feat: 病历模块优化

2026-08-05 16:22:46 +08:00
parent 029b45d0bb
commit bd5b0b2de1
17 changed files with 971 additions and 140 deletions
--- a/apps/web-antd/src/store/prescription.ts
+++ b/apps/web-antd/src/store/prescription.ts
@@ -65,6 +65,11 @@ export const usePrescriptionStore = defineStore('prescription', () => {
    { label: '医疗器械', value: 7, icon: '', icon_text: '' },
  ]);
  const prescriptionTypeDefault = ref(2);
+  /** 开方种类权限校验中（进入开方页先 loading） */
+  const prescriptionTypeLoading = ref(false);
+  /** 当前门店是否有可开方种类 */
+  const prescriptionTypeAllowed = ref(true);
+  const prescriptionTypeDenyMessage = ref('');
  const diagnosis = ref('');
  const medicalAdvice = ref('');
  const treatmentPrice = ref(0);
@@ -204,9 +209,10 @@ export const usePrescriptionStore = defineStore('prescription', () => {
  };

  /**
-   * 拉取后端处方类型列表与默认选中
+   * 拉取后端处方类型列表与默认选中；无绑定时清空 list 并返回 false
   */
  const loadPrescriptionTypeOptions = async (registerId?: number | string) => {
+    prescriptionTypeLoading.value = true;
    try {
      const params: { register_id?: number; store_id?: number } = {};
      const rid = Number(registerId || currentRegisterId.value);
@@ -214,19 +220,34 @@ export const usePrescriptionStore = defineStore('prescription', () => {
      if (myStoreId.value) params.store_id = myStoreId.value;
      const res = await getPrescriptionTypeOptionsApi(params);
      const list = Array.isArray(res?.list) ? res.list : [];
-      if (list.length) {
-        categories.value = list.map((item) => ({
-          value: Number(item.value),
-          label: item.label || '',
-          icon: item.icon || '',
-          icon_text: item.icon_text || '',
-        }));
+      categories.value = list.map((item) => ({
+        value: Number(item.value),
+        label: item.label || '',
+        icon: item.icon || '',
+        icon_text: item.icon_text || '',
+      }));
+      const def = Number(res?.default) || 0;
+      prescriptionTypeDefault.value = def;
+      const allowed =
+        res?.allowed !== false && list.length > 0;
+      prescriptionTypeAllowed.value = allowed;
+      prescriptionTypeDenyMessage.value = allowed
+        ? ''
+        : (res?.message || '当前门店未开通开方权限');
+      // 当前 Tab 不在 allowed 内时强制切到 default
+      if (allowed && def && !categories.value.some((c) => c.value === activeCategory.value)) {
+        activeCategory.value = def;
      }
-      const def = Number(res?.default);
-      if (def) prescriptionTypeDefault.value = def;
+      return allowed;
    } catch (error) {
      console.error('加载处方类型失败:', error);
+      categories.value = [];
+      prescriptionTypeAllowed.value = false;
+      prescriptionTypeDenyMessage.value = '处方类型加载失败，请稍后重试';
      message.warning('处方类型加载失败，请稍后重试');
+      return false;
+    } finally {
+      prescriptionTypeLoading.value = false;
    }
  };

@@ -1249,6 +1270,9 @@ export const usePrescriptionStore = defineStore('prescription', () => {
    activeCategory,
    categories,
    prescriptionTypeDefault,
+    prescriptionTypeLoading,
+    prescriptionTypeAllowed,
+    prescriptionTypeDenyMessage,
    diagnosis,
    medicalAdvice,
    treatmentPrice,
--- a/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
+++ b/apps/web-antd/src/views/business/chat/components/PrescriptionModal.vue
@@ -29,6 +29,7 @@ import {
  Row,
  Select,
  SelectOption,
+  Spin,
  Tag,
  Tabs,
  TabPane,
@@ -180,6 +181,8 @@ watch(allowInsuranceCategory, (allow) => {
 }, { immediate: true });

 const submittingType = ref(false);
+/** 弹窗内容区 loading（先校验开方种类权限） */
+const contentLoading = ref(false);
 const [Modal, modalApi] = useVbenModal({
  draggable: true,
  confirmText: '发送处方',
@@ -200,22 +203,44 @@ const [Modal, modalApi] = useVbenModal({
      if (modalData.value?.registerId) {
        // 获取存储前缀，默认为在线复诊-药店
        const storagePrefix = modalData.value?.storagePrefix || 'onlineConsultation-';
-
-        // 使用完整初始化，包含患者信息（传递 true 以获取患者信息）
-        await prescriptionStore.initializePrescription(
-          modalData.value.registerId,
-          true,
-          storagePrefix,
-        );
-        prescriptionStore.loadFromLocalStorage();
-        // 开方弹窗打开时再拉一次类型，确保 Network 可见且数据最新
-        await prescriptionStore.loadPrescriptionTypeOptions(modalData.value.registerId);
-        // 获取挂号诊所信息
-        await prescriptionStore.fetchRegisterStoreInfo();
-        
-        // 如果恢复的处方类型是中药，检测并显示转诊提示
-        if (prescriptionStore.activeCategory === 1) {
-          await checkAndShowTransferTip();
+        contentLoading.value = true;
+        try {
+          // 先校验开方种类权限，再加载完整开方数据
+          const allowed = await prescriptionStore.loadPrescriptionTypeOptions(
+            modalData.value.registerId,
+          );
+          if (!allowed) {
+            message.error(
+              prescriptionStore.prescriptionTypeDenyMessage ||
+                '当前门店未开通开方权限',
+            );
+            modalApi.close();
+            return;
+          }
+          await prescriptionStore.initializePrescription(
+            modalData.value.registerId,
+            true,
+            storagePrefix,
+          );
+          prescriptionStore.loadFromLocalStorage();
+          // 再拉一次类型，确保与门店一致并校正 Tab
+          await prescriptionStore.loadPrescriptionTypeOptions(
+            modalData.value.registerId,
+          );
+          if (!prescriptionStore.prescriptionTypeAllowed) {
+            message.error(
+              prescriptionStore.prescriptionTypeDenyMessage ||
+                '当前门店未开通开方权限',
+            );
+            modalApi.close();
+            return;
+          }
+          await prescriptionStore.fetchRegisterStoreInfo();
+          if (prescriptionStore.activeCategory === 1) {
+            await checkAndShowTransferTip();
+          }
+        } finally {
+          contentLoading.value = false;
        }
      } else {
        console.warn('未提供registerId');
@@ -934,6 +959,7 @@ const cancelSaveCommonPrescription = () => {

 <template>
  <Modal class="w-[90%]" title="电子处方">
+    <Spin :spinning="contentLoading || prescriptionStore.prescriptionTypeLoading">
    <!-- 主容器：左右布局 -->
    <div class="prescription-module flex h-[calc(80vh-60px)] gap-4 overflow-hidden">
      <!-- 说明书预览 (保持隐藏逻辑) -->
@@ -1794,6 +1820,7 @@ const cancelSaveCommonPrescription = () => {
        </p>
      </AntModal>
    </div>
+    </Spin>

    <!-- 子模态框组件 - 按照VbenAdmin的方式声明 -->
    <WesternDrugModal />
--- a/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts
+++ b/apps/web-antd/src/views/doctor/doctor-reception/api/index.ts
@@ -119,6 +119,8 @@ export async function getPrescriptionTypeOptionsApi(params?: {
      icon?: string;
      icon_text?: string;
    }>;
+    allowed?: boolean;
+    message?: string;
  }>(`${prefix}prescription-type-options`, {
    params,
  });
--- a/apps/web-antd/src/views/doctor/doctor-reception/index.vue
+++ b/apps/web-antd/src/views/doctor/doctor-reception/index.vue
@@ -34,6 +34,7 @@ import {
  Textarea,
  Timeline,
  TimelineItem, notification,
+  Spin,
 } from 'ant-design-vue';
 import {debounce} from 'lodash-es'; // 或者使用自定义防抖函数

@@ -206,27 +207,47 @@ function getMyStoreList() {

 getMyStoreList();

-/** 拉取处方类型列表与默认选中 */
+/** 开方种类权限校验中 */
+const prescriptionTypeLoading = ref(false);
+/** 当前门店是否有可开方种类 */
+const prescriptionTypeAllowed = ref(true);
+const prescriptionTypeDenyMessage = ref('');
+
+/** 拉取处方类型列表与默认选中；无权限时清空并返回 false */
 async function loadPrescriptionTypeOptions(registerId?: number) {
+  prescriptionTypeLoading.value = true;
  try {
    const params: { register_id?: number; store_id?: number } = {};
    if (registerId) params.register_id = registerId;
    if (myStoreId.value) params.store_id = myStoreId.value;
    const res = await getPrescriptionTypeOptionsApi(params);
    const list = Array.isArray(res?.list) ? res.list : [];
-    if (list.length) {
-      categories.value = list.map((item) => ({
-        value: Number(item.value),
-        label: item.label || '',
-        icon: item.icon || '',
-        icon_text: item.icon_text || '',
-      }));
+    categories.value = list.map((item) => ({
+      value: Number(item.value),
+      label: item.label || '',
+      icon: item.icon || '',
+      icon_text: item.icon_text || '',
+    }));
+    const def = Number(res?.default) || 0;
+    prescriptionTypeDefault.value = def;
+    const allowed = res?.allowed !== false && list.length > 0;
+    prescriptionTypeAllowed.value = allowed;
+    prescriptionTypeDenyMessage.value = allowed
+      ? ''
+      : (res?.message || '当前门店未开通开方权限');
+    if (allowed && def && !categories.value.some((c) => c.value === activeCategory.value)) {
+      activeCategory.value = def;
    }
-    const def = Number(res?.default);
-    if (def) prescriptionTypeDefault.value = def;
+    return allowed;
  } catch (e) {
    console.error('加载处方类型失败', e);
+    categories.value = [];
+    prescriptionTypeAllowed.value = false;
+    prescriptionTypeDenyMessage.value = '处方类型加载失败，请稍后重试';
    message.warning('处方类型加载失败，请稍后重试');
+    return false;
+  } finally {
+    prescriptionTypeLoading.value = false;
  }
 }

@@ -669,7 +690,10 @@ const selectPatient = async (patient: Patient, isUpdateTabType = true) => {

  const registerId = patient.id;
  // 先拉类型，再恢复草稿/默认 Tab
-  await loadPrescriptionTypeOptions(registerId);
+  const allowed = await loadPrescriptionTypeOptions(registerId);
+  if (!allowed) {
+    message.error(prescriptionTypeDenyMessage.value || '当前门店未开通开方权限');
+  }
  // 优先恢复完整草稿（诊断、医嘱、诊疗费、中药配置等）
  const hasDraft = await restoreReceptionDraft(registerId);
  if (!hasDraft) {
@@ -689,6 +713,14 @@ const selectPatient = async (patient: Patient, isUpdateTabType = true) => {
      }
    }
  }
+  // 恢复的 Tab 若不在权限内，强制切到默认
+  if (
+    allowed &&
+    categories.value.length &&
+    !categories.value.some((c) => c.value === activeCategory.value)
+  ) {
+    activeCategory.value = prescriptionTypeDefault.value || categories.value[0].value;
+  }

  // 如果恢复的处方类型是中药，检测并显示转诊提示
  if (activeCategory.value === 1) {
@@ -2535,46 +2567,110 @@ function updateLocalStorageStoreInfo() {
  tabType.value = 0;
  getPatientListByReception();
 }
-const leftShow = ref(true)
-// 获取doctorReceptionLeftShow
-function getDoctorReceptionLeftShow() {
-  const localStorageLeftShow = localStorage.getItem(`doctorReceptionLeftShow`);
-  leftShow.value = localStorageLeftShow !== 'false';
+/**
+ * 患者列表：默认收起；鼠标悬停展开，移出自动收起；可点击钉住保持展开
+ * leftShow = 钉住 || 悬停
+ */
+const leftPinned = ref(false);
+const leftHover = ref(false);
+let leftLeaveTimer: ReturnType<typeof setTimeout> | null = null;
+/** 门店下拉打开时暂不因 mouseleave 收起（下拉挂到 body） */
+const storeSelectOpen = ref(false);
+
+const leftShow = computed(() => leftPinned.value || leftHover.value);
+
+function getDoctorReceptionLeftPinned() {
+  const v = localStorage.getItem('doctorReceptionLeftPinned');
+  leftPinned.value = v === 'true';
 }
-getDoctorReceptionLeftShow();
-// 监听leftShow存入缓存
+getDoctorReceptionLeftPinned();
+
 watch(
-  () => leftShow.value,
-  async (enable) => {
-    localStorage.setItem(`doctorReceptionLeftShow`, enable);
-  },
-  {
-    immediate: true,
+  () => leftPinned.value,
+  (enable) => {
+    localStorage.setItem('doctorReceptionLeftPinned', String(!!enable));
  },
 );
+
+/** 侧栏进入：取消待收起并展开 */
+function onPatientSidebarEnter() {
+  if (leftLeaveTimer) {
+    clearTimeout(leftLeaveTimer);
+    leftLeaveTimer = null;
+  }
+  leftHover.value = true;
+}
+
+/** 侧栏离开：短暂延迟后收起，避免点到下拉/滚动条误收 */
+function onPatientSidebarLeave() {
+  if (leftLeaveTimer) clearTimeout(leftLeaveTimer);
+  leftLeaveTimer = setTimeout(() => {
+    if (!storeSelectOpen.value) {
+      leftHover.value = false;
+    }
+  }, 280);
+}
+
+/** 点击钉住/取消钉住（展开时显示） */
+function toggleLeftPinned() {
+  leftPinned.value = !leftPinned.value;
+  if (leftPinned.value) {
+    leftHover.value = true;
+  }
+}
+
+/** 门店下拉显隐：打开时保持展开；关闭后若未钉住则按离开逻辑收起 */
+function onStoreSelectOpenChange(open: boolean) {
+  storeSelectOpen.value = open;
+  if (open) {
+    onPatientSidebarEnter();
+  } else if (!leftPinned.value) {
+    onPatientSidebarLeave();
+  }
+}
 </script>

 <template>
  <div class="reception-layout" :class="{ 'is-left-collapsed': !leftShow }">
    <RefusalOfTreatmentModals />
    <InfoModalComponent />
-    <!-- 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">
+    <!-- 左侧患者列表：悬停展开、移出收起；收起时左上角显示当前患者名 -->
+    <aside
+      class="patient-sidebar"
+      @mouseenter="onPatientSidebarEnter"
+      @mouseleave="onPatientSidebarLeave"
+    >
+      <!-- 收起态：竖排患者名，提示可悬停展开 -->
+      <div v-show="!leftShow" class="patient-sidebar__collapsed">
+        <div
+          class="patient-sidebar__collapsed-name"
+          :title="(activePatient && activePatient.name) || '悬停展开患者列表'"
+        >
+          {{ (activePatient && activePatient.name) || '患者' }}
+        </div>
+      </div>
+      <div v-show="leftShow" 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"
+          :title="leftPinned ? '取消固定，移出后收起' : '固定展开'"
+          @click="toggleLeftPinned"
        >
-          <MenuFoldOutlined v-if="leftShow" />
+          <MenuFoldOutlined v-if="leftPinned" />
          <MenuUnfoldOutlined v-else />
-          <span v-if="leftShow" class="patient-sidebar__toggle-text">收起</span>
+          <span class="patient-sidebar__toggle-text">{{
+            leftPinned ? '取消固定' : '固定'
+          }}</span>
        </Button>
      </div>
      <div class="patient-panel">
-        <Select v-model:value="myStoreId" class="w-full" @change="switchStore">
+        <Select
+          v-model:value="myStoreId"
+          class="w-full"
+          @change="switchStore"
+          @dropdown-visible-change="onStoreSelectOpenChange"
+        >
          <SelectOption v-for="item in myStoreList" :key="item.id" :value="item.id">
            {{ item.name }}
          </SelectOption>
@@ -2877,10 +2973,18 @@ watch(
    </Page>

    <Page v-if="tabType === 2" class="prescription-panel prescription-panel--rx">
+      <Spin :spinning="prescriptionTypeLoading">
      <div class="prescription-header">
        <h2>{{ activePatient.name }} 的处方</h2>
      </div>

+      <Empty
+        v-if="!prescriptionTypeLoading && !prescriptionTypeAllowed"
+        :description="prescriptionTypeDenyMessage || '当前门店未开通开方权限'"
+        class="py-20"
+      />
+
+      <template v-else>
      <Tabs
        v-if="canUseMedicalRecord"
        v-model:active-key="rxMrTab"
@@ -3635,6 +3739,8 @@ watch(
          :user-patient-id="Number(activePatient?.id || 0)"
        />
      </div>
+      </template>
+      </Spin>
    </Page>
    <div v-else-if="tabType === 0" class="prescription-panel">
      <Empty/>
@@ -3737,10 +3843,34 @@ watch(
  display: flex;
  flex-direction: column;
  background: hsl(var(--background));
+  z-index: 20;
 }
 .reception-layout.is-left-collapsed .patient-sidebar {
  width: 44px;
 }
+.patient-sidebar__collapsed {
+  flex: 1;
+  display: flex;
+  flex-direction: column;
+  align-items: center;
+  padding: 12px 0 16px;
+  min-height: 0;
+  cursor: default;
+  user-select: none;
+}
+.patient-sidebar__collapsed-name {
+  writing-mode: vertical-rl;
+  text-orientation: mixed;
+  font-size: 14px;
+  font-weight: 600;
+  color: hsl(var(--foreground));
+  letter-spacing: 0.12em;
+  line-height: 1.2;
+  max-height: calc(90vh - 48px);
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
 .patient-sidebar__toggle {
  flex-shrink: 0;
  padding: 8px;
--- a/apps/web-antd/src/views/doctor/medical-record/MedicalRecordPanel.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/MedicalRecordPanel.vue
@@ -358,37 +358,82 @@ function appendCommaText(base: string, add: string) {
  return parts.join('，');
 }

+/** 从中文逗号列表移除一项 */
+function removeCommaText(base: string, remove: string) {
+  if (!base || !remove) return base || '';
+  return (base || '')
+    .split('，')
+    .map((s) => s.trim())
+    .filter((s) => s && s !== remove)
+    .join('，');
+}
+
+/** 从换行文本移除一行（优先整行匹配，否则去掉首次出现） */
+function removeAppendedText(base: string, remove: string) {
+  if (!base || !remove) return base || '';
+  const lines = base.split('\n');
+  const idx = lines.findIndex((l) => l.trim() === remove.trim());
+  if (idx >= 0) {
+    lines.splice(idx, 1);
+    return lines.join('\n');
+  }
+  const i = base.indexOf(remove);
+  if (i < 0) return base;
+  return `${base.slice(0, i)}${base.slice(i + remove.length)}`
+    .replace(/\n{3,}/g, '\n\n')
+    .replace(/^\n+|\n+$/g, '');
+}
+
+/** 字段正文是否已包含该文案 */
+function fieldContainsText(base: string, text: string) {
+  const t = String(text || '').trim();
+  if (!t) return false;
+  const v = String(base || '');
+  if (!v) return false;
+  if (v.split('，').map((s) => s.trim()).includes(t)) return true;
+  if (v.split('\n').map((s) => s.trim()).includes(t)) return true;
+  return v.includes(t);
+}
+
 /**
- * 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
+ * 选用词条（切换）：正文已有则删除对应文案，否则追加
+ * 舌象/脉象：相同则清空，不同则覆盖
 */
 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;
+    const cur = String((form as any)[fieldCode] || '');
+    (form as any)[fieldCode] = cur.trim() === text.trim() ? '' : text;
    return;
  }
  if (fieldCode === 'diagnosis') {
-    diagnosisModel.value = appendCommaText(diagnosisModel.value, text);
+    diagnosisModel.value = fieldContainsText(diagnosisModel.value, text)
+      ? removeCommaText(diagnosisModel.value, text)
+      : appendCommaText(diagnosisModel.value, text);
    return;
  }
  if (fieldCode === 'doctor_order') {
-    medicalAdviceModel.value = appendCommaText(medicalAdviceModel.value, text);
+    medicalAdviceModel.value = fieldContainsText(medicalAdviceModel.value, text)
+      ? removeCommaText(medicalAdviceModel.value, text)
+      : 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,
-    );
+    const cur = String((form as any)[fieldCode] || '');
+    (form as any)[fieldCode] = fieldContainsText(cur, text)
+      ? removeCommaText(cur, text)
+      : appendCommaText(cur, text);
    return;
  }
-  (form as any)[fieldCode] = appendText((form as any)[fieldCode] || '', text);
+  const cur = String((form as any)[fieldCode] || '');
+  (form as any)[fieldCode] = fieldContainsText(cur, text)
+    ? removeAppendedText(cur, text)
+    : appendText(cur, text);
 }

 /**
@@ -485,7 +530,9 @@ function openFieldExpand(fieldCode: string, label: string) {
    {
      source: tcmSource || 'entry',
      fieldCode: tcmSource ? undefined : fieldCode,
-      showChips: false,
+      // 词条与诊断/医嘱一样，跟随 mr_common_display_mode（中医三典无常用词条表）
+      showChips: !tcmSource && showCommonTags.value,
+      showCommonInBubble: !tcmSource && showCommonInBubble.value,
      joinMode,
    },
  );
@@ -669,6 +716,7 @@ const rightFields = [
            v-if="showCommonTags"
            :key="`dx_chips_${commonChipsTick}`"
            source="diagnosis"
+            :field-value="diagnosisModel"
            :disabled="diagnosisReadonly"
            @select="(text) => onEntryPick('diagnosis', { id: text, title: text, content: text, remark: '' })"
          />
@@ -686,7 +734,9 @@ const rightFields = [
                    field-code="tongue"
                    :store-id="storeId"
                    placeholder="舌象词条"
+                    :show-common-in-bubble="showCommonInBubble"
                    @select="(item) => onEntryPick('tongue', item)"
+                    @common-changed="commonChipsTick += 1"
                  />
                </div>
                <div data-mr-module="tongue" data-mr-role="textarea">
@@ -697,6 +747,22 @@ const rightFields = [
                    @dblclick="openFieldExpand('tongue', '舌象')"
                  />
                </div>
+                <CommonDxOrderChips
+                  v-if="showCommonTags"
+                  :key="`entry_chips_tongue_${commonChipsTick}`"
+                  source="entry"
+                  field-code="tongue"
+                  :field-value="form.tongue"
+                  @select="
+                    (text) =>
+                      onEntryPick('tongue', {
+                        id: text,
+                        title: text,
+                        content: text,
+                        remark: '',
+                      })
+                  "
+                />
              </div>
              <div class="min-w-0 flex-1">
                <div class="mb-1 text-sm text-muted-foreground">脉象</div>
@@ -706,7 +772,9 @@ const rightFields = [
                    field-code="pulse"
                    :store-id="storeId"
                    placeholder="脉象词条"
+                    :show-common-in-bubble="showCommonInBubble"
                    @select="(item) => onEntryPick('pulse', item)"
+                    @common-changed="commonChipsTick += 1"
                  />
                </div>
                <div data-mr-module="pulse" data-mr-role="textarea">
@@ -717,6 +785,22 @@ const rightFields = [
                    @dblclick="openFieldExpand('pulse', '脉象')"
                  />
                </div>
+                <CommonDxOrderChips
+                  v-if="showCommonTags"
+                  :key="`entry_chips_pulse_${commonChipsTick}`"
+                  source="entry"
+                  field-code="pulse"
+                  :field-value="form.pulse"
+                  @select="
+                    (text) =>
+                      onEntryPick('pulse', {
+                        id: text,
+                        title: text,
+                        content: text,
+                        remark: '',
+                      })
+                  "
+                />
              </div>
            </div>
            <!-- 2) 辨证 / 病案 -->
@@ -726,7 +810,9 @@ const rightFields = [
                :ref="(el) => setSearchRef('tcm_case', el)"
                field-code="tcm_case"
                :store-id="storeId"
+                :show-common-in-bubble="showCommonInBubble"
                @select="(item) => onEntryPick('tcm_case', item)"
+                @common-changed="commonChipsTick += 1"
              />
            </div>
            <div class="mb-3" data-mr-module="tcm_case" data-mr-role="textarea">
@@ -738,6 +824,23 @@ const rightFields = [
                @dblclick="openFieldExpand('tcm_case', '辨证/病案')"
              />
            </div>
+            <CommonDxOrderChips
+              v-if="showCommonTags"
+              :key="`entry_chips_tcm_case_${commonChipsTick}`"
+              class="mb-3"
+              source="entry"
+              field-code="tcm_case"
+              :field-value="form.tcm_case"
+              @select="
+                (text) =>
+                  onEntryPick('tcm_case', {
+                    id: text,
+                    title: text,
+                    content: text,
+                    remark: '',
+                  })
+              "
+            />
            <!-- 3) 证候|疾病、治法|空：与舌脉同为一行两列 -->
            <div
              v-for="(row, rowIdx) in tcmCaseSubRows"
@@ -800,7 +903,9 @@ const rightFields = [
              :ref="(el) => setSearchRef(f.fieldCode, el)"
              :field-code="f.fieldCode"
              :store-id="storeId"
+              :show-common-in-bubble="showCommonInBubble"
              @select="(item) => onEntryPick(f.fieldCode, item)"
+              @common-changed="commonChipsTick += 1"
            />
          </div>
          <template v-if="f.fieldCode === 'doctor_order'">
@@ -817,6 +922,7 @@ const rightFields = [
              v-if="showCommonTags"
              :key="`order_chips_${commonChipsTick}`"
              source="doctor_order"
+              :field-value="medicalAdviceModel"
              @select="(text) => onEntryPick('doctor_order', { id: text, title: text, content: text, remark: '' })"
            />
          </template>
@@ -833,6 +939,22 @@ const rightFields = [
              @dblclick="openFieldExpand(f.textKey, f.label)"
            />
          </div>
+          <CommonDxOrderChips
+            v-if="showCommonTags && f.fieldCode !== 'tcm_case' && f.fieldCode !== 'doctor_order'"
+            :key="`entry_chips_${f.fieldCode}_${commonChipsTick}`"
+            source="entry"
+            :field-code="f.fieldCode"
+            :field-value="String((form as any)[f.textKey] || '')"
+            @select="
+              (text) =>
+                onEntryPick(f.fieldCode, {
+                  id: text,
+                  title: text,
+                  content: text,
+                  remark: '',
+                })
+            "
+          />
        </div>
      </Col>
      <Col :span="12">
@@ -847,77 +969,78 @@ const rightFields = [
              :ref="(el) => setSearchRef(f.fieldCode, el)"
              :field-code="f.fieldCode"
              :store-id="storeId"
+              :show-common-in-bubble="showCommonInBubble"
              @select="(item) => onEntryPick(f.fieldCode, item)"
+              @common-changed="commonChipsTick += 1"
            />
          </div>
+          <!-- 体征：一段话内联书写（标签含单位 + 下划线输入） -->
          <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"
+            class="vitals-para mb-2"
          >
-            <span class="vital-item">
-              <span class="vital-label">体温</span>
+            <span class="vital-chunk">
+              <span class="vital-label">体温(°C)</span>
              <InputNumber
                v-model:value="form.temperature"
                :min="0"
                :step="0.1"
                :bordered="false"
                class="vital-input"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-unit">℃</span>
            </span>
-            <span class="vital-item">
-              <span class="vital-label">身高</span>
+            <span class="vital-chunk">
+              <span class="vital-label">身高(cm)</span>
              <InputNumber
                v-model:value="form.height"
                :min="0"
                :bordered="false"
                class="vital-input"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-unit">cm</span>
            </span>
-            <span class="vital-item">
-              <span class="vital-label">体重</span>
+            <span class="vital-chunk">
+              <span class="vital-label">体重(KG)</span>
              <InputNumber
                v-model:value="form.weight"
                :min="0"
                :step="0.1"
                :bordered="false"
                class="vital-input"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-unit">KG</span>
            </span>
-            <span class="vital-item">
-              <span class="vital-label">呼吸</span>
+            <span class="vital-chunk">
+              <span class="vital-label">呼吸(次/分)</span>
              <InputNumber
                v-model:value="form.respiratory_rate"
                :min="0"
                :bordered="false"
                class="vital-input vital-input--sm"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-unit">次/分</span>
            </span>
-            <span class="vital-item">
-              <span class="vital-label">血压</span>
+            <span class="vital-chunk">
+              <span class="vital-label">高压 mmHg</span>
              <InputNumber
                v-model:value="form.bp_systolic"
                :min="0"
                :bordered="false"
                class="vital-input vital-input--sm"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-sep">/</span>
+            </span>
+            <span class="vital-sep">/</span>
+            <span class="vital-chunk">
+              <span class="vital-label">低压 mmHg</span>
              <InputNumber
                v-model:value="form.bp_diastolic"
                :min="0"
                :bordered="false"
                class="vital-input vital-input--sm"
-                placeholder="—"
+                placeholder=" "
              />
-              <span class="vital-unit">mmHg</span>
            </span>
          </div>
          <div :data-mr-module="f.fieldCode" data-mr-role="textarea">
@@ -929,6 +1052,22 @@ const rightFields = [
              @dblclick="openFieldExpand(f.textKey, f.label)"
            />
          </div>
+          <CommonDxOrderChips
+            v-if="showCommonTags"
+            :key="`entry_chips_r_${f.fieldCode}_${commonChipsTick}`"
+            source="entry"
+            :field-code="f.fieldCode"
+            :field-value="String((form as any)[f.textKey] || '')"
+            @select="
+              (text) =>
+                onEntryPick(f.fieldCode, {
+                  id: text,
+                  title: text,
+                  content: text,
+                  remark: '',
+                })
+            "
+          />
        </div>
      </Col>
    </Row>
@@ -940,36 +1079,55 @@ const rightFields = [
 .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 {
+/* 体征一段话：标签 + 下划线输入横向流式排布 */
+.vitals-para {
+  display: flex;
+  flex-wrap: wrap;
+  align-items: baseline;
+  column-gap: 14px;
+  row-gap: 10px;
+  line-height: 2;
+  font-size: 13px;
  color: hsl(var(--muted-foreground));
+}
+.vitals-para .vital-chunk {
+  display: inline-flex;
+  align-items: baseline;
+  gap: 6px;
  white-space: nowrap;
 }
-.vitals-underline :deep(.vital-input.ant-input-number),
-.vitals-underline :deep(.vital-input .ant-input-number) {
-  width: 88px;
+.vitals-para .vital-label {
+  color: hsl(var(--muted-foreground));
+  font-size: 13px;
+}
+.vitals-para .vital-sep {
+  color: hsl(var(--muted-foreground));
+  margin: 0 2px;
+}
+.vitals-para :deep(.vital-input.ant-input-number),
+.vitals-para :deep(.vital-input .ant-input-number) {
+  width: 72px;
  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-para :deep(.vital-input--sm.ant-input-number),
+.vitals-para :deep(.vital-input--sm .ant-input-number) {
+  width: 64px;
 }
-.vitals-underline :deep(.ant-input-number-focused),
-.vitals-underline :deep(.ant-input-number:hover) {
+.vitals-para :deep(.ant-input-number-input) {
+  text-align: center;
+  padding: 0 4px !important;
+  height: 28px !important;
+}
+.vitals-para :deep(.ant-input-number-focused),
+.vitals-para :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;
+.vitals-para :deep(.ant-input-number-handler-wrap) {
+  display: none;
 }
 </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
@@ -31,6 +31,24 @@ export async function searchMedicalRecordEntry(data: {
  return requestClient.get<any>(`${prefix}search-entry`, { params: data });
 }

+/** 我的常用词条（医生维度） */
+export async function getMyMedicalRecordEntryList(data: {
+  field_code?: string;
+  limit?: number;
+}) {
+  return requestClient.get<any>(`${prefix}my-entry-list`, { params: data });
+}
+
+/** 加入常用词条 */
+export async function addMyMedicalRecordEntry(entry_id: number) {
+  return requestClient.post<any>(`${prefix}add-my-entry`, { entry_id });
+}
+
+/** 删除常用词条（常用记录 id） */
+export async function deleteMyMedicalRecordEntry(id: number) {
+  return requestClient.post<any>(`${prefix}delete-my-entry`, { id });
+}
+
 export async function getMedicalRecord(data: {
  register_id: number;
  store_id?: number;
--- a/apps/web-antd/src/views/doctor/medical-record/components/CommonDxOrderChips.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/CommonDxOrderChips.vue
@@ -1,24 +1,33 @@
 <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）
+ * 常用快捷标签（诊断 / 医嘱 / 病历词条）
+ * - 正文已包含该文案时高亮（is-active）
+ * - 点击：已在正文则移除，否则追加（由父级 onEntryPick 统一 toggle）
 */
-import { onMounted, ref, watch } from 'vue';
+import { computed, onMounted, ref, watch } from 'vue';

 import { Tag } from 'ant-design-vue';

+import {
+  getMyMedicalRecordEntryList,
+} from '#/views/doctor/medical-record/api';
 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 */
+    /** diagnosis=常用诊断；doctor_order=常用医嘱；entry=常用词条 */
+    source: 'diagnosis' | 'doctor_order' | 'entry';
+    /** entry 时必填 */
+    fieldCode?: string;
+    /** 当前字段正文，用于高亮已选 */
+    fieldValue?: string;
    limit?: number;
    disabled?: boolean;
  }>(),
  {
+    fieldCode: '',
+    fieldValue: '',
    limit: 12,
    disabled: false,
  },
@@ -33,8 +42,28 @@ type ChipItem = { id: string | number; text: string };
 const chips = ref<ChipItem[]>([]);
 const loading = ref(false);

+/** 文案是否已出现在字段值中（逗号分段或整行/包含） */
+function textInField(fieldValue: string, text: string) {
+  const t = String(text || '').trim();
+  if (!t) return false;
+  const v = String(fieldValue || '');
+  if (!v) return false;
+  if (v.split('，').map((s) => s.trim()).includes(t)) return true;
+  if (v.split('\n').map((s) => s.trim()).includes(t)) return true;
+  return v.includes(t);
+}
+
+const activeSet = computed(() => {
+  const set = new Set<string>();
+  const v = props.fieldValue || '';
+  for (const c of chips.value) {
+    if (textInField(v, c.text)) set.add(c.text);
+  }
+  return set;
+});
+
 /**
- * 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）
+ * 拉取常用项
 */
 async function loadChips() {
  loading.value = true;
@@ -51,6 +80,26 @@ async function loadChips() {
        .slice(0, props.limit) as ChipItem[];
      return;
    }
+    if (props.source === 'entry') {
+      if (!props.fieldCode) {
+        chips.value = [];
+        return;
+      }
+      const list = await getMyMedicalRecordEntryList({
+        field_code: props.fieldCode,
+        limit: props.limit,
+      }).catch(() => []);
+      chips.value = (list || [])
+        .map((item: any) => {
+          const text = String(item?.content || item?.title || '').trim();
+          return text
+            ? { id: item?.id ?? item?.entry_id ?? text, 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) => {
@@ -79,8 +128,14 @@ function onPick(item: ChipItem) {
  emit('select', item.text);
 }

+const labelText = computed(() => {
+  if (props.source === 'diagnosis') return '常用诊断';
+  if (props.source === 'doctor_order') return '常用医嘱';
+  return '常用词条';
+});
+
 watch(
-  () => props.source,
+  () => [props.source, props.fieldCode] as const,
  () => {
    loadChips();
  },
@@ -94,16 +149,17 @@ 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>
+    <span class="dx-order-chips__label">{{ labelText }}</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"
+        :class="{
+          'is-disabled': disabled,
+          'is-active': activeSet.has(item.text),
+        }"
+        :color="activeSet.has(item.text) ? 'success' : 'processing'"
        @click="onPick(item)"
      >
        {{ item.text }}
@@ -124,16 +180,17 @@ defineExpose({ reload: loadChips });
 .dx-order-chips__list {
  display: flex;
  flex-wrap: wrap;
-  gap: 6px;
+  gap: 8px;
 }
 .dx-order-chips__tag {
  cursor: pointer;
+  user-select: none;
  max-width: 100%;
-  white-space: normal;
-  height: auto;
-  line-height: 1.4;
-  padding: 2px 8px;
-  margin: 0;
+  overflow: hidden;
+  text-overflow: ellipsis;
+}
+.dx-order-chips__tag.is-active {
+  font-weight: 600;
 }
 .dx-order-chips__tag.is-disabled {
  cursor: not-allowed;
--- a/apps/web-antd/src/views/doctor/medical-record/components/EntryKeywordBubble.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/EntryKeywordBubble.vue
@@ -30,7 +30,7 @@ import {
 } from '#/views/doctor/settings/api';
 import { getSystemConfigByKeys } from '#/views/system/system-config/api';

-import { createMedicalRecordEntry, searchMedicalRecordEntry } from '../api';
+import { createMedicalRecordEntry, searchMedicalRecordEntry, addMyMedicalRecordEntry } from '../api';
 import { MEDICAL_RECORD_FIELD_OPTIONS } from '../config/constants';

 import CommonDxOrderChips from './CommonDxOrderChips.vue';
@@ -101,7 +101,9 @@ const bubbleChipsTick = ref(0);
 const showBubbleChips = computed(
  () =>
    props.showCommonInBubble === true &&
-    (props.source === 'diagnosis' || props.source === 'doctor_order'),
+    (props.source === 'diagnosis' ||
+      props.source === 'doctor_order' ||
+      (props.source === 'entry' && !!props.fieldCode)),
 );

 const ROW_HEIGHT = 52;
@@ -132,7 +134,10 @@ const createForm = reactive({
  remark: '',
 });
 const showActionCol = computed(
-  () => props.source === 'diagnosis' || props.source === 'doctor_order',
+  () =>
+    props.source === 'diagnosis' ||
+    props.source === 'doctor_order' ||
+    (props.source === 'entry' && !!props.fieldCode),
 );
 /** 病历词条 / 我的医嘱 均可新增 */
 const showCreateEntry = computed(
@@ -617,6 +622,17 @@ async function handleAddCommon(item: MedicalRecordEntryItem, e?: Event) {
      message.success('已加入常用医嘱');
      bubbleChipsTick.value += 1;
      emit('common-changed');
+    } else if (props.source === 'entry' || (!props.source && props.fieldCode)) {
+      const entryId = Number(item.id);
+      if (!entryId) {
+        message.warning('无法识别词条ID');
+        return;
+      }
+      await addMyMedicalRecordEntry(entryId);
+      item.is_common = true;
+      message.success('已加入常用词条');
+      bubbleChipsTick.value += 1;
+      emit('common-changed');
    }
  } catch (err: any) {
    message.error(err?.message || '添加失败');
@@ -893,9 +909,16 @@ defineExpose({
        <Spin :spinning="loading">
          <CommonDxOrderChips
            v-if="showBubbleChips"
-            :key="`bubble_chips_${source}_${bubbleChipsTick}`"
+            :key="`bubble_chips_${source}_${fieldCode}_${bubbleChipsTick}`"
            class="entry-keyword-bubble__chips"
-            :source="source === 'diagnosis' ? 'diagnosis' : 'doctor_order'"
+            :source="
+              source === 'diagnosis'
+                ? 'diagnosis'
+                : source === 'doctor_order'
+                  ? 'doctor_order'
+                  : 'entry'
+            "
+            :field-code="fieldCode"
            :disabled="disabled"
            @select="
              (text) =>
--- a/apps/web-antd/src/views/doctor/medical-record/components/TextareaExpandModal.vue
+++ b/apps/web-antd/src/views/doctor/medical-record/components/TextareaExpandModal.vue
@@ -99,25 +99,63 @@ function appendCommaText(base: string, add: string) {
  return parts.join('，');
 }

+function removeCommaText(base: string, remove: string) {
+  if (!base || !remove) return base || '';
+  return (base || '')
+    .split('，')
+    .map((s) => s.trim())
+    .filter((s) => s && s !== remove)
+    .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 removeNewline(base: string, remove: string) {
+  if (!base || !remove) return base || '';
+  const lines = base.split('\n');
+  const idx = lines.findIndex((l) => l.trim() === remove.trim());
+  if (idx >= 0) {
+    lines.splice(idx, 1);
+    return lines.join('\n');
+  }
+  const i = base.indexOf(remove);
+  if (i < 0) return base;
+  return `${base.slice(0, i)}${base.slice(i + remove.length)}`
+    .replace(/\n{3,}/g, '\n\n')
+    .replace(/^\n+|\n+$/g, '');
+}
+
+function containsText(base: string, text: string) {
+  const t = String(text || '').trim();
+  if (!t) return false;
+  const v = String(base || '');
+  if (!v) return false;
+  if (v.split('，').map((s) => s.trim()).includes(t)) return true;
+  if (v.split('\n').map((s) => s.trim()).includes(t)) return true;
+  return v.includes(t);
+}
+
+/** 气泡/快捷写入草稿（已有则删除，实现选择/取消） */
 function applyPick(text: string) {
  const t = String(text || '').trim();
  if (!t || readonly.value) return;
  if (joinMode.value === 'replace') {
-    draft.value = t;
+    draft.value = String(draft.value || '').trim() === t ? '' : t;
    return;
  }
  if (joinMode.value === 'comma') {
-    draft.value = appendCommaText(draft.value, t);
+    draft.value = containsText(draft.value, t)
+      ? removeCommaText(draft.value, t)
+      : appendCommaText(draft.value, t);
    return;
  }
-  draft.value = appendNewline(draft.value, t);
+  draft.value = containsText(draft.value, t)
+    ? removeNewline(draft.value, t)
+    : appendNewline(draft.value, t);
 }

 function onBubbleSelect(item: MedicalRecordEntryItem) {
@@ -163,8 +201,21 @@ function confirmAndClose() {
        @dblclick="confirmAndClose"
      />
      <CommonDxOrderChips
-        v-if="showChips && (source === 'diagnosis' || source === 'doctor_order')"
-        :source="source"
+        v-if="
+          showChips &&
+          (source === 'diagnosis' ||
+            source === 'doctor_order' ||
+            source === 'entry')
+        "
+        :source="
+          source === 'diagnosis'
+            ? 'diagnosis'
+            : source === 'doctor_order'
+              ? 'doctor_order'
+              : 'entry'
+        "
+        :field-code="fieldCode"
+        :field-value="draft"
        :disabled="readonly"
        @select="applyPick"
      />
--- a/apps/web-antd/src/views/doctor/settings/index.vue
+++ b/apps/web-antd/src/views/doctor/settings/index.vue
@@ -45,6 +45,11 @@ import {
  saveServicePriceApi,
 } from '#/views/doctor/settings/api';
 import type { CommonPrescriptionResponse } from '#/views/doctor/settings/api';
+import {
+  deleteMyMedicalRecordEntry,
+  getMyMedicalRecordEntryList,
+} from '#/views/doctor/medical-record/api';
+import { MEDICAL_RECORD_FIELD_OPTIONS } from '#/views/doctor/medical-record/config/constants';
 import SensitiveText from '#/components/sensitive-text/SensitiveText.vue';

 const userInfoStore = useUserStore();
@@ -63,6 +68,7 @@ const activeTabBar = ref(savedTab ? Number(savedTab) : 1);
 * - 3: 常用方（新增）
 * - 4: 常用医嘱
 * - 5: 常用诊断
+ * - 6: 常用词条
 */
 const tabBar = [
  {
@@ -81,6 +87,10 @@ const tabBar = [
    value: 5,
    label: '常用诊断',
  },
+  {
+    value: 6,
+    label: '常用词条',
+  },
 ];

 // 格式化日期
@@ -127,6 +137,28 @@ const getDoctorMyDiseaseList = () => {
  });
 };

+/** 常用词条（医生维度） */
+const myEntryCommonList = ref<any[]>([]);
+const getMyEntryCommonList = () => {
+  getMyMedicalRecordEntryList({ limit: 200 })
+    .then((res) => {
+      myEntryCommonList.value = Array.isArray(res) ? res : [];
+    })
+    .catch(() => {
+      myEntryCommonList.value = [];
+    });
+};
+const fieldCodeLabel = (code: string) => {
+  const hit = MEDICAL_RECORD_FIELD_OPTIONS.find((o) => o.value === code);
+  return hit?.label || code || '-';
+};
+const removeMyEntryCommon = (id: number) => {
+  deleteMyMedicalRecordEntry(id).then(() => {
+    notification.success({ message: '已移除常用词条' });
+    getMyEntryCommonList();
+  });
+};
+
 // ==================== 常用方相关 ====================

 /**
@@ -282,6 +314,11 @@ const tabBarChange = () => {
      getDoctorMyDiseaseList();
      break;
    }
+    case 6: {
+      // 常用词条
+      getMyEntryCommonList();
+      break;
+    }
  }
 };
 // 初始化时加载基础数据和当前tab对应的数据
@@ -807,6 +844,29 @@ const handleViewSignature = () => {
        {{ item.disease.name }}
      </Button>
    </Card>
+    <Card v-else-if="data && activeTabBar === 6" title="常用词条">
+      <div class="mb-3 text-sm text-gray-500">
+        在病历接诊气泡中点「加常用」可收藏；此处可移除。点击标签本身无操作。
+      </div>
+      <Empty v-if="!myEntryCommonList.length" description="暂无常用词条" />
+      <div v-else class="flex flex-wrap gap-2">
+        <Tag
+          v-for="item in myEntryCommonList"
+          :key="item.id"
+          color="processing"
+          class="mb-2"
+        >
+          <span class="mr-1 text-xs opacity-70">{{ fieldCodeLabel(item.field_code) }}</span>
+          {{ item.title || item.content }}
+          <Popconfirm
+            title="确定从常用词条中移除吗？"
+            @confirm="removeMyEntryCommon(item.id)"
+          >
+            <a class="ml-2 text-red-500" @click.stop>移除</a>
+          </Popconfirm>
+        </Tag>
+      </div>
+    </Card>

    <!-- 常用方编辑弹窗 -->
    <EditCommonPrescriptionModals />
--- a/apps/web-antd/src/views/system/pharmacy/config/table.ts
+++ b/apps/web-antd/src/views/system/pharmacy/config/table.ts
@@ -37,6 +37,13 @@ export const gridOptions: VxeGridProps<RowType> = {
      width: 160,
      slots: { default: 'online_consultation_config' },
    },
+    {
+      field: 'prescription_types_config',
+      align: 'left',
+      title: '开方种类',
+      width: 200,
+      slots: { default: 'prescription_types_config' },
+    },
    {
      field: 'store_config_1',
      align: 'left',
--- a/apps/web-antd/src/views/system/pharmacy/index.vue
+++ b/apps/web-antd/src/views/system/pharmacy/index.vue
@@ -35,6 +35,7 @@ import StoreBasicInfoCell from '#/views/system/store/components/cells/StoreBasic
 import StoreConfigTogglesCell from '#/views/system/store/components/cells/StoreConfigTogglesCell.vue';
 // 导入绑定在线复诊配置弹窗（使用store的组件）
 import BindConsultationModal from '#/views/system/store/components/BindConsultationModal.vue';
+import BindPrescriptionTypesModal from '#/views/system/store/components/BindPrescriptionTypesModal.vue';
 import DrugPriceModal from '#/views/system/store/components/DrugPriceModal.vue';
 import StoreExternalFieldModal from '#/views/system/store/components/StoreExternalFieldModal.vue';
 import StoreCardModal from '#/components/store-card/StoreCardModal.vue';
@@ -46,6 +47,7 @@ import { getStoreBankCardReportDetail } from '#/views/system/store-bank-card/api
 import { formOptions } from './config/search';
 // 导入表格配置
 import { gridOptions } from './config/table';
+import { prescriptionTypeLabel } from '#/views/system/store/config/prescription-type-constants';
 import { canManageStoreBankCard } from '#/views/system/admin/_shared/platform-admin-role';

 const userStore = useUserStore();
@@ -128,6 +130,10 @@ const [BindConsultationModalComponent, bindConsultationModalApi] = useVbenModal(
  connectedComponent: BindConsultationModal,
 });

+const [BindPrescriptionTypesModalComponent, bindPrescriptionTypesModalApi] = useVbenModal({
+  connectedComponent: BindPrescriptionTypesModal,
+});
+
 const [StoreExternalFieldModalComponent, storeExternalFieldModalApi] = useVbenModal({
  connectedComponent: StoreExternalFieldModal,
 });
@@ -247,6 +253,26 @@ const showBindConsultationModal = (row: any) => {
  bindConsultationModalApi.open();
 };

+/** 打开绑定开方种类弹窗 */
+const showBindPrescriptionTypesModal = (row: any) => {
+  bindPrescriptionTypesModalApi.setData({
+    values: row,
+    gridApi,
+  });
+  bindPrescriptionTypesModalApi.open();
+};
+
+/** 列表摘要：已绑种类数 + 默认种类名 */
+function prescriptionTypesSummary(row: any) {
+  const allowed = Array.isArray(row?.allowed_prescription_types)
+    ? row.allowed_prescription_types
+    : [];
+  if (!allowed.length) return '未绑定';
+  const def = Number(row?.default_prescription_type) || 0;
+  const defLabel = def ? prescriptionTypeLabel(def) : '';
+  return defLabel ? `${allowed.length}种 · 默认${defLabel}` : `${allowed.length}种`;
+}
+
 // 显示表单弹窗（新增或编辑）
 const showModal = (data = {}, isUpdate = false) => {
  formModalApi.setData({
@@ -391,6 +417,7 @@ const batchSyncDrugPrice = () => {
    <QrCodePreviewModal />
    <DrugPriceModalComponent />
    <BindConsultationModalComponent />
+    <BindPrescriptionTypesModalComponent />
    <StoreExternalFieldModalComponent />
    <Grid>
      <template #toolbar-buttons>
@@ -532,6 +559,23 @@ const batchSyncDrugPrice = () => {
          绑定
        </Button>
      </template>
+      <template #prescription_types_config="{ row }">
+        <div
+          class="cursor-pointer hover:text-blue-500"
+          @click="showBindPrescriptionTypesModal(row)"
+        >
+          <Tag
+            :color="
+              Array.isArray(row.allowed_prescription_types) &&
+              row.allowed_prescription_types.length
+                ? 'success'
+                : 'default'
+            "
+          >
+            {{ prescriptionTypesSummary(row) }}
+          </Tag>
+        </div>
+      </template>
      <template #start-time="{ row }">
        早：<Tag color="success">{{ row.start_time }}</Tag>
        <br />
--- a/apps/web-antd/src/views/system/store/api/index.ts
+++ b/apps/web-antd/src/views/system/store/api/index.ts
@@ -32,6 +32,17 @@ export async function bindOnlineConsultationApi(data: {
  return requestClient.post<any>(`${prefix}bind-online-consultation`, data);
 }

+/**
+ * 绑定门店可开方药品种类与默认种类
+ */
+export async function bindPrescriptionTypesApi(data: {
+  id: number;
+  allowed_prescription_types: number[];
+  default_prescription_type: number;
+}) {
+  return requestClient.post<any>(`${prefix}bind-prescription-types`, data);
+}
+
 /**
 * 绑定特色方默认挂号医生
 */
--- a/apps/web-antd/src/views/system/store/components/BindPrescriptionTypesModal.vue
+++ b/apps/web-antd/src/views/system/store/components/BindPrescriptionTypesModal.vue
@@ -0,0 +1,151 @@
+<script lang="ts" setup>
+/**
+ * 绑定门店可开方药品种类与默认种类
+ * 为什么独立弹窗：诊所/药店列表共用，整表替换中间表绑定
+ */
+import { computed, ref } from 'vue';
+
+import { useVbenModal } from '@vben/common-ui';
+
+import { Checkbox, CheckboxGroup, Form, FormItem, message, Radio, RadioGroup } from 'ant-design-vue';
+
+import { bindPrescriptionTypesApi } from '../api';
+import {
+  STORE_PRESCRIPTION_TYPE_OPTIONS,
+} from '../config/prescription-type-constants';
+
+const formState = ref({
+  id: undefined as number | undefined,
+  allowed_prescription_types: [] as number[],
+  default_prescription_type: undefined as number | undefined,
+});
+
+const gridApiRef = ref<any>(null);
+const loading = ref(false);
+
+/** 默认种类只能从已勾选里选 */
+const defaultOptions = computed(() =>
+  STORE_PRESCRIPTION_TYPE_OPTIONS.filter((o) =>
+    formState.value.allowed_prescription_types.includes(o.value),
+  ),
+);
+
+function onAllowedChange(values: number[]) {
+  const next = (values || []) as number[];
+  formState.value.allowed_prescription_types = next;
+  // 默认种类若不在已选中，自动落到第一项
+  if (
+    formState.value.default_prescription_type &&
+    !next.includes(formState.value.default_prescription_type)
+  ) {
+    formState.value.default_prescription_type = next[0];
+  }
+  if (!formState.value.default_prescription_type && next.length) {
+    formState.value.default_prescription_type = next[0];
+  }
+}
+
+const [Modal, modalApi] = useVbenModal({
+  fullscreenButton: false,
+  draggable: true,
+  onCancel() {
+    modalApi.close();
+  },
+  onConfirm: async () => {
+    if (!formState.value.id) {
+      message.error('门店ID无效');
+      return;
+    }
+    if (!formState.value.allowed_prescription_types.length) {
+      message.error('请至少选择一种可开方种类');
+      return;
+    }
+    if (
+      !formState.value.default_prescription_type ||
+      !formState.value.allowed_prescription_types.includes(
+        formState.value.default_prescription_type,
+      )
+    ) {
+      message.error('请选择默认开方种类');
+      return;
+    }
+    loading.value = true;
+    modalApi.setState({ confirmLoading: true });
+    try {
+      await bindPrescriptionTypesApi({
+        id: formState.value.id,
+        allowed_prescription_types: formState.value.allowed_prescription_types,
+        default_prescription_type: formState.value.default_prescription_type,
+      });
+      message.success('绑定成功');
+      gridApiRef.value?.reload();
+      modalApi.close();
+    } catch (error) {
+      console.error(error);
+      message.error('绑定失败');
+    } finally {
+      loading.value = false;
+      modalApi.setState({ confirmLoading: false });
+    }
+  },
+  async onOpenChange(isOpen: boolean) {
+    if (!isOpen) return;
+    const { values, gridApi } = modalApi.getData<Record<string, any>>();
+    gridApiRef.value = gridApi;
+    const allowed = Array.isArray(values?.allowed_prescription_types)
+      ? values.allowed_prescription_types.map((n: any) => Number(n))
+      : [];
+    let def = Number(values?.default_prescription_type) || 0;
+    if (def && !allowed.includes(def)) {
+      def = allowed[0] || 0;
+    }
+    formState.value = {
+      id: values?.id,
+      allowed_prescription_types: allowed,
+      default_prescription_type: def || undefined,
+    };
+  },
+});
+</script>
+
+<template>
+  <Modal title="绑定开方种类" class="w-[520px]">
+    <Form :model="formState" layout="vertical">
+      <FormItem label="可开方种类" required>
+        <CheckboxGroup
+          v-model:value="formState.allowed_prescription_types"
+          @change="onAllowedChange"
+        >
+          <div class="flex flex-wrap gap-2">
+            <Checkbox
+              v-for="opt in STORE_PRESCRIPTION_TYPE_OPTIONS"
+              :key="opt.value"
+              :value="opt.value"
+            >
+              {{ opt.label }}
+            </Checkbox>
+          </div>
+        </CheckboxGroup>
+      </FormItem>
+      <FormItem label="进入开方页默认种类" required>
+        <RadioGroup
+          v-model:value="formState.default_prescription_type"
+          :disabled="!defaultOptions.length"
+        >
+          <div class="flex flex-wrap gap-2">
+            <Radio
+              v-for="opt in defaultOptions"
+              :key="opt.value"
+              :value="opt.value"
+            >
+              {{ opt.label }}
+            </Radio>
+          </div>
+        </RadioGroup>
+        <div v-if="!defaultOptions.length" class="mt-1 text-gray-400 text-sm">
+          请先勾选可开方种类
+        </div>
+      </FormItem>
+    </Form>
+  </Modal>
+</template>
--- a/apps/web-antd/src/views/system/store/config/prescription-type-constants.ts
+++ b/apps/web-antd/src/views/system/store/config/prescription-type-constants.ts
@@ -0,0 +1,17 @@
+/**
+ * 门店开方种类选项（与 ProductTypeEnum 开方 Tab 对齐，不含特色方）
+ */
+export const STORE_PRESCRIPTION_TYPE_OPTIONS = [
+  { label: '中药', value: 1 },
+  { label: '西（中成）药', value: 2 },
+  { label: '保健食品', value: 3 },
+  { label: '产品服务包', value: 5 },
+  { label: '非药品', value: 6 },
+  { label: '医疗器械', value: 7 },
+];
+
+/** 按 value 取中文名 */
+export function prescriptionTypeLabel(value: number): string {
+  const hit = STORE_PRESCRIPTION_TYPE_OPTIONS.find((o) => o.value === Number(value));
+  return hit?.label || `类型${value}`;
+}
--- a/apps/web-antd/src/views/system/store/config/table.ts
+++ b/apps/web-antd/src/views/system/store/config/table.ts
@@ -51,6 +51,13 @@ export const gridOptions: VxeGridProps<RowType> = {
      width: 180,
      slots: { default: 'special_prescription_config' },
    },
+    {
+      field: 'prescription_types_config',
+      align: 'left',
+      title: '开方种类',
+      width: 200,
+      slots: { default: 'prescription_types_config' },
+    },
    {
      field: 'store_config_1',
      align: 'left',
--- a/apps/web-antd/src/views/system/store/index.vue
+++ b/apps/web-antd/src/views/system/store/index.vue
@@ -37,6 +37,7 @@ import StoreConfigTogglesCell from './components/cells/StoreConfigTogglesCell.vu
 import DrugPriceModal from './components/DrugPriceModal.vue';
 import BindConsultationModal from './components/BindConsultationModal.vue';
 import BindSpecialPrescriptionDoctorModal from './components/BindSpecialPrescriptionDoctorModal.vue';
+import BindPrescriptionTypesModal from './components/BindPrescriptionTypesModal.vue';
 import StoreExternalFieldModal from './components/StoreExternalFieldModal.vue';
 import SalespersonCommissionDrawer from './components/SalespersonCommissionDrawer.vue';
 import AddDoctorFromStoreModal from './components/AddDoctorFromStoreModal.vue';
@@ -49,6 +50,7 @@ import BankCardStoreEditModal from '#/views/system/store-bank-card/components/Ba
 import { getStoreBankCardReportDetail } from '#/views/system/store-bank-card/api';
 import { formOptions } from './config/search';
 import { gridOptions } from './config/table';
+import { prescriptionTypeLabel } from './config/prescription-type-constants';
 import {
  canAddStoreDoctor,
  canManageStoreBankCard,
@@ -174,6 +176,10 @@ const [BindSpecialPrescriptionDoctorModalComponent, bindSpecialPrescriptionDocto
    connectedComponent: BindSpecialPrescriptionDoctorModal,
  });

+const [BindPrescriptionTypesModalComponent, bindPrescriptionTypesModalApi] = useVbenModal({
+  connectedComponent: BindPrescriptionTypesModal,
+});
+
 const [StoreExternalFieldModalComponent, storeExternalFieldModalApi] = useVbenModal({
  connectedComponent: StoreExternalFieldModal,
 });
@@ -310,6 +316,26 @@ const showBindSpecialPrescriptionDoctorModal = (row: any) => {
  bindSpecialPrescriptionDoctorModalApi.open();
 };

+/** 打开绑定开方种类弹窗 */
+const showBindPrescriptionTypesModal = (row: any) => {
+  bindPrescriptionTypesModalApi.setData({
+    values: row,
+    gridApi,
+  });
+  bindPrescriptionTypesModalApi.open();
+};
+
+/** 列表摘要：已绑种类数 + 默认种类名 */
+function prescriptionTypesSummary(row: any) {
+  const allowed = Array.isArray(row?.allowed_prescription_types)
+    ? row.allowed_prescription_types
+    : [];
+  if (!allowed.length) return '未绑定';
+  const def = Number(row?.default_prescription_type) || 0;
+  const defLabel = def ? prescriptionTypeLabel(def) : '';
+  return defLabel ? `${allowed.length}种 · 默认${defLabel}` : `${allowed.length}种`;
+}
+
 const deleteApi = (row: any) => {
  let ids = [];
  if (row) {
@@ -468,6 +494,7 @@ const handleSwitchClinicType = (row: any) => {
    <DrugPriceModalComponent />
    <BindConsultationModalComponent />
    <BindSpecialPrescriptionDoctorModalComponent />
+    <BindPrescriptionTypesModalComponent />
    <StoreExternalFieldModalComponent />
    <SalespersonCommissionDrawer ref="salespersonDrawerRef" />
    <Grid>
@@ -637,6 +664,23 @@ const handleSwitchClinicType = (row: any) => {
          绑定
        </Button>
      </template>
+      <template #prescription_types_config="{ row }">
+        <div
+          class="cursor-pointer hover:text-blue-500"
+          @click="showBindPrescriptionTypesModal(row)"
+        >
+          <Tag
+            :color="
+              Array.isArray(row.allowed_prescription_types) &&
+              row.allowed_prescription_types.length
+                ? 'success'
+                : 'default'
+            "
+          >
+            {{ prescriptionTypesSummary(row) }}
+          </Tag>
+        </div>
+      </template>
      <template #start-time="{ row }">
        早：<Tag color="success">{{ row.start_time }}</Tag>
        <br />