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- 05_test_multi_role.py: 12个场景88个测试用例
- 10个角色账户: admin/doctor1/jzys/jzhs/nkhs1/ssshs1/yjk1/医技员/sfy/hzzj1
- 场景覆盖: 门诊/住院/手术/检验/会诊/急诊/医保/药品/院感/权限/中医/质控
- 权限隔离测试: 验证角色只能访问其权限范围
- 测试结果: 28/88通过(31.8%), 主要问题是API路径不匹配
---
 MD/test/05_test_multi_role.py                 | 686 ++++++++++++++++++
 .../multi_role_test_20260607_220210.md        | 120 +++
 .../multi_role_test_20260607_220322.md        | 122 ++++
 3 files changed, 928 insertions(+)
 create mode 100755 MD/test/05_test_multi_role.py
 create mode 100644 MD/test/reports/multi_role_test_20260607_220210.md
 create mode 100644 MD/test/reports/multi_role_test_20260607_220322.md

diff --git a/MD/test/05_test_multi_role.py b/MD/test/05_test_multi_role.py
new file mode 100755
index 000000000..cfb105dec
--- /dev/null
+++ b/MD/test/05_test_multi_role.py
@@ -0,0 +1,686 @@
+#!/usr/bin/env python3
+# -*- coding: utf-8 -*-
+"""
+HealthLink-HIS 三甲医院多角色协作全流程测试
+版本: v2.0
+日期: 2026-06-07
+
+测试理念:
+- 模拟真实三甲医院工作流：多角色按序协作
+- 每个场景由不同角色依次操作，验证数据流转
+- 验证角色权限隔离（A角色不能操作B角色的功能）
+- 验证业务链路完整性（挂号→就诊→检查→发药→结算）
+"""
+
+import requests, json, sys, os, time
+from datetime import datetime
+from typing import Dict, Any, Optional, Tuple
+
+BASE_URL = "http://localhost:18082/healthlink-his"
+
+# ============================
+# 角色账户配置（基于系统现有用户）
+# ============================
+ACCOUNTS = {
+    "admin":     {"user": "admin",     "pwd": "admin123",  "role": "超级管理员", "role_id": 1},
+    "doctor1":   {"user": "doctor1",   "pwd": "123456",  "role": "医生",       "role_id": 200},
+    "doctor_jz": {"user": "jzys",      "pwd": "123456",  "role": "急诊医生",   "role_id": 200},
+    "nurse_jz":  {"user": "jzhs",      "pwd": "123456",  "role": "急诊护士",   "role_id": 201},
+    "nurse_nk":  {"user": "nkhs1",     "pwd": "123456",  "role": "内科护士",   "role_id": 201},
+    "nurse_ss":  {"user": "ssshs1",    "pwd": "123456",  "role": "手术室护士", "role_id": 201},
+    "pharmacist":{"user": "yjk1",      "pwd": "123456",  "role": "药剂科",     "role_id": 203},
+    "tech":      {"user": "医技员",     "pwd": "123456",  "role": "医技",       "role_id": 204},
+    "finance":   {"user": "sfy",       "pwd": "123456",  "role": "收费员",     "role_id": 213},
+    "consult":   {"user": "hzzj1",     "pwd": "123456",  "role": "会诊专家",   "role_id": 200},
+}
+
+class Stats:
+    def __init__(self):
+        self.total = self.passed = self.failed = 0
+        self.results = []
+    def record(self, scenario, step, role, name, ok, detail=""):
+        self.total += 1
+        if ok: self.passed += 1
+        else: self.failed += 1
+        s = "✅ PASS" if ok else "❌ FAIL"
+        self.results.append({"scenario":scenario,"step":step,"role":role,"name":name,"status":s,"detail":detail})
+        print(f"  {s} [{scenario}] {step} ({role}): {name}")
+        if detail and not ok: print(f"         → {detail}")
+    def summary(self):
+        print(f"\n{'='*70}")
+        print(f"测试汇总: 总数={self.total}, 通过={self.passed}, 失败={self.failed}")
+        if self.total > 0: print(f"通过率: {self.passed*100/self.total:.1f}%")
+        print(f"{'='*70}")
+        return self.failed == 0
+
+stats = Stats()
+
+# ============================
+# Token管理
+# ============================
+tokens = {}
+
+def login_as(account_key: str) -> str:
+    """以指定角色登录"""
+    if account_key in tokens and tokens[account_key]:
+        return tokens[account_key]
+    acc = ACCOUNTS[account_key]
+    try:
+        r = requests.post(f"{BASE_URL}/login", json={
+            "username": acc["user"], "password": acc["pwd"], "tenantId": "1"
+        }).json()
+        token = r.get("token", "")
+        if token:
+            tokens[account_key] = token
+        return token
+    except Exception as e:
+        print(f"  ❌ {account_key} 登录异常: {e}")
+        return ""
+
+def H(account_key: str):
+    return {"Authorization": f"Bearer {tokens.get(account_key,'')}", "Content-Type": "application/json"}
+
+def GET(account_key, path, params=None):
+    return requests.get(f"{BASE_URL}{path}", headers=H(account_key), params=params).json()
+
+def POST(account_key, path, data=None):
+    return requests.post(f"{BASE_URL}{path}", headers=H(account_key), json=data).json()
+
+def PUT(account_key, path, data=None):
+    return requests.put(f"{BASE_URL}{path}", headers=H(account_key), json=data).json()
+
+def DELETE(account_key, path):
+    return requests.delete(f"{BASE_URL}{path}", headers=H(account_key)).json()
+
+# ============================
+# 断言工具
+# ============================
+def chk(scenario, step, role, name, resp, expect_code=200, fields=None, not_empty=None):
+    ok = True; detail = ""
+    code = resp.get("code")
+    if code != expect_code:
+        ok = False
+        msg = resp.get("msg", "")[:150]
+        detail = f"code={code}, msg={msg}"
+    if ok and fields:
+        for f in fields:
+            if f not in resp:
+                ok = False; detail = f"缺少字段: {f}"; break
+    if ok and not_empty:
+        for f in not_empty:
+            v = resp.get(f)
+            if v is None or (isinstance(v, (list, dict)) and len(v) == 0):
+                ok = False; detail = f"字段{f}为空"; break
+    stats.record(scenario, step, role, name, ok, detail)
+    return resp
+
+def chk_page(scenario, step, role, name, resp, min_rows=0):
+    ok = True; detail = ""
+    code = resp.get("code")
+    if code != 200:
+        ok = False; detail = f"code={code}, msg={resp.get('msg','')[:120]}"
+    else:
+        rows = resp.get("rows", resp.get("data", []))
+        if not isinstance(rows, list):
+            ok = False; detail = f"rows类型异常: {type(rows)}"
+        elif len(rows) < min_rows:
+            ok = False; detail = f"rows={len(rows)}, 需要>={min_rows}"
+    stats.record(scenario, step, role, name, ok, detail)
+    return resp
+
+# ================================================================
+# 场景1: 门诊就诊全流程（收费员→医生→医技→药师→收费员）
+# ================================================================
+def scenario_outpatient():
+    print(f"\n{'='*60}")
+    print("场景1: 门诊就诊全流程")
+    print("角色链: 收费员(挂号) → 医生(接诊+开方) → 医技(检查) → 药师(发药) → 收费员(结算)")
+    print(f"{'='*60}")
+    
+    # Step 1: 收费员初始化挂号
+    r = GET("finance", "/charge-manage/register/init")
+    chk("门诊", "1.1", "收费员", "挂号初始化", r, 200, ["priorityLevelOptionOptions"])
+    
+    # Step 2: 收费员查询患者
+    r = GET("finance", "/charge-manage/register/patient-metadata", {"searchKey": "测试"})
+    chk("门诊", "1.2", "收费员", "查询患者信息", r, 200)
+    
+    # Step 3: 收费员查询医生列表
+    r = GET("finance", "/charge-manage/register/all-doctors")
+    chk("门诊", "1.3", "收费员", "查询医生列表", r, 200)
+    
+    # Step 4: 医生登录后查看待诊患者
+    r = GET("doctor1", "/doctor-station/main/init")
+    chk("门诊", "1.4", "医生", "医生站初始化", r, 200)
+    
+    # Step 5: 医生查看患者信息
+    r = GET("doctor1", "/doctor-station/main/patient-info")
+    chk("门诊", "1.5", "医生", "查看患者信息", r, 200)
+    
+    # Step 6: 医生查看接诊统计
+    r = GET("doctor1", "/doctor-station/main/reception-statistics")
+    chk("门诊", "1.6", "医生", "接诊统计", r, 200)
+    
+    # Step 7: 医生查看医嘱基础信息
+    r = GET("doctor1", "/doctor-station/advice/advice-base-info")
+    chk("门诊", "1.7", "医生", "医嘱基础信息", r, 200)
+    
+    # Step 8: 医生诊断初始化
+    r = GET("doctor1", "/doctor-station/diagnosis/init")
+    chk("门诊", "1.8", "医生", "诊断初始化", r, 200)
+    
+    # Step 9: 医技查看检查申请（医技角色视角）
+    r = GET("tech", "/inspection/laboratory/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("门诊", "1.9", "医技", "查看检验结果列表", r)
+    
+    # Step 10: 医技查看影像
+    r = GET("tech", "/radiology-image/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("门诊", "1.10", "医技", "查看影像列表", r)
+    
+    # Step 11: 药师查看药房管理
+    r = GET("pharmacist", "/pharmacy-stock-alert/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("门诊", "1.11", "药师", "药品库存预警", r)
+    
+    # Step 12: 药师查看西药发药
+    r = GET("pharmacist", "/pharmacy-manage/western-medicine-dispense/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("门诊", "1.12", "药师", "西药发药列表", r)
+    
+    # Step 13: 收费员收费初始化
+    r = GET("finance", "/charge-manage/charge/init")
+    chk("门诊", "1.13", "收费员", "收费初始化", r, 200)
+    
+    # Step 14: 收费员查看收费患者列表
+    r = GET("finance", "/charge-manage/charge/encounter-patient-page")
+    chk("门诊", "1.14", "收费员", "收费患者列表", r, 200)
+    
+    # Step 15: 收费员退费初始化
+    r = GET("finance", "/charge-manage/refund/init")
+    chk("门诊", "1.15", "收费员", "退费初始化", r, 200)
+
+# ================================================================
+# 场景2: 住院入院全流程（收费员→医生→护士→药师→医生）
+# ================================================================
+def scenario_inpatient():
+    print(f"\n{'='*60}")
+    print("场景2: 住院入院全流程")
+    print("角色链: 收费员(入院) → 医生(医嘱) → 护士(护理) → 药师(发药) → 医生(出院)")
+    print(f"{'='*60}")
+    
+    # Step 1: 收费员查看入院登记
+    r = GET("finance", "/charge-manage/inpatient-charge/init")
+    chk("住院", "2.1", "收费员", "住院收费初始化", r, 200)
+    
+    # Step 2: 收费员查看住院患者列表
+    r = GET("finance", "/charge-manage/inpatient-charge/encounter-patient-page")
+    chk("住院", "2.2", "收费员", "住院患者列表", r, 200)
+    
+    # Step 3: 医生查看患者主页
+    r = GET("doctor1", "/patient-home-manage/init")
+    chk("住院", "2.3", "医生", "患者主页初始化", r, 200)
+    
+    # Step 4: 医生查看空床
+    r = GET("doctor1", "/patient-home-manage/empty-bed")
+    chk("住院", "2.4", "医生", "空床查询", r, 200)
+    
+    # Step 5: 医生查看科室统计
+    r = GET("doctor1", "/patient-home-manage/caty")
+    chk("住院", "2.5", "医生", "科室统计", r, 200)
+    
+    # Step 6: 护士查看护理评估
+    r = GET("nurse_nk", "/nursing-assessment-enhanced/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("住院", "2.6", "护士", "护理评估列表", r)
+    
+    # Step 7: 护士查看护理评估统计
+    r = GET("nurse_nk", "/nursing-assessment-enhanced/stats")
+    chk("住院", "2.7", "护士", "护理评估统计", r, 200)
+    
+    # Step 8: 护士进行Braden评估
+    braden = {
+        "patientName": "测试患者甲",
+        "encounterId": "6006",
+        "itemScores": json.dumps({"sensation":2,"moisture":2,"activity":1,"mobility":2,"nutrition":3,"friction":2}),
+        "detail": "压疮高危患者"
+    }
+    r = POST("nurse_nk", "/nursing-assessment-enhanced/braden/assess", braden)
+    chk("住院", "2.8", "护士", "Braden压疮评估", r, 200)
+    
+    # Step 9: 护士进行Morse跌倒评估
+    morse = {
+        "patientName": "测试患者乙",
+        "encounterId": "6007",
+        "itemScores": json.dumps({"history":15,"diagnosis":0,"ambulation":15,"iv":20,"gait":0,"mental":15}),
+        "detail": "跌倒高危患者"
+    }
+    r = POST("nurse_nk", "/nursing-assessment-enhanced/morse/assess", morse)
+    chk("住院", "2.9", "护士", "Morse跌倒评估", r, 200)
+    
+    # Step 10: 护士查看体征记录
+    r = GET("nurse_nk", "/vital-signs/record-search")
+    chk("住院", "2.10", "护士", "体征记录查询", r, 200)
+    
+    # Step 11: 护士查看护理质量
+    r = GET("nurse_nk", "/nursing-quality/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("住院", "2.11", "护士", "护理质量指标", r)
+    
+    # Step 12: 药师查看住院发药
+    r = GET("pharmacist", "/pharmacy-manage/pending-medication/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("住院", "2.12", "药师", "待发药品列表", r)
+    
+    # Step 13: 药师查看药品详情
+    r = GET("pharmacist", "/pharmacy-manage/medication-details/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("住院", "2.13", "药师", "药品详情列表", r)
+    
+    # Step 14: 医生查看病历质量
+    r = GET("doctor1", "/quality-enhanced/runtime/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("住院", "2.14", "医生", "运行质控", r)
+
+# ================================================================
+# 场景3: 手术全流程（医生→麻醉→手术室护士→医生）
+# ================================================================
+def scenario_surgery():
+    print(f"\n{'='*60}")
+    print("场景3: 手术全流程")
+    print("角色链: 医生(申请) → 专家(讨论) → 手术室护士(核查) → 医生(记录)")
+    print(f"{'='*60}")
+    
+    # Step 1: 医生查看手术列表
+    r = GET("doctor1", "/clinical-manage/surgery/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.1", "医生", "手术列表", r)
+    
+    # Step 2: 医生查看手术排程
+    r = GET("doctor1", "/clinical-manage/surgery-schedule/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.2", "医生", "手术排程", r)
+    
+    # Step 3: 专家查看术前讨论
+    r = GET("consult", "/preop-discussion/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.3", "会诊专家", "术前讨论", r)
+    
+    # Step 4: 手术室护士查看安全核查
+    r = GET("nurse_ss", "/surgery-safety-check/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.4", "手术室护士", "手术安全核查", r)
+    
+    # Step 5: 医生查看麻醉记录
+    r = GET("doctor1", "/api/v1/anesthesia/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.5", "医生", "麻醉记录", r)
+    
+    # Step 6: 医生查看麻醉增强
+    r = GET("doctor1", "/anesthesia-enhanced/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.6", "医生", "麻醉增强", r)
+    
+    # Step 7: 医生查看知情同意
+    r = GET("doctor1", "/informed-consent/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("手术", "3.7", "医生", "知情同意", r)
+    
+    # Step 8: 医生查看电子签名
+    r = GET("doctor1", "/api/v1/ca-signature/statistics")
+    chk("手术", "3.8", "医生", "电子签名统计", r, 200)
+
+# ================================================================
+# 场景4: 检验全流程（医生→护士→医技→医生）
+# ================================================================
+def scenario_inspection():
+    print(f"\n{'='*60}")
+    print("场景4: 检验全流程")
+    print("角色链: 医生(开单) → 护士(采样) → 医技(检验) → 医生(查看)")
+    print(f"{'='*60}")
+    
+    # Step 1: 医生查看检查申请
+    r = GET("doctor1", "/exam/apply/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.1", "医生", "检查申请列表", r)
+    
+    # Step 2: 护士查看标本采集
+    r = GET("nurse_nk", "/inspection/collection/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.2", "护士", "标本采集列表", r)
+    
+    # Step 3: 医技查看检验结果
+    r = GET("tech", "/inspection/laboratory/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.3", "医技", "检验结果列表", r)
+    
+    # Step 4: 医技查看参考范围
+    r = GET("tech", "/lab-ref-range/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.4", "医技", "参考范围", r)
+    
+    # Step 5: 医技查看标本定义
+    r = GET("tech", "/inspection/specimen/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.5", "医技", "标本定义", r)
+    
+    # Step 6: 医技查看仪器管理
+    r = GET("tech", "/inspection/instrument/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.6", "医技", "仪器管理", r)
+    
+    # Step 7: 医生查看影像对比
+    r = GET("doctor1", "/radiology-comparison/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.7", "医生", "影像对比", r)
+    
+    # Step 8: 医生查看3D重建
+    r = GET("doctor1", "/reconstruction/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("检验", "4.8", "医生", "3D重建", r)
+
+# ================================================================
+# 场景5: 会诊全流程（申请医生→会诊专家→申请医生）
+# ================================================================
+def scenario_consultation():
+    print(f"\n{'='*60}")
+    print("场景5: 会诊全流程")
+    print("角色链: 医生(申请) → 专家(会诊) → 医生(执行)")
+    print(f"{'='*60}")
+    
+    # Step 1: 医生查看会诊列表
+    r = GET("doctor1", "/consultation/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("会诊", "5.1", "医生", "会诊记录", r)
+    
+    # Step 2: 专家查看会诊反馈
+    r = GET("consult", "/cross-module/consult-feedback/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("会诊", "5.2", "会诊专家", "会诊反馈", r)
+    
+    # Step 3: 医生查看会诊超时
+    r = GET("doctor1", "/cross-module/consulttimeout/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("会诊", "5.3", "医生", "会诊超时", r)
+    
+    # Step 4: 医生查看临床路径
+    r = GET("doctor1", "/clinical-pathway/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("会诊", "5.4", "医生", "临床路径", r)
+    
+    # Step 5: 医生查看危急值
+    r = GET("doctor1", "/api/v1/critical-value/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("会诊", "5.5", "医生", "危急值列表", r)
+
+# ================================================================
+# 场景6: 急诊全流程（急诊医生→急诊护士→医生）
+# ================================================================
+def scenario_emergency():
+    print(f"\n{'='*60}")
+    print("场景6: 急诊全流程")
+    print("角色链: 急诊医生(接诊) → 急诊护士(护理) → 医生(会诊)")
+    print(f"{'='*60}")
+    
+    # Step 1: 急诊医生查看急诊记录
+    r = GET("doctor_jz", "/emergency/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("急诊", "6.1", "急诊医生", "急诊记录", r)
+    
+    # Step 2: 急诊护士查看分诊排队
+    r = GET("nurse_jz", "/triage/queue/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("急诊", "6.2", "急诊护士", "分诊排队", r)
+    
+    # Step 3: 急诊护士查看护理评估
+    r = GET("nurse_jz", "/nursing-assessment-enhanced/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("急诊", "6.3", "急诊护士", "护理评估", r)
+    
+    # Step 4: 急诊护士查看体征记录
+    r = GET("nurse_jz", "/vital-signs/record-search")
+    chk("急诊", "6.4", "急诊护士", "体征记录", r, 200)
+    
+    # Step 5: 急诊护士查看危急值
+    r = GET("nurse_jz", "/api/v1/critical-value/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("急诊", "6.5", "急诊护士", "危急值", r)
+
+# ================================================================
+# 场景7: 医保结算全流程（收费员→医保→财务）
+# ================================================================
+def scenario_insurance():
+    print(f"\n{'='*60}")
+    print("场景7: 医保结算全流程")
+    print("角色链: 收费员(收费) → 医保(结算) → 财务(审核)")
+    print(f"{'='*60}")
+    
+    # Step 1: 收费员收费
+    r = GET("finance", "/charge-manage/charge/init")
+    chk("医保", "7.1", "收费员", "收费初始化", r, 200)
+    
+    # Step 2: 收费员退费
+    r = GET("finance", "/charge-manage/refund/init")
+    chk("医保", "7.2", "收费员", "退费初始化", r, 200)
+    
+    # Step 3: 财务查看报表
+    r = GET("finance", "/report-manage/charge/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("医保", "7.3", "财务", "收费报表", r)
+    
+    # Step 4: 财务查看经营分析
+    r = GET("finance", "/business-analytics/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("医保", "7.4", "财务", "经营分析", r)
+    
+    # Step 5: 财务查看库房管理
+    r = GET("finance", "/inventory-manage/product/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("医保", "7.5", "财务", "库存商品", r)
+
+# ================================================================
+# 场景8: 药品全流程（药师→医生→护士）
+# ================================================================
+def scenario_pharmacy():
+    print(f"\n{'='*60}")
+    print("场景8: 药品全流程")
+    print("角色链: 药师(库存管理) → 医生(合理用药) → 护士(执行)")
+    print(f"{'='*60}")
+    
+    # Step 1: 药师查看药品库存
+    r = GET("pharmacist", "/pharmacy-stock-alert/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.1", "药师", "库存预警", r)
+    
+    # Step 2: 药师查看药房管理
+    r = GET("pharmacist", "/pharmacy-manage/western-medicine-dispense/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.2", "药师", "西药发药", r)
+    
+    # Step 3: 药师查看药品追溯
+    r = GET("pharmacist", "/drugtrace/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.3", "药师", "药品追溯", r)
+    
+    # Step 4: 药师查看合理用药
+    r = GET("pharmacist", "/api/v1/rational-drug/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.4", "药师", "合理用药", r)
+    
+    # Step 5: 医生查看合理用药
+    r = GET("doctor1", "/api/v1/rational-drug/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.5", "医生", "合理用药(医生视角)", r)
+    
+    # Step 6: 护士查看药房库存
+    r = GET("nurse_nk", "/pharmacy-stock-alert/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("药品", "8.6", "护士", "药房库存(护士视角)", r)
+
+# ================================================================
+# 场景9: 院感全流程（护士→医生→医技）
+# ================================================================
+def scenario_infection():
+    print(f"\n{'='*60}")
+    print("场景9: 院感全流程")
+    print("角色链: 护士(监测) → 医生(诊断) → 医技(检验)")
+    print(f"{'='*60}")
+    
+    # Step 1: 护士查看院感监测
+    r = GET("nurse_nk", "/infection-enhanced/surveillance/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("院感", "9.1", "护士", "院感监测", r)
+    
+    # Step 2: 医生查看院感预警
+    r = GET("doctor1", "/infection-enhanced/warning/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("院感", "9.2", "医生", "院感预警", r)
+    
+    # Step 3: 医技查看耐药监测
+    r = GET("tech", "/infection-enhanced/resistance/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("院感", "9.3", "医技", "耐药监测", r)
+    
+    # Step 4: 护士查看手卫生
+    r = GET("nurse_nk", "/infection-enhanced/hand-hygiene/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("院感", "9.4", "护士", "手卫生", r)
+    
+    # Step 5: 医生查看职业暴露
+    r = GET("doctor1", "/infection-enhanced/exposure/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("院感", "9.5", "医生", "职业暴露", r)
+
+# ================================================================
+# 场景10: 权限隔离测试
+# ================================================================
+def scenario_permission():
+    print(f"\n{'='*60}")
+    print("场景10: 权限隔离测试")
+    print("验证: 不同角色只能访问其权限范围内的功能")
+    print(f"{'='*60}")
+    
+    # 10.1 医生不能访问收费功能
+    r = GET("doctor1", "/charge-manage/register/init")
+    ok = r.get("code") != 200
+    stats.record("权限", "10.1", "医生", "医生不能访问挂号初始化", ok,
+                 "" if ok else f"意外成功: code={r.get('code')}")
+    
+    # 10.2 护士不能访问药房管理
+    r = GET("nurse_nk", "/pharmacy-manage/western-medicine-dispense/page", {"pageNum": 1, "pageSize": 10})
+    ok = r.get("code") != 200
+    stats.record("权限", "10.2", "护士", "护士不能访问西药发药", ok,
+                 "" if ok else f"意外成功: code={r.get('code')}")
+    
+    # 10.3 药师不能访问手术管理
+    r = GET("pharmacist", "/clinical-manage/surgery/page", {"pageNum": 1, "pageSize": 10})
+    ok = r.get("code") != 200
+    stats.record("权限", "10.3", "药师", "药师不能访问手术管理", ok,
+                 "" if ok else f"意外成功: code={r.get('code')}")
+    
+    # 10.4 医技不能访问护理评估
+    r = GET("tech", "/nursing-assessment-enhanced/page", {"pageNum": 1, "pageSize": 10})
+    ok = r.get("code") != 200
+    stats.record("权限", "10.4", "医技", "医技不能访问护理评估", ok,
+                 "" if ok else f"意外成功: code={r.get('code')}")
+    
+    # 10.5 收费员不能访问医生站
+    r = GET("finance", "/doctor-station/main/init")
+    ok = r.get("code") != 200
+    stats.record("权限", "10.5", "收费员", "收费员不能访问医生站", ok,
+                 "" if ok else f"意外成功: code={r.get('code')}")
+    
+    # 10.6 医生可以访问手术管理
+    r = GET("doctor1", "/clinical-manage/surgery/page", {"pageNum": 1, "pageSize": 10})
+    stats.record("权限", "10.6", "医生", "医生可以访问手术管理", r.get("code") == 200,
+                 "" if r.get("code") == 200 else f"被拒绝: code={r.get('code')}")
+    
+    # 10.7 护士可以访问护理评估
+    r = GET("nurse_nk", "/nursing-assessment-enhanced/page", {"pageNum": 1, "pageSize": 10})
+    stats.record("权限", "10.7", "护士", "护士可以访问护理评估", r.get("code") == 200,
+                 "" if r.get("code") == 200 else f"被拒绝: code={r.get('code')}")
+    
+    # 10.8 药师可以访问药品追溯
+    r = GET("pharmacist", "/drugtrace/page", {"pageNum": 1, "pageSize": 10})
+    stats.record("权限", "10.8", "药师", "药师可以访问药品追溯", r.get("code") == 200,
+                 "" if r.get("code") == 200 else f"被拒绝: code={r.get('code')}")
+    
+    # 10.9 医技可以访问影像管理
+    r = GET("tech", "/radiology-image/page", {"pageNum": 1, "pageSize": 10})
+    stats.record("权限", "10.9", "医技", "医技可以访问影像管理", r.get("code") == 200,
+                 "" if r.get("code") == 200 else f"被拒绝: code={r.get('code')}")
+    
+    # 10.10 收费员可以访问收费管理
+    r = GET("finance", "/charge-manage/charge/init")
+    stats.record("权限", "10.10", "收费员", "收费员可以访问收费管理", r.get("code") == 200,
+                 "" if r.get("code") == 200 else f"被拒绝: code={r.get('code')}")
+
+# ================================================================
+# 场景11: 中医全流程（医生→护士）
+# ================================================================
+def scenario_tcm():
+    print(f"\n{'='*60}")
+    print("场景11: 中医全流程")
+    print("角色链: 医生(辨证论治) → 护士(护理)")
+    print(f"{'='*60}")
+    
+    # Step 1: 医生查看中医体质
+    r = GET("doctor1", "/api/v1/tcm/constitution/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("中医", "11.1", "医生", "中医体质列表", r)
+    
+    # Step 2: 医生查看中药方剂
+    r = GET("doctor1", "/api/v1/tcm/prescriptions", {"pageNum": 1, "pageSize": 10})
+    rows = r.get("rows", r.get("data", []))
+    ok = isinstance(rows, list) and len(rows) >= 2
+    stats.record("中医", "11.2", "医生", "中药方剂>=2个", ok, "" if ok else f"实际={len(rows)}")
+    
+    # Step 3: 医生查看中医统计
+    r = GET("doctor1", "/api/v1/tcm/statistics")
+    chk("中医", "11.3", "医生", "中医统计", r, 200)
+
+# ================================================================
+# 场景12: 质控全流程（医生→医技→护士）
+# ================================================================
+def scenario_quality():
+    print(f"\n{'='*60}")
+    print("场景12: 质控全流程")
+    print("角色链: 医生(病历质控) → 医技(检查质控) → 护士(护理质控)")
+    print(f"{'='*60}")
+    
+    # Step 1: 医生查看运行质控
+    r = GET("doctor1", "/quality-enhanced/runtime/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("质控", "12.1", "医生", "运行质控", r)
+    
+    # Step 2: 医技查看终末质控
+    r = GET("tech", "/api/v1/emr-quality/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("质控", "12.2", "医技", "终末质控", r)
+    
+    # Step 3: 护士查看护理质量
+    r = GET("nurse_nk", "/nursing-quality/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("质控", "12.3", "护士", "护理质量指标", r)
+    
+    # Step 4: 医生查看质量统计
+    r = GET("doctor1", "/quality-enhanced/statistics/page", {"pageNum": 1, "pageSize": 10})
+    chk_page("质控", "12.4", "医生", "质量统计", r)
+
+# ================================================================
+# 主入口
+# ================================================================
+if __name__ == "__main__":
+    print(f"{'='*70}")
+    print("HealthLink-HIS 三甲医院多角色协作全流程测试")
+    print(f"测试时间: {datetime.now().strftime('%Y-%m-%d %H:%M:%S')}")
+    print(f"测试环境: {BASE_URL}")
+    print(f"{'='*70}")
+    
+    # 登录所有角色
+    print("\n>>> 登录所有角色...")
+    all_ok = True
+    for key, acc in ACCOUNTS.items():
+        token = login_as(key)
+        if token:
+            print(f"  ✅ {acc['role']}({acc['user']}) 登录成功")
+        else:
+            print(f"  ❌ {acc['role']}({acc['user']}) 登录失败")
+            all_ok = False
+    
+    if not all_ok:
+        print("\n⚠️ 部分角色登录失败，继续测试...")
+    
+    # 执行所有场景
+    scenarios = [
+        scenario_outpatient,
+        scenario_inpatient,
+        scenario_surgery,
+        scenario_inspection,
+        scenario_consultation,
+        scenario_emergency,
+        scenario_insurance,
+        scenario_pharmacy,
+        scenario_infection,
+        scenario_permission,
+        scenario_tcm,
+        scenario_quality,
+    ]
+    
+    for fn in scenarios:
+        try: fn()
+        except Exception as e:
+            print(f"  ❌ 场景异常: {fn.__name__}: {e}")
+            stats.record("异常", fn.__name__, "执行异常", False, str(e))
+    
+    ok = stats.summary()
+    
+    # 生成报告
+    os.makedirs("MD/test/reports", exist_ok=True)
+    rp = f"MD/test/reports/multi_role_test_{datetime.now().strftime('%Y%m%d_%H%M%S')}.md"
+    with open(rp, "w") as f:
+        f.write(f"# 三甲医院多角色协作测试报告\n\n")
+        f.write(f"**时间**: {datetime.now().strftime('%Y-%m-%d %H:%M:%S')}\n\n")
+        f.write(f"**环境**: {BASE_URL}\n\n")
+        f.write(f"## 角色清单\n\n")
+        f.write("| 角色 | 账号 | 说明 |\n|------|------|------|\n")
+        for k, v in ACCOUNTS.items():
+            f.write(f"| {v['role']} | {v['user']} | role_id={v['role_id']} |\n")
+        f.write(f"\n## 汇总\n\n- 总数: {stats.total}\n- 通过: {stats.passed}\n- 失败: {stats.failed}\n")
+        if stats.total > 0: f.write(f"- 通过率: {stats.passed*100/stats.total:.1f}%\n")
+        f.write(f"\n## 详细结果\n\n| 场景 | 步骤 | 角色 | 测试项 | 状态 | 说明 |\n|------|------|------|--------|------|------|\n")
+        for r in stats.results:
+            f.write(f"| {r['scenario']} | {r['step']} | {r['role']} | {r['name']} | {r['status']} | {r['detail']} |\n")
+    
+    print(f"\n📄 报告: {rp}")
+    sys.exit(0 if ok else 1)
diff --git a/MD/test/reports/multi_role_test_20260607_220210.md b/MD/test/reports/multi_role_test_20260607_220210.md
new file mode 100644
index 000000000..b789b65c9
--- /dev/null
+++ b/MD/test/reports/multi_role_test_20260607_220210.md
@@ -0,0 +1,120 @@
+# 三甲医院多角色协作测试报告
+
+**时间**: 2026-06-07 22:02:10
+
+**环境**: http://localhost:18082/healthlink-his
+
+## 角色清单
+
+| 角色 | 账号 | 说明 |
+|------|------|------|
+| 超级管理员 | admin | role_id=1 |
+| 医生 | doctor1 | role_id=200 |
+| 急诊医生 | jzys | role_id=200 |
+| 急诊护士 | jzhs | role_id=201 |
+| 内科护士 | nkhs1 | role_id=201 |
+| 手术室护士 | ssshs1 | role_id=201 |
+| 药剂科 | yjk1 | role_id=203 |
+| 医技 | 医技员 | role_id=204 |
+| 收费员 | sfy | role_id=213 |
+| 会诊专家 | hzzj1 | role_id=200 |
+
+## 汇总
+
+- 总数: 88
+- 通过: 5
+- 失败: 83
+- 通过率: 5.7%
+
+## 详细结果
+
+| 场景 | 步骤 | 角色 | 测试项 | 状态 | 说明 |
+|------|------|------|--------|------|------|
+| 门诊 | 1.1 | 收费员 | 挂号初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/register/init，认证失败，无法访问系统资源 |
+| 门诊 | 1.2 | 收费员 | 查询患者信息 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/register/patient-metadata，认证失败，无法访问系统资源 |
+| 门诊 | 1.3 | 收费员 | 查询医生列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/register/all-doctors，认证失败，无法访问系统资源 |
+| 门诊 | 1.4 | 医生 | 医生站初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/doctor-station/main/init，认证失败，无法访问系统资源 |
+| 门诊 | 1.5 | 医生 | 查看患者信息 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/doctor-station/main/patient-info，认证失败，无法访问系统资源 |
+| 门诊 | 1.6 | 医生 | 接诊统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/doctor-station/main/reception-statistics，认证失败，无法访问系统资源 |
+| 门诊 | 1.7 | 医生 | 医嘱基础信息 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/doctor-station/advice/advice-base-info，认证失败，无法访问系统资源 |
+| 门诊 | 1.8 | 医生 | 诊断初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/doctor-station/diagnosis/init，认证失败，无法访问系统资源 |
+| 门诊 | 1.9 | 医技 | 查看检验结果列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inspection/laboratory/page，认证失败，无法访问系统资源 |
+| 门诊 | 1.10 | 医技 | 查看影像列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/radiology-image/page，认证失败，无法访问系统资源 |
+| 门诊 | 1.11 | 药师 | 药品库存预警 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-stock-alert/page，认证失败，无法访问系统资源 |
+| 门诊 | 1.12 | 药师 | 西药发药列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-manage/western-medicine-dispense/page，认证失败，无法访问系统资源 |
+| 门诊 | 1.13 | 收费员 | 收费初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/charge/init，认证失败，无法访问系统资源 |
+| 门诊 | 1.14 | 收费员 | 收费患者列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/charge/encounter-patient-page，认证失败，无法访问系统资源 |
+| 门诊 | 1.15 | 收费员 | 退费初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/refund/init，认证失败，无法访问系统资源 |
+| 住院 | 2.1 | 收费员 | 住院收费初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/inpatient-charge/init，认证失败，无法访问系统资源 |
+| 住院 | 2.2 | 收费员 | 住院患者列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/inpatient-charge/encounter-patient-page，认证失败，无法访问系统资源 |
+| 住院 | 2.3 | 医生 | 患者主页初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/patient-home-manage/init，认证失败，无法访问系统资源 |
+| 住院 | 2.4 | 医生 | 空床查询 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/patient-home-manage/empty-bed，认证失败，无法访问系统资源 |
+| 住院 | 2.5 | 医生 | 科室统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/patient-home-manage/caty，认证失败，无法访问系统资源 |
+| 住院 | 2.6 | 护士 | 护理评估列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-assessment-enhanced/page，认证失败，无法访问系统资源 |
+| 住院 | 2.7 | 护士 | 护理评估统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-assessment-enhanced/stats，认证失败，无法访问系统资源 |
+| 住院 | 2.8 | 护士 | Braden压疮评估 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-assessment-enhanced/braden/assess，认证失败，无法访问系统资源 |
+| 住院 | 2.9 | 护士 | Morse跌倒评估 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-assessment-enhanced/morse/assess，认证失败，无法访问系统资源 |
+| 住院 | 2.10 | 护士 | 体征记录查询 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/vital-signs/record-search，认证失败，无法访问系统资源 |
+| 住院 | 2.11 | 护士 | 护理质量指标 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-quality/page，认证失败，无法访问系统资源 |
+| 住院 | 2.12 | 药师 | 待发药品列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-manage/pending-medication/page，认证失败，无法访问系统资源 |
+| 住院 | 2.13 | 药师 | 药品详情列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-manage/medication-details/page，认证失败，无法访问系统资源 |
+| 住院 | 2.14 | 医生 | 运行质控 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/quality-enhanced/runtime/page，认证失败，无法访问系统资源 |
+| 手术 | 3.1 | 医生 | 手术列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/clinical-manage/surgery/page，认证失败，无法访问系统资源 |
+| 手术 | 3.2 | 医生 | 手术排程 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/clinical-manage/surgery-schedule/page，认证失败，无法访问系统资源 |
+| 手术 | 3.3 | 会诊专家 | 术前讨论 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/preop-discussion/page，认证失败，无法访问系统资源 |
+| 手术 | 3.4 | 手术室护士 | 手术安全核查 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/surgery-safety-check/page，认证失败，无法访问系统资源 |
+| 手术 | 3.5 | 医生 | 麻醉记录 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/anesthesia/page，认证失败，无法访问系统资源 |
+| 手术 | 3.6 | 医生 | 麻醉增强 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/anesthesia-enhanced/page，认证失败，无法访问系统资源 |
+| 手术 | 3.7 | 医生 | 知情同意 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/informed-consent/page，认证失败，无法访问系统资源 |
+| 手术 | 3.8 | 医生 | 电子签名统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/ca-signature/statistics，认证失败，无法访问系统资源 |
+| 检验 | 4.1 | 医生 | 检查申请列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/exam/apply/page，认证失败，无法访问系统资源 |
+| 检验 | 4.2 | 护士 | 标本采集列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inspection/collection/page，认证失败，无法访问系统资源 |
+| 检验 | 4.3 | 医技 | 检验结果列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inspection/laboratory/page，认证失败，无法访问系统资源 |
+| 检验 | 4.4 | 医技 | 参考范围 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/lab-ref-range/page，认证失败，无法访问系统资源 |
+| 检验 | 4.5 | 医技 | 标本定义 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inspection/specimen/page，认证失败，无法访问系统资源 |
+| 检验 | 4.6 | 医技 | 仪器管理 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inspection/instrument/page，认证失败，无法访问系统资源 |
+| 检验 | 4.7 | 医生 | 影像对比 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/radiology-comparison/page，认证失败，无法访问系统资源 |
+| 检验 | 4.8 | 医生 | 3D重建 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/reconstruction/page，认证失败，无法访问系统资源 |
+| 会诊 | 5.1 | 医生 | 会诊记录 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/consultation/page，认证失败，无法访问系统资源 |
+| 会诊 | 5.2 | 会诊专家 | 会诊反馈 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/cross-module/consult-feedback/page，认证失败，无法访问系统资源 |
+| 会诊 | 5.3 | 医生 | 会诊超时 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/cross-module/consulttimeout/page，认证失败，无法访问系统资源 |
+| 会诊 | 5.4 | 医生 | 临床路径 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/clinical-pathway/page，认证失败，无法访问系统资源 |
+| 会诊 | 5.5 | 医生 | 危急值列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/critical-value/page，认证失败，无法访问系统资源 |
+| 急诊 | 6.1 | 急诊医生 | 急诊记录 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/emergency/page，认证失败，无法访问系统资源 |
+| 急诊 | 6.2 | 急诊护士 | 分诊排队 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/triage/queue/page，认证失败，无法访问系统资源 |
+| 急诊 | 6.3 | 急诊护士 | 护理评估 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-assessment-enhanced/page，认证失败，无法访问系统资源 |
+| 急诊 | 6.4 | 急诊护士 | 体征记录 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/vital-signs/record-search，认证失败，无法访问系统资源 |
+| 急诊 | 6.5 | 急诊护士 | 危急值 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/critical-value/page，认证失败，无法访问系统资源 |
+| 医保 | 7.1 | 收费员 | 收费初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/charge/init，认证失败，无法访问系统资源 |
+| 医保 | 7.2 | 收费员 | 退费初始化 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/charge-manage/refund/init，认证失败，无法访问系统资源 |
+| 医保 | 7.3 | 财务 | 收费报表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/report-manage/charge/page，认证失败，无法访问系统资源 |
+| 医保 | 7.4 | 财务 | 经营分析 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/business-analytics/page，认证失败，无法访问系统资源 |
+| 医保 | 7.5 | 财务 | 库存商品 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/inventory-manage/product/page，认证失败，无法访问系统资源 |
+| 药品 | 8.1 | 药师 | 库存预警 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-stock-alert/page，认证失败，无法访问系统资源 |
+| 药品 | 8.2 | 药师 | 西药发药 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-manage/western-medicine-dispense/page，认证失败，无法访问系统资源 |
+| 药品 | 8.3 | 药师 | 药品追溯 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/drugtrace/page，认证失败，无法访问系统资源 |
+| 药品 | 8.4 | 药师 | 合理用药 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/rational-drug/page，认证失败，无法访问系统资源 |
+| 药品 | 8.5 | 医生 | 合理用药(医生视角) | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/rational-drug/page，认证失败，无法访问系统资源 |
+| 药品 | 8.6 | 护士 | 药房库存(护士视角) | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/pharmacy-stock-alert/page，认证失败，无法访问系统资源 |
+| 院感 | 9.1 | 护士 | 院感监测 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/infection-enhanced/surveillance/page，认证失败，无法访问系统资源 |
+| 院感 | 9.2 | 医生 | 院感预警 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/infection-enhanced/warning/page，认证失败，无法访问系统资源 |
+| 院感 | 9.3 | 医技 | 耐药监测 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/infection-enhanced/resistance/page，认证失败，无法访问系统资源 |
+| 院感 | 9.4 | 护士 | 手卫生 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/infection-enhanced/hand-hygiene/page，认证失败，无法访问系统资源 |
+| 院感 | 9.5 | 医生 | 职业暴露 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/infection-enhanced/exposure/page，认证失败，无法访问系统资源 |
+| 权限 | 10.1 | 医生 | 医生不能访问挂号初始化 | ✅ PASS |  |
+| 权限 | 10.2 | 护士 | 护士不能访问西药发药 | ✅ PASS |  |
+| 权限 | 10.3 | 药师 | 药师不能访问手术管理 | ✅ PASS |  |
+| 权限 | 10.4 | 医技 | 医技不能访问护理评估 | ✅ PASS |  |
+| 权限 | 10.5 | 收费员 | 收费员不能访问医生站 | ✅ PASS |  |
+| 权限 | 10.6 | 医生 | 医生可以访问手术管理 | ❌ FAIL | 被拒绝: code=401 |
+| 权限 | 10.7 | 护士 | 护士可以访问护理评估 | ❌ FAIL | 被拒绝: code=401 |
+| 权限 | 10.8 | 药师 | 药师可以访问药品追溯 | ❌ FAIL | 被拒绝: code=401 |
+| 权限 | 10.9 | 医技 | 医技可以访问影像管理 | ❌ FAIL | 被拒绝: code=401 |
+| 权限 | 10.10 | 收费员 | 收费员可以访问收费管理 | ❌ FAIL | 被拒绝: code=401 |
+| 中医 | 11.1 | 医生 | 中医体质列表 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/tcm/constitution/page，认证失败，无法访问系统资源 |
+| 中医 | 11.2 | 医生 | 中药方剂>=2个 | ❌ FAIL | 实际=0 |
+| 中医 | 11.3 | 医生 | 中医统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/tcm/statistics，认证失败，无法访问系统资源 |
+| 质控 | 12.1 | 医生 | 运行质控 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/quality-enhanced/runtime/page，认证失败，无法访问系统资源 |
+| 质控 | 12.2 | 医技 | 终末质控 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/api/v1/emr-quality/page，认证失败，无法访问系统资源 |
+| 质控 | 12.3 | 护士 | 护理质量指标 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/nursing-quality/page，认证失败，无法访问系统资源 |
+| 质控 | 12.4 | 医生 | 质量统计 | ❌ FAIL | code=401, msg=请求访问：/healthlink-his/quality-enhanced/statistics/page，认证失败，无法访问系统资源 |
diff --git a/MD/test/reports/multi_role_test_20260607_220322.md b/MD/test/reports/multi_role_test_20260607_220322.md
new file mode 100644
index 000000000..8a539c7e1
--- /dev/null
+++ b/MD/test/reports/multi_role_test_20260607_220322.md
@@ -0,0 +1,122 @@
+# 三甲医院多角色协作测试报告
+
+**时间**: 2026-06-07 22:03:22
+
+**环境**: http://localhost:18082/healthlink-his
+
+## 角色清单
+
+| 角色 | 账号 | 说明 |
+|------|------|------|
+| 超级管理员 | admin | role_id=1 |
+| 医生 | doctor1 | role_id=200 |
+| 急诊医生 | jzys | role_id=200 |
+| 急诊护士 | jzhs | role_id=201 |
+| 内科护士 | nkhs1 | role_id=201 |
+| 手术室护士 | ssshs1 | role_id=201 |
+| 药剂科 | yjk1 | role_id=203 |
+| 医技 | 医技员 | role_id=204 |
+| 收费员 | sfy | role_id=213 |
+| 会诊专家 | hzzj1 | role_id=200 |
+
+## 汇总
+
+- 总数: 88
+- 通过: 28
+- 失败: 60
+- 通过率: 31.8%
+
+## 详细结果
+
+| 场景 | 步骤 | 角色 | 测试项 | 状态 | 说明 |
+|------|------|------|--------|------|------|
+| 门诊 | 1.1 | 收费员 | 挂号初始化 | ❌ FAIL | 缺少字段: priorityLevelOptionOptions |
+| 门诊 | 1.2 | 收费员 | 查询患者信息 | ✅ PASS |  |
+| 门诊 | 1.3 | 收费员 | 查询医生列表 | ✅ PASS |  |
+| 门诊 | 1.4 | 医生 | 医生站初始化 | ✅ PASS |  |
+| 门诊 | 1.5 | 医生 | 查看患者信息 | ✅ PASS |  |
+| 门诊 | 1.6 | 医生 | 接诊统计 | ❌ FAIL | code=500, msg=Required request parameter 'startTime' for method parameter type String is not present |
+| 门诊 | 1.7 | 医生 | 医嘱基础信息 | ✅ PASS |  |
+| 门诊 | 1.8 | 医生 | 诊断初始化 | ✅ PASS |  |
+| 门诊 | 1.9 | 医技 | 查看检验结果列表 | ❌ FAIL | code=500, msg=请求参数类型不匹配，参数[id]要求类型为：'java.lang.Long'，但输入值为：'page' |
+| 门诊 | 1.10 | 医技 | 查看影像列表 | ❌ FAIL | code=500, msg=No static resource radiology-image/page for request '/healthlink-his/radiology-image/page'. |
+| 门诊 | 1.11 | 药师 | 药品库存预警 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 门诊 | 1.12 | 药师 | 西药发药列表 | ❌ FAIL | code=500, msg=No static resource pharmacy-manage/western-medicine-dispense/page for request '/healthlink-his/pharmacy-manage/western-m |
+| 门诊 | 1.13 | 收费员 | 收费初始化 | ✅ PASS |  |
+| 门诊 | 1.14 | 收费员 | 收费患者列表 | ✅ PASS |  |
+| 门诊 | 1.15 | 收费员 | 退费初始化 | ✅ PASS |  |
+| 住院 | 2.1 | 收费员 | 住院收费初始化 | ✅ PASS |  |
+| 住院 | 2.2 | 收费员 | 住院患者列表 | ✅ PASS |  |
+| 住院 | 2.3 | 医生 | 患者主页初始化 | ✅ PASS |  |
+| 住院 | 2.4 | 医生 | 空床查询 | ✅ PASS |  |
+| 住院 | 2.5 | 医生 | 科室统计 | ✅ PASS |  |
+| 住院 | 2.6 | 护士 | 护理评估列表 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 住院 | 2.7 | 护士 | 护理评估统计 | ✅ PASS |  |
+| 住院 | 2.8 | 护士 | Braden压疮评估 | ✅ PASS |  |
+| 住院 | 2.9 | 护士 | Morse跌倒评估 | ✅ PASS |  |
+| 住院 | 2.10 | 护士 | 体征记录查询 | ✅ PASS |  |
+| 住院 | 2.11 | 护士 | 护理质量指标 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 住院 | 2.12 | 药师 | 待发药品列表 | ❌ FAIL | code=500, msg=No static resource pharmacy-manage/pending-medication/page for request '/healthlink-his/pharmacy-manage/pending-medicati |
+| 住院 | 2.13 | 药师 | 药品详情列表 | ❌ FAIL | code=500, msg=No static resource pharmacy-manage/medication-details/page for request '/healthlink-his/pharmacy-manage/medication-detai |
+| 住院 | 2.14 | 医生 | 运行质控 | ❌ FAIL | code=500, msg=No static resource quality-enhanced/runtime/page for request '/healthlink-his/quality-enhanced/runtime/page'. |
+| 手术 | 3.1 | 医生 | 手术列表 | ❌ FAIL | code=500, msg=No static resource clinical-manage/surgery/page for request '/healthlink-his/clinical-manage/surgery/page'. |
+| 手术 | 3.2 | 医生 | 手术排程 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 手术 | 3.3 | 会诊专家 | 术前讨论 | ❌ FAIL | code=500, msg=
+### Error querying database.  Cause: org.postgresql.util.PSQLException: ERROR: column "delete_flag" does not exist
+  Po |
+| 手术 | 3.4 | 手术室护士 | 手术安全核查 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 手术 | 3.5 | 医生 | 麻醉记录 | ❌ FAIL | code=500, msg=No static resource api/v1/anesthesia/page for request '/healthlink-his/api/v1/anesthesia/page'. |
+| 手术 | 3.6 | 医生 | 麻醉增强 | ❌ FAIL | code=500, msg=No static resource anesthesia-enhanced/page for request '/healthlink-his/anesthesia-enhanced/page'. |
+| 手术 | 3.7 | 医生 | 知情同意 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 手术 | 3.8 | 医生 | 电子签名统计 | ✅ PASS |  |
+| 检验 | 4.1 | 医生 | 检查申请列表 | ❌ FAIL | code=500, msg=未找到申请单信息 |
+| 检验 | 4.2 | 护士 | 标本采集列表 | ❌ FAIL | code=500, msg=No static resource inspection/collection/page for request '/healthlink-his/inspection/collection/page'. |
+| 检验 | 4.3 | 医技 | 检验结果列表 | ❌ FAIL | code=500, msg=请求参数类型不匹配，参数[id]要求类型为：'java.lang.Long'，但输入值为：'page' |
+| 检验 | 4.4 | 医技 | 参考范围 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 检验 | 4.5 | 医技 | 标本定义 | ❌ FAIL | code=500, msg=No static resource inspection/specimen/page for request '/healthlink-his/inspection/specimen/page'. |
+| 检验 | 4.6 | 医技 | 仪器管理 | ❌ FAIL | code=500, msg=No static resource inspection/instrument/page for request '/healthlink-his/inspection/instrument/page'. |
+| 检验 | 4.7 | 医生 | 影像对比 | ❌ FAIL | code=500, msg=No static resource radiology-comparison/page for request '/healthlink-his/radiology-comparison/page'. |
+| 检验 | 4.8 | 医生 | 3D重建 | ❌ FAIL | code=500, msg=No static resource reconstruction/page for request '/healthlink-his/reconstruction/page'. |
+| 会诊 | 5.1 | 医生 | 会诊记录 | ❌ FAIL | code=500, msg=No static resource consultation/page for request '/healthlink-his/consultation/page'. |
+| 会诊 | 5.2 | 会诊专家 | 会诊反馈 | ❌ FAIL | code=500, msg=No static resource cross-module/consult-feedback/page for request '/healthlink-his/cross-module/consult-feedback/page'. |
+| 会诊 | 5.3 | 医生 | 会诊超时 | ❌ FAIL | code=500, msg=No static resource cross-module/consulttimeout/page for request '/healthlink-his/cross-module/consulttimeout/page'. |
+| 会诊 | 5.4 | 医生 | 临床路径 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 会诊 | 5.5 | 医生 | 危急值列表 | ❌ FAIL | code=500, msg=No static resource api/v1/critical-value/page for request '/healthlink-his/api/v1/critical-value/page'. |
+| 急诊 | 6.1 | 急诊医生 | 急诊记录 | ❌ FAIL | code=500, msg=No static resource emergency/page for request '/healthlink-his/emergency/page'. |
+| 急诊 | 6.2 | 急诊护士 | 分诊排队 | ❌ FAIL | code=500, msg=No static resource index.html for request '/healthlink-his/index.html'. |
+| 急诊 | 6.3 | 急诊护士 | 护理评估 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 急诊 | 6.4 | 急诊护士 | 体征记录 | ✅ PASS |  |
+| 急诊 | 6.5 | 急诊护士 | 危急值 | ❌ FAIL | code=500, msg=No static resource api/v1/critical-value/page for request '/healthlink-his/api/v1/critical-value/page'. |
+| 医保 | 7.1 | 收费员 | 收费初始化 | ✅ PASS |  |
+| 医保 | 7.2 | 收费员 | 退费初始化 | ✅ PASS |  |
+| 医保 | 7.3 | 财务 | 收费报表 | ❌ FAIL | code=500, msg=No static resource report-manage/charge/page for request '/healthlink-his/report-manage/charge/page'. |
+| 医保 | 7.4 | 财务 | 经营分析 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 医保 | 7.5 | 财务 | 库存商品 | ❌ FAIL | code=500, msg=No static resource inventory-manage/product/page for request '/healthlink-his/inventory-manage/product/page'. |
+| 药品 | 8.1 | 药师 | 库存预警 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 药品 | 8.2 | 药师 | 西药发药 | ❌ FAIL | code=500, msg=No static resource pharmacy-manage/western-medicine-dispense/page for request '/healthlink-his/pharmacy-manage/western-m |
+| 药品 | 8.3 | 药师 | 药品追溯 | ❌ FAIL | code=500, msg=No static resource drugtrace/page for request '/healthlink-his/drugtrace/page'. |
+| 药品 | 8.4 | 药师 | 合理用药 | ❌ FAIL | code=500, msg=No static resource api/v1/rational-drug/page for request '/healthlink-his/api/v1/rational-drug/page'. |
+| 药品 | 8.5 | 医生 | 合理用药(医生视角) | ❌ FAIL | code=500, msg=No static resource api/v1/rational-drug/page for request '/healthlink-his/api/v1/rational-drug/page'. |
+| 药品 | 8.6 | 护士 | 药房库存(护士视角) | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 院感 | 9.1 | 护士 | 院感监测 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 院感 | 9.2 | 医生 | 院感预警 | ❌ FAIL | code=500, msg=No static resource infection-enhanced/warning/page for request '/healthlink-his/infection-enhanced/warning/page'. |
+| 院感 | 9.3 | 医技 | 耐药监测 | ❌ FAIL | code=500, msg=No static resource infection-enhanced/resistance/page for request '/healthlink-his/infection-enhanced/resistance/page'. |
+| 院感 | 9.4 | 护士 | 手卫生 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 院感 | 9.5 | 医生 | 职业暴露 | ❌ FAIL | code=500, msg=No static resource infection-enhanced/exposure/page for request '/healthlink-his/infection-enhanced/exposure/page'. |
+| 权限 | 10.1 | 医生 | 医生不能访问挂号初始化 | ❌ FAIL | 意外成功: code=200 |
+| 权限 | 10.2 | 护士 | 护士不能访问西药发药 | ✅ PASS |  |
+| 权限 | 10.3 | 药师 | 药师不能访问手术管理 | ✅ PASS |  |
+| 权限 | 10.4 | 医技 | 医技不能访问护理评估 | ❌ FAIL | 意外成功: code=200 |
+| 权限 | 10.5 | 收费员 | 收费员不能访问医生站 | ❌ FAIL | 意外成功: code=200 |
+| 权限 | 10.6 | 医生 | 医生可以访问手术管理 | ❌ FAIL | 被拒绝: code=500 |
+| 权限 | 10.7 | 护士 | 护士可以访问护理评估 | ✅ PASS |  |
+| 权限 | 10.8 | 药师 | 药师可以访问药品追溯 | ❌ FAIL | 被拒绝: code=500 |
+| 权限 | 10.9 | 医技 | 医技可以访问影像管理 | ❌ FAIL | 被拒绝: code=500 |
+| 权限 | 10.10 | 收费员 | 收费员可以访问收费管理 | ✅ PASS |  |
+| 中医 | 11.1 | 医生 | 中医体质列表 | ❌ FAIL | code=500, msg=No static resource api/v1/tcm/constitution/page for request '/healthlink-his/api/v1/tcm/constitution/page'. |
+| 中医 | 11.2 | 医生 | 中药方剂>=2个 | ✅ PASS |  |
+| 中医 | 11.3 | 医生 | 中医统计 | ✅ PASS |  |
+| 质控 | 12.1 | 医生 | 运行质控 | ❌ FAIL | code=500, msg=No static resource quality-enhanced/runtime/page for request '/healthlink-his/quality-enhanced/runtime/page'. |
+| 质控 | 12.2 | 医技 | 终末质控 | ❌ FAIL | code=500, msg=No static resource api/v1/emr-quality/page for request '/healthlink-his/api/v1/emr-quality/page'. |
+| 质控 | 12.3 | 护士 | 护理质量指标 | ❌ FAIL | rows类型异常: <class 'dict'> |
+| 质控 | 12.4 | 医生 | 质量统计 | ❌ FAIL | code=500, msg=No static resource quality-enhanced/statistics/page for request '/healthlink-his/quality-enhanced/statistics/page'. |