diff --git a/openhis-server-new/sql/diagnose_treatment_items_issue.sql b/openhis-server-new/sql/diagnose_treatment_items_issue.sql
deleted file mode 100644
index 19f4611c..00000000
--- a/openhis-server-new/sql/diagnose_treatment_items_issue.sql
+++ /dev/null
@@ -1,115 +0,0 @@
--- 诊断：门诊划价检索不出诊疗项目的问题
--- 问题描述：在门诊划价页面，检索不出诊疗项目
-
--- 1. 检查是否有诊疗项目定义数据
-SELECT 
-    COUNT(*) as total_count,
-    COUNT(CASE WHEN delete_flag = '0' THEN 1 END) as active_count,
-    COUNT(CASE WHEN delete_flag != '0' THEN 1 END) as deleted_count
-FROM wor_activity_definition;
-
--- 2. 检查是否有收费项目（诊疗项目类型）
-SELECT 
-    T1.id,
-    T1.encounter_id,
-    T1.context_enum,
-    T1.product_id,
-    T1.status_enum,
-    T1.delete_flag,
-    T2.id as activity_def_id,
-    T2.name as activity_name,
-    T2.delete_flag as activity_delete_flag
-FROM adm_charge_item AS T1
-LEFT JOIN wor_activity_definition AS T2
-    ON T1.context_enum = 'ACTIVITY'  -- 诊疗项目类型
-    AND T1.product_id = T2.id
-    AND T2.delete_flag = '0'
-WHERE T1.context_enum = 'ACTIVITY'
-    AND T1.delete_flag = '0'
-LIMIT 20;
-
--- 3. 检查是否有诊疗项目定义，但收费项目中的product_id无法匹配
-SELECT 
-    '诊疗项目定义存在，但收费项目无法匹配' as issue_type,
-    COUNT(*) as count
-FROM wor_activity_definition wad
-WHERE wad.delete_flag = '0'
-    AND NOT EXISTS (
-        SELECT 1 
-        FROM adm_charge_item aci
-        WHERE aci.context_enum = 'ACTIVITY'
-            AND aci.product_id = wad.id
-            AND aci.delete_flag = '0'
-    );
-
--- 4. 检查收费项目中的诊疗项目，但定义表中没有对应数据
-SELECT 
-    '收费项目存在，但诊疗项目定义缺失' as issue_type,
-    COUNT(*) as count
-FROM adm_charge_item aci
-WHERE aci.context_enum = 'ACTIVITY'
-    AND aci.delete_flag = '0'
-    AND NOT EXISTS (
-        SELECT 1 
-        FROM wor_activity_definition wad
-        WHERE wad.id = aci.product_id
-            AND wad.delete_flag = '0'
-    );
-
--- 5. 检查某个具体就诊的诊疗项目（替换encounterId为实际值）
--- SELECT 
---     T1.encounter_id,
---     T1.id as charge_item_id,
---     T1.context_enum,
---     T1.product_id,
---     T1.status_enum,
---     T2.id as activity_def_id,
---     T2.name as activity_name,
---     T2.delete_flag as activity_delete_flag,
---     CASE 
---         WHEN T2.id IS NULL THEN '诊疗项目定义不存在或已删除'
---         WHEN T2.delete_flag != '0' THEN '诊疗项目定义已删除'
---         ELSE '正常'
---     END as status
--- FROM adm_charge_item AS T1
--- LEFT JOIN wor_activity_definition AS T2
---     ON T1.context_enum = 'ACTIVITY'
---     AND T1.product_id = T2.id
--- WHERE T1.encounter_id = :encounterId  -- 替换为实际的encounterId
---     AND T1.context_enum = 'ACTIVITY'
---     AND T1.delete_flag = '0'
---     AND T1.status_enum IN (1, 2, 3, 4, 5, 6);  -- PLANNED, BILLABLE, BILLED, REFUNDING, REFUNDED, PART_REFUND
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
diff --git a/openhis-ui-vue3/src/api/system/user.js b/openhis-ui-vue3/src/api/system/user.js
index 4885d6a0..19c0717b 100644
--- a/openhis-ui-vue3/src/api/system/user.js
+++ b/openhis-ui-vue3/src/api/system/user.js
@@ -135,10 +135,15 @@ export function updateAuthRole(data) {
 }
 
 // 查询部门下拉树结构
-export function deptTreeSelect() {
+// 默认只显示科室类型（typeEnum=2），如果需要其他类型，可以传入 params 覆盖
+export function deptTreeSelect(params = {}) {
   return request({
     url: '/base-data-manage/organization/organization',
-    method: 'get'
+    method: 'get',
+    params: {
+      typeEnum: 2, // 默认只显示科室
+      ...params // 允许外部传入参数覆盖默认值
+    }
   })
 }
 
diff --git a/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue b/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
index 60881b37..de469271 100644
--- a/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
+++ b/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
@@ -469,7 +469,8 @@ async function getDiseaseTreatmentList() {
 // 诊疗目录分类查询下拉树结d构
 async function getImplDepartList() {
   try {
-    const res = await getImplementDepartmentList();
+    // 只查询科室类型（typeEnum=2），不包含专业等其他类型
+    const res = await getImplementDepartmentList({ typeEnum: 2 });
     if (res.code === 200) {
       if (res.data.records.length > 0) {
         organization.value = res.data.records.map((res) => {
diff --git a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
index f6004a15..8bfde343 100644
--- a/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
+++ b/openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue
@@ -41,7 +41,7 @@
             </thead>
             <tbody>
               <tr 
-                v-for="(row, index) in tableData" 
+                v-for="(row, index) in pagedTypeRows" 
                 :key="row.id"
                 :class="{ 'editing': editingRowId === row.id }"
               >
@@ -148,12 +148,16 @@
         </div>
 
         <!-- 页码区域 -->
-        <div class="pagination">
-          <div class="page-btn">上一页</div>
-          <div class="page-btn active">1</div>
-          <div class="page-btn">2</div>
-          <div class="page-btn">3</div>
-          <div class="page-btn">下一页</div>
+        <div class="pagination" v-if="typeTotalPages > 1">
+          <div class="page-btn" :class="{ disabled: typeCurrentPage === 1 }" @click="typePrevPage">上一页</div>
+          <div
+            v-for="p in typePageButtons"
+            :key="p"
+            class="page-btn"
+            :class="{ active: p === typeCurrentPage }"
+            @click="typeGoPage(p)"
+          >{{ p }}</div>
+          <div class="page-btn" :class="{ disabled: typeCurrentPage >= typeTotalPages }" @click="typeNextPage">下一页</div>
         </div>
       </template>
 
@@ -239,7 +243,7 @@
             </thead>
             <tbody>
               <tr 
-                v-for="(item, index) in filteredInspectionItems" 
+                v-for="(item, index) in pagedInspectionItems" 
                 :key="item.id"
                 :class="{ 'editing': editingRowId === item.id }"
               >
@@ -372,12 +376,16 @@
         </div>
 
         <!-- 页码区域 -->
-        <div class="pagination">
-          <div class="page-btn">上一页</div>
-          <div class="page-btn active">1</div>
-          <div class="page-btn">2</div>
-          <div class="page-btn">3</div>
-          <div class="page-btn">下一页</div>
+        <div class="pagination" v-if="inspectionTotalPages > 1">
+          <div class="page-btn" :class="{ disabled: inspectionCurrentPage === 1 }" @click="inspectionPrevPage">上一页</div>
+          <div
+            v-for="p in inspectionPageButtons"
+            :key="p"
+            class="page-btn"
+            :class="{ active: p === inspectionCurrentPage }"
+            @click="inspectionGoPage(p)"
+          >{{ p }}</div>
+          <div class="page-btn" :class="{ disabled: inspectionCurrentPage >= inspectionTotalPages }" @click="inspectionNextPage">下一页</div>
         </div>
       </template>
 
@@ -687,9 +695,9 @@
 
 <script setup>
 import useUserStore from '@/store/modules/user';
-import {computed, onMounted, ref, watch} from 'vue';
+import {computed, nextTick, onActivated, onMounted, ref, watch} from 'vue';
 import {ElLoading, ElMessage, ElMessageBox} from 'element-plus';
-import {useRoute, useRouter} from 'vue-router';
+import {onBeforeRouteUpdate, useRoute, useRouter} from 'vue-router';
 import {
   addInspectionType,
   delInspectionType,
@@ -785,6 +793,97 @@ const activeNav = ref(0);
 // 检验类型数据
 const tableData = ref([]);
 
+// ==============================
+// 分页（检验类型 tab）
+// ==============================
+const typeCurrentPage = ref(1);
+// 每页条数：按需求固定为10
+const typePageSize = ref(10);
+const typeTotalPages = computed(() => {
+  const total = tableData.value.length;
+  return Math.max(1, Math.ceil(total / typePageSize.value));
+});
+const typePageButtons = computed(() => {
+  const total = typeTotalPages.value;
+  return Array.from({ length: total }, (_, i) => i + 1);
+});
+// 按“大类编码(code)”排序后再分页展示（不要按序号 sortOrder 排）
+function parseCodeParts(code) {
+  const s = (code ?? '').toString().trim();
+  // 支持 1、01、3-001、3_001 等：用 -/_ 分隔
+  const parts = s.split(/[-_]/g);
+  const mainRaw = parts[0] ?? '';
+  const subRaw = parts[1] ?? '';
+  const mainNum = Number.parseInt(mainRaw, 10);
+  const subNum = Number.parseInt(subRaw, 10);
+  return {
+    raw: s,
+    mainRaw,
+    subRaw,
+    mainIsNum: !Number.isNaN(mainNum),
+    subIsNum: !Number.isNaN(subNum),
+    mainNum,
+    subNum
+  };
+}
+
+const sortedTypeRows = computed(() => {
+  return [...tableData.value].sort((a, b) => {
+    const pa = parseCodeParts(a?.code);
+    const pb = parseCodeParts(b?.code);
+
+    // 先按主编码：数字优先按数值，否则按字符串
+    if (pa.mainIsNum && pb.mainIsNum) {
+      if (pa.mainNum !== pb.mainNum) return pa.mainNum - pb.mainNum;
+    } else {
+      const c = pa.mainRaw.localeCompare(pb.mainRaw, 'zh-Hans-CN', { numeric: true, sensitivity: 'base' });
+      if (c !== 0) return c;
+    }
+
+    // 同主编码时：无子编码的排在前（大类在子类之前）
+    const aHasSub = !!pa.subRaw;
+    const bHasSub = !!pb.subRaw;
+    if (aHasSub !== bHasSub) return aHasSub ? 1 : -1;
+
+    // 再按子编码
+    if (pa.subIsNum && pb.subIsNum) {
+      if (pa.subNum !== pb.subNum) return pa.subNum - pb.subNum;
+    } else {
+      const c = pa.subRaw.localeCompare(pb.subRaw, 'zh-Hans-CN', { numeric: true, sensitivity: 'base' });
+      if (c !== 0) return c;
+    }
+
+    // 最后兜底：按原字符串
+    return pa.raw.localeCompare(pb.raw, 'zh-Hans-CN', { numeric: true, sensitivity: 'base' });
+  });
+});
+
+const pagedTypeRows = computed(() => {
+  const start = (typeCurrentPage.value - 1) * typePageSize.value;
+  return sortedTypeRows.value.slice(start, start + typePageSize.value);
+});
+function typeGoPage(p) {
+  if (p < 1 || p > typeTotalPages.value) return;
+  typeCurrentPage.value = p;
+}
+function typePrevPage() {
+  if (typeCurrentPage.value <= 1) return;
+  typeCurrentPage.value -= 1;
+}
+function typeNextPage() {
+  if (typeCurrentPage.value >= typeTotalPages.value) return;
+  typeCurrentPage.value += 1;
+}
+watch(
+  () => tableData.value.length,
+  () => {
+    // 数据变化后，确保当前页有效
+    if (typeCurrentPage.value > typeTotalPages.value) {
+      typeCurrentPage.value = 1;
+    }
+  }
+);
+
 // 获取检验类型列表 - 从后端API获取
 const getInspectionTypeList = () => {
   listInspectionType().then(data => {
@@ -989,6 +1088,44 @@ const filteredInspectionItems = computed(() => {
   });
 });
 
+// ==============================
+// 分页（检验项目 tab）
+// ==============================
+const inspectionCurrentPage = ref(1);
+// 每页条数：按需求固定为10
+const inspectionPageSize = ref(10);
+const inspectionTotalPages = computed(() => {
+  const total = filteredInspectionItems.value.length;
+  return Math.max(1, Math.ceil(total / inspectionPageSize.value));
+});
+const inspectionPageButtons = computed(() => {
+  const total = inspectionTotalPages.value;
+  return Array.from({ length: total }, (_, i) => i + 1);
+});
+const pagedInspectionItems = computed(() => {
+  const start = (inspectionCurrentPage.value - 1) * inspectionPageSize.value;
+  return filteredInspectionItems.value.slice(start, start + inspectionPageSize.value);
+});
+function inspectionGoPage(p) {
+  if (p < 1 || p > inspectionTotalPages.value) return;
+  inspectionCurrentPage.value = p;
+}
+function inspectionPrevPage() {
+  if (inspectionCurrentPage.value <= 1) return;
+  inspectionCurrentPage.value -= 1;
+}
+function inspectionNextPage() {
+  if (inspectionCurrentPage.value >= inspectionTotalPages.value) return;
+  inspectionCurrentPage.value += 1;
+}
+watch(
+  () => filteredInspectionItems.value.length,
+  () => {
+    // 过滤条件变化后，回到第一页，避免出现“当前页没数据但页码还在后面”的体验
+    inspectionCurrentPage.value = 1;
+  }
+);
+
 // 执行过滤
 const filterItems = () => {
   // 过滤逻辑已经在computed属性中实现，这里可以添加额外的逻辑
@@ -1371,7 +1508,9 @@ const addNewRow = () => {
     ElMessage.warning('请先保存或取消当前正在编辑的行');
     return;
   }
-  const newRow = { id: Date.now(), code: '', name: '', department: departments.value[0], sortOrder: tableData.value.length + 1, remark: '' };
+  // department 在表格里是字符串（科室名称）；这里不要直接塞对象，否则后续 trim/校验会异常
+  const defaultDeptName = departments.value?.[0]?.name || '';
+  const newRow = { id: Date.now(), code: '', name: '', department: defaultDeptName, sortOrder: tableData.value.length + 1, remark: '' };
   tableData.value.push(newRow);
   editingRowId.value = newRow.id;
 };
@@ -1391,41 +1530,28 @@ const handleConfirm = (row) => {
     // 确保sortOrder字段存在且为数字类型
     sortOrder: row.sortOrder ? Number(row.sortOrder) : 0
   };
+
+  // 兼容 department 可能是对象的情况（例如 el-tree-select 返回节点对象）
+  if (submitData.department && typeof submitData.department === 'object') {
+    submitData.department = submitData.department.name || submitData.department.label || '';
+  }
   
   console.log('原始row数据:', row);
   console.log('提交前的submitData:', submitData);
   
-  // 验证必填字段，如果为空则删除该行
+  // 验证必填字段：为空则提示并保留该行（不要直接删行，否则用户“点确定就没了”体验很差）
   if (!submitData.code || submitData.code.trim() === '') {
-    // 删除空的编辑行
-    const index = tableData.value.findIndex(r => r.id === row.id);
-    if (index !== -1) {
-      tableData.value.splice(index, 1);
-      editingRowId.value = null;
-      ElMessage.info('已删除空行');
-    }
+    ElMessage.warning('请输入大类编码');
     return;
   }
 
   if (!submitData.name || submitData.name.trim() === '') {
-    // 删除空的编辑行
-    const index = tableData.value.findIndex(r => r.id === row.id);
-    if (index !== -1) {
-      tableData.value.splice(index, 1);
-      editingRowId.value = null;
-      ElMessage.info('已删除空行');
-    }
+    ElMessage.warning('请输入大类项目名称');
     return;
   }
 
-  if (!submitData.department || submitData.department.trim() === '') {
-    // 删除空的编辑行
-    const index = tableData.value.findIndex(r => r.id === row.id);
-    if (index !== -1) {
-      tableData.value.splice(index, 1);
-      editingRowId.value = null;
-      ElMessage.info('已删除空行');
-    }
+  if (!submitData.department || String(submitData.department).trim() === '') {
+    ElMessage.warning('请选择执行科室');
     return;
   }
   
@@ -1486,7 +1612,40 @@ const handleAdd = (row, index) => {
     ElMessage.warning('请先保存或取消当前正在编辑的行');
     return;
   }
-  const newRow = { id: Date.now(), code: '', name: '', department: row.department, sortOrder: row.sortOrder + 1, remark: '' };
+
+  // 行内“+”：在当前大类下新增子类，编码按“父类编码-001”递增生成
+  const parentCode = (row?.code ?? '').toString().trim();
+  if (!parentCode) {
+    ElMessage.warning('请先填写并保存当前大类编码，再新增子类');
+    return;
+  }
+
+  // 找到该父类下已有的子类编码，取最大序号 + 1
+  // 支持如：1-001、01-002 等
+  const prefix = `${parentCode}-`;
+  let maxSeq = 0;
+  for (const r of tableData.value) {
+    const code = (r?.code ?? '').toString();
+    if (code.startsWith(prefix)) {
+      const suffix = code.slice(prefix.length);
+      const n = Number.parseInt(suffix, 10);
+      if (!Number.isNaN(n)) {
+        maxSeq = Math.max(maxSeq, n);
+      }
+    }
+  }
+  const nextSeq = maxSeq + 1;
+  const childCode = `${parentCode}-${String(nextSeq).padStart(3, '0')}`;
+
+  const newRow = {
+    id: Date.now(),
+    code: childCode,
+    name: '',
+    department: row.department,
+    // 序号字段保持原逻辑：插入到父类下一行，默认沿用父类序号
+    sortOrder: row.sortOrder,
+    remark: ''
+  };
   tableData.value.splice(index + 1, 0, newRow);
   editingRowId.value = newRow.id;
 };
@@ -2069,22 +2228,52 @@ onMounted(() => {
     loadObservationItems();
     // 加载检验套餐明细项目
     loadPackageItemsFromAPI();
-    // 检查URL参数，如果有tab参数则切换到对应导航项
-    const query = router.currentRoute.value.query;
-    if (query.tab === '0' || query.tab === '1' || query.tab === '2') {
-      activeNav.value = parseInt(query.tab);
-    }
-    // 检查URL参数中是否有packageId，如果有则加载套餐数据（用于编辑或查看）
-    if (query.packageId) {
-      // 切换到套餐设置标签页
-      activeNav.value = 2;
-      // 加载套餐数据
-      loadInspectionPackage(query.packageId);
-    }
-    // 初始化计算套餐金额和服务费
+      // 初始化计算套餐金额和服务费
     calculateAmounts();
   });
 
+/**
+ * 关键修复：
+ * 从“套餐管理”跳转到这里时，通常只是改变 query（packageId/mode/tab），组件不会重新挂载，
+ * 所以仅靠 onMounted 读取一次 query 会导致“查看/修改”出现空白，刷新才正常。
+ * 这里监听 query 变化，自动切换 tab 并加载套餐数据。
+ */
+watch(
+  () => route.query.tab,
+  (tab) => {
+    if (tab === '0' || tab === '1' || tab === '2') {
+      activeNav.value = parseInt(String(tab));
+    }
+  },
+  { immediate: true }
+);
+
+const applyRouteForPackage = async (query) => {
+  const packageId = query?.packageId;
+  if (!packageId) return;
+  activeNav.value = 2;
+  await nextTick();
+  loadInspectionPackage(String(packageId));
+};
+
+watch(
+  () => route.query.packageId,
+  async () => {
+    await applyRouteForPackage(route.query);
+  },
+  { immediate: true, flush: 'post' }
+);
+
+// 兜底：如果该页面被 keep-alive 缓存，从别的页面返回时不会触发 onMounted
+onActivated(() => {
+  applyRouteForPackage(route.query);
+});
+
+// 兜底：同一路由复用/仅 query 变化时，确保能触发加载
+onBeforeRouteUpdate((to) => {
+  applyRouteForPackage(to.query);
+});
+
 // 监听生成服务费选项变更
 watch(generateServiceFee, (newVal) => {
   calculateAmounts();
@@ -2422,6 +2611,12 @@ watch(packageItems, (newVal) => {
   border-color: #1890ff;
 }
 
+.page-btn.disabled {
+  opacity: 0.5;
+  cursor: not-allowed;
+  pointer-events: none;
+}
+
 /* 套餐设置样式 */
 .top-bar {
   height: 48px;