diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
index 6e79773f..a781cc05 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -574,12 +574,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     Encounter encounterCheck = iEncounterService.getById(adviceSaveDto.getEncounterId());
                     if (encounterCheck != null) {
                         // 就诊状态：1001=挂号，1002=已接诊，1003=已收费，1004=已完成
-                        if (encounterCheck.getEncounterStatusEnum() != null && 
-                            encounterCheck.getEncounterStatusEnum() != 1002 && 
-                            encounterCheck.getEncounterStatusEnum() != 1003 && 
-                            encounterCheck.getEncounterStatusEnum() != 1004) {
+                        if (encounterCheck.getStatusEnum() != null && 
+                            encounterCheck.getStatusEnum() != 1002 && 
+                            encounterCheck.getStatusEnum() != 1003 && 
+                            encounterCheck.getStatusEnum() != 1004) {
                             log.error("BugFix#338: 患者未接诊，禁止划价/保存医嘱：encounterId={}, status={}", 
-                                    adviceSaveDto.getEncounterId(), encounterCheck.getEncounterStatusEnum());
+                                    adviceSaveDto.getEncounterId(), encounterCheck.getStatusEnum());
                             return R.fail(null, "患者尚未接诊，无法保存医嘱。请先完成接诊操作！");
                         }
                     }