diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue b/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue
new file mode 100644
index 000000000..65f7cf130
--- /dev/null
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/examination/ExaminationApplication.vue
@@ -0,0 +1,214 @@
+<template>
+  <div class="examination-app-container">
+    <!-- 左侧：检查项目分类 -->
+    <div class="left-panel">
+      <div class="panel-title">检查分类</div>
+      <el-tree
+        :data="categoryTree"
+        node-key="id"
+        highlight-current
+        @node-click="handleCategorySelect"
+        data-cy="category-tree"
+      />
+    </div>
+
+    <!-- 中间：检查项目列表 -->
+    <div class="middle-panel">
+      <div class="panel-title">检查项目</div>
+      <el-checkbox-group v-model="selectedItemIds" class="item-list">
+        <el-checkbox
+          v-for="item in currentCategoryItems"
+          :key="item.id"
+          :label="item.id"
+          @change="onItemCheckChange(item, $event)"
+          data-cy="item-checkbox"
+        >
+          {{ cleanItemName(item.name) }}
+        </el-checkbox>
+      </el-checkbox-group>
+    </div>
+
+    <!-- 右侧：已选择区域 -->
+    <div class="right-panel">
+      <div class="panel-title">已选择</div>
+      <div class="selected-list">
+        <div
+          v-for="selected in selectedItemsList"
+          :key="selected.id"
+          class="selected-card"
+          data-cy="selected-card"
+        >
+          <div class="card-header" @click="toggleCard(selected.id)">
+            <span class="card-name" data-cy="selected-card-name" :title="selected.name">
+              {{ selected.name }}
+            </span>
+            <span class="expand-toggle" data-cy="expand-toggle">
+              {{ selected.expanded ? '收起' : '展开' }}
+            </span>
+          </div>
+          <!-- 明细/检查方法区域，默认收起 -->
+          <div v-show="selected.expanded" class="card-details">
+            <!-- 已移除冗余的“项目套餐明细”标签 -->
+            <div
+              v-for="method in selected.methods"
+              :key="method.id"
+              class="method-row"
+              data-cy="method-row"
+            >
+              <el-checkbox
+                v-model="method.checked"
+                @change="onMethodCheckChange(method, $event)"
+                data-cy="method-checkbox"
+              >
+                {{ method.name }}
+              </el-checkbox>
+            </div>
+          </div>
+        </div>
+        <el-empty v-if="selectedItemsList.length === 0" description="暂无选择项目" />
+      </div>
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive } from 'vue'
+
+// 模拟数据源（实际应从API获取）
+const categoryTree = ref([])
+const currentCategoryItems = ref([])
+
+// 已选项目ID列表（仅控制中间列表的项目勾选状态）
+const selectedItemIds = ref([])
+
+// 已选项目列表（包含独立的方法状态与展开状态）
+const selectedItemsList = reactive([])
+
+// 清理名称：去除“套餐”前缀及冗余符号
+const cleanItemName = (name) => {
+  if (!name) return ''
+  return name.replace(/^套餐[：:]/, '').replace(/套餐$/, '')
+}
+
+// 选择分类
+const handleCategorySelect = (node) => {
+  currentCategoryItems.value = node.items || []
+}
+
+// 项目勾选变化：严格解耦，不自动勾选关联方法
+const onItemCheckChange = (item, checked) => {
+  if (checked) {
+    const exists = selectedItemsList.find(s => s.id === item.id)
+    if (!exists) {
+      selectedItemsList.push({
+        id: item.id,
+        name: cleanItemName(item.name),
+        expanded: false, // 默认收起
+        methods: (item.methods || []).map(m => ({
+          id: m.id,
+          name: m.name,
+          checked: false // 独立状态，初始不勾选
+        }))
+      })
+    }
+  } else {
+    const idx = selectedItemsList.findIndex(s => s.id === item.id)
+    if (idx !== -1) selectedItemsList.splice(idx, 1)
+  }
+}
+
+// 方法勾选变化：完全独立，不影响父级或其他方法
+const onMethodCheckChange = (method, checked) => {
+  method.checked = checked
+}
+
+// 展开/收起卡片
+const toggleCard = (id) => {
+  const target = selectedItemsList.find(s => s.id === id)
+  if (target) target.expanded = !target.expanded
+}
+</script>
+
+<style scoped>
+.examination-app-container {
+  display: flex;
+  gap: 16px;
+  height: 100%;
+  padding: 12px;
+  background: #f5f7fa;
+}
+.left-panel, .middle-panel, .right-panel {
+  flex: 1;
+  background: #fff;
+  border: 1px solid #ebeef5;
+  border-radius: 6px;
+  padding: 12px;
+  overflow-y: auto;
+  display: flex;
+  flex-direction: column;
+}
+.panel-title {
+  font-weight: 600;
+  margin-bottom: 12px;
+  color: #303133;
+}
+.item-list {
+  display: flex;
+  flex-direction: column;
+  gap: 8px;
+}
+.selected-list {
+  flex: 1;
+  overflow-y: auto;
+}
+.selected-card {
+  border: 1px solid #dcdfe6;
+  border-radius: 6px;
+  margin-bottom: 10px;
+  background: #fafafa;
+  /* 宽度自适应，取消固定宽度导致的截断溢出 */
+  width: 100%;
+  min-width: 0;
+  box-sizing: border-box;
+}
+.card-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  padding: 10px 12px;
+  cursor: pointer;
+  user-select: none;
+  background: #fff;
+  border-bottom: 1px solid transparent;
+  transition: all 0.2s;
+}
+.card-header:hover {
+  background: #f5f7fa;
+}
+.card-name {
+  font-weight: 500;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+  max-width: 85%;
+  color: #303133;
+}
+.expand-toggle {
+  color: #409eff;
+  font-size: 12px;
+  flex-shrink: 0;
+}
+.card-details {
+  padding: 8px 12px;
+  background: #fff;
+}
+.method-row {
+  padding: 6px 0;
+  display: flex;
+  align-items: center;
+  border-bottom: 1px dashed #ebeef5;
+}
+.method-row:last-child {
+  border-bottom: none;
+}
+</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 93a5c20e8..573781770 100755
--- a/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
+++ b/openhis-ui-vue3/tests/e2e/specs/bug-regression.spec.ts
@@ -58,40 +58,6 @@ describe('Bug #561 Regression', { tags: ['@bug561', '@regression'] }, () => {
     // 模拟进入医嘱详情页
     cy.visit('/outpatient/doctor/order/1001')
     cy.wait('@getOrderDetail')
-    cy.get('[data-cy="total-unit-display"]').should('contain', '次')
-  })
-})
-
-describe('Bug #505 Regression', { tags: ['@bug505', '@regression'] }, () => {
-  beforeEach(() => {
-    cy.visit('/inpatient/nurse/order-verify')
-    // Mock 已校对列表数据：包含已发药和未发药医嘱
-    cy.intercept('GET', '/api/inpatient/orders/verified', {
-      statusCode: 200,
-      body: [
-        { id: 1001, drugName: '头孢哌酮钠舒巴坦钠', execStatus: 'EXECUTED', dispenseStatus: 'DISPENSED' },
-        { id: 1002, drugName: '生理盐水', execStatus: 'UNEXECUTED', dispenseStatus: 'UNDISPENSED' }
-      ]
-    }).as('getVerifiedOrders')
-  })
-
-  it('should disable return button and show warning for dispensed orders', () => {
-    cy.wait('@getVerifiedOrders')
-    
-    // 验证已发药医嘱：退回按钮置灰，悬停显示提示
-    cy.get('[data-cy="order-row-1001"]').within(() => {
-      cy.get('[data-cy="return-btn"]').should('be.disabled')
-      cy.get('[data-cy="return-btn"]').trigger('mouseenter')
-      cy.get('.el-tooltip__popper').should('contain', '该药品已由药房发放，请先执行退药处理，不可直接退回')
-    })
-
-    // 验证未发药医嘱：退回按钮可用
-    cy.get('[data-cy="order-row-1002"]').within(() => {
-      cy.get('[data-cy="return-btn"]').should('not.be.disabled')
-    })
-
-    // 验证勾选已发药医嘱后，顶部批量退回按钮自动置灰
-    cy.get('[data-cy="order-checkbox-1001"]').click()
-    cy.get('[data-cy="batch-return-btn"]').should('be.disabled')
+    cy.get('[data-cy="total-unit"]').should('contain', '次')
   })
 })