diff --git a/openhis-ui-vue3/src/views/outpatient/ExaminationApply.vue b/openhis-ui-vue3/src/views/outpatient/ExaminationApply.vue
index 7c33b43ca..f8187d6c7 100644
--- a/openhis-ui-vue3/src/views/outpatient/ExaminationApply.vue
+++ b/openhis-ui-vue3/src/views/outpatient/ExaminationApply.vue
@@ -1,168 +1,241 @@
 <template>
-  <div class="examination-apply-container">
-    <el-row :gutter="16" style="height: 100%;">
-      <!-- 左侧：检查项目分类 -->
-      <el-col :span="6" class="panel">
-        <div class="panel-header">检查项目分类</div>
-        <el-tree
-          :data="categories"
-          :props="{ label: 'name', children: 'children' }"
-          highlight-current
-          @node-click="handleCategorySelect"
-          data-cy="category-tree"
-        />
-      </el-col>
+  <div class="examination-apply">
+    <!-- 检查项目分类树 -->
+    <el-tree
+      :data="categoryTree"
+      node-key="id"
+      :default-expand-all="true"
+      @node-click="onCategorySelect"
+      data-cy="category-tree"
+      class="category-tree"
+    />
 
-      <!-- 中间：检查项目列表 -->
-      <el-col :span="9" class="panel">
-        <div class="panel-header">检查项目</div>
-        <div class="item-list" data-cy="item-list">
-          <div v-for="item in currentCategoryItems" :key="item.id" class="item-row">
-            <el-checkbox
-              :label="item.id"
-              v-model="selectedItemIds"
-              @change="handleItemToggle(item)"
-            >
-              {{ item.name }}
-            </el-checkbox>
-          </div>
-        </div>
-      </el-col>
-
-      <!-- 右侧：已选择区域 -->
-      <el-col :span="9" class="panel">
-        <div class="panel-header">已选择</div>
-        <div class="selected-list">
-          <div v-for="group in selectedGroups" :key="group.id" class="selected-group">
-            <!-- 项目卡片：自适应宽度，悬停提示完整名称，点击展开/收起 -->
-            <div
-              class="selected-card"
-              :class="{ 'is-expanded': group.expanded }"
-              @click="toggleGroupExpand(group.id)"
-              data-cy="selected-card"
-            >
-              <el-tooltip :content="group.originalName" placement="top" :show-after="300">
-                <span class="card-name">{{ group.displayName }}</span>
-              </el-tooltip>
-              <el-icon class="expand-icon">
-                <ArrowDown v-if="group.expanded" />
-                <ArrowRight v-else />
-              </el-icon>
-            </div>
-
-            <!-- 检查方法明细：默认收起，独立勾选，严格遵循 项目 > 方法 层级 -->
-            <div v-if="group.expanded" class="method-list" data-cy="method-list">
-              <div v-for="method in group.methods" :key="method.id" class="method-item" data-cy="method-item">
+    <!-- 检查项目列表 -->
+    <div class="item-list" data-cy="item-list">
+      <el-checkbox-group v-model="selectedItemIds">
+        <el-row :gutter="20">
+          <el-col
+            v-for="item in filteredItems"
+            :key="item.id"
+            :span="6"
+            class="item-card"
+          >
+            <el-card :body-style="{ padding: '10px' }">
+              <div class="item-header">
+                <el-checkbox :label="item.id" />
+                <span class="item-name" :title="item.name">{{ item.name }}</span>
+              </div>
+              <!-- 检查方法（检查方式） -->
+              <el-checkbox-group
+                v-model="selectedMethods[item.id]"
+                class="method-group"
+                @change="onMethodChange(item.id)"
+              >
                 <el-checkbox
-                  v-model="method.checked"
-                  @change="handleMethodToggle(method)"
-                  data-cy="method-checkbox"
+                  v-for="method in item.methods"
+                  :key="method.id"
+                  :label="method.id"
                 >
                   {{ method.name }}
                 </el-checkbox>
-              </div>
-            </div>
-          </div>
-          <el-empty v-if="selectedGroups.length === 0" description="暂无已选项目" />
+              </el-checkbox-group>
+            </el-card>
+          </el-col>
+        </el-row>
+      </el-checkbox-group>
+    </div>
+
+    <!-- 已选项目卡片 -->
+    <el-card class="selected-card" data-cy="selected-card">
+      <template #header>
+        <div class="selected-header">
+          <span>已选项目 ({{ totalSelected }})</span>
+          <el-button type="text" @click="toggleExpand">
+            {{ expanded ? '收起' : '展开' }}
+          </el-button>
         </div>
-      </el-col>
-    </el-row>
+      </template>
+
+      <div v-show="expanded" class="selected-list">
+        <el-tag
+          v-for="item in selectedItems"
+          :key="item.id"
+          closable
+          @close="removeItem(item.id)"
+          class="selected-tag"
+        >
+          {{ item.name }}
+        </el-tag>
+      </div>
+    </el-card>
   </div>
 </template>
 
 <script setup lang="ts">
-import { ref, computed } from 'vue'
-import { ArrowDown, ArrowRight } from '@element-plus/icons-vue'
+import { ref, computed, watch } from 'vue'
+import { ElMessage } from 'element-plus'
+import type { TreeNode } from 'element-plus/lib/components/tree/src/tree.type'
 
-// 数据结构定义
-interface ExamMethod { id: string; name: string; checked: boolean }
-interface ExamItem { id: string; name: string; methods: ExamMethod[] }
-interface Category { id: string; name: string; children: ExamItem[] }
+// 模拟接口返回的数据结构（实际项目请改为真实 API）
+interface Method {
+  id: number
+  name: string
+}
+interface Item {
+  id: number
+  name: string
+  categoryId: number
+  methods: Method[]
+}
+interface Category {
+  id: number
+  label: string
+  children?: Category[]
+}
 
-// 模拟分类与项目数据（实际应从API获取）
-const categories = ref<Category[]>([
-  { id: 'c1', name: '彩超', children: [
-    { id: 'i1', name: '套餐：128线排彩超', methods: [{ id: 'm1', name: '常规检查', checked: false }, { id: 'm2', name: '血管多普勒', checked: false }] },
-    { id: 'i2', name: '心脏彩超', methods: [{ id: 'm3', name: '二维超声', checked: false }] }
-  ]}
+// -------------------- 数据 --------------------
+const categoryTree = ref<Category[]>([
+  {
+    id: 1,
+    label: '影像检查',
+    children: [
+      { id: 11, label: 'X光' },
+      { id: 12, label: 'CT' },
+    ],
+  },
+  {
+    id: 2,
+    label: '实验室检查',
+    children: [
+      { id: 21, label: '血液' },
+      { id: 22, label: '尿液' },
+    ],
+  },
 ])
 
-const currentCategoryId = ref<string>('')
-const selectedItemIds = ref<string[]>([])
-const selectedItemsMap = ref<Map<string, { item: ExamItem; expanded: boolean }>>(new Map())
+// 所有检查项目（实际请从后端获取）
+const allItems = ref<Item[]>([
+  {
+    id: 101,
+    name: '胸部X光',
+    categoryId: 11,
+    methods: [
+      { id: 1001, name: '正位' },
+      { id: 1002, name: '侧位' },
+    ],
+  },
+  {
+    id: 102,
+    name: '头部CT',
+    categoryId: 12,
+    methods: [
+      { id: 1003, name: '平扫' },
+      { id: 1004, name: '增强' },
+    ],
+  },
+  // 更多项目...
+])
 
-const currentCategoryItems = computed(() => {
-  const cat = categories.value.find(c => c.id === currentCategoryId.value)
-  return cat ? cat.children : []
+// 当前选中的分类 ID（-1 表示全部）
+const currentCategoryId = ref<number>(-1)
+
+// 已选项目 ID 列表（仅记录项目本身，方法选择独立）
+const selectedItemIds = ref<number[]>([])
+
+// 记录每个项目对应的已选检查方法 ID 列表
+const selectedMethods = ref<Record<number, number[]>>({})
+
+// -------------------- 计算属性 --------------------
+const filteredItems = computed(() => {
+  if (currentCategoryId.value === -1) return allItems.value
+  return allItems.value.filter(
+    (it) => it.categoryId === currentCategoryId.value
+  )
 })
 
-// 结构化展示：将已选项按 项目 > 检查方法 层级组织
-const selectedGroups = computed(() => {
-  return Array.from(selectedItemsMap.value.entries()).map(([id, data]) => ({
-    id,
-    originalName: data.item.name,
-    displayName: formatName(data.item.name),
-    expanded: data.expanded,
-    methods: data.item.methods.map(m => ({ ...m }))
-  }))
+const selectedItems = computed(() => {
+  return allItems.value.filter((it) => selectedItemIds.value.includes(it.id))
 })
 
-// 修复：清理“套餐”前缀及冗余文案
-const formatName = (name: string) => name.replace(/^套餐[：:]/, '').trim()
+const totalSelected = computed(() => selectedItemIds.value.length)
 
-const handleCategorySelect = (node: Category) => {
-  currentCategoryId.value = node.id
+// -------------------- 交互逻辑 --------------------
+const onCategorySelect = (node: TreeNode) => {
+  // 若点击的是根节点，展示全部
+  currentCategoryId.value = node.id ?? -1
 }
 
-// 修复1：项目勾选与检查方法完全解耦，移除原有自动联动逻辑
-const handleItemToggle = (item: ExamItem) => {
-  if (selectedItemIds.value.includes(item.id)) {
-    // 新增时默认收起明细，避免界面拥挤
-    selectedItemsMap.value.set(item.id, { item, expanded: false })
-  } else {
-    selectedItemsMap.value.delete(item.id)
-  }
+// 方法勾选时，保持项目与方法的解耦
+const onMethodChange = (itemId: number) => {
+  // 若方法被全部取消，仍保留项目的选中状态
+  // （业务上可以在提交时根据 selectedMethods 决定是否需要提示）
 }
 
-// 修复2：检查方法独立控制，不随父项目状态联动
-const handleMethodToggle = (method: ExamMethod) => {
-  // 仅更新当前方法勾选状态，不影响其他项
-  console.log(`方法 ${method.name} 状态变更为: ${method.checked}`)
+// 删除已选项目
+const removeItem = (itemId: number) => {
+  selectedItemIds.value = selectedItemIds.value.filter((id) => id !== itemId)
+  delete selectedMethods.value[itemId]
 }
 
-// 修复3：点击卡片展开/收起明细
-const toggleGroupExpand = (id: string) => {
-  const data = selectedItemsMap.value.get(id)
-  if (data) {
-    data.expanded = !data.expanded
-  }
+// -------------------- 卡片展开/收起 --------------------
+const expanded = ref(true)
+const toggleExpand = () => {
+  expanded.value = !expanded.value
 }
+
+// -------------------- 监听 & 提示 --------------------
+watch(selectedItemIds, (newVal) => {
+  // 初始化对应的 methods 数组，防止 undefined
+  newVal.forEach((id) => {
+    if (!selectedMethods.value[id]) {
+      selectedMethods.value[id] = []
+    }
+  })
+})
 </script>
 
 <style scoped>
-.examination-apply-container { padding: 16px; height: 100%; background: #f5f7fa; }
-.panel { height: 600px; background: #fff; border-radius: 4px; padding: 12px; overflow: hidden; display: flex; flex-direction: column; box-shadow: 0 2px 4px rgba(0,0,0,0.05); }
-.panel-header { font-weight: 600; margin-bottom: 12px; padding-bottom: 8px; border-bottom: 1px solid #ebeef5; color: #303133; }
-.item-list { flex: 1; overflow-y: auto; }
-.item-row { padding: 10px 0; border-bottom: 1px dashed #f0f0f0; }
-.selected-list { flex: 1; overflow-y: auto; }
-.selected-group { margin-bottom: 12px; }
-
-/* 修复：卡片宽度自适应，文本溢出省略，悬停提示 */
+.examination-apply {
+  padding: 20px;
+}
+.category-tree {
+  max-height: 300px;
+  overflow-y: auto;
+  margin-bottom: 20px;
+}
+.item-list {
+  margin-bottom: 20px;
+}
+.item-card {
+  margin-bottom: 10px;
+}
+.item-header {
+  display: flex;
+  align-items: center;
+  margin-bottom: 5px;
+}
+.item-name {
+  margin-left: 8px;
+  white-space: nowrap;
+  overflow: hidden;
+  text-overflow: ellipsis;
+}
+.method-group {
+  display: flex;
+  flex-wrap: wrap;
+}
 .selected-card {
-  display: flex; justify-content: space-between; align-items: center;
-  padding: 10px 12px; background: #ecf5ff; border: 1px solid #d9ecff; border-radius: 4px; cursor: pointer;
-  width: auto; max-width: 100%; box-sizing: border-box; transition: background 0.2s;
+  margin-top: 20px;
 }
-.selected-card:hover { background: #d9ecff; }
-.card-name {
-  flex: 1; overflow: hidden; text-overflow: ellipsis; white-space: nowrap;
-  margin-right: 8px; font-size: 14px; color: #409eff; font-weight: 500;
+.selected-header {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+}
+.selected-list {
+  margin-top: 10px;
+}
+.selected-tag {
+  margin: 4px;
 }
-.expand-icon { font-size: 14px; color: #909399; flex-shrink: 0; }
-
-/* 修复：明细区域层级缩进，视觉区分 */
-.method-list { padding: 8px 0 8px 24px; background: #fafafa; border-left: 2px solid #409eff; margin-top: 4px; border-radius: 0 0 4px 4px; }
-.method-item { padding: 6px 0; font-size: 13px; color: #606266; }
-.method-item .el-checkbox { margin-left: 0; }
 </style>