feat: VIP功能绑定、VIP病历模块、字典模块、传方按钮移动到顶部导航栏

2026-08-05 10:45:58 +08:00
parent 212b16a8ec
commit 029b45d0bb
43 changed files with 5821 additions and 153 deletions
--- a/apps/web-antd/src/app.vue
+++ b/apps/web-antd/src/app.vue
@@ -9,7 +9,6 @@ import { App, ConfigProvider, theme } from 'ant-design-vue';

 import { antdLocale } from '#/locales';
 import { GlobalContextMenu } from '#/components/context-menu';
-import DoctorTransferFloat from '#/components/doctor-transfer-float/DoctorTransferFloat.vue';
 import { useWebSocket } from '#/views/business/chat/composables/useWebSocket';
 import { useChatStore } from '#/views/business/chat/stores/chat';
 import { useUserStore } from '#/views/business/chat/stores/user';
@@ -76,13 +75,6 @@ watch(userInfoLoaded, (loaded) => {
    initWebsocket();
  }
 });
-
-/** 诊所医生账号显示传方悬浮窗（有 doctor_id 且绑定门店） */
-const showDoctorTransferFloat = computed(() => {
-  const info = vbenUserStore.userInfo as Record<string, any> | null;
-  if (!info) return false;
-  return !!(info.doctor_id && info.store_id);
-});
 </script>

 <template>
@@ -90,7 +82,6 @@ const showDoctorTransferFloat = computed(() => {
    <App>
      <RouterView />
      <GlobalContextMenu />
-      <DoctorTransferFloat v-if="showDoctorTransferFloat" />
    </App>
  </ConfigProvider>
 </template>
--- a/apps/web-antd/src/components/doctor-transfer-float/DoctorTransferFloat.vue
+++ b/apps/web-antd/src/components/doctor-transfer-float/DoctorTransferFloat.vue
@@ -1,6 +1,7 @@
 <script setup lang="ts">
 /**
- * 医生端 PC 传方悬浮窗：悬浮按钮 + 子窗口列表 + 状态操作
+ * 医生端 PC 传方入口：顶栏按钮 + 子窗口列表 + 状态操作
+ * 权限：有 doctor_id 且绑定 store_id 时由外层 v-if 控制，本组件只负责展示与操作
 */
 import {
  computed,
@@ -11,6 +12,7 @@ import {
 } from 'vue';

 import {
+  FileTextOutlined,
  ReloadOutlined,
  ZoomInOutlined,
  ZoomOutOutlined,
@@ -19,6 +21,7 @@ import { usePreferences } from '@vben/preferences';
 import { useUserStore } from '@vben/stores';

 import {
+  Badge,
  Button,
  Dropdown,
  Image,
@@ -29,10 +32,10 @@ import {
  Spin,
  Tag,
  Textarea,
+  Tooltip,
  message,
 } from 'ant-design-vue';

-import FloatFab from '#/components/float-fab/FloatFab.vue';
 import SensitiveText from '#/components/sensitive-text/SensitiveText.vue';
 import {
  DEFAULT_SUB_WINDOW_Z_INDEX,
@@ -355,12 +358,20 @@ defineExpose({ loadList });
 </script>

 <template>
-  <FloatFab
-    storage-key="pc_doctor_transfer_fab"
-    label="传方"
-    :badge="pendingCount"
-    @click="openWindow"
-  />
+  <div class="doctor-transfer-header-entry">
+    <Tooltip title="门店传方">
+      <Badge :count="pendingCount" :overflow-count="99" size="small">
+        <Button
+          type="text"
+          class="transfer-header-btn"
+          @click="openWindow"
+        >
+          <FileTextOutlined />
+          <span class="transfer-header-btn__text">传方</span>
+        </Button>
+      </Badge>
+    </Tooltip>
+  </div>
  <SubWindow
    v-model:open="windowOpen"
    title="门店传方"
@@ -848,4 +859,25 @@ defineExpose({ loadList });
  margin: 0 auto;
  user-select: none;
 }
+.doctor-transfer-header-entry {
+  display: flex;
+  align-items: center;
+  margin-right: 4px;
+}
+.transfer-header-btn {
+  display: inline-flex;
+  align-items: center;
+  gap: 4px;
+  height: 32px;
+  padding: 0 8px;
+  color: hsl(var(--foreground));
+}
+.transfer-header-btn__text {
+  font-size: 13px;
+}
+@media (max-width: 640px) {
+  .transfer-header-btn__text {
+    display: none;
+  }
+}
 </style>
--- a/apps/web-antd/src/layouts/basic.vue
+++ b/apps/web-antd/src/layouts/basic.vue
@@ -27,6 +27,7 @@ import {
 } from 'lucide-vue-next';

 // import { $t } from '#/locales';
+import DoctorTransferFloat from '#/components/doctor-transfer-float/DoctorTransferFloat.vue';
 import HeaderVipBadge from '#/components/vip/HeaderVipBadge.vue';
 import { useAuthStore } from '#/store';
 import LoginForm from '#/views/_core/authentication/login.vue';
@@ -180,6 +181,13 @@ const showDot = computed(() =>
  notifications.value.some((item) => !item.isRead),
 );

+/** 与原先悬浮窗一致：有 doctor_id 且绑定门店才显示传方入口 */
+const showDoctorTransfer = computed(() => {
+  const info = userStore.userInfo as Record<string, any> | null | undefined;
+  if (!info) return false;
+  return !!(info.doctor_id && info.store_id);
+});
+
 const menus = computed(() => [
  {
    handler: () => {
@@ -234,6 +242,10 @@ watch(

 <template>
  <BasicLayout @clear-preferences-and-logout="handleLogout">
+    <!-- index=55：紧挨全局搜索(50)右侧 -->
+    <template #header-right-55>
+      <DoctorTransferFloat v-if="showDoctorTransfer" />
+    </template>
    <template #user-dropdown>
      <div class="flex items-center">
        <HeaderVipBadge />
--- a/apps/web-antd/src/utils/dictSearchRank.ts
+++ b/apps/web-antd/src/utils/dictSearchRank.ts
@@ -0,0 +1,137 @@
+/**
+ * 字典/词条搜索：匹配度打分、排序、关键字高亮拆分
+ * 与后端 DictSearchRankService 规则对齐；mode=frontend 时由本工具排序
+ */
+
+export type DictSearchRankMode = 'backend' | 'frontend';
+
+export type HighlightPart = { text: string; hit: boolean };
+
+/** 与 PHP DictSearchRankService::score 对齐 */
+export function scoreDictMatch(
+  text: string,
+  keyword: string,
+  extra = '',
+): number {
+  const kw = String(keyword || '').trim();
+  if (!kw) return 0;
+  const main = String(text || '').trim();
+  if (!main) return 0;
+  let s = scoreOne(main, kw);
+  if (extra) {
+    s = Math.max(s, Math.floor(scoreOne(String(extra), kw) * 0.9));
+  }
+  return s;
+}
+
+function scoreOne(haystack: string, needle: string): number {
+  if (haystack === needle) return 100;
+  const lowerH = haystack.toLowerCase();
+  const lowerN = needle.toLowerCase();
+  const pos = lowerH.indexOf(lowerN);
+  if (pos < 0) return 0;
+  if (pos === 0) {
+    const lenBonus = Math.max(0, 10 - Math.abs(haystack.length - needle.length));
+    return 80 + Math.min(15, lenBonus);
+  }
+  return Math.max(20, 60 - Math.min(40, pos));
+}
+
+/**
+ * 按匹配度降序；无关键字时保持原序
+ */
+export function rankByMatchScore<T>(
+  items: T[],
+  keyword: string,
+  getText: (item: T) => string,
+  getExtra?: (item: T) => string,
+): Array<T & { match_score: number }> {
+  const kw = String(keyword || '').trim();
+  const scored = items.map((item) => {
+    const score = kw
+      ? scoreDictMatch(getText(item), kw, getExtra?.(item) || '')
+      : 0;
+    return Object.assign({}, item, { match_score: score }) as T & {
+      match_score: number;
+    };
+  });
+  if (!kw) return scored;
+  return scored.sort((a, b) => {
+    if (b.match_score !== a.match_score) return b.match_score - a.match_score;
+    return 0;
+  });
+}
+
+/**
+ * 将文本按关键字拆成高亮片段（不做 HTML，便于 PC/小程序安全渲染）
+ */
+export function splitHighlight(
+  text: string,
+  keyword: string,
+): HighlightPart[] {
+  const raw = String(text ?? '');
+  const kw = String(keyword || '').trim();
+  if (!raw || !kw) return [{ text: raw, hit: false }];
+  const lower = raw.toLowerCase();
+  const needle = kw.toLowerCase();
+  const parts: HighlightPart[] = [];
+  let start = 0;
+  let idx = lower.indexOf(needle, start);
+  while (idx >= 0) {
+    if (idx > start) {
+      parts.push({ text: raw.slice(start, idx), hit: false });
+    }
+    parts.push({ text: raw.slice(idx, idx + kw.length), hit: true });
+    start = idx + kw.length;
+    idx = lower.indexOf(needle, start);
+  }
+  if (start < raw.length) {
+    parts.push({ text: raw.slice(start), hit: false });
+  }
+  return parts.length ? parts : [{ text: raw, hit: false }];
+}
+
+let cachedRankMode: DictSearchRankMode | null = null;
+
+/** 写入缓存（从系统配置或接口响应读取后调用） */
+export function setDictSearchRankMode(mode: string | undefined | null) {
+  cachedRankMode = mode === 'frontend' ? 'frontend' : 'backend';
+}
+
+export function getDictSearchRankMode(): DictSearchRankMode {
+  return cachedRankMode || 'backend';
+}
+
+/**
+ * 按当前模式决定是否前端重排；有关键字时保证按匹配度降序，并尽量带上可展示的 match_score
+ */
+export function applyDictRankIfNeeded<T>(
+  items: T[],
+  keyword: string,
+  getText: (item: T) => string,
+  getExtra?: (item: T) => string,
+  modeFromApi?: string,
+): Array<T & { match_score: number }> {
+  if (modeFromApi === 'frontend' || modeFromApi === 'backend') {
+    setDictSearchRankMode(modeFromApi);
+  }
+  const mode = getDictSearchRankMode();
+  const kw = String(keyword || '').trim();
+  if (mode === 'frontend') {
+    return rankByMatchScore(items, keyword, getText, getExtra);
+  }
+  // backend：保留接口分数；若有关键字却全是 0（漏打分/合并未打分），前端补算
+  const mapped = items.map((item: any) => ({
+    ...item,
+    match_score: Number(item?.match_score || 0),
+  })) as Array<T & { match_score: number }>;
+  if (!kw) return mapped;
+  const hasPositive = mapped.some((i) => Number(i.match_score) > 0);
+  if (!hasPositive) {
+    return rankByMatchScore(items, keyword, getText, getExtra);
+  }
+  return mapped.sort((a, b) => {
+    if (b.match_score !== a.match_score) return b.match_score - a.match_score;
+    return 0;
+  });
+}
--- a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
+++ b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -30,6 +30,8 @@ import {
  Select,
  SelectOption,
  Tag,
+  Tabs,
+  TabPane,
  Textarea,
  Timeline,
  TimelineItem,
@@ -41,10 +43,17 @@ import {
  saveWestCommonPrescriptionApi,
 } from '#/views/business/chat/api';
 import { usePrescriptionStore } from '#/store/prescription';
+import { hasVipPermission } from '#/utils/vip';
+import MedicalRecordPanel from '#/views/doctor/medical-record/MedicalRecordPanel.vue';
+import EntryKeywordBubble from '#/views/doctor/medical-record/components/EntryKeywordBubble.vue';
+import CommonDxOrderChips from '#/views/doctor/medical-record/components/CommonDxOrderChips.vue';
+import { saveMedicalRecord } from '#/views/doctor/medical-record/api';
+import {
+  loadRxMrTab,
+  saveRxMrTab,
+} from '#/views/doctor/medical-record/utils/localDraft';
 // import { getTraditionalChineseMedicineAllApi } from '#/views/doctor/doctor-reception/api';
 // 导入子组件
-import DiagnosisModal from '#/views/doctor/doctor-reception/components/DiagnosisModal.vue';
-import DoctorOrderModal from '#/views/doctor/doctor-reception/components/DoctorOrderModal.vue';
 import PrescriptionDetail from '#/views/doctor/doctor-reception/components/PrescriptionDetail.vue';
 import WesternModal from '#/views/doctor/doctor-reception/components/WesternModal.vue';
 import SimpleProductModal from '#/views/doctor/doctor-reception/components/SimpleProductModal.vue';
@@ -68,6 +77,80 @@ const visible = ref(false);
 const previewImage = ref([]);
 const showNewDrugModal = ref(false);
 const doctorSecondSignModal = ref(false);
+/** 处方|病历 Tab（按挂号 + storagePrefix 落本地） */
+const rxMrTab = ref<'rx' | 'mr'>('rx');
+const medicalRecordPanelRef = ref<InstanceType<typeof MedicalRecordPanel> | null>(null);
+
+// 使用 Pinia store（须在依赖它的 computed/watch 之前初始化）
+const prescriptionStore = usePrescriptionStore();
+
+/**
+ * 仅 chat-shop（非诊所前缀）且门店 VIP 含 medical_record 时显示病历 Tab
+ */
+const canUseMedicalRecord = computed(() => {
+  if (!hasVipPermission('medical_record')) return false;
+  if (modalData.value?.enableMedicalRecord === false) return false;
+  if (modalData.value?.enableMedicalRecord === true) return true;
+  const prefix = modalData.value?.storagePrefix || 'onlineConsultation-';
+  return prefix !== 'onlineConsultationClinic-';
+});
+
+const medicalRecordStoragePrefix = computed(
+  () => modalData.value?.storagePrefix || 'onlineConsultation-',
+);
+
+const diagnosisModel = computed({
+  get: () => prescriptionStore.diagnosis,
+  set: (v: string) => {
+    prescriptionStore.diagnosis = v;
+  },
+});
+const medicalAdviceModel = computed({
+  get: () => prescriptionStore.medicalAdvice,
+  set: (v: string) => {
+    prescriptionStore.medicalAdvice = v;
+  },
+});
+
+const medicalRecordRegisterId = computed(
+  () =>
+    Number(
+      modalData.value?.registerId ||
+        prescriptionStore.currentRegisterId ||
+        0,
+    ),
+);
+const medicalRecordStoreId = computed(
+  () =>
+    Number(
+      prescriptionStore.registerStoreInfo?.store_id ||
+        prescriptionStore.selectedStoreId ||
+        prescriptionStore.myStoreId ||
+        0,
+    ),
+);
+/** activePatient 即为 user_patient，主键用 id */
+const medicalRecordPatientId = computed(
+  () => Number(prescriptionStore.activePatient?.id || 0),
+);
+
+watch(rxMrTab, (tab) => {
+  const rid = medicalRecordRegisterId.value;
+  if (rid) saveRxMrTab(rid, tab, medicalRecordStoragePrefix.value);
+});
+
+watch(
+  () => [medicalRecordRegisterId.value, canUseMedicalRecord.value] as const,
+  ([rid, can]) => {
+    if (!can) {
+      rxMrTab.value = 'rx';
+      return;
+    }
+    if (!rid) return;
+    rxMrTab.value = loadRxMrTab(rid, medicalRecordStoragePrefix.value) || 'rx';
+  },
+  { immediate: true },
+);

 // ==================== 保存常用方相关状态 ====================
 /** 保存常用方弹窗是否显示 */
@@ -77,9 +160,6 @@ const commonPrescriptionName = ref('');
 /** 是否正在保存常用方 */
 const isSavingCommonPrescription = ref(false);

-// 使用 Pinia store
-const prescriptionStore = usePrescriptionStore();
-
 /** 处方类型来自后端下发（store.categories） */
 const categories = computed(() => prescriptionStore.categories);

@@ -161,18 +241,38 @@ const [SimpleProductModalComponent, SimpleProductModalApi] = useVbenModal({
  connectedComponent: SimpleProductModal,
 });

-const [DiagnosisModals, DiagnosisModalApi] = useVbenModal({
-  connectedComponent: DiagnosisModal,
-});
-
-const [DoctorOrderModals, DoctorOrderModalApi] = useVbenModal({
-  connectedComponent: DoctorOrderModal,
-});
-
 const [PrescriptionDetailModal, PrescriptionDetailModalApi] = useVbenModal({
  connectedComponent: PrescriptionDetail,
 });

+/**
+ * 诊断/医嘱追加（中文逗号拼接，与病历面板一致）
+ */
+function appendCommaText(base: string, add: string) {
+  if (!add) return base || '';
+  const parts = (base || '').split('，').map((s) => s.trim()).filter(Boolean);
+  if (parts.includes(add)) return parts.join('，');
+  parts.push(add);
+  return parts.join('，');
+}
+
+/** 气泡/常用标签选中诊断（在线复诊诊断框只读，只能通过选择写入） */
+function onPickDiagnosis(text: string) {
+  const t = String(text || '').trim();
+  if (!t) return;
+  prescriptionStore.diagnosis = appendCommaText(prescriptionStore.diagnosis, t);
+}
+
+/** 气泡/常用标签选中医嘱 */
+function onPickDoctorOrder(text: string) {
+  const t = String(text || '').trim();
+  if (!t) return;
+  prescriptionStore.medicalAdvice = appendCommaText(
+    prescriptionStore.medicalAdvice,
+    t,
+  );
+}
+
 // 信息提示模态框
 const [InfoModalComponent, infoModalApi] = useVbenModal({
  connectedComponent: InfoModal,
@@ -382,6 +482,23 @@ const executeSendPrescription = async (
  const prescriptionResult = typeof result === 'object' ? result : null;
  
  if (success) {
+    // VIP 病历：发送成功后同步保存（诊断/医嘱与处方同源）
+    if (canUseMedicalRecord.value) {
+      try {
+        const payload = medicalRecordPanelRef.value?.getPayload?.() || {};
+        await saveMedicalRecord({
+          ...payload,
+          register_id: medicalRecordRegisterId.value,
+          store_id: medicalRecordStoreId.value,
+          user_patient_id: medicalRecordPatientId.value,
+          diagnosis: prescriptionStore.diagnosis,
+          doctor_order: prescriptionStore.medicalAdvice,
+          medicalAdvice: prescriptionStore.medicalAdvice,
+        });
+      } catch (e) {
+        console.error('同步保存病历失败', e);
+      }
+    }
    // 检查是否需要转诊（西医诊所开中药处方）
    if (prescriptionResult?.need_transfer || prescriptionResult?.result?.need_transfer) {
      const transferId = prescriptionResult?.transfer_prescription_id || prescriptionResult?.result?.transfer_prescription_id;
@@ -513,28 +630,6 @@ const openWesternModal = () => {
  }
 };

-// 打开诊断模态框
-const openDiagnosisModal = () => {
-  DiagnosisModalApi.setData({
-    values: prescriptionStore.diagnosis,
-    updateDiagnosis: (values: string) => {
-      prescriptionStore.diagnosis = values;
-    },
-  });
-  DiagnosisModalApi.open();
-};
-
-// 打开医嘱模态框
-const openDoctorOrderModal = () => {
-  DoctorOrderModalApi.setData({
-    values: prescriptionStore.medicalAdvice,
-    updateDoctorOrder: (values: string) => {
-      prescriptionStore.medicalAdvice = values;
-    },
-  });
-  DoctorOrderModalApi.open();
-};
-
 // 打开处方详情模态框
 const openPrescriptionDetail = (prescription: any) => {
  PrescriptionDetailModalApi.setData({
@@ -1014,6 +1109,16 @@ const cancelSaveCommonPrescription = () => {

      <!-- 右侧：处方开具区域 (占据剩余空间) -->
      <div class="right-panel flex-1 h-full overflow-y-auto px-2">
+        <Tabs
+          v-if="canUseMedicalRecord"
+          v-model:active-key="rxMrTab"
+          class="mb-2"
+        >
+          <TabPane key="rx" tab="处方" />
+          <TabPane key="mr" tab="病历" />
+        </Tabs>
+
+        <div v-show="!canUseMedicalRecord || rxMrTab === 'rx'">
        <!-- 药品分类导航 -->
        <div class="drug-categories sticky top-0 bg-white dark:bg-[#151515] z-10 py-2 border-b mb-4">
          <button
@@ -1510,33 +1615,49 @@ const cancelSaveCommonPrescription = () => {
              show-search
            />
          </div>
-          <!-- 诊断输入 -->
+          <!-- 诊断输入：搜索气泡 + 常用标签，与病历同源 -->
          <div class="mb-3">
-            <div class="mb-2 flex items-center justify-between">
-              <label class="font-medium">常用诊断</label>
-              <Button type="primary" size="small" @click="openDiagnosisModal">选择常用诊断</Button>
+            <div class="mb-2">
+              <label class="font-medium">诊断</label>
            </div>
+            <EntryKeywordBubble
+              class="mb-2"
+              source="diagnosis"
+              placeholder="诊断关键字搜索"
+              @select="(item) => onPickDiagnosis(item.content || item.title)"
+            />
            <Textarea
              v-model:value="prescriptionStore.diagnosis"
              disabled
-              placeholder="输入常用诊断..."
+              placeholder="请通过上方搜索或下方常用诊断选择..."
              :rows="2"
            />
+            <CommonDxOrderChips
+              source="diagnosis"
+              @select="onPickDiagnosis"
+            />
          </div>

          <!-- 医嘱输入 -->
          <div class="mb-3">
-            <div class="mb-2 flex items-center justify-between">
+            <div class="mb-2">
              <label class="font-medium">医嘱</label>
-              <Button type="primary" size="small" @click="openDoctorOrderModal">
-                选择常用医嘱
-              </Button>
            </div>
+            <EntryKeywordBubble
+              class="mb-2"
+              source="doctor_order"
+              placeholder="医嘱关键字搜索"
+              @select="(item) => onPickDoctorOrder(item.content || item.title)"
+            />
            <Textarea
              v-model:value="prescriptionStore.medicalAdvice"
              placeholder="输入医嘱..."
              :rows="2"
            />
+            <CommonDxOrderChips
+              source="doctor_order"
+              @select="onPickDoctorOrder"
+            />
          </div>

          <ChineseMedicineConfig
@@ -1590,6 +1711,22 @@ const cancelSaveCommonPrescription = () => {
          </div>
        </div>
        </div>
+        </div>
+
+        <div
+          v-show="canUseMedicalRecord && rxMrTab === 'mr'"
+          class="medical-record-wrap py-2"
+        >
+          <MedicalRecordPanel
+            ref="medicalRecordPanelRef"
+            v-model:diagnosis="diagnosisModel"
+            v-model:medical-advice="medicalAdviceModel"
+            :register-id="medicalRecordRegisterId"
+            :store-id="medicalRecordStoreId"
+            :user-patient-id="medicalRecordPatientId"
+            :storage-prefix="medicalRecordStoragePrefix"
+          />
+        </div>
      </div>

      <!-- 以下是各种弹窗组件，位置不动 -->
@@ -1662,8 +1799,6 @@ const cancelSaveCommonPrescription = () => {
    <WesternDrugModal />
    <SimpleProductModalComponent />
    <InfoModalComponent />
-    <DiagnosisModals />
-    <DoctorOrderModals />
    <PrescriptionDetailModal />
    <!-- 常用方选择弹窗 -->
    <CommonPrescriptionModals />
--- a/apps/web-antd/src/views/business/medical-record/entry-store/field/index.vue
+++ b/apps/web-antd/src/views/business/medical-record/entry-store/field/index.vue
@@ -0,0 +1,35 @@
+<script lang="ts" setup>
+/**
+ * 病历门店词条-按字段拆分页（从路由 path 末段解析 field_code）
+ */
+import { computed } from 'vue';
+import { useRoute } from 'vue-router';
+
+import EntryListPage from '#/views/doctor/medical-record/components/EntryListPage.vue';
+import { MEDICAL_RECORD_FIELD_OPTIONS } from '#/views/doctor/medical-record/config/constants';
+
+defineOptions({ name: 'MedicalRecordEntryStoreField' });
+
+const route = useRoute();
+
+const fieldCode = computed(() => {
+  const seg = (route.path.split('/').filter(Boolean).pop() || '').trim();
+  return seg.replace(/-/g, '_');
+});
+
+const fieldLabel = computed(() => {
+  const hit = MEDICAL_RECORD_FIELD_OPTIONS.find((o) => o.value === fieldCode.value);
+  return hit?.label || fieldCode.value;
+});
+
+const pageTitle = computed(() => `门店词条·${fieldLabel.value}`);
+</script>
+<template>
+  <EntryListPage
+    :key="fieldCode"
+    scope="store"
+    :fixed-field-code="fieldCode"
+    :page-title="pageTitle"
+    :page-name="String(route.name || 'MedicalRecordEntryStoreField')"
+  />
+</template>
--- a/apps/web-antd/src/views/business/medical-record/entry-store/index.vue
+++ b/apps/web-antd/src/views/business/medical-record/entry-store/index.vue
@@ -0,0 +1,15 @@
+<script lang="ts" setup>
+/**
+ * 病历门店词条管理（当前登录门店）
+ */
+import EntryListPage from '#/views/doctor/medical-record/components/EntryListPage.vue';
+
+defineOptions({ name: 'MedicalRecordEntryStore' });
+</script>
+<template>
+  <EntryListPage
+    scope="store"
+    page-title="病历门店词条"
+    page-name="MedicalRecordEntryStore"
+  />
+</template>
--- a/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/components/DiagnosisModal.vue
@@ -23,6 +23,10 @@ import {
  addDoctorMyDiseaseApi,
  deleteDoctorMyDiseaseApi,
 } from "#/views/doctor/settings/api";
+import {
+  applyDictRankIfNeeded,
+  splitHighlight,
+} from '#/utils/dictSearchRank';

 const searchKey = ref('');
 // 存储接口返回的所有诊断数据
@@ -90,32 +94,37 @@ const [Modal, modalApi] = useVbenModal({
 });

 /**
- * 获取诊断列表
+ * 获取诊断列表（按配置匹配度排序 + 关键字高亮片段）
 * @param searchKey
 */
 function getDiagnosisList(searchKey = '') {
-  getDiseaseList(searchKey).then((res) => {
-    // 处理所有数据
-    const processedList = res.map((item) => {
+  const kw = String(searchKey || '').trim();
+  getDiseaseList(kw).then((res) => {
+    const rows = Array.isArray(res) ? res : [];
+    const modeFromApi = rows[0]?.rank_mode;
+    const ranked = applyDictRankIfNeeded(
+      rows,
+      kw,
+      (item: any) => String(item?.name || ''),
+      (item: any) => String(item?.pinyin || ''),
+      modeFromApi,
+    );
+    const processedList = ranked.map((item: any) => {
      item.isSelect = 0;
-      // 检查是否已在常用诊断中
      item.isInMyList = doctorMyDiseaseList.value.some(
-        (myItem) => myItem.disease.id === item.id
+        (myItem: any) => myItem.disease.id === item.id,
      );
      if (selectDiagnosisList.value) {
-        // 把values的字符串转为数组根据，分解
        const valuesArr = selectDiagnosisList.value.split('，');
-        // 判断valuesArr数组中是否有item.name
        valuesArr.forEach((value) => {
          if (value === item.name) {
            item.isSelect = 1;
          }
        });
      }
+      item._hlParts = splitHighlight(item.name || '', kw);
      return item;
    });
-
-    // 更新总数据源并重置页码
    allDiagnosisList.value = processedList;
    currentPage.value = 1;
  });
@@ -123,7 +132,7 @@ function getDiagnosisList(searchKey = '') {

 const getDiagnosisListChage = debounce(async (searchText = '') => {
  getDiagnosisList(searchText);
-}, 300)
+}, 500)

 /**
 * 选择诊断
@@ -255,7 +264,12 @@ function handlePageChange(page: number, size: number) {
              :class="{ 'is-selected': item.isSelect === 1 }"
              @click="selectDiagnosis(item)"
            >
-              <span class="tag-text">{{ item.name }}</span>
+              <span class="tag-text">
+                <template v-for="(p, pi) in (item._hlParts || [{ text: item.name, hit: false }])" :key="pi">
+                  <em v-if="p.hit" class="hit">{{ p.text }}</em>
+                  <template v-else>{{ p.text }}</template>
+                </template>
+              </span>

              <div class="tag-action-wrapper" @click.stop>
                <Tooltip v-if="!item.isInMyList" title="加入常用">
@@ -500,4 +514,12 @@ function handlePageChange(page: number, size: number) {
 .dark .pagination-wrapper {
  border-color: #374151;
 }
+
+.hit {
+  font-style: normal;
+  color: #cf1322;
+  background: rgba(255, 214, 102, 0.55);
+  border-radius: 2px;
+  padding: 0 1px;
+}
 </style>
--- a/apps/web-antd/src/views/doctor/doctor-reception/index.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
@@ -6,6 +6,9 @@ import {useUserStore} from '@vben/stores';

 import {
  DeleteTwoTone,
+  LeftOutlined,
+  MenuFoldOutlined,
+  MenuUnfoldOutlined,
  SaveOutlined,
 } from '@ant-design/icons-vue';
 import {
@@ -26,6 +29,8 @@ import {
  SelectOption,
  Modal as AntModal,
  Tag,
+  Tabs,
+  TabPane,
  Textarea,
  Timeline,
  TimelineItem, notification,
@@ -33,6 +38,16 @@ import {
 import {debounce} from 'lodash-es'; // 或者使用自定义防抖函数

 import {getRegisterStatus} from '#/util/tool';
+import { hasVipPermission } from '#/utils/vip';
+import MedicalRecordPanel from '#/views/doctor/medical-record/MedicalRecordPanel.vue';
+import EntryKeywordBubble from '#/views/doctor/medical-record/components/EntryKeywordBubble.vue';
+import CommonDxOrderChips from '#/views/doctor/medical-record/components/CommonDxOrderChips.vue';
+import { saveMedicalRecord } from '#/views/doctor/medical-record/api';
+import {
+  clearMedicalRecordDraft,
+  loadRxMrTab,
+  saveRxMrTab,
+} from '#/views/doctor/medical-record/utils/localDraft';
 import {
  addWestPrescription, checkChineseMedicineConflictApi,
  endOfDiagnosisApi,
@@ -52,8 +67,6 @@ import {
 } from '#/views/doctor/doctor-reception/api';

 import SpecialPrescriptionImportCard from './components/SpecialPrescriptionImportCard.vue';
-import DiagnosisModal from './components/DiagnosisModal.vue';
-import DoctorOrderModal from './components/DoctorOrderModal.vue';
 import PrescriptionDetail from './components/PrescriptionDetail.vue';
 import WesternModal from './components/WesternModal.vue';
 import SimpleProductModal from './components/SimpleProductModal.vue';
@@ -147,6 +160,25 @@ interface UserPatientHealthInquiry {
 }

 const tabType = ref(0);
+/** 处方|病历 Tab（v-show 切换，保持两侧状态；按挂号落本地） */
+const rxMrTab = ref<'rx' | 'mr'>('rx');
+const medicalRecordPanelRef = ref<InstanceType<typeof MedicalRecordPanel> | null>(null);
+const canUseMedicalRecord = computed(() => hasVipPermission('medical_record'));
+
+watch(rxMrTab, (tab) => {
+  const rid = getRegisterId();
+  if (rid) saveRxMrTab(rid, tab);
+});
+
+/** 按挂号恢复处方|病历 Tab */
+function restoreRxMrTab(registerId: number) {
+  if (!canUseMedicalRecord.value) {
+    rxMrTab.value = 'rx';
+    return;
+  }
+  const saved = loadRxMrTab(registerId);
+  rxMrTab.value = saved || 'rx';
+}
 const category = ref(1);
 const listType = ref(1);
 const receptionStatus = ref(0);
@@ -219,6 +251,7 @@ const { config: priceAdjustConfig, loadByStoreId, applyRatioToDrugs: applyRatioD
 const [PriceAdjustDrawer, priceAdjustDrawerApi] = useVbenDrawer({
  connectedComponent: OrderPricePercentAdjustDrawer,
 });
+
 /** 推广员传方导入关联ID */
 const salespersonTransferPrescriptionId = ref(0);
 const salespersonTransferDrawerOpen = ref(false);
@@ -662,6 +695,8 @@ const selectPatient = async (patient: Patient, isUpdateTabType = true) => {
    checkAndShowTransferTip();
    checkSalespersonTransfer();
  }
+  // 恢复处方|病历 Tab
+  restoreRxMrTab(registerId);

  getPatientItem(patient.id).then((value) => {
    patientInfo.value = value;
@@ -797,6 +832,7 @@ function clearReceptionDraft(registerId?: number) {
  const id = registerId || getRegisterId();
  if (id) {
    localStorage.removeItem(getDraftKey(id));
+    clearMedicalRecordDraft(String(id));
  }
 }

@@ -1007,8 +1043,33 @@ const sendPrescription = () => {
    salesperson_transfer_prescription_id: salespersonTransferPrescriptionId.value || undefined,
    price_discount: priceDiscount.value,
    special_prescription_id: appliedSpecialPrescriptionId.value || 0,
-  }).then((res) => {
+  }).then(async (res) => {
    message.success('处方已发送');
+    // 有 VIP 时同步保存病历（诊断/医嘱已与处方同源）
+    if (canUseMedicalRecord.value) {
+      try {
+        const registerId = Number(localStorage.getItem('doctorReception-id') || 0);
+        const payload = medicalRecordPanelRef.value?.getPayload?.() || {
+          diagnosis: diagnosis.value,
+          doctor_order: medicalAdvice.value,
+        };
+        await saveMedicalRecord({
+          ...payload,
+          register_id: registerId,
+          store_id: Number(myStoreId.value || 0),
+          user_patient_id: Number(
+            activePatient.value?.user_patient?.id ||
+              activePatient.value?.user_patient_id ||
+              0,
+          ),
+          diagnosis: diagnosis.value,
+          doctor_order: medicalAdvice.value,
+          medicalAdvice: medicalAdvice.value,
+        });
+      } catch (e) {
+        console.error('同步保存病历失败', e);
+      }
+    }

    // 检查是否需要转诊
    const needTransfer = res?.result?.need_transfer || res?.data?.need_transfer || res?.need_transfer;
@@ -1083,45 +1144,29 @@ const [SimpleProductModalComponent, SimpleProductModalApi] = useVbenModal({
  connectedComponent: SimpleProductModal,
 });

-const [DiagnosisModals, DiagnosisModalApi] = useVbenModal({
-  connectedComponent: DiagnosisModal,
-});
-
-const openDiagnosisModal = () => {
-  // 打开常用诊断模态框逻辑
-  DiagnosisModalApi.setData({
-    values: diagnosis.value,
-    updateDiagnosis,
-  });
-  DiagnosisModalApi.open();
-};
-
 /**
- * 更新诊断结果
- * @param values
+ * 诊断/医嘱追加（中文逗号拼接，与病历面板一致）
 */
-function updateDiagnosis(values) {
-  diagnosis.value = values;
+function appendCommaText(base: string, add: string) {
+  if (!add) return base || '';
+  const parts = (base || '').split('，').map((s) => s.trim()).filter(Boolean);
+  if (parts.includes(add)) return parts.join('，');
+  parts.push(add);
+  return parts.join('，');
 }

-/**
- * 常用医嘱
- */
-const [DoctorOrderModals, DoctorOrderModalApi] = useVbenModal({
-  connectedComponent: DoctorOrderModal,
-});
+/** 气泡/常用标签选中诊断 */
+function onPickDiagnosis(text: string) {
+  const t = String(text || '').trim();
+  if (!t) return;
+  diagnosis.value = appendCommaText(diagnosis.value, t);
+}

-const openDoctorOrderModal = () => {
-  // 打开常用医嘱模态框逻辑
-  DoctorOrderModalApi.setData({
-    values: medicalAdvice.value,
-    updateDoctorOrder,
-  });
-  DoctorOrderModalApi.open();
-};
-
-function updateDoctorOrder(values) {
-  medicalAdvice.value = values;
+/** 气泡/常用标签选中医嘱 */
+function onPickDoctorOrder(text: string) {
+  const t = String(text || '').trim();
+  if (!t) return;
+  medicalAdvice.value = appendCommaText(medicalAdvice.value, t);
 }

 const [PrescriptionDetailModal, PrescriptionDetailModalApi] = useVbenModal({
@@ -2510,16 +2555,27 @@ watch(
 </script>

 <template>
-  <div :class="leftShow === true? 'container-box-grid':'container-box'">
+  <div class="reception-layout" :class="{ 'is-left-collapsed': !leftShow }">
    <RefusalOfTreatmentModals />
    <InfoModalComponent />
-<!--    如果leftShow === true展示收起，反之则显示展开-->
-    <div>
-      <Button :class="`${leftShow === true? 'w-full': 'sticky top-5 left-5'}`" type="primary" @click="leftShow = !leftShow">{{ leftShow === true ? '收起患者列表' : '展开患者列表' }}</Button>
-      <!-- 左侧患者列表 -->
-      <div v-if="leftShow" class="patient-panel">
+    <!-- 左侧患者列表：宽度过渡动画，收起后保留窄条展开按钮 -->
+    <aside class="patient-sidebar">
+      <div class="patient-sidebar__toggle">
+        <Button
+          type="primary"
+          size="small"
+          class="patient-sidebar__toggle-btn"
+          :title="leftShow ? '收起患者列表' : '展开患者列表'"
+          @click="leftShow = !leftShow"
+        >
+          <MenuFoldOutlined v-if="leftShow" />
+          <MenuUnfoldOutlined v-else />
+          <span v-if="leftShow" class="patient-sidebar__toggle-text">收起</span>
+        </Button>
+      </div>
+      <div class="patient-panel">
        <Select v-model:value="myStoreId" class="w-full" @change="switchStore">
-          <SelectOption v-for="item in myStoreList" :value="item.id">
+          <SelectOption v-for="item in myStoreList" :key="item.id" :value="item.id">
            {{ item.name }}
          </SelectOption>
        </Select>
@@ -2536,7 +2592,6 @@ watch(
          v-for="(patient, index) in patients"
          :key="index"
        >
-
          <div
            v-if="patient.user_patient"
            :class="{ active: selectPatientId === patient.id }"
@@ -2571,8 +2626,21 @@ watch(
          </div>
        </div>
      </div>
-    </div>
+    </aside>

+    <!-- 右侧主区域 -->
+    <div class="reception-main">
+    <!-- 开方页返回：右上角悬浮，不占布局高度 -->
+    <Button
+      v-if="tabType === 2"
+      class="rx-back-fab"
+      type="primary"
+      size="small"
+      @click="tabType = 1"
+    >
+      <LeftOutlined />
+      返回
+    </Button>
    <!-- 右侧处方区域 -->
    <Page v-if="tabType === 1" class="prescription-panel">
      <div class="prescription-header">
@@ -2808,15 +2876,21 @@ watch(
      </div>
    </Page>

-    <Page v-if="tabType === 2" class="prescription-panel">
-      <Button class="mb-10" type="primary" @click="tabType = 1">
-        返回上一页
-      </Button>
-
+    <Page v-if="tabType === 2" class="prescription-panel prescription-panel--rx">
      <div class="prescription-header">
        <h2>{{ activePatient.name }} 的处方</h2>
      </div>

+      <Tabs
+        v-if="canUseMedicalRecord"
+        v-model:active-key="rxMrTab"
+        class="mb-4"
+      >
+        <TabPane key="rx" tab="处方" />
+        <TabPane key="mr" tab="病历" />
+      </Tabs>
+
+      <div v-show="!canUseMedicalRecord || rxMrTab === 'rx'">
      <!-- 药品分类导航 -->
      <div class="drug-categories">
        <button
@@ -3447,20 +3521,38 @@ watch(
          class="mb-5"
          @change="handleChineseConfigChange"
        />
-        <Button type="primary" @click="openDiagnosisModal">
-          常用诊断
-        </Button>
-        <Textarea
-          v-model:value="diagnosis"
-          placeholder="输入诊断结果..."
-        />
-        <Button type="primary" @click="openDoctorOrderModal">
-          常用医嘱
-        </Button>
-        <Textarea
-          v-model:value="medicalAdvice"
-          placeholder="输入医嘱..."
-        />
+        <div class="mb-2">
+          <div class="mb-1 font-medium">诊断</div>
+          <EntryKeywordBubble
+            source="diagnosis"
+            placeholder="诊断关键字搜索"
+            @select="(item) => onPickDiagnosis(item.content || item.title)"
+          />
+          <Textarea
+            v-model:value="diagnosis"
+            placeholder="输入诊断结果..."
+          />
+          <CommonDxOrderChips
+            source="diagnosis"
+            @select="onPickDiagnosis"
+          />
+        </div>
+        <div class="mb-2">
+          <div class="mb-1 font-medium">医嘱</div>
+          <EntryKeywordBubble
+            source="doctor_order"
+            placeholder="医嘱关键字搜索"
+            @select="(item) => onPickDoctorOrder(item.content || item.title)"
+          />
+          <Textarea
+            v-model:value="medicalAdvice"
+            placeholder="输入医嘱..."
+          />
+          <CommonDxOrderChips
+            source="doctor_order"
+            @select="onPickDoctorOrder"
+          />
+        </div>
        诊疗费用：
        <InputNumber
          v-model:value="treatmentPrice"
@@ -3528,12 +3620,27 @@ watch(
        </Button>
      </div>
      </div>
+      </div>
+
+      <div
+        v-show="canUseMedicalRecord && rxMrTab === 'mr'"
+        class="medical-record-wrap"
+      >
+        <MedicalRecordPanel
+          ref="medicalRecordPanelRef"
+          v-model:diagnosis="diagnosis"
+          v-model:medical-advice="medicalAdvice"
+          :register-id="doctorReceptionRegisterId"
+          :store-id="Number(myStoreId || 0)"
+          :user-patient-id="Number(activePatient?.id || 0)"
+        />
+      </div>
    </Page>
    <div v-else-if="tabType === 0" class="prescription-panel">
      <Empty/>
    </div>
-    <DiagnosisModals/>
-    <DoctorOrderModals/>
+    </div>
+    <!-- /reception-main -->
    <WesternDrugModal/>
    <SimpleProductModalComponent/>
    <PrescriptionDetailModal/>
@@ -3615,6 +3722,81 @@ watch(
  right: 0;
 }

+.reception-layout {
+  display: flex;
+  min-height: 90vh;
+  width: 100%;
+  align-items: stretch;
+}
+.patient-sidebar {
+  flex-shrink: 0;
+  width: 300px;
+  overflow: hidden;
+  border-right: 1px solid #e4e7ed;
+  transition: width 0.28s ease;
+  display: flex;
+  flex-direction: column;
+  background: hsl(var(--background));
+}
+.reception-layout.is-left-collapsed .patient-sidebar {
+  width: 44px;
+}
+.patient-sidebar__toggle {
+  flex-shrink: 0;
+  padding: 8px;
+  display: flex;
+  justify-content: flex-end;
+}
+.reception-layout.is-left-collapsed .patient-sidebar__toggle {
+  justify-content: center;
+  padding: 8px 4px;
+}
+.patient-sidebar__toggle-btn {
+  display: inline-flex;
+  align-items: center;
+  gap: 4px;
+}
+.patient-sidebar__toggle-text {
+  margin-left: 2px;
+}
+.patient-panel {
+  width: 300px;
+  flex: 1;
+  overflow-y: auto;
+  overflow-x: hidden;
+  opacity: 1;
+  transition: opacity 0.2s ease;
+  padding: 0 8px 12px;
+}
+.reception-layout.is-left-collapsed .patient-panel {
+  opacity: 0;
+  pointer-events: none;
+}
+.dark .patient-sidebar {
+  border-right: 1px solid #333;
+}
+.reception-main {
+  flex: 1;
+  min-width: 0;
+  position: relative;
+}
+.rx-back-fab {
+  position: absolute;
+  top: 12px;
+  right: 16px;
+  z-index: 30;
+  display: inline-flex;
+  align-items: center;
+  gap: 4px;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.12);
+}
+.prescription-panel--rx .prescription-header {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  gap: 12px;
+}
+
 .container-box {
  min-height: 90vh;
 }
@@ -3624,13 +3806,8 @@ watch(
  grid-template-columns: 300px 1fr;
 }

-.patient-panel {
-  border-right: 1px solid #e4e7ed;
-  overflow-y: auto;
-}
-
 .dark .patient-panel {
-  border-right: 1px solid #333;
+  border-right: none;
 }

 .patient-card {
--- a/apps/web-antd/src/views/doctor/medical-record/MedicalRecordPanel.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/MedicalRecordPanel.vue
@@ -0,0 +1,975 @@
+<script lang="ts" setup>
+/**
+ * 接诊病历面板（双栏）
+ * diagnosis / medicalAdvice 与处方 Tab 双向绑定
+ * 诊断/医嘱气泡走处方同源接口；其余字段走病历词条
+ * 文本域双击弹出放大编辑 Modal
+ */
+import { computed, nextTick, onMounted, reactive, ref, watch } from 'vue';
+
+import { useDebounceFn } from '@vueuse/core';
+import { useVbenDrawer, useVbenModal } from '@vben/common-ui';
+import {
+  Button,
+  Col,
+  Input,
+  InputNumber,
+  Row,
+  Textarea,
+  message,
+} from 'ant-design-vue';
+
+import { getSystemConfigByKeys } from '#/views/system/system-config/api';
+
+import {
+  clearMedicalRecord,
+  getMedicalRecord,
+  saveMedicalRecord,
+} from './api';
+import EntryKeywordBubble, {
+  type MedicalRecordEntryItem,
+} from './components/EntryKeywordBubble.vue';
+import CommonDxOrderChips from './components/CommonDxOrderChips.vue';
+import PatientMedicalRecordDrawer from './components/PatientMedicalRecordDrawer.vue';
+import TextareaExpandModal from './components/TextareaExpandModal.vue';
+import { emptyMedicalRecord } from './config/constants';
+import {
+  clearMedicalRecordDraft,
+  loadMedicalRecordDraft,
+  saveMedicalRecordDraft,
+} from './utils/localDraft';
+
+/** 诊断/医嘱常用展示：tags标签 / bubble气泡 / both两边 */
+type MrCommonDisplayMode = 'tags' | 'bubble' | 'both';
+
+const props = withDefaults(
+  defineProps<{
+    registerId: number;
+    storeId?: number;
+    userPatientId?: number;
+    /** 与处方同步：临床诊断 */
+    diagnosis: string;
+    /** 与处方同步：医嘱 */
+    medicalAdvice: string;
+    /** 在线复诊时诊断只读 */
+    diagnosisReadonly?: boolean;
+    /** localStorage 键前缀（chat-shop 用 storagePrefix 隔离） */
+    storagePrefix?: string;
+  }>(),
+  {
+    storeId: 0,
+    userPatientId: 0,
+    diagnosisReadonly: false,
+    storagePrefix: '',
+  },
+);
+
+const emit = defineEmits<{
+  'update:diagnosis': [string];
+  'update:medicalAdvice': [string];
+}>();
+
+const form = reactive(emptyMedicalRecord());
+const loading = ref(false);
+/** 加载中不写本地，避免接口回填触发草稿覆盖 */
+const hydrating = ref(false);
+/** 系统配置：常用|我的展示位置，默认标签 */
+const commonDisplayMode = ref<MrCommonDisplayMode>('tags');
+const showCommonTags = computed(
+  () => commonDisplayMode.value === 'tags' || commonDisplayMode.value === 'both',
+);
+const showCommonInBubble = computed(
+  () =>
+    commonDisplayMode.value === 'bubble' || commonDisplayMode.value === 'both',
+);
+/** 标签区刷新（气泡内新增/加常用后） */
+const commonChipsTick = ref(0);
+
+/**
+ * 病历模块焦点顺序：双栏同行先左后右，再换下一行
+ * 「中医病案」内：舌象→脉象→辨证/病案→证候→疾病→治法，再进入右栏过敏史
+ */
+const MODULE_ORDER = [
+  'diagnosis',
+  'family_history',
+  'chief_complaint',
+  'epidemic_history',
+  'present_illness',
+  'past_history',
+  'tongue',
+  'pulse',
+  'tcm_case',
+  'tcm_syndrome',
+  'tcm_disease',
+  'tcm_method',
+  'allergy_history',
+  'treatment_advice',
+  'physical_exam',
+  'doctor_order',
+  'auxiliary_exam',
+] as const;
+
+type MrModuleKey = (typeof MODULE_ORDER)[number];
+
+const panelRootRef = ref<HTMLElement | null>(null);
+const searchRefs = reactive<Record<string, { focus?: () => void; close?: () => void } | null>>(
+  {},
+);
+const textareaRefs = reactive<Record<string, any>>({});
+
+function setSearchRef(key: string, el: unknown) {
+  searchRefs[key] = (el as any) || null;
+}
+
+function setTextareaRef(key: string, el: unknown) {
+  textareaRefs[key] = el || null;
+}
+
+/** 聚焦某模块搜索气泡 */
+function focusModuleSearch(key: MrModuleKey) {
+  Object.values(searchRefs).forEach((r) => r?.close?.());
+  nextTick(() => searchRefs[key]?.focus?.());
+}
+
+/**
+ * 聚焦某模块文本域/输入框
+ * 舌象/脉象是 Input，其余多为 Textarea，兼容两种 DOM
+ */
+function focusModuleTextarea(key: MrModuleKey) {
+  Object.values(searchRefs).forEach((r) => r?.close?.());
+  nextTick(() => {
+    const comp = textareaRefs[key];
+    if (!comp) return;
+    // Ant Design Vue 组件常自带 focus()
+    if (typeof comp.focus === 'function') {
+      comp.focus();
+      return;
+    }
+    const el =
+      comp?.resizableTextArea?.textArea ||
+      comp?.$el?.querySelector?.('textarea') ||
+      comp?.$el?.querySelector?.('input') ||
+      (comp instanceof HTMLTextAreaElement || comp instanceof HTMLInputElement
+        ? comp
+        : null);
+    el?.focus?.();
+  });
+}
+
+/**
+ * Ctrl+Enter：搜索→同模块文本域；文本域→下一模块搜索（首尾循环）
+ * Ctrl+Shift+Enter：文本域→同模块搜索；搜索→上一模块文本域（首尾循环）
+ */
+function onPanelKeydownCapture(e: KeyboardEvent) {
+  if (!e.ctrlKey || e.key !== 'Enter') return;
+  const target = e.target as HTMLElement | null;
+  if (!target || !panelRootRef.value?.contains(target)) return;
+  const host = target.closest('[data-mr-module]') as HTMLElement | null;
+  if (!host || !panelRootRef.value.contains(host)) return;
+  const moduleKey = host.getAttribute('data-mr-module') as MrModuleKey | null;
+  const role = host.getAttribute('data-mr-role') as 'search' | 'textarea' | null;
+  if (!moduleKey || !role) return;
+  const idx = MODULE_ORDER.indexOf(moduleKey);
+  if (idx < 0) return;
+  e.preventDefault();
+  e.stopPropagation();
+  const n = MODULE_ORDER.length;
+  if (e.shiftKey) {
+    if (role === 'textarea') {
+      focusModuleSearch(moduleKey);
+      return;
+    }
+    const prev = MODULE_ORDER[(idx - 1 + n) % n];
+    focusModuleTextarea(prev);
+    return;
+  }
+  if (role === 'search') {
+    focusModuleTextarea(moduleKey);
+    return;
+  }
+  const next = MODULE_ORDER[(idx + 1) % n];
+  focusModuleSearch(next);
+}
+
+/** 读取常用展示位置配置 */
+async function loadCommonDisplayMode() {
+  try {
+    const res = await getSystemConfigByKeys(['mr_common_display_mode']);
+    const raw = String(
+      res?.mr_common_display_mode ?? res?.data?.mr_common_display_mode ?? 'tags',
+    );
+    commonDisplayMode.value =
+      raw === 'bubble' || raw === 'both' ? raw : 'tags';
+  } catch {
+    commonDisplayMode.value = 'tags';
+  }
+}
+
+onMounted(() => {
+  loadCommonDisplayMode();
+});
+
+/** 优先 props，其次病历/挂号回填的 form.user_patient_id */
+const effectivePatientId = computed(
+  () => Number(props.userPatientId || form.user_patient_id || 0),
+);
+
+const diagnosisModel = computed({
+  get: () => props.diagnosis,
+  set: (v: string) => emit('update:diagnosis', v),
+});
+const medicalAdviceModel = computed({
+  get: () => props.medicalAdvice,
+  set: (v: string) => emit('update:medicalAdvice', v),
+});
+
+const [ExpandModal, expandModalApi] = useVbenModal({
+  connectedComponent: TextareaExpandModal,
+});
+
+/** 引用历史：用列表抽屉选择，避免 latest 排除当前挂号导致「列表有、引用无」 */
+const [CiteHistoryDrawer, citeHistoryDrawerApi] = useVbenDrawer({
+  connectedComponent: PatientMedicalRecordDrawer,
+});
+
+/** 组装当前可落盘的病历草稿（含诊断/医嘱） */
+function buildDraftPayload() {
+  return {
+    ...form,
+    register_id: props.registerId,
+    store_id: props.storeId || form.store_id,
+    user_patient_id: effectivePatientId.value,
+    diagnosis: diagnosisModel.value,
+    doctor_order: medicalAdviceModel.value,
+  };
+}
+
+/** 写入本地草稿（带前缀隔离） */
+function persistLocalDraft() {
+  if (!props.registerId || hydrating.value) return;
+  const keyId = `${props.storagePrefix || ''}${props.registerId}`;
+  saveMedicalRecordDraft(keyId, buildDraftPayload());
+}
+
+const debouncedPersistLocal = useDebounceFn(persistLocalDraft, 300);
+
+/**
+ * 拉取病历：接口 + 本地草稿合并（草稿覆盖内容字段，避免刷新丢失未保存编辑）
+ */
+async function loadRecord() {
+  if (!props.registerId) return;
+  loading.value = true;
+  hydrating.value = true;
+  try {
+    const data = await getMedicalRecord({
+      register_id: props.registerId,
+      store_id: props.storeId || undefined,
+    });
+    Object.assign(form, emptyMedicalRecord(props.registerId, props.storeId), data || {});
+    const draftKey = `${props.storagePrefix || ''}${props.registerId}`;
+    const draft = loadMedicalRecordDraft(draftKey);
+    if (draft) {
+      const keepMeta = {
+        id: form.id || draft.id || 0,
+        register_id: props.registerId,
+        store_id: props.storeId || form.store_id || draft.store_id || 0,
+        user_patient_id:
+          props.userPatientId ||
+          form.user_patient_id ||
+          draft.user_patient_id ||
+          0,
+      };
+      Object.assign(form, draft, keepMeta);
+      if (draft.diagnosis) emit('update:diagnosis', draft.diagnosis);
+      if (draft.doctor_order) emit('update:medicalAdvice', draft.doctor_order);
+    } else {
+      if (!props.diagnosis && form.diagnosis) {
+        emit('update:diagnosis', form.diagnosis);
+      }
+      if (!props.medicalAdvice && form.doctor_order) {
+        emit('update:medicalAdvice', form.doctor_order);
+      }
+    }
+    // 处方侧已有值优先（接诊草稿可能先恢复了诊断/医嘱）
+    if (props.diagnosis) form.diagnosis = props.diagnosis;
+    if (props.medicalAdvice) form.doctor_order = props.medicalAdvice;
+  } catch (e: any) {
+    console.error(e);
+    const draft = loadMedicalRecordDraft(
+      `${props.storagePrefix || ''}${props.registerId}`,
+    );
+    if (draft) {
+      Object.assign(form, emptyMedicalRecord(props.registerId, props.storeId), draft);
+      if (draft.diagnosis) emit('update:diagnosis', draft.diagnosis);
+      if (draft.doctor_order) emit('update:medicalAdvice', draft.doctor_order);
+    }
+  } finally {
+    loading.value = false;
+    hydrating.value = false;
+  }
+}
+
+watch(
+  () => props.registerId,
+  (id) => {
+    if (id) loadRecord();
+  },
+  { immediate: true },
+);
+
+watch(
+  () => props.diagnosis,
+  (v) => {
+    form.diagnosis = v || '';
+    debouncedPersistLocal();
+  },
+);
+watch(
+  () => props.medicalAdvice,
+  (v) => {
+    form.doctor_order = v || '';
+    debouncedPersistLocal();
+  },
+);
+
+/** 表单任意字段变更都落本地，防止刷新丢失 */
+watch(
+  form,
+  () => {
+    debouncedPersistLocal();
+  },
+  { deep: true },
+);
+
+function appendText(base: string, add: string) {
+  if (!add) return base || '';
+  if (!base) return add;
+  return `${base}${base.endsWith('\n') ? '' : '\n'}${add}`;
+}
+
+/**
+ * 诊断/医嘱与处方一致：用中文逗号拼接，避免重复
+ */
+function appendCommaText(base: string, add: string) {
+  if (!add) return base || '';
+  const parts = (base || '').split('，').map((s) => s.trim()).filter(Boolean);
+  if (parts.includes(add)) return parts.join('，');
+  parts.push(add);
+  return parts.join('，');
+}
+
+/**
+ * 选用词条：舌象/脉象覆盖；诊断/医嘱/中医三典逗号拼接；其余换行追加
+ */
+function onEntryPick(fieldCode: string, item: MedicalRecordEntryItem) {
+  const text = item.content || item.title || '';
+  if (!text) return;
+  if (fieldCode === 'tongue' || fieldCode === 'pulse') {
+    (form as any)[fieldCode] = text;
+    return;
+  }
+  if (fieldCode === 'diagnosis') {
+    diagnosisModel.value = appendCommaText(diagnosisModel.value, text);
+    return;
+  }
+  if (fieldCode === 'doctor_order') {
+    medicalAdviceModel.value = appendCommaText(medicalAdviceModel.value, text);
+    return;
+  }
+  // 中医疾病/证候/治法与诊断类似，多项用中文逗号拼接
+  if (
+    fieldCode === 'tcm_disease' ||
+    fieldCode === 'tcm_syndrome' ||
+    fieldCode === 'tcm_method'
+  ) {
+    (form as any)[fieldCode] = appendCommaText(
+      String((form as any)[fieldCode] || ''),
+      text,
+    );
+    return;
+  }
+  (form as any)[fieldCode] = appendText((form as any)[fieldCode] || '', text);
+}
+
+/**
+ * 双击文本域：弹出放大编辑框（可带词条搜索与常用快捷）
+ */
+function openExpandEditor(
+  title: string,
+  getValue: () => string,
+  setValue: (v: string) => void,
+  readonly = false,
+  extra?: {
+    source?:
+      | 'entry'
+      | 'diagnosis'
+      | 'doctor_order'
+      | 'tcm_disease'
+      | 'tcm_syndrome'
+      | 'tcm_method';
+    fieldCode?: string;
+    showChips?: boolean;
+    showCommonInBubble?: boolean;
+    joinMode?: 'comma' | 'newline' | 'replace';
+  },
+) {
+  if (readonly) return;
+  expandModalApi.setData({
+    title,
+    value: getValue() || '',
+    onConfirm: (v: string) => setValue(v),
+    storeId: props.storeId,
+    readonly,
+    ...extra,
+  });
+  expandModalApi.open();
+}
+
+function openDiagnosisExpand() {
+  openExpandEditor(
+    '临床诊断',
+    () => diagnosisModel.value,
+    (v) => {
+      diagnosisModel.value = v;
+    },
+    props.diagnosisReadonly,
+    {
+      source: 'diagnosis',
+      showChips: showCommonTags.value,
+      showCommonInBubble: showCommonInBubble.value,
+      joinMode: 'comma',
+    },
+  );
+}
+
+function openAdviceExpand() {
+  openExpandEditor(
+    '医嘱',
+    () => medicalAdviceModel.value,
+    (v) => {
+      medicalAdviceModel.value = v;
+    },
+    false,
+    {
+      source: 'doctor_order',
+      showChips: showCommonTags.value,
+      showCommonInBubble: showCommonInBubble.value,
+      joinMode: 'comma',
+    },
+  );
+}
+
+function openFieldExpand(fieldCode: string, label: string) {
+  const tcmSourceMap: Record<
+    string,
+    'tcm_disease' | 'tcm_syndrome' | 'tcm_method'
+  > = {
+    tcm_disease: 'tcm_disease',
+    tcm_syndrome: 'tcm_syndrome',
+    tcm_method: 'tcm_method',
+  };
+  const tcmSource = tcmSourceMap[fieldCode];
+  const joinMode =
+    fieldCode === 'tongue' || fieldCode === 'pulse'
+      ? 'replace'
+      : tcmSource
+        ? 'comma'
+        : 'newline';
+  openExpandEditor(
+    label,
+    () => String((form as any)[fieldCode] || ''),
+    (v) => {
+      (form as any)[fieldCode] = v;
+    },
+    false,
+    {
+      source: tcmSource || 'entry',
+      fieldCode: tcmSource ? undefined : fieldCode,
+      showChips: false,
+      joinMode,
+    },
+  );
+}
+
+/** 保存病历（同步诊断/医嘱） */
+async function handleSave() {
+  if (!props.registerId) {
+    message.warning('无挂号信息');
+    return;
+  }
+  loading.value = true;
+  try {
+    await saveMedicalRecord({
+      ...form,
+      register_id: props.registerId,
+      store_id: props.storeId || form.store_id,
+      user_patient_id: effectivePatientId.value,
+      diagnosis: diagnosisModel.value,
+      doctor_order: medicalAdviceModel.value,
+      medicalAdvice: medicalAdviceModel.value,
+    });
+    persistLocalDraft();
+    message.success('病历已保存');
+  } finally {
+    loading.value = false;
+  }
+}
+
+async function handleClear() {
+  if (!props.registerId) return;
+  await clearMedicalRecord({
+    register_id: props.registerId,
+    store_id: props.storeId || undefined,
+  });
+  const keepPatient = effectivePatientId.value;
+  Object.assign(form, emptyMedicalRecord(props.registerId, props.storeId));
+  form.user_patient_id = keepPatient;
+  emit('update:diagnosis', '');
+  emit('update:medicalAdvice', '');
+  clearMedicalRecordDraft(`${props.storagePrefix || ''}${props.registerId}`);
+  message.success('已清空病历');
+}
+
+/**
+ * 打开引用历史病历抽屉（从列表选择，可引用填充）
+ */
+function handleCiteHistory() {
+  const patientId = effectivePatientId.value;
+  if (!patientId) {
+    message.warning('无就诊人信息');
+    return;
+  }
+  citeHistoryDrawerApi.setData({
+    mode: 'cite',
+    userPatientId: patientId,
+    storeId: props.storeId || undefined,
+    excludeRegisterId: props.registerId || 0,
+    onCite: applyCitedRecord,
+  });
+  citeHistoryDrawerApi.open();
+}
+
+/**
+ * 将选中的历史病历回填到当前编辑区（保留当前挂号关联 id）
+ */
+function applyCitedRecord(data: Record<string, any>) {
+  const patientId = effectivePatientId.value;
+  const keepIds = {
+    id: form.id,
+    register_id: props.registerId,
+    store_id: props.storeId || form.store_id,
+    user_patient_id: patientId,
+  };
+  Object.assign(form, data, keepIds);
+  if (data.diagnosis) emit('update:diagnosis', data.diagnosis);
+  if (data.doctor_order) emit('update:medicalAdvice', data.doctor_order);
+  persistLocalDraft();
+  message.success('已引用历史病历');
+}
+
+defineExpose({
+  save: handleSave,
+  loadRecord,
+  getPayload: () => ({
+    ...form,
+    user_patient_id: effectivePatientId.value,
+    diagnosis: diagnosisModel.value,
+    doctor_order: medicalAdviceModel.value,
+  }),
+});
+
+/** source：走中医三典气泡；默认 entry 走病历词条 */
+function fieldBlock(
+  fieldCode: string,
+  label: string,
+  textKey?: string,
+  source?: 'entry' | 'tcm_disease' | 'tcm_syndrome' | 'tcm_method',
+) {
+  return {
+    fieldCode,
+    label,
+    textKey: textKey || fieldCode,
+    source: source || 'entry',
+  };
+}
+
+/** 中医病案内嵌：证候→疾病→治法（一行两列排布） */
+const tcmCaseSubFields = [
+  fieldBlock('tcm_syndrome', '中医证候', undefined, 'tcm_syndrome'),
+  fieldBlock('tcm_disease', '中医疾病', undefined, 'tcm_disease'),
+  fieldBlock('tcm_method', '中医治法', undefined, 'tcm_method'),
+];
+
+/**
+ * 两列切块：证候|疾病、治法|空
+ * 与舌象/脉象同一行两列布局一致
+ */
+const tcmCaseSubRows = [
+  [tcmCaseSubFields[0], tcmCaseSubFields[1]],
+  [tcmCaseSubFields[2], null],
+] as const;
+
+const leftFields = [
+  fieldBlock('chief_complaint', '主诉'),
+  fieldBlock('present_illness', '现病史'),
+  fieldBlock('tcm_case', '中医病案'),
+  fieldBlock('treatment_advice', '治疗意见'),
+  fieldBlock('doctor_order', '医嘱'),
+];
+const rightFields = [
+  fieldBlock('family_history', '家族史'),
+  fieldBlock('epidemic_history', '流行病学史'),
+  fieldBlock('past_history', '既往史'),
+  fieldBlock('allergy_history', '过敏史'),
+  fieldBlock('physical_exam', '体征检查'),
+  fieldBlock('auxiliary_exam', '辅助检查'),
+];
+</script>
+<template>
+  <div
+    ref="panelRootRef"
+    class="medical-record-panel"
+    :class="{ 'opacity-60': loading }"
+    @keydown.capture="onPanelKeydownCapture"
+  >
+    <div class="mb-3 flex flex-wrap gap-2">
+      <Button danger @click="handleClear">清空病历</Button>
+      <Button @click="handleCiteHistory">引用历史病历</Button>
+      <Button type="primary" :loading="loading" @click="handleSave">保存病历</Button>
+    </div>
+    <div class="mb-2 text-xs text-muted-foreground">
+      提示：双击文本域可放大编辑；Ctrl+Enter 下一项，Ctrl+Shift+Enter 上一项
+    </div>
+    <Row :gutter="16">
+      <Col :span="12">
+        <div class="mb-4">
+          <div class="mb-1 font-medium">诊断（与处方同步）</div>
+          <div class="mb-1" data-mr-module="diagnosis" data-mr-role="search">
+            <EntryKeywordBubble
+              :ref="(el) => setSearchRef('diagnosis', el)"
+              source="diagnosis"
+              placeholder="诊断关键字"
+              :disabled="diagnosisReadonly"
+              :show-common-in-bubble="showCommonInBubble"
+              @select="(item) => onEntryPick('diagnosis', item)"
+              @common-changed="commonChipsTick += 1"
+            />
+          </div>
+          <div data-mr-module="diagnosis" data-mr-role="textarea">
+            <Textarea
+              :ref="(el) => setTextareaRef('diagnosis', el)"
+              v-model:value="diagnosisModel"
+              :rows="2"
+              :disabled="diagnosisReadonly"
+              :placeholder="diagnosisReadonly ? '请通过上方关键字选择诊断' : '临床诊断（双击放大）'"
+              @dblclick="openDiagnosisExpand"
+            />
+          </div>
+          <CommonDxOrderChips
+            v-if="showCommonTags"
+            :key="`dx_chips_${commonChipsTick}`"
+            source="diagnosis"
+            :disabled="diagnosisReadonly"
+            @select="(text) => onEntryPick('diagnosis', { id: text, title: text, content: text, remark: '' })"
+          />
+        </div>
+        <div v-for="f in leftFields" :key="f.fieldCode" class="mb-4">
+          <div class="mb-1 font-medium">{{ f.label }}</div>
+          <template v-if="f.fieldCode === 'tcm_case'">
+            <!-- 1) 舌象 | 脉象 -->
+            <div class="mb-2 flex gap-2">
+              <div class="min-w-0 flex-1">
+                <div class="mb-1 text-sm text-muted-foreground">舌象</div>
+                <div class="mb-1" data-mr-module="tongue" data-mr-role="search">
+                  <EntryKeywordBubble
+                    :ref="(el) => setSearchRef('tongue', el)"
+                    field-code="tongue"
+                    :store-id="storeId"
+                    placeholder="舌象词条"
+                    @select="(item) => onEntryPick('tongue', item)"
+                  />
+                </div>
+                <div data-mr-module="tongue" data-mr-role="textarea">
+                  <Input
+                    :ref="(el) => setTextareaRef('tongue', el)"
+                    v-model:value="form.tongue"
+                    placeholder="舌象"
+                    @dblclick="openFieldExpand('tongue', '舌象')"
+                  />
+                </div>
+              </div>
+              <div class="min-w-0 flex-1">
+                <div class="mb-1 text-sm text-muted-foreground">脉象</div>
+                <div class="mb-1" data-mr-module="pulse" data-mr-role="search">
+                  <EntryKeywordBubble
+                    :ref="(el) => setSearchRef('pulse', el)"
+                    field-code="pulse"
+                    :store-id="storeId"
+                    placeholder="脉象词条"
+                    @select="(item) => onEntryPick('pulse', item)"
+                  />
+                </div>
+                <div data-mr-module="pulse" data-mr-role="textarea">
+                  <Input
+                    :ref="(el) => setTextareaRef('pulse', el)"
+                    v-model:value="form.pulse"
+                    placeholder="脉象"
+                    @dblclick="openFieldExpand('pulse', '脉象')"
+                  />
+                </div>
+              </div>
+            </div>
+            <!-- 2) 辨证 / 病案 -->
+            <div class="mb-1 text-sm text-muted-foreground">辨证 / 病案</div>
+            <div class="mb-1" data-mr-module="tcm_case" data-mr-role="search">
+              <EntryKeywordBubble
+                :ref="(el) => setSearchRef('tcm_case', el)"
+                field-code="tcm_case"
+                :store-id="storeId"
+                @select="(item) => onEntryPick('tcm_case', item)"
+              />
+            </div>
+            <div class="mb-3" data-mr-module="tcm_case" data-mr-role="textarea">
+              <Textarea
+                :ref="(el) => setTextareaRef('tcm_case', el)"
+                v-model:value="form.tcm_case"
+                :rows="2"
+                placeholder="[选择] 辨证/病案（双击放大）"
+                @dblclick="openFieldExpand('tcm_case', '辨证/病案')"
+              />
+            </div>
+            <!-- 3) 证候|疾病、治法|空：与舌脉同为一行两列 -->
+            <div
+              v-for="(row, rowIdx) in tcmCaseSubRows"
+              :key="`tcm_row_${rowIdx}`"
+              class="mb-2 flex gap-2"
+            >
+              <div
+                v-for="(sub, colIdx) in row"
+                :key="sub ? sub.fieldCode : `empty_${rowIdx}_${colIdx}`"
+                class="min-w-0 flex-1"
+              >
+                <template v-if="sub">
+                  <div class="mb-1 text-sm text-muted-foreground">{{ sub.label }}</div>
+                  <div
+                    class="mb-1"
+                    :data-mr-module="sub.fieldCode"
+                    data-mr-role="search"
+                  >
+                    <EntryKeywordBubble
+                      :ref="(el) => setSearchRef(sub.fieldCode, el)"
+                      :source="sub.source"
+                      :placeholder="`${sub.label}关键字/首拼/全拼`"
+                      @select="(item) => onEntryPick(sub.fieldCode, item)"
+                    />
+                  </div>
+                  <div :data-mr-module="sub.fieldCode" data-mr-role="textarea">
+                    <Input
+                      :ref="(el) => setTextareaRef(sub.fieldCode, el)"
+                      v-model:value="(form as any)[sub.textKey]"
+                      :placeholder="sub.label"
+                      @dblclick="openFieldExpand(sub.textKey, sub.label)"
+                    />
+                  </div>
+                </template>
+              </div>
+            </div>
+          </template>
+          <div
+            v-else-if="f.fieldCode === 'doctor_order'"
+            class="mb-1"
+            data-mr-module="doctor_order"
+            data-mr-role="search"
+          >
+            <EntryKeywordBubble
+              :ref="(el) => setSearchRef('doctor_order', el)"
+              source="doctor_order"
+              placeholder="医嘱关键字"
+              :show-common-in-bubble="showCommonInBubble"
+              @select="(item) => onEntryPick('doctor_order', item)"
+              @common-changed="commonChipsTick += 1"
+            />
+          </div>
+          <div
+            v-else
+            class="mb-1"
+            :data-mr-module="f.fieldCode"
+            data-mr-role="search"
+          >
+            <EntryKeywordBubble
+              :ref="(el) => setSearchRef(f.fieldCode, el)"
+              :field-code="f.fieldCode"
+              :store-id="storeId"
+              @select="(item) => onEntryPick(f.fieldCode, item)"
+            />
+          </div>
+          <template v-if="f.fieldCode === 'doctor_order'">
+            <div data-mr-module="doctor_order" data-mr-role="textarea">
+              <Textarea
+                :ref="(el) => setTextareaRef('doctor_order', el)"
+                v-model:value="medicalAdviceModel"
+                :rows="2"
+                placeholder="医嘱（与处方同步，双击放大）"
+                @dblclick="openAdviceExpand"
+              />
+            </div>
+            <CommonDxOrderChips
+              v-if="showCommonTags"
+              :key="`order_chips_${commonChipsTick}`"
+              source="doctor_order"
+              @select="(text) => onEntryPick('doctor_order', { id: text, title: text, content: text, remark: '' })"
+            />
+          </template>
+          <div
+            v-else-if="f.fieldCode !== 'tcm_case'"
+            :data-mr-module="f.fieldCode"
+            data-mr-role="textarea"
+          >
+            <Textarea
+              :ref="(el) => setTextareaRef(f.fieldCode, el)"
+              v-model:value="(form as any)[f.textKey]"
+              :rows="2"
+              :placeholder="`[选择] ${f.label}（双击放大）`"
+              @dblclick="openFieldExpand(f.textKey, f.label)"
+            />
+          </div>
+        </div>
+      </Col>
+      <Col :span="12">
+        <div v-for="f in rightFields" :key="f.fieldCode" class="mb-4">
+          <div class="mb-1 font-medium">{{ f.label }}</div>
+          <div
+            class="mb-1"
+            :data-mr-module="f.fieldCode"
+            data-mr-role="search"
+          >
+            <EntryKeywordBubble
+              :ref="(el) => setSearchRef(f.fieldCode, el)"
+              :field-code="f.fieldCode"
+              :store-id="storeId"
+              @select="(item) => onEntryPick(f.fieldCode, item)"
+            />
+          </div>
+          <div
+            v-if="f.fieldCode === 'physical_exam'"
+            class="vitals-underline mb-2 flex flex-wrap items-end gap-x-3 gap-y-2 text-sm"
+          >
+            <span class="vital-item">
+              <span class="vital-label">体温</span>
+              <InputNumber
+                v-model:value="form.temperature"
+                :min="0"
+                :step="0.1"
+                :bordered="false"
+                class="vital-input"
+                placeholder="—"
+              />
+              <span class="vital-unit">℃</span>
+            </span>
+            <span class="vital-item">
+              <span class="vital-label">身高</span>
+              <InputNumber
+                v-model:value="form.height"
+                :min="0"
+                :bordered="false"
+                class="vital-input"
+                placeholder="—"
+              />
+              <span class="vital-unit">cm</span>
+            </span>
+            <span class="vital-item">
+              <span class="vital-label">体重</span>
+              <InputNumber
+                v-model:value="form.weight"
+                :min="0"
+                :step="0.1"
+                :bordered="false"
+                class="vital-input"
+                placeholder="—"
+              />
+              <span class="vital-unit">KG</span>
+            </span>
+            <span class="vital-item">
+              <span class="vital-label">呼吸</span>
+              <InputNumber
+                v-model:value="form.respiratory_rate"
+                :min="0"
+                :bordered="false"
+                class="vital-input vital-input--sm"
+                placeholder="—"
+              />
+              <span class="vital-unit">次/分</span>
+            </span>
+            <span class="vital-item">
+              <span class="vital-label">血压</span>
+              <InputNumber
+                v-model:value="form.bp_systolic"
+                :min="0"
+                :bordered="false"
+                class="vital-input vital-input--sm"
+                placeholder="—"
+              />
+              <span class="vital-sep">/</span>
+              <InputNumber
+                v-model:value="form.bp_diastolic"
+                :min="0"
+                :bordered="false"
+                class="vital-input vital-input--sm"
+                placeholder="—"
+              />
+              <span class="vital-unit">mmHg</span>
+            </span>
+          </div>
+          <div :data-mr-module="f.fieldCode" data-mr-role="textarea">
+            <Textarea
+              :ref="(el) => setTextareaRef(f.fieldCode, el)"
+              v-model:value="(form as any)[f.textKey]"
+              :rows="2"
+              :placeholder="`[选择] ${f.label}（双击放大）`"
+              @dblclick="openFieldExpand(f.textKey, f.label)"
+            />
+          </div>
+        </div>
+      </Col>
+    </Row>
+    <ExpandModal />
+    <CiteHistoryDrawer />
+  </div>
+</template>
+<style scoped>
+.medical-record-panel {
+  padding: 8px 0 24px;
+}
+.vitals-underline .vital-item {
+  display: inline-flex;
+  align-items: flex-end;
+  gap: 4px;
+}
+.vitals-underline .vital-label,
+.vitals-underline .vital-unit,
+.vitals-underline .vital-sep {
+  color: hsl(var(--muted-foreground));
+  white-space: nowrap;
+}
+.vitals-underline :deep(.vital-input.ant-input-number),
+.vitals-underline :deep(.vital-input .ant-input-number) {
+  width: 88px;
+  border: none !important;
+  border-bottom: 1px solid hsl(var(--border)) !important;
+  border-radius: 0 !important;
+  box-shadow: none !important;
+  background: transparent;
+}
+.vitals-underline :deep(.vital-input--sm.ant-input-number),
+.vitals-underline :deep(.vital-input--sm .ant-input-number) {
+  width: 72px;
+}
+.vitals-underline :deep(.ant-input-number-focused),
+.vitals-underline :deep(.ant-input-number:hover) {
+  border-bottom-color: hsl(var(--primary)) !important;
+  box-shadow: none !important;
+}
+.vitals-underline :deep(.ant-input-number-handler-wrap) {
+  opacity: 0.65;
+}
+</style>
--- a/apps/web-antd/src/views/doctor/medical-record/api/index.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/api/index.ts
@@ -0,0 +1,82 @@
+import { requestClient } from '#/api/request';
+
+/** 病历与词条 API（admin medical-record/） */
+const prefix = 'medical-record/';
+
+export async function getMedicalRecordEntryList(data: any) {
+  return requestClient.get<any>(`${prefix}list`, { params: data });
+}
+
+export async function createMedicalRecordEntry(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}create`, data);
+}
+
+export async function updateMedicalRecordEntry(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}update`, data);
+}
+
+export async function deleteMedicalRecordEntry(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}delete`, data);
+}
+
+export async function getMedicalRecordFieldOptions() {
+  return requestClient.get<any>(`${prefix}field-options`);
+}
+
+export async function searchMedicalRecordEntry(data: {
+  field_code: string;
+  keyword?: string;
+  store_id?: number;
+}) {
+  return requestClient.get<any>(`${prefix}search-entry`, { params: data });
+}
+
+export async function getMedicalRecord(data: {
+  register_id: number;
+  store_id?: number;
+}) {
+  return requestClient.get<any>(`${prefix}get-record`, { params: data });
+}
+
+export async function saveMedicalRecord(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}save-record`, data);
+}
+
+export async function clearMedicalRecord(data: {
+  register_id: number;
+  store_id?: number;
+}) {
+  return requestClient.post<any>(`${prefix}clear-record`, data);
+}
+
+export async function getLatestMedicalRecord(data: {
+  user_patient_id: number;
+  register_id?: number;
+  store_id?: number;
+}) {
+  return requestClient.get<any>(`${prefix}latest-by-patient`, { params: data });
+}
+
+/** 按就诊人拉取病历列表（查看历史） */
+export async function getMedicalRecordListByPatient(data: {
+  user_patient_id: number;
+  store_id?: number;
+  limit?: number;
+}) {
+  return requestClient.get<any>(`${prefix}list-by-patient`, { params: data });
+}
+
+/** Excel 解析后批量导入词条 */
+export async function importMedicalRecordEntry(data: {
+  scope: 'public' | 'store';
+  rows: Array<Record<string, any>>;
+}) {
+  return requestClient.post<any>(`${prefix}import-entry`, data);
+}
+
+/** 手动同步空拼音首拼 */
+export async function syncMedicalRecordEntryPinyin(data?: {
+  scope?: 'public' | 'store' | '';
+}) {
+  return requestClient.post<any>(`${prefix}sync-pinyin`, data || {});
+}
--- a/apps/web-antd/src/views/doctor/medical-record/components/CommonDxOrderChips.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/CommonDxOrderChips.vue
@@ -0,0 +1,142 @@
+<script lang="ts" setup>
+/**
+ * 常用诊断 / 常用医嘱快捷标签
+ * 展示在输入框下方，点击即追加到对应字段（与 EntryKeywordBubble 同源数据）
+ */
+import { onMounted, ref, watch } from 'vue';
+
+import { Tag } from 'ant-design-vue';
+
+import { getDoctorOrderList } from '#/views/doctor/doctor-reception/api';
+import { getDoctorMyDiseaseListApi } from '#/views/doctor/settings/api';
+
+const props = withDefaults(
+  defineProps<{
+    /** diagnosis=我的常用诊断；doctor_order=我的常用医嘱 */
+    source: 'diagnosis' | 'doctor_order';
+    /** 最多展示条数 */
+    limit?: number;
+    disabled?: boolean;
+  }>(),
+  {
+    limit: 12,
+    disabled: false,
+  },
+);
+
+const emit = defineEmits<{
+  select: [text: string];
+}>();
+
+type ChipItem = { id: string | number; text: string };
+
+const chips = ref<ChipItem[]>([]);
+const loading = ref(false);
+
+/**
+ * 拉取常用项（诊断取医生常用病；医嘱取我的医嘱，无则带公共前几条）
+ */
+async function loadChips() {
+  loading.value = true;
+  try {
+    if (props.source === 'diagnosis') {
+      const list = await getDoctorMyDiseaseListApi().catch(() => []);
+      chips.value = (list || [])
+        .map((item: any) => {
+          const d = item?.disease || item;
+          const text = String(d?.name || '').trim();
+          return text ? { id: d?.id ?? item?.id, text } : null;
+        })
+        .filter(Boolean)
+        .slice(0, props.limit) as ChipItem[];
+      return;
+    }
+    const res = await getDoctorOrderList().catch(() => ({ my: [], common: [] }));
+    const my = (res?.my || [])
+      .map((item: any) => {
+        const text = String(item?.content || '').trim();
+        return text ? { id: item?.id ?? text, text } : null;
+      })
+      .filter(Boolean) as ChipItem[];
+    if (my.length > 0) {
+      chips.value = my.slice(0, props.limit);
+      return;
+    }
+    chips.value = (res?.common || [])
+      .map((item: any) => {
+        const text = String(item?.name || item?.content || '').trim();
+        return text ? { id: item?.id ?? text, text } : null;
+      })
+      .filter(Boolean)
+      .slice(0, props.limit) as ChipItem[];
+  } finally {
+    loading.value = false;
+  }
+}
+
+function onPick(item: ChipItem) {
+  if (props.disabled || !item?.text) return;
+  emit('select', item.text);
+}
+
+watch(
+  () => props.source,
+  () => {
+    loadChips();
+  },
+);
+
+onMounted(() => {
+  loadChips();
+});
+
+defineExpose({ reload: loadChips });
+</script>
+<template>
+  <div v-if="chips.length > 0" class="dx-order-chips">
+    <span class="dx-order-chips__label">
+      {{ source === 'diagnosis' ? '常用诊断' : '常用医嘱' }}
+    </span>
+    <div class="dx-order-chips__list">
+      <Tag
+        v-for="item in chips"
+        :key="`${item.id}_${item.text}`"
+        class="dx-order-chips__tag"
+        :class="{ 'is-disabled': disabled }"
+        color="processing"
+        @click="onPick(item)"
+      >
+        {{ item.text }}
+      </Tag>
+    </div>
+  </div>
+</template>
+<style scoped>
+.dx-order-chips {
+  margin-top: 8px;
+}
+.dx-order-chips__label {
+  display: block;
+  margin-bottom: 6px;
+  font-size: 12px;
+  color: hsl(var(--muted-foreground));
+}
+.dx-order-chips__list {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 6px;
+}
+.dx-order-chips__tag {
+  cursor: pointer;
+  max-width: 100%;
+  white-space: normal;
+  height: auto;
+  line-height: 1.4;
+  padding: 2px 8px;
+  margin: 0;
+}
+.dx-order-chips__tag.is-disabled {
+  cursor: not-allowed;
+  opacity: 0.55;
+}
+</style>
--- a/apps/web-antd/src/views/doctor/medical-record/components/EntryKeywordBubble.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/EntryKeywordBubble.vue
--- a/apps/web-antd/src/views/doctor/medical-record/components/EntryListPage.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/EntryListPage.vue
@@ -0,0 +1,304 @@
+<script lang="ts" setup>
+/**
+ * 病历词条列表（公共/门店共用）
+ * - scope=public → store_id=0；scope=store → 当前登录门店
+ * - fixedFieldCode：按字段拆分菜单时锁定字段，隐藏字段筛选
+ * - 支持 Excel 导入 + 手动同步空拼音首拼
+ */
+import type { VxeGridListeners } from '#/adapter/vxe-table';
+
+import { computed, ref, watch } from 'vue';
+
+import { Page, useVbenModal } from '@vben/common-ui';
+
+import { Button, message, Modal as AntModal, Tag, Upload } from 'ant-design-vue';
+
+import { useVbenVxeGrid } from '#/adapter/vxe-table';
+import { TableAction } from '#/components/table-action';
+import { downloadByData } from '#/util/tool';
+
+import {
+  deleteMedicalRecordEntry,
+  getMedicalRecordEntryList,
+  importMedicalRecordEntry,
+  syncMedicalRecordEntryPinyin,
+} from '../api';
+import { MEDICAL_RECORD_FIELD_OPTIONS, STATUS_OPTIONS } from '../config/constants';
+import { exportMedicalRecordEntryTemplate } from '../utils/exportMedicalRecordEntryExcel';
+import { parseMedicalRecordEntryExcelBuffer } from '../utils/parseMedicalRecordEntryExcel';
+import EntryModal from './EntryModal.vue';
+
+const props = defineProps<{
+  scope: 'public' | 'store';
+  pageTitle: string;
+  pageName: string;
+  /** 锁定字段编码（按类型拆菜单时传入） */
+  fixedFieldCode?: string;
+}>();
+
+defineOptions({ name: 'MedicalRecordEntryList' });
+
+const hasTopTableDropDownActions = ref(false);
+const importing = ref(false);
+const syncing = ref(false);
+
+const formOptions = computed(() => {
+  const schema: any[] = [
+    {
+      component: 'VbenInput',
+      fieldName: 'title',
+      label: '词条名称',
+      componentProps: { placeholder: '名称/首拼模糊搜索' },
+    },
+  ];
+  if (!props.fixedFieldCode) {
+    schema.push({
+      component: 'VbenSelect',
+      fieldName: 'field_code',
+      label: '所属字段',
+      componentProps: {
+        allowClear: true,
+        options: MEDICAL_RECORD_FIELD_OPTIONS,
+      },
+    });
+  }
+  schema.push({
+    component: 'VbenSelect',
+    fieldName: 'status',
+    label: '状态',
+    componentProps: { allowClear: true, options: STATUS_OPTIONS },
+  });
+  return { schema };
+});
+
+const gridOptions = computed(() => ({
+  checkboxConfig: { highlight: true, labelField: '' },
+  columns: [
+    { type: 'checkbox', width: 60 },
+    { field: 'id', title: 'ID', width: 80 },
+    ...(props.fixedFieldCode
+      ? []
+      : [{ field: 'field_code_txt', title: '字段', width: 120 }]),
+    { field: 'title', title: '词条名称', minWidth: 140 },
+    { field: 'pinyin_initials', title: '首拼(全拼)', minWidth: 160 },
+    { field: 'content', title: '正文', minWidth: 200 },
+    { field: 'remark', title: '临床意义', width: 140 },
+    { field: 'status', title: '状态', width: 90, slots: { default: 'status' } },
+    { field: 'sort', title: '排序', width: 80 },
+    { field: 'created_at', title: '创建时间', width: 170 },
+    { title: '操作', slots: { default: 'action' }, width: 160, fixed: 'right' },
+  ],
+  keepSource: true,
+  pagerConfig: {},
+  proxyConfig: {
+    ajax: {
+      query: async ({ page }: any, formValues: any) => {
+        return await getMedicalRecordEntryList({
+          page: page.currentPage,
+          pageSize: page.pageSize,
+          scope: props.scope,
+          field_code: props.fixedFieldCode || undefined,
+          ...formValues,
+          ...(props.fixedFieldCode ? { field_code: props.fixedFieldCode } : {}),
+        });
+      },
+    },
+  },
+  height: 'auto',
+  toolbarConfig: {
+    search: true,
+    refresh: true,
+    slots: { buttons: 'toolbar-buttons' },
+  },
+}));
+
+const gridEvents: VxeGridListeners<any> = {
+  checkboxChange() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+  checkboxAll() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+};
+
+const [Grid, gridApi] = useVbenVxeGrid({
+  formOptions: formOptions.value as any,
+  gridOptions: gridOptions.value as any,
+  gridEvents,
+});
+
+watch(
+  () => props.fixedFieldCode,
+  () => {
+    gridApi.reload?.();
+  },
+);
+
+const [FormModal, formModalApi] = useVbenModal({
+  connectedComponent: EntryModal,
+});
+
+const showModal = (data: any = {}, isUpdate = false) => {
+  formModalApi.setData({
+    values: {
+      ...data,
+      ...(props.fixedFieldCode && !isUpdate
+        ? { field_code: props.fixedFieldCode }
+        : {}),
+    },
+    update: isUpdate,
+    gridApi,
+    scope: props.scope,
+    fixedFieldCode: props.fixedFieldCode || '',
+  });
+  formModalApi.open();
+};
+
+const handleDelete = async (ids: number[]) => {
+  await deleteMedicalRecordEntry({ ids });
+  message.success('删除成功');
+  gridApi.query();
+};
+
+async function handleDownloadTemplate() {
+  const buffer = await exportMedicalRecordEntryTemplate();
+  downloadByData(
+    buffer,
+    '病历词条导入模板.xlsx',
+    'application/vnd.openxmlformats-officedocument.spreadsheetml.sheet',
+  );
+}
+
+async function handleImportFile(file: File) {
+  importing.value = true;
+  try {
+    const buffer = await file.arrayBuffer();
+    const parsed = await parseMedicalRecordEntryExcelBuffer(buffer);
+    let rows = parsed.items;
+    if (props.fixedFieldCode) {
+      rows = rows
+        .map((r) => ({ ...r, field_code: props.fixedFieldCode as string }))
+        .filter((r) => r.title);
+    }
+    if (!rows.length) {
+      message.warning(
+        parsed.invalidCount
+          ? `没有可导入的有效行（无效 ${parsed.invalidCount} 行）`
+          : '文件无有效数据',
+      );
+      return false;
+    }
+    const res = await importMedicalRecordEntry({
+      scope: props.scope,
+      rows,
+    });
+    const success = Number(res?.success ?? 0);
+    const fail = Number(res?.fail ?? 0);
+    const errors = Array.isArray(res?.errors) ? res.errors : [];
+    if (fail > 0) {
+      message.warning(
+        `导入完成：成功 ${success}，失败 ${fail}${
+          errors.length ? `；${errors.slice(0, 3).join('；')}` : ''
+        }`,
+      );
+    } else {
+      message.success(`成功导入 ${success} 条`);
+    }
+    gridApi.reload();
+  } catch (e: any) {
+    message.error(e?.message || '导入失败');
+  } finally {
+    importing.value = false;
+  }
+  return false;
+}
+
+/** 手动同步当前 scope 下空拼音首拼 */
+function handleSyncPinyin() {
+  AntModal.confirm({
+    title: '同步拼音首拼',
+    content: '将扫描拼音为空的词条并自动生成，已有值不会覆盖。确认执行？',
+    onOk: async () => {
+      syncing.value = true;
+      try {
+        const res = await syncMedicalRecordEntryPinyin({ scope: props.scope });
+        message.success(
+          `同步完成：更新 ${Number(res?.updated || 0)} 条，跳过 ${Number(res?.skipped || 0)} 条`,
+        );
+        gridApi.query();
+      } finally {
+        syncing.value = false;
+      }
+    },
+  });
+}
+</script>
+<template>
+  <Page auto-content-height :title="pageTitle">
+    <FormModal />
+    <Grid>
+      <template #toolbar-buttons>
+        <TableAction
+          :actions="[
+            {
+              label: '新增词条',
+              type: 'primary',
+              onClick: () => showModal({}, false),
+            },
+            {
+              label: '下载模板',
+              onClick: () => handleDownloadTemplate(),
+            },
+            {
+              label: '批量删除',
+              danger: true,
+              ifShow: () => hasTopTableDropDownActions,
+              popConfirm: {
+                title: '确认删除所选词条？',
+                confirm: () => {
+                  const ids = gridApi.grid
+                    .getCheckboxRecords()
+                    .map((r: any) => r.id);
+                  handleDelete(ids);
+                },
+              },
+            },
+          ]"
+        />
+        <Upload
+          :show-upload-list="false"
+          accept=".xlsx,.xls"
+          :before-upload="handleImportFile"
+          class="ml-2 inline-block"
+        >
+          <Button :loading="importing">导入 Excel</Button>
+        </Upload>
+        <Button class="ml-2" :loading="syncing" @click="handleSyncPinyin">
+          同步拼音首拼
+        </Button>
+      </template>
+      <template #status="{ row }">
+        <Tag :color="row.status === 1 ? 'success' : 'default'">
+          {{ row.status_txt || (row.status === 1 ? '启用' : '禁用') }}
+        </Tag>
+      </template>
+      <template #action="{ row }">
+        <TableAction
+          :actions="[
+            { label: '编辑', onClick: () => showModal(row, true) },
+            {
+              label: '删除',
+              danger: true,
+              popConfirm: {
+                title: '确认删除？',
+                confirm: () => handleDelete([row.id]),
+              },
+            },
+          ]"
+        />
+      </template>
+    </Grid>
+  </Page>
+</template>
--- a/apps/web-antd/src/views/doctor/medical-record/components/EntryModal.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/EntryModal.vue
@@ -0,0 +1,95 @@
+<script lang="ts" setup>
+/**
+ * 病历词条新增/编辑弹窗
+ * scope 从 modalApi.getData() 读取：public | store
+ */
+import { ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import { message } from 'ant-design-vue';
+
+import { useVbenForm } from '#/adapter/form';
+
+import {
+  createMedicalRecordEntry,
+  updateMedicalRecordEntry,
+} from '../api';
+import { buildEntryFormProps } from '../config/entry-form';
+
+const isUpdate = ref(false);
+const gridApi = ref();
+const entryScope = ref<'public' | 'store'>('public');
+const fixedFieldCode = ref('');
+const [Form, formApi] = useVbenForm(buildEntryFormProps());
+const [Modal, modalApi] = useVbenModal({
+  fullscreenButton: false,
+  draggable: true,
+  onCancel() {
+    modalApi.close();
+  },
+  onConfirm: async () => {
+    const e = await formApi.validate();
+    if (!e.valid) return;
+    const values = await formApi.getValues();
+    modalApi.setState({ confirmLoading: true });
+    try {
+      const payload = {
+        ...values,
+        scope: entryScope.value,
+        ...(fixedFieldCode.value ? { field_code: fixedFieldCode.value } : {}),
+      };
+      if (isUpdate.value) {
+        await updateMedicalRecordEntry(payload);
+      } else {
+        await createMedicalRecordEntry(payload);
+      }
+      message.success('保存成功');
+      gridApi.value?.query();
+      modalApi.close();
+    } finally {
+      modalApi.setState({ confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    const data = isOpen ? modalApi.getData<Record<string, any>>() : null;
+    gridApi.value = data?.gridApi || null;
+    entryScope.value = (data?.scope as 'public' | 'store') || 'public';
+    fixedFieldCode.value = String(data?.fixedFieldCode || '');
+    if (!isOpen) {
+      formApi.resetForm();
+      return;
+    }
+    // 按字段拆页时隐藏「所属字段」，并去掉必填校验（提交时由 fixedFieldCode 注入）
+    formApi.updateSchema([
+      {
+        fieldName: 'field_code',
+        rules: fixedFieldCode.value ? '' : 'selectRequired',
+        dependencies: {
+          show: () => !fixedFieldCode.value,
+          triggerFields: ['title'],
+        },
+      },
+    ]);
+    const { values, update } = data || {};
+    isUpdate.value = !!update;
+    if (values && update) {
+      formApi.setValues({ ...values });
+    } else {
+      formApi.resetForm();
+      formApi.setValues({
+        sort: 0,
+        status: 1,
+        content: '',
+        remark: '',
+        field_code: fixedFieldCode.value || undefined,
+      });
+    }
+  },
+});
+</script>
+<template>
+  <Modal :title="`${isUpdate ? '编辑' : '新增'}词条`" class="w-[640px]">
+    <Form />
+  </Modal>
+</template>
--- a/apps/web-antd/src/views/doctor/medical-record/components/PatientMedicalRecordDrawer.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/PatientMedicalRecordDrawer.vue
@@ -0,0 +1,292 @@
+<script lang="ts" setup>
+/**
+ * 患者历史病历抽屉
+ * - view：只读查看
+ * - cite：选择一条后点「引用此病历」回填到当前接诊病历
+ * （修复：原 latest 接口会排除当前挂号，仅有本次病历时会误报「暂无」）
+ */
+import { computed, ref } from 'vue';
+
+import { useVbenDrawer } from '@vben/common-ui';
+import { Empty, Spin, Tag, message } from 'ant-design-vue';
+
+import { getMedicalRecordListByPatient } from '../api';
+import { MEDICAL_RECORD_VIEW_FIELDS } from '../config/constants';
+
+defineOptions({ name: 'PatientMedicalRecordDrawer' });
+
+type DrawerData = {
+  userPatientId?: number;
+  storeId?: number;
+  patientName?: string;
+  /** view=查看；cite=引用到当前病历 */
+  mode?: 'view' | 'cite';
+  /** 引用模式下排除当前挂号（仍展示，但默认选中其他挂号） */
+  excludeRegisterId?: number;
+  /** 引用确认回调 */
+  onCite?: (record: Record<string, any>) => void;
+};
+
+const loading = ref(false);
+const list = ref<Record<string, any>[]>([]);
+const activeId = ref(0);
+const meta = ref<DrawerData>({});
+
+const isCiteMode = computed(() => meta.value.mode === 'cite');
+
+const activeRecord = computed(() => {
+  return list.value.find((r) => Number(r.id) === activeId.value) || null;
+});
+
+/** 体征摘要文案 */
+function vitalsText(row: Record<string, any>) {
+  const parts: string[] = [];
+  if (row.temperature) parts.push(`体温 ${row.temperature}℃`);
+  if (row.height) parts.push(`身高 ${row.height}cm`);
+  if (row.weight) parts.push(`体重 ${row.weight}KG`);
+  if (row.respiratory_rate) parts.push(`呼吸 ${row.respiratory_rate}次/分`);
+  if (row.bp_systolic || row.bp_diastolic) {
+    parts.push(`血压 ${row.bp_systolic || '-'}/${row.bp_diastolic || '-'}mmHg`);
+  }
+  return parts.join('；') || '';
+}
+
+function fieldDisplay(row: Record<string, any>, key: string) {
+  if (key === 'physical_exam') {
+    const body = String(row.physical_exam || '').trim();
+    const vitals = vitalsText(row);
+    if (body && vitals) return `${vitals}\n${body}`;
+    return body || vitals || '—';
+  }
+  const v = row[key];
+  if (v === null || v === undefined || v === '' || v === 0) return '—';
+  return String(v);
+}
+
+function listTitle(row: Record<string, any>) {
+  const dx = String(row.diagnosis || '').trim();
+  if (dx) return dx.length > 28 ? `${dx.slice(0, 28)}…` : dx;
+  return `挂号 #${row.register_id || '-'}`;
+}
+
+function isCurrentRegister(row: Record<string, any>) {
+  const exclude = Number(meta.value.excludeRegisterId || 0);
+  return exclude > 0 && Number(row.register_id) === exclude;
+}
+
+/**
+ * 默认选中：优先「非当前挂号」的最近一条，否则选第一条
+ */
+function pickDefaultActiveId(rows: Record<string, any>[]) {
+  if (!rows.length) return 0;
+  const exclude = Number(meta.value.excludeRegisterId || 0);
+  if (exclude > 0) {
+    const other = rows.find((r) => Number(r.register_id) !== exclude);
+    if (other) return Number(other.id);
+  }
+  return Number(rows[0].id);
+}
+
+async function loadList() {
+  const uid = Number(meta.value.userPatientId || 0);
+  if (!uid) {
+    list.value = [];
+    activeId.value = 0;
+    return;
+  }
+  loading.value = true;
+  try {
+    const res = await getMedicalRecordListByPatient({
+      user_patient_id: uid,
+      store_id: meta.value.storeId || undefined,
+      limit: 50,
+    });
+    list.value = Array.isArray(res) ? res : res?.items || res?.list || [];
+    activeId.value = pickDefaultActiveId(list.value);
+  } catch (e: any) {
+    list.value = [];
+    activeId.value = 0;
+    message.error(e?.message || '加载病历失败');
+  } finally {
+    loading.value = false;
+  }
+}
+
+const [Drawer, drawerApi] = useVbenDrawer({
+  class: 'w-[860px]',
+  title: '查看患者病历',
+  cancelText: '关闭',
+  confirmText: '引用此病历',
+  showConfirmButton: false,
+  onConfirm() {
+    if (!isCiteMode.value) {
+      drawerApi.close();
+      return;
+    }
+    const row = activeRecord.value;
+    if (!row) {
+      message.warning('请先选择要引用的病历');
+      return;
+    }
+    meta.value.onCite?.(row);
+    drawerApi.close();
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) {
+      list.value = [];
+      activeId.value = 0;
+      meta.value = {};
+      return;
+    }
+    const data = drawerApi.getData<DrawerData>() || {};
+    meta.value = data;
+    const cite = data.mode === 'cite';
+    const name = data.patientName ? ` - ${data.patientName}` : '';
+    drawerApi.setState({
+      title: cite ? `引用历史病历${name}` : `查看患者病历${name}`,
+      showConfirmButton: cite,
+      confirmText: '引用此病历',
+      cancelText: cite ? '取消' : '关闭',
+    });
+    loadList();
+  },
+});
+</script>
+<template>
+  <Drawer>
+    <Spin :spinning="loading">
+      <div v-if="list.length === 0 && !loading" class="py-10">
+        <Empty description="暂无病历记录" />
+      </div>
+      <div v-else class="mr-view-layout">
+        <div class="mr-view-list">
+          <div
+            v-for="row in list"
+            :key="row.id"
+            class="mr-view-item"
+            :class="{ 'is-active': Number(row.id) === activeId }"
+            @click="activeId = Number(row.id)"
+          >
+            <div class="mr-view-item__title">{{ listTitle(row) }}</div>
+            <div class="mr-view-item__meta">
+              <Tag>挂号 {{ row.register_id || '-' }}</Tag>
+              <Tag v-if="isCurrentRegister(row)" color="blue">本次</Tag>
+              <span>{{ row.created_at || row.updated_at || '' }}</span>
+            </div>
+          </div>
+        </div>
+        <div class="mr-view-detail">
+          <template v-if="activeRecord">
+            <div class="mr-view-detail__head">
+              <span>挂号 ID：{{ activeRecord.register_id || '-' }}</span>
+              <span>创建：{{ activeRecord.created_at || '—' }}</span>
+              <span>更新：{{ activeRecord.updated_at || '—' }}</span>
+            </div>
+            <div
+              v-if="isCiteMode && isCurrentRegister(activeRecord)"
+              class="mr-view-tip"
+            >
+              当前选中的是本次挂号病历，引用后会覆盖编辑区内容（仍可继续改）。
+            </div>
+            <div
+              v-for="f in MEDICAL_RECORD_VIEW_FIELDS"
+              :key="f.value"
+              class="mr-view-field"
+            >
+              <div class="mr-view-field__label">{{ f.label }}</div>
+              <div class="mr-view-field__value">
+                {{ fieldDisplay(activeRecord, f.value) }}
+              </div>
+            </div>
+          </template>
+          <Empty v-else description="请选择左侧病历" />
+        </div>
+      </div>
+    </Spin>
+  </Drawer>
+</template>
+<style scoped>
+.mr-view-layout {
+  display: grid;
+  grid-template-columns: 240px 1fr;
+  gap: 16px;
+  min-height: 520px;
+}
+.mr-view-list {
+  border-right: 1px solid hsl(var(--border));
+  padding-right: 12px;
+  max-height: 70vh;
+  overflow-y: auto;
+}
+.mr-view-item {
+  padding: 10px 12px;
+  border-radius: 8px;
+  cursor: pointer;
+  border: 1px solid transparent;
+  margin-bottom: 8px;
+  background: hsl(var(--muted) / 0.35);
+  transition: all 0.2s;
+}
+.mr-view-item:hover {
+  border-color: hsl(var(--primary) / 0.35);
+}
+.mr-view-item.is-active {
+  border-color: hsl(var(--primary));
+  background: hsl(var(--primary) / 0.08);
+}
+.mr-view-item__title {
+  font-size: 13px;
+  font-weight: 600;
+  line-height: 1.4;
+  word-break: break-all;
+}
+.mr-view-item__meta {
+  margin-top: 6px;
+  display: flex;
+  flex-wrap: wrap;
+  gap: 6px;
+  align-items: center;
+  font-size: 12px;
+  color: hsl(var(--muted-foreground));
+}
+.mr-view-detail {
+  max-height: 70vh;
+  overflow-y: auto;
+  padding-right: 4px;
+}
+.mr-view-detail__head {
+  display: flex;
+  flex-wrap: wrap;
+  gap: 12px;
+  margin-bottom: 12px;
+  font-size: 12px;
+  color: hsl(var(--muted-foreground));
+}
+.mr-view-tip {
+  margin-bottom: 12px;
+  padding: 8px 10px;
+  font-size: 12px;
+  color: #ad6800;
+  background: #fff7e6;
+  border-radius: 6px;
+}
+.mr-view-field {
+  margin-bottom: 12px;
+}
+.mr-view-field__label {
+  font-size: 12px;
+  font-weight: 600;
+  color: hsl(var(--muted-foreground));
+  margin-bottom: 4px;
+}
+.mr-view-field__value {
+  font-size: 13px;
+  line-height: 1.55;
+  white-space: pre-wrap;
+  word-break: break-word;
+  padding: 8px 10px;
+  border-radius: 6px;
+  background: hsl(var(--muted) / 0.4);
+  min-height: 36px;
+}
+</style>
--- a/apps/web-antd/src/views/doctor/medical-record/components/TextareaExpandModal.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/TextareaExpandModal.vue
@@ -0,0 +1,176 @@
+<script lang="ts" setup>
+/**
+ * 病历文本域双击放大编辑弹窗
+ * - 内嵌关键字搜索气泡 + 常用快捷（诊断/医嘱）
+ * - 确认或弹窗内文本域再双击：写回并关闭
+ * - 禁止点遮罩关闭，避免误丢编辑内容
+ */
+import { computed, ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+import { Textarea } from 'ant-design-vue';
+
+import CommonDxOrderChips from './CommonDxOrderChips.vue';
+import EntryKeywordBubble, {
+  type MedicalRecordEntryItem,
+} from './EntryKeywordBubble.vue';
+
+const draft = ref('');
+const fieldLabel = ref('编辑内容');
+const onConfirmCb = ref<((v: string) => void) | null>(null);
+type ExpandBubbleSource =
+  | 'entry'
+  | 'diagnosis'
+  | 'doctor_order'
+  | 'tcm_disease'
+  | 'tcm_syndrome'
+  | 'tcm_method';
+const source = ref<ExpandBubbleSource>('entry');
+const fieldCode = ref('');
+const storeId = ref(0);
+const showChips = ref(false);
+/** 气泡内展示常用|我的（与系统配置 mr_common_display_mode 对齐） */
+const showCommonInBubble = ref(false);
+const joinMode = ref<'comma' | 'newline' | 'replace'>('newline');
+const readonly = ref(false);
+
+const [Modal, modalApi] = useVbenModal({
+  title: '编辑',
+  class: 'w-[780px]',
+  draggable: true,
+  closeOnClickModal: false,
+  onConfirm() {
+    confirmAndClose();
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) {
+      draft.value = '';
+      onConfirmCb.value = null;
+      source.value = 'entry';
+      fieldCode.value = '';
+      showChips.value = false;
+      showCommonInBubble.value = false;
+      return;
+    }
+    const data = modalApi.getData<{
+      title?: string;
+      value?: string;
+      onConfirm?: (v: string) => void;
+      source?: ExpandBubbleSource;
+      fieldCode?: string;
+      storeId?: number;
+      showChips?: boolean;
+      showCommonInBubble?: boolean;
+      joinMode?: 'comma' | 'newline' | 'replace';
+      readonly?: boolean;
+    }>();
+    fieldLabel.value = data?.title || '编辑内容';
+    draft.value = data?.value || '';
+    onConfirmCb.value = data?.onConfirm || null;
+    source.value = data?.source || 'entry';
+    fieldCode.value = data?.fieldCode || '';
+    storeId.value = Number(data?.storeId || 0);
+    showChips.value = !!data?.showChips;
+    showCommonInBubble.value = !!data?.showCommonInBubble;
+    joinMode.value = data?.joinMode || 'newline';
+    readonly.value = !!data?.readonly;
+    modalApi.setState({ title: fieldLabel.value });
+  },
+});
+
+const showBubble = computed(() => {
+  if (readonly.value) return false;
+  if (source.value === 'entry') return !!fieldCode.value;
+  return (
+    source.value === 'diagnosis' ||
+    source.value === 'doctor_order' ||
+    source.value === 'tcm_disease' ||
+    source.value === 'tcm_syndrome' ||
+    source.value === 'tcm_method'
+  );
+});
+
+/** 中文逗号拼接，去重 */
+function appendCommaText(base: string, add: string) {
+  if (!add) return base || '';
+  const parts = (base || '').split('，').map((s) => s.trim()).filter(Boolean);
+  if (parts.includes(add)) return parts.join('，');
+  parts.push(add);
+  return parts.join('，');
+}
+
+function appendNewline(base: string, add: string) {
+  if (!add) return base || '';
+  if (!base) return add;
+  return `${base}${base.endsWith('\n') ? '' : '\n'}${add}`;
+}
+
+/** 气泡/快捷写入草稿 */
+function applyPick(text: string) {
+  const t = String(text || '').trim();
+  if (!t || readonly.value) return;
+  if (joinMode.value === 'replace') {
+    draft.value = t;
+    return;
+  }
+  if (joinMode.value === 'comma') {
+    draft.value = appendCommaText(draft.value, t);
+    return;
+  }
+  draft.value = appendNewline(draft.value, t);
+}
+
+function onBubbleSelect(item: MedicalRecordEntryItem) {
+  applyPick(item.content || item.title || '');
+}
+
+function confirmAndClose() {
+  onConfirmCb.value?.(draft.value);
+  modalApi.close();
+}
+</script>
+<template>
+  <Modal>
+    <div class="py-2">
+      <div v-if="showBubble" class="mb-2">
+        <EntryKeywordBubble
+          :source="source"
+          :field-code="fieldCode"
+          :store-id="storeId"
+          :placeholder="
+            source === 'diagnosis'
+              ? '诊断关键字/首拼'
+              : source === 'doctor_order'
+                ? '医嘱关键字/首拼'
+                : source === 'tcm_disease' ||
+                    source === 'tcm_syndrome' ||
+                    source === 'tcm_method'
+                  ? `${fieldLabel}关键字/首拼/全拼`
+                  : '词条关键字/首拼'
+          "
+          :disabled="readonly"
+          :show-common-in-bubble="showCommonInBubble"
+          @select="onBubbleSelect"
+        />
+      </div>
+      <Textarea
+        v-model:value="draft"
+        :rows="12"
+        :placeholder="fieldLabel"
+        :disabled="readonly"
+        class="w-full"
+        allow-clear
+        @dblclick="confirmAndClose"
+      />
+      <CommonDxOrderChips
+        v-if="showChips && (source === 'diagnosis' || source === 'doctor_order')"
+        :source="source"
+        :disabled="readonly"
+        @select="applyPick"
+      />
+      <div class="mt-2 text-xs text-muted-foreground">
+        可先搜索/点常用写入；双击文本域或点确定写回关闭；Ctrl+Enter 在主面板切换模块
+      </div>
+    </div>
+  </Modal>
+</template>
--- a/apps/web-antd/src/views/doctor/medical-record/config/constants.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/config/constants.ts
@@ -0,0 +1,76 @@
+/** 病历词条字段选项（与后端 MedicalRecordFieldCodeEnum 对齐） */
+export const MEDICAL_RECORD_FIELD_OPTIONS = [
+  { label: '主诉', value: 'chief_complaint' },
+  { label: '现病史', value: 'present_illness' },
+  { label: '舌象', value: 'tongue' },
+  { label: '脉象', value: 'pulse' },
+  { label: '中医病案', value: 'tcm_case' },
+  { label: '治疗意见', value: 'treatment_advice' },
+  // 诊断/医嘱与处方「常用诊断」「常用医嘱」同源，不在此表维护
+  { label: '家族史', value: 'family_history' },
+  { label: '流行病学史', value: 'epidemic_history' },
+  { label: '既往史', value: 'past_history' },
+  { label: '过敏史', value: 'allergy_history' },
+  { label: '体征检查', value: 'physical_exam' },
+  { label: '辅助检查', value: 'auxiliary_exam' },
+];
+
+/** 病历只读展示字段（含诊断/医嘱正文） */
+export const MEDICAL_RECORD_VIEW_FIELDS = [
+  { label: '临床诊断', value: 'diagnosis' },
+  { label: '主诉', value: 'chief_complaint' },
+  { label: '现病史', value: 'present_illness' },
+  { label: '舌象', value: 'tongue' },
+  { label: '脉象', value: 'pulse' },
+  { label: '中医病案', value: 'tcm_case' },
+  { label: '中医证候', value: 'tcm_syndrome' },
+  { label: '中医疾病', value: 'tcm_disease' },
+  { label: '中医治法', value: 'tcm_method' },
+  { label: '治疗意见', value: 'treatment_advice' },
+  { label: '医嘱', value: 'doctor_order' },
+  { label: '家族史', value: 'family_history' },
+  { label: '流行病学史', value: 'epidemic_history' },
+  { label: '既往史', value: 'past_history' },
+  { label: '过敏史', value: 'allergy_history' },
+  { label: '体征检查', value: 'physical_exam' },
+  { label: '辅助检查', value: 'auxiliary_exam' },
+];
+
+export const STATUS_OPTIONS = [
+  { label: '启用', value: 1 },
+  { label: '禁用', value: 0 },
+];
+
+/** 空病历结构 */
+export function emptyMedicalRecord(registerId = 0, storeId = 0) {
+  return {
+    id: 0,
+    store_id: storeId,
+    register_id: registerId,
+    user_patient_id: 0,
+    doctor_id: 0,
+    chief_complaint: '',
+    present_illness: '',
+    tcm_disease: '',
+    tcm_syndrome: '',
+    tcm_method: '',
+    tongue: '',
+    pulse: '',
+    tcm_case: '',
+    treatment_advice: '',
+    doctor_order: '',
+    diagnosis: '',
+    family_history: '',
+    epidemic_history: '',
+    past_history: '',
+    allergy_history: '',
+    physical_exam: '',
+    auxiliary_exam: '',
+    temperature: 0,
+    height: 0,
+    weight: 0,
+    respiratory_rate: 0,
+    bp_systolic: 0,
+    bp_diastolic: 0,
+  };
+}
--- a/apps/web-antd/src/views/doctor/medical-record/config/entry-form.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/config/entry-form.ts
@@ -0,0 +1,68 @@
+import type { VbenFormProps } from '#/adapter/form';
+
+import { MEDICAL_RECORD_FIELD_OPTIONS, STATUS_OPTIONS } from './constants';
+
+/** 词条表单 */
+export function buildEntryFormProps(): VbenFormProps {
+  return {
+    wrapperClass: 'grid-cols-12',
+    commonConfig: {
+      formItemClass: 'col-span-12',
+      componentProps: { class: 'w-full' },
+    },
+    layout: 'horizontal',
+    schema: [
+      {
+        component: 'VbenInput',
+        fieldName: 'id',
+        label: 'ID',
+        dependencies: { show: false, triggerFields: ['id'] },
+      },
+      {
+        component: 'VbenSelect',
+        fieldName: 'field_code',
+        label: '所属字段',
+        rules: 'selectRequired',
+        componentProps: { options: MEDICAL_RECORD_FIELD_OPTIONS },
+      },
+      {
+        component: 'VbenInput',
+        fieldName: 'title',
+        label: '词条名称',
+        rules: 'required',
+        componentProps: { placeholder: '列表展示名称' },
+      },
+      {
+        component: 'VbenInput',
+        fieldName: 'content',
+        label: '词条正文',
+        componentProps: { type: 'textarea', rows: 4, placeholder: '选中后写入文本区' },
+        defaultValue: '',
+      },
+      {
+        component: 'VbenInput',
+        fieldName: 'remark',
+        label: '临床意义',
+        componentProps: { placeholder: '可选' },
+        defaultValue: '',
+      },
+      {
+        component: 'InputNumber',
+        fieldName: 'sort',
+        label: '排序',
+        formItemClass: 'col-span-6',
+        componentProps: { min: 0 },
+        defaultValue: 0,
+      },
+      {
+        component: 'VbenSelect',
+        fieldName: 'status',
+        label: '状态',
+        formItemClass: 'col-span-6',
+        componentProps: { options: STATUS_OPTIONS },
+        defaultValue: 1,
+      },
+    ],
+    showDefaultActions: false,
+  };
+}
--- a/apps/web-antd/src/views/doctor/medical-record/utils/exportMedicalRecordEntryExcel.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/utils/exportMedicalRecordEntryExcel.ts
@@ -0,0 +1,85 @@
+import ExcelJS from 'exceljs';
+
+import { MEDICAL_RECORD_FIELD_OPTIONS } from '../config/constants';
+
+const THIN_BORDER: Partial<ExcelJS.Borders> = {
+  top: { style: 'thin', color: { argb: 'FF000000' } },
+  left: { style: 'thin', color: { argb: 'FF000000' } },
+  bottom: { style: 'thin', color: { argb: 'FF000000' } },
+  right: { style: 'thin', color: { argb: 'FF000000' } },
+};
+
+const HEADERS = [
+  '字段编码',
+  '词条名称',
+  '正文',
+  '临床意义',
+  '排序',
+  '状态',
+] as const;
+
+/**
+ * 下载病历词条导入模板（含字段编码说明 sheet）
+ */
+export async function exportMedicalRecordEntryTemplate(): Promise<ArrayBuffer> {
+  const workbook = new ExcelJS.Workbook();
+  const sheet = workbook.addWorksheet('词条导入');
+  sheet.columns = [
+    { width: 18 },
+    { width: 20 },
+    { width: 36 },
+    { width: 24 },
+    { width: 10 },
+    { width: 10 },
+  ];
+  const headerRow = sheet.addRow([...HEADERS]);
+  headerRow.height = 28;
+  headerRow.eachCell((cell) => {
+    cell.font = { bold: true };
+    cell.fill = {
+      type: 'pattern',
+      pattern: 'solid',
+      fgColor: { argb: 'FFFFFF00' },
+    };
+    cell.alignment = { horizontal: 'center', vertical: 'middle' };
+    cell.border = THIN_BORDER;
+  });
+  // 示例行：方便运营对照填写
+  const sample = sheet.addRow([
+    'chief_complaint',
+    '头痛三天',
+    '头痛三天，加重一天',
+    '常见主诉示例',
+    100,
+    1,
+  ]);
+  sample.eachCell((cell) => {
+    cell.border = THIN_BORDER;
+    cell.alignment = { vertical: 'middle' };
+  });
+  sheet.views = [{ state: 'frozen', ySplit: 1 }];
+
+  const tip = workbook.addWorksheet('字段编码说明');
+  tip.columns = [{ width: 20 }, { width: 16 }];
+  const tipHead = tip.addRow(['字段名称', '字段编码']);
+  tipHead.eachCell((cell) => {
+    cell.font = { bold: true };
+    cell.fill = {
+      type: 'pattern',
+      pattern: 'solid',
+      fgColor: { argb: 'FFD9EAD3' },
+    };
+    cell.border = THIN_BORDER;
+  });
+  MEDICAL_RECORD_FIELD_OPTIONS.forEach((opt) => {
+    const row = tip.addRow([opt.label, opt.value]);
+    row.eachCell((cell) => {
+      cell.border = THIN_BORDER;
+    });
+  });
+  tip.addRow([]);
+  tip.addRow(['状态说明', '1=启用，0=禁用；空默认启用']);
+  tip.addRow(['拼音首拼', '由系统根据词条名称自动生成，无需填写']);
+
+  return workbook.xlsx.writeBuffer() as Promise<ArrayBuffer>;
+}
--- a/apps/web-antd/src/views/doctor/medical-record/utils/localDraft.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/utils/localDraft.ts
@@ -0,0 +1,67 @@
+/**
+ * 病历本地草稿（按挂号 ID）
+ * 刷新页面后优先用草稿覆盖接口空/旧内容，避免未点「保存病历」就丢失
+ */
+const PREFIX = 'medicalRecordDraft_';
+const TAB_PREFIX = 'rxMrTab_';
+
+export function medicalRecordDraftKey(registerId: number | string) {
+  return `${PREFIX}${registerId}`;
+}
+
+/** 处方|病历 Tab 本地键；prefix 用于 chat-shop 等场景隔离 */
+export function rxMrTabKey(registerId: number | string, prefix = '') {
+  return `${prefix}${TAB_PREFIX}${registerId}`;
+}
+
+export function saveMedicalRecordDraft(
+  registerId: number | string,
+  data: Record<string, any>,
+) {
+  if (!registerId) return;
+  try {
+    localStorage.setItem(
+      medicalRecordDraftKey(registerId),
+      JSON.stringify({ ...data, _savedAt: Date.now() }),
+    );
+  } catch (e) {
+    console.error('保存病历草稿失败', e);
+  }
+}
+
+export function loadMedicalRecordDraft(
+  registerId: number | string,
+): Record<string, any> | null {
+  if (!registerId) return null;
+  try {
+    const raw = localStorage.getItem(medicalRecordDraftKey(registerId));
+    if (!raw) return null;
+    return JSON.parse(raw);
+  } catch {
+    return null;
+  }
+}
+
+export function clearMedicalRecordDraft(registerId?: number | string) {
+  if (!registerId) return;
+  localStorage.removeItem(medicalRecordDraftKey(registerId));
+}
+
+export function saveRxMrTab(
+  registerId: number | string,
+  tab: 'rx' | 'mr',
+  prefix = '',
+) {
+  if (!registerId) return;
+  localStorage.setItem(rxMrTabKey(registerId, prefix), tab);
+}
+
+export function loadRxMrTab(
+  registerId: number | string,
+  prefix = '',
+): 'rx' | 'mr' | null {
+  if (!registerId) return null;
+  const v = localStorage.getItem(rxMrTabKey(registerId, prefix));
+  if (v === 'rx' || v === 'mr') return v;
+  return null;
+}
--- a/apps/web-antd/src/views/doctor/medical-record/utils/parseMedicalRecordEntryExcel.ts
+++ b/apps/web-antd/src/views/doctor/medical-record/utils/parseMedicalRecordEntryExcel.ts
@@ -0,0 +1,138 @@
+import ExcelJS from 'exceljs';
+
+import { MEDICAL_RECORD_FIELD_OPTIONS } from '../config/constants';
+
+const MAX_ROWS = 2000;
+
+export type ParsedMedicalRecordEntryRow = {
+  field_code: string;
+  title: string;
+  content: string;
+  remark: string;
+  sort: number;
+  status: number;
+};
+
+export type ParseMedicalRecordEntryResult = {
+  items: ParsedMedicalRecordEntryRow[];
+  invalidCount: number;
+  rowCount: number;
+};
+
+function normalizeCell(value: ExcelJS.CellValue): string {
+  if (value === null || value === undefined) {
+    return '';
+  }
+  if (typeof value === 'object' && 'text' in value) {
+    return String((value as any).text ?? '').trim();
+  }
+  if (typeof value === 'number') {
+    return Number.isInteger(value) ? String(value) : String(value).trim();
+  }
+  return String(value).trim();
+}
+
+function normalizeHeader(value: string): string {
+  return value.replace(/\s+/g, '').replace(/\u3000/g, '');
+}
+
+const FIELD_ALIASES = ['字段编码', 'field_code', '字段'];
+const TITLE_ALIASES = ['词条名称', '名称', 'title'];
+const CONTENT_ALIASES = ['正文', '内容', 'content'];
+const REMARK_ALIASES = ['临床意义', '备注', 'remark'];
+const SORT_ALIASES = ['排序', 'sort'];
+const STATUS_ALIASES = ['状态', 'status'];
+
+const VALID_FIELDS = new Set(MEDICAL_RECORD_FIELD_OPTIONS.map((o) => o.value));
+
+function buildHeaderIndexMap(headerRow: ExcelJS.Row): Record<string, number> {
+  const map: Record<string, number> = {};
+  headerRow.eachCell({ includeEmpty: true }, (cell, colNumber) => {
+    const key = normalizeHeader(normalizeCell(cell.value));
+    if (key) {
+      map[key] = colNumber;
+    }
+  });
+  return map;
+}
+
+function pickColumn(
+  headerMap: Record<string, number>,
+  aliases: string[],
+): number | undefined {
+  for (const alias of aliases) {
+    const col = headerMap[normalizeHeader(alias)];
+    if (col) return col;
+  }
+  return undefined;
+}
+
+function getCellText(row: ExcelJS.Row, col?: number): string {
+  if (!col) return '';
+  return normalizeCell(row.getCell(col).value);
+}
+
+function getCellInt(row: ExcelJS.Row, col?: number, fallback = 0): number {
+  if (!col) return fallback;
+  const raw = normalizeCell(row.getCell(col).value);
+  if (raw === '') return fallback;
+  const n = Number(raw);
+  return Number.isFinite(n) ? Math.trunc(n) : fallback;
+}
+
+function rowIsEmpty(row: ExcelJS.Row): boolean {
+  let empty = true;
+  row.eachCell({ includeEmpty: false }, () => {
+    empty = false;
+  });
+  return empty;
+}
+
+/**
+ * 解析词条导入 Excel（首行为表头）
+ */
+export async function parseMedicalRecordEntryExcelBuffer(
+  buffer: ArrayBuffer,
+): Promise<ParseMedicalRecordEntryResult> {
+  const workbook = new ExcelJS.Workbook();
+  await workbook.xlsx.load(buffer);
+  const sheet = workbook.worksheets[0];
+  if (!sheet) {
+    return { items: [], invalidCount: 0, rowCount: 0 };
+  }
+  const headerRow = sheet.getRow(1);
+  const headerMap = buildHeaderIndexMap(headerRow);
+  const fieldCol = pickColumn(headerMap, FIELD_ALIASES);
+  const titleCol = pickColumn(headerMap, TITLE_ALIASES);
+  const contentCol = pickColumn(headerMap, CONTENT_ALIASES);
+  const remarkCol = pickColumn(headerMap, REMARK_ALIASES);
+  const sortCol = pickColumn(headerMap, SORT_ALIASES);
+  const statusCol = pickColumn(headerMap, STATUS_ALIASES);
+  if (!fieldCol || !titleCol) {
+    throw new Error('模板表头缺少「字段编码」或「词条名称」列');
+  }
+  const items: ParsedMedicalRecordEntryRow[] = [];
+  let invalidCount = 0;
+  let rowCount = 0;
+  sheet.eachRow({ includeEmpty: false }, (row, rowNumber) => {
+    if (rowNumber === 1 || rowIsEmpty(row)) return;
+    rowCount++;
+    if (items.length >= MAX_ROWS) return;
+    const field_code = getCellText(row, fieldCol);
+    const title = getCellText(row, titleCol);
+    if (!field_code || !title || !VALID_FIELDS.has(field_code)) {
+      invalidCount++;
+      return;
+    }
+    const statusRaw = getCellInt(row, statusCol, 1);
+    items.push({
+      field_code,
+      title,
+      content: getCellText(row, contentCol) || title,
+      remark: getCellText(row, remarkCol),
+      sort: getCellInt(row, sortCol, 0),
+      status: statusRaw === 0 ? 0 : 1,
+    });
+  });
+  return { items, invalidCount, rowCount };
+}
--- a/apps/web-antd/src/views/doctor/online-consultation/index.vue
+++ b/apps/web-antd/src/views/doctor/online-consultation/index.vue
@@ -96,6 +96,8 @@ const openPrescriptionModule = (id) => {
  prescriptionModalApi.setData({
    registerId: targetRegisterId,
    onPrescriptionSent: handlePrescriptionSent,
+    storagePrefix: 'onlineConsultation-',
+    enableMedicalRecord: true,
  });
  prescriptionModalApi.open();
 };
@@ -335,6 +337,8 @@ const handleAddPatientProductsToPrescription = async () => {
      prescriptionModalApi.setData({
        registerId: prescriptionStore.currentRegisterId,
        onPrescriptionSent: handlePrescriptionSent,
+        storagePrefix: 'onlineConsultation-',
+        enableMedicalRecord: true,
      });
      prescriptionModalApi.open();
    } else {
--- a/apps/web-antd/src/views/system/dict/disease/api/index.ts
+++ b/apps/web-antd/src/views/system/dict/disease/api/index.ts
@@ -0,0 +1,27 @@
+/**
+ * 疾病诊断字典 API（yii_disease）
+ */
+import { requestClient } from '#/api/request';
+
+const prefix = 'disease-dict/';
+
+export async function getDiseaseDictList(data: any) {
+  return requestClient.get<any>(`${prefix}list`, { params: data });
+}
+
+export async function createDiseaseDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}create`, data);
+}
+
+export async function updateDiseaseDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}update`, data);
+}
+
+export async function deleteDiseaseDict(data: { ids: number[] }) {
+  return requestClient.post<any>(`${prefix}delete`, data);
+}
+
+/** 同步空拼音首拼/全拼 */
+export async function syncDiseaseDictPinyin() {
+  return requestClient.post<any>(`${prefix}sync-pinyin`, {});
+}
--- a/apps/web-antd/src/views/system/dict/disease/index.vue
+++ b/apps/web-antd/src/views/system/dict/disease/index.vue
@@ -0,0 +1,269 @@
+<script lang="ts" setup>
+/**
+ * 疾病诊断字典（yii_disease）
+ * 挂在字典管理下，维护接诊诊断库
+ */
+import type { VxeGridListeners } from '#/adapter/vxe-table';
+
+import { ref } from 'vue';
+
+import { Page, useVbenModal } from '@vben/common-ui';
+
+import { Button, message, Modal as AntModal } from 'ant-design-vue';
+
+import { useVbenForm } from '#/adapter/form';
+import { useVbenVxeGrid } from '#/adapter/vxe-table';
+import { TableAction } from '#/components/table-action';
+
+import {
+  createDiseaseDict,
+  deleteDiseaseDict,
+  getDiseaseDictList,
+  syncDiseaseDictPinyin,
+  updateDiseaseDict,
+} from './api';
+
+defineOptions({ name: 'DiseaseDict' });
+
+const hasTopTableDropDownActions = ref(false);
+const syncing = ref(false);
+const isUpdate = ref(false);
+
+const formOptions = {
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'keyword',
+      label: '关键字',
+      componentProps: { placeholder: '名称/代码/首拼/全拼' },
+    },
+  ],
+};
+
+const gridOptions = {
+  checkboxConfig: { highlight: true, labelField: '' },
+  columns: [
+    { type: 'checkbox', width: 60 },
+    { field: 'id', title: 'ID', width: 80 },
+    { field: 'diagnose_code', title: '诊断代码', width: 120 },
+    { field: 'name', title: '诊断名称', minWidth: 180 },
+    { field: 'pinyin', title: '首拼', width: 120 },
+    { field: 'pinyin_full', title: '全拼', minWidth: 160 },
+    { field: 'major_number', title: '主编号', width: 120 },
+    { field: 'ref_number', title: '次编号', width: 120 },
+    { field: 'created_at', title: '创建时间', width: 170 },
+    { title: '操作', slots: { default: 'action' }, width: 140, fixed: 'right' },
+  ],
+  keepSource: true,
+  pagerConfig: {},
+  proxyConfig: {
+    ajax: {
+      query: async ({ page }: any, formValues: any) => {
+        return await getDiseaseDictList({
+          page: page.currentPage,
+          pageSize: page.pageSize,
+          ...formValues,
+        });
+      },
+    },
+  },
+  height: 'auto',
+  toolbarConfig: {
+    search: true,
+    refresh: true,
+    slots: { buttons: 'toolbar-buttons' },
+  },
+};
+
+const gridEvents: VxeGridListeners<any> = {
+  checkboxChange() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+  checkboxAll() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+};
+
+const [Grid, gridApi] = useVbenVxeGrid({
+  formOptions,
+  gridOptions: gridOptions as any,
+  gridEvents,
+});
+
+const [Form, formApi] = useVbenForm({
+  wrapperClass: 'grid-cols-12',
+  commonConfig: {
+    formItemClass: 'col-span-12',
+    componentProps: { class: 'w-full' },
+  },
+  layout: 'horizontal',
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'id',
+      label: 'ID',
+      dependencies: { show: false, triggerFields: ['id'] },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'name',
+      label: '诊断名称',
+      rules: 'required',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'diagnose_code',
+      label: '诊断代码',
+      formItemClass: 'col-span-6',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'major_number',
+      label: '主编号',
+      formItemClass: 'col-span-6',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'ref_number',
+      label: '次编号',
+      formItemClass: 'col-span-6',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'pinyin',
+      label: '拼音首拼',
+      formItemClass: 'col-span-6',
+      componentProps: { placeholder: '可留空，保存时按名称自动生成' },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'pinyin_full',
+      label: '拼音全拼',
+      componentProps: { placeholder: '可留空，保存时按名称自动生成' },
+    },
+  ],
+  showDefaultActions: false,
+});
+
+const [FormModal, formModalApi] = useVbenModal({
+  class: 'w-[640px]',
+  draggable: true,
+  onConfirm: async () => {
+    const e = await formApi.validate();
+    if (!e.valid) return;
+    const values = await formApi.getValues();
+    formModalApi.setState({ confirmLoading: true });
+    try {
+      if (isUpdate.value) {
+        await updateDiseaseDict(values);
+      } else {
+        await createDiseaseDict(values);
+      }
+      message.success('保存成功');
+      gridApi.query();
+      formModalApi.close();
+    } finally {
+      formModalApi.setState({ confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) {
+      formApi.resetForm();
+      return;
+    }
+    const data = formModalApi.getData<{ values?: any; update?: boolean }>();
+    isUpdate.value = !!data?.update;
+    if (data?.values && data.update) {
+      formApi.setValues({ ...data.values });
+    } else {
+      formApi.resetForm();
+    }
+  },
+});
+
+function showModal(row: any = {}, update = false) {
+  formModalApi.setData({ values: row, update });
+  formModalApi.open();
+}
+
+async function handleDelete(ids: number[]) {
+  await deleteDiseaseDict({ ids });
+  message.success('删除成功');
+  gridApi.query();
+}
+
+/** 手动同步空拼音（疾病库量大，可能稍慢） */
+function handleSyncPinyin() {
+  AntModal.confirm({
+    title: '同步拼音',
+    content:
+      '将扫描疾病诊断中首拼或全拼为空的记录并自动生成，已有值不会覆盖。确认执行？',
+    onOk: async () => {
+      syncing.value = true;
+      try {
+        const res = await syncDiseaseDictPinyin();
+        message.success(
+          `同步完成：更新 ${Number(res?.updated || 0)} 条，跳过 ${Number(res?.skipped || 0)} 条`,
+        );
+        gridApi.query();
+      } finally {
+        syncing.value = false;
+      }
+    },
+  });
+}
+</script>
+<template>
+  <Page auto-content-height title="疾病诊断">
+    <FormModal :title="`${isUpdate ? '编辑' : '新增'}疾病诊断`">
+      <Form />
+    </FormModal>
+    <Grid>
+      <template #toolbar-buttons>
+        <TableAction
+          :actions="[
+            {
+              label: '新增',
+              type: 'primary',
+              onClick: () => showModal({}, false),
+            },
+            {
+              label: '批量删除',
+              danger: true,
+              ifShow: () => hasTopTableDropDownActions,
+              popConfirm: {
+                title: '确认删除所选？',
+                confirm: () => {
+                  const ids = gridApi.grid
+                    .getCheckboxRecords()
+                    .map((r: any) => r.id);
+                  handleDelete(ids);
+                },
+              },
+            },
+          ]"
+        />
+        <Button class="ml-2" :loading="syncing" @click="handleSyncPinyin">
+          同步拼音
+        </Button>
+      </template>
+      <template #action="{ row }">
+        <TableAction
+          :actions="[
+            { label: '编辑', onClick: () => showModal(row, true) },
+            {
+              label: '删除',
+              danger: true,
+              popConfirm: {
+                title: '确认删除？',
+                confirm: () => handleDelete([row.id]),
+              },
+            },
+          ]"
+        />
+      </template>
+    </Grid>
+  </Page>
+</template>
--- a/apps/web-antd/src/views/system/dict/doctor-order/api/index.ts
+++ b/apps/web-antd/src/views/system/dict/doctor-order/api/index.ts
@@ -0,0 +1,27 @@
+/**
+ * 公共医嘱字典 API（xk_doctor_order）
+ */
+import { requestClient } from '#/api/request';
+
+const prefix = 'doctor-order/';
+
+export async function getDoctorOrderDictList(data: any) {
+  return requestClient.get<any>(`${prefix}list`, { params: data });
+}
+
+export async function createDoctorOrderDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}create`, data);
+}
+
+export async function updateDoctorOrderDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}update`, data);
+}
+
+export async function deleteDoctorOrderDict(data: { ids?: number[]; id?: number }) {
+  return requestClient.post<any>(`${prefix}delete`, data);
+}
+
+/** 同步空拼音首拼/全拼 */
+export async function syncDoctorOrderDictPinyin() {
+  return requestClient.post<any>(`${prefix}sync-pinyin`, {});
+}
--- a/apps/web-antd/src/views/system/dict/doctor-order/index.vue
+++ b/apps/web-antd/src/views/system/dict/doctor-order/index.vue
@@ -0,0 +1,235 @@
+<script lang="ts" setup>
+/**
+ * 公共医嘱字典（xk_doctor_order）
+ * 挂在字典管理下，维护接诊公共医嘱
+ */
+import type { VxeGridListeners } from '#/adapter/vxe-table';
+
+import { ref } from 'vue';
+
+import { Page, useVbenModal } from '@vben/common-ui';
+
+import { Button, message, Modal as AntModal } from 'ant-design-vue';
+
+import { useVbenForm } from '#/adapter/form';
+import { useVbenVxeGrid } from '#/adapter/vxe-table';
+import { TableAction } from '#/components/table-action';
+
+import {
+  createDoctorOrderDict,
+  deleteDoctorOrderDict,
+  getDoctorOrderDictList,
+  syncDoctorOrderDictPinyin,
+  updateDoctorOrderDict,
+} from './api';
+
+defineOptions({ name: 'DoctorOrderDict' });
+
+const hasTopTableDropDownActions = ref(false);
+const syncing = ref(false);
+const isUpdate = ref(false);
+
+const formOptions = {
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'keyword',
+      label: '关键字',
+      componentProps: { placeholder: '内容/首拼/全拼' },
+    },
+  ],
+};
+
+const gridOptions = {
+  checkboxConfig: { highlight: true, labelField: '' },
+  columns: [
+    { type: 'checkbox', width: 60 },
+    { field: 'id', title: 'ID', width: 80 },
+    { field: 'name', title: '医嘱内容', minWidth: 220 },
+    { field: 'pinyin_initials', title: '首拼', width: 120 },
+    { field: 'pinyin_full', title: '全拼', minWidth: 160 },
+    { field: 'created_at', title: '创建时间', width: 170 },
+    { title: '操作', slots: { default: 'action' }, width: 140, fixed: 'right' },
+  ],
+  keepSource: true,
+  pagerConfig: {},
+  proxyConfig: {
+    ajax: {
+      query: async ({ page }: any, formValues: any) => {
+        return await getDoctorOrderDictList({
+          page: page.currentPage,
+          pageSize: page.pageSize,
+          ...formValues,
+        });
+      },
+    },
+  },
+  height: 'auto',
+  toolbarConfig: {
+    search: true,
+    refresh: true,
+    slots: { buttons: 'toolbar-buttons' },
+  },
+};
+
+const gridEvents: VxeGridListeners<any> = {
+  checkboxChange() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+  checkboxAll() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+};
+
+const [Grid, gridApi] = useVbenVxeGrid({
+  formOptions,
+  gridOptions: gridOptions as any,
+  gridEvents,
+});
+
+const [Form, formApi] = useVbenForm({
+  wrapperClass: 'grid-cols-12',
+  commonConfig: {
+    formItemClass: 'col-span-12',
+    componentProps: { class: 'w-full' },
+  },
+  layout: 'horizontal',
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'id',
+      label: 'ID',
+      dependencies: { show: false, triggerFields: ['id'] },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'name',
+      label: '医嘱内容',
+      rules: 'required',
+      componentProps: { placeholder: '请输入医嘱内容' },
+    },
+  ],
+  showDefaultActions: false,
+});
+
+const [FormModal, formModalApi] = useVbenModal({
+  class: 'w-[560px]',
+  draggable: true,
+  onConfirm: async () => {
+    const e = await formApi.validate();
+    if (!e.valid) return;
+    const values = await formApi.getValues();
+    formModalApi.setState({ confirmLoading: true });
+    try {
+      if (isUpdate.value) {
+        await updateDoctorOrderDict(values);
+      } else {
+        await createDoctorOrderDict(values);
+      }
+      message.success('保存成功');
+      gridApi.query();
+      formModalApi.close();
+    } finally {
+      formModalApi.setState({ confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) {
+      formApi.resetForm();
+      return;
+    }
+    const data = formModalApi.getData<{ values?: any; update?: boolean }>();
+    isUpdate.value = !!data?.update;
+    if (data?.values && data.update) {
+      formApi.setValues({ ...data.values });
+    } else {
+      formApi.resetForm();
+    }
+  },
+});
+
+function showModal(row: any = {}, update = false) {
+  formModalApi.setData({ values: row, update });
+  formModalApi.open();
+}
+
+async function handleDelete(ids: number[]) {
+  await deleteDoctorOrderDict({ ids });
+  message.success('删除成功');
+  gridApi.query();
+}
+
+function handleSyncPinyin() {
+  AntModal.confirm({
+    title: '同步拼音',
+    content:
+      '将扫描公共医嘱中首拼或全拼为空的记录并自动生成，已有值不会覆盖。确认执行？',
+    onOk: async () => {
+      syncing.value = true;
+      try {
+        const res = await syncDoctorOrderDictPinyin();
+        message.success(
+          `同步完成：更新 ${Number(res?.updated || 0)} 条，跳过 ${Number(res?.skipped || 0)} 条`,
+        );
+        gridApi.query();
+      } finally {
+        syncing.value = false;
+      }
+    },
+  });
+}
+</script>
+<template>
+  <Page auto-content-height title="公共医嘱">
+    <FormModal :title="`${isUpdate ? '编辑' : '新增'}公共医嘱`">
+      <Form />
+    </FormModal>
+    <Grid>
+      <template #toolbar-buttons>
+        <TableAction
+          :actions="[
+            {
+              label: '新增',
+              type: 'primary',
+              onClick: () => showModal({}, false),
+            },
+            {
+              label: '批量删除',
+              danger: true,
+              ifShow: () => hasTopTableDropDownActions,
+              popConfirm: {
+                title: '确认删除所选？',
+                confirm: () => {
+                  const ids = gridApi.grid
+                    .getCheckboxRecords()
+                    .map((r: any) => r.id);
+                  handleDelete(ids);
+                },
+              },
+            },
+          ]"
+        />
+        <Button class="ml-2" :loading="syncing" @click="handleSyncPinyin">
+          同步拼音
+        </Button>
+      </template>
+      <template #action="{ row }">
+        <TableAction
+          :actions="[
+            { label: '编辑', onClick: () => showModal(row, true) },
+            {
+              label: '删除',
+              danger: true,
+              popConfirm: {
+                title: '确认删除？',
+                confirm: () => handleDelete([row.id]),
+              },
+            },
+          ]"
+        />
+      </template>
+    </Grid>
+  </Page>
+</template>
--- a/apps/web-antd/src/views/system/dict/tcm/api/index.ts
+++ b/apps/web-antd/src/views/system/dict/tcm/api/index.ts
@@ -0,0 +1,34 @@
+/**
+ * 中医字典 API（疾病 / 治法 / 证候）
+ */
+import { requestClient } from '#/api/request';
+
+const prefix = 'tcm-dict/';
+
+export type TcmDictType = 'diseases' | 'method' | 'syndrome';
+
+export async function getTcmDictList(data: {
+  type: TcmDictType;
+  page?: number;
+  pageSize?: number;
+  keyword?: string;
+}) {
+  return requestClient.get<any>(`${prefix}list`, { params: data });
+}
+
+export async function createTcmDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}create`, data);
+}
+
+export async function updateTcmDict(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}update`, data);
+}
+
+export async function deleteTcmDict(data: { type: TcmDictType; ids: number[] }) {
+  return requestClient.post<any>(`${prefix}delete`, data);
+}
+
+/** 手动同步空拼音首拼 */
+export async function syncTcmDictPinyin(type: TcmDictType) {
+  return requestClient.post<any>(`${prefix}sync-pinyin`, { type });
+}
--- a/apps/web-antd/src/views/system/dict/tcm/components/TcmDictListPage.vue
+++ b/apps/web-antd/src/views/system/dict/tcm/components/TcmDictListPage.vue
@@ -0,0 +1,275 @@
+<script lang="ts" setup>
+/**
+ * 中医字典列表（疾病 / 治法 / 证候共用）
+ * 支持 CRUD + 手动「同步拼音首拼」（仅补空值）
+ */
+import type { VxeGridListeners } from '#/adapter/vxe-table';
+
+import { computed, ref } from 'vue';
+
+import { Page, useVbenModal } from '@vben/common-ui';
+
+import { Button, message, Modal as AntModal } from 'ant-design-vue';
+
+import { useVbenForm } from '#/adapter/form';
+import { useVbenVxeGrid } from '#/adapter/vxe-table';
+import { TableAction } from '#/components/table-action';
+
+import {
+  createTcmDict,
+  deleteTcmDict,
+  getTcmDictList,
+  syncTcmDictPinyin,
+  updateTcmDict,
+  type TcmDictType,
+} from '../api';
+
+const props = defineProps<{
+  dictType: TcmDictType;
+  pageTitle: string;
+  pageName: string;
+}>();
+
+defineOptions({ name: 'TcmDictListPage' });
+
+const hasTopTableDropDownActions = ref(false);
+const syncing = ref(false);
+
+const formOptions = {
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'keyword',
+      label: '关键字',
+      componentProps: { placeholder: '名称/编码/首拼' },
+    },
+  ],
+};
+
+const gridOptions = computed(() => ({
+  checkboxConfig: { highlight: true, labelField: '' },
+  columns: [
+    { type: 'checkbox', width: 60 },
+    { field: 'id', title: 'ID', width: 80 },
+    { field: 'code', title: '代码', width: 120 },
+    { field: 'number', title: '编号', width: 120 },
+    { field: 'name', title: '名称', minWidth: 160 },
+    { field: 'alias', title: '别名', minWidth: 120 },
+    { field: 'initials_of_pinyin', title: '拼音首拼', width: 120 },
+    { field: 'pinyin_full', title: '拼音全拼', minWidth: 160 },
+    { field: 'created_at', title: '创建时间', width: 170 },
+    { title: '操作', slots: { default: 'action' }, width: 140, fixed: 'right' },
+  ],
+  keepSource: true,
+  pagerConfig: {},
+  proxyConfig: {
+    ajax: {
+      query: async ({ page }: any, formValues: any) => {
+        return await getTcmDictList({
+          type: props.dictType,
+          page: page.currentPage,
+          pageSize: page.pageSize,
+          ...formValues,
+        });
+      },
+    },
+  },
+  height: 'auto',
+  toolbarConfig: {
+    search: true,
+    refresh: true,
+    slots: { buttons: 'toolbar-buttons' },
+  },
+}));
+
+const gridEvents: VxeGridListeners<any> = {
+  checkboxChange() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+  checkboxAll() {
+    hasTopTableDropDownActions.value =
+      gridApi.grid.getCheckboxRecords().length > 0;
+  },
+};
+
+const [Grid, gridApi] = useVbenVxeGrid({
+  formOptions,
+  gridOptions: gridOptions.value as any,
+  gridEvents,
+});
+
+const isUpdate = ref(false);
+const [Form, formApi] = useVbenForm({
+  wrapperClass: 'grid-cols-12',
+  commonConfig: {
+    formItemClass: 'col-span-12',
+    componentProps: { class: 'w-full' },
+  },
+  layout: 'horizontal',
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'id',
+      label: 'ID',
+      dependencies: { show: false, triggerFields: ['id'] },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'name',
+      label: '名称',
+      rules: 'required',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'code',
+      label: '代码',
+      formItemClass: 'col-span-6',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'number',
+      label: '编号',
+      formItemClass: 'col-span-6',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'alias',
+      label: '别名',
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'initials_of_pinyin',
+      label: '拼音首拼',
+      componentProps: { placeholder: '保存时按名称自动生成，可留空' },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'pinyin_full',
+      label: '拼音全拼',
+      componentProps: { placeholder: '保存时按名称自动生成，可留空' },
+    },
+  ],
+  showDefaultActions: false,
+});
+
+const [FormModal, formModalApi] = useVbenModal({
+  class: 'w-[640px]',
+  draggable: true,
+  onConfirm: async () => {
+    const e = await formApi.validate();
+    if (!e.valid) return;
+    const values = await formApi.getValues();
+    formModalApi.setState({ confirmLoading: true });
+    try {
+      const payload = { ...values, type: props.dictType };
+      if (isUpdate.value) {
+        await updateTcmDict(payload);
+      } else {
+        await createTcmDict(payload);
+      }
+      message.success('保存成功');
+      gridApi.query();
+      formModalApi.close();
+    } finally {
+      formModalApi.setState({ confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    if (!isOpen) {
+      formApi.resetFields();
+      return;
+    }
+    const data = formModalApi.getData<{ values?: any; update?: boolean }>();
+    isUpdate.value = !!data?.update;
+    if (data?.values && data.update) {
+      formApi.setValues({ ...data.values });
+    } else {
+      formApi.resetFields();
+    }
+  },
+});
+
+function showModal(row: any = {}, update = false) {
+  formModalApi.setData({ values: row, update });
+  formModalApi.open();
+}
+
+async function handleDelete(ids: number[]) {
+  await deleteTcmDict({ type: props.dictType, ids });
+  message.success('删除成功');
+  gridApi.query();
+}
+
+/** 手动同步：补全空首拼/全拼，并纠正名称含数字但旧拼音丢数字的脏数据 */
+function handleSyncPinyin() {
+  AntModal.confirm({
+    title: '同步拼音',
+    content: `将扫描「${props.pageTitle}」中首拼/全拼为空（或含数字名称需纠正）的记录并自动生成。确认执行？`,
+    onOk: async () => {
+      syncing.value = true;
+      try {
+        const res = await syncTcmDictPinyin(props.dictType);
+        message.success(
+          `同步完成：更新 ${Number(res?.updated || 0)} 条，跳过 ${Number(res?.skipped || 0)} 条`,
+        );
+        gridApi.query();
+      } finally {
+        syncing.value = false;
+      }
+    },
+  });
+}
+</script>
+<template>
+  <Page auto-content-height :title="pageTitle">
+    <FormModal :title="`${isUpdate ? '编辑' : '新增'}${pageTitle}`">
+      <Form />
+    </FormModal>
+    <Grid>
+      <template #toolbar-buttons>
+        <TableAction
+          :actions="[
+            {
+              label: '新增',
+              type: 'primary',
+              onClick: () => showModal({}, false),
+            },
+            {
+              label: '批量删除',
+              danger: true,
+              ifShow: () => hasTopTableDropDownActions,
+              popConfirm: {
+                title: '确认删除所选？',
+                confirm: () => {
+                  const ids = gridApi.grid
+                    .getCheckboxRecords()
+                    .map((r: any) => r.id);
+                  handleDelete(ids);
+                },
+              },
+            },
+          ]"
+        />
+        <Button class="ml-2" :loading="syncing" @click="handleSyncPinyin">
+          同步拼音
+        </Button>
+      </template>
+      <template #action="{ row }">
+        <TableAction
+          :actions="[
+            { label: '编辑', onClick: () => showModal(row, true) },
+            {
+              label: '删除',
+              danger: true,
+              popConfirm: {
+                title: '确认删除？',
+                confirm: () => handleDelete([row.id]),
+              },
+            },
+          ]"
+        />
+      </template>
+    </Grid>
+  </Page>
+</template>
--- a/apps/web-antd/src/views/system/dict/tcm/diseases/index.vue
+++ b/apps/web-antd/src/views/system/dict/tcm/diseases/index.vue
@@ -0,0 +1,15 @@
+<script lang="ts" setup>
+/**
+ * 中医疾病字典（xk_traditional_chinese_medicine_diseases）
+ */
+import TcmDictListPage from '../components/TcmDictListPage.vue';
+
+defineOptions({ name: 'TcmDiseasesDict' });
+</script>
+<template>
+  <TcmDictListPage
+    dict-type="diseases"
+    page-title="中医疾病"
+    page-name="TcmDiseasesDict"
+  />
+</template>
--- a/apps/web-antd/src/views/system/dict/tcm/method/index.vue
+++ b/apps/web-antd/src/views/system/dict/tcm/method/index.vue
@@ -0,0 +1,15 @@
+<script lang="ts" setup>
+/**
+ * 中医治法字典（xk_traditional_chinese_medicine_method）
+ */
+import TcmDictListPage from '../components/TcmDictListPage.vue';
+
+defineOptions({ name: 'TcmMethodDict' });
+</script>
+<template>
+  <TcmDictListPage
+    dict-type="method"
+    page-title="中医治法"
+    page-name="TcmMethodDict"
+  />
+</template>
--- a/apps/web-antd/src/views/system/dict/tcm/syndrome/index.vue
+++ b/apps/web-antd/src/views/system/dict/tcm/syndrome/index.vue
@@ -0,0 +1,15 @@
+<script lang="ts" setup>
+/**
+ * 中医证候字典（xk_traditional_chinese_medicine_syndrome）
+ */
+import TcmDictListPage from '../components/TcmDictListPage.vue';
+
+defineOptions({ name: 'TcmSyndromeDict' });
+</script>
+<template>
+  <TcmDictListPage
+    dict-type="syndrome"
+    page-title="中医证候"
+    page-name="TcmSyndromeDict"
+  />
+</template>
--- a/apps/web-antd/src/views/system/medical-record/entry-public/field/index.vue
+++ b/apps/web-antd/src/views/system/medical-record/entry-public/field/index.vue
@@ -0,0 +1,36 @@
+<script lang="ts" setup>
+/**
+ * 病历公共词条-按字段拆分页（从路由 path 末段解析 field_code）
+ * 例：/system/medical-record/entry-public/chief-complaint → chief_complaint
+ */
+import { computed } from 'vue';
+import { useRoute } from 'vue-router';
+
+import EntryListPage from '#/views/doctor/medical-record/components/EntryListPage.vue';
+import { MEDICAL_RECORD_FIELD_OPTIONS } from '#/views/doctor/medical-record/config/constants';
+
+defineOptions({ name: 'MedicalRecordEntryPublicField' });
+
+const route = useRoute();
+
+const fieldCode = computed(() => {
+  const seg = (route.path.split('/').filter(Boolean).pop() || '').trim();
+  return seg.replace(/-/g, '_');
+});
+
+const fieldLabel = computed(() => {
+  const hit = MEDICAL_RECORD_FIELD_OPTIONS.find((o) => o.value === fieldCode.value);
+  return hit?.label || fieldCode.value;
+});
+
+const pageTitle = computed(() => `公共词条·${fieldLabel.value}`);
+</script>
+<template>
+  <EntryListPage
+    :key="fieldCode"
+    scope="public"
+    :fixed-field-code="fieldCode"
+    :page-title="pageTitle"
+    :page-name="String(route.name || 'MedicalRecordEntryPublicField')"
+  />
+</template>
--- a/apps/web-antd/src/views/system/medical-record/entry-public/index.vue
+++ b/apps/web-antd/src/views/system/medical-record/entry-public/index.vue
@@ -0,0 +1,15 @@
+<script lang="ts" setup>
+/**
+ * 病历公共词条管理（平台）
+ */
+import EntryListPage from '#/views/doctor/medical-record/components/EntryListPage.vue';
+
+defineOptions({ name: 'MedicalRecordEntryPublic' });
+</script>
+<template>
+  <EntryListPage
+    scope="public"
+    page-title="病历公共词条"
+    page-name="MedicalRecordEntryPublic"
+  />
+</template>
--- a/apps/web-antd/src/views/system/system-config/api/index.ts
+++ b/apps/web-antd/src/views/system/system-config/api/index.ts
@@ -15,3 +15,10 @@ export async function getPriceAdjustConfig(storeId?: number) {
    params: storeId ? { store_id: storeId } : {},
  });
 }
+
+/** 按 key 批量读取系统配置（如 dict_search_rank_mode） */
+export async function getSystemConfigByKeys(keys: string[]) {
+  return requestClient.get<any>(`${prefix}get-by-keys`, {
+    params: { keys: keys.join(',') },
+  });
+}
--- a/apps/web-antd/src/views/system/system-config/index.vue
+++ b/apps/web-antd/src/views/system/system-config/index.vue
@@ -40,6 +40,13 @@ const logisticsShowWhNameClinic = ref(true);
 const salespersonStoreEditEnabled = ref(false);
 /** 业务端单机登录：医生/药师/诊所管理员等同一账号仅 1 手机 + 1 网页（默认否） */
 const doctorSingleDeviceLogin = ref(false);
+/** 字典搜索匹配度：backend 服务端 / frontend 前端 */
+const dictSearchRankMode = ref<'backend' | 'frontend'>('backend');
+/**
+ * 病历诊断/医嘱「常用|我的」展示位置
+ * tags=文本域下标签（默认） bubble=气泡内展示 both=两边
+ */
+const mrCommonDisplayMode = ref<'tags' | 'bubble' | 'both'>('tags');
 /** 开票通知渠道：subscribe / sms，默认仅订阅消息 */
 const invoiceNoticeChannels = ref<string[]>(['subscribe']);

@@ -53,6 +60,8 @@ function readStoredTab() {
    stored === 'salesperson' ||
    stored === 'invoice_notice' ||
    stored === 'doctor_login' ||
+    stored === 'dict_search' ||
+    stored === 'medical_record' ||
    stored === 'oa_notify'
  ) {
    activeKey.value = stored;
@@ -121,6 +130,15 @@ async function load() {
      if (row.config_key === 'doctor_single_device_login') {
        doctorSingleDeviceLogin.value = parseBoolConfig(row.config_value, false);
      }
+      if (row.config_key === 'dict_search_rank_mode') {
+        dictSearchRankMode.value =
+          String(row.config_value || '') === 'frontend' ? 'frontend' : 'backend';
+      }
+      if (row.config_key === 'mr_common_display_mode') {
+        const mode = String(row.config_value || 'tags');
+        mrCommonDisplayMode.value =
+          mode === 'bubble' || mode === 'both' ? mode : 'tags';
+      }
      if (row.config_key === 'invoice_notice_channels') {
        let channels: unknown = row.config_value;
        if (typeof channels === 'string') {
@@ -202,6 +220,22 @@ async function handleSave() {
        description: '业务端单机登录（医生/药师/诊所管理员等：1手机+1网页）',
        sort: 310,
      },
+      {
+        config_key: 'dict_search_rank_mode',
+        config_value: dictSearchRankMode.value,
+        value_type: 'string',
+        config_group: 'search',
+        description: '字典搜索匹配度：backend服务端 / frontend前端',
+        sort: 320,
+      },
+      {
+        config_key: 'mr_common_display_mode',
+        config_value: mrCommonDisplayMode.value,
+        value_type: 'string',
+        config_group: 'medical_record',
+        description: '病历诊断医嘱常用展示：tags标签 / bubble气泡 / both两边',
+        sort: 330,
+      },
      {
        config_key: 'invoice_notice_channels',
        config_value: JSON.stringify(
@@ -331,6 +365,33 @@ onMounted(() => {
          </div>
        </Tabs.TabPane>

+        <Tabs.TabPane key="dict_search" tab="字典搜索">
+          <div class="py-4">
+            <div class="mb-2 font-medium">诊断 / 医嘱 / 病历词条匹配度处理端</div>
+            <div class="mb-2 text-sm text-gray-500">
+              后端：服务端计算匹配度并排序（适合疾病库等大数据量）；前端：接口只返回候选，由端上打分排序（适合调试或减轻服务端 CPU）。关键字高亮始终在端上渲染。
+            </div>
+            <Radio.Group v-model:value="dictSearchRankMode">
+              <Radio value="backend">后端处理（推荐）</Radio>
+              <Radio value="frontend">前端处理</Radio>
+            </Radio.Group>
+          </div>
+        </Tabs.TabPane>
+
+        <Tabs.TabPane key="medical_record" tab="词条">
+          <div class="py-4">
+            <div class="mb-2 font-medium">诊断 / 医嘱「常用|我的」展示位置</div>
+            <div class="mb-2 text-sm text-gray-500">
+              控制接诊病历里诊断、医嘱的常用快捷出现在哪里。默认「标签」即文本域下方的快捷标签；「气泡卡片」则在关键字搜索气泡内默认展示常用；「两边」同时展示。
+            </div>
+            <Radio.Group v-model:value="mrCommonDisplayMode">
+              <Radio value="tags">标签（默认）</Radio>
+              <Radio value="bubble">气泡卡片默认展示</Radio>
+              <Radio value="both">两边都展示</Radio>
+            </Radio.Group>
+          </div>
+        </Tabs.TabPane>
+
        <Tabs.TabPane key="invoice_notice" tab="开票通知">
          <div class="py-4">
            <div class="mb-2 font-medium">患者开票通知渠道</div>
--- a/apps/web-antd/src/views/system/vip/feature/api/index.ts
+++ b/apps/web-antd/src/views/system/vip/feature/api/index.ts
@@ -0,0 +1,24 @@
+import { requestClient } from '#/api/request';
+
+/** VIP 功能字典 API */
+const prefix = 'vip-feature/';
+
+export async function getVipFeatureList(data: any) {
+  return requestClient.get<any>(`${prefix}list`, { params: data });
+}
+
+export async function getVipFeatureOption(data?: any) {
+  return requestClient.get<any>(`${prefix}option`, { params: data });
+}
+
+export async function createVipFeature(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}create`, data);
+}
+
+export async function updateVipFeature(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}update`, data);
+}
+
+export async function deleteVipFeature(data: Record<string, any>) {
+  return requestClient.post<any>(`${prefix}delete`, data);
+}
--- a/apps/web-antd/src/views/system/vip/feature/components/modal.vue
+++ b/apps/web-antd/src/views/system/vip/feature/components/modal.vue
@@ -0,0 +1,61 @@
+<script lang="ts" setup>
+/**
+ * VIP 功能字典新增/编辑弹窗
+ */
+import { ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import { message } from 'ant-design-vue';
+
+import { useVbenForm } from '#/adapter/form';
+
+import { createVipFeature, updateVipFeature } from '../api';
+import { modalFormProps } from '../config/form';
+
+const isUpdate = ref(false);
+const gridApi = ref();
+const [Form, formApi] = useVbenForm(modalFormProps);
+const [Modal, modalApi] = useVbenModal({
+  fullscreenButton: false,
+  draggable: true,
+  onCancel() {
+    modalApi.close();
+  },
+  onConfirm: async () => {
+    const e = await formApi.validate();
+    if (!e.valid) return;
+    const values = await formApi.getValues();
+    modalApi.setState({ confirmLoading: true });
+    try {
+      const api = isUpdate.value ? updateVipFeature : createVipFeature;
+      await api(values);
+      message.success('保存成功');
+      gridApi.value?.query();
+      modalApi.close();
+    } finally {
+      modalApi.setState({ confirmLoading: false });
+    }
+  },
+  onOpenChange(isOpen: boolean) {
+    gridApi.value = isOpen ? modalApi.getData()?.gridApi : null;
+    if (!isOpen) {
+      formApi.resetFields();
+      return;
+    }
+    const { values, update } = modalApi.getData<Record<string, any>>() || {};
+    isUpdate.value = !!update;
+    if (values && update) {
+      formApi.setValues({ ...values });
+    } else {
+      formApi.resetFields();
+      formApi.setValues({ sort: 0, status: 1, description: '' });
+    }
+  },
+});
+</script>
+<template>
+  <Modal :title="`${isUpdate ? '编辑' : '新增'}VIP功能`" class="w-[560px]">
+    <Form />
+  </Modal>
+</template>
--- a/apps/web-antd/src/views/system/vip/feature/config/constants.ts
+++ b/apps/web-antd/src/views/system/vip/feature/config/constants.ts
@@ -0,0 +1,5 @@
+/** VIP 功能字典常量 */
+export const STATUS_OPTIONS = [
+  { label: '启用', value: 1 },
+  { label: '禁用', value: 0 },
+];
--- a/apps/web-antd/src/views/system/vip/feature/config/form.ts
+++ b/apps/web-antd/src/views/system/vip/feature/config/form.ts
@@ -0,0 +1,59 @@
+import type { VbenFormProps } from '#/adapter/form';
+
+import { STATUS_OPTIONS } from './constants';
+
+/** VIP 功能字典表单 */
+export const modalFormProps: VbenFormProps = {
+  wrapperClass: 'grid-cols-12',
+  commonConfig: {
+    formItemClass: 'col-span-12',
+    componentProps: { class: 'w-full' },
+  },
+  layout: 'horizontal',
+  schema: [
+    {
+      component: 'VbenInput',
+      fieldName: 'id',
+      label: 'ID',
+      dependencies: { show: false, triggerFields: ['id'] },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'code',
+      label: '功能编码',
+      rules: 'required',
+      componentProps: { placeholder: 'snake_case，如 medical_record' },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'name',
+      label: '功能名称',
+      rules: 'required',
+      componentProps: { placeholder: '如：病历' },
+    },
+    {
+      component: 'VbenInput',
+      fieldName: 'description',
+      label: '说明',
+      componentProps: { type: 'textarea', rows: 2 },
+      defaultValue: '',
+    },
+    {
+      component: 'InputNumber',
+      fieldName: 'sort',
+      label: '排序',
+      formItemClass: 'col-span-6',
+      componentProps: { min: 0 },
+      defaultValue: 0,
+    },
+    {
+      component: 'VbenSelect',
+      fieldName: 'status',
+      label: '状态',
+      formItemClass: 'col-span-6',
+      componentProps: { options: STATUS_OPTIONS },
+      defaultValue: 1,
+    },
+  ],
+  showDefaultActions: false,
+};
--- a/apps/web-antd/src/views/system/vip/feature/index.vue
+++ b/apps/web-antd/src/views/system/vip/feature/index.vue
@@ -0,0 +1,169 @@
+<script lang="ts" setup>
+/**
+ * VIP 功能字典列表：供等级 permissions 勾选的功能码维护
+ */
+import { onMounted, reactive, ref } from 'vue';
+
+import { Page, useVbenModal } from '@vben/common-ui';
+
+import {
+  Button,
+  Card,
+  Empty,
+  Input,
+  Pagination,
+  Select,
+  Tag,
+  message,
+} from 'ant-design-vue';
+
+import { TableAction } from '#/components/table-action';
+
+import { deleteVipFeature, getVipFeatureList } from './api';
+import FormModal from './components/modal.vue';
+import { STATUS_OPTIONS } from './config/constants';
+
+defineOptions({ name: 'VipFeature' });
+
+const loading = ref(false);
+const list = ref<any[]>([]);
+const total = ref(0);
+const page = reactive({ current: 1, pageSize: 12 });
+const filters = reactive({
+  code: '',
+  name: '',
+  status: undefined as number | undefined,
+});
+
+const [FormModalComp, formModalApi] = useVbenModal({
+  connectedComponent: FormModal,
+});
+
+async function loadList() {
+  loading.value = true;
+  try {
+    const res = await getVipFeatureList({
+      page: page.current,
+      pageSize: page.pageSize,
+      code: filters.code || undefined,
+      name: filters.name || undefined,
+      status: filters.status,
+    });
+    list.value = res?.items || [];
+    total.value = Number(res?.total || 0);
+  } finally {
+    loading.value = false;
+  }
+}
+
+function onSearch() {
+  page.current = 1;
+  loadList();
+}
+
+function onReset() {
+  filters.code = '';
+  filters.name = '';
+  filters.status = undefined;
+  onSearch();
+}
+
+const showModal = (data: any = {}, isUpdate = false) => {
+  formModalApi.setData({
+    values: data,
+    update: isUpdate,
+    gridApi: { query: loadList, reload: loadList },
+  });
+  formModalApi.open();
+};
+
+const handleDelete = (id: number) => {
+  deleteVipFeature({ ids: [id] }).then(() => {
+    message.success('删除成功');
+    loadList();
+  });
+};
+
+onMounted(loadList);
+</script>
+<template>
+  <Page auto-content-height title="VIP功能字典">
+    <FormModalComp />
+    <div class="p-4">
+      <div class="mb-4 flex flex-wrap items-center gap-3">
+        <Input
+          v-model:value="filters.code"
+          allow-clear
+          placeholder="功能编码"
+          class="w-40"
+          @press-enter="onSearch"
+        />
+        <Input
+          v-model:value="filters.name"
+          allow-clear
+          placeholder="功能名称"
+          class="w-40"
+          @press-enter="onSearch"
+        />
+        <Select
+          v-model:value="filters.status"
+          allow-clear
+          placeholder="状态"
+          class="w-28"
+          :options="STATUS_OPTIONS"
+        />
+        <Button type="primary" @click="onSearch">查询</Button>
+        <Button @click="onReset">重置</Button>
+        <TableAction
+          :actions="[
+            {
+              label: '新增功能',
+              type: 'primary',
+              onClick: () => showModal({}, false),
+            },
+          ]"
+        />
+      </div>
+      <div v-if="list.length" class="grid grid-cols-1 gap-4 md:grid-cols-2 xl:grid-cols-3">
+        <Card v-for="item in list" :key="item.id" size="small" :loading="loading">
+          <template #title>
+            <span class="font-medium">{{ item.name }}</span>
+            <Tag class="ml-2" :color="item.status === 1 ? 'success' : 'default'">
+              {{ item.status_txt }}
+            </Tag>
+          </template>
+          <template #extra>
+            <TableAction
+              :actions="[
+                { label: '编辑', onClick: () => showModal(item, true) },
+                {
+                  label: '删除',
+                  danger: true,
+                  popConfirm: {
+                    title: '确认删除该功能？',
+                    confirm: () => handleDelete(item.id),
+                  },
+                },
+              ]"
+            />
+          </template>
+          <div class="text-sm text-gray-600">
+            <div>编码：{{ item.code }}</div>
+            <div class="mt-1">说明：{{ item.description || '-' }}</div>
+            <div class="mt-1">排序：{{ item.sort }}</div>
+          </div>
+        </Card>
+      </div>
+      <Empty v-else description="暂无功能，请先新增或执行 SQL 种子" />
+      <div class="mt-4 flex justify-end">
+        <Pagination
+          v-model:current="page.current"
+          v-model:page-size="page.pageSize"
+          :total="total"
+          show-size-changer
+          @change="loadList"
+        />
+      </div>
+    </div>
+  </Page>
+</template>
--- a/apps/web-antd/src/views/system/vip/level/components/modal.vue
+++ b/apps/web-antd/src/views/system/vip/level/components/modal.vue
@@ -1,6 +1,7 @@
 <script lang="ts" setup>
 /**
 * VIP 等级新增/编辑弹窗
+ * permissions 从 VIP 功能字典 option 多选
 */
 import { ref } from 'vue';

@@ -9,6 +10,7 @@ import { useVbenModal } from '@vben/common-ui';
 import { message } from 'ant-design-vue';

 import { useVbenForm } from '#/adapter/form';
+import { getVipFeatureOption } from '#/views/system/vip/feature/api';

 import { createVipLevel, updateVipLevel } from '../api';
 import { modalFormProps } from '../config/form';
@@ -37,12 +39,30 @@ const [Modal, modalApi] = useVbenModal({
      modalApi.setState({ confirmLoading: false });
    }
  },
-  onOpenChange(isOpen: boolean) {
+  async onOpenChange(isOpen: boolean) {
    gridApi.value = isOpen ? modalApi.getData()?.gridApi : null;
    if (!isOpen) {
      formApi.resetFields();
      return;
    }
+    // 打开时拉取功能字典，注入 permissions 下拉
+    try {
+      const opts = await getVipFeatureOption();
+      formApi.updateSchema([
+        {
+          fieldName: 'permissions',
+          componentProps: {
+            mode: 'multiple',
+            allowClear: true,
+            optionFilterProp: 'label',
+            placeholder: '从功能字典多选',
+            options: Array.isArray(opts) ? opts : [],
+          },
+        },
+      ]);
+    } catch (e) {
+      console.error('加载 VIP 功能字典失败', e);
+    }
    const { values, update } = modalApi.getData<Record<string, any>>() || {};
    isUpdate.value = !!update;
    if (values && update) {
--- a/apps/web-antd/src/views/system/vip/level/config/form.ts
+++ b/apps/web-antd/src/views/system/vip/level/config/form.ts
@@ -72,11 +72,14 @@ export const modalFormProps: VbenFormProps = {
    {
      component: 'Select',
      fieldName: 'permissions',
-      label: '权限码',
+      label: 'VIP功能',
+      help: '低等级勾选后，更高权重等级会自动补齐缺失功能',
      componentProps: {
-        mode: 'tags',
-        placeholder: '输入权限码后回车，预留业务权益',
-        tokenSeparators: [','],
+        mode: 'multiple',
+        allowClear: true,
+        optionFilterProp: 'label',
+        placeholder: '从功能字典多选（需先在 VIP功能字典 维护）',
+        options: [],
      },
      defaultValue: [],
    },