bug 349 350 351 354 356 357

openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/DoctorScheduleAppServiceImpl.java

@@ -134,7 +134,7 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
 
             if (poolSaved) {
                 // 创建号源槽
-                List<ScheduleSlot> slots = createScheduleSlots(pool.getId().intValue(), newSchedule.getLimitNumber(),
+                List<ScheduleSlot> slots = createScheduleSlots(pool.getId(), newSchedule.getLimitNumber(),
                         newSchedule.getStartTime(), newSchedule.getEndTime());
                 boolean slotsSaved = scheduleSlotService.saveBatch(slots);
 
@@ -224,7 +224,7 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
 
             if (poolSaved) {
                 // 创建号源槽
-                List<ScheduleSlot> slots = createScheduleSlots(pool.getId().intValue(), newSchedule.getLimitNumber(),
+                List<ScheduleSlot> slots = createScheduleSlots(pool.getId(), newSchedule.getLimitNumber(),
                         newSchedule.getStartTime(), newSchedule.getEndTime());
                 boolean slotsSaved = scheduleSlotService.saveBatch(slots);
 
@@ -384,7 +384,7 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
     /**
      * 创建号源槽
      */
-    private List<ScheduleSlot> createScheduleSlots(Integer poolId, Integer limitNumber, LocalTime startTime,
+    private List<ScheduleSlot> createScheduleSlots(Long poolId, Integer limitNumber, LocalTime startTime,
             LocalTime endTime) {
         List<ScheduleSlot> slots = new ArrayList<>();
 
@@ -514,7 +514,7 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
                             .in("pool_id", poolIds));
 
             if (ObjectUtil.isNotEmpty(slots)) {
-                List<Integer> slotIds = slots.stream().map(ScheduleSlot::getId)
+                List<Long> slotIds = slots.stream().map(ScheduleSlot::getId)
                         .collect(java.util.stream.Collectors.toList());
                 // 3. 逻辑删除所有号源槽
                 scheduleSlotService.removeByIds(slotIds);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java

@@ -581,8 +581,33 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                     .collect(Collectors.groupingBy(Practitioner::getOrgId));
 
             // 构建树形结构
+            // 过滤条件：科室分类只要包含"门诊(编码1)"或"住院(编码2)"其一，即可显示
             List<DepartmentTreeDto> treeList = new ArrayList<>();
             for (Organization dept : deptList) {
+                // 过滤科室：只显示包含门诊(1)或住院(2)分类的科室
+                String classEnum = dept.getClassEnum();
+                boolean needShow = false;
+
+                if (classEnum != null && !classEnum.isEmpty()) {
+                    // 拆分分类编码，检查是否包含 1 或 2
+                    String[] codes = classEnum.split(",");
+                    for (String code : codes) {
+                        code = code.trim();
+                        if ("1".equals(code) || "2".equals(code)) {
+                            needShow = true;
+                            break;
+                        }
+                    }
+                } else {
+                    // 如果没有分类，默认显示
+                    needShow = true;
+                }
+
+                if (!needShow) {
+                    // 既不包含门诊也不包含住院，跳过
+                    continue;
+                }
+
                 DepartmentTreeDto treeDto = new DepartmentTreeDto();
                 treeDto.setId(dept.getId());
                 treeDto.setLabel(dept.getName());
@@ -599,11 +624,10 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                             })
                             .collect(Collectors.toList());
                     treeDto.setChildren(children);
-                } else {
+                    // 只添加有医生的科室
-                    treeDto.setChildren(new ArrayList<>());
+                    treeList.add(treeDto);
                 }
-
+                // 没有医生的科室不添加到列表中
-                treeList.add(treeDto);
             }
 
 
@@ -1340,9 +1364,13 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 throw new IllegalArgumentException("会诊申请不存在");
             }
 
-            // 只有已提交状态才能确认
+            // 会诊必须处于已提交或已确认状态才能确认
-            if (request.getConsultationStatus() != ConsultationStatusEnum.SUBMITTED.getCode()) {
+            // - 已提交(10)：还没有医生确认
-                throw new IllegalArgumentException("只有已提交状态的会诊申请才能确认");
+            // - 已确认(20)：已有部分医生确认，允许其他医生继续确认（每个医生独立确认，类似已读）
+            // - 已签名(30)或已完成(40)：不能再确认
+            if (request.getConsultationStatus() != null &&
+                request.getConsultationStatus() >= ConsultationStatusEnum.SIGNED.getCode()) {
+                throw new IllegalArgumentException("会诊已签名或完成，无法再确认");
             }
 
             // 2. 获取当前登录医生信息
@@ -1360,26 +1388,20 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 throw new IllegalArgumentException("您不在被邀请的医生列表中");
             }
 
+            log.info("会诊确认检查：currentPhysicianId={}, invitedId={}, invitedStatus={}, CONFIRMED.code={}",
+                    currentPhysicianId, invited.getId(), invited.getInvitedStatus(), ConsultationStatusEnum.CONFIRMED.getCode());
             if (invited.getInvitedStatus() != null && invited.getInvitedStatus() >= ConsultationStatusEnum.CONFIRMED.getCode()) {
                 throw new IllegalArgumentException("您已经确认过了，无需重复确认");
             }
 
             // 4. 更新邀请记录（存储会诊意见）
-            // 格式：科室-会诊确认参加医师：意见内容
+            // 直接存储用户输入的原始意见内容，不添加医师姓名前缀
-            // 兼容：若前端未填写“会诊确认参加医师”，则回退为当前医生姓名
-            String confirmingPhysicianText =
-                StringUtils.hasText(dto.getConfirmingPhysician()) ? dto.getConfirmingPhysician().trim() : currentPhysicianName;
-            String formattedOpinion = String.format("%s-%s：%s",
-                currentDeptName,
-                confirmingPhysicianText,
-                dto.getConsultationOpinion());
-            
             invited.setInvitedStatus(ConsultationStatusEnum.CONFIRMED.getCode()); // 已确认
-            invited.setConfirmOpinion(formattedOpinion);
+            invited.setConfirmOpinion(dto.getConsultationOpinion());  // 直接存储原始意见，不添加前缀
             invited.setConfirmTime(new Date());
             consultationInvitedMapper.updateById(invited);
 
-            log.info("医生 {} 确认会诊，意见：{}", currentPhysicianName, formattedOpinion);
+            log.info("医生 {} 确认会诊", currentPhysicianName);
 
             // 5. 更新会诊申请的确认计数
             Integer confirmedCount = (request.getConfirmedCount() == null ? 0 : request.getConfirmedCount()) + 1;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -599,27 +599,40 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
             
-            // 药品（前端adviceType=1）
+            // 药品（前端adviceType=1=西药, 2=中成药 → 都属于药品后端分类）
             List<AdviceSaveDto> medicineList = adviceSaveList.stream()
                     .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())
-                            || e.getAdviceType() == 1).collect(Collectors.toList());
+                            || e.getAdviceType() == 1
+                            || e.getAdviceType() == 2) // 前端中成药类型值为2 → 也属于药品分类
+                    .collect(Collectors.toList());
             // 耗材（前端adviceType=4，后端ItemType.DEVICE=2）
             List<AdviceSaveDto> deviceList = adviceSaveList.stream()
                     .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType())
                             || e.getAdviceType() == 4) // 前端耗材类型值为4
                     .collect(Collectors.toList());
 
-            // 诊疗活动（前端adviceType=3诊疗、adviceType=5会诊、adviceType=6手术）
+            // 诊疗活动（前端adviceType=3诊疗、adviceType=5会诊、adviceType=6手术、adviceType=23检查 → 都属于诊疗后端分类）
             List<AdviceSaveDto> activityList = adviceSaveList.stream()
                     .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
                             || e.getAdviceType() == 3  // 前端诊疗类型值为3
                             || e.getAdviceType() == 5   // 前端会诊类型值为5
-                            || ItemType.SURGERY.getValue().equals(e.getAdviceType())) // 🔧 BugFix#318: 手术类型值为6
+                            || e.getAdviceType() == 6   // 前端手术类型值为6
+                            || e.getAdviceType() == 23  // 前端检查类型值为23
+                            || ItemType.SURGERY.getValue().equals(e.getAdviceType())) // 后端手术类型值为6
                     .collect(Collectors.toList());
             
-            // 🔍 Debug日志: 记录分类结果
+            // 🔍 Debug日志日志: 记录分类结果
             log.info("BugFix#219: 医嘱分类完成 - 药品:{}, 耗材:{}, 诊疗:{}",
                     medicineList.size(), deviceList.size(), activityList.size());
+            // 🔍 Debug日志: 打印所有医嘱的adviceType
+            for (AdviceSaveDto dto : adviceSaveList) {
+                log.info("BugFix#219: 医嘱详情 - adviceType:{}, requestId:{}, adviceName:{}, dbOpType:{}",
+                        dto.getAdviceType(), dto.getRequestId(),
+                        dto.getContentJson() != null && dto.getContentJson().contains("adviceName")
+                                ? dto.getContentJson().substring(0, Math.min(100, dto.getContentJson().length()))
+                                : "N/A",
+                        dto.getDbOpType());
+            }
             
             // 统计各类删除操作
             long medDeleteCount = medicineList.stream().filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).count();
@@ -679,15 +692,110 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
             // 签发时,把草稿状态的账单更新为待收费
             if (AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType) && !adviceSaveList.isEmpty()) {
-                // 签发的医嘱id集合
+                // 签发的医嘱id集合 - 收集所有需要签发的医嘱ID
                 List<Long> requestIds = adviceSaveList.stream()
                         .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()) && e.getRequestId() != null)
                         .collect(Collectors.toList()).stream().map(AdviceSaveDto::getRequestId)
                         .collect(Collectors.toList());
+
+                // 🔧 BugFix: 批量更新药品请求状态为已签发(ACTIVE=2)
+                if (!requestIds.isEmpty() && !medicineList.isEmpty()) {
+                    List<Long> medicineIds = medicineList.stream()
+                            .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()) && e.getRequestId() != null)
+                            .map(AdviceSaveDto::getRequestId)
+                            .collect(Collectors.toList());
+                    if (!medicineIds.isEmpty()) {
+                        log.info("BugFix: 准备批量更新药品医嘱状态，medicineIds={}", medicineIds);
+                        UpdateWrapper<MedicationRequest> updateWrapper = new UpdateWrapper<>();
+                        updateWrapper.in("id", medicineIds);
+                        updateWrapper.set("status_enum", RequestStatus.ACTIVE.getValue());
+                        boolean updateResult = iMedicationRequestService.update(null, updateWrapper);
+                        log.info("BugFix: 批量更新药品医嘱状态为已签发，count={}, result={}", medicineIds.size(), updateResult);
+                        
+                        // 🔧 BugFix: 如果批量更新失败，尝试逐个更新
+                        if (!updateResult) {
+                            log.warn("BugFix: 批量更新药品医嘱状态失败，尝试逐个更新");
+                            for (Long medicineId : medicineIds) {
+                                try {
+                                    MedicationRequest updateReq = new MedicationRequest();
+                                    updateReq.setId(medicineId);
+                                    updateReq.setStatusEnum(RequestStatus.ACTIVE.getValue());
+                                    boolean singleResult = iMedicationRequestService.updateById(updateReq);
+                                    log.info("BugFix: 逐个更新药品医嘱状态，id={}, result={}", medicineId, singleResult);
+                                } catch (Exception e) {
+                                    log.error("BugFix: 逐个更新药品医嘱状态失败，id={}", medicineId, e);
+                                }
+                            }
+                        }
+                    }
+                }
+                // 🔧 BugFix: 批量更新耗材请求状态为已签发(ACTIVE=2)
+                if (!requestIds.isEmpty() && !deviceList.isEmpty()) {
+                    List<Long> deviceIds = deviceList.stream()
+                            .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()) && e.getRequestId() != null)
+                            .map(AdviceSaveDto::getRequestId)
+                            .collect(Collectors.toList());
+                    if (!deviceIds.isEmpty()) {
+                        log.info("BugFix: 准备批量更新耗材医嘱状态，deviceIds={}", deviceIds);
+                        UpdateWrapper<DeviceRequest> updateWrapper = new UpdateWrapper<>();
+                        updateWrapper.in("id", deviceIds);
+                        updateWrapper.set("status_enum", RequestStatus.ACTIVE.getValue());
+                        boolean updateResult = iDeviceRequestService.update(null, updateWrapper);
+                        log.info("BugFix: 批量更新耗材医嘱状态为已签发，count={}, result={}", deviceIds.size(), updateResult);
+                        
+                        // 🔧 BugFix: 如果批量更新失败，尝试逐个更新
+                        if (!updateResult) {
+                            log.warn("BugFix: 批量更新耗材医嘱状态失败，尝试逐个更新");
+                            for (Long deviceId : deviceIds) {
+                                try {
+                                    DeviceRequest updateReq = new DeviceRequest();
+                                    updateReq.setId(deviceId);
+                                    updateReq.setStatusEnum(RequestStatus.ACTIVE.getValue());
+                                    boolean singleResult = iDeviceRequestService.updateById(updateReq);
+                                    log.info("BugFix: 逐个更新耗材医嘱状态，id={}, result={}", deviceId, singleResult);
+                                } catch (Exception e) {
+                                    log.error("BugFix: 逐个更新耗材医嘱状态失败，id={}", deviceId, e);
+                                }
+                            }
+                        }
+                    }
+                }
+                // 🔧 BugFix: 批量更新诊疗请求状态为已签发(ACTIVE=2)
+                if (!requestIds.isEmpty() && !activityList.isEmpty()) {
+                    List<Long> activityIds = activityList.stream()
+                            .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType()) && e.getRequestId() != null)
+                            .map(AdviceSaveDto::getRequestId)
+                            .collect(Collectors.toList());
+                    if (!activityIds.isEmpty()) {
+                        log.info("BugFix: 准备批量更新诊疗医嘱状态，activityIds={}", activityIds);
+                        UpdateWrapper<ServiceRequest> updateWrapper = new UpdateWrapper<>();
+                        updateWrapper.in("id", activityIds);
+                        updateWrapper.set("status_enum", RequestStatus.ACTIVE.getValue());
+                        boolean updateResult = iServiceRequestService.update(null, updateWrapper);
+                        log.info("BugFix: 批量更新诊疗医嘱状态为已签发，count={}, result={}", activityIds.size(), updateResult);
+                        
+                        // 🔧 BugFix: 如果批量更新失败，尝试逐个更新
+                        if (!updateResult) {
+                            log.warn("BugFix: 批量更新诊疗医嘱状态失败，尝试逐个更新");
+                            for (Long activityId : activityIds) {
+                                try {
+                                    ServiceRequest updateReq = new ServiceRequest();
+                                    updateReq.setId(activityId);
+                                    updateReq.setStatusEnum(RequestStatus.ACTIVE.getValue());
+                                    boolean singleResult = iServiceRequestService.updateById(updateReq);
+                                    log.info("BugFix: 逐个更新诊疗医嘱状态，id={}, result={}", activityId, singleResult);
+                                } catch (Exception e) {
+                                    log.error("BugFix: 逐个更新诊疗医嘱状态失败，id={}", activityId, e);
+                                }
+                            }
+                        }
+                    }
+                }
+
                 // 就诊id
                 Long encounterId = adviceSaveList.get(0).getEncounterId();
 
-                // 使用安全的更新方法，避免并发冲突
+                // 使用安全的更新方法，避免并发冲突 - 更新费用项状态
                 iChargeItemService.updateChargeStatusByConditionSafe(
                     encounterId,
                     ChargeItemStatus.DRAFT.getValue(),
@@ -734,11 +842,14 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 声明费用项
         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
         List<AdviceSaveDto> insertOrUpdateList = medicineList.stream()
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
-                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
+                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
+                        || e.getRequestId() != null))
                 .collect(Collectors.toList());
         // 删除
+        // 🔧 BugFix: 如果 dbOpType 不匹配但 requestId 存在，仍然允许删除（增加健壮性）
         List<AdviceSaveDto> deleteList = medicineList.stream()
                 .filter(e -> DbOpType.DELETE.getCode().equals(e.getDbOpType())).collect(Collectors.toList());
         // 校验删除的医嘱是否已经收费
@@ -1151,9 +1262,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 声明费用项
         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
         List<AdviceSaveDto> insertOrUpdateList = deviceList.stream()
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
-                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
+                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
+                        || e.getRequestId() != null))
                 .collect(Collectors.toList());
         // 删除
         List<AdviceSaveDto> deleteList = deviceList.stream()
@@ -1439,9 +1552,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 声明费用项
         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
         List<AdviceSaveDto> insertOrUpdateList = activityList.stream()
                 .filter(e -> (DbOpType.INSERT.getCode().equals(e.getDbOpType())
-                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
+                        || DbOpType.UPDATE.getCode().equals(e.getDbOpType())
+                        || e.getRequestId() != null))
                 .collect(Collectors.toList());
         // 删除
         List<AdviceSaveDto> deleteList = activityList.stream()

openhis-server-new/openhis-common/src/main/java/com/openhis/common/constant/CommonConstants.java

@@ -778,10 +778,10 @@ public class CommonConstants {
         Integer BOOKED = 1;
         /** 已取消 / 已停诊 */
         Integer CANCELLED = 2;
-        /** 已锁定 */
-        Integer LOCKED = 3;
         /** 已签到 / 已取号 */
-        Integer CHECKED_IN = 4;
+        Integer CHECKED_IN = 3;
+        /** 已锁定 */
+        Integer LOCKED = 4;
         /** 已退号 */
         Integer RETURNED = 5;
     }

openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/ScheduleSlot.java

@@ -23,15 +23,15 @@ import java.util.Date;
 public class ScheduleSlot extends HisBaseEntity {
     /** 明细主键 */
     @TableId(type = IdType.AUTO)
-    private Integer id;
+    private Long id;
 
     /** 号源池ID */
-    private Integer poolId;
+    private Long poolId;
 
     /** 序号 */
     private Integer seqNo;
 
-    /** 序号状态: 0-可用,1-已预约,2-已取消/已停诊,3-已锁定,4-已签到,5-已退号 */
+    /** 序号状态: 0-可用,1-已预约,2-已取消/已停诊,3-已签到,4-已锁定,5-已退号 */
     private Integer status;
 
     /** 预约订单ID */

openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/SchedulePoolMapper.java

@@ -53,5 +53,5 @@ public interface SchedulePoolMapper extends BaseMapper<SchedulePool> {
               AND locked_num > 0
               AND delete_flag = '0'
             """)
-    int updatePoolStatsOnCheckIn(@Param("poolId") Integer poolId);
+    int updatePoolStatsOnCheckIn(@Param("poolId") Long poolId);
 }

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml

@@ -10,8 +10,8 @@
             WHEN LOWER(CONCAT('', s.status)) IN ('0', 'unbooked', 'available') THEN 0
             WHEN LOWER(CONCAT('', s.status)) IN ('1', 'booked') THEN 1
             WHEN LOWER(CONCAT('', s.status)) IN ('2', 'cancelled', 'canceled', 'stopped') THEN 2
-            WHEN LOWER(CONCAT('', s.status)) IN ('3', 'locked') THEN 3
+            WHEN LOWER(CONCAT('', s.status)) IN ('3', 'checked', 'checked_in', 'checkin') THEN 3
-            WHEN LOWER(CONCAT('', s.status)) IN ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', s.status)) IN ('4', 'locked') THEN 4
             WHEN LOWER(CONCAT('', s.status)) IN ('5', 'returned') THEN 5
             ELSE NULL
         END
@@ -32,8 +32,8 @@
             WHEN LOWER(CONCAT('', p.status)) IN ('0', 'unbooked', 'available') THEN 0
             WHEN LOWER(CONCAT('', p.status)) IN ('1', 'booked') THEN 1
             WHEN LOWER(CONCAT('', p.status)) IN ('2', 'cancelled', 'canceled', 'stopped') THEN 2
-            WHEN LOWER(CONCAT('', p.status)) IN ('3', 'locked') THEN 3
+            WHEN LOWER(CONCAT('', p.status)) IN ('3', 'checked', 'checked_in', 'checkin') THEN 3
-            WHEN LOWER(CONCAT('', p.status)) IN ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', p.status)) IN ('4', 'locked') THEN 4
             WHEN LOWER(CONCAT('', p.status)) IN ('5', 'returned') THEN 5
             ELSE NULL
         END
@@ -86,7 +86,8 @@
         ORDER BY
             p.schedule_date,
             p.doctor_id,
-            s.expect_time
+            s.expect_time,
+            s.seq_no ASC
     </select>
 
     <select id="selectTicketSlotById" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
@@ -319,7 +320,7 @@
                     </when>
                     <when test="'checked'.equals(query.status) or '已取号'.equals(query.status)">
                         AND (
-                            <include refid="slotStatusNormExpr" /> = 4
+                            <include refid="slotStatusNormExpr" /> = 3
                             OR (
                                 <include refid="slotStatusNormExpr" /> = 1
                                 AND <include refid="orderStatusNormExpr" /> = 2
@@ -350,7 +351,8 @@
         </where>
         ORDER BY
             p.schedule_date DESC,
-            s.expect_time ASC
+            s.expect_time ASC,
+            s.seq_no ASC
     </select>
 
     <select id="selectDoctorAvailabilitySummary" resultType="com.openhis.appointmentmanage.domain.DoctorAvailabilityDTO">

openhis-ui-vue3/src/utils/medicalConstants.js

@@ -174,10 +174,10 @@ export const SlotStatus = {
   BOOKED: 1,
   /** 已取消 / 已停诊 */
   CANCELLED: 2,
-  /** 已锁定 */
-  LOCKED: 3,
   /** 已签到 / 已取号 */
-  CHECKED_IN: 4,
+  CHECKED_IN: 3,
+  /** 已锁定 */
+  LOCKED: 4,
 };
 
 /**
@@ -187,8 +187,8 @@ export const SlotStatusDescriptions = {
   0: '未预约',
   1: '已预约',
   2: '已停诊',
-  3: '已锁定',
+  3: '已取号',
-  4: '已取号',
+  4: '已锁定',
 };
 
 /**

openhis-ui-vue3/src/views/doctorstation/components/api.js

@@ -325,8 +325,10 @@ export function singOut(data) {
  * 获取患者本次就诊处方
  */
 export function getPrescriptionList(encounterId) {
+  // 添加时间戳参数防止浏览器缓存，确保签发后总能获取到最新数据
+  const timestamp = Date.now();
   return request({
-    url: '/doctor-station/advice/request-base-info?encounterId=' + encounterId,
+    url: '/doctor-station/advice/request-base-info?encounterId=' + encounterId + '&t=' + timestamp,
     method: 'get',
   });
 }

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -1010,6 +1010,13 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
   if (type === 2 && adviceTableName === 'adm_device_definition') {
     return '耗材';
   }
+  
+  // 🔧 Bug Fix: 处理检查类型(adviceType=23)
+  // 检查类型属于诊疗类，应该显示为"检查"
+  if (type === 23) {
+    return '检查';
+  }
+  
   const found = adviceTypeList.value.find((item) => item.value === type);
   return found ? found.label : '';
 };
@@ -2559,9 +2566,25 @@ function handleSave(prescriptionId) {
           if (res.code === 200) {
             proxy.$modal.msgSuccess('签发成功');
             isSaving.value = false;
+            
+            // 🔧 Bug Fix: 签发成功后立即更新本地医嘱状态，确保用户看到的状态是正确的
+            // 遍历签发的医嘱列表，更新本地状态
+            saveList.forEach((item) => {
+              // 在当前列表中找到对应的医嘱
+              const index = prescriptionList.value.findIndex(p => p.uniqueKey === item.uniqueKey);
+              if (index !== -1) {
+                // 更新状态：从待签发(1)改为已签发(2)
+                prescriptionList.value[index].statusEnum = 2;
+                // 更新保存状态
+                prescriptionList.value[index].isSaved = true;
+                console.log('BugFix: 更新本地医嘱状态，adviceName=', item.adviceName, 'statusEnum=', 2);
+              }
+            });
+            
+            // 刷新列表数据（从后端获取最新状态）
             getListInfo(false);
             bindMethod.value = {};
-            nextId.value == 1;
+            nextId.value = 1;
           } else {
             proxy.$modal.msgError(res.message);
             isSaving.value = false;