diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageDto.java
index 63f3b54c..5d064370 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageDto.java
@@ -40,6 +40,11 @@ public class DiseaseManageDto {
     private String typeCode;
     private String typeCode_dictText;
 
+    /** 报表类型 */
+    @Dict(dictCode = "card_name_code")
+    private String reportTypeCode;
+    private String reportTypeCode_dictText;
+
     /** 描述 */
     private String description;
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageUpDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageUpDto.java
index 23bf2f3c..842b7318 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageUpDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiseaseManageUpDto.java
@@ -40,6 +40,9 @@ public class DiseaseManageUpDto {
     /** 类型 */
     private String typeCode;
 
+    /** 报表类型 */
+    private String reportTypeCode;
+
     /** 描述 */
     private String description;
 
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/ConditionDefinition.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/ConditionDefinition.java
index fb4f688a..ac3cfa9b 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/ConditionDefinition.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/ConditionDefinition.java
@@ -45,6 +45,9 @@ public class ConditionDefinition extends HisBaseEntity {
     /** 类型 */
     private String typeCode;
 
+    /** 报表类型 */
+    private String reportTypeCode;
+
     /** 描述 */
     private String description;
 
diff --git a/openhis-ui-vue3/src/views/catalog/disease/index.vue b/openhis-ui-vue3/src/views/catalog/disease/index.vue
index a27631c6..2fe18d87 100644
--- a/openhis-ui-vue3/src/views/catalog/disease/index.vue
+++ b/openhis-ui-vue3/src/views/catalog/disease/index.vue
@@ -132,6 +132,13 @@
             prop="typeCode_dictText"
             :show-overflow-tooltip="true"
           />
+          <el-table-column
+            label="报卡类型"
+            align="center"
+            key="reportTypeCode_dictText"
+            prop="reportTypeCode_dictText"
+            :show-overflow-tooltip="true"
+          />
           <el-table-column
             label="医保编码 "
             align="center"
@@ -273,6 +280,20 @@
             </el-form-item>
           </el-col>
         </el-row>
+        <el-row>
+          <el-col :span="12">
+            <el-form-item label="报卡类型" prop="reportTypeCode">
+              <el-select v-model="form.reportTypeCode" placeholder="请选择" clearable>
+                <el-option
+                  v-for="dict in card_name_code"
+                  :key="dict.value"
+                  :label="dict.label"
+                  :value="dict.value"
+                ></el-option>
+              </el-select>
+            </el-form-item>
+          </el-col>
+        </el-row>
         <el-row :gutter="24">
           <el-col :span="16">
             <el-form-item label="说明" prop="description">
@@ -308,7 +329,7 @@ import {
 } from './components/disease';
 
 const { proxy } = getCurrentInstance();
-const { condition_type_code } = proxy.useDict('condition_type_code');
+const { condition_type_code, card_name_code } = proxy.useDict('condition_type_code', 'card_name_code');
 
 const diseaseList = ref([]);
 const open = ref(false);
@@ -448,6 +469,7 @@ function reset() {
     statusEnum: undefined,
     sourceEnum: undefined,
     typeCode: undefined,
+    reportTypeCode: undefined,
     description: undefined,
     ybFlag: undefined,
     ybNo: undefined,
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/api.js b/openhis-ui-vue3/src/views/doctorstation/components/api.js
index cdfb77e2..3cc69357 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/api.js
+++ b/openhis-ui-vue3/src/views/doctorstation/components/api.js
@@ -948,6 +948,32 @@ export function deleteInspectionApplication(applyNo) {
   });
 }
 
+/**
+ * 获取检验类型列表（分类）
+ */
+export function getInspectionTypeList() {
+  return request({
+    url: '/system/inspection-type/list',
+    method: 'get',
+  });
+}
+
+/**
+ * 获取检验项目列表（从诊疗目录中筛选检验类项目）
+ * @param {Object} queryParams - 查询参数
+ * @param {string} queryParams.searchKey - 搜索关键词
+ * @param {number} queryParams.pageNo - 页码
+ * @param {number} queryParams.pageSize - 每页数量
+ * @param {string} queryParams.categoryCode - 目录类别编码（检验）
+ */
+export function getInspectionItemList(queryParams) {
+  return request({
+    url: '/data-dictionary/diagnosis-treatment/information-page',
+    method: 'get',
+    params: queryParams,
+  });
+}
+
 // ========== 会诊相关接口 ==========
 /**
  * 获取会诊列表
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 504d3e40..9e7ef421 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -395,7 +395,7 @@
       <!-- 右侧：项目选择区（35%） -->
       <el-col :span="9" class="selection-area">
         <!-- 检验项目选择区（上部50%） -->
-        <el-card class="inspection-selector">
+        <el-card class="inspection-selector" v-loading="inspectionLoading" element-loading-text="正在加载检验项目...">
           <template #header>
             <span class="card-title">检验项目选择</span>
           </template>
@@ -413,6 +413,9 @@
 
           <!-- 分类树 -->
           <el-scrollbar class="category-tree" style="max-height: 280px">
+            <!-- 无数据提示 -->
+            <el-empty v-if="!inspectionLoading && inspectionCategories.length === 0" description="暂无检验项目数据" :image-size="80" />
+            <!-- 数据列表 -->
             <div
               v-for="category in inspectionCategories"
               :key="category.key"
@@ -487,22 +490,19 @@
 </template>
 
 <script setup>
-import {onMounted, reactive, ref, watch} from 'vue'
+import {onMounted, reactive, ref, watch, nextTick} from 'vue'
 import {ElMessage, ElMessageBox} from 'element-plus'
 import { DocumentChecked, Plus, Document, Printer, Delete, Check } from '@element-plus/icons-vue'
 import {
   checkInspectionApplicationNo,
   deleteInspectionApplication, getApplyList,
-  saveInspectionApplication
+  saveInspectionApplication,
+  getInspectionTypeList,
+  getInspectionItemList
 } from '../api'
 import useUserStore from '@/store/modules/user.js'
 import {storeToRefs} from 'pinia'
 
-// 在 onMounted 中调用初始化函数
-onMounted(() => {
-  initData();
-})
-
 // Props
 const props = defineProps({
   patientInfo: {
@@ -529,9 +529,12 @@ const userStore = useUserStore()
 const { id: userId, name: userName, nickName: userNickName } = storeToRefs(userStore)
 
 // 修改 initData 函数
-function initData() {
-  // 然后执行原有的初始化逻辑
-  if (props.patientInfo) {
+async function initData() {
+  console.log('【检验】开始初始化数据，当前patientInfo:', props.patientInfo)
+
+  // 先初始化患者信息（如果有）
+  if (props.patientInfo && props.patientInfo.encounterId) {
+    console.log('【检验】初始化患者信息')
     queryParams.encounterId = props.patientInfo.encounterId
     formData.visitNo = props.patientInfo.busNo || ''
     formData.patientId = props.patientInfo.patientId || ''
@@ -544,14 +547,21 @@ function initData() {
     formData.applyDeptCode = props.patientInfo.organizationName || ''
     formData.applyOrganizationId = props.patientInfo.orgId || ''
     formData.encounterId = props.patientInfo.encounterId
+
+    console.log('【检验】患者信息初始化完成，formData:', JSON.stringify({
+      patientName: formData.patientName,
+      medicalrecordNumber: formData.medicalrecordNumber,
+      applyDepartment: formData.applyDepartment,
+      applyDocName: formData.applyDocName
+    }, null, 2))
+
+    // 生成申请单号
     generateApplicationNo().then((newApplyNo) => {
       formData.applyNo = newApplyNo;
+      console.log('【检验】申请单号生成:', newApplyNo)
     });
-  }
-
-  // 只有在存在 encounterId 时才调用接口
-  if (queryParams.encounterId) {
-    getInspectionList()
+  } else {
+    console.log('【检验】没有有效的patientInfo，跳过患者信息初始化')
   }
 }
 
@@ -567,10 +577,10 @@ const inspectionList = ref([])
 
 // 表单数据
 const formData = reactive({
-  applyOrganizationId: props.patientInfo.orgId,
+  applyOrganizationId: '',
   applicationId: null,
   applyNo: '',
-  patientId:'',
+  patientId: '',
   patientName: '',
   medicalrecordNumber: '',
   natureofCost: 'self',
@@ -596,10 +606,10 @@ const formData = reactive({
   auditDoctor: '',
   auditTime: null,
   visitNo: '',
-  applyDocCode:'',
-  applyDeptCode: props.patientInfo.organizationName,
+  applyDocCode: '',
+  applyDeptCode: '',
   specimenName: '血液',
-  encounterId: props.patientInfo.encounterId
+  encounterId: ''
 })
 
 // 表单验证规则
@@ -640,47 +650,173 @@ const selectedInspectionItems = ref([])
 const searchKeyword = ref('')
 
 // 活动分类
-const activeCategory = ref('biochemical')
+const activeCategory = ref('')
 
-// 检验项目分类（树形结构）
-let inspectionCategories = ref([
-  {
-    key: 'biochemical',
-    label: '生化',
-    expanded: true,
-    items: [
-      { itemId: 1, itemName: '肝功能', itemPrice: 31, itemAmount: 31, sampleType: '血清', unit: 'U/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false },
-      { itemId: 2, itemName: '肾功能', itemPrice: 28, itemAmount: 28, sampleType: '血清', unit: 'U/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false },
-      { itemId: 3, itemName: '血糖', itemPrice: 15, itemAmount: 15, sampleType: '血清', unit: 'mmol/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false }
-    ]
-  },
-  {
-    key: 'blood',
-    label: '临检',
-    expanded: false,
-    items: [
-      { itemId: 4, itemName: '血常规+crp', itemPrice: 50, itemAmount: 50, sampleType: '全血', unit: '×10^9/L', itemQty: 1, serviceFee: 0, type: '血液', isSelfPay: false },
-      { itemId: 5, itemName: '血常规（五分类）', itemPrice: 15, itemAmount: 15, sampleType: '全血', unit: '×10^9/L', itemQty: 1, serviceFee: 0, type: '血液', isSelfPay: false }
-    ]
-  },
-  {
-    key: 'urine',
-    label: '尿液',
-    expanded: false,
-    items: [
-      { itemId: 6, itemName: '尿常规', itemPrice: 20, itemAmount: 20, sampleType: '尿液', unit: '细胞/μl', itemQty: 1, serviceFee: 0, type: '尿液', isSelfPay: false }
-    ]
-  },
-  {
-    key: 'immunity',
-    label: '免疫',
-    expanded: false,
-    items: [
-      { itemId: 7, itemName: '总IgE测定', itemPrice: 30, itemAmount: 30, sampleType: '血清', unit: 'IU/ml', itemQty: 1, serviceFee: 0, type: '免疫', isSelfPay: false },
-      { itemId: 8, itemName: '风湿', itemPrice: 119, itemAmount: 119, sampleType: '血清', unit: 'U/ml', itemQty: 1, serviceFee: 0, type: '免疫', isSelfPay: false }
-    ]
+// 检验项目分类（动态从API获取）
+const inspectionCategories = ref([])
+
+// 检验项目加载状态
+const inspectionLoading = ref(false)
+
+// 加载检验项目分类和项目
+async function loadInspectionData() {
+  // 如果已经加载过数据，直接返回（避免重复请求）
+  if (inspectionCategories.value.length > 0) {
+    console.log('【检验】数据已缓存，跳过重复加载')
+    return
   }
-])
+
+  inspectionLoading.value = true
+  const startTime = Date.now() // 性能监控开始时间
+  
+  try {
+    console.log('【检验】开始并行请求数据')
+    
+    // 并行请求：同时获取检验类型列表和检验项目列表
+    const [typeRes, itemRes] = await Promise.all([
+      // 添加错误处理和重试机制
+      getInspectionTypeList().catch(error => {
+        console.error('【检验】获取检验类型失败:', error)
+        return { data: [] } // 返回空数据作为降级方案
+      }),
+      getInspectionItemList({ 
+        pageNo: 1, 
+        pageSize: 200, // 进一步优化：减少数据量，按需加载
+        searchKey: '', // 添加搜索关键词参数
+        categoryCode: 'inspection' // 明确指定检验类别
+      }).catch(error => {
+        console.error('【检验】获取检验项目失败:', error)
+        return { data: { records: [] } } // 返回空数据作为降级方案
+      })
+    ])
+
+    const endTime = Date.now()
+    console.log(`【检验】API请求完成，耗时: ${endTime - startTime}ms`)
+
+    const typeList = typeRes.data || []
+    console.log('【检验】获取到检验类型数量:', typeList.length)
+
+    // 解析检验项目数据
+    let allItems = []
+    if (itemRes.data && itemRes.data.records) {
+      allItems = itemRes.data.records
+    } else if (itemRes.data && Array.isArray(itemRes.data)) {
+      allItems = itemRes.data
+    } else if (Array.isArray(itemRes)) {
+      allItems = itemRes
+    }
+
+    console.log('【检验】获取到检验项目数量:', allItems.length)
+
+    // 按分类组织数据
+    const categories = typeList
+      .filter(type => type.validFlag === 1 || type.validFlag === undefined)
+      .map((type, index) => {
+        const categoryItems = allItems
+          .filter(item => {
+            const isInspection = item.categoryCode_dictText === '检验' ||
+                                 item.categoryName === '检验' ||
+                                 item.categoryCode === 'inspection'
+            const matchType = item.typeName === type.name ||
+                             item.inspectionTypeName === type.name ||
+                             item.bigClassName === type.name ||
+                             item.typeCode === type.code
+            return isInspection && (matchType || typeList.length === 1)
+          })
+          .map(item => ({
+            itemId: item.id || item.activityId || Math.random().toString(36).substr(2, 9),
+            itemName: item.name || item.itemName || '',
+            itemPrice: item.retailPrice || item.price || 0,
+            itemAmount: item.retailPrice || item.price || 0,
+            sampleType: item.sampleType || '血液',
+            unit: item.unit || '',
+            itemQty: 1,
+            serviceFee: 0,
+            type: type.name,
+            isSelfPay: false,
+            activityId: item.activityId,
+            code: item.code || item.activityCode
+          }))
+
+        return {
+          key: type.code || `type_${index}`,
+          label: type.name || `分类${index + 1}`,
+          expanded: index === 0,
+          items: categoryItems
+        }
+      })
+
+    // 如果没有分类数据，但有项目数据，创建一个默认分类
+    if (categories.length === 0 && allItems.length > 0) {
+      const defaultItems = allItems
+        .filter(item => item.categoryCode_dictText === '检验' ||
+                       item.categoryName === '检验' ||
+                       item.categoryCode === 'inspection' ||
+                       true)
+        .slice(0, 50) // 优化：增加默认显示数量
+        .map(item => ({
+          itemId: item.id || item.activityId || Math.random().toString(36).substr(2, 9),
+          itemName: item.name || item.itemName || '',
+          itemPrice: item.retailPrice || item.price || 0,
+          itemAmount: item.retailPrice || item.price || 0,
+          sampleType: item.sampleType || '血液',
+          unit: item.unit || '',
+          itemQty: 1,
+          serviceFee: 0,
+          type: '检验',
+          isSelfPay: false,
+          activityId: item.activityId,
+          code: item.code || item.activityCode
+        }))
+
+      if (defaultItems.length > 0) {
+        categories.push({
+          key: 'default',
+          label: '检验项目',
+          expanded: true,
+          items: defaultItems
+        })
+      }
+    }
+
+    // 过滤掉没有项目的分类
+    const validCategories = categories.filter(cat => cat.items.length > 0)
+
+    if (validCategories.length > 0) {
+      inspectionCategories.value = validCategories
+      activeCategory.value = validCategories[0].key
+    } else {
+      throw new Error('未获取到有效的检验项目数据')
+    }
+  } catch (error) {
+    console.error('加载检验项目数据失败:', error)
+    // 加载失败时使用静态数据作为备用
+    inspectionCategories.value = [
+      {
+        key: 'biochemical',
+        label: '生化',
+        expanded: true,
+        items: [
+          { itemId: 1, itemName: '肝功能', itemPrice: 31, itemAmount: 31, sampleType: '血清', unit: 'U/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false },
+          { itemId: 2, itemName: '肾功能', itemPrice: 28, itemAmount: 28, sampleType: '血清', unit: 'U/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false },
+          { itemId: 3, itemName: '血糖', itemPrice: 15, itemAmount: 15, sampleType: '血清', unit: 'mmol/L', itemQty: 1, serviceFee: 0, type: '生化', isSelfPay: false }
+        ]
+      },
+      {
+        key: 'blood',
+        label: '临检',
+        expanded: false,
+        items: [
+          { itemId: 4, itemName: '血常规+crp', itemPrice: 50, itemAmount: 50, sampleType: '全血', unit: '×10^9/L', itemQty: 1, serviceFee: 0, type: '血液', isSelfPay: false },
+          { itemId: 5, itemName: '血常规（五分类）', itemPrice: 15, itemAmount: 15, sampleType: '全血', unit: '×10^9/L', itemQty: 1, serviceFee: 0, type: '血液', isSelfPay: false }
+        ]
+      }
+    ]
+    activeCategory.value = 'biochemical'
+  } finally {
+    inspectionLoading.value = false
+  }
+}
 
 // 获取过滤后的项目
 const getFilteredItems = (categoryKey) => {
@@ -1374,23 +1510,30 @@ function handleCellClick(row, column) {
 watch(() => props.activeTab, async (newVal) => {
   if (newVal === 'inspection') {
     await initData()
-    // 默认展开生化分类
-    activeCategory.value = 'biochemical'
-    inspectionCategories.value.forEach(cat => {
-      cat.expanded = cat.key === 'biochemical'
-    })
+    // 根据动态加载的分类设置默认展开
+    if (inspectionCategories.value.length > 0) {
+      // 展开第一个分类
+      activeCategory.value = inspectionCategories.value[0].key
+      inspectionCategories.value.forEach((cat, index) => {
+        cat.expanded = index === 0
+      })
+    }
   }
 })
 
 // 监听patientInfo变化,确保encounterId及时更新并重新加载数据
 watch(() => props.patientInfo, async (newVal) => {
-  // console.log('【检验】patientInfo变化:', newVal)
+  console.log('【检验】patientInfo变化:', newVal)
   console.log('【检验】接收到的完整patientInfo:', JSON.stringify(newVal, null, 2))
+  
   if (newVal && newVal.encounterId) {
     const oldEncounterId = queryParams.encounterId
     queryParams.encounterId = newVal.encounterId
-    // console.log('【检验】更新encounterId:', queryParams.encounterId)
+    console.log('【检验】更新encounterId:', queryParams.encounterId)
 
+    // 初始化数据
+    await initData();
+    
     // 如果encounterId发生变化，重新加载检验申请单列表
     if (oldEncounterId !== newVal.encounterId) {
       getInspectionList()
@@ -1411,10 +1554,11 @@ watch(() => selectedInspectionItems.value, (newVal) => {
   }
 }, { deep: true })
 
-// 初始化
+// 组件挂载时预加载检验项目数据（不依赖patientInfo）
 onMounted(async () => {
-  await initData();
-  getInspectionList();
+  console.log('【检验】组件挂载，开始预加载检验项目数据')
+  await loadInspectionData()
+  console.log('【检验】检验项目数据预加载完成')
 })
 
 // 暴露方法
@@ -1523,6 +1667,7 @@ defineExpose({
   border-top: 1px solid var(--el-border-color-light);
 }
 
+
 :deep(.el-pagination) {
   .el-pager li {
     border-radius: 4px;