feat(health): Phase 4 跨模块集成与架构优化 — 通知/标签/待办/数据录入

后端: - erp-message: 添加 appointment.created/confirmed/cancelled 事件监听，自动发送站内通知 - erp-health: 新增 GET /health/patient-tags 标签列表端点 + list_tags service - wechat-templates: 添加 isTemplateConfigured 运行时校验前端: - 新增 Zustand useHealthStore 共享患者/医生名称缓存 - PatientTagManage: UUID 输入替换为 Checkbox 标签选择器 - VitalSignsTab: 添加体征数据录入 Modal (血压/心率/体重/血糖) - LabReportsTab: 添加化验报告创建 Modal - HealthRecordsTab: 添加健康记录创建 Modal - patients API: 添加 TagItem 类型 + listTags 方法小程序: - 首页待办事项接入预约和随访 API，替换硬编码 EmptyState
2026-04-25 20:10:50 +08:00
parent 5b520a168c
commit d2baacae7e
14 changed files with 667 additions and 222 deletions
--- a/apps/miniprogram/src/pages/index/index.scss
+++ b/apps/miniprogram/src/pages/index/index.scss
@@ -127,6 +127,43 @@
  margin: 0 24px;
 }

+.upcoming-list {
+  background: $card;
+  border-radius: $r;
+  overflow: hidden;
+}
+
+.upcoming-item {
+  display: flex;
+  align-items: center;
+  padding: 24px 28px;
+  border-bottom: 1px solid $bd;
+  &:last-child { border-bottom: none; }
+}
+
+.upcoming-item-main {
+  flex: 1;
+}
+
+.upcoming-item-title {
+  font-size: 28px;
+  color: $tx;
+  display: block;
+  margin-bottom: 6px;
+}
+
+.upcoming-item-sub {
+  font-size: 22px;
+  color: $tx3;
+  display: block;
+}
+
+.upcoming-item-arrow {
+  font-size: 36px;
+  color: $tx3;
+  padding-left: 12px;
+}
+
 .empty-hint {
  background: $card;
  border-radius: $r;
--- a/apps/miniprogram/src/pages/index/index.tsx
+++ b/apps/miniprogram/src/pages/index/index.tsx
@@ -1,22 +1,75 @@
 import { View, Text } from '@tarojs/components';
+import { useState } from 'react';
 import Taro, { useDidShow } from '@tarojs/taro';
 import { useAuthStore } from '../../stores/auth';
 import { useHealthStore } from '../../stores/health';
 import EmptyState from '../../components/EmptyState';
 import Loading from '../../components/Loading';
 import { trackPageView } from '@/services/analytics';
+import * as appointmentApi from '@/services/appointment';
+import * as followupApi from '@/services/followup';
 import './index.scss';

+interface UpcomingItem {
+  id: string;
+  title: string;
+  subtitle: string;
+  type: 'appointment' | 'followup';
+}
+
 export default function Index() {
  const { user, currentPatient, restore: restoreAuth } = useAuthStore();
  const { todaySummary, loading, refreshToday } = useHealthStore();
+  const [upcomingItems, setUpcomingItems] = useState<UpcomingItem[]>([]);
+  const [upcomingLoading, setUpcomingLoading] = useState(false);

  useDidShow(() => {
    restoreAuth();
    refreshToday();
+    loadUpcoming();
    trackPageView('home');
  });

+  const loadUpcoming = async () => {
+    const patientId = useAuthStore.getState().currentPatient?.id;
+    if (!patientId) return;
+    setUpcomingLoading(true);
+    try {
+      const items: UpcomingItem[] = [];
+      const [apptRes, taskRes] = await Promise.allSettled([
+        appointmentApi.listAppointments(patientId, 1),
+        followupApi.listTasks(patientId, 'pending'),
+      ]);
+      if (apptRes.status === 'fulfilled') {
+        for (const a of apptRes.value.data.slice(0, 3)) {
+          if (a.status === 'pending' || a.status === 'confirmed') {
+            items.push({
+              id: a.id,
+              title: `预约: ${a.appointment_date} ${a.start_time}`,
+              subtitle: `${a.doctor_name || '医护'} · ${a.status === 'pending' ? '待确认' : '已确认'}`,
+              type: 'appointment',
+            });
+          }
+        }
+      }
+      if (taskRes.status === 'fulfilled') {
+        for (const t of taskRes.value.data.slice(0, 2)) {
+          items.push({
+            id: t.id,
+            title: `随访: ${t.task_type}`,
+            subtitle: `${t.description?.slice(0, 30) || ''} · 截止 ${t.due_date}`,
+            type: 'followup',
+          });
+        }
+      }
+      setUpcomingItems(items);
+    } catch {
+      setUpcomingItems([]);
+    } finally {
+      setUpcomingLoading(false);
+    }
+  };
+
  const hour = new Date().getHours();
  const greeting = hour < 12 ? '早上好' : hour < 18 ? '下午好' : '晚上好';
  const displayName = user?.display_name || currentPatient?.name || '访客';
@@ -97,7 +150,33 @@ export default function Index() {

      <View className='upcoming'>
        <Text className='section-title'>待办事项</Text>
-        <EmptyState icon='📋' text='暂无待办事项' hint='预约挂号后将在此显示' />
+        {upcomingLoading ? (
+          <Loading />
+        ) : upcomingItems.length === 0 ? (
+          <EmptyState icon='📋' text='暂无待办事项' hint='预约挂号后将在此显示' />
+        ) : (
+          <View className='upcoming-list'>
+            {upcomingItems.map((item) => (
+              <View
+                key={item.id}
+                className='upcoming-item'
+                onClick={() => {
+                  if (item.type === 'appointment') {
+                    Taro.navigateTo({ url: `/pages/appointment/index` });
+                  } else {
+                    Taro.navigateTo({ url: `/pages/followup/detail/index?id=${item.id}` });
+                  }
+                }}
+              >
+                <View className='upcoming-item-main'>
+                  <Text className='upcoming-item-title'>{item.title}</Text>
+                  <Text className='upcoming-item-sub'>{item.subtitle}</Text>
+                </View>
+                <Text className='upcoming-item-arrow'>›</Text>
+              </View>
+            ))}
+          </View>
+        )}
      </View>
    </View>
  );
--- a/apps/miniprogram/src/services/wechat-templates.ts
+++ b/apps/miniprogram/src/services/wechat-templates.ts
@@ -1,5 +1,17 @@
+// 微信订阅消息模板 ID — 需在微信公众平台注册后填入
+// 注册路径：公众平台 → 功能 → 订阅消息 → 添加模板
+// TODO: 上线前必须配置
 export const TEMPLATE_IDS = {
  APPOINTMENT_REMINDER: '',
  FOLLOWUP_REMINDER: '',
  REPORT_NOTIFICATION: '',
-};
+} as const;
+
+/** 检查模板 ID 是否已配置，未配置时返回 false 并打印警告 */
+export function isTemplateConfigured(key: keyof typeof TEMPLATE_IDS): boolean {
+  if (!TEMPLATE_IDS[key]) {
+    console.warn(`[wechat-templates] 模板 ${key} 未配置，请在微信公众平台注册并填入 ID`);
+    return false;
+  }
+  return true;
+}
--- a/apps/web/src/api/health/patients.ts
+++ b/apps/web/src/api/health/patients.ts
@@ -76,6 +76,13 @@ export interface CreateFamilyMemberReq {
  notes?: string;
 }

+export interface TagItem {
+  id: string;
+  name: string;
+  color: string | null;
+  description: string | null;
+}
+
 // --- API ---
 export const patientApi = {
  list: async (params: {
@@ -180,4 +187,12 @@ export const patientApi = {
  removeDoctor: async (id: string, doctorId: string) => {
    await client.delete(`/health/patients/${id}/doctors/${doctorId}`);
  },
+
+  listTags: async () => {
+    const { data } = await client.get<{
+      success: boolean;
+      data: TagItem[];
+    }>('/health/patient-tags');
+    return data.data;
+  },
 };
--- a/apps/web/src/pages/health/PatientTagManage.tsx
+++ b/apps/web/src/pages/health/PatientTagManage.tsx
@@ -4,14 +4,14 @@ import {
  Button,
  Space,
  Modal,
-  Input,
  Tag,
  Card,
+  Checkbox,
  message,
  Typography,
 } from 'antd';
 import { TagsOutlined, AppstoreOutlined } from '@ant-design/icons';
-import { patientApi } from '../../api/health/patients';
+import { patientApi, type TagItem } from '../../api/health/patients';
 import type { PatientListItem } from '../../api/health/patients';
 import { useThemeMode } from '../../hooks/useThemeMode';

@@ -22,7 +22,8 @@ export default function PatientTagManage() {
  const [loading, setLoading] = useState(false);
  const [tagModalOpen, setTagModalOpen] = useState(false);
  const [selectedPatient, setSelectedPatient] = useState<PatientListItem | null>(null);
-  const [tagInput, setTagInput] = useState('');
+  const [selectedTagIds, setSelectedTagIds] = useState<string[]>([]);
+  const [allTags, setAllTags] = useState<TagItem[]>([]);
  const [saving, setSaving] = useState(false);
  const isDark = useThemeMode();

@@ -42,28 +43,34 @@ export default function PatientTagManage() {
    [page],
  );

+  const fetchTags = useCallback(async () => {
+    try {
+      const tags = await patientApi.listTags();
+      setAllTags(tags);
+    } catch {
+      // 标签列表加载失败不阻塞页面
+    }
+  }, []);
+
  useEffect(() => {
    fetchPatients();
-  }, [fetchPatients]);
+    fetchTags();
+  }, [fetchPatients, fetchTags]);

  const openTagModal = (record: PatientListItem) => {
    setSelectedPatient(record);
-    setTagInput('');
+    const existingTags = (record as PatientListItem & { tag_ids?: string[] }).tag_ids || [];
+    setSelectedTagIds(existingTags);
    setTagModalOpen(true);
  };

  const handleSaveTags = async () => {
    if (!selectedPatient) return;
-    const tagIds = tagInput
-      .split(',')
-      .map((s) => s.trim())
-      .filter(Boolean);
    setSaving(true);
    try {
-      await patientApi.manageTags(selectedPatient.id, tagIds);
+      await patientApi.manageTags(selectedPatient.id, selectedTagIds);
      message.success('标签更新成功');
      setTagModalOpen(false);
-      setTagInput('');
      fetchPatients();
    } catch {
      message.error('标签更新失败');
@@ -72,6 +79,12 @@ export default function PatientTagManage() {
    }
  };

+  const toggleTag = (tagId: string) => {
+    setSelectedTagIds((prev) =>
+      prev.includes(tagId) ? prev.filter((id) => id !== tagId) : [...prev, tagId],
+    );
+  };
+
  const columns = [
    {
      title: '患者姓名',
@@ -121,18 +134,22 @@ export default function PatientTagManage() {
        }
        return (
          <Space size={4} wrap>
-            {tagIds.map((t) => (
-              <Tag
-                key={t}
-                style={{
-                  background: isDark ? '#0f172a' : '#f0f9ff',
-                  border: `1px solid ${isDark ? '#1e3a5f' : '#bae6fd'}`,
-                  color: isDark ? '#7dd3fc' : '#0369a1',
-                }}
-              >
-                {t}
-              </Tag>
-            ))}
+            {tagIds.map((t) => {
+              const tagDef = allTags.find((at) => at.id === t);
+              return (
+                <Tag
+                  key={t}
+                  color={tagDef?.color || undefined}
+                  style={tagDef?.color ? undefined : {
+                    background: isDark ? '#0f172a' : '#f0f9ff',
+                    border: `1px solid ${isDark ? '#1e3a5f' : '#bae6fd'}`,
+                    color: isDark ? '#7dd3fc' : '#0369a1',
+                  }}
+                >
+                  {tagDef?.name || t.slice(0, 8)}
+                </Tag>
+              );
+            })}
          </Space>
        );
      },
@@ -175,7 +192,6 @@ export default function PatientTagManage() {

  return (
    <div>
-      {/* 说明卡片 */}
      <Card
        style={{
          marginBottom: 16,
@@ -185,25 +201,18 @@ export default function PatientTagManage() {
        }}
      >
        <div style={{ display: 'flex', alignItems: 'flex-start', gap: 12 }}>
-          <AppstoreOutlined
-            style={{ fontSize: 20, color: '#0ea5e9', marginTop: 2 }}
-          />
+          <AppstoreOutlined style={{ fontSize: 20, color: '#0ea5e9', marginTop: 2 }} />
          <div>
            <Typography.Text strong style={{ fontSize: 14 }}>
              标签管理说明
            </Typography.Text>
-            <Typography.Paragraph
-              type="secondary"
-              style={{ margin: '4px 0 0', fontSize: 13 }}
-            >
-              标签通过患者管理页面进行关联。您可以在下方列表中为每位患者管理标签，输入标签
-              ID（逗号分隔）进行批量设置。
+            <Typography.Paragraph type="secondary" style={{ margin: '4px 0 0', fontSize: 13 }}>
+              为患者分配分类标签，便于快速筛选和管理。勾选需要关联的标签后保存即可。
            </Typography.Paragraph>
          </div>
        </div>
      </Card>

-      {/* 页面标题 */}
      <div className="erp-page-header">
        <div>
          <h4>标签管理</h4>
@@ -211,7 +220,6 @@ export default function PatientTagManage() {
        </div>
      </div>

-      {/* 表格容器 */}
      <div
        style={{
          background: isDark ? '#111827' : '#FFFFFF',
@@ -239,29 +247,31 @@ export default function PatientTagManage() {
        />
      </div>

-      {/* 标签管理弹窗 */}
      <Modal
        title={`管理标签 - ${selectedPatient?.name || ''}`}
        open={tagModalOpen}
-        onCancel={() => {
-          setTagModalOpen(false);
-          setTagInput('');
-        }}
+        onCancel={() => setTagModalOpen(false)}
        onOk={handleSaveTags}
        confirmLoading={saving}
        okText="保存"
        width={440}
      >
        <div style={{ marginTop: 16 }}>
-          <Typography.Paragraph type="secondary" style={{ marginBottom: 12 }}>
-            请输入标签 ID，多个标签用英文逗号分隔。
-          </Typography.Paragraph>
-          <Input
-            placeholder="例如: tag-001, tag-002, tag-003"
-            value={tagInput}
-            onChange={(e) => setTagInput(e.target.value)}
-            onPressEnter={handleSaveTags}
-          />
+          {allTags.length === 0 ? (
+            <Typography.Text type="secondary">暂无可用标签</Typography.Text>
+          ) : (
+            <div style={{ display: 'flex', flexWrap: 'wrap', gap: 8 }}>
+              {allTags.map((tag) => (
+                <Checkbox
+                  key={tag.id}
+                  checked={selectedTagIds.includes(tag.id)}
+                  onChange={() => toggleTag(tag.id)}
+                >
+                  <Tag color={tag.color || undefined}>{tag.name}</Tag>
+                </Checkbox>
+              ))}
+            </div>
+          )}
        </div>
      </Modal>
    </div>
--- a/apps/web/src/pages/health/components/HealthRecordsTab.tsx
+++ b/apps/web/src/pages/health/components/HealthRecordsTab.tsx
@@ -1,6 +1,7 @@
-import { useCallback } from 'react';
-import { Table, Tag } from 'antd';
-import type { ColumnsType } from 'antd/es/table';
+import { useCallback, useState } from 'react';
+import { Table, Tag, Button, Modal, Form, Input, DatePicker, message } from 'antd';
+import { PlusOutlined } from '@ant-design/icons';
+import type { Dayjs } from 'dayjs';
 import { healthDataApi } from '../../../api/health/healthData';
 import type { HealthRecord } from '../../../api/health/healthData';
 import { usePaginatedData } from '../../../hooks/usePaginatedData';
@@ -9,69 +10,91 @@ interface Props {
  patientId: string;
 }

-const columns: ColumnsType<HealthRecord> = [
-  {
-    title: '记录类型',
-    dataIndex: 'record_type',
-    key: 'record_type',
-    width: 120,
-    render: (v: string) => <Tag>{v}</Tag>,
-  },
-  {
-    title: '记录日期',
-    dataIndex: 'record_date',
-    key: 'record_date',
-    width: 120,
-  },
-  {
-    title: '内容',
-    dataIndex: 'content',
-    key: 'content',
-    ellipsis: true,
-  },
-  {
-    title: '创建时间',
-    dataIndex: 'created_at',
-    key: 'created_at',
-    width: 170,
-    render: (v: string) => new Date(v).toLocaleString('zh-CN'),
-  },
+const columns = [
+  { title: '记录类型', dataIndex: 'record_type', key: 'record_type', width: 120, render: (v: string) => <Tag>{v}</Tag> },
+  { title: '记录日期', dataIndex: 'record_date', key: 'record_date', width: 120 },
+  { title: '内容', dataIndex: 'content', key: 'content', ellipsis: true },
+  { title: '创建时间', dataIndex: 'created_at', key: 'created_at', width: 170, render: (v: string) => new Date(v).toLocaleString('zh-CN') },
 ];

-/**
- * 健康档案标签页 — 分页表格
- */
 export function HealthRecordsTab({ patientId }: Props) {
+  const [modalOpen, setModalOpen] = useState(false);
+  const [form] = Form.useForm();
+  const [submitting, setSubmitting] = useState(false);
+
  const fetcher = useCallback(
    async (page: number, pageSize: number) => {
-      return healthDataApi.listHealthRecords(patientId, {
-        page,
-        page_size: pageSize,
-      });
+      return healthDataApi.listHealthRecords(patientId, { page, page_size: pageSize });
    },
    [patientId],
  );

-  const { data, total, page, loading, refresh } = usePaginatedData<HealthRecord>(
-    fetcher,
-    10,
-  );
+  const { data, total, page, loading, refresh } = usePaginatedData<HealthRecord>(fetcher, 10);
+
+  const handleCreate = async (values: {
+    record_type: string;
+    record_date: Dayjs;
+    content?: string;
+  }) => {
+    setSubmitting(true);
+    try {
+      await healthDataApi.createHealthRecord(patientId, {
+        record_type: values.record_type,
+        record_date: values.record_date.format('YYYY-MM-DD'),
+        content: values.content,
+      });
+      message.success('健康记录添加成功');
+      setModalOpen(false);
+      form.resetFields();
+      refresh();
+    } catch {
+      message.error('添加失败');
+    } finally {
+      setSubmitting(false);
+    }
+  };

  return (
-    <Table
-      columns={columns}
-      dataSource={data}
-      rowKey="id"
-      loading={loading}
-      size="small"
-      pagination={{
-        current: page,
-        total,
-        pageSize: 10,
-        onChange: (p) => refresh(p),
-        showTotal: (t) => `共 ${t} 条`,
-        style: { margin: 0 },
-      }}
-    />
+    <div>
+      <div style={{ marginBottom: 16, display: 'flex', justifyContent: 'flex-end' }}>
+        <Button icon={<PlusOutlined />} onClick={() => { form.resetFields(); setModalOpen(true); }}>
+          添加记录
+        </Button>
+      </div>
+      <Table
+        columns={columns}
+        dataSource={data}
+        rowKey="id"
+        loading={loading}
+        size="small"
+        pagination={{
+          current: page, total, pageSize: 10,
+          onChange: (p) => refresh(p),
+          showTotal: (t) => `共 ${t} 条`,
+          style: { margin: 0 },
+        }}
+      />
+      <Modal
+        title="添加健康记录"
+        open={modalOpen}
+        onCancel={() => setModalOpen(false)}
+        onOk={() => form.submit()}
+        confirmLoading={submitting}
+        destroyOnClose
+        width={520}
+      >
+        <Form form={form} layout="vertical" onFinish={handleCreate}>
+          <Form.Item name="record_type" label="记录类型" rules={[{ required: true, message: '请输入类型' }]}>
+            <Input placeholder="如：门诊记录、出院小结、体检报告" />
+          </Form.Item>
+          <Form.Item name="record_date" label="记录日期" rules={[{ required: true, message: '请选择日期' }]}>
+            <DatePicker style={{ width: '100%' }} />
+          </Form.Item>
+          <Form.Item name="content" label="内容">
+            <Input.TextArea rows={4} placeholder="健康记录详细内容" />
+          </Form.Item>
+        </Form>
+      </Modal>
+    </div>
  );
 }
--- a/apps/web/src/pages/health/components/LabReportsTab.tsx
+++ b/apps/web/src/pages/health/components/LabReportsTab.tsx
@@ -1,6 +1,7 @@
-import { useCallback } from 'react';
-import { Table, Tag } from 'antd';
-import type { ColumnsType } from 'antd/es/table';
+import { useCallback, useState } from 'react';
+import { Table, Tag, Button, Modal, Form, Input, DatePicker, message } from 'antd';
+import { PlusOutlined } from '@ant-design/icons';
+import type { Dayjs } from 'dayjs';
 import { healthDataApi } from '../../../api/health/healthData';
 import type { LabReport } from '../../../api/health/healthData';
 import { usePaginatedData } from '../../../hooks/usePaginatedData';
@@ -9,69 +10,91 @@ interface Props {
  patientId: string;
 }

-const columns: ColumnsType<LabReport> = [
-  {
-    title: '报告日期',
-    dataIndex: 'report_date',
-    key: 'report_date',
-    width: 120,
-  },
-  {
-    title: '报告类型',
-    dataIndex: 'report_type',
-    key: 'report_type',
-    width: 120,
-    render: (v: string) => <Tag>{v}</Tag>,
-  },
-  {
-    title: '医生解读',
-    dataIndex: 'doctor_interpretation',
-    key: 'doctor_interpretation',
-    ellipsis: true,
-  },
-  {
-    title: '创建时间',
-    dataIndex: 'created_at',
-    key: 'created_at',
-    width: 170,
-    render: (v: string) => new Date(v).toLocaleString('zh-CN'),
-  },
+const columns = [
+  { title: '报告日期', dataIndex: 'report_date', key: 'report_date', width: 120 },
+  { title: '报告类型', dataIndex: 'report_type', key: 'report_type', width: 120, render: (v: string) => <Tag>{v}</Tag> },
+  { title: '医生解读', dataIndex: 'doctor_interpretation', key: 'doctor_interpretation', ellipsis: true },
+  { title: '创建时间', dataIndex: 'created_at', key: 'created_at', width: 170, render: (v: string) => new Date(v).toLocaleString('zh-CN') },
 ];

-/**
- * 化验报告标签页 — 分页表格
- */
 export function LabReportsTab({ patientId }: Props) {
+  const [modalOpen, setModalOpen] = useState(false);
+  const [form] = Form.useForm();
+  const [submitting, setSubmitting] = useState(false);
+
  const fetcher = useCallback(
    async (page: number, pageSize: number) => {
-      return healthDataApi.listLabReports(patientId, {
-        page,
-        page_size: pageSize,
-      });
+      return healthDataApi.listLabReports(patientId, { page, page_size: pageSize });
    },
    [patientId],
  );

-  const { data, total, page, loading, refresh } = usePaginatedData<LabReport>(
-    fetcher,
-    10,
-  );
+  const { data, total, page, loading, refresh } = usePaginatedData<LabReport>(fetcher, 10);
+
+  const handleCreate = async (values: {
+    report_date: Dayjs;
+    report_type: string;
+    doctor_interpretation?: string;
+  }) => {
+    setSubmitting(true);
+    try {
+      await healthDataApi.createLabReport(patientId, {
+        report_date: values.report_date.format('YYYY-MM-DD'),
+        report_type: values.report_type,
+        doctor_interpretation: values.doctor_interpretation,
+      });
+      message.success('化验报告添加成功');
+      setModalOpen(false);
+      form.resetFields();
+      refresh();
+    } catch {
+      message.error('添加失败');
+    } finally {
+      setSubmitting(false);
+    }
+  };

  return (
-    <Table
-      columns={columns}
-      dataSource={data}
-      rowKey="id"
-      loading={loading}
-      size="small"
-      pagination={{
-        current: page,
-        total,
-        pageSize: 10,
-        onChange: (p) => refresh(p),
-        showTotal: (t) => `共 ${t} 条`,
-        style: { margin: 0 },
-      }}
-    />
+    <div>
+      <div style={{ marginBottom: 16, display: 'flex', justifyContent: 'flex-end' }}>
+        <Button icon={<PlusOutlined />} onClick={() => { form.resetFields(); setModalOpen(true); }}>
+          添加报告
+        </Button>
+      </div>
+      <Table
+        columns={columns}
+        dataSource={data}
+        rowKey="id"
+        loading={loading}
+        size="small"
+        pagination={{
+          current: page, total, pageSize: 10,
+          onChange: (p) => refresh(p),
+          showTotal: (t) => `共 ${t} 条`,
+          style: { margin: 0 },
+        }}
+      />
+      <Modal
+        title="添加化验报告"
+        open={modalOpen}
+        onCancel={() => setModalOpen(false)}
+        onOk={() => form.submit()}
+        confirmLoading={submitting}
+        destroyOnClose
+        width={520}
+      >
+        <Form form={form} layout="vertical" onFinish={handleCreate}>
+          <Form.Item name="report_date" label="报告日期" rules={[{ required: true, message: '请选择日期' }]}>
+            <DatePicker style={{ width: '100%' }} />
+          </Form.Item>
+          <Form.Item name="report_type" label="报告类型" rules={[{ required: true, message: '请选择类型' }]}>
+            <Input placeholder="如：血常规、生化全套" />
+          </Form.Item>
+          <Form.Item name="doctor_interpretation" label="医生解读">
+            <Input.TextArea rows={3} placeholder="检查结果解读备注" />
+          </Form.Item>
+        </Form>
+      </Modal>
+    </div>
  );
 }
--- a/apps/web/src/pages/health/components/VitalSignsTab.tsx
+++ b/apps/web/src/pages/health/components/VitalSignsTab.tsx
@@ -1,6 +1,7 @@
-import { useCallback } from 'react';
-import { Table } from 'antd';
-import type { ColumnsType } from 'antd/es/table';
+import { useCallback, useState } from 'react';
+import { Table, Button, Modal, Form, InputNumber, DatePicker, Input, message } from 'antd';
+import { PlusOutlined } from '@ant-design/icons';
+import type { Dayjs } from 'dayjs';
 import { healthDataApi } from '../../../api/health/healthData';
 import type { VitalSigns } from '../../../api/health/healthData';
 import { VitalSignsChart } from './VitalSignsChart';
@@ -10,71 +11,71 @@ interface Props {
  patientId: string;
 }

-const columns: ColumnsType<VitalSigns> = [
-  {
-    title: '记录日期',
-    dataIndex: 'record_date',
-    key: 'record_date',
-    width: 120,
-  },
-  {
-    title: '收缩压(晨)',
-    dataIndex: 'systolic_bp_morning',
-    key: 'systolic_bp_morning',
-    width: 110,
-    render: (v?: number) => (v != null ? `${v} mmHg` : '-'),
-  },
-  {
-    title: '舒张压(晨)',
-    dataIndex: 'diastolic_bp_morning',
-    key: 'diastolic_bp_morning',
-    width: 110,
-    render: (v?: number) => (v != null ? `${v} mmHg` : '-'),
-  },
-  {
-    title: '心率',
-    dataIndex: 'heart_rate',
-    key: 'heart_rate',
-    width: 80,
-    render: (v?: number) => (v != null ? `${v} bpm` : '-'),
-  },
-  {
-    title: '体重',
-    dataIndex: 'weight',
-    key: 'weight',
-    width: 80,
-    render: (v?: number) => (v != null ? `${v} kg` : '-'),
-  },
-  {
-    title: '血糖',
-    dataIndex: 'blood_sugar',
-    key: 'blood_sugar',
-    width: 80,
-    render: (v?: number) => (v != null ? `${v} mmol/L` : '-'),
-  },
+const columns = [
+  { title: '记录日期', dataIndex: 'record_date', key: 'record_date', width: 120 },
+  { title: '收缩压(晨)', dataIndex: 'systolic_bp_morning', key: 'systolic_bp_morning', width: 110, render: (v?: number) => (v != null ? `${v} mmHg` : '-') },
+  { title: '舒张压(晨)', dataIndex: 'diastolic_bp_morning', key: 'diastolic_bp_morning', width: 110, render: (v?: number) => (v != null ? `${v} mmHg` : '-') },
+  { title: '心率', dataIndex: 'heart_rate', key: 'heart_rate', width: 80, render: (v?: number) => (v != null ? `${v} bpm` : '-') },
+  { title: '体重', dataIndex: 'weight', key: 'weight', width: 80, render: (v?: number) => (v != null ? `${v} kg` : '-') },
+  { title: '血糖', dataIndex: 'blood_sugar', key: 'blood_sugar', width: 80, render: (v?: number) => (v != null ? `${v} mmol/L` : '-') },
 ];

-/**
- * 体征数据标签页 — 含趋势图 + 分页表格
- */
 export function VitalSignsTab({ patientId }: Props) {
+  const [modalOpen, setModalOpen] = useState(false);
+  const [form] = Form.useForm();
+  const [submitting, setSubmitting] = useState(false);
+
  const fetcher = useCallback(
    async (page: number, pageSize: number) => {
-      return healthDataApi.listVitalSigns(patientId, {
-        page,
-        page_size: pageSize,
-      });
+      return healthDataApi.listVitalSigns(patientId, { page, page_size: pageSize });
    },
    [patientId],
  );

-  const { data, total, page, loading, refresh } = usePaginatedData<VitalSigns>(
-    fetcher,
-    10,
-  );
+  const { data, total, page, loading, refresh } = usePaginatedData<VitalSigns>(fetcher, 10);
+
+  const handleCreate = async (values: {
+    record_date: Dayjs;
+    systolic_bp_morning?: number;
+    diastolic_bp_morning?: number;
+    heart_rate?: number;
+    weight?: number;
+    blood_sugar?: number;
+    water_intake_ml?: number;
+    urine_output_ml?: number;
+    notes?: string;
+  }) => {
+    setSubmitting(true);
+    try {
+      await healthDataApi.createVitalSigns(patientId, {
+        record_date: values.record_date.format('YYYY-MM-DD'),
+        systolic_bp_morning: values.systolic_bp_morning,
+        diastolic_bp_morning: values.diastolic_bp_morning,
+        heart_rate: values.heart_rate,
+        weight: values.weight,
+        blood_sugar: values.blood_sugar,
+        water_intake_ml: values.water_intake_ml,
+        urine_output_ml: values.urine_output_ml,
+        notes: values.notes,
+      });
+      message.success('体征数据录入成功');
+      setModalOpen(false);
+      form.resetFields();
+      refresh();
+    } catch {
+      message.error('录入失败');
+    } finally {
+      setSubmitting(false);
+    }
+  };

  return (
    <div>
+      <div style={{ marginBottom: 16, display: 'flex', justifyContent: 'flex-end' }}>
+        <Button icon={<PlusOutlined />} onClick={() => { form.resetFields(); setModalOpen(true); }}>
+          录入体征
+        </Button>
+      </div>
      <div style={{ marginBottom: 16 }}>
        <VitalSignsChart patientId={patientId} />
      </div>
@@ -85,14 +86,50 @@ export function VitalSignsTab({ patientId }: Props) {
        loading={loading}
        size="small"
        pagination={{
-          current: page,
-          total,
-          pageSize: 10,
+          current: page, total, pageSize: 10,
          onChange: (p) => refresh(p),
          showTotal: (t) => `共 ${t} 条`,
          style: { margin: 0 },
        }}
      />
+      <Modal
+        title="录入体征数据"
+        open={modalOpen}
+        onCancel={() => setModalOpen(false)}
+        onOk={() => form.submit()}
+        confirmLoading={submitting}
+        destroyOnClose
+        width={600}
+      >
+        <Form form={form} layout="vertical" onFinish={handleCreate}>
+          <Form.Item name="record_date" label="记录日期" rules={[{ required: true, message: '请选择日期' }]}>
+            <DatePicker style={{ width: '100%' }} />
+          </Form.Item>
+          <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: 16 }}>
+            <Form.Item name="systolic_bp_morning" label="收缩压(晨) mmHg">
+              <InputNumber min={50} max={300} style={{ width: '100%' }} />
+            </Form.Item>
+            <Form.Item name="diastolic_bp_morning" label="舒张压(晨) mmHg">
+              <InputNumber min={30} max={200} style={{ width: '100%' }} />
+            </Form.Item>
+            <Form.Item name="heart_rate" label="心率 bpm">
+              <InputNumber min={30} max={250} style={{ width: '100%' }} />
+            </Form.Item>
+            <Form.Item name="weight" label="体重 kg">
+              <InputNumber min={1} max={500} step={0.1} style={{ width: '100%' }} />
+            </Form.Item>
+            <Form.Item name="blood_sugar" label="血糖 mmol/L">
+              <InputNumber min={0} max={50} step={0.1} style={{ width: '100%' }} />
+            </Form.Item>
+            <Form.Item name="water_intake_ml" label="饮水量 ml">
+              <InputNumber min={0} max={10000} style={{ width: '100%' }} />
+            </Form.Item>
+          </div>
+          <Form.Item name="notes" label="备注">
+            <Input.TextArea rows={2} />
+          </Form.Item>
+        </Form>
+      </Modal>
    </div>
  );
 }
--- a/apps/web/src/stores/health.ts
+++ b/apps/web/src/stores/health.ts
@@ -0,0 +1,75 @@
+import { create } from 'zustand';
+import { patientApi } from '../api/health/patients';
+import { doctorApi } from '../api/health/doctors';
+
+interface HealthState {
+  patientNames: Record<string, string>;
+  doctorNames: Record<string, string>;
+  loadingIds: Set<string>;
+
+  resolvePatientName: (id: string) => Promise<string>;
+  resolveDoctorName: (id: string) => Promise<string>;
+  getPatientName: (id: string) => string;
+  getDoctorName: (id: string) => string;
+}
+
+export const useHealthStore = create<HealthState>((set, get) => ({
+  patientNames: {},
+  doctorNames: {},
+  loadingIds: new Set(),
+
+  resolvePatientName: async (id: string) => {
+    const { patientNames, loadingIds } = get();
+    if (patientNames[id]) return patientNames[id];
+    if (loadingIds.has(`p:${id}`)) return id.slice(0, 8);
+
+    const newLoading = new Set(loadingIds);
+    newLoading.add(`p:${id}`);
+    set({ loadingIds: newLoading });
+
+    try {
+      const detail = await patientApi.get(id);
+      const name = detail.name;
+      set((s) => ({
+        patientNames: { ...s.patientNames, [id]: name },
+        loadingIds: new Set([...s.loadingIds].filter((k) => k !== `p:${id}`)),
+      }));
+      return name;
+    } catch {
+      set((s) => ({
+        patientNames: { ...s.patientNames, [id]: id.slice(0, 8) },
+        loadingIds: new Set([...s.loadingIds].filter((k) => k !== `p:${id}`)),
+      }));
+      return id.slice(0, 8);
+    }
+  },
+
+  resolveDoctorName: async (id: string) => {
+    const { doctorNames, loadingIds } = get();
+    if (doctorNames[id]) return doctorNames[id];
+    if (loadingIds.has(`d:${id}`)) return id.slice(0, 8);
+
+    const newLoading = new Set(loadingIds);
+    newLoading.add(`d:${id}`);
+    set({ loadingIds: newLoading });
+
+    try {
+      const detail = await doctorApi.get(id);
+      const name = detail.name;
+      set((s) => ({
+        doctorNames: { ...s.doctorNames, [id]: name },
+        loadingIds: new Set([...s.loadingIds].filter((k) => k !== `d:${id}`)),
+      }));
+      return name;
+    } catch {
+      set((s) => ({
+        doctorNames: { ...s.doctorNames, [id]: id.slice(0, 8) },
+        loadingIds: new Set([...s.loadingIds].filter((k) => k !== `d:${id}`)),
+      }));
+      return id.slice(0, 8);
+    }
+  },
+
+  getPatientName: (id: string) => get().patientNames[id] || id.slice(0, 8),
+  getDoctorName: (id: string) => get().doctorNames[id] || id.slice(0, 8),
+}));