Merge remote-tracking branch 'origin/develop' into develop

2026-04-07 14:01:10 +08:00
parent 63a9e26abf d2dfc714ec
commit 616c2d21a6
31 changed files with 1682 additions and 206 deletions
--- a/BUGFIX_ANALYSIS.md
+++ b/BUGFIX_ANALYSIS.md
@@ -0,0 +1,91 @@
+# Bug 根因分析与修复方案
+
+## Bug 335 - 门诊医生站开立药品医嘱保存报错
+
+### 问题分析
+根据代码分析，`DoctorStationAdviceAppServiceImpl.saveAdvice()` 方法处理药品医嘱保存时可能报错的原因：
+
+1. **patientId/encounterId 为 null** - 删除操作时前端可能未传
+2. **accountId 为 null** - 患者账户信息未正确获取
+3. **definitionId/definitionDetailId 为 null** - 定价信息缺失
+4. **库存校验失败** - 药品库存不足
+
+### 修复方案
+✅ 已部分修复（见代码中的 BugFix 注释）
+- 已添加 patientId/encounterId 自动补全逻辑
+- 已添加 accountId 自动创建逻辑
+- 需要进一步验证 definitionId 的处理
+
+---
+
+## Bug 336 - 门诊医生站开立诊疗项目保存报错
+
+### 问题分析
+诊疗项目保存与药品类似，但有以下特殊点：
+
+1. **必须选择执行科室** - 代码中有校验 `throw new ServiceException("诊疗项目必须选择执行科室")`
+2. **活动绑定设备处理** - 需要处理 `handService()` 中的设备绑定逻辑
+3. **库存校验** - 诊疗项目可能关联耗材
+
+### 修复方案
+- 确保前端传递 executeDeptId（执行科室）
+- 检查 handService() 方法中的异常处理
+- 添加更详细的错误日志
+
+---
+
+## Bug 338 - 门诊划价新增时未校验就诊记录及诊断记录
+
+### 问题分析
+**这是患者安全问题！** 未接诊患者也可新增划价项目可能导致：
+- 收费错误
+- 医疗纠纷
+- 数据不一致
+
+当前代码问题：
+- `OutpatientPricingAppServiceImpl.getAdviceBaseInfo()` 仅查询医嘱，未校验就诊状态
+- 前端划价保存接口未找到（可能在其他地方）
+
+### 修复方案
+1. 在划价查询时增加就诊状态校验
+2. 在划价保存时增加诊断记录校验
+3. 未接诊患者禁止划价
+
+---
+
+## Bug 339 - 药房筛选条件失效
+
+### 问题分析
+查询结果中包含非选中药房的数据，可能原因：
+- SQL WHERE 条件未正确应用 locationId
+- 多表关联时过滤条件丢失
+
+### 修复方案
+- 检查 `DoctorStationAdviceAppMapper.getAdviceBaseInfo()` 的 SQL
+- 确保 locationId 条件正确应用
+
+---
+
+## 修复优先级
+
+1. **Bug 338** - 患者安全问题，最高优先级
+2. **Bug 335/336** - 核心功能阻断，高优先级
+3. **Bug 339** - 数据准确性问题，中优先级
+
+---
+
+## 测试用例
+
+### Bug 338 测试
+1. 选择未接诊患者，尝试划价 → 应禁止
+2. 选择已接诊但无诊断的患者，尝试划价 → 应提示补充诊断
+3. 选择正常接诊患者，划价 → 应成功
+
+### Bug 335/336 测试
+1. 门诊医生站开立药品医嘱 → 应成功保存
+2. 门诊医生站开立诊疗项目 → 应成功保存
+3. 签发医嘱 → 应成功
+
+### Bug 339 测试
+1. 选择"西药房"筛选 → 结果应仅包含西药房数据
+2. 选择"中药房"筛选 → 结果应仅包含中药房数据
--- a/BUGFIX_PLAN.md
+++ b/BUGFIX_PLAN.md
@@ -0,0 +1,84 @@
+# HIS 系统 Bug 修复计划
+
+## 修复负责人
+华佗 (AI 团队)
+
+## 修复时间
+2026-04-05 开始
+
+---
+
+## Bug 清单与修复优先级
+
+### 🔴 高优先级（核心业务阻断）
+
+#### Bug 335 - 门诊医生站开立药品医嘱保存报错
+- **模块**: 医生工作站
+- **文件**: `DoctorStationAdviceAppServiceImpl.java`
+- **根因分析**: 待分析
+- **修复状态**: 🔄 分析中
+
+#### Bug 336 - 门诊医生站开立诊疗项目保存报错
+- **模块**: 医生工作站
+- **文件**: `DoctorStationAdviceAppServiceImpl.java`
+- **根因分析**: 待分析
+- **修复状态**: ⏳ 等待 335 修复后验证
+
+#### Bug 338 - 门诊划价新增时未校验就诊记录及诊断记录
+- **模块**: 门诊收费
+- **问题**: 未接诊患者也可新增划价项目（患者安全问题）
+- **修复方案**: 在划价保存前增加就诊状态和诊断记录校验
+- **修复状态**: ⏳ 待修复
+
+### 🟡 中优先级（数据准确性/用户体验）
+
+#### Bug 339 - 药房筛选条件失效
+- **模块**: 药房药库报表管理
+- **问题**: 查询结果中包含非选中药房的数据
+- **修复状态**: ⏳ 待分析
+
+#### Bug 333 - 耗材医嘱类型错误
+- **模块**: 医生工作站
+- **问题**: 类型误转为"中成药"且保存报错
+- **修复状态**: ⏳ 待分析
+
+#### Bug 337 - 挂号时间显示异常
+- **模块**: 建档挂号管理
+- **问题**: 未显示当前实际挂号时间
+- **修复状态**: ⏳ 待分析
+
+#### Bug 334 - 检验申请界面布局优化
+- **模块**: 门诊医生工作站
+- **问题**: 按钮布局需要调整
+- **修复状态**: ⏳ 待修复（前端）
+
+### 🟢 低优先级（历史遗留问题）
+
+#### Bug 249/253/280/300 - 3 月份遗留 bug
+- **修复状态**: ⏳ 后续处理
+
+---
+
+## 修复流程
+
+1. **分析根因** - 查看代码和日志，定位问题
+2. **编写修复** - 修改代码并添加必要校验
+3. **本地测试** - 确保修复有效且不引入新问题
+4. **提交代码** - commit 并推送到 gitea
+5. **验证关闭** - 在禅道更新 Bug 状态
+
+---
+
+## 测试要求
+
+- 修复后必须测试
+- 测试不通过继续修
+- 确保不影响其他功能
+
+---
+
+## 备注
+
+- 所有修复基于 develop 分支
+- 修复完成后统一提交
+- 重要修复添加详细注释
--- a/BUG_FIX_PROGRESS.md
+++ b/BUG_FIX_PROGRESS.md
@@ -0,0 +1,61 @@
+# HIS项目 Bug修复与需求开发进度表
+
+## 项目信息
+- **项目名称**: 开源HIS改造落地
+- **当前分支**: develop
+- **代码路径**: 
+  - 前端: openhis-ui-vue3
+  - 后端: openhis-server-new
+- ** Git仓库**: https://gitea.gentronhealth.com/wangyizhe/his
+- **禅道地址**: https://zentao.gentronhealth.com
+
+## 当前状态
+- ✅ 代码已克隆完成
+- ✅ Bug 已重新分配（管理员操作）
+- ⏳ 等待修复人员开始工作
+- 📋 张飞负责测试验证
+
+## Bug修复任务列表（重新分配后）
+
+| Bug ID | 严重程度 | 状态 | 模块 | 标题 | 原指派给 | **新指派给** | 进度 |
+|--------|----------|------|------|------|----------|--------------|------|
+| 339 | 3 | 激活 | 药房药库报表管理 | 药房筛选条件失效 | 王怡哲 | **关羽** | 待处理 |
+| 338 | 3 | 激活 | 门诊收费管理 | 未校验就诊记录 | 王怡哲 | **关羽** | 待处理 |
+| 337 | 3 | 激活 | 建档挂号管理 | 挂号时间显示异常 | 王怡哲 | **关羽** | 待处理 |
+| 336 | 3 | 激活 | 门诊医生工作站 | 开立诊疗项目保存报错 | 王怡哲 | **关羽** | 待处理 |
+| 335 | 3 | 激活 | 门诊医生工作站 | 开立药品医嘱保存报错 | 王怡哲 | **关羽** | 待处理 |
+| 334 | 3 | 激活 | 门诊医生工作站 | 检验申请界面布局优化 | 王建 | **子龙** | 待处理 |
+| 333 | 3 | 激活 | 门诊医生工作站 | 耗材医嘱类型误转 | 陈显精 | **关羽** | 待处理 |
+
+## P0 级别 Bug（紧急，优先修复）
+
+| Bug ID | 标题 | 严重程度 | 负责人 |
+|--------|------|----------|--------|
+| 335 | 开立药品医嘱保存报错 | 严重 | 关羽 |
+| 336 | 开立诊疗项目保存报错 | 严重 | 关羽 |
+| 338 | 未校验就诊记录 | 严重 | 关羽 |
+
+## 需求开发任务列表（10个，全部未关闭）
+
+待进一步确认分配情况...
+
+## 工作流程
+1. **认领任务** - 在禅道将 Bug 分配给自己
+2. **修改代码** - 从 develop 分支创建新分支：`bug/bug-id`
+3. **本地测试** - 确保本地 JDK 17 环境编译通过
+4. **提交PR** - 提交 Pull Request 到 develop 分支
+5. **测试验证** - 张飞进行测试
+6. **合并分支** - 测试通过后合并到 develop
+
+## 注意事项
+- 所有代码修改必须先创建新分支
+- 分支命名：`bug/bug-id` 或 `feature/feedback-id`
+- 提交信息必须包含禅道Bug/需求ID
+- 修改前请先阅读 `AGENTS.md` 了解项目规范
+- **JDK 17 配置** - 确保本地开发环境使用 JDK 17
+
+## 今日会议纪要
+- 2026-04-05 15:09: 管理员重新分配 Bug 给群内武将
+- 2026-04-05 14:58: 确认将王怡哲的 Bug 分配给关羽、张飞、陈琳
+- 2026-04-05 13:47: 统一调度分配人员任务
+- 2026-04-05 12:45: 初始任务分配完成
--- a/GIT_TEST_GUANYU.md
+++ b/GIT_TEST_GUANYU.md
@@ -0,0 +1,2 @@
+# 关羽 Git 配置测试
+测试时间: Mon Apr  6 07:03:56 AM CST 2026
--- a/md/BUG_ANALYSIS.md
+++ b/md/BUG_ANALYSIS.md
@@ -0,0 +1,70 @@
+# HIS项目 Bug 分析与修复日志
+
+## 2026-04-05 23:55 - 子龙开始工作
+
+### Bug 334 分析：门诊医生站-检验申请界面按钮布局优化
+
+**文件位置**：
+- `/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue`
+
+**当前布局问题**：
+1. 顶部操作按钮区高度 60px，可能有优化空间
+2. 表单区域 padding 较大
+3. 需要优化垂直空间利用率
+
+**修复方案**：
+- 减少不必要的 padding 和 margin
+- 优化表单字段布局
+- 调整按钮区域高度
+
+---
+
+### Bug 335 分析：门诊医生站开立药品医嘱点击【保存】时报错
+
+**文件位置**：
+- `/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java`
+
+**问题定位**：
+- 方法：`saveAdvice()` -> `handMedication()`
+- 可能原因：
+  1. encounterId 或 patientId 为 null
+  2. 库存校验失败
+  3. 账户ID缺失
+
+**代码已修复**：
+- 行 488-588：已添加 encounterId 和 patientId 校验
+- 行 497-588：自动补全逻辑
+
+---
+
+### Bug 336 分析：门诊医生站开立诊疗项目后点击【保存】报错
+
+**文件位置**：
+- 同上文件
+
+**问题定位**：
+- 方法：`saveAdvice()` -> `handService()`
+- 可能原因：
+  1. effectiveOrgId（执行科室）为 null
+  2. accountId 为 null
+
+**代码已修复**：
+- 行 1290-1390：已添加 accountId 自动补全
+- 行 1338-1343：诊疗项目执行科室非空校验
+
+---
+
+## 工作分工
+
+| Bug ID | 负责人 | 状态 |
+|--------|--------|------|
+| 334 | 子龙 | 分析中 |
+| 335 | 关羽 | 待修复 |
+| 336 | 关羽 | 待修复 |
+| 338 | 关羽 | 待修复 |
+
+## 下一步行动
+
+1. 子龙修复 Bug 334（检验申请界面布局优化）
+2. 关羽修复 Bug 335、336、338
+3. 张飞测试验证
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java
@@ -16,6 +16,7 @@ import org.springframework.stereotype.Service;
 import javax.annotation.Resource;
 import java.util.ArrayList;
 import java.util.List;
+import java.util.Locale;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;

@@ -123,6 +124,7 @@ public class TicketAppServiceImpl implements ITicketAppService {
        if (query == null) {
            query = new com.openhis.appointmentmanage.dto.TicketQueryDTO();
        }
+        normalizeQueryStatus(query);

        // 2. 构造 MyBatis 的分页对象 (传入前端给的当前页和每页条数)
        com.baomidou.mybatisplus.extension.plugins.pagination.Page<com.openhis.appointmentmanage.domain.TicketSlotDTO> pageParam = new com.baomidou.mybatisplus.extension.plugins.pagination.Page<>(
@@ -140,42 +142,67 @@ public class TicketAppServiceImpl implements ITicketAppService {

                // 基础字段映射
                dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                dto.setBusNo(String.valueOf(raw.getSlotId()));
                dto.setDoctor(raw.getDoctor());
                dto.setDepartment(raw.getDepartmentName()); // 注意：以前这里传成了ID，导致前端出Bug，现在修复成了真正的科室名
                dto.setFee(raw.getFee());
                dto.setPatientName(raw.getPatientName());
-                dto.setPatientId(raw.getPatientId() != null ? String.valueOf(raw.getPatientId()) : null);
+                dto.setPatientId(raw.getMedicalCard()); 
                dto.setPhone(raw.getPhone());
+                dto.setIdCard(raw.getIdCard());
+                dto.setDoctorId(raw.getDoctorId());
+                dto.setDepartmentId(raw.getDepartmentId());
+                dto.setRealPatientId(raw.getPatientId()); 
+
+                // 性别处理：直接读取优先级最高的订单性别字段 (SQL 已处理优先级)
+                if (raw.getPatientGender() != null) {
+                    String pg = raw.getPatientGender().trim();
+                    dto.setGender("1".equals(pg) ? "男" : ("2".equals(pg) ? "女" : "未知"));
+                } else {
+                    dto.setGender("未知");
+                }

-                // 号源类型处理 (底层是1，前端要的是expert)
                if (raw.getRegType() != null && raw.getRegType() == 1) {
                    dto.setTicketType("expert");
                } else {
                    dto.setTicketType("general");
                }

-                // 拼接就诊时间
                if (raw.getScheduleDate() != null && raw.getExpectTime() != null) {
                    dto.setDateTime(raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
                    try {
-                        dto.setAppointmentDate(
-                                new java.text.SimpleDateFormat("yyyy-MM-dd").parse(raw.getScheduleDate().toString()));
+                        String timeStr = raw.getAppointmentTime() != null ? raw.getAppointmentTime() : (raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
+                        java.text.SimpleDateFormat sdf = new java.text.SimpleDateFormat(timeStr.length() > 10 ? "yyyy-MM-dd HH:mm" : "yyyy-MM-dd");
+                        java.util.Date date = sdf.parse(timeStr);
+                        dto.setAppointmentDate(date);
+                        dto.setAppointmentTime(date);
                    } catch (Exception e) {
                        dto.setAppointmentDate(new java.util.Date());
                    }
                }

-                // 精准状态翻译！把底层的1和2，翻译回前端能懂的中文
                if (Boolean.TRUE.equals(raw.getIsStopped())) {
                    dto.setStatus("已停诊");
                } else {
                    Integer slotStatus = raw.getSlotStatus();
                    if (slotStatus != null) {
-                        if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            dto.setStatus(AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus()) ? "已取号" : "已预约");
-                        } else if (SlotStatus.STOPPED.equals(slotStatus)) {
+                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                            dto.setStatus("已取号");
+                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } else {
+                                dto.setStatus("已预约");
+                            }
+                        } else if (SlotStatus.RETURNED.equals(slotStatus)) {
+                            dto.setStatus("已退号");
+                        } else if (SlotStatus.CANCELLED.equals(slotStatus)) {
                            dto.setStatus("已停诊");
+                        } else if (SlotStatus.LOCKED.equals(slotStatus)) {
+                            dto.setStatus("已锁定");
                        } else {
                            dto.setStatus("未预约");
                        }
@@ -198,6 +225,62 @@ public class TicketAppServiceImpl implements ITicketAppService {
        return R.ok(result);
    }

+    /**
+     * 统一状态入参，避免前端状态值大小写/中文/数字差异导致 SQL 条件失效后回全量数据
+     */
+    private void normalizeQueryStatus(com.openhis.appointmentmanage.dto.TicketQueryDTO query) {
+        String rawStatus = query.getStatus();
+        if (rawStatus == null) {
+            return;
+        }
+        String normalized = rawStatus.trim();
+        if (normalized.isEmpty()) {
+            query.setStatus(null);
+            return;
+        }
+        String lower = normalized.toLowerCase(Locale.ROOT);
+        switch (lower) {
+            case "all":
+            case "全部":
+                query.setStatus("all");
+                break;
+            case "unbooked":
+            case "0":
+            case "未预约":
+                query.setStatus("unbooked");
+                break;
+            case "booked":
+            case "1":
+            case "已预约":
+                query.setStatus("booked");
+                break;
+            case "checked":
+            case "checkin":
+            case "checkedin":
+            case "2":
+            case "已取号":
+                query.setStatus("checked");
+                break;
+            case "cancelled":
+            case "canceled":
+            case "3":
+            case "已停诊":
+            case "已取消":
+                query.setStatus("cancelled");
+                break;
+            case "returned":
+            case "4":
+            case "5":
+            case "已退号":
+                query.setStatus("returned");
+                break;
+            default:
+                // 设置为 impossible 值，配合 mapper 的 otherwise 分支直接返回空
+                query.setStatus("__invalid__");
+                break;
+        }
+    }
+
    @Override
    public R<?> listDoctorAvailability(com.openhis.appointmentmanage.dto.TicketQueryDTO query) {
        if (query == null) {
@@ -237,12 +320,13 @@ public class TicketAppServiceImpl implements ITicketAppService {
                // --- 基础字段处理 ---
                // 注意：这里已经变成了极其舒服的 .getSlotId() 方法调用，告别魔鬼字符串！
                dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                dto.setBusNo(String.valueOf(raw.getSlotId())); // 暂时借用真实槽位ID做唯一流水号
                dto.setDoctor(raw.getDoctor());
                dto.setDepartment(raw.getDepartmentName());
                dto.setFee(raw.getFee());
                dto.setPatientName(raw.getPatientName());
-                dto.setPatientId(raw.getPatientId() != null ? String.valueOf(raw.getPatientId()) : null);
+                dto.setPatientId(raw.getMedicalCard()); 
                dto.setPhone(raw.getPhone());

                // --- 号源类型处理 (普通/专家) ---
@@ -258,9 +342,13 @@ public class TicketAppServiceImpl implements ITicketAppService {
                if (raw.getScheduleDate() != null && raw.getExpectTime() != null) {
                    dto.setDateTime(raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
                    try {
-                        dto.setAppointmentDate(
-                                new java.text.SimpleDateFormat("yyyy-MM-dd").parse(raw.getScheduleDate().toString()));
+                        String timeStr = raw.getAppointmentTime() != null ? raw.getAppointmentTime() : (raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
+                        java.text.SimpleDateFormat sdf = new java.text.SimpleDateFormat(timeStr.length() > 10 ? "yyyy-MM-dd HH:mm" : "yyyy-MM-dd");
+                        java.util.Date date = sdf.parse(timeStr);
+                        dto.setAppointmentDate(date);
+                        dto.setAppointmentTime(date);
                    } catch (Exception e) {
+                        log.error("时间解析失败", e);
                        dto.setAppointmentDate(new java.util.Date());
                    }
                }
@@ -273,10 +361,22 @@ public class TicketAppServiceImpl implements ITicketAppService {
                    // 第二关：看独立的细分槽位状态 (0: 可用, 1: 已预约, 2: 已取消...)
                    Integer slotStatus = raw.getSlotStatus();
                    if (slotStatus != null) {
-                        if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            dto.setStatus(AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus()) ? "已取号" : "已预约");
-                        } else if (SlotStatus.STOPPED.equals(slotStatus)) {
-                            dto.setStatus("已停诊"); // 视业务可改回已取消
+                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                            dto.setStatus("已取号");
+                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } else {
+                                dto.setStatus("已预约");
+                            }
+                        } else if (SlotStatus.RETURNED.equals(slotStatus)) {
+                            dto.setStatus("已退号");
+                        } else if (SlotStatus.CANCELLED.equals(slotStatus)) {
+                            dto.setStatus("已停诊");
+                        } else if (SlotStatus.LOCKED.equals(slotStatus)) {
+                            dto.setStatus("已锁定");
                        } else {
                            dto.setStatus("未预约");
                        }
@@ -355,14 +455,11 @@ public class TicketAppServiceImpl implements ITicketAppService {
            if (patient != null) {
                Integer genderEnum = patient.getGenderEnum();
                if (genderEnum != null) {
-                    switch (genderEnum) {
-                        case 1:
+                    if (Integer.valueOf(1).equals(genderEnum)) {
                        dto.setGender("男");
-                            break;
-                        case 2:
+                    } else if (Integer.valueOf(2).equals(genderEnum)) {
                        dto.setGender("女");
-                            break;
-                        default:
+                    } else {
                        dto.setGender("未知");
                    }
                }
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java
@@ -23,6 +23,11 @@ public class TicketDto {
    @JsonSerialize(using = ToStringSerializer.class)
    private Long slot_id;

+    /**
+     * 号源序号（对应 adm_schedule_slot.seq_no）
+     */
+    private Integer seqNo;
+
    /**
     * 号源编码
     */
@@ -99,4 +104,15 @@ public class TicketDto {
     */
    @JsonSerialize(using = ToStringSerializer.class)
    private Long doctorId;
+
+    /**
+     * 真实患者ID（数据库主键，区别于 patientId 存的就诊卡号）
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long realPatientId;
+
+    /**
+     * 身份证号
+     */
+    private String idCard;
 }
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientPricingAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientPricingAppServiceImpl.java
@@ -73,11 +73,10 @@ public class OutpatientPricingAppServiceImpl implements IOutpatientPricingAppSer
        } else {
            adviceTypes = List.of(1, 2, 3);
        }
-        // 门诊划价：不要强制 pricingFlag=1 参与过滤（wor_activity_definition.pricing_flag 可能为 0），
-        // 否则会导致诊疗项目(adviceType=3)查询结果为空 records=[]
        String categoryCode = adviceBaseDto != null ? adviceBaseDto.getCategoryCode() : null;
+        // 门诊划价：仅返回划价标记为“是”的项目
        return iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId, null,
-            organizationId, pageNo, pageSize, null, adviceTypes, null, categoryCode);
+            organizationId, pageNo, pageSize, Whether.YES.getValue(), adviceTypes, null, categoryCode);
    }

 }
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -22,6 +22,10 @@ import com.openhis.common.enums.ybenums.YbPayment;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisPageUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
+import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
+import com.openhis.clinical.domain.Order;
+import com.openhis.clinical.service.IOrderService;
 import com.openhis.financial.domain.PaymentReconciliation;
 import com.openhis.financial.domain.RefundLog;
 import com.openhis.financial.service.IRefundLogService;
@@ -48,6 +52,7 @@ import javax.servlet.http.HttpServletRequest;
 import java.math.BigDecimal;
 import java.time.LocalDate;
 import java.time.LocalDateTime;
+import java.time.ZoneId;
 import java.util.*;
 import java.util.stream.Collectors;
 import lombok.extern.slf4j.Slf4j;
@@ -97,6 +102,15 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
    @Resource
    IRefundLogService iRefundLogService;

+    @Resource
+    IOrderService orderService;
+
+    @Resource
+    ScheduleSlotMapper scheduleSlotMapper;
+
+    @Resource
+    SchedulePoolMapper schedulePoolMapper;
+
    /**
     * 门诊挂号 - 查询患者信息
     *
@@ -291,6 +305,11 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
            }
        }

+        // 如果本次门诊挂号来自预约签到，同步把预约订单与号源槽位状态改为已退号
+        if (result != null && result.getCode() == 200) {
+            syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+        }
+
        // 记录退号日志
        recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon);

@@ -399,6 +418,74 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
        return R.ok("已取消挂号");
    }

+    /**
+     * 同步预约号源状态为已退号。
+     * 说明：
+     * 1) 门诊退号主流程不依赖该步骤成功与否，因此此方法内部异常仅记录日志，不向上抛出。
+     * 2) 通过患者、科室、日期以及状态筛选最近一条预约订单，尽量避免误匹配。
+     */
+    private void syncAppointmentReturnStatus(Encounter encounter, String reason) {
+        if (encounter == null || encounter.getPatientId() == null) {
+            return;
+        }
+        try {
+            LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
+                .eq(Order::getPatientId, encounter.getPatientId())
+                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
+                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
+                .orderByDesc(Order::getUpdateTime)
+                .orderByDesc(Order::getCreateTime)
+                .last("LIMIT 1");
+
+            if (encounter.getOrganizationId() != null) {
+                queryWrapper.eq(Order::getDepartmentId, encounter.getOrganizationId());
+            }
+            if (encounter.getTenantId() != null) {
+                queryWrapper.eq(Order::getTenantId, encounter.getTenantId());
+            }
+            if (encounter.getCreateTime() != null) {
+                LocalDate encounterDate = encounter.getCreateTime().toInstant()
+                    .atZone(ZoneId.systemDefault()).toLocalDate();
+                Date startOfDay = Date.from(encounterDate.atStartOfDay(ZoneId.systemDefault()).toInstant());
+                Date nextDayStart = Date.from(encounterDate.plusDays(1).atStartOfDay(ZoneId.systemDefault()).toInstant());
+                queryWrapper.ge(Order::getAppointmentDate, startOfDay)
+                    .lt(Order::getAppointmentDate, nextDayStart);
+            }
+
+            Order appointmentOrder = orderService.getOne(queryWrapper, false);
+            if (appointmentOrder == null) {
+                return;
+            }
+
+            Date now = new Date();
+            if (!CommonConstants.AppointmentOrderStatus.RETURNED.equals(appointmentOrder.getStatus())) {
+                Order updateOrder = new Order();
+                updateOrder.setId(appointmentOrder.getId());
+                updateOrder.setStatus(CommonConstants.AppointmentOrderStatus.RETURNED);
+                updateOrder.setCancelTime(now);
+                updateOrder.setCancelReason(
+                    StringUtils.isNotEmpty(reason) ? reason : "门诊退号");
+                updateOrder.setUpdateTime(now);
+                orderService.updateById(updateOrder);
+            }
+
+            Long slotId = appointmentOrder.getSlotId();
+            if (slotId == null) {
+                return;
+            }
+
+            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.RETURNED);
+            if (slotRows > 0) {
+                Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
+                if (poolId != null) {
+                    schedulePoolMapper.refreshPoolStats(poolId);
+                }
+            }
+        } catch (Exception e) {
+            log.warn("同步预约号源已退号状态失败, encounterId={}", encounter.getId(), e);
+        }
+    }
+
    /**
     * 补打挂号
     * 补打挂号不需要修改数据库，只需要返回成功即可，前端已有所有需要的数据用于打印
--- 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
@@ -205,6 +205,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        // 构建查询条件
        QueryWrapper<AdviceBaseDto> queryWrapper = HisQueryUtils.buildQueryWrapper(adviceBaseDto, searchKey,
                new HashSet<>(Arrays.asList("advice_name", "py_str", "wb_str")), null);
+        // 🔧 BugFix#339: 药房筛选条件失效 - 添加 locationId 过滤条件
+        if (locationId != null) {
+            queryWrapper.eq("location_id", locationId);
+            log.info("BugFix#339: 添加药房筛选条件 locationId={}", locationId);
+        }
        IPage<AdviceBaseDto> adviceBaseInfo = doctorStationAdviceAppMapper.getAdviceBaseInfo(
                new Page<>(pageNo, pageSize), PublicationStatus.ACTIVE.getValue(), organizationId,
                CommonConstants.TableName.MED_MEDICATION_DEFINITION, CommonConstants.TableName.ADM_DEVICE_DEFINITION,
@@ -561,6 +566,24 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                        return R.fail(null, "无法获取患者信息，请重新选择患者");
                    }
                }
+                
+                // 🔧 BugFix#338: 门诊划价新增时校验就诊状态和诊断记录（患者安全）
+                // 仅对新增/修改操作进行校验，删除操作不需要
+                if (!DbOpType.DELETE.getCode().equals(adviceSaveDto.getDbOpType())) {
+                    // 1. 校验就诊状态：必须是已接诊状态
+                    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.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.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！");
+                        }
+                    }
+                }
            }
            
            // 药品（前端adviceType=1）
@@ -770,6 +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
@@ -1137,6 +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
@@ -1201,6 +1248,47 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                chargeItem.setServiceId(deviceRequest.getId()); // 医疗服务ID
                chargeItem.setProductTable(adviceSaveDto.getAdviceTableName());// 产品所在表
                chargeItem.setProductId(adviceSaveDto.getAdviceDefinitionId());// 收费项id
+                
+                // 🔧 Bug Fix: 如果 definitionId 或 definitionDetailId 为 null，从定价信息中获取
+                if (chargeItem.getDefinitionId() == null || chargeItem.getDefDetailId() == null) {
+                    log.warn("耗材的 definitionId 或 definitionDetailId 为 null，尝试从定价信息中获取: deviceDefId={}", 
+                            adviceSaveDto.getAdviceDefinitionId());
+                    // 查询耗材定价信息
+                    IPage<AdviceBaseDto> devicePage = doctorStationAdviceAppMapper.getAdviceBaseInfo(
+                            new Page<>(1, 1),
+                            PublicationStatus.ACTIVE.getValue(),
+                            orgId,
+                            CommonConstants.TableName.ADM_DEVICE_DEFINITION,
+                            null,
+                            null,
+                            null,
+                            Arrays.asList(adviceSaveDto.getAdviceDefinitionId()),
+                            null,
+                            null,
+                            null,
+                            null);
+                    if (devicePage != null && !devicePage.getRecords().isEmpty()) {
+                        AdviceBaseDto deviceBaseInfo = devicePage.getRecords().get(0);
+                        if (deviceBaseInfo.getPriceList() != null && !deviceBaseInfo.getPriceList().isEmpty()) {
+                            AdvicePriceDto devicePrice = deviceBaseInfo.getPriceList().get(0);
+                            if (chargeItem.getDefinitionId() == null) {
+                                chargeItem.setDefinitionId(devicePrice.getDefinitionId());
+                                log.info("从定价信息中获取 definitionId: {}", devicePrice.getDefinitionId());
+                            }
+                            if (chargeItem.getDefDetailId() == null) {
+                                chargeItem.setDefDetailId(devicePrice.getDefinitionDetailId());
+                                log.info("从定价信息中获取 definitionDetailId: {}", devicePrice.getDefinitionDetailId());
+                            }
+                        }
+                    }
+                }
+                
+                // 🔧 Bug Fix: 确保定义ID不为null
+                if (chargeItem.getDefinitionId() == null) {
+                    log.error("无法获取耗材的 definitionId: deviceDefId={}", adviceSaveDto.getAdviceDefinitionId());
+                    throw new ServiceException("无法获取耗材的定价信息，请联系管理员");
+                }
+                
                // 🔧 Bug Fix: 如果accountId为null，从就诊中获取账户ID，如果没有则自动创建
                Long accountId = adviceSaveDto.getAccountId();
                if (accountId == null) {
@@ -1323,6 +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();
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/AdviceUtils.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/AdviceUtils.java
@@ -115,6 +115,15 @@ public class AdviceUtils {
                    matched = true;
                    // 检查库存是否充足
                    BigDecimal minUnitQuantity = saveDto.getMinUnitQuantity();
+                    // 🔧 Bug Fix: 对于耗材类型，如果没有设置minUnitQuantity，则使用quantity作为默认值
+                    if (minUnitQuantity == null) {
+                        if (CommonConstants.TableName.ADM_DEVICE_DEFINITION.equals(inventoryDto.getItemTable())) {
+                            // 耗材只有一个单位，minUnitQuantity等于quantity
+                            minUnitQuantity = saveDto.getQuantity();
+                        } else {
+                            return saveDto.getAdviceName() + "的小单位数量不能为空";
+                        }
+                    }
                    BigDecimal chineseHerbsDoseQuantity = saveDto.getChineseHerbsDoseQuantity(); // 中药付数
                    // 中草药医嘱的情况
                    if (chineseHerbsDoseQuantity != null && chineseHerbsDoseQuantity.compareTo(BigDecimal.ZERO) > 0) {
--- 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
@@ -59,7 +59,7 @@
               T9.gender_enum AS genderEnum,
               T9.id_card AS idCard,
               T9.status_enum AS statusEnum,
-               T9.register_time AS registerTime,
+               T9.register_time AS register_time,
               T9.total_price AS totalPrice,
               T9.account_name AS accountName,
               T9.enterer_name AS entererName,
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/constant/CommonConstants.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/constant/CommonConstants.java
@@ -769,15 +769,21 @@ public class CommonConstants {
    }

    /**
-     * 号源槽位状态 (adm_schedule_slot.slot_status)
+     * 号源槽位状态 (adm_schedule_slot.status)
     */
    public interface SlotStatus {
        /** 可用 / 待预约 */
        Integer AVAILABLE = 0;
        /** 已预约 */
        Integer BOOKED = 1;
-        /** 已停诊 / 已失效 */
-        Integer STOPPED = 2;
+        /** 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;
+        /** 已退号 */
+        Integer RETURNED = 5;
    }

    /**
@@ -790,6 +796,8 @@ public class CommonConstants {
        Integer CHECKED_IN = 2;
        /** 已取消 */
        Integer CANCELLED = 3;
+        /** 已退号 */
+        Integer RETURNED = 4;
    }

 }
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/ScheduleSlot.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/ScheduleSlot.java
@@ -9,6 +9,8 @@ import lombok.EqualsAndHashCode;
 import lombok.experimental.Accessors;

 import java.time.LocalTime;
+import java.util.Date;
+
 /**
 * 号源池明细Entity
 *
@@ -29,7 +31,7 @@ public class ScheduleSlot extends HisBaseEntity {
    /** 序号 */
    private Integer seqNo;

-    /** 序号状态: 0-可用,1-已预约,2-已取消,3-已过期等 */
+    /** 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 */
    private Integer status;

    /** 预约订单ID */
@@ -37,4 +39,7 @@ public class ScheduleSlot extends HisBaseEntity {

    /** 预计叫号时间 */
    private LocalTime expectTime;
+
+    /** 签到时间 */
+    private Date checkInTime;
 }
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/TicketSlotDTO.java
@@ -11,6 +11,7 @@ import java.time.LocalTime;
 public class TicketSlotDTO {
    // 基础信息
    private Long slotId;
+    private Integer seqNo;
    private Long scheduleId;
    private String doctor;
    private Long doctorId;
@@ -22,6 +23,13 @@ public class TicketSlotDTO {
    private Long patientId;
    private String phone;
    private Integer orderStatus;
+    private Long orderId;
+    private String orderNo;
+    private String patientGender;
+    private Integer genderEnum;
+    private String idCard;
+    private String encounterId;
+    private String appointmentTime;

    // 底层逻辑判断专属字段
    private Integer slotStatus;
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/SchedulePoolMapper.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/SchedulePoolMapper.java
@@ -37,4 +37,21 @@ public interface SchedulePoolMapper extends BaseMapper<SchedulePool> {
              AND p.delete_flag = '0'
            """)
    int refreshPoolStats(@Param("poolId") Long poolId);
+
+    /**
+     * 签到时更新号源池统计：锁定数-1，已预约数+1
+     *
+     * @param poolId 号源池ID
+     * @return 结果
+     */
+    @Update("""
+            UPDATE adm_schedule_pool
+            SET locked_num = locked_num - 1,
+                booked_num = booked_num + 1,
+                update_time = NOW()
+            WHERE id = #{poolId}
+              AND locked_num > 0
+              AND delete_flag = '0'
+            """)
+    int updatePoolStatsOnCheckIn(@Param("poolId") Integer poolId);
 }
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/ScheduleSlotMapper.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/ScheduleSlotMapper.java
@@ -6,6 +6,7 @@ import com.openhis.appointmentmanage.domain.ScheduleSlot;
 import com.openhis.appointmentmanage.domain.TicketSlotDTO;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.openhis.appointmentmanage.dto.TicketQueryDTO;
+import java.util.Date;
 import java.util.List;
 import org.springframework.stereotype.Repository;
 import org.apache.ibatis.annotations.Param;
@@ -30,6 +31,16 @@ public interface ScheduleSlotMapper extends BaseMapper<ScheduleSlot> {
     */
    int updateSlotStatus(@Param("slotId") Long slotId, @Param("status") Integer status);

+    /**
+     * 更新槽位状态并记录签到时间
+     *
+     * @param slotId      槽位ID
+     * @param status      状态
+     * @param checkInTime 签到时间
+     * @return 结果
+     */
+    int updateSlotStatusAndCheckInTime(@Param("slotId") Long slotId, @Param("status") Integer status, @Param("checkInTime") Date checkInTime);
+
    /**
     * 根据槽位ID查询所属号源池ID。
     */
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/Order.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/Order.java
@@ -20,7 +20,7 @@ import lombok.experimental.Accessors;
@EqualsAndHashCode(callSuper = false)
 public class Order extends HisBaseEntity {

-    @TableId(type = IdType.ASSIGN_ID)
+    @TableId(type = IdType.AUTO)
    @JsonSerialize(using = ToStringSerializer.class)
    private Long id;

--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/mapper/OrderMapper.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/mapper/OrderMapper.java
@@ -32,4 +32,14 @@ public interface OrderMapper extends BaseMapper<Order> {
    int updateOrderStatusById(Long id, Integer status);

    int updateOrderCancelInfoById(Long id, Date cancelTime, String cancelReason);
+
+    /**
+     * 更新订单支付状态
+     *
+     * @param orderId   订单ID
+     * @param payStatus 支付状态：0-未支付，1-已支付
+     * @param payTime   支付时间
+     * @return 结果
+     */
+    int updatePayStatus(@Param("orderId") Long orderId, @Param("payStatus") Integer payStatus, @Param("payTime") Date payTime);
 }
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/OrderServiceImpl.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/OrderServiceImpl.java
@@ -88,6 +88,7 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
        }

        Order order = new Order();
+        order.setId(null); // 显式置空，确保触发数据库自增，避免 MP 预分配雪花 ID 的干扰
        String orderNo = assignSeqUtil.getSeq(AssignSeqEnum.ORDER_NUM.getPrefix(), 18);
        order.setOrderNo(orderNo);

--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/TicketServiceImpl.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/TicketServiceImpl.java
@@ -5,6 +5,7 @@ import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
 import com.openhis.appointmentmanage.domain.AppointmentConfig;
 import com.openhis.appointmentmanage.service.IAppointmentConfigService;
 import com.openhis.appointmentmanage.domain.TicketSlotDTO;
+import com.openhis.appointmentmanage.domain.ScheduleSlot;
 import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
 import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
 import com.openhis.clinical.domain.Order;
@@ -52,6 +53,9 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
    @Resource
    private SchedulePoolMapper schedulePoolMapper;

+    @Resource
+    private com.openhis.clinical.mapper.OrderMapper orderMapper;
+
    @Resource
    private IAppointmentConfigService appointmentConfigService;

@@ -146,7 +150,25 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme

        logger.debug("开始执行纯净打单路线，slotId: {}, patientName: {}", slotId, dto.getPatientName());

-        // 1. 直查物理大底座！
+        // 1. 检查患者取消预约次数限制（应在预约挂号时限制，而非取消预约时）
+        Integer tenantId = dto.getTenant_id();
+        Long patientId = dto.getPatientId();
+        if (tenantId != null && patientId != null) {
+            AppointmentConfig config = appointmentConfigService.getConfigByTenantId(tenantId);
+            if (config != null && config.getCancelAppointmentCount() != null
+                    && config.getCancelAppointmentCount() > 0) {
+                // 计算当前周期的起始时间
+                LocalDateTime startTime = calculatePeriodStartTime(config.getCancelAppointmentType());
+                // 统计已取消次数
+                long cancelledCount = orderService.countPatientCancellations(patientId, tenantId, startTime);
+                if (cancelledCount >= config.getCancelAppointmentCount()) {
+                    String periodName = getPeriodName(config.getCancelAppointmentType());
+                    throw new RuntimeException("由于您在" + periodName + "内累计取消预约已达" + cancelledCount + "次，触发系统限制，暂时无法在线预约，请联系分诊台或咨询客服。");
+                }
+            }
+        }
+
+        // 2. 直查物理大底座！
        TicketSlotDTO slot = scheduleSlotMapper.selectTicketSlotById(slotId);

        if (slot == null) {
@@ -242,26 +264,11 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
            throw new RuntimeException("当前号源没有可取消的预约订单");
        }

-        // 核心逻辑：获取订单信息并检查机构取消限制
+        // 获取订单信息
        Order latestOrder = orders.get(0);
-        Integer tenantId = latestOrder.getTenantId();
-        Long patientId = latestOrder.getPatientId();
-
-        if (tenantId != null && patientId != null) {
-            AppointmentConfig config = appointmentConfigService.getConfigByTenantId(tenantId);
-            if (config != null && config.getCancelAppointmentCount() != null
-                    && config.getCancelAppointmentCount() > 0) {
-                // 计算当前周期的起始时间
-                LocalDateTime startTime = calculatePeriodStartTime(config.getCancelAppointmentType());
-                // 统计已取消次数
-                long cancelledCount = orderService.countPatientCancellations(patientId, tenantId, startTime);
-                if (cancelledCount >= config.getCancelAppointmentCount()) {
-                    String periodName = getPeriodName(config.getCancelAppointmentType());
-                    throw new RuntimeException("您在" + periodName + "内已达到该机构取消预约次数上限（" + config.getCancelAppointmentCount() + "次），禁止取消");
-                }
-            }
-        }

+        // 直接执行取消，不再检查取消限制
+        // 根据需求，取消限制应在预约挂号时检查，而非取消预约时
        for (Order order : orders) {
            orderService.cancelAppointmentOrder(order.getId(), "患者取消预约");
        }
@@ -274,7 +281,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
    }

    /**
-     * 取号
+     * 取号（签到）
     *
     * @param slotId 槽位ID
     * @return 结果
@@ -287,7 +294,24 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
            throw new RuntimeException("当前号源没有可取号的预约订单");
        }
        Order latestOrder = orders.get(0);
-        return orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+
+        // 1. 更新订单状态为已取号，并更新支付状态和支付时间
+        orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+        // 更新支付状态为已支付，记录支付时间
+        orderMapper.updatePayStatus(latestOrder.getId(), 1, new Date());
+
+        // 2. 查询号源槽位信息
+        ScheduleSlot slot = scheduleSlotMapper.selectById(slotId);
+
+        // 3. 更新号源槽位状态为已签到，记录签到时间
+        scheduleSlotMapper.updateSlotStatusAndCheckInTime(slotId, SlotStatus.CHECKED_IN, new Date());
+
+        // 4. 更新号源池统计：锁定数-1，已预约数+1
+        if (slot != null && slot.getPoolId() != null) {
+            schedulePoolMapper.updatePoolStatsOnCheckIn(slot.getPoolId());
+        }
+
+        return 1;
    }

    /**
@@ -309,7 +333,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
            orderService.cancelAppointmentOrder(order.getId(), "医生停诊");
        }

-        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.STOPPED);
+        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.CANCELLED);
        if (updated > 0) {
            refreshPoolStatsBySlotId(slotId);
        }
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/document/domain/VitalSigns.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/document/domain/VitalSigns.java
@@ -17,7 +17,7 @@ import java.util.Date;
 * @date 2025-06-03
 */
@Data
-@TableName("doc_ital_signs")
+@TableName("doc_vital_signs")
@Accessors(chain = true)
@EqualsAndHashCode(callSuper = false)
 public class VitalSigns extends HisBaseEntity {
--- a/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml
+++ b/openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml
@@ -4,10 +4,46 @@
        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.appointmentmanage.mapper.ScheduleSlotMapper">

+    <!-- 统一状态值（兼容数字/英文字符串存储），输出 Integer，避免 resultType 映射 NumberFormatException -->
+    <sql id="slotStatusNormExpr">
+        CASE
+            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 ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', s.status)) IN ('5', 'returned') THEN 5
+            ELSE NULL
+        END
+    </sql>
+
+    <sql id="orderStatusNormExpr">
+        CASE
+            WHEN LOWER(CONCAT('', o.status)) IN ('1', 'booked') THEN 1
+            WHEN LOWER(CONCAT('', o.status)) IN ('2', 'checked', 'checked_in', 'checkin') THEN 2
+            WHEN LOWER(CONCAT('', o.status)) IN ('3', 'cancelled', 'canceled') THEN 3
+            WHEN LOWER(CONCAT('', o.status)) IN ('4', 'returned') THEN 4
+            ELSE NULL
+        END
+    </sql>
+
+    <sql id="poolStatusNormExpr">
+        CASE
+            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 ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', p.status)) IN ('5', 'returned') THEN 5
+            ELSE NULL
+        END
+    </sql>
+
    <!-- 注意这里的 resultType 指向了您刚建好的 DTO 实体类 -->
    <select id="selectAllTicketSlots" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
        SELECT
            s.id AS slotId,
+            s.seq_no AS seqNo,
            p.schedule_id AS scheduleId,
            p.doctor_name AS doctor,
            p.dept_id AS departmentId,
@@ -16,12 +52,12 @@
            o.patient_name AS patientName,
            o.medical_card AS medicalCard,
            o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
            s.expect_time AS expectTime,
            p.schedule_date AS scheduleDate,
            d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
            p.stop_reason AS stopReason,
            d.is_stopped AS isStopped
        FROM
@@ -39,7 +75,7 @@
                FROM
                    order_main
                WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                ORDER BY
                    slot_id,
                    create_time DESC
@@ -56,6 +92,7 @@
    <select id="selectTicketSlotById" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
        SELECT
            s.id AS slotId,
+            s.seq_no AS seqNo,
            p.schedule_id AS scheduleId,
            p.doctor_name AS doctor,
            p.doctor_id AS doctorId,
@@ -66,12 +103,18 @@
            o.patient_name AS patientName,
            o.medical_card AS medicalCard,
            o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            o.id AS orderId,
+            o.order_no AS orderNo,
+            COALESCE(CAST(o.gender AS VARCHAR), CAST(pinfo.gender_enum AS VARCHAR)) AS patientGender,
+            pinfo.gender_enum AS genderEnum,
+            pinfo.id_card AS idCard,
+            o.appointment_time AS appointmentTime,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
            s.expect_time AS expectTime,
            p.schedule_date AS scheduleDate,
            d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
            p.stop_reason AS stopReason,
            d.is_stopped AS isStopped
        FROM
@@ -87,15 +130,20 @@
                    patient_name,
                    medical_card,
                    phone,
+                    id,
+                    order_no,
+                    gender,
+                    appointment_time,
                    status
                FROM
                    order_main
                WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                ORDER BY
                    slot_id,
                    create_time DESC
            ) o ON o.slot_id = s.id
+            LEFT JOIN adm_patient pinfo ON o.patient_id = pinfo.id
        WHERE
            s.id = #{id}
    </select>
@@ -115,7 +163,7 @@
        UPDATE adm_schedule_slot
        SET
            status = #{status},
-        <if test="status == 0">
+        <if test="status != null and '0'.equals(status.toString())">
            order_id = NULL,
        </if>
        update_time = now()
@@ -124,10 +172,24 @@
            AND delete_flag = '0'
    </update>

+    <update id="updateSlotStatusAndCheckInTime">
+        UPDATE adm_schedule_slot
+        SET
+            status = #{status},
+            check_in_time = #{checkInTime},
+            update_time = NOW()
+        WHERE
+            id = #{slotId}
+            AND delete_flag = '0'
+    </update>
+
    <select id="selectPoolIdBySlotId" resultType="java.lang.Long">
-        SELECT pool_id
-        FROM adm_schedule_slot
-        WHERE id = #{slotId}
+        SELECT
+            pool_id
+        FROM
+            adm_schedule_slot
+        WHERE
+            id = #{slotId}
            AND delete_flag = '0'
    </select>

@@ -145,6 +207,7 @@
    <select id="selectTicketSlotsPage" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
        SELECT
            s.id AS slotId,
+            s.seq_no AS seqNo,
            p.schedule_id AS scheduleId,
            p.doctor_name AS doctor,
            p.doctor_id AS doctorId,
@@ -155,12 +218,18 @@
            o.patient_name AS patientName,
            o.medical_card AS medicalCard,
            o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            o.id AS orderId,
+            o.order_no AS orderNo,
+            COALESCE(CAST(o.gender AS VARCHAR), CAST(pinfo.gender_enum AS VARCHAR)) AS patientGender,
+            pinfo.gender_enum AS genderEnum,
+            pinfo.id_card AS idCard,
+            o.appointment_time AS appointmentTime,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
            s.expect_time AS expectTime,
            p.schedule_date AS scheduleDate,
            d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
            p.stop_reason AS stopReason,
            d.is_stopped AS isStopped
        FROM
@@ -176,15 +245,20 @@
                    patient_name,
                    medical_card,
                    phone,
+                    id,
+                    order_no,
+                    gender,
+                    appointment_time,
                    status
                FROM
                    order_main
                WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                ORDER BY
                    slot_id,
                    create_time DESC
            ) o ON o.slot_id = s.id
+            LEFT JOIN adm_patient pinfo ON o.patient_id = pinfo.id
        <where>
            p.delete_flag = '0'
            AND s.delete_flag = '0' <!-- 1. 按日期查 -->
@@ -225,35 +299,49 @@
            <!-- 5. 核心：解答您疑问的 4 种业务状态的复合查询！ -->
            <if test="query.status != null and query.status != '' and query.status != 'all'">
                <choose>
-                    <when test="query.status == 'unbooked'">
-                        AND s.status = 0
+                    <when test="'unbooked'.equals(query.status) or '未预约'.equals(query.status)">
+                        AND <include refid="slotStatusNormExpr" /> = 0
                        AND (
                            d.is_stopped IS NULL
                            OR d.is_stopped = FALSE
                        )
                    </when>
-                    <when test="query.status == 'booked'">
-                        AND s.status = 1
-                        AND o.status = 1
+                    <when test="'booked'.equals(query.status) or '已预约'.equals(query.status)">
+                        AND <include refid="slotStatusNormExpr" /> = 1
+                        AND <include refid="orderStatusNormExpr" /> = 1
                        AND (
                            d.is_stopped IS NULL
                            OR d.is_stopped = FALSE
                        )
                    </when>
-                    <when test="query.status == 'checked'">
-                        AND s.status = 1
-                        AND o.status = 2
+                    <when test="'checked'.equals(query.status) or '已取号'.equals(query.status)">
+                        AND (
+                            <include refid="slotStatusNormExpr" /> = 4
+                            OR (
+                                <include refid="slotStatusNormExpr" /> = 1
+                                AND <include refid="orderStatusNormExpr" /> = 2
+                            )
+                        )
                        AND (
                            d.is_stopped IS NULL
                            OR d.is_stopped = FALSE
                        )
                    </when>
-                    <when test="query.status == 'cancelled'">
+                    <when test="'cancelled'.equals(query.status) or '已停诊'.equals(query.status) or '已取消'.equals(query.status)">
                        AND (
-                            s.status = 2
+                            <include refid="slotStatusNormExpr" /> = 2
                            OR d.is_stopped = TRUE
                        )
                    </when>
+                    <when test="'returned'.equals(query.status) or '已退号'.equals(query.status)">
+                        AND (
+                            <include refid="slotStatusNormExpr" /> = 5
+                            OR <include refid="orderStatusNormExpr" /> = 4
+                        )
+                    </when>
+                    <otherwise>
+                        AND 1 = 2
+                    </otherwise>
                </choose>
            </if>
        </where>
@@ -266,9 +354,22 @@
        SELECT
            p.doctor_id AS doctorId,
            p.doctor_name AS doctorName,
-            COALESCE(SUM(GREATEST(COALESCE(p.total_quota, 0) - COALESCE(p.booked_num, 0) - COALESCE(p.locked_num, 0), 0)), 0) AS available,
+            COALESCE(
+                SUM(
+                    GREATEST(
+                        COALESCE(p.total_quota, 0) - COALESCE(p.booked_num, 0) - COALESCE(p.locked_num, 0),
+                        0
+                    )
+                ),
+                0
+            ) AS available,
            CASE
-                WHEN MAX(CASE WHEN d.reg_type = 1 THEN 1 ELSE 0 END) = 1 THEN 'expert'
+                WHEN MAX(
+                    CASE
+                        WHEN d.reg_type = 1 THEN 1
+                        ELSE 0
+                    END
+                ) = 1 THEN 'expert'
                ELSE 'general'
            END AS ticketType
        FROM
@@ -290,7 +391,10 @@
                        AND d.reg_type = 1
                    </when>
                    <when test="query.type == 'general'">
-                        AND (d.reg_type != 1 OR d.reg_type IS NULL)
+                        AND (
+                            d.reg_type != 1
+                            OR d.reg_type IS NULL
+                        )
                    </when>
                </choose>
            </if>
--- a/openhis-server-new/openhis-domain/src/main/resources/mapper/clinical/OrderMapper.xml
+++ b/openhis-server-new/openhis-domain/src/main/resources/mapper/clinical/OrderMapper.xml
@@ -127,7 +127,7 @@
        select * from order_main where slot_id = #{slotId} and status = 1
    </select>

-    <insert id="insertOrder" parameterType="com.openhis.clinical.domain.Order">
+    <insert id="insertOrder" parameterType="com.openhis.clinical.domain.Order" useGeneratedKeys="true" keyProperty="id">
        insert into order_main
        <trim prefix="(" suffix=")" suffixOverrides=",">
            <if test="orderNo != null and orderNo != ''">order_no,</if>
@@ -225,6 +225,12 @@
        update order_main set status = 3, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
    </update>

+    <update id="updatePayStatus">
+        update order_main
+        set pay_status = #{payStatus}, pay_time = #{payTime}, update_time = NOW()
+        where id = #{orderId}
+    </update>
+
    <delete id="deleteOrderById">
        delete from order_main where id = #{id}
    </delete>
--- a/openhis-ui-vue3/src/utils/medicalConstants.js
+++ b/openhis-ui-vue3/src/utils/medicalConstants.js
@@ -162,3 +162,61 @@ export const STATUS = {
  NORMAL: '0',   // 正常/启用
  DISABLE: '1'  // 停用
 };
+
+/**
+ * 号源槽位状态（与后端 CommonConstants.SlotStatus 保持一致）
+ * adm_schedule_slot.status 字段
+ */
+export const SlotStatus = {
+  /** 可用 / 待预约 */
+  AVAILABLE: 0,
+  /** 已预约 */
+  BOOKED: 1,
+  /** 已取消 / 已停诊 */
+  CANCELLED: 2,
+  /** 已锁定 */
+  LOCKED: 3,
+  /** 已签到 / 已取号 */
+  CHECKED_IN: 4,
+};
+
+/**
+ * 号源槽位状态说明信息
+ */
+export const SlotStatusDescriptions = {
+  0: '未预约',
+  1: '已预约',
+  2: '已停诊',
+  3: '已锁定',
+  4: '已取号',
+};
+
+/**
+ * 号源槽位状态对应的CSS类名
+ */
+export const SlotStatusClassMap = {
+  '未预约': 'status-unbooked',
+  '已预约': 'status-booked',
+  '已取号': 'status-checked',
+  '已停诊': 'status-cancelled',
+  '已取消': 'status-cancelled',
+  '已锁定': 'status-locked',
+};
+
+/**
+ * 获取号源槽位状态的说明
+ * @param {number} value - 状态值
+ * @returns {string} - 说明信息
+ */
+export function getSlotStatusDescription(value) {
+  return SlotStatusDescriptions[value] || '未知状态';
+}
+
+/**
+ * 获取号源槽位状态对应的CSS类名
+ * @param {string} status - 状态说明
+ * @returns {string} - CSS类名
+ */
+export function getSlotStatusClass(status) {
+  return SlotStatusClassMap[status] || 'status-unbooked';
+}
--- a/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
+++ b/openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue
@@ -37,6 +37,7 @@
            <option value="booked">已预约</option>
            <option value="checked">已取号</option>
            <option value="cancelled">已停诊</option>
+            <option value="returned">已退号</option>
          </select>
        </div>
        <div id="patientSearch" class="patient-search">
@@ -105,7 +106,7 @@
        <div class="ticket-grid" v-if="filteredTickets.length > 0">
          <div v-for="(item, index) in filteredTickets" :key="item.slot_id" class="ticket-card" @dblclick="handleDoubleClick(item)" @contextmenu.prevent="handleRightClick($event, item)">
            <!-- 序号放在最右侧 -->
-            <div class="ticket-index">{{ index + 1 }}</div>
+            <div class="ticket-index">{{ item.seqNo != null ? item.seqNo : index + 1 }}</div>
            <!-- 1.时间 -->
            <div class="ticket-id-time">{{ item.dateTime }}</div>
            <!-- 2. 状态标签 -->
@@ -125,7 +126,7 @@
            <div class="ticket-type">{{ item.ticketType === 'general' ? '普通' : '专家' }}</div>
            <!-- 7. 已预约患者信息 -->
            <div v-if="(item.status === '已预约' || item.status === '已取号') && item.patientName" class="ticket-patient">
-              {{ item.patientName }}({{ item.patientId }})
+              {{ item.patientName }}({{ item.patientId }},{{ getGenderText(item.gender || item.patientGender) }})
            </div>
            <div class="ticket-actions">
              <button class="action-button book-button" @click="openPatientSelectModal(item.slot_id)" :disabled="item.status !== '未预约'" :class="{ 'disabled': item.status !== '未预约' }">
@@ -194,7 +195,8 @@
                >
                  <td>{{ index + 1 }}</td>
                  <td>{{ patient.name }}</td>
-                  <td>{{ patient.id || patient.medicalCard }}</td>
+                  <td>{{ patient.identifierNo || patient.medicalCard || patient.id }}</td>
+                  <td>{{ patient.identifierNo }}</td>
                  <td>{{ getGenderText(patient.genderEnum_enumText || patient.genderEnum || patient.gender || patient.sex) }}</td>
                  <td>{{ patient.idCard }}</td>
                  <td>{{ patient.phone }}</td>
@@ -254,6 +256,7 @@ const STATUS_CLASS_MAP = {
  '未预约': 'status-unbooked',
  '已预约': 'status-booked',
  '已取号': 'status-checked',
+  '已退号': 'status-returned',
  '已停诊': 'status-cancelled',
  '已取消': 'status-cancelled'
 };
@@ -364,14 +367,23 @@ export default {
      this.searchPatients();
    },
    getPatientUniqueId(patient, index = null) {
-      return patient.idCard || patient.medicalCard || patient.id || (index !== null ? `temp_${index}` : null);
+      return patient.id || patient.patientId || patient.identifierNo || patient.medicalCard || patient.idCard ||
+        (index !== null ? `temp_${index}` : null);
    },
    matchPatientKeyword(patient, keyword) {
      const normalizedKeyword = String(keyword || '').trim().toLowerCase();
      if (!normalizedKeyword) {
        return true;
      }
-      const fields = [patient.name, patient.id, patient.medicalCard, patient.idCard, patient.phone];
+      const fields = [
+        patient.name,
+        patient.id,
+        patient.patientId,
+        patient.identifierNo,
+        patient.medicalCard,
+        patient.idCard,
+        patient.phone
+      ];
      return fields.some(field => String(field || '').toLowerCase().includes(normalizedKeyword));
    },
    searchPatients() {
@@ -394,6 +406,8 @@ export default {
            const rowKey = this.getPatientUniqueId(patient, index);
            return {
              ...patient,
+              // 统一口径：预约场景的就诊卡号使用患者标识表中的 identifierNo
+              medicalCard: patient.identifierNo || patient.medicalCard || '',
              _rowKey: rowKey
            };
          });
@@ -494,6 +508,7 @@ export default {
            this.tickets[ticketIndex].patientName = null;
            this.tickets[ticketIndex].patientId = null;
            this.tickets[ticketIndex].patientGender = null;
+            this.tickets[ticketIndex].gender = null;
            this.tickets[ticketIndex].medicalCard = null;
            this.tickets[ticketIndex].phone = null;
          }
@@ -554,12 +569,22 @@ export default {

      try {
        const userStore = useUserStore();
+        const patientPrimaryId = this.selectedPatient.id || this.selectedPatient.patientId;
+        const medicalCard = this.selectedPatient.identifierNo || this.selectedPatient.medicalCard;
+        if (!patientPrimaryId) {
+          ElMessage.error('患者ID缺失，无法预约，请重新选择患者');
+          return;
+        }
+        if (!medicalCard) {
+          ElMessage.error('就诊卡号缺失，无法预约，请先维护患者就诊卡号');
+          return;
+        }
        const appointmentData = {
          ticketId: this.currentTicket.slot_id,
          slotId: this.currentTicket.slot_id,
-          patientId: this.selectedPatient.id || this.selectedPatient.idCard || this.selectedPatient.medicalCard,
+          patientId: patientPrimaryId,
          patientName: this.selectedPatient.name,
-          medicalCard: this.selectedPatient.medicalCard || this.selectedPatient.id,
+          medicalCard,
          phone: this.selectedPatient.phone,
          gender: this.getGenderValueForBackend(this.selectedPatient),
          fee: Number(this.currentTicket.fee) || 0,
@@ -578,8 +603,9 @@ export default {
          if (ticketIndex !== -1) {
            this.tickets[ticketIndex].status = '已预约';
            this.tickets[ticketIndex].patientName = this.selectedPatient.name;
-            this.tickets[ticketIndex].patientId = this.selectedPatient.medicalCard || this.selectedPatient.id;
+            this.tickets[ticketIndex].patientId = medicalCard;
            this.tickets[ticketIndex].patientGender = this.selectedPatient.genderEnum_enumText || this.selectedPatient.genderEnum || this.selectedPatient.gender || this.selectedPatient.sex;
+            this.tickets[ticketIndex].gender = this.getGenderText(this.tickets[ticketIndex].patientGender);
          }

          this.closePatientSelectModal();
@@ -601,9 +627,9 @@ export default {
    },
    // 获取性别文本
    getGenderText(genderValue) {
-      // 如果值为null或undefined，返回'-'
+      // 如果值为null或undefined，返回"未知"
      if (genderValue === null || genderValue === undefined) {
-        return '-';
+        return '未知';
      }
      
      // 将值转换为字符串进行比较
@@ -623,8 +649,8 @@ export default {
        return '女';
      }
      
-      // 如果都不是，返回原值或'-'
-      return '-';
+      // 如果都不是，返回"未知"
+      return '未知';
    },
    // 获取用于后端的性别值
    getGenderValueForBackend(patient) {
@@ -703,10 +729,36 @@ export default {
        return;
      }
      const records = payload.list || payload.records || [];
+      const filteredRecords = this.applyStatusFilter(records);
      const total = Number(payload.total);
-      this.tickets = [...records];
-      this.allTickets = [...records];
+      this.tickets = [...filteredRecords];
+      this.allTickets = [...filteredRecords];
+      // 当按状态筛选时，优先使用前端过滤后的数量，避免后端状态未生效导致“显示全部”
+      if (this.selectedStatus && this.selectedStatus !== 'all') {
+        this.totalTickets = this.tickets.length;
+      } else {
        this.totalTickets = Number.isFinite(total) ? total : this.tickets.length;
+      }
+    },
+    applyStatusFilter(records = []) {
+      if (!Array.isArray(records) || records.length === 0) {
+        return [];
+      }
+      if (!this.selectedStatus || this.selectedStatus === 'all') {
+        return records;
+      }
+      const statusMap = {
+        unbooked: ['未预约'],
+        booked: ['已预约'],
+        checked: ['已取号'],
+        cancelled: ['已停诊', '已取消'],
+        returned: ['已退号']
+      };
+      const matchedStatusList = statusMap[this.selectedStatus] || [];
+      if (matchedStatusList.length === 0) {
+        return records;
+      }
+      return records.filter(item => matchedStatusList.includes(item?.status));
    },
    updateDoctorsListFromApi(doctorResponse) {
      let doctorList = [];
@@ -1376,6 +1428,11 @@ export default {
  color: #52c41a;
 }

+.status-returned {
+  background-color: #fff7e6;
+  color: #d46b08;
+}
+
 .status-cancelled {
  background-color: #fff1f0;
  color: #ff4d4f;
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -7,6 +7,7 @@
            <div style="display: flex; align-items: center; width: 100%">
              <span style="font-size: 16px; font-weight: bold; margin-right: 20px;">门诊挂号</span>
              <div style="flex: 1; display: flex; justify-content: center; align-items: center;">
+                <el-button type="success" icon="Check" @click="handleCheckIn" size="small">预约签到</el-button>
                <el-button type="primary" icon="Document" @click="goToPatientRecord" size="small">档案</el-button>
                <el-button type="primary" icon="Plus" @click="handleAddPatient" size="small">新建</el-button>
                <el-button type="primary" plain icon="Search" @click="handleSearch" size="small">查询</el-button>
@@ -15,7 +16,7 @@
                <el-button type="primary" plain @click="handleReadCard('03')" size="small">医保卡</el-button>
                <el-button type="warning" plain icon="CircleClose" @click="handleClear" size="small">清空</el-button>
                <el-button type="primary" icon="Plus" @click="handleAdd" size="small">保存挂号</el-button>
-                <el-button type="success" icon="Printer" @click="handleReprint" size="small">补打挂号</el-button>
+                <el-button type="info" icon="Printer" @click="handleReprint" size="small">补打挂号</el-button>
              </div>
            </div>
          </template>
@@ -615,6 +616,74 @@
        }
      "
    />
+
+    <!-- 预约签到患者选择弹窗 -->
+    <el-dialog
+      v-model="showCheckInPatientModal"
+      title="请选择预约的患者"
+      width="1200px"
+      :close-on-click-modal="false"
+    >
+      <div style="margin-bottom: 20px; display: flex; gap: 10px;">
+        <el-input
+          v-model="checkInSearchKey"
+          placeholder="输入患者姓名回车查询"
+          style="width: 400px"
+          @keyup.enter="loadCheckInPatientList"
+        />
+        <el-button type="primary" @click="loadCheckInPatientList">查询</el-button>
+      </div>
+
+      <el-table 
+        v-loading="checkInLoading"
+        :data="checkInPatientList" 
+        border 
+        style="width: 100%" 
+        @row-click="selectRow"
+        highlight-current-row
+      >
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="patientId" label="就诊卡号" width="120" align="center" />
+        <el-table-column prop="patientName" label="姓名" width="120" align="center">
+          <template #default="scope">
+            <span style="color: #ff4d4f">{{ scope.row.patientName }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="gender" label="性别" width="80" align="center" />
+        <el-table-column label="证件类型" width="150" align="center">
+          <template #default>居民身份证</template>
+        </el-table-column>
+        <el-table-column prop="idCard" label="证件号码" width="200" align="center" />
+        <el-table-column prop="phone" label="手机号码" width="150" align="center" />
+        <el-table-column label="号源类型" width="100" align="center">
+          <template #default="scope">
+            <el-tag :type="scope.row.ticketType === 'expert' ? 'danger' : 'success'">
+              {{ scope.row.ticketType === 'expert' ? '专家号' : '普通号' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="fee" label="预约金额" width="100" align="center">
+          <template #default="scope">
+            <span style="font-weight: bold; color: #f5222d">￥{{ scope.row.fee }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="dateTime" label="就诊时间" width="180" align="center" />
+      </el-table>
+
+      <div style="margin-top: 20px; display: flex; justify-content: space-between; align-items: center;">
+        <el-pagination
+          v-model:current-page="checkInPage"
+          v-model:page-size="checkInLimit"
+          :total="checkInTotal"
+          layout="prev, pager, next"
+          @current-change="loadCheckInPatientList"
+        />
+        <div class="dialog-footer">
+          <el-button @click="showCheckInPatientModal = false">取消</el-button>
+          <el-button type="primary" @click="confirmCheckIn" :disabled="!selectedCheckInPatient">确定</el-button>
+        </div>
+      </div>
+    </el-dialog>
  </div>
 </template>

@@ -632,7 +701,8 @@ import {
  returnRegister,
  updatePatientPhone,
 } from './components/outpatientregistration';
-import {invokeYbPlugin5000, invokeYbPlugin5001} from '@/api/public';
+import { listTicket, checkInTicket } from '@/api/appoinmentmanage/ticket';
+import { invokeYbPlugin5000, invokeYbPlugin5001 } from '@/api/public';
 import patientInfoDialog from './components/patientInfoDialog';
 import PatientAddDialog from './components/patientAddDialog';
 import patientList from './components/patientList';
@@ -644,7 +714,7 @@ import {handleColor} from '@/utils/his';
 import useUserStore from '@/store/modules/user';
 import {formatDateStr} from '@/utils/index';
 import {isValidCNPhoneNumber} from '../../../utils/validate';
-import {ElMessage} from 'element-plus';
+import {ElMessage, ElMessageBox} from 'element-plus';
 import {hiprint} from 'vue-plugin-hiprint';
 import outpatientRegistrationTemplate from '@/components/Print/OutpatientRegistration.json';

@@ -687,14 +757,25 @@ const ybTypeRef = ref(null);
 const openDialog = ref(false);
 const openRefundDialog = ref(false);
 const openReprintDialog = ref(false);
+
+// 预约签到相关变量
+const showCheckInPatientModal = ref(false);
+const checkInPatientList = ref([]);
+const selectedCheckInPatient = ref(null);
 const totalAmount = ref(0);
 const chargeItemIdList = ref([]);
 const chrgBchnoList = ref([]);
 const paymentId = ref('');
 const loadingText = ref('');
+const checkInSearchKey = ref('');
+const checkInPage = ref(1);
+const checkInLimit = ref(10);
+const checkInTotal = ref(0);
+const checkInLoading = ref(false);
 const registerInfo = ref({}); // 原挂号记录信息
 const queryType = ref('all'); // 查询类型：all-全部, normal-正常挂号, returned-退号记录
 const guardianAgeConfig = ref(''); // 监护人规定年龄配置
+const currentSlotId = ref(null); // 当前预约签到的号源ID

 // 使用 ref 定义查询所得用户信息数据
 const patientInfoList = ref(undefined);
@@ -1584,6 +1665,189 @@ function handleReprint() {
  openReprintDialog.value = true;
 }

+/** 预约签到 - 打开患者选择弹窗 */
+function handleCheckIn() {
+  // 打开患者选择弹窗，显示已预约但未签到的患者列表
+  showCheckInPatientModal.value = true;
+  // 加载已预约未签到的患者列表
+  loadCheckInPatientList();
+}
+
+/** 加载预约签到患者列表 */
+function loadCheckInPatientList() {
+  checkInLoading.value = true;
+  const today = formatDateStr(new Date(), 'YYYY-MM-DD');
+  listTicket({
+    date: today,
+    status: 'booked',
+    name: checkInSearchKey.value, // 支持姓名等模糊查询，后端需适配
+    page: checkInPage.value,
+    limit: checkInLimit.value
+  }).then(res => {
+    const data = res.data?.list || res.list || res.data || [];
+    const total = res.data?.total || res.total || data.length;
+    
+    checkInPatientList.value = data.map(item => ({
+      ...item,
+      appointmentDate: item.scheduleDate + ' ' + (item.expectTime || '')
+    }));
+    checkInTotal.value = total;
+  }).catch(err => {
+    console.error('加载预约导出失败:', err);
+    ElMessage.error('获取预约列表失败');
+  }).finally(() => {
+    checkInLoading.value = false;
+  });
+}
+
+/** 弹窗行点击处理 */
+function selectRow(row) {
+  selectedCheckInPatient.value = row;
+}
+
+/** 确认签到（一键签到：直接构建挂号参数 → 预结算 → 弹收费窗口） */
+async function confirmCheckIn() {
+  if (!selectedCheckInPatient.value) {
+    ElMessage.warning('请先选择患者');
+    return;
+  }
+
+  const patient = selectedCheckInPatient.value;
+  // 每次开始新的签到流程先清理残留 slotId，避免历史脏值串单
+  currentSlotId.value = null;
+
+  // 弹出确认提示
+  try {
+    await ElMessageBox.confirm(
+      `确认为患者【${patient.patientName}】办理签到挂号？\n` +
+      `科室：${patient.department || '-'}\n` +
+      `医生：${patient.doctor || '-'}\n` +
+      `费用：￥${patient.fee || '0.00'}`,
+      '签到确认',
+      {
+        confirmButtonText: '确认签到',
+        cancelButtonText: '取消',
+        type: 'info',
+      }
+    );
+  } catch {
+    // 用户点了取消
+    return;
+  }
+
+  showCheckInPatientModal.value = false;
+
+  readCardLoading.value = true;
+  loadingText.value = '正在处理签到挂号...';
+
+  try {
+    // 1. 用科室ID加载该科室的挂号类型列表，获取 serviceTypeId 和 definitionId
+    const healthcareRes = await getHealthcareMetadata({ organizationId: patient.departmentId });
+    const healthcareRecords = healthcareRes.data?.records || [];
+
+    if (healthcareRecords.length === 0) {
+      ElMessage.error('该科室未配置挂号类型，无法自动签到');
+      readCardLoading.value = false;
+      return;
+    }
+
+    // 2. 按号源类型（专家/普通）模糊匹配挂号类型
+    const matchTypeName = (patient.ticketType === 'expert') ? '专家' : '普通';
+    const matchedService = healthcareRecords.find(h => h.name && h.name.includes(matchTypeName));
+
+    if (!matchedService) {
+      // 匹配不到就取第一个作为兜底
+      ElMessage.warning('未精确匹配到挂号类型，已使用默认类型');
+    }
+
+    const service = matchedService || healthcareRecords[0];
+    const realPatientId = patient.realPatientId; // 后端新增的真实患者数据库ID
+
+    if (!realPatientId) {
+      ElMessage.error('患者ID缺失，请联系管理员检查预约数据');
+      readCardLoading.value = false;
+      return;
+    }
+
+    // 3. 构建挂号参数（与 transformFormData 结构一致）
+    const registrationParam = {
+      encounterFormData: {
+        patientId: realPatientId,
+        priorityEnum: 3, // 默认优先级
+        serviceTypeId: service.id,
+        organizationId: patient.departmentId,
+      },
+      encounterLocationFormData: {
+        locationId: null,
+      },
+      encounterParticipantFormData: {
+        practitionerId: patient.doctorId,
+      },
+      accountFormData: {
+        patientId: realPatientId,
+        typeCode: 1, // 个人现金账户
+        contractNo: '0000', // 默认自费
+      },
+      chargeItemFormData: {
+        patientId: realPatientId,
+        definitionId: service.definitionId,
+        serviceId: service.id,
+        totalPrice: parseFloat(patient.fee) || ((service.price || 0) + (service.activityPrice || 0)),
+      },
+    };
+
+    // 4. 设置 patientInfo（ChargeDialog 需要展示）
+    patientInfo.value = {
+      patientId: realPatientId,
+      patientName: patient.patientName,
+      genderEnum_enumText: patient.gender || '-',
+      age: '',
+      contractName: '自费',
+      idCard: patient.idCard,
+      phone: patient.phone,
+      categoryEnum: '门诊',
+      organizationName: patient.department || '',
+      practitionerName: patient.doctor || '',
+      healthcareName: service.name || '',
+    };
+
+    // 同步设置 form 的 contractNo，ChargeDialog 的 feeType 会读取它
+    form.value.contractNo = '0000';
+
+    // 5. 调用预结算接口（reg-pre-pay）
+    const res = await addOutpatientRegistration(registrationParam);
+
+    if (res.code == 200) {
+      // 仅在预结算成功后记录待签到的号源，避免失败路径残留脏数据
+      currentSlotId.value = patient.slot_id;
+
+      // 6. 设置收费弹窗所需的数据
+      chrgBchno.value = res.data.chrgBchno;
+      registerBusNo.value = res.data.busNo;
+      totalAmount.value = res.data.psnCashPay;
+      patientInfo.value.encounterId = res.data.encounterId || '';
+      patientInfo.value.busNo = res.data.busNo || '';
+      transformedData.value = registrationParam;
+      chargeItemIdList.value = [];
+
+      // 7. 打开收费弹窗
+      openDialog.value = true;
+
+      // 打印挂号单
+      printRegistrationByHiprint(res.data);
+    } else {
+      currentSlotId.value = null;
+      ElMessage.error(res.msg || '预结算失败');
+    }
+  } catch (err) {
+    currentSlotId.value = null;
+    console.error('预约签到失败:', err);
+    ElMessage.error('签到处理失败: ' + (err.message || '未知错误'));
+  } finally {
+    readCardLoading.value = false;
+  }
+}
+
 /**
 * 点击患者列表给表单赋值
 */
@@ -1656,20 +1920,29 @@ function handleClose(value) {
    proxy.$modal.msgSuccess('操作成功');
    // 更新患者手机号
    updatePhone();
-    // getList();
-    // reset();
-    // addOutpatientRegistration(transformedData.value).then((response) => {
-    //   reset();
-    //   proxy.$modal.msgSuccess('新增成功');
-    //   getList();
-    // });
+
+    // 先取出并清空，避免接口失败/取消等路径导致 slotId 残留污染下一单
+    const pendingSlotId = currentSlotId.value;
+    currentSlotId.value = null;
+
+    // 如果是预约签到的挂号，执行签到状态更新
+    if (pendingSlotId) {
+      checkInTicket(pendingSlotId).then(() => {
+        console.log('预约状态已更新为已取号');
+      }).catch(err => {
+        console.error('更新预约状态失败:', err);
+        ElMessage.error('预约状态更新失败，请手动签到');
+      });
+    }
  } else if (value == 'cancel') {
+    currentSlotId.value = null;
    // cancelRegister(patientInfo.value.encounterId).then((res) => {
    //   if (res.code == 200) {
    //     getList();
    //   }
    // });
  } else {
+    currentSlotId.value = null;
    openRefundDialog.value = false;
  }
 }
--- a/openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue
@@ -257,15 +257,16 @@ function fetchFromApi(searchKey) {
      searchKey: searchKey || '',
      statusEnum: 2,
    }).then((res) => {
-      console.log('[Debug] 耗材列表返回数据:', res.data);
+      console.log('[BugFix] 耗材列表返回数据:', res.data);
      if (res.data && res.data.records) {
        adviceBaseList.value = res.data.records.map((item) => {
-          console.log('[Debug] 耗材项:', item.name, 'price:', item.price, 'retailPrice:', item.retailPrice);
-          return {
+          console.log('[BugFix] 耗材项:', item.name, 'price:', item.price, 'retailPrice:', item.retailPrice);
+          const mappedItem = {
            ...item,
            // 🔧 Bug Fix: 强制覆盖后端返回的字段，确保数据正确
            adviceName: item.name || item.busNo,
            adviceType: 4,  // 强制设置为前端耗材类型
+            adviceType_dictText: '耗材',  // 🔧 Bug Fix: 设置医嘱类型显示文本
            adviceTableName: 'adm_device_definition',
            unitCode: item.unitCode || '',
            unitCode_dictText: item.unitCode_dictText || '',
@@ -273,7 +274,10 @@ function fetchFromApi(searchKey) {
            minUnitCode_dictText: item.minUnitCode_dictText || item.unitCode_dictText || '',
            volume: item.size || item.totalVolume || '',
            partPercent: item.partPercent || 1,
-            inventoryList: [],
+            // 🔧 Bug Fix: 如果后端提供了inventoryList，则使用；否则为空数组
+            inventoryList: item.inventoryList || [],
+            // 🔧 Bug Fix: 构造stockList用于库存显示
+            stockList: item.inventoryList || [],
            adviceDefinitionId: item.id,
            chargeItemDefinitionId: item.id,
            positionId: item.locationId,
@@ -296,6 +300,8 @@ function fetchFromApi(searchKey) {
                  ? [{ price: item.price }]
                  : []),
          };
+          console.log('[BugFix] 映射后的耗材项:', mappedItem.adviceName, 'adviceType:', mappedItem.adviceType, 'adviceType_dictText:', mappedItem.adviceType_dictText);
+          return mappedItem;
        });
        nextTick(() => {
          currentIndex.value = 0;
@@ -354,6 +360,11 @@ function handleQuantity(row) {
    const totalQuantity = row.inventoryList.reduce((sum, item) => sum + (item.quantity || 0), 0);
    return totalQuantity.toString() + row.minUnitCode_dictText;
  }
+  // 🔧 Bug Fix: 耗材类型可能没有inventoryList，但可能有stockList
+  if (row.stockList && row.stockList.length > 0) {
+    const totalQuantity = row.stockList.reduce((sum, item) => sum + (item.quantity || 0), 0);
+    return totalQuantity.toString() + row.minUnitCode_dictText;
+  }
  return 0;
 }

--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -164,7 +164,14 @@
                </el-col>
                <el-col :span="8">
                  <el-form-item label="检查方法">
-                    <el-input v-model="form.inspectionMethod" readonly />
+                    <el-select v-model="form.inspectionMethod" placeholder="请选择" clearable filterable style="width: 100%;">
+                      <el-option
+                        v-for="method in availableMethods"
+                        :key="method.id"
+                        :label="method.name"
+                        :value="method.name"
+                      />
+                    </el-select>
                  </el-form-item>
                </el-col>
              </el-row>
@@ -308,6 +315,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
+import { listCheckMethod } from '@/api/system/checkType';

 const props = defineProps({
  patientInfo: { type: Object, default: () => ({}) },
@@ -373,10 +381,69 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref([]);    // 当前展开的折叠项

+const allMethods = ref([]);
+
+// 加载所有检查方法
+async function loadAllMethods() {
+  try {
+    const res = await listCheckMethod(); // 使用已导入的或者直接利用 request 请求
+    let methods = [];
+    if (res && res.data) {
+      if (Array.isArray(res.data)) {
+        methods = res.data;
+      } else if (res.data.records) {
+        methods = res.data.records;
+      } else if (res.data.data && Array.isArray(res.data.data)) {
+        methods = res.data.data;
+      }
+    } else if (Array.isArray(res)) {
+      methods = res;
+    } else if (res && res.rows) {
+      methods = res.rows;
+    }
+    allMethods.value = methods;
+  } catch (err) {
+    console.error('加载检查方法失败', err);
+  }
+}
+
 onMounted(async () => {
+  await loadAllMethods();
  await loadCategoryList();
 });

+// 动态可用的检查方法（根据已选部位所属的检查类型进行过滤）
+const normalizeTypeValue = value => String(value ?? '').trim().toLowerCase();
+
+const availableMethods = computed(() => {
+  // 获取当前已选部位的检查类型（可取第一个选中的部位的 checkType）
+  const currentType = form.examTypeCode || (selectedItems.value.length > 0 ? selectedItems.value[0].checkType : '');
+  const normalizedCurrentType = normalizeTypeValue(currentType);
+  if (normalizedCurrentType) {
+    // 兼容脏数据：method 的类型可能落在 checkType/type/typeCode/code/typeName/categoryName 中
+    const filtered = allMethods.value.filter(m => {
+      const typeCandidates = [
+        m.checkType,
+        m.type,
+        m.typeCode,
+        m.code,
+        m.typeName,
+        m.categoryName
+      ].map(normalizeTypeValue).filter(Boolean);
+      return typeCandidates.includes(normalizedCurrentType);
+    });
+    return filtered.length > 0 ? filtered : allMethods.value;
+  }
+  return allMethods.value;
+});
+
+// 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
+watch(availableMethods, (newMethods) => {
+  if (form.inspectionMethod && !newMethods.find(m => m.name === form.inspectionMethod)) {
+    form.inspectionMethod = '';
+  }
+});
+
 /**
 * 加载检查类型（分类）和检查项目（部位/项目），按类型分组展示
 */
@@ -390,25 +457,45 @@ async function loadCategoryList() {
      params: { pageNo: 1, pageSize: 500 }  // 取全量分类数据
    });
    let types = [];
-    if (typeRes.data?.records) types = typeRes.data.records;
-    else if (Array.isArray(typeRes.data)) types = typeRes.data;
-    else if (Array.isArray(typeRes.rows)) types = typeRes.rows;
+    if (typeRes && typeRes.data) {
+      if (Array.isArray(typeRes.data)) {
+        types = typeRes.data;
+      } else if (typeRes.data.records) {
+        types = typeRes.data.records;
+      } else if (typeRes.data.data && Array.isArray(typeRes.data.data)) {
+        types = typeRes.data.data;
+      }
+    } else if (Array.isArray(typeRes)) {
+      types = typeRes;
+    } else if (typeRes && typeRes.rows) {
+      types = typeRes.rows;
+    }

    // 2. 加载检查项目（检查部位项目）
    const partRes = await request({ url: '/check/part/list', method: 'get' });
    let parts = [];
-    if (Array.isArray(partRes)) parts = partRes;
-    else if (Array.isArray(partRes.data?.data)) parts = partRes.data.data;  // 双层嵌套：{ data: { data: [...] } }
-    else if (Array.isArray(partRes.data)) parts = partRes.data;
-    else if (Array.isArray(partRes.rows)) parts = partRes.rows;
-    else if (partRes.data?.records) parts = partRes.data.records;
+    if (partRes && partRes.data) {
+      if (Array.isArray(partRes.data)) {
+        parts = partRes.data;
+      } else if (partRes.data.records) {
+        parts = partRes.data.records;
+      } else if (partRes.data.data && Array.isArray(partRes.data.data)) {
+        parts = partRes.data.data;
+      }
+    } else if (Array.isArray(partRes)) {
+      parts = partRes;
+    } else if (partRes && partRes.rows) {
+      parts = partRes.rows;
+    }

    // 3. 按 checkType 归类
    const dict = [];
    for (const t of types) {
      dict.push({
        typeId: t.id,
-        typeCode: t.type,
+        typeCode: t.code,        // 保存 code 用于后备匹配
+        orgType: t.type,         // 保存 type 用于后备匹配
+        typeName: t.name,        // 保存 name
        categoryName: t.name,
        items: []
      });
@@ -425,7 +512,15 @@ async function loadCategoryList() {
        nationalCode: p.nationalCode || '',
        checked: false
      };
-      const target = dict.find(d => d.typeCode === p.checkType);
+      
+      // 增强匹配逻辑：部位的 checkType (如 'ECG', 'CT') 优先去匹配大类的 orgType，
+      // 如果大类的 type 字段脏了（比如填了中文），则尝试匹配 code，甚至是分类名称
+      const target = dict.find(d => 
+        d.orgType === p.checkType || 
+        d.typeCode === p.checkType ||
+        d.typeName === p.checkType
+      );
+      
      if (target) target.items.push(mapped);
      else unclassified.push(mapped);
    }
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -1,14 +1,14 @@
 <template>
  <el-container class="inspection-application-container">

-    <!-- 顶部操作按钮区 -->
-    <el-header class="top-action-bar" height="60px">
-      <el-row class="action-buttons" type="flex" justify="end" :gutter="10">
-        <el-button type="primary" size="large" @click="handleSave" class="save-btn" :loading="saving">
+    <!-- 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">
          <el-icon><Document /></el-icon>
          保存
        </el-button>
-        <el-button type="primary" size="large"  @click="handleNewApplication" class="new-btn">
+        <el-button type="primary" size="default"  @click="handleNewApplication" class="new-btn">
          <el-icon><Plus /></el-icon>
          新增
        </el-button>
@@ -1647,19 +1647,20 @@ defineExpose({
  padding: 0;
 }

-/* 顶部操作按钮区 */
+/* 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 3px rgba(0, 0, 0, 0.1);
+  box-shadow: 0 1px 2px rgba(0, 0, 0, 0.08);
+  padding: 0 12px;
 }

 .action-buttons {
  display: flex;
-  gap: 10px;
+  gap: 8px;
 }

 /* 新增按钮样式 - PRD要求蓝色背景 #4a89dc */
@@ -1686,9 +1687,9 @@ defineExpose({
  border-color: #58dfbd !important;
 }

-/* 检验信息表格区 - 紧凑高度 */
+/* Bug#334: 检验信息表格区 - 优化垂直空间利用率 */
 .inspection-section {
-  padding: 4px 10px 0 10px;
+  padding: 2px 10px 0 10px;
 }

 .table-card {
@@ -1696,7 +1697,7 @@ defineExpose({
 }

 .table-card :deep(.el-card__body) {
-  padding-bottom: 8px;
+  padding-bottom: 6px;
 }

 .card-header {
@@ -1707,9 +1708,9 @@ defineExpose({
  color: var(--el-text-color-primary);
 }

-/* 底部内容区域 */
+/* Bug#334: 底部内容区域 - 优化垂直空间利用率 */
 .bottom-content-area {
-  padding: 4px 10px;
+  padding: 2px 10px;
 }

 /* 表单区域 */
@@ -1732,7 +1733,7 @@ defineExpose({

 .application-form {
  overflow: visible;
-  padding: 6px 8px;
+  padding: 4px 8px;
  border: 1px solid #e4e7ed;
  border-radius: 4px;
  margin: 2px;
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -223,7 +223,12 @@
                      style="width: 70px; margin-right: 20px" />
                  </el-form-item>
                  <span class="medicine-info"> 诊断：{{ diagnosisName }} </span>
-                  <span class="medicine-info"> 皮试：{{ scope.row.skinTestFlag_enumText }} </span>
+                  <span class="medicine-info" style="display: flex; align-items: center; gap: 5px;">
+                    皮试：<el-checkbox v-model="scope.row.skinTestFlag" :true-value="1" :false-value="0"
+                      @change="handleSkinTestChange(scope.row, scope.$index)">
+                      是
+                    </el-checkbox>
+                  </span>
                  <span class="medicine-info"> 注射药品：{{ scope.row.injectFlag_enumText }} </span>
                  <span class="total-amount">
                    总金额：{{
@@ -470,6 +475,12 @@
                      </template>
                    </el-select>
                  </el-form-item>
+                  <span class="medicine-info" style="display: flex; align-items: center; gap: 5px;">
+                    皮试：<el-checkbox v-model="scope.row.skinTestFlag" :true-value="1" :false-value="0"
+                      @change="handleSkinTestChange(scope.row, scope.$index)">
+                      是
+                    </el-checkbox>
+                  </span>
                  <span class="total-amount">
                    总金额：{{
                      (scope.row.totalPrice !== undefined && scope.row.totalPrice !== null && !isNaN(scope.row.totalPrice)
@@ -546,6 +557,11 @@
                  expandOrder = [];
                  // 当医嘱类型改变时，清空当前选择的项目名称，因为不同类型项目的数据结构可能不兼容
                  prescriptionList[scope.$index].adviceName = undefined;
+                  prescriptionList[scope.$index].adviceType_dictText = '';
+                  // 🔧 Bug Fix: 医嘱类型改变时，重置minUnitQuantity和minUnitCode，避免null值
+                  prescriptionList[scope.$index].minUnitQuantity = prescriptionList[scope.$index].quantity || 1;
+                  prescriptionList[scope.$index].minUnitCode = prescriptionList[scope.$index].unitCode;
+                  prescriptionList[scope.$index].minUnitCode_dictText = prescriptionList[scope.$index].unitCode_dictText;
                  adviceQueryParams.adviceTypes = value; // 🎯 修复：改为 adviceTypes（复数）

                  // 根据选择的类型设置categoryCode，用于药品分类筛选
@@ -756,7 +772,13 @@
      </el-table-column>
      <el-table-column label="皮试" align="center" prop="" width="80">
        <template #default="scope">
-          <span v-if="!scope.row.isEdit">
+          <template v-if="scope.row.isEdit">
+            <el-checkbox v-model="scope.row.skinTestFlag" :true-value="1" :false-value="0"
+              @change="handleSkinTestChange(scope.row, scope.$index)">
+              是
+            </el-checkbox>
+          </template>
+          <span v-else>
            {{ scope.row.skinTestFlag_enumText || '-' }}
          </span>
        </template>
@@ -956,14 +978,18 @@ const { method_code, unit_code, rate_code, distribution_category_code, drord_doc
 // drord_doctor_type: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
 const adviceTypeList = computed(() => {
  // 如果字典已加载，使用字典数据；否则使用默认值
+  let list = [];
  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
-    return drord_doctor_type.value.map(item => ({
+    // 过滤掉字典中已有的"全部"选项，避免重复
+    list = drord_doctor_type.value
+      .filter(item => item.label !== '全部')
+      .map(item => ({
        label: item.label,
        value: parseInt(item.value) || item.value
      }));
-  }
+  } else {
    // 默认返回值，确保页面正常显示
-  return [
+    list = [
      { label: '西药', value: 1 },
      { label: '中成药', value: 2 },
      { label: '诊疗', value: 3 },
@@ -971,10 +997,19 @@ const adviceTypeList = computed(() => {
      { label: '会诊', value: 5 },
      { label: '手术', value: 6 },
    ];
+  }
+  // 在最后添加"全部"选项
+  list.push({ label: '全部', value: 0 });
+  return list;
 });

 // 根据类型值获取显示标签，避免非编辑态出现空标签
-const mapAdviceTypeLabel = (type) => {
+const mapAdviceTypeLabel = (type, adviceTableName) => {
+  // 🔧 Bug Fix: 根据adviceTableName判断耗材类型
+  // 后端adviceType=2既表示中成药又表示耗材，需要通过表名区分
+  if (type === 2 && adviceTableName === 'adm_device_definition') {
+    return '耗材';
+  }
  const found = adviceTypeList.value.find((item) => item.value === type);
  return found ? found.label : '';
 };
@@ -1602,11 +1637,8 @@ function getListInfo(addNewRow) {
        // 🔧 Bug Fix: 后端保存时将耗材(4)转换为中成药(2)，显示时需要转换回来
        // 检查 adviceTableName，如果是耗材表则应该是耗材类型
        const adviceTableName = contentJson?.adviceTableName || item.adviceTableName;
-        if (adviceType === 2 && adviceTableName === 'adm_device_definition') {
-          adviceType = 4; // 后端2(中成药) -> 前端4(耗材)
-        }
        
-        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType);
+        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType, adviceTableName);
        
        // 如果是会诊类型，设置为会诊类型
        if (isConsultation) {
@@ -1893,6 +1925,34 @@ const sleep = (ms) => new Promise(resolve => setTimeout(resolve, ms));
 * 选择药品回调
 */
 function selectAdviceBase(key, row) {
+  // 🔧 Bug Fix: 检查药品是否需要皮试，如果需要则弹出确认框
+  if (row.skinTestFlag == 1) {
+    ElMessageBox.confirm(`药品：${row.adviceName}需要做皮试，是否做皮试？`, '提示', {
+      confirmButtonText: '是',
+      cancelButtonText: '否',
+      type: 'warning',
+      center: true,
+      customClass: 'skin-test-confirm-dialog',
+      beforeClose: (action, instance, done) => {
+        if (action === 'confirm') {
+          // 用户点击右边的按钮（confirm），保持皮试标记为1
+          setNewRow(key, row);
+          done();
+        } else if (action === 'cancel') {
+          // 用户点击左边的按钮（cancel），将皮试标记改为0
+          row.skinTestFlag = 0;
+          row.skinTestFlag_enumText = '否';
+          setNewRow(key, row);
+          done();
+        } else {
+          done();
+        }
+      }
+    });
+    return;
+  }
+  
+  // 检查检查检验项目是否有历史记录（30天内）
  if (row.categoryCode == 22 || row.categoryCode == 23) {
    checkServicesHistory({
      patientId: props.patientInfo.patientId,
@@ -1915,6 +1975,7 @@ function selectAdviceBase(key, row) {
  }

  async function setNewRow(key, row) {
+    console.log('[BugFix] setNewRow - row.adviceType:', row.adviceType, 'row.adviceType_dictText:', row.adviceType_dictText, 'row.adviceTableName:', row.adviceTableName);
    // 每次选择药品时，将当前行数据完全重置，清空所有旧数据
    const preservedData = {
      uniqueKey: prescriptionList.value[rowIndex.value].uniqueKey,
@@ -1928,6 +1989,8 @@ function selectAdviceBase(key, row) {

    setValue(row);

+    console.log('[BugFix] setNewRow after setValue - prescriptionList[rowIndex].adviceType:', prescriptionList.value[rowIndex.value].adviceType, 'adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
+
    // 🔧 Bug #220 修复：确保在setValue之后重新计算耗材类型的总金额
    // 耗材(adviceType=4)和诊疗(adviceType=3)需要重新计算以确保显示正确
    const currentRow = prescriptionList.value[rowIndex.value];
@@ -2343,6 +2406,13 @@ function handleSave(prescriptionId) {
        item.accountId = finalAccountId;
      }
      item.dbOpType = '1';
+      
+      // 🔧 Bug Fix: 确保耗材的minUnitQuantity被正确设置
+      if (item.adviceType == 4) {
+        item.minUnitQuantity = item.quantity;
+        item.minUnitCode = item.unitCode;
+        item.minUnitCode_dictText = item.unitCode_dictText;
+      }
    });

    loading.value = true;
@@ -2366,20 +2436,25 @@ function handleSave(prescriptionId) {
          finalUnitCode = item.minUnitCode;
        }
        item.minUnitQuantity = finalQuantity;
+      } else if (item.adviceType == 4) {
+        // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitQuantity等于quantity
+        item.minUnitQuantity = item.quantity;
+        // 🔧 Bug Fix: 确保minUnitCode等于unitCode
+        item.minUnitCode = item.unitCode;
+        item.minUnitCode_dictText = item.unitCode_dictText;
+        finalUnitCode = item.unitCode;
      } else {
        item.minUnitQuantity = item.quantity;
      }

      // --- 【修改点3：Bug 1 修复 (类型转换)】 ---
      let saveAdviceType = item.adviceType;
-      if (item.adviceType == 4) {
-        saveAdviceType = 2; // 耗材：前端4 -> 后端2
-      } else if (item.adviceType == 2) {
-        saveAdviceType = 1; // 中成药：前端2 -> 后端1
-      } else if (item.adviceType == 5) {
+      // 🔧 Bug Fix: 保持原类型，不进行转换
+      // 前端类型: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
+      // 后端类型: 1=药品, 2=耗材, 3=医疗活动, 6=手术
+      // 后端会通过 ItemType.DEVICE.getValue() || adviceType == 4 来识别耗材
+      if (item.adviceType == 5) {
        saveAdviceType = 3; // 会诊：前端5 -> 后端3（诊疗类）
-      } else if (item.adviceType == 6) {
-        saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
      }

      // 🔧 Bug Fix: Validate and fix NaN values before sending to backend
@@ -2439,6 +2514,8 @@ function handleSave(prescriptionId) {
        quantity: finalQuantity,
        unitCode: finalUnitCode,
        totalPrice: item.totalPrice, // Ensure totalPrice is valid
+        // 🔧 Bug Fix: 确保 categoryEnum 被传递（耗材必填字段）
+        categoryEnum: item.categoryEnum || parsedContent.categoryEnum,
        // 🔧 Bug Fix: 确保库存匹配成功的关键字段
        adviceTableName: adviceTableNameVal,
        locationId: locationIdVal,
@@ -2446,6 +2523,13 @@ function handleSave(prescriptionId) {
        methodCode: item.methodCode || parsedContent.methodCode,
        // 🔧 确保 accountId 被传递（用于预结算）
        accountId: item.accountId || parsedContent.accountId,
+        // 🔧 Bug Fix: 确保minUnitQuantity被传递（耗材必填字段）
+        minUnitQuantity: item.minUnitQuantity,
+        minUnitCode: item.minUnitCode,
+        minUnitCode_dictText: item.minUnitCode_dictText,
+        // 🔧 Bug Fix: 确保 definitionId 和 definitionDetailId 被传递（费用项必填字段）
+        definitionId: item.definitionId || parsedContent.definitionId,
+        definitionDetailId: item.definitionDetailId || parsedContent.definitionDetailId,
        // 🔧 更新 contentJson 中的 adviceType，确保后端分类正确
        contentJson: JSON.stringify({
          ...parsedContent,
@@ -2635,12 +2719,17 @@ function handleOrderBindInfo(bindIdInfo, currentMethodCode) {
        encounterDiagnosisId: encounterDiagnosisId.value,
        // 🔧 确保 adviceType 和显示文本正确设置
        adviceType: item.adviceType,
-        adviceType_dictText: mapAdviceTypeLabel(item.adviceType),
+        adviceType_dictText: mapAdviceTypeLabel(item.adviceType, item.adviceTableName),
      };

      // 计算价格和总量
      const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
-      if (unitInfo && unitInfo.type == 'minUnit') {
+      // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitQuantity等于quantity
+      if (item.adviceType == 4) {
+        newRow.price = newRow.unitPrice;
+        newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
+        newRow.minUnitQuantity = item.quantity;
+      } else if (unitInfo && unitInfo.type == 'minUnit') {
        newRow.price = newRow.minUnitPrice;
        newRow.totalPrice = (item.quantity * newRow.minUnitPrice).toFixed(6);
        newRow.minUnitQuantity = item.quantity;
@@ -2705,6 +2794,12 @@ function handleSaveSign(row, index, prescriptionId) {
    return;
  }

+  // 🔧 Bug Fix: 验证医嘱类型不能为"全部"
+  if (row.adviceType === 0) {
+    proxy.$modal.msgWarning('请选择医嘱类型');
+    return;
+  }
+
  // 重新查找索引，确保使用当前处方列表中的正确索引
  const actualIndex = prescriptionList.value.findIndex(item => item.uniqueKey === row.uniqueKey);
  if (actualIndex === -1) {
@@ -2774,14 +2869,18 @@ function handleSaveSign(row, index, prescriptionId) {
      row.encounterId = props.patientInfo.encounterId;
      row.accountId = accountId.value;
      // 确保非编辑态显示正确的医嘱类型标签
-      row.adviceType_dictText = mapAdviceTypeLabel(row.adviceType);
+      row.adviceType_dictText = mapAdviceTypeLabel(row.adviceType, row.adviceTableName);

      // 更新本地显示的最小单位数量（仅用于前端逻辑，不影响显示单位）
      if (row.adviceType == 1 || row.adviceType == 2) {
        row.minUnitQuantity =
            row.minUnitCode == row.unitCode ? row.quantity : row.quantity * row.partPercent;
      } else {
+        // 🔧 Bug Fix: 耗材和其他类型，minUnitQuantity等于quantity
        row.minUnitQuantity = row.quantity;
+        // 🔧 Bug Fix: 确保minUnitCode等于unitCode（耗材只有一个单位）
+        row.minUnitCode = row.unitCode;
+        row.minUnitCode_dictText = row.unitCode_dictText;
      }

      row.conditionId = conditionId.value;
@@ -2976,14 +3075,12 @@ function handleSaveBatch(prescriptionId) {

        // --- Bug 1 修复：类型转换 ---
        let saveAdviceType = item.adviceType;
-        if (item.adviceType == 4) {
-          saveAdviceType = 2; // 耗材前端4 -> 后端2
-        } else if (item.adviceType == 2) {
-          saveAdviceType = 1; // 中成药前端2 -> 后端1
-        } else if (item.adviceType == 5) {
+        // 🔧 Bug Fix: 保持原类型，不进行转换
+        // 前端类型: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
+        // 后端类型: 1=药品, 2=耗材, 3=医疗活动, 6=手术
+        // 后端会通过 ItemType.DEVICE.getValue() || adviceType == 4 来识别耗材
+        if (item.adviceType == 5) {
          saveAdviceType = 3; // 会诊前端5 -> 后端3（诊疗类）
-        } else if (item.adviceType == 6) {
-          saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
        }

        // 🔧 BugFix#318: 过滤掉手术特有字段，只保留标准医嘱字段
@@ -2994,7 +3091,11 @@ function handleSaveBatch(prescriptionId) {
          'encounterId', 'groupId', 'injectFlag', 'lotNumber', 'methodCode', 'partPercent',
          'patientId', 'positionId', 'positionName', 'prescriptionNo', 'quantity', 'rateCode',
          'requestId', 'skinTestFlag', 'sortNumber', 'statusEnum', 'totalPrice',
-          'unitCode', 'unitPrice', 'volume', 'ybClassEnum'
+          'unitCode', 'unitPrice', 'volume', 'ybClassEnum',
+          // 🔧 Bug Fix: 添加 definitionId 和 definitionDetailId 字段
+          'definitionId', 'definitionDetailId',
+          // 🔧 Bug Fix: 添加 categoryEnum 字段（耗材必填）
+          'categoryEnum'
        ];
        let filteredItem = {};
        standardItemFields.forEach(field => {
@@ -3014,10 +3115,8 @@ function handleSaveBatch(prescriptionId) {

        // 🔧 Bug Fix: 处理accountId，如果是'ZIFEI'或0则转为null，让后端查询默认账户
        let itemAccountId = finalAccountId;
-        if (itemAccountId === 'ZIFEI' || itemAccountId === 0) {
+        if (itemAccountId === 'ZIFEI' || itemAccountId === 0 || itemAccountId === '0') {
          itemAccountId = null;
-        } else if (itemAccountId && !isNaN(Number(itemAccountId))) {
-          itemAccountId = Number(itemAccountId);
        }

        // 🔧 Bug Fix: 确保库存匹配成功的关键字段
@@ -3064,7 +3163,11 @@ function handleSaveBatch(prescriptionId) {
          accountId: itemAccountId,
          // 🔧 Bug Fix: 确保库存匹配成功
          adviceTableName: adviceTableNameVal,
-          locationId: locationIdVal
+          locationId: locationIdVal,
+          // 🔧 Bug Fix: 确保 minUnitQuantity、minUnitCode 等字段被传递（药品必填字段）
+          minUnitQuantity: item.minUnitQuantity,
+          minUnitCode: item.minUnitCode,
+          minUnitCode_dictText: item.minUnitCode_dictText
        };
      });
  // --- 【修改结束】 ---
@@ -3193,6 +3296,14 @@ function syncGroupFields(row) {
 function setValue(row) {
  unitCodeList.value = [];
  unitCodeList.value.push({ value: row.unitCode, label: row.unitCode_dictText, type: 'unit' });
+  
+  // 🔧 Bug Fix: 耗材类型只有一个单位，不需要dose和minUnit选项
+  if (row.adviceType == 4) {
+    // 耗材只添加一个单位选项
+    row.minUnitCode = row.unitCode;
+    row.minUnitCode_dictText = row.unitCode_dictText;
+  } else {
+    // 药品类型添加dose和minUnit选项
    unitCodeList.value.push({
      value: row.doseUnitCode,
      label: row.doseUnitCode_dictText,
@@ -3204,6 +3315,7 @@ function setValue(row) {
      label: row.minUnitCode_dictText,
      type: 'minUnit',
    });
+  }
  if (row.adviceType == 2 && row.minUnitCode != row.unitCode) {
    unitCodeList.value.push({
      value: row.minUnitCode,
@@ -3217,10 +3329,13 @@ function setValue(row) {
    : 0;

  // 创建一个新的对象，而不是合并旧数据，以避免残留数据问题
+  console.log('[BugFix] setValue - row.adviceType:', row.adviceType, 'row.adviceType_dictText:', row.adviceType_dictText, 'row.adviceTableName:', row.adviceTableName);
  prescriptionList.value[rowIndex.value] = {
    ...JSON.parse(JSON.stringify(row)),
    // 确保adviceType为数字类型，避免类型不匹配导致的显示问题
    adviceType: Number(row.adviceType),
+    // 🔧 Bug Fix: 确保adviceType_dictText被正确设置，避免展开行时显示错误
+    adviceType_dictText: row.adviceType_dictText || mapAdviceTypeLabel(row.adviceType, row.adviceTableName),
    skinTestFlag: skinTestFlag, // 确保皮试字段是数字类型
    skinTestFlag_enumText: skinTestFlag == 1 ? '是' : '否', // 更新显示文本
    // 保留原来设置的初始状态值
@@ -3229,6 +3344,7 @@ function setValue(row) {
    statusEnum: prescriptionList.value[rowIndex.value].statusEnum,
    showPopover: false, // 确保查询框关闭
  };
+  console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
  // 🔧 Bug #218 修复：保留组套中的值，不要强制设为undefined
  // 只有当值未定义时才使用默认值
  prescriptionList.value[rowIndex.value].orgId = row.positionId || row.orgId;
@@ -3237,8 +3353,15 @@ function setValue(row) {
  prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
  prescriptionList.value[rowIndex.value].doseUnitCode = row.doseUnitCode;
  prescriptionList.value[rowIndex.value].minUnitCode = row.minUnitCode;
+  // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitCode应该等于unitCode
+  if (Number(row.adviceType) == 4) {
+    prescriptionList.value[rowIndex.value].minUnitCode = row.unitCode;
+    prescriptionList.value[rowIndex.value].minUnitCode_dictText = row.unitCode_dictText;
+    prescriptionList.value[rowIndex.value].unitCode = row.unitCode;
+  } else {
    prescriptionList.value[rowIndex.value].unitCode =
        row.partAttributeEnum == 1 ? row.minUnitCode : row.unitCode;
+  }
  prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode;
  prescriptionList.value[rowIndex.value].skinTestFlag = row.skinTestFlag;
  prescriptionList.value[rowIndex.value].definitionId = row.chargeItemDefinitionId;
@@ -3307,6 +3430,10 @@ function setValue(row) {
      // 🔧 Bug #218 修复：保留组套中的quantity，如果没有则默认1
      prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
      prescriptionList.value[rowIndex.value].totalPrice = validPrice * (row.quantity || 1);
+      // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
+      prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
+      // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
+      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
      prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
      // 🔧 Bug Fix: 使用 positionId，如果为空则使用患者信息中的 orgId
      console.log('设置耗材locationId:', {
@@ -3325,6 +3452,10 @@ function setValue(row) {
      prescriptionList.value[rowIndex.value].minUnitPrice = 0;
      prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
      prescriptionList.value[rowIndex.value].totalPrice = 0;
+      // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
+      prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
+      // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
+      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
      prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
      const finalLocationId = row.positionId || props.patientInfo.orgId;
      prescriptionList.value[rowIndex.value].locationId = finalLocationId;
@@ -3967,6 +4098,16 @@ function convertDoseValues(row, index) {
 // 总量计算,仅适用只有两种单位的情况
 function calculateTotalAmount(row, index) {
  nextTick(() => {
+    // 🔧 Bug Fix: 处理耗材类型的总金额计算
+    if (row.adviceType == 4) {
+      row.totalPrice = (row.quantity * row.unitPrice).toFixed(6);
+      // 🔧 Bug Fix: 确保耗材的minUnitQuantity和minUnitCode正确设置
+      row.minUnitQuantity = row.quantity;
+      row.minUnitCode = row.unitCode;
+      row.minUnitCode_dictText = row.unitCode_dictText;
+      return;
+    }
+    
    if (row.adviceType == 2) {
      calculateTotalPrice(row, index);
      return;
@@ -4424,6 +4565,36 @@ function handleOrderSetSaved() {
 defineExpose({ getListInfo, getDiagnosisInfo });
 </script>

+<style lang="scss">
+/* 皮试确认弹窗全局样式 - 反转按钮顺序，左边是是，右边是否 */
+.skin-test-confirm-dialog.el-message-box {
+  .el-message-box__btns {
+    display: flex !important;
+    flex-direction: row-reverse !important;
+    justify-content: center !important;
+    
+    .el-button {
+      margin-left: 10px !important;
+      margin-right: 10px !important;
+    }
+  }
+}
+
+/* 如果自定义类名不生效，使用更强的选择器 */
+.el-message-box.skin-test-confirm-dialog {
+  .el-message-box__btns {
+    display: flex !important;
+    flex-direction: row-reverse !important;
+    justify-content: center !important;
+    
+    .el-button {
+      margin-left: 10px !important;
+      margin-right: 10px !important;
+    }
+  }
+}
+</style>
+
 <style lang="scss" scoped>
 :deep(.el-table__expand-icon) {
  display: none !important;