diff --git a/apps/miniprogram/src/pages/appointment/detail/index.tsx b/apps/miniprogram/src/pages/appointment/detail/index.tsx
index 1deb9f9..7487723 100644
--- a/apps/miniprogram/src/pages/appointment/detail/index.tsx
+++ b/apps/miniprogram/src/pages/appointment/detail/index.tsx
@@ -97,34 +97,53 @@ export default function AppointmentDetail() {
         <View className='header-placeholder' />
       </View>
 
+      {/* 状态卡片 */}
       <View className='status-card'>
-        <View className={`status-badge ${status.className}`}>
-          <Text className='status-badge-text'>{status.label}</Text>
+        <View className={`status-tag ${status.className}`}>
+          <Text className='status-tag-text'>{status.label}</Text>
         </View>
         <Text className='status-doctor'>{appointment.doctor_name}</Text>
-        <Text className='status-dept'>{appointment.department}</Text>
+        <Text className='status-dept'>{appointment.department || ''}</Text>
       </View>
 
+      {/* 预约信息 */}
       <View className='info-section'>
         <Text className='section-title'>预约信息</Text>
+
         <View className='info-item'>
-          <Text className='info-label'>就诊人</Text>
+          <View className='info-label-wrap'>
+            <Text className='info-icon-serif'>患</Text>
+            <Text className='info-label'>就诊人</Text>
+          </View>
           <Text className='info-value'>{appointment.patient_name}</Text>
         </View>
+
         <View className='info-item'>
-          <Text className='info-label'>就诊日期</Text>
-          <Text className='info-value'>{appointment.appointment_date}</Text>
+          <View className='info-label-wrap'>
+            <Text className='info-icon-serif'>日</Text>
+            <Text className='info-label'>就诊日期</Text>
+          </View>
+          <Text className='info-value info-date'>{appointment.appointment_date}</Text>
         </View>
+
         <View className='info-item'>
-          <Text className='info-label'>就诊时段</Text>
-          <Text className='info-value'>{appointment.start_time} - {appointment.end_time}</Text>
+          <View className='info-label-wrap'>
+            <Text className='info-icon-serif'>时</Text>
+            <Text className='info-label'>就诊时段</Text>
+          </View>
+          <Text className='info-value info-time'>{appointment.start_time} - {appointment.end_time}</Text>
         </View>
+
         <View className='info-item'>
-          <Text className='info-label'>预约单号</Text>
+          <View className='info-label-wrap'>
+            <Text className='info-icon-serif'>号</Text>
+            <Text className='info-label'>预约单号</Text>
+          </View>
           <Text className='info-value info-id'>{appointment.id}</Text>
         </View>
       </View>
 
+      {/* 温馨提示 */}
       {(appointment.status === 'pending' || appointment.status === 'confirmed') && (
         <View className='tips-card'>
           <Text className='tips-title'>温馨提示</Text>
@@ -132,6 +151,7 @@ export default function AppointmentDetail() {
         </View>
       )}
 
+      {/* 取消按钮 */}
       {canCancel && (
         <View className='bottom-bar'>
           <View
diff --git a/apps/miniprogram/src/pages/appointment/index.tsx b/apps/miniprogram/src/pages/appointment/index.tsx
index 3160076..ac9ea69 100644
--- a/apps/miniprogram/src/pages/appointment/index.tsx
+++ b/apps/miniprogram/src/pages/appointment/index.tsx
@@ -14,6 +14,16 @@ const STATUS_MAP: Record<string, { label: string; className: string }> = {
   completed: { label: '已完成', className: 'tag-completed' },
 };
 
+// 科室首字映射（用于衬线图标）
+const DEPT_INITIAL: Record<string, string> = {
+  '内科': '内',
+  '外科': '外',
+  '妇科': '妇',
+  '儿科': '儿',
+  '体检中心': '检',
+  '中医科': '中',
+};
+
 export default function AppointmentList() {
   const [appointments, setAppointments] = useState<Appointment[]>([]);
   const [page, setPage] = useState(1);
@@ -71,16 +81,21 @@ export default function AppointmentList() {
     return STATUS_MAP[status] || { label: status, className: 'tag-pending' };
   };
 
+  const getDeptInitial = (dept: string) => {
+    return DEPT_INITIAL[dept] || dept.charAt(0);
+  };
+
   return (
     <View className='appointment-page'>
       {/* 页面标题 */}
       <View className='page-header'>
         <Text className='page-title'>预约挂号</Text>
+        <Text className='page-subtitle'>Appointment</Text>
       </View>
 
       {/* 预约列表 */}
       {appointments.length === 0 && !loading ? (
-        <EmptyState icon='📋' text='暂无预约记录' hint='点击下方按钮新建预约' />
+        <EmptyState text='暂无预约记录' hint='点击下方按钮新建预约' />
       ) : (
         <View className='appointment-list'>
           {appointments.map((item) => {
@@ -92,22 +107,34 @@ export default function AppointmentList() {
                 onClick={() => goDetail(item.id)}
               >
                 <View className='card-top'>
-                  <View className='doctor-info'>
-                    <Text className='doctor-name'>{item.doctor_name}</Text>
-                    <Text className='department'>{item.department}</Text>
+                  <View className='doctor-section'>
+                    <View className='dept-initial'>
+                      <Text className='dept-initial-text'>{getDeptInitial(item.department || '')}</Text>
+                    </View>
+                    <View className='doctor-info'>
+                      <Text className='doctor-name'>{item.doctor_name}</Text>
+                      <View className='dept-tag'>
+                        <Text className='dept-tag-text'>{item.department || ''}</Text>
+                      </View>
+                    </View>
                   </View>
                   <View className={`status-tag ${tag.className}`}>
                     <Text className='status-tag-text'>{tag.label}</Text>
                   </View>
                 </View>
+                <View className='card-divider' />
                 <View className='card-bottom'>
                   <View className='info-row'>
-                    <Text className='info-icon'>📅</Text>
+                    <View className='info-icon-wrap'>
+                      <Text className='info-icon-serif'>日</Text>
+                    </View>
                     <Text className='info-text'>{item.appointment_date}</Text>
                   </View>
                   <View className='info-row'>
-                    <Text className='info-icon'>🕐</Text>
-                    <Text className='info-text'>{item.start_time} - {item.end_time}</Text>
+                    <View className='info-icon-wrap'>
+                      <Text className='info-icon-serif'>时</Text>
+                    </View>
+                    <Text className='info-text info-time'>{item.start_time} - {item.end_time}</Text>
                   </View>
                 </View>
               </View>
@@ -124,7 +151,7 @@ export default function AppointmentList() {
 
       {/* 底部悬浮按钮 */}
       <View className='fab-btn' onClick={goCreate}>
-        <Text className='fab-text'>+ 新建预约</Text>
+        <Text className='fab-text'>新建预约</Text>
       </View>
     </View>
   );
diff --git a/apps/miniprogram/src/pages/followup/detail/index.tsx b/apps/miniprogram/src/pages/followup/detail/index.tsx
index 61aea40..dbd885f 100644
--- a/apps/miniprogram/src/pages/followup/detail/index.tsx
+++ b/apps/miniprogram/src/pages/followup/detail/index.tsx
@@ -38,9 +38,9 @@ export default function FollowUpDetail() {
     }
     setSubmitting(true);
     try {
-      await submitRecord({
-        task_id: id,
-        content: { text: content.trim() },
+      await submitRecord(id, {
+        result: content.trim(),
+        patient_condition: content.trim(),
       });
       Taro.showToast({ title: '提交成功', icon: 'success' });
       trackEvent('followup_submit', { task_id: id });
diff --git a/apps/miniprogram/src/services/appointment.ts b/apps/miniprogram/src/services/appointment.ts
index 938379f..48104a6 100644
--- a/apps/miniprogram/src/services/appointment.ts
+++ b/apps/miniprogram/src/services/appointment.ts
@@ -4,7 +4,7 @@ export interface Appointment {
   id: string;
   patient_name: string;
   doctor_name: string;
-  department: string;
+  department?: string;
   appointment_date: string;
   start_time: string;
   end_time: string;
diff --git a/apps/miniprogram/src/services/article.ts b/apps/miniprogram/src/services/article.ts
index 018beed..1f1a168 100644
--- a/apps/miniprogram/src/services/article.ts
+++ b/apps/miniprogram/src/services/article.ts
@@ -13,6 +13,7 @@ export interface Article {
   published_at?: string;
   author?: string;
   view_count?: number;
+  status?: string;
 }
 
 export interface ArticleCategory {
diff --git a/apps/miniprogram/src/services/consultation.ts b/apps/miniprogram/src/services/consultation.ts
index be4d4ca..8e3b178 100644
--- a/apps/miniprogram/src/services/consultation.ts
+++ b/apps/miniprogram/src/services/consultation.ts
@@ -6,8 +6,8 @@ export interface ConsultationSession {
   doctor_id: string | null;
   consultation_type: string;
   status: string;
-  subject: string | null;
-  last_message: string | null;
+  subject?: string | null;
+  last_message?: string | null;
   last_message_at: string | null;
   unread_count_patient: number;
   created_at: string;
diff --git a/apps/miniprogram/src/services/followup.ts b/apps/miniprogram/src/services/followup.ts
index 5137053..7fab72d 100644
--- a/apps/miniprogram/src/services/followup.ts
+++ b/apps/miniprogram/src/services/followup.ts
@@ -11,15 +11,15 @@ export interface FollowUpTask {
   version: number;
 }
 
-export interface FollowUpContent {
-  text: string;
-  [key: string]: string;
-}
-
 export interface FollowUpRecord {
   id: string;
   task_id: string;
-  content: FollowUpContent;
+  executed_by?: string;
+  executed_date: string;
+  result?: string;
+  patient_condition?: string;
+  medical_advice?: string;
+  next_follow_up_date?: string;
   created_at: string;
 }
 
@@ -36,8 +36,16 @@ export async function getTaskDetail(id: string) {
   return api.get<FollowUpTask>(`/health/follow-up-tasks/${id}`);
 }
 
-export async function submitRecord(data: { task_id: string; content: FollowUpContent }) {
-  return api.post<FollowUpRecord>('/health/follow-up-records', data);
+export async function submitRecord(taskId: string, data: {
+  result?: string;
+  patient_condition?: string;
+  medical_advice?: string;
+  next_follow_up_date?: string;
+}) {
+  return api.post<FollowUpRecord>(`/health/follow-up-tasks/${taskId}/records`, {
+    ...data,
+    executed_date: new Date().toISOString().slice(0, 10),
+  });
 }
 
 export async function listRecords(taskId?: string) {