Refactor patient follow-up system to focus on monthly reminders. Updated logic to filter and display only patients needing follow-up this month. Enhanced patient model methods for calculating follow-up dates and counts. Improved UI in reminders view with new layout and call button functionality.

README.md

@@ -11,11 +11,10 @@
 - 🗑️ 删除患者记录
 
 ### 随访提醒
-- ⏰ 智能计算随访日期（出院后1周、1月、3月、6月）
+- ⏰ 智能计算随访日期（出院后1、3、6、12个月）
-- 🔴 过期提醒 - 显示已过期未随访的患者
+- 📅 本月提醒 - 只显示本月需要随访的患者列表
-- 🟡 今日到期 - 当天需要随访的患者
+- 📊 进度自动更新 - 过期月份自动算作已完成
-- 🔵 即将到期 - 7天内需要随访的患者
+- 📞 一键拨打电话进行回访
-- ✅ 标记随访完成，自动计算下次随访时间
 
 ### 用户系统
 - 👤 用户注册/登录

app/Http/Controllers/PatientController.php

@@ -46,54 +46,33 @@ class PatientController extends Controller
     }
 
     /**
-     * 显示需要随访提醒的患者
+     * 显示需要随访提醒的患者（只显示当月需要随访的）
      */
     public function reminders(Request $request)
     {
         $patients = $this->userPatients()->get();
         
-        // 筛选需要随访的患者
+        // 只筛选当月需要随访的患者
         $reminders = $patients->filter(function ($patient) {
-            return !$patient->isCompleted();
+            return $patient->needsFollowUpThisMonth();
         })->map(function ($patient) {
-            $nextDate = $patient->getNextFollowUpDate();
             return [
                 'patient' => $patient,
-                'next_follow_up_date' => $nextDate,
+                'follow_up_date' => $patient->getCurrentMonthFollowUpDate(),
-                'next_follow_up_number' => $patient->getNextFollowUpNumber(),
+                'follow_up_number' => $patient->getCurrentMonthFollowUpNumber(),
-                'status' => $patient->getFollowUpStatus(),
-                'needs_attention' => $patient->needsFollowUp(),
-                'days_until' => $nextDate ? Carbon::today()->diffInDays($nextDate, false) : null,
             ];
-        })->sortBy('days_until');
+        })->sortBy(function ($r) {
-
+            return $r['follow_up_date'];
-        // 筛选类型
+        });
-        $filter = $request->input('filter', 'all');
-        
-        if ($filter === 'overdue') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] !== null && $r['days_until'] < 0);
-        } elseif ($filter === 'today') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] === 0);
-        } elseif ($filter === 'upcoming') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] !== null && $r['days_until'] > 0 && $r['days_until'] <= 7);
-        }
 
         // 统计数据
         $stats = [
-            'total' => $this->userPatients()->count(),
+            'count' => $reminders->count(),
-            'overdue' => $patients->filter(fn($p) => !$p->isCompleted() && $p->getNextFollowUpDate()?->lt(Carbon::today()))->count(),
-            'today' => $patients->filter(fn($p) => !$p->isCompleted() && $p->getNextFollowUpDate()?->isToday())->count(),
-            'upcoming' => $patients->filter(function ($p) {
-                if ($p->isCompleted()) return false;
-                $next = $p->getNextFollowUpDate();
-                if (!$next) return false;
-                $diff = Carbon::today()->diffInDays($next, false);
-                return $diff > 0 && $diff <= 7;
-            })->count(),
             'completed' => $patients->filter(fn($p) => $p->isCompleted())->count(),
+            'total' => $patients->count(),
         ];
 
-        return view('patients.reminders', compact('reminders', 'stats', 'filter'));
+        return view('patients.reminders', compact('reminders', 'stats'));
     }
 
     /**
@@ -359,46 +338,34 @@ class PatientController extends Controller
     }
 
     /**
-     * 导出提醒列表 (使用 xlswriter 生成 Excel)
+     * 导出本月随访列表 (使用 xlswriter 生成 Excel)
      */
     public function export(Request $request)
     {
-        $filter = $request->input('filter', 'all');
-        
         $patients = $this->userPatients()->get();
         
-        // 筛选需要随访的患者
+        // 只筛选本月需要随访的患者
         $reminders = $patients->filter(function ($patient) {
-            return !$patient->isCompleted();
+            return $patient->needsFollowUpThisMonth();
         })->map(function ($patient) {
-            $nextDate = $patient->getNextFollowUpDate();
             return [
                 'patient' => $patient,
-                'next_follow_up_date' => $nextDate,
+                'follow_up_date' => $patient->getCurrentMonthFollowUpDate(),
-                'next_follow_up_number' => $patient->getNextFollowUpNumber(),
+                'follow_up_number' => $patient->getCurrentMonthFollowUpNumber(),
-                'status' => $patient->getFollowUpStatus(),
-                'days_until' => $nextDate ? Carbon::today()->diffInDays($nextDate, false) : null,
             ];
-        })->sortBy('days_until');
+        })->sortBy(function ($r) {
-
+            return $r['follow_up_date'];
-        // 根据筛选条件过滤
+        });
-        if ($filter === 'overdue') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] !== null && $r['days_until'] < 0);
-        } elseif ($filter === 'today') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] === 0);
-        } elseif ($filter === 'upcoming') {
-            $reminders = $reminders->filter(fn($r) => $r['days_until'] !== null && $r['days_until'] > 0 && $r['days_until'] <= 7);
-        }
 
         // 使用 xlswriter 生成 Excel 文件
         $config = ['path' => sys_get_temp_dir()];
-        $filename = '随访提醒_' . date('Y-m-d_His') . '.xlsx';
+        $filename = '本月随访_' . date('Y-m') . '.xlsx';
         
         $excel = new \Vtiful\Kernel\Excel($config);
         
         // 创建文件并设置表头
         $fileHandle = $excel->fileName($filename)
-            ->header(['姓名', '性别', '年龄', '出院诊断', '转诊时间', '下次随访日期', '第几次随访', '状态', '户籍地址', '联系方式', '备注']);
+            ->header(['姓名', '性别', '年龄', '出院诊断', '转诊时间', '随访日期', '第几次随访', '户籍地址', '联系方式', '备注']);
         
         // 设置表头样式
         $headerStyle = $fileHandle->getHandle();
@@ -415,9 +382,8 @@ class PatientController extends Controller
                 $p->age,
                 $p->diagnosis,
                 $p->discharge_date->format('Y-m-d'),
-                $reminder['next_follow_up_date']?->format('Y-m-d') ?? '',
+                $reminder['follow_up_date']?->format('Y-m-d') ?? '',
-                '第' . $reminder['next_follow_up_number'] . '次',
+                '第' . $reminder['follow_up_number'] . '次',
-                $reminder['status'],
                 $p->address ?? '',
                 $p->phone ?? '',
                 $p->remark ?? '',

app/Models/Patient.php

@@ -53,66 +53,74 @@ class Patient extends Model
     }
 
     /**
-     * 获取下次随访日期
+     * 自动计算已完成的随访次数（过期的月份自动算已完成）
      */
-    public function getNextFollowUpDate(): ?Carbon
+    public function getAutoFollowUpCount(): int
     {
         $schedule = $this->getFollowUpSchedule();
-        $nextIndex = $this->follow_up_count;
+        $currentMonth = Carbon::now()->startOfMonth();
+        $completed = 0;
         
-        if ($nextIndex >= count($schedule)) {
+        foreach ($schedule as $months) {
-            return null; // 已完成所有随访
+            $followUpDate = $this->discharge_date->copy()->addMonths($months);
+            // 如果随访日期的月份早于当前月份，则算作已完成
+            if ($followUpDate->startOfMonth()->lt($currentMonth)) {
+                $completed++;
+            } else {
+                break;
+            }
         }
         
-        $months = $schedule[$nextIndex];
+        return $completed;
-        return $this->discharge_date->copy()->addMonths($months);
     }
 
     /**
-     * 获取下次随访是第几次
+     * 获取当月需要随访的日期（如果有的话）
      */
-    public function getNextFollowUpNumber(): int
+    public function getCurrentMonthFollowUpDate(): ?Carbon
     {
-        return $this->follow_up_count + 1;
+        $schedule = $this->getFollowUpSchedule();
+        $currentMonth = Carbon::now();
+        $monthStart = $currentMonth->copy()->startOfMonth();
+        $monthEnd = $currentMonth->copy()->endOfMonth();
+        
+        foreach ($schedule as $index => $months) {
+            $followUpDate = $this->discharge_date->copy()->addMonths($months);
+            // 如果随访日期在当月内
+            if ($followUpDate->gte($monthStart) && $followUpDate->lte($monthEnd)) {
+                return $followUpDate;
+            }
+        }
+        
+        return null;
     }
 
     /**
-     * 检查是否需要随访（到期或已过期）
+     * 获取当月随访是第几次
      */
-    public function needsFollowUp(): bool
+    public function getCurrentMonthFollowUpNumber(): ?int
     {
-        $nextDate = $this->getNextFollowUpDate();
+        $schedule = $this->getFollowUpSchedule();
+        $currentMonth = Carbon::now();
+        $monthStart = $currentMonth->copy()->startOfMonth();
+        $monthEnd = $currentMonth->copy()->endOfMonth();
         
-        if (!$nextDate) {
+        foreach ($schedule as $index => $months) {
-            return false;
+            $followUpDate = $this->discharge_date->copy()->addMonths($months);
+            if ($followUpDate->gte($monthStart) && $followUpDate->lte($monthEnd)) {
+                return $index + 1;
+            }
         }
         
-        return $nextDate->lte(Carbon::today());
+        return null;
     }
 
     /**
-     * 获取随访状态
+     * 检查当月是否需要随访
      */
-    public function getFollowUpStatus(): string
+    public function needsFollowUpThisMonth(): bool
     {
-        $nextDate = $this->getNextFollowUpDate();
+        return $this->getCurrentMonthFollowUpDate() !== null;
-        
-        if (!$nextDate) {
-            return '已完成';
-        }
-        
-        $today = Carbon::today();
-        $diff = $today->diffInDays($nextDate, false);
-        
-        if ($diff < 0) {
-            return '已过期 ' . abs($diff) . ' 天';
-        } elseif ($diff == 0) {
-            return '今日到期';
-        } elseif ($diff <= 7) {
-            return '即将到期（' . $diff . '天后）';
-        } else {
-            return '未到期';
-        }
     }
 
     /**
@@ -120,7 +128,7 @@ class Patient extends Model
      */
     public function isCompleted(): bool
     {
-        return $this->follow_up_count >= count($this->getFollowUpSchedule());
+        return $this->getAutoFollowUpCount() >= count($this->getFollowUpSchedule());
     }
 
     /**

resources/views/layouts/app.blade.php

@@ -1113,7 +1113,31 @@
         .reminder-actions {
             display: flex;
             gap: 10px;
-            justify-content: flex-end;
+            margin-top: 16px;
+            padding-top: 16px;
+            border-top: 1px solid var(--color-border-light);
+        }
+
+        .call-btn {
+            display: flex;
+            align-items: center;
+            justify-content: center;
+            gap: 8px;
+            width: 100%;
+            padding: 12px 16px;
+            background: linear-gradient(135deg, var(--color-success), #34d399);
+            color: white;
+            border: none;
+            border-radius: 10px;
+            font-size: 14px;
+            font-weight: 600;
+            text-decoration: none;
+            transition: all 0.2s;
+        }
+
+        .call-btn:hover {
+            transform: translateY(-2px);
+            box-shadow: 0 4px 12px rgba(16, 185, 129, 0.4);
         }
 
         .action-form {
@@ -1778,12 +1802,12 @@
                     </svg>
                     <span>随访提醒</span>
                     @php
-                        $overdueCount = \App\Models\Patient::where('user_id', Auth::id())->get()->filter(function($p) {
+                        $monthCount = \App\Models\Patient::where('user_id', Auth::id())->get()->filter(function($p) {
-                            return !$p->isCompleted() && $p->getNextFollowUpDate()?->lt(\Carbon\Carbon::today());
+                            return $p->needsFollowUpThisMonth();
                         })->count();
                     @endphp
-                    @if($overdueCount > 0)
+                    @if($monthCount > 0)
-                        <span class="nav-badge">{{ $overdueCount }}</span>
+                        <span class="nav-badge">{{ $monthCount }}</span>
                     @endif
                 </a>
                 

resources/views/patients/index.blade.php

@@ -600,7 +600,6 @@
                         <th>诊断</th>
                         <th>转诊日期</th>
                         <th>随访进度</th>
-                        <th>状态</th>
                         <th>联系方式</th>
                         <th>备注</th>
                         <th style="text-align: right;">操作</th>
@@ -610,8 +609,7 @@
                     @foreach($patients as $patient)
                         @php
                             $total = count($patient->getFollowUpSchedule());
-                            $completed = $patient->follow_up_count;
+                            $completed = $patient->getAutoFollowUpCount();
-                            $status = $patient->getFollowUpStatus();
                         @endphp
                         <tr>
                             <td>
@@ -637,17 +635,6 @@
                                     <span class="progress-text">{{ $completed }}/{{ $total }}</span>
                                 </div>
                             </td>
-                            <td>
-                                @if($patient->isCompleted())
-                                    <span class="badge badge-success">已完成</span>
-                                @elseif(str_contains($status, '过期'))
-                                    <span class="badge badge-danger">{{ $status }}</span>
-                                @elseif(str_contains($status, '今日'))
-                                    <span class="badge badge-warning">{{ $status }}</span>
-                                @else
-                                    <span class="badge badge-info">{{ $status }}</span>
-                                @endif
-                            </td>
                             <td>
                                 @if($patient->phone)
                                     <a href="tel:{{ $patient->phone }}" class="phone-link">{{ $patient->phone }}</a>
@@ -671,16 +658,6 @@
                                             </svg>
                                         </a>
                                     @endif
-                                    @if(!$patient->isCompleted())
-                                        <form action="{{ route('patients.follow-up', $patient) }}" method="POST" style="display: inline;">
-                                            @csrf
-                                            <button type="submit" class="btn-icon success" title="标记已随访" onclick="return confirm('确认标记 {{ $patient->name }} 完成第{{ $patient->getNextFollowUpNumber() }}次随访？')">
-                                                <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2">
-                                                    <polyline points="20 6 9 17 4 12"/>
-                                                </svg>
-                                            </button>
-                                        </form>
-                                    @endif
                                     <form action="{{ route('patients.destroy', $patient) }}" method="POST" style="display: inline;">
                                         @csrf
                                         @method('DELETE')
@@ -705,8 +682,7 @@
             @foreach($patients as $patient)
                 @php
                     $total = count($patient->getFollowUpSchedule());
-                    $completed = $patient->follow_up_count;
+                    $completed = $patient->getAutoFollowUpCount();
-                    $status = $patient->getFollowUpStatus();
                 @endphp
                 <div class="mobile-patient-card">
                     <div class="mobile-patient-header">
@@ -719,15 +695,7 @@
                                 <div class="mobile-patient-meta">{{ $patient->gender }} · {{ $patient->age }}岁 · {{ $patient->getDiagnosisType() }}</div>
                             </div>
                         </div>
-                        @if($patient->isCompleted())
+                        <span class="badge {{ $completed >= $total ? 'badge-success' : 'badge-info' }}">{{ $completed }}/{{ $total }}</span>
-                            <span class="badge badge-success">已完成</span>
-                        @elseif(str_contains($status, '过期'))
-                            <span class="badge badge-danger">{{ $status }}</span>
-                        @elseif(str_contains($status, '今日'))
-                            <span class="badge badge-warning">{{ $status }}</span>
-                        @else
-                            <span class="badge badge-info">{{ $status }}</span>
-                        @endif
                     </div>
 
                     <div class="mobile-patient-body">
@@ -780,19 +748,6 @@
                             <div></div>
                         @endif
                         
-                        @if(!$patient->isCompleted())
-                            <form action="{{ route('patients.follow-up', $patient) }}" method="POST">
-                                @csrf
-                                <button type="submit" class="btn btn-primary" onclick="return confirm('确认标记 {{ $patient->name }} 完成第{{ $patient->getNextFollowUpNumber() }}次随访？')">
-                                    <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" width="18" height="18">
-                                        <polyline points="20 6 9 17 4 12"/>
-                                    </svg>
-                                    已随访
-                                </button>
-                            </form>
-                        @else
-                            <div></div>
-                        @endif
                         
                         <form action="{{ route('patients.destroy', $patient) }}" method="POST">
                             @csrf

resources/views/patients/reminders.blade.php

@@ -4,35 +4,27 @@
 
 @section('content')
 <div class="page-header">
-    <h1 class="page-title">随访提醒</h1>
+    <h1 class="page-title">本月随访</h1>
-    <p class="page-subtitle">查看需要随访的患者，及时完成回访工作</p>
+    <p class="page-subtitle">{{ now()->format('Y年n月') }} 需要随访的患者</p>
 </div>
 
-<!-- 统计筛选栏 -->
+<!-- 统计栏 -->
 <div class="stats-filter-bar">
     <div class="stats-filter-grid">
-        <a href="{{ route('patients.reminders', ['filter' => 'all']) }}" class="stats-filter-item {{ $filter === 'all' ? 'active' : '' }}">
+        <div class="stats-filter-item active">
-            <span class="sf-value">{{ $stats['total'] }}</span>
+            <span class="sf-value">{{ $stats['count'] }}</span>
-            <span class="sf-label">全部</span>
+            <span class="sf-label">本月待随访</span>
-        </a>
+        </div>
-        <a href="{{ route('patients.reminders', ['filter' => 'overdue']) }}" class="stats-filter-item danger {{ $filter === 'overdue' ? 'active' : '' }}">
+        <div class="stats-filter-item success">
-            <span class="sf-value">{{ $stats['overdue'] }}</span>
-            <span class="sf-label">过期</span>
-        </a>
-        <a href="{{ route('patients.reminders', ['filter' => 'today']) }}" class="stats-filter-item warning {{ $filter === 'today' ? 'active' : '' }}">
-            <span class="sf-value">{{ $stats['today'] }}</span>
-            <span class="sf-label">今日</span>
-        </a>
-        <a href="{{ route('patients.reminders', ['filter' => 'upcoming']) }}" class="stats-filter-item info {{ $filter === 'upcoming' ? 'active' : '' }}">
-            <span class="sf-value">{{ $stats['upcoming'] }}</span>
-            <span class="sf-label">7天内</span>
-        </a>
-        <a href="{{ route('patients.reminders', ['filter' => 'completed']) }}" class="stats-filter-item success {{ $filter === 'completed' ? 'active' : '' }}">
             <span class="sf-value">{{ $stats['completed'] }}</span>
-            <span class="sf-label">完成</span>
+            <span class="sf-label">已完成</span>
-        </a>
+        </div>
+        <div class="stats-filter-item">
+            <span class="sf-value">{{ $stats['total'] }}</span>
+            <span class="sf-label">总患者</span>
+        </div>
     </div>
-    <a href="{{ route('patients.export', ['filter' => $filter]) }}" class="export-icon-btn" title="导出">
+    <a href="{{ route('patients.export') }}" class="export-icon-btn" title="导出">
         <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" width="18" height="18">
             <path d="M21 15v4a2 2 0 0 1-2 2H5a2 2 0 0 1-2-2v-4"/>
             <polyline points="7 10 12 15 17 10"/>
@@ -50,60 +42,59 @@
                 <line x1="9" y1="9" x2="9.01" y2="9"/>
                 <line x1="15" y1="9" x2="15.01" y2="9"/>
             </svg>
-            <div class="empty-state-title">暂无需要随访的患者</div>
+            <div class="empty-state-title">本月暂无需要随访的患者</div>
-            <p>当前筛选条件下没有需要随访的患者，您可以切换筛选条件或导入新的患者数据。</p>
+            <p>太棒了！本月没有需要随访的患者</p>
-            <div style="margin-top: 20px;">
-                <a href="{{ route('patients.import') }}" class="btn btn-primary">导入患者数据</a>
-            </div>
         </div>
     </div>
 @else
-    <!-- 提醒卡片列表 - 两列布局 -->
+    <!-- 提醒卡片列表 -->
     <div class="reminder-grid">
         @foreach($reminders as $reminder)
             @php
                 $patient = $reminder['patient'];
-                $nextDate = $reminder['next_follow_up_date'];
+                $followUpDate = $reminder['follow_up_date'];
-                $daysUntil = $reminder['days_until'];
+                $followUpNumber = $reminder['follow_up_number'];
             @endphp
             <div class="reminder-card fade-in">
                 {{-- 卡片头部 --}}
                 <div class="reminder-card-header">
                     <div class="reminder-patient-info">
-                        <div class="reminder-avatar">{{ mb_substr($patient->name, 0, 1) }}</div>
+                        <div class="reminder-avatar {{ $patient->gender == '女' ? 'female' : 'male' }}">{{ mb_substr($patient->name, 0, 1) }}</div>
                         <div>
                             <div class="reminder-name">{{ $patient->name }}</div>
                             <div class="reminder-meta">{{ $patient->gender }} · {{ $patient->age }}岁</div>
                         </div>
                     </div>
-                    @if($daysUntil !== null && $daysUntil < 0)
+                    <span class="badge badge-info">第{{ $followUpNumber }}次</span>
-                        <span class="badge badge-danger">过期 {{ abs($daysUntil) }} 天</span>
-                    @elseif($daysUntil === 0)
-                        <span class="badge badge-warning">今日到期</span>
-                    @elseif($daysUntil !== null && $daysUntil <= 7)
-                        <span class="badge badge-info">{{ $daysUntil }} 天后</span>
-                    @else
-                        <span class="badge badge-success">未到期</span>
-                    @endif
                 </div>
 
                 {{-- 诊断标签 --}}
                 <div class="reminder-diagnosis">
                     <span class="diagnosis-tag">{{ $patient->getDiagnosisType() }}</span>
-                    <span class="follow-up-tag">第{{ $reminder['next_follow_up_number'] }}次随访</span>
                 </div>
 
                 {{-- 关键信息 --}}
                 <div class="reminder-details">
+                    <div class="detail-row">
+                        <span class="detail-icon">🏥</span>
+                        <span class="detail-label">转诊日期</span>
+                        <span class="detail-value">{{ $patient->discharge_date->format('Y-m-d') }}</span>
+                    </div>
                     <div class="detail-row">
                         <span class="detail-icon">📅</span>
                         <span class="detail-label">随访日期</span>
-                        <span class="detail-value">{{ $nextDate ? $nextDate->format('Y-m-d') : '-' }}</span>
+                        <span class="detail-value">{{ $followUpDate->format('Y-m-d') }}</span>
                     </div>
                     <div class="detail-row">
                         <span class="detail-icon">📞</span>
                         <span class="detail-label">联系方式</span>
-                        <span class="detail-value">{{ $patient->phone ?: '-' }}</span>
+                        <span class="detail-value">
+                            @if($patient->phone)
+                                <a href="tel:{{ $patient->phone }}" class="phone-link">{{ $patient->phone }}</a>
+                            @else
+                                -
+                            @endif
+                        </span>
                     </div>
                     <div class="detail-row">
                         <span class="detail-icon">📍</span>
@@ -111,7 +102,7 @@
                         <span class="detail-value text-truncate">{{ $patient->address ?: '-' }}</span>
                     </div>
                     @if($patient->remark)
-                    <div class="detail-row">
+                    <div class="detail-row remark-row">
                         <span class="detail-icon">📝</span>
                         <span class="detail-label">备注</span>
                         <span class="detail-value remark-text">{{ $patient->remark }}</span>
@@ -119,41 +110,17 @@
                     @endif
                 </div>
 
-                {{-- 进度条 --}}
+                {{-- 拨打电话按钮 --}}
-                <div class="reminder-progress">
+                @if($patient->phone)
-                    @php
-                        $total = count($patient->getFollowUpSchedule());
-                        $completed = $patient->follow_up_count;
-                        $percent = ($completed / $total) * 100;
-                    @endphp
-                    <div class="progress-header">
-                        <span>随访进度</span>
-                        <span>{{ $completed }}/{{ $total }}</span>
-                    </div>
-                    <div class="progress-track">
-                        <div class="progress-fill" style="width: {{ $percent }}%"></div>
-                    </div>
-                </div>
-
-                {{-- 操作按钮 --}}
                 <div class="reminder-actions">
-                    @if($patient->phone)
+                    <a href="tel:{{ $patient->phone }}" class="call-btn">
-                        <a href="tel:{{ $patient->phone }}" class="action-btn action-call" title="拨打电话">
+                        <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" width="18" height="18">
-                            <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" width="18" height="18">
+                            <path d="M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72 12.84 12.84 0 0 0 .7 2.81 2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45 12.84 12.84 0 0 0 2.81.7A2 2 0 0 1 22 16.92z"/>
-                                <path d="M22 16.92v3a2 2 0 0 1-2.18 2 19.79 19.79 0 0 1-8.63-3.07 19.5 19.5 0 0 1-6-6 19.79 19.79 0 0 1-3.07-8.67A2 2 0 0 1 4.11 2h3a2 2 0 0 1 2 1.72 12.84 12.84 0 0 0 .7 2.81 2 2 0 0 1-.45 2.11L8.09 9.91a16 16 0 0 0 6 6l1.27-1.27a2 2 0 0 1 2.11-.45 12.84 12.84 0 0 0 2.81.7A2 2 0 0 1 22 16.92z"/>
+                        </svg>
-                            </svg>
+                        拨打电话
-                        </a>
+                    </a>
-                    @endif
-                    <form action="{{ route('patients.follow-up', $patient) }}" method="POST" class="action-form">
-                        @csrf
-                        <button type="submit" class="action-btn action-complete" title="标记已随访" onclick="return confirm('确认标记 {{ $patient->name }} 完成第{{ $reminder['next_follow_up_number'] }}次随访？')">
-                            <svg viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" width="18" height="18">
-                                <polyline points="20 6 9 17 4 12"/>
-                            </svg>
-                            <span>已随访</span>
-                        </button>
-                    </form>
                 </div>
+                @endif
             </div>
         @endforeach
     </div>