diff --git a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
index bc6a8b2ab..585f10838 100755
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
@@ -471,7 +471,7 @@ const submit = () => {
       unitCode: item.unitCode || priceInfo.unitCode || '',
       unitPrice: item.price ?? priceInfo.price ?? 0,
       totalPrice: item.price ?? priceInfo.price ?? 0,
-      positionId: item.positionId,
+      positionId: form.targetDepartment || item.positionId, // 用户手动选择的发往科室优先于项目默认执行科室
       ybClassEnum: item.ybClassEnum,
       conditionId: item.conditionId,
       encounterDiagnosisId: item.encounterDiagnosisId,