diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
index 3dbb3792..dee8b486 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
@@ -11,10 +11,12 @@ import com.openhis.lab.domain.InspectionLabApply;
 import com.openhis.lab.domain.InspectionLabApplyItem;
 import com.openhis.lab.domain.BarCode;
 import com.openhis.lab.domain.InspectionPackage;
+import com.openhis.lab.domain.LabActivityDefinition;
 import com.openhis.lab.service.IInspectionLabApplyItemService;
 import com.openhis.lab.service.IInspectionLabApplyService;
 import com.openhis.lab.service.IInspectionLabBarCodeService;
 import com.openhis.lab.service.IInspectionPackageService;
+import com.openhis.lab.service.ILabActivityDefinitionService;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IServiceRequestService;
 import com.openhis.web.doctorstation.appservice.IDoctorStationAdviceAppService;
@@ -45,6 +47,9 @@ import java.util.Date;
 import java.util.HashMap;
 import java.util.List;
 import java.util.Map;
+import java.util.Set;
+import java.util.stream.Collectors;
+import java.util.function.Function;
 
 /**
  *  根据检验申请单开单信息系统自动插入门诊医嘱表（与检验申请主表申请单号进行关联），
@@ -88,6 +93,10 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
     @Autowired
     private IInspectionPackageService inspectionPackageService;
 
+    // Bug #326: 检验项目定义服务（用于回充时获取套餐信息）
+    @Autowired
+    private ILabActivityDefinitionService labActivityDefinitionService;
+
     /**
      * 保存检验申请单信息
      * @param doctorStationLabApplyDto
@@ -160,6 +169,28 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                 InspectionLabApplyItem inspectionLabApplyItem = new InspectionLabApplyItem();
                 BeanUtils.copyProperties(doctorStationLabApplyItemDto, inspectionLabApplyItem);
 
+                // 前端选择检验项目时已携带完整的关联信息（activityId、feePackageId、itemCode等）
+                // Bug #326修复: 只使用 activityId 直接查询，不使用名称反查
+                Long activityId = doctorStationLabApplyItemDto.getActivityId();
+                if (activityId != null) {
+                    // 使用 activityId 直接查询检验项目定义
+                    LabActivityDefinition labActivityDefinition = labActivityDefinitionService.getById(activityId);
+                    if (labActivityDefinition != null && DelFlag.NO.getCode().equals(labActivityDefinition.getDeleteFlag())) {
+                        // 补充编码（如果前端未传或为空）
+                        if (inspectionLabApplyItem.getItemCode() == null || inspectionLabApplyItem.getItemCode().isEmpty()) {
+                            inspectionLabApplyItem.setItemCode(labActivityDefinition.getBusNo());
+                        }
+                        // 补充套餐ID（如果前端未传）
+                        if (inspectionLabApplyItem.getFeePackageId() == null) {
+                            inspectionLabApplyItem.setFeePackageId(labActivityDefinition.getFeePackageId());
+                        }
+                    }
+                } else {
+                    // 没有 activityId 时记录警告，不使用名称反查
+                    log.warn("检验项目 [{}] 未传入 activityId，无法获取完整关联信息",
+                        doctorStationLabApplyItemDto.getItemName());
+                }
+
                 // 后端重新计算金额：金额 = 单价 × 数量
                 java.math.BigDecimal itemPrice = doctorStationLabApplyItemDto.getItemPrice();
                 java.math.BigDecimal itemQty = doctorStationLabApplyItemDto.getItemQty();
@@ -241,13 +272,16 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                 );
                 if (organization != null) {
                     positionId = organization.getId();
+                } else {
+                    // Bug #329: 执行科室代码无法匹配到科室，记录警告日志
+                    log.warn("执行科室代码 [{}] 在科室表中未找到对应记录", performDeptCode);
                 }
+            } else {
+                // Bug #329: 未指定执行科室，记录警告日志
+                log.warn("检验项目 [{}] 未指定执行科室", itemName);
             }
 
-            // 如果没有指定执行科室，使用当前医生所在的科室作为默认执行科室
-            if (positionId == null) {
-                positionId = SecurityUtils.getDeptId();
-            }
+            // Bug #329: 移除默认执行科室逻辑，必须由前端明确指定执行科室
 
             // 4. 创建医嘱保存对象
             AdviceSaveDto adviceSaveDto = new AdviceSaveDto();
@@ -324,7 +358,6 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                     throw new RuntimeException("套餐项目 '" + itemName + "' 未设置有效价格，请先配置套餐金额");
                 }
                 unitPrice = packageInfo.getPackageAmount();
-                log.info("套餐项目 '{}' 使用套餐价格: {}", itemName, unitPrice);
             } else {
                 // 普通项目：使用前端传入的价格
                 unitPrice = labApplyItemDto.getItemPrice();
@@ -367,30 +400,84 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
      */
     @Override
     public Object getInspectionApplyByApplyNo(String applyNo) {
-        // 查询主表数据
-        DoctorStationLabApplyDto applyDto = (DoctorStationLabApplyDto) doctorStationLabApplyMapper.getInspectionApplyByApplyNo(applyNo);
-        if (applyDto == null) {
+        // 使用MyBatis-Plus查询主表数据
+        InspectionLabApply mainEntity = inspectionLabApplyService.getOne(
+            new QueryWrapper<InspectionLabApply>()
+                .eq("apply_no", applyNo)
+                .eq("delete_flag", DelFlag.NO.getCode())
+        );
+
+        if (mainEntity == null) {
             return null;
         }
 
+        // 使用BeanUtils进行基础字段映射
+        DoctorStationLabApplyDto applyDto = new DoctorStationLabApplyDto();
+        BeanUtils.copyProperties(mainEntity, applyDto);
+        // 由于字段名称映射关系（如 id -> applicationId），需要单独设置
+        applyDto.setApplicationId(mainEntity.getId());
+
         // 查询检验项目明细
         List<InspectionLabApplyItem> itemList = inspectionLabApplyItemService.list(
             new QueryWrapper<InspectionLabApplyItem>()
                 .eq("apply_no", applyNo)
-                .eq("delete_flag", "0")
+                .eq("delete_flag", DelFlag.NO.getCode())
                 .orderByAsc("item_seq")
         );
 
         // 转换为 DTO 列表
         List<DoctorStationLabApplyItemDto> itemDtoList = new ArrayList<>();
         if (itemList != null && !itemList.isEmpty()) {
+            // 提取所有不同的 itemCode，用于批量查询
+            Set<String> itemCodes = itemList.stream()
+                .filter(item -> item.getItemCode() != null && !item.getItemCode().isEmpty())
+                .map(InspectionLabApplyItem::getItemCode)
+                .collect(Collectors.toSet());
+
+            // 批量查询所有关联的检验项目定义（使用MyBatis-Plus）
+            Map<String, LabActivityDefinition> definitionMap = new HashMap<>();
+            if (!itemCodes.isEmpty()) {
+                List<LabActivityDefinition> labActivityDefinitions = labActivityDefinitionService.list(
+                    new QueryWrapper<LabActivityDefinition>()
+                        .in("bus_no", itemCodes)
+                        .eq("delete_flag", DelFlag.NO.getCode())
+                );
+                // 构建 itemCode 到定义的映射
+                definitionMap = labActivityDefinitions.stream()
+                    .collect(Collectors.toMap(LabActivityDefinition::getBusNo, Function.identity()));
+            }
+
+            // 处理每个明细项
             for (InspectionLabApplyItem item : itemList) {
                 DoctorStationLabApplyItemDto itemDto = new DoctorStationLabApplyItemDto();
+                // 使用BeanUtils进行基础字段映射
                 BeanUtils.copyProperties(item, itemDto);
+
+                // feePackageId 在保存时已存储，直接使用
+                itemDto.setFeePackageId(item.getFeePackageId());
+                // 判断是否是套餐项目（根据 feePackageId 是否存在）
+                itemDto.setIsPackage(item.getFeePackageId() != null);
+
+                // 从批量查询结果中获取关联信息
+                if (item.getItemCode() != null && !item.getItemCode().isEmpty()) {
+                    LabActivityDefinition labActivityDefinition = definitionMap.get(item.getItemCode());
+                    if (labActivityDefinition != null) {
+                        itemDto.setActivityId(labActivityDefinition.getId());
+                        itemDto.setSampleType(labActivityDefinition.getSpecimenCode());
+                        itemDto.setUnit(labActivityDefinition.getPermittedUnitCode());
+                        // 补充检验类型ID，用于前端自动设置执行科室
+                        itemDto.setInspectionTypeId(labActivityDefinition.getInspectionTypeId());
+                    }
+                } else {
+                    log.warn("检验项目 [{}] 未存储 itemCode，无法获取完整关联信息", item.getItemName());
+                }
+
                 itemDtoList.add(itemDto);
             }
             // 从第一个明细项获取执行科室代码
-            applyDto.setExecuteDepartment(itemList.get(0).getPerformDeptCode());
+            if (!itemList.isEmpty() && itemList.get(0).getPerformDeptCode() != null) {
+                applyDto.setExecuteDepartment(itemList.get(0).getPerformDeptCode());
+            }
         }
         applyDto.setLabApplyItemList(itemDtoList);
 
@@ -409,8 +496,9 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
         // 使用 PageHelper 进行分页查询
         PageHelper.startPage(pageNo, pageSize);
 
-        // 查询检验申请单列表
-        log.debug("查询申请单数据前");
+        // 使用MyBatis-Plus查询检验申请单列表
+        // 需要关联adm_encounter表，仍使用原Mapper方法或重构为MyBatis-Plus方式
+        // 为保持一致性和考虑到复杂的关联查询，暂时保留原有实现方式
         List<DoctorStationLabApplyDto> list = doctorStationLabApplyMapper.getInspectionApplyListPage(encounterId);
         log.debug("查询申请单数据后");
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DoctorStationLabApplyItemDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DoctorStationLabApplyItemDto.java
index 42189f28..e0e9401a 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DoctorStationLabApplyItemDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DoctorStationLabApplyItemDto.java
@@ -1,5 +1,7 @@
 package com.openhis.web.doctorstation.dto;
 
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
 import lombok.Data;
 import lombok.experimental.Accessors;
 
@@ -67,4 +69,42 @@ public class DoctorStationLabApplyItemDto {
      */
     @NotNull(message = "行状态不能为空")
     private Long itemStatus;
+
+    // ========== Bug #326: 套餐相关字段（回充时需要） ==========
+
+    /**
+     * 活动定义ID（检验项目定义ID）
+     * 用于回充时关联到原始检验项目定义
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long activityId;
+
+    /**
+     * 套餐ID（如果该项目是套餐，则关联套餐表）
+     * 对应 InspectionPackage.basicInformationId
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long feePackageId;
+
+    /**
+     * 是否是套餐项目
+     */
+    private Boolean isPackage;
+
+    /**
+     * 样本类型
+     */
+    private String sampleType;
+
+    /**
+     * 单位
+     */
+    private String unit;
+
+    /**
+     * 检验类型ID（关联 inspection_type 大类）
+     * 用于前端自动设置执行科室
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long inspectionTypeId;
 }
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationLabApplyMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationLabApplyMapper.xml
index cef460a4..d3a8168f 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationLabApplyMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationLabApplyMapper.xml
@@ -4,41 +4,6 @@
         "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.web.doctorstation.mapper.DoctorStationLabApplyMapper">
 
-    <!-- 根据申请单号查询检验申请单（返回完整字段） -->
-    <select id="getInspectionApplyByApplyNo" resultType="com.openhis.web.doctorstation.dto.DoctorStationLabApplyDto">
-        SELECT
-            id AS applicationId,
-            apply_no AS applyNo,
-            patient_id AS patientId,
-            patient_name AS patientName,
-            medicalrecord_number AS medicalrecordNumber,
-            natureof_cost AS natureofCost,
-            visit_no AS visitNo,
-            apply_dept_code AS applyDeptCode,
-            apply_department AS applyDepartment,
-            apply_doc_code AS applyDocCode,
-            apply_doc_name AS applyDocName,
-            apply_time AS applyTime,
-            clinic_diag AS clinicDiag,
-            clinic_desc AS clinicDesc,
-            contraindication AS contraindication,
-            medical_history_summary AS medicalHistorySummary,
-            purposeof_inspection AS purposeofInspection,
-            physical_examination AS physicalExamination,
-            inspection_item AS inspectionItem,
-            specimen_type_code AS specimenTypeCode,
-            specimen_name AS specimenName,
-            priority_code AS priorityCode,
-            apply_status AS applyStatus,
-            apply_remark AS applyRemark,
-            create_time AS createTime,
-            operator_id AS operatorId,
-            create_by AS createBy,
-            tenant_id AS tenantId
-        FROM lab_apply
-        WHERE apply_no = #{applyNo}
-        AND delete_flag = '0'
-    </select>
 
     <!-- 分页查询检验申请单列表（根据就诊ID查询，按申请时间降序）
          从明细表聚合项目名称和金额-->
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApplyItem.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApplyItem.java
index 8b0a257a..9dc83106 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApplyItem.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApplyItem.java
@@ -74,4 +74,9 @@ public class InspectionLabApplyItem extends HisBaseEntity {
      */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long itemStatus;
+    /**
+     * 套餐ID
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long feePackageId;
 }
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 132e7f24..0a5b4a4c 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -1,7 +1,5 @@
 <template>
   <el-container class="inspection-application-container">
-
-    <!-- 顶部操作按钮区 - Bug#334: 优化垂直空间利用率 -->
     <el-header class="top-action-bar" height="48px">
       <el-row class="action-buttons" type="flex" justify="end" :gutter="8">
         <el-button type="primary" size="default" @click="handleSave" class="save-btn" :loading="saving">
@@ -19,10 +17,22 @@
     <el-main class="inspection-section" style="width: 100%; max-width: 100%">
       <el-card class="table-card" style="width: 100%">
         <template #header>
-          <el-row class="card-header" type="flex" align="middle">
-            <el-icon><DocumentChecked /></el-icon>
-            <span>检验信息</span>
-            </el-row>
+          <div class="card-header-flex">
+            <div class="header-title">
+              <el-icon><DocumentChecked /></el-icon>
+              <span>检验信息</span>
+            </div>
+            <div class="header-actions">
+              <el-button type="primary" size="default" @click="handleSave" class="save-btn" :loading="saving">
+                <el-icon><Document /></el-icon>
+                保存
+              </el-button>
+              <el-button type="primary" size="default"  @click="handleNewApplication" class="new-btn">
+                <el-icon><Plus /></el-icon>
+                新增
+              </el-button>
+            </div>
+          </div>
         </template>
         <el-table
           ref="inspectionTableRef"
@@ -41,7 +51,6 @@
           @current-change="handleRowClick"
           @cell-click="handleCellClick"
         >
-        <!-- Bug #326: 添加展开列 -->
         <el-table-column type="expand" width="50" align="center" header-align="center">
           <template #default="scope">
             <div v-if="scope.row.children && scope.row.children.length > 0" class="expand-content">
@@ -114,7 +123,7 @@
           <template #default="scope">
             <el-row type="flex" align="middle" justify="center" :gutter="8">
               <el-button link size="default" @click="handlePrint(scope.row)" :icon="Printer" title="打印" style="font-size: 16px"></el-button>
-              <el-button link size="default" @click="handleDelete(scope.row)" :icon="Delete" style="color: #f56c6c; font-size: 16px" title="删除"></el-button>
+              <el-button link size="default" @click.stop="handleDelete(scope.row)" :icon="Delete" style="color: #f56c6c; font-size: 16px" title="删除"></el-button>
               </el-row>
           </template>
         </el-table-column>
@@ -406,7 +415,6 @@
                 <template #header>
                   <h4 style="margin: 0; font-weight: bold">检验信息详情</h4>
                 </template>
-                <!-- Bug #326: 添加树形展开功能，支持套餐明细展示 -->
                 <el-table
                   :data="selectedInspectionItems"
                   border
@@ -414,12 +422,12 @@
                   style="width: 100%; min-width: 100%"
                   max-height="250"
                   row-key="itemId"
+                  lazy
+                  :load="loadPackageDetailsForTable"
                   :tree-props="{ children: 'children', hasChildren: 'hasChildren' }"
-                  default-expand-all
                 >
                   <el-table-column label="项目名称" prop="itemName" min-width="180">
                     <template #default="scope">
-                      <!-- BugFix#326: 套餐项目添加标识和加粗显示 -->
                       <el-tag v-if="scope.row.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                       <span :style="{ fontWeight: scope.row.isPackage ? 'bold' : 'normal' }">
                         {{ scope.row.itemName }}
@@ -538,16 +546,15 @@
                     @change="toggleInspectionItem(item)"
                     @click.stop
                   />
-                  <!-- BugFix#326: 套餐项目添加标识 -->
                   <el-tag v-if="item.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                   <span class="item-itemName">{{ item.itemName }}</span>
                   <span class="item-price">¥{{ item.itemPrice }}</span>
                 </div>
                 <!-- 加载更多 -->
                 <div v-if="category.hasMore && category.items.length > 0" class="load-more">
-                  <el-button 
-                    link 
-                    size="small" 
+                  <el-button
+                    link
+                    size="small"
                     :loading="category.loading"
                     @click.stop="loadMoreItems(category.key)"
                   >
@@ -659,7 +666,7 @@ import { debounce } from 'lodash-es'
 
 // 获取当前组件实例和字典
 const { proxy } = getCurrentInstance()
-const { inspection_lab_dept } = proxy.useDict('inspection_lab_dept')
+// Bug #329: 移除 inspection_lab_dept 字典，执行科室数据从 Organization 表获取
 
 // 动态获取的检验类型缓存（用于缓存不在 inspectionCategories 中的检验类型）
 const dynamicInspectionTypesCache = ref([])
@@ -785,9 +792,123 @@ const loading = ref(false)
 const saving = ref(false) // 保存状态
 const total = ref(0)
 const leftActiveTab = ref('application')
-// Bug #326: 展开的行
 const expandedRowKeys = ref([])
 
+const isExpanded = (applicationId) => {
+  return expandedRowKeys.value.includes(applicationId)
+}
+
+const toggleExpand = async (row) => {
+  const applicationId = row.applicationId
+  const isCurrentlyExpanded = isExpanded(applicationId)
+
+  if (isCurrentlyExpanded) {
+    // 收起
+    expandedRowKeys.value = expandedRowKeys.value.filter(id => id !== applicationId)
+  } else {
+    // 展开 - 先检查是否需要加载明细数据
+    if (row.hasChildren && (!row.children || row.children.length === 0)) {
+      // 加载套餐明细
+      await loadPackageDetails(row)
+    }
+    expandedRowKeys.value = [...expandedRowKeys.value, applicationId]
+  }
+}
+
+const handleExpandChange = (row, expandedRows) => {
+  expandedRowKeys.value = expandedRows.map(r => r.applicationId)
+}
+
+const loadPackageDetails = async (row) => {
+  try {
+    const packageId = row.feePackageId || row.packageId
+    if (!packageId) return
+
+    const res = await getInspectionPackageDetails(packageId)
+    if (res.code === 200 && res.data) {
+      row.children = res.data.map(detail => ({
+        itemId: detail.detailId || detail.id || detail.itemId,
+        itemName: detail.itemName || detail.name,
+        sampleType: detail.sampleType || '',
+        unit: detail.unit || '',
+        itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
+        itemQty: detail.quantity || detail.itemQty || detail.qty || 1,
+        itemAmount: (detail.unitPrice || detail.itemPrice || 0) * (detail.quantity || detail.itemQty || 1)
+      }))
+    }
+  } catch (error) {
+    console.error('加载套餐明细失败:', error)
+    row.children = []
+  }
+}
+
+const loadPackageDetailsForTable = async (row, treeNode, resolve) => {
+  if (!row.isPackage) {
+    resolve([])
+    return
+  }
+
+  try {
+    const packageId = row.feePackageId || row.packageId
+    if (!packageId) {
+      resolve([])
+      return
+    }
+
+    const res = await getInspectionPackageDetails(packageId)
+    if (res.code === 200 && res.data) {
+      // 构建明细数据结构
+      // BugFix: 后端返回字段为 unitPrice 和 quantity，需正确映射
+      const children = res.data.map(detail => ({
+        itemId: detail.detailId || detail.id || detail.itemId,
+        itemName: detail.itemName || detail.name,
+        sampleType: detail.sampleType || '',
+        unit: detail.unit || '',
+        itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
+        itemQty: detail.quantity || detail.itemQty || detail.qty || 1,
+        itemAmount: (detail.unitPrice || detail.itemPrice || 0) * (detail.quantity || detail.itemQty || 1)
+      }))
+      resolve(children)
+    } else {
+      resolve([])
+    }
+  } catch (error) {
+    console.error('加载套餐明细失败:', error)
+    resolve([])
+  }
+}
+
+const togglePackageExpand = async (item) => {
+  if (!item.isPackage) return
+
+  item.expanded = !item.expanded
+
+  if (item.expanded && (!item.children || item.children.length === 0)) {
+    item.loading = true
+    try {
+      const packageId = item.feePackageId || item.packageId
+      if (packageId) {
+        const res = await getInspectionPackageDetails(packageId)
+        if (res.code === 200 && res.data) {
+          item.children = res.data.map(detail => ({
+            detailId: detail.detailId || detail.id || detail.itemId,
+            itemName: detail.itemName || detail.name,
+            unit: detail.unit || '',
+            quantity: detail.quantity || detail.itemQty || detail.qty || 1,
+            unitPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
+            itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0
+          }))
+        }
+      }
+    } catch (error) {
+      console.error('加载套餐明细失败:', error)
+      item.children = []
+    } finally {
+      item.loading = false
+    }
+  }
+}
+
 // 申请日期实时更新定时器
 let applyTimeTimer = null
 
@@ -856,6 +977,9 @@ const executeDepartmentOptions = ref([])
 // 执行科室加载完成标志（BugFix#CodeReview: 防止竞态条件）
 const isExecuteDepartmentLoaded = ref(false)
 
+// 删除操作标志，用于避免删除时触发数据填充
+const isDeleting = ref(false)
+
 // 表单数据
 const formData = reactive({
   applyOrganizationId: '',
@@ -1061,7 +1185,7 @@ const loadInspectionData = async () => {
 const loadCategoryItems = async (categoryKey, loadMore = false) => {
   const category = inspectionCategories.value.find(c => c.key === categoryKey)
   if (!category) return
-  
+
   // 已加载完成且不是加载更多，或正在加载中，跳过
   if ((category.loaded && !loadMore) || category.loading) return
   // 没有更多数据了，跳过
@@ -1281,10 +1405,10 @@ const getInspectionList = () => {
   if (!queryParams.encounterId) {
     return
   }
-  
+
   loading.value = true
 
-  getApplyList({ 
+  getApplyList({
     encounterId: queryParams.encounterId,
     pageNo: queryParams.pageNo,
     pageSize: queryParams.pageSize
@@ -1544,17 +1668,27 @@ const handleSave = () => {
 
   // 准备保存数据
   const prepareSaveData = () => {
-    // 将执行科室代码赋值给每个检验项目
     const labApplyItemList = selectedInspectionItems.value.map(item => ({
-      ...item,
-      performDeptCode: formData.executeDepartment // 从字典获取的执行科室代码
+      itemSeq: item.itemSeq || 1,
+      itemCode: item.code || '',
+      itemName: item.itemName || '',
+      itemPrice: item.itemPrice || 0,
+      itemQty: item.itemQty || 1,
+      itemAmount: item.itemAmount || 0,
+      itemStatus: formData.applyStatus || 0,
+      performDeptCode: formData.executeDepartment,
+      // Bug #326修复: 传入 activityId，后端直接使用 ID 关联，避免用名称反查
+      activityId: item.activityId || item.itemId || null,
+      feePackageId: item.feePackageId || null,
+      isPackage: item.isPackage || false,
+      sampleType: item.sampleType || '',
+      unit: item.unit || ''
     }))
     return {
       ...formData,
       labApplyItemList,
-      physicalExamination: formData.physicalExam, // 字段名映射：前端 physicalExam -> 后端 physicalExamination
+      physicalExamination: formData.physicalExam,
       inspectionItemsText: selectedInspectionItems.value.map(item => item.itemName).join('+')
-      // 金额由后端计算，前端不传递
     }
   }
 
@@ -1563,6 +1697,7 @@ const handleSave = () => {
   executeSave(saveData);
 
 }
+
 const executeSave = (saveData) => {
   saveInspectionApplication(saveData).then((res) => {
     if (res.code === 200) {
@@ -1725,6 +1860,8 @@ const handlePrint = (row) => {
 
 // 删除申请单
 const handleDelete = (row) => {
+  isDeleting.value = true; // 设置删除标志
+
   ElMessageBox.confirm(
     `确定要删除申请单 "${row.applyNo}" 吗？此操作将同时删除对应的医嘱。`,
     '删除确认',
@@ -1740,22 +1877,30 @@ const handleDelete = (row) => {
     deleteInspectionApplication(row.applyNo).then((res) => {
       if (res.code === 200) {
         ElMessage.success('删除成功')
+        resetForm();  // 删除成功后清空表单
         // 刷新列表
         getInspectionList()
       } else {
         ElMessage.error(res.message || '删除失败')
       }
     }).catch((error) => {
-      console.error('删除检验��请单异常:', error)
+      console.error('删除检验请单异常:', error)
       ElMessage.error('删除异常')
     })
   }).catch(() => {
     // 用户取消删除
+  }).finally(() => {
+    isDeleting.value = false; // 重置删除标志
   })
 }
 
 // 单元格点击 - 点击表格行时加载申请单详情
 const handleCellClick = (row, column) => {
+  // 如果点击的是操作列或展开列，不触发数据填充
+  if (column.property === '操作' || column.label === '操作' ||
+      column.type === 'expand' || column.type === 'selection') {
+    return;
+  }
   // 点击表格行时，将该申请单的数据加载到表单中
   // 使用 applyNo 判断是否有效
   if (row && row.applyNo) {
@@ -1766,8 +1911,8 @@ const handleCellClick = (row, column) => {
 // 行点击事件处理
 const handleRowClick = (currentRow, oldRow) => {
   // 点击表格行时，将该申请单的数据加载到表单中
-  // 使用 applyNo 判断是否有效
-  if (currentRow && currentRow.applyNo) {
+  // 使用 applyNo 判断是否有效，同时检查是否处于删除状态
+  if (currentRow && currentRow.applyNo && !isDeleting.value) {
     loadApplicationToForm(currentRow);
   }
 }
@@ -1790,7 +1935,6 @@ const loadApplicationToForm = async (row) => {
   // 根据申请单号获取完整详情
   try {
     const res = await getInspectionApplyDetail(row.applyNo)
-    console.log('申请单详情API返回:', res) // 临时调试日志
     if (res.code === 200 && res.data) {
       const detail = res.data
       // 加载完整的表单数据
@@ -1831,13 +1975,32 @@ const loadApplicationToForm = async (row) => {
       // 加载检验项目数据
       selectedInspectionItems.value = []
       if (detail.labApplyItemList && detail.labApplyItemList.length > 0) {
-        selectedInspectionItems.value = detail.labApplyItemList.map(item => ({
-          ...item,
-          itemId: item.itemId || item.id || Math.random().toString(36).substring(2, 11),
-          itemName: item.itemName || item.name || '',
-          itemPrice: item.itemPrice || item.price || 0,
-          itemAmount: item.itemAmount || item.price || 0,
-        }))
+        // Bug #326修复: 直接使用后端返回的数据，不再从本地缓存查找匹配项
+        // 后端已返回完整关联信息（activityId、feePackageId、inspectionTypeId、sampleType、unit）
+        selectedInspectionItems.value = detail.labApplyItemList.map(item => {
+          const itemId = item.activityId || item.itemId || item.id || Math.random().toString(36).substring(2, 11)
+          const isPackage = item.feePackageId != null || item.itemName?.includes('套餐')
+
+          return {
+            itemId: itemId,
+            itemName: item.itemName || '',
+            itemPrice: item.itemPrice || 0,
+            itemAmount: item.itemAmount || 0,
+            itemQty: item.itemQty || 1,
+            sampleType: item.sampleType || '',
+            unit: item.unit || '',
+            code: item.itemCode || '',
+            isPackage: isPackage,
+            hasChildren: isPackage,
+            feePackageId: item.feePackageId || null,
+            activityId: item.activityId || itemId,
+            inspectionTypeId: item.inspectionTypeId || null,
+            expanded: false,
+            children: [],
+            childrenLoaded: false,
+            loading: false
+          }
+        })
       } else if (detail.inspectionItem || detail.itemName) {
         // 如果只有项目名称，尝试从本地分类中查找匹配项
         const itemNames = (detail.inspectionItem || detail.itemName).split(/[+,]/)
@@ -1884,7 +2047,7 @@ watch(() => props.patientInfo, async (newVal) => {
 
     // 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()
@@ -1896,24 +2059,38 @@ watch(() => props.patientInfo, async (newVal) => {
   }
 }, { deep: true, immediate: true })
 
-// 监听已选择的检验项目，自动更新检验项目文本（用+号拼接）
-watch(() => selectedInspectionItems.value, (newVal) => {
+// Bug #329: 监听已选择的检验项目，自动更新检验项目文本并设置默认执行科室
+watch(() => selectedInspectionItems.value, async (newVal) => {
   if (newVal && newVal.length > 0) {
     formData.inspectionItemsText = newVal.map(item => item.itemName).join('+')
+
+    // Bug #329: 如果执行科室为空，根据第一个检验项目的检验类型自动设置默认执行科室
+    if (!formData.executeDepartment) {
+      const firstItem = newVal[0]
+
+      // 根据检验项目的 inspectionTypeId 获取默认执行科室
+      if (firstItem.inspectionTypeId) {
+        const defaultDeptCode = await getDefaultPerformDeptCode(firstItem.inspectionTypeId)
+        if (defaultDeptCode) {
+          formData.executeDepartment = defaultDeptCode
+        }
+      }
+    }
   } else {
+    // Bug #329: 当项目被清空时，同时清空执行科室（下次选择项目时会重新自动设置）
     formData.inspectionItemsText = ''
+    formData.executeDepartment = ''
   }
 }, { deep: true })
 
-// 监听执行科室字典数据，设置默认值为第一个选项
-watch(() => inspection_lab_dept.value, (newVal) => {
-  if (newVal && newVal.length > 0 && !formData.executeDepartment) {
-    formData.executeDepartment = newVal[0].value
-  }
-}, { immediate: true })
+// Bug #329: 移除字典数据默认值设置，执行科室应从 Organization 表获取，不应使用字典数据
+// 原问题：inspection_lab_dept 字典的 value (如 'ORG045') 与 executeDepartmentOptions 的 value (科室编码 busNo) 格式不一致
+// 导致 el-select 显示原始 value 值而非科室名称
 
 // 组件挂载时预加载检验项目数据（不依赖patientInfo）
+// BugFix #329: 先加载执行科室列表，再加载检验类型（确保检验类型的department字段能正确匹配）
 onMounted(async () => {
+  await loadExecuteDepartmentList()
   await loadInspectionData()
 })
 
@@ -1947,13 +2124,7 @@ defineExpose({
 
 /* Bug#334: 顶部操作按钮区 - 优化垂直空间利用率 */
 .top-action-bar {
-  display: flex;
-  align-items: center;
-  justify-content: flex-end;
-  border-bottom: 1px solid var(--el-border-color-light);
-  background: var(--el-bg-color);
-  box-shadow: 0 1px 2px rgba(0, 0, 0, 0.08);
-  padding: 0 12px;
+  display: none; /* 隐藏原有的顶部操作栏 */
 }
 
 .action-buttons {
@@ -1998,7 +2169,14 @@ defineExpose({
   padding-bottom: 6px;
 }
 
-.card-header {
+.card-header-flex {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  width: 100%;
+}
+
+.header-title {
   display: flex;
   align-items: center;
   gap: 8px;
@@ -2006,6 +2184,11 @@ defineExpose({
   color: var(--el-text-color-primary);
 }
 
+.header-actions {
+  display: flex;
+  gap: 8px;
+}
+
 /* Bug#334: 底部内容区域 - 优化垂直空间利用率 */
 .bottom-content-area {
   padding: 2px 10px;
@@ -2066,6 +2249,7 @@ defineExpose({
 }
 
 
+
 :deep(.el-pagination) {
   .el-pager li {
     border-radius: 4px;
@@ -2554,6 +2738,110 @@ defineExpose({
   margin-right: 10px;
 }
 
+/* 套餐明细展开样式 */
+.selected-tree-header {
+  display: flex;
+  align-items: center;
+  padding: 8px 12px;
+  background: #fafafa;
+  border-radius: 4px;
+  cursor: pointer;
+  transition: all 0.3s ease;
+}
+
+.selected-tree-header .item-itemName {
+  flex: 1;
+  margin-left: 8px;
+  font-weight: 500;
+  color: #333;
+}
+
+.selected-tree-header .item-price {
+  color: #e6a23c;
+  font-weight: bold;
+  margin-left: 16px;
+  min-width: 60px;
+}
+
+.selected-tree-header:hover {
+  background: #f0f0f0;
+}
+
+.selected-tree-header.expanded {
+  background: #e8f4fc;
+  border-left: 3px solid #51A3F3;
+}
+
+.selected-tree-icon {
+  width: 20px;
+  text-align: center;
+  color: #51A3F3;
+  font-size: 12px;
+  margin-right: 4px;
+}
+
+.is-package .selected-tree-header {
+  font-weight: 600;
+}
+
+.selected-tree-children {
+  padding: 4px 12px 4px 36px;
+  background: #fff;
+  border-top: 1px dashed #ebeef5;
+}
+
+.selected-tree-detail {
+  display: flex;
+  align-items: center;
+  padding: 6px 8px;
+  border-bottom: 1px solid #f5f5f5;
+  font-size: 12px;
+}
+
+.selected-tree-detail:last-child {
+  border-bottom: none;
+}
+
+.selected-tree-detail .detail-name {
+  flex: 1;
+  color: #333;
+}
+
+.selected-tree-detail .detail-unit {
+  width: 60px;
+  text-align: center;
+  color: #666;
+}
+
+.selected-tree-detail .detail-qty {
+  width: 40px;
+  text-align: center;
+  color: #666;
+}
+
+.selected-tree-detail .detail-price {
+  width: 60px;
+  text-align: right;
+  color: #e6a23c;
+  font-weight: 500;
+}
+
+.no-detail {
+  text-align: center;
+  padding: 10px;
+  color: #909399;
+  font-size: 12px;
+}
+
+.loading-placeholder {
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  padding: 15px;
+  color: #909399;
+  font-size: 12px;
+}
+
 .no-selection {
   text-align: center;
   padding: 40px 20px;
diff --git a/openhis-ui-vue3/src/views/doctorstation/index.vue b/openhis-ui-vue3/src/views/doctorstation/index.vue
index 8c27fe41..8d81c4f6 100644
--- a/openhis-ui-vue3/src/views/doctorstation/index.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/index.vue
@@ -114,9 +114,10 @@
           <el-tab-pane label="门诊病历" name="hospitalizationEmr">
             <hospitalizationEmr :patientInfo="patientInfo" :activeTab="activeTab" @emrSaved="handleEmrSaved" />
           </el-tab-pane>
-          <el-tab-pane label="待写病历" name="pendingEmr">
+          <!-- Bug #368: 屏蔽待写病历标签页（左侧导航栏已有独立菜单，功能冗余） -->
+          <!-- <el-tab-pane label="待写病历" name="pendingEmr">
             <PendingEmr @writeEmr="handleWriteEmr" @viewPatient="handleViewPatient" />
-          </el-tab-pane>
+          </el-tab-pane> -->
           <!-- <el-tab-pane label="病历" name="emr">
             <Emr
               :patientInfo="patientInfo"