feat: 医生端Web后台 + SignalR实时问诊

- 新增 doctor_web/ React前端 (dashboard/患者/问诊/报告/随访) - 后端新增 doctor_endpoints (14个医生API) + ConsultationHub (SignalR) - Flutter端 SignalR 替换轮询实现实时聊天
2026-06-05 17:46:07 +08:00
parent 20a5ce1199
commit d0d7d8428d
41 changed files with 5892 additions and 18 deletions
--- a/backend/src/Health.WebApi/Endpoints/doctor_endpoints.cs
+++ b/backend/src/Health.WebApi/Endpoints/doctor_endpoints.cs
@@ -0,0 +1,502 @@
+using Health.Domain.Entities;
+using Health.Domain.Enums;
+using Microsoft.EntityFrameworkCore;
+
+namespace Health.WebApi.Endpoints;
+
+/// <summary>
+/// 医生端 API（开发阶段 hardcode 王建国为当前医生）
+/// </summary>
+public static class DoctorEndpoints
+{
+    private static async Task<Doctor> GetDoctor(AppDbContext db)
+    {
+        return await db.Doctors.FirstAsync(d => d.Name == "王建国" && d.IsActive);
+    }
+
+    public static void MapDoctorEndpoints(this WebApplication app)
+    {
+        var group = app.MapGroup("/api/doctor");
+
+        // ===== 工作台 =====
+        group.MapGet("/dashboard", async (AppDbContext db) =>
+        {
+            var doctor = await GetDoctor(db);
+            var totalPatients = await db.Users.CountAsync();
+            var activeConsultations = await db.Consultations.CountAsync(c => c.DoctorId == doctor.Id && c.Status != ConsultationStatus.Closed);
+            var pendingReports = await db.Reports.CountAsync(r => r.Status == ReportStatus.PendingDoctor);
+            var todayStart = DateTime.UtcNow.Date;
+            var todayEnd = todayStart.AddDays(1);
+            var todayFollowUps = await db.FollowUps.CountAsync(f => f.ScheduledAt >= todayStart && f.ScheduledAt < todayEnd && f.Status == FollowUpStatus.Upcoming);
+
+            return Results.Ok(new
+            {
+                code = 0,
+                data = new
+                {
+                    doctorName = doctor.Name,
+                    doctorTitle = doctor.Title,
+                    doctorDepartment = doctor.Department,
+                    totalPatients,
+                    activeConsultations,
+                    pendingReports,
+                    todayFollowUps
+                },
+                message = (string?)null
+            });
+        });
+
+        // ===== 患者列表 =====
+        group.MapGet("/patients", async (string? search, AppDbContext db) =>
+        {
+            var query = db.Users.AsQueryable();
+            if (!string.IsNullOrWhiteSpace(search))
+            {
+                query = query.Where(u =>
+                    (u.Name != null && u.Name.Contains(search)) ||
+                    u.Phone.Contains(search));
+            }
+            var patients = await query.OrderByDescending(u => u.CreatedAt).Select(u => new
+            {
+                u.Id,
+                u.Phone,
+                u.Name,
+                u.Gender,
+                u.BirthDate,
+                hasArchive = u.HealthArchive != null
+            }).ToListAsync();
+
+            return Results.Ok(new { code = 0, data = patients, message = (string?)null });
+        });
+
+        // ===== 患者详情 =====
+        group.MapGet("/patients/{id:guid}", async (Guid id, AppDbContext db) =>
+        {
+            var user = await db.Users
+                .Include(u => u.HealthArchive)
+                .FirstOrDefaultAsync(u => u.Id == id);
+            if (user == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "患者不存在" });
+
+            // 最新健康指标
+            var latestRecords = await db.HealthRecords
+                .Where(r => r.UserId == id)
+                .GroupBy(r => r.MetricType)
+                .Select(g => g.OrderByDescending(r => r.RecordedAt).First())
+                .ToListAsync();
+
+            // 最近30天健康数据（用于趋势图）
+            var thirtyDaysAgo = DateTime.UtcNow.AddDays(-30);
+            var trendRecords = await db.HealthRecords
+                .Where(r => r.UserId == id && r.RecordedAt >= thirtyDaysAgo)
+                .OrderBy(r => r.RecordedAt)
+                .Select(r => new
+                {
+                    r.Id,
+                    MetricType = r.MetricType.ToString(),
+                    r.Systolic,
+                    r.Diastolic,
+                    r.Value,
+                    r.Unit,
+                    r.RecordedAt,
+                    r.IsAbnormal
+                })
+                .ToListAsync();
+
+            // 用药
+            var medications = await db.Medications
+                .Where(m => m.UserId == id && m.IsActive)
+                .OrderByDescending(m => m.StartDate)
+                .Select(m => new { m.Id, m.Name, m.Dosage, Frequency = m.Frequency.ToString(), m.TimeOfDay, m.StartDate, m.EndDate })
+                .ToListAsync();
+
+            // 最近饮食
+            var dietRecords = await db.DietRecords
+                .Where(d => d.UserId == id)
+                .OrderByDescending(d => d.RecordedAt)
+                .Take(7)
+                .Include(d => d.FoodItems)
+                .ToListAsync();
+
+            // 运动计划
+            var exercisePlans = await db.ExercisePlans
+                .Where(p => p.UserId == id)
+                .OrderByDescending(p => p.WeekStartDate)
+                .Take(1)
+                .Include(p => p.Items)
+                .FirstOrDefaultAsync();
+
+            // 报告
+            var reports = await db.Reports
+                .Where(r => r.UserId == id)
+                .OrderByDescending(r => r.CreatedAt)
+                .Select(r => new
+                {
+                    r.Id,
+                    r.FileUrl,
+                    FileType = r.FileType.ToString(),
+                    Category = r.Category.ToString(),
+                    Status = r.Status.ToString(),
+                    r.AiSummary,
+                    r.AiIndicators,
+                    r.DoctorComment,
+                    r.DoctorName,
+                    r.ReviewedAt,
+                    r.CreatedAt
+                })
+                .ToListAsync();
+
+            // 随访
+            var followUps = await db.FollowUps
+                .Where(f => f.UserId == id)
+                .OrderByDescending(f => f.ScheduledAt)
+                .Select(f => new
+                {
+                    f.Id,
+                    f.Title,
+                    f.DoctorName,
+                    f.Department,
+                    f.ScheduledAt,
+                    f.Notes,
+                    Status = f.Status.ToString(),
+                    f.CreatedAt
+                })
+                .ToListAsync();
+
+            return Results.Ok(new
+            {
+                code = 0,
+                data = new
+                {
+                    profile = new
+                    {
+                        user.Id,
+                        user.Phone,
+                        user.Name,
+                        user.Gender,
+                        BirthDate = user.BirthDate?.ToString("yyyy-MM-dd"),
+                        user.AvatarUrl
+                    },
+                    archive = user.HealthArchive == null ? null : new
+                    {
+                        user.HealthArchive.Diagnosis,
+                        user.HealthArchive.SurgeryType,
+                        SurgeryDate = user.HealthArchive.SurgeryDate?.ToString("yyyy-MM-dd"),
+                        user.HealthArchive.Allergies,
+                        user.HealthArchive.DietRestrictions,
+                        user.HealthArchive.ChronicDiseases,
+                        user.HealthArchive.FamilyHistory
+                    },
+                    latestRecords,
+                    trendRecords,
+                    medications,
+                    dietRecords = dietRecords.Select(d => new
+                    {
+                        d.Id,
+                        MealType = d.MealType.ToString(),
+                        d.TotalCalories,
+                        d.HealthScore,
+                        d.RecordedAt,
+                        foods = d.FoodItems.Select(f => new { f.Name, f.Portion, f.Calories, f.Warning })
+                    }),
+                    exercisePlan = exercisePlans == null ? null : new
+                    {
+                        exercisePlans.WeekStartDate,
+                        items = exercisePlans.Items.Select(i => new
+                        {
+                            i.DayOfWeek,
+                            i.ExerciseType,
+                            i.DurationMinutes,
+                            i.IsCompleted,
+                            i.IsRestDay,
+                            i.CompletedAt
+                        })
+                    },
+                    reports,
+                    followUps
+                },
+                message = (string?)null
+            });
+        });
+
+        // ===== 问诊列表 =====
+        group.MapGet("/consultations", async (AppDbContext db) =>
+        {
+            var doctor = await GetDoctor(db);
+            var consultations = await db.Consultations
+                .Where(c => c.DoctorId == doctor.Id)
+                .OrderByDescending(c => c.CreatedAt)
+                .Select(c => new
+                {
+                    c.Id,
+                    c.UserId,
+                    PatientName = c.User.Name,
+                    PatientPhone = c.User.Phone,
+                    Status = c.Status.ToString(),
+                    c.CreatedAt,
+                    c.ClosedAt,
+                    LastMessage = c.Messages.OrderByDescending(m => m.CreatedAt).Select(m => new { m.Content, m.SenderType, m.CreatedAt }).FirstOrDefault()
+                })
+                .ToListAsync();
+
+            return Results.Ok(new { code = 0, data = consultations, message = (string?)null });
+        });
+
+        // ===== 问诊消息 =====
+        group.MapGet("/consultations/{id:guid}/messages", async (Guid id, AppDbContext db) =>
+        {
+            var messages = await db.ConsultationMessages
+                .Where(m => m.ConsultationId == id)
+                .OrderBy(m => m.CreatedAt)
+                .Select(m => new
+                {
+                    m.Id,
+                    SenderType = m.SenderType.ToString(),
+                    m.SenderName,
+                    m.Content,
+                    m.CreatedAt
+                })
+                .ToListAsync();
+
+            var consultation = await db.Consultations.FirstOrDefaultAsync(c => c.Id == id);
+
+            return Results.Ok(new
+            {
+                code = 0,
+                data = new
+                {
+                    status = consultation?.Status.ToString() ?? "Closed",
+                    messages
+                },
+                message = (string?)null
+            });
+        });
+
+        // ===== 医生发送消息（同时通过 SignalR 广播）=====
+        group.MapPost("/consultations/{id:guid}/messages", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
+        {
+            var doctor = await GetDoctor(db);
+            var consultation = await db.Consultations.FirstOrDefaultAsync(c => c.Id == id, ct);
+            if (consultation == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "问诊不存在" });
+
+            // 读请求 body
+            using var reader = new StreamReader(http.Request.Body);
+            var body = await reader.ReadToEndAsync(ct);
+            var json = System.Text.Json.JsonDocument.Parse(body);
+            var content = json.RootElement.GetProperty("content").GetString() ?? "";
+
+            // 保存消息
+            var msg = new ConsultationMessage
+            {
+                Id = Guid.NewGuid(),
+                ConsultationId = id,
+                SenderType = ConsultationSenderType.Doctor,
+                SenderName = $"医生 · {doctor.Name}",
+                Content = content,
+                CreatedAt = DateTime.UtcNow
+            };
+            db.ConsultationMessages.Add(msg);
+
+            // 更新问诊状态
+            if (consultation.Status == ConsultationStatus.AiTalking || consultation.Status == ConsultationStatus.WaitingDoctor)
+            {
+                consultation.Status = ConsultationStatus.DoctorReplied;
+            }
+
+            await db.SaveChangesAsync(ct);
+
+            // 通过 SignalR 广播（如果 Hub 已注册）
+            var hubContext = http.RequestServices.GetService<Microsoft.AspNetCore.SignalR.IHubContext<Hubs.ConsultationHub>>();
+            if (hubContext != null)
+            {
+                await hubContext.Clients.Group(id.ToString()).SendAsync("ReceiveMessage", new
+                {
+                    msg.Id,
+                    consultationId = id.ToString(),
+                    senderType = "Doctor",
+                    senderName = msg.SenderName,
+                    content,
+                    msg.CreatedAt
+                });
+            }
+
+            return Results.Ok(new { code = 0, data = new { msg.Id }, message = (string?)null });
+        });
+
+        // ===== 报告列表 =====
+        group.MapGet("/reports", async (string? status, AppDbContext db) =>
+        {
+            var query = db.Reports.AsQueryable();
+            if (!string.IsNullOrWhiteSpace(status) && Enum.TryParse<ReportStatus>(status, out var s))
+                query = query.Where(r => r.Status == s);
+
+            var reports = await query
+                .OrderByDescending(r => r.CreatedAt)
+                .Select(r => new
+                {
+                    r.Id,
+                    r.UserId,
+                    PatientName = r.User.Name,
+                    r.FileUrl,
+                    FileType = r.FileType.ToString(),
+                    Category = r.Category.ToString(),
+                    Status = r.Status.ToString(),
+                    r.AiSummary,
+                    r.DoctorComment,
+                    r.ReviewedAt,
+                    r.CreatedAt
+                })
+                .ToListAsync();
+
+            return Results.Ok(new { code = 0, data = reports, message = (string?)null });
+        });
+
+        // ===== 报告详情 =====
+        group.MapGet("/reports/{id:guid}", async (Guid id, AppDbContext db) =>
+        {
+            var report = await db.Reports
+                .Where(r => r.Id == id)
+                .Select(r => new
+                {
+                    r.Id,
+                    r.UserId,
+                    PatientName = r.User.Name,
+                    r.FileUrl,
+                    FileType = r.FileType.ToString(),
+                    Category = r.Category.ToString(),
+                    Status = r.Status.ToString(),
+                    r.AiSummary,
+                    r.AiIndicators,
+                    r.DoctorComment,
+                    r.DoctorName,
+                    r.ReviewedAt,
+                    r.CreatedAt
+                })
+                .FirstOrDefaultAsync();
+
+            if (report == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "报告不存在" });
+
+            return Results.Ok(new { code = 0, data = report, message = (string?)null });
+        });
+
+        // ===== 审阅报告 =====
+        group.MapPost("/reports/{id:guid}/review", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
+        {
+            var doctor = await GetDoctor(db);
+            var report = await db.Reports.FirstOrDefaultAsync(r => r.Id == id, ct);
+            if (report == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "报告不存在" });
+
+            using var reader = new StreamReader(http.Request.Body);
+            var body = await reader.ReadToEndAsync(ct);
+            var json = System.Text.Json.JsonDocument.Parse(body);
+            var comment = json.RootElement.GetProperty("comment").GetString() ?? "";
+
+            report.DoctorComment = comment;
+            report.DoctorName = doctor.Name;
+            report.ReviewedAt = DateTime.UtcNow;
+            report.Status = ReportStatus.DoctorReviewed;
+
+            await db.SaveChangesAsync(ct);
+
+            return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
+        });
+
+        // ===== 随访列表 =====
+        group.MapGet("/follow-ups", async (string? status, string? patientId, AppDbContext db) =>
+        {
+            var query = db.FollowUps.AsQueryable();
+            if (!string.IsNullOrWhiteSpace(status) && Enum.TryParse<FollowUpStatus>(status, out var s))
+                query = query.Where(f => f.Status == s);
+            if (Guid.TryParse(patientId, out var pid))
+                query = query.Where(f => f.UserId == pid);
+
+            var followUps = await query
+                .OrderByDescending(f => f.ScheduledAt)
+                .Select(f => new
+                {
+                    f.Id,
+                    f.UserId,
+                    PatientName = f.User.Name,
+                    f.Title,
+                    f.DoctorName,
+                    f.Department,
+                    f.ScheduledAt,
+                    f.Notes,
+                    Status = f.Status.ToString(),
+                    f.CreatedAt
+                })
+                .ToListAsync();
+
+            return Results.Ok(new { code = 0, data = followUps, message = (string?)null });
+        });
+
+        // ===== 创建随访 =====
+        group.MapPost("/follow-ups", async (HttpContext http, AppDbContext db, CancellationToken ct) =>
+        {
+            var doctor = await GetDoctor(db);
+            using var reader = new StreamReader(http.Request.Body);
+            var body = await reader.ReadToEndAsync(ct);
+            var json = System.Text.Json.JsonDocument.Parse(body);
+
+            var followUp = new FollowUp
+            {
+                Id = Guid.NewGuid(),
+                UserId = Guid.Parse(json.RootElement.GetProperty("userId").GetString()!),
+                Title = json.RootElement.GetProperty("title").GetString() ?? "",
+                DoctorName = doctor.Name,
+                Department = doctor.Department,
+                ScheduledAt = DateTime.Parse(json.RootElement.GetProperty("scheduledAt").GetString()!),
+                Notes = json.RootElement.TryGetProperty("notes", out var n) ? n.GetString() : null,
+                Status = FollowUpStatus.Upcoming,
+                CreatedAt = DateTime.UtcNow
+            };
+            db.FollowUps.Add(followUp);
+            await db.SaveChangesAsync(ct);
+
+            return Results.Ok(new { code = 0, data = new { followUp.Id }, message = (string?)null });
+        });
+
+        // ===== 更新随访 =====
+        group.MapPut("/follow-ups/{id:guid}", async (Guid id, HttpContext http, AppDbContext db, CancellationToken ct) =>
+        {
+            var followUp = await db.FollowUps.FirstOrDefaultAsync(f => f.Id == id, ct);
+            if (followUp == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "随访不存在" });
+
+            using var reader = new StreamReader(http.Request.Body);
+            var body = await reader.ReadToEndAsync(ct);
+            var json = System.Text.Json.JsonDocument.Parse(body);
+
+            if (json.RootElement.TryGetProperty("title", out var title)) followUp.Title = title.GetString() ?? followUp.Title;
+            if (json.RootElement.TryGetProperty("scheduledAt", out var sat)) followUp.ScheduledAt = DateTime.Parse(sat.GetString()!);
+            if (json.RootElement.TryGetProperty("notes", out var notes)) followUp.Notes = notes.GetString();
+            if (json.RootElement.TryGetProperty("status", out var st) && Enum.TryParse<FollowUpStatus>(st.GetString(), out var fs))
+                followUp.Status = fs;
+
+            await db.SaveChangesAsync(ct);
+            return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
+        });
+
+        // ===== 删除随访 =====
+        group.MapDelete("/follow-ups/{id:guid}", async (Guid id, AppDbContext db, CancellationToken ct) =>
+        {
+            var followUp = await db.FollowUps.FirstOrDefaultAsync(f => f.Id == id, ct);
+            if (followUp == null)
+                return Results.Ok(new { code = 404, data = (object?)null, message = "随访不存在" });
+
+            db.FollowUps.Remove(followUp);
+            await db.SaveChangesAsync(ct);
+            return Results.Ok(new { code = 0, data = new { success = true }, message = (string?)null });
+        });
+
+        // ===== 患者列表（简版，给随访选患者用）=====
+        group.MapGet("/patients-simple", async (AppDbContext db) =>
+        {
+            var patients = await db.Users.OrderBy(u => u.Name).Select(u => new { u.Id, u.Name, u.Phone }).ToListAsync();
+            return Results.Ok(new { code = 0, data = patients, message = (string?)null });
+        });
+    }
+}
--- a/backend/src/Health.WebApi/GlobalUsings.cs
+++ b/backend/src/Health.WebApi/GlobalUsings.cs
@@ -1,5 +1,6 @@
 global using Health.Domain.Entities;
 global using Health.Domain.Enums;
 global using Health.Infrastructure.Data;
+global using Microsoft.AspNetCore.SignalR;
 global using Microsoft.EntityFrameworkCore;
 global using System.Text.Json;
--- a/backend/src/Health.WebApi/Hubs/ConsultationHub.cs
+++ b/backend/src/Health.WebApi/Hubs/ConsultationHub.cs
@@ -0,0 +1,36 @@
+using Microsoft.AspNetCore.SignalR;
+
+namespace Health.WebApi.Hubs;
+
+/// <summary>
+/// 问诊实时通信 Hub（开发阶段跳过认证）
+/// </summary>
+public sealed class ConsultationHub : Hub
+{
+    public async Task JoinConsultation(string consultationId)
+    {
+        await Groups.AddToGroupAsync(Context.ConnectionId, consultationId);
+    }
+
+    public async Task LeaveConsultation(string consultationId)
+    {
+        await Groups.RemoveFromGroupAsync(Context.ConnectionId, consultationId);
+    }
+
+    /// <summary>
+    /// 发送消息到问诊房间
+    /// </summary>
+    public async Task SendMessage(string consultationId, string senderType, string? senderName, string content)
+    {
+        // 广播给组内所有人（包括自己）
+        await Clients.Group(consultationId).SendAsync("ReceiveMessage", new
+        {
+            id = Guid.NewGuid(),
+            consultationId,
+            senderType,
+            senderName,
+            content,
+            createdAt = DateTime.UtcNow
+        });
+    }
+}
--- a/backend/src/Health.WebApi/Program.cs
+++ b/backend/src/Health.WebApi/Program.cs
@@ -87,14 +87,16 @@ builder.Services.AddHostedService<CleanupService>();
 // ---- OpenAPI ----
 builder.Services.AddOpenApi();

-// ---- CORS ----
+// ---- SignalR ----
+builder.Services.AddSignalR();
+
+// ---- CORS（SignalR 需要明确 origins + AllowCredentials）----
 builder.Services.AddCors(options =>
 {
    options.AddDefaultPolicy(policy =>
    {
-        policy.AllowAnyOrigin().AllowAnyMethod().AllowAnyHeader();
+        policy.SetIsOriginAllowed(_ => true).AllowAnyMethod().AllowAnyHeader().AllowCredentials();
    });
-    // 生产环境：policy.WithOrigins("https://yourdomain.com").AllowAnyMethod().AllowAnyHeader();
 });

 var app = builder.Build();
@@ -129,5 +131,9 @@ app.MapUserEndpoints();
 app.MapAiChatEndpoints();
 app.MapFileEndpoints();
 app.MapCalendarEndpoints();
+app.MapDoctorEndpoints();
+
+// SignalR Hub
+app.MapHub<Health.WebApi.Hubs.ConsultationHub>("/hubs/consultation");

 app.Run();
--- a/doctor_web/.gitignore
+++ b/doctor_web/.gitignore
@@ -0,0 +1,24 @@
+# Logs
+logs
+*.log
+npm-debug.log*
+yarn-debug.log*
+yarn-error.log*
+pnpm-debug.log*
+lerna-debug.log*
+
+node_modules
+dist
+dist-ssr
+*.local
+
+# Editor directories and files
+.vscode/*
+!.vscode/extensions.json
+.idea
+.DS_Store
+*.suo
+*.ntvs*
+*.njsproj
+*.sln
+*.sw?
--- a/doctor_web/README.md
+++ b/doctor_web/README.md
@@ -0,0 +1,73 @@
+# React + TypeScript + Vite
+
+This template provides a minimal setup to get React working in Vite with HMR and some ESLint rules.
+
+Currently, two official plugins are available:
+
+- [@vitejs/plugin-react](https://github.com/vitejs/vite-plugin-react/blob/main/packages/plugin-react) uses [Oxc](https://oxc.rs)
+- [@vitejs/plugin-react-swc](https://github.com/vitejs/vite-plugin-react/blob/main/packages/plugin-react-swc) uses [SWC](https://swc.rs/)
+
+## React Compiler
+
+The React Compiler is not enabled on this template because of its impact on dev & build performances. To add it, see [this documentation](https://react.dev/learn/react-compiler/installation).
+
+## Expanding the ESLint configuration
+
+If you are developing a production application, we recommend updating the configuration to enable type-aware lint rules:
+
+```js
+export default defineConfig([
+  globalIgnores(['dist']),
+  {
+    files: ['**/*.{ts,tsx}'],
+    extends: [
+      // Other configs...
+
+      // Remove tseslint.configs.recommended and replace with this
+      tseslint.configs.recommendedTypeChecked,
+      // Alternatively, use this for stricter rules
+      tseslint.configs.strictTypeChecked,
+      // Optionally, add this for stylistic rules
+      tseslint.configs.stylisticTypeChecked,
+
+      // Other configs...
+    ],
+    languageOptions: {
+      parserOptions: {
+        project: ['./tsconfig.node.json', './tsconfig.app.json'],
+        tsconfigRootDir: import.meta.dirname,
+      },
+      // other options...
+    },
+  },
+])
+```
+
+You can also install [eslint-plugin-react-x](https://github.com/Rel1cx/eslint-react/tree/main/packages/plugins/eslint-plugin-react-x) and [eslint-plugin-react-dom](https://github.com/Rel1cx/eslint-react/tree/main/packages/plugins/eslint-plugin-react-dom) for React-specific lint rules:
+
+```js
+// eslint.config.js
+import reactX from 'eslint-plugin-react-x'
+import reactDom from 'eslint-plugin-react-dom'
+
+export default defineConfig([
+  globalIgnores(['dist']),
+  {
+    files: ['**/*.{ts,tsx}'],
+    extends: [
+      // Other configs...
+      // Enable lint rules for React
+      reactX.configs['recommended-typescript'],
+      // Enable lint rules for React DOM
+      reactDom.configs.recommended,
+    ],
+    languageOptions: {
+      parserOptions: {
+        project: ['./tsconfig.node.json', './tsconfig.app.json'],
+        tsconfigRootDir: import.meta.dirname,
+      },
+      // other options...
+    },
+  },
+])
+```
--- a/doctor_web/eslint.config.js
+++ b/doctor_web/eslint.config.js
@@ -0,0 +1,22 @@
+import js from '@eslint/js'
+import globals from 'globals'
+import reactHooks from 'eslint-plugin-react-hooks'
+import reactRefresh from 'eslint-plugin-react-refresh'
+import tseslint from 'typescript-eslint'
+import { defineConfig, globalIgnores } from 'eslint/config'
+
+export default defineConfig([
+  globalIgnores(['dist']),
+  {
+    files: ['**/*.{ts,tsx}'],
+    extends: [
+      js.configs.recommended,
+      tseslint.configs.recommended,
+      reactHooks.configs.flat.recommended,
+      reactRefresh.configs.vite,
+    ],
+    languageOptions: {
+      globals: globals.browser,
+    },
+  },
+])
--- a/doctor_web/index.html
+++ b/doctor_web/index.html
@@ -0,0 +1,13 @@
+<!doctype html>
+<html lang="en">
+  <head>
+    <meta charset="UTF-8" />
+    <link rel="icon" type="image/svg+xml" href="/favicon.svg" />
+    <meta name="viewport" content="width=device-width, initial-scale=1.0" />
+    <title>doctor_web</title>
+  </head>
+  <body>
+    <div id="root"></div>
+    <script type="module" src="/src/main.tsx"></script>
+  </body>
+</html>
--- a/doctor_web/package-lock.json
+++ b/doctor_web/package-lock.json
--- a/doctor_web/package.json
+++ b/doctor_web/package.json
@@ -0,0 +1,34 @@
+{
+  "name": "doctor_web",
+  "private": true,
+  "version": "0.0.0",
+  "type": "module",
+  "scripts": {
+    "dev": "vite",
+    "build": "tsc -b && vite build",
+    "lint": "eslint .",
+    "preview": "vite preview"
+  },
+  "dependencies": {
+    "@microsoft/signalr": "^10.0.0",
+    "react": "^19.2.6",
+    "react-dom": "^19.2.6",
+    "react-router-dom": "^7.17.0",
+    "recharts": "^3.8.1",
+    "zustand": "^5.0.14"
+  },
+  "devDependencies": {
+    "@eslint/js": "^10.0.1",
+    "@types/node": "^24.12.3",
+    "@types/react": "^19.2.14",
+    "@types/react-dom": "^19.2.3",
+    "@vitejs/plugin-react": "^6.0.1",
+    "eslint": "^10.3.0",
+    "eslint-plugin-react-hooks": "^7.1.1",
+    "eslint-plugin-react-refresh": "^0.5.2",
+    "globals": "^17.6.0",
+    "typescript": "~6.0.2",
+    "typescript-eslint": "^8.59.2",
+    "vite": "^8.0.12"
+  }
+}
--- a/doctor_web/public/favicon.svg
+++ b/doctor_web/public/favicon.svg
--- a/doctor_web/public/icons.svg
+++ b/doctor_web/public/icons.svg
@@ -0,0 +1,24 @@
+<svg xmlns="http://www.w3.org/2000/svg">
+  <symbol id="bluesky-icon" viewBox="0 0 16 17">
+    <g clip-path="url(#bluesky-clip)"><path fill="#08060d" d="M7.75 7.735c-.693-1.348-2.58-3.86-4.334-5.097-1.68-1.187-2.32-.981-2.74-.79C.188 2.065.1 2.812.1 3.251s.241 3.602.398 4.13c.52 1.744 2.367 2.333 4.07 2.145-2.495.37-4.71 1.278-1.805 4.512 3.196 3.309 4.38-.71 4.987-2.746.608 2.036 1.307 5.91 4.93 2.746 2.72-2.746.747-4.143-1.747-4.512 1.702.189 3.55-.4 4.07-2.145.156-.528.397-3.691.397-4.13s-.088-1.186-.575-1.406c-.42-.19-1.06-.395-2.741.79-1.755 1.24-3.64 3.752-4.334 5.099"/></g>
+    <defs><clipPath id="bluesky-clip"><path fill="#fff" d="M.1.85h15.3v15.3H.1z"/></clipPath></defs>
+  </symbol>
+  <symbol id="discord-icon" viewBox="0 0 20 19">
+    <path fill="#08060d" d="M16.224 3.768a14.5 14.5 0 0 0-3.67-1.153c-.158.286-.343.67-.47.976a13.5 13.5 0 0 0-4.067 0c-.128-.306-.317-.69-.476-.976A14.4 14.4 0 0 0 3.868 3.77C1.546 7.28.916 10.703 1.231 14.077a14.7 14.7 0 0 0 4.5 2.306q.545-.748.965-1.587a9.5 9.5 0 0 1-1.518-.74q.191-.14.372-.293c2.927 1.369 6.107 1.369 8.999 0q.183.152.372.294-.723.437-1.52.74.418.838.963 1.588a14.6 14.6 0 0 0 4.504-2.308c.37-3.911-.63-7.302-2.644-10.309m-9.13 8.234c-.878 0-1.599-.82-1.599-1.82 0-.998.705-1.82 1.6-1.82.894 0 1.614.82 1.599 1.82.001 1-.705 1.82-1.6 1.82m5.91 0c-.878 0-1.599-.82-1.599-1.82 0-.998.705-1.82 1.6-1.82.893 0 1.614.82 1.599 1.82 0 1-.706 1.82-1.6 1.82"/>
+  </symbol>
+  <symbol id="documentation-icon" viewBox="0 0 21 20">
+    <path fill="none" stroke="#aa3bff" stroke-linecap="round" stroke-linejoin="round" stroke-width="1.35" d="m15.5 13.333 1.533 1.322c.645.555.967.833.967 1.178s-.322.623-.967 1.179L15.5 18.333m-3.333-5-1.534 1.322c-.644.555-.966.833-.966 1.178s.322.623.966 1.179l1.534 1.321"/>
+    <path fill="none" stroke="#aa3bff" stroke-linecap="round" stroke-linejoin="round" stroke-width="1.35" d="M17.167 10.836v-4.32c0-1.41 0-2.117-.224-2.68-.359-.906-1.118-1.621-2.08-1.96-.599-.21-1.349-.21-2.848-.21-2.623 0-3.935 0-4.983.369-1.684.591-3.013 1.842-3.641 3.428C3 6.449 3 7.684 3 10.154v2.122c0 2.558 0 3.838.706 4.726q.306.383.713.671c.76.536 1.79.64 3.581.66"/>
+    <path fill="none" stroke="#aa3bff" stroke-linecap="round" stroke-linejoin="round" stroke-width="1.35" d="M3 10a2.78 2.78 0 0 1 2.778-2.778c.555 0 1.209.097 1.748-.047.48-.129.854-.503.982-.982.145-.54.048-1.194.048-1.749a2.78 2.78 0 0 1 2.777-2.777"/>
+  </symbol>
+  <symbol id="github-icon" viewBox="0 0 19 19">
+    <path fill="#08060d" fill-rule="evenodd" d="M9.356 1.85C5.05 1.85 1.57 5.356 1.57 9.694a7.84 7.84 0 0 0 5.324 7.44c.387.079.528-.168.528-.376 0-.182-.013-.805-.013-1.454-2.165.467-2.616-.935-2.616-.935-.349-.91-.864-1.143-.864-1.143-.71-.48.051-.48.051-.48.787.051 1.2.805 1.2.805.695 1.194 1.817.857 2.268.649.064-.507.27-.857.49-1.052-1.728-.182-3.545-.857-3.545-3.87 0-.857.31-1.558.8-2.104-.078-.195-.349-1 .077-2.078 0 0 .657-.208 2.14.805a7.5 7.5 0 0 1 1.946-.26c.657 0 1.328.092 1.946.26 1.483-1.013 2.14-.805 2.14-.805.426 1.078.155 1.883.078 2.078.502.546.799 1.247.799 2.104 0 3.013-1.818 3.675-3.558 3.87.284.247.528.714.528 1.454 0 1.052-.012 1.896-.012 2.156 0 .208.142.455.528.377a7.84 7.84 0 0 0 5.324-7.441c.013-4.338-3.48-7.844-7.773-7.844" clip-rule="evenodd"/>
+  </symbol>
+  <symbol id="social-icon" viewBox="0 0 20 20">
+    <path fill="none" stroke="#aa3bff" stroke-linecap="round" stroke-linejoin="round" stroke-width="1.35" d="M12.5 6.667a4.167 4.167 0 1 0-8.334 0 4.167 4.167 0 0 0 8.334 0"/>
+    <path fill="none" stroke="#aa3bff" stroke-linecap="round" stroke-linejoin="round" stroke-width="1.35" d="M2.5 16.667a5.833 5.833 0 0 1 8.75-5.053m3.837.474.513 1.035c.07.144.257.282.414.309l.93.155c.596.1.736.536.307.965l-.723.73a.64.64 0 0 0-.152.531l.207.903c.164.715-.213.991-.84.618l-.872-.52a.63.63 0 0 0-.577 0l-.872.52c-.624.373-1.003.094-.84-.618l.207-.903a.64.64 0 0 0-.152-.532l-.723-.729c-.426-.43-.289-.864.306-.964l.93-.156a.64.64 0 0 0 .412-.31l.513-1.034c.28-.562.735-.562 1.012 0"/>
+  </symbol>
+  <symbol id="x-icon" viewBox="0 0 19 19">
+    <path fill="#08060d" fill-rule="evenodd" d="M1.893 1.98c.052.072 1.245 1.769 2.653 3.77l2.892 4.114c.183.261.333.48.333.486s-.068.089-.152.183l-.522.593-.765.867-3.597 4.087c-.375.426-.734.834-.798.905a1 1 0 0 0-.118.148c0 .01.236.017.664.017h.663l.729-.83c.4-.457.796-.906.879-.999a692 692 0 0 0 1.794-2.038c.034-.037.301-.34.594-.675l.551-.624.345-.392a7 7 0 0 1 .34-.374c.006 0 .93 1.306 2.052 2.903l2.084 2.965.045.063h2.275c1.87 0 2.273-.003 2.266-.021-.008-.02-1.098-1.572-3.894-5.547-2.013-2.862-2.28-3.246-2.273-3.266.008-.019.282-.332 2.085-2.38l2-2.274 1.567-1.782c.022-.028-.016-.03-.65-.03h-.674l-.3.342a871 871 0 0 1-1.782 2.025c-.067.075-.405.458-.75.852a100 100 0 0 1-.803.91c-.148.172-.299.344-.99 1.127-.304.343-.32.358-.345.327-.015-.019-.904-1.282-1.976-2.808L6.365 1.85H1.8zm1.782.91 8.078 11.294c.772 1.08 1.413 1.973 1.425 1.984.016.017.241.02 1.05.017l1.03-.004-2.694-3.766L7.796 5.75 5.722 2.852l-1.039-.004-1.039-.004z" clip-rule="evenodd"/>
+  </symbol>
+</svg>
--- a/doctor_web/src/App.tsx
+++ b/doctor_web/src/App.tsx
@@ -0,0 +1,7 @@
+import { RouterProvider } from 'react-router-dom';
+import { router } from './router';
+import './index.css';
+
+export default function App() {
+  return <RouterProvider router={router} />;
+}
--- a/doctor_web/src/assets/hero.png
+++ b/doctor_web/src/assets/hero.png
--- a/doctor_web/src/assets/react.svg
+++ b/doctor_web/src/assets/react.svg
@@ -0,0 +1 @@
+<svg xmlns="http://www.w3.org/2000/svg" xmlns:xlink="http://www.w3.org/1999/xlink" aria-hidden="true" role="img" class="iconify iconify--logos" width="35.93" height="32" preserveAspectRatio="xMidYMid meet" viewBox="0 0 256 228"><path fill="#00D8FF" d="M210.483 73.824a171.49 171.49 0 0 0-8.24-2.597c.465-1.9.893-3.777 1.273-5.621c6.238-30.281 2.16-54.676-11.769-62.708c-13.355-7.7-35.196.329-57.254 19.526a171.23 171.23 0 0 0-6.375 5.848a155.866 155.866 0 0 0-4.241-3.917C100.759 3.829 77.587-4.822 63.673 3.233C50.33 10.957 46.379 33.89 51.995 62.588a170.974 170.974 0 0 0 1.892 8.48c-3.28.932-6.445 1.924-9.474 2.98C17.309 83.498 0 98.307 0 113.668c0 15.865 18.582 31.778 46.812 41.427a145.52 145.52 0 0 0 6.921 2.165a167.467 167.467 0 0 0-2.01 9.138c-5.354 28.2-1.173 50.591 12.134 58.266c13.744 7.926 36.812-.22 59.273-19.855a145.567 145.567 0 0 0 5.342-4.923a168.064 168.064 0 0 0 6.92 6.314c21.758 18.722 43.246 26.282 56.54 18.586c13.731-7.949 18.194-32.003 12.4-61.268a145.016 145.016 0 0 0-1.535-6.842c1.62-.48 3.21-.974 4.76-1.488c29.348-9.723 48.443-25.443 48.443-41.52c0-15.417-17.868-30.326-45.517-39.844Zm-6.365 70.984c-1.4.463-2.836.91-4.3 1.345c-3.24-10.257-7.612-21.163-12.963-32.432c5.106-11 9.31-21.767 12.459-31.957c2.619.758 5.16 1.557 7.61 2.4c23.69 8.156 38.14 20.213 38.14 29.504c0 9.896-15.606 22.743-40.946 31.14Zm-10.514 20.834c2.562 12.94 2.927 24.64 1.23 33.787c-1.524 8.219-4.59 13.698-8.382 15.893c-8.067 4.67-25.32-1.4-43.927-17.412a156.726 156.726 0 0 1-6.437-5.87c7.214-7.889 14.423-17.06 21.459-27.246c12.376-1.098 24.068-2.894 34.671-5.345a134.17 134.17 0 0 1 1.386 6.193ZM87.276 214.515c-7.882 2.783-14.16 2.863-17.955.675c-8.075-4.657-11.432-22.636-6.853-46.752a156.923 156.923 0 0 1 1.869-8.499c10.486 2.32 22.093 3.988 34.498 4.994c7.084 9.967 14.501 19.128 21.976 27.15a134.668 134.668 0 0 1-4.877 4.492c-9.933 8.682-19.886 14.842-28.658 17.94ZM50.35 144.747c-12.483-4.267-22.792-9.812-29.858-15.863c-6.35-5.437-9.555-10.836-9.555-15.216c0-9.322 13.897-21.212 37.076-29.293c2.813-.98 5.757-1.905 8.812-2.773c3.204 10.42 7.406 21.315 12.477 32.332c-5.137 11.18-9.399 22.249-12.634 32.792a134.718 134.718 0 0 1-6.318-1.979Zm12.378-84.26c-4.811-24.587-1.616-43.134 6.425-47.789c8.564-4.958 27.502 2.111 47.463 19.835a144.318 144.318 0 0 1 3.841 3.545c-7.438 7.987-14.787 17.08-21.808 26.988c-12.04 1.116-23.565 2.908-34.161 5.309a160.342 160.342 0 0 1-1.76-7.887Zm110.427 27.268a347.8 347.8 0 0 0-7.785-12.803c8.168 1.033 15.994 2.404 23.343 4.08c-2.206 7.072-4.956 14.465-8.193 22.045a381.151 381.151 0 0 0-7.365-13.322Zm-45.032-43.861c5.044 5.465 10.096 11.566 15.065 18.186a322.04 322.04 0 0 0-30.257-.006c4.974-6.559 10.069-12.652 15.192-18.18ZM82.802 87.83a323.167 323.167 0 0 0-7.227 13.238c-3.184-7.553-5.909-14.98-8.134-22.152c7.304-1.634 15.093-2.97 23.209-3.984a321.524 321.524 0 0 0-7.848 12.897Zm8.081 65.352c-8.385-.936-16.291-2.203-23.593-3.793c2.26-7.3 5.045-14.885 8.298-22.6a321.187 321.187 0 0 0 7.257 13.246c2.594 4.48 5.28 8.868 8.038 13.147Zm37.542 31.03c-5.184-5.592-10.354-11.779-15.403-18.433c4.902.192 9.899.29 14.978.29c5.218 0 10.376-.117 15.453-.343c-4.985 6.774-10.018 12.97-15.028 18.486Zm52.198-57.817c3.422 7.8 6.306 15.345 8.596 22.52c-7.422 1.694-15.436 3.058-23.88 4.071a382.417 382.417 0 0 0 7.859-13.026a347.403 347.403 0 0 0 7.425-13.565Zm-16.898 8.101a358.557 358.557 0 0 1-12.281 19.815a329.4 329.4 0 0 1-23.444.823c-7.967 0-15.716-.248-23.178-.732a310.202 310.202 0 0 1-12.513-19.846h.001a307.41 307.41 0 0 1-10.923-20.627a310.278 310.278 0 0 1 10.89-20.637l-.001.001a307.318 307.318 0 0 1 12.413-19.761c7.613-.576 15.42-.876 23.31-.876H128c7.926 0 15.743.303 23.354.883a329.357 329.357 0 0 1 12.335 19.695a358.489 358.489 0 0 1 11.036 20.54a329.472 329.472 0 0 1-11 20.722Zm22.56-122.124c8.572 4.944 11.906 24.881 6.52 51.026c-.344 1.668-.73 3.367-1.15 5.09c-10.622-2.452-22.155-4.275-34.23-5.408c-7.034-10.017-14.323-19.124-21.64-27.008a160.789 160.789 0 0 1 5.888-5.4c18.9-16.447 36.564-22.941 44.612-18.3ZM128 90.808c12.625 0 22.86 10.235 22.86 22.86s-10.235 22.86-22.86 22.86s-22.86-10.235-22.86-22.86s10.235-22.86 22.86-22.86Z"></path></svg>
--- a/doctor_web/src/assets/vite.svg
+++ b/doctor_web/src/assets/vite.svg
--- a/doctor_web/src/components/layout/DoctorLayout.module.css
+++ b/doctor_web/src/components/layout/DoctorLayout.module.css
@@ -0,0 +1,124 @@
+.layout {
+  display: flex;
+  min-height: 100vh;
+}
+
+/* ---- 侧边栏 ---- */
+.sidebar {
+  width: 224px;
+  background: #FFF;
+  border-right: 1px solid #EDF0F7;
+  display: flex;
+  flex-direction: column;
+  flex-shrink: 0;
+}
+
+.brand {
+  padding: 24px 20px 20px;
+  border-bottom: 1px solid #EDF0F7;
+}
+
+.brandTitle {
+  font-size: 18px;
+  font-weight: 700;
+  color: #1A1D28;
+  display: flex;
+  align-items: center;
+  gap: 8px;
+}
+
+.brandSub {
+  font-size: 12px;
+  color: #9BA0B4;
+  margin-top: 2px;
+}
+
+.nav {
+  flex: 1;
+  padding: 12px 12px;
+  display: flex;
+  flex-direction: column;
+  gap: 2px;
+}
+
+.navItem {
+  display: flex;
+  align-items: center;
+  gap: 12px;
+  padding: 10px 12px;
+  border-radius: 10px;
+  text-decoration: none;
+  color: #5A6072;
+  font-size: 14px;
+  font-weight: 500;
+  transition: all 0.15s;
+}
+
+.navItem:hover {
+  background: #F5F6FA;
+  color: #1A1D28;
+}
+
+.navItem.active {
+  background: #EDF0FD;
+  color: #4F6EF7;
+  font-weight: 600;
+}
+
+.navIcon {
+  width: 20px;
+  height: 20px;
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  font-size: 16px;
+}
+
+.footer {
+  padding: 16px 20px;
+  border-top: 1px solid #EDF0F7;
+  background: #FAFBFD;
+}
+
+.doctorInfo {
+  display: flex;
+  align-items: center;
+  gap: 12px;
+}
+
+.avatar {
+  width: 40px;
+  height: 40px;
+  border-radius: 10px;
+  background: linear-gradient(135deg, #4F6EF7, #6C8AFF);
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  color: #FFF;
+  font-size: 16px;
+  font-weight: 600;
+}
+
+.doctorName {
+  font-size: 14px;
+  font-weight: 600;
+  color: #1A1D28;
+}
+
+.doctorMeta {
+  font-size: 12px;
+  color: #9BA0B4;
+}
+
+/* ---- 内容区 ---- */
+.content {
+  flex: 1;
+  background: #F2F5FA;
+  min-width: 0;
+  animation: fadeIn 0.25s ease;
+}
+
+@keyframes fadeIn {
+  from { opacity: 0; transform: translateY(6px); }
+  to { opacity: 1; transform: translateY(0); }
+}
--- a/doctor_web/src/components/layout/DoctorLayout.tsx
+++ b/doctor_web/src/components/layout/DoctorLayout.tsx
@@ -0,0 +1,70 @@
+import { NavLink, Outlet, useLocation } from 'react-router-dom';
+import { useEffect, useState } from 'react';
+import { api } from '../../services/api-client';
+import type { DashboardStats } from '../../types';
+import styles from './DoctorLayout.module.css';
+
+const NAV_ITEMS = [
+  { to: '/dashboard', label: '工作台', icon: '📊' },
+  { to: '/patients', label: '患者管理', icon: '👥' },
+  { to: '/consultations', label: '在线问诊', icon: '💬' },
+  { to: '/reports', label: '报告审核', icon: '📋' },
+  { to: '/follow-ups', label: '复查随访', icon: '📅' },
+];
+
+export default function DoctorLayout() {
+  const location = useLocation();
+  const [doctor, setDoctor] = useState<DashboardStats | null>(null);
+
+  useEffect(() => {
+    api.get<DashboardStats>('/api/doctor/dashboard').then(setDoctor).catch(() => {});
+  }, []);
+
+  return (
+    <div className={styles.layout}>
+      {/* 侧边栏 */}
+      <aside className={styles.sidebar}>
+        <div className={styles.brand}>
+          <div className={styles.brandTitle}>
+            <span>❤️</span> 健康管家
+          </div>
+          <div className={styles.brandSub}>医生工作台</div>
+        </div>
+
+        <nav className={styles.nav}>
+          {NAV_ITEMS.map(item => (
+            <NavLink
+              key={item.to}
+              to={item.to}
+              className={({ isActive }) =>
+                `${styles.navItem} ${isActive ? styles.active : ''}`
+              }
+            >
+              <span className={styles.navIcon}>{item.icon}</span>
+              {item.label}
+            </NavLink>
+          ))}
+        </nav>
+
+        <div className={styles.footer}>
+          <div className={styles.doctorInfo}>
+            <div className={styles.avatar}>
+              {doctor?.doctorName?.[0] ?? '王'}
+            </div>
+            <div>
+              <div className={styles.doctorName}>{doctor?.doctorName ?? '王建国'}</div>
+              <div className={styles.doctorMeta}>
+                {doctor?.doctorTitle ?? '主任医师'} · {doctor?.doctorDepartment ?? '心血管内科'}
+              </div>
+            </div>
+          </div>
+        </div>
+      </aside>
+
+      {/* 内容区 */}
+      <main className={styles.content} key={location.pathname}>
+        <Outlet />
+      </main>
+    </div>
+  );
+}
--- a/doctor_web/src/index.css
+++ b/doctor_web/src/index.css
@@ -0,0 +1,5 @@
+*, *::before, *::after { box-sizing: border-box; margin: 0; padding: 0; }
+body { font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', 'PingFang SC', 'Microsoft YaHei', sans-serif; color: #1A1D28; background: #F2F5FA; -webkit-font-smoothing: antialiased; }
+a { text-decoration: none; color: inherit; }
+button { cursor: pointer; font-family: inherit; }
+input, textarea, select { font-family: inherit; }
--- a/doctor_web/src/main.tsx
+++ b/doctor_web/src/main.tsx
@@ -0,0 +1,9 @@
+import { StrictMode } from 'react';
+import { createRoot } from 'react-dom/client';
+import App from './App';
+
+createRoot(document.getElementById('root')!).render(
+  <StrictMode>
+    <App />
+  </StrictMode>,
+);
--- a/doctor_web/src/pages/consultations/ChatPage.tsx
+++ b/doctor_web/src/pages/consultations/ChatPage.tsx
@@ -0,0 +1,167 @@
+import { useEffect, useRef, useState } from 'react';
+import { useParams } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import { getConnection, startConnection } from '../../services/signalr';
+import type { ConsultationMessage } from '../../types';
+
+export default function ChatPage() {
+  const { id } = useParams<{ id: string }>();
+  const [messages, setMessages] = useState<ConsultationMessage[]>([]);
+  const [status, setStatus] = useState('');
+  const [text, setText] = useState('');
+  const [connected, setConnected] = useState(false);
+  const bottomRef = useRef<HTMLDivElement>(null);
+
+  // 加载历史消息
+  useEffect(() => {
+    if (!id) return;
+    api.get<{ status: string; messages: ConsultationMessage[] }>(`/api/doctor/consultations/${id}/messages`)
+      .then(data => {
+        setMessages(data.messages);
+        setStatus(data.status);
+      })
+      .catch(() => {});
+  }, [id]);
+
+  // 建立 SignalR 连接
+  useEffect(() => {
+    if (!id) return;
+    let disposed = false;
+
+    (async () => {
+      try {
+        const conn = getConnection();
+        await startConnection();
+        if (disposed) return;
+
+        // 加入问诊房间
+        await conn.invoke('JoinConsultation', id);
+        setConnected(true);
+
+        // 注册消息接收
+        const handler = (msg: ConsultationMessage & { consultationId: string }) => {
+          if (msg.consultationId !== id) return;
+          setMessages(prev => {
+            if (prev.some(m => m.id === msg.id)) return prev; // 去重
+            return [...prev, msg];
+          });
+        };
+        conn.on('ReceiveMessage', handler);
+
+        // 重连时重新加入房间
+        conn.onreconnected(() => {
+          conn.invoke('JoinConsultation', id);
+        });
+      } catch { /* ignore */ }
+    })();
+
+    return () => {
+      disposed = true;
+      const conn = getConnection();
+      if (conn.state === 'Connected') {
+        conn.invoke('LeaveConsultation', id).catch(() => {});
+        conn.off('ReceiveMessage');
+      }
+    };
+  }, [id]);
+
+  // 自动滚到底部
+  useEffect(() => {
+    bottomRef.current?.scrollIntoView({ behavior: 'smooth' });
+  }, [messages]);
+
+  async function sendMessage() {
+    if (!text.trim() || !id) return;
+    const content = text.trim();
+    setText('');
+
+    // 通过 HTTP 发送（后端会通过 SignalR 广播）
+    try {
+      await api.post(`/api/doctor/consultations/${id}/messages`, { content });
+    } catch {
+      // fallback: 直接通过 SignalR 发送
+      try {
+        await getConnection().invoke('SendMessage', id, 'Doctor', '医生 · 王建国', content);
+      } catch { /* ignore */ }
+    }
+  }
+
+  return (
+    <div style={{ display: 'flex', flexDirection: 'column', height: '100vh' }}>
+      {/* 顶栏 */}
+      <div style={{ background: '#FFF', padding: '16px 24px', borderBottom: '1px solid #EDF0F7', display: 'flex', alignItems: 'center', justifyContent: 'space-between' }}>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600 }}>问诊对话</div>
+          <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 2 }}>
+            {status === 'AiTalking' ? 'AI 分身对话中' : status === 'WaitingDoctor' ? '等待医生回复' : status === 'DoctorReplied' ? '医生已回复' : status === 'Closed' ? '已结束' : status}
+          </div>
+        </div>
+        <div style={{ display: 'flex', alignItems: 'center', gap: 6 }}>
+          <div style={{ width: 8, height: 8, borderRadius: 4, background: connected ? '#20C997' : '#EF4444' }} />
+          <span style={{ fontSize: 12, color: '#9BA0B4' }}>{connected ? '已连接' : '未连接'}</span>
+        </div>
+      </div>
+
+      {/* 消息列表 */}
+      <div style={{ flex: 1, overflow: 'auto', padding: '20px 24px' }}>
+        {messages.map((msg, i) => {
+          const isDoctor = msg.senderType === 'Doctor';
+          const isAi = msg.senderType === 'Ai';
+          return (
+            <div key={msg.id || i} style={{ display: 'flex', flexDirection: 'column', alignItems: isDoctor ? 'flex-end' : 'flex-start', marginBottom: 16 }}>
+              {/* 发送者名称 */}
+              {!isDoctor && msg.senderName && (
+                <div style={{ fontSize: 11, color: '#9BA0B4', marginBottom: 4, marginLeft: 8 }}>{msg.senderName}</div>
+              )}
+              {/* 气泡 */}
+              <div style={{
+                maxWidth: '70%',
+                padding: '12px 18px',
+                borderRadius: isDoctor ? '18px 4px 18px 18px' : '4px 18px 18px 18px',
+                background: isDoctor ? '#4F6EF7' : isAi ? '#F5F5F5' : '#FFF',
+                color: isDoctor ? '#FFF' : '#1A1D28',
+                border: isDoctor ? 'none' : '1px solid #EDF0F7',
+                fontSize: 15,
+                lineHeight: 1.6,
+                whiteSpace: 'pre-wrap',
+                wordBreak: 'break-word',
+              }}>
+                {msg.content}
+              </div>
+              {/* AI 标记 */}
+              {isAi && (
+                <div style={{ fontSize: 10, color: '#F9A825', marginTop: 4, marginLeft: 8, background: '#FFF8E1', padding: '2px 8px', borderRadius: 6 }}>
+                  AI 分析，仅供参考
+                </div>
+              )}
+              {/* 时间 */}
+              <div style={{ fontSize: 11, color: '#CCC', marginTop: 4, marginLeft: 8, marginRight: 8 }}>
+                {new Date(msg.createdAt).toLocaleTimeString('zh-CN', { hour: '2-digit', minute: '2-digit' })}
+              </div>
+            </div>
+          );
+        })}
+        <div ref={bottomRef} />
+      </div>
+
+      {/* 输入栏 */}
+      <div style={{ background: '#FFF', padding: '14px 24px', borderTop: '1px solid #EDF0F7' }}>
+        <div style={{ display: 'flex', gap: 12 }}>
+          <input
+            value={text}
+            onChange={e => setText(e.target.value)}
+            onKeyDown={e => e.key === 'Enter' && sendMessage()}
+            placeholder="输入回复..."
+            style={{ flex: 1, padding: '12px 18px', border: '1px solid #E1E5ED', borderRadius: 12, fontSize: 15, outline: 'none' }}
+          />
+          <button
+            onClick={sendMessage}
+            disabled={!text.trim()}
+            style={{ padding: '12px 24px', background: text.trim() ? '#4F6EF7' : '#E1E5ED', color: text.trim() ? '#FFF' : '#9BA0B4', border: 'none', borderRadius: 12, fontSize: 15, fontWeight: 600 }}>
+            发送
+          </button>
+        </div>
+      </div>
+    </div>
+  );
+}
--- a/doctor_web/src/pages/consultations/ConsultationListPage.tsx
+++ b/doctor_web/src/pages/consultations/ConsultationListPage.tsx
@@ -0,0 +1,57 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Consultation } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  AiTalking: { label: 'AI 对话中', color: '#9BA0B4' },
+  WaitingDoctor: { label: '等待医生', color: '#F59E0B' },
+  DoctorReplied: { label: '医生已回复', color: '#20C997' },
+  Closed: { label: '已结束', color: '#CCC' },
+};
+
+export default function ConsultationListPage() {
+  const [list, setList] = useState<Consultation[]>([]);
+
+  useEffect(() => {
+    api.get<Consultation[]>('/api/doctor/consultations').then(setList).catch(() => {});
+  }, []);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <h1 style={{ fontSize: 24, fontWeight: 700, marginBottom: 24 }}>在线问诊</h1>
+
+      {list.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无问诊记录</div>
+      ) : (
+        <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+          {list.map(c => {
+            const st = STATUS_MAP[c.status] ?? { label: c.status, color: '#9BA0B4' };
+            return (
+              <Link key={c.id} to={`/consultations/${c.id}`}
+                style={{ background: '#FFF', borderRadius: 14, padding: '18px 20px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 16 }}>
+                <div style={{ width: 44, height: 44, borderRadius: 12, background: '#EDF0FD', display: 'flex', alignItems: 'center', justifyContent: 'center', fontSize: 18, fontWeight: 700, color: '#4F6EF7', flexShrink: 0 }}>
+                  {(c.patientName || '患')[0]}
+                </div>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600, fontSize: 15 }}>{c.patientName || c.patientPhone}</div>
+                  <div style={{ fontSize: 13, color: '#9BA0B4', marginTop: 2 }}>
+                    {c.lastMessage?.content?.slice(0, 40) || '暂无消息'}
+                  </div>
+                </div>
+                <div style={{ textAlign: 'right' }}>
+                  <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>
+                    {st.label}
+                  </span>
+                  <div style={{ fontSize: 11, color: '#CCC', marginTop: 4 }}>
+                    {new Date(c.createdAt).toLocaleDateString('zh-CN')}
+                  </div>
+                </div>
+              </Link>
+            );
+          })}
+        </div>
+      )}
+    </div>
+  );
+}
--- a/doctor_web/src/pages/dashboard/DashboardPage.tsx
+++ b/doctor_web/src/pages/dashboard/DashboardPage.tsx
@@ -0,0 +1,72 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { DashboardStats } from '../../types';
+
+const CARD_CONFIG = [
+  { key: 'totalPatients', label: '患者总数', color: '#4F6EF7', bg: '#EDF0FD' },
+  { key: 'activeConsultations', label: '进行中问诊', color: '#20C997', bg: '#E6F9F2' },
+  { key: 'pendingReports', label: '待审核报告', color: '#F59E0B', bg: '#FFF8E6' },
+  { key: 'todayFollowUps', label: '今日随访', color: '#845EF7', bg: '#F3E8FF' },
+];
+
+const QUICK_LINKS = [
+  { to: '/patients', label: '患者列表', color: '#4F6EF7' },
+  { to: '/consultations', label: '在线问诊', color: '#20C997' },
+  { to: '/reports', label: '报告审核', color: '#F59E0B' },
+  { to: '/follow-ups', label: '随访管理', color: '#845EF7' },
+];
+
+export default function DashboardPage() {
+  const [stats, setStats] = useState<DashboardStats | null>(null);
+
+  useEffect(() => {
+    api.get<DashboardStats>('/api/doctor/dashboard').then(setStats).catch(() => {});
+  }, []);
+
+  if (!stats) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      {/* 欢迎 */}
+      <div style={{ marginBottom: 32 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>欢迎回来，{stats.doctorName}</h1>
+        <p style={{ color: '#9BA0B4', marginTop: 4 }}>{stats.doctorTitle} · {stats.doctorDepartment}</p>
+      </div>
+
+      {/* 统计卡片 */}
+      <div style={{ display: 'grid', gridTemplateColumns: 'repeat(auto-fit, minmax(220px, 1fr))', gap: 20, marginBottom: 32 }}>
+        {CARD_CONFIG.map(c => (
+          <div key={c.key} style={{ background: '#FFF', borderRadius: 16, padding: '24px 20px', position: 'relative', overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+            <div style={{ position: 'absolute', top: 0, left: 0, width: 4, height: '100%', background: c.color }} />
+            <div style={{ fontSize: 30, fontWeight: 800, color: c.color }}>{(stats as any)[c.key]}</div>
+            <div style={{ fontSize: 13, color: '#5A6072', marginTop: 4 }}>{c.label}</div>
+          </div>
+        ))}
+      </div>
+
+      {/* 快捷操作 */}
+      <div style={{ display: 'grid', gridTemplateColumns: '2fr 1fr', gap: 20 }}>
+        <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>快捷操作</h2>
+          <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: 12 }}>
+            {QUICK_LINKS.map(l => (
+              <Link key={l.to} to={l.to} style={{ padding: '14px 16px', borderRadius: 12, border: `1px solid ${l.color}20`, color: l.color, fontWeight: 500, textAlign: 'center', transition: 'all 0.15s', fontSize: 14 }}>
+                {l.label}
+              </Link>
+            ))}
+          </div>
+        </div>
+
+        <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>今日待办</h2>
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>📋 待审核报告 <b style={{ color: '#F59E0B' }}>{stats.pendingReports}</b> 份</div>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>💬 进行中问诊 <b style={{ color: '#20C997' }}>{stats.activeConsultations}</b> 个</div>
+            <div style={{ fontSize: 14, color: '#5A6072' }}>📅 今日随访 <b style={{ color: '#845EF7' }}>{stats.todayFollowUps}</b> 个</div>
+          </div>
+        </div>
+      </div>
+    </div>
+  );
+}
--- a/doctor_web/src/pages/followups/FollowUpEditPage.tsx
+++ b/doctor_web/src/pages/followups/FollowUpEditPage.tsx
@@ -0,0 +1,105 @@
+import { useEffect, useState } from 'react';
+import { useParams, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+
+interface PatientSimple { id: string; name: string; phone: string; }
+
+export default function FollowUpEditPage() {
+  const { id } = useParams<{ id: string }>();
+  const nav = useNavigate();
+  const isEdit = !!id;
+
+  const [patients, setPatients] = useState<PatientSimple[]>([]);
+  const [userId, setUserId] = useState('');
+  const [title, setTitle] = useState('');
+  const [scheduledAt, setScheduledAt] = useState('');
+  const [notes, setNotes] = useState('');
+  const [saving, setSaving] = useState(false);
+
+  useEffect(() => {
+    // 加载患者列表
+    api.get<PatientSimple[]>('/api/doctor/patients-simple').then(setPatients).catch(() => {});
+    // 编辑模式：加载现有随访
+    if (id) {
+      api.get<any[]>(`/api/doctor/follow-ups`).then(list => {
+        const item = list.find(f => f.id === id);
+        if (item) {
+          setUserId(item.userId);
+          setTitle(item.title);
+          // datetime-local 格式
+          const d = new Date(item.scheduledAt);
+          setScheduledAt(d.toISOString().slice(0, 16));
+          setNotes(item.notes || '');
+        }
+      }).catch(() => {});
+    }
+  }, [id]);
+
+  async function save() {
+    if (!userId || !title || !scheduledAt) return alert('请填写完整信息');
+    setSaving(true);
+    try {
+      const body = { userId, title, scheduledAt: new Date(scheduledAt).toISOString(), notes };
+      if (isEdit) {
+        await api.put(`/api/doctor/follow-ups/${id}`, body);
+      } else {
+        await api.post('/api/doctor/follow-ups', body);
+      }
+      nav('/follow-ups');
+    } catch { alert('保存失败'); }
+    setSaving(false);
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 600 }}>
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <button onClick={() => nav(-1)} style={{ color: '#4F6EF7', fontSize: 14, border: 'none', background: 'none' }}>← 返回</button>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>{isEdit ? '编辑随访' : '新建随访'}</h1>
+      </div>
+
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        {/* 患者选择 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>患者</label>
+          <select value={userId} onChange={e => setUserId(e.target.value)}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }}>
+            <option value="">请选择患者</option>
+            {patients.map(p => (
+              <option key={p.id} value={p.id}>{p.name || '未设置'} ({p.phone})</option>
+            ))}
+          </select>
+        </div>
+
+        {/* 标题 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>随访标题</label>
+          <input value={title} onChange={e => setTitle(e.target.value)} placeholder="如：PCI术后1个月随访"
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }} />
+        </div>
+
+        {/* 时间 */}
+        <div style={{ marginBottom: 20 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>计划时间</label>
+          <input type="datetime-local" value={scheduledAt} onChange={e => setScheduledAt(e.target.value)}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none' }} />
+        </div>
+
+        {/* 备注 */}
+        <div style={{ marginBottom: 24 }}>
+          <label style={{ display: 'block', fontSize: 14, fontWeight: 500, marginBottom: 6, color: '#5A6072' }}>备注</label>
+          <textarea value={notes} onChange={e => setNotes(e.target.value)} placeholder="备注信息..."
+            rows={3}
+            style={{ width: '100%', padding: '10px 14px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none', resize: 'vertical' }} />
+        </div>
+
+        <button onClick={save} disabled={saving}
+          style={{
+            width: '100%', padding: '14px', background: saving ? '#E1E5ED' : 'linear-gradient(135deg, #4F6EF7, #6C8AFF)',
+            color: saving ? '#9BA0B4' : '#FFF', border: 'none', borderRadius: 12, fontSize: 16, fontWeight: 600,
+          }}>
+          {saving ? '保存中...' : '保存'}
+        </button>
+      </div>
+    </div>
+  );
+}
--- a/doctor_web/src/pages/followups/FollowUpListPage.tsx
+++ b/doctor_web/src/pages/followups/FollowUpListPage.tsx
@@ -0,0 +1,94 @@
+import { useEffect, useState } from 'react';
+import { Link, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { FollowUp } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  Upcoming: { label: '即将到来', color: '#4F6EF7' },
+  Completed: { label: '已完成', color: '#20C997' },
+  Cancelled: { label: '已取消', color: '#EF4444' },
+};
+
+export default function FollowUpListPage() {
+  const [list, setList] = useState<FollowUp[]>([]);
+  const [filter, setFilter] = useState('');
+  const nav = useNavigate();
+
+  useEffect(() => { loadList(); }, [filter]);
+
+  async function loadList() {
+    const q = filter ? `?status=${filter}` : '';
+    try { setList(await api.get<FollowUp[]>(`/api/doctor/follow-ups${q}`)); } catch { setList([]); }
+  }
+
+  async function deleteItem(id: string) {
+    if (!confirm('确定删除？')) return;
+    try {
+      await api.del(`/api/doctor/follow-ups/${id}`);
+      setList(prev => prev.filter(f => f.id !== id));
+    } catch { alert('删除失败'); }
+  }
+
+  async function markComplete(id: string) {
+    try {
+      await api.put(`/api/doctor/follow-ups/${id}`, { status: 'Completed' });
+      loadList();
+    } catch { alert('操作失败'); }
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: 24 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>复查随访</h1>
+        <button onClick={() => nav('/follow-ups/new')}
+          style={{ padding: '10px 24px', background: 'linear-gradient(135deg, #4F6EF7, #6C8AFF)', color: '#FFF', border: 'none', borderRadius: 12, fontSize: 14, fontWeight: 600 }}>
+          + 新建随访
+        </button>
+      </div>
+
+      {/* 筛选 */}
+      <div style={{ display: 'flex', gap: 8, marginBottom: 20 }}>
+        {[{ k: '', l: '全部' }, { k: 'Upcoming', l: '即将到来' }, { k: 'Completed', l: '已完成' }, { k: 'Cancelled', l: '已取消' }].map(t => (
+          <button key={t.k} onClick={() => setFilter(t.k)}
+            style={{ padding: '6px 18px', borderRadius: 10, border: 'none', fontSize: 13, fontWeight: 500,
+              background: filter === t.k ? '#4F6EF7' : '#F2F3F7', color: filter === t.k ? '#FFF' : '#5A6072' }}>
+            {t.l}
+          </button>
+        ))}
+      </div>
+
+      {list.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无随访安排</div>
+      ) : (
+        <div style={{ display: 'flex', flexDirection: 'column', gap: 12 }}>
+          {list.map(f => {
+            const st = STATUS_MAP[f.status] ?? { label: f.status, color: '#9BA0B4' };
+            return (
+              <div key={f.id} style={{ background: '#FFF', borderRadius: 14, padding: '18px 20px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 16 }}>
+                <span style={{ fontSize: 24 }}>📅</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600, fontSize: 15 }}>{f.title}</div>
+                  <div style={{ fontSize: 13, color: '#5A6072', marginTop: 2 }}>
+                    {f.patientName || '-'} · {new Date(f.scheduledAt).toLocaleString('zh-CN')}
+                  </div>
+                  {f.notes && <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 2 }}>{f.notes}</div>}
+                </div>
+                <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>
+                  {st.label}
+                </span>
+                {/* 操作按钮 */}
+                <div style={{ display: 'flex', gap: 6 }}>
+                  {f.status === 'Upcoming' && (
+                    <button onClick={() => markComplete(f.id)} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #20C997', background: '#E6F9F2', color: '#20C997', fontSize: 12 }}>完成</button>
+                  )}
+                  <Link to={`/follow-ups/${f.id}/edit`} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #E1E5ED', color: '#5A6072', fontSize: 12 }}>编辑</Link>
+                  <button onClick={() => deleteItem(f.id)} style={{ padding: '4px 12px', borderRadius: 8, border: '1px solid #FEE2E2', background: '#FFF5F5', color: '#EF4444', fontSize: 12 }}>删除</button>
+                </div>
+              </div>
+            );
+          })}
+        </div>
+      )}
+    </div>
+  );
+}
--- a/doctor_web/src/pages/patients/PatientDetailPage.tsx
+++ b/doctor_web/src/pages/patients/PatientDetailPage.tsx
@@ -0,0 +1,273 @@
+import { useEffect, useState } from 'react';
+import { useParams, Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { PatientDetail, TrendRecord } from '../../types';
+import { LineChart, Line, XAxis, YAxis, CartesianGrid, Tooltip, ResponsiveContainer, Legend } from 'recharts';
+
+const METRIC_LABELS: Record<string, string> = {
+  BloodPressure: '血压', HeartRate: '心率', Glucose: '血糖', SpO2: '血氧', Weight: '体重',
+};
+
+const METRIC_COLORS: Record<string, string> = {
+  BloodPressure: '#EF4444', HeartRate: '#F59E0B', Glucose: '#4F6EF7', SpO2: '#20C997', Weight: '#845EF7',
+};
+
+const DAY_LABELS = ['日', '一', '二', '三', '四', '五', '六'];
+
+export default function PatientDetailPage() {
+  const { id } = useParams<{ id: string }>();
+  const [data, setData] = useState<PatientDetail | null>(null);
+  const [chartMetric, setChartMetric] = useState<string>('BloodPressure');
+
+  useEffect(() => {
+    if (id) api.get<PatientDetail>(`/api/doctor/patients/${id}`).then(setData).catch(() => {});
+  }, [id]);
+
+  if (!data) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  const p = data.profile;
+  const a = data.archive;
+
+  // 趋势图数据（用 any 兼容不同指标的数据结构）
+  // eslint-disable-next-line @typescript-eslint/no-explicit-any
+  const chartData: any[] = buildChartData(data.trendRecords, chartMetric);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      {/* 标题 */}
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <Link to="/patients" style={{ color: '#4F6EF7', fontSize: 14 }}>← 返回列表</Link>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>{p.name || '未设置'} 的健康档案</h1>
+      </div>
+
+      {/* 基本信息卡片 */}
+      <InfoCard p={p} a={a} />
+
+      {/* 健康指标 */}
+      <Section title="最新健康指标">
+        <div style={{ display: 'grid', gridTemplateColumns: 'repeat(auto-fit, minmax(180px, 1fr))', gap: 16 }}>
+          {data.latestRecords.map(r => (
+            <div key={r.id} style={{ background: '#FFF', borderRadius: 14, padding: 20, position: 'relative', overflow: 'hidden', boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+              <div style={{ position: 'absolute', top: 0, left: 0, width: 3, height: '100%', background: METRIC_COLORS[r.metricType] || '#9BA0B4' }} />
+              <div style={{ fontSize: 12, color: '#9BA0B4', marginBottom: 4 }}>{METRIC_LABELS[r.metricType] || r.metricType}</div>
+              <div style={{ fontSize: 26, fontWeight: 700, color: r.isAbnormal ? '#EF4444' : '#1A1D28' }}>
+                {r.metricType === 'BloodPressure' ? `${r.systolic}/${r.diastolic}` : r.value}
+                <span style={{ fontSize: 14, fontWeight: 400, color: '#9BA0B4', marginLeft: 4 }}>{r.unit}</span>
+              </div>
+              <div style={{ fontSize: 11, color: '#9BA0B4', marginTop: 4 }}>
+                {new Date(r.recordedAt).toLocaleDateString('zh-CN')}
+              </div>
+            </div>
+          ))}
+          {data.latestRecords.length === 0 && <Empty text="暂无健康数据" />}
+        </div>
+      </Section>
+
+      {/* 趋势图 */}
+      <Section title="健康趋势（30天）">
+        <div style={{ display: 'flex', gap: 8, marginBottom: 16 }}>
+          {Object.keys(METRIC_LABELS).map(m => (
+            <button key={m} onClick={() => setChartMetric(m)}
+              style={{
+                padding: '6px 14px', borderRadius: 8, border: 'none', fontSize: 13, fontWeight: 500,
+                background: chartMetric === m ? METRIC_COLORS[m] : '#F2F3F7',
+                color: chartMetric === m ? '#FFF' : '#5A6072',
+              }}>
+              {METRIC_LABELS[m]}
+            </button>
+          ))}
+        </div>
+        {chartData.length > 0 ? (
+          <div style={{ background: '#FFF', borderRadius: 14, padding: 24, boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+            <ResponsiveContainer width="100%" height={300}>
+              <LineChart data={chartData}>
+                <CartesianGrid strokeDasharray="3 3" stroke="#F0F0F0" />
+                <XAxis dataKey="date" tick={{ fontSize: 12 }} />
+                <YAxis tick={{ fontSize: 12 }} />
+                <Tooltip />
+                <Legend />
+                {chartMetric === 'BloodPressure' ? (
+                  <>
+                    <Line type="monotone" dataKey="systolic" stroke="#EF4444" name="收缩压" strokeWidth={2} dot={{ r: 3 }} />
+                    <Line type="monotone" dataKey="diastolic" stroke="#F59E0B" name="舒张压" strokeWidth={2} dot={{ r: 3 }} />
+                  </>
+                ) : (
+                  <Line type="monotone" dataKey="value" stroke={METRIC_COLORS[chartMetric]} name={METRIC_LABELS[chartMetric]} strokeWidth={2} dot={{ r: 4 }} />
+                )}
+              </LineChart>
+            </ResponsiveContainer>
+          </div>
+        ) : <Empty text="暂无趋势数据" />}
+      </Section>
+
+      {/* 用药 */}
+      <Section title="当前用药">
+        {data.medications.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.medications.map(m => (
+              <div key={m.id} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>💊</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 600 }}>{m.name} <span style={{ fontWeight: 400, color: '#5A6072', fontSize: 14 }}>{m.dosage}</span></div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>{m.frequency} · {m.timeOfDay?.join(', ')}</div>
+                </div>
+              </div>
+            ))}
+          </div>
+        ) : <Empty text="暂无用药" />}
+      </Section>
+
+      {/* 饮食 + 运动 双列 */}
+      <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: 24, marginBottom: 24 }}>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>🍽️ 近期饮食</div>
+          {data.dietRecords.length > 0 ? (
+            <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+              {data.dietRecords.map(d => (
+                <div key={d.id} style={{ background: '#FFF', borderRadius: 12, padding: '12px 16px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)' }}>
+                  <div style={{ fontSize: 13, fontWeight: 500 }}>{d.foods.map(f => f.name).join('、')}</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4', marginTop: 4 }}>
+                    {d.mealType === 'Breakfast' ? '早餐' : d.mealType === 'Lunch' ? '午餐' : d.mealType === 'Dinner' ? '晚餐' : '加餐'}
+                    {' · '}{d.totalCalories}kcal · 评分 {d.healthScore}/5
+                  </div>
+                </div>
+              ))}
+            </div>
+          ) : <Empty text="暂无饮食记录" />}
+        </div>
+        <div>
+          <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>🏃 运动计划</div>
+          {data.exercisePlan ? (
+            <div style={{ display: 'flex', flexDirection: 'column', gap: 6 }}>
+              {data.exercisePlan.items.map((item, i) => (
+                <div key={i} style={{ background: '#FFF', borderRadius: 12, padding: '10px 16px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 10, opacity: item.isRestDay ? 0.5 : 1 }}>
+                  <span style={{ fontSize: 12, color: '#9BA0B4', minWidth: 36 }}>周{DAY_LABELS[item.dayOfWeek]}</span>
+                  <span style={{ flex: 1, fontSize: 13 }}>
+                    {item.isRestDay ? '休息' : `${item.exerciseType} ${item.durationMinutes}分钟`}
+                  </span>
+                  {item.isCompleted && <span style={{ color: '#20C997', fontSize: 12, fontWeight: 500 }}>✓ 已完成</span>}
+                </div>
+              ))}
+            </div>
+          ) : <Empty text="暂无运动计划" />}
+        </div>
+      </div>
+
+      {/* 报告 */}
+      <Section title="📋 检查报告">
+        {data.reports.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.reports.map(r => (
+              <Link key={r.id} to={`/reports/${r.id}`} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>📄</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 500, fontSize: 14 }}>{r.category} 报告</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>{new Date(r.createdAt).toLocaleDateString('zh-CN')}</div>
+                </div>
+                <StatusBadge status={r.status} map={{ PendingDoctor: ['待审核', '#F59E0B'], DoctorReviewed: ['已审核', '#20C997'] }} />
+              </Link>
+            ))}
+          </div>
+        ) : <Empty text="暂无报告" />}
+      </Section>
+
+      {/* 随访 */}
+      <Section title="📅 复查随访">
+        {data.followUps.length > 0 ? (
+          <div style={{ display: 'flex', flexDirection: 'column', gap: 8 }}>
+            {data.followUps.map(f => (
+              <div key={f.id} style={{ background: '#FFF', borderRadius: 12, padding: '14px 18px', boxShadow: '0 1px 8px rgba(0,0,0,0.04)', display: 'flex', alignItems: 'center', gap: 12 }}>
+                <span style={{ fontSize: 20 }}>📅</span>
+                <div style={{ flex: 1 }}>
+                  <div style={{ fontWeight: 500, fontSize: 14 }}>{f.title}</div>
+                  <div style={{ fontSize: 12, color: '#9BA0B4' }}>
+                    {new Date(f.scheduledAt).toLocaleString('zh-CN')}
+                    {f.doctorName ? ` · ${f.doctorName}` : ''}
+                    {f.notes ? ` · ${f.notes}` : ''}
+                  </div>
+                </div>
+                <StatusBadge status={f.status} map={{ Upcoming: ['即将到来', '#4F6EF7'], Completed: ['已完成', '#20C997'], Cancelled: ['已取消', '#EF4444'] }} />
+              </div>
+            ))}
+          </div>
+        ) : <Empty text="暂无随访安排" />}
+      </Section>
+    </div>
+  );
+}
+
+// ===== 子组件 =====
+
+function InfoCard({ p, a }: { p: PatientDetail['profile']; a: PatientDetail['archive'] }) {
+  return (
+    <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+      <div style={{ display: 'flex', gap: 24 }}>
+        <div style={{ width: 64, height: 64, borderRadius: 16, background: 'linear-gradient(135deg, #4F6EF7, #6C8AFF)', display: 'flex', alignItems: 'center', justifyContent: 'center', color: '#FFF', fontSize: 28, fontWeight: 700, flexShrink: 0 }}>
+          {p.name?.[0] ?? '?'}
+        </div>
+        <div style={{ flex: 1 }}>
+          <div style={{ fontSize: 20, fontWeight: 700 }}>{p.name || '未设置'}</div>
+          <div style={{ fontSize: 13, color: '#9BA0B4', marginTop: 2 }}>{p.phone} · {p.gender || '未知'} · {p.birthDate || '未知'}</div>
+          {a && (
+            <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: '4px 24px', marginTop: 12, fontSize: 13 }}>
+              <Row label="诊断" value={a.diagnosis} />
+              <Row label="手术类型" value={a.surgeryType} />
+              <Row label="手术日期" value={a.surgeryDate} />
+              <Row label="过敏史" value={a.allergies?.join('、')} />
+              <Row label="饮食限制" value={a.dietRestrictions?.join('、')} />
+              <Row label="慢病史" value={a.chronicDiseases?.join('、')} />
+              <Row label="家族病史" value={a.familyHistory} />
+            </div>
+          )}
+        </div>
+      </div>
+    </div>
+  );
+}
+
+function Row({ label, value }: { label: string; value?: string | null }) {
+  return (
+    <div>
+      <span style={{ color: '#9BA0B4' }}>{label}：</span>
+      <span style={{ color: value ? '#1A1D28' : '#CCC' }}>{value || '未填写'}</span>
+    </div>
+  );
+}
+
+function Section({ title, children }: { title: string; children: React.ReactNode }) {
+  return (
+    <div style={{ marginBottom: 24 }}>
+      <div style={{ fontSize: 16, fontWeight: 600, marginBottom: 12 }}>{title}</div>
+      {children}
+    </div>
+  );
+}
+
+function Empty({ text }: { text: string }) {
+  return <div style={{ color: '#CCC', fontSize: 13, padding: 16, textAlign: 'center' }}>{text}</div>;
+}
+
+function StatusBadge({ status, map }: { status: string; map: Record<string, [string, string]> }) {
+  const [label, color] = map[status] ?? [status, '#9BA0B4'];
+  return (
+    <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${color}18`, color }}>
+      {label}
+    </span>
+  );
+}
+
+// 构建趋势图数据
+function buildChartData(records: TrendRecord[], metric: string) {
+  const filtered = records.filter(r => r.metricType === metric);
+  if (metric === 'BloodPressure') {
+    return filtered.map(r => ({
+      date: new Date(r.recordedAt).toLocaleDateString('zh-CN', { month: 'short', day: 'numeric' }),
+      systolic: r.systolic,
+      diastolic: r.diastolic,
+    }));
+  }
+  return filtered.map(r => ({
+    date: new Date(r.recordedAt).toLocaleDateString('zh-CN', { month: 'short', day: 'numeric' }),
+    value: r.value,
+  }));
+}
--- a/doctor_web/src/pages/patients/PatientListPage.tsx
+++ b/doctor_web/src/pages/patients/PatientListPage.tsx
@@ -0,0 +1,80 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Patient } from '../../types';
+
+export default function PatientListPage() {
+  const [patients, setPatients] = useState<Patient[]>([]);
+  const [search, setSearch] = useState('');
+  const [loading, setLoading] = useState(true);
+
+  useEffect(() => { loadPatients(); }, []);
+
+  async function loadPatients(s?: string) {
+    setLoading(true);
+    try {
+      const q = s !== undefined ? s : search;
+      const data = await api.get<Patient[]>(`/api/doctor/patients${q ? `?search=${encodeURIComponent(q)}` : ''}`);
+      setPatients(data);
+    } catch { setPatients([]); }
+    setLoading(false);
+  }
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <div style={{ display: 'flex', justifyContent: 'space-between', alignItems: 'center', marginBottom: 24 }}>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>患者管理</h1>
+        <div style={{ display: 'flex', gap: 8 }}>
+          <input
+            value={search}
+            onChange={e => setSearch(e.target.value)}
+            onKeyDown={e => e.key === 'Enter' && loadPatients()}
+            placeholder="搜索姓名或手机号..."
+            style={{ padding: '8px 16px', border: '1px solid #E1E5ED', borderRadius: 10, fontSize: 14, outline: 'none', width: 240 }}
+          />
+          <button onClick={() => loadPatients()} style={{ padding: '8px 20px', background: '#4F6EF7', color: '#FFF', border: 'none', borderRadius: 10, fontSize: 14, fontWeight: 500 }}>
+            搜索
+          </button>
+        </div>
+      </div>
+
+      {loading ? (
+        <div style={{ color: '#9BA0B4', padding: 40 }}>加载中...</div>
+      ) : patients.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无患者数据</div>
+      ) : (
+        <div style={{ background: '#FFF', borderRadius: 16, overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 14 }}>
+            <thead>
+              <tr style={{ background: '#FAFBFD', borderBottom: '1px solid #EDF0F7' }}>
+                {['姓名', '手机号', '性别', '出生日期', '健康档案', '操作'].map(h => (
+                  <th key={h} style={{ padding: '14px 16px', textAlign: 'left', fontWeight: 600, color: '#5A6072', fontSize: 13 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {patients.map(p => (
+                <tr key={p.id} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                  <td style={{ padding: '12px 16px', fontWeight: 500 }}>{p.name || '未设置'}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.phone}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.gender || '-'}</td>
+                  <td style={{ padding: '12px 16px', color: '#5A6072' }}>{p.birthDate || '-'}</td>
+                  <td style={{ padding: '12px 16px' }}>
+                    <span style={{ padding: '2px 10px', borderRadius: 10, fontSize: 12, background: p.hasArchive ? '#E6F9F2' : '#FFF3E0', color: p.hasArchive ? '#20C997' : '#F59E0B' }}>
+                      {p.hasArchive ? '已建立' : '未建立'}
+                    </span>
+                  </td>
+                  <td style={{ padding: '12px 16px' }}>
+                    <Link to={`/patients/${p.id}`} style={{ color: '#4F6EF7', fontWeight: 500, fontSize: 13 }}>
+                      查看详情 →
+                    </Link>
+                  </td>
+                </tr>
+              ))}
+            </tbody>
+          </table>
+        </div>
+      )}
+    </div>
+  );
+}
--- a/doctor_web/src/pages/reports/ReportDetailPage.tsx
+++ b/doctor_web/src/pages/reports/ReportDetailPage.tsx
@@ -0,0 +1,133 @@
+import { useEffect, useState } from 'react';
+import { useParams, useNavigate } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Report } from '../../types';
+
+export default function ReportDetailPage() {
+  const { id } = useParams<{ id: string }>();
+  const nav = useNavigate();
+  const [report, setReport] = useState<Report | null>(null);
+  const [comment, setComment] = useState('');
+  const [submitting, setSubmitting] = useState(false);
+  const [success, setSuccess] = useState(false);
+
+  useEffect(() => {
+    if (id) api.get<Report>(`/api/doctor/reports/${id}`).then(r => { setReport(r); setComment(r.doctorComment || ''); }).catch(() => {});
+  }, [id]);
+
+  async function submitReview() {
+    if (!id) return;
+    setSubmitting(true);
+    try {
+      await api.post(`/api/doctor/reports/${id}/review`, { comment });
+      setSuccess(true);
+    } catch { alert('提交失败'); }
+    setSubmitting(false);
+  }
+
+  if (!report) return <div style={{ padding: 40, color: '#9BA0B4' }}>加载中...</div>;
+
+  // 解析 AI 指标
+  let indicators: any[] = [];
+  try { indicators = JSON.parse(report.aiIndicators || '[]'); } catch {}
+
+  return (
+    <div style={{ padding: 32, maxWidth: 900 }}>
+      <div style={{ display: 'flex', alignItems: 'center', gap: 12, marginBottom: 24 }}>
+        <button onClick={() => nav(-1)} style={{ color: '#4F6EF7', fontSize: 14, border: 'none', background: 'none', cursor: 'pointer' }}>← 返回</button>
+        <h1 style={{ fontSize: 24, fontWeight: 700 }}>报告详情</h1>
+      </div>
+
+      {/* 基本信息 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 20, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <div style={{ display: 'grid', gridTemplateColumns: '1fr 1fr', gap: '8px 24px', fontSize: 14 }}>
+          <div><span style={{ color: '#9BA0B4' }}>患者：</span>{report.patientName || '-'}</div>
+          <div><span style={{ color: '#9BA0B4' }}>类型：</span>{report.category}</div>
+          <div><span style={{ color: '#9BA0B4' }}>上传时间：</span>{new Date(report.createdAt).toLocaleString('zh-CN')}</div>
+          <div>
+            <span style={{ color: '#9BA0B4' }}>状态：</span>
+            <span style={{ padding: '2px 10px', borderRadius: 10, fontSize: 12, background: report.status === 'PendingDoctor' ? '#FFF8E6' : '#E6F9F2', color: report.status === 'PendingDoctor' ? '#F59E0B' : '#20C997' }}>
+              {report.status === 'PendingDoctor' ? '待审核' : '已审核'}
+            </span>
+          </div>
+        </div>
+        {report.fileUrl && (
+          <div style={{ marginTop: 16 }}>
+            <a href={`http://localhost:5000${report.fileUrl}`} target="_blank" rel="noopener noreferrer"
+              style={{ color: '#4F6EF7', fontSize: 13, textDecoration: 'underline' }}>
+              📎 查看原始文件
+            </a>
+          </div>
+        )}
+      </div>
+
+      {/* AI 预解读 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, marginBottom: 20, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>🤖 AI 预解读</h2>
+        {report.aiSummary && (
+          <div style={{ fontSize: 14, lineHeight: 1.7, color: '#5A6072', marginBottom: 16, padding: '12px 16px', background: '#FAFBFD', borderRadius: 10 }}>
+            {report.aiSummary}
+          </div>
+        )}
+        {indicators.length > 0 && (
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 13 }}>
+            <thead>
+              <tr style={{ borderBottom: '2px solid #EDF0F7' }}>
+                {['指标', '结果', '单位', '参考范围', '状态'].map(h => (
+                  <th key={h} style={{ padding: '8px 12px', textAlign: 'left', color: '#9BA0B4', fontWeight: 500 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {indicators.map((ind: any, i: number) => {
+                const abnormal = ind.status === 'high' || ind.status === 'abnormal';
+                const low = ind.status === 'low';
+                return (
+                  <tr key={i} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                    <td style={{ padding: '8px 12px' }}>{ind.name}</td>
+                    <td style={{ padding: '8px 12px', fontWeight: 500, color: abnormal ? '#EF4444' : low ? '#F59E0B' : '#20C997' }}>{ind.value}</td>
+                    <td style={{ padding: '8px 12px', color: '#5A6072' }}>{ind.unit || '-'}</td>
+                    <td style={{ padding: '8px 12px', color: '#5A6072' }}>{ind.range || '-'}</td>
+                    <td style={{ padding: '8px 12px' }}>
+                      <span style={{ padding: '2px 8px', borderRadius: 8, fontSize: 11, background: abnormal ? '#FEE2E2' : low ? '#FFF8E6' : '#E6F9F2', color: abnormal ? '#EF4444' : low ? '#F59E0B' : '#20C997' }}>
+                        {abnormal ? '偏高' : low ? '偏低' : '正常'}
+                      </span>
+                    </td>
+                  </tr>
+                );
+              })}
+            </tbody>
+          </table>
+        )}
+      </div>
+
+      {/* 医生审核 */}
+      <div style={{ background: '#FFF', borderRadius: 16, padding: 24, boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+        <h2 style={{ fontSize: 16, fontWeight: 600, marginBottom: 16 }}>👨‍⚕️ 医生审核意见</h2>
+        {success && (
+          <div style={{ marginBottom: 16, padding: '12px 18px', background: '#E6F9F2', borderRadius: 10, color: '#20C997', fontWeight: 500, fontSize: 14 }}>
+            ✓ 审核已提交
+          </div>
+        )}
+        <textarea
+          value={comment}
+          onChange={e => setComment(e.target.value)}
+          placeholder="请输入您的专业解读意见..."
+          rows={5}
+          style={{ width: '100%', padding: 14, border: '1px solid #E1E5ED', borderRadius: 12, fontSize: 14, outline: 'none', resize: 'vertical' }}
+        />
+        <div style={{ marginTop: 16, display: 'flex', justifyContent: 'flex-end' }}>
+          <button onClick={submitReview} disabled={submitting || !comment.trim()}
+            style={{
+              padding: '12px 32px',
+              background: submitting || !comment.trim() ? '#E1E5ED' : 'linear-gradient(135deg, #4F6EF7, #6C8AFF)',
+              color: submitting || !comment.trim() ? '#9BA0B4' : '#FFF',
+              border: 'none', borderRadius: 12, fontSize: 15, fontWeight: 600,
+            }}>
+            {submitting ? '提交中...' : '提交审核意见'}
+          </button>
+        </div>
+      </div>
+    </div>
+  );
+}
--- a/doctor_web/src/pages/reports/ReportListPage.tsx
+++ b/doctor_web/src/pages/reports/ReportListPage.tsx
@@ -0,0 +1,75 @@
+import { useEffect, useState } from 'react';
+import { Link } from 'react-router-dom';
+import { api } from '../../services/api-client';
+import type { Report } from '../../types';
+
+const STATUS_MAP: Record<string, { label: string; color: string }> = {
+  PendingDoctor: { label: '待审核', color: '#F59E0B' },
+  DoctorReviewed: { label: '已审核', color: '#20C997' },
+};
+
+export default function ReportListPage() {
+  const [reports, setReports] = useState<Report[]>([]);
+  const [filter, setFilter] = useState('');
+
+  useEffect(() => {
+    const q = filter ? `?status=${filter}` : '';
+    api.get<Report[]>(`/api/doctor/reports${q}`).then(setReports).catch(() => {});
+  }, [filter]);
+
+  return (
+    <div style={{ padding: 32, maxWidth: 1200 }}>
+      <h1 style={{ fontSize: 24, fontWeight: 700, marginBottom: 24 }}>报告审核</h1>
+
+      {/* 筛选标签 */}
+      <div style={{ display: 'flex', gap: 8, marginBottom: 20 }}>
+        {[{ k: '', l: '全部' }, { k: 'PendingDoctor', l: '待审核' }, { k: 'DoctorReviewed', l: '已审核' }].map(t => (
+          <button key={t.k} onClick={() => setFilter(t.k)}
+            style={{ padding: '6px 18px', borderRadius: 10, border: 'none', fontSize: 13, fontWeight: 500,
+              background: filter === t.k ? '#4F6EF7' : '#F2F3F7', color: filter === t.k ? '#FFF' : '#5A6072' }}>
+            {t.l}
+          </button>
+        ))}
+      </div>
+
+      {reports.length === 0 ? (
+        <div style={{ color: '#9BA0B4', padding: 40, textAlign: 'center' }}>暂无报告</div>
+      ) : (
+        <div style={{ background: '#FFF', borderRadius: 16, overflow: 'hidden', boxShadow: '0 2px 12px rgba(0,0,0,0.04)' }}>
+          <table style={{ width: '100%', borderCollapse: 'collapse', fontSize: 14 }}>
+            <thead>
+              <tr style={{ background: '#FAFBFD', borderBottom: '1px solid #EDF0F7' }}>
+                {['患者', '类型', '状态', 'AI 摘要', '上传时间', '操作'].map(h => (
+                  <th key={h} style={{ padding: '14px 16px', textAlign: 'left', fontWeight: 600, color: '#5A6072', fontSize: 13 }}>{h}</th>
+                ))}
+              </tr>
+            </thead>
+            <tbody>
+              {reports.map(r => {
+                const st = STATUS_MAP[r.status] ?? { label: r.status, color: '#9BA0B4' };
+                return (
+                  <tr key={r.id} style={{ borderBottom: '1px solid #F2F3F7' }}>
+                    <td style={{ padding: '12px 16px', fontWeight: 500 }}>{r.patientName || '-'}</td>
+                    <td style={{ padding: '12px 16px', color: '#5A6072' }}>{r.category}</td>
+                    <td style={{ padding: '12px 16px' }}>
+                      <span style={{ padding: '3px 12px', borderRadius: 10, fontSize: 12, fontWeight: 500, background: `${st.color}18`, color: st.color }}>{st.label}</span>
+                    </td>
+                    <td style={{ padding: '12px 16px', color: '#5A6072', maxWidth: 240, overflow: 'hidden', textOverflow: 'ellipsis', whiteSpace: 'nowrap' }}>
+                      {r.aiSummary?.slice(0, 40) || '-'}
+                    </td>
+                    <td style={{ padding: '12px 16px', color: '#9BA0B4', fontSize: 13 }}>{new Date(r.createdAt).toLocaleDateString('zh-CN')}</td>
+                    <td style={{ padding: '12px 16px' }}>
+                      <Link to={`/reports/${r.id}`} style={{ color: '#4F6EF7', fontWeight: 500, fontSize: 13 }}>
+                        {r.status === 'PendingDoctor' ? '审核 →' : '查看 →'}
+                      </Link>
+                    </td>
+                  </tr>
+                );
+              })}
+            </tbody>
+          </table>
+        </div>
+      )}
+    </div>
+  );
+}
--- a/doctor_web/src/router/index.tsx
+++ b/doctor_web/src/router/index.tsx
@@ -0,0 +1,31 @@
+import { createBrowserRouter, Navigate } from 'react-router-dom';
+import DoctorLayout from '../components/layout/DoctorLayout';
+import DashboardPage from '../pages/dashboard/DashboardPage';
+import PatientListPage from '../pages/patients/PatientListPage';
+import PatientDetailPage from '../pages/patients/PatientDetailPage';
+import ConsultationListPage from '../pages/consultations/ConsultationListPage';
+import ChatPage from '../pages/consultations/ChatPage';
+import ReportListPage from '../pages/reports/ReportListPage';
+import ReportDetailPage from '../pages/reports/ReportDetailPage';
+import FollowUpListPage from '../pages/followups/FollowUpListPage';
+import FollowUpEditPage from '../pages/followups/FollowUpEditPage';
+
+export const router = createBrowserRouter([
+  {
+    path: '/',
+    element: <DoctorLayout />,
+    children: [
+      { index: true, element: <Navigate to="/dashboard" replace /> },
+      { path: 'dashboard', element: <DashboardPage /> },
+      { path: 'patients', element: <PatientListPage /> },
+      { path: 'patients/:id', element: <PatientDetailPage /> },
+      { path: 'consultations', element: <ConsultationListPage /> },
+      { path: 'consultations/:id', element: <ChatPage /> },
+      { path: 'reports', element: <ReportListPage /> },
+      { path: 'reports/:id', element: <ReportDetailPage /> },
+      { path: 'follow-ups', element: <FollowUpListPage /> },
+      { path: 'follow-ups/new', element: <FollowUpEditPage /> },
+      { path: 'follow-ups/:id/edit', element: <FollowUpEditPage /> },
+    ],
+  },
+]);
--- a/doctor_web/src/services/api-client.ts
+++ b/doctor_web/src/services/api-client.ts
@@ -0,0 +1,29 @@
+const BASE_URL = 'http://localhost:5000';
+
+async function request<T>(method: string, path: string, body?: unknown): Promise<T> {
+  const headers: Record<string, string> = { 'Content-Type': 'application/json' };
+
+  const res = await fetch(`${BASE_URL}${path}`, {
+    method,
+    headers,
+    body: body ? JSON.stringify(body) : undefined,
+  });
+
+  if (!res.ok) {
+    const text = await res.text();
+    throw new Error(text || `HTTP ${res.status}`);
+  }
+
+  const json = await res.json();
+  if (json.code !== 0) {
+    throw new Error(json.message || `Error code ${json.code}`);
+  }
+  return json.data as T;
+}
+
+export const api = {
+  get: <T>(path: string) => request<T>('GET', path),
+  post: <T>(path: string, body?: unknown) => request<T>('POST', path, body),
+  put: <T>(path: string, body?: unknown) => request<T>('PUT', path, body),
+  del: <T>(path: string) => request<T>('DELETE', path),
+};
--- a/doctor_web/src/services/signalr.ts
+++ b/doctor_web/src/services/signalr.ts
@@ -0,0 +1,30 @@
+import { HubConnectionBuilder, HubConnection, LogLevel } from '@microsoft/signalr';
+
+const HUB_URL = 'http://localhost:5000/hubs/consultation';
+
+let connection: HubConnection | null = null;
+
+export function getConnection(): HubConnection {
+  if (!connection) {
+    connection = new HubConnectionBuilder()
+      .withUrl(HUB_URL)
+      .withAutomaticReconnect()
+      .configureLogging(LogLevel.Information)
+      .build();
+  }
+  return connection;
+}
+
+export async function startConnection(): Promise<void> {
+  const conn = getConnection();
+  if (conn.state === 'Disconnected') {
+    await conn.start();
+  }
+}
+
+export async function stopConnection(): Promise<void> {
+  if (connection && connection.state !== 'Disconnected') {
+    await connection.stop();
+    connection = null;
+  }
+}
--- a/doctor_web/src/types/index.ts
+++ b/doctor_web/src/types/index.ts
@@ -0,0 +1,158 @@
+// 患者
+export interface Patient {
+  id: string;
+  phone: string;
+  name: string | null;
+  gender: string | null;
+  birthDate: string | null;
+  hasArchive: boolean;
+}
+
+// 患者详情
+export interface PatientDetail {
+  profile: {
+    id: string;
+    phone: string;
+    name: string | null;
+    gender: string | null;
+    birthDate: string | null;
+    avatarUrl: string | null;
+  };
+  archive: {
+    diagnosis: string | null;
+    surgeryType: string | null;
+    surgeryDate: string | null;
+    allergies: string[];
+    dietRestrictions: string[];
+    chronicDiseases: string[];
+    familyHistory: string | null;
+  } | null;
+  latestRecords: HealthRecord[];
+  trendRecords: TrendRecord[];
+  medications: Medication[];
+  dietRecords: DietRecord[];
+  exercisePlan: ExercisePlan | null;
+  reports: Report[];
+  followUps: FollowUp[];
+}
+
+// 健康记录
+export interface HealthRecord {
+  id: string;
+  metricType: string;
+  systolic: number | null;
+  diastolic: number | null;
+  value: number | null;
+  unit: string;
+  recordedAt: string;
+  isAbnormal: boolean;
+}
+
+// 趋势数据
+export interface TrendRecord {
+  id: string;
+  metricType: string;
+  systolic: number | null;
+  diastolic: number | null;
+  value: number | null;
+  unit: string;
+  recordedAt: string;
+  isAbnormal: boolean;
+}
+
+// 用药
+export interface Medication {
+  id: string;
+  name: string;
+  dosage: string;
+  frequency: string;
+  timeOfDay: string[];
+  startDate: string;
+  endDate: string | null;
+}
+
+// 饮食记录
+export interface DietRecord {
+  id: string;
+  mealType: string;
+  totalCalories: number;
+  healthScore: number;
+  recordedAt: string;
+  foods: { name: string; portion: string; calories: number; warning: string | null }[];
+}
+
+// 运动计划
+export interface ExercisePlan {
+  weekStartDate: string;
+  items: {
+    dayOfWeek: number;
+    exerciseType: string | null;
+    durationMinutes: number;
+    isCompleted: boolean;
+    isRestDay: boolean;
+    completedAt: string | null;
+  }[];
+}
+
+// 报告
+export interface Report {
+  id: string;
+  userId: string;
+  patientName?: string;
+  fileUrl: string;
+  fileType: string;
+  category: string;
+  status: string;
+  aiSummary: string | null;
+  aiIndicators: string | null;
+  doctorComment: string | null;
+  doctorName: string | null;
+  reviewedAt: string | null;
+  createdAt: string;
+}
+
+// 随访
+export interface FollowUp {
+  id: string;
+  userId: string;
+  patientName?: string;
+  title: string;
+  doctorName: string | null;
+  department: string | null;
+  scheduledAt: string;
+  notes: string | null;
+  status: string;
+  createdAt: string;
+}
+
+// 问诊
+export interface Consultation {
+  id: string;
+  userId: string;
+  patientName?: string;
+  patientPhone?: string;
+  status: string;
+  createdAt: string;
+  closedAt: string | null;
+  lastMessage: { content: string; senderType: string; createdAt: string } | null;
+}
+
+// 问诊消息
+export interface ConsultationMessage {
+  id: string;
+  senderType: string;
+  senderName: string | null;
+  content: string;
+  createdAt: string;
+}
+
+// Dashboard
+export interface DashboardStats {
+  doctorName: string;
+  doctorTitle: string;
+  doctorDepartment: string;
+  totalPatients: number;
+  activeConsultations: number;
+  pendingReports: number;
+  todayFollowUps: number;
+}
--- a/doctor_web/tsconfig.app.json
+++ b/doctor_web/tsconfig.app.json
@@ -0,0 +1,25 @@
+{
+  "compilerOptions": {
+    "tsBuildInfoFile": "./node_modules/.tmp/tsconfig.app.tsbuildinfo",
+    "target": "es2023",
+    "lib": ["ES2023", "DOM"],
+    "module": "esnext",
+    "types": ["vite/client"],
+    "skipLibCheck": true,
+
+    /* Bundler mode */
+    "moduleResolution": "bundler",
+    "allowImportingTsExtensions": true,
+    "verbatimModuleSyntax": true,
+    "moduleDetection": "force",
+    "noEmit": true,
+    "jsx": "react-jsx",
+
+    /* Linting */
+    "noUnusedLocals": true,
+    "noUnusedParameters": true,
+    "erasableSyntaxOnly": true,
+    "noFallthroughCasesInSwitch": true
+  },
+  "include": ["src"]
+}
--- a/doctor_web/tsconfig.json
+++ b/doctor_web/tsconfig.json
@@ -0,0 +1,7 @@
+{
+  "files": [],
+  "references": [
+    { "path": "./tsconfig.app.json" },
+    { "path": "./tsconfig.node.json" }
+  ]
+}
--- a/doctor_web/tsconfig.node.json
+++ b/doctor_web/tsconfig.node.json
@@ -0,0 +1,24 @@
+{
+  "compilerOptions": {
+    "tsBuildInfoFile": "./node_modules/.tmp/tsconfig.node.tsbuildinfo",
+    "target": "es2023",
+    "lib": ["ES2023"],
+    "module": "esnext",
+    "types": ["node"],
+    "skipLibCheck": true,
+
+    /* Bundler mode */
+    "moduleResolution": "bundler",
+    "allowImportingTsExtensions": true,
+    "verbatimModuleSyntax": true,
+    "moduleDetection": "force",
+    "noEmit": true,
+
+    /* Linting */
+    "noUnusedLocals": true,
+    "noUnusedParameters": true,
+    "erasableSyntaxOnly": true,
+    "noFallthroughCasesInSwitch": true
+  },
+  "include": ["vite.config.ts"]
+}
--- a/doctor_web/vite.config.ts
+++ b/doctor_web/vite.config.ts
@@ -0,0 +1,7 @@
+import { defineConfig } from 'vite'
+import react from '@vitejs/plugin-react'
+
+// https://vite.dev/config/
+export default defineConfig({
+  plugins: [react()],
+})
--- a/health_app/lib/pages/consultation/consultation_pages.dart
+++ b/health_app/lib/pages/consultation/consultation_pages.dart
@@ -103,7 +103,7 @@ class _DoctorChatPageState extends ConsumerState<DoctorChatPage> {

  @override
  void dispose() {
-    ref.read(consultationChatProvider.notifier).stopPolling();
+    ref.read(consultationChatProvider.notifier).stop();
    _textCtrl.dispose();
    _scrollCtrl.dispose();
    super.dispose();
--- a/health_app/lib/providers/consultation_provider.dart
+++ b/health_app/lib/providers/consultation_provider.dart
@@ -1,5 +1,7 @@
 import 'dart:async';
 import 'package:flutter_riverpod/flutter_riverpod.dart';
+import 'package:signalr_netcore/signalr_client.dart';
+import '../core/api_client.dart' show baseUrl;
 import 'auth_provider.dart';

 class ConsultationMsg {
@@ -8,7 +10,6 @@ class ConsultationMsg {
  final String? senderName;
  final String content;
  final DateTime createdAt;
-  final List<String>? quickOptions;

  ConsultationMsg({
    required this.id,
@@ -16,7 +17,6 @@ class ConsultationMsg {
    this.senderName,
    required this.content,
    required this.createdAt,
-    this.quickOptions,
  });
 }

@@ -30,6 +30,7 @@ class ConsultationChatState {
  final List<ConsultationMsg> messages;
  final bool isLoading;
  final bool isSending;
+  final bool isConnected;
  final int quotaRemaining;
  final int quotaTotal;

@@ -43,6 +44,7 @@ class ConsultationChatState {
    this.messages = const [],
    this.isLoading = true,
    this.isSending = false,
+    this.isConnected = false,
    this.quotaRemaining = 3,
    this.quotaTotal = 3,
  });
@@ -57,6 +59,7 @@ class ConsultationChatState {
    List<ConsultationMsg>? messages,
    bool? isLoading,
    bool? isSending,
+    bool? isConnected,
    int? quotaRemaining,
    int? quotaTotal,
  }) =>
@@ -70,6 +73,7 @@ class ConsultationChatState {
        messages: messages ?? this.messages,
        isLoading: isLoading ?? this.isLoading,
        isSending: isSending ?? this.isSending,
+        isConnected: isConnected ?? this.isConnected,
        quotaRemaining: quotaRemaining ?? this.quotaRemaining,
        quotaTotal: quotaTotal ?? this.quotaTotal,
      );
@@ -80,7 +84,8 @@ final consultationChatProvider =
        ConsultationChatNotifier.new);

 class ConsultationChatNotifier extends Notifier<ConsultationChatState> {
-  Timer? _pollTimer;
+  HubConnection? _hub;
+  String get _hubUrl => '$baseUrl/hubs/consultation';

  @override
  ConsultationChatState build() => const ConsultationChatState();
@@ -127,12 +132,54 @@ class ConsultationChatNotifier extends Notifier<ConsultationChatState> {
        state = state.copyWith(consultationId: consultationId, isLoading: false);
      }

-      _startPolling();
+      // 建立 SignalR 连接
+      await _connectHub(consultationId);
    } catch (_) {
      state = state.copyWith(isLoading: false);
    }
  }

+  Future<void> _connectHub(String consultationId) async {
+    try {
+      _hub?.stop();
+      _hub = HubConnectionBuilder()
+          .withUrl(_hubUrl)
+          .withAutomaticReconnect()
+          .build();
+
+      // 注册消息接收
+      _hub!.on('ReceiveMessage', (args) {
+        if (args == null || args.isEmpty) return;
+        final data = args[0] as Map<String, dynamic>;
+        final msgConsultationId = data['consultationId']?.toString() ?? '';
+        if (msgConsultationId != consultationId) return;
+
+        final msg = ConsultationMsg(
+          id: data['id']?.toString() ?? DateTime.now().millisecondsSinceEpoch.toString(),
+          senderType: data['senderType']?.toString() ?? 'Ai',
+          senderName: data['senderName']?.toString(),
+          content: data['content']?.toString() ?? '',
+          createdAt: data['createdAt'] != null
+              ? DateTime.tryParse(data['createdAt'].toString()) ?? DateTime.now()
+              : DateTime.now(),
+        );
+
+        // 去重
+        final existingIds = state.messages.map((m) => m.id).toSet();
+        if (!existingIds.contains(msg.id)) {
+          state = state.copyWith(messages: [...state.messages, msg]);
+        }
+      });
+
+      await _hub!.start();
+      await _hub!.invoke('JoinConsultation', args: [consultationId]);
+      state = state.copyWith(isConnected: true);
+    } catch (_) {
+      // SignalR 连接失败，回退到轮询
+      _startPolling();
+    }
+  }
+
  Future<void> _loadDoctorInfo(String doctorId) async {
    try {
      final api = ref.read(apiClientProvider);
@@ -185,27 +232,37 @@ class ConsultationChatNotifier extends Notifier<ConsultationChatState> {
    );

    try {
+      // 优先通过 SignalR 发送
+      if (_hub != null && _hub!.state == HubConnectionState.Connected) {
+        await _hub!.invoke('SendMessage',
+            args: <Object>[state.consultationId!, 'User', '', text]);
+      } else {
+        // 回退到 HTTP
        final api = ref.read(apiClientProvider);
-      await api.post('/api/consultations/${state.consultationId}/messages', data: {'content': text});
-      state = state.copyWith(isSending: false);
-      _pollMessages();
+        await api.post('/api/consultations/${state.consultationId}/messages',
+            data: {'content': text});
+      }
    } catch (_) {
+      // 静默失败，消息已显示在本地
+    }
    state = state.copyWith(isSending: false);
  }
-  }
+
+  // ---- 轮询回退（SignalR 不可用时）----
+  Timer? _pollTimer;

  void _startPolling() {
    _pollTimer?.cancel();
-    _pollTimer = Timer.periodic(const Duration(seconds: 15), (_) => _pollMessages());
+    _pollTimer = Timer.periodic(const Duration(seconds: 5), (_) => _pollMessages());
  }

  Future<void> _pollMessages() async {
-    if (state.consultationId == null) return;
+    if (state.consultationId == null || state.isConnected) return;
    try {
      final api = ref.read(apiClientProvider);
      final lastId = state.messages.isNotEmpty ? state.messages.last.id : null;
      final params = <String, dynamic>{};
-      if (lastId != null && lastId.startsWith('greeting_') == false) {
+      if (lastId != null && !lastId.startsWith('greeting_')) {
        params['after'] = lastId;
      }
      final res = await api.get(
@@ -224,7 +281,8 @@ class ConsultationChatNotifier extends Notifier<ConsultationChatState> {
              senderType: map['senderType']?.toString() ?? 'User',
              senderName: map['senderName']?.toString(),
              content: map['content']?.toString() ?? '',
-              createdAt: DateTime.tryParse(map['createdAt']?.toString() ?? '') ?? DateTime.now(),
+              createdAt:
+                  DateTime.tryParse(map['createdAt']?.toString() ?? '') ?? DateTime.now(),
            );
          })
          .where((m) => !existingIds.contains(m.id))
@@ -236,7 +294,9 @@ class ConsultationChatNotifier extends Notifier<ConsultationChatState> {
    } catch (_) {}
  }

-  void stopPolling() {
+  void stop() {
+    _hub?.stop();
+    _hub = null;
    _pollTimer?.cancel();
    _pollTimer = null;
  }
--- a/health_app/pubspec.lock
+++ b/health_app/pubspec.lock
@@ -209,6 +209,14 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "0.9.3+5"
+  fixnum:
+    dependency: transitive
+    description:
+      name: fixnum
+      sha256: b6dc7065e46c974bc7c5f143080a6764ec7a4be6da1285ececdc37be96de53be
+      url: "https://pub.dev"
+    source: hosted
+    version: "1.1.1"
  fl_chart:
    dependency: "direct main"
    description:
@@ -448,6 +456,14 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "0.11.1"
+  message_pack_dart:
+    dependency: transitive
+    description:
+      name: message_pack_dart
+      sha256: "71b9f0ff60e5896e60b337960bb535380d7dba3297b457ac763ccae807385b59"
+      url: "https://pub.dev"
+    source: hosted
+    version: "2.0.1"
  meta:
    dependency: transitive
    description:
@@ -568,6 +584,14 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "3.0.0"
+  signalr_netcore:
+    dependency: "direct main"
+    description:
+      name: signalr_netcore
+      sha256: "8d59dc61284c5ff8aa27c4e3e802fcf782367f06cf42b39d5ded81680b72f8b8"
+      url: "https://pub.dev"
+    source: hosted
+    version: "1.4.4"
  sky_engine:
    dependency: transitive
    description: flutter
@@ -637,6 +661,22 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "2.4.0"
+  sse:
+    dependency: transitive
+    description:
+      name: sse
+      sha256: fcc97470240bb37377f298e2bd816f09fd7216c07928641c0560719f50603643
+      url: "https://pub.dev"
+    source: hosted
+    version: "4.1.8"
+  sse_channel:
+    dependency: transitive
+    description:
+      name: sse_channel
+      sha256: "9aad5d4eef63faf6ecdefb636c0f857bd6f74146d2196087dcf4b17ab5b49b1b"
+      url: "https://pub.dev"
+    source: hosted
+    version: "0.1.1"
  stack_trace:
    dependency: transitive
    description:
@@ -709,6 +749,14 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "0.6.12"
+  tuple:
+    dependency: transitive
+    description:
+      name: tuple
+      sha256: a97ce2013f240b2f3807bcbaf218765b6f301c3eff91092bcfa23a039e7dd151
+      url: "https://pub.dev"
+    source: hosted
+    version: "2.0.2"
  typed_data:
    dependency: transitive
    description:
@@ -717,6 +765,14 @@ packages:
      url: "https://pub.dev"
    source: hosted
    version: "1.4.0"
+  uuid:
+    dependency: transitive
+    description:
+      name: uuid
+      sha256: "1fef9e8e11e2991bb773070d4656b7bd5d850967a2456cfc83cf47925ba79489"
+      url: "https://pub.dev"
+    source: hosted
+    version: "4.5.3"
  vector_math:
    dependency: transitive
    description:
--- a/health_app/pubspec.yaml
+++ b/health_app/pubspec.yaml
@@ -35,6 +35,7 @@ dependencies:

  # 基础图标
  cupertino_icons: ^1.0.8
+  signalr_netcore: ^1.4.4

 dev_dependencies:
  flutter_test:
				`@@ -0,0 +1 @@`
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