diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
index dbd2b1cd9..ef073303a 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml
@@ -280,9 +280,13 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
-                     LEFT JOIN med_medication_dispense mmd
-                               ON mmd.med_req_id = T1.id
-                                   AND mmd.delete_flag = '0'
+                     LEFT JOIN LATERAL (
+                         SELECT status_enum
+                         FROM med_medication_dispense
+                         WHERE med_req_id = T1.id AND delete_flag = '0'
+                         ORDER BY create_time DESC
+                         LIMIT 1
+                     ) mmd ON true
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}