diff --git a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
index 4ae190ac2..60bc60934 100755
--- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
@@ -401,7 +401,7 @@ const interventionForm = ref({
   wardName: '',
   bedName: '',
   attendingDocUpdateId: '',
-  startTime: '', //入院时间
+  startTime: '', //入科时间
 });
 
 /**
@@ -449,18 +449,22 @@ const loadPatientInfo = () => {
       // 护士ID也转换为字符串以匹配护士选项
       interventionForm.value.primaryNurseId = String(res.data.primaryNurseId);
     }
-    if (res.data.startTime) {
-      interventionForm.value.startTime = dayjs(res.data.startTime).format(
-        'YYYY-MM-DD HH:mm:ss'
-      );
-    } else if (res.data.inHosTime) {
-      interventionForm.value.startTime = dayjs(res.data.inHosTime).format(
-        'YYYY-MM-DD HH:mm:ss'
-      );
+    if (props.pendingInfo.entranceType == 1) {
+      // 已有患者：保留后端返回的入科时间，不覆盖历史数据
+      if (res.data.startTime) {
+        interventionForm.value.startTime = dayjs(res.data.startTime).format(
+          'YYYY-MM-DD HH:mm:ss'
+        );
+      } else if (res.data.inHosTime) {
+        interventionForm.value.startTime = dayjs(res.data.inHosTime).format(
+          'YYYY-MM-DD HH:mm:ss'
+        );
+      } else {
+        interventionForm.value.startTime = '';
+      }
     } else {
-      // 已有患者（entranceType == 1）不自动填充当前时间，避免覆盖历史数据
-      // 新入科患者由后端默认返回当前时间，或由用户手动选择
-      interventionForm.value.startTime = '';
+      // 新入科患者：默认使用当前系统时间，真实记录入科时点
+      interventionForm.value.startTime = dayjs().format('YYYY-MM-DD HH:mm:ss');
     }
     interventionForm.value.height = res.data.height;
     interventionForm.value.weight = res.data.weight;