diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckPackageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckPackageAppServiceImpl.java
index da96306c..d81edbce 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckPackageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckPackageAppServiceImpl.java
@@ -128,7 +128,10 @@ public class CheckPackageAppServiceImpl implements ICheckPackageAppService {
             // 保存套餐明细
             if (checkPackageDto.getItems() != null && !checkPackageDto.getItems().isEmpty()) {
                 List<CheckPackageDetail> details = convertToDetails(checkPackageDto.getItems(), checkPackage.getId(), 1);
-                checkPackageDetailService.saveBatch(details);
+                boolean detailSaveResult = checkPackageDetailService.saveBatch(details);
+                if (!detailSaveResult) {
+                    throw new RuntimeException("保存套餐明细失败");
+                }
             }
 
             return R.ok(checkPackage.getId(), "保存成功");
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
index d84ddf09..757b823f 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java
@@ -413,10 +413,10 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
     /**
      * 格式化安排时间
      */
-    private String formatScheduleDate(LocalDate scheduleDate) {
+    private String formatScheduleDate(LocalDateTime scheduleDate) {
         if (scheduleDate == null) return "";
         
-        // 格式化为 yyyy-MM-dd
-        return scheduleDate.format(java.time.format.DateTimeFormatter.ofPattern("yyyy-MM-dd"));
+        // 格式化为 yyyy-MM-dd HH:mm:ss
+        return scheduleDate.format(java.time.format.DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"));
     }
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
index 5dfc1cba..57eadb8b 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
@@ -45,9 +45,10 @@ public class OpCreateScheduleDto {
     private String postoperativeDiagnosis;
 
     /**
-     * 手术安排日期
+     * 手术安排日期时间
      */
-    private LocalDate scheduleDate;
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private LocalDateTime scheduleDate;
 
     /**
      * 手术台次序号
@@ -82,11 +83,13 @@ public class OpCreateScheduleDto {
     /**
      * 入院时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime admissionTime;
 
     /**
      * 入手术室时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime entryTime;
 
     /**
@@ -167,21 +170,25 @@ public class OpCreateScheduleDto {
     /**
      * 手术开始时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime startTime;
 
     /**
      * 手术结束时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime endTime;
 
     /**
      * 麻醉开始时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime anesStart;
 
     /**
      * 麻醉结束时间
      */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime anesEnd;
 
     /**
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/check/domain/CheckPackageDetail.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/check/domain/CheckPackageDetail.java
index 2e725e8a..8cef7578 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/check/domain/CheckPackageDetail.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/check/domain/CheckPackageDetail.java
@@ -42,6 +42,7 @@ public class CheckPackageDetail {
     private String dose;
 
     /** 途径 */
+    @TableField("\"method\"")
     private String method;
 
     /** 频次 */
@@ -54,6 +55,7 @@ public class CheckPackageDetail {
     private Integer quantity;
 
     /** 单位 */
+    @TableField("\"unit\"")
     private String unit;
 
     /** 单价 */
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
index 84c2a9ce..54599d7b 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
@@ -1,7 +1,6 @@
 package com.openhis.surgicalschedule.domain;
 
 import java.math.BigDecimal;
-import java.time.LocalDate;
 import java.time.LocalDateTime;
 
 import com.baomidou.mybatisplus.annotation.*;
@@ -52,9 +51,10 @@ public class OpSchedule extends HisBaseEntity {
     @TableField(value = "postoperative_diagnosis", insertStrategy = FieldStrategy.IGNORED)
     private String postoperativeDiagnosis;
 
-    /** 手术安排日期 */
-    @DateTimeFormat(pattern = "yyyy-MM-dd")
-    private LocalDate scheduleDate;
+    /** 手术安排日期时间 */
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private LocalDateTime scheduleDate;
 
     /** 手术台次序号 */
     private Integer sequenceNo;
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
index aa7f424b..e45c8343 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
@@ -628,11 +628,11 @@ async function handleSaveDiagnosis() {
     // 开始加载状态，防止重复提交
     saveLoading.value = true;
 
-    // 保存前按排序号排序，并转换日期格式
+    // 保存前按排序号排序，并转换日期格式为ISO字符串
     const diagnosisChildList = form.value.diagnosisList.map(item => ({
       ...item,
-      onsetDate: item.onsetDate ? new Date(item.onsetDate) : null,
-      diagnosisTime: item.diagnosisTime ? new Date(item.diagnosisTime) : null
+      onsetDate: item.onsetDate ? new Date(item.onsetDate).toISOString() : null,
+      diagnosisTime: item.diagnosisTime ? new Date(item.diagnosisTime).toISOString() : null
     }));
 
     // 调用保存诊断接口