From 2fc385f99445ed109afcccc3cc616719c2ca4103 Mon Sep 17 00:00:00 2001
From: Jafeng <2998840497@qq.com>
Date: Tue, 27 Jan 2026 16:46:36 +0800
Subject: [PATCH] =?UTF-8?q?feat:=E6=8E=A5=E5=85=A5=E7=97=85=E5=8E=86?=
 =?UTF-8?q?=E6=8E=A5=E5=8F=A3?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .env.development                              |   2 +-
 .../archive-detail/health-profile-tab.vue     | 265 +++++++++--
 components/archive-detail/mock.js             | 410 ------------------
 .../archive-detail/service-info-tab.vue       |  54 +--
 components/archive-detail/templates.js        |  62 +++
 .../form-cell/form-diagnosis-picker.vue       | 103 +++++
 .../form-cell/form-positive-find.vue          | 168 +++++++
 .../form-template/form-cell/form-textarea.vue |  27 +-
 components/form-template/form-cell/index.vue  |  18 +-
 pages.json                                    |  12 +
 pages/case/archive-detail.vue                 |  13 +-
 pages/case/visit-record-detail.vue            | 317 ++++++++++----
 pages/case/visit-record-view.vue              | 128 +++++-
 pages/library/diagnosis-list.vue              | 185 ++++++++
 pages/others/edit-positive-find.vue           | 128 ++++++
 routes/index.js                               |   8 +
 utils/api.js                                  |  10 +-
 17 files changed, 1319 insertions(+), 591 deletions(-)
 delete mode 100644 components/archive-detail/mock.js
 create mode 100644 components/archive-detail/templates.js
 create mode 100644 components/form-template/form-cell/form-diagnosis-picker.vue
 create mode 100644 components/form-template/form-cell/form-positive-find.vue
 create mode 100644 pages/library/diagnosis-list.vue
 create mode 100644 pages/others/edit-positive-find.vue

diff --git a/.env.development b/.env.development
index 88cc875..477c818 100644
--- a/.env.development
+++ b/.env.development
@@ -1,4 +1,4 @@
-MP_API_BASE_URL=http://localhost:8080
+MP_API_BASE_URL=http://192.168.137.1:8080
 MP_CACHE_PREFIX=development
 MP_WX_APP_ID=wx93af55767423938e
 MP_CORP_ID=wwe3fb2faa52cf9dfb
diff --git a/components/archive-detail/health-profile-tab.vue b/components/archive-detail/health-profile-tab.vue
index 99e147d..0a65209 100644
--- a/components/archive-detail/health-profile-tab.vue
+++ b/components/archive-detail/health-profile-tab.vue
@@ -30,13 +30,9 @@
         </view>
 
         <view class="record-body">
-          <view class="line">
-            <text class="line-label">诊断：</text>
-            <text class="line-value">{{ getDiagnosis(r) }}</text>
-          </view>
-          <view v-if="r.templateType === 'inhospital' && r.surgeryName" class="line">
-            <text class="line-label">手术：</text>
-            <text class="line-value">{{ r.surgeryName }}</text>
+          <view v-for="(l, idx) in getDisplayLines(r)" :key="`${r._id}_${idx}`" class="line">
+            <text class="line-label">{{ l.label }}</text>
+            <text class="line-value">{{ l.value }}</text>
           </view>
 
           <view v-if="getFiles(r).length" class="thumbs">
@@ -47,8 +43,7 @@
           </view>
         </view>
         <view class="record-foot">
-          <view class="foot-left">创建时间：{{ r.createDateStr || '' }}</view>
-          <view class="foot-right">创建人：{{ r.creatorName || '—' }}</view>
+          <view class="foot-left">{{ getCreateFooter(r) }}</view>
         </view>
       </view>
       <view v-if="records.length === 0" class="empty">暂无数据</view>
@@ -61,8 +56,11 @@
 </template>
 
 <script setup>
-import { computed, onMounted, onUnmounted, ref } from 'vue';
-import { ensureSeed, getCurrentTeamId, getVisitRecordTemplates, queryVisitRecords } from './mock';
+import { computed, onMounted, onUnmounted, ref, watch } from 'vue';
+import dayjs from 'dayjs';
+import { VISIT_RECORD_TEMPLATES } from './templates';
+import api from '@/utils/api';
+import { loading, hideLoading } from '@/utils/widget';
 
 const props = defineProps({
   data: { type: Object, default: () => ({}) },
@@ -70,7 +68,7 @@ const props = defineProps({
   floatingBottom: { type: Number, default: 16 },
 });
 
-const templates = ref(getVisitRecordTemplates());
+const templates = ref(VISIT_RECORD_TEMPLATES.map(t => ({ name: t.templateName, templateType: t.templateType })));
 
 const typeRange = computed(() => [{ name: '全部', value: 'ALL' }, ...templates.value.map((t) => ({ name: t.name, value: t.templateType }))]);
 const currentType = ref({ name: '全部', value: 'ALL' });
@@ -85,6 +83,11 @@ const timeRangeOptions = [
 ];
 const currentTimeRange = ref(timeRangeOptions[0]);
 
+function getCurrentTeamId() {
+  const team = uni.getStorageSync('ykt_case_current_team') || {};
+  return team?.teamId ? String(team.teamId) : '';
+}
+
 const teamId = ref(getCurrentTeamId());
 const showShareTip = computed(() => {
   if (props.data && typeof props.data.shareAllTeams === 'boolean') return props.data.shareAllTeams;
@@ -100,15 +103,162 @@ const shareAllTeamsForQuery = computed(() => {
   return true;
 });
 
-function refreshList() {
+function getCorpId() {
+  const team = uni.getStorageSync('ykt_case_current_team') || {};
+  return team?.corpId ? String(team.corpId) : '';
+}
+
+const userNameMap = ref({});
+const loadedTeamId = ref('');
+function resolveUserName(userId) {
+  const id = String(userId || '');
+  if (!id) return '';
+  const map = userNameMap.value || {};
+  return String(map[id] || '') || id;
+}
+
+async function loadTeamMembers() {
+  const team = uni.getStorageSync('ykt_case_current_team') || {};
+  const teamId = team?.teamId ? String(team.teamId) : '';
+  const corpId = getCorpId();
+  if (!teamId || !corpId) return;
+  if (loadedTeamId.value === teamId && Object.keys(userNameMap.value || {}).length > 0) return;
+  loadedTeamId.value = teamId;
+
+  const res = await api('getTeamData', { corpId, teamId });
+  if (!res?.success) return;
+  const t = res?.data && typeof res.data === 'object' ? res.data : {};
+  const members = Array.isArray(t.memberList) ? t.memberList : [];
+  userNameMap.value = members.reduce((acc, m) => {
+    const uid = String(m?.userid || '');
+    if (!uid) return acc;
+    acc[uid] = String(m?.anotherName || m?.name || m?.userid || '') || uid;
+    return acc;
+  }, {});
+}
+
+function getSortTimeTitle(templateType) {
+  if (templateType === 'outpatient') return 'visitTime';
+  if (templateType === 'inhospital') return 'inhosDate';
+  if (templateType === 'preConsultation') return 'consultDate';
+  if (templateType === 'physicalExaminationTemplate') return 'inspectDate';
+  return '';
+}
+
+function normalizeText(v) {
+  if (Array.isArray(v)) return v.filter((i) => i !== null && i !== undefined && String(i).trim()).join('，');
+  if (v === 0) return '0';
+  return v ? String(v) : '';
+}
+
+function formatPositiveFind(v, { withOpinion = false } = {}) {
+  if (Array.isArray(v)) {
+    const list = v
+      .map((i) => (i && typeof i === 'object' ? { category: i.category, opinion: i.opinion } : null))
+      .filter((i) => i && (i.category || i.opinion));
+    if (!list.length) return '';
+    if (!withOpinion) return list.map((i) => String(i.category || '').trim()).filter(Boolean).join('：');
+    return list
+      .map((i) => {
+        const c = String(i.category || '').trim();
+        const o = String(i.opinion || '').trim();
+        if (c && o) return `${c}：${o}`;
+        return c || o;
+      })
+      .filter(Boolean)
+      .join('；');
+  }
+  return normalizeText(v);
+}
+
+function getTemplateName(type) {
+  const t = VISIT_RECORD_TEMPLATES.find((i) => i && i.templateType === type);
+  return t?.templateName ? String(t.templateName) : '';
+}
+
+function toDateStr(sortTime) {
+  if (!sortTime) return '';
+  const d = dayjs(sortTime);
+  return d.isValid() ? d.format('YYYY-MM-DD') : '';
+}
+
+function toDateTimeStr(ts) {
+  if (!ts) return '';
+  const d = dayjs(ts);
+  return d.isValid() ? d.format('YYYY-MM-DD HH:mm') : '';
+}
+
+async function refreshList() {
   if (!props.archiveId) return;
-  records.value = queryVisitRecords({
-    archiveId: props.archiveId,
-    medicalType: currentType.value.value,
-    timeRange: currentTimeRange.value.value,
-    teamId: teamId.value,
-    shareAllTeams: shareAllTeamsForQuery.value,
-  });
+  
+  const corpId = getCorpId();
+  if (!corpId) return;
+  loadTeamMembers();
+
+  loading('加载中...');
+  try {
+    const params = { memberId: props.archiveId, corpId };
+    
+    // 添加类型筛选
+    params.medicalType =
+      currentType.value.value === 'ALL' ? templates.value.map((i) => i.templateType) : currentType.value.value;
+    
+    // 添加时间筛选
+    if (currentTimeRange.value.value !== 'ALL') {
+      const now = Date.now();
+      if (currentTimeRange.value.value === 'today') {
+        const todayStart = new Date(new Date().setHours(0, 0, 0, 0)).getTime();
+        params.startTime = todayStart;
+        params.endTime = now;
+      } else if (currentTimeRange.value.value === '7d') {
+        params.startTime = now - 7 * 24 * 60 * 60 * 1000;
+        params.endTime = now;
+      } else if (currentTimeRange.value.value === '30d') {
+        params.startTime = now - 30 * 24 * 60 * 60 * 1000;
+        params.endTime = now;
+      }
+    }
+    
+    const res = await api('getCustomerMedicalRecord', params);
+    hideLoading();
+    
+    // 接口返回结构兼容：
+    // - { success, message, list: [] }
+    // - { success, message, data: { list: [] } }
+    const list = Array.isArray(res?.list)
+      ? res.list
+      : Array.isArray(res?.data?.list)
+        ? res.data.list
+        : Array.isArray(res?.data)
+          ? res.data
+          : [];
+    if (list.length) {
+      const mapped = list.map((r) => {
+        const t = String(r?.medicalType || r?.templateType || '') || '';
+        const timeTitle = getSortTimeTitle(t);
+        const dateStr = timeTitle ? normalizeText(r?.[timeTitle]) : '';
+        return {
+          ...r,
+          templateType: t,
+          dateStr: dateStr || toDateStr(r?.sortTime),
+          createDateStr: r?.createTime ? dayjs(r.createTime).format('YYYY-MM-DD') : '',
+          createTimeStr: toDateTimeStr(r?.createTime),
+          tempName: r?.tempName || getTemplateName(t) || '病历',
+        };
+      });
+
+      // 未互通时，仅展示本团队数据
+      records.value = !shareAllTeamsForQuery.value && teamId.value
+        ? mapped.filter((i) => String(i?.teamId || '') === String(teamId.value))
+        : mapped;
+    } else {
+      records.value = [];
+    }
+  } catch (error) {
+    hideLoading();
+    console.error('获取病历记录失败:', error);
+    records.value = [];
+  }
 }
 
 const tagClass = {
@@ -120,8 +270,53 @@ const tagClass = {
 
 function getDiagnosis(r) {
   if (!r) return '--';
-  if (r.templateType === 'preConsultation') return r.chiefComplaint || r.summary || '--';
-  return r.diagnosisName || r.summary || '--';
+  const t = r.templateType || r.medicalType;
+  if (t === 'preConsultation') return normalizeText(r.chiefComplaint) || normalizeText(r.summary) || '--';
+  if (t === 'physicalExaminationTemplate') return formatPositiveFind(r.positiveFind) || normalizeText(r.summary) || '--';
+  if (t === 'outpatient' || t === 'inhospital') return normalizeText(r.diagnosisName || r.diagnosis) || normalizeText(r.summary) || '--';
+  return normalizeText(r.diagnosisName || r.diagnosis || r.summary) || '--';
+}
+
+function firstLine(v) {
+  const s = normalizeText(v);
+  return s || '--';
+}
+
+function getDisplayLines(r) {
+  const t = r?.templateType || r?.medicalType;
+  if (t === 'outpatient') {
+    return [{ label: '门诊诊断：', value: firstLine(r.diagnosisName || r.diagnosis) }];
+  }
+  if (t === 'inhospital') {
+    const lines = [{ label: '入院诊断：', value: firstLine(r.diagnosisName || r.diagnosis) }];
+    const surgery = normalizeText(r.surgeryName);
+    if (surgery) lines.push({ label: '手术名称：', value: surgery });
+    return lines;
+  }
+  if (t === 'physicalExaminationTemplate') {
+    return [{ label: '体检小结：', value: firstLine(r.summary) }];
+  }
+  if (t === 'preConsultation') {
+    const lines = [
+      { label: '主诉：', value: firstLine(r.chiefComplaint) },
+      { label: '现病史：', value: firstLine(r.presentIllness) },
+    ];
+    const past = normalizeText(r.pastHistory);
+    if (past) lines.push({ label: '既往史：', value: past });
+    return lines;
+  }
+  return [{ label: '摘要：', value: firstLine(r.summary) }];
+}
+
+function getCreateFooter(r) {
+  const time = r?.createTimeStr || r?.createDateStr || '';
+  const byCustomer = r?.ignore === 'checkIn';
+  if (byCustomer) return time ? `${time}  患者自建` : '患者自建';
+
+  const creatorId = String(r?.creator || '');
+  if (!creatorId) return time ? `创建时间：${time}` : '';
+  const name = resolveUserName(creatorId);
+  return time ? `${time}  ${name}代建` : `${name}代建`;
 }
 
 function pickType(e) {
@@ -157,13 +352,14 @@ function add() {
 }
 
 function edit(record) {
+  const type = String(record?.medicalType || record?.templateType || '') || '';
   uni.navigateTo({
-    url: `/pages/case/visit-record-view?archiveId=${encodeURIComponent(props.archiveId)}&id=${encodeURIComponent(record._id)}`,
+    url: `/pages/case/visit-record-view?archiveId=${encodeURIComponent(props.archiveId)}&id=${encodeURIComponent(record._id)}&type=${encodeURIComponent(type)}`,
   });
 }
 
 onMounted(() => {
-  ensureSeed(props.archiveId, props.data);
+  // archiveId 可能后置赋值：这里保留一次兜底刷新，主逻辑交给 watch
   refreshList();
   uni.$on('archive-detail:visit-record-changed', refreshList);
 });
@@ -171,6 +367,16 @@ onMounted(() => {
 onUnmounted(() => {
   uni.$off('archive-detail:visit-record-changed', refreshList);
 });
+
+watch(
+  () => props.archiveId,
+  (v, old) => {
+    const next = v ? String(v) : '';
+    const prev = old ? String(old) : '';
+    if (next && next !== prev) refreshList();
+  },
+  { immediate: true }
+);
 </script>
 
 <style scoped>
@@ -265,9 +471,7 @@ onUnmounted(() => {
   min-width: 0;
   overflow: hidden;
   text-overflow: ellipsis;
-  display: -webkit-box;
-  -webkit-line-clamp: 2;
-  -webkit-box-orient: vertical;
+  white-space: nowrap;
 }
 
 .thumbs {
@@ -306,13 +510,6 @@ onUnmounted(() => {
   flex-shrink: 0;
   margin-right: 10px;
 }
-.foot-right {
-  flex: 1;
-  text-align: right;
-  overflow: hidden;
-  text-overflow: ellipsis;
-  white-space: nowrap;
-}
 
 .record-tag {
   font-size: 12px;
diff --git a/components/archive-detail/mock.js b/components/archive-detail/mock.js
deleted file mode 100644
index 1cb37eb..0000000
--- a/components/archive-detail/mock.js
+++ /dev/null
@@ -1,410 +0,0 @@
-import dayjs from 'dayjs';
-
-const DB_KEY = 'ykt_case_archive_detail_mockdb_v1';
-
-export const VISIT_RECORD_TEMPLATES = [
-  {
-    templateType: 'outpatient',
-    templateName: '门诊记录',
-    templateList: [
-      { title: 'visitTime', name: '就诊日期', type: 'date', operateType: 'formCell', required: true, format: 'YYYY-MM-DD' },
-      { title: 'corpName', name: '就诊机构', type: 'input', operateType: 'formCell', required: false, wordLimit: 30, inputType: 'text' },
-      { title: 'deptName', name: '科室', type: 'input', operateType: 'formCell', required: false, wordLimit: 30, inputType: 'text' },
-      { title: 'doctor', name: '医生', type: 'input', operateType: 'formCell', required: false, wordLimit: 30, inputType: 'text' },
-      { title: 'diagnosisName', name: '门诊诊断', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'treatmentPlan', name: '治疗方案', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 1000 },
-      { title: 'disposePlan', name: '处置计划', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 1000 },
-      { title: 'summary', name: '备注/摘要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'files', name: '文件上传', type: 'files', required: false },
-    ],
-  },
-  {
-    templateType: 'inhospital',
-    templateName: '住院记录',
-    templateList: [
-      { title: 'inhosDate', name: '入院日期', type: 'date', operateType: 'formCell', required: true, format: 'YYYY-MM-DD' },
-      { title: 'corpName', name: '住院机构', type: 'input', operateType: 'formCell', required: false, wordLimit: 30, inputType: 'text' },
-      { title: 'diagnosisName', name: '入院诊断', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'surgeryName', name: '手术名称', type: 'input', operateType: 'formCell', required: false, wordLimit: 50, inputType: 'text' },
-      { title: 'summary', name: '摘要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'files', name: '文件上传', type: 'files', required: false },
-    ],
-  },
-  {
-    templateType: 'preConsultation',
-    templateName: '预问诊记录',
-    templateList: [
-      { title: 'consultDate', name: '问诊日期', type: 'date', operateType: 'formCell', required: true, format: 'YYYY-MM-DD' },
-      { title: 'chiefComplaint', name: '主诉', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 300 },
-      { title: 'presentIllness', name: '现病史', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 800 },
-      { title: 'pastHistory', name: '既往史', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 800 },
-      { title: 'allergyHistory', name: '过敏史', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 300 },
-      { title: 'summary', name: '摘要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'files', name: '文件上传', type: 'files', required: false },
-    ],
-  },
-  {
-    templateType: 'physicalExaminationTemplate',
-    templateName: '体检记录',
-    templateList: [
-      { title: 'inspectDate', name: '体检日期', type: 'date', operateType: 'formCell', required: true, format: 'YYYY-MM-DD' },
-      { title: 'corpName', name: '体检机构', type: 'input', operateType: 'formCell', required: false, wordLimit: 30, inputType: 'text' },
-      { title: 'inspectPakageName', name: '体检套餐', type: 'input', operateType: 'formCell', required: false, wordLimit: 50, inputType: 'text' },
-      { title: 'positiveFind', name: '阳性发现', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 300 },
-      { title: 'summary', name: '摘要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200 },
-      { title: 'files', name: '文件上传', type: 'files', required: false },
-    ],
-  },
-];
-
-export function getVisitRecordTemplates() {
-  return VISIT_RECORD_TEMPLATES.map((i) => ({ templateType: i.templateType, name: i.templateName, templateList: i.templateList }));
-}
-
-export function getVisitRecordTemplate(templateType) {
-  return VISIT_RECORD_TEMPLATES.find((i) => i.templateType === templateType) || null;
-}
-
-function safeParse(json) {
-  try {
-    return JSON.parse(json);
-  } catch {
-    return null;
-  }
-}
-
-function getDb() {
-  const raw = uni.getStorageSync(DB_KEY);
-  const db = raw && typeof raw === 'string' ? safeParse(raw) : raw;
-  const next = db && typeof db === 'object' ? db : {};
-  next.visitRecordsByArchiveId = next.visitRecordsByArchiveId || {};
-  next.serviceRecordsByArchiveId = next.serviceRecordsByArchiveId || {};
-  next.followupsByArchiveId = next.followupsByArchiveId || {};
-  return next;
-}
-
-function setDb(db) {
-  uni.setStorageSync(DB_KEY, JSON.stringify(db));
-}
-
-function uid(prefix) {
-  return `${prefix}_${Date.now()}_${Math.random().toString(16).slice(2)}`;
-}
-
-export function ensureSeed(archiveId, archive) {
-  if (!archiveId) return;
-  const db = getDb();
-
-  if (!Array.isArray(db.visitRecordsByArchiveId[archiveId]) || db.visitRecordsByArchiveId[archiveId].length === 0) {
-    const now = Date.now();
-    db.visitRecordsByArchiveId[archiveId] = [
-      {
-        _id: uid('mr'),
-        medicalType: 'outpatient',
-        tempName: '门诊记录',
-        templateType: 'outpatient',
-        teamId: 'team_1',
-        sortTime: now - 1000 * 60 * 60 * 24 * 2,
-        visitTime: dayjs(now - 1000 * 60 * 60 * 24 * 2).format('YYYY-MM-DD'),
-        corpName: '某某医院',
-        deptName: '呼吸内科',
-        doctor: '李医生',
-        diagnosisName: '急性上呼吸道感染（mock）',
-        treatmentPlan: '建议：1）对症处理退热；2）多饮水休息；3）如出现呼吸困难及时就医。',
-        disposePlan: '建议：1）继续对症治疗；2）监测体温与血压；3）如3天无缓解或加重立即复诊。',
-        summary: '初诊：对症处理并随访。',
-        files: [{ url: '/static/tabbar/home.png', name: '示例图片1' }],
-        createTime: now - 1000 * 60 * 60 * 24 * 2,
-        creatorName: '李珊珊',
-      },
-      {
-        _id: uid('mr'),
-        medicalType: 'inhospital',
-        tempName: '住院记录',
-        templateType: 'inhospital',
-        teamId: 'team_2',
-        sortTime: now - 1000 * 60 * 60 * 24 * 15,
-        inhosDate: dayjs(now - 1000 * 60 * 60 * 24 * 15).format('YYYY-MM-DD'),
-        corpName: '某某医院',
-        diagnosisName: '术后复查（mock）',
-        surgeryName: '阑尾切除术',
-        summary: '复诊：术后复查，恢复良好。',
-        files: [],
-        createTime: now - 1000 * 60 * 60 * 24 * 15,
-        creatorName: '王护士',
-      },
-      {
-        _id: uid('mr'),
-        medicalType: 'preConsultation',
-        tempName: '预问诊记录',
-        templateType: 'preConsultation',
-        teamId: 'team_1',
-        sortTime: now - 1000 * 60 * 60 * 6,
-        consultDate: dayjs(now - 1000 * 60 * 60 * 6).format('YYYY-MM-DD'),
-        chiefComplaint: '咽痛、流涕 2 天（mock）',
-        presentIllness: '近2天受凉后出现咽痛、流涕，体温最高 38.2℃。',
-        pastHistory: '既往体健。',
-        allergyHistory: '无明确过敏史。',
-        summary: '建议对症处理，必要时线下就医。',
-        files: [],
-        createTime: now - 1000 * 60 * 60 * 6,
-        creatorName: '李珊珊',
-      },
-    ];
-  }
-
-  if (!Array.isArray(db.serviceRecordsByArchiveId[archiveId]) || db.serviceRecordsByArchiveId[archiveId].length === 0) {
-    const now = Date.now();
-    db.serviceRecordsByArchiveId[archiveId] = Array.from({ length: 18 }).map((_, idx) => {
-      const eventType =
-        idx % 5 === 0 ? 'questionnaire' : idx % 4 === 0 ? 'article' : idx % 3 === 0 ? 'sms' : 'phone';
-      const executionTime = now - 1000 * 60 * 60 * (idx * 6 + 3);
-      const executeTeamId = idx % 2 === 0 ? 'team_1' : 'team_2';
-      const executeTeamName = executeTeamId === 'team_1' ? '口腔一科（示例）' : '正畸团队（示例）';
-      return {
-        _id: uid('sr'),
-        eventType,
-        taskContent: `服务内容示例 #${idx + 1}：这里是任务描述，支持长文本展开收起。`,
-        result: idx % 7 === 0 ? '已联系患者，已确认到院时间。' : '',
-        executorName: idx % 2 === 0 ? '李医生' : '王护士',
-        executeTeamId,
-        executeTeamName,
-        executionTime,
-        pannedEventSendFile:
-          eventType === 'article'
-            ? { type: 'article', url: 'https://example.com/article/1' }
-            : eventType === 'questionnaire'
-              ? { type: 'questionnaire', surveryId: 'q_1' }
-              : null,
-        archiveName: archive?.name || '',
-      };
-    });
-  }
-
-  if (!Array.isArray(db.followupsByArchiveId[archiveId]) || db.followupsByArchiveId[archiveId].length === 0) {
-    const now = Date.now();
-    db.followupsByArchiveId[archiveId] = Array.from({ length: 22 }).map((_, idx) => {
-      const plannedExecutionTime = now + 1000 * 60 * 60 * 24 * ((idx % 9) - 2);
-      const createTime = now - 1000 * 60 * 60 * (idx * 5 + 2);
-      const statusPool = ['processing', 'notStart', 'treated', 'cancelled', 'expired'];
-      const status = statusPool[idx % statusPool.length];
-      const eventTypePool = ['followup', 'revisit', 'questionnaire', 'other'];
-      const eventType = eventTypePool[idx % eventTypePool.length];
-      const executeTeamId = idx % 2 === 0 ? 'team_1' : 'team_2';
-      const executeTeamName = executeTeamId === 'team_1' ? '口腔一科（示例）' : '正畸团队（示例）';
-      return {
-        _id: uid('td'),
-        plannedExecutionTime,
-        planDate: dayjs(plannedExecutionTime).format('YYYY-MM-DD'),
-        createTime,
-        createTimeStr: dayjs(createTime).format('YYYY-MM-DD HH:mm'),
-        executorName: idx % 2 === 0 ? '李医生' : '王护士',
-        executeTeamId,
-        executeTeamName,
-        creatorName: idx % 3 === 0 ? '系统' : '管理员A',
-        status,
-        eventType,
-        eventTypeLabel:
-          eventType === 'followup' ? '回访' : eventType === 'revisit' ? '复诊提醒' : eventType === 'questionnaire' ? '问卷' : '其他',
-        eventStatusLabel:
-          status === 'processing'
-            ? '待处理'
-            : status === 'notStart'
-              ? '未开始'
-              : status === 'treated'
-                ? '已完成'
-                : status === 'cancelled'
-                  ? '已取消'
-                  : '已过期',
-        taskContent: `回访任务示例 #${idx + 1}：电话回访/提醒到院等。`,
-        result: status === 'treated' ? '已完成回访，患者反馈良好。' : '',
-        archiveName: archive?.name || '',
-      };
-    });
-  }
-
-  setDb(db);
-}
-
-export function getCurrentTeamId() {
-  const v = uni.getStorageSync('ykt_mock_current_team_id');
-  return v ? String(v) : 'team_1';
-}
-
-function getSortTimeTitle(templateType) {
-  if (templateType === 'outpatient') return 'visitTime';
-  if (templateType === 'inhospital') return 'inhosDate';
-  if (templateType === 'preConsultation') return 'consultDate';
-  if (templateType === 'physicalExaminationTemplate') return 'inspectDate';
-  return '';
-}
-
-export function queryVisitRecords({ archiveId, medicalType = 'ALL', timeRange = 'ALL', teamId = '', shareAllTeams = false }) {
-  const db = getDb();
-  const list = Array.isArray(db.visitRecordsByArchiveId[archiveId]) ? db.visitRecordsByArchiveId[archiveId] : [];
-
-  const withDate = list.map((i) => {
-    const type = i.templateType || i.medicalType || '';
-    const timeTitle = getSortTimeTitle(type);
-    const rawDate = timeTitle ? i[timeTitle] : '';
-    const fallback = i.sortTime ? dayjs(i.sortTime).format('YYYY-MM-DD') : '';
-    const date = rawDate || fallback;
-    return {
-      ...i,
-      dateStr: date ? String(date) : '',
-      date: date ? String(date) : '',
-      createDateStr: i.createTime ? dayjs(i.createTime).format('YYYY-MM-DD') : '',
-    };
-  });
-
-  let filtered = [...withDate];
-  if (medicalType !== 'ALL') filtered = filtered.filter((i) => (i.medicalType || i.templateType) === medicalType);
-  if (!shareAllTeams && teamId) filtered = filtered.filter((i) => !i.teamId || i.teamId === teamId);
-
-  if (timeRange && timeRange !== 'ALL') {
-    const days = timeRange === 'today' ? 0 : timeRange === '7d' ? 7 : timeRange === '30d' ? 30 : null;
-    if (days !== null) {
-      const start = days === 0 ? dayjs().startOf('day') : dayjs().subtract(days, 'day').startOf('day');
-      const startMs = start.valueOf();
-      filtered = filtered.filter((i) => (i.sortTime || 0) >= startMs);
-    }
-  }
-
-  filtered.sort((a, b) => (b.sortTime || 0) - (a.sortTime || 0));
-  return filtered;
-}
-
-export function getVisitRecord({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.visitRecordsByArchiveId[archiveId]) ? db.visitRecordsByArchiveId[archiveId] : [];
-  return list.find((i) => i._id === id) || null;
-}
-
-export function upsertVisitRecord({ archiveId, record }) {
-  const db = getDb();
-  const list = Array.isArray(db.visitRecordsByArchiveId[archiveId]) ? db.visitRecordsByArchiveId[archiveId] : [];
-  const next = { ...record };
-  if (!next._id) next._id = uid('mr');
-  if (!next.sortTime) next.sortTime = Date.now();
-  if (!next.createTime) next.createTime = Date.now();
-
-  const idx = list.findIndex((i) => i._id === next._id);
-  if (idx >= 0) list[idx] = { ...list[idx], ...next };
-  else list.unshift(next);
-  db.visitRecordsByArchiveId[archiveId] = list;
-  setDb(db);
-  return next;
-}
-
-export function removeVisitRecord({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.visitRecordsByArchiveId[archiveId]) ? db.visitRecordsByArchiveId[archiveId] : [];
-  db.visitRecordsByArchiveId[archiveId] = list.filter((i) => i._id !== id);
-  setDb(db);
-}
-
-export function queryServiceRecords({ archiveId, page = 1, pageSize = 10, eventType = 'ALL', teamId = 'ALL', dateRange = [] }) {
-  const db = getDb();
-  const list = Array.isArray(db.serviceRecordsByArchiveId[archiveId]) ? db.serviceRecordsByArchiveId[archiveId] : [];
-
-  let filtered = [...list];
-  if (eventType !== 'ALL') filtered = filtered.filter((i) => i.eventType === eventType);
-  if (teamId !== 'ALL') filtered = filtered.filter((i) => i.executeTeamId === teamId);
-
-  if (Array.isArray(dateRange) && dateRange.length === 2 && dateRange[0] && dateRange[1]) {
-    filtered = filtered.filter((i) => {
-      const d = i.executionTime ? dayjs(i.executionTime).format('YYYY-MM-DD') : '';
-      return d >= dateRange[0] && d <= dateRange[1];
-    });
-  }
-
-  filtered.sort((a, b) => (b.executionTime || 0) - (a.executionTime || 0));
-  const total = filtered.length;
-  const pages = Math.ceil(total / pageSize) || 1;
-  const start = (page - 1) * pageSize;
-  const slice = filtered.slice(start, start + pageSize);
-  return { list: slice, total, pages };
-}
-
-export function getServiceRecord({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.serviceRecordsByArchiveId[archiveId]) ? db.serviceRecordsByArchiveId[archiveId] : [];
-  return list.find((i) => i._id === id) || null;
-}
-
-export function upsertServiceRecord({ archiveId, record }) {
-  const db = getDb();
-  const list = Array.isArray(db.serviceRecordsByArchiveId[archiveId]) ? db.serviceRecordsByArchiveId[archiveId] : [];
-  const next = { ...record };
-  if (!next._id) next._id = uid('sr');
-  if (!next.executionTime) next.executionTime = Date.now();
-
-  const idx = list.findIndex((i) => i._id === next._id);
-  if (idx >= 0) list[idx] = { ...list[idx], ...next };
-  else list.unshift(next);
-  db.serviceRecordsByArchiveId[archiveId] = list;
-  setDb(db);
-  return next;
-}
-
-export function removeServiceRecord({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.serviceRecordsByArchiveId[archiveId]) ? db.serviceRecordsByArchiveId[archiveId] : [];
-  db.serviceRecordsByArchiveId[archiveId] = list.filter((i) => i._id !== id);
-  setDb(db);
-}
-
-export function queryFollowups({ archiveId, page = 1, pageSize = 10, status = 'all', isMy = false, eventTypes = [], teamId = 'ALL', planRange = ['', ''] }) {
-  const db = getDb();
-  const list = Array.isArray(db.followupsByArchiveId[archiveId]) ? db.followupsByArchiveId[archiveId] : [];
-
-  let filtered = [...list];
-  if (status !== 'all') filtered = filtered.filter((i) => i.status === status);
-  if (isMy) filtered = filtered.filter((i) => i.executorName === '李医生');
-  if (Array.isArray(eventTypes) && eventTypes.length) filtered = filtered.filter((i) => eventTypes.includes(i.eventType));
-  if (teamId !== 'ALL') filtered = filtered.filter((i) => i.executeTeamId === teamId);
-  if (planRange && (planRange[0] || planRange[1])) {
-    if (planRange[0]) filtered = filtered.filter((i) => i.planDate >= planRange[0]);
-    if (planRange[1]) filtered = filtered.filter((i) => i.planDate <= planRange[1]);
-  }
-
-  filtered.sort((a, b) => (b.plannedExecutionTime || 0) - (a.plannedExecutionTime || 0));
-
-  const total = filtered.length;
-  const pages = Math.ceil(total / pageSize) || 1;
-  const start = (page - 1) * pageSize;
-  const slice = filtered.slice(start, start + pageSize);
-  return { list: slice, total, pages };
-}
-
-export function getFollowup({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.followupsByArchiveId[archiveId]) ? db.followupsByArchiveId[archiveId] : [];
-  return list.find((i) => i._id === id) || null;
-}
-
-export function upsertFollowup({ archiveId, followup }) {
-  const db = getDb();
-  const list = Array.isArray(db.followupsByArchiveId[archiveId]) ? db.followupsByArchiveId[archiveId] : [];
-  const next = { ...followup };
-  if (!next._id) next._id = uid('td');
-  if (!next.plannedExecutionTime) next.plannedExecutionTime = Date.now();
-  next.planDate = dayjs(next.plannedExecutionTime).format('YYYY-MM-DD');
-  if (!next.createTime) next.createTime = Date.now();
-  next.createTimeStr = dayjs(next.createTime).format('YYYY-MM-DD HH:mm');
-
-  const idx = list.findIndex((i) => i._id === next._id);
-  if (idx >= 0) list[idx] = { ...list[idx], ...next };
-  else list.unshift(next);
-
-  db.followupsByArchiveId[archiveId] = list;
-  setDb(db);
-  return next;
-}
-
-export function removeFollowup({ archiveId, id }) {
-  const db = getDb();
-  const list = Array.isArray(db.followupsByArchiveId[archiveId]) ? db.followupsByArchiveId[archiveId] : [];
-  db.followupsByArchiveId[archiveId] = list.filter((i) => i._id !== id);
-  setDb(db);
-}
diff --git a/components/archive-detail/service-info-tab.vue b/components/archive-detail/service-info-tab.vue
index 90f1eb5..f94b22d 100644
--- a/components/archive-detail/service-info-tab.vue
+++ b/components/archive-detail/service-info-tab.vue
@@ -2,14 +2,14 @@
   <!-- Mobile 来源: ykt-management-mobile/src/pages/customer/customer-detail/service-info/service-info.vue -->
   <view class="wrap">
     <view class="filters">
-      <picker mode="selector" :range="typeList" range-key="label" @change="pickType">
+      <picker class="filter-item" mode="selector" :range="typeList" range-key="label" @change="pickType">
         <view class="filter-pill">
           <view class="pill-text" :class="{ muted: currentType.value === 'ALL' }">{{ currentType.value === 'ALL' ? '服务类型' : currentType.label }}</view>
           <uni-icons type="arrowdown" size="12" color="#666" />
         </view>
       </picker>
 
-      <uni-datetime-picker v-model="dateRange" type="daterange" rangeSeparator="-" @change="changeDates">
+      <uni-datetime-picker class="filter-item wide-item" v-model="dateRange" type="daterange" rangeSeparator="-" @change="changeDates">
         <view class="filter-pill wide">
           <view class="pill-text" :class="{ muted: !dateRange.length }">
             {{ dateRange.length ? dateRange.join('~') : '服务时间' }}
@@ -21,7 +21,7 @@
         </view>
       </uni-datetime-picker>
 
-      <picker mode="selector" :range="teamList" range-key="label" @change="pickTeam">
+      <picker class="filter-item" mode="selector" :range="teamList" range-key="label" @change="pickTeam">
         <view class="filter-pill">
           <view class="pill-text">{{ currentTeam.label }}</view>
           <uni-icons type="arrowdown" size="12" color="#666" />
@@ -401,56 +401,56 @@ watch(
 }
 
 .filters {
-  padding: 6px 14px;
-  background: #f5f6f8;
-  border-bottom: 1px solid #f2f2f2;
+  padding: 10px 14px;
+  background: #fff;
+  border-bottom: 1px solid #f0f0f0;
   display: flex;
   align-items: center;
-  flex-wrap: nowrap;
+  gap: 12px;
 }
-.filters :deep(picker) {
-  display: block;
-  flex: 0 0 auto;
-  width: 100px;
-}
-.filters :deep(uni-datetime-picker) {
+.filter-item {
   display: block;
   flex: 1;
   min-width: 0;
-  margin: 0 12px;
 }
+.filter-item.wide-item {
+  flex: 1.4;
+}
+/* Removed old deep selectors */
 .filter-pill {
-  background: #fff;
-  border: 1px solid #e6e6e6;
-  border-radius: 8px;
-  padding: 8px 10px;
+  background: #f7f8fa;
+  border: 1px solid #e5e7eb;
+  border-radius: 6px;
+  padding: 10px 12px;
   display: flex;
   align-items: center;
-  justify-content: space-between;
-  min-width: 0;
+  gap: 8px;
   width: 100%;
-}
-.filter-pill.wide {
   min-width: 0;
+  box-sizing: border-box; /* Ensure padding doesn't overflow width */
 }
 .pill-text {
   font-size: 13px;
   color: #333;
   flex: 1;
   min-width: 0;
-  margin-right: 8px;
   overflow: hidden;
   text-overflow: ellipsis;
   white-space: nowrap;
-}
-.filter-pill :deep(uni-icons) {
-  flex-shrink: 0;
+  font-weight: 500;
 }
 .pill-text.muted {
   color: #999;
+  font-weight: 400;
 }
 .pill-icon {
-  padding-left: 8px;
+  flex-shrink: 0;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+}
+.filter-pill :deep(uni-icons) {
+  flex-shrink: 0;
 }
 
 .timeline {
diff --git a/components/archive-detail/templates.js b/components/archive-detail/templates.js
new file mode 100644
index 0000000..8d54d6f
--- /dev/null
+++ b/components/archive-detail/templates.js
@@ -0,0 +1,62 @@
+export const VISIT_RECORD_TEMPLATES = [
+  {
+    templateType: 'outpatient',
+    templateName: '门诊记录',
+    service: { timeTitle: 'visitTime', timeName: '就诊日期' },
+    templateList: [
+      { title: 'visitTime', name: '就诊日期', type: 'date', operateType: 'formCell', required: false, format: 'YYYY-MM-DD', placeholder: '请选择就诊日期' },
+      { title: 'chiefComplaint', name: '主诉', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请输入或说话录音转录问题', rows: 1, autoHeight: true },
+      { title: 'medicalHistory', name: '病史概要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 500, placeholder: '请简述患者情况，量键既往病史、用药史等', rows: 3, autoHeight: true },
+      { title: 'examination', name: '检查', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 500, placeholder: '请填写关键项目或异常结果描述', rows: 1, autoHeight: true },
+      { title: 'diagnosis', name: '诊断', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请填写诊断名称', supportVoice: true, rows: 1, autoHeight: true },
+      { title: 'treatmentPlan', name: '治疗方案', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 1000, placeholder: '请简述治疗方案及效果', rows: 3, autoHeight: true },
+      { title: 'files', name: '文件上传', type: 'files', required: false, desc: '(支持≤5M文件，pdf文件格式)', maxSize: 5, accept: 'pdf' },
+    ],
+  },
+  {
+    templateType: 'inhospital',
+    templateName: '住院记录',
+    service: { timeTitle: 'inhosDate', timeName: '入院日期' },
+    templateList: [
+      { title: 'inhosDate', name: '入院日期', type: 'date', operateType: 'formCell', required: false, format: 'YYYY-MM-DD', placeholder: '请选择入院日期' },
+      { title: 'chiefComplaint', name: '主诉', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请输入病症与转诊问题', rows: 1, autoHeight: true },
+      { title: 'medicalHistory', name: '病史概要', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 500, placeholder: '请简述患者情况，量键既往病史、用药史等症状', rows: 3, autoHeight: true },
+      { title: 'examination', name: '检查', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 500, placeholder: '请填写关键项目或异常结果描述', rows: 1, autoHeight: true },
+      { title: 'diagnosis', name: '住院主诊断', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请填写诊断名称', rows: 1, autoHeight: true },
+      { title: 'surgeryDate', name: '手术日期', type: 'date', operateType: 'formCell', required: false, format: 'YYYY-MM-DD', placeholder: '请选择手术日期' },
+      { title: 'surgeryName', name: '手术名称', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 100, placeholder: '请填写手术名称', rows: 1, autoHeight: true },
+      { title: 'treatmentPlan', name: '治疗方案', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 1000, placeholder: '请简述治疗方案及效果', rows: 3, autoHeight: true },
+      { title: 'files', name: '文件上传', type: 'files', required: false, desc: '(支持≤5M文件，pdf文件格式)', maxSize: 5, accept: 'pdf' },
+    ],
+  },
+  {
+    templateType: 'preConsultation',
+    templateName: '预问诊记录',
+    service: { timeTitle: 'consultDate', timeName: '问诊日期' },
+    templateList: [
+      { title: 'chiefComplaint', name: '主诉', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请输入症状及转诊问题', rows: 1, autoHeight: true },
+      { title: 'presentIllness', name: '现病史', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 800, placeholder: '请述述发病的过程、发展、诊疗经过及当前病情', rows: 3, autoHeight: true },
+      { title: 'pastHistory', name: '既往史', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 800, placeholder: '请填写既往疾病、手术/外伤史、药物/食物过敏史', rows: 3, autoHeight: true },
+      { title: 'files', name: '文件上传', type: 'files', required: false, desc: '(支持≤5M文件，pdf文件格式)', maxSize: 5, accept: 'pdf' },
+    ],
+  },
+  {
+    templateType: 'physicalExaminationTemplate',
+    templateName: '体检记录',
+    service: { timeTitle: 'inspectDate', timeName: '体检日期' },
+    templateList: [
+      { title: 'inspectDate', name: '体检日期', type: 'date', operateType: 'formCell', required: false, format: 'YYYY-MM-DD', placeholder: '请选择体检日期' },
+      { title: 'summary', name: '体检小结', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 200, placeholder: '请填写本次体检的小结', rows: 3, autoHeight: true },
+      { title: 'positiveFind', name: '阳性发现及处理意见', type: 'textarea', operateType: 'formCell', required: false, wordLimit: 500, placeholder: '可参照医客通现有模式', rows: 3, refNote: '可参照医客通现有模式', autoHeight: true },
+      { title: 'files', name: '文件上传', type: 'files', required: false, desc: '(支持≤5M文件，pdf文件格式)', maxSize: 5, accept: 'pdf' },
+    ],
+  },
+];
+
+export function getVisitRecordTemplates() {
+  return VISIT_RECORD_TEMPLATES.map((i) => ({ templateType: i.templateType, name: i.templateName, templateList: i.templateList }));
+}
+
+export function getVisitRecordTemplate(templateType) {
+  return VISIT_RECORD_TEMPLATES.find((i) => i.templateType === templateType) || null;
+}
diff --git a/components/form-template/form-cell/form-diagnosis-picker.vue b/components/form-template/form-cell/form-diagnosis-picker.vue
new file mode 100644
index 0000000..b0ce73a
--- /dev/null
+++ b/components/form-template/form-cell/form-diagnosis-picker.vue
@@ -0,0 +1,103 @@
+<template>
+  <view class="row" @click="open">
+    <view class="left">
+      <text class="label">{{ name }}</text>
+      <text v-if="required" class="required">*</text>
+    </view>
+    <view class="right">
+      <view class="value" :class="{ muted: !displayText }">{{ displayText || placeholder }}</view>
+      <uni-icons type="arrowright" size="16" color="#999" />
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { computed, onUnmounted, ref } from 'vue';
+
+const emits = defineEmits(['change']);
+const props = defineProps({
+  form: { type: Object, default: () => ({}) },
+  name: { default: '' },
+  required: { type: Boolean, default: false },
+  title: { default: '' },
+  disableChange: { type: Boolean, default: false },
+  placeholder: { default: '' },
+  mult: { type: Boolean, default: false },
+});
+
+const placeholder = computed(() => (props.placeholder ? String(props.placeholder) : `请选择${props.name || ''}`));
+const rawValue = computed(() => props.form?.[props.title]);
+const displayText = computed(() => {
+  const v = rawValue.value;
+  if (Array.isArray(v)) return v.filter((i) => i !== null && i !== undefined && String(i).trim()).join('，');
+  return v ? String(v) : '';
+});
+
+const activeEventName = ref('');
+function clearListener() {
+  if (activeEventName.value) uni.$off(activeEventName.value);
+  activeEventName.value = '';
+}
+onUnmounted(clearListener);
+
+function open() {
+  if (props.disableChange) return;
+  clearListener();
+  activeEventName.value = `diagnosis-change_${Date.now()}`;
+  uni.$on(activeEventName.value, (data) => {
+    emits('change', { title: props.title, value: data });
+  });
+
+  if (props.mult) {
+    const cur = Array.isArray(rawValue.value) ? rawValue.value : [];
+    uni.setStorageSync('diagnosis-list-selection', cur);
+  }
+
+  uni.navigateTo({
+    url: `/pages/library/diagnosis-list?eventName=${encodeURIComponent(activeEventName.value)}&mult=${props.mult ? 'YES' : 'NO'}&value=${encodeURIComponent(displayText.value || '')}`,
+  });
+}
+</script>
+
+<style scoped>
+.row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 12px 14px;
+  border-bottom: 1px solid #eee;
+}
+.left {
+  display: flex;
+  align-items: center;
+  gap: 6px;
+}
+.label {
+  font-size: 14px;
+  color: #111827;
+  font-weight: 700;
+}
+.required {
+  color: #ff4d4f;
+  font-size: 14px;
+}
+.right {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+  min-width: 120px;
+  justify-content: flex-end;
+}
+.value {
+  font-size: 14px;
+  color: #111827;
+  max-width: 220px;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+.muted {
+  color: #9aa0a6;
+}
+</style>
+
diff --git a/components/form-template/form-cell/form-positive-find.vue b/components/form-template/form-cell/form-positive-find.vue
new file mode 100644
index 0000000..7576ef1
--- /dev/null
+++ b/components/form-template/form-cell/form-positive-find.vue
@@ -0,0 +1,168 @@
+<template>
+  <view class="wrap">
+    <view class="head" @click="add">
+      <view class="head-left">
+        <text class="label">{{ name }}</text>
+        <text v-if="required" class="required">*</text>
+      </view>
+      <uni-icons type="plusempty" size="20" color="#4f6ef7" />
+    </view>
+
+    <view v-if="value.length" class="list">
+      <uni-swipe-action>
+        <uni-swipe-action-item v-for="(i, idx) in value" :key="idx">
+          <view class="item">
+            <view class="item-title">{{ idx + 1 }}、{{ i.category || '' }}</view>
+            <view class="item-sub">{{ i.opinion || '' }}</view>
+          </view>
+          <template #right>
+            <view class="actions">
+              <view class="action edit" @click.stop="edit(i, idx)">编辑</view>
+              <view class="action del" @click.stop="remove(idx)">删除</view>
+            </view>
+          </template>
+        </uni-swipe-action-item>
+      </uni-swipe-action>
+    </view>
+
+    <view v-else class="empty">暂无内容，点击右侧 + 添加</view>
+  </view>
+</template>
+
+<script setup>
+import { computed, onUnmounted, ref } from 'vue';
+import { confirm, toast } from '@/utils/widget';
+
+const emits = defineEmits(['change']);
+const props = defineProps({
+  form: { type: Object, default: () => ({}) },
+  name: { default: '' },
+  required: { type: Boolean, default: false },
+  title: { default: '' },
+  disableChange: { type: Boolean, default: false },
+});
+
+const value = computed(() => {
+  const arr = props.form?.[props.title];
+  return Array.isArray(arr) ? arr.filter((i) => i && (i.category || i.opinion)) : [];
+});
+
+const activeEventName = ref('');
+function clearListener() {
+  if (activeEventName.value) uni.$off(activeEventName.value);
+  activeEventName.value = '';
+}
+onUnmounted(clearListener);
+
+function emitChange(next) {
+  emits('change', { title: props.title, value: next });
+}
+
+function add() {
+  if (props.disableChange) return;
+  uni.setStorageSync('current-positive-find', { category: '', opinion: '' });
+  clearListener();
+  activeEventName.value = `positive-find-change_${Date.now()}`;
+  uni.$on(activeEventName.value, (data) => {
+    const list = value.value.map((i) => ({ category: i.category, opinion: i.opinion }));
+    list.push({ category: String(data?.category || ''), opinion: String(data?.opinion || '') });
+    emitChange(list);
+  });
+  uni.navigateTo({
+    url: `/pages/others/edit-positive-find?eventName=${encodeURIComponent(activeEventName.value)}&title=${encodeURIComponent(props.name || '阳性发现')}`,
+  });
+}
+
+function edit(item, idx) {
+  if (props.disableChange) return;
+  uni.setStorageSync('current-positive-find', { category: item?.category || '', opinion: item?.opinion || '' });
+  clearListener();
+  activeEventName.value = `positive-find-change_${Date.now()}`;
+  uni.$on(activeEventName.value, (data) => {
+    const list = value.value.map((i) => ({ category: i.category, opinion: i.opinion }));
+    list[idx] = { category: String(data?.category || ''), opinion: String(data?.opinion || '') };
+    emitChange(list);
+  });
+  uni.navigateTo({
+    url: `/pages/others/edit-positive-find?eventName=${encodeURIComponent(activeEventName.value)}&title=${encodeURIComponent(props.name || '阳性发现')}`,
+  });
+}
+
+function remove(idx) {
+  if (props.disableChange) return;
+  confirm('确定删除吗？', () => {
+    const list = value.value.map((i) => ({ category: i.category, opinion: i.opinion }));
+    list.splice(idx, 1);
+    emitChange(list);
+    toast('已删除');
+  });
+}
+</script>
+
+<style scoped>
+.wrap {
+  padding: 12px 14px;
+  border-bottom: 1px solid #eee;
+}
+.head {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+}
+.head-left {
+  display: flex;
+  align-items: center;
+  gap: 6px;
+}
+.label {
+  font-size: 14px;
+  font-weight: 700;
+  color: #111827;
+}
+.required {
+  color: #ff4d4f;
+  font-size: 14px;
+}
+.list {
+  margin-top: 10px;
+}
+.item {
+  padding: 10px 0;
+}
+.item-title {
+  font-size: 14px;
+  color: #111827;
+  font-weight: 600;
+}
+.item-sub {
+  margin-top: 6px;
+  font-size: 13px;
+  color: #6b7280;
+  white-space: pre-wrap;
+}
+.actions {
+  display: flex;
+  height: 100%;
+  align-items: stretch;
+}
+.action {
+  width: 70px;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  font-size: 13px;
+  color: #fff;
+}
+.action.edit {
+  background: #4f6ef7;
+}
+.action.del {
+  background: #ff4d4f;
+}
+.empty {
+  margin-top: 10px;
+  font-size: 13px;
+  color: #9aa0a6;
+}
+</style>
+
diff --git a/components/form-template/form-cell/form-textarea.vue b/components/form-template/form-cell/form-textarea.vue
index 2aab1cd..2a6ab4b 100644
--- a/components/form-template/form-cell/form-textarea.vue
+++ b/components/form-template/form-cell/form-textarea.vue
@@ -4,8 +4,16 @@
 			{{ name }}<text v-if="required" class="form-cell--required"></text>
 		</view>
 		<view class="mt-10">
-			<textarea :disabled="disableChange" :value="value" class="form-textarea" :placeholder="placeholder"
-				placeholder-class="form__placeholder" :maxlength="wordLimit" @input="change($event)" />
+			<textarea 
+				:disabled="disableChange" 
+				:value="value" 
+				class="form-textarea" 
+				:style="textareaStyle"
+				:placeholder="placeholder"
+				placeholder-class="form__placeholder" 
+				:maxlength="wordLimit" 
+				:auto-height="autoHeight"
+				@input="change($event)" />
 			<view v-if="wordLimit > 0" class="form-textarea__count">
 				{{ value && value.length ? value.length : 0 }} / {{ wordLimit }}
 			</view>
@@ -38,6 +46,14 @@ const props = defineProps({
 	wordLimit: {
 		type: [Number, String],
 		default: 100
+	},
+	autoHeight: {
+		type: Boolean,
+		default: false
+	},
+	rows: {
+		type: [Number, String],
+		default: 3
 	}
 })
 
@@ -56,6 +72,13 @@ const wordLimit = computed(() => {
 	return 100
 })
 
+const textareaStyle = computed(() => {
+	const rowCount = typeof props.rows === 'number' ? props.rows : (Number(props.rows) || 3);
+	// 每行大约42rpx高度（28rpx字体 + 14rpx行距）
+	const minHeight = rowCount * 42;
+	return `min-height: ${minHeight}rpx;`;
+})
+
 function change(e) {
 	emits('change', {
 		title: props.title,
diff --git a/components/form-template/form-cell/index.vue b/components/form-template/form-cell/index.vue
index 7d2527c..da38666 100644
--- a/components/form-template/form-cell/index.vue
+++ b/components/form-template/form-cell/index.vue
@@ -1,6 +1,20 @@
 <template>
+  <form-positive-find
+    v-if="attrs.title === 'positiveFind'"
+    v-bind="attrs"
+    :form="form"
+    :disableChange="disableChange"
+    @change="change"
+  />
+  <form-diagnosis-picker
+    v-else-if="attrs.title === 'diagnosis' || attrs.title === 'diagnosisName'"
+    v-bind="attrs"
+    :form="form"
+    :disableChange="disableChange"
+    @change="change"
+  />
   <form-surgical-history
-    v-if="attrs.title === 'surgicalHistory'"
+    v-else-if="attrs.title === 'surgicalHistory'"
     v-bind="attrs"
     :form="form"
     :disableChange="disableChange"
@@ -54,6 +68,8 @@ import formRunTime from './form-run-time.vue';
 import formFiles from './form-files.vue';
 import formSelectImage from './form-select-image.vue';
 import formSurgicalHistory from './form-surgical-history.vue';
+import formPositiveFind from './form-positive-find.vue';
+import formDiagnosisPicker from './form-diagnosis-picker.vue';
 
 defineProps({
   form: {
diff --git a/pages.json b/pages.json
index 55f13f8..d96314c 100644
--- a/pages.json
+++ b/pages.json
@@ -140,6 +140,18 @@
 				"navigationBarTitleText": "执行回访计划"
 			}
 		},
+		{
+			"path": "pages/library/diagnosis-list",
+			"style": {
+				"navigationBarTitleText": "诊断"
+			}
+		},
+		{
+			"path": "pages/others/edit-positive-find",
+			"style": {
+				"navigationBarTitleText": "阳性发现"
+			}
+		},
 		{
 			"path": "pages/work/work",
 			"style": {
diff --git a/pages/case/archive-detail.vue b/pages/case/archive-detail.vue
index 5625446..8951780 100644
--- a/pages/case/archive-detail.vue
+++ b/pages/case/archive-detail.vue
@@ -95,7 +95,7 @@
         :key="t.key"
         class="tab"
         :class="{ active: currentTab === t.key }"
-        @click="currentTab = t.key"
+        @click="switchTab(t.key)"
       >
         {{ t.title }}
       </view>
@@ -224,7 +224,6 @@ import { storeToRefs } from 'pinia';
 import HealthProfileTab from '@/components/archive-detail/health-profile-tab.vue';
 import ServiceInfoTab from '@/components/archive-detail/service-info-tab.vue';
 import FollowUpManageTab from '@/components/archive-detail/follow-up-manage-tab.vue';
-import { ensureSeed } from '@/components/archive-detail/mock';
 import api from '@/utils/api';
 import useAccountStore from '@/store/account';
 import { hideLoading, loading, toast } from '@/utils/widget';
@@ -245,6 +244,12 @@ const archiveId = ref('');
 const tabsScrollTop = ref(0);
 const instanceProxy = getCurrentInstance()?.proxy;
 
+function switchTab(key) {
+  currentTab.value = key;
+  // 切换 tab 后，将页面滚动到顶部，确保 tab 吸顶可见
+  uni.pageScrollTo({ scrollTop: 0, duration: 0 });
+}
+
 const archive = ref({
   name: '',
   sex: '',
@@ -438,7 +443,6 @@ onLoad((options) => {
   if (!archiveId.value) {
     archiveId.value = String(archive.value.medicalRecordNo || archive.value.outpatientNo || archive.value.inpatientNo || `mock_${Date.now()}`);
   }
-  ensureSeed(archiveId.value, archive.value);
 
   // 接口兜底：优先用接口刷新档案详情
   fetchArchive();
@@ -502,7 +506,8 @@ const idRows = computed(() => {
 
 const createText = computed(() => {
   const time = archive.value.createTime ? String(archive.value.createTime) : '';
-  const creator = archive.value.creator ? String(archive.value.creator) : '';
+  const rawCreator = archive.value.creator ? String(archive.value.creator) : '';
+  const creator = ['-', '—', '--'].includes(rawCreator.trim()) ? '' : rawCreator.trim();
   if (time && creator) return `${time}  ${creator}创建`;
   if (time) return `${time} 创建`;
   return '';
diff --git a/pages/case/visit-record-detail.vue b/pages/case/visit-record-detail.vue
index 1f05e3b..529c736 100644
--- a/pages/case/visit-record-detail.vue
+++ b/pages/case/visit-record-detail.vue
@@ -13,7 +13,10 @@
 
         <!-- 附件上传（FormTemplate 不支持 files，单独实现） -->
         <view v-if="hasFilesField" class="upload-wrap">
-          <view class="upload-title">文件上传</view>
+          <view class="upload-row">
+            <view class="upload-label">文件上传</view>
+            <view class="upload-desc">（支持≤5M文件，pdf文件格式）</view>
+          </view>
           <view class="upload-grid">
             <view v-for="(f, idx) in fileList" :key="idx" class="upload-item" @click="previewFile(idx)">
               <image class="upload-thumb" :src="f.url" mode="aspectFill" />
@@ -44,12 +47,44 @@
 import { computed, reactive, ref } from 'vue';
 import { onLoad } from '@dcloudio/uni-app';
 import dayjs from 'dayjs';
+import { storeToRefs } from 'pinia';
 import FormTemplate from '@/components/form-template/index.vue';
-import { ensureSeed, getCurrentTeamId, getVisitRecord, getVisitRecordTemplate, removeVisitRecord, upsertVisitRecord } from '@/components/archive-detail/mock';
+import { getVisitRecordTemplate } from '@/components/archive-detail/templates';
+import api from '@/utils/api';
+import useAccountStore from '@/store/account';
+import { toast, confirm, loading as uniLoading, hideLoading } from '@/utils/widget';
 
-const archiveId = ref('');
+const accountStore = useAccountStore();
+const { account, doctorInfo } = storeToRefs(accountStore);
+const { getDoctorInfo } = accountStore;
+
+async function ensureDoctor() {
+  if (doctorInfo.value) return;
+  if (!account.value?.openid) return;
+  try {
+    await getDoctorInfo();
+  } catch {
+    // ignore
+  }
+}
+
+function getUserId() {
+  const d = doctorInfo.value || {};
+  const a = account.value || {};
+  return String(d.userid || d.userId || d.corpUserId || a.userid || a.userId || '') || '';
+}
+
+function getCorpId() {
+  const d = doctorInfo.value || {};
+  const a = account.value || {};
+  const t = uni.getStorageSync('ykt_case_current_team') || {};
+  return String(d.corpId || a.corpId || t.corpId || '') || '';
+}
+
+const memberId = ref('');
 const recordId = ref('');
 const templateType = ref('');
+const customerName = ref('');
 
 const template = computed(() => getVisitRecordTemplate(templateType.value));
 const detail = ref({});
@@ -84,27 +119,67 @@ function ensureFilesField() {
   form.files = [];
 }
 
-onLoad((options) => {
-  archiveId.value = options?.archiveId ? String(options.archiveId) : '';
-  recordId.value = options?.id ? String(options.id) : '';
-  templateType.value = options?.type ? String(options.type) : '';
-
-  ensureSeed(archiveId.value, { name: options?.name ? String(options.name) : '' });
+onLoad(async (options) => {
+  memberId.value = options?.memberId || options?.archiveId || '';
+  recordId.value = options?.id || '';
+  templateType.value = options?.type || '';
+  customerName.value = decodeURIComponent(options?.customerName || '');
 
   if (recordId.value) {
-    const record = getVisitRecord({ archiveId: archiveId.value, id: recordId.value });
-    if (record) {
-      templateType.value = record.templateType || record.medicalType || templateType.value;
-      detail.value = record;
-      ensureFilesField();
-      return;
+    await getDetail();
+  } else {
+    if (!templateType.value) templateType.value = 'outpatient';
+    ensureFilesField();
+    // 门诊记录默认今日日期
+    if (templateType.value === 'outpatient') {
+      form.visitTime = dayjs().format('YYYY-MM-DD');
+    }
+    // 住院记录默认今日日期
+    if (templateType.value === 'inhospital') {
+      form.inhosDate = dayjs().format('YYYY-MM-DD');
+    }
+    // 体检记录默认今日日期
+    if (templateType.value === 'physicalExaminationTemplate') {
+      form.inspectDate = dayjs().format('YYYY-MM-DD');
     }
   }
-
-  if (!templateType.value) templateType.value = 'outpatient';
-  ensureFilesField();
 });
 
+async function getDetail() {
+  if (!recordId.value || !memberId.value) return;
+  await ensureDoctor();
+  const corpId = getCorpId();
+  if (!corpId) return;
+  uniLoading('加载中...');
+  try {
+    const res = await api('getMedicalRecordById', {
+      _id: recordId.value,
+      corpId,
+      memberId: memberId.value,
+      medicalType: templateType.value,
+    });
+    hideLoading();
+    const record = res?.record || res?.data?.record || null;
+    if (res?.success && record) {
+      templateType.value = record.templateType || record.medicalType || templateType.value;
+
+      // 兼容模板字段：wxapp 使用 diagnosis，但接口通常返回 diagnosisName
+      if ((record.medicalType === 'outpatient' || record.medicalType === 'inhospital') && !record.diagnosis && record.diagnosisName) {
+        record.diagnosis = record.diagnosisName;
+      }
+
+      detail.value = record;
+      ensureFilesField();
+    } else {
+      toast(res.message || '加载失败');
+    }
+  } catch (error) {
+    hideLoading();
+    console.error('getDetail error:', error);
+    toast('加载失败');
+  }
+}
+
 function onChange({ title, value }) {
   form[title] = value;
   const item = showItems.value.find((i) => i.title === title);
@@ -118,67 +193,120 @@ function cancel() {
   uni.navigateBack();
 }
 
-function save() {
-  if (!archiveId.value) {
-    uni.showToast({ title: '缺少 archiveId', icon: 'none' });
+async function save() {
+  if (!memberId.value) {
+    toast('缺少患者信息');
     return;
   }
+  await ensureDoctor();
+  const corpId = getCorpId();
+  const userId = getUserId();
+  if (!corpId || !userId) return toast('缺少用户信息');
   if (formRef.value?.verify && !formRef.value.verify()) return;
 
-  // sortTime：尽量用模板中的日期字段
-  const timeTitle =
-    templateType.value === 'outpatient'
-      ? 'visitTime'
-      : templateType.value === 'inhospital'
-        ? 'inhosDate'
-        : templateType.value === 'preConsultation'
-          ? 'consultDate'
-        : templateType.value === 'physicalExaminationTemplate'
-          ? 'inspectDate'
-          : '';
-  const timeValue = timeTitle ? forms.value[timeTitle] : '';
-  const sortTime = timeValue && dayjs(timeValue).isValid() ? dayjs(timeValue).valueOf() : Date.now();
+  const params = {
+    ...form,
+    corpId,
+    memberId: memberId.value,
+    medicalType: templateType.value,
+  };
 
-  upsertVisitRecord({
-    archiveId: archiveId.value,
-    record: {
-      _id: recordId.value || '',
-      medicalType: templateType.value,
-      templateType: templateType.value,
-      tempName: template.value?.templateName || '健康档案',
-      sortTime,
-      teamId: detail.value?.teamId || getCurrentTeamId(),
-      ...form,
-      files: fileList.value,
-      createTime: detail.value?.createTime || Date.now(),
-      creatorName: detail.value?.creatorName || '我',
-    },
-  });
-  uni.$emit('archive-detail:visit-record-changed');
-  uni.showToast({ title: '保存成功', icon: 'success' });
-  setTimeout(() => uni.navigateBack(), 300);
+  // 门诊/住院：与 mobile 字段对齐（diagnosisName）
+  if ((templateType.value === 'outpatient' || templateType.value === 'inhospital') && form.diagnosis && !form.diagnosisName) {
+    params.diagnosisName = form.diagnosis;
+  }
+
+  if (recordId.value) {
+    params._id = recordId.value;
+    params.userId = userId;
+  } else {
+    params.creator = userId;
+  }
+
+  // sortTime：使用模板中的时间字段
+  const sortTimeKey = template.value?.service?.timeTitle || '';
+  if (sortTimeKey && form[sortTimeKey] && dayjs(form[sortTimeKey]).isValid()) {
+    params.sortTime = dayjs(form[sortTimeKey]).valueOf();
+  } else {
+    params.sortTime = Date.now();
+  }
+
+  uniLoading('保存中...');
+  try {
+    const res = await api(
+      recordId.value ? 'updateMedicalRecord' : 'addMedicalRecord',
+      params
+    );
+    hideLoading();
+    if (res.success) {
+      uni.$emit('archive-detail:visit-record-changed');
+      toast(res.message || '保存成功');
+      setTimeout(() => uni.navigateBack(), 300);
+    } else {
+      toast(res.message || '保存失败');
+    }
+  } catch (error) {
+    hideLoading();
+    console.error('save error:', error);
+    toast('保存失败');
+  }
 }
 
 function remove() {
-  uni.showModal({
-    title: '提示',
-    content: '确定删除当前记录？',
-    success: (res) => {
-      if (!res.confirm) return;
-      removeVisitRecord({ archiveId: archiveId.value, id: recordId.value });
-      uni.$emit('archive-detail:visit-record-changed');
-      uni.showToast({ title: '已删除', icon: 'success' });
-      setTimeout(() => uni.navigateBack(), 300);
-    },
+  confirm('确定删除当前记录？', async () => {
+    if (!memberId.value || !recordId.value) return toast('缺少必要信息');
+    await ensureDoctor();
+    const corpId = getCorpId();
+    if (!corpId) return toast('缺少必要信息');
+    uniLoading('删除中...');
+    try {
+      const res = await api('removeMedicalRecord', {
+        corpId,
+        memberId: memberId.value,
+        medicalType: templateType.value,
+        _id: recordId.value,
+      });
+      hideLoading();
+      if (res.success) {
+        uni.$emit('archive-detail:visit-record-changed');
+        toast(res.message || '已删除');
+        setTimeout(() => uni.navigateBack(), 300);
+      } else {
+        toast(res.message || '删除失败');
+      }
+    } catch (error) {
+      hideLoading();
+      console.error('remove error:', error);
+      toast('删除失败');
+    }
   });
 }
 
 function addFiles() {
-  uni.chooseImage({
+  const fileConfig = template.value?.templateList?.find(i => i.type === 'files');
+  const maxSize = fileConfig?.maxSize || 5; // MB
+  const accept = fileConfig?.accept || 'pdf';
+
+  uni.chooseMessageFile({
     count: 9,
+    type: 'file',
+    extension: [accept],
     success: (res) => {
-      const paths = Array.isArray(res.tempFilePaths) ? res.tempFilePaths : [];
-      const next = paths.map((p) => ({ url: p, name: '' }));
+      const files = Array.isArray(res.tempFiles) ? res.tempFiles : [];
+      const maxBytes = maxSize * 1024 * 1024;
+      
+      // 验证文件大小
+      const invalidFiles = files.filter(f => f.size > maxBytes);
+      if (invalidFiles.length > 0) {
+        toast(`文件大小不能超过${maxSize}M`);
+        return;
+      }
+
+      const next = files.map((f) => ({ 
+        url: f.path, 
+        name: f.name || '',
+        size: f.size 
+      }));
       const cur = Array.isArray(forms.value.files) ? forms.value.files : [];
       form.files = [...cur, ...next];
     },
@@ -228,57 +356,68 @@ function previewFile(idx) {
 
 .upload-wrap {
   background: #fff;
-  margin: 10px 14px 0;
-  border-radius: 8px;
-  padding: 14px;
-  box-shadow: 0 4px 12px rgba(0, 0, 0, 0.06);
+  padding: 24rpx 30rpx;
+  border-bottom: 1px solid #eee;
 }
-.upload-title {
-  font-size: 14px;
-  font-weight: 700;
+.upload-row {
+  display: flex;
+  align-items: baseline;
+  margin-bottom: 18rpx;
+}
+.upload-label {
+  font-size: 28rpx;
+  line-height: 42rpx;
   color: #111827;
-  margin-bottom: 10px;
+  flex-shrink: 0;
+}
+.upload-desc {
+  font-size: 24rpx;
+  color: #9ca3af;
+  margin-left: 8rpx;
 }
 .upload-grid {
   display: flex;
   flex-wrap: wrap;
-  gap: 10px;
+  gap: 18rpx;
 }
 .upload-item {
-  width: 90px;
-  height: 70px;
+  width: 180rpx;
+  height: 140rpx;
   position: relative;
-  border: 1px solid #d1d5db;
+  border: 1px solid #e5e7eb;
+  border-radius: 8rpx;
+  overflow: hidden;
   background: #f9fafb;
 }
 .upload-thumb {
-  width: 90px;
-  height: 70px;
+  width: 100%;
+  height: 100%;
 }
 .upload-remove {
   position: absolute;
   right: 0;
   top: 0;
-  width: 20px;
-  height: 20px;
-  line-height: 20px;
+  width: 36rpx;
+  height: 36rpx;
+  line-height: 36rpx;
   text-align: center;
   background: rgba(0, 0, 0, 0.55);
   color: #fff;
-  font-size: 14px;
+  font-size: 28rpx;
 }
 .upload-add {
-  width: 90px;
-  height: 70px;
-  border: 1px dashed #c7c7c7;
+  width: 180rpx;
+  height: 140rpx;
+  border: 1px dashed #d1d5db;
+  border-radius: 8rpx;
   display: flex;
   align-items: center;
   justify-content: center;
-  color: #666;
+  color: #9ca3af;
 }
 .plus {
-  font-size: 26px;
-  line-height: 26px;
+  font-size: 52rpx;
+  line-height: 52rpx;
 }
 .footer {
   position: fixed;
diff --git a/pages/case/visit-record-view.vue b/pages/case/visit-record-view.vue
index b1900f8..7c9deba 100644
--- a/pages/case/visit-record-view.vue
+++ b/pages/case/visit-record-view.vue
@@ -52,10 +52,13 @@
 import { computed, ref } from 'vue';
 import { onLoad } from '@dcloudio/uni-app';
 import dayjs from 'dayjs';
-import { getVisitRecord, removeVisitRecord } from '@/components/archive-detail/mock';
+import api from '@/utils/api';
+import { loading, hideLoading, toast } from '@/utils/widget';
+import { getVisitRecordTemplate } from '@/components/archive-detail/templates';
 
 const archiveId = ref('');
 const id = ref('');
+const medicalType = ref('');
 const record = ref({});
 
 const files = computed(() => {
@@ -65,7 +68,38 @@ const files = computed(() => {
 
 const templateType = computed(() => record.value?.templateType || record.value?.medicalType || '');
 
-const typeLabel = computed(() => record.value?.tempName || '病历');
+const typeLabel = computed(() => record.value?.tempName || getVisitRecordTemplate(templateType.value || medicalType.value)?.templateName || '病历');
+
+function normalizeText(v) {
+  if (Array.isArray(v)) return v.filter((i) => i !== null && i !== undefined && String(i).trim()).join('，');
+  if (v === 0) return '0';
+  return v ? String(v) : '';
+}
+
+function formatPositiveFind(v, { withOpinion = false } = {}) {
+  if (Array.isArray(v)) {
+    const list = v
+      .map((i) => (i && typeof i === 'object' ? { category: i.category, opinion: i.opinion } : null))
+      .filter((i) => i && (i.category || i.opinion));
+    if (!list.length) return '';
+    if (!withOpinion) return list.map((i) => String(i.category || '').trim()).filter(Boolean).join('：');
+    return list
+      .map((i) => {
+        const c = String(i.category || '').trim();
+        const o = String(i.opinion || '').trim();
+        if (c && o) return `${c}：${o}`;
+        return c || o;
+      })
+      .filter(Boolean)
+      .join('\n');
+  }
+  return normalizeText(v);
+}
+
+function getCorpId() {
+  const team = uni.getStorageSync('ykt_case_current_team') || {};
+  return team?.corpId ? String(team.corpId) : '';
+}
 
 const visitDate = computed(() => {
   const t = templateType.value;
@@ -78,9 +112,10 @@ const visitDate = computed(() => {
 
 const diagnosisText = computed(() => {
   const t = templateType.value;
-  if (t === 'preConsultation') return record.value?.chiefComplaint || record.value?.summary || '--';
-  if (t === 'physicalExaminationTemplate') return record.value?.positiveFind || record.value?.summary || '--';
-  return record.value?.diagnosisName || record.value?.summary || '--';
+  if (t === 'preConsultation') return normalizeText(record.value?.chiefComplaint) || normalizeText(record.value?.summary) || '--';
+  if (t === 'physicalExaminationTemplate') return formatPositiveFind(record.value?.positiveFind) || normalizeText(record.value?.summary) || '--';
+  if (t === 'outpatient' || t === 'inhospital') return normalizeText(record.value?.diagnosisName || record.value?.diagnosis) || normalizeText(record.value?.summary) || '--';
+  return normalizeText(record.value?.diagnosisName || record.value?.diagnosis || record.value?.summary) || '--';
 });
 
 const sections = computed(() => {
@@ -118,7 +153,7 @@ const sections = computed(() => {
   if (t === 'physicalExaminationTemplate') {
     const corp = push('体检机构', record.value?.corpName);
     const pkg = push('体检套餐', record.value?.inspectPakageName);
-    const positive = push('阳性发现', record.value?.positiveFind);
+    const positive = push('阳性发现及处理意见', formatPositiveFind(record.value?.positiveFind, { withOpinion: true }));
     const summary = push('摘要', record.value?.summary);
     [corp, pkg, positive, summary].forEach((i) => i && list.push(i));
     return list;
@@ -130,26 +165,61 @@ const sections = computed(() => {
 
 const topText = computed(() => {
   const time = record.value?.createTime ? dayjs(record.value.createTime).format('YYYY-MM-DD HH:mm') : '';
-  const name = record.value?.creatorName ? String(record.value.creatorName) : '';
-  return `${time || '--'}  ${name || '--'}创建`;
+  const rawName = record.value?.creatorName ? String(record.value.creatorName) : '';
+  const cleanName = ['-', '—', '--'].includes(rawName.trim()) ? '' : rawName.trim();
+  const byCustomer = record.value?.ignore === 'checkIn';
+  const suffix = byCustomer ? '患者自建' : cleanName ? `${cleanName}代建` : record.value?.creator ? '员工代建' : '';
+  return suffix ? `${time || '--'}  ${suffix}` : `${time || '--'}`;
 });
 
-onLoad((opt) => {
+onLoad(async (opt) => {
   archiveId.value = opt?.archiveId ? String(opt.archiveId) : '';
   id.value = opt?.id ? String(opt.id) : '';
-  if (!archiveId.value || !id.value) {
-    uni.showToast({ title: '参数缺失', icon: 'none' });
+  medicalType.value = opt?.type ? String(opt.type) : '';
+  if (!archiveId.value || !id.value || !medicalType.value) {
+    toast('参数缺失');
     setTimeout(() => uni.navigateBack(), 300);
     return;
   }
-  const r = getVisitRecord({ archiveId: archiveId.value, id: id.value });
-  if (!r) {
-    uni.showToast({ title: '记录不存在', icon: 'none' });
+  
+  // 使用真实 API 获取病历记录
+  loading('加载中...');
+  try {
+    const corpId = getCorpId();
+    if (!corpId) {
+      hideLoading();
+      toast('缺少 corpId');
+      setTimeout(() => uni.navigateBack(), 300);
+      return;
+    }
+
+    const res = await api('getMedicalRecordById', {
+      _id: id.value,
+      corpId,
+      memberId: archiveId.value,
+      medicalType: medicalType.value,
+    });
+    hideLoading();
+    const r = res?.record || res?.data?.record || null;
+    if (!res?.success || !r) {
+      toast('记录不存在');
+      setTimeout(() => uni.navigateBack(), 300);
+      return;
+    }
+
+    // 兼容模板字段：wxapp 使用 diagnosis，但接口通常返回 diagnosisName
+    if ((r.medicalType === 'outpatient' || r.medicalType === 'inhospital') && !r.diagnosis && r.diagnosisName) {
+      r.diagnosis = r.diagnosisName;
+    }
+
+    record.value = r;
+    uni.setNavigationBarTitle({ title: String(typeLabel.value || '病历详情') });
+  } catch (error) {
+    hideLoading();
+    console.error('获取病历记录失败:', error);
+    toast('加载失败');
     setTimeout(() => uni.navigateBack(), 300);
-    return;
   }
-  record.value = r;
-  uni.setNavigationBarTitle({ title: r?.tempName ? String(r.tempName) : '病历详情' });
 });
 
 function preview(idx) {
@@ -168,12 +238,26 @@ function remove() {
   uni.showModal({
     title: '提示',
     content: '确定删除当前记录？',
-    success: (res) => {
+    success: async (res) => {
       if (!res.confirm) return;
-      removeVisitRecord({ archiveId: archiveId.value, id: id.value });
-      uni.$emit('archive-detail:visit-record-changed');
-      uni.showToast({ title: '已删除', icon: 'success' });
-      setTimeout(() => uni.navigateBack(), 300);
+      
+      loading('删除中...');
+      try {
+        const corpId = getCorpId();
+        if (!corpId) {
+          hideLoading();
+          return toast('缺少 corpId');
+        }
+        await api('removeMedicalRecord', { corpId, memberId: archiveId.value, medicalType: medicalType.value, _id: id.value });
+        hideLoading();
+        uni.$emit('archive-detail:visit-record-changed');
+        toast('已删除');
+        setTimeout(() => uni.navigateBack(), 300);
+      } catch (error) {
+        hideLoading();
+        console.error('删除病历记录失败:', error);
+        toast('删除失败');
+      }
     },
   });
 }
diff --git a/pages/library/diagnosis-list.vue b/pages/library/diagnosis-list.vue
new file mode 100644
index 0000000..07bda93
--- /dev/null
+++ b/pages/library/diagnosis-list.vue
@@ -0,0 +1,185 @@
+<template>
+  <view class="page">
+    <view class="top">
+      <uni-easyinput v-model="keyword" prefixIcon="search" placeholder="请搜索诊断名称" @input="onInput" />
+    </view>
+
+    <scroll-view scroll-y class="scroll">
+      <view v-for="item in showList" :key="item.key" class="row" @click="toggle(item)">
+        <view class="label">{{ item.label }}</view>
+        <uni-icons :type="selectedMap[item.label] ? 'checkmarkempty' : ''" size="22" color="#007aff" />
+      </view>
+      <view v-if="showList.length === 0" class="empty">暂无诊断数据</view>
+      <view style="height: 120px;"></view>
+    </scroll-view>
+
+    <view class="footer">
+      <button class="btn primary" @click="save">确定</button>
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { computed, onUnmounted, ref } from 'vue';
+import { onLoad } from '@dcloudio/uni-app';
+import api from '@/utils/api';
+import { toast } from '@/utils/widget';
+
+const ready = ref(false);
+const keyword = ref('');
+const list = ref([]);
+const selections = ref([]);
+const mult = ref(false);
+const eventName = ref('change-diagnosis');
+
+const selectedMap = computed(() => selections.value.reduce((m, i) => ((m[i] = true), m), {}));
+
+function normalizeText(v) {
+  return v ? String(v) : '';
+}
+
+const fullMatched = computed(() => {
+  const value = String(keyword.value || '').trim();
+  if (!value) return null;
+  return { label: value, value, key: `full_${value}` };
+});
+
+const showList = computed(() => {
+  const base = Array.isArray(list.value) ? list.value : [];
+  const arr = [];
+  if (fullMatched.value) arr.push(fullMatched.value);
+  base.forEach((i) => {
+    if (!i || !i.label) return;
+    if (fullMatched.value && i.label === fullMatched.value.label) return;
+    arr.push(i);
+  });
+  return arr;
+});
+
+let timer = null;
+function onInput() {
+  if (timer) clearTimeout(timer);
+  timer = setTimeout(() => {
+    timer = null;
+    query();
+  }, 600);
+}
+
+onUnmounted(() => {
+  if (timer) clearTimeout(timer);
+});
+
+onLoad((opt) => {
+  eventName.value = opt?.eventName ? String(opt.eventName) : 'change-diagnosis';
+  mult.value = String(opt?.mult || '') === 'YES';
+
+  if (mult.value) {
+    const data = uni.getStorageSync('diagnosis-list-selection');
+    selections.value = Array.isArray(data) ? data : [];
+    uni.removeStorageSync('diagnosis-list-selection');
+  } else {
+    const v = opt?.value ? String(opt.value) : '';
+    selections.value = v ? [v] : [];
+  }
+
+  ready.value = true;
+  query();
+});
+
+async function query() {
+  if (!ready.value) return;
+  const value = String(keyword.value || '').trim();
+
+  uni.showLoading({ title: '加载中...' });
+  try {
+    const res = await api('getDisease', { diseaseName: value });
+    const arr = Array.isArray(res?.data?.data) ? res.data.data : [];
+    list.value = arr
+      .map((i) => {
+        const label = normalizeText(i?.diseaseName);
+        const code = normalizeText(i?.code);
+        if (!label) return null;
+        return { label, value: code || label, key: code || label };
+      })
+      .filter(Boolean);
+  } catch (e) {
+    list.value = [];
+  } finally {
+    uni.hideLoading();
+  }
+}
+
+function toggle(item) {
+  if (!item || !item.label) return;
+  const index = selections.value.findIndex((i) => i === item.label);
+  if (index >= 0) {
+    selections.value.splice(index, 1);
+    return;
+  }
+  if (mult.value) selections.value.push(item.label);
+  else selections.value = [item.label];
+}
+
+function save() {
+  if (selections.value.length === 0) return toast('请选择');
+  if (mult.value) uni.$emit(eventName.value, selections.value);
+  else uni.$emit(eventName.value, selections.value[0]);
+  uni.navigateBack();
+}
+</script>
+
+<style scoped>
+.page {
+  min-height: 100vh;
+  background: #fff;
+  padding-bottom: calc(76px + env(safe-area-inset-bottom));
+}
+.top {
+  padding: 12px 14px;
+  box-shadow: 0 4px 12px rgba(0, 0, 0, 0.06);
+}
+.scroll {
+  height: calc(100vh - 140px);
+}
+.row {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  padding: 14px 14px;
+  border-bottom: 1px solid #f2f2f2;
+}
+.label {
+  font-size: 14px;
+  color: #111827;
+  margin-right: 10px;
+}
+.empty {
+  padding: 60px 0;
+  text-align: center;
+  color: #9aa0a6;
+  font-size: 13px;
+}
+.footer {
+  position: fixed;
+  left: 0;
+  right: 0;
+  bottom: 0;
+  background: #fff;
+  padding: 12px 14px calc(12px + env(safe-area-inset-bottom));
+  box-shadow: 0 -4px 12px rgba(0, 0, 0, 0.06);
+}
+.btn {
+  width: 100%;
+  height: 44px;
+  line-height: 44px;
+  border-radius: 6px;
+  font-size: 15px;
+}
+.btn::after {
+  border: none;
+}
+.btn.primary {
+  background: #4f6ef7;
+  color: #fff;
+}
+</style>
diff --git a/pages/others/edit-positive-find.vue b/pages/others/edit-positive-find.vue
new file mode 100644
index 0000000..f5320a7
--- /dev/null
+++ b/pages/others/edit-positive-find.vue
@@ -0,0 +1,128 @@
+<template>
+  <view class="page">
+    <scroll-view scroll-y class="scroll">
+      <view class="section">
+        <view class="title">阳性发现</view>
+        <textarea
+          v-model="category"
+          class="textarea"
+          placeholder="请输入阳性发现"
+          placeholder-class="placeholder"
+          :maxlength="200"
+        />
+      </view>
+
+      <view class="section">
+        <view class="title">处理意见</view>
+        <textarea
+          v-model="opinion"
+          class="textarea"
+          placeholder="请输入处理意见"
+          placeholder-class="placeholder"
+          :maxlength="500"
+        />
+      </view>
+
+      <view style="height: 120px;"></view>
+    </scroll-view>
+
+    <view class="footer">
+      <button class="btn plain" @click="cancel">取消</button>
+      <button class="btn primary" @click="save">保存</button>
+    </view>
+  </view>
+</template>
+
+<script setup>
+import { onLoad } from '@dcloudio/uni-app';
+import { ref } from 'vue';
+import { toast } from '@/utils/widget';
+
+const category = ref('');
+const opinion = ref('');
+const eventName = ref('');
+
+onLoad((opt) => {
+  eventName.value = String(opt?.eventName || '');
+  if (opt?.title) uni.setNavigationBarTitle({ title: String(opt.title) });
+  const data = uni.getStorageSync('current-positive-find') || {};
+  category.value = typeof data?.category === 'string' ? data.category : '';
+  opinion.value = typeof data?.opinion === 'string' ? data.opinion : '';
+});
+
+function cancel() {
+  uni.navigateBack();
+}
+
+function save() {
+  if (!String(category.value || '').trim()) return toast('请输入阳性发现');
+  if (!String(opinion.value || '').trim()) return toast('请输入处理意见');
+  if (eventName.value) {
+    uni.$emit(eventName.value, { category: String(category.value).trim(), opinion: String(opinion.value).trim() });
+  }
+  uni.navigateBack();
+}
+</script>
+
+<style scoped>
+.page {
+  min-height: 100vh;
+  background: #fff;
+  padding-bottom: calc(76px + env(safe-area-inset-bottom));
+}
+.scroll {
+  height: 100vh;
+}
+.section {
+  padding: 16px 14px 0;
+}
+.title {
+  font-size: 15px;
+  font-weight: 700;
+  color: #111827;
+  margin-bottom: 10px;
+}
+.textarea {
+  width: 100%;
+  min-height: 120px;
+  border: 1px solid #e5e7eb;
+  border-radius: 8px;
+  padding: 10px;
+  box-sizing: border-box;
+  font-size: 14px;
+  color: #111827;
+}
+.placeholder {
+  color: #9aa0a6;
+}
+.footer {
+  position: fixed;
+  left: 0;
+  right: 0;
+  bottom: 0;
+  background: #fff;
+  padding: 12px 14px calc(12px + env(safe-area-inset-bottom));
+  display: flex;
+  gap: 12px;
+  box-shadow: 0 -4px 12px rgba(0, 0, 0, 0.06);
+}
+.btn {
+  flex: 1;
+  height: 44px;
+  line-height: 44px;
+  border-radius: 6px;
+  font-size: 15px;
+}
+.btn::after {
+  border: none;
+}
+.btn.plain {
+  background: #fff;
+  color: #4f6ef7;
+  border: 1px solid #4f6ef7;
+}
+.btn.primary {
+  background: #4f6ef7;
+  color: #fff;
+}
+</style>
diff --git a/routes/index.js b/routes/index.js
index c55a31f..94c80dd 100644
--- a/routes/index.js
+++ b/routes/index.js
@@ -93,6 +93,14 @@ export default [
     path: 'pages/case/plan-execute',
     meta: { title: '执行回访计划', login: false },
   },
+  {
+    path: 'pages/library/diagnosis-list',
+    meta: { title: '诊断', login: false },
+  },
+  {
+    path: 'pages/others/edit-positive-find',
+    meta: { title: '阳性发现', login: false },
+  },
   {
     path: 'pages/work/work',
     meta: { title: '工作台', login: false }
diff --git a/utils/api.js b/utils/api.js
index e6ea00b..171a88a 100644
--- a/utils/api.js
+++ b/utils/api.js
@@ -16,7 +16,9 @@ const urlsConfig = {
   },
 
   knowledgeBase: {
-    getArticleByIds: 'getArticleByIds'
+    getArticleByIds: 'getArticleByIds',
+    // 诊断库（对齐 ykt-management-mobile/src/api/knowledgeBase.js）
+    getDisease: 'getDisease',
   },
   member: {
     addCustomer: 'add',
@@ -36,6 +38,12 @@ const urlsConfig = {
     searchCorpCustomer: 'searchCorpCustomer',
     searchCorpCustomerWithFollowTime: 'searchCorpCustomerWithFollowTime',
     unbindMiniAppArchive: 'unbindMiniAppArchive',
+    // 健康档案相关接口（对齐 ykt-management-mobile/src/api/member.js）
+    addMedicalRecord: 'addMedicalRecord',
+    getMedicalRecordById: 'getMedicalRecordById',
+    updateMedicalRecord: 'updateMedicalRecord',
+    removeMedicalRecord: 'removeMedicalRecord',
+    getCustomerMedicalRecord: 'getCustomerMedicalRecord',
   },
   wecom: {
     addContactWay: 'addContactWay'