diff --git a/healthlink-his-ui/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue b/healthlink-his-ui/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue
index ed4eafc8e..20f2551f8 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/diagnosis/addDiagnosisDialog.vue
@@ -138,6 +138,8 @@ import {
   getTcmDiagnosis,
 } from '@/views/doctorstation/components/api';
 import { DIAG_TYPE } from '@/utils/medicalConstants';
+import { formatDateStr } from '@/utils';
+import useUserStore from '@/store/modules/user';
 
 const props = defineProps({
   openAddDiagnosisDialog: {
@@ -168,6 +170,7 @@ const timestamp = ref('');
 const selectedDisease = ref(false);
 const { proxy } = getCurrentInstance();
 const emit = defineEmits(['close']);
+const userStore = useUserStore();
 
 // 请求序列号，防止异步回调竞态导致数据重复
 let openSeq = 0;
@@ -321,7 +324,10 @@ function handleClickRow({ row }) {
       syndromeGroupNo: timestamp.value,
       verificationStatusEnum: 4,
       medTypeCode: DIAG_TYPE.TCM_MAIN_DISEASE,  // 诊断类型：中医主病诊断 (值：2)
-      isExisting: false // 标记为新增
+      isExisting: false, // 标记为新增
+      onsetDate: getCurrentDate(),         // 发病日期
+      diagnosisTime: getCurrentDate(),     // 诊断日期
+      diagnosisDoctor: getDoctorName(),    // 诊断医生
     });
     tcmDiagonsisList.value.push({
       conditionName: row.name,
@@ -351,7 +357,10 @@ function clickSyndromeRow({ row }) {
       ybNo: row.ybNo,
       syndromeGroupNo: timestamp.value,
       medTypeCode: DIAG_TYPE.TCM_MAIN_SYNDROME,  // 诊断类型：中医主证诊断 (值：3)
-      isExisting: false // 标记为新增
+      isExisting: false, // 标记为新增
+      onsetDate: getCurrentDate(),         // 发病日期
+      diagnosisTime: getCurrentDate(),     // 诊断日期
+      diagnosisDoctor: getDoctorName(),    // 诊断医生
     });
     tcmDiagonsisList.value[tcmDiagonsisList.value.length - 1].syndromeName = row.name;
     syndromeSelected.value = true;
@@ -378,13 +387,20 @@ function save() {
     return;
   }
 
+  // 格式化日期为后端期望的 yyyy/M/d HH:mm:ss 格式
+  const formattedList = newDiagnosisList.map(item => ({
+    ...item,
+    onsetDate: item.onsetDate ? formatDateStr(item.onsetDate, 'YYYY/M/D HH:mm:ss') : null,
+    diagnosisTime: item.diagnosisTime ? formatDateStr(item.diagnosisTime, 'YYYY/M/D HH:mm:ss') : null,
+  }));
+
   if (props.updateZy.length > 0) {
     // 修改模式
     console.log('[addDiagnosisDialog] 调用 updateTcmDiagnosis');
     updateTcmDiagnosis({
       patientId: props.patientInfo.patientId,
       encounterId: props.patientInfo.encounterId,
-      diagnosisChildList: newDiagnosisList,
+      diagnosisChildList: formattedList,
     }).then((res) => {
       console.log('[addDiagnosisDialog] updateTcmDiagnosis 响应, code=', res.code);
       if (res.code == 200) {
@@ -398,7 +414,7 @@ function save() {
     saveTcmDiagnosis({
       patientId: props.patientInfo.patientId,
       encounterId: props.patientInfo.encounterId,
-      diagnosisChildList: newDiagnosisList,
+      diagnosisChildList: formattedList,
     }).then((res) => {
       console.log('[addDiagnosisDialog] saveTcmDiagnosis 响应, code=', res.code);
       if (res.code == 200) {
@@ -431,6 +447,24 @@ function close() {
   console.log('[addDiagnosisDialog] close() 触发 (弹窗@close事件)');
   emit('close');
 }
+
+function getCurrentDate() {
+  const date = new Date();
+  const year = date.getFullYear();
+  let month = date.getMonth() + 1;
+  let day = date.getDate();
+  month = month < 10 ? "0" + month : month;
+  day = day < 10 ? "0" + day : day;
+  return `${year}-${month}-${day}`;
+}
+
+function getDoctorName() {
+  return props.patientInfo?.practitionerName
+    || props.patientInfo?.doctorName
+    || props.patientInfo?.physicianName
+    || userStore?.name
+    || '';
+}
 </script>
 
 <style scoped>
diff --git a/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue b/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue
index a4b33a4f9..1291b2edf 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue
@@ -568,6 +568,8 @@ async function getList() {
             typeName: '中医诊断',
             classification: '中医', // 中医诊断默认分类
             onsetDate: item.onsetDate,
+            diagnosisTime: item.diagnosisTime,     // 诊断日期
+            diagnosisDoctor: item.diagnosisDoctor, // 诊断医生
             updateId: item.encounterDiagnosisId + '-' + (symptom?.encounterDiagnosisId || ''),
             illnessDefinitionId : item.definitionId,
             symptomDefinitionId : symptom?.definitionId || '',