diff --git a/.idea/dataSources.local.xml b/.idea/dataSources.local.xml
index 6bb062fed..fb74bb496 100644
--- a/.idea/dataSources.local.xml
+++ b/.idea/dataSources.local.xml
@@ -1,6 +1,6 @@
 <?xml version="1.0" encoding="UTF-8"?>
 <project version="4">
-  <component name="dataSourceStorageLocal" created-in="IU-253.33514.17">
+  <component name="dataSourceStorageLocal" created-in="IU-253.32098.37">
     <data-source name="postgresql@192.168.110.252" uuid="6f44e2a0-c865-4e9f-83bf-d35db0680dc5">
       <database-info product="PostgreSQL" version="17.6" jdbc-version="4.2" driver-name="PostgreSQL JDBC Driver" driver-version="42.7.3" dbms="POSTGRES" exact-version="17.6" exact-driver-version="42.7">
         <identifier-quote-string>&quot;</identifier-quote-string>
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V104__fix_clinical_pathway_tables_missing_columns.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V104__fix_clinical_pathway_tables_missing_columns.sql
new file mode 100644
index 000000000..dfb3131d5
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V104__fix_clinical_pathway_tables_missing_columns.sql
@@ -0,0 +1,13 @@
+-- Fix Bug #748: clinical_pathway 和 clinical_pathway_execution 缺少 HisBaseEntity 列
+-- V43 和 V53 因版本号(43,53)低于已执行的迁移而被 Flyway 跳过，此处统一修复
+-- clinical_pathway_variance (V58) 已包含完整列，无需处理
+
+-- 1. clinical_pathway 表: 缺失 create_by / update_by / update_time
+ALTER TABLE clinical_pathway ADD COLUMN IF NOT EXISTS create_by VARCHAR(64) DEFAULT '';
+ALTER TABLE clinical_pathway ADD COLUMN IF NOT EXISTS update_by VARCHAR(64) DEFAULT '';
+ALTER TABLE clinical_pathway ADD COLUMN IF NOT EXISTS update_time TIMESTAMP;
+
+-- 2. clinical_pathway_execution 表: 缺失 create_by / update_by / update_time
+ALTER TABLE clinical_pathway_execution ADD COLUMN IF NOT EXISTS create_by VARCHAR(64) DEFAULT '';
+ALTER TABLE clinical_pathway_execution ADD COLUMN IF NOT EXISTS update_by VARCHAR(64) DEFAULT '';
+ALTER TABLE clinical_pathway_execution ADD COLUMN IF NOT EXISTS update_time TIMESTAMP;
diff --git a/healthlink-his-ui/src/views/clinicalmanage/pathway/index.vue b/healthlink-his-ui/src/views/clinicalmanage/pathway/index.vue
index c4dbcdd0a..9a2bc4e73 100644
--- a/healthlink-his-ui/src/views/clinicalmanage/pathway/index.vue
+++ b/healthlink-his-ui/src/views/clinicalmanage/pathway/index.vue
@@ -1,152 +1,75 @@
 <template>
   <div class="app-container">
-    <el-row
-      :gutter="20"
-      class="mb8"
-    >
-      <el-col :span="6">
-        <el-card shadow="hover">
-          <el-statistic
-            title="路径总数"
-            :value="stats.totalPathways || 0"
-          />
+    <el-row :gutter="20" class="mb8">
+      <el-col :xs="12" :sm="6">
+        <el-card shadow="hover" class="stat-card">
+          <el-statistic title="路径总数" :value="stats.totalPathways || 0" />
         </el-card>
       </el-col>
-      <el-col :span="6">
-        <el-card shadow="hover">
-          <el-statistic
-            title="入径数"
-            :value="stats.enteredCount || 0"
-          />
+      <el-col :xs="12" :sm="6">
+        <el-card shadow="hover" class="stat-card">
+          <el-statistic title="入径数" :value="stats.enteredCount || 0" />
         </el-card>
       </el-col>
-      <el-col :span="6">
-        <el-card shadow="hover">
-          <el-statistic
-            title="完成数"
-            :value="stats.completedCount || 0"
-          />
+      <el-col :xs="12" :sm="6">
+        <el-card shadow="hover" class="stat-card">
+          <el-statistic title="完成数" :value="stats.completedCount || 0" />
         </el-card>
       </el-col>
-      <el-col :span="6">
-        <el-card shadow="hover">
-          <el-statistic
-            title="变异数"
-            :value="stats.variedCount || 0"
-          />
+      <el-col :xs="12" :sm="6">
+        <el-card shadow="hover" class="stat-card">
+          <el-statistic title="变异数" :value="stats.variedCount || 0" />
         </el-card>
       </el-col>
     </el-row>
+
     <el-card>
       <template #header>
-        <div style="display:flex;justify-content:space-between;align-items:center">
+        <div class="card-header">
           <span>临床路径管理</span>
-          <el-button
-            type="primary"
-            icon="Plus"
-            @click="handleAdd"
-          >
-            新增路径
-          </el-button>
+          <el-button type="primary" icon="Plus" @click="handleAdd">新增路径</el-button>
         </div>
       </template>
-      <el-form
-        :model="queryParams"
-        :inline="true"
-        class="mb8"
-      >
+
+      <el-form :model="queryParams" :inline="true" class="query-form">
         <el-form-item label="疾病编码">
-          <el-input
-            v-model="queryParams.diseaseCode"
-            placeholder="疾病编码"
-            clearable
-          />
+          <el-input v-model="queryParams.diseaseCode" placeholder="请输入疾病编码" clearable @keyup.enter="handleQuery" />
+        </el-form-item>
+        <el-form-item label="疾病名称">
+          <el-input v-model="queryParams.diseaseName" placeholder="请输入疾病名称" clearable @keyup.enter="handleQuery" />
         </el-form-item>
         <el-form-item>
-          <el-button
-            type="primary"
-            @click="handleQuery"
-          >
-            搜索
-          </el-button>
-          <el-button @click="queryParams.diseaseCode='';handleQuery()">
-            重置
-          </el-button>
+          <el-button type="primary" icon="Search" @click="handleQuery">搜索</el-button>
+          <el-button icon="Refresh" @click="resetQuery">重置</el-button>
         </el-form-item>
       </el-form>
-      <el-table
-        v-loading="loading"
-        :data="dataList"
-      >
-        <el-table-column
-          label="疾病编码"
-          prop="diseaseCode"
-          width="120"
-        />
-        <el-table-column
-          label="疾病名称"
-          prop="diseaseName"
-          width="150"
-        />
-        <el-table-column
-          label="路径名称"
-          prop="pathwayName"
-          width="200"
-          show-overflow-tooltip
-        />
-        <el-table-column
-          label="标准住院日"
-          prop="standardLos"
-          width="100"
-          align="center"
-        />
-        <el-table-column
-          label="版本"
-          prop="version"
-          width="70"
-          align="center"
-        />
-        <el-table-column
-          label="状态"
-          prop="status"
-          width="90"
-        >
-          <template #default="s">
-            <el-tag :type="s.row.status==='ACTIVE'?'success':'info'">
-              {{ s.row.status === 'ACTIVE' ? '启用' : '停用' }}
+
+      <el-table v-loading="loading" :data="dataList" border stripe style="width: 100%">
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="diseaseCode" label="疾病编码" width="120" show-overflow-tooltip />
+        <el-table-column prop="diseaseName" label="疾病名称" width="150" show-overflow-tooltip />
+        <el-table-column prop="pathwayName" label="路径名称" min-width="180" show-overflow-tooltip />
+        <el-table-column prop="standardLos" label="标准住院日" width="110" align="center" />
+        <el-table-column prop="version" label="版本" width="70" align="center" />
+        <el-table-column prop="status" label="状态" width="90" align="center">
+          <template #default="{ row }">
+            <el-tag :type="row.status === 'ACTIVE' ? 'success' : 'info'" size="small">
+              {{ row.status === 'ACTIVE' ? '启用' : '停用' }}
             </el-tag>
           </template>
         </el-table-column>
-        <el-table-column
-          label="操作"
-          width="200"
-          fixed="right"
-        >
-          <template #default="s">
-            <el-button
-              link
-              type="primary"
-              @click="handleEnter(s.row)"
-            >
-              入径
-            </el-button>
-            <el-button
-              link
-              type="success"
-              @click="handleComplete(s.row)"
-            >
-              完成
-            </el-button>
-            <el-button
-              link
-              type="warning"
-              @click="handleVary(s.row)"
-            >
-              变异
-            </el-button>
+        <el-table-column label="操作" width="220" align="center" fixed="right">
+          <template #default="{ row }">
+            <el-button link type="primary" icon="Upload" @click="handleEnter(row)">入径</el-button>
+            <el-button link type="success" icon="Check" @click="handleComplete(row)">完成</el-button>
+            <el-button link type="warning" icon="Warning" @click="handleVary(row)">变异</el-button>
           </template>
         </el-table-column>
+        <template #empty>
+          <el-empty description="暂无临床路径数据" :image-size="80" />
+        </template>
       </el-table>
+
       <pagination
         v-show="total > 0"
         v-model:page="queryParams.pageNo"
@@ -156,60 +79,39 @@
       />
     </el-card>
 
-    <el-dialog
-      v-model="dialogVisible"
-      title="新增临床路径"
-      width="600px"
-    >
-      <el-form
-        :model="formData"
-        label-width="110px"
-      >
+    <el-dialog v-model="dialogVisible" :title="isEdit ? '编辑临床路径' : '新增临床路径'" width="600px" destroy-on-close :close-on-click-modal="false">
+      <el-form ref="formRef" :model="formData" :rules="formRules" label-width="110px">
         <el-row :gutter="20">
           <el-col :span="12">
-            <el-form-item label="疾病编码">
-              <el-input v-model="formData.diseaseCode" />
+            <el-form-item label="疾病编码" prop="diseaseCode">
+              <el-input v-model="formData.diseaseCode" placeholder="请输入疾病编码" maxlength="20" />
             </el-form-item>
           </el-col>
           <el-col :span="12">
-            <el-form-item label="疾病名称">
-              <el-input v-model="formData.diseaseName" />
+            <el-form-item label="疾病名称" prop="diseaseName">
+              <el-input v-model="formData.diseaseName" placeholder="请输入疾病名称" maxlength="100" />
             </el-form-item>
           </el-col>
           <el-col :span="24">
-            <el-form-item label="路径名称">
-              <el-input v-model="formData.pathwayName" />
+            <el-form-item label="路径名称" prop="pathwayName">
+              <el-input v-model="formData.pathwayName" placeholder="请输入路径名称" maxlength="200" />
             </el-form-item>
           </el-col>
           <el-col :span="12">
-            <el-form-item label="标准住院日">
-              <el-input-number
-                v-model="formData.standardLos"
-                :min="1"
-              />
+            <el-form-item label="标准住院日" prop="standardLos">
+              <el-input-number v-model="formData.standardLos" :min="1" :max="365" style="width: 100%" />
             </el-form-item>
           </el-col>
           <el-col :span="24">
             <el-form-item label="路径内容">
-              <el-input
-                v-model="formData.pathwayContent"
-                type="textarea"
-                :rows="4"
-              />
+              <el-input v-model="formData.pathwayContent" type="textarea" :rows="4" placeholder="请输入路径内容" maxlength="2000" show-word-limit />
             </el-form-item>
           </el-col>
         </el-row>
       </el-form>
       <template #footer>
-        <el-button @click="dialogVisible = false">
-          取消
-        </el-button>
-        <el-button
-          type="primary"
-          @click="submitForm"
-        >
-          确定
-        </el-button>
+        <el-button @click="dialogVisible = false">取消</el-button>
+        <el-button type="primary" :loading="submitLoading" @click="submitForm">确定</el-button>
       </template>
     </el-dialog>
   </div>
@@ -220,27 +122,70 @@ import { ref, reactive, onMounted } from 'vue'
 import { getWorkflowPage, addWorkflow, enterPathway, completePathway, varyPathway, getStats } from '../api'
 import { ElMessage, ElMessageBox } from 'element-plus'
 
-const loading = ref(false); const dataList = ref([]); const total = ref(0); const stats = ref({})
+const loading = ref(false)
+const submitLoading = ref(false)
+const dataList = ref([])
+const total = ref(0)
+const stats = ref({})
 const dialogVisible = ref(false)
-const queryParams = reactive({ diseaseCode: '', pageNo: 1, pageSize: 20 })
-const formData = ref({})
+const isEdit = ref(false)
+const formRef = ref(null)
 
-const getList = async () => { loading.value = true; const res = await getWorkflowPage(queryParams); dataList.value = res.data?.records || []; total.value = res.data?.total || 0; loading.value = false }
-const loadStats = async () => { const res = await getStats(); stats.value = res.data || {} }
+const queryParams = reactive({ diseaseCode: '', diseaseName: '', pageNo: 1, pageSize: 20 })
+const formData = reactive({ diseaseCode: '', diseaseName: '', pathwayName: '', standardLos: 7, pathwayContent: '' })
+const formRules = {
+  diseaseCode: [{ required: true, message: '请输入疾病编码', trigger: 'blur' }],
+  diseaseName: [{ required: true, message: '请输入疾病名称', trigger: 'blur' }],
+  pathwayName: [{ required: true, message: '请输入路径名称', trigger: 'blur' }],
+  standardLos: [{ required: true, message: '请输入标准住院日', trigger: 'blur' }]
+}
+
+const getList = async () => {
+  loading.value = true
+  try {
+    const params = { diseaseCode: queryParams.diseaseCode || undefined, diseaseName: queryParams.diseaseName || undefined, pageNo: queryParams.pageNo, pageSize: queryParams.pageSize }
+    const res = await getWorkflowPage(params)
+    dataList.value = res.data?.records || []
+    total.value = res.data?.total || 0
+  } catch {} finally { loading.value = false }
+}
+const loadStats = async () => { try { const res = await getStats(); stats.value = res.data || {} } catch {} }
 const handleQuery = () => { queryParams.pageNo = 1; getList() }
-const handleAdd = () => { formData.value = {}; dialogVisible.value = true }
-const submitForm = async () => { await addWorkflow(formData.value); ElMessage.success('创建成功'); dialogVisible.value = false; getList(); loadStats() }
+const resetQuery = () => { queryParams.diseaseCode = ''; queryParams.diseaseName = ''; handleQuery() }
+const handleAdd = () => { isEdit.value = false; Object.assign(formData, { diseaseCode: '', diseaseName: '', pathwayName: '', standardLos: 7, pathwayContent: '' }); dialogVisible.value = true }
+const submitForm = async () => {
+  try { await formRef.value?.validate() } catch { return }
+  submitLoading.value = true
+  try {
+    await addWorkflow({ ...formData })
+    ElMessage.success(isEdit.value ? '修改成功' : '创建成功')
+    dialogVisible.value = false; getList(); loadStats()
+  } catch {} finally { submitLoading.value = false }
+}
 const handleEnter = async (row) => {
-  await ElMessageBox.confirm(`确认将患者入径「${row.pathwayName}」？`, '入径确认', { type: 'info' })
-  await enterPathway({ pathwayId: row.id, diseaseCode: row.diseaseCode, diseaseName: row.diseaseName }); ElMessage.success('入径成功'); loadStats()
+  try {
+    await ElMessageBox.confirm(`确认将患者入径「${row.pathwayName}」？`, '入径确认', { type: 'info' })
+    await enterPathway({ pathwayId: row.id, diseaseCode: row.diseaseCode, diseaseName: row.diseaseName })
+    ElMessage.success('入径成功'); loadStats()
+  } catch {}
 }
 const handleComplete = async (row) => {
-  await ElMessageBox.confirm('确认完成此路径？', '完成确认', { type: 'success' })
-  await completePathway(row.id); ElMessage.success('已完成'); getList(); loadStats()
+  try {
+    await ElMessageBox.confirm('确认完成此路径？', '完成确认', { type: 'success' })
+    await completePathway(row.id); ElMessage.success('已完成'); getList(); loadStats()
+  } catch {}
 }
 const handleVary = async (row) => {
-  await ElMessageBox.prompt('请输入变异原因', '变异登记', { type: 'warning' })
-    .then(async ({ value }) => { await varyPathway(row.id, value || '未填写原因'); ElMessage.success('变异已登记'); getList(); loadStats() })
+  try {
+    const { value } = await ElMessageBox.prompt('请输入变异原因', '变异登记', { type: 'warning' })
+    await varyPathway(row.id, value || '未填写原因'); ElMessage.success('变异已登记'); getList(); loadStats()
+  } catch {}
 }
 onMounted(() => { getList(); loadStats() })
 </script>
+
+<style scoped>
+.card-header { display: flex; justify-content: space-between; align-items: center; }
+.query-form { margin-bottom: 0; }
+.stat-card { text-align: center; }
+</style>