Fix Bug #487: 【临床医嘱】诊疗类医嘱签发后，列表状态未实时刷新为"已签发"

根因分析：诊疗类(活动)医嘱签发时，后端handService()的批量状态更新
未区分签发/保存场景，导致statusEnum字段在签发时可能未被正确更新为
ACTIVE(2)；前端依赖后端刷新，缺乏乐观更新机制。

修复方案：
- 前端：签发成功后立即将saveList中对应医嘱的statusEnum设为2（乐观更新），
  再执行getListInfo从后端刷新
- 后端：handService()中分离签发/保存的批量更新逻辑，签发时显式设置
  statusEnum=ACTIVE、authoredTime和signCode，并添加日志

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>

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

@@ -710,11 +710,21 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
 
         // 批量更新诊疗医嘱状态（使用 update 确保状态字段必定更新）
         if (!processedRequestIds.isEmpty()) {
+            // 🔧 Bug #487 修复：签发时额外设置 authoredTime，确保签发时间被记录
+            if (is_sign) {
                 iServiceRequestService.update(null,
                         new LambdaUpdateWrapper<ServiceRequest>()
-                            .set(ServiceRequest::getStatusEnum,
-                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.ACTIVE.getValue())
+                                .set(ServiceRequest::getAuthoredTime, authoredTime)
+                                .set(ServiceRequest::getSignCode, signCode)
                                 .in(ServiceRequest::getId, processedRequestIds));
+                log.info("签发诊疗医嘱成功，requestIds: {}, signCode: {}", processedRequestIds, signCode);
+            } else {
+                iServiceRequestService.update(null,
+                        new LambdaUpdateWrapper<ServiceRequest>()
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.DRAFT.getValue())
+                                .in(ServiceRequest::getId, processedRequestIds));
+            }
         }
     }
 

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue

@@ -1241,6 +1241,13 @@ function handleSave() {
         if (res.code === 200) {
           proxy.$modal.msgSuccess('签发成功');
           isSaving.value = false;
+          // 乐观更新：立即将已签发医嘱的状态设为"已签发"，确保列表实时刷新
+          saveList.forEach((item) => {
+            const row = prescriptionList.value.find((r) => r.requestId && r.requestId === item.requestId);
+            if (row) {
+              row.statusEnum = 2;
+            }
+          });
           getListInfo(false);
           bindMethod.value = {};
           nextId.value = 1;