diff --git a/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json b/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json
new file mode 100755
index 00000000..9d14d063
--- /dev/null
+++ b/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json
@@ -0,0 +1,20 @@
+{
+    "keep": {
+        "days": true,
+        "amount": 14
+    },
+    "auditLog": "/root/.openclaw/workspace/his-repo/logs/.2c17bf7b4e92189ae54ef8e767273ceaeb613314-audit.json",
+    "files": [
+        {
+            "date": 1778128585254,
+            "name": "/root/.openclaw/workspace/his-repo/logs/application-2026-05-07.log",
+            "hash": "2ec545aad5feb57a45e48b0a980690b3b9ef6b90e57204f6c3dfb1c7f2fd4d95"
+        },
+        {
+            "date": 1778200962650,
+            "name": "/root/.openclaw/workspace/his-repo/logs/application-2026-05-08.log",
+            "hash": "cf50ef7b8aa656efb0a209a252219fea97a437ff9020b1b8770788f1ba51303e"
+        }
+    ],
+    "hashType": "sha256"
+}
\ No newline at end of file
diff --git a/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json b/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json
new file mode 100755
index 00000000..c346d314
--- /dev/null
+++ b/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json
@@ -0,0 +1,20 @@
+{
+    "keep": {
+        "days": true,
+        "amount": 14
+    },
+    "auditLog": "/root/.openclaw/workspace/his-repo/logs/.9c2086cba7d24dcd050254bba93c4693957f894e-audit.json",
+    "files": [
+        {
+            "date": 1778128585256,
+            "name": "/root/.openclaw/workspace/his-repo/logs/error-2026-05-07.log",
+            "hash": "84a811bf9cf76799b49d36df79427471c8e0cfaa1bd359422d69091b06a64f87"
+        },
+        {
+            "date": 1778200962653,
+            "name": "/root/.openclaw/workspace/his-repo/logs/error-2026-05-08.log",
+            "hash": "83b015957301572a67ea6fb41a65dfe5aa357831ca361155629630c6e9ef68bd"
+        }
+    ],
+    "hashType": "sha256"
+}
\ No newline at end of file
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
index 51bd6d0e..cf60f32e 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
@@ -106,6 +106,7 @@ public class CheckMethodAppServiceImpl implements ICheckMethodAppService {
             if (ObjectUtil.isNotEmpty(m.getPackageName())) {
                 CheckPackage pkg = packageMap.get(m.getPackageName());
                 if (pkg != null) {
+                    dto.setPackageId(pkg.getId());
                     dto.setPackagePrice(pkg.getPackagePrice());
                     dto.setServiceFee(pkg.getServiceFee());
                 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/CheckTypeController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/CheckTypeController.java
index 360a72ea..cd6c55ae 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/CheckTypeController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/CheckTypeController.java
@@ -220,6 +220,36 @@ public class CheckTypeController extends BaseController {
         return AjaxResult.success(result);
     }
 
+    /**
+     * 查询检查套餐明细，用于医生站已选择套餐展开显示
+     */
+    @GetMapping({ "/package/{packageId}/details", "/check-package/{packageId}/details" })
+    public AjaxResult getPackageDetails(@PathVariable Long packageId) {
+        List<CheckPackageDetail> details = checkPackageDetailService.list(
+                new LambdaQueryWrapper<CheckPackageDetail>()
+                        .eq(CheckPackageDetail::getPackageId, packageId)
+                        .orderByAsc(CheckPackageDetail::getOrderNum)
+                        .orderByAsc(CheckPackageDetail::getId));
+
+        List<Map<String, Object>> result = details.stream().map(d -> {
+            Map<String, Object> item = new LinkedHashMap<>();
+            item.put("id", d.getId());
+            item.put("packageId", d.getPackageId());
+            item.put("itemCode", d.getItemCode());
+            item.put("itemName", d.getItemName());
+            item.put("name", d.getItemName());
+            item.put("quantity", d.getQuantity());
+            item.put("unit", d.getUnit());
+            item.put("unitPrice", d.getUnitPrice());
+            item.put("price", d.getUnitPrice());
+            item.put("amount", d.getAmount());
+            item.put("orderNum", d.getOrderNum());
+            return item;
+        }).collect(Collectors.toList());
+
+        return AjaxResult.success(result);
+    }
+
     /** 套餐级别文字映射 */
     private String parseLevelText(String level) {
         if ("1".equals(level))
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
index 54582a31..4859dbaa 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
@@ -31,6 +31,9 @@ public class CheckMethodDto {
     /* 套餐名称 */
     private String packageName;
 
+    /* 套餐ID */
+    private Long packageId;
+
     /* 套餐价格 - Bug #384修复：通过packageName匹配CheckPackage获取 */
     private BigDecimal packagePrice;
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/ISurgeryAppService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/ISurgeryAppService.java
index 457b8652..a5554917 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/ISurgeryAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/ISurgeryAppService.java
@@ -25,7 +25,9 @@ public interface ISurgeryAppService {
      * @param plannedTimeEnd 计划结束时间
      * @return 手术列表
      */
-    IPage<SurgeryDto> getSurgeryPage(SurgeryDto surgeryDto, Integer pageNo, Integer pageSize, String plannedTimeStart, String plannedTimeEnd);
+    IPage<SurgeryDto> getSurgeryPage(SurgeryDto surgeryDto, Integer pageNo, Integer pageSize,
+        String plannedTimeStart, String plannedTimeEnd,
+        String createTimeStart, String createTimeEnd);
 
     /**
      * 根据ID查询手术详情
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java
index 04f00917..971ab367 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java
@@ -108,7 +108,9 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
      * @return 手术列表
      */
     @Override
-    public IPage<SurgeryDto> getSurgeryPage(SurgeryDto surgeryDto, Integer pageNo, Integer pageSize, String plannedTimeStart, String plannedTimeEnd) {
+    public IPage<SurgeryDto> getSurgeryPage(SurgeryDto surgeryDto, Integer pageNo, Integer pageSize,
+        String plannedTimeStart, String plannedTimeEnd,
+        String createTimeStart, String createTimeEnd) {
         QueryWrapper<SurgeryDto> queryWrapper = HisQueryUtils.buildQueryWrapper(surgeryDto, null,
             new HashSet<String>() {{
                 add("surgery_no");
@@ -148,6 +150,34 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
                 }
             }
         }
+
+        // 申请时间范围（创建时间 create_time）查询：用于“手术申请查询”弹窗
+        if (createTimeStart != null && !createTimeStart.isEmpty()) {
+            try {
+                LocalDateTime startDateTime = LocalDateTime.parse(createTimeStart, DateTimeFormatter.ISO_DATE_TIME);
+                queryWrapper.ge("create_time", startDateTime);
+            } catch (Exception e) {
+                try {
+                    LocalDateTime startDateTime = LocalDateTime.parse(createTimeStart + "T00:00:00", DateTimeFormatter.ISO_DATE_TIME);
+                    queryWrapper.ge("create_time", startDateTime);
+                } catch (Exception ex) {
+                    log.error("解析创建开始时间失败: {}", createTimeStart, ex);
+                }
+            }
+        }
+        if (createTimeEnd != null && !createTimeEnd.isEmpty()) {
+            try {
+                LocalDateTime endDateTime = LocalDateTime.parse(createTimeEnd, DateTimeFormatter.ISO_DATE_TIME);
+                queryWrapper.le("create_time", endDateTime);
+            } catch (Exception e) {
+                try {
+                    LocalDateTime endDateTime = LocalDateTime.parse(createTimeEnd + "T23:59:59", DateTimeFormatter.ISO_DATE_TIME);
+                    queryWrapper.le("create_time", endDateTime);
+                } catch (Exception ex) {
+                    log.error("解析创建结束时间失败: {}", createTimeEnd, ex);
+                }
+            }
+        }
         
         queryWrapper.orderByDesc("create_time");
         return surgeryAppMapper.getSurgeryPage(new Page<>(pageNo, pageSize), queryWrapper);
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgeryController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgeryController.java
index e9f01bc9..b20ed8eb 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgeryController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgeryController.java
@@ -40,9 +40,12 @@ public class SurgeryController {
         @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
         @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize,
         @RequestParam(value = "plannedTimeStart", required = false) String plannedTimeStart,
-        @RequestParam(value = "plannedTimeEnd", required = false) String plannedTimeEnd) {
+        @RequestParam(value = "plannedTimeEnd", required = false) String plannedTimeEnd,
+        @RequestParam(value = "createTimeStart", required = false) String createTimeStart,
+        @RequestParam(value = "createTimeEnd", required = false) String createTimeEnd) {
         // 将时间范围参数传递给服务层
-        IPage<SurgeryDto> page = surgeryAppService.getSurgeryPage(surgeryDto, pageNo, pageSize, plannedTimeStart, plannedTimeEnd);
+        IPage<SurgeryDto> page = surgeryAppService.getSurgeryPage(surgeryDto, pageNo, pageSize,
+            plannedTimeStart, plannedTimeEnd, createTimeStart, createTimeEnd);
         return R.ok(page);
     }
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index ec72e987..0f0a8b21 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -912,7 +912,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         ChargeItem chargeItem;
         // 新增 + 修改
         // 🔧 BugFix: 如果 requestId 不为空说明是已存在的医嘱，需要更新，即使 dbOpType 不匹配也应该包含进来
+        // 🔧 BugFix #454: 排除删除操作，避免误入insertOrUpdateList
         List<AdviceSaveDto> insertOrUpdateList = medicineList.stream()
+                .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()))
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
                         || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
                         || e.getRequestId() != null))
@@ -1358,7 +1360,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         ChargeItem chargeItem;
         // 新增 + 修改
         // 🔧 BugFix: 如果 requestId 不为空说明是已存在的医嘱，需要更新，即使 dbOpType 不匹配也应该包含进来
+        // 🔧 BugFix #454: 排除删除操作，避免误入insertOrUpdateList
         List<AdviceSaveDto> insertOrUpdateList = deviceList.stream()
+                .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()))
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
                         || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
                         || e.getRequestId() != null))
@@ -1673,7 +1677,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         ChargeItem chargeItem;
         // 新增 + 修改
         // 🔧 BugFix: 如果 requestId 不为空说明是已存在的医嘱，需要更新，即使 dbOpType 不匹配也应该包含进来
+        // 🔧 BugFix #454: 排除删除操作，避免误入insertOrUpdateList触发执行科室校验
         List<AdviceSaveDto> insertOrUpdateList = activityList.stream()
+                .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()))
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
                         || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
                         || e.getRequestId() != null))
diff --git a/openhis-ui-vue3/src/api/operatingroom.js b/openhis-ui-vue3/src/api/operatingroom.js
index 9d979bd1..35584301 100755
--- a/openhis-ui-vue3/src/api/operatingroom.js
+++ b/openhis-ui-vue3/src/api/operatingroom.js
@@ -13,6 +13,33 @@ export function listOperatingRoom(query) {
   })
 }
 
+/**
+ * 查询诊疗项目列表(用于诊疗子项检索)
+ * @param {Object} query - 查询参数
+ * @returns {Promise} 请求结果
+ */
+export function listMedicalItems(query) {
+  return request({
+    url: '/clinical-manage/medical-item/list',
+    method: 'get',
+    params: query
+  })
+}
+
+/**
+ * 查询医嘱类型列表
+ * @param {Object} query - 查询参数
+ * @returns {Promise} 请求结果
+ */
+export function listAdviceTypes(query) {
+  return request({
+    url: '/clinical-manage/advice-type/list',
+    method: 'get',
+    params: query
+  })
+}
+```
+
 /**
  * 查询手术室详细
  * @param {Long} id - 手术室ID
diff --git a/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue b/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
index c81c6863..04eb2f81 100755
--- a/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
+++ b/openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue
@@ -393,12 +393,24 @@ function openSaveImplementDepartment(row) {
     editImplementDepartment(params).then((res) => {
       data.isAdding = false; // 允许新增下一行
       proxy.$modal.msgSuccess('保存成功！');
+      // 确保选中项在 filteredOptions 中，使 el-select 能正确显示名称
+      const savedItem = allImplementDepartmentList.value.find(i => i.value === row.activityDefinitionId);
+      if (savedItem && !row.filteredOptions.some(o => o.value === row.activityDefinitionId)) {
+        row.filteredOptions.push(savedItem);
+      }
+      getList();
     });
   } else {
     delete params.id;
     addImplementDepartment(params).then((res) => {
       data.isAdding = false; // 允许新增下一行
       proxy.$modal.msgSuccess('保存成功！');
+      // 确保选中项在 filteredOptions 中，使 el-select 能正确显示名称
+      const savedItem = allImplementDepartmentList.value.find(i => i.value === row.activityDefinitionId);
+      if (savedItem && !row.filteredOptions.some(o => o.value === row.activityDefinitionId)) {
+        row.filteredOptions.push(savedItem);
+      }
+      getList();
     });
   }
 }
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
index 53b568e6..6e17e4f1 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -164,6 +164,20 @@
                     />
                   </el-form-item>
                 </el-col>
+                <!--执行时间-->
+                <el-col :span="8">
+                  <el-form-item label="执行时间" style="margin-bottom: 4px">
+                    <el-date-picker
+                      v-model="formData.executeTime"
+                      type="datetime"
+                      placeholder="选择执行时间"
+                      size="small"
+                      format="YYYY-MM-DD HH:mm:ss"
+                      value-format="YYYY-MM-DD HH:mm:ss"
+                      style="width: 100%"
+                    />
+                  </el-form-item>
+                </el-col>
                 <!--申请科室-->
                 <el-col :span="8">
                   <el-form-item label="申请科室" required style="margin-bottom: 4px">
@@ -293,6 +307,34 @@
                 </el-col>
               </el-row>
 
+              <!-- 标本类型、申请类型 -->
+              <el-row :gutter="12" style="margin-bottom: 0">
+                <el-col :span="12">
+                  <el-form-item label="标本类型" style="margin-bottom: 4px">
+                    <el-select v-model="formData.specimenName" placeholder="请选择标本类型" size="small" style="width: 100%">
+                      <el-option label="血液" value="血液" />
+                      <el-option label="尿液" value="尿液" />
+                      <el-option label="粪便" value="粪便" />
+                      <el-option label="痰液" value="痰液" />
+                      <el-option label="咽拭子" value="咽拭子" />
+                      <el-option label="脑脊液" value="脑脊液" />
+                      <el-option label="胸腹水" value="胸腹水" />
+                      <el-option label="关节液" value="关节液" />
+                      <el-option label="分泌物" value="分泌物" />
+                      <el-option label="其他" value="其他" />
+                    </el-select>
+                  </el-form-item>
+                </el-col>
+                <el-col :span="12">
+                  <el-form-item label="申请类型" style="margin-bottom: 4px">
+                    <el-radio-group v-model="formData.applicationType" size="small">
+                      <el-radio :value="0">普通</el-radio>
+                      <el-radio :value="1" border type="warning">急诊</el-radio>
+                    </el-radio-group>
+                  </el-form-item>
+                </el-col>
+              </el-row>
+
               <!-- 检验项目和备注 -->
               <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="12">
@@ -925,7 +967,9 @@ const formData = reactive({
   applyDocCode: '',
   applyDeptCode: '',
   specimenName: '血液',
-  encounterId: ''
+  encounterId: '',
+  executeTime: null,
+  applicationType: 0
 })
 
 // 表单引用
@@ -1329,13 +1373,13 @@ const getInspectionList = () => {
         // 如果返回的是分页对象 {records: [...], total: 100}
         if (Array.isArray(res.data.records)) {
           // 直接使用后端返回的数据（后端已按申请单返回，无需合并）
-          inspectionList.value = res.data.records
+          inspectionList.value = mergeInspectionApplyRecords(res.data.records)
           total.value = res.data.total || res.data.records.length
         }
         // 如果返回的是普通数组
         else if (Array.isArray(res.data)) {
-          // 直接使用后端返回的数据
-          inspectionList.value = res.data
+          // 合并同一个申请单的明细
+          inspectionList.value = mergeInspectionApplyRecords(res.data)
           total.value = res.data.length
         }
         // 如果返回的是其他对象结构
@@ -1476,6 +1520,8 @@ const resetForm = async () => {
     visitNo: '',
     specimenName: '血液',
     encounterId: props.patientInfo.encounterId || '',
+    executeTime: null,
+    applicationType: 0,
   })
   selectedInspectionItems.value = []
 
@@ -1911,7 +1957,9 @@ const loadApplicationToForm = async (row) => {
         auditTime: detail.auditTime,
         visitNo: detail.visitNo,
         specimenName: detail.specimenName,
-        encounterId: detail.encounterId
+        encounterId: detail.encounterId,
+        executeTime: detail.executeTime || null,
+        applicationType: detail.applicationType ?? 0
       })
 
       // 加载检验项目数据
diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue
index ac02baab..9b634931 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/index.vue
@@ -17,8 +17,11 @@
             </el-tab-pane>
             <!-- <el-tab-pane label="医技报告" name="fourth">Task</el-tab-pane> -->
             <el-tab-pane label="检验申请" name="test">
-              <TestApplication ref="testApplicationRef" />
+              <TestApplication ref="testApplicationRef" :show-status-column="true" />
             </el-tab-pane>
+```vue
+
+```
             <el-tab-pane label="检查申请" name="examine">
               <ExamineApplication ref="examineApplicationRef" />
             </el-tab-pane>
diff --git a/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue b/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
index ee5025a4..f46e0be7 100755
--- a/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
+++ b/openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
@@ -990,7 +990,7 @@ function selectRow(rowValue, index) {
   form.purchaseinventoryList[index].ybNo = rowValue.ybNo;
   // #439 fix: 不清空sourceLocationId，保留handleAddRow设置的仓库ID
   if (!form.purchaseinventoryList[index].sourceLocationId) {
-    form.purchaseinventoryList[index].sourceLocationId = '';
+    form.purchaseinventoryList[index].sourceLocationId = receiptHeaderForm.headerLocationId || '';
   }
   getPharmacyCabinetList().then((res) => {
     purposeTypeListOptions.value = res.data;
diff --git a/openhis-ui-vue3/src/views/surgicalschedule/index.vue b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
index 2108a7a6..dfa2da73 100755
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -58,6 +58,312 @@
     </el-form>
 
     <el-row :gutter="10" class="mb8">
+      <el-col :span="1.5">
+        <el-button type="primary" plain icon="Plus" @click="handleAdd" v-hasPermi="['surgical:schedule:add']">
+          新增
+        </el-button>
+      </el-col>
+      <el-col :span="1.5">
+        <el-button type="success" plain icon="Edit" :disabled="single" @click="handleUpdate" v-hasPermi="['surgical:schedule:edit']">
+          修改
+        </el-button>
+      </el-col>
+      <el-col :span="1.5">
+        <el-button type="danger" plain icon="Delete" :disabled="multiple" @click="handleDelete" v-hasPermi="['surgical:schedule:remove']">
+          删除
+        </el-button>
+      </el-col>
+      <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
+    </el-row>
+
+    <el-table v-loading="loading" :data="scheduleList" @selection-change="handleSelectionChange">
+      <el-table-column type="selection" width="55" align="center" />
+      <el-table-column label="手术单号" align="center" prop="operCode" />
+      <el-table-column label="患者姓名" align="center" prop="patientName" />
+      <el-table-column label="性别" align="center" prop="sex" :formatter="sexFormat" />
+      <el-table-column label="年龄" align="center" prop="age" />
+      <el-table-column label="申请科室" align="center" prop="applyDeptName" />
+      <el-table-column label="安排时间" align="center" prop="scheduleDate" width="180">
+        <template #default="scope">
+          {{ parseTime(scope.row.scheduleDate, '{y}-{m}-{d} {h}:{i}') }}
+        </template>
+      </el-table-column>
+      <el-table-column label="手术名称" align="center" prop="operationName" />
+      <el-table-column label="手术医师" align="center" prop="surgeonName" />
+      <el-table-column label="麻醉方法" align="center" prop="anesthesiaMethod" :formatter="anesthesiaMethodFormat" />
+      <el-table-column label="外请专家姓名" align="center" prop="expertName" />
+      <el-table-column label="操作" align="center" class-name="small-padding fixed-width">
+        <template #default="scope">
+          <el-button link type="primary" icon="Edit" @click="handleUpdate(scope.row)" v-hasPermi="['surgical:schedule:edit']">修改</el-button>
+          <el-button link type="primary" icon="Delete" @click="handleDelete(scope.row)" v-hasPermi="['surgical:schedule:remove']">删除</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <!-- 添加或修改门诊手术安排对话框 -->
+    <el-dialog :title="title" v-model="open" width="800px" append-to-body>
+      <el-form ref="scheduleRef" :model="form" :rules="rules" label-width="120px">
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="手术单号" prop="operCode">
+              <el-input v-model="form.operCode" placeholder="请输入手术单号" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="患者姓名" prop="patientName">
+              <el-input v-model="form.patientName" placeholder="请输入患者姓名" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="性别" prop="sex">
+              <el-select v-model="form.sex" placeholder="请选择性别">
+                <el-option label="男" value="1" />
+                <el-option label="女" value="2" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="年龄" prop="age">
+              <el-input v-model="form.age" placeholder="请输入年龄" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="申请科室" prop="applyDeptId">
+              <el-select v-model="form.applyDeptId" placeholder="请选择申请科室" @change="handleApplyDeptChange">
+                <el-option
+                  v-for="dept in deptList"
+                  :key="dept.id"
+                  :label="dept.name"
+                  :value="dept.id"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="安排时间" prop="scheduleDate">
+              <el-date-picker
+                v-model="form.scheduleDate"
+                type="datetime"
+                placeholder="选择安排时间"
+                format="YYYY-MM-DD HH:mm"
+                value-format="YYYY-MM-DD HH:mm:ss"
+              />
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="手术名称" prop="operationName">
+              <el-input v-model="form.operationName" placeholder="请输入手术名称" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="手术医师" prop="surgeonId">
+              <el-select v-model="form.surgeonId" placeholder="请选择手术医师">
+                <el-option
+                  v-for="doctor in doctorList"
+                  :key="doctor.id"
+                  :label="doctor.name"
+                  :value="doctor.id"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="麻醉方法" prop="anesthesiaMethod">
+              <el-select v-model="form.anesthesiaMethod" placeholder="请选择麻醉方法">
+                <el-option
+                  v-for="item in anesthesiaMethodOptions"
+                  :key="item.value"
+                  :label="item.label"
+                  :value="item.value"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="外请专家姓名" prop="expertId">
+              <el-select v-model="form.expertId" placeholder="请选择外请专家">
+                <el-option
+                  v-for="expert in expertList"
+                  :key="expert.id"
+                  :label="expert.name"
+                  :value="expert.id"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="麻醉医师" prop="anesthetistId">
+              <el-select v-model="form.anesthetistId" placeholder="请选择麻醉医师">
+                <el-option
+                  v-for="doctor in anesthetistList"
+                  :key="doctor.id"
+                  :label="doctor.name"
+                  :value="doctor.id"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="手术室" prop="operatingRoomId">
+              <el-select v-model="form.operatingRoomId" placeholder="请选择手术室">
+                <el-option
+                  v-for="room in operatingRoomList"
+                  :key="room.id"
+                  :label="room.roomName"
+                  :value="room.id"
+                />
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
+        <el-row>
+          <el-col :span="24">
+            <el-form-item label="备注" prop="remark">
+              <el-input v-model="form.remark" type="textarea" placeholder="请输入内容" />
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
+      <template #footer>
+        <div class="dialog-footer">
+          <el-button type="primary" @click="submitForm">确 定</el-button>
+          <el-button @click="cancel">取 消</el-button>
+        </div>
+      </template>
+    </el-dialog>
+  </div>
+</template>
+
+<script setup name="SurgicalSchedule">
+import { listSurgicalSchedule, getSurgicalSchedule, delSurgicalSchedule, addSurgicalSchedule, updateSurgicalSchedule } from "@/api/surgical/surgicalSchedule";
+import { listDept } from "@/api/system/dept";
+import { listDoctorByDeptId } from "@/api/system/doctor";
+import { listExpert } from "@/api/surgical/expert";
+import { listOperatingRoom } from "@/api/surgical/operatingRoom";
+
+const { proxy } = getCurrentInstance();
+const { userStore } = useUserStore();
+
+const scheduleList = ref([]);
+const open = ref(false);
+const loading = ref(true);
+const showSearch = ref(true);
+const ids = ref([]);
+const single = ref(true);
+const multiple = ref(true);
+const total = ref(0);
+const title = ref("");
+const deptList = ref([]);
+const doctorList = ref([]);
+const anesthetistList = ref([]);
+const expertList = ref([]);
+const operatingRoomList = ref([]);
+
+const anesthesiaMethodOptions = ref([
+  { value: '01', label: '全身麻醉' },
+  { value: '02', label: '局部麻醉' },
+  { value: '03', label: '椎管内麻醉' },
+  { value: '04', label: '复合麻醉' }
+]);
+
+const data = reactive({
+  form: {},
+  queryParams: {
+    pageNum: 1,
+    pageSize: 10,
+    operCode: null,
+    patientName: null,
+    applyDeptId: null,
+    scheduleDateRange: [],
+  },
+  rules: {
+    operCode: [
+      { required: true, message: "手术单号不能为空", trigger: "blur" }
+    ],
+    patientName: [
+      { required: true, message: "患者姓名不能为空", trigger: "blur" }
+    ],
+    sex: [
+      { required: true, message: "性别不能为空", trigger: "change" }
+    ],
+    age: [
+      { required: true, message: "年龄不能为空", trigger: "blur" }
+    ],
+    applyDeptId: [
+      { required: true, message: "申请科室不能为空", trigger: "change" }
+    ],
+    scheduleDate: [
+      { required: true, message: "安排时间不能为空", trigger: "change" }
+    ],
+    operationName: [
+      { required: true, message: "手术名称不能为空", trigger: "blur" }
+    ],
+    surgeonId: [
+      { required: true, message: "手术医师不能为空", trigger: "change" }
+    ],
+    anesthesiaMethod: [
+      { required: true, message: "麻醉方法不能为空", trigger: "change" }
+    ]
+  }
+});
+
+const { queryParams, form, rules } = toRefs(data);
+
+/** 查询门诊手术安排列表 */
+function getList() {
+  loading.value = true;
+  listSurgicalSchedule(queryParams.value).then(response => {
+    scheduleList.value = response.rows;
+    total.value = response.total;
+    loading.value = false;
+  });
+}
+
+/** 取消按钮 */
+function cancel() {
+  open.value = false;
+  reset();
+}
+
+/** 表单重置 */
+function reset() {
+  form.value = {
+    id: null,
+    operCode: null,
+    patientName: null,
+    sex: null,
+    age: null,
+    applyDeptId: null,
+    scheduleDate: null,
+    operationName: null,
+    surgeonId: null,
+    anesthesiaMethod: null,
+    expertId: null,
+    anesthetistId: null,
+    operatingRoomId: null,
+    remark: null
+  };
+  proxy.$refs["scheduleRef"].resetFields();
+}
+
+/** 搜索按钮操作 */
+function handleQuery() {
+  queryParams.value.pageNum = 1;
+  getList();
+}
+
+/** 重置按钮操作 */
+function resetQuery()utter="10" class="mb8">
       <el-col :span="1.5">
         <el-button type="primary" plain icon="Plus" @click="handleAdd"> 新增手术安排 </el-button>
       </el-col>
@@ -1113,12 +1419,14 @@ function loadOrgList() {
         const records = res.data?.records || res.data || []
         orgList.value = records.map(item => ({ id: item.id, name: item.tenantName || item.name }))
       } else {
-        proxy.$modal.msgError('获取卫生机构列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('卫生机构列表加载失败（可能无权限）:', res.message || res.code)
         orgList.value = []
       }
     })
-    .catch(() => {
-      proxy.$modal.msgError('获取卫生机构列表失败')
+    .catch((err) => {
+      // 网络错误或权限拒绝：静默降级
+      console.warn('卫生机构列表加载失败:', err?.message || err)
       orgList.value = []
     })
 }