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 a781cc05..bb54a60b 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
@@ -793,6 +793,18 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
             
+            // 🔧 Bug Fix: 确保practitionerId不为null
+            if (adviceSaveDto.getPractitionerId() == null) {
+                adviceSaveDto.setPractitionerId(SecurityUtils.getLoginUser().getPractitionerId());
+                log.info("handMedication - 自动补全practitionerId: practitionerId={}", adviceSaveDto.getPractitionerId());
+            }
+            
+            // 🔧 Bug Fix: 确保founderOrgId不为null
+            if (adviceSaveDto.getFounderOrgId() == null) {
+                adviceSaveDto.setFounderOrgId(SecurityUtils.getLoginUser().getOrgId());
+                log.info("handMedication - 自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
+            }
+            
             boolean firstTimeSave = false;// 第一次保存
             medicationRequest = new MedicationRequest();
             medicationRequest.setId(adviceSaveDto.getRequestId()); // 主键id
@@ -1160,6 +1172,18 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
             
+            // 🔧 Bug Fix: 确保practitionerId不为null
+            if (adviceSaveDto.getPractitionerId() == null) {
+                adviceSaveDto.setPractitionerId(SecurityUtils.getLoginUser().getPractitionerId());
+                log.info("自动补全practitionerId: practitionerId={}", adviceSaveDto.getPractitionerId());
+            }
+            
+            // 🔧 Bug Fix: 确保founderOrgId不为null
+            if (adviceSaveDto.getFounderOrgId() == null) {
+                adviceSaveDto.setFounderOrgId(SecurityUtils.getLoginUser().getOrgId());
+                log.info("自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
+            }
+            
             deviceRequest = new DeviceRequest();
             deviceRequest.setId(adviceSaveDto.getRequestId()); // 主键id
             deviceRequest.setStatusEnum(is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue()); // 请求状态
@@ -1387,6 +1411,18 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
             
+            // 🔧 Bug Fix: 确保practitionerId不为null
+            if (adviceSaveDto.getPractitionerId() == null) {
+                adviceSaveDto.setPractitionerId(SecurityUtils.getLoginUser().getPractitionerId());
+                log.info("handService - 自动补全practitionerId: practitionerId={}", adviceSaveDto.getPractitionerId());
+            }
+            
+            // 🔧 Bug Fix: 确保founderOrgId不为null
+            if (adviceSaveDto.getFounderOrgId() == null) {
+                adviceSaveDto.setFounderOrgId(SecurityUtils.getLoginUser().getOrgId());
+                log.info("handService - 自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
+            }
+            
             // 🔧 Bug Fix #238: 诊疗项目执行科室非空校验
             if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3) {
                 Long effectiveOrgId = adviceSaveDto.getEffectiveOrgId();
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
index 26ce80db..204f0093 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientRegistrationAppMapper.xml
@@ -84,7 +84,7 @@
                         T8.gender_enum     AS gender_enum,
                         T8.id_card         AS id_card,
                         T1.status_enum     AS status_enum,
-                        T1.create_time     AS register_time,
+                        T1.create_time     AS registerTime,
                         T10.total_price,
                         T11."name"         AS account_name,
                         T12."name"         AS enterer_name,
@@ -178,7 +178,7 @@
                    AND T10.context_enum = #{register}
              ) AS T9
             ${ew.customSqlSegment}
-        ORDER BY T9.register_time DESC
+        ORDER BY T9.registerTime DESC
     </select>
 
     <select id="getTmpActivityList" resultType="com.openhis.web.personalization.dto.ActivityDeviceDto">