diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
index d0509b2c..f4549f3d 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
@@ -61,6 +61,8 @@ import java.util.*;
 import java.util.concurrent.atomic.AtomicInteger;
 import java.util.stream.Collectors;
 
+import static com.openhis.web.consultation.enums.ConsultationStatusEnum.CANCELLED;
+
 /**
  * 会诊管理AppService实现类
  * 
@@ -134,6 +136,8 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
 
         // 根据就诊ID，查询该患者的会诊申请
         wrapper.eq(ConsultationRequest::getEncounterId, encounterId);
+        // 过滤已作废的数据
+        wrapper.ne(ConsultationRequest::getConsultationStatus, CANCELLED.getCode());
         wrapper.orderByDesc(ConsultationRequest::getCreateTime);
 
         List<ConsultationRequest> list = consultationRequestMapper.selectList(wrapper);
@@ -282,11 +286,15 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 entity = new ConsultationRequest();
                 entity.setConsultationId(generateConsultationId());
                 entity.setTenantId(SecurityUtils.getLoginUser().getTenantId().longValue());
-                entity.setConsultationRequestDate(new Date());
             }
 
             // 复制基本属性（现在字段名已统一，可以直接复制）
-            BeanUtils.copyProperties(dto, entity, "id", "consultationId", "invitedList", "submitFlag", "provisionalDiagnosis", "consultationRequestDate");
+            BeanUtils.copyProperties(dto, entity, "id", "consultationId", "invitedList", "submitFlag", "provisionalDiagnosis");
+
+            // 新增时：如果前端没有传递申请时间，使用服务器时间
+            if (!isUpdate && entity.getConsultationRequestDate() == null) {
+                entity.setConsultationRequestDate(new Date());
+            }
 
             // 如果前端没有传递申请医生ID，使用当前登录用户
             if (entity.getRequestingPhysicianId() == null) {
@@ -440,7 +448,7 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
 
             } else {
                 // 作废：将状态改为"已取消"
-                entity.setConsultationStatus(ConsultationStatusEnum.CANCELLED.getCode());
+                entity.setConsultationStatus(CANCELLED.getCode());
                 entity.setCancelReason(cancelReason);
                 entity.setCancelNatureDate(new Date());
                 consultationRequestMapper.updateById(entity);
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
index 7479ca66..72886204 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
@@ -41,7 +41,7 @@ public enum ConsultationStatusEnum {
     /**
      * 已取消
      */
-    CANCELLED(50, "已取消");
+    CANCELLED(50, "已取消/作废");
     
     /**
      * 状态码
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue b/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
index 0afb2ea5..f3d08b0e 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/consultation.vue
@@ -34,7 +34,7 @@
         <el-table-column prop="invitedObjectText" label="邀请对象" min-width="120" show-overflow-tooltip />
         <el-table-column prop="department" label="申请科室" width="100" align="center" />
         <el-table-column prop="requestingPhysician" label="申请医师" width="100" align="center" />
-        <el-table-column prop="createTime" label="申请时间" width="160" align="center" />
+        <el-table-column prop="consultationRequestDate" label="申请时间" width="160" align="center" />
         <el-table-column label="提交" width="60" align="center">
           <template #default="{ row }">
             <el-checkbox v-model="row.submitted" disabled />
@@ -53,7 +53,7 @@
                 提交
               </el-button>
               <el-button type="danger" size="small" @click="handleDeleteRow(row)">
-                删除
+                作废
               </el-button>
             </template>
             <!-- 已提交状态：显示取消提交按钮 -->
@@ -117,7 +117,7 @@
           <el-row :gutter="20">
             <el-col :span="8">
               <el-form-item label="申请时间：">
-                <el-input v-model="formData.createTime" disabled />
+                <el-input v-model="currentTime" disabled />
               </el-form-item>
             </el-col>
             <el-col :span="8">
@@ -240,35 +240,24 @@
 
           <!-- 🎯 新增：参与医生列表（表格形式） -->
           <el-form-item label="参与医生签名：" v-if="participatingPhysicians.length > 0">
-            <el-table 
-              :data="participatingPhysicians" 
-              border 
-              stripe 
-                  style="width: 100%"
+            <el-table
+              :data="participatingPhysicians"
+              border
+              stripe
+              style="width: 100%"
               max-height="300"
             >
               <el-table-column type="index" label="序号" width="60" align="center" />
-              <el-table-column prop="deptName" label="科室" width="120" align="center" />
-              <el-table-column prop="physicianName" label="医生" width="100" align="center" />
-              <el-table-column prop="confirmTime" label="确认时间" width="160" align="center">
+              <el-table-column prop="confirmingDeptName" label="代表科室" width="120" align="center" />
+              <el-table-column prop="confirmingPhysicianName" label="所属医生" width="100" align="center" />
+              <el-table-column prop="signature" label="签名医生" width="100" align="center" />
+              <el-table-column prop="signatureDate" label="签名时间" width="160" align="center">
                 <template #default="{ row }">
-                  {{ formatDateTime(row.confirmTime) }}
-                </template>
-              </el-table-column>
-              <el-table-column prop="signatureTime" label="签名时间" width="160" align="center">
-                <template #default="{ row }">
-                  {{ formatDateTime(row.signatureTime) }}
-                </template>
-              </el-table-column>
-              <el-table-column label="状态" width="80" align="center">
-                <template #default="{ row }">
-                  <el-tag v-if="row.invitedStatus >= 3" type="success">已签名</el-tag>
-                  <el-tag v-else-if="row.invitedStatus >= 1" type="warning">已确认</el-tag>
-                  <el-tag v-else type="info">待确认</el-tag>
+                  {{ formatDateTime(row.signatureDate) }}
                 </template>
               </el-table-column>
             </el-table>
-              </el-form-item>
+          </el-form-item>
         </el-form>
       </div>
 
@@ -349,7 +338,7 @@
 </template>
 
 <script setup>
-import { ref, reactive, computed, onMounted, watch, defineProps } from 'vue';
+import { ref, reactive, computed, onMounted, onUnmounted, watch, defineProps } from 'vue';
 import { ElMessage, ElMessageBox } from 'element-plus';
 import { Delete } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
@@ -388,6 +377,10 @@ const activityList = ref([]);
 // 当前选中的行
 const selectedRow = ref(null);
 
+// 实时显示的当前时间
+const currentTime = ref('');
+let timeTimer = null;  // 定时器引用
+
 // 表单数据
 const formData = reactive({
   consultationId: '',
@@ -651,9 +644,6 @@ const loadConsultationList = async () => {
           submitted: item.consultationStatus >= 10,
           completed: item.consultationStatus === 40,
           invitedObjectText: item.invitedObject || (item.invitedList?.map(inv => inv.physicianName).join('、') || ''),
-          consultationDate: item.consultationDate,
-          // 确保字段正确映射
-          createTime: item.consultationRequestDate || item.createTime,
         };
       });
       console.log('会诊列表:', consultationList.value);
@@ -700,7 +690,7 @@ const loadMainDiagnosis = async () => {
 };
 
 // 点击表格行
-const handleRowClick = (row) => {
+const handleRowClick = async (row) => {
   selectedRow.value = row;
   if (row) {
     console.log('点击的行数据:', row);
@@ -747,12 +737,10 @@ const handleRowClick = (row) => {
       // 🎯 填充参与医生列表（显示确认和签名状态）
       participatingPhysicians.value = row.invitedList.map(inv => ({
         physicianId: inv.physicianId,
-        physicianName: inv.physicianName,
-        deptId: inv.deptId,
-        deptName: inv.deptName,
-        invitedStatus: inv.invitedStatus || 0,
-        confirmTime: inv.confirmTime || null,
-        signatureTime: inv.signatureTime || null,
+        confirmingPhysicianName: inv.physicianName || '',
+        confirmingDeptName: inv.deptName || '',
+        signature: inv.signatureTime ? inv.physicianName : '',  // 有签名时间才显示签名医生
+        signatureDate: inv.signatureTime || null,
       }));
       
       console.log('参与医生列表:', participatingPhysicians.value);
@@ -865,6 +853,7 @@ const handleSave = async () => {
       consultationUrgency: formData.isUrgent ? '2' : '1',
       consultationPurpose: formData.consultationPurpose,
       consultationDate: formData.consultationDate,
+      consultationRequestDate: currentTime.value,  // 使用动态申请时间
       patientId: props.patientInfo.patientId,
       encounterId: props.patientInfo.encounterId,
       patientName: props.patientInfo.patientName,
@@ -1128,7 +1117,7 @@ const formatDateTime = (dateTime) => {
   const hours = String(date.getHours()).padStart(2, '0');
   const minutes = String(date.getMinutes()).padStart(2, '0');
   const seconds = String(date.getSeconds()).padStart(2, '0');
-  return `${year}/${month}/${day} ${hours}:${minutes}:${seconds}`;
+  return `${year}-${month}-${day} ${hours}:${minutes}:${seconds}`;
 };
 
 // 监听 activeTab 变化
@@ -1165,12 +1154,25 @@ onMounted(() => {
   console.log('会诊组件已挂载');
   loadActivityList();
   loadDepartmentTree();
-  
+
+  // 初始化当前时间并启动实时更新（每秒更新一次）
+  currentTime.value = formatDateTime(new Date());
+  timeTimer = setInterval(() => {
+    currentTime.value = formatDateTime(new Date());
+  }, 1000);
+
   if (props.activeTab === 'consultation' && props.patientInfo?.encounterId) {
     loadConsultationList();
     handleNew();
   }
 });
+
+// 组件卸载时清除定时器
+onUnmounted(() => {
+  if (timeTimer) {
+    clearInterval(timeTimer);
+  }
+});
 </script>
 
 <style scoped lang="scss">