diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
index 6683ed67..a77b4ff6 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -18,6 +18,10 @@ import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.appointmentmanage.domain.ScheduleSlot;
+import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
+import com.openhis.clinical.domain.Order;
+import com.openhis.clinical.service.IOrderService;
 import com.openhis.triageandqueuemanage.domain.DivLog;
 import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
 import com.openhis.triageandqueuemanage.service.DivLogService;
@@ -78,6 +82,12 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
     @Resource
     private DivLogService divLogService;
 
+    @Resource
+    private IOrderService iOrderService;
+
+    @Resource
+    private ScheduleSlotMapper scheduleSlotMapper;
+
     /**
      * 查询就诊患者信息
      *
@@ -264,8 +274,27 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             return R.fail("非就诊中患者不能完诊");
         }
 
-        // 2. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
+        // 2. 获取 pool_id 和 slot_id：从 encounter → order_main → adm_schedule_slot 链路获取
+        //    确保 div_log 中的值与排班主表一致，不依赖 triage_queue_item（队列项可能不存在或值错误）
         Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        Long divPoolId = null;
+        Long divSlotId = null;
+        if (encounter.getOrderId() != null) {
+            try {
+                Order order = iOrderService.getById(encounter.getOrderId());
+                if (order != null && order.getSlotId() != null) {
+                    divSlotId = order.getSlotId();
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
+                    if (slot != null) {
+                        divPoolId = slot.getPoolId();
+                    }
+                }
+            } catch (Exception e) {
+                log.warn("获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
+            }
+        }
+
+        // 3. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
         TriageQueueItem queueItem = triageQueueItemService.getOne(
             new LambdaQueryWrapper<TriageQueueItem>()
                 .eq(TriageQueueItem::getTenantId, tenantId)
@@ -278,31 +307,29 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         // 使用排除法而非白名单：只要不是"已完成"就可以完诊，覆盖跳过、等待等非标准流转状态
         if (queueItem != null &&
             !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
-            // 更新队列状态为已完成
             java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
             queueItem.setStatus(TriageQueueStatus.COMPLETED.getValue());
             queueItem.setUpdateTime(nowLocal);
             triageQueueItemService.updateById(queueItem);
-
-            // 写入 div_log 审计日志（使用实体+Service替代原生JDBC SQL，避免SQL注入风险，便于维护）
-            try {
-                LoginUser loginUser = SecurityUtils.getLoginUser();
-                DivLog divLog = new DivLog()
-                    .setPoolId(queueItem.getPoolId())
-                    .setSlotId(queueItem.getSlotId())
-                    .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
-                    .setAction("COMPLETE")
-                    .setCreateTime(LocalDateTime.now())
-                    .setUpdateAt(LocalDateTime.now())
-                    .setCreatedAt(LocalDateTime.now());
-                divLogService.save(divLog);
-            } catch (Exception e) {
-                log.error("写入div_log审计日志失败", e);
-                // 审计日志失败不影响主流程
-            }
         }
 
-        // 3. 更新状态、完成时间以及初复诊标识
+        // 写入 div_log 审计日志（独立于队列项，确保每次完诊都生成记录）
+        try {
+            LoginUser loginUser = SecurityUtils.getLoginUser();
+            DivLog divLog = new DivLog()
+                .setPoolId(divPoolId)
+                .setSlotId(divSlotId)
+                .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
+                .setAction("COMPLETE")
+                .setCreateTime(LocalDateTime.now())
+                .setUpdateAt(LocalDateTime.now())
+                .setCreatedAt(LocalDateTime.now());
+            divLogService.save(divLog);
+        } catch (Exception e) {
+            log.error("写入div_log审计日志失败", e);
+        }
+
+        // 4. 更新状态、完成时间以及初复诊标识
         Date now = new Date();
         int update = encounterMapper.update(null,
                 new LambdaUpdateWrapper<Encounter>()
@@ -315,7 +342,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
 
         if (update <= 0) return R.fail("完诊失败");
 
-        // 4. 审计日志（sys_oper_log）
+        // 5. 审计日志（sys_oper_log）
         try {
             String username = SecurityUtils.getUsernameSafe();
             String sql = "INSERT INTO sys_oper_log "
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
index b8c08a35..1ade4844 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -547,7 +547,7 @@
         CI.enterer_id AS requester_id,
         CI.entered_date AS request_time,
         CASE WHEN CI.enterer_id = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
-        COALESCE(DR.content_json, CI.content_json) AS content_json,
+        DR.content_json AS content_json,
         NULL AS skin_test_flag,
         NULL AS inject_flag,
         NULL AS group_id,