diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml
index 56a382e06..5fc2c82d4 100755
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/mapper/patientmanage/PatientManageMapper.xml
@@ -50,7 +50,6 @@
                pt.patient_derived,
                pt.education_level,
                pt.company_address,
-               pt.country_code
         FROM (
                  SELECT
                         (
@@ -105,7 +104,6 @@
                         p.patient_derived,
                         p.education_level,
                         p.company_address,
-                        p.country_code
                  FROM adm_patient p
                  where p.delete_flag = '0'
              ) AS pt
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 a6d0a5b7e..fb45a8617 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/diagnosis/diagnosis.vue
@@ -1,4 +1,4 @@
-<template>
+<template>
   <div>
     <el-row :gutter="24">
       <el-col
@@ -873,90 +873,66 @@ function handleInfectiousDiseaseReport() {
   // 疾病名称到报卡编码的映射（根据传染病报告卡弹窗中的疾病列表）
   const diseaseNameToCode = {
     // 甲类
-    '鼠疫': '0101',
-    '霍乱': '0102',
+    '鼠疫': '0101', '霍乱': '0102',
     // 乙类
-    '传染性非典型肺炎': '0201',
-    '艾滋病': '0202',
-    '病毒性肝炎': '0203',
-    '脊髓灰质炎': '0204',
-    '人感染高致病性禽流感': '0205',
-    '麻疹': '0206',
-    '流行性出血热': '0207',
-    '狂犬病': '0208',
-    '流行性乙型脑炎': '0209',
-    '登革热': '0210',
-    '炭疽': '0211',
-    '细菌性和阿米巴性痢疾': '0212',
-    '肺结核': '0213',
-    '伤寒和副伤寒': '0214',
-    '流行性脑脊髓膜炎': '0215',
-    '百日咳': '0216',
-    '白喉': '0217',
-    '新生儿破伤风': '0218',
-    '猩红热': '0219',
-    '布鲁氏菌病': '0220',
-    '淋病': '0221',
-    '梅毒': '0222',
-    '钩端螺旋体病': '0223',
-    '血吸虫病': '0224',
-    '疟疾': '0225',
-    '新型冠状病毒肺炎': '0226',
-    '甲型H1N1流感': '0227',
+    '传染性非典型肺炎': '0201', '艾滋病': '0202', '病毒性肝炎': '0203',
+    '脊髓灰质炎': '0204', '人感染高致病性禽流感': '0205', '麻疹': '0206',
+    '流行性出血热': '0207', '狂犬病': '0208', '流行性乙型脑炎': '0209',
+    '登革热': '0210', '炭疽': '0211', '细菌性和阿米巴性痢疾': '0212',
+    '肺结核': '0213', '伤寒和副伤寒': '0214', '流行性脑脊髓膜炎': '0215',
+    '百日咳': '0216', '白喉': '0217', '新生儿破伤风': '0218',
+    '猩红热': '0219', '布鲁氏菌病': '0220', '淋病': '0221',
+    '梅毒': '0222', '钩端螺旋体病': '0223', '血吸虫病': '0224',
+    '疟疾': '0225', '新型冠状病毒肺炎': '0226', '甲型H1N1流感': '0227',
     '人感染H7N9禽流感': '0228',
     // 丙类
-    '流行性感冒': '0301',
-    '流行性腮腺炎': '0302',
-    '风疹': '0303',
-    '急性出血性结膜炎': '0304',
-    '麻风病': '0305',
-    '流行性和地方性斑疹伤寒': '0306',
-    '黑热病': '0307',
-    '包虫病': '0308',
-    '丝虫病': '0309',
+    '流行性感冒': '0301', '流行性腮腺炎': '0302', '风疹': '0303',
+    '急性出血性结膜炎': '0304', '麻风病': '0305',
+    '流行性和地方性斑疹伤寒': '0306', '黑热病': '0307',
+    '包虫病': '0308', '丝虫病': '0309',
     '除霍乱/菌痢/伤寒副伤寒以外的感染性腹泻病': '0310',
-    '其它感染性腹泻病': '0310',
-    '手足口病': '0311',
+    '其它感染性腹泻病': '0310', '手足口病': '0311',
   };
 
-  // 获取所有需要触发传染病报卡的诊断，但跳过已有已提交报卡的诊断
-  // 判断依据：1) 硬编码名称匹配；2) 后端配置了 reportTypeCode（报卡类型）
-  const infectiousDiagnoses = form.value.diagnosisList
-    .map(d => {
-      // 跳过已有已提交报卡的诊断
-      if (d.hasInfectiousReport === 1) return null;
+  // 获取所有需要触发传染病报卡的诊断，跳过已有已提交报卡的诊断
+  const infectiousDiagnoses = [];
 
-      let diseaseCode = null;
+  for (const d of form.value.diagnosisList) {
+    // 跳过已有已提交报卡的诊断
+    if (d.hasInfectiousReport === 1) continue;
 
-      // 1. 尝试精确名称匹配
-      if (d.name && diseaseNameToCode[d.name]) {
-        diseaseCode = diseaseNameToCode[d.name];
-      }
-      // 2. 尝试部分名称匹配（如"古典生物型霍乱"包含"霍乱"）
-      else if (d.name && d.reportTypeCode) {
-        const match = Object.entries(diseaseNameToCode).find(([name]) =>
-          name && d.name.includes(name)
-        );
-        if (match) {
-          diseaseCode = match[1];
-        }
-      }
-      // 3. 配置了 reportTypeCode 但无名称匹配，仍触发弹窗（不预选疾病）
-      else if (d.reportTypeCode) {
+    let diseaseCode = null;
+
+    // 1. 精确名称匹配硬编码映射表
+    if (d.name && diseaseNameToCode[d.name]) {
+      diseaseCode = diseaseNameToCode[d.name];
+    }
+    // 2. 部分名称匹配（双向：诊断名包含映射key，或映射key包含诊断名）
+    else if (d.name && d.reportTypeCode) {
+      const match = Object.entries(diseaseNameToCode).find(([name]) =>
+        name && (d.name.includes(name) || name.includes(d.name))
+      );
+      if (match) {
+        diseaseCode = match[1];
+      } else {
+        // 3. 诊断目录中配置了报卡类型(reportTypeCode)但无名称匹配，仍触发弹窗
         diseaseCode = 'OTHER';
       }
+    }
+    // 4. 仅有reportTypeCode但name为空
+    else if (d.reportTypeCode) {
+      diseaseCode = 'OTHER';
+    }
 
-      if (!diseaseCode) return null;
-      return { diagnosis: d, diseaseCode };
-    })
-    .filter(item => item !== null);
+    if (diseaseCode) {
+      infectiousDiagnoses.push({ diagnosis: d, diseaseCode });
+    }
+  }
+
+  if (infectiousDiagnoses.length === 0) return;
 
   const allSelectedDiseases = infectiousDiagnoses.map(item => item.diseaseCode);
 
-  if (allSelectedDiseases.length === 0) {
-    return;
-  }
-
   // 优先使用命中传染病映射的主诊断，否则使用第一条命中的传染病诊断
   const mainInfectiousDiagnosis = infectiousDiagnoses.find(item => item.diagnosis.maindiseFlag === 1)?.diagnosis;
   const firstInfectiousDiagnosis = infectiousDiagnoses[0].diagnosis;
diff --git a/healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue b/healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue
index a3cb8b5c4..215914be1 100755
--- a/healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue
@@ -991,6 +991,10 @@ function clickRowDb({ row, column, event }) {
       prescriptionList.value[index] = row;
     }
     expandOrder.value = [row.uniqueKey];
+    // VXE Table v4: clearRowExpand 后 expandRowKeys 不再自动响应，需手动调 API 展开
+    if (prescriptionRef.value?.setRowExpand) {
+      prescriptionRef.value.setRowExpand([row], true);
+    }
   } else {
     proxy.$modal.msgWarning('仅待保存或待签发医嘱允许编辑');
   }
@@ -1691,6 +1695,7 @@ function handleSaveSign(row, index) {
   const originalAdviceType = row.adviceType;
   if (row.adviceType == 7) {
     row.adviceType = 1;
+    row.prescriptionCategory = 3; // 出院带药标记，与 handleSaveBatch/handleSave 保持一致
   }
   row.conditionId = conditionId.value;
   // 处理总量为小单位情况，需要把单价也保存成小单位的
@@ -1717,6 +1722,10 @@ function handleSaveSign(row, index) {
     : 0;
   row.skinTestFlag_enumText = row.skinTestFlag == 1 ? '是' : '否';
   row.contentJson = JSON.stringify(row);
+  // Bug #589: contentJson 已序列化（含 adviceType=1），恢复内存中的出院带药类型显示
+  if (originalAdviceType == 7) {
+    row.adviceType = 7;
+  }
   if (row.requestId) {
     row.dbOpType = '2';
     savePrescription({ regAdviceSaveList: [row] }).then((res) => {
@@ -1882,6 +1891,8 @@ function setValue(row) {
     ...prevRow,
     ...baseRow,
     uniqueKey: currentUniqueKey, // 确保 uniqueKey 不被覆盖
+    // Bug #589: 出院带药在 baseRow 中被药品的 adviceType=1 覆盖，此处恢复
+    adviceType: prevRow.dischargeFlag ? 7 : baseRow.adviceType,
     // 🔧 修复执行科室逻辑：
     // 1. 非诊疗类型(adviceType!=3)不需要执行科室，设为undefined
     // 2. 诊疗类型优先使用项目维护的所属科室(row.orgId)，其次positionId