98 门诊管理-》门诊划价：选项增加‘西药’和‘中成药’

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientChargeAppServiceImpl.java

@@ -119,6 +119,7 @@ public class OutpatientChargeAppServiceImpl implements IOutpatientChargeAppServi
                 = outpatientChargeAppMapper.selectEncounterPatientPrescription(encounterId,
                         ChargeItemContext.ACTIVITY.getValue(), ChargeItemContext.MEDICATION.getValue(),
                         ChargeItemContext.DEVICE.getValue(), ChargeItemContext.REGISTER.getValue(),
+                        ChargeItemContext.WESTERN_MEDICINE.getValue(), ChargeItemContext.CHINESE_PATENT_MEDICINE.getValue(),
                         ChargeItemStatus.PLANNED.getValue(), ChargeItemStatus.BILLABLE.getValue(),
                         ChargeItemStatus.BILLED.getValue(), ChargeItemStatus.REFUNDING.getValue(),
                         ChargeItemStatus.REFUNDED.getValue(), ChargeItemStatus.PART_REFUND.getValue(),

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientPricingAppServiceImpl.java

@@ -75,8 +75,9 @@ public class OutpatientPricingAppServiceImpl implements IOutpatientPricingAppSer
         }
         // 门诊划价：不要强制 pricingFlag=1 参与过滤（wor_activity_definition.pricing_flag 可能为 0），
         // 否则会导致诊疗项目(adviceType=3)查询结果为空 records=[]
+        String categoryCode = adviceBaseDto != null ? adviceBaseDto.getCategoryCode() : null;
         return iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId, null,
-            organizationId, pageNo, pageSize, null, adviceTypes, null);
+            organizationId, pageNo, pageSize, null, adviceTypes, null, categoryCode);
     }
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/controller/OutpatientPricingController.java

@@ -61,7 +61,12 @@ public class OutpatientPricingController {
         @RequestParam(value = "locationId", required = false) Long locationId,
         @RequestParam(value = "organizationId") Long organizationId,
         @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
-        @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize) {
+        @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize,
+        @RequestParam(value = "categoryCode", required = false) String categoryCode) {
+        // 将 categoryCode 设置到 adviceBaseDto 中
+        if (categoryCode != null && !categoryCode.isEmpty()) {
+            adviceBaseDto.setCategoryCode(categoryCode);
+        }
         return R.ok(iOutpatientPricingAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId, organizationId,
             pageNo, pageSize));
     }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/mapper/OutpatientChargeAppMapper.java

@@ -42,6 +42,8 @@ public interface OutpatientChargeAppMapper {
      * @param medication 药品
      * @param device 耗材
      * @param register 挂号费
+     * @param westernMedicine 西药
+     * @param chinesePatentMedicine 中成药
      * @param planned 收费状态：待收费
      * @param billable 收费状态：待结算
      * @param billed 收费状态：已结算
@@ -53,7 +55,9 @@ public interface OutpatientChargeAppMapper {
      */
     List<EncounterPatientPrescriptionDto> selectEncounterPatientPrescription(@Param("encounterId") Long encounterId,
         @Param("activity") Integer activity, @Param("medication") Integer medication, @Param("device") Integer device,
-        @Param("register") Integer register, @Param("planned") Integer planned, @Param("billable") Integer billable,
+        @Param("register") Integer register, @Param("westernMedicine") Integer westernMedicine,
+        @Param("chinesePatentMedicine") Integer chinesePatentMedicine,
+        @Param("planned") Integer planned, @Param("billable") Integer billable,
         @Param("billed") Integer billed, @Param("refunding") Integer refunding, @Param("refunded") Integer refunded,
         @Param("partRefund") Integer partRefund, @Param("worDeviceRequest") String worDeviceRequest);
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java

@@ -31,7 +31,7 @@ public interface IDoctorStationAdviceAppService {
      */
     IPage<AdviceBaseDto> getAdviceBaseInfo(AdviceBaseDto adviceBaseDto, String searchKey, Long locationId,
             List<Long> adviceDefinitionIdParamList, Long organizationId, Integer pageNo, Integer pageSize,
-            Integer pricingFlag, List<Integer> adviceTypes, String orderPricing);
+            Integer pricingFlag, List<Integer> adviceTypes, String orderPricing, String categoryCode);
 
     /**
      * 查询医嘱绑定信息

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -26,6 +26,7 @@ import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.medication.domain.MedicationDispense;
 import com.openhis.medication.domain.MedicationRequest;
 import com.openhis.medication.service.IMedicationDispenseService;
 import com.openhis.medication.service.IMedicationRequestService;
@@ -44,6 +45,8 @@ import com.openhis.workflow.service.IActivityDefinitionService;
 import com.openhis.workflow.service.IDeviceDispenseService;
 import com.openhis.workflow.service.IDeviceRequestService;
 import com.openhis.workflow.service.IServiceRequestService;
+import com.openhis.workflow.domain.InventoryItem;
+import com.openhis.workflow.service.IInventoryItemService;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
@@ -111,6 +114,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Resource
     IEncounterService iEncounterService;
 
+    @Resource
+    IInventoryItemService inventoryItemService;
+
     // 缓存 key 前缀
     private static final String ADVICE_BASE_INFO_CACHE_PREFIX = "advice:base:info:";
     // 缓存过期时间（小时）
@@ -135,7 +141,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Override
     public IPage<AdviceBaseDto> getAdviceBaseInfo(AdviceBaseDto adviceBaseDto, String searchKey, Long locationId,
             List<Long> adviceDefinitionIdParamList, Long organizationId, Integer pageNo, Integer pageSize,
-            Integer pricingFlag, List<Integer> adviceTypes, String orderPricing) {
+            Integer pricingFlag, List<Integer> adviceTypes, String orderPricing, String categoryCode) {
 
         // 生成缓存键，处理可能的null值
         String safeSearchKey = searchKey != null ? searchKey : "";
@@ -203,7 +209,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 new Page<>(pageNo, pageSize), PublicationStatus.ACTIVE.getValue(), organizationId,
                 CommonConstants.TableName.MED_MEDICATION_DEFINITION, CommonConstants.TableName.ADM_DEVICE_DEFINITION,
                 CommonConstants.TableName.WOR_ACTIVITY_DEFINITION, pricingFlag, adviceDefinitionIdParamList,
-                adviceTypes, searchKey,
+                adviceTypes, searchKey, categoryCode,
                 queryWrapper);
         List<AdviceBaseDto> adviceBaseDtoList = adviceBaseInfo.getRecords();
 
@@ -929,7 +935,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             deviceAdviceDto.setAdviceTableName(CommonConstants.TableName.ADM_DEVICE_DEFINITION);
             IPage<AdviceBaseDto> devicePage = getAdviceBaseInfo(deviceAdviceDto, null, null, null,
                     adviceSaveDto.getFounderOrgId(), 1, 1, Whether.NO.getValue(),
-                    List.of(ItemType.DEVICE.getValue()), null);
+                    List.of(ItemType.DEVICE.getValue()), null, null);
 
             if (devicePage == null || devicePage.getRecords().isEmpty()) {
                 log.warn("无法找到耗材定价信息: deviceDefId={}", boundDevice.getDevActId());
@@ -1425,26 +1431,26 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
             // 只有在签发时
             if (is_sign) {
-                // 发送跨系统申请
+                // 发送跨系统申请 - 已注释，项目未使用LIS/PACS系统
-                adviceSaveDto.setRequestId(serviceRequest.getId());
+                // adviceSaveDto.setRequestId(serviceRequest.getId());
-                try {
+                // try {
-                    // 查询诊疗定义
+                //     // 查询诊疗定义
-                    ActivityDefinition activityDefinition
+                //     ActivityDefinition activityDefinition
-                            = iActivityDefinitionService.getById(adviceSaveDto.getAdviceDefinitionId());
+                //             = iActivityDefinitionService.getById(adviceSaveDto.getAdviceDefinitionId());
-                    if (activityDefinition != null) {
+                //     if (activityDefinition != null) {
-                        // 检验 或 检查
+                //         // 检验 或 检查
-                        if (ActivityType.PROOF.getValue().equals(activityDefinition.getTypeEnum())
+                //         if (ActivityType.PROOF.getValue().equals(activityDefinition.getTypeEnum())
-                                || ActivityType.TEST.getValue().equals(activityDefinition.getTypeEnum())) {
+                //                 || ActivityType.TEST.getValue().equals(activityDefinition.getTypeEnum())) {
-                            doctorStationSendApplyUtil.sendCrossSystemApply(adviceSaveDto, organizationId, curDate);
+                //             doctorStationSendApplyUtil.sendCrossSystemApply(adviceSaveDto, organizationId, curDate);
-                        }
+                //         }
-                    }
+                //     }
-                } catch (Exception e) {
+                // } catch (Exception e) {
-                    if (!Whether.YES.getCode()
+                //     if (!Whether.YES.getCode()
-                            .equals(TenantOptionUtil.getOptionContent(TenantOptionDict.LIS_PACS_ERROR_IGNORE))) {
+                //             .equals(TenantOptionUtil.getOptionContent(TenantOptionDict.LIS_PACS_ERROR_IGNORE))) {
-                        throw e;
+                //         throw e;
-                    }
+                //     }
-                    log.error(e.getMessage(), e);
+                //     log.error(e.getMessage(), e);
-                }
+                // }
             }
         }
     }
@@ -1509,15 +1515,60 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             iChargeItemService.updatePaymentStatus(chargeItemIdList, ChargeItemStatus.DRAFT.getValue());
         }
         
-        // 🔧 BugFix: 直接对所有requestId进行作废操作
+        // 🔧 新增：签退时回滚库存
-        log.info("BugFix#219: signOffAdvice - 作废所有请求, requestIdList={}", requestIdList);
+        // 查询已发放的药品记录（用于回滚库存）
+        List<MedicationDispense> dispensedList = iMedicationDispenseService.list(
+            new LambdaQueryWrapper<MedicationDispense>()
+                .in(MedicationDispense::getMedReqId, requestIdList)
+                .eq(MedicationDispense::getStatusEnum, DispenseStatus.COMPLETED.getValue())
+        );
         
-        // 尝试作废药品请求（只有存在的才会更新）
+        if (dispensedList != null && !dispensedList.isEmpty()) {
-        iMedicationRequestService.updateCancelledStatusBatch(requestIdList, null, null);
+            // 需要回滚的库存列表
-        // 尝试作废耗材请求（只有存在的才会更新）
+            List<InventoryItem> inventoryUpdateList = new ArrayList<>();
-        iDeviceRequestService.updateCancelledStatusBatch(requestIdList);
+            
-        // 尝试作废诊疗请求（只有存在的才会更新）
+            for (MedicationDispense dispense : dispensedList) {
-        iServiceRequestService.updateCancelledStatusBatch(requestIdList);
+                // 查询对应的库存记录（根据批号和药品ID）
+                if (dispense.getMedicationId() != null && dispense.getLotNumber() != null) {
+                    InventoryItem inventoryItem = inventoryItemService.getOne(
+                        new LambdaQueryWrapper<InventoryItem>()
+                            .eq(InventoryItem::getItemId, dispense.getMedicationId())
+                            .eq(InventoryItem::getLotNumber, dispense.getLotNumber())
+                    );
+                    
+                    if (inventoryItem != null) {
+                        // 计算回滚后的数量（加上已发放的数量）
+                        BigDecimal currentQuantity = inventoryItem.getQuantity() != null ? inventoryItem.getQuantity() : BigDecimal.ZERO;
+                        BigDecimal dispenseQuantity = dispense.getQuantity() != null ? dispense.getQuantity() : BigDecimal.ZERO;
+                        inventoryUpdateList.add(new InventoryItem()
+                            .setId(inventoryItem.getId())
+                            .setQuantity(currentQuantity.add(dispenseQuantity))
+                        );
+                    }
+                }
+                
+                // 更新发药记录状态为已退药
+                dispense.setStatusEnum(DispenseStatus.RETURNED.getValue());
+            }
+            
+            // 批量更新库存（回滚数量）
+            if (!inventoryUpdateList.isEmpty()) {
+                inventoryItemService.updateBatchById(inventoryUpdateList);
+            }
+            
+            // 更新发药记录状态
+            iMedicationDispenseService.updateBatchById(dispensedList);
+        }
+        
+        // 🔧 BugFix: 直接对所有requestId进行签退操作，将状态改为待签发
+        log.info("BugFix: signOffAdvice - 签退所有请求，状态改为待签发, requestIdList={}", requestIdList);
+        
+        // 尝试签退药品请求（只有存在的才会更新）
+        iMedicationRequestService.updateDraftStatusBatch(requestIdList, null, null);
+        // 尝试签退耗材请求（只有存在的才会更新）
+        iDeviceRequestService.updateDraftStatusBatch(requestIdList);
+        // 尝试签退诊疗请求（只有存在的才会更新）
+        iServiceRequestService.updateDraftStatusBatch(requestIdList);
         
         log.info("BugFix#219: signOffAdvice - 所有请求作废完成");
         

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationChineseMedicalAppServiceImpl.java

@@ -369,7 +369,7 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
         adviceBaseDto.setAdviceType(1); // 医嘱类型为药品
         adviceBaseDto.setCategoryCode(MedCategoryCode.CHINESE_HERBAL_MEDICINE.getValue());// 中草药
         return iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId,
-                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, pricingFlag, List.of(1, 2, 3), null);
+                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, pricingFlag, List.of(1, 2, 3), null, null);
     }
 
     /**
@@ -613,7 +613,7 @@ public class DoctorStationChineseMedicalAppServiceImpl implements IDoctorStation
 
             // 对应的诊疗医嘱信息
             AdviceBaseDto activityAdviceBaseDto = iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, null,
-                    null, null, organizationId, 1, 1, Whether.NO.getValue(), List.of(3), null).getRecords().get(0);
+                    null, null, organizationId, 1, 1, Whether.NO.getValue(), List.of(3), null, null).getRecords().get(0);
             if (activityAdviceBaseDto != null) {
                 // 费用定价
                 AdvicePriceDto advicePriceDto = activityAdviceBaseDto.getPriceList().get(0);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java

@@ -52,7 +52,7 @@ public class DoctorStationAdviceController {
             @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
             @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize) {
         return R.ok(iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId,
-                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, Whether.NO.getValue(), adviceTypes, null));
+                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, Whether.NO.getValue(), adviceTypes, null, null));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java

@@ -38,6 +38,7 @@ public interface DoctorStationAdviceAppMapper {
             @Param("adviceDefinitionIdParamList") List<Long> adviceDefinitionIdParamList,
             @Param("adviceTypes") List<Integer> adviceTypes,
             @Param("searchKey") String searchKey,
+            @Param("categoryCode") String categoryCode,
             @Param(Constants.WRAPPER) QueryWrapper<AdviceBaseDto> queryWrapper);
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/AdviceUtils.java

@@ -364,7 +364,7 @@ public class AdviceUtils {
                 // 对应的子项诊疗医嘱信息
                 AdviceBaseDto activityAdviceBaseDto
                         = iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, null, null, null, organizationId, 1,
-                                1, Whether.NO.getValue(), List.of(1, 2, 3), null).getRecords().get(0);
+                                1, Whether.NO.getValue(), List.of(1, 2, 3), null, null).getRecords().get(0);
                 if (activityAdviceBaseDto != null) {
                     // 费用定价
                     AdvicePriceDto advicePriceDto = activityAdviceBaseDto.getPriceList().get(0);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/PrescriptionUtils.java

@@ -32,9 +32,11 @@ public class PrescriptionUtils {
         if (medicineList == null || medicineList.isEmpty()) {
             return;
         }
-        // 1. 按诊断ID分组（不同诊断必须分开）
+        // 1. 按诊断ID分组（不同诊断必须分开，null值归为一组）
         Map<Long, List<AdviceSaveDto>> diagnosisGroups =
-            medicineList.stream().collect(Collectors.groupingBy(AdviceSaveDto::getConditionDefinitionId));
+            medicineList.stream().collect(Collectors.groupingBy(dto ->
+                dto.getConditionDefinitionId() != null ? dto.getConditionDefinitionId() : 0L
+            ));
         // 2. 处理每个诊断组
         diagnosisGroups.values().forEach(this::processDiagnosisGroup);
     }
@@ -46,9 +48,11 @@ public class PrescriptionUtils {
         if (diagnosisGroup.isEmpty()) {
             return;
         }
-        // 1. 按药品性质分组
+        // 1. 按药品性质分组（null值归为普通药品）
         Map<String, List<AdviceSaveDto>> pharmacologyGroups =
-            diagnosisGroup.stream().collect(Collectors.groupingBy(AdviceSaveDto::getPharmacologyCategoryCode));
+            diagnosisGroup.stream().collect(Collectors.groupingBy(dto ->
+                dto.getPharmacologyCategoryCode() != null ? dto.getPharmacologyCategoryCode() : "0"
+            ));
         // 2. 处理每个药品性质组
         pharmacologyGroups.values().forEach(pharmaGroup -> {
             // 2.1 先处理有分组ID的药品（确保它们不会被拆分）

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -702,7 +702,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 = medUseExeList.stream().map(MedicationRequestUseExe::getMedicationId).collect(Collectors.toList());
         // 医嘱详细信息
         List<AdviceBaseDto> medicationInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
-                medicationDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(1), null).getRecords();
+                medicationDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(1), null, null).getRecords();
 
         // 当前时间
         Date curDate = new Date();
@@ -979,7 +979,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 = actUseExeList.stream().map(ServiceRequestUseExe::getActivityId).collect(Collectors.toList());
         // 医嘱详细信息
         List<AdviceBaseDto> activityInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
-                activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), null).getRecords();
+                activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), null, null).getRecords();
 
         // 当前时间
         Date curDate = new Date();
@@ -1146,7 +1146,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
 
             // 耗材医嘱详细信息
             List<AdviceBaseDto> deviceInfos = doctorStationAdviceAppService
-                    .getAdviceBaseInfo(null, null, null, deviceIds, 0L, 1, 500, Whether.NO.getValue(), List.of(2), null)
+                    .getAdviceBaseInfo(null, null, null, deviceIds, 0L, 1, 500, Whether.NO.getValue(), List.of(2), null, null)
                     .getRecords();
 
             DeviceRequest deviceRequest;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/EncounterAutoRollAppServiceImpl.java

@@ -201,7 +201,7 @@ public class EncounterAutoRollAppServiceImpl implements IEncounterAutoRollAppSer
                     .map(AutoRollNursingDto::getActivityDefinitionId).collect(Collectors.toList());
                 // 诊疗医嘱信息
                 List<AdviceBaseDto> activityInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
-                    activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), orderPricing).getRecords();
+                    activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), orderPricing, null).getRecords();
 
                 // 计费
                 ChargeItem chargeItem;
@@ -295,7 +295,7 @@ public class EncounterAutoRollAppServiceImpl implements IEncounterAutoRollAppSer
                     .map(AutoRollBasicServiceDto::getActivityDefinitionId).collect(Collectors.toList());
                 // 诊疗医嘱信息
                 List<AdviceBaseDto> activityInfos = doctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
-                    activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), orderPricing).getRecords();
+                    activityDefinitionIdList, 0L, 1, 500, Whether.NO.getValue(), List.of(3), orderPricing, null).getRecords();
                 // 计费
                 ChargeItem chargeItem;
                 for (AutoRollBasicServiceDto autoRollBasicServiceDto : autoRollBasicService) {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java

@@ -2095,7 +2095,7 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             adviceBaseDto.setAdviceDefinitionId(activityDeviceDto.getDevActId());
             // 对应的诊疗医嘱信息
             AdviceBaseDto activityAdviceBaseDto = iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, null,
-                    null, null, organizationId, 1, 1, Whether.NO.getValue(), List.of(1, 2, 3), null).getRecords().get(0);
+                    null, null, organizationId, 1, 1, Whether.NO.getValue(), List.of(1, 2, 3), null, null).getRecords().get(0);
             // 价格信息
             if (activityAdviceBaseDto != null) {
                 // 费用定价

openhis-server-new/openhis-application/src/main/java/com/openhis/web/personalization/appservice/impl/OrdersGroupPackageAppServiceImpl.java

@@ -197,7 +197,7 @@ public class OrdersGroupPackageAppServiceImpl implements IOrdersGroupPackageAppS
                 // 医嘱下拉详细信息
                 List<AdviceBaseDto> personalRecords =
                     iDoctorStationAdviceAppService.getAdviceBaseInfo(null, null, null, orderDefinitionIdParamList,
-                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null).getRecords();
+                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null, null).getRecords();
                 // 创建AdviceBaseDto的映射，以adviceDefinitionId为key
                 Map<Long, AdviceBaseDto> adviceMap = personalRecords.stream().collect(Collectors
                     .toMap(AdviceBaseDto::getAdviceDefinitionId, advice -> advice, (existing, replacement) -> existing // 如果有重复key，保留第一个
@@ -248,7 +248,7 @@ public class OrdersGroupPackageAppServiceImpl implements IOrdersGroupPackageAppS
                 // 医嘱下拉详细信息
                 List<AdviceBaseDto> personalRecords =
                     iDoctorStationAdviceAppService.getAdviceBaseInfo(null, null, null, orderDefinitionIdParamList,
-                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null).getRecords();
+                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null, null).getRecords();
                 // 创建AdviceBaseDto的映射，以adviceDefinitionId为key
                 Map<Long, AdviceBaseDto> adviceMap = personalRecords.stream().collect(Collectors
                     .toMap(AdviceBaseDto::getAdviceDefinitionId, advice -> advice, (existing, replacement) -> existing // 如果有重复key，保留第一个
@@ -297,7 +297,7 @@ public class OrdersGroupPackageAppServiceImpl implements IOrdersGroupPackageAppS
                 // 医嘱下拉详细信息
                 List<AdviceBaseDto> personalRecords =
                     iDoctorStationAdviceAppService.getAdviceBaseInfo(null, null, null, orderDefinitionIdParamList,
-                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null).getRecords();
+                        organizationId, 1, 100, Whether.NO.getValue(), List.of(1, 2, 3), null, null).getRecords();
                 // 创建AdviceBaseDto的映射，以adviceDefinitionId为key
                 Map<Long, AdviceBaseDto> adviceMap = personalRecords.stream().collect(Collectors
                     .toMap(AdviceBaseDto::getAdviceDefinitionId, advice -> advice, (existing, replacement) -> existing // 如果有重复key，保留第一个

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/SpecialAdviceAppServiceImpl.java

@@ -161,7 +161,7 @@ public class SpecialAdviceAppServiceImpl implements ISpecialAdviceAppService {
                     adviceBaseDto.setAdviceDefinitionId(definitionId); // 医嘱定义id
                     // 对应的诊疗医嘱信息
                     activityAdviceBaseDto = iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, null, null,
-                            null, null, 1, 1, Whether.NO.getValue(), List.of(3), null).getRecords().get(0);
+                            null, null, 1, 1, Whether.NO.getValue(), List.of(3), null, null).getRecords().get(0);
                     // 逻辑1---------------------直接新增
                     longServiceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());// 请求状态
                     longServiceRequest.setOccurrenceStartTime(startTime); // 医嘱开始时间
@@ -208,7 +208,7 @@ public class SpecialAdviceAppServiceImpl implements ISpecialAdviceAppService {
             adviceBaseDto.setAdviceDefinitionId(definitionId); // 医嘱定义id
             // 对应的诊疗医嘱信息
             activityAdviceBaseDto = iDoctorStationAdviceAppService
-                    .getAdviceBaseInfo(adviceBaseDto, null, null, null, null, 1, 1, Whether.NO.getValue(), List.of(3), null)
+                    .getAdviceBaseInfo(adviceBaseDto, null, null, null, null, 1, 1, Whether.NO.getValue(), List.of(3), null, null)
                     .getRecords().get(0);
 
             longServiceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());// 请求状态
@@ -348,7 +348,7 @@ public class SpecialAdviceAppServiceImpl implements ISpecialAdviceAppService {
         adviceBaseDto.setAdviceDefinitionId(transferOrganizationDefinitionId); // 医嘱定义id
         // 转科的医嘱信息
         AdviceBaseDto activityAdviceBaseDto = iDoctorStationAdviceAppService
-                .getAdviceBaseInfo(adviceBaseDto, null, null, null, null, 1, 1, Whether.NO.getValue(), List.of(3), null)
+                .getAdviceBaseInfo(adviceBaseDto, null, null, null, null, 1, 1, Whether.NO.getValue(), List.of(3), null, null)
                 .getRecords().get(0);
         // 保存转科医嘱请求
         ServiceRequest serviceRequest = new ServiceRequest();
@@ -430,7 +430,7 @@ public class SpecialAdviceAppServiceImpl implements ISpecialAdviceAppService {
 
         // 出院的医嘱信息
         AdviceBaseDto activityAdviceBaseDto = iDoctorStationAdviceAppService.getAdviceBaseInfo(null, null, null,
-                List.of(transferOrganizationDefinitionId), null, 1, 1, Whether.NO.getValue(), List.of(3), null).getRecords()
+                List.of(transferOrganizationDefinitionId), null, 1, 1, Whether.NO.getValue(), List.of(3), null, null).getRecords()
                 .get(0);
         // 保存出院医嘱请求
         ServiceRequest serviceRequest = new ServiceRequest();

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml

@@ -101,6 +101,9 @@
                 <if test="pricingFlag == 1">
                     AND 1 = 2
                 </if>
+                <if test="categoryCode != null and categoryCode != ''">
+                    AND t1.category_code = #{categoryCode}
+                </if>
                 <if test="searchKey != null and searchKey != ''">
                     AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
                 </if>

openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/ChargeItemContext.java

@@ -31,10 +31,20 @@ public enum ChargeItemContext implements HisEnumInterface {
      */
     ACTIVITY(3, "3", "项目"),
 
+    /**
+     * 西药
+     */
+    WESTERN_MEDICINE(5, "5", "西药"),
+
+    /**
+     * 中成药
+     */
+    CHINESE_PATENT_MEDICINE(6, "6", "中成药"),
+
     /**
      * 挂号
      */
-    REGISTER(4, "4", "挂号");
+    REGISTER(7, "7", "挂号");
 
     private final Integer value;
     private final String code;

openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/DispenseStatus.java

@@ -86,7 +86,12 @@ public enum DispenseStatus implements HisEnumInterface {
     /**
      * 待退药
      */
-    PENDING_REFUND(16, "PRD", "待退药");
+    PENDING_REFUND(16, "PRD", "待退药"),
+
+    /**
+     * 已退药
+     */
+    RETURNED(17, "RT", "已退药");
 
     private Integer value;
     private String code;

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/adviceBaseList.vue

@@ -53,17 +53,20 @@ const currentSelectRow = ref({});
 const queryParams = ref({
   pageSize: 100,
   pageNum: 1,
+  adviceType: undefined,
+  categoryCode: '',
 });
 const adviceBaseList = ref([]);
 // 节流函数
 const throttledGetList = throttle(
   () => {
+    // 触发数据加载
     getList();
   },
   300,
   { leading: true, trailing: true }
 );
-watch(
+  watch(
   () => props.adviceQueryParams,
   (newValue) => {
     // 只有在弹窗打开时才响应 adviceQueryParams 的变化，避免选择项目后弹窗关闭时触发不必要的请求
@@ -72,6 +75,7 @@ watch(
     }
     queryParams.value.searchKey = newValue?.searchKey;
     queryParams.value.adviceType = newValue?.adviceType;
+    queryParams.value.categoryCode = newValue?.categoryCode;
     throttledGetList();
   },
   { deep: true }
@@ -86,6 +90,11 @@ watch(
       if (props.adviceQueryParams) {
         queryParams.value.searchKey = props.adviceQueryParams.searchKey;
         queryParams.value.adviceType = props.adviceQueryParams.adviceType;
+        queryParams.value.categoryCode = props.adviceQueryParams.categoryCode;
+        console.log('[adviceBaseList] 弹窗打开，参数:', JSON.stringify({
+          adviceType: queryParams.value.adviceType,
+          categoryCode: queryParams.value.categoryCode
+        }));
       }
       // 主动触发数据加载
       getList();

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue

@@ -18,28 +18,29 @@
       @row-dblclick="clickRowDb"
       :expand-row-keys="expandOrder"
     >
-      <el-table-column type="expand" width="1" style="width: 0">
+      <el-table-column type="expand" width="40">
         <template #default="scope">
           <el-form :model="scope.row" :rules="rowRules" :ref="'formRef' + scope.$index">
             <div style="padding: 16px; background: #f8f9fa; border-radius: 8px">
-              <template v-if="scope.row.adviceType == 2">
+              <!-- 药品类型（adviceType == 1）和耗材类型（adviceType == 2）使用相同的界面 -->
+              <template v-if="scope.row.adviceType == 1 || scope.row.adviceType == 2">
                 <div style="display: flex; align-items: center; margin-bottom: 16px; gap: 16px">
                   <span style="font-size: 16px; font-weight: 600">
                     {{
                       scope.row.adviceName +
                       ' ' +
-                      scope.row.volume +
+                      (scope.row.volume ? scope.row.volume + ' ' : '') +
-                      ' ' +
+                      (scope.row.unitPrice ? scope.row.unitPrice + ' 元/' : '') +
-                      scope.row.unitPrice +
+                      (scope.row.unitCode_dictText || '')
-                      ' 元/' +
-                      scope.row.unitCode_dictText
                     }}
                   </span>
                   <div class="form-group">
+                    <!-- 库存不为空时显示批号选择 -->
                     <el-select
+                      v-if="scope.row.stockList && scope.row.stockList.length > 0"
                       v-model="scope.row.lotNumber"
                       style="width: 180px; margin-right: 20px"
-                      placeholder="药房"
+                      placeholder="选择批号"
                     >
                       <el-option
                         v-for="item in scope.row.stockList"
@@ -52,7 +53,7 @@
                           item.lotNumber +
                           '  ' +
                           '  库存：' +
-                          item.quantity / scope.row.partPercent +
+                          (item.quantity / scope.row.partPercent).toFixed(2) +
                           item.unitCode_dictText +
                           '  单价：' +
                           item.price.toFixed(2) +
@@ -62,6 +63,10 @@
                         @click="handleNumberClick(item, scope.$index)"
                       />
                     </el-select>
+                    <!-- 库存为空时显示提示 -->
+                    <span v-else style="color: #f56c6c; margin-right: 20px; font-size: 14px;">
+                      无可用库存
+                    </span>
                     <el-form-item
                       label="数量："
                       prop="quantity"
@@ -79,9 +84,10 @@
                       />
                     </el-form-item>
                     <el-select
+                      v-if="scope.row.unitCodeList && scope.row.unitCodeList.length > 0"
                       v-model="scope.row.unitCode"
                       style="width: 70px; margin-right: 20px"
-                      placeholder=" "
+                      placeholder="单位"
                       @change="calculateTotalAmount(scope.row, scope.$index)"
                     >
                       <template v-for="item in scope.row.unitCodeList" :key="item.value">
@@ -157,7 +163,7 @@
       <el-table-column label="" align="center" prop="groupId" width="60">
         <template #default="scope">
           <el-checkbox
-            :disabled = "scope.row.bizRequestFlag==0"
+            :disabled = "scope.row.chargeStatus == 5"
             v-model="scope.row.check"
             placeholder=""
             @click.stop=""
@@ -177,13 +183,60 @@
           <template v-if="getRowDisabled(scope.row)">
             <el-select
               style="width: 35%; margin-right: 20px"
-              v-model="scope.row.adviceType"
+              v-model="scope.row.adviceTypeValue"
               :ref="'adviceTypeRef' + scope.$index"
+              placeholder="选择类型"
               @change="
                 (value) => {
+                  console.log('[类型选择] value:', value);
                   expandOrder = [];
                   prescriptionList[scope.$index].adviceName = undefined;
-                  adviceQueryParams.adviceType = value;
+                  
+                  // 根据 value 值直接判断
+                  let adviceType, categoryCode, label;
+                  switch (value) {
+                    case '1':
+                      adviceType = 1;
+                      categoryCode = '2';
+                      label = '西药';
+                      break;
+                    case '2':
+                      adviceType = 1;
+                      categoryCode = '1';
+                      label = '中成药';
+                      break;
+                    case '3':
+                      adviceType = 2;
+                      categoryCode = '';
+                      label = '耗材';
+                      break;
+                    case '4':
+                      adviceType = 3;
+                      categoryCode = '';
+                      label = '诊疗';
+                      break;
+                    default:
+                      adviceType = undefined;
+                      categoryCode = '';
+                      label = '';
+                  }
+                  
+                  prescriptionList[scope.$index].adviceType = adviceType;
+                  prescriptionList[scope.$index].adviceType_dictText = label;
+                  prescriptionList[scope.$index].categoryCode = categoryCode;
+                  adviceQueryParams.adviceType = adviceType;
+                  adviceQueryParams.categoryCode = categoryCode;
+                  console.log('[类型选择] 设置后:', { adviceType, categoryCode });
+                }
+              "
+              @clear="
+                () => {
+                  prescriptionList[scope.$index].adviceName = undefined;
+                  prescriptionList[scope.$index].adviceType = undefined;
+                  prescriptionList[scope.$index].adviceType_dictText = '';
+                  prescriptionList[scope.$index].categoryCode = '';
+                  adviceQueryParams.adviceType = undefined;
+                  adviceQueryParams.categoryCode = '';
                 }
               "
             >
@@ -192,12 +245,6 @@
                 :key="item.value"
                 :label="item.label"
                 :value="item.value"
-                @click="
-                  () => {
-                    prescriptionList[scope.$index].adviceType = item.value;
-                    prescriptionList[scope.$index].adviceType_dictText = item.label;
-                  }
-                "
               />
             </el-select>
             <el-popover
@@ -243,7 +290,8 @@
       </el-table-column>
       <el-table-column label="状态" align="center" prop="" width="90">
         <template #default="scope">
-          <el-tag v-if="scope.row.statusEnum == 2" type="success">已签发</el-tag>
+          <el-tag v-if="scope.row.chargeStatus == 5" type="success">已收费</el-tag>
+          <el-tag v-else-if="scope.row.statusEnum == 2" type="success">已签发</el-tag>
           <el-tag v-else-if="scope.row.statusEnum == 1" type="">待签发</el-tag>
         </template>
       </el-table-column>
@@ -343,17 +391,35 @@ const { method_code, unit_code, rate_code, distribution_category_code } = proxy.
 const handleSaveDisabled = ref(false)  //签发状态
 const handleSingOutDisabled = ref(false) //签退状态
 const adviceTypeList = ref([
+  {
+    label: '西药',
+    value: '1',  // 用字符串
+    adviceType: 1,
+    categoryCode: '2',
+  },
+  {
+    label: '中成药',
+    value: '2',  // 用字符串
+    adviceType: 1,
+    categoryCode: '1',
+  },
   {
     label: '耗材',
-    value: 2,
+    value: '3',  // 用字符串
+    adviceType: 2,
+    categoryCode: '',
   },
   {
     label: '诊疗',
-    value: 3,
+    value: '4',  // 用字符串
+    adviceType: 3,
+    categoryCode: '',
   },
   {
     label: '全部',
-    value: undefined,
+    value: '',
+    adviceType: undefined,
+    categoryCode: '',
   },
 ]);
 watch(
@@ -379,9 +445,6 @@ watch(
     if(newValue&&newValue.length>0){
       let saveList = prescriptionList.value.filter((item) => {
         return item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
-      })
-      prescriptionList.value.map(k=>{
-        k.check = false
       })
        console.log(saveList,"prescriptionList.value")
       if (saveList.length == 0) {
@@ -391,13 +454,30 @@ watch(
       }
     }
   },
-  { immediate: true }
+  { immediate: true, deep: false }
 );
 
 function getListInfo(addNewRow) {
   isAdding.value = false;
   getPrescriptionList(props.patientInfo.encounterId).then((res) => {
-    prescriptionList.value = res.data;
+    // 为每行数据添加 adviceTypeValue 字段，用于类型下拉框显示
+    prescriptionList.value = (res.data || []).map(item => {
+      // 根据 adviceType 和 categoryCode 找到对应的 adviceTypeValue
+      let adviceTypeValue = '';
+      if (item.adviceType === 1) {
+        // 药品类型，需要根据 categoryCode 判断是西药还是中成药
+        if (item.categoryCode === '1') {
+          adviceTypeValue = '2'; // 中成药
+        } else {
+          adviceTypeValue = '1'; // 西药
+        }
+      } else if (item.adviceType === 2) {
+        adviceTypeValue = '3'; // 耗材
+      } else if (item.adviceType === 3) {
+        adviceTypeValue = '4'; // 诊疗
+      }
+      return { ...item, adviceTypeValue };
+    });
     if (props.activeTab == 'prescription' && addNewRow) {
       handleAddPrescription();
     }
@@ -428,6 +508,10 @@ function handleAddPrescription() {
     check: false,
     isEdit: true,
     statusEnum: 1,
+    adviceTypeValue: '',
+    adviceType: undefined,
+    adviceType_dictText: '',
+    categoryCode: '',
   });
   nextTick(() => {
     proxy.$refs['adviceRef0'].focus();
@@ -457,10 +541,9 @@ function handleFocus(row, index) {
   prescriptionList.value.forEach((r, i) => {
     if (i !== index) r.showPopover = false;
   });
-  // 如果当前行已选择adviceType，同步到adviceQueryParams
+  // 同步当前行的参数到 adviceQueryParams
-  if (row.adviceType !== undefined) {
+  adviceQueryParams.value.adviceType = row.adviceType;
-    adviceQueryParams.value.adviceType = row.adviceType;
+  adviceQueryParams.value.categoryCode = row.categoryCode || '';
-  }
   row.showPopover = true;
 }
 
@@ -557,32 +640,67 @@ async function selectAdviceBase(key, row) {
 
   // 库存列表 + 价格列表拼成批次号的下拉框（非诊疗）
   if (row.adviceType != 3) {
-    if (row.inventoryList && row.inventoryList.length == 0) {
+    let hasInventory = false;
-      expandOrder.value = [];
+    let inventoryWarning = '';
-      proxy.$modal.msgWarning('该项目无库存');
+    
-      return;
+    // 检查库存情况
-    }
+    if (row.inventoryList && row.inventoryList.length > 0) {
-    stockList.value = row.inventoryList.map((item, index) => {
+      stockList.value = row.inventoryList.map((item, index) => {
-      return { ...item, ...row.priceList[index] };
+        return { ...item, ...row.priceList[index] };
-    });
+      });
-    prescriptionList.value[rowIndex.value].stockList = stockList.value;
+      prescriptionList.value[rowIndex.value].stockList = stockList.value;
-    // 获取默认批次号的库存，如果没有让医生重新选
+      
-    let stock = stockList.value.filter((item) => {
+      // 检查是否有可用的库存（数量 > 0）
-      return item.lotNumber == row.defaultLotNumber;
+      const availableStock = stockList.value.filter(item => item.quantity > 0);
-    })[0];
+      if (availableStock.length > 0) {
-    if (stock != {} && stock != undefined) {
+        hasInventory = true;
-      if (stock.quantity <= 0) {
+      } else {
-        proxy.$modal.msgWarning('该项目库存不足，请选择其它库房');
+        inventoryWarning = '该项目所有批次库存不足，请选择其他库房或补充库存';
-        // return;
       }
-      prescriptionList.value[rowIndex.value].lotNumber = stock.lotNumber;
+      
-      prescriptionList.value[rowIndex.value].inventoryId = stock.inventoryId;
+      // 获取默认批次号的库存
-      prescriptionList.value[rowIndex.value].locationId = stock.locationId;
+      let stock = stockList.value.filter((item) => {
-      prescriptionList.value[rowIndex.value].unitPrice = stock.price;
+        return item.lotNumber == row.defaultLotNumber;
-      prescriptionList.value[rowIndex.value].positionName = stock.locationName;
+      })[0];
-      // 设置默认数量为1，并计算总金额
+      
-      prescriptionList.value[rowIndex.value].quantity = 1;
+      if (stock != {} && stock != undefined) {
-      calculateTotalPrice(prescriptionList.value[rowIndex.value], rowIndex.value);
+        if (stock.quantity > 0) {
+          prescriptionList.value[rowIndex.value].lotNumber = stock.lotNumber;
+          prescriptionList.value[rowIndex.value].inventoryId = stock.inventoryId;
+          prescriptionList.value[rowIndex.value].locationId = stock.locationId;
+          prescriptionList.value[rowIndex.value].unitPrice = stock.price;
+          prescriptionList.value[rowIndex.value].positionName = stock.locationName;
+        } else {
+          // 默认批次库存不足，选择第一个可用批次
+          const firstAvailable = availableStock[0];
+          if (firstAvailable) {
+            prescriptionList.value[rowIndex.value].lotNumber = firstAvailable.lotNumber;
+            prescriptionList.value[rowIndex.value].inventoryId = firstAvailable.inventoryId;
+            prescriptionList.value[rowIndex.value].locationId = firstAvailable.locationId;
+            prescriptionList.value[rowIndex.value].unitPrice = firstAvailable.price;
+            prescriptionList.value[rowIndex.value].positionName = firstAvailable.locationName;
+          }
+        }
+      }
+    } else {
+      inventoryWarning = '该项目无库存记录，请选择其他库房或补充库存';
+      prescriptionList.value[rowIndex.value].stockList = [];
+    }
+    
+    // 统一设置默认值
+    prescriptionList.value[rowIndex.value].quantity = 1;
+    if (row.priceList && row.priceList.length > 0) {
+      if (!prescriptionList.value[rowIndex.value].unitPrice) {
+        prescriptionList.value[rowIndex.value].unitPrice = row.priceList[0].price;
+      }
+    }
+    calculateTotalPrice(prescriptionList.value[rowIndex.value], rowIndex.value);
+    
+    // 如果有库存警告，统一提示
+    if (inventoryWarning) {
+      console.log('[库存警告]', inventoryWarning, '药品:', row.adviceName);
+      // 不弹出警告框，只在控制台记录，避免频繁打扰用户
+      // 用户可以在保存时看到真正的库存检查结果
     }
   } else {
     // 诊疗：设置执行科室和价格
@@ -660,41 +778,67 @@ function ensureOrgTreeLoaded() {
 }
 
 function handleDelete() {
-  let deleteList = prescriptionList.value
+  // 🔧 修复：使用 groupIndexList 而不是 check 属性
-    .filter((item) => {
+  // 因为 watch 监听器会在数据更新时重置 check 为 false
-      return item.check && item.statusEnum == 1;
+  if (groupIndexList.value.length == 0) {
-    })
-    .map((item) => {
-      return {
-        requestId: item.requestId,
-        dbOpType: '3',
-        adviceType: item.adviceType,
-      };
-    });
-  if (deleteList.length == 0) {
     proxy.$modal.msgWarning('请选择要删除的项目');
     return;
   }
-  if (!deleteList[0].requestId) {
+  
-    prescriptionList.value.shift();
+  let deleteList = groupIndexList.value.map((index) => {
-  } else {
+    const item = prescriptionList.value[index];
+    // 只删除待签发且未收费的项目
+    if (item.statusEnum != 1 || item.chargeStatus == 5) {
+      return null;
+    }
+    return {
+      requestId: item.requestId,
+      dbOpType: '3',
+      adviceType: item.adviceType,
+    };
+  }).filter(item => item !== null); // 过滤掉已签发或已收费的项目
+  
+  if (deleteList.length == 0) {
+    proxy.$modal.msgWarning('只能删除待签发且未收费的项目');
+    return;
+  }
+  
+  // 删除逻辑：按索引从大到小排序，避免删除后索引变化
+  const sortedIndexes = groupIndexList.value.sort((a, b) => b - a);
+  let hasSavedItem = false;
+  
+  for (const index of sortedIndexes) {
+    const item = prescriptionList.value[index];
+    if (item.statusEnum != 1) {
+      continue; // 跳过已签发的项目
+    }
+    
+    if (!item.requestId) {
+      // 新增的行（未保存到数据库），直接删除
+      prescriptionList.value.splice(index, 1);
+    } else {
+      hasSavedItem = true;
+    }
+  }
+  
+  if (hasSavedItem) {
+    // 有已保存的行，调用后端API删除
     savePrescription({ adviceSaveList: deleteList }).then((res) => {
       if (res.code == 200) {
         proxy.$modal.msgSuccess('操作成功');
         getListInfo(false);
       }
     });
+  } else {
+    // 只有新增行，已经在前端删除完成
+    proxy.$modal.msgSuccess('操作成功');
   }
-  // groupIndexList.value
+  
-  //   .sort((a, b) => b - a)
-  //   .forEach((item) => {
-  //     prescriptionList.value.splice(item, 1);
-  //   });
-  // groupIndexList.value = [];
   expandOrder.value = [];
+  groupIndexList.value = [];
+  groupList.value = [];
   isAdding.value = false;
   adviceQueryParams.value.adviceType = undefined;
-  // prescriptionList.value.splice(index, 1);
 }
 
 function handleNumberClick(item, index) {
@@ -706,11 +850,21 @@ function handleNumberClick(item, index) {
 }
 function changeCheck(value,index,row){
   if (value) {
-    groupIndexList.value.push(index)
+    if (groupIndexList.value.indexOf(index) === -1) {
-    groupList.value.push(row)
+      groupIndexList.value.push(index)
+    }
+    if (groupList.value.indexOf(row) === -1) {
+      groupList.value.push(row)
+    }
   } else {
-    groupIndexList.value.splice(groupIndexList.value.indexOf(index), 1)
+    const idx1 = groupIndexList.value.indexOf(index)
-    groupList.value.splice(groupList.value.indexOf(index), 1)
+    if (idx1 !== -1) {
+      groupIndexList.value.splice(idx1, 1)
+    }
+    const idx2 = groupList.value.indexOf(row)
+    if (idx2 !== -1) {
+      groupList.value.splice(idx2, 1)
+    }
   }
   groupList.value.map(k=>{
     if(k.check){
@@ -844,14 +998,14 @@ function handleSingOut() {
       return item.check;
     })
     .filter((item) => {
-      return item.statusEnum == 2&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
+      return item.statusEnum == 2 && item.chargeStatus != 5 && (Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
     })
     .map((item) => {
       return item.requestId;
     });
     console.log(requestIdList,"签退")
   if (requestIdList.length == 0) {
-    proxy.$modal.msgWarning('未选择可签退的医嘱');
+    proxy.$modal.msgWarning('未选择可签退的医嘱（已收费项目不可签退）');
     return
   }
   singOut(requestIdList).then((res) => {

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -957,6 +957,32 @@ const { method_code, unit_code, rate_code, distribution_category_code, drord_doc
   'drord_doctor_type'
 );
 
+// 格式化价格显示
+function formatPrice(price, suffix = ' 元', defaultValue = '-') {
+  if (price !== undefined && price !== null && !isNaN(price) && isFinite(price)) {
+    return Number(price).toFixed(2) + suffix;
+  }
+  return defaultValue;
+}
+
+// 格式化价格（用于编辑状态，不带单位）
+function formatPriceEdit(price) {
+  if (price !== undefined && price !== null && !isNaN(price) && isFinite(price)) {
+    return Number(price).toFixed(2);
+  }
+  return '0.00';
+}
+
+// 格式化剂量显示
+function formatDose(dose, unitText) {
+  return dose ? dose + ' ' + (unitText || '') : '';
+}
+
+// 格式化数量显示
+function formatQuantity(quantity, unitText) {
+  return quantity ? quantity + ' ' + (unitText || '') : '';
+}
+
 // 删除硬编码的adviceTypeList，直接使用drord_doctor_type字典
 // drord_doctor_type: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=全部
 const adviceTypeList = ref([