diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/IInfectiousCardAppService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/IInfectiousCardAppService.java
index ebad467e..8c7956f1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/IInfectiousCardAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/IInfectiousCardAppService.java
@@ -93,6 +93,15 @@ public interface IInfectiousCardAppService {
      *
      * @return 科室树数据
      */
+
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    R<?> revokeAudit(String cardNo, String status);
     R<?> getDeptTree();
 
 }
\ No newline at end of file
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java
index 9cb86f10..5c8f1c74 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java
@@ -276,6 +276,38 @@ public class InfectiousCardAppServiceImpl implements IInfectiousCardAppService {
             throw new RuntimeException("导出失败：" + e.getMessage());
         }
     }
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    @Override
+    public R<?> revokeAudit(String cardNo, String status) {
+        try {
+            // 验证参数
+            if (cardNo == null || cardNo.trim().isEmpty()) {
+                return R.fail("报卡编号不能为空");
+            }
+            if (status == null || status.trim().isEmpty()) {
+                return R.fail("撤销后的状态不能为空");
+            }
+            
+            // 执行撤销审核操作
+            int rows = reportManageCardMapper.revokeAuditCard(cardNo, Integer.parseInt(status));
+            
+            if (rows > 0) {
+                return R.ok("撤销审核成功");
+            } else {
+                return R.fail("撤销审核失败：未找到对应的报卡");
+            }
+        } catch (Exception e) {
+            log.error("撤销审核传染病报卡失败", e);
+            return R.fail("撤销审核失败：" + e.getMessage());
+        }
+    }
+
 
     /**
      * CSV 字段转义
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java.backup b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java.backup
new file mode 100644
index 00000000..a156c0ad
--- /dev/null
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java.backup
@@ -0,0 +1,455 @@
+package com.openhis.web.reportManagement.appservice.impl;
+
+import com.alibaba.fastjson2.JSONObject;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.core.common.core.domain.R;
+import com.openhis.administration.domain.Organization;
+import com.openhis.administration.service.IOrganizationService;
+import com.openhis.web.reportManagement.appservice.IInfectiousCardAppService;
+import com.openhis.web.reportManagement.dto.InfectiousCardDto;
+import com.openhis.web.reportManagement.dto.InfectiousCardParam;
+import com.openhis.web.reportManagement.mapper.ReportManageCardMapper;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.stereotype.Service;
+
+import javax.servlet.http.HttpServletResponse;
+import java.io.PrintWriter;
+import java.util.ArrayList;
+import java.util.List;
+
+/**
+ * 传染病报卡 AppService 实现
+ *
+ * @author system
+ * @date 2026-03-17
+ */
+@Service
+@Slf4j
+public class InfectiousCardAppServiceImpl implements IInfectiousCardAppService {
+
+    @Autowired
+    private ReportManageCardMapper reportManageCardMapper;
+
+    @Autowired
+    private IOrganizationService organizationService;
+
+    /**
+     * 分页查询传染病报卡列表
+     * @param param 查询参数
+     * @param pageNo 页码
+     * @param pageSize 每页条数
+     * @return 报卡列表
+     */
+    @Override
+    public R<?> listPage(InfectiousCardParam param, Integer pageNo, Integer pageSize) {
+        try {
+            Page<InfectiousCardDto> page = new Page<>(pageNo, pageSize);
+            IPage<InfectiousCardDto> resultPage = reportManageCardMapper.selectCardPage(page, param);
+
+            JSONObject result = new JSONObject();
+            result.put("rows", resultPage.getRecords());
+            result.put("total", resultPage.getTotal());
+
+            return R.ok(result);
+        } catch (Exception e) {
+            log.error("查询传染病报卡列表失败", e);
+            return R.fail("查询失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 根据 ID 查询传染病报卡详情
+     * @param id 报卡 ID（实际为 cardNo）
+     * @return 报卡详情
+     */
+    @Override
+    public R<?> getById(Long id) {
+        try {
+            // 注：id 参数实际是 cardNo，需要转换为 String
+            InfectiousCardDto dto = reportManageCardMapper.selectCardByCardNo(String.valueOf(id));
+            if (dto == null) {
+                return R.fail("报卡不存在");
+            }
+            return R.ok(dto);
+        } catch (Exception e) {
+            log.error("根据 ID 查询传染病报卡失败", e);
+            return R.fail("查询失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 根据卡号查询传染病报卡详情
+     * @param cardNo 卡号
+     * @return 报卡详情
+     */
+    @Override
+    public R<?> getByCardNo(String cardNo) {
+        try {
+            InfectiousCardDto dto = reportManageCardMapper.selectCardByCardNo(cardNo);
+            if (dto == null) {
+                return R.fail("报卡不存在");
+            }
+            return R.ok(dto);
+        } catch (Exception e) {
+            log.error("根据卡号查询传染病报卡失败", e);
+            return R.fail("查询失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 审核传染病报卡
+     * @param cardNo 卡号
+     * @param auditOpinion 审核意见
+     * @param status 审核状态
+     * @return 审核结果
+     */
+    @Override
+    public R<?> audit(String cardNo, String auditOpinion, String status) {
+        try {
+            InfectiousCardDto dto = reportManageCardMapper.selectCardByCardNo(cardNo);
+            if (dto == null) {
+                return R.fail("报卡不存在");
+            }
+
+            int rows = reportManageCardMapper.auditCard(cardNo, Integer.parseInt(status));
+            if (rows > 0) {
+                return R.ok("审核成功");
+            } else {
+                return R.fail("审核失败：未更新任何记录");
+            }
+        } catch (Exception e) {
+            log.error("审核传染病报卡失败", e);
+            return R.fail("审核失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 退回传染病报卡
+     * @param cardNo 卡号
+     * @param returnReason 退回原因
+     * @param status 退回状态
+     * @return 退回结果
+     */
+    @Override
+    public R<?> returnCard(String cardNo, String returnReason, String status) {
+        try {
+            InfectiousCardDto dto = reportManageCardMapper.selectCardByCardNo(cardNo);
+            if (dto == null) {
+                return R.fail("报卡不存在");
+            }
+
+            int rows = reportManageCardMapper.returnCard(cardNo, Integer.parseInt(status), returnReason);
+            if (rows > 0) {
+                return R.ok("退回成功");
+            } else {
+                return R.fail("退回失败：未更新任何记录");
+            }
+        } catch (Exception e) {
+            log.error("退回传染病报卡失败", e);
+            return R.fail("退回失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 批量审核传染病报卡
+     * @param cardNos 卡号列表
+     * @param auditOpinion 审核意见
+     * @param status 审核状态
+     * @return 批量审核结果
+     */
+    @Override
+    public R<?> batchAudit(List<String> cardNos, String auditOpinion, String status) {
+        try {
+            int successCount = 0;
+            int failCount = 0;
+            for (String cardNo : cardNos) {
+                try {
+                    int rows = reportManageCardMapper.auditCard(cardNo, Integer.parseInt(status));
+                    if (rows > 0) {
+                        successCount++;
+                    } else {
+                        failCount++;
+                    }
+                } catch (Exception e) {
+                    log.error("批量审核卡号 {} 失败", cardNo, e);
+                    failCount++;
+                }
+            }
+            return R.ok(String.format("批量审核完成：成功 %d 条，失败 %d 条", successCount, failCount));
+        } catch (Exception e) {
+            log.error("批量审核传染病报卡失败", e);
+            return R.fail("批量审核失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 批量退回传染病报卡
+     * @param cardNos 卡号列表
+     * @param returnReason 退回原因
+     * @param status 退回状态
+     * @return 批量退回结果
+     */
+    @Override
+    public R<?> batchReturn(List<String> cardNos, String returnReason, String status) {
+        try {
+            int successCount = 0;
+            int failCount = 0;
+            for (String cardNo : cardNos) {
+                try {
+                    int rows = reportManageCardMapper.returnCard(cardNo, Integer.parseInt(status), returnReason);
+                    if (rows > 0) {
+                        successCount++;
+                    } else {
+                        failCount++;
+                    }
+                } catch (Exception e) {
+                    log.error("批量退回卡号 {} 失败", cardNo, e);
+                    failCount++;
+                }
+            }
+            return R.ok(String.format("批量退回完成：成功 %d 条，失败 %d 条", successCount, failCount));
+        } catch (Exception e) {
+            log.error("批量退回传染病报卡失败", e);
+            return R.fail("批量退回失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 导出传染病报卡数据
+     * @param param 查询参数
+     * @param response HTTP 响应对象
+     */
+    @Override
+    public void export(InfectiousCardParam param, HttpServletResponse response) {
+        try {
+            // 查询所有符合条件的数据
+            List<InfectiousCardDto> list = reportManageCardMapper.selectAllCards(param);
+
+            // 设置响应头
+            response.setContentType("text/csv;charset=UTF-8");
+            response.setHeader("Content-Disposition",
+                    "attachment; filename=infectious_cards_" + System.currentTimeMillis() + ".csv");
+
+            // 写入 CSV 内容
+            java.io.PrintWriter writer = response.getWriter();
+
+            // 写入 BOM，防止中文乱码
+            writer.print('\uFEFF');
+
+            // 写入表头
+            writer.println("报卡编号,报卡名称,病种名称,患者姓名,性别,年龄,上报科室,登记来源,上报时间,审核状态," +
+                    "身份证号,联系电话,现住地址,职业,病例分类,发病日期,诊断日期,报告单位,报告医生,填卡日期,备注");
+
+            // 写入数据
+            for (InfectiousCardDto dto : list) {
+                writer.println(String.format("%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s,%s",
+                        escapeCsv(dto.getCardNo()),
+                        escapeCsv(dto.getCardName()),
+                        escapeCsv(dto.getDiseaseName()),
+                        escapeCsv(dto.getPatientName()),
+                        "1".equals(dto.getSex()) ? "男" : "2".equals(dto.getSex()) ? "女" : "未知",
+                        dto.getAge() + getAgeUnit(dto.getAgeUnit()),
+                        escapeCsv(dto.getDeptName()),
+                        getRegistrationSourceName(dto.getRegistrationSource()),
+                        dto.getReportDate(),
+                        getStatusName(dto.getStatus()),
+                        escapeCsv(dto.getIdNo()),
+                        escapeCsv(dto.getPhone()),
+                        escapeCsv(getFullAddress(dto)),
+                        escapeCsv(dto.getOccupation()),
+                        getCaseClassName(dto.getCaseClass()),
+                        dto.getOnsetDate(),
+                        dto.getDiagDate() != null ? dto.getDiagDate().toString().substring(0, 10) : "",
+                        escapeCsv(dto.getReportOrg()),
+                        escapeCsv(dto.getReportDoc()),
+                        dto.getReportDate(),
+                        escapeCsv(dto.getRemark() != null ? dto.getRemark() : "")
+                ));
+            }
+
+            writer.flush();
+            log.info("导出传染病报卡数据成功，共 {} 条", list.size());
+        } catch (Exception e) {
+            log.error("导出传染病报卡数据失败", e);
+            throw new RuntimeException("导出失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * CSV 字段转义
+     */
+    private String escapeCsv(String value) {
+        if (value == null) {
+            return "";
+        }
+        if (value.contains(",") || value.contains("\"") || value.contains("\n")) {
+            return "\"" + value.replace("\"", "\"\"") + "\"";
+        }
+        return value;
+    }
+
+    /**
+     * 获取年龄单位
+     */
+    private String getAgeUnit(String unit) {
+        if (unit == null) return "岁";
+        switch (unit) {
+            case "1": return "岁";
+            case "2": return "月";
+            case "3": return "天";
+            default: return "岁";
+        }
+    }
+
+    /**
+     * 获取登记来源名称
+     */
+    private String getRegistrationSourceName(Integer source) {
+        if (source == null) return "未知";
+        switch (source) {
+            case 1: return "门诊";
+            case 2: return "住院";
+            case 3: return "急诊";
+            case 4: return "体检";
+            default: return "未知";
+        }
+    }
+
+    /**
+     * 获取状态名称
+     */
+    private String getStatusName(Integer status) {
+        if (status == null) return "未知";
+        switch (status) {
+            case 0: return "草稿";
+            case 1: return "待审核";
+            case 2: return "审核通过";
+            case 3: return "已上报";
+            case 4: return "已撤回";
+            case 5: return "审核失败";
+            default: return "未知";
+        }
+    }
+
+    /**
+     * 获取病例分类名称
+     */
+    private String getCaseClassName(Integer caseClass) {
+        if (caseClass == null) return "未知";
+        switch (caseClass) {
+            case 1: return "疑似病例";
+            case 2: return "临床诊断病例";
+            case 3: return "确诊病例";
+            case 4: return "病原携带者";
+            case 5: return "阳性检测结果";
+            default: return "未知";
+        }
+    }
+
+    /**
+     * 获取完整地址
+     */
+    private String getFullAddress(InfectiousCardDto dto) {
+        StringBuilder sb = new StringBuilder();
+        if (dto.getAddressProv() != null) sb.append(dto.getAddressProv());
+        if (dto.getAddressCity() != null) sb.append(dto.getAddressCity());
+        if (dto.getAddressCounty() != null) sb.append(dto.getAddressCounty());
+        if (dto.getAddressTown() != null) sb.append(dto.getAddressTown());
+        if (dto.getAddressVillage() != null) sb.append(dto.getAddressVillage());
+        if (dto.getAddressHouse() != null) sb.append(dto.getAddressHouse());
+        return sb.toString();
+    }
+
+    /**
+     * 获取科室树
+     * @return 科室树数据
+     */
+    @Override
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    @Override
+    public R<?> revokeAudit(String cardNo, String status) {
+        try {
+            // 验证参数
+            if (cardNo == null || cardNo.trim().isEmpty()) {
+                return R.fail("报卡编号不能为空");
+            }
+            if (status == null || status.trim().isEmpty()) {
+                return R.fail("撤销后的状态不能为空");
+            }
+            
+            // 执行撤销审核操作
+            int rows = reportManageCardMapper.revokeAuditCard(cardNo, Integer.parseInt(status));
+            
+            if (rows > 0) {
+                return R.ok("撤销审核成功");
+            } else {
+                return R.fail("撤销审核失败：未找到对应的报卡");
+            }
+        } catch (Exception e) {
+            log.error("撤销审核传染病报卡失败", e);
+            return R.fail("撤销审核失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    @Override
+        }
+    }
+
+    public R<?> getDeptTree() {
+        try {
+            // 查询所有启用的机构/科室
+            List<Organization> organizations = organizationService.list();
+            List<TreeNode> tree = buildTree(organizations);
+            return R.ok(tree);
+        } catch (Exception e) {
+            log.error("获取科室树失败", e);
+            return R.fail("获取科室树失败：" + e.getMessage());
+        }
+    }
+
+    /**
+     * 构建树形结构
+     */
+    private List<TreeNode> buildTree(List<Organization> list) {
+        List<TreeNode> tree = new ArrayList<>();
+        for (Organization org : list) {
+            TreeNode node = new TreeNode();
+            node.value = org.getId();
+            node.label = org.getName();
+            node.children = new ArrayList<>();
+            tree.add(node);
+        }
+        return tree;
+    }
+
+    /**
+     * 树形节点 DTO
+     */
+    private static class TreeNode {
+        private Long value;
+        private String label;
+        private List<TreeNode> children;
+
+        public Long getValue() { return value; }
+        public void setValue(Long value) { this.value = value; }
+        public String getLabel() { return label; }
+        public void setLabel(String label) { this.label = label; }
+        public List<TreeNode> getChildren() { return children; }
+        public void setChildren(List<TreeNode> children) { this.children = children; }
+    }
+}
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/controller/reportManagementController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/controller/reportManagementController.java
index ca76c77e..eb5f0f0f 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/controller/reportManagementController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/controller/reportManagementController.java
@@ -7,6 +7,7 @@ import com.openhis.web.reportManagement.dto.AuditInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.ReturnInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.BatchAuditInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.BatchReturnInfectiousCardRequest;
+import com.openhis.web.reportManagement.dto.RevokeAuditInfectiousCardRequest;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.web.bind.annotation.*;
@@ -109,6 +110,20 @@ public class reportManagementController {
     public R<?> batchReturn(@Valid @RequestBody BatchReturnInfectiousCardRequest request) {
         return infectiousCardAppService.batchReturn(request.getCardNos(), request.getReturnReason(), request.getStatus());
     }
+    /**
+     * 撤销审核传染病报卡
+     *
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param request 撤销审核请求
+     * @return 结果
+     */
+    @PostMapping("/revokeAudit")
+    public R<?> revokeAudit(@Valid @RequestBody RevokeAuditInfectiousCardRequest request) {
+        return infectiousCardAppService.revokeAudit(request.getCardNo(), request.getStatus());
+    }
+
 
     /**
      * 导出传染病报卡
@@ -117,6 +132,18 @@ public class reportManagementController {
      * @param response 响应对象
      */
     @GetMapping("/export")
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    @PostMapping("/revokeAudit")
+    public R<?> revokeAudit(@RequestParam String cardNo, @RequestParam String status) {
+        return infectiousCardAppService.revokeAudit(cardNo, status);
+    }
+
     public void export(InfectiousCardParam param, HttpServletResponse response) {
         infectiousCardAppService.export(param, response);
     }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/dto/RevokeAuditInfectiousCardRequest.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/dto/RevokeAuditInfectiousCardRequest.java
new file mode 100644
index 00000000..125d61e2
--- /dev/null
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/dto/RevokeAuditInfectiousCardRequest.java
@@ -0,0 +1,20 @@
+package com.openhis.web.reportManagement.dto;
+
+import lombok.Data;
+
+/**
+ * 撤销审核传染病报卡请求 DTO
+ *
+ * @author guanyu
+ * @date 2026-04-23
+ */
+@Data
+public class RevokeAuditInfectiousCardRequest {
+
+    /** 卡片编号（主键） */
+    private String cardNo;
+
+    /** 撤销后的状态 (0 暂存/1 待审核/2 已审核/3 已上报/4 失败/5 退回) */
+    private String status;
+
+}
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/mapper/ReportManageCardMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/mapper/ReportManageCardMapper.java
index 370792e0..b3d13b9f 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/mapper/ReportManageCardMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/mapper/ReportManageCardMapper.java
@@ -55,5 +55,12 @@ public interface ReportManageCardMapper {
      * @param param 查询参数
      * @return 报卡列表
      */
+    /**
+     * 撤销审核传染病报卡
+     * @param cardNo 卡号
+     * @param status 撤销后的状态
+     * @return 影响行数
+     */
+    int revokeAuditCard(@Param("cardNo") String cardNo, @Param("status") Integer status);
     List<InfectiousCardDto> selectAllCards(@Param("param") InfectiousCardParam param);
 }
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/reportManagement/InfectiousCardMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/reportManagement/InfectiousCardMapper.xml
index 4f8a30ba..efe57634 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/reportManagement/InfectiousCardMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/reportManagement/InfectiousCardMapper.xml
@@ -252,4 +252,11 @@
         ORDER BY t1.report_date DESC
     </select>
 
+    <!-- 撤销审核传染病报卡 -->
+    <update id="revokeAuditCard">
+        UPDATE infectious_card
+        SET status = #{status}::INTEGER,
+            update_time = CURRENT_TIMESTAMP
+        WHERE card_no = #{cardNo}
+    </update>
 </mapper>
diff --git 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
index 6191bdce..72f19721 100644
--- 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
@@ -299,7 +299,7 @@
                 AND o.phone LIKE CONCAT('%', #{query.phone}, '%')
             </if>
             <!-- 5. 核心：按系统时间过滤，只返回未过期的号源 -->
-            AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND s.expect_time >= CURRENT_TIME::TIME))
+            AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW()))
             <!-- 6. 状态过滤 -->
             <if test="query.status != null and query.status != '' and query.status != 'all'">
                 <choose>
@@ -370,7 +370,7 @@
                         p.schedule_date > CURRENT_DATE
                         OR (
                             p.schedule_date = CURRENT_DATE
-                            AND CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME) > TO_TIMESTAMP(#{query.currentTime}/1000)
+                            AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW()
                         )
                     )
                     THEN s.id
@@ -401,7 +401,7 @@
                 AND p.schedule_date = CAST(#{query.date} AS DATE)
             </if>
             <!-- 增加时间过滤：排除已过去的就诊日期 -->
-            AND p.schedule_date >= CURRENT_DATE
+            AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW()))
             <if test="query.department != null and query.department != '' and query.department != 'all'">
                 AND org.name = #{query.department}
             </if>