diff --git a/.husky/pre-commit b/.husky/pre-commit
deleted file mode 100755
index 34afcfb17..000000000
--- a/.husky/pre-commit
+++ /dev/null
@@ -1,10 +0,0 @@
-#!/usr/bin/env sh
-# ============================================================
-# Husky Pre-commit Hook - HIS项目
-# 配置: 关羽 | 日期: 2026-04-24
-# 功能: 提交前检查（已禁用）
-# ============================================================
-
-# 🔧 已禁用所有检查，直接允许提交
-echo "⏭️  [Pre-commit] 检查已禁用，允许提交"
-exit 0
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/ICommonService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/ICommonService.java
index 124452239..b436d532c 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/ICommonService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/ICommonService.java
@@ -200,10 +200,9 @@ public interface ICommonService {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
-     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
-    R<?> lotNumberMatch(List<Long> encounterIdList, List<Long> requestIdList);
+    R<?> lotNumberMatch(List<Long> encounterIdList);
 
     /**
      * 根据机构ID获取机构名称
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
index f136eda28..62c2bbff4 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java
@@ -39,10 +39,8 @@ import com.openhis.web.common.dto.*;
 import com.openhis.web.common.mapper.CommonAppMapper;
 import com.openhis.web.pharmacymanage.dto.InventoryDetailDto;
 import com.openhis.workflow.domain.DeviceDispense;
-import com.openhis.workflow.domain.DeviceRequest;
 import com.openhis.workflow.domain.InventoryItem;
 import com.openhis.workflow.service.IDeviceDispenseService;
-import com.openhis.workflow.service.IDeviceRequestService;
 import com.openhis.workflow.service.IInventoryItemService;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
@@ -101,9 +99,6 @@ public class CommonServiceImpl implements ICommonService {
     @Resource
     private IDeviceDispenseService deviceDispenseService;
 
-    @Resource
-    private IDeviceRequestService deviceRequestService;
-
     /**
      * 获取药房列表
      *
@@ -683,11 +678,10 @@ public class CommonServiceImpl implements ICommonService {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
-     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
     @Override
-    public R<?> lotNumberMatch(List<Long> encounterIdList, List<Long> requestIdList) {
+    public R<?> lotNumberMatch(List<Long> encounterIdList) {
         // 查询患者待发放的药品信息
         List<MedicationDispense> medicationDispenseList = medicationDispenseService
                 .list(new LambdaQueryWrapper<MedicationDispense>().in(MedicationDispense::getEncounterId, encounterIdList)
@@ -804,27 +798,10 @@ public class CommonServiceImpl implements ICommonService {
             }
         }
         // 查询患者待发放的耗材信息
-        LambdaQueryWrapper<DeviceDispense> deviceDispenseQuery = new LambdaQueryWrapper<DeviceDispense>()
-                .in(DeviceDispense::getEncounterId, encounterIdList)
-                .eq(DeviceDispense::getStatusEnum, DispenseStatus.PREPARATION.getValue())
-                .eq(DeviceDispense::getDeleteFlag, DelFlag.NO.getCode());
-        // 若传入requestIdList，则仅查询与指定医嘱请求关联的耗材，避免其他未执行医嘱的耗材记录干扰
-        if (requestIdList != null && !requestIdList.isEmpty()) {
-            List<Long> deviceReqIds = deviceRequestService
-                    .list(new LambdaQueryWrapper<DeviceRequest>()
-                            .in(DeviceRequest::getBasedOnId, requestIdList)
-                            .eq(DeviceRequest::getBasedOnTable, CommonConstants.TableName.WOR_SERVICE_REQUEST))
-                    .stream()
-                    .map(DeviceRequest::getId)
-                    .collect(java.util.stream.Collectors.toList());
-            if (!deviceReqIds.isEmpty()) {
-                deviceDispenseQuery.in(DeviceDispense::getDeviceReqId, deviceReqIds);
-            } else {
-                // 无关联的耗材请求，直接跳过耗材校验
-                deviceDispenseQuery.eq(DeviceDispense::getId, -1L);
-            }
-        }
-        List<DeviceDispense> deviceDispenseList = deviceDispenseService.list(deviceDispenseQuery);
+        List<DeviceDispense> deviceDispenseList = deviceDispenseService
+                .list(new LambdaQueryWrapper<DeviceDispense>().in(DeviceDispense::getEncounterId, encounterIdList)
+                        .eq(DeviceDispense::getStatusEnum, DispenseStatus.PREPARATION.getValue())
+                        .eq(DeviceDispense::getDeleteFlag, DelFlag.NO.getCode()));
         // 耗材批号匹配
         if (deviceDispenseList != null && !deviceDispenseList.isEmpty()) {
             // 获取待发放的耗材id
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
index d6bb32032..d3a0dfd1a 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java
@@ -274,13 +274,10 @@ public class CommonAppController {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
-     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
     @GetMapping("/lot-number-match")
-    public R<?> lotNumberMatch(
-            @RequestParam(value = "encounterIdList") List<Long> encounterIdList,
-            @RequestParam(value = "requestIdList", required = false) List<Long> requestIdList) {
-        return commonService.lotNumberMatch(encounterIdList, requestIdList);
+    public R<?> lotNumberMatch(@RequestParam(value = "encounterIdList") List<Long> encounterIdList) {
+        return commonService.lotNumberMatch(encounterIdList);
     }
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index b891617f3..5283f5630 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -728,12 +728,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
             /**
              * 处理耗材请求
-             * 🔧 BugFix #443: 签发时跳过 handDevice，避免重复创建 DeviceDispense 并覆盖关键字段（如 performLocation）
-             * 签发时只需更新状态（下方 sign-advice 批量更新逻辑已处理）
              */
-            if (AdviceOpType.SAVE_ADVICE.getCode().equals(adviceOpType)) {
-                this.handDevice(deviceList, curDate, adviceOpType);
-            }
+            this.handDevice(deviceList, curDate, adviceOpType);
 
             // 签发时,把草稿状态的账单更新为待收费
             if (AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType) && !adviceSaveList.isEmpty()) {
@@ -2107,9 +2103,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
                 sourceEnum, sourceBillNo);
-        // 🔧 修复 Bug #444: 移除手术计费场景的药品过滤。
-        // 原过滤会导致门诊手术医嘱界面无法获取手术计费创建的药品记录。
-        // 前端各组件已根据自身业务逻辑做了正确的 adviceType 过滤。
+        // 手术计费场景：sourceBillNo 不为空时，过滤掉药品（1），保留耗材（2）和诊疗（3/6）
+        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
+            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
+                    && dto.getAdviceType() == 1);
+        }
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
index 73a865a3c..2a1fd9356 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
@@ -246,8 +246,7 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         EncounterDiagnosis encounterDiagnosis;
         for (SaveDiagnosisChildParam saveDiagnosisChildParam : diagnosisChildList) {
             encounterDiagnosis = new EncounterDiagnosis();
-            // 注意：不设置 encounterDiagnosisId，因为上面已经删除了所有记录
-            // 如果设置旧的 ID，saveOrUpdate 会尝试 UPDATE 不存在的记录导致失败或重复插入
+            encounterDiagnosis.setId(saveDiagnosisChildParam.getEncounterDiagnosisId());
             encounterDiagnosis.setEncounterId(encounterId);
             encounterDiagnosis.setConditionId(saveDiagnosisChildParam.getConditionId());
             encounterDiagnosis.setMaindiseFlag(saveDiagnosisChildParam.getMaindiseFlag());
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
index f800b3925..d4cba14b6 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java
@@ -178,7 +178,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         inpatientAdviceParam.setEncounterIds(null);
         Integer exeStatus = inpatientAdviceParam.getExeStatus();
         inpatientAdviceParam.setExeStatus(null);
-        Integer requestStatus = inpatientAdviceParam.getRequestStatus();
+        // requestStatus由前端tab控制，后端SQL已通过CASE条件处理校对状态过滤，无需再作为SQL条件
         inpatientAdviceParam.setRequestStatus(null);
         // 构建查询条件
         QueryWrapper<InpatientAdviceParam> queryWrapper
@@ -198,7 +198,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         ParticipantType.ADMITTING_DOCTOR.getCode(), AccountType.PERSONAL_CASH_ACCOUNT.getCode(),
                         ChargeItemStatus.BILLABLE.getValue(), ChargeItemStatus.BILLED.getValue(),
                         ChargeItemStatus.REFUNDED.getValue(), EncounterClass.IMP.getValue(),
-                        GenerateSource.DOCTOR_PRESCRIPTION.getValue(), requestStatus);
+                        GenerateSource.DOCTOR_PRESCRIPTION.getValue());
         inpatientAdvicePage.getRecords().forEach(e -> {
             // 是否皮试
             e.setSkinTestFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getSkinTestFlag()));
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java
index c923652f5..bcb4fa5ce 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java
@@ -245,7 +245,7 @@ public class InpatientAdviceDto {
     /**
      * 药品/服务类型
      */
-    private Integer categoryCode;
+    private String categoryCode;
     /**
      * 执行科室
      */
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/mapper/AdviceProcessAppMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/mapper/AdviceProcessAppMapper.java
index c56d5d2a3..95dd6bb3d 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/mapper/AdviceProcessAppMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/mapper/AdviceProcessAppMapper.java
@@ -69,6 +69,5 @@ public interface AdviceProcessAppMapper {
         @Param("active") Integer active, @Param("bed") Integer bed, @Param("admittingDoctor") String admittingDoctor,
         @Param("personalCashAccount") String personalCashAccount, @Param("billable") Integer billable,
         @Param("billed") Integer billed, @Param("refunded") Integer refunded, @Param("imp") Integer imp,
-        @Param("doctorPrescription") Integer doctorPrescription,
-        @Param("requestStatus") Integer requestStatus);
+        @Param("doctorPrescription") Integer doctorPrescription);
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
index 7659ec718..2e09c86bc 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -81,35 +81,36 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         Long requestFormId = requestFormSaveDto.getRequestFormId();
         boolean isEdit = requestFormId != null && requestFormId != 0L;
 
-        // 校验所有activityList中的项目是否都配置了执行科室，并收集positionId供后续使用
-        // 必须在任何数据库操作之前完成全部校验，避免部分保存后异常导致脏数据
-        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
-        if (activityList == null || activityList.isEmpty()) {
-            throw new ServiceException("请选择检查项目");
-        }
-
-        // 🔧 Bug #475: 查询诊疗执行科室配置
+        // 诊疗执行科室配置校验（必须在任何数据库操作之前）
         List<ActivityOrganizationConfigDto> activityOrganizationConfig =
             requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
+        if (activityOrganizationConfig.isEmpty()) {
+            throw new ServiceException("请先配置当前时间段的执行科室");
+        }
 
-        // 缓存校验结果，先全部验证通过后再进行数据库操作
-        // 优先使用前端传入的positionId（用户手动选择的发往科室），仅在未选择时使用配置的执行科室
+        // 逐个校验activityList中的项目是否都配置了执行科室，并收集positionId供后续使用
+        // 必须在任何数据库操作之前完成全部校验，避免部分保存后异常导致脏数据
+        // 🔧 Bug #516: 优先使用前端传入的positionId（用户手动选择的发往科室），仅在未选择时使用配置的执行科室
+        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
+        // 缓存校验结果，避免主循环中重复查询和可能出现的数据不一致
         java.util.Map<Long, Long> activityIdToPositionIdMap = new java.util.HashMap<>();
-        for (ActivitySaveDto activitySaveDto : activityList) {
-            // 优先使用前端传入的positionId（用户手动选择的科室）
-            Long frontendPositionId = activitySaveDto.getPositionId();
-            if (frontendPositionId != null) {
-                activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), frontendPositionId);
-                continue;
+        if (activityList != null && !activityList.isEmpty()) {
+            for (ActivitySaveDto activitySaveDto : activityList) {
+                // 优先使用前端传入的positionId（用户手动选择的科室）
+                Long frontendPositionId = activitySaveDto.getPositionId();
+                if (frontendPositionId != null) {
+                    activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), frontendPositionId);
+                    continue;
+                }
+                // 前端未传入时，使用配置的执行科室
+                Long configPositionId = activityOrganizationConfig.stream()
+                    .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
+                    .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
+                if (configPositionId == null) {
+                    throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
+                }
+                activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
             }
-            // 前端未传入时，使用配置的执行科室
-            Long configPositionId = activityOrganizationConfig.stream()
-                .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
-                .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
-            if (configPositionId == null) {
-                throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
-            }
-            activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
         }
 
         // 诊疗处方号
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
index 852f2759d..74abd7a4f 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
@@ -91,15 +91,13 @@
             os.surgery_nature AS surgeryType,
             cs.incision_level AS incisionLevel,
             fc.contract_name AS feeType,
+            os.fee_type AS feeType,
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN doc_request_form drf ON drf.prescription_no=cs.surgery_no
-        LEFT JOIN adm_encounter ae ON ae.id = os.visit_id AND ae.delete_flag = '0'
-        LEFT JOIN adm_account aa ON aa.encounter_id = ae.id AND aa.delete_flag = '0'
-        LEFT JOIN fin_contract fc ON fc.bus_no = aa.contract_no AND fc.delete_flag = '0'
         LEFT JOIN (
             SELECT patient_id, identifier_no
             FROM (
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ActivityDefinitionManageMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ActivityDefinitionManageMapper.xml
index 9acc98362..53bb90d02 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ActivityDefinitionManageMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ActivityDefinitionManageMapper.xml
@@ -42,8 +42,8 @@
             T5.package_name,
             T6.name as sub_item_name
         FROM wor_activity_definition T1
-        /* 价格表使用LEFT JOIN，避免因缺少价格记录导致搜索不到项目 */
-        LEFT JOIN adm_charge_item_definition T2
+        /* 只JOIN必要的价格表，使用INNER JOIN避免笛卡尔积 */
+        INNER JOIN adm_charge_item_definition T2
             ON T1.id = T2.instance_id
             AND T2.instance_table = 'wor_activity_definition'
         /* 检验类型关联 */
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 2ac571880..462449943 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
@@ -290,7 +290,6 @@
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}
-                AND T1.status_enum = #{requestStatus}
                 AND CASE WHEN T1.status_enum = #{draft}
                     THEN T1.performer_check_id IS NOT NULL
                     ELSE 1=1 END
@@ -306,28 +305,28 @@
                    T1.occurrence_end_time AS end_time,
                    T1.requester_id AS requester_id,
                    T1.create_time AS request_time,
-                   NULL AS skin_test_flag,
-                   NULL AS inject_flag,
-                   NULL AS group_id,
+                   NULL::integer AS skin_test_flag,
+                   NULL::integer AS inject_flag,
+                   NULL::bigint AS group_id,
                    T1.performer_check_id,
                    T2."name" AS advice_name,
                    T2.id AS item_id,
-                   NULL AS volume,
-                   NULL AS lot_number,
+                   NULL::varchar AS volume,
+                   NULL::varchar AS lot_number,
                    T1.quantity AS quantity,
                    T1.unit_code AS unit_code,
                    T1.status_enum AS request_status,
-                   NULL AS method_code,
-                   NULL AS rate_code,
-                   NULL AS dose,
-                   NULL AS dose_unit_code,
+                   NULL::varchar AS method_code,
+                   NULL::varchar AS rate_code,
+                   NULL::numeric AS dose,
+                   NULL::varchar AS dose_unit_code,
                    ao1.id AS position_id,
                    ao1."name" AS position_name,
-                   NULL AS dispense_per_duration,
-                   1 AS part_percent,
+                   NULL::integer AS dispense_per_duration,
+                   1::numeric AS part_percent,
                    ccd."name" AS condition_definition_name,
                    T1.therapy_enum AS therapy_enum,
-                   NULL AS sort_number,
+                   NULL::integer AS sort_number,
                    T1.quantity AS execute_num,
                    af.day_times,
                    ae.bus_no,
@@ -342,7 +341,7 @@
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
                    T2.category_code,
-                   NULL AS dispense_status
+                   NULL::integer AS dispense_status
             FROM wor_service_request AS T1
                      LEFT JOIN wor_activity_definition AS T2
                                ON T2.id = T1.activity_id
@@ -423,7 +422,6 @@
                                    AND af.delete_flag = '0'
             WHERE T1.delete_flag = '0'
                 AND T1.generate_source_enum = #{doctorPrescription}
-                AND T1.status_enum = #{requestStatus}
                 AND CASE WHEN T1.status_enum = #{draft}
                     THEN T1.performer_check_id IS NOT NULL
                     ELSE 1=1 END
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
index 5443eff69..fafd10ae4 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
@@ -45,6 +45,18 @@
           <if test="endDate != null and endDate != ''">
               AND drf.create_time &lt;= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
           </if>
+          <if test="status != null and status != ''">
+               AND CASE
+                       WHEN MIN(wsr.status_enum) = 1 THEN 0
+                       WHEN MIN(wsr.status_enum) = 2 THEN 1
+                       WHEN MIN(wsr.status_enum) = 3 AND MAX(CASE WHEN wsr.performer_check_id IS NOT NULL THEN 1 ELSE 0 END) = 1 THEN 2
+                       WHEN MIN(wsr.status_enum) = 3 THEN 4
+                       WHEN MIN(wsr.status_enum) = 4 THEN 3
+                       WHEN MIN(wsr.status_enum) = 5 OR MIN(wsr.status_enum) = 6 OR MIN(wsr.status_enum) = 7 THEN 7
+                       WHEN MIN(wsr.status_enum) = 8 THEN 6
+                       ELSE NULL
+                   END = #{status}::integer
+          </if>
           <if test="keyword != null and keyword != ''">
               AND (drf.prescription_no ILIKE '%' || #{keyword} || '%'
                    OR EXISTS (
@@ -60,28 +72,12 @@
           </if>
         GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
                  drf.requester_id, drf.create_time, ap.name
-        <if test="status != null and status != ''">
-            HAVING CASE
-                       WHEN MIN(wsr.status_enum) = 1 THEN 0
-                       WHEN MIN(wsr.status_enum) = 2 THEN 1
-                       WHEN MIN(wsr.status_enum) = 3 AND MAX(CASE WHEN wsr.performer_check_id IS NOT NULL THEN 1 ELSE 0 END) = 1 THEN 2
-                       WHEN MIN(wsr.status_enum) = 3 THEN 4
-                       WHEN MIN(wsr.status_enum) = 4 THEN 3
-                       WHEN MIN(wsr.status_enum) = 5 OR MIN(wsr.status_enum) = 6 OR MIN(wsr.status_enum) = 7 THEN 7
-                       WHEN MIN(wsr.status_enum) = 8 THEN 6
-                       ELSE NULL
-                   END = #{status}::integer
-        </if>
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
         SELECT wsr.quantity,
                wsr.unit_code,
-               COALESCE(
-                   wad.NAME,
-                   wsr.content_json::jsonb->>'surgeryName',
-                   '检验项目'
-               ) AS advice_name,
+               COALESCE(wad.NAME, wsr.content_json::jsonb->>'surgeryName') AS advice_name,
                aci.total_price
         FROM wor_service_request AS wsr
                  LEFT JOIN wor_activity_definition AS wad ON wad.ID = wsr.activity_id
@@ -91,7 +87,6 @@
             AND aci.delete_flag = '0'
         WHERE wsr.delete_flag = '0'
           AND wsr.prescription_no = #{prescriptionNo}
-        ORDER BY wsr.id
     </select>
 
     <select id="getActivityOrganizationConfig"
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
index 94b12491b..dc50881a1 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -389,8 +389,7 @@
                     </el-checkbox>
                     <span class="item-price">¥{{ item.price }}/{{ item.unit || "次" }}</span>
                   </div>
-                  <!-- Bug #500修复: 使用 v-show + 占位符，避免加载提示出现/消失时高度跳变 -->
-                  <div v-show="categoryLoadingSet.has(cat.typeId)" class="category-loading-hint">
+                  <div v-if="categoryLoadingSet.has(cat.typeId)" class="category-loading-hint">
                     加载中...
                   </div>
                   <!-- Bug #428修复: 渲染分类联动加载的检查方法列表 -->
@@ -1363,9 +1362,8 @@ async function handleMethodSelect(checked, method, cat) {
         existingItem.isPackage = true;
         existingItem.packageId = method.packageId;
         existingItem.packageName = method.packageName || existingItem.packageName;  // #428修复: 确保 packageName 同步
-        existingItem.expanded = true;  // #428修复: 有套餐时默认展开，展示套餐明细
         // 预加载套餐明细
-        await loadPackageDetailsForItem(existingItem);
+        loadPackageDetailsForItem(existingItem);
       }
       updateMethodDisplay();
       return;
@@ -1401,10 +1399,9 @@ async function handleMethodSelect(checked, method, cat) {
     };
     selectedItems.value.push(newItem);
 
-    // 如果是套餐，预加载套餐明细并默认展开
+    // 如果是套餐，预加载套餐明细
     if (newItem.isPackage && newItem.packageId) {
-      newItem.expanded = true;
-      await loadPackageDetailsForItem(newItem);
+      loadPackageDetailsForItem(newItem);
     }
 
     // 自动回填执行科室
@@ -1526,10 +1523,7 @@ async function handleItemSelect(checked, item, cat) {
 // Bug #384修复 + #426修复: 展开/收起项目卡片
 async function toggleItemExpand(item) {
   item.expanded = !item.expanded;
-  const carrier = getPackageCarrier(item);
-  const hasDetails = Array.isArray(item.packageDetailsDisplay) && item.packageDetailsDisplay.length > 0
-    || Array.isArray(carrier?.packageDetails) && carrier.packageDetails.length > 0;
-  if (item.expanded && (item.isPackage || item.packageName) && !hasDetails && !item.packageDetailsLoading) {
+  if (item.expanded && (item.isPackage || item.packageName) && (!item.packageDetails || item.packageDetails.length === 0) && !item.packageDetailsLoading) {
     await loadPackageDetailsForItem(item);
   }
   if (item.expanded && shouldShowPackageBody(item)) {
@@ -1583,7 +1577,7 @@ async function loadMethodPackageDetails(item, method) {
     const packageId = packages[0].id;
     // 查询套餐明细
     const detailRes = await request({
-      url: `/system/check-type/package/${packageId}/details`,
+      url: `/system/package/${packageId}/details`,
       method: 'get'
     });
     if (detailRes.code === 200 && detailRes.data) {
@@ -1805,8 +1799,8 @@ defineExpose({ getList });
 .collapse-scroll {
   flex: 1;
   overflow-y: auto;
-  overflow-x: hidden;
-  min-height: 350px;   /* Bug #500: 增大最小高度，确保切换分类时容器高度不会收缩导致抖动 */
+  overflow-x: hidden;  /* Bug #500: 防止切换时水平方向溢出导致抖动 */
+  min-height: 120px;   /* Bug #500: 固定最小高度，避免分类切换时 flex 容器高度突变 */
 }
 .empty-hint {
   color: #909399;
@@ -2120,18 +2114,18 @@ defineExpose({ getList });
   height: auto;
   line-height: 1.5;
 }
-/* Bug #500修复: 折叠内容不添加额外过渡动画，避免与 el-collapse 内部动画冲突导致双重动画/闪烁 */
+/* Bug #500修复: 折叠内容使用明确属性过渡，避免 transition: all 导致子元素意外动画 */
 :deep(.el-collapse-item__content) {
   padding-bottom: 4px;
+  transition: height 0.3s ease, max-height 0.3s ease;
 }
-/* Bug #500: 折叠面板容器不加 border，保持简洁 */
+/* Bug #500: 折叠面板动画容器，添加 overflow:hidden 防止展开时内容溢出导致闪烁 */
 :deep(.el-collapse-item__wrap) {
   border: none;
   overflow: hidden;
 }
-/* Bug #500: 分类项不加 margin 过渡，避免展开/收起时意外位移 */
 :deep(.el-collapse-item) {
-  /* 不使用 transition，依赖 el-collapse 原生动画 */
+  transition: margin 0.2s ease;
 }
 /* Bug #500: 分类加载中提示样式 */
 .category-loading-hint {
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 95945dbb9..cd137662c 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -1026,7 +1026,7 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return found.label;
   }
 
-  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失或标签为空时的兜底
+  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失时的兜底，避免保存后"医嘱类型"列显示为空
   if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
     if (type === 6) return '手术';
     if (type === 4) return '手术';
@@ -1036,15 +1036,6 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return '诊疗';
   }
 
-  // 🔧 Bug #458 Fix: 兜底映射，确保所有有效 adviceType 都有显示标签
-  // 不依赖字典数据和表名，直接返回标准类型名称
-  if (type === 3) return '诊疗';
-  if (type === 6) return '手术';
-  if (type === 4) return '耗材';
-  if (type === 1) return '西药';
-  if (type === 2) return '中成药';
-  if (type === 5) return '会诊';
-
   return '';
 };
 
@@ -1667,16 +1658,12 @@ function getListInfo(addNewRow) {
                               contentJson?.consultationRequestId;
         
         let adviceType = item.adviceType;
-
+        
         // 🔧 Bug Fix: 后端保存时将耗材(4)转换为中成药(2)，显示时需要转换回来
         // 检查 adviceTableName，如果是耗材表则应该是耗材类型
         const adviceTableName = contentJson?.adviceTableName || item.adviceTableName;
-
-        // 🔧 Bug #458 Fix: 后端可能返回空字符串的 adviceType_dictText，需重新计算
-        const backendDictText = item.adviceType_dictText;
-        let adviceType_dictText = (backendDictText && backendDictText.trim())
-          ? backendDictText
-          : mapAdviceTypeLabel(adviceType, adviceTableName);
+        
+        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType, adviceTableName);
         
         // 如果是会诊类型，设置为会诊类型
         if (isConsultation) {
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
index 5496c8781..fcb3d04da 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
@@ -636,11 +636,12 @@ function getList() {
     if (res.code === 200) {
       surgeryList.value = res.data?.records || []
     } else {
-      console.warn('手术列表加载失败（可能无权限或数据异常）:', res.msg)
+      proxy.$modal.msgError(res.msg || '数据加载失败，请稍后重试')
       surgeryList.value = []
     }
   }).catch(error => {
-    console.warn('手术列表请求异常:', error)
+    console.error('获取手术列表失败:', error)
+    proxy.$modal.msgError('数据加载失败，请稍后重试')
     surgeryList.value = []
   }).finally(() => {
     loading.value = false
@@ -1141,10 +1142,8 @@ function submitForm() {
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            // 子组件自身主动刷新列表（立即），确保数据展示不依赖父组件事件
-            getList()
-            // 通知父组件刷新医嘱列表（父组件也会带延迟再次刷新手术列表作为兜底）
-            emit('saved')
+            getList() // 提交成功后直接刷新列表
+            emit('saved') // 通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1160,10 +1159,8 @@ function submitForm() {
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            // 子组件自身主动刷新列表（立即）
-            getList()
-            // 由父组件 @saved 事件负责刷新列表
-            emit('saved')
+            getList() // 修改成功后直接刷新列表
+            emit('saved') // 通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }
diff --git a/openhis-ui-vue3/src/views/doctorstation/index.vue b/openhis-ui-vue3/src/views/doctorstation/index.vue
index eb4302c1f..c5a3f929b 100755
--- a/openhis-ui-vue3/src/views/doctorstation/index.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/index.vue
@@ -153,7 +153,7 @@
           </el-tab-pane>
           <el-tab-pane label="手术申请" name="surgery">
             <surgeryApplication :patientInfo="patientInfo" :activeTab="activeTab" ref="surgeryRef"
-              @saved="() => { prescriptionRef?.getListInfo(); setTimeout(() => surgeryRef?.getList(), 500) }" />
+              @saved="() => { prescriptionRef?.getListInfo(); surgeryRef?.getList() }" />
           </el-tab-pane>
           <el-tab-pane label="电子处方" name="eprescription">
             <eprescriptionlist :patientInfo="patientInfo" ref="eprescriptionRef" />
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
index 90df917d1..f8979e466 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
@@ -93,6 +93,7 @@
           </el-table-column>
           <el-table-column prop="createTime" label="创建时间" width="160" />
           <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
+          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="申请单状态" width="120" align="center">
             <template #default="scope">
               <el-tag :type="getStatusTagType(scope.row.status)" effect="plain" round>
@@ -100,7 +101,6 @@
               </el-tag>
             </template>
           </el-table-column>
-          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="操作" width="280" align="center" fixed="right">
             <template #default="scope">
               <!-- 详情 - 所有状态都显示 -->
@@ -678,16 +678,15 @@ const handlePrint = async (row) => {
     }
 
     // 构建 descJson 字段行（与详情弹窗展示的字段一致）
-    const fieldKeys = ['targetDepartment', 'urgencyLevel', 'expectedExaminationTime', 'allergyHistory', 'examinationPurpose', 'medicalHistorySummary', 'symptom', 'sign', 'clinicalDiagnosis', 'otherDiagnosis', 'relatedResult', 'attention'];
+    const fieldKeys = ['targetDepartment', 'symptom', 'sign', 'clinicalDiagnosis', 'otherDiagnosis', 'relatedResult', 'attention'];
     let descFieldsHtml = '';
     fieldKeys.forEach((key) => {
       const label = labelMap[key] || key;
-      const value = transformField(key, descData[key]);
-      if (value != null && value !== '') {
+      if (descData[key] != null && descData[key] !== '') {
         descFieldsHtml += `
           <div class="info-row">
             <span class="label">${label}：</span>
-            <span class="value">${value}</span>
+            <span class="value">${descData[key]}</span>
           </div>`;
       }
     });
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
index 9fc9af90f..3881938f1 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
@@ -136,7 +136,7 @@
               currentDetail.patientName || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单名称">{{
-              buildApplicationName(currentDetail)
+              currentDetail.name || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="创建时间">{{
               currentDetail.createTime || '-'
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
index 8cda4020b..e50513b32 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
@@ -289,62 +289,43 @@ function getList() {
         return obj;
       });
       form.value.diagnosisList = datas;
-      // 去重：按 conditionId 去重，防止后端重复插入导致重复记录
-      deduplicateDiagnosisList();
+      // form.value.diagnosisList = res.data;
       emits('diagnosisSave', false);
     }
   });
   getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
-    console.log('getTcmDiagnosis=======>', JSON.stringify(res.data?.illness));
+    console.log('getTcmDiagnosis=======>', JSON.stringify(res.data.illness));
 
-    if (res.code == 200 && res.data?.illness?.length > 0) {
-      diagnosisNetDatas.value = res.data.illness;
-      res.data.illness.forEach((item, index) => {
-        newList.push({
-          name: item.name + '-' + (res.data.symptom?.[index]?.name || ''),
-          ybNo: item.ybNo,
-          medTypeCode: item.medTypeCode,
-          diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-          diagnosisTime: new Date().toLocaleString('zh-CN')
+    if (res.code == 200) {
+      if (res.data.illness.length > 0) {
+        diagnosisNetDatas.value = res.data.illness;
+        res.data.illness.forEach((item, index) => {
+          newList.push({
+            name: item.name + '-' + (res.data.symptom[index]?.name || ''),
+            ybNo: item.ybNo,
+            medTypeCode: item.medTypeCode,
+            diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
+            diagnosisTime: new Date().toLocaleString('zh-CN')
+          });
         });
-      });
-
-      // 将新数据添加到现有列表中
-      form.value.diagnosisList.push(...newList);
-
-      // 重新排序整个列表
-      form.value.diagnosisList.sort((a, b) => {
-        const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
-        const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
-        return aNo - bNo;
-      });
-      // TCM 数据添加后也去重
-      deduplicateDiagnosisList();
+        
+        // 将新数据添加到现有列表中
+        form.value.diagnosisList.push(...newList);
+        
+        // 重新排序整个列表
+        form.value.diagnosisList.sort((a, b) => {
+          const aNo = typeof a.diagSrtNo === 'number' ? a.diagSrtNo : 9999;
+          const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
+          return aNo - bNo;
+        });
+      }
+      emits('diagnosisSave', false);
     }
-    emits('diagnosisSave', false);
   });
-
+  
   getTree();
 }
 
-/**
- * 诊断列表去重：按 ybNo + name 组合去重，保留第一条记录
- * 防止后端 saveOrUpdate 在删除后误 INSERT 导致重复
- */
-function deduplicateDiagnosisList() {
-  const seen = new Set();
-  const dedupedList = [];
-  for (const item of form.value.diagnosisList) {
-    // 使用 ybNo 和 name 组合作为唯一标识（中医诊断没有 ybNo，用 name 去重）
-    const key = item.ybNo ? `${item.ybNo}` : `name_${item.name}`;
-    if (!seen.has(key)) {
-      seen.add(key);
-      dedupedList.push(item);
-    }
-  }
-  form.value.diagnosisList = dedupedList;
-}
-
 init();
 function init() {
   diagnosisInit().then((res) => {
@@ -622,18 +603,6 @@ function handleSaveDiagnosis() {
         return aNo - bNo;
       });
 
-      // 步骤1.5：确保每条诊断都有诊断医生和诊断时间（元数据补全）
-      const doctorName = props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name;
-      const now = new Date().toLocaleString('zh-CN');
-      sortedList.forEach((item) => {
-        if (!item.diagnosisDoctor) {
-          item.diagnosisDoctor = doctorName;
-        }
-        if (!item.diagnosisTime) {
-          item.diagnosisTime = now;
-        }
-      });
-
       // 步骤2：重新分配连续的序号（从1开始）
       sortedList.forEach((item, index) => {
         item.diagSrtNo = index + 1; // 这里是关键！把”诊断排序”改成新顺序
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
index d3d4016db..f7891dc1b 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -142,11 +142,6 @@
         <el-table-column label="医嘱" align="center" prop="productName" width="300">
           <template #default="scope">
             <template v-if="getRowDisabled(scope.row)">
-              <!-- 当行的 adviceType 不在当前选项列表中时，显示标签而非下拉框 -->
-              <template v-if="!hasAdviceTypeOption(scope.row)">
-                <el-tag size="small" type="primary">{{ getAdviceTypeLabel(scope.row.adviceType) }}</el-tag>
-              </template>
-              <template v-else>
               <el-select
                 style="width: 35%; margin-right: 8px"
                 :model-value="getRowSelectValue(scope.row)"
@@ -221,7 +216,6 @@
                   />
                 </template>
               </el-popover>
-              </template>
             </template>
             <span v-else>{{ scope.row.adviceName }}</span>
           </template>
@@ -756,31 +750,6 @@ function getRowDisabled(row) {
   return row.isEdit;
 }
 
-/**
- * 判断行的 adviceType 是否在当前 adviceTypeList 选项中有匹配项
- * 修复 Bug #488：避免 el-select 因无匹配选项而回显为纯数字
- */
-function hasAdviceTypeOption(row) {
-  if (!row.adviceType && row.adviceType !== 0) return false;
-  if (row.adviceType == 1 && row.categoryCode) {
-    const compositeValue = '1-' + row.categoryCode;
-    return adviceTypeList.value.some(item => item.value === compositeValue);
-  }
-  return adviceTypeList.value.some(item => item.value === row.adviceType);
-}
-
-/**
- * 将原始 adviceType 数字映射为人类可读标签
- * 修复 Bug #488：当 adviceType 不在选项列表中时，显示标签而非数字
- */
-function getAdviceTypeLabel(type) {
-  if (!type && type !== 0) return '';
-  // 优先使用字典文本（如果后端返回了 adviceType_dictText）
-  // 但由于当前行数据可能没有 dictText，提供兜底映射
-  const fallbackMap = { 1: '西药', 2: '中成药', 3: '诊疗', 4: '耗材', 5: '会诊', 6: '手术', 23: '检查' };
-  return fallbackMap[type] || String(type);
-}
-
 /**
  * 将行的 adviceType + categoryCode 映射为 el-select 的选中值
  * 药品子分类使用复合值如 '1-2'（adviceType-categoryCode），诊疗/手术/全部使用原始值
@@ -863,22 +832,13 @@ function clickRowDb(row, column, event) {
   }
   row.showPopover = false;
   // 仅”待签发(statusEnum==1)”允许编辑；”已签发(statusEnum==2)”及之后状态不允许编辑
-  // 使用 Number() 做类型转换，确保后端返回的数值能正确比较
-  if (Number(row.statusEnum) === 1) {
+  if (row.statusEnum == 1) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
     const index = prescriptionList.value.findIndex((item) => item.uniqueKey === row.uniqueKey);
-    if (index !== -1) {
-      prescriptionList.value.splice(index, 1, row);
-      // 使用 nextTick 确保数据更新后再设置展开状态，保证 el-table 能正确识别 row-key
-      nextTick(() => {
-        expandOrder.value = [row.uniqueKey];
-      });
-    } else {
-      console.warn('⚠️ clickRowDb 未找到匹配行: uniqueKey=', row.uniqueKey, ', row=', row);
-      proxy.$modal.msgWarning('无法进入编辑模式，请刷新列表后重试');
-    }
+    prescriptionList.value[index] = row;
+    expandOrder.value = [row.uniqueKey];
   }
 }
 
@@ -950,8 +910,9 @@ function handleFocus(row, index) {
   // 用 adviceType + categoryCode 组合查找匹配的选项
   const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
   const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-  // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
-  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
+  // 修复Bug #486：当行没有显式选择医嘱类型时（row.adviceType为undefined），
+  // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -988,8 +949,9 @@ function handleChange(value) {
       // 用 adviceType + categoryCode 组合查找匹配的选项
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
-      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
+      // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
+      // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
       // 修复Bug #453：当adviceType为空字符串或NaN时，不传具体类型，让refresh函数根据searchKey决定搜索范围
       const effectiveAdviceType = (adviceType && !isNaN(Number(adviceType))) ? adviceType : '';
       tableRef.refresh(effectiveAdviceType, categoryCode, value);
@@ -1416,9 +1378,6 @@ function handleSaveSign(row, index) {
             bindMethod.value[itemNo] = true;
           }
         }
-      }).catch(() => {
-        // 绑定设备接口失败不影响主流程保存，静默降级
-        console.warn('绑定设备检查接口调用失败（adviceType=' + row.adviceType + ', itemNo=' + itemNo + '）');
       });
     }
   }
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
index 55d2640bc..ebab6aecf 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
@@ -1,6 +1,5 @@
 <template>
-  <div class="fee-dialog-wrapper">
-    <el-dialog v-model="dialogVisible" title="补费" width="80%" :close-on-click-modal="false">
+  <el-dialog v-model="dialogVisible" title="补费" width="80%" :close-on-click-modal="false">
     <div style="font-size: 16px; font-weight: bold; margin-bottom: 10px">
       患者信息：{{
         props.patientInfo.patientName +
@@ -252,7 +251,7 @@
     </div>
   </el-dialog>
   <!-- 划价组套选择对话框 -->
-  <el-dialog v-model="groupSetDialogVisible" title="划价组套选择" width="600px" :close-on-click-modal="false" append-to-body :z-index="3000" destroy-on-close>
+  <el-dialog v-model="groupSetDialogVisible" title="划价组套选择" width="600px" :close-on-click-modal="false" append-to-body :z-index="3000">
     <div style="margin-bottom: 15px; display: flex; align-items: center; gap: 10px">
       <el-input
         v-model="groupSetSearchText"
@@ -303,7 +302,6 @@
       <el-button type="primary" @click="applyGroupSet" :disabled="!selectedGroupSet">应用</el-button>
     </div>
   </el-dialog>
-  </div>
 </template>
 
 <script setup>
@@ -521,28 +519,31 @@ watch(
   }
 );
 
-// 加载科室选项（递归扁平化树形结构）
+// 加载科室选项（支持树形/扁平两种数据结构）
 function loadDepartmentOptions() {
   getOrgList()
     .then((res) => {
-      if (!res?.data?.records?.length) {
-        departmentOptions.value = [];
-        return;
-      }
-      // 递归扁平化树形结构，提取所有科室节点
-      const flattenTree = (nodes) => {
-        const result = [];
-        for (const node of nodes) {
-          if (node?.id && node?.name) {
-            result.push(node);
+      if (res.data) {
+        // 尝试从树形结构中取：records[0].children
+        if (res.data.records && res.data.records.length > 0) {
+          if (res.data.records[0].children && res.data.records[0].children.length > 0) {
+            departmentOptions.value = res.data.records[0].children;
+            return;
           }
-          if (node?.children?.length) {
-            result.push(...flattenTree(node.children));
+          // 如果 records[0] 有 id 和 name（非树根节点），直接用所有 records
+          if (res.data.records[0].id) {
+            departmentOptions.value = res.data.records;
+            return;
           }
         }
-        return result;
-      };
-      departmentOptions.value = flattenTree(res.data.records);
+        // 兜底：如果 records 不存在或为空，尝试直接使用 data 本身
+        if (Array.isArray(res.data)) {
+          departmentOptions.value = res.data;
+          return;
+        }
+      }
+      // 所有方式都失败，置空
+      departmentOptions.value = [];
     })
     .catch(() => {
       console.warn('科室列表加载失败（可能无权限）');
@@ -608,13 +609,13 @@ function getUnitCodeOptions(row) {
   const unitCodes = [];
   // 大单位：优先用 code，code 缺失时用字典文本兜底
   if (row.unitCode != null && String(row.unitCode) !== '') {
-    unitCodes.push({ code: String(row.unitCode), codeText: row.unitCode_dictText || String(row.unitCode) });
+    unitCodes.push({ code: String(row.unitCode), codeText: row.unitCode_dictText });
   } else if (row.unitCode_dictText) {
     unitCodes.push({ code: row.unitCode_dictText, codeText: row.unitCode_dictText });
   }
   // 小单位：同上
   if (row.minUnitCode != null && String(row.minUnitCode) !== '') {
-    unitCodes.push({ code: String(row.minUnitCode), codeText: row.minUnitCode_dictText || String(row.minUnitCode) });
+    unitCodes.push({ code: String(row.minUnitCode), codeText: row.minUnitCode_dictText });
   } else if (row.minUnitCode_dictText) {
     unitCodes.push({ code: row.minUnitCode_dictText, codeText: row.minUnitCode_dictText });
   }
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
index c46888b3a..646a03252 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
@@ -241,8 +241,6 @@ const loading = ref(false);
 const chooseAll = ref(false);
 // 独立维护选中行ID集合，避免el-table内部selection状态异常导致联动全选
 const selectedRowIds = ref(new Set());
-// 跳过选中事件级联：程序化调用 toggleRowSelection 时阻止 handleRowSelect 触发 selectAllCheckboxesInRow
-const skipSelectCascade = ref(false);
 const props = defineProps({
   exeStatus: {
     type: Number,
@@ -486,13 +484,8 @@ function handleExecute() {
       if (hasServiceRequest) {
         // 仅传入选中医嘱对应的 encounterId，避免其他患者的耗材记录干扰
         const selectedEncounterIds = [...new Set(list.map((item) => item.encounterId).filter(Boolean))];
-        // 仅传入诊疗类医嘱的 requestId，让后端仅校验与本次执行相关的耗材，避免其他未执行医嘱的耗材记录干扰
-        const selectedRequestIds = list
-          .filter((item) => String(item.adviceTable || '') === 'wor_service_request')
-          .map((item) => item.requestId)
-          .filter(Boolean);
         if (selectedEncounterIds.length > 0) {
-          lotNumberMatch({ encounterIdList: selectedEncounterIds, requestIdList: selectedRequestIds }, { skipErrorMsg: true })
+          lotNumberMatch({ encounterIdList: selectedEncounterIds }, { skipErrorMsg: true })
             .then((matchRes) => {
               if (matchRes && matchRes.code !== 200) {
                 console.warn('lotNumberMatch returned error:', matchRes.msg);
@@ -657,7 +650,6 @@ function handleRateChange(value, date, time, row, rateItem) {
 }
 
 function handelSwicthChange(value) {
-  skipSelectCascade.value = true;
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
@@ -678,15 +670,12 @@ function handelSwicthChange(value) {
       }
     }
   });
-  skipSelectCascade.value = false;
 }
 
 // 默认选中全部行
 function defaultSelectAllRows() {
   // 清空并重建选中集合
   selectedRowIds.value.clear();
-  // 阻止 toggleRowSelection 触发 handleRowSelect 中的 selectAllCheckboxesInRow 级联
-  skipSelectCascade.value = true;
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
@@ -699,7 +688,6 @@ function defaultSelectAllRows() {
       });
     }
   });
-  skipSelectCascade.value = false;
   // 更新全选开关状态
   chooseAll.value = true;
 }
@@ -776,7 +764,6 @@ function checkAndToggleRowSelection(row) {
         const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
 
         // 根据checkbox状态更新表格行选中状态
-        skipSelectCascade.value = true;
         if (isAllSelected && !isCurrentlySelected) {
           selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
@@ -784,7 +771,6 @@ function checkAndToggleRowSelection(row) {
           selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
         }
-        skipSelectCascade.value = false;
       }
     }
   });
@@ -796,10 +782,8 @@ function handleRowSelect(selection, row, tableIndex) {
 
   if (isSelected) {
     selectedRowIds.value.add(row.requestId);
-    // 仅在非程序化选中时，联动选中该行内部的所有checkbox
-    if (!skipSelectCascade.value) {
-      selectAllCheckboxesInRow(row);
-    }
+    // 选中行时，选中该行内部的所有checkbox
+    selectAllCheckboxesInRow(row);
   } else {
     selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox
diff --git a/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue b/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
index 0076706a3..f9bacdf61 100755
--- a/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
+++ b/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
@@ -1131,15 +1131,15 @@ function handleLocationClick(item, row, index) {
     .then((res) => {
       const list = res.data || [];
       const d = pickBestOrgQuantityRow(list);
-
-      // 严格批号查询有库存（orgQuantity > 0）
-      if (d && Number(d.orgQuantity ?? 0) > 0) {
+      const strictOk = d && Number(d.orgQuantity ?? 0) > 0;
+      if (strictOk) {
         applyFromDto(d, false);
+        if (Number(r.totalQuantity) <= 0) {
+          proxy.$message.warning('仓库数量为0，无法调用！');
+        }
         persistStore();
         return;
       }
-
-      // 严格查询无库存或数量为0 → 回退到非严格查询（查同仓库其他批号）
       if (lotTrimmed) {
         return runGet(false).then((res2) => {
           const list2 = res2.data || [];
@@ -1157,8 +1157,6 @@ function handleLocationClick(item, row, index) {
           persistStore();
         });
       }
-
-      // 没有指定批号，直接提示
       r.totalQuantity = 0;
       r.price = 0;
       proxy.$message.warning('仓库数量为0，无法调用！');
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 42849fd75..aa8b05c86 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -1535,8 +1535,8 @@ function handleMedicalAdvice(row) {
   temporarySigned.value = hasSubmittedAdvices; // 修复：根据已有数据状态设置，而非盲目重置
   temporaryMedicalLoading.value = true // 🔧 新增：开始加载
 
-  // 调用计费接口获取数据（使用手术计费来源参数，匹配 surgery billing 创建的记录）
-  getPrescriptionList(row.visitId, 6, row.operCode).then((res) => {
+  // 调用计费接口获取数据
+  getPrescriptionList(row.visitId).then((res) => {
     console.log('=== 拉取计费数据返回结果 ===', res)
     if (res.code === 200 && res.data) {
       // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
@@ -1741,39 +1741,27 @@ function handleTemporaryMedicalSubmit(data) {
       }
     })
     
-    // 🔧 修复 Bug #445: 使用稳定可靠的字段组合匹配已提交项目，从已生成列表中剔除待生成项
-    // 匹配键：优先使用 chargeItemId（后端费用项目ID，最可靠），其次使用 名称+规格+数量 组合
-    const submittedKeys = new Set()
-    const submittedChargeIds = new Set()
+    // 🔧 修复 Bug #445: 使用稳定的字段组合匹配已提交项目，而不是依赖可能为空的 requestId/chargeItemId
+    // 构建已提交项目的匹配键集合（药品名称 + 规格 + 数量）
+    const submittedKeys = new Set(
+      (data.temporaryAdvices || [])
+        .map(a => {
+          const om = a.originalMedicine || {}
+          const name = om.medicineName || om.adviceName || om.advice_name || a.adviceName || ''
+          const spec = om.specification || om.volume || ''
+          const qty = om.quantity || 0
+          return `${name}|||${spec}|||${qty}`
+        })
+        .filter(k => k !== '|||0') // 过滤掉空项
+    )
 
-    ;(data.temporaryAdvices || []).forEach(a => {
-      const om = a.originalMedicine || {}
-      // 收集 chargeItemId（最可靠的匹配标识）
-      if (om.chargeItemId) {
-        submittedChargeIds.add(om.chargeItemId)
-      }
-      // 构建名称+规格+数量的匹配键（用于无 chargeItemId 的兜底匹配）
-      // 注意：originalMedicine 中的名称字段是 adviceName（来自 billingMedicines.map 时的字段）
-      const name = om.medicineName || om.adviceName || om.advice_name || a.adviceName || ''
-      const spec = om.specification || om.volume || ''
-      const qty = om.quantity || 0
-      if (name) {
-        submittedKeys.add(`${name}|||${spec}|||${qty}`)
-      }
-    })
-
-    if (submittedChargeIds.size > 0 || submittedKeys.size > 0) {
+    if (submittedKeys.size > 0) {
       temporaryBillingMedicines.value = (temporaryBillingMedicines.value || []).filter(m => {
-        // 优先用 chargeItemId 匹配
-        if (m.chargeItemId && submittedChargeIds.has(m.chargeItemId)) {
-          return false
-        }
-        // 兜底用 名称+规格+数量 匹配
-        const key = `${m.medicineName || m.adviceName || ''}|||${m.specification || m.volume || ''}|||${m.quantity || 0}`
+        const key = `${m.medicineName || ''}|||${m.specification || ''}|||${m.quantity || 0}`
         return !submittedKeys.has(key)
       })
     } else {
-      // 如果没有任何匹配标识，清空待生成列表（保守策略：认为所有项目都已提交）
+      // 如果没有任何匹配键，清空待生成列表（所有项目都已提交）
       temporaryBillingMedicines.value = []
     }