diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/ExamApplyController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/ExamApplyController.java
index 9dee9f4e..824f4989 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/ExamApplyController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/ExamApplyController.java
@@ -22,6 +22,8 @@ import com.openhis.common.enums.ChargeItemStatus;
 import com.openhis.common.enums.GenerateSource;
 import com.openhis.common.enums.ItemType;
 import com.openhis.common.enums.RequestStatus;
+import com.openhis.administration.domain.Organization;
+import com.openhis.administration.service.IOrganizationService;
 import com.openhis.web.check.dto.ExamApplyDto;
 import com.openhis.web.check.dto.ExamApplyItemDto;
 import com.openhis.workflow.domain.ServiceRequest;
@@ -66,6 +68,8 @@ public class ExamApplyController extends BaseController {
 
     @Autowired
     private AssignSeqUtil assignSeqUtil;
+    @Autowired
+    private IOrganizationService organizationService;
 
     /**
      * 查询检查申请单列表
@@ -232,7 +236,16 @@ public class ExamApplyController extends BaseController {
                 }
 
                 serviceRequest.setRequesterId(currentUserId); // 开单医生
-                serviceRequest.setOrgId(currentOrgId); // 执行科室
+                // 53d15f8079d15ba4Ff1a4f1851484f7f7528524d7aef4f20516576846267884c79d15ba44ee37801Ff0c542652194f7f75285f53524d7528623779d15ba4
+                Long performDeptId = currentOrgId;
+                if (dto.getPerformDeptCode() != null && !dto.getPerformDeptCode().isEmpty()) {
+                    Organization performDept = organizationService.getOne(
+                        new LambdaQueryWrapper<Organization>().eq(Organization::getBusNo, dto.getPerformDeptCode()).last("limit 1"));
+                    if (performDept != null) {
+                        performDeptId = performDept.getId();
+                    }
+                }
+                serviceRequest.setOrgId(performDeptId); // 6267884c79d15ba4
                 serviceRequest.setAuthoredTime(now); // 签发时间
                 // 🔧 Bug Fix: 不设置门诊类型，保留上面已设置的 categoryEnum=3（诊疗类型）
                 // EncounterClass.AMB.getValue()=2 表示门诊类型，会覆盖诊疗类型导致医嘱被错误归类
@@ -419,7 +432,16 @@ public class ExamApplyController extends BaseController {
                     serviceRequest.setEncounterId(dto.getEncounterId());
                 }
                 serviceRequest.setRequesterId(currentUserId);
-                serviceRequest.setOrgId(currentOrgId);
+                // 53d15f8079d15ba4Ff1a4f1851484f7f7528524d7aef4f20516576846267884c79d15ba44ee37801Ff0c542652194f7f75285f53524d7528623779d15ba4
+                Long performDeptId2 = currentOrgId;
+                if (dto.getPerformDeptCode() != null && !dto.getPerformDeptCode().isEmpty()) {
+                    Organization performDept2 = organizationService.getOne(
+                        new LambdaQueryWrapper<Organization>().eq(Organization::getBusNo, dto.getPerformDeptCode()).last("limit 1"));
+                    if (performDept2 != null) {
+                        performDeptId2 = performDept2.getId();
+                    }
+                }
+                serviceRequest.setOrgId(performDeptId2); // 6267884c79d15ba4
                 serviceRequest.setAuthoredTime(now);
                 // 🔧 Bug Fix: 不设置门诊类型，保留上面已设置的 categoryEnum=3（诊疗类型）
                 // EncounterClass.AMB.getValue()=2 表示门诊类型，会覆盖诊疗类型导致医嘱被错误归类