From 3ccdc954c26d539c0042b16544fc3dc9e0505ab5 Mon Sep 17 00:00:00 2001
From: wangdongbo <949818794@qq.com>
Date: Mon, 2 Feb 2026 13:27:48 +0800
Subject: [PATCH] no message

---
 pages/case/medical-case-form.vue              | 577 +++++++++---------
 .../components/ai-assistant-buttons.vue       |  13 +-
 .../components/medical-case-progress.vue      | 152 ++---
 .../components/medical-case-type-selector.vue |  44 +-
 pages/message/index.vue                       |   3 +-
 5 files changed, 394 insertions(+), 395 deletions(-)

diff --git a/pages/case/medical-case-form.vue b/pages/case/medical-case-form.vue
index c650169..532e89b 100644
--- a/pages/case/medical-case-form.vue
+++ b/pages/case/medical-case-form.vue
@@ -1,214 +1,48 @@
 <template>
   <view class="medical-case-form">
     <view class="form-container">
-      <!-- 门诊病历 -->
-      <template v-if="caseType === 'outpatient'">
-        <view class="form-item required">
-          <view class="item-label">就诊机构</view>
-          <input
-            class="item-input"
-            v-model="formData.hospital"
-            placeholder="暂无"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item required">
-          <view class="item-label">就诊日期</view>
-          <picker
-            mode="date"
-            :value="formData.visitTime"
-            @change="onDateChange('visitTime', $event)"
-            :disabled="!isEditing"
-          >
-            <view class="picker-value">
-              {{ formData.visitTime || '暂无' }}
-            </view>
-          </picker>
-        </view>
-        
-        <view class="form-item required">
-          <view class="item-label">门诊诊断</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.diagnosisName"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">治疗方案</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.treatmentPlan"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-      </template>
-      
-      <!-- 住院病历 -->
-      <template v-if="caseType === 'inpatient'">
-        <view class="form-item required">
-          <view class="item-label">就诊机构</view>
-          <input
-            class="item-input"
-            v-model="formData.hospital"
-            placeholder="暂无"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item required">
-          <view class="item-label">入院日期</view>
-          <picker
-            mode="date"
-            :value="formData.inhosDate"
-            @change="onDateChange('inhosDate', $event)"
-            :disabled="!isEditing"
-          >
-            <view class="picker-value">
-              {{ formData.inhosDate || '暂无' }}
-            </view>
-          </picker>
-        </view>
-        
-        <view class="form-item required">
-          <view class="item-label">住院主诊断</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.diagnosisName"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">手术名称</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.operation"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">手术日期</view>
-          <picker
-            mode="date"
-            :value="formData.operationDate"
-            @change="onDateChange('operationDate', $event)"
-            :disabled="!isEditing"
-          >
-            <view class="picker-value">
-              {{ formData.operationDate || '暂无' }}
-            </view>
-          </picker>
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">治疗方案</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.treatmentPlan"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-      </template>
-      
-      <!-- 体检记录 -->
-      <template v-if="caseType === 'physicalExam'">
-        <view class="form-item required">
-          <view class="item-label">就诊机构</view>
-          <input
-            class="item-input"
-            v-model="formData.hospital"
-            placeholder="暂无"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item required">
-          <view class="item-label">体检日期</view>
-          <picker
-            mode="date"
-            :value="formData.inspectTime"
-            @change="onDateChange('inspectTime', $event)"
-            :disabled="!isEditing"
-          >
-            <view class="picker-value">
-              {{ formData.inspectTime || '暂无' }}
-            </view>
-          </picker>
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">体检小结</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.inspectSummary"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">阳性发现及处理意见</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.positiveFind"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-      </template>
-      
-      <!-- 预问诊记录 -->
-      <template v-if="caseType === 'preConsultation'">
-        <view class="form-item">
-          <view class="item-label">主诉</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.chiefComplaint"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">现病史</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.presentIllnessHistory"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-        
-        <view class="form-item">
-          <view class="item-label">既往史</view>
-          <textarea
-            class="item-textarea"
-            v-model="formData.pastMedicalHistory"
-            placeholder="请输入"
-            :disabled="!isEditing"
-          />
-        </view>
-      </template>
-      
-      <view class="tips-box">
-        <text class="tips-text">
-          1、门诊、住院病历记录生成，生成后支持医生在线编辑，并保存至档案，或者重新生成；
-        </text>
-        <text class="tips-text">
-          2、若未来集到有效信息则以模板字段中默认项写无内容生成，医生可以直接在存字段上进行编辑。
-        </text>
+      <!-- 动态渲染表单字段 -->
+      <view
+        v-for="field in currentFields"
+        :key="field.key"
+        class="form-item"
+        :class="{ required: field.required }"
+      >
+        <view class="item-label">{{ field.label }}</view>
+
+        <!-- 日期选择器 -->
+        <picker
+          v-if="field.type === 'date'"
+          mode="date"
+          :value="formData[field.key]"
+          @change="onDateChange(field.key, $event)"
+          :disabled="!isEditing"
+        >
+          <view class="picker-value">
+            {{ formData[field.key] || "暂无" }}
+          </view>
+        </picker>
+
+        <!-- 多行文本 -->
+        <textarea
+          v-else-if="field.type === 'textarea'"
+          class="item-textarea"
+          v-model="formData[field.key]"
+          placeholder="请输入"
+          :disabled="!isEditing"
+        />
+
+        <!-- 单行文本 -->
+        <input
+          v-else
+          class="item-input"
+          v-model="formData[field.key]"
+          placeholder="暂无"
+          :disabled="!isEditing"
+        />
       </view>
     </view>
-    
+
     <view class="footer-buttons">
       <view class="btn-regenerate" @click="handleRegenerate">
         <text class="btn-text">重新生成</text>
@@ -221,42 +55,212 @@
 </template>
 
 <script setup>
-import { ref, onMounted } from 'vue';
-
-const caseType = ref('');
+import { ref, computed, onMounted } from "vue";
+import { storeToRefs } from "pinia";
+import useAccountStore from "@/store/account";
+import api from "@/utils/api.js";
+const caseType = ref("");
 const formData = ref({});
 const isEditing = ref(true);
-const customerId = ref('');
-const groupId = ref('');
+const customerId = ref("");
+const groupId = ref("");
+const accountStore = useAccountStore();
+const { doctorInfo } = storeToRefs(accountStore);
+// 病历类型名称
+const CASE_TYPE_NAMES = {
+  outpatient: "门诊病历",
+  inhospital: "住院病历",
+  physicalExaminationTemplate: "体检记录",
+  preConsultation: "预问诊记录",
+};
+
+// 字段标签
+const FIELD_LABELS = {
+  // 门诊病历
+  visitTime: "就诊日期",
+  chiefComplaint: "主诉",
+  medicalHistorySummary: "病史概要",
+  examination: "检查",
+  diagnosisName: "门诊诊断",
+  // 住院病历
+  inhosDate: "入院日期",
+  operation: "手术记录",
+  operationDate: "手术日期",
+  treatmentPlan: "治疗方案",
+  // 体检记录
+  inspectTime: "体检日期",
+  inspectSummary: "体检小结",
+  positiveFind: "阳性发现及处理意见",
+  // 预问诊记录
+  presentIllnessHistory: "现病史",
+  pastMedicalHistory: "既往史",
+};
+
+// 字段配置：根据病历类型定义字段
+const FIELD_CONFIG = {
+  outpatient: [
+    {
+      key: "visitTime",
+      label: FIELD_LABELS.visitTime,
+      type: "date",
+      required: false,
+    },
+    {
+      key: "diagnosisName",
+      label: FIELD_LABELS.diagnosisName,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "chiefComplaint",
+      label: FIELD_LABELS.chiefComplaint,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "medicalHistorySummary",
+      label: FIELD_LABELS.medicalHistorySummary,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "examination",
+      label: FIELD_LABELS.examination,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "treatmentPlan",
+      label: "治疗方案",
+      type: "textarea",
+      required: false,
+    },
+  ],
+  inhospital: [
+    {
+      key: "inhosDate",
+      label: FIELD_LABELS.inhosDate,
+      type: "date",
+      required: false,
+    },
+    {
+      key: "diagnosisName",
+      label: "住院主诊断",
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "operation",
+      label: FIELD_LABELS.operation,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "operationDate",
+      label: FIELD_LABELS.operationDate,
+      type: "date",
+      required: false,
+    },
+    {
+      key: "treatmentPlan",
+      label: FIELD_LABELS.treatmentPlan,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "chiefComplaint",
+      label: FIELD_LABELS.chiefComplaint,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "medicalHistorySummary",
+      label: FIELD_LABELS.medicalHistorySummary,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "examination",
+      label: FIELD_LABELS.examination,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "treatmentPlan",
+      label: "治疗方案",
+      type: "textarea",
+      required: false,
+    },
+  ],
+  physicalExaminationTemplate: [
+    {
+      key: "inspectTime",
+      label: FIELD_LABELS.inspectTime,
+      type: "date",
+      required: false,
+    },
+    {
+      key: "inspectSummary",
+      label: FIELD_LABELS.inspectSummary,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "positiveFind",
+      label: FIELD_LABELS.positiveFind,
+      type: "textarea",
+      required: false,
+    },
+  ],
+  preConsultation: [
+    {
+      key: "chiefComplaint",
+      label: FIELD_LABELS.chiefComplaint,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "presentIllnessHistory",
+      label: FIELD_LABELS.presentIllnessHistory,
+      type: "textarea",
+      required: false,
+    },
+    {
+      key: "pastMedicalHistory",
+      label: FIELD_LABELS.pastMedicalHistory,
+      type: "textarea",
+      required: false,
+    },
+  ],
+};
+
+// 当前病历类型的字段配置
+const currentFields = computed(() => {
+  return FIELD_CONFIG[caseType.value] || [];
+});
 
 onMounted(() => {
   const pages = getCurrentPages();
   const currentPage = pages[pages.length - 1];
   const options = currentPage.options;
-  
-  caseType.value = options.caseType || '';
-  customerId.value = options.customerId || '';
-  groupId.value = options.groupId || '';
-  
+
+  caseType.value = options.caseType || "";
+  customerId.value = options.patientId || "";
+  groupId.value = options.groupId || "";
   // 从 options 中解析表单数据
   if (options.formData) {
     try {
       formData.value = JSON.parse(decodeURIComponent(options.formData));
     } catch (e) {
-      console.error('解析表单数据失败:', e);
+      console.error("解析表单数据失败:", e);
     }
   }
-  
+
   // 设置页面标题
-  const titles = {
-    outpatient: '添加门诊病历',
-    inpatient: '添加住院病历',
-    physicalExam: '添加体检记录',
-    preConsultation: '添加预问诊记录'
-  };
-  uni.setNavigationBarTitle({
-    title: titles[caseType.value] || '添加病历'
-  });
+  const title = CASE_TYPE_NAMES[caseType.value]
+    ? `添加${CASE_TYPE_NAMES[caseType.value]}`
+    : "添加病历";
+  uni.setNavigationBarTitle({ title });
 });
 
 const onDateChange = (field, event) => {
@@ -265,96 +269,78 @@ const onDateChange = (field, event) => {
 
 const handleRegenerate = () => {
   uni.showModal({
-    title: '提示',
-    content: '确定要重新生成吗？当前编辑的内容将被覆盖',
+    title: "提示",
+    content: "确定要重新生成吗？当前编辑的内容将被覆盖",
     success: (res) => {
       if (res.confirm) {
         // 返回上一页并触发重新生成
         uni.navigateBack({
           success: () => {
-            uni.$emit('regenerateMedicalCase', {
+            uni.$emit("regenerateMedicalCase", {
               caseType: caseType.value,
               customerId: customerId.value,
-              groupId: groupId.value
+              groupId: groupId.value,
             });
-          }
+          },
         });
       }
-    }
+    },
   });
 };
 
 const handleSave = async () => {
   // 验证必填项
   const requiredFields = getRequiredFields();
-  const missingFields = requiredFields.filter(field => !formData.value[field.key]);
-  
+  const missingFields = requiredFields.filter(
+    (field) => !formData.value[field.key]
+  );
+
   if (missingFields.length > 0) {
     uni.showToast({
       title: `请填写${missingFields[0].label}`,
-      icon: 'none'
+      icon: "none",
     });
     return;
   }
-  
+
   try {
-    uni.showLoading({ title: '保存中...' });
-    
-    // 调用保存接口
-    const api = (await import('@/utils/api.js')).default;
-    const result = await api('addMedicalRecord', {
-      customerId: customerId.value,
-      caseType: caseType.value,
-      ...formData.value
+    uni.showLoading({ title: "保存中..." });
+    const result = await api("addMedicalRecord", {
+      medicalType: caseType.value,
+      memberId: customerId.value,
+      creator: doctorInfo.value.userid,
+      ...formData.value,
     });
-    
+
     uni.hideLoading();
-    
+
     if (result.success) {
       uni.showToast({
-        title: '保存成功',
-        icon: 'success'
+        title: "保存成功",
+        icon: "success",
       });
-      
+
       setTimeout(() => {
         uni.navigateBack();
       }, 1500);
     } else {
       uni.showToast({
-        title: result.message || '保存失败',
-        icon: 'none'
+        title: result.message || "保存失败",
+        icon: "none",
       });
     }
   } catch (error) {
     uni.hideLoading();
-    console.error('保存病历失败:', error);
+    console.error("保存病历失败:", error);
     uni.showToast({
-      title: '保存失败，请重试',
-      icon: 'none'
+      title: "保存失败，请重试",
+      icon: "none",
     });
   }
 };
 
 const getRequiredFields = () => {
-  const fieldsMap = {
-    outpatient: [
-      { key: 'hospital', label: '就诊机构' },
-      { key: 'visitTime', label: '就诊日期' },
-      { key: 'diagnosisName', label: '门诊诊断' }
-    ],
-    inpatient: [
-      { key: 'hospital', label: '就诊机构' },
-      { key: 'inhosDate', label: '入院日期' },
-      { key: 'diagnosisName', label: '住院主诊断' }
-    ],
-    physicalExam: [
-      { key: 'hospital', label: '就诊机构' },
-      { key: 'inspectTime', label: '体检日期' }
-    ],
-    preConsultation: []
-  };
-  
-  return fieldsMap[caseType.value] || [];
+  return currentFields.value.filter((field) => field.required);
 };
 </script>
 
@@ -363,26 +349,26 @@ const getRequiredFields = () => {
   min-height: 100vh;
   background-color: #f5f5f5;
   padding-bottom: 120rpx;
-  
+
   .form-container {
     background-color: #ffffff;
     padding: 32rpx;
-    
+
     .form-item {
       margin-bottom: 32rpx;
-      
+
       &.required .item-label::before {
-        content: '*';
+        content: "*";
         color: #ff4d4f;
         margin-right: 8rpx;
       }
-      
+
       .item-label {
         font-size: 28rpx;
         color: #333333;
         margin-bottom: 16rpx;
       }
-      
+
       .item-input,
       .picker-value {
         width: 100%;
@@ -392,64 +378,65 @@ const getRequiredFields = () => {
         border-radius: 8rpx;
         font-size: 28rpx;
         color: #333333;
-        
+
         &[disabled] {
           color: #999999;
         }
       }
-      
+
       .picker-value {
         display: flex;
         align-items: center;
         color: #999999;
       }
-      
+
       .item-textarea {
         width: 100%;
-        min-height: 160rpx;
+        min-height: 100rpx;
         padding: 20rpx 24rpx;
         background-color: #f8f9fa;
         border-radius: 8rpx;
         font-size: 28rpx;
         color: #333333;
-        
+        height: 100px;
         &[disabled] {
           color: #999999;
         }
       }
     }
-    
+
     .tips-box {
       margin-top: 32rpx;
       padding: 24rpx;
       background-color: #fffbe6;
       border-radius: 8rpx;
-      
+
       .tips-text {
         display: block;
         font-size: 24rpx;
         color: #666666;
         line-height: 1.6;
         margin-bottom: 8rpx;
-        
+
         &:last-child {
           margin-bottom: 0;
         }
       }
     }
   }
-  
+
   .footer-buttons {
     position: fixed;
     bottom: 0;
     left: 0;
     right: 0;
+    z-index: 100;
     display: flex;
     gap: 24rpx;
     padding: 24rpx 32rpx;
     background-color: #ffffff;
     box-shadow: 0 -4rpx 16rpx rgba(0, 0, 0, 0.08);
-    
+
     .btn-regenerate,
     .btn-save {
       flex: 1;
@@ -458,25 +445,25 @@ const getRequiredFields = () => {
       align-items: center;
       justify-content: center;
       border-radius: 44rpx;
-      
+
       .btn-text {
         font-size: 32rpx;
         font-weight: 500;
       }
     }
-    
+
     .btn-regenerate {
       background-color: #ffffff;
       border: 2rpx solid #1890ff;
-      
+
       .btn-text {
         color: #1890ff;
       }
     }
-    
+
     .btn-save {
       background-color: #1890ff;
-      
+
       .btn-text {
         color: #ffffff;
       }
diff --git a/pages/message/components/ai-assistant-buttons.vue b/pages/message/components/ai-assistant-buttons.vue
index 3ac4854..9c8f2a1 100644
--- a/pages/message/components/ai-assistant-buttons.vue
+++ b/pages/message/components/ai-assistant-buttons.vue
@@ -44,6 +44,10 @@ const props = defineProps({
     type: String,
     default: "",
   },
+  patientId: {
+    type: String,
+    default: "",
+  },
   corpId: {
     type: String,
     default: "",
@@ -333,12 +337,15 @@ const handleRegenerateFromProgress = (data) => {
 
 // 处理从进度弹窗点击下一步
 const handleNextFromProgress = (data) => {
+  // 根据病历类型动态构建表单数据
+  const extractedData = data.data?.extractedData || {};
+
   // 跳转到病历填写页面
   uni.navigateTo({
-    url: `/pages/case/medical-case-form?caseType=${data.caseType}&customerId=${
-      props.customerId || props.patientAccountId
+    url: `/pages/case/medical-case-form?caseType=${data.caseType}&patientId=${
+      props.patientId
     }&groupId=${props.groupId}&formData=${encodeURIComponent(
-      JSON.stringify(data.data?.extractedData || {})
+      JSON.stringify(extractedData)
     )}`,
   });
 };
diff --git a/pages/message/components/medical-case-progress.vue b/pages/message/components/medical-case-progress.vue
index c1fb044..c2803ab 100644
--- a/pages/message/components/medical-case-progress.vue
+++ b/pages/message/components/medical-case-progress.vue
@@ -4,29 +4,32 @@
       <view class="close-btn" @click="close">
         <text class="close-icon">✕</text>
       </view>
-      
+
       <view class="progress-content">
         <view class="progress-title">{{ progressTitle }}</view>
-        
+
         <view class="progress-bar-wrapper">
           <view class="progress-bar">
-            <view class="progress-fill" :style="{ width: progress + '%' }"></view>
+            <view
+              class="progress-fill"
+              :style="{ width: progress + '%' }"
+            ></view>
           </view>
           <text class="progress-text">{{ progress }}%</text>
         </view>
-        
-        <view  class="detected-info">
+
+        <view class="detected-info">
           <text class="detected-title">检测到以下{{ caseTypeName }}信息：</text>
           <view class="info-list">
-            <view 
-              v-for="(item, index) in detectedInfo" 
-              :key="index" 
+            <view
+              v-for="(item, index) in detectedInfo"
+              :key="index"
               class="info-item"
               :class="{ 'fade-in': item.animated }"
             >
               <text class="check-icon">✓</text>
-              <text 
-                class="info-text" 
+              <text
+                class="info-text"
                 :class="{ 'empty-value': item.value === '暂无' }"
               >
                 {{ item.label }}：{{ item.value }}
@@ -34,11 +37,11 @@
             </view>
           </view>
         </view>
-        
+
         <view v-if="isGenerating" class="generating-text">
           <text class="dot-animation">正在生成结构化{{ caseTypeName }}</text>
         </view>
-        
+
         <!-- 完成后的操作按钮 -->
         <view v-if="isCompleted" class="action-buttons">
           <view class="action-button secondary" @click="handleRegenerate">
@@ -54,48 +57,47 @@
 </template>
 
 <script setup>
-import { ref, computed } from 'vue';
+import { ref, computed } from "vue";
 
-const emit = defineEmits(['regenerate', 'next']);
+const emit = defineEmits(["regenerate", "next"]);
 
 const popup = ref(null);
 const progress = ref(0);
 const detectedInfo = ref([]);
 const isGenerating = ref(false);
 const isCompleted = ref(false);
-const caseType = ref('');
+const caseType = ref("");
 const finalData = ref(null);
 
 const CASE_TYPE_NAMES = {
-  outpatient: '门诊病历',
-  inpatient: '住院病历',
-  physicalExam: '体检记录',
-  preConsultation: '预问诊记录'
+  outpatient: "门诊病历",
+  inhospital: "住院病历",
+  physicalExaminationTemplate: "体检记录",
+  preConsultation: "预问诊记录",
 };
 
 const FIELD_LABELS = {
   // 门诊病历
-  visitTime: '就诊日期',
-  chiefComplaint: '主诉',
-  medicalHistorySummary: '病史概要',
-  examination: '检查',
-  diagnosisName: '门诊诊断',
+  visitTime: "就诊日期",
+  chiefComplaint: "主诉",
+  medicalHistorySummary: "病史概要",
+  examination: "检查",
+  diagnosisName: "门诊诊断",
   // 住院病历
-  inhosDate: '入院日期',
-  operation: '手术记录',
-  operationDate: '手术日期',
-  treatmentPlan: '术后病程',
-  outhosAdvice: '出院医嘱',
+  inhosDate: "入院日期",
+  operation: "手术名称",
+  operationDate: "手术日期",
+  treatmentPlan: "治疗方案",
   // 体检记录
-  inspectTime: '体检日期',
-  inspectSummary: '体检小结',
-  positiveFind: '阳性发现及处理意见',
+  inspectTime: "体检日期",
+  inspectSummary: "体检小结",
+  positiveFind: "阳性发现及处理意见",
   // 预问诊记录
-  presentIllnessHistory: '现病史',
-  pastMedicalHistory: '既往史'
+  presentIllnessHistory: "现病史",
+  pastMedicalHistory: "既往史",
 };
 
-const caseTypeName = computed(() => CASE_TYPE_NAMES[caseType.value] || '病历');
+const caseTypeName = computed(() => CASE_TYPE_NAMES[caseType.value] || "病历");
 
 const progressTitle = computed(() => {
   if (progress.value < 100) {
@@ -125,11 +127,11 @@ const updateProgress = (value) => {
 const addDetectedInfo = (fieldKey, fieldValue) => {
   const label = FIELD_LABELS[fieldKey] || fieldKey;
   // 如果字段值为空，显示"暂无"
-  const displayValue = (fieldValue && fieldValue.trim()) ? fieldValue : '暂无';
+  const displayValue = fieldValue && fieldValue.trim() ? fieldValue : "暂无";
   detectedInfo.value.push({
     label,
     value: displayValue,
-    animated: true
+    animated: true,
   });
 };
 
@@ -151,14 +153,14 @@ const reset = () => {
 };
 
 const handleRegenerate = () => {
-  emit('regenerate', { caseType: caseType.value });
+  emit("regenerate", { caseType: caseType.value });
   close();
 };
 
 const handleNext = () => {
-  emit('next', { 
+  emit("next", {
     caseType: caseType.value,
-    data: finalData.value
+    data: finalData.value,
   });
   close();
 };
@@ -170,7 +172,7 @@ defineExpose({
   addDetectedInfo,
   setGenerating,
   setCompleted,
-  reset
+  reset,
 });
 </script>
 
@@ -183,7 +185,7 @@ defineExpose({
   position: relative;
   max-height: 80vh;
   overflow-y: auto;
-  
+
   .close-btn {
     position: absolute;
     top: 20rpx;
@@ -194,13 +196,13 @@ defineExpose({
     align-items: center;
     justify-content: center;
     z-index: 10;
-    
+
     .close-icon {
       font-size: 40rpx;
       color: #999999;
     }
   }
-  
+
   .progress-content {
     .progress-title {
       font-size: 32rpx;
@@ -209,27 +211,27 @@ defineExpose({
       margin-bottom: 32rpx;
       text-align: center;
     }
-    
+
     .progress-bar-wrapper {
       display: flex;
       align-items: center;
       gap: 16rpx;
       margin-bottom: 32rpx;
-      
+
       .progress-bar {
         flex: 1;
         height: 16rpx;
         background-color: #e5e5e5;
         border-radius: 8rpx;
         overflow: hidden;
-        
+
         .progress-fill {
           height: 100%;
           background: linear-gradient(90deg, #1890ff 0%, #40a9ff 100%);
           transition: width 0.5s ease;
         }
       }
-      
+
       .progress-text {
         font-size: 28rpx;
         color: #1890ff;
@@ -238,21 +240,21 @@ defineExpose({
         text-align: right;
       }
     }
-    
+
     .detected-info {
       margin-bottom: 24rpx;
-      
+
       .detected-title {
         font-size: 28rpx;
         color: #666666;
         display: block;
         margin-bottom: 16rpx;
       }
-      
+
       .info-list {
         max-height: 400rpx;
         overflow-y: auto;
-        
+
         .info-item {
           display: flex;
           align-items: flex-start;
@@ -260,25 +262,25 @@ defineExpose({
           margin-bottom: 12rpx;
           opacity: 0;
           transform: translateX(-20rpx);
-          
+
           &.fade-in {
             animation: fadeInSlide 0.4s ease forwards;
           }
-          
+
           .check-icon {
             font-size: 28rpx;
             color: #52c41a;
             font-weight: bold;
             margin-top: 2rpx;
           }
-          
+
           .info-text {
             flex: 1;
             font-size: 26rpx;
             color: #333333;
             line-height: 1.6;
             word-break: break-all;
-            
+
             // 暂无数据的样式
             &.empty-value {
               color: #999999;
@@ -287,24 +289,24 @@ defineExpose({
         }
       }
     }
-    
+
     .generating-text {
       font-size: 28rpx;
       color: #1890ff;
       text-align: center;
       padding: 16rpx 0;
-      
+
       .dot-animation::after {
-        content: '...';
+        content: "...";
         animation: dots 1.5s steps(4, end) infinite;
       }
     }
-    
+
     .action-buttons {
       display: flex;
       gap: 16rpx;
       margin-top: 32rpx;
-      
+
       .action-button {
         flex: 1;
         height: 80rpx;
@@ -313,34 +315,34 @@ defineExpose({
         align-items: center;
         justify-content: center;
         transition: all 0.3s ease;
-        
+
         &.primary {
           background: linear-gradient(90deg, #1890ff 0%, #40a9ff 100%);
-          
+
           .button-text {
             color: #ffffff;
           }
-          
+
           &:active {
             opacity: 0.8;
             transform: scale(0.98);
           }
         }
-        
+
         &.secondary {
           background-color: #ffffff;
           border: 2rpx solid #d9d9d9;
-          
+
           .button-text {
             color: #666666;
           }
-          
+
           &:active {
             background-color: #f5f5f5;
             transform: scale(0.98);
           }
         }
-        
+
         .button-text {
           font-size: 30rpx;
           font-weight: 500;
@@ -358,17 +360,19 @@ defineExpose({
 }
 
 @keyframes dots {
-  0%, 20% {
-    content: '';
+  0%,
+  20% {
+    content: "";
   }
   40% {
-    content: '.';
+    content: ".";
   }
   60% {
-    content: '..';
+    content: "..";
   }
-  80%, 100% {
-    content: '...';
+  80%,
+  100% {
+    content: "...";
   }
 }
 </style>
diff --git a/pages/message/components/medical-case-type-selector.vue b/pages/message/components/medical-case-type-selector.vue
index 9b696a2..6c5cab6 100644
--- a/pages/message/components/medical-case-type-selector.vue
+++ b/pages/message/components/medical-case-type-selector.vue
@@ -7,7 +7,7 @@
           <text class="close-icon">✕</text>
         </view>
       </view>
-      
+
       <view class="case-type-grid">
         <view
           v-for="type in caseTypes"
@@ -23,29 +23,29 @@
 </template>
 
 <script setup>
-import { ref } from 'vue';
+import { ref } from "vue";
 
-const emit = defineEmits(['select']);
+const emit = defineEmits(["select"]);
 
 const popup = ref(null);
 
 const caseTypes = [
   {
-    id: 'outpatient',
-    name: '门诊病历'
+    id: "outpatient",
+    name: "门诊病历",
   },
   {
-    id: 'inpatient',
-    name: '住院病历'
+    id: "inhospital",
+    name: "住院病历",
   },
   {
-    id: 'physicalExam',
-    name: '体检记录'
+    id: "physicalExaminationTemplate",
+    name: "体检记录",
   },
   {
-    id: 'preConsultation',
-    name: '预问诊记录'
-  }
+    id: "preConsultation",
+    name: "预问诊记录",
+  },
 ];
 
 const open = () => {
@@ -57,13 +57,13 @@ const close = () => {
 };
 
 const selectType = (type) => {
-  emit('select', type);
+  emit("select", type);
   close();
 };
 
 defineExpose({
   open,
-  close
+  close,
 });
 </script>
 
@@ -73,38 +73,38 @@ defineExpose({
   background-color: #ffffff;
   border-radius: 24rpx;
   padding: 40rpx;
-  
+
   .selector-header {
     display: flex;
     justify-content: space-between;
     align-items: center;
     margin-bottom: 40rpx;
-    
+
     .header-title {
       font-size: 36rpx;
       font-weight: 600;
       color: #333333;
     }
-    
+
     .close-btn {
       width: 48rpx;
       height: 48rpx;
       display: flex;
       align-items: center;
       justify-content: center;
-      
+
       .close-icon {
         font-size: 40rpx;
         color: #999999;
       }
     }
   }
-  
+
   .case-type-grid {
     display: grid;
     grid-template-columns: repeat(2, 1fr);
     gap: 24rpx;
-    
+
     .case-type-item {
       display: flex;
       flex-direction: column;
@@ -115,13 +115,13 @@ defineExpose({
       border: 2rpx solid #e5e5e5;
       border-radius: 16rpx;
       transition: all 0.3s ease;
-      
+
       &:active {
         background-color: #e8f4ff;
         border-color: #1890ff;
         transform: scale(0.98);
       }
-      
+
       .type-name {
         font-size: 30rpx;
         color: #333333;
diff --git a/pages/message/index.vue b/pages/message/index.vue
index b8d2aa8..f817983 100644
--- a/pages/message/index.vue
+++ b/pages/message/index.vue
@@ -149,6 +149,7 @@
       "
       :groupId="groupId"
       :patientAccountId="chatInfo.userID || ''"
+      :patientId="patientId"
       :corpId="corpId"
       @streamText="handleStreamText"
       @clearInput="handleClearInput"
@@ -1048,4 +1049,4 @@ uni.$on("sendSurvey", async (data) => {
 
 <style scoped lang="scss">
 @import "./chat.scss";
-</style>
+</style>
\ No newline at end of file