diff --git a/MD/MODULE_INDEX.md b/MD/MODULE_INDEX.md
index ee424cbb4..f2bba9296 100644
--- a/MD/MODULE_INDEX.md
+++ b/MD/MODULE_INDEX.md
@@ -1,7 +1,7 @@
 # HealthLink-HIS 代码模块索引
 
 > 供 LLM 快速定位代码。每个模块列出 Controller → Service → Mapper 关键文件。
-> 最后更新: 2026-06-15 06:00 (298 个 Controller)
+> 最后更新: 2026-06-15 12:00 (300 个 Controller)
 
 ## 关键词 → 模块速查
 
diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 56cd563e5..341921034 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -1,4 +1,4 @@
-<template>
+<template>
   <div style="width: 100%; display: flex; flex-direction: column;">
     <div style="margin-bottom: 5px">
       <el-button
@@ -394,7 +394,7 @@
                     >
                       皮试：<el-checkbox
                         v-model="scope.row.skinTestFlag"
-                        :true-value="1"
+                        :true-value="true"
                         :false-value="0"
                         @change="handleSkinTestChange(scope.row, scope.rowIndex)"
                       >
@@ -837,7 +837,7 @@
                     >
                       皮试：<el-checkbox
                         v-model="scope.row.skinTestFlag"
-                        :true-value="1"
+                        :true-value="true"
                         :false-value="0"
                         @change="handleSkinTestChange(scope.row, scope.rowIndex)"
                       >
@@ -1161,7 +1161,6 @@
           title="单次剂量"
           align="center"
           field=""
-          min-width="130"
         >
           <template #default="scope">
             <template v-if="scope.row.isEdit">
@@ -1192,7 +1191,6 @@
           title="总量"
           align="center"
           field=""
-          min-width="110"
         >
           <template #default="scope">
             <template v-if="scope.row.isEdit">
@@ -1334,7 +1332,7 @@
             <template v-if="scope.row.isEdit">
               <el-checkbox
                 v-model="scope.row.skinTestFlag"
-                :true-value="1"
+                :true-value="true"
                 :false-value="0"
                 @change="handleSkinTestChange(scope.row, scope.rowIndex)"
               >
@@ -1577,23 +1575,6 @@ const orderGroupLoaded = ref({
 // 更新展开行的函数
 const updateExpandOrder = (keys) => {
   expandOrder.value = keys;
-  nextTick(() => {
-    if (prescriptionRef.value?.setRowExpand) {
-      // 折叠不需要展开的行
-      prescriptionList.value.forEach(row => {
-        if (!keys.includes(row.uniqueKey)) {
-          prescriptionRef.value.setRowExpand([row], false);
-        }
-      });
-      // 展开目标行
-      keys.forEach(key => {
-        const targetRow = prescriptionList.value.find(item => item.uniqueKey === key);
-        if (targetRow) {
-          prescriptionRef.value.setRowExpand([targetRow], true);
-        }
-      });
-    }
-  });
 };
 const stockList = ref([]);
 const contractList = ref([]);
@@ -1779,19 +1760,14 @@ onBeforeUnmount(() => {
 watch(
   () => expandOrder.value,
   (newValue) => {
-    if (newValue && newValue.length > 0) {
+    if (newValue.length > 0) {
       nextTick(() => {
         const index = prescriptionList.value.findIndex((row) => row.uniqueKey === newValue[0]);
-        if (index !== -1) {
-          const formRef = proxy.$refs['formRef' + index];
-          const items = formRef?.$el?.querySelectorAll('[data-prop]') || formRef?.querySelectorAll?.('[data-prop]');
-          requiredProps.value = items ? Array.from(items).map((item) => item.dataset.prop) : [];
-        } else {
-          requiredProps.value = [];
-        }
+        const items = proxy.$refs['formRef' + index]?.$el?.querySelectorAll('[data-prop]');
+        requiredProps.value = Array.from(items).map((item) => item.dataset.prop);
       });
     } else {
-      requiredProps.value = [];
+      requiredProps.value = {};
     }
   }
 );
@@ -2591,16 +2567,6 @@ const sleep = (ms) => new Promise(resolve => setTimeout(resolve, ms));
  * 选择药品回调
  */
 function selectAdviceBase(key, row) {
-  console.log('[selectAdviceBase] Triggered with key:', key, 'row:', JSON.parse(JSON.stringify(row)));
-  // 确保 rowIndex 指向正确的行索引，避免 out of sync 或者未定义导致的报错
-  const targetIndex = prescriptionList.value.findIndex(item => item.uniqueKey === key);
-  console.log('[selectAdviceBase] Target index resolved:', targetIndex, 'Current rowIndex.value:', rowIndex.value);
-  if (targetIndex !== -1) {
-    rowIndex.value = targetIndex;
-  } else {
-    console.error('[selectAdviceBase] Target row not found in prescriptionList by uniqueKey!');
-  }
-
   // 🔧 Bug Fix: 检查药品是否需要皮试，如果需要则弹出确认框
   if (row.skinTestFlag == 1) {
     ElMessageBox.confirm(`药品：${row.adviceName}需要做皮试，是否做皮试？`, '提示', {
@@ -2677,7 +2643,7 @@ function selectAdviceBase(key, row) {
     // 确保在setValue之后再次设置showPopover为false，防止被覆盖
     prescriptionList.value[rowIndex.value].showPopover = false;
 
-    updateExpandOrder([key]);
+    expandOrder.value = [key];
 
     // 自动聚焦到单次用量字段 - 使用 async/await 多次尝试
     await nextTick();
@@ -3769,10 +3735,9 @@ function handleSaveBatch(prescriptionId) {
     prescription.accountId = finalAccountId;
   }
 
-  // 获取对应处方的展开状态
-  const prescriptionExpandOrder = prescription.expandOrder || [];
-  if (prescriptionExpandOrder.length > 0) {
-    proxy.$modal.msgWarning('请先点击确定确认当前医嘱');
+  // 🔧 Bug Fix #749: 检查是否有展开行未确认（使用组件级响应式变量 expandOrder.value）
+  if (expandOrder.value.length > 0) {
+    proxy.$modal.msgWarning('请先点击确定确认当前医嘱，或关闭展开行');
     return;
   }
 
@@ -4142,7 +4107,7 @@ async function setValue(row) {
   if (row.adviceType != 3 && row.adviceType != 4 && row.adviceType != 5) {
     // 🔧 Bug #144 补充修复：检查 inventoryList 是否存在，避免 undefined 错误
     if (!row.inventoryList || row.inventoryList.length == 0) {
-      updateExpandOrder([]);
+      expandOrder.value = [];
       proxy.$modal.msgWarning(row.adviceName + '无库存');
       return;
     }
@@ -4263,9 +4228,6 @@ async function setValue(row) {
     }
   // 🔧 Bug #218 修复：最后统一同步组套字段（适用于所有类型）
   syncGroupFields(row);
-
-  // 强制触发 Vue 数组响应式更新，并通知 vxe-table 重新加载数据
-  prescriptionList.value = [...prescriptionList.value];
 }
 
 // 选择组套 - 适配新版 OrderGroupDrawer 组件
@@ -5627,3 +5589,7 @@ defineExpose({ getListInfo, getDiagnosisInfo });
   min-width: 0;
 }
 </style>
+
+  // 🔧 Bug Fix #749: 检查是否有展开行未确认（使用组件级响应式变量 expandOrder.value）
+  if (expandOrder.value.length > 0) {
+    proxy.$modal.msgWarning('请先点击确定确认当前医嘱，或关闭展开行');
\ No newline at end of file