
+  git push
+  ```