diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
index b27f2f0bb..583cf34eb 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -345,23 +345,25 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                 encounterId, tenantId);
         }
 
-        // 写入 div_log 审计日志（独立于队列项，确保每次完诊都生成记录）
-        // Bug #401：使用更新前记录的原始状态判断，避免自身更新后将状态改为 COMPLETED 导致误判为"已完成"
-        if (!queueWasAlreadyCompleted) {
-            try {
-                LoginUser loginUser = SecurityUtils.getLoginUser();
-                DivLog divLog = new DivLog()
-                    .setPoolId(divPoolId)
-                    .setSlotId(divSlotId)
-                    .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
-                    .setAction("COMPLETE")
-                    .setCreateTime(LocalDateTime.now())
-                    .setUpdateAt(LocalDateTime.now())
-                    .setCreatedAt(LocalDateTime.now());
-                divLogService.save(divLog);
-            } catch (Exception e) {
-                log.error("写入div_log审计日志失败", e);
+        // 写入 div_log 审计日志（每次完诊都生成记录，确保审计链路完整）
+        // Bug #401：移除 queueWasAlreadyCompleted 条件限制，避免队列已由分诊台完诊时
+        // 医生站完诊不写日志导致审计记录缺失；同时保留 queueWasAlreadyCompleted 日志用于排查
+        try {
+            LoginUser loginUser = SecurityUtils.getLoginUser();
+            DivLog divLog = new DivLog()
+                .setPoolId(divPoolId)
+                .setSlotId(divSlotId)
+                .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
+                .setAction("COMPLETE")
+                .setCreateTime(LocalDateTime.now())
+                .setUpdateAt(LocalDateTime.now())
+                .setCreatedAt(LocalDateTime.now());
+            divLogService.save(divLog);
+            if (queueWasAlreadyCompleted) {
+                log.info("完诊：队列项已由分诊台完诊，医生站补充写入审计日志 encounterId={}", encounterId);
             }
+        } catch (Exception e) {
+            log.error("写入div_log审计日志失败", e);
         }
 
         // 4. 更新状态、完成时间以及初复诊标识