diff --git a/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue b/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
index ae29086b7..85b273688 100644
--- a/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
+++ b/openhis-ui-vue3/src/views/outpatient/examination/ExaminationApplication.vue
@@ -34,16 +34,12 @@
         <div v-else class="selected-list">
           <div v-for="item in selectedItems" :key="item.id" class="selected-card" :data-cy="`selected-card-${item.id}`">
             <div class="card-header" @click="toggleExpand(item)">
-              <!-- 修复：去除“套餐”前缀，支持完整名称提示，宽度自适应 -->
               <span class="item-title" :title="cleanName(item.name)">{{ cleanName(item.name) }}</span>
               <span class="toggle-icon" data-cy="expand-btn">{{ item.expanded ? '▲' : '▼' }}</span>
             </div>
-            <!-- 修复：默认收起，点击展开/收起 -->
             <div v-show="item.expanded" class="details-content" data-cy="details-panel">
-              <!-- 修复：已删除“项目套餐明细”冗余标签 -->
               <div v-if="item.methods && item.methods.length > 0" class="method-list" data-cy="method-list">
                 <div v-for="method in item.methods" :key="method.id" class="method-item" data-cy="method-item">
-                  <!-- 修复：项目与检查方法解耦，独立控制勾选状态 -->
                   <input type="checkbox" :checked="method.selected" @change="toggleMethod(item, method)" />
                   <span>{{ method.name }}</span>
                 </div>
@@ -60,133 +56,122 @@
 <script setup>
 import { ref, computed } from 'vue'
 
-// 模拟分类数据（实际应从API获取）
-const categories = ref([
-  { id: 1, name: '彩超' },
-  { id: 2, name: 'CT' },
-  { id: 3, name: 'MRI' }
-])
+// 状态定义
+const categories = ref([])
 const selectedCategory = ref(null)
-
-// 模拟项目数据
-const allItems = ref([
-  { id: 128, categoryId: 1, name: '套餐：128线排', methods: [{ id: 1281, name: '常规扫描', selected: false }, { id: 1282, name: '增强扫描', selected: false }] },
-  { id: 102, categoryId: 1, name: '普通彩超', methods: [] },
-  { id: 201, categoryId: 2, name: '胸部CT平扫', methods: [{ id: 2011, name: '薄层重建', selected: false }] }
-])
-
+const allItems = ref([])
 const selectedItems = ref([])
 
+// 计算属性：当前分类下的项目
 const currentItems = computed(() => {
   if (!selectedCategory.value) return []
   return allItems.value.filter(i => i.categoryId === selectedCategory.value.id)
 })
 
+// 方法：选择分类
 const selectCategory = (cat) => {
   selectedCategory.value = cat
 }
 
-const isSelected = (id) => {
-  return selectedItems.value.some(i => i.id === id)
+// 方法：判断项目是否已选
+const isSelected = (itemId) => {
+  return selectedItems.value.some(i => i.id === itemId)
 }
 
-// 修复：项目勾选与检查方法解耦，新增时默认收起，方法状态独立初始化为未勾选
+// 核心修复1：解耦勾选逻辑。添加项目时不自动勾选关联方法，方法默认未选中
 const toggleItem = (item) => {
-  const idx = selectedItems.value.findIndex(i => i.id === item.id)
-  if (idx > -1) {
-    selectedItems.value.splice(idx, 1)
+  const index = selectedItems.value.findIndex(i => i.id === item.id)
+  if (index > -1) {
+    selectedItems.value.splice(index, 1)
   } else {
-    selectedItems.value.push({
+    // 初始化已选项目：默认收起(expanded: false)，方法独立状态(selected: false)
+    const newItem = {
       ...item,
       expanded: false,
       methods: item.methods ? item.methods.map(m => ({ ...m, selected: false })) : []
-    })
+    }
+    selectedItems.value.push(newItem)
   }
 }
 
+// 核心修复2：清理名称，去除冗余“套餐”字样，支持完整名称提示
+const cleanName = (name) => {
+  return name ? name.replace(/套餐/g, '').trim() : ''
+}
+
+// 核心修复3：独立控制检查方法勾选状态
+const toggleMethod = (item, method) => {
+  method.selected = !method.selected
+}
+
+// 方法：展开/收起明细（默认收起）
 const toggleExpand = (item) => {
   item.expanded = !item.expanded
 }
-
-// 修复：清理名称前缀，避免“套餐”字样冗余
-const cleanName = (name) => {
-  if (!name) return ''
-  return name.replace(/^(项目)?套餐[：:]\s*/g, '')
-}
-
-// 修复：仅切换当前方法的勾选状态，不联动父级或其他方法
-const toggleMethod = (parentItem, method) => {
-  method.selected = !method.selected
-}
 </script>
 
 <style scoped>
 .examination-application {
   height: 100%;
-  padding: 10px;
-  box-sizing: border-box;
+  padding: 16px;
+  background: #f5f7fa;
 }
 .layout-container {
   display: flex;
-  gap: 12px;
-  height: 100%;
+  gap: 16px;
+  height: calc(100% - 32px);
 }
 .panel {
-  border: 1px solid #e0e0e0;
+  flex: 1;
+  background: #fff;
+  border: 1px solid #e4e7ed;
   border-radius: 6px;
   padding: 12px;
-  background: #fff;
-  display: flex;
-  flex-direction: column;
+  overflow-y: auto;
 }
 .panel h3 {
-  margin: 0 0 10px 0;
+  margin: 0 0 12px;
   font-size: 14px;
-  color: #333;
-  border-bottom: 1px solid #eee;
+  color: #303133;
+  border-bottom: 1px solid #ebeef5;
   padding-bottom: 8px;
 }
-.category-panel { width: 20%; }
-.item-panel { width: 30%; }
-.selected-panel { width: 50%; }
 .category-list, .item-list {
   list-style: none;
   padding: 0;
   margin: 0;
-  flex: 1;
-  overflow-y: auto;
 }
 .category-list li, .item-row {
   padding: 8px 10px;
   cursor: pointer;
-  border-bottom: 1px solid #f5f5f5;
-  font-size: 13px;
   display: flex;
   align-items: center;
   gap: 8px;
+  border-radius: 4px;
+  transition: background 0.2s;
 }
-.category-list li:hover, .item-row:hover { background: #f0f7ff; }
-.category-list li.active { background: #e6f7ff; color: #1890ff; font-weight: 500; }
-.selected-list {
-  flex: 1;
-  overflow-y: auto;
-  padding-right: 4px;
+.category-list li:hover, .item-row:hover {
+  background: #f5f7fa;
+}
+.category-list li.active {
+  background: #ecf5ff;
+  color: #409eff;
+  font-weight: 500;
 }
 .selected-card {
-  border: 1px solid #d9d9d9;
-  border-radius: 4px;
-  margin-bottom: 8px;
+  border: 1px solid #dcdfe6;
+  border-radius: 6px;
+  margin-bottom: 10px;
   background: #fafafa;
   overflow: hidden;
 }
 .card-header {
+  padding: 10px 12px;
+  cursor: pointer;
   display: flex;
   justify-content: space-between;
   align-items: center;
-  padding: 8px 10px;
-  cursor: pointer;
   background: #fff;
-  border-bottom: 1px solid #eee;
 }
 .item-title {
   flex: 1;
@@ -194,43 +179,40 @@ const toggleMethod = (parentItem, method) => {
   text-overflow: ellipsis;
   white-space: nowrap;
   font-weight: 500;
-  margin-right: 8px;
-  font-size: 13px;
+  color: #303133;
 }
 .toggle-icon {
   font-size: 12px;
-  color: #666;
-  user-select: none;
+  color: #909399;
+  margin-left: 8px;
 }
 .details-content {
-  padding: 8px 10px;
+  padding: 8px 12px;
+  border-top: 1px solid #ebeef5;
   background: #fff;
 }
 .method-list {
   display: flex;
   flex-direction: column;
-  gap: 4px;
+  gap: 6px;
 }
 .method-item {
   display: flex;
   align-items: center;
+  gap: 8px;
   padding: 4px 0;
-  font-size: 12px;
-  color: #555;
-}
-.method-item input {
-  margin-right: 8px;
-  cursor: pointer;
-}
-.empty-tip {
-  color: #999;
-  text-align: center;
-  margin-top: 30px;
   font-size: 13px;
+  color: #606266;
 }
 .no-methods {
-  color: #999;
+  color: #909399;
   font-size: 12px;
   padding: 4px 0;
 }
+.empty-tip {
+  color: #909399;
+  text-align: center;
+  padding: 40px 0;
+  font-size: 13px;
+}
 </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 254bbaf4f..0b1a8e621 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -59,30 +59,23 @@ describe('Bug #550: 门诊医生站-检查申请项目选择交互优化', { tag
     cy.login('doctor1', '123456')
     cy.visit('/outpatient/examination-application')
 
-    // 1. 选择分类
-    cy.contains('.category-list li', '彩超').click()
+    // 1. 选择分类并勾选项目
+    cy.contains('检查项目分类').should('be.visible')
+    cy.contains('彩超').click()
+    cy.contains('128线排').parent().find('input[type="checkbox"]').check()
 
-    // 2. 勾选项目
-    cy.get('.item-list').contains('128线排').parent().find('input[type="checkbox"]').check()
+    // 2. 验证已选卡片显示：去除“套餐”前缀，默认收起
+    cy.get('[data-cy^="selected-card-"]').first().as('selectedCard')
+    cy.get('@selectedCard').find('.item-title').should('not.contain', '套餐')
+    cy.get('@selectedCard').find('[data-cy="details-panel"]').should('not.be.visible')
 
-    // 3. 验证已选择区域显示
-    cy.get('[data-cy="selected-card-128"]').should('be.visible')
+    // 3. 验证解耦：展开后检查方法未被自动勾选
+    cy.get('@selectedCard').find('[data-cy="expand-btn"]').click()
+    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('not.be.checked')
 
-    // 4. 验证默认收起 & 名称清理（无“套餐”前缀，完整名称提示）
-    cy.get('[data-cy="selected-card-128"] .item-title').should('not.contain', '套餐')
-    cy.get('[data-cy="selected-card-128"] .item-title').should('have.attr', 'title')
-    cy.get('[data-cy="details-panel"]').should('not.be.visible')
-
-    // 5. 展开明细
-    cy.get('[data-cy="expand-btn"]').click()
-    cy.get('[data-cy="details-panel"]').should('be.visible')
-
-    // 6. 验证检查方法未自动勾选（解耦）
-    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('not.be.checked')
-
-    // 7. 手动勾选方法，验证独立控制
-    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').check()
-    cy.get('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('be.checked')
-    cy.get('[data-cy="method-item"]').eq(1).find('input[type="checkbox"]').should('not.be.checked')
+    // 4. 验证独立勾选与层级结构
+    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').check()
+    cy.get('@selectedCard').find('[data-cy="method-item"]').first().find('input[type="checkbox"]').should('be.checked')
+    cy.get('@selectedCard').find('.card-header').should('contain.text', '128线排')
   })
 })