fix

.claude/settings.local.json

@@ -26,7 +26,11 @@
       "Bash(go mod:*)",
       "Bash(go vet:*)",
       "Bash(cmd:*)",
-      "Bash(go get:*)"
+      "Bash(go get:*)",
+      "Bash(find:*)",
+      "Bash(psql:*)",
+      "Bash(xargs grep:*)",
+      "Bash(xargs:*)"
     ]
   }
 }

server/cmd/api/main.go

@@ -3,6 +3,7 @@ package main
 import (
 	"fmt"
 	"log"
+	"time"
 
 	"github.com/gin-gonic/gin"
 
@@ -39,10 +40,21 @@ func main() {
 		log.Fatalf("Failed to connect to database: %v", err)
 	}
 
-	// 自动迁移新表
+	// 自动迁移新表（每个 model 单独执行，避免单个失败影响其他表）
 	log.Println("开始执行数据库表迁移...")
 	db := database.GetDB()
-	if err := db.AutoMigrate(
+
+	// 修复：给已有 consultations 记录补充 serial_number（迁移 NOT NULL 前必须）
+	if db.Migrator().HasTable("consultations") {
+		if db.Migrator().HasColumn(&model.Consultation{}, "serial_number") {
+			db.Exec("UPDATE consultations SET serial_number = 'C00000000-' || LPAD(CAST(ROW_NUMBER() OVER (ORDER BY created_at) AS TEXT), 4, '0') WHERE serial_number IS NULL OR serial_number = ''")
+		} else {
+			// 列不存在时先添加为可空，填值后再由 AutoMigrate 加约束
+			db.Exec("ALTER TABLE consultations ADD COLUMN IF NOT EXISTS serial_number VARCHAR(20)")
+			db.Exec("UPDATE consultations SET serial_number = 'C00000000-' || LPAD(CAST(ROW_NUMBER() OVER (ORDER BY created_at) AS TEXT), 4, '0') WHERE serial_number IS NULL OR serial_number = ''")
+		}
+	}
+	allModels := []interface{}{
 		// 用户相关
 		&model.User{},
 		&model.UserVerification{},
@@ -62,7 +74,7 @@ func main() {
 		&model.Medicine{},
 		&model.Prescription{},
 		&model.PrescriptionItem{},
-		// AI & 系统
+		// 健康档案
 		&model.LabReport{},
 		&model.FamilyMember{},
 		// 慢病管理
@@ -70,6 +82,7 @@ func main() {
 		&model.RenewalRequest{},
 		&model.MedicationReminder{},
 		&model.HealthMetric{},
+		// AI & 系统
 		&model.AIConfig{},
 		&model.AIUsageLog{},
 		&model.PromptTemplate{},
@@ -97,10 +110,23 @@ func main() {
 		&model.SafetyFilterLog{},
 		// HTTP 动态工具
 		&model.HTTPToolDefinition{},
-	); err != nil {
-		log.Printf("Warning: AutoMigrate failed: %v", err)
-	} else {
+		// v13: 快捷回复 + 转诊
+		&model.QuickReplyTemplate{},
+		&model.ConsultTransfer{},
+		// v14: Agent技能包
+		&model.AgentSkill{},
+	}
+	failCount := 0
+	for _, m := range allModels {
+		if err := db.AutoMigrate(m); err != nil {
+			log.Printf("Warning: AutoMigrate partial error: %v", err)
+			failCount++
+		}
+	}
+	if failCount == 0 {
 		log.Println("数据库表迁移成功")
+	} else {
+		log.Printf("数据库表迁移完成（%d 个模型有警告，新表已创建）", failCount)
 	}
 
 	log.Println("数据库表检查完成")
@@ -230,8 +256,16 @@ func main() {
 			Timestamp:   msg.CreatedAt,
 		}, nil
 	})
+	// v13: 注入已读回执处理器
+	wsHandler.SetReadReceiptHandler(func(messageID string) error {
+		now := time.Now()
+		return db.Model(&model.ConsultMessage{}).Where("id = ?", messageID).Update("read_at", now).Error
+	})
 	wsHandler.RegisterRoutes(api)
 
+	// v13: 静态文件服务（上传的媒体文件）
+	api.Static("/uploads", "./uploads")
+
 	// 健康检查
 	r.GET("/health", func(c *gin.Context) {
 		c.JSON(200, gin.H{"status": "ok"})

server/internal/agent/agents.go

@@ -7,94 +7,110 @@ import (
 )
 
 // defaultAgentDefinitions 返回内置Agent的默认数据库配置
-// 当数据库中不存在时，会自动写入并作为初始配置
+// 三个角色专属通用智能体：患者、医生、管理员
 func defaultAgentDefinitions() []model.AgentDefinition {
-	preConsultTools, _ := json.Marshal([]string{"query_symptom_knowledge", "recommend_department"})
-	diagnosisTools, _ := json.Marshal([]string{"query_medical_record", "query_symptom_knowledge", "search_medical_knowledge"})
-	prescriptionTools, _ := json.Marshal([]string{"query_drug", "check_drug_interaction", "check_contraindication", "calculate_dosage"})
-	followUpTools, _ := json.Marshal([]string{"query_medical_record", "query_drug", "query_symptom_knowledge"})
+	// 患者通用智能体 — 合并 pre_consult + patient_assistant + follow_up 能力
+	patientTools, _ := json.Marshal([]string{
+		"query_symptom_knowledge", "recommend_department",
+		"search_medical_knowledge", "query_drug",
+		"query_medical_record", "generate_follow_up_plan",
+		"send_notification",
+	})
+
+	// 医生通用智能体 — 合并 diagnosis + prescription + follow_up 能力
+	doctorTools, _ := json.Marshal([]string{
+		"query_medical_record", "query_symptom_knowledge", "search_medical_knowledge",
+		"query_drug", "check_drug_interaction", "check_contraindication", "calculate_dosage",
+		"generate_follow_up_plan", "send_notification",
+	})
+
+	// 管理员通用智能体 — 合并 admin_assistant + general 管理能力
+	adminTools, _ := json.Marshal([]string{
+		"eval_expression", "query_workflow_status", "call_agent",
+		"trigger_workflow", "request_human_review",
+		"list_knowledge_collections", "send_notification",
+		"query_drug", "search_medical_knowledge",
+	})
 
 	return []model.AgentDefinition{
 		{
-			AgentID:     "pre_consult_agent",
-			Name:        "预问诊智能助手",
-			Description: "通过多轮对话收集患者症状，生成预问诊报告",
+			AgentID:     "patient_universal_agent",
+			Name:        "患者智能助手",
+			Description: "患者端全能AI助手：预问诊、找医生、挂号、查处方、健康咨询、随访管理",
 			Category:    "patient",
-			SystemPrompt: `你是一位专业的AI预问诊助手。你的职责是：
-1. 通过友好的对话收集患者的症状信息
-2. 询问症状的持续时间、严重程度、伴随症状等
-3. 利用工具查询症状相关知识
-4. 推荐合适的就诊科室
-5. 生成简洁的预问诊报告
+			SystemPrompt: `你是互联网医院的患者专属AI智能助手，为患者提供全方位的医疗健康服务。
+
+你的核心能力：
+1. **预问诊**：通过友好对话收集症状信息（持续时间、严重程度、伴随症状），利用知识库分析症状，推荐合适的就诊科室
+2. **找医生/挂号**：根据患者症状推荐科室和医生，帮助了解就医流程
+3. **健康咨询**：搜索医学知识提供健康科普，查询药品信息和用药指导
+4. **随访管理**：查询处方和用药情况，提醒按时用药，评估病情变化，生成随访计划
+5. **药品查询**：查询药品信息、规格、用法和注意事项
 
-请用中文与患者交流，语气温和专业。不要做出确定性诊断，只提供参考建议。`,
-			Tools:         string(preConsultTools),
-			MaxIterations: 5,
+使用原则：
+- 用通俗易懂、温和专业的中文与患者交流
+- 主动使用工具获取真实数据，不要凭空回答
+- 不做确定性诊断，只提供参考建议
+- 关注患者的用药依从性和健康状况变化
+- 所有医疗建议仅供参考，请以专业医生判断为准`,
+			Tools:         string(patientTools),
+			Config:        "{}",
+			MaxIterations: 10,
 			Status:        "active",
 		},
 		{
-			AgentID:     "diagnosis_agent",
-			Name:        "诊断辅助Agent",
-			Description: "辅助医生进行诊断，提供鉴别诊断建议",
+			AgentID:     "doctor_universal_agent",
+			Name:        "医生智能助手",
+			Description: "医生端全能AI助手：辅助诊断、处方审核、用药建议、病历生成、随访计划",
 			Category:    "doctor",
-			SystemPrompt: `你是一位经验丰富的诊断辅助AI，协助医生进行临床决策。
-你可以：
-1. 查询患者病历记录（使用query_medical_record）
-2. 检索医学知识库获取临床指南和疾病信息（使用search_medical_knowledge）
-3. 分析症状和检验结果
-4. 提供鉴别诊断建议
-5. 推荐进一步检查项目
+			SystemPrompt: `你是互联网医院的医生专属AI智能助手，协助医生进行临床决策和日常工作。
+
+你的核心能力：
+1. **辅助诊断**：查询患者病历，检索临床指南和疾病信息，分析症状和检验结果，提供鉴别诊断建议，推荐进一步检查项目
+2. **处方审核**：查询药品信息（规格、用法、禁忌），检查药物相互作用，检查患者禁忌症，验证剂量是否合理，综合评估处方安全性
+3. **用药方案**：根据患者情况推荐药物、用法用量和注意事项
+4. **病历生成**：根据对话记录生成标准门诊病历（主诉、现病史、既往史、查体、辅助检查、初步诊断、处置意见）
+5. **随访计划**：制定随访方案，包含复诊时间、复查项目、用药提醒、生活方式建议
+6. **医嘱生成**：生成结构化医嘱（检查、治疗、护理、饮食、活动）
 
-诊断流程：
-- 首先查询患者病历了解病史
-- 使用知识库检索相关疾病的诊断标准和鉴别要点
-- 综合分析后给出诊断建议
+诊断流程：首先查询患者病历了解病史 → 使用知识库检索诊断标准 → 综合分析后给出建议
+处方审核流程：检查药物相互作用 → 检查禁忌症 → 验证剂量 → 综合评估
 
-请基于循证医学原则提供建议，所有建议仅供医生参考。`,
-			Tools:         string(diagnosisTools),
+使用原则：
+- 基于循证医学原则提供建议
+- 主动使用工具获取真实数据
+- 对存在风险的处方要明确指出
+- 所有建议仅供医生参考，请结合临床实际情况`,
+			Tools:         string(doctorTools),
+			Config:        "{}",
 			MaxIterations: 10,
 			Status:        "active",
 		},
 		{
-			AgentID:     "prescription_agent",
-			Name:        "处方审核Agent",
-			Description: "审核处方合理性，检查药物相互作用、禁忌症和剂量",
-			Category:    "pharmacy",
-			SystemPrompt: `你是一位专业的临床药师AI，负责处方审核。
-你的职责：
-1. 查询药品信息（规格、用法、禁忌）
-2. 检查药物相互作用（使用check_drug_interaction工具）
-3. 检查患者禁忌症（使用check_contraindication工具）
-4. 验证剂量是否合理（使用calculate_dosage工具）
-5. 综合评估处方安全性，给出审核意见
+			AgentID:     "admin_universal_agent",
+			Name:        "管理员智能助手",
+			Description: "管理端全能AI助手：运营数据查询、Agent状态监控、工作流管理、系统帮助",
+			Category:    "admin",
+			SystemPrompt: `你是互联网医院管理后台的专属AI智能助手，帮助管理员高效管理平台。
 
-审核流程：
-- 首先使用check_drug_interaction检查所有药品的相互作用
-- 然后对每个药品使用check_contraindication检查患者禁忌
-- 使用calculate_dosage验证剂量是否在安全范围内
-- 最后综合所有检查结果给出审核意见
+你的核心能力：
+1. **运营数据**：查询和计算运营指标，分析平台运行状况
+2. **Agent监控**：调用其他Agent获取信息，监控Agent运行状态
+3. **工作流管理**：触发和查询工作流执行状态
+4. **知识库管理**：浏览知识库集合，了解知识库使用情况
+5. **人工审核**：发起和管理人工审核任务
+6. **通知管理**：发送系统通知
+7. **药品/医学查询**：查询药品信息和医学知识辅助决策
 
-请严格按照药品说明书和临床指南进行审核，对于存在风险的处方要明确指出。`,
-			Tools:         string(prescriptionTools),
+使用原则：
+- 以简洁专业的方式回答管理员的问题
+- 主动使用工具获取真实数据
+- 提供可操作的建议和方案
+- 用中文回答`,
+			Tools:         string(adminTools),
+			Config:        "{}",
 			MaxIterations: 10,
 			Status:        "active",
 		},
-		{
-			AgentID:     "follow_up_agent",
-			Name:        "随访管理Agent",
-			Description: "管理患者随访，提醒用药、复诊，收集健康数据",
-			Category:    "patient",
-			SystemPrompt: `你是一位专业的随访管理AI助手。你的职责是：
-1. 查询患者的处方和用药情况
-2. 提醒患者按时用药
-3. 收集患者的健康数据（血压、血糖等）
-4. 评估病情变化，必要时建议复诊
-5. 生成随访报告
-
-请用温和关怀的语气与患者交流，关注患者的用药依从性和健康状况变化。`,
-			Tools:         string(followUpTools),
-			MaxIterations: 8,
-			Status:        "active",
-		},
 	}
 }

server/internal/agent/handler.go

@@ -12,6 +12,12 @@ import (
 	"internet-hospital/pkg/response"
 )
 
+// sendSSEEvent 发送 SSE 事件
+func sendSSEEvent(c *gin.Context, flusher interface{ Flush() }, event string, data string) {
+	fmt.Fprintf(c.Writer, "event: %s\ndata: %s\n\n", event, data)
+	flusher.Flush()
+}
+
 // Handler Agent HTTP处理器
 type Handler struct {
 	svc *AgentService
@@ -24,6 +30,7 @@ func NewHandler() *Handler {
 func (h *Handler) RegisterRoutes(r gin.IRouter) {
 	g := r.Group("/agent")
 	g.POST("/:agent_id/chat", h.Chat)
+	g.POST("/:agent_id/chat/stream", h.ChatStream)
 	g.GET("/sessions", h.ListSessions)
 	g.DELETE("/session/:session_id", h.DeleteSession)
 	g.GET("/list", h.ListAgents)
@@ -44,6 +51,12 @@ func (h *Handler) RegisterRoutes(r gin.IRouter) {
 	g.PUT("/definitions/:agent_id", h.UpdateDefinition)
 	g.PUT("/definitions/:agent_id/reload", h.ReloadAgent)
 	g.PUT("/tools/:name/status", h.UpdateToolStatus)
+
+	// 技能包管理
+	g.GET("/skills", h.ListSkills)
+	g.POST("/skills", h.CreateSkill)
+	g.PUT("/skills/:skill_id", h.UpdateSkill)
+	g.DELETE("/skills/:skill_id", h.DeleteSkill)
 }
 
 func (h *Handler) Chat(c *gin.Context) {
@@ -73,6 +86,41 @@ func (h *Handler) Chat(c *gin.Context) {
 	response.Success(c, output)
 }
 
+// ChatStream SSE 流式 Agent 对话
+func (h *Handler) ChatStream(c *gin.Context) {
+	agentID := c.Param("agent_id")
+	var req struct {
+		SessionID string                 `json:"session_id"`
+		Message   string                 `json:"message" binding:"required"`
+		Context   map[string]interface{} `json:"context"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		c.JSON(400, gin.H{"error": err.Error()})
+		return
+	}
+
+	// 设置 SSE 响应头
+	c.Header("Content-Type", "text/event-stream")
+	c.Header("Cache-Control", "no-cache")
+	c.Header("Connection", "keep-alive")
+	c.Header("X-Accel-Buffering", "no")
+
+	flusher, ok := c.Writer.(interface{ Flush() })
+	if !ok {
+		c.JSON(500, gin.H{"error": "streaming not supported"})
+		return
+	}
+
+	userID, _ := c.Get("user_id")
+	uid, _ := userID.(string)
+
+	emit := func(event, data string) {
+		sendSSEEvent(c, flusher, event, data)
+	}
+
+	h.svc.ChatStream(c.Request.Context(), agentID, uid, req.SessionID, req.Message, req.Context, emit)
+}
+
 func (h *Handler) ListAgents(c *gin.Context) {
 	response.Success(c, h.svc.ListAgents())
 }
@@ -237,6 +285,7 @@ func (h *Handler) CreateDefinition(c *gin.Context) {
 		Category      string   `json:"category"`
 		SystemPrompt  string   `json:"system_prompt"`
 		Tools         []string `json:"tools"`
+		Skills        []string `json:"skills"`
 		MaxIterations int      `json:"max_iterations"`
 	}
 	if err := c.ShouldBindJSON(&req); err != nil {
@@ -244,6 +293,7 @@ func (h *Handler) CreateDefinition(c *gin.Context) {
 		return
 	}
 	toolsJSON, _ := json.Marshal(req.Tools)
+	skillsJSON, _ := json.Marshal(req.Skills)
 	if req.MaxIterations <= 0 {
 		req.MaxIterations = 10
 	}
@@ -254,6 +304,7 @@ func (h *Handler) CreateDefinition(c *gin.Context) {
 		Category:      req.Category,
 		SystemPrompt:  req.SystemPrompt,
 		Tools:         string(toolsJSON),
+		Skills:        string(skillsJSON),
 		MaxIterations: req.MaxIterations,
 		Status:        "active",
 	}
@@ -274,6 +325,7 @@ func (h *Handler) UpdateDefinition(c *gin.Context) {
 		Category      string   `json:"category"`
 		SystemPrompt  string   `json:"system_prompt"`
 		Tools         []string `json:"tools"`
+		Skills        []string `json:"skills"`
 		MaxIterations int      `json:"max_iterations"`
 		Status        string   `json:"status"`
 	}
@@ -306,6 +358,10 @@ func (h *Handler) UpdateDefinition(c *gin.Context) {
 		toolsJSON, _ := json.Marshal(req.Tools)
 		updates["tools"] = string(toolsJSON)
 	}
+	if req.Skills != nil {
+		skillsJSON, _ := json.Marshal(req.Skills)
+		updates["skills"] = string(skillsJSON)
+	}
 	if req.MaxIterations > 0 {
 		updates["max_iterations"] = req.MaxIterations
 	}

server/internal/agent/service.go

@@ -28,6 +28,7 @@ func GetService() *AgentService {
 		globalAgentService = &AgentService{
 			agents: make(map[string]*agent.ReActAgent),
 		}
+		ensureBuiltinSkills()
 		globalAgentService.loadFromDB()
 		globalAgentService.ensureBuiltinAgents()
 	}
@@ -57,6 +58,40 @@ func buildAgentFromDef(def model.AgentDefinition) *agent.ReActAgent {
 	if def.Tools != "" {
 		json.Unmarshal([]byte(def.Tools), &tools)
 	}
+
+	// 加载技能包中的工具和提示词
+	systemPrompt := def.SystemPrompt
+	var skillIDs []string
+	if def.Skills != "" {
+		json.Unmarshal([]byte(def.Skills), &skillIDs)
+	}
+	if len(skillIDs) > 0 {
+		db := database.GetDB()
+		if db != nil {
+			var skills []model.AgentSkill
+			db.Where("skill_id IN ? AND status = 'active'", skillIDs).Find(&skills)
+			toolSet := make(map[string]bool, len(tools))
+			for _, t := range tools {
+				toolSet[t] = true
+			}
+			for _, skill := range skills {
+				// 合并工具（去重）
+				var skillTools []string
+				json.Unmarshal([]byte(skill.Tools), &skillTools)
+				for _, st := range skillTools {
+					if !toolSet[st] {
+						tools = append(tools, st)
+						toolSet[st] = true
+					}
+				}
+				// 追加系统提示
+				if skill.SystemPromptAddon != "" {
+					systemPrompt += "\n\n[技能-" + skill.Name + "] " + skill.SystemPromptAddon
+				}
+			}
+		}
+	}
+
 	maxIter := def.MaxIterations
 	if maxIter <= 0 {
 		maxIter = 10
@@ -65,7 +100,7 @@ func buildAgentFromDef(def model.AgentDefinition) *agent.ReActAgent {
 		ID:            def.AgentID,
 		Name:          def.Name,
 		Description:   def.Description,
-		SystemPrompt:  def.SystemPrompt,
+		SystemPrompt:  systemPrompt,
 		Tools:         tools,
 		MaxIterations: maxIter,
 	})
@@ -236,3 +271,109 @@ func (s *AgentService) Chat(ctx context.Context, agentID, userID, sessionID, mes
 
 	return output, nil
 }
+
+// ChatStream 流式执行Agent对话（SSE），完成后持久化
+func (s *AgentService) ChatStream(ctx context.Context, agentID, userID, sessionID, message string, contextData map[string]interface{}, emit func(event, data string)) {
+	a, ok := s.GetAgent(agentID)
+	if !ok {
+		errJSON, _ := json.Marshal(map[string]string{"error": "agent not found"})
+		emit("error", string(errJSON))
+		return
+	}
+
+	db := database.GetDB()
+
+	if sessionID == "" {
+		sessionID = uuid.New().String()
+	}
+	var session model.AgentSession
+	db.Where("session_id = ?", sessionID).First(&session)
+
+	// 发送 session 事件
+	sessionJSON, _ := json.Marshal(map[string]string{"session_id": sessionID})
+	emit("session", string(sessionJSON))
+
+	var history []ai.ChatMessage
+	if session.History != "" {
+		json.Unmarshal([]byte(session.History), &history)
+	}
+
+	input := agent.AgentInput{
+		SessionID: sessionID,
+		UserID:    userID,
+		Message:   message,
+		Context:   contextData,
+		History:   history,
+	}
+
+	start := time.Now()
+
+	// 将 StreamEvent 转发为 SSE 事件
+	onEvent := func(ev agent.StreamEvent) error {
+		data, _ := json.Marshal(ev.Data)
+		emit(string(ev.Type), string(data))
+		return ctx.Err()
+	}
+
+	output, err := a.RunStream(ctx, input, onEvent)
+	durationMs := int(time.Since(start).Milliseconds())
+
+	if err != nil {
+		errJSON, _ := json.Marshal(map[string]string{"error": err.Error()})
+		emit("error", string(errJSON))
+		return
+	}
+
+	// 持久化会话
+	history = append(history,
+		ai.ChatMessage{Role: "user", Content: message},
+		ai.ChatMessage{Role: "assistant", Content: output.Response},
+	)
+	historyJSON, _ := json.Marshal(history)
+	contextJSON, _ := json.Marshal(contextData)
+
+	if session.ID == 0 {
+		session = model.AgentSession{
+			SessionID: sessionID,
+			AgentID:   agentID,
+			UserID:    userID,
+			History:   string(historyJSON),
+			Context:   string(contextJSON),
+			Status:    "active",
+		}
+		db.Create(&session)
+	} else {
+		db.Model(&session).Updates(map[string]interface{}{
+			"history":    string(historyJSON),
+			"updated_at": time.Now(),
+		})
+	}
+
+	// 记录执行日志
+	inputJSON, _ := json.Marshal(input)
+	outputJSON, _ := json.Marshal(output)
+	toolCallsJSON, _ := json.Marshal(output.ToolCalls)
+	db.Create(&model.AgentExecutionLog{
+		TraceID:      output.TraceID,
+		SessionID:    sessionID,
+		AgentID:      agentID,
+		UserID:       userID,
+		Input:        string(inputJSON),
+		Output:       string(outputJSON),
+		ToolCalls:    string(toolCallsJSON),
+		Iterations:   output.Iterations,
+		TotalTokens:  output.TotalTokens,
+		DurationMs:   durationMs,
+		FinishReason: output.FinishReason,
+		Success:      true,
+	})
+
+	// 发送 done 事件
+	doneData, _ := json.Marshal(map[string]interface{}{
+		"session_id":   sessionID,
+		"iterations":   output.Iterations,
+		"total_tokens": output.TotalTokens,
+		"finish_reason": output.FinishReason,
+	})
+	emit("done", string(doneData))
+}

server/internal/agent/skill_handler.go

+package internalagent
+
+import (
+	"encoding/json"
+	"log"
+
+	"github.com/gin-gonic/gin"
+
+	"internet-hospital/internal/model"
+	"internet-hospital/pkg/database"
+	"internet-hospital/pkg/response"
+)
+
+// ListSkills 列出所有技能包
+func (h *Handler) ListSkills(c *gin.Context) {
+	var skills []model.AgentSkill
+	database.GetDB().Order("id asc").Find(&skills)
+	response.Success(c, skills)
+}
+
+// CreateSkill 创建技能包
+func (h *Handler) CreateSkill(c *gin.Context) {
+	var req struct {
+		SkillID           string   `json:"skill_id" binding:"required"`
+		Name              string   `json:"name" binding:"required"`
+		Description       string   `json:"description"`
+		Category          string   `json:"category"`
+		Tools             []string `json:"tools"`
+		SystemPromptAddon string   `json:"system_prompt_addon"`
+		ContextSchema     string   `json:"context_schema"`
+		QuickReplies      []string `json:"quick_replies"`
+		Icon              string   `json:"icon"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, err.Error())
+		return
+	}
+
+	toolsJSON, _ := json.Marshal(req.Tools)
+	quickRepliesJSON, _ := json.Marshal(req.QuickReplies)
+	if req.ContextSchema == "" {
+		req.ContextSchema = "{}"
+	}
+
+	skill := model.AgentSkill{
+		SkillID:           req.SkillID,
+		Name:              req.Name,
+		Description:       req.Description,
+		Category:          req.Category,
+		Tools:             string(toolsJSON),
+		SystemPromptAddon: req.SystemPromptAddon,
+		ContextSchema:     req.ContextSchema,
+		QuickReplies:      string(quickRepliesJSON),
+		Icon:              req.Icon,
+		Status:            "active",
+	}
+
+	if err := database.GetDB().Create(&skill).Error; err != nil {
+		response.Error(c, 500, err.Error())
+		return
+	}
+	response.Success(c, skill)
+}
+
+// UpdateSkill 更新技能包
+func (h *Handler) UpdateSkill(c *gin.Context) {
+	skillID := c.Param("skill_id")
+	var req struct {
+		Name              string   `json:"name"`
+		Description       string   `json:"description"`
+		Category          string   `json:"category"`
+		Tools             []string `json:"tools"`
+		SystemPromptAddon string   `json:"system_prompt_addon"`
+		ContextSchema     string   `json:"context_schema"`
+		QuickReplies      []string `json:"quick_replies"`
+		Icon              string   `json:"icon"`
+		Status            string   `json:"status"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, err.Error())
+		return
+	}
+
+	db := database.GetDB()
+	var skill model.AgentSkill
+	if err := db.Where("skill_id = ?", skillID).First(&skill).Error; err != nil {
+		response.Error(c, 404, "skill not found")
+		return
+	}
+
+	updates := map[string]interface{}{}
+	if req.Name != "" {
+		updates["name"] = req.Name
+	}
+	if req.Description != "" {
+		updates["description"] = req.Description
+	}
+	if req.Category != "" {
+		updates["category"] = req.Category
+	}
+	if req.Tools != nil {
+		toolsJSON, _ := json.Marshal(req.Tools)
+		updates["tools"] = string(toolsJSON)
+	}
+	if req.SystemPromptAddon != "" {
+		updates["system_prompt_addon"] = req.SystemPromptAddon
+	}
+	if req.ContextSchema != "" {
+		updates["context_schema"] = req.ContextSchema
+	}
+	if req.QuickReplies != nil {
+		qrJSON, _ := json.Marshal(req.QuickReplies)
+		updates["quick_replies"] = string(qrJSON)
+	}
+	if req.Icon != "" {
+		updates["icon"] = req.Icon
+	}
+	if req.Status != "" {
+		updates["status"] = req.Status
+	}
+
+	if err := db.Model(&skill).Updates(updates).Error; err != nil {
+		response.Error(c, 500, err.Error())
+		return
+	}
+	response.Success(c, skill)
+}
+
+// DeleteSkill 删除技能包
+func (h *Handler) DeleteSkill(c *gin.Context) {
+	skillID := c.Param("skill_id")
+	if err := database.GetDB().Where("skill_id = ?", skillID).Delete(&model.AgentSkill{}).Error; err != nil {
+		response.Error(c, 500, err.Error())
+		return
+	}
+	response.Success(c, nil)
+}
+
+// ensureBuiltinSkills 初始化内置技能包
+func ensureBuiltinSkills() {
+	db := database.GetDB()
+	if db == nil {
+		return
+	}
+
+	defaults := defaultSkillDefinitions()
+	for _, skill := range defaults {
+		var existing model.AgentSkill
+		if err := db.Where("skill_id = ?", skill.SkillID).First(&existing).Error; err != nil {
+			if err := db.Create(&skill).Error; err != nil {
+				log.Printf("[AgentService] 写入默认Skill失败: %v", err)
+			}
+		}
+	}
+}
+
+func defaultSkillDefinitions() []model.AgentSkill {
+	mustJSON := func(v interface{}) string {
+		b, _ := json.Marshal(v)
+		return string(b)
+	}
+
+	return []model.AgentSkill{
+		{
+			SkillID:     "symptom_analysis",
+			Name:        "症状分析",
+			Description: "分析患者症状，推荐科室",
+			Category:    "patient",
+			Tools:       mustJSON([]string{"query_symptom_knowledge", "recommend_department"}),
+			SystemPromptAddon: "你具备症状分析能力，可以查询症状知识库并推荐合适的科室。",
+			QuickReplies: mustJSON([]string{"头痛", "发热", "咳嗽", "腹痛"}),
+			Icon:        "heart",
+			Status:      "active",
+		},
+		{
+			SkillID:     "drug_lookup",
+			Name:        "药品查询",
+			Description: "查询药品信息、药物相互作用",
+			Category:    "general",
+			Tools:       mustJSON([]string{"query_drug", "check_drug_interaction"}),
+			SystemPromptAddon: "你可以查询药品信息和检查药物之间的相互作用。",
+			QuickReplies: mustJSON([]string{"查询药品", "药物相互作用"}),
+			Icon:        "medicine-box",
+			Status:      "active",
+		},
+		{
+			SkillID:     "prescription_review",
+			Name:        "处方审核",
+			Description: "审核处方安全性：药物相互作用、禁忌症、剂量检查",
+			Category:    "doctor",
+			Tools:       mustJSON([]string{"check_drug_interaction", "check_contraindication", "calculate_dosage"}),
+			SystemPromptAddon: "你具备处方审核能力，能检查药物相互作用、禁忌症和剂量合理性。",
+			QuickReplies: mustJSON([]string{"审核处方", "检查禁忌症"}),
+			Icon:        "safety",
+			Status:      "active",
+		},
+		{
+			SkillID:     "medical_record",
+			Name:        "病历查询",
+			Description: "查询病历记录、搜索医学知识",
+			Category:    "doctor",
+			Tools:       mustJSON([]string{"query_medical_record", "search_medical_knowledge"}),
+			SystemPromptAddon: "你可以查询患者病历记录和检索医学知识库。",
+			QuickReplies: mustJSON([]string{"查看病历", "搜索指南"}),
+			Icon:        "file-text",
+			Status:      "active",
+		},
+		{
+			SkillID:     "health_education",
+			Name:        "健康教育",
+			Description: "提供健康知识科普和症状自查",
+			Category:    "patient",
+			Tools:       mustJSON([]string{"search_medical_knowledge", "query_symptom_knowledge"}),
+			SystemPromptAddon: "你具备健康教育能力，可以提供医学知识科普和症状自查参考。",
+			QuickReplies: mustJSON([]string{"健康知识", "症状自查", "预防建议"}),
+			Icon:        "book",
+			Status:      "active",
+		},
+		{
+			SkillID:     "follow_up_mgmt",
+			Name:        "随访管理",
+			Description: "管理随访计划、生成随访方案",
+			Category:    "patient",
+			Tools:       mustJSON([]string{"query_medical_record", "generate_follow_up_plan"}),
+			SystemPromptAddon: "你具备随访管理能力，可以查询病历并生成随访计划。",
+			QuickReplies: mustJSON([]string{"随访计划", "复诊提醒"}),
+			Icon:        "calendar",
+			Status:      "active",
+		},
+	}
+}

server/internal/model/agent.go

@@ -4,81 +4,82 @@ import "time"
 
 // AgentTool 工具定义
 type AgentTool struct {
-	ID          uint      `gorm:"primaryKey"`
-	Name        string    `gorm:"type:varchar(100);uniqueIndex"`
-	DisplayName string    `gorm:"type:varchar(200)"`
-	Description string    `gorm:"type:text"`
-	Category    string    `gorm:"type:varchar(50)"`
-	Parameters  string    `gorm:"type:jsonb"`
-	Status      string    `gorm:"type:varchar(20);default:'active'"`
-	CacheTTL    int       `gorm:"default:0"`  // 缓存秒数，0=不缓存
-	Timeout     int       `gorm:"default:30"` // 执行超时秒数
-	MaxRetries  int       `gorm:"default:0"`  // 失败重试次数
-	CreatedAt   time.Time
-	UpdatedAt   time.Time
+	ID          uint      `gorm:"primaryKey" json:"id"`
+	Name        string    `gorm:"type:varchar(100);uniqueIndex" json:"name"`
+	DisplayName string    `gorm:"type:varchar(200)" json:"display_name"`
+	Description string    `gorm:"type:text" json:"description"`
+	Category    string    `gorm:"type:varchar(50)" json:"category"`
+	Parameters  string    `gorm:"type:jsonb" json:"parameters"`
+	Status      string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CacheTTL    int       `gorm:"default:0" json:"cache_ttl"`   // 缓存秒数，0=不缓存
+	Timeout     int       `gorm:"default:30" json:"timeout"`    // 执行超时秒数
+	MaxRetries  int       `gorm:"default:0" json:"max_retries"` // 失败重试次数
+	CreatedAt   time.Time `json:"created_at"`
+	UpdatedAt   time.Time `json:"updated_at"`
 }
 
 // AgentToolLog 工具调用日志
 type AgentToolLog struct {
-	ID           uint      `gorm:"primaryKey"`
-	TraceID      string    `gorm:"type:varchar(100);index"` // 链路追踪ID
-	ToolName     string    `gorm:"type:varchar(100);index"`
-	AgentID      string    `gorm:"type:varchar(100);index"`
-	SessionID    string    `gorm:"type:varchar(100);index"`
-	UserID       string    `gorm:"type:uuid;index"`
-	InputParams  string    `gorm:"type:jsonb"`
-	OutputResult string    `gorm:"type:jsonb"`
-	Success      bool
-	ErrorMessage string    `gorm:"type:text"`
-	DurationMs   int
-	Iteration    int       // Agent第几轮迭代
-	CreatedAt    time.Time
+	ID           uint      `gorm:"primaryKey" json:"id"`
+	TraceID      string    `gorm:"type:varchar(100);index" json:"trace_id"`
+	ToolName     string    `gorm:"type:varchar(100);index" json:"tool_name"`
+	AgentID      string    `gorm:"type:varchar(100);index" json:"agent_id"`
+	SessionID    string    `gorm:"type:varchar(100);index" json:"session_id"`
+	UserID       string    `gorm:"type:uuid;index" json:"user_id"`
+	InputParams  string    `gorm:"type:jsonb" json:"input_params"`
+	OutputResult string    `gorm:"type:jsonb" json:"output_result"`
+	Success      bool      `json:"success"`
+	ErrorMessage string    `gorm:"type:text" json:"error_message"`
+	DurationMs   int       `json:"duration_ms"`
+	Iteration    int       `json:"iteration"`
+	CreatedAt    time.Time `json:"created_at"`
 }
 
 // AgentDefinition Agent定义
 type AgentDefinition struct {
-	ID            uint      `gorm:"primaryKey"`
-	AgentID       string    `gorm:"type:varchar(100);uniqueIndex"`
-	Name          string    `gorm:"type:varchar(200)"`
-	Description   string    `gorm:"type:text"`
-	Category      string    `gorm:"type:varchar(50)"`
-	SystemPrompt  string    `gorm:"type:text"`
-	Tools         string    `gorm:"type:jsonb"`
-	Config        string    `gorm:"type:jsonb"`
-	MaxIterations int       `gorm:"default:10"`
-	Status        string    `gorm:"type:varchar(20);default:'active'"`
-	CreatedAt     time.Time
-	UpdatedAt     time.Time
+	ID            uint      `gorm:"primaryKey" json:"id"`
+	AgentID       string    `gorm:"type:varchar(100);uniqueIndex" json:"agent_id"`
+	Name          string    `gorm:"type:varchar(200)" json:"name"`
+	Description   string    `gorm:"type:text" json:"description"`
+	Category      string    `gorm:"type:varchar(50)" json:"category"`
+	SystemPrompt  string    `gorm:"type:text" json:"system_prompt"`
+	Tools         string    `gorm:"type:jsonb" json:"tools"`
+	Config        string    `gorm:"type:jsonb" json:"config"`
+	MaxIterations int       `gorm:"default:10" json:"max_iterations"`
+	Skills        string    `gorm:"type:jsonb;default:'[]'" json:"skills"`
+	Status        string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CreatedAt     time.Time `json:"created_at"`
+	UpdatedAt     time.Time `json:"updated_at"`
 }
 
 // AgentSession Agent会话
 type AgentSession struct {
-	ID        uint      `gorm:"primaryKey"`
-	SessionID string    `gorm:"type:varchar(100);uniqueIndex"`
-	AgentID   string    `gorm:"type:varchar(100);index"`
-	UserID    string    `gorm:"type:uuid;index"`
-	Context   string    `gorm:"type:jsonb"`
-	History   string    `gorm:"type:jsonb"`
-	Status    string    `gorm:"type:varchar(20);default:'active'"`
-	CreatedAt time.Time
-	UpdatedAt time.Time
+	ID        uint      `gorm:"primaryKey" json:"id"`
+	SessionID string    `gorm:"type:varchar(100);uniqueIndex" json:"session_id"`
+	AgentID   string    `gorm:"type:varchar(100);index" json:"agent_id"`
+	UserID    string    `gorm:"type:uuid;index" json:"user_id"`
+	Context   string    `gorm:"type:jsonb" json:"context"`
+	History   string    `gorm:"type:jsonb" json:"history"`
+	Status    string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CreatedAt time.Time `json:"created_at"`
+	UpdatedAt time.Time `json:"updated_at"`
 }
 
 // AgentExecutionLog Agent执行日志
 type AgentExecutionLog struct {
-	ID           uint      `gorm:"primaryKey"`
-	TraceID      string    `gorm:"type:varchar(100);index"` // 链路追踪ID
-	SessionID    string    `gorm:"type:varchar(100);index"`
-	AgentID      string    `gorm:"type:varchar(100);index"`
-	UserID       string    `gorm:"type:uuid;index"`
-	Input        string    `gorm:"type:jsonb"`
-	Output       string    `gorm:"type:jsonb"`
-	ToolCalls    string    `gorm:"type:jsonb"`
-	Iterations   int
-	TotalTokens  int
-	DurationMs   int
-	FinishReason string    `gorm:"type:varchar(50)"`
-	Success      bool
-	ErrorMessage string    `gorm:"type:text"`
-	CreatedAt    time.Time
+	ID           uint      `gorm:"primaryKey" json:"id"`
+	TraceID      string    `gorm:"type:varchar(100);index" json:"trace_id"`
+	SessionID    string    `gorm:"type:varchar(100);index" json:"session_id"`
+	AgentID      string    `gorm:"type:varchar(100);index" json:"agent_id"`
+	UserID       string    `gorm:"type:uuid;index" json:"user_id"`
+	Input        string    `gorm:"type:jsonb" json:"input"`
+	Output       string    `gorm:"type:jsonb" json:"output"`
+	ToolCalls    string    `gorm:"type:jsonb" json:"tool_calls"`
+	Iterations   int       `json:"iterations"`
+	TotalTokens  int       `json:"total_tokens"`
+	DurationMs   int       `json:"duration_ms"`
+	FinishReason string    `gorm:"type:varchar(50)" json:"finish_reason"`
+	Success      bool      `json:"success"`
+	ErrorMessage string    `gorm:"type:text" json:"error_message"`
+	CreatedAt    time.Time `json:"created_at"`
 }

server/internal/model/agent_skill.go

+package model
+
+import "time"
+
+// AgentSkill 技能包定义
+type AgentSkill struct {
+	ID                uint      `gorm:"primaryKey" json:"id"`
+	SkillID           string    `gorm:"type:varchar(100);uniqueIndex" json:"skill_id"`
+	Name              string    `gorm:"type:varchar(200)" json:"name"`
+	Description       string    `gorm:"type:text" json:"description"`
+	Category          string    `gorm:"type:varchar(50)" json:"category"`                // patient/doctor/admin/general
+	Tools             string    `gorm:"type:jsonb;default:'[]'" json:"tools"`             // JSON array of tool names
+	SystemPromptAddon string    `gorm:"type:text" json:"system_prompt_addon"`             // 追加到agent system prompt
+	ContextSchema     string    `gorm:"type:jsonb;default:'{}'" json:"context_schema"`    // 技能需要的上下文字段定义
+	QuickReplies      string    `gorm:"type:jsonb;default:'[]'" json:"quick_replies"`     // 快捷回复模板
+	Icon              string    `gorm:"type:varchar(50)" json:"icon"`                     // antd icon名
+	Status            string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CreatedAt         time.Time `json:"created_at"`
+	UpdatedAt         time.Time `json:"updated_at"`
+}

server/internal/model/consult.go

@@ -8,6 +8,7 @@ import (
 
 type Consultation struct {
 	ID             string         `gorm:"type:uuid;primaryKey" json:"id"`
+	SerialNumber   string         `gorm:"type:varchar(20);uniqueIndex;not null" json:"serial_number"` // 就诊流水号，如 C20260303-0001
 	PatientID      string         `gorm:"type:uuid;index;not null" json:"patient_id"`
 	DoctorID       string         `gorm:"type:uuid;index;not null" json:"doctor_id"`
 	Type           string         `gorm:"type:varchar(20);not null" json:"type"`
@@ -21,6 +22,12 @@ type Consultation struct {
 	CreatedAt      time.Time      `json:"created_at"`
 	UpdatedAt      time.Time      `json:"updated_at"`
 	DeletedAt      gorm.DeletedAt `gorm:"index" json:"-"`
+	// v13 新增字段
+	Diagnosis         string `gorm:"type:text" json:"diagnosis"`                     // 诊断结论
+	Summary           string `gorm:"type:text" json:"summary"`                       // 问诊小结
+	DurationMinutes   int    `gorm:"default:0" json:"duration_minutes"`              // 问诊时长(分钟)
+	FollowUpDays      int    `gorm:"default:0" json:"follow_up_days"`                // 随访天数
+	SatisfactionScore *int   `gorm:"default:null" json:"satisfaction_score"`          // 患者满意度(1-5)
 }
 
 func (Consultation) TableName() string {
@@ -28,13 +35,18 @@ func (Consultation) TableName() string {
 }
 
 type ConsultMessage struct {
-	ID          string    `gorm:"type:uuid;primaryKey" json:"id"`
-	ConsultID   string    `gorm:"type:uuid;index;not null" json:"consult_id"`
-	SenderType  string    `gorm:"type:varchar(20);not null" json:"sender_type"`
-	SenderID    string    `gorm:"type:uuid" json:"sender_id"`
-	Content     string    `gorm:"type:text;not null" json:"content"`
-	ContentType string    `gorm:"type:varchar(20);default:'text'" json:"content_type"`
-	CreatedAt   time.Time `json:"created_at"`
+	ID          string     `gorm:"type:uuid;primaryKey" json:"id"`
+	ConsultID   string     `gorm:"type:uuid;index;not null" json:"consult_id"`
+	SenderType  string     `gorm:"type:varchar(20);not null" json:"sender_type"`
+	SenderID    string     `gorm:"type:uuid" json:"sender_id"`
+	Content     string     `gorm:"type:text;not null" json:"content"`
+	ContentType string     `gorm:"type:varchar(20);default:'text'" json:"content_type"`
+	CreatedAt   time.Time  `json:"created_at"`
+	// v13 新增字段
+	ReadAt    *time.Time `json:"read_at"`              // 已读时间
+	MediaURL  string     `gorm:"type:varchar(500)" json:"media_url"`  // 媒体文件URL
+	MediaType string     `gorm:"type:varchar(20)" json:"media_type"`  // image/audio/file
+	ReplyToID *string    `gorm:"type:uuid" json:"reply_to_id"`        // 引用回复的消息ID
 }
 
 func (ConsultMessage) TableName() string {

server/internal/model/http_tool.go

@@ -4,22 +4,22 @@ import "time"
 
 // HTTPToolDefinition 动态 HTTP 工具定义（管理员从 UI 配置，无需改代码）
 type HTTPToolDefinition struct {
-	ID           uint      `gorm:"primaryKey"`
-	Name         string    `gorm:"type:varchar(100);uniqueIndex"` // 工具名，如 get_weather
-	DisplayName  string    `gorm:"type:varchar(200)"`
-	Description  string    `gorm:"type:text"`
-	Category     string    `gorm:"type:varchar(50);default:'http'"`
-	Method       string    `gorm:"type:varchar(10);default:'GET'"` // GET/POST/PUT/DELETE
-	URL          string    `gorm:"type:text"`                      // 支持 {{param}} 模板变量
-	Headers      string    `gorm:"type:jsonb;default:'{}'"`        // {"X-Key": "{{api_key}}"}
-	BodyTemplate string    `gorm:"type:text"`                      // JSON body 模板，支持 {{param}}
-	AuthType     string    `gorm:"type:varchar(20);default:'none'"` // none/bearer/basic/apikey
-	AuthConfig   string    `gorm:"type:jsonb;default:'{}'"`        // 认证配置
-	Parameters   string    `gorm:"type:jsonb;default:'[]'"`        // ToolParameter 数组 JSON
-	Timeout      int       `gorm:"default:10"`                     // 超时秒数
-	CacheTTL     int       `gorm:"default:0"`                      // 缓存 TTL 秒，0=不缓存
-	Status       string    `gorm:"type:varchar(20);default:'active'"`
-	CreatedBy    string    `gorm:"type:varchar(100)"`
-	CreatedAt    time.Time
-	UpdatedAt    time.Time
+	ID           uint      `gorm:"primaryKey" json:"id"`
+	Name         string    `gorm:"type:varchar(100);uniqueIndex" json:"name"`
+	DisplayName  string    `gorm:"type:varchar(200)" json:"display_name"`
+	Description  string    `gorm:"type:text" json:"description"`
+	Category     string    `gorm:"type:varchar(50);default:'http'" json:"category"`
+	Method       string    `gorm:"type:varchar(10);default:'GET'" json:"method"`
+	URL          string    `gorm:"type:text" json:"url"`
+	Headers      string    `gorm:"type:jsonb;default:'{}'" json:"headers"`
+	BodyTemplate string    `gorm:"type:text" json:"body_template"`
+	AuthType     string    `gorm:"type:varchar(20);default:'none'" json:"auth_type"`
+	AuthConfig   string    `gorm:"type:jsonb;default:'{}'" json:"auth_config"`
+	Parameters   string    `gorm:"type:jsonb;default:'[]'" json:"parameters"`
+	Timeout      int       `gorm:"default:10" json:"timeout"`
+	CacheTTL     int       `gorm:"default:0" json:"cache_ttl"`
+	Status       string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CreatedBy    string    `gorm:"type:varchar(100)" json:"created_by"`
+	CreatedAt    time.Time `json:"created_at"`
+	UpdatedAt    time.Time `json:"updated_at"`
 }

server/internal/model/knowledge.go

@@ -4,40 +4,40 @@ import "time"
 
 // KnowledgeCollection 知识库集合
 type KnowledgeCollection struct {
-	ID            uint      `gorm:"primaryKey"`
-	CollectionID  string    `gorm:"type:varchar(100);uniqueIndex"`
-	Name          string    `gorm:"type:varchar(200)"`
-	Description   string    `gorm:"type:text"`
-	Category      string    `gorm:"type:varchar(50)"`
-	DocumentCount int       `gorm:"default:0"`
-	Status        string    `gorm:"type:varchar(20);default:'active'"`
-	CreatedAt     time.Time
-	UpdatedAt     time.Time
+	ID            uint      `gorm:"primaryKey" json:"id"`
+	CollectionID  string    `gorm:"type:varchar(100);uniqueIndex" json:"collection_id"`
+	Name          string    `gorm:"type:varchar(200)" json:"name"`
+	Description   string    `gorm:"type:text" json:"description"`
+	Category      string    `gorm:"type:varchar(50)" json:"category"`
+	DocumentCount int       `gorm:"default:0" json:"document_count"`
+	Status        string    `gorm:"type:varchar(20);default:'active'" json:"status"`
+	CreatedAt     time.Time `json:"created_at"`
+	UpdatedAt     time.Time `json:"updated_at"`
 }
 
 // KnowledgeDocument 知识文档
 type KnowledgeDocument struct {
-	ID           uint      `gorm:"primaryKey"`
-	DocumentID   string    `gorm:"type:varchar(100);uniqueIndex"`
-	CollectionID string    `gorm:"type:varchar(100);index"`
-	Title        string    `gorm:"type:varchar(500)"`
-	Content      string    `gorm:"type:text"`
-	Metadata     string    `gorm:"type:jsonb"`
-	FileType     string    `gorm:"type:varchar(50)"`
-	ChunkCount   int       `gorm:"default:0"`
-	Status       string    `gorm:"type:varchar(20);default:'ready'"`
-	CreatedAt    time.Time
-	UpdatedAt    time.Time
+	ID           uint      `gorm:"primaryKey" json:"id"`
+	DocumentID   string    `gorm:"type:varchar(100);uniqueIndex" json:"document_id"`
+	CollectionID string    `gorm:"type:varchar(100);index" json:"collection_id"`
+	Title        string    `gorm:"type:varchar(500)" json:"title"`
+	Content      string    `gorm:"type:text" json:"content"`
+	Metadata     string    `gorm:"type:jsonb" json:"metadata"`
+	FileType     string    `gorm:"type:varchar(50)" json:"file_type"`
+	ChunkCount   int       `gorm:"default:0" json:"chunk_count"`
+	Status       string    `gorm:"type:varchar(20);default:'ready'" json:"status"`
+	CreatedAt    time.Time `json:"created_at"`
+	UpdatedAt    time.Time `json:"updated_at"`
 }
 
 // KnowledgeChunk 知识分块
 type KnowledgeChunk struct {
-	ID           uint      `gorm:"primaryKey"`
-	ChunkID      string    `gorm:"type:varchar(100);uniqueIndex"`
-	DocumentID   string    `gorm:"type:varchar(100);index"`
-	CollectionID string    `gorm:"type:varchar(100);index"`
-	Content      string    `gorm:"type:text"`
-	ChunkIndex   int
-	TokenCount   int
-	CreatedAt    time.Time
+	ID           uint      `gorm:"primaryKey" json:"id"`
+	ChunkID      string    `gorm:"type:varchar(100);uniqueIndex" json:"chunk_id"`
+	DocumentID   string    `gorm:"type:varchar(100);index" json:"document_id"`
+	CollectionID string    `gorm:"type:varchar(100);index" json:"collection_id"`
+	Content      string    `gorm:"type:text" json:"content"`
+	ChunkIndex   int       `json:"chunk_index"`
+	TokenCount   int       `json:"token_count"`
+	CreatedAt    time.Time `json:"created_at"`
 }

server/internal/model/quick_reply.go

+package model
+
+import "time"
+
+// QuickReplyTemplate 快捷回复模板
+type QuickReplyTemplate struct {
+	ID        uint      `gorm:"primaryKey" json:"id"`
+	DoctorID  string    `gorm:"type:uuid;index" json:"doctor_id"`           // 空=系统级，非空=个人级
+	Category  string    `gorm:"type:varchar(50);index" json:"category"`     // greeting/inquiry/diagnosis/prescription/closing
+	Title     string    `gorm:"type:varchar(100)" json:"title"`
+	Content   string    `gorm:"type:text" json:"content"`
+	SortOrder int       `gorm:"default:0" json:"sort_order"`
+	UseCount  int       `gorm:"default:0" json:"use_count"`
+	CreatedAt time.Time `json:"created_at"`
+	UpdatedAt time.Time `json:"updated_at"`
+}
+
+func (QuickReplyTemplate) TableName() string {
+	return "quick_reply_templates"
+}
+
+// ConsultTransfer 转诊记录（Phase 6 使用）
+type ConsultTransfer struct {
+	ID             uint      `gorm:"primaryKey" json:"id"`
+	ConsultID      string    `gorm:"type:uuid;index" json:"consult_id"`
+	FromDoctorID   string    `gorm:"type:uuid;index" json:"from_doctor_id"`
+	ToDoctorID     string    `gorm:"type:uuid;index" json:"to_doctor_id"`
+	ToDepartmentID string    `gorm:"type:uuid" json:"to_department_id"`
+	Reason         string    `gorm:"type:text" json:"reason"`
+	Status         string    `gorm:"type:varchar(20);default:'pending'" json:"status"` // pending/accepted/rejected
+	TransferNote   string    `gorm:"type:text" json:"transfer_note"`
+	CreatedAt      time.Time `json:"created_at"`
+	UpdatedAt      time.Time `json:"updated_at"`
+}
+
+func (ConsultTransfer) TableName() string {
+	return "consult_transfers"
+}

server/internal/model/workflow.go

@@ -4,49 +4,49 @@ import "time"
 
 // WorkflowDefinition 工作流定义
 type WorkflowDefinition struct {
-	ID          uint      `gorm:"primaryKey"`
-	WorkflowID  string    `gorm:"type:varchar(100);uniqueIndex"`
-	Name        string    `gorm:"type:varchar(200)"`
-	Description string    `gorm:"type:text"`
-	Category    string    `gorm:"type:varchar(50)"`
-	Version     int       `gorm:"default:1"`
-	Definition  string    `gorm:"type:jsonb"`
-	Status      string    `gorm:"type:varchar(20);default:'draft'"`
-	CreatedBy   string    `gorm:"type:uuid"`
-	CreatedAt   time.Time
-	UpdatedAt   time.Time
+	ID          uint      `gorm:"primaryKey" json:"id"`
+	WorkflowID  string    `gorm:"type:varchar(100);uniqueIndex" json:"workflow_id"`
+	Name        string    `gorm:"type:varchar(200)" json:"name"`
+	Description string    `gorm:"type:text" json:"description"`
+	Category    string    `gorm:"type:varchar(50)" json:"category"`
+	Version     int       `gorm:"default:1" json:"version"`
+	Definition  string    `gorm:"type:jsonb" json:"definition"`
+	Status      string    `gorm:"type:varchar(20);default:'draft'" json:"status"`
+	CreatedBy   string    `gorm:"type:uuid" json:"created_by"`
+	CreatedAt   time.Time `json:"created_at"`
+	UpdatedAt   time.Time `json:"updated_at"`
 }
 
 // WorkflowExecution 工作流执行实例
 type WorkflowExecution struct {
-	ID           uint       `gorm:"primaryKey"`
-	ExecutionID  string     `gorm:"type:varchar(100);uniqueIndex"`
-	WorkflowID   string     `gorm:"type:varchar(100);index"`
-	Version      int
-	TriggerType  string     `gorm:"type:varchar(50)"`
-	TriggerBy    string     `gorm:"type:uuid"`
-	Input        string     `gorm:"type:jsonb"`
-	Output       string     `gorm:"type:jsonb"`
-	Status       string     `gorm:"type:varchar(20)"` // pending, running, completed, failed
-	CurrentNode  string     `gorm:"type:varchar(100)"`
-	StartedAt    *time.Time
-	CompletedAt  *time.Time
-	ErrorMessage string     `gorm:"type:text"`
-	CreatedAt    time.Time
+	ID           uint       `gorm:"primaryKey" json:"id"`
+	ExecutionID  string     `gorm:"type:varchar(100);uniqueIndex" json:"execution_id"`
+	WorkflowID   string     `gorm:"type:varchar(100);index" json:"workflow_id"`
+	Version      int        `json:"version"`
+	TriggerType  string     `gorm:"type:varchar(50)" json:"trigger_type"`
+	TriggerBy    string     `gorm:"type:uuid" json:"trigger_by"`
+	Input        string     `gorm:"type:jsonb" json:"input"`
+	Output       string     `gorm:"type:jsonb" json:"output"`
+	Status       string     `gorm:"type:varchar(20)" json:"status"` // pending, running, completed, failed
+	CurrentNode  string     `gorm:"type:varchar(100)" json:"current_node"`
+	StartedAt    *time.Time `json:"started_at"`
+	CompletedAt  *time.Time `json:"completed_at"`
+	ErrorMessage string     `gorm:"type:text" json:"error_message"`
+	CreatedAt    time.Time  `json:"created_at"`
 }
 
 // WorkflowHumanTask 人工审核任务
 type WorkflowHumanTask struct {
-	ID           uint       `gorm:"primaryKey"`
-	TaskID       string     `gorm:"type:varchar(100);uniqueIndex"`
-	ExecutionID  string     `gorm:"type:varchar(100);index"`
-	NodeID       string     `gorm:"type:varchar(100)"`
-	AssigneeRole string     `gorm:"type:varchar(50)"`
-	Title        string     `gorm:"type:varchar(200)"`
-	Description  string     `gorm:"type:text"`
-	FormData     string     `gorm:"type:jsonb"`
-	Result       string     `gorm:"type:jsonb"`
-	Status       string     `gorm:"type:varchar(20);default:'pending'"`
-	CreatedAt    time.Time
-	CompletedAt  *time.Time
+	ID           uint       `gorm:"primaryKey" json:"id"`
+	TaskID       string     `gorm:"type:varchar(100);uniqueIndex" json:"task_id"`
+	ExecutionID  string     `gorm:"type:varchar(100);index" json:"execution_id"`
+	NodeID       string     `gorm:"type:varchar(100)" json:"node_id"`
+	AssigneeRole string     `gorm:"type:varchar(50)" json:"assignee_role"`
+	Title        string     `gorm:"type:varchar(200)" json:"title"`
+	Description  string     `gorm:"type:text" json:"description"`
+	FormData     string     `gorm:"type:jsonb" json:"form_data"`
+	Result       string     `gorm:"type:jsonb" json:"result"`
+	Status       string     `gorm:"type:varchar(20);default:'pending'" json:"status"`
+	CreatedAt    time.Time  `json:"created_at"`
+	CompletedAt  *time.Time `json:"completed_at"`
 }

server/internal/service/chronic/service.go

@@ -130,12 +130,12 @@ func (s *Service) GetAIRenewalAdvice(ctx context.Context, userID, renewalID stri
 	msg := fmt.Sprintf("患者%s申请续药%d个月，当前用药：%s，原因：%s。请评估续药合理性并给出专业建议。",
 		r.DiseaseName, durationMonths, r.Medicines, r.Reason)
 
-	output, err := internalagent.GetService().Chat(ctx, "follow_up_agent", userID, "", msg, agentCtx)
+	output, err := internalagent.GetService().Chat(ctx, "patient_universal_agent", userID, "", msg, agentCtx)
 	if err != nil {
 		return "", fmt.Errorf("AI续药建议获取失败: %w", err)
 	}
 	if output == nil {
-		return "", fmt.Errorf("follow_up_agent 未初始化")
+		return "", fmt.Errorf("patient_universal_agent 未初始化")
 	}
 
 	advice := output.Response

server/internal/service/consult/handler.go

@@ -2,8 +2,12 @@ package consult
 
 import (
 	"fmt"
+	"io"
+	"os"
+	"path/filepath"
 
 	"github.com/gin-gonic/gin"
+	"github.com/google/uuid"
 
 	"internet-hospital/pkg/middleware"
 	"internet-hospital/pkg/response"
@@ -29,6 +33,14 @@ func (h *Handler) RegisterRoutes(r *gin.RouterGroup) {
 		consult.GET("/doctor/waiting", h.GetWaitingList)
 		consult.GET("/doctor/patients", h.GetPatientList)
 		consult.GET("/doctor/workbench-stats", h.GetDoctorWorkbenchStats)
+		consult.GET("/doctor/patient-profile/:patient_id", h.GetPatientProfile)
+		// v13: 转诊
+		consult.POST("/:id/transfer", h.TransferConsult)
+		consult.GET("/doctor/transfer-inbox", h.GetTransferInbox)
+		consult.POST("/transfer/:transfer_id/accept", h.AcceptTransfer)
+		consult.POST("/transfer/:transfer_id/reject", h.RejectTransfer)
+		// v13: 处方状态追踪
+		consult.GET("/prescription/:id/status", h.GetPrescriptionStatus)
 		consult.POST("/:id/accept", h.AcceptConsult)
 		consult.POST("/:id/reject", h.RejectConsult)
 		consult.GET("/:id", h.GetConsultDetail)
@@ -38,6 +50,7 @@ func (h *Handler) RegisterRoutes(r *gin.RouterGroup) {
 		consult.POST("/:id/end", h.EndConsult)
 		consult.POST("/:id/cancel", h.CancelConsult)
 		consult.POST("/:id/ai-assist", h.AIAssist)
+		consult.POST("/:id/upload", h.UploadMedia)
 
 		// 患者端处方
 		consult.GET("/patient/prescriptions", h.GetPatientPrescriptions)
@@ -77,7 +90,11 @@ func (h *Handler) GetConsultList(c *gin.Context) {
 }
 
 func (h *Handler) GetConsultDetail(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 
 	result, err := h.service.GetConsultByID(c.Request.Context(), id)
 	if err != nil {
@@ -113,7 +130,11 @@ func (h *Handler) GetDoctorWorkbenchStats(c *gin.Context) {
 }
 
 func (h *Handler) GetConsultMessages(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 
 	messages, err := h.service.GetConsultMessages(c.Request.Context(), id)
 	if err != nil {
@@ -130,7 +151,11 @@ type SendMessageRequest struct {
 }
 
 func (h *Handler) SendMessage(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	userID, _ := c.Get("user_id")
 	userRole, _ := c.Get("role")
 
@@ -161,7 +186,11 @@ func (h *Handler) SendMessage(c *gin.Context) {
 }
 
 func (h *Handler) GetVideoRoomInfo(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 
 	roomInfo, err := h.service.GetVideoRoomInfo(c.Request.Context(), id)
 	if err != nil {
@@ -173,9 +202,17 @@ func (h *Handler) GetVideoRoomInfo(c *gin.Context) {
 }
 
 func (h *Handler) EndConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+
+	var req EndConsultRequest
+	// 允许空body（向后兼容简单结束）
+	c.ShouldBindJSON(&req)
 
-	if err := h.service.EndConsult(c.Request.Context(), id); err != nil {
+	if err := h.service.EndConsult(c.Request.Context(), id, &req); err != nil {
 		response.Error(c, 400, err.Error())
 		return
 	}
@@ -188,7 +225,11 @@ type CancelRequest struct {
 }
 
 func (h *Handler) CancelConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 
 	if err := h.service.CancelConsult(c.Request.Context(), id); err != nil {
 		response.Error(c, 500, "取消问诊失败")
@@ -200,7 +241,11 @@ func (h *Handler) CancelConsult(c *gin.Context) {
 
 // AIAssist AI辅助诊断（SSE流式返回）
 func (h *Handler) AIAssist(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	var req struct {
 		Scene string `json:"scene" binding:"required"` // consult_diagnosis | consult_medication
 	}
@@ -249,6 +294,177 @@ func (h *Handler) GetPrescriptionDetail(c *gin.Context) {
 	response.Success(c, result)
 }
 
+// TransferConsult 发起转诊
+func (h *Handler) TransferConsult(c *gin.Context) {
+	consultID, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+	userID, _ := c.Get("user_id")
+	var req TransferRequest
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, "请求参数错误")
+		return
+	}
+	if err := h.service.TransferConsult(c.Request.Context(), consultID, userID.(string), &req); err != nil {
+		response.Error(c, 400, err.Error())
+		return
+	}
+	response.Success(c, nil)
+}
+
+// GetTransferInbox 获取转诊收件箱
+func (h *Handler) GetTransferInbox(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+	list, err := h.service.GetTransferInbox(c.Request.Context(), userID.(string))
+	if err != nil {
+		response.Error(c, 500, "获取转诊收件箱失败")
+		return
+	}
+	response.Success(c, list)
+}
+
+// AcceptTransfer 接受转诊
+func (h *Handler) AcceptTransfer(c *gin.Context) {
+	transferID := c.Param("transfer_id")
+	userID, _ := c.Get("user_id")
+	var id uint
+	fmt.Sscanf(transferID, "%d", &id)
+	if err := h.service.AcceptTransfer(c.Request.Context(), id, userID.(string)); err != nil {
+		response.Error(c, 400, err.Error())
+		return
+	}
+	response.Success(c, nil)
+}
+
+// RejectTransfer 拒绝转诊
+func (h *Handler) RejectTransfer(c *gin.Context) {
+	transferID := c.Param("transfer_id")
+	var id uint
+	fmt.Sscanf(transferID, "%d", &id)
+	var req struct {
+		Reason string `json:"reason"`
+	}
+	c.ShouldBindJSON(&req)
+	if err := h.service.RejectTransfer(c.Request.Context(), id, req.Reason); err != nil {
+		response.Error(c, 400, err.Error())
+		return
+	}
+	response.Success(c, nil)
+}
+
+// GetPrescriptionStatus 获取处方状态
+func (h *Handler) GetPrescriptionStatus(c *gin.Context) {
+	id := c.Param("id")
+	result, err := h.service.GetPrescriptionStatus(c.Request.Context(), id)
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+	response.Success(c, result)
+}
+
+// UploadMedia 上传多媒体文件（图片/PDF/音频）
+func (h *Handler) UploadMedia(c *gin.Context) {
+	consultID, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+	file, header, err := c.Request.FormFile("file")
+	if err != nil {
+		response.BadRequest(c, "请上传文件")
+		return
+	}
+	defer file.Close()
+
+	// 检测文件类型
+	contentType := header.Header.Get("Content-Type")
+	var mediaType string
+	switch {
+	case contentType == "image/jpeg" || contentType == "image/png" || contentType == "image/gif":
+		mediaType = "image"
+		if header.Size > 5*1024*1024 {
+			response.BadRequest(c, "图片大小不能超过5MB")
+			return
+		}
+	case contentType == "application/pdf":
+		mediaType = "file"
+		if header.Size > 20*1024*1024 {
+			response.BadRequest(c, "PDF大小不能超过20MB")
+			return
+		}
+	case contentType == "audio/wav" || contentType == "audio/mpeg" || contentType == "audio/mp3":
+		mediaType = "audio"
+		if header.Size > 2*1024*1024 {
+			response.BadRequest(c, "音频大小不能超过2MB")
+			return
+		}
+	default:
+		response.BadRequest(c, "不支持的文件类型: "+contentType)
+		return
+	}
+
+	// 确保目录存在
+	uploadDir := fmt.Sprintf("uploads/consult/%s", consultID)
+	if err := os.MkdirAll(uploadDir, 0755); err != nil {
+		response.Error(c, 500, "创建上传目录失败")
+		return
+	}
+
+	// 生成文件名
+	ext := filepath.Ext(header.Filename)
+	if ext == "" {
+		switch mediaType {
+		case "image":
+			ext = ".jpg"
+		case "file":
+			ext = ".pdf"
+		case "audio":
+			ext = ".mp3"
+		}
+	}
+	fileName := fmt.Sprintf("%s%s", uuid.New().String()[:8], ext)
+	filePath := filepath.Join(uploadDir, fileName)
+
+	// 保存文件
+	out, err := os.Create(filePath)
+	if err != nil {
+		response.Error(c, 500, "保存文件失败")
+		return
+	}
+	defer out.Close()
+	if _, err := io.Copy(out, file); err != nil {
+		response.Error(c, 500, "写入文件失败")
+		return
+	}
+
+	mediaURL := fmt.Sprintf("/api/v1/%s", filePath)
+	response.Success(c, map[string]interface{}{
+		"media_url":  mediaURL,
+		"media_type": mediaType,
+		"file_name":  header.Filename,
+	})
+}
+
+// GetPatientProfile 获取患者完整画像
+func (h *Handler) GetPatientProfile(c *gin.Context) {
+	patientID := c.Param("patient_id")
+	if patientID == "" {
+		response.BadRequest(c, "patient_id 必填")
+		return
+	}
+
+	profile, err := h.service.GetPatientProfile(c.Request.Context(), patientID)
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+
+	response.Success(c, profile)
+}
+
 // ========== 医生端 API ==========
 
 // GetDoctorConsultList 医生端获取自己的问诊列表
@@ -280,7 +496,11 @@ func (h *Handler) GetWaitingList(c *gin.Context) {
 
 // AcceptConsult 医生接诊
 func (h *Handler) AcceptConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	userID, _ := c.Get("user_id")
 
 	if err := h.service.AcceptConsult(c.Request.Context(), id, userID.(string)); err != nil {
@@ -293,7 +513,11 @@ func (h *Handler) AcceptConsult(c *gin.Context) {
 
 // RejectConsult 医生拒诊
 func (h *Handler) RejectConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := h.service.ResolveConsultID(c.Request.Context(), c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 
 	var req struct {
 		Reason string `json:"reason"`

server/internal/service/consult/transfer_service.go

+package consult
+
+import (
+	"context"
+	"errors"
+	"fmt"
+	"time"
+
+	"internet-hospital/internal/model"
+	"internet-hospital/pkg/database"
+
+	"github.com/google/uuid"
+)
+
+// TransferRequest 转诊请求
+type TransferRequest struct {
+	ToDoctorID     string `json:"to_doctor_id" binding:"required"`
+	ToDepartmentID string `json:"to_department_id"`
+	Reason         string `json:"reason" binding:"required"`
+	TransferNote   string `json:"transfer_note"`
+}
+
+// TransferConsult 发起转诊
+func (s *Service) TransferConsult(ctx context.Context, consultID string, doctorUserID string, req *TransferRequest) error {
+	var consult model.Consultation
+	if err := s.db.Where("id = ?", consultID).First(&consult).Error; err != nil {
+		return errors.New("问诊不存在")
+	}
+
+	if consult.Status != "in_progress" {
+		return fmt.Errorf("当前问诊状态为 %s，无法转诊", consult.Status)
+	}
+
+	// 获取当前医生 ID
+	var doctor model.Doctor
+	if err := s.db.Where("user_id = ?", doctorUserID).First(&doctor).Error; err != nil {
+		return errors.New("医生信息不存在")
+	}
+
+	transfer := &model.ConsultTransfer{
+		ConsultID:      consultID,
+		FromDoctorID:   doctor.ID,
+		ToDoctorID:     req.ToDoctorID,
+		ToDepartmentID: req.ToDepartmentID,
+		Reason:         req.Reason,
+		TransferNote:   req.TransferNote,
+		Status:         "pending",
+	}
+
+	if err := s.db.Create(transfer).Error; err != nil {
+		return fmt.Errorf("创建转诊记录失败: %w", err)
+	}
+
+	// 发送系统消息通知患者
+	var toDoctor model.Doctor
+	s.db.Where("id = ?", req.ToDoctorID).First(&toDoctor)
+	s.SendMessage(ctx, consultID, "", "system",
+		fmt.Sprintf("医生已为您发起转诊，目标医生：%s，原因：%s", toDoctor.Name, req.Reason), "text")
+
+	return nil
+}
+
+// TransferInboxItem 转诊收件箱项
+type TransferInboxItem struct {
+	ID             uint      `json:"id"`
+	ConsultID      string    `json:"consult_id"`
+	FromDoctorName string    `json:"from_doctor_name"`
+	PatientName    string    `json:"patient_name"`
+	ChiefComplaint string    `json:"chief_complaint"`
+	Reason         string    `json:"reason"`
+	TransferNote   string    `json:"transfer_note"`
+	Status         string    `json:"status"`
+	CreatedAt      time.Time `json:"created_at"`
+}
+
+// GetTransferInbox 获取转诊收件箱
+func (s *Service) GetTransferInbox(ctx context.Context, doctorUserID string) ([]TransferInboxItem, error) {
+	var doctor model.Doctor
+	if err := s.db.Where("user_id = ?", doctorUserID).First(&doctor).Error; err != nil {
+		return []TransferInboxItem{}, nil
+	}
+
+	var transfers []model.ConsultTransfer
+	if err := s.db.Where("to_doctor_id = ? AND status = ?", doctor.ID, "pending").
+		Order("created_at DESC").Find(&transfers).Error; err != nil {
+		return nil, err
+	}
+
+	var results []TransferInboxItem
+	for _, t := range transfers {
+		var fromDoc model.Doctor
+		s.db.Where("id = ?", t.FromDoctorID).First(&fromDoc)
+
+		var consult model.Consultation
+		s.db.Where("id = ?", t.ConsultID).First(&consult)
+
+		var patient model.User
+		s.db.Where("id = ?", consult.PatientID).First(&patient)
+
+		results = append(results, TransferInboxItem{
+			ID:             t.ID,
+			ConsultID:      t.ConsultID,
+			FromDoctorName: fromDoc.Name,
+			PatientName:    patient.RealName,
+			ChiefComplaint: consult.ChiefComplaint,
+			Reason:         t.Reason,
+			TransferNote:   t.TransferNote,
+			Status:         t.Status,
+			CreatedAt:      t.CreatedAt,
+		})
+	}
+
+	return results, nil
+}
+
+// AcceptTransfer 接受转诊
+func (s *Service) AcceptTransfer(ctx context.Context, transferID uint, doctorUserID string) error {
+	db := database.GetDB()
+	var transfer model.ConsultTransfer
+	if err := db.Where("id = ?", transferID).First(&transfer).Error; err != nil {
+		return errors.New("转诊记录不存在")
+	}
+	if transfer.Status != "pending" {
+		return errors.New("该转诊已处理")
+	}
+
+	// 更新转诊状态
+	db.Model(&transfer).Update("status", "accepted")
+
+	// 结束原问诊
+	now := time.Now()
+	db.Model(&model.Consultation{}).Where("id = ?", transfer.ConsultID).Updates(map[string]interface{}{
+		"status":   "completed",
+		"ended_at": now,
+	})
+
+	// 获取原问诊信息
+	var origConsult model.Consultation
+	db.Where("id = ?", transfer.ConsultID).First(&origConsult)
+
+	// 创建新问诊
+	newConsult := &model.Consultation{
+		ID:             uuid.New().String(),
+		PatientID:      origConsult.PatientID,
+		DoctorID:       transfer.ToDoctorID,
+		Type:           origConsult.Type,
+		Status:         "pending",
+		ChiefComplaint: origConsult.ChiefComplaint,
+		MedicalHistory: origConsult.MedicalHistory + "\n[转诊备注] " + transfer.TransferNote,
+	}
+	db.Create(newConsult)
+
+	// 发送系统消息
+	s.SendMessage(ctx, transfer.ConsultID, "", "system", "转诊已被接受，正在为您转接新医生", "text")
+
+	return nil
+}
+
+// RejectTransfer 拒绝转诊
+func (s *Service) RejectTransfer(ctx context.Context, transferID uint, reason string) error {
+	db := database.GetDB()
+	var transfer model.ConsultTransfer
+	if err := db.Where("id = ?", transferID).First(&transfer).Error; err != nil {
+		return errors.New("转诊记录不存在")
+	}
+	if transfer.Status != "pending" {
+		return errors.New("该转诊已处理")
+	}
+
+	db.Model(&transfer).Update("status", "rejected")
+
+	s.SendMessage(ctx, transfer.ConsultID, "", "system",
+		fmt.Sprintf("转诊被拒绝，原因：%s", reason), "text")
+
+	return nil
+}
+
+// GetPrescriptionStatus 获取处方状态
+func (s *Service) GetPrescriptionStatus(ctx context.Context, prescriptionID string) (map[string]interface{}, error) {
+	var prescription model.Prescription
+	if err := s.db.Where("id = ?", prescriptionID).First(&prescription).Error; err != nil {
+		return nil, errors.New("处方不存在")
+	}
+
+	timeline := []map[string]interface{}{
+		{"status": "signed", "label": "已签名", "time": prescription.SignedAt},
+		{"status": "approved", "label": "审核通过", "time": prescription.ReviewedAt},
+	}
+
+	return map[string]interface{}{
+		"id":              prescription.ID,
+		"prescription_no": prescription.PrescriptionNo,
+		"status":          prescription.Status,
+		"total_amount":    prescription.TotalAmount,
+		"item_count":      0, // will be counted
+		"timeline":        timeline,
+	}, nil
+}

server/internal/service/doctorportal/handler.go

@@ -2,14 +2,28 @@ package doctorportal
 
 import (
 	"fmt"
+	"strings"
 
 	"github.com/gin-gonic/gin"
 
 	"internet-hospital/internal/model"
+	"internet-hospital/pkg/database"
 	"internet-hospital/pkg/response"
 	"internet-hospital/pkg/workflow"
 )
 
+// resolveConsultID 解析问诊标识：支持 UUID 或流水号（C开头）
+func resolveConsultID(idOrSerial string) (string, error) {
+	if strings.HasPrefix(idOrSerial, "C") {
+		var consult model.Consultation
+		if err := database.GetDB().Where("serial_number = ?", idOrSerial).Select("id").First(&consult).Error; err != nil {
+			return "", fmt.Errorf("流水号 %s 对应的问诊不存在", idOrSerial)
+		}
+		return consult.ID, nil
+	}
+	return idOrSerial, nil
+}
+
 // Handler 医生端API处理器
 type Handler struct {
 	service *Service
@@ -63,6 +77,9 @@ func (h *Handler) RegisterRoutes(r *gin.RouterGroup) {
 		dp.POST("/prescription/check", h.CheckPrescriptionSafety)
 		dp.GET("/prescriptions", h.GetDoctorPrescriptions)
 		dp.GET("/prescription/:id", h.GetPrescriptionDetail)
+
+		// v13: 快捷回复
+		h.RegisterQuickReplyRoutes(dp)
 	}
 }
 
@@ -134,7 +151,11 @@ func (h *Handler) GetWaitingQueue(c *gin.Context) {
 
 // AcceptConsult 接受问诊
 func (h *Handler) AcceptConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	result, err := h.service.AcceptConsult(c.Request.Context(), id)
 	if err != nil {
 		response.Error(c, 500, "接诊失败")
@@ -145,7 +166,11 @@ func (h *Handler) AcceptConsult(c *gin.Context) {
 
 // GetConsultDetail 获取问诊详情
 func (h *Handler) GetConsultDetail(c *gin.Context) {
-	id := c.Param("id")
+	id, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	detail, err := h.service.GetConsultDetail(c.Request.Context(), id)
 	if err != nil {
 		response.Error(c, 404, "问诊不存在")
@@ -156,7 +181,11 @@ func (h *Handler) GetConsultDetail(c *gin.Context) {
 
 // GetConsultMessages 获取问诊消息
 func (h *Handler) GetConsultMessages(c *gin.Context) {
-	id := c.Param("id")
+	id, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	messages, err := h.service.GetConsultMessages(c.Request.Context(), id)
 	if err != nil {
 		response.Error(c, 500, "获取消息失败")
@@ -167,7 +196,11 @@ func (h *Handler) GetConsultMessages(c *gin.Context) {
 
 // SendMessage 发送消息
 func (h *Handler) SendMessage(c *gin.Context) {
-	id := c.Param("id")
+	id, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	var req struct {
 		Content     string `json:"content" binding:"required"`
 		ContentType string `json:"content_type"`
@@ -186,7 +219,11 @@ func (h *Handler) SendMessage(c *gin.Context) {
 
 // EndConsult 结束问诊
 func (h *Handler) EndConsult(c *gin.Context) {
-	id := c.Param("id")
+	id, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
 	var req struct {
 		Summary string `json:"summary"`
 	}

server/internal/service/doctorportal/prescription_service.go

@@ -17,6 +17,7 @@ import (
 
 type CreatePrescriptionReq struct {
 	ConsultID      string                   `json:"consult_id"`
+	SerialNumber   string                   `json:"serial_number"`
 	PatientID      string                   `json:"patient_id" binding:"required"`
 	PatientName    string                   `json:"patient_name"`
 	PatientGender  string                   `json:"patient_gender"`
@@ -55,6 +56,15 @@ type PrescriptionListResp struct {
 // ==================== 处方开具服务 ====================
 
 func (s *Service) CreatePrescription(ctx context.Context, doctorID string, req *CreatePrescriptionReq) (*model.Prescription, error) {
+	// 解析 serial_number → consult_id
+	if req.ConsultID == "" && req.SerialNumber != "" {
+		resolved, err := resolveConsultID(req.SerialNumber)
+		if err != nil {
+			return nil, err
+		}
+		req.ConsultID = resolved
+	}
+
 	// 获取医生信息
 	var doctor model.Doctor
 	if err := s.db.First(&doctor, "user_id = ?", doctorID).Error; err != nil {
@@ -200,7 +210,7 @@ func (s *Service) GetPrescriptionByID(ctx context.Context, id string) (*model.Pr
 	return &prescription, nil
 }
 
-// CheckPrescriptionSafety 通过 prescription_agent 审核处方安全性
+// CheckPrescriptionSafety 通过 doctor_universal_agent 审核处方安全性
 func (s *Service) CheckPrescriptionSafety(ctx context.Context, userID, patientID string, drugs []string) (map[string]interface{}, error) {
 	drugList := strings.Join(drugs, "、")
 	agentCtx := map[string]interface{}{
@@ -210,12 +220,12 @@ func (s *Service) CheckPrescriptionSafety(ctx context.Context, userID, patientID
 	message := fmt.Sprintf("请审核以下处方的安全性：%s，检查药物相互作用和禁忌症", drugList)
 
 	agentSvc := internalagent.GetService()
-	output, err := agentSvc.Chat(ctx, "prescription_agent", userID, "", message, agentCtx)
+	output, err := agentSvc.Chat(ctx, "doctor_universal_agent", userID, "", message, agentCtx)
 	if err != nil {
 		return nil, fmt.Errorf("处方安全审核失败: %w", err)
 	}
 	if output == nil {
-		return nil, fmt.Errorf("prescription_agent 未初始化")
+		return nil, fmt.Errorf("doctor_universal_agent 未初始化")
 	}
 
 	// 判断是否有警告（简单关键词检测）

server/internal/service/doctorportal/quick_reply_handler.go

+package doctorportal
+
+import (
+	"fmt"
+
+	"github.com/gin-gonic/gin"
+
+	internalagent "internet-hospital/internal/agent"
+	"internet-hospital/internal/model"
+	"internet-hospital/pkg/database"
+	"internet-hospital/pkg/response"
+)
+
+// RegisterQuickReplyRoutes 注册快捷回复路由
+func (h *Handler) RegisterQuickReplyRoutes(rg *gin.RouterGroup) {
+	qr := rg.Group("/quick-replies")
+	{
+		qr.GET("", h.ListQuickReplies)
+		qr.POST("", h.CreateQuickReply)
+		qr.PUT("/:id", h.UpdateQuickReply)
+		qr.DELETE("/:id", h.DeleteQuickReply)
+		qr.POST("/ai-suggest", h.AIGenerateReplies)
+		qr.POST("/:id/use", h.IncrementUseCount)
+	}
+}
+
+// ListQuickReplies 获取快捷回复列表（系统级 + 个人级）
+func (h *Handler) ListQuickReplies(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+	category := c.Query("category")
+
+	db := database.GetDB()
+
+	var templates []model.QuickReplyTemplate
+	query := db.Where("doctor_id = '' OR doctor_id = ?", userID.(string))
+	if category != "" {
+		query = query.Where("category = ?", category)
+	}
+	if err := query.Order("sort_order ASC, use_count DESC").Find(&templates).Error; err != nil {
+		response.Error(c, 500, "获取快捷回复失败")
+		return
+	}
+
+	response.Success(c, templates)
+}
+
+// CreateQuickReply 创建快捷回复模板
+func (h *Handler) CreateQuickReply(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+
+	var req struct {
+		Category string `json:"category" binding:"required"`
+		Title    string `json:"title" binding:"required"`
+		Content  string `json:"content" binding:"required"`
+		SortOrder int   `json:"sort_order"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, "请求参数错误")
+		return
+	}
+
+	db := database.GetDB()
+	template := model.QuickReplyTemplate{
+		DoctorID:  userID.(string),
+		Category:  req.Category,
+		Title:     req.Title,
+		Content:   req.Content,
+		SortOrder: req.SortOrder,
+	}
+	if err := db.Create(&template).Error; err != nil {
+		response.Error(c, 500, "创建快捷回复失败")
+		return
+	}
+
+	response.Success(c, template)
+}
+
+// UpdateQuickReply 更新快捷回复模板
+func (h *Handler) UpdateQuickReply(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+	id := c.Param("id")
+
+	db := database.GetDB()
+	var template model.QuickReplyTemplate
+	if err := db.Where("id = ? AND doctor_id = ?", id, userID.(string)).First(&template).Error; err != nil {
+		response.Error(c, 404, "快捷回复不存在或无权修改")
+		return
+	}
+
+	var req struct {
+		Category  *string `json:"category"`
+		Title     *string `json:"title"`
+		Content   *string `json:"content"`
+		SortOrder *int    `json:"sort_order"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, "请求参数错误")
+		return
+	}
+
+	updates := map[string]interface{}{}
+	if req.Category != nil {
+		updates["category"] = *req.Category
+	}
+	if req.Title != nil {
+		updates["title"] = *req.Title
+	}
+	if req.Content != nil {
+		updates["content"] = *req.Content
+	}
+	if req.SortOrder != nil {
+		updates["sort_order"] = *req.SortOrder
+	}
+
+	if err := db.Model(&template).Updates(updates).Error; err != nil {
+		response.Error(c, 500, "更新快捷回复失败")
+		return
+	}
+
+	response.Success(c, template)
+}
+
+// DeleteQuickReply 删除快捷回复模板
+func (h *Handler) DeleteQuickReply(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+	id := c.Param("id")
+
+	db := database.GetDB()
+	result := db.Where("id = ? AND doctor_id = ?", id, userID.(string)).Delete(&model.QuickReplyTemplate{})
+	if result.RowsAffected == 0 {
+		response.Error(c, 404, "快捷回复不存在或无权删除")
+		return
+	}
+
+	response.Success(c, nil)
+}
+
+// IncrementUseCount 增加使用次数
+func (h *Handler) IncrementUseCount(c *gin.Context) {
+	id := c.Param("id")
+	db := database.GetDB()
+	db.Model(&model.QuickReplyTemplate{}).Where("id = ?", id).UpdateColumn("use_count", db.Raw("use_count + 1"))
+	response.Success(c, nil)
+}
+
+// AIGenerateReplies AI 推荐快捷回复
+func (h *Handler) AIGenerateReplies(c *gin.Context) {
+	userID, _ := c.Get("user_id")
+
+	var req struct {
+		ConsultID    string `json:"consult_id"`
+		SerialNumber string `json:"serial_number"`
+	}
+	if err := c.ShouldBindJSON(&req); err != nil {
+		response.BadRequest(c, "consult_id 或 serial_number 必填")
+		return
+	}
+
+	// 支持 serial_number 作为替代参数
+	consultID := req.ConsultID
+	if consultID == "" && req.SerialNumber != "" {
+		consultID = req.SerialNumber
+	}
+	if consultID == "" {
+		response.BadRequest(c, "consult_id 或 serial_number 必填")
+		return
+	}
+
+	resolved, err := resolveConsultID(consultID)
+	if err != nil {
+		response.Error(c, 404, err.Error())
+		return
+	}
+
+	db := database.GetDB()
+
+	// 获取最近几条消息作为上下文
+	var messages []model.ConsultMessage
+	db.Where("consult_id = ?", resolved).Order("created_at DESC").Limit(10).Find(&messages)
+
+	chatContext := ""
+	for i := len(messages) - 1; i >= 0; i-- {
+		role := "患者"
+		if messages[i].SenderType == "doctor" {
+			role = "医生"
+		}
+		chatContext += fmt.Sprintf("%s: %s\n", role, messages[i].Content)
+	}
+
+	// 获取问诊主诉
+	var consult model.Consultation
+	db.Where("id = ?", resolved).First(&consult)
+
+	agentCtx := map[string]interface{}{
+		"chat_context":   chatContext,
+		"chief_complaint": consult.ChiefComplaint,
+	}
+
+	agentSvc := internalagent.GetService()
+	output, err := agentSvc.Chat(
+		c.Request.Context(),
+		"doctor_universal_agent",
+		userID.(string),
+		"",
+		"请根据以上对话上下文，生成3-5条医生可以使用的快捷回复建议。每条回复独立一行，不要编号，直接输出回复内容。回复应该专业、简洁、有针对性。",
+		agentCtx,
+	)
+	if err != nil {
+		response.Error(c, 500, "AI生成回复失败: "+err.Error())
+		return
+	}
+	if output == nil {
+		response.Error(c, 500, "AI agent不可用")
+		return
+	}
+
+	response.Success(c, map[string]interface{}{
+		"suggestions": output.Response,
+	})
+}

server/pkg/agent/react_agent.go

@@ -5,10 +5,27 @@ import (
 	"encoding/json"
 	"fmt"
 	"internet-hospital/pkg/ai"
+	"time"
 
 	"github.com/google/uuid"
 )
 
+// StreamEventType SSE 事件类型
+type StreamEventType string
+
+const (
+	StreamEventThinking   StreamEventType = "thinking"
+	StreamEventToolCall   StreamEventType = "tool_call"
+	StreamEventToolResult StreamEventType = "tool_result"
+	StreamEventChunk      StreamEventType = "chunk"
+)
+
+// StreamEvent 流式事件
+type StreamEvent struct {
+	Type StreamEventType        `json:"type"`
+	Data map[string]interface{} `json:"data"`
+}
+
 // AgentInput Agent输入
 type AgentInput struct {
 	SessionID     string                 `json:"session_id"`
@@ -183,26 +200,167 @@ func (a *ReActAgent) Run(ctx context.Context, input AgentInput) (*AgentOutput, e
 	}, nil
 }
 
-// RunStream 流式执行Agent
-func (a *ReActAgent) RunStream(ctx context.Context, input AgentInput, onChunk func(AgentChunk) error) (*AgentOutput, error) {
-	// 简化：先用非流式，后续可升级为真正的流式
-	output, err := a.Run(ctx, input)
-	if err != nil {
-		return nil, err
-	}
-	// 模拟流式输出
-	for _, tc := range output.ToolCalls {
-		if err := onChunk(AgentChunk{Type: "tool_call", Content: tc}); err != nil {
-			return output, err
-		}
+// RunStream 流式执行Agent，通过 onEvent 实时推送中间过程
+func (a *ReActAgent) RunStream(ctx context.Context, input AgentInput, onEvent func(StreamEvent) error) (*AgentOutput, error) {
+	traceID := input.TraceID
+	if traceID == "" {
+		traceID = uuid.New().String()
+	}
+
+	client := ai.GetClient()
+	if client == nil {
+		msg := "AI服务未配置，请在管理端配置API Key"
+		emitChunks(ctx, msg, onEvent)
+		return &AgentOutput{
+			Response:     msg,
+			FinishReason: "no_client",
+			TraceID:      traceID,
+		}, nil
 	}
-	if err := onChunk(AgentChunk{Type: "text", Content: output.Response}); err != nil {
-		return output, err
+
+	maxIter := a.cfg.MaxIterations
+	if input.MaxIterations > 0 {
+		maxIter = input.MaxIterations
 	}
-	if err := onChunk(AgentChunk{Type: "done", Content: output.FinishReason}); err != nil {
-		return output, err
+	if maxIter <= 0 {
+		maxIter = 10
+	}
+
+	messages := []ai.ChatMessage{
+		{Role: "system", Content: a.buildSystemPrompt(input.Context)},
+	}
+	messages = append(messages, input.History...)
+	messages = append(messages, ai.ChatMessage{Role: "user", Content: input.Message})
+
+	tools := a.getToolSchemas()
+	var toolCallResults []ToolCallResult
+	totalTokens := 0
+
+	for i := 0; i < maxIter; i++ {
+		// 发射 thinking 事件
+		onEvent(StreamEvent{
+			Type: StreamEventThinking,
+			Data: map[string]interface{}{"iteration": i + 1, "status": "calling_llm"},
+		})
+
+		resp, err := client.ChatWithTools(ctx, messages, tools)
+		if err != nil {
+			return nil, fmt.Errorf("AI调用失败: %w", err)
+		}
+		totalTokens += resp.Usage.TotalTokens
+
+		ai.SaveLog(ai.LogParams{
+			Scene:            a.cfg.ID,
+			UserID:           input.UserID,
+			RequestContent:   input.Message,
+			ResponseContent:  resp.Choices[0].Message.Content,
+			PromptTokens:     resp.Usage.PromptTokens,
+			CompletionTokens: resp.Usage.CompletionTokens,
+			TotalTokens:      resp.Usage.TotalTokens,
+			Success:          true,
+			TraceID:          traceID,
+			AgentID:          a.cfg.ID,
+			SessionID:        input.SessionID,
+			Iteration:        i + 1,
+		})
+
+		choice := resp.Choices[0]
+
+		// 最终文本响应 — 流式推送
+		if choice.FinishReason == "stop" || len(choice.Message.ToolCalls) == 0 {
+			emitChunks(ctx, choice.Message.Content, onEvent)
+			return &AgentOutput{
+				Response:     choice.Message.Content,
+				ToolCalls:    toolCallResults,
+				Iterations:   i + 1,
+				FinishReason: "completed",
+				TotalTokens:  totalTokens,
+				TraceID:      traceID,
+			}, nil
+		}
+
+		// 执行工具调用
+		assistantMsg := ai.ChatMessage{
+			Role:      "assistant",
+			Content:   choice.Message.Content,
+			ToolCalls: choice.Message.ToolCalls,
+		}
+		messages = append(messages, assistantMsg)
+
+		for _, tc := range choice.Message.ToolCalls {
+			// 发射 tool_call 事件
+			onEvent(StreamEvent{
+				Type: StreamEventToolCall,
+				Data: map[string]interface{}{
+					"tool_name": tc.Function.Name,
+					"call_id":   tc.ID,
+					"arguments": tc.Function.Arguments,
+					"iteration": i + 1,
+				},
+			})
+
+			result := a.executor.ExecuteWithLog(ctx, tc.Function.Name, tc.Function.Arguments,
+				traceID, a.cfg.ID, input.SessionID, input.UserID, i+1)
+			resultJSON, _ := json.Marshal(result)
+
+			toolCallResults = append(toolCallResults, ToolCallResult{
+				ToolName:  tc.Function.Name,
+				CallID:    tc.ID,
+				Arguments: tc.Function.Arguments,
+				Result:    result,
+				Success:   result.Success,
+			})
+
+			// 发射 tool_result 事件
+			onEvent(StreamEvent{
+				Type: StreamEventToolResult,
+				Data: map[string]interface{}{
+					"tool_name": tc.Function.Name,
+					"call_id":   tc.ID,
+					"success":   result.Success,
+				},
+			})
+
+			messages = append(messages, ai.ChatMessage{
+				Role:       "tool",
+				ToolCallID: tc.ID,
+				Content:    string(resultJSON),
+			})
+		}
+	}
+
+	msg := "已达到最大迭代次数"
+	emitChunks(ctx, msg, onEvent)
+	return &AgentOutput{
+		Response:     msg,
+		ToolCalls:    toolCallResults,
+		Iterations:   maxIter,
+		FinishReason: "max_iterations",
+		TotalTokens:  totalTokens,
+		TraceID:      traceID,
+	}, nil
+}
+
+// emitChunks 将文本按 rune 分块发射 chunk 事件（模拟打字效果）
+func emitChunks(ctx context.Context, text string, onEvent func(StreamEvent) error) {
+	runes := []rune(text)
+	chunkSize := 3
+	for i := 0; i < len(runes); i += chunkSize {
+		select {
+		case <-ctx.Done():
+			return
+		default:
+		}
+		end := i + chunkSize
+		if end > len(runes) {
+			end = len(runes)
+		}
+		onEvent(StreamEvent{
+			Type: StreamEventChunk,
+			Data: map[string]interface{}{"content": string(runes[i:end])},
+		})
+		time.Sleep(15 * time.Millisecond)
 	}
-	return output, nil
 }
 
 func (a *ReActAgent) buildSystemPrompt(ctx map[string]interface{}) string {

server/pkg/agent/tools/agent_caller.go

@@ -26,7 +26,7 @@ func (t *AgentCallerTool) Parameters() []agent.ToolParameter {
 		{
 			Name:        "agent_id",
 			Type:        "string",
-			Description: "目标 Agent ID，如 diagnosis_agent、prescription_agent、follow_up_agent",
+			Description: "目标 Agent ID，如 patient_universal_agent、doctor_universal_agent、admin_universal_agent",
 			Required:    true,
 		},
 		{

server/pkg/websocket/handler.go

@@ -2,13 +2,18 @@ package websocket
 
 import (
 	"encoding/json"
+	"fmt"
 	"log"
 	"net/http"
+	"strings"
 	"time"
 
 	"github.com/gin-gonic/gin"
 	"github.com/google/uuid"
 	"github.com/gorilla/websocket"
+
+	"internet-hospital/internal/model"
+	"internet-hospital/pkg/database"
 )
 
 var upgrader = websocket.Upgrader{
@@ -22,10 +27,14 @@ var upgrader = websocket.Upgrader{
 // MessageHandler 消息处理回调
 type MessageHandler func(consultID, senderID, senderType, content, contentType string) (*Message, error)
 
+// ReadReceiptHandler 已读回执处理回调
+type ReadReceiptHandler func(messageID string) error
+
 // Handler WebSocket处理器
 type Handler struct {
-	hub            *Hub
-	messageHandler MessageHandler
+	hub                *Hub
+	messageHandler     MessageHandler
+	readReceiptHandler ReadReceiptHandler
 }
 
 // NewHandler 创建WebSocket处理器
@@ -36,14 +45,57 @@ func NewHandler(msgHandler MessageHandler) *Handler {
 	}
 }
 
+// SetReadReceiptHandler 设置已读回执处理器
+func (h *Handler) SetReadReceiptHandler(handler ReadReceiptHandler) {
+	h.readReceiptHandler = handler
+}
+
+// BroadcastConsultUpdate 广播问诊状态变更
+func (h *Handler) BroadcastConsultUpdate(consultID string, status string, extra map[string]interface{}) {
+	msg := &Message{
+		Type:      "consult_update",
+		ConsultID: consultID,
+		Content:   status,
+		Timestamp: time.Now(),
+		Extra:     extra,
+	}
+	h.hub.BroadcastToConsult(consultID, msg, "")
+}
+
+// BroadcastNewPatient 广播新患者排队通知
+func (h *Handler) BroadcastNewPatient(doctorUserID string, consultID string, patientName string) {
+	h.hub.SendToUser(doctorUserID, &Message{
+		Type:      "new_patient",
+		ConsultID: consultID,
+		Content:   patientName + " 进入候诊队列",
+		Timestamp: time.Now(),
+	})
+}
+
 // RegisterRoutes 注册WebSocket路由
 func (h *Handler) RegisterRoutes(r *gin.RouterGroup) {
 	r.GET("/ws/consult/:id", h.HandleConsultWS)
 }
 
+// resolveConsultID 解析问诊标识：支持 UUID 或流水号（C开头）
+func resolveConsultID(idOrSerial string) (string, error) {
+	if strings.HasPrefix(idOrSerial, "C") {
+		var consult model.Consultation
+		if err := database.GetDB().Where("serial_number = ?", idOrSerial).Select("id").First(&consult).Error; err != nil {
+			return "", fmt.Errorf("流水号 %s 对应的问诊不存在", idOrSerial)
+		}
+		return consult.ID, nil
+	}
+	return idOrSerial, nil
+}
+
 // HandleConsultWS 处理问诊WebSocket连接
 func (h *Handler) HandleConsultWS(c *gin.Context) {
-	consultID := c.Param("id")
+	consultID, err := resolveConsultID(c.Param("id"))
+	if err != nil {
+		c.JSON(http.StatusNotFound, gin.H{"error": err.Error()})
+		return
+	}
 	userID := c.Query("user_id")
 	userType := c.Query("user_type") // patient or doctor
 	token := c.Query("token")
@@ -135,6 +187,12 @@ func (h *Handler) handleMessage(client *Client, data []byte) {
 		}, client.UserID)
 
 	case "read":
+		// 持久化已读状态
+		if h.readReceiptHandler != nil && msg.MessageID != "" {
+			if err := h.readReceiptHandler(msg.MessageID); err != nil {
+				log.Printf("已读回执更新失败: %v", err)
+			}
+		}
 		// 广播已读状态
 		h.hub.BroadcastToConsult(client.ConsultID, &Message{
 			Type:       "read",
@@ -145,6 +203,9 @@ func (h *Handler) handleMessage(client *Client, data []byte) {
 			Timestamp:  time.Now(),
 		}, client.UserID)
 
+	case "consult_update", "new_patient", "online_status":
+		// 这些类型由服务端主动推送，客户端发送时忽略
+
 	case "ping":
 		// 心跳响应
 		client.SendMessage(&Message{

web/package-lock.json

@@ -20,6 +20,7 @@
         "react": "^19.2.0",
         "react-dom": "^19.2.0",
         "react-markdown": "^10.1.0",
+        "react-rnd": "^10.5.2",
         "tailwindcss": "^4",
         "zustand": "^5.0.5"
       },
@@ -1659,6 +1660,15 @@
       "integrity": "sha512-IV3Ou0jSMzZrd3pZ48nLkT9DA7Ag1pnPzaiQhpW7c3RbcqqzvzzVu+L8gfqMp/8IM2MQtSiqaCxrrcfu8I8rMA==",
       "license": "MIT"
     },
+    "node_modules/clsx": {
+      "version": "1.2.1",
+      "resolved": "https://registry.npmmirror.com/clsx/-/clsx-1.2.1.tgz",
+      "integrity": "sha512-EcR6r5a8bj6pu3ycsa/E/cKVGuTgZJZdsyUYHOksG/UHIiKfjxzRxYJpyVBwYaQeOvghal9fcc4PidlgzugAQg==",
+      "license": "MIT",
+      "engines": {
+        "node": ">=6"
+      }
+    },
     "node_modules/combined-stream": {
       "version": "1.0.8",
       "resolved": "https://registry.npmmirror.com/combined-stream/-/combined-stream-1.0.8.tgz",
@@ -2248,6 +2258,12 @@
         "jiti": "lib/jiti-cli.mjs"
       }
     },
+    "node_modules/js-tokens": {
+      "version": "4.0.0",
+      "resolved": "https://registry.npmmirror.com/js-tokens/-/js-tokens-4.0.0.tgz",
+      "integrity": "sha512-RdJUflcE3cUzKiMqQgsCu06FPu9UdIJO0beYbPhHN4k6apgJtifcoCtT9bcxOpYBtpD2kCM6Sbzg4CausW/PKQ==",
+      "license": "MIT"
+    },
     "node_modules/json2mq": {
       "version": "0.2.0",
       "resolved": "https://registry.npmmirror.com/json2mq/-/json2mq-0.2.0.tgz",
@@ -2516,6 +2532,18 @@
         "url": "https://github.com/sponsors/wooorm"
       }
     },
+    "node_modules/loose-envify": {
+      "version": "1.4.0",
+      "resolved": "https://registry.npmmirror.com/loose-envify/-/loose-envify-1.4.0.tgz",
+      "integrity": "sha512-lyuxPGr/Wfhrlem2CL/UcnUc1zcqKAImBDzukY7Y5F/yQiNdko6+fRLevlw1HgMySw7f611UIY408EtxRSoK3Q==",
+      "license": "MIT",
+      "dependencies": {
+        "js-tokens": "^3.0.0 || ^4.0.0"
+      },
+      "bin": {
+        "loose-envify": "cli.js"
+      }
+    },
     "node_modules/magic-string": {
       "version": "0.30.21",
       "resolved": "https://registry.npmmirror.com/magic-string/-/magic-string-0.30.21.tgz",
@@ -3254,6 +3282,15 @@
         "node": "^10 || ^12 || >=14"
       }
     },
+    "node_modules/object-assign": {
+      "version": "4.1.1",
+      "resolved": "https://registry.npmmirror.com/object-assign/-/object-assign-4.1.1.tgz",
+      "integrity": "sha512-rJgTQnkUnH1sFw8yT6VSU3zD3sWmu6sZhIseY8VX+GRu3P6F7Fu+JNDoXfklElbLJSnc3FUQHVe4cU5hj+BcUg==",
+      "license": "MIT",
+      "engines": {
+        "node": ">=0.10.0"
+      }
+    },
     "node_modules/parse-entities": {
       "version": "4.0.2",
       "resolved": "https://registry.npmmirror.com/parse-entities/-/parse-entities-4.0.2.tgz",
@@ -3313,6 +3350,23 @@
         "node": "^10 || ^12 || >=14"
       }
     },
+    "node_modules/prop-types": {
+      "version": "15.8.1",
+      "resolved": "https://registry.npmmirror.com/prop-types/-/prop-types-15.8.1.tgz",
+      "integrity": "sha512-oj87CgZICdulUohogVAR7AjlC0327U4el4L6eAvOqCeudMDVU0NThNaV+b9Df4dXgSP1gXMTnPdhfe/2qDH5cg==",
+      "license": "MIT",
+      "dependencies": {
+        "loose-envify": "^1.4.0",
+        "object-assign": "^4.1.1",
+        "react-is": "^16.13.1"
+      }
+    },
+    "node_modules/prop-types/node_modules/react-is": {
+      "version": "16.13.1",
+      "resolved": "https://registry.npmmirror.com/react-is/-/react-is-16.13.1.tgz",
+      "integrity": "sha512-24e6ynE2H+OKt4kqsOvNd8kBpV65zoxbA4BVsEOB3ARVWQki/DHzaUoC5KuON/BiccDaCCTZBuOcfZs70kR8bQ==",
+      "license": "MIT"
+    },
     "node_modules/property-information": {
       "version": "7.1.0",
       "resolved": "https://registry.npmmirror.com/property-information/-/property-information-7.1.0.tgz",
@@ -3935,6 +3989,16 @@
         "react-dom": ">=16.9.0"
       }
     },
+    "node_modules/re-resizable": {
+      "version": "6.11.2",
+      "resolved": "https://registry.npmmirror.com/re-resizable/-/re-resizable-6.11.2.tgz",
+      "integrity": "sha512-2xI2P3OHs5qw7K0Ud1aLILK6MQxW50TcO+DetD9eIV58j84TqYeHoZcL9H4GXFXXIh7afhH8mv5iUCXII7OW7A==",
+      "license": "MIT",
+      "peerDependencies": {
+        "react": "^16.13.1 || ^17.0.0 || ^18.0.0 || ^19.0.0",
+        "react-dom": "^16.13.1 || ^17.0.0 || ^18.0.0 || ^19.0.0"
+      }
+    },
     "node_modules/react": {
       "version": "19.2.4",
       "resolved": "https://registry.npmmirror.com/react/-/react-19.2.4.tgz",
@@ -3956,6 +4020,20 @@
         "react": "^19.2.4"
       }
     },
+    "node_modules/react-draggable": {
+      "version": "4.4.6",
+      "resolved": "https://registry.npmmirror.com/react-draggable/-/react-draggable-4.4.6.tgz",
+      "integrity": "sha512-LtY5Xw1zTPqHkVmtM3X8MUOxNDOUhv/khTgBgrUvwaS064bwVvxT+q5El0uUFNx5IEPKXuRejr7UqLwBIg5pdw==",
+      "license": "MIT",
+      "dependencies": {
+        "clsx": "^1.1.1",
+        "prop-types": "^15.8.1"
+      },
+      "peerDependencies": {
+        "react": ">= 16.3.0",
+        "react-dom": ">= 16.3.0"
+      }
+    },
     "node_modules/react-is": {
       "version": "18.3.1",
       "resolved": "https://registry.npmmirror.com/react-is/-/react-is-18.3.1.tgz",
@@ -3989,6 +4067,27 @@
         "react": ">=18"
       }
     },
+    "node_modules/react-rnd": {
+      "version": "10.5.2",
+      "resolved": "https://registry.npmmirror.com/react-rnd/-/react-rnd-10.5.2.tgz",
+      "integrity": "sha512-0Tm4x7k7pfHf2snewJA8x7Nwgt3LV+58MVEWOVsFjk51eYruFEa6Wy7BNdxt4/lH0wIRsu7Gm3KjSXY2w7YaNw==",
+      "license": "MIT",
+      "dependencies": {
+        "re-resizable": "6.11.2",
+        "react-draggable": "4.4.6",
+        "tslib": "2.6.2"
+      },
+      "peerDependencies": {
+        "react": ">=16.3.0",
+        "react-dom": ">=16.3.0"
+      }
+    },
+    "node_modules/react-rnd/node_modules/tslib": {
+      "version": "2.6.2",
+      "resolved": "https://registry.npmmirror.com/tslib/-/tslib-2.6.2.tgz",
+      "integrity": "sha512-AEYxH93jGFPn/a2iVAwW87VuUIkR1FVUKB77NwMF7nBTDkDrrT/Hpt/IrCJ0QXhW27jTBDcf5ZY7w6RiqTMw2Q==",
+      "license": "0BSD"
+    },
     "node_modules/remark-parse": {
       "version": "11.0.0",
       "resolved": "https://registry.npmmirror.com/remark-parse/-/remark-parse-11.0.0.tgz",

web/package.json

@@ -21,6 +21,7 @@
     "react": "^19.2.0",
     "react-dom": "^19.2.0",
     "react-markdown": "^10.1.0",
+    "react-rnd": "^10.5.2",
     "tailwindcss": "^4",
     "zustand": "^5.0.5"
   },

web/src/api/agent.ts

 import { get, post, put, del } from './request';
+import { sseRequest } from './sse';
 
 // ==================== 类型定义 ====================
 
@@ -70,6 +71,7 @@ export interface AgentDefinition {
   category: string;
   system_prompt: string;
   tools: string; // JSON array string
+  skills: string; // JSON array string of skill_ids
   config: string;
   max_iterations: number;
   status: string;
@@ -84,10 +86,27 @@ export type AgentDefinitionParams = {
   category?: string;
   system_prompt?: string;
   tools?: string;
+  skills?: string[];
   max_iterations?: number;
   status?: string;
 };
 
+export interface AgentSkill {
+  id: number;
+  skill_id: string;
+  name: string;
+  description: string;
+  category: string;
+  tools: string;
+  system_prompt_addon: string;
+  context_schema: string;
+  quick_replies: string;
+  icon: string;
+  status: string;
+  created_at: string;
+  updated_at: string;
+}
+
 export interface WorkflowCreateParams {
   workflow_id: string;
   name: string;
@@ -108,6 +127,18 @@ export interface KnowledgeDocumentParams {
   content: string;
 }
 
+// ==================== Agent 流式回调类型 ====================
+
+export interface AgentStreamCallbacks {
+  onSession?: (info: { session_id: string }) => void;
+  onThinking?: (info: { iteration: number; status: string }) => void;
+  onToolCall?: (info: { tool_name: string; arguments: string; call_id: string; iteration: number }) => void;
+  onToolResult?: (info: { tool_name: string; success: boolean; call_id: string }) => void;
+  onChunk?: (content: string) => void;
+  onDone?: (info: { session_id: string; iterations: number; total_tokens: number; finish_reason: string }) => void;
+  onError?: (error: string) => void;
+}
+
 // ==================== Agent API ====================
 
 // AI 推理调用专用超时（2分钟）
@@ -120,6 +151,23 @@ export const agentApi = {
     context?: Record<string, unknown>;
   }) => post<AgentOutput>(`/agent/${agentId}/chat`, params, { timeout: AI_TIMEOUT }),
 
+  /** SSE 流式 Agent 对话 */
+  chatStream: (
+    agentId: string,
+    params: { session_id?: string; message: string; context?: Record<string, unknown> },
+    callbacks: AgentStreamCallbacks,
+  ): AbortController => {
+    return sseRequest(`/agent/${agentId}/chat/stream`, params, {
+      session: (data) => callbacks.onSession?.(data as { session_id: string }),
+      thinking: (data) => callbacks.onThinking?.(data as { iteration: number; status: string }),
+      tool_call: (data) => callbacks.onToolCall?.(data as { tool_name: string; arguments: string; call_id: string; iteration: number }),
+      tool_result: (data) => callbacks.onToolResult?.(data as { tool_name: string; success: boolean; call_id: string }),
+      chunk: (data) => callbacks.onChunk?.((data.content as string) || ''),
+      done: (data) => callbacks.onDone?.(data as { session_id: string; iterations: number; total_tokens: number; finish_reason: string }),
+      error: (data) => callbacks.onError?.((data.error as string) || '未知错误'),
+    });
+  },
+
   listAgents: () =>
     get<{ id: string; name: string; description: string }[]>('/agent/list'),
 
@@ -165,6 +213,20 @@ export const agentApi = {
     put<null>(`/agent/tools/${name}/status`, { status }),
 };
 
+// ==================== Skill API ====================
+
+export const skillApi = {
+  list: () => get<AgentSkill[]>('/agent/skills'),
+
+  create: (data: Partial<AgentSkill>) =>
+    post<AgentSkill>('/agent/skills', data),
+
+  update: (skillId: string, data: Partial<AgentSkill>) =>
+    put<AgentSkill>(`/agent/skills/${skillId}`, data),
+
+  delete: (skillId: string) => del<null>(`/agent/skills/${skillId}`),
+};
+
 // ==================== HTTP Tool API ====================
 
 export interface HTTPToolDefinition {

web/src/api/consult.ts

@@ -26,8 +26,13 @@ export interface ConsultMessage {
   consult_id: string;
   sender_type: 'patient' | 'doctor' | 'system' | 'ai';
   content: string;
-  content_type: 'text' | 'image' | 'file' | 'prescription';
+  content_type: 'text' | 'image' | 'file' | 'prescription' | 'audio';
   created_at: string;
+  // v13 新增
+  read_at?: string | null;
+  media_url?: string;
+  media_type?: string;
+  reply_to_id?: string | null;
 }
 
 export interface CreateConsultParams {
@@ -80,6 +85,7 @@ export interface VideoRoomInfo {
 export interface PatientListItem {
   id: string;
   consult_id: string;
+  serial_number: string;
   patient_id: string;
   patient_name: string;
   patient_gender: string;
@@ -92,6 +98,111 @@ export interface PatientListItem {
   created_at: string;
   started_at: string | null;
   ended_at: string | null;
+  // v13 新增字段
+  allergy_history: string;
+  chronic_diseases: string[];
+  is_revisit: boolean;
+  visit_count: number;
+  risk_level: 'low' | 'medium' | 'high';
+  last_visit_date: string;
+  pre_consult_summary: string;
+}
+
+// ========== 转诊类型 (v13) ==========
+
+export interface TransferInboxItem {
+  id: number;
+  consult_id: string;
+  from_doctor_name: string;
+  patient_name: string;
+  chief_complaint: string;
+  reason: string;
+  transfer_note: string;
+  status: string;
+  created_at: string;
+}
+
+export interface PrescriptionStatusResponse {
+  id: string;
+  prescription_no: string;
+  status: string;
+  total_amount: number;
+  item_count: number;
+  timeline: { status: string; label: string; time: string | null }[];
+}
+
+// ========== 患者画像类型 (v13) ==========
+
+export interface PatientBasicInfo {
+  id: string;
+  name: string;
+  gender: string;
+  age: number;
+  phone: string;
+  allergy_history: string;
+  medical_history: string;
+  insurance_type: string;
+  insurance_no: string;
+}
+
+export interface ConsultSummary {
+  id: string;
+  doctor_name: string;
+  chief_complaint: string;
+  type: ConsultType;
+  status: ConsultStatus;
+  created_at: string;
+  ended_at: string | null;
+}
+
+export interface PrescriptionBrief {
+  id: string;
+  prescription_no: string;
+  diagnosis: string;
+  item_count: number;
+  total_amount: number;
+  status: string;
+  created_at: string;
+}
+
+export interface ChronicBrief {
+  id: string;
+  disease_name: string;
+  diagnosis_date: string | null;
+  control_status: string;
+  current_meds: string;
+}
+
+export interface LabReportBrief {
+  id: string;
+  title: string;
+  category: string;
+  report_date: string | null;
+  file_url: string;
+}
+
+export interface HealthMetricPoint {
+  metric_type: string;
+  value1: number;
+  value2: number;
+  unit: string;
+  recorded_at: string;
+}
+
+export interface FamilyMemberBrief {
+  name: string;
+  relation: string;
+  medical_history: string;
+}
+
+export interface PatientProfile {
+  basic_info: PatientBasicInfo;
+  consult_history: ConsultSummary[];
+  prescriptions: PrescriptionBrief[];
+  chronic_records: ChronicBrief[];
+  lab_reports: LabReportBrief[];
+  health_metrics: HealthMetricPoint[];
+  family_history: FamilyMemberBrief[];
 }
 
 // 问诊 API
@@ -104,36 +215,62 @@ export const consultApi = {
   getConsultList: (status?: ConsultStatus) =>
     get<Consultation[]>('/consult/list', { params: { status } }),
 
-  // 获取问诊详情
-  getConsultDetail: (id: string) => get<Consultation>(`/consult/${id}`),
+  // 获取问诊详情（支持 consult_id 或 serial_number）
+  getConsultDetail: (idOrSerial: string) => get<Consultation>(`/consult/${idOrSerial}`),
 
-  // 获取问诊消息历史
-  getConsultMessages: (id: string) => get<ConsultMessage[]>(`/consult/${id}/messages`),
+  // 获取问诊消息历史（支持 consult_id 或 serial_number）
+  getConsultMessages: (idOrSerial: string) => get<ConsultMessage[]>(`/consult/${idOrSerial}/messages`),
 
-  // 发送消息
-  sendMessage: (consult_id: string, content: string, content_type: string = 'text') =>
-    post<ConsultMessage>(`/consult/${consult_id}/message`, { content, content_type }),
+  // 发送消息（支持 consult_id 或 serial_number）
+  sendMessage: (idOrSerial: string, content: string, content_type: string = 'text') =>
+    post<ConsultMessage>(`/consult/${idOrSerial}/message`, { content, content_type }),
 
-  // 获取视频房间信息
-  getVideoRoomInfo: (consult_id: string) =>
-    get<VideoRoomInfo>(`/consult/${consult_id}/video-room`),
+  // 获取视频房间信息（支持 consult_id 或 serial_number）
+  getVideoRoomInfo: (idOrSerial: string) =>
+    get<VideoRoomInfo>(`/consult/${idOrSerial}/video-room`),
 
-  // 结束问诊
-  endConsult: (id: string) => post<null>(`/consult/${id}/end`),
+  // 结束问诊（支持 consult_id 或 serial_number）
+  endConsult: (idOrSerial: string, data?: { diagnosis?: string; summary?: string; follow_up_days?: number; send_survey?: boolean }) =>
+    post<null>(`/consult/${idOrSerial}/end`, data || {}),
 
-  // AI辅助分析（鉴别诊断/用药建议）—— 通过 Agent，返回 response + tool_calls
-  aiAssist: (id: string, scene: string) =>
+  // AI辅助分析（支持 consult_id 或 serial_number）
+  aiAssist: (idOrSerial: string, scene: string) =>
     post<{
       scene: string;
       response: string;
       tool_calls?: import('./agent').ToolCall[];
       iterations?: number;
       total_tokens?: number;
-    }>(`/consult/${id}/ai-assist`, { scene }, { timeout: 120000 }),
+    }>(`/consult/${idOrSerial}/ai-assist`, { scene }, { timeout: 120000 }),
+
+  // 取消问诊（支持 consult_id 或 serial_number）
+  cancelConsult: (idOrSerial: string, reason?: string) =>
+    post<null>(`/consult/${idOrSerial}/cancel`, { reason }),
 
-  // 取消问诊
-  cancelConsult: (id: string, reason?: string) =>
-    post<null>(`/consult/${id}/cancel`, { reason }),
+  // v13: 上传多媒体文件（支持 consult_id 或 serial_number）
+  uploadMedia: (idOrSerial: string, file: File) => {
+    const formData = new FormData();
+    formData.append('file', file);
+    return post<{ media_url: string; media_type: string; file_name: string }>(
+      `/consult/${idOrSerial}/upload`, formData,
+      { headers: { 'Content-Type': 'multipart/form-data' } }
+    );
+  },
+
+  // v13: 转诊（支持 consult_id 或 serial_number）
+  transferConsult: (idOrSerial: string, data: { to_doctor_id: string; to_department_id?: string; reason: string; transfer_note?: string }) =>
+    post<null>(`/consult/${idOrSerial}/transfer`, data),
+
+  getTransferInbox: () => get<TransferInboxItem[]>('/consult/doctor/transfer-inbox'),
+
+  acceptTransfer: (transferId: number) => post<null>(`/consult/transfer/${transferId}/accept`),
+
+  rejectTransfer: (transferId: number, reason?: string) =>
+    post<null>(`/consult/transfer/${transferId}/reject`, { reason }),
+
+  // v13: 处方状态
+  getPrescriptionStatus: (prescriptionId: string) =>
+    get<PrescriptionStatusResponse>(`/consult/prescription/${prescriptionId}/status`),
 
   // === 医生端 ===
   // 获取医生待接诊队列
@@ -146,14 +283,17 @@ export const consultApi = {
   // 获取统一患者列表（待接诊+进行中+已完成）
   getPatientList: () => get<PatientListItem[]>('/consult/doctor/patients'),
 
+  // 获取患者完整画像
+  getPatientProfile: (patientId: string) => get<PatientProfile>(`/consult/doctor/patient-profile/${patientId}`),
+
   // 获取医生工作台统计
   getDoctorWorkbenchStats: () => get<DoctorWorkbenchStats>('/consult/doctor/workbench-stats'),
 
-  // 接诊
-  acceptConsult: (id: string) => post<null>(`/consult/${id}/accept`),
+  // 接诊（支持 consult_id 或 serial_number）
+  acceptConsult: (idOrSerial: string) => post<null>(`/consult/${idOrSerial}/accept`),
 
-  // 拒诊
-  rejectConsult: (id: string, reason?: string) =>
-    post<null>(`/consult/${id}/reject`, { reason }),
+  // 拒诊（支持 consult_id 或 serial_number）
+  rejectConsult: (idOrSerial: string, reason?: string) =>
+    post<null>(`/consult/${idOrSerial}/reject`, { reason }),
 };
 

web/src/api/doctorPortal.ts

-import { get, post, put } from './request';
+import { get, post, put, del } from './request';
 import type { Consultation, ConsultMessage } from './consult';
 import type { ToolCall } from './agent';
 
@@ -14,6 +14,13 @@ export interface DoctorWorkbenchStats {
   rating: number;
   income_today: number;
   income_month: number;
+  // v13 效率指标
+  avg_wait_minutes: number;
+  avg_consult_minutes: number;
+  prescription_rate: number;
+  avg_satisfaction: number;
+  transfer_count: number;
+  ai_usage_rate: number;
 }
 
 // 接诊队列患者
@@ -130,24 +137,24 @@ export const doctorPortalApi = {
   getWaitingQueue: () =>
     get<WaitingPatient[]>('/doctor-portal/queue/waiting'),
 
-  acceptConsult: (consultId: string) =>
-    post<Consultation>(`/doctor-portal/consult/${consultId}/accept`),
+  acceptConsult: (idOrSerial: string) =>
+    post<Consultation>(`/doctor-portal/consult/${idOrSerial}/accept`),
 
-  // === 问诊操作 ===
-  getConsultDetail: (consultId: string) =>
-    get<Consultation>(`/doctor-portal/consult/${consultId}`),
+  // === 问诊操作（支持 consult_id 或 serial_number） ===
+  getConsultDetail: (idOrSerial: string) =>
+    get<Consultation>(`/doctor-portal/consult/${idOrSerial}`),
 
-  getConsultMessages: (consultId: string) =>
-    get<ConsultMessage[]>(`/doctor-portal/consult/${consultId}/messages`),
+  getConsultMessages: (idOrSerial: string) =>
+    get<ConsultMessage[]>(`/doctor-portal/consult/${idOrSerial}/messages`),
 
-  sendMessage: (consultId: string, content: string, contentType: string = 'text') =>
-    post<ConsultMessage>(`/doctor-portal/consult/${consultId}/message`, {
+  sendMessage: (idOrSerial: string, content: string, contentType: string = 'text') =>
+    post<ConsultMessage>(`/doctor-portal/consult/${idOrSerial}/message`, {
       content,
       content_type: contentType,
     }),
 
-  endConsult: (consultId: string, summary?: string) =>
-    post<null>(`/doctor-portal/consult/${consultId}/end`, { summary }),
+  endConsult: (idOrSerial: string, summary?: string) =>
+    post<null>(`/doctor-portal/consult/${idOrSerial}/end`, { summary }),
 
   // === 历史问诊 ===
   getConsultHistory: (params?: { page?: number; page_size?: number; status?: string }) =>
@@ -192,4 +199,37 @@ export const doctorPortalApi = {
       has_warning: boolean;
       has_contraindication: boolean;
     }>('/doctor-portal/prescription/check', params, { timeout: 120000 }),
+
+  // === v13: 快捷回复 ===
+  listQuickReplies: (category?: string) =>
+    get<QuickReplyTemplate[]>('/doctor-portal/quick-replies', { params: { category } }),
+
+  createQuickReply: (data: { category: string; title: string; content: string; sort_order?: number }) =>
+    post<QuickReplyTemplate>('/doctor-portal/quick-replies', data),
+
+  updateQuickReply: (id: number, data: Partial<{ category: string; title: string; content: string; sort_order: number }>) =>
+    put<QuickReplyTemplate>(`/doctor-portal/quick-replies/${id}`, data),
+
+  deleteQuickReply: (id: number) =>
+    del<null>(`/doctor-portal/quick-replies/${id}`),
+
+  incrementQuickReplyUse: (id: number) =>
+    post<null>(`/doctor-portal/quick-replies/${id}/use`),
+
+  aiSuggestReplies: (idOrSerial: string) =>
+    post<{ suggestions: string }>('/doctor-portal/quick-replies/ai-suggest',
+      { serial_number: idOrSerial }, { timeout: 60000 }),
 };
+
+// 快捷回复模板
+export interface QuickReplyTemplate {
+  id: number;
+  doctor_id: string;
+  category: string;
+  title: string;
+  content: string;
+  sort_order: number;
+  use_count: number;
+  created_at: string;
+  updated_at: string;
+}

web/src/api/preConsult.ts

 import { get } from './request';
+import { sseRequest } from './sse';
 
 // ====== 对话消息统一格式 ======
 export interface ChatMessage {
@@ -65,19 +66,6 @@ export interface ChatDoneInfo {
 }
 
 // ====== SSE 流式对话工具函数 ======
-const getApiBaseURL = () => {
-  const envUrl = process.env.NEXT_PUBLIC_API_BASE_URL;
-  if (envUrl && envUrl.includes('/api/v1')) return envUrl;
-  return (envUrl || 'http://localhost:8080') + '/api/v1';
-};
-
-/**
- * 发起SSE流式对话请求
- * @param url 相对API路径
- * @param body POST请求体
- * @param callbacks SSE事件回调
- * @returns AbortController 用于取消请求
- */
 export function sseChat(
   url: string,
   body: object,
@@ -88,91 +76,12 @@ export function sseChat(
     onError?: (error: string) => void;
   }
 ): AbortController {
-  const controller = new AbortController();
-  const token = localStorage.getItem('access_token');
-
-  fetch(`${getApiBaseURL()}${url}`, {
-    method: 'POST',
-    headers: {
-      'Content-Type': 'application/json',
-      ...(token ? { Authorization: `Bearer ${token}` } : {}),
-    },
-    body: JSON.stringify(body),
-    signal: controller.signal,
-  })
-    .then(async (response) => {
-      if (!response.ok) {
-        const text = await response.text();
-        callbacks.onError?.(`请求失败 (HTTP ${response.status}): ${text}`);
-        return;
-      }
-
-      const reader = response.body?.getReader();
-      if (!reader) {
-        callbacks.onError?.('无法读取响应流');
-        return;
-      }
-
-      const decoder = new TextDecoder();
-      let buffer = '';
-
-      while (true) {
-        const { done, value } = await reader.read();
-        if (done) break;
-
-        buffer += decoder.decode(value, { stream: true });
-
-        // 按双换行分割SSE事件
-        const parts = buffer.split('\n\n');
-        buffer = parts.pop() || '';
-
-        for (const part of parts) {
-          if (!part.trim()) continue;
-
-          const lines = part.split('\n');
-          let eventType = '';
-          let eventData = '';
-
-          for (const line of lines) {
-            if (line.startsWith('event: ')) {
-              eventType = line.slice(7).trim();
-            } else if (line.startsWith('data: ')) {
-              eventData = line.slice(6);
-            }
-          }
-
-          if (!eventType || !eventData) continue;
-
-          try {
-            const parsed = JSON.parse(eventData);
-
-            switch (eventType) {
-              case 'session':
-                callbacks.onSession?.(parsed);
-                break;
-              case 'chunk':
-                callbacks.onChunk?.(parsed.content || '');
-                break;
-              case 'done':
-                callbacks.onDone?.(parsed);
-                break;
-              case 'error':
-                callbacks.onError?.(parsed.error || '未知错误');
-                break;
-            }
-          } catch {
-            // JSON解析失败，忽略
-          }
-        }
-      }
-    })
-    .catch((err) => {
-      if (err.name !== 'AbortError') {
-        callbacks.onError?.(err.message || '网络请求失败');
-      }
-    });
-
-  return controller;
+  return sseRequest(url, body, {
+    session: (data) => callbacks.onSession?.(data as unknown as ChatSessionInfo),
+    chunk: (data) => callbacks.onChunk?.((data.content as string) || ''),
+    done: (data) => callbacks.onDone?.(data as unknown as ChatDoneInfo),
+    error: (data) => callbacks.onError?.((data.error as string) || '未知错误'),
+  });
 }
 
 // 预问诊 API

web/src/api/prescription.ts

@@ -93,6 +93,7 @@ export interface CreatePrescriptionItemReq {
 
 export interface CreatePrescriptionReq {
   consult_id?: string;
+  serial_number?: string;
   patient_id: string;
   patient_name: string;
   patient_gender?: string;

web/src/api/sse.ts

+/**
+ * 通用 SSE 流式请求工具函数
+ * 支持任意事件类型的回调映射
+ */
+
+const getApiBaseURL = () => {
+  const envUrl = process.env.NEXT_PUBLIC_API_BASE_URL;
+  if (envUrl && envUrl.includes('/api/v1')) return envUrl;
+  return (envUrl || 'http://localhost:8080') + '/api/v1';
+};
+
+/**
+ * 发起 SSE 流式请求
+ * @param url 相对 API 路径（如 /agent/xxx/chat/stream）
+ * @param body POST 请求体
+ * @param handlers 事件类型 → 回调函数 映射
+ * @returns AbortController 用于取消请求
+ */
+export function sseRequest(
+  url: string,
+  body: object,
+  handlers: Record<string, (data: Record<string, unknown>) => void>,
+): AbortController {
+  const controller = new AbortController();
+  const token = localStorage.getItem('access_token');
+
+  fetch(`${getApiBaseURL()}${url}`, {
+    method: 'POST',
+    headers: {
+      'Content-Type': 'application/json',
+      ...(token ? { Authorization: `Bearer ${token}` } : {}),
+    },
+    body: JSON.stringify(body),
+    signal: controller.signal,
+  })
+    .then(async (response) => {
+      if (!response.ok) {
+        const text = await response.text();
+        handlers.error?.({ error: `请求失败 (HTTP ${response.status}): ${text}` });
+        return;
+      }
+
+      const reader = response.body?.getReader();
+      if (!reader) {
+        handlers.error?.({ error: '无法读取响应流' });
+        return;
+      }
+
+      const decoder = new TextDecoder();
+      let buffer = '';
+
+      while (true) {
+        const { done, value } = await reader.read();
+        if (done) break;
+
+        buffer += decoder.decode(value, { stream: true });
+
+        // 按双换行分割 SSE 事件
+        const parts = buffer.split('\n\n');
+        buffer = parts.pop() || '';
+
+        for (const part of parts) {
+          if (!part.trim()) continue;
+
+          const lines = part.split('\n');
+          let eventType = '';
+          let eventData = '';
+
+          for (const line of lines) {
+            if (line.startsWith('event: ')) {
+              eventType = line.slice(7).trim();
+            } else if (line.startsWith('data: ')) {
+              eventData = line.slice(6);
+            }
+          }
+
+          if (!eventType || !eventData) continue;
+
+          try {
+            const parsed = JSON.parse(eventData);
+            handlers[eventType]?.(parsed);
+          } catch {
+            // JSON 解析失败，忽略
+          }
+        }
+      }
+    })
+    .catch((err) => {
+      if (err.name !== 'AbortError') {
+        handlers.error?.({ error: err.message || '网络请求失败' });
+      }
+    });
+
+  return controller;
+}

web/src/app/(main)/admin/agents/page.tsx

@@ -11,26 +11,46 @@ import {
   ReloadOutlined, PlusOutlined,
 } from '@ant-design/icons';
 import { useQuery, useMutation, useQueryClient } from '@tanstack/react-query';
-import { agentApi } from '@/api/agent';
+import { agentApi, skillApi } from '@/api/agent';
 import type { ToolCall, AgentExecutionLog, AgentDefinition } from '@/api/agent';
 
 const { Text } = Typography;
 const { RangePicker } = DatePicker;
 
 const categoryColor: Record<string, string> = {
-  pre_consult: 'blue', diagnosis: 'purple', prescription: 'orange', follow_up: 'green',
+  patient: 'green', doctor: 'blue', pharmacy: 'orange', admin: 'purple', general: 'cyan',
 };
 const categoryLabel: Record<string, string> = {
-  pre_consult: '预问诊', diagnosis: '诊断辅助', prescription: '处方审核', follow_up: '随访管理',
+  patient: '患者服务', doctor: '医生辅助', pharmacy: '处方审核', admin: '管理辅助', general: '通用',
 };
 
 const CATEGORY_OPTIONS = [
-  { value: 'pre_consult', label: '预问诊' },
-  { value: 'diagnosis', label: '诊断辅助' },
-  { value: 'prescription', label: '处方审核' },
-  { value: 'follow_up', label: '随访管理' },
+  { value: 'patient', label: '患者服务' },
+  { value: 'doctor', label: '医生辅助' },
+  { value: 'pharmacy', label: '处方审核' },
+  { value: 'admin', label: '管理辅助' },
+  { value: 'general', label: '通用' },
 ];
 
+// 技能包选择器组件
+function SkillSelect(props: { value?: string[]; onChange?: (v: string[]) => void }) {
+  const { data: skills = [] } = useQuery({
+    queryKey: ['agent-skills'],
+    queryFn: () => skillApi.list(),
+    select: r => (r.data ?? []).map(s => ({ value: s.skill_id, label: `${s.name} - ${s.description}` })),
+  });
+  return (
+    <Select
+      mode="multiple"
+      options={skills}
+      placeholder="选择技能包（可选，技能中的工具会自动合并）"
+      allowClear
+      value={props.value}
+      onChange={props.onChange}
+    />
+  );
+}
+
 interface AgentResponse {
   response: string;
   tool_calls?: ToolCall[];
@@ -53,7 +73,7 @@ export default function AgentsPage() {
   const [editModal, setEditModal] = useState<{ open: boolean; agent: AgentDefinition | null; isNew: boolean }>({ open: false, agent: null, isNew: false });
 
   // 可用工具列表
-  const [availableTools, setAvailableTools] = useState<string[]>([]);
+  const [availableTools, setAvailableTools] = useState<{ name: string; description: string; category: string }[]>([]);
 
   // 执行日志
   const [logs, setLogs] = useState<AgentExecutionLog[]>([]);
@@ -73,7 +93,7 @@ export default function AgentsPage() {
   useEffect(() => {
     agentApi.listTools().then(res => {
       if (res.data?.length > 0) {
-        setAvailableTools(res.data.map((t: { name: string }) => t.name));
+        setAvailableTools(res.data.map(t => ({ name: t.name, description: t.description, category: t.category })));
       }
     }).catch(() => {});
     fetchLogs();
@@ -92,6 +112,7 @@ export default function AgentsPage() {
   const saveMutation = useMutation({
     mutationFn: (values: Record<string, unknown>) => {
       const toolsArr = values.tools_array as string[] || [];
+      const skillsArr = values.skills_array as string[] || [];
       const params = {
         agent_id: values.agent_id as string,
         name: values.name as string,
@@ -99,6 +120,7 @@ export default function AgentsPage() {
         category: values.category as string,
         system_prompt: values.system_prompt as string,
         tools: JSON.stringify(toolsArr),
+        skills: skillsArr,
         max_iterations: values.max_iterations as number,
         status: values.status as string,
       };
@@ -136,7 +158,9 @@ export default function AgentsPage() {
   const openEdit = (agent?: AgentDefinition) => {
     if (agent) {
       let toolsArr: string[] = [];
+      let skillsArr: string[] = [];
       try { toolsArr = JSON.parse(agent.tools || '[]'); } catch {}
+      try { skillsArr = JSON.parse(agent.skills || '[]'); } catch {}
       form.setFieldsValue({
         agent_id: agent.agent_id,
         name: agent.name,
@@ -144,6 +168,7 @@ export default function AgentsPage() {
         category: agent.category,
         system_prompt: agent.system_prompt,
         tools_array: toolsArr,
+        skills_array: skillsArr,
         max_iterations: agent.max_iterations,
         status: agent.status === 'active',
       });
@@ -237,7 +262,7 @@ export default function AgentsPage() {
       render: (v: string) => <Badge status={v === 'active' ? 'success' : 'default'} text={v === 'active' ? '运行中' : '停用'} />,
     },
     {
-      title: '操作', key: 'action', width: 200,
+      title: '操作', key: 'action', width: 260, fixed: 'right' as const,
       render: (_: unknown, r: AgentDefinition) => (
         <Space>
           <Button size="small" icon={<PlayCircleOutlined />} type="link" onClick={() => openTest(r.agent_id, r.name)}>测试</Button>
@@ -283,7 +308,23 @@ export default function AgentsPage() {
     },
   ];
 
-  const toolOptions = availableTools.map(t => ({ value: t, label: t }));
+  // 按分类分组工具选项
+  const toolCategoryLabels: Record<string, string> = {
+    knowledge: '知识库', recommendation: '智能推荐', medical: '病历管理',
+    pharmacy: '药品管理', safety: '安全检查', follow_up: '随访管理',
+    notification: '消息通知', agent: 'Agent调用', workflow: '工作流',
+    expression: '表达式', other: '其他',
+  };
+  const toolsByCategory = availableTools.reduce((acc, t) => {
+    const cat = t.category || 'other';
+    if (!acc[cat]) acc[cat] = [];
+    acc[cat].push(t);
+    return acc;
+  }, {} as Record<string, typeof availableTools>);
+  const toolOptions = Object.entries(toolsByCategory).map(([cat, tools]) => ({
+    label: toolCategoryLabels[cat] || cat,
+    options: tools.map(t => ({ value: t.name, label: t.name, title: t.description })),
+  }));
 
   return (
     <div style={{ padding: '20px 24px', display: 'flex', flexDirection: 'column', gap: 16 }}>
@@ -309,6 +350,7 @@ export default function AgentsPage() {
                   loading={agentsLoading}
                   pagination={false}
                   size="small"
+                  scroll={{ x: 1100 }}
                 />
               ),
             },
@@ -379,7 +421,7 @@ export default function AgentsPage() {
           onFinish={(values) => saveMutation.mutate({ ...values, status: values.status ? 'active' : 'disabled' })}
         >
           <Form.Item name="agent_id" label="Agent ID" rules={[{ required: true, message: '请输入 Agent ID' }]}>
-            <Input placeholder="如: diagnosis_agent" disabled={!editModal.isNew} />
+            <Input placeholder="如: doctor_universal_agent" disabled={!editModal.isNew} />
           </Form.Item>
           <Form.Item name="name" label="名称" rules={[{ required: true }]}>
             <Input placeholder="如: 诊断辅助 Agent" />
@@ -401,6 +443,9 @@ export default function AgentsPage() {
               allowClear
             />
           </Form.Item>
+          <Form.Item name="skills_array" label="技能包">
+            <SkillSelect />
+          </Form.Item>
           <Form.Item name="max_iterations" label="最大迭代次数">
             <InputNumber min={1} max={50} style={{ width: 120 }} />
           </Form.Item>

web/src/app/(main)/admin/ai-center/page.tsx

@@ -208,10 +208,9 @@ export default function AICenterPage() {
                       value={agentFilter || undefined}
                       onChange={(v) => { setAgentFilter(v ?? ''); setPage(1); }}
                       options={[
-                        { value: 'pre_consult_agent', label: '预问诊 Agent' },
-                        { value: 'diagnosis_agent', label: '诊断辅助 Agent' },
-                        { value: 'prescription_agent', label: '处方审核 Agent' },
-                        { value: 'follow_up_agent', label: '随访管理 Agent' },
+                        { value: 'patient_universal_agent', label: '患者智能助手' },
+                        { value: 'doctor_universal_agent', label: '医生智能助手' },
+                        { value: 'admin_universal_agent', label: '管理员智能助手' },
                       ]}
                     />
                     <Input.Search

web/src/app/(main)/admin/layout.tsx

 'use client';
 
-import React from 'react';
+import React, { useState } from 'react';
 import { useRouter, usePathname } from 'next/navigation';
-import { Layout, Menu, Avatar, Dropdown, Button, Badge, Space, Typography, Tag } from 'antd';
+import { Layout, Menu, Avatar, Dropdown, Badge, Space, Typography, Tag } from 'antd';
 import {
   DashboardOutlined, UserOutlined, TeamOutlined, ApartmentOutlined,
   SettingOutlined, LogoutOutlined, BellOutlined, MedicineBoxOutlined,
   FileSearchOutlined, FileTextOutlined, RobotOutlined, SafetyCertificateOutlined,
   ApiOutlined, DeploymentUnitOutlined, BookOutlined, CheckCircleOutlined,
   SafetyOutlined, FundOutlined, AppstoreOutlined, CloudOutlined,
+  MenuFoldOutlined, MenuUnfoldOutlined,
 } from '@ant-design/icons';
 import { useUserStore } from '@/store/userStore';
 
-const { Content } = Layout;
+const { Sider, Content } = Layout;
 const { Text } = Typography;
 
 const menuItems = [
@@ -35,9 +36,7 @@ const menuItems = [
     key: 'ai-platform', icon: <ApiOutlined />, label: '智能体平台',
     children: [
       { key: '/admin/agents', icon: <RobotOutlined />, label: 'Agent管理' },
-      { key: '/admin/tool-market', icon: <AppstoreOutlined />, label: '工具市场' },
-      { key: '/admin/tools', icon: <ApiOutlined />, label: '内置工具' },
-      { key: '/admin/http-tools', icon: <CloudOutlined />, label: 'HTTP工具' },
+      { key: '/admin/tools', icon: <AppstoreOutlined />, label: '工具中心' },
       { key: '/admin/workflows', icon: <DeploymentUnitOutlined />, label: '工作流' },
       { key: '/admin/tasks', icon: <CheckCircleOutlined />, label: '人工审核' },
       { key: '/admin/knowledge', icon: <BookOutlined />, label: '知识库' },
@@ -51,6 +50,7 @@ export default function AdminLayout({ children }: { children: React.ReactNode })
   const router = useRouter();
   const pathname = usePathname();
   const { user, logout } = useUserStore();
+  const [collapsed, setCollapsed] = useState(false);
   const currentPath = pathname || '';
 
   const userMenuItems = [
@@ -70,69 +70,116 @@ export default function AdminLayout({ children }: { children: React.ReactNode })
     if (key === 'logout') { logout(); router.push('/login'); }
   };
 
-  // 选中的菜单项（支持子路径匹配）
   const getSelectedKeys = () => {
     const allKeys = ['/admin/dashboard', '/admin/patients', '/admin/doctors', '/admin/admins',
       '/admin/departments', '/admin/consultations', '/admin/prescription', '/admin/pharmacy',
-      '/admin/ai-config', '/admin/compliance', '/admin/agents', '/admin/tool-market',
-      '/admin/tools', '/admin/http-tools', '/admin/workflows',
+      '/admin/ai-config', '/admin/compliance', '/admin/agents',
+      '/admin/tools', '/admin/workflows',
       '/admin/tasks', '/admin/knowledge', '/admin/safety', '/admin/ai-center'];
     const match = allKeys.find(k => currentPath.startsWith(k));
     return match ? [match] : [];
   };
 
+  const getOpenKeys = () => {
+    if (collapsed) return [];
+    const keys: string[] = [];
+    if (['/admin/patients', '/admin/doctors', '/admin/admins'].some(k => currentPath.startsWith(k))) {
+      keys.push('user-mgmt');
+    }
+    if (['/admin/agents', '/admin/tools',
+      '/admin/workflows', '/admin/tasks', '/admin/knowledge', '/admin/safety', '/admin/ai-center']
+      .some(k => currentPath.startsWith(k))) {
+      keys.push('ai-platform');
+    }
+    return keys;
+  };
+
   return (
     <Layout style={{ minHeight: '100vh' }}>
-      <header
+      <Sider
+        collapsible
+        collapsed={collapsed}
+        onCollapse={setCollapsed}
+        width={220}
+        collapsedWidth={64}
+        trigger={null}
         style={{
-          position: 'fixed', top: 0, left: 0, right: 0, zIndex: 1000,
-          height: 56, display: 'flex', alignItems: 'center', padding: '0 24px',
-          background: '#ffffff',
-          borderBottom: '1px solid #e8f0fc',
-          boxShadow: '0 1px 4px rgba(0, 82, 204, 0.06)',
+          position: 'fixed', left: 0, top: 0, bottom: 0, zIndex: 100,
+          background: '#fff',
+          borderRight: '1px solid #f0f0f0',
+          overflow: 'auto',
         }}
       >
+        {/* Logo */}
         <div
-          style={{ display: 'flex', alignItems: 'center', gap: 8, cursor: 'pointer', marginRight: 20, flexShrink: 0 }}
+          style={{
+            height: 56, display: 'flex', alignItems: 'center', justifyContent: collapsed ? 'center' : 'flex-start',
+            padding: collapsed ? '0' : '0 16px', cursor: 'pointer',
+            borderBottom: '1px solid #f0f0f0',
+          }}
           onClick={() => router.push('/admin/dashboard')}
         >
-          <div style={{ width: 30, height: 30, borderRadius: 8, background: 'linear-gradient(135deg, #722ed1 0%, #531dab 100%)', display: 'flex', alignItems: 'center', justifyContent: 'center' }}>
+          <div style={{
+            width: 32, height: 32, borderRadius: 8, flexShrink: 0,
+            background: 'linear-gradient(135deg, #722ed1 0%, #531dab 100%)',
+            display: 'flex', alignItems: 'center', justifyContent: 'center',
+          }}>
             <MedicineBoxOutlined style={{ fontSize: 16, color: '#fff' }} />
           </div>
-          <span style={{ fontSize: 15, fontWeight: 700, color: '#1d2129' }}>互联网医院</span>
-          <Tag color="purple" style={{ marginLeft: 2, fontSize: 10, lineHeight: '18px', padding: '0 5px' }}>管理后台</Tag>
+          {!collapsed && (
+            <>
+              <span style={{ fontSize: 15, fontWeight: 700, color: '#1d2129', marginLeft: 8 }}>互联网医院</span>
+              <Tag color="purple" style={{ marginLeft: 6, fontSize: 10, lineHeight: '18px', padding: '0 5px' }}>管理</Tag>
+            </>
+          )}
         </div>
 
+        {/* Menu */}
         <Menu
-          mode="horizontal"
+          mode="inline"
           selectedKeys={getSelectedKeys()}
+          defaultOpenKeys={getOpenKeys()}
           items={menuItems}
           onClick={handleMenuClick}
-          theme="light"
-          className="patient-nav-menu"
-          style={{ flex: 1, minWidth: 0, borderBottom: 'none' }}
+          style={{ border: 'none', padding: '8px 0' }}
         />
+      </Sider>
 
-        <div style={{ display: 'flex', alignItems: 'center', gap: 12, flexShrink: 0 }}>
-          <Badge count={2} size="small">
-            <BellOutlined style={{ fontSize: 16, color: '#595959', cursor: 'pointer' }} />
-          </Badge>
-          {user ? (
-            <Dropdown menu={{ items: userMenuItems, onClick: handleUserMenuClick }}>
-              <Space style={{ cursor: 'pointer' }}>
-                <Avatar size="small" icon={<UserOutlined />} style={{ backgroundColor: '#722ed1' }} />
-                <Text style={{ color: '#1d2129', fontSize: 13 }}>{user.real_name || '管理员'}</Text>
-              </Space>
-            </Dropdown>
-          ) : (
-            <Button size="small" type="primary" onClick={() => router.push('/login')}>登录</Button>
-          )}
-        </div>
-      </header>
+      <Layout style={{ marginLeft: collapsed ? 64 : 220, transition: 'margin-left 0.2s' }}>
+        {/* Top bar */}
+        <header
+          style={{
+            height: 56, display: 'flex', alignItems: 'center', justifyContent: 'space-between',
+            padding: '0 24px', background: '#fff',
+            borderBottom: '1px solid #f0f0f0',
+            position: 'sticky', top: 0, zIndex: 99,
+          }}
+        >
+          <div
+            style={{ cursor: 'pointer', fontSize: 18, color: '#595959' }}
+            onClick={() => setCollapsed(!collapsed)}
+          >
+            {collapsed ? <MenuUnfoldOutlined /> : <MenuFoldOutlined />}
+          </div>
+          <div style={{ display: 'flex', alignItems: 'center', gap: 16 }}>
+            <Badge count={2} size="small">
+              <BellOutlined style={{ fontSize: 16, color: '#595959', cursor: 'pointer' }} />
+            </Badge>
+            {user ? (
+              <Dropdown menu={{ items: userMenuItems, onClick: handleUserMenuClick }}>
+                <Space style={{ cursor: 'pointer' }}>
+                  <Avatar size="small" icon={<UserOutlined />} style={{ backgroundColor: '#722ed1' }} />
+                  <Text style={{ color: '#1d2129', fontSize: 13 }}>{user.real_name || '管理员'}</Text>
+                </Space>
+              </Dropdown>
+            ) : null}
+          </div>
+        </header>
 
-      <Content style={{ marginTop: 56, minHeight: 'calc(100vh - 56px)', background: '#f5f6fa' }}>
-        {children}
-      </Content>
+        <Content style={{ minHeight: 'calc(100vh - 56px)', background: '#f5f6fa' }}>
+          {children}
+        </Content>
+      </Layout>
     </Layout>
   );
 }

web/src/app/(main)/admin/safety/page.tsx

@@ -398,7 +398,7 @@ export default function SafetyPage() {
             </Col>
             <Col span={12}>
               <Form.Item name="agent_id" label="限定 Agent（空=全局）">
-                <Input placeholder="如: prescription_agent" />
+                <Input placeholder="如: doctor_universal_agent" />
               </Form.Item>
             </Col>
           </Row>

web/src/components/ConsultCreateModal/index.tsx

@@ -127,7 +127,7 @@ const ConsultCreateModal: React.FC<ConsultCreateModalProps> = ({
       onCancel={handleCancel}
       footer={null}
       width={700}
-      destroyOnClose
+      destroyOnHidden
     >
       {loading ? (
         <div style={{ textAlign: 'center', padding: 60 }}>

web/src/components/GlobalAIButton/index.tsx

-'use client';
-
-import React from 'react';
-import { FloatButton, Tooltip } from 'antd';
-import { RobotOutlined, MessageOutlined, CustomerServiceOutlined } from '@ant-design/icons';
-import { useAIAssistStore } from '../../store/aiAssistStore';
-import { usePreConsultStore } from '../../store/preConsultStore';
-import { useUserStore } from '../../store/userStore';
-
-const GlobalAIButton: React.FC = () => {
-  const { openDrawer: openAIAssist } = useAIAssistStore();
-  const { openDrawer: openPreConsult } = usePreConsultStore();
-  const { user } = useUserStore();
-
-  const isDoctor = user?.role === 'doctor';
-  const isPatient = user?.role === 'patient';
-
-  if (!user) return null;
-
-  return (
-    <FloatButton.Group
-      trigger="hover"
-      type="primary"
-      style={{ right: 24, bottom: 24 }}
-      icon={<CustomerServiceOutlined />}
-      tooltip="AI助手"
-    >
-      {isDoctor && (
-        <Tooltip title="AI诊断助手" placement="left">
-          <FloatButton
-            icon={<RobotOutlined />}
-            onClick={() => openAIAssist()}
-            style={{ 
-              background: 'linear-gradient(135deg, #1890ff 0%, #096dd9 100%)',
-            }}
-          />
-        </Tooltip>
-      )}
-      {isPatient && (
-        <Tooltip title="智能预问诊" placement="left">
-          <FloatButton
-            icon={<MessageOutlined />}
-            onClick={() => openPreConsult()}
-            style={{ 
-              background: 'linear-gradient(135deg, #52c41a 0%, #389e0d 100%)',
-            }}
-          />
-        </Tooltip>
-      )}
-    </FloatButton.Group>
-  );
-};
-
-export default GlobalAIButton;

web/src/pages/admin/Patients/index.tsx

@@ -230,7 +230,7 @@ const AdminPatientsPage: React.FC = () => {
       </Card>
 
       <Modal title={modalType === 'add' ? '添加患者' : '编辑患者'} open={modalVisible}
-        onOk={handleModalSubmit} onCancel={() => setModalVisible(false)} confirmLoading={modalLoading} destroyOnClose width={440}>
+        onOk={handleModalSubmit} onCancel={() => setModalVisible(false)} confirmLoading={modalLoading} destroyOnHidden width={440}>
         <Form form={modalForm} layout="vertical" size="small">
           <Form.Item name="real_name" label="姓名" rules={[{ required: true, message: '请输入姓名' }]}>
             <Input placeholder="患者姓名" />