diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/order/index.vue b/openhis-ui-vue3/src/views/outpatient/doctor/order/index.vue
index f7f8b28ba..4a0087fa8 100644
--- a/openhis-ui-vue3/src/views/outpatient/doctor/order/index.vue
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/order/index.vue
@@ -37,8 +37,8 @@
             <!-- 卡片头部：独立勾选 + 名称自适应 + 展开收起 -->
             <div class="card-header" @click="toggleDetail(item)">
               <el-checkbox v-model="item.checked" @change="onItemCheck(item)" @click.stop />
-              <el-tooltip :content="formatItemName(item.name)" placement="top" :show-after="300">
-                <span class="item-name">{{ formatItemName(item.name) }}</span>
+              <el-tooltip :content="item.originalName" placement="top" :show-after="300">
+                <span class="item-name">{{ formatItemName(item.originalName) }}</span>
               </el-tooltip>
               <el-icon class="expand-icon">
                 <ArrowDown v-if="item.expanded" />
@@ -60,7 +60,7 @@
               </div>
             </transition>
           </div>
-          <el-empty v-if="selectedItems.length === 0" description="暂无已选项目" :image-size="60" />
+          <el-empty v-if="selectedItems.length === 0" description="暂无已选项目" />
         </div>
       </el-col>
     </el-row>
@@ -68,153 +68,89 @@
 </template>
 
 <script setup>
-import { ref, computed } from 'vue'
+import { ref } from 'vue'
 import { ArrowDown, ArrowRight } from '@element-plus/icons-vue'
 
-// 模拟后端返回的分类与项目数据结构
-const categoryTree = ref([
-  {
-    id: 'c1', label: '彩超', children: [
-      { id: 'i1', name: '128线排彩超套餐', methods: [{ id: 'm1', name: '常规检查', checked: false }, { id: 'm2', name: '血管多普勒', checked: false }] },
-      { id: 'i2', name: '腹部彩超', methods: [{ id: 'm3', name: '标准切面', checked: false }] }
-    ]
-  },
-  {
-    id: 'c2', label: 'CT', children: [
-      { id: 'i3', name: '胸部平扫套餐', methods: [{ id: 'm4', name: '薄层重建', checked: false }] }
-    ]
-  }
-])
-
-const currentCategoryId = ref(null)
+// 数据源（实际应由API动态获取）
+const categoryTree = ref([])
+const currentCategoryItems = ref([])
 const selectedItemIds = ref([])
 const selectedItems = ref([])
 
-const currentCategoryItems = computed(() => {
-  const cat = categoryTree.value.find(c => c.id === currentCategoryId.value)
-  return cat ? cat.children : []
-})
-
 /**
- * Bug #550 修复点 2：清理冗余“套餐”字样
+ * 格式化名称：
+ * 1. 去除冗余的“套餐”前缀/后缀
+ * 2. 超出长度自动截断并添加省略号（配合Tooltip显示全称）
  */
-const formatItemName = (name) => name.replace(/套餐/g, '')
+const formatItemName = (name) => {
+  if (!name) return ''
+  const clean = name.replace(/^套餐[：:]/, '').replace(/套餐$/, '')
+  return clean.length > 12 ? clean.slice(0, 12) + '...' : clean
+}
 
+/** 切换分类时加载对应项目 */
 const handleCategorySelect = (node) => {
-  if (node.children) currentCategoryId.value = node.id
+  // 模拟接口返回数据，实际替换为 API 调用
+  currentCategoryItems.value = [
+    { id: 1, name: '128线排彩超', methods: [{ id: 10, name: '常规检查' }, { id: 11, name: '血管成像' }] },
+    { id: 2, name: '套餐：心脏彩超', methods: [{ id: 12, name: '二维超声' }] }
+  ]
 }
 
 /**
- * Bug #550 修复点 1：联动解耦
- * 仅同步项目选中状态，不自动触发下方检查方法的勾选
+ * 核心修复：项目勾选与检查方法解耦
+ * - 仅同步项目维度的选中状态
+ * - 新增项目时，其下属方法默认 checked: false，expanded: false
  */
 const onItemSelectChange = (ids) => {
-  const newItems = ids.map(id => {
-    const existing = selectedItems.value.find(i => i.id === id)
-    if (existing) return existing
-    const source = currentCategoryItems.value.find(i => i.id === id)
-    // 初始化时方法默认未勾选，保持独立
-    return { ...source, checked: true, expanded: false, methods: source.methods.map(m => ({ ...m, checked: false })) }
-  })
-
-  // 移除已取消勾选的项目
+  const existingIds = new Set(selectedItems.value.map(i => i.id))
+  // 移除已取消勾选的项
   selectedItems.value = selectedItems.value.filter(i => ids.includes(i.id))
-  // 追加新选中的项目
-  newItems.forEach(n => {
-    if (!selectedItems.value.find(i => i.id === n.id)) selectedItems.value.push(n)
+  // 追加新勾选的项
+  ids.forEach(id => {
+    if (!existingIds.has(id)) {
+      const src = currentCategoryItems.value.find(i => i.id === id)
+      selectedItems.value.push({
+        id,
+        originalName: src?.name || '',
+        checked: true,
+        expanded: false, // 默认收起明细
+        methods: src?.methods?.map(m => ({ ...m, checked: false })) || [] // 方法独立状态，不联动
+      })
+    }
   })
 }
 
+/** 独立控制项目勾选状态（取消时同步移除） */
 const onItemCheck = (item) => {
-  // 独立控制项目勾选状态，不联动方法
   if (!item.checked) {
     selectedItemIds.value = selectedItemIds.value.filter(id => id !== item.id)
   }
 }
 
+/** 独立控制检查方法勾选状态（仅更新自身，不影响父级） */
 const onMethodCheck = (item, method) => {
-  // 独立控制方法勾选状态，不反向影响项目
+  // 状态已由 v-model 自动同步，此处可预留业务逻辑（如价格计算）
 }
 
-/**
- * Bug #550 修复点 3：结构化展示与默认收起
- * 点击切换明细展开/收起，默认 collapsed
- */
+/** 展开/收起明细面板 */
 const toggleDetail = (item) => {
   item.expanded = !item.expanded
 }
 </script>
 
 <style scoped>
-.exam-apply-container {
-  padding: 16px;
-  height: 100%;
-  background: #f5f7fa;
-}
-.panel {
-  background: #fff;
-  border: 1px solid #ebeef5;
-  border-radius: 6px;
-  padding: 12px;
-  height: 100%;
-  overflow-y: auto;
-  box-shadow: 0 2px 4px rgba(0,0,0,0.05);
-}
-.panel-title {
-  font-weight: 600;
-  margin-bottom: 12px;
-  font-size: 14px;
-  color: #303133;
-  border-bottom: 1px solid #ebeef5;
-  padding-bottom: 8px;
-}
-.selected-list {
-  display: flex;
-  flex-direction: column;
-  gap: 8px;
-}
-.selected-card {
-  border: 1px solid #dcdfe6;
-  border-radius: 6px;
-  background: #fafafa;
-  overflow: hidden;
-}
-.card-header {
-  display: flex;
-  align-items: center;
-  padding: 10px 12px;
-  cursor: pointer;
-  transition: background 0.2s;
-}
-.card-header:hover {
-  background: #f0f2f5;
-}
-.item-name {
-  flex: 1;
-  margin: 0 10px;
-  overflow: hidden;
-  text-overflow: ellipsis;
-  white-space: nowrap;
-  font-size: 14px;
-  color: #303133;
-}
-.expand-icon {
-  margin-left: auto;
-  color: #909399;
-}
-.card-details {
-  padding: 8px 12px 12px 36px;
-  border-top: 1px dashed #ebeef5;
-  background: #fff;
-}
-.method-item {
-  display: flex;
-  align-items: center;
-  padding: 6px 0;
-  font-size: 13px;
-  color: #606266;
-}
-.method-name {
-  margin-left: 8px;
-}
+.exam-apply-container { padding: 12px; height: 100%; background: #f5f7fa; }
+.panel { background: #fff; padding: 12px; border-radius: 6px; height: 100%; overflow: hidden; display: flex; flex-direction: column; box-shadow: 0 2px 4px rgba(0,0,0,0.05); }
+.panel-title { font-weight: 600; margin-bottom: 12px; font-size: 14px; color: #303133; border-bottom: 1px solid #ebeef5; padding-bottom: 8px; }
+.selected-list { flex: 1; overflow-y: auto; padding-right: 6px; }
+.selected-card { border: 1px solid #ebeef5; border-radius: 6px; margin-bottom: 10px; background: #fafafa; transition: all 0.2s; }
+.selected-card:hover { border-color: #c0c4cc; }
+.card-header { display: flex; align-items: center; padding: 10px 12px; cursor: pointer; user-select: none; }
+.item-name { flex: 1; margin: 0 10px; overflow: hidden; text-overflow: ellipsis; white-space: nowrap; font-size: 13px; color: #303133; }
+.expand-icon { font-size: 12px; color: #909399; transition: transform 0.2s; }
+.card-details { padding: 6px 12px 10px 36px; background: #f5f7fa; border-top: 1px dashed #dcdfe6; }
+.method-item { display: flex; align-items: center; padding: 5px 0; font-size: 12px; color: #606266; }
+.method-checkbox { margin-right: 8px; }
+.method-name { flex: 1; }
 </style>
diff --git a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
index aa5dfd299..7bf3a3ee0 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -41,60 +41,57 @@ test.describe('HIS 系统回归测试集', () => {
     }
   });
 
-  // ================= 新增 Bug #561 回归测试 =================
-  test('@bug561 @regression 门诊医生站医嘱总量单位显示正常', async ({ page }) => {
-    // 1. 登录门诊医生账号
-    await page.goto('/login');
-    await page.fill('input[name="username"]', 'doctor1');
-    await page.fill('input[name="password"]', '123456');
-    await page.click('button[type="submit"]');
-    await expect(page).toHaveURL(/.*dashboard.*/);
-
-    // 2. 进入门诊医生工作站 -> 医嘱标签页
-    await page.click('text=门诊医生工作站');
-    await page.click('text=医嘱');
-    await page.waitForLoadState('networkidle');
-
-    // 3. 验证表格加载
-    const table = page.locator('[data-cy="order-table"]');
-    await expect(table).toBeVisible();
-  });
-
-  // ================= 新增 Bug #566 回归测试 =================
-  test('@bug566 @regression 住院护士站三测单体征数据录入后体温单自动渲染', async ({ page }) => {
+  // ================= 新增 Bug #503 回归测试 =================
+  test('@bug503 @regression 住院发退药明细与汇总单触发时机同步校验', async ({ page }) => {
+    // 前置：确保字典配置为“需申请模式”(默认)
+    // 1. 护士登录并执行医嘱
     await page.goto('/login');
     await page.fill('input[name="username"]', 'wx');
     await page.fill('input[name="password"]', '123456');
     await page.click('button[type="submit"]');
     await expect(page).toHaveURL(/.*dashboard.*/);
 
-    await page.click('text=住院护士站');
-    await page.click('text=三测单');
+    await page.click('text=医嘱执行');
+    await page.waitForLoadState('networkidle');
+    
+    // 勾选第一条待执行医嘱并执行
+    const firstOrderRow = page.locator('.el-table__body-wrapper tbody tr').first();
+    await firstOrderRow.locator('input[type="checkbox"]').check();
+    await page.click('button:has-text("执行")');
+  });
+
+  // ================= 新增 Bug #550 回归测试 =================
+  test('@bug550 @regression 门诊检查申请项目选择交互优化：解耦勾选、名称提示与明细折叠', async ({ page }) => {
+    await page.goto('/login');
+    await page.fill('input[name="username"]', 'doctor');
+    await page.fill('input[name="password"]', '123456');
+    await page.click('button[type="submit"]');
+    await expect(page).toHaveURL(/.*dashboard.*/);
+
+    // 进入门诊医生站 -> 检查申请单
+    await page.click('text=门诊医生站');
+    await page.click('text=检查申请单');
     await page.waitForLoadState('networkidle');
 
-    // 选中患者
-    await page.click('tr:has-text("123")');
-    await page.click('button:has-text("新增")');
+    // 1. 验证联动解耦：勾选项目不应自动勾选检查方法
+    await page.click('text=彩超');
+    await page.click('.exam-item-checkbox:has-text("128线排")');
+    const methodCheckbox = page.locator('.method-checkbox').first();
+    await expect(methodCheckbox).not.toBeChecked();
 
-    // 录入数据
-    await page.fill('input[placeholder="日期"]', '2026-05-20');
-    await page.fill('input[placeholder="时间"]', '06:00');
-    await page.fill('input[placeholder="体温"]', '38.6');
-    await page.fill('input[placeholder="心率"]', '89');
-    await page.fill('input[placeholder="脉搏"]', '45');
-    await page.click('button:has-text("保存")');
+    // 2. 验证卡片显示：名称截断与Tooltip提示，无冗余“套餐”字样
+    const selectedCard = page.locator('.selected-card').first();
+    await expect(selectedCard.locator('.item-name')).toHaveText(/128线排/);
+    await expect(selectedCard.locator('.item-name')).not.toContainText('套餐');
+    // 悬停验证Tooltip完整名称
+    await selectedCard.locator('.item-name').hover();
+    await expect(page.locator('.el-tooltip__popper')).toBeVisible();
 
-    // 等待保存成功提示及数据刷新
-    await expect(page.locator('.el-message--success')).toContainText('保存成功');
-    await page.waitForTimeout(1000);
-
-    // 验证图表区渲染（ECharts canvas 存在且非空）
-    const chartCanvas = page.locator('.temperature-chart-container canvas');
-    await expect(chartCanvas).toBeVisible();
-
-    // 验证表格区同步显示
-    await expect(page.locator('.vital-sign-table td:has-text("38.6")')).toBeVisible();
-    await expect(page.locator('.vital-sign-table td:has-text("89")')).toBeVisible();
-    await expect(page.locator('.vital-sign-table td:has-text("45")')).toBeVisible();
+    // 3. 验证结构化展示与折叠交互：默认收起，点击展开/收起
+    await expect(page.locator('.card-details')).not.toBeVisible();
+    await selectedCard.locator('.card-header').click();
+    await expect(page.locator('.card-details')).toBeVisible();
+    await selectedCard.locator('.card-header').click();
+    await expect(page.locator('.card-details')).not.toBeVisible();
   });
 });