diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index c1d5180b..c4d524de 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -274,7 +274,7 @@
                     @change="
                       () => {
                         form.serviceTypeId = undefined;
-                        setchargeItem;
+                        setchargeItem();
                       }
                     "
                     clearable
@@ -709,6 +709,7 @@ const patientInfoList = ref(undefined);
 const contractList = ref(undefined);
 // const locationOptions = ref(undefined); // 地点树选项
 const doctorList = ref(undefined); // 医生选项
+const allDoctorList = ref(undefined); // 所有医生选项（用于过滤）
 const healthcareList = ref([]); // 挂号项目选项
 const orgOptions = ref(undefined); // 科室选项
 const readCardLoading = ref(false);
@@ -1014,6 +1015,15 @@ function setInfo() {
   form.value.doctorName = doctorData.length > 0 ? doctorData[0].name : '';
 }
 
+// 挂号类型选择变化处理
+function handleServiceTypeChange() {
+  setchargeItem();
+  // 如果已选择科室和医生，重新过滤医生列表
+  if (form.value.orgId && allDoctorList.value) {
+    filterDoctorsByHealthcare();
+  }
+}
+
 // 设定费用项管理表单
 function setchargeItem() {
   if (healthcareList.value.length > 0) {
@@ -1026,6 +1036,13 @@ function setchargeItem() {
     form.value.totalPrice =
       healthcareData.length > 0 ? healthcareData[0].price + healthcareData[0].activityPrice : '';
     form.value.definitionId = healthcareData.length > 0 ? healthcareData[0].definitionId : '';
+  } else {
+    // 如果没有挂号类型数据，清空相关字段
+    form.value.locationId_dictText = '';
+    form.value.price = '';
+    form.value.activityPrice = '';
+    form.value.totalPrice = '';
+    form.value.definitionId = '';
   }
 }
 /**  查询患者信息 */
@@ -1471,7 +1488,7 @@ function transformFormData(form) {
       patientId: form.patientId,
       definitionId: form.definitionId,
       serviceId: form.serviceTypeId,
-      totalPrice: form.price, // 默认值为 99.99
+      totalPrice: form.totalPrice, // 使用正确的总价字段
     },
   };
 }