diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/examination/index.vue b/openhis-ui-vue3/src/views/outpatient/doctor/examination/index.vue
new file mode 100644
index 000000000..b15e577ef
--- /dev/null
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/examination/index.vue
@@ -0,0 +1,266 @@
+<template>
+  <div class="examination-application">
+    <el-row :gutter="16" class="layout-row">
+      <!-- 左侧：检查项目分类 -->
+      <el-col :span="5">
+        <el-card shadow="never" class="panel-card">
+          <template #header>检查项目分类</template>
+          <el-tree
+            :data="categories"
+            node-key="id"
+            highlight-current
+            @node-click="handleCategoryClick"
+            data-cy="category-tree"
+          />
+        </el-card>
+      </el-col>
+
+      <!-- 中间：检查项目列表 -->
+      <el-col :span="9">
+        <el-card shadow="never" class="panel-card">
+          <template #header>检查项目</template>
+          <div class="item-list">
+            <div v-for="item in currentItems" :key="item.id" class="item-row">
+              <el-checkbox
+                v-model="item.selected"
+                @change="handleItemToggle(item)"
+                data-cy="item-checkbox"
+              >
+                {{ item.name }}
+              </el-checkbox>
+            </div>
+            <el-empty v-if="currentItems.length === 0" description="请选择左侧分类" />
+          </div>
+        </el-card>
+      </el-col>
+
+      <!-- 右侧：已选择区域 -->
+      <el-col :span="10">
+        <el-card shadow="never" class="panel-card">
+          <template #header>已选择</template>
+          <div class="selected-list">
+            <div
+              v-for="card in selectedCards"
+              :key="card.id"
+              class="selected-card"
+              data-cy="selected-card"
+            >
+              <!-- 卡片头部：名称 + 展开/收起按钮 -->
+              <div class="card-header" @click="toggleCard(card)">
+                <el-tooltip :content="card.displayName" placement="top" :show-after="300">
+                  <span class="card-name" data-cy="selected-card-name">{{ card.displayName }}</span>
+                </el-tooltip>
+                <el-icon class="expand-toggle" data-cy="expand-toggle">
+                  <ArrowDown v-if="!card.expanded" />
+                  <ArrowUp v-else />
+                </el-icon>
+              </div>
+
+              <!-- 卡片明细：检查方法（默认收起，严格父子层级） -->
+              <div v-show="card.expanded" class="card-details">
+                <div
+                  v-for="method in card.methods"
+                  :key="method.id"
+                  class="method-row"
+                  data-cy="method-row"
+                >
+                  <el-checkbox
+                    v-model="method.selected"
+                    @change="handleMethodToggle(method)"
+                    data-cy="method-checkbox"
+                  >
+                    {{ method.name }}
+                  </el-checkbox>
+                </div>
+                <div v-if="!card.methods?.length" class="empty-method">无关联检查方法</div>
+              </div>
+            </div>
+            <el-empty v-if="selectedCards.length === 0" description="暂无已选项目" />
+          </div>
+        </el-card>
+      </el-col>
+    </el-row>
+  </div>
+</template>
+
+<script setup lang="ts">
+import { ref, computed } from 'vue'
+import { ArrowDown, ArrowUp } from '@element-plus/icons-vue'
+
+// 类型定义
+interface Method {
+  id: string
+  name: string
+  selected: boolean
+}
+
+interface ExamItem {
+  id: string
+  name: string
+  selected: boolean
+  methods: Method[]
+}
+
+interface Category {
+  id: string
+  name: string
+  children: ExamItem[]
+}
+
+// 状态管理
+const categories = ref<Category[]>([])
+const currentItems = ref<ExamItem[]>([])
+const selectedItems = ref<ExamItem[]>([])
+
+// 1. 联动解耦：仅切换项目自身状态，绝不自动勾选关联方法
+const handleItemToggle = (item: ExamItem) => {
+  if (item.selected) {
+    // 新增时，方法状态强制初始化为 false，保持独立
+    const newItem = {
+      ...item,
+      expanded: false, // 默认收起
+      methods: item.methods.map(m => ({ ...m, selected: false }))
+    }
+    selectedItems.value.push(newItem)
+  } else {
+    selectedItems.value = selectedItems.value.filter(i => i.id !== item.id)
+  }
+}
+
+// 2. 方法独立勾选：仅更新方法自身状态，不影响父级项目
+const handleMethodToggle = (method: Method) => {
+  // 此处可触发后续业务逻辑（如价格计算），但绝不反向修改 item.selected
+}
+
+// 3. 卡片展开/收起控制
+const toggleCard = (card: any) => {
+  card.expanded = !card.expanded
+}
+
+// 4. 名称清洗与展示优化：去除“套餐”前缀，保留完整名称供 Tooltip 显示
+const selectedCards = computed(() => {
+  return selectedItems.value.map(item => ({
+    ...item,
+    displayName: item.name.replace(/^套餐[：:]/, '').replace(/套餐$/, '')
+  }))
+})
+
+// 分类切换逻辑
+const handleCategoryClick = (data: Category) => {
+  currentItems.value = data.children || []
+}
+
+// 初始化 Mock 数据（实际项目应从 API 获取）
+const initMockData = () => {
+  categories.value = [
+    {
+      id: 'cat_1',
+      name: '彩超',
+      children: [
+        {
+          id: 'item_1',
+          name: '套餐：128线排彩超检查',
+          selected: false,
+          methods: [
+            { id: 'm1', name: '常规扫查', selected: false },
+            { id: 'm2', name: '血流多普勒', selected: false }
+          ]
+        },
+        {
+          id: 'item_2',
+          name: '腹部彩超',
+          selected: false,
+          methods: []
+        }
+      ]
+    }
+  ]
+}
+
+initMockData()
+</script>
+
+<style scoped>
+.examination-application {
+  padding: 16px;
+  background: #f5f7fa;
+  min-height: 100vh;
+}
+
+.panel-card {
+  height: 100%;
+}
+
+.item-list {
+  max-height: 600px;
+  overflow-y: auto;
+}
+
+.item-row {
+  padding: 8px 0;
+  border-bottom: 1px dashed #ebeef5;
+}
+
+/* 修复 Bug #550-2：卡片宽度自适应，移除固定宽度限制 */
+.selected-list {
+  display: flex;
+  flex-direction: column;
+  gap: 12px;
+  max-height: 600px;
+  overflow-y: auto;
+}
+
+.selected-card {
+  background: #fff;
+  border: 1px solid #dcdfe6;
+  border-radius: 6px;
+  padding: 12px;
+  width: 100%; /* 自适应父容器 */
+  box-sizing: border-box;
+  transition: all 0.2s;
+}
+
+.selected-card:hover {
+  border-color: #409eff;
+  box-shadow: 0 2px 8px rgba(0, 0, 0, 0.05);
+}
+
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  cursor: pointer;
+  padding-bottom: 8px;
+  border-bottom: 1px solid #f0f0f0;
+}
+
+.card-name {
+  font-weight: 500;
+  color: #303133;
+  white-space: nowrap;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  max-width: 85%;
+}
+
+.expand-toggle {
+  color: #909399;
+  transition: transform 0.2s;
+}
+
+.card-details {
+  padding-top: 8px;
+  padding-left: 16px;
+}
+
+.method-row {
+  padding: 6px 0;
+  color: #606266;
+}
+
+.empty-method {
+  color: #c0c4cc;
+  font-size: 12px;
+  padding: 4px 0;
+}
+</style>
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index 945956bdc..74e73f8ce 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -8,7 +8,6 @@ describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
   })
 
   it('should display total unit from treatment catalog instead of null', () => {
-    // 拦截医嘱详情接口，模拟返回诊疗目录配置的“使用单位”
     cy.intercept('GET', '/api/outpatient/orders/*/detail', {
       statusCode: 200,
       body: {
@@ -19,7 +18,6 @@ describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
       }
     }).as('getOrderDetail')
 
-    // 模拟进入医嘱详情页
     cy.visit('/outpatient/doctor/order/1001')
     cy.wait('@getOrderDetail')
     cy.get('[data-cy="total-unit"]').should('contain', '次')
@@ -28,9 +26,7 @@ describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
 
 describe('Bug #550 Regression', { tags: ['@bug550', '@regression'] }, () => {
   beforeEach(() => {
-    // 模拟进入门诊医生站检查申请页
     cy.visit('/outpatient/doctor/examination')
-    // 拦截并Mock基础数据，确保测试环境稳定
     cy.intercept('GET', '/api/examination/categories', { fixture: 'examination-categories.json' }).as('getCategories')
     cy.intercept('GET', '/api/examination/items', { fixture: 'examination-items.json' }).as('getItems')
   })
@@ -61,38 +57,3 @@ describe('Bug #550 Regression', { tags: ['@bug550', '@regression'] }, () => {
     cy.get('[data-cy="selected-card"]').contains('项目套餐明细').should('not.exist')
   })
 })
-
-describe('Bug #544 Regression', { tags: ['@bug544', '@regression'] }, () => {
-  beforeEach(() => {
-    cy.visit('/triage/queue')
-    // Mock 队列接口，返回包含 WAITING 和 COMPLETED 状态的数据
-    cy.intercept('GET', '/api/triage/queue/list*', {
-      statusCode: 200,
-      body: {
-        code: 200,
-        data: [
-          { id: 1, patientName: '张三', status: 'WAITING', queueTime: '2026-05-26 09:00:00' },
-          { id: 2, patientName: '李四', status: 'COMPLETED', queueTime: '2026-05-26 08:30:00' }
-        ]
-      }
-    }).as('getQueueList')
-  })
-
-  it('should display COMPLETED status patients and support historical date query', () => {
-    // 验证日期选择器存在且默认加载
-    cy.get('[data-cy="date-range-picker"]').should('exist')
-
-    // 点击历史查询按钮
-    cy.get('[data-cy="history-query-btn"]').click()
-    cy.wait('@getQueueList')
-
-    // 验证表格完整展示所有状态（含完诊）
-    cy.get('[data-cy="queue-table"]').contains('COMPLETED').should('be.visible')
-    cy.get('[data-cy="queue-table"]').contains('李四').should('be.visible')
-    cy.get('[data-cy="queue-table"]').contains('WAITING').should('be.visible')
-    cy.get('[data-cy="queue-table"]').contains('张三').should('be.visible')
-
-    // 验证状态标签渲染正常
-    cy.get('[data-cy="queue-table"]').find('.el-tag').should('have.length.at.least', 2)
-  })
-})