diff --git a/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue b/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
index 158699cf9..1c6c6a254 100644
--- a/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
+++ b/openhis-ui-vue3/src/views/outpatient/exam/ExamApply.vue
@@ -1,216 +1,227 @@
 <template>
-  <div class="exam-apply-container">
-    <!-- 左侧：检查项目分类 -->
-    <div class="category-panel">
-      <el-tree
-        :data="categories"
-        node-key="id"
-        highlight-current
-        @node-click="handleCategoryClick"
-      />
+  <div class="exam-apply">
+    <!-- 检查项目列表 -->
+    <el-tree
+      ref="itemTree"
+      :data="itemTreeData"
+      node-key="id"
+      show-checkbox
+      :default-expand-all="false"
+      :props="itemTreeProps"
+      @check-change="onItemCheckChange"
+    />
+
+    <!-- 已选项目卡片 -->
+    <div class="selected-card" :title="selectedCardTitle">
+      <el-tag v-for="group in selectedGroups" :key="group.id" closable @close="removeGroup(group)">
+        {{ group.displayName }}
+      </el-tag>
     </div>
 
-    <!-- 中间：检查项目列表 -->
-    <div class="project-panel">
-      <h3>检查项目</h3>
-      <el-checkbox-group v-model="selectedProjectIds" class="project-list">
-        <el-checkbox
-          v-for="item in currentProjects"
-          :key="item.id"
-          :label="item.id"
-          class="item-checkbox"
-          :data-id="item.id"
-        >
-          {{ cleanName(item.name) }}
-        </el-checkbox>
-      </el-checkbox-group>
-    </div>
+    <!-- 选中明细（默认收起） -->
+    <el-collapse v-model="activePanels" class="selected-details">
+      <el-collapse-item
+        v-for="group in selectedGroups"
+        :key="group.id"
+        :name="group.id"
+      >
+        <template #title>
+          <span class="group-header">{{ group.displayName }}</span>
+        </template>
 
-    <!-- 右侧：检查方法列表 -->
-    <div class="method-panel">
-      <h3>检查方法</h3>
-      <el-checkbox-group v-model="selectedMethodIds" class="method-list">
-        <el-checkbox
-          v-for="method in currentMethods"
-          :key="method.id"
-          :label="method.id"
-          class="method-checkbox"
-          :data-id="method.id"
-        >
-          {{ method.name }}
-        </el-checkbox>
-      </el-checkbox-group>
-    </div>
-
-    <!-- 底部：已选择区域（结构化展示） -->
-    <div class="selected-area">
-      <h3>已选择</h3>
-      <div class="selected-list">
-        <div v-for="group in selectedGroups" :key="group.projectId" class="selected-group">
-          <div class="group-header" @click="toggleGroup(group.projectId)">
-            <el-tooltip :content="group.projectName" placement="top" :show-after="300">
-              <span class="selected-card" :title="group.projectName">{{ group.projectName }}</span>
-            </el-tooltip>
-            <el-icon class="toggle-icon">
-              <ArrowDown v-if="group.expanded" />
-              <ArrowRight v-else />
-            </el-icon>
-          </div>
-          <transition name="slide-fade">
-            <div v-show="group.expanded" class="selected-details">
-              <div v-for="method in group.methods" :key="method.id" class="method-item">
-                {{ method.name }}
-              </div>
-            </div>
-          </transition>
-        </div>
-      </div>
-    </div>
+        <ul class="method-list">
+          <li
+            v-for="method in group.methods"
+            :key="method.id"
+            class="method-item"
+          >
+            <el-checkbox
+              :label="method.id"
+              v-model="method.checked"
+              @change="onMethodChange(group, method)"
+            >
+              {{ method.name }}
+            </el-checkbox>
+          </li>
+        </ul>
+      </el-collapse-item>
+    </el-collapse>
   </div>
 </template>
 
-<script setup>
+<script setup lang="ts">
 import { ref, computed, watch } from 'vue'
-import { ArrowDown, ArrowRight } from '@element-plus/icons-vue'
+import { ElMessage } from 'element-plus'
+import type { TreeNode } from 'element-plus/lib/components/tree/src/tree.type'
 
-// 模拟数据源（实际应从 API 获取）
-const categories = ref([
-  { id: 'cat_1', label: '彩超', children: [] }
-])
+/**
+ * 数据结构约定
+ * - 项目 (Item) 与 检查方法 (Method) 为两层树结构
+ * - 项目节点 id 形如 "item_128"
+ * - 方法节点 id 形如 "method_001"
+ * - 为避免 UI 与业务耦合，选中项目仅记录项目本身，方法的选中状态独立维护
+ */
 
-const projectData = ref([
-  { id: 'item_128', name: '128线排彩超套餐', categoryId: 'cat_1', methods: ['method_default', 'method_doppler'] },
-  { id: 'item_129', name: '常规彩超', categoryId: 'cat_1', methods: ['method_default'] }
-])
-
-const methodData = ref([
-  { id: 'method_default', name: '常规检查' },
-  { id: 'method_doppler', name: '多普勒血流' }
-])
-
-// 状态管理
-const currentCategoryId = ref('cat_1')
-const selectedProjectIds = ref([])
-const selectedMethodIds = ref([])
-const expandedGroups = ref(new Set())
-
-// 计算属性
-const currentProjects = computed(() => projectData.value.filter(p => p.categoryId === currentCategoryId.value))
-const currentMethods = computed(() => methodData.value)
-
-// 清理名称：去除“套餐”等冗余前缀
-const cleanName = (name) => name.replace(/套餐/g, '')
-
-// 构建已选层级结构：项目 > 检查方法
-const selectedGroups = computed(() => {
-  return selectedProjectIds.value.map(pid => {
-    const project = projectData.value.find(p => p.id === pid)
-    if (!project) return null
-    // 仅展示已勾选的方法，若无勾选则展示默认关联方法（保持独立解耦，不自动勾选）
-    const methods = project.methods
-      .filter(mid => selectedMethodIds.value.includes(mid))
-      .map(mid => methodData.value.find(m => m.id === mid))
-      .filter(Boolean)
-    
-    return {
-      projectId: project.id,
-      projectName: cleanName(project.name),
-      methods,
-      expanded: expandedGroups.value.has(project.id)
-    }
-  }).filter(Boolean)
-})
-
-// 交互逻辑
-const handleCategoryClick = (node) => {
-  currentCategoryId.value = node.id
+interface Method {
+  id: string
+  name: string
+  checked: boolean
 }
 
-const toggleGroup = (projectId) => {
-  if (expandedGroups.value.has(projectId)) {
-    expandedGroups.value.delete(projectId)
+interface ItemGroup {
+  id: string
+  name: string
+  displayName: string // 用于卡片展示，已去除 “套餐” 前缀
+  methods: Method[]
+}
+
+/* ---------- Mock Data (实际请改为接口获取) ---------- */
+const rawTree = ref<TreeNode[]>([
+  {
+    id: 'item_128',
+    label: '套餐-128线排',
+    children: [
+      { id: 'method_default', label: '默认方法' },
+      { id: 'method_advanced', label: '高级方法' }
+    ]
+  },
+  {
+    id: 'item_256',
+    label: '套餐-256线排',
+    children: [{ id: 'method_default', label: '默认方法' }]
+  }
+])
+/* ------------------------------------------------------ */
+
+/* 树属性配置 */
+const itemTreeProps = {
+  children: 'children',
+  label: 'label'
+}
+
+/* 将原始树转换为内部可操作结构 */
+const itemTreeData = computed(() => {
+  return rawTree.value.map(item => ({
+    id: item.id,
+    label: item.label.replace(/^套餐-/, ''), // 去除 “套餐-” 前缀
+    children: (item.children ?? []).map(m => ({
+      id: m.id,
+      label: m.label
+    }))
+  }))
+})
+
+/* 已选项目（去耦合） */
+const selectedGroups = ref<ItemGroup[]>([])
+
+/* 选中项目卡片的 title（完整名称提示） */
+const selectedCardTitle = computed(() => {
+  return selectedGroups.value.map(g => g.name).join(', ')
+})
+
+/* 折叠面板控制，默认收起 */
+const activePanels = ref<string[]>([])
+
+/* ---------- 交互逻辑 ---------- */
+
+/**
+ * 项目勾选变化时触发
+ * - 只处理项目本身的选中/取消
+ * - 方法的选中状态保持独立，不会自动勾选
+ */
+function onItemCheckChange(
+  data: any,
+  checked: boolean,
+  indeterminate: boolean
+) {
+  const itemId = data.id as string
+  const itemLabel = data.label as string
+
+  if (checked) {
+    // 防止重复添加
+    if (!selectedGroups.value.find(g => g.id === itemId)) {
+      const methods: Method[] = (data.children ?? []).map((m: any) => ({
+        id: m.id,
+        name: m.label,
+        checked: false // 初始不选中
+      }))
+
+      selectedGroups.value.push({
+        id: itemId,
+        name: data.label, // 原始完整名称（含前缀，供 title 使用）
+        displayName: itemLabel, // 已去除前缀，供卡片展示
+        methods
+      })
+    }
   } else {
-    expandedGroups.value.add(projectId)
+    // 取消选中，移除对应分组
+    selectedGroups.value = selectedGroups.value.filter(g => g.id !== itemId)
+    // 同时收起对应折叠面板
+    activePanels.value = activePanels.value.filter(id => id !== itemId)
   }
 }
 
-// 监听项目选择变化，默认收起新选中的项目明细
-watch(selectedProjectIds, (newIds, oldIds) => {
-  const added = newIds.filter(id => !oldIds.includes(id))
-  added.forEach(id => expandedGroups.value.delete(id))
-}, { deep: true })
+/**
+ * 方法勾选变化时触发
+ * - 仅更新对应方法的 checked 状态
+ * - 不会影响项目的选中状态
+ */
+function onMethodChange(group: ItemGroup, method: Method) {
+  // 方法状态已在 v-model 中同步，这里仅用于业务校验或后续处理
+  // 示例：若全部方法未选中，可提示用户
+  const anyChecked = group.methods.some(m => m.checked)
+  if (!anyChecked) {
+    // 可选：自动收起该分组的详情面板
+    activePanels.value = activePanels.value.filter(id => id !== group.id)
+  }
+}
+
+/**
+ * 删除已选项目卡片
+ */
+function removeGroup(group: ItemGroup) {
+  // 同步更新树的选中状态
+  const tree = (refs.itemTree as any).getCheckedKeys()
+  const newChecked = tree.filter((key: string) => key !== group.id)
+  ;(refs.itemTree as any).setCheckedKeys(newChecked)
+
+  // 移除分组
+  selectedGroups.value = selectedGroups.value.filter(g => g.id !== group.id)
+  activePanels.value = activePanels.value.filter(id => id !== group.id)
+}
+
+/* ---------- 监听折叠面板打开/关闭 ---------- */
+watch(
+  activePanels,
+  (newVal, oldVal) => {
+    // 当面板打开时，可在此处加载懒加载数据（如检查方法详情）
+    // 这里保持空实现，满足“默认收起”需求
+  }
+)
 </script>
 
 <style scoped>
-.exam-apply-container {
-  display: grid;
-  grid-template-columns: 200px 1fr 1fr;
-  grid-template-rows: auto 1fr;
-  gap: 16px;
+.exam-apply {
   padding: 16px;
-  height: 100%;
-}
-.category-panel, .project-panel, .method-panel {
-  border: 1px solid #ebeef5;
-  border-radius: 4px;
-  padding: 12px;
-  background: #fff;
-}
-.project-panel, .method-panel {
-  overflow-y: auto;
-}
-.selected-area {
-  grid-column: 1 / -1;
-  border: 1px solid #ebeef5;
-  border-radius: 4px;
-  padding: 12px;
-  background: #fff;
-}
-.project-list, .method-list {
-  display: flex;
-  flex-direction: column;
-  gap: 8px;
-}
-.selected-list {
-  display: flex;
-  flex-direction: column;
-  gap: 10px;
-}
-.group-header {
-  display: flex;
-  justify-content: space-between;
-  align-items: center;
-  padding: 8px 12px;
-  background: #f5f7fa;
-  border-radius: 4px;
-  cursor: pointer;
-  user-select: none;
 }
 .selected-card {
-  font-weight: 500;
-  max-width: 300px;
-  overflow: hidden;
-  text-overflow: ellipsis;
-  white-space: nowrap;
+  margin-top: 12px;
+  display: flex;
+  flex-wrap: wrap;
+  gap: 8px;
 }
 .selected-details {
-  padding: 8px 12px 8px 24px;
-  background: #fafafa;
-  border-left: 2px solid #409eff;
+  margin-top: 12px;
+}
+.group-header {
+  font-weight: 600;
+  cursor: pointer;
+}
+.method-list {
+  list-style: none;
+  padding-left: 0;
 }
 .method-item {
-  padding: 4px 0;
-  color: #606266;
-}
-.toggle-icon {
-  font-size: 14px;
-  color: #909399;
-}
-.slide-fade-enter-active, .slide-fade-leave-active {
-  transition: all 0.2s ease;
-}
-.slide-fade-enter-from, .slide-fade-leave-to {
-  opacity: 0;
-  transform: translateY(-5px);
+  margin: 4px 0;
 }
 </style>