From 994ffcb8b80e5c2ef2c5377be7d16362668de8fe Mon Sep 17 00:00:00 2001
From: wangjian963 <15215920+aprilry@user.noreply.gitee.com>
Date: Tue, 21 Apr 2026 10:18:26 +0800
Subject: [PATCH] =?UTF-8?q?=20=20Bug=20#384:=20=E6=A3=80=E6=9F=A5=E6=96=B9?=
 =?UTF-8?q?=E6=B3=95=E8=81=94=E5=8A=A8=E5=8A=9F=E8=83=BD=E5=AE=8C=E5=96=84?=
 =?UTF-8?q?=EF=BC=8C=E5=A2=9E=E5=8A=A0=E5=A5=97=E9=A4=90=E4=BB=B7=E6=A0=BC?=
 =?UTF-8?q?=E6=9F=A5=E8=AF=A2=E5=92=8C=E9=A1=B9=E7=9B=AE=E5=8D=A1=E7=89=87?=
 =?UTF-8?q?=E5=B1=95=E5=BC=80=E9=80=89=E6=8B=A9=20=20=20Bug=20#386:=20?=
 =?UTF-8?q?=E6=A3=80=E9=AA=8C=E7=94=B3=E8=AF=B7=E5=88=A0=E9=99=A4=E6=97=B6?=
 =?UTF-8?q?=E5=90=8C=E6=AD=A5=E5=88=A0=E9=99=A4=E5=85=B3=E8=81=94=E6=94=B6?=
 =?UTF-8?q?=E8=B4=B9=E9=A1=B9=E7=9B=AE=20=20=20Bug=20#382:=20=E9=80=89?=
 =?UTF-8?q?=E6=8B=A9=E9=A1=B9=E7=9B=AE=E5=90=8E=E4=BF=9D=E6=8C=81=E5=BD=93?=
 =?UTF-8?q?=E5=89=8D=E9=A1=B5=E7=AD=BE=E7=8A=B6=E6=80=81=20=20=20Bug=20#38?=
 =?UTF-8?q?0,381:=20=E4=B8=B4=E5=BA=8A=E8=AF=8A=E6=96=AD=E8=8E=B7=E5=8F=96?=
 =?UTF-8?q?=E4=B8=BB=E8=AF=8A=E6=96=AD=E5=AD=97=E6=AE=B5=E5=90=8D=E4=BF=AE?=
 =?UTF-8?q?=E6=AD=A3=20=20=20Bug=20#387:=20=E5=A5=97=E9=A4=90=E9=A1=B9?=
 =?UTF-8?q?=E7=9B=AE=E5=9B=9E=E5=85=85=E9=BB=98=E8=AE=A4=E5=B1=95=E5=BC=80?=
 =?UTF-8?q?=E5=B9=B6=E8=87=AA=E5=8A=A8=E5=8A=A0=E8=BD=BD=E6=98=8E=E7=BB=86?=
MIME-Version: 1.0
Content-Type: text/plain; charset=UTF-8
Content-Transfer-Encoding: 8bit

---
 .../impl/CheckMethodAppServiceImpl.java       |  73 +++-
 .../openhis/web/check/dto/CheckMethodDto.java |  14 +-
 .../DoctorStationLabApplyServiceImpl.java     |  13 +-
 .../examination/examinationApplication.vue    | 400 +++++++++++++++---
 .../inspection/inspectionApplication.vue      | 196 +++------
 .../components/prescriptionList.vue           |   1 +
 6 files changed, 513 insertions(+), 184 deletions(-)

diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
index 8f8d3fac..51bd6d0e 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java
@@ -4,8 +4,11 @@ import cn.hutool.core.util.ObjectUtil;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.domain.R;
 import com.openhis.check.domain.CheckMethod;
+import com.openhis.check.domain.CheckPackage;
 import com.openhis.check.service.ICheckMethodService;
+import com.openhis.check.service.ICheckPackageService;
 import com.openhis.web.check.appservice.ICheckMethodAppService;
+import com.openhis.web.check.dto.CheckMethodDto;
 import com.openhis.web.reportmanage.utils.ExcelFillerUtil;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
@@ -16,6 +19,7 @@ import java.io.IOException;
 import java.util.LinkedHashMap;
 import java.util.List;
 import java.util.Map;
+import java.util.stream.Collectors;
 
 @Service
 @Slf4j
@@ -24,10 +28,15 @@ public class CheckMethodAppServiceImpl implements ICheckMethodAppService {
     @Resource
     private ICheckMethodService checkMethodService;
 
+    @Resource
+    private ICheckPackageService checkPackageService;  // Bug #384修复：注入套餐服务
+
     @Override
     public R<?> getCheckMethodList() {
         List<CheckMethod> list = checkMethodService.list();
-        return R.ok(list);
+        // Bug #384修复：转换为DTO并关联套餐价格
+        List<CheckMethodDto> dtoList = convertToDtoWithPackagePrice(list);
+        return R.ok(dtoList);
     }
 
     @Override
@@ -43,7 +52,67 @@ public class CheckMethodAppServiceImpl implements ICheckMethodAppService {
             wrapper.eq(CheckMethod::getPackageName, packageName);
         }
         List<CheckMethod> list = checkMethodService.list(wrapper);
-        return R.ok(list);
+        // Bug #384修复：转换为DTO并关联套餐价格
+        List<CheckMethodDto> dtoList = convertToDtoWithPackagePrice(list);
+        return R.ok(dtoList);
+    }
+
+    /**
+     * Bug #384修复：转换CheckMethod为DTO，并通过packageName关联查询套餐价格
+     * @param methods 检查方法列表
+     * @return 包含套餐价格的DTO列表
+     */
+    private List<CheckMethodDto> convertToDtoWithPackagePrice(List<CheckMethod> methods) {
+        if (methods == null || methods.isEmpty()) {
+            return List.of();
+        }
+
+        // 获取所有packageName，批量查询套餐
+        List<String> packageNames = methods.stream()
+                .map(CheckMethod::getPackageName)
+                .filter(ObjectUtil::isNotEmpty)
+                .distinct()
+                .collect(Collectors.toList());
+
+        // Bug #384修复: 批量查询套餐信息，使用final变量
+        final Map<String, CheckPackage> packageMap;
+        if (!packageNames.isEmpty()) {
+            List<CheckPackage> packages = checkPackageService.list(
+                    new LambdaQueryWrapper<CheckPackage>()
+                            .in(CheckPackage::getPackageName, packageNames)
+                            .eq(CheckPackage::getIsDisabled, 0)  // 只查未停用的套餐
+            );
+            packageMap = packages.stream()
+                    .collect(Collectors.toMap(CheckPackage::getPackageName, p -> p, (p1, p2) -> p1));
+        } else {
+            packageMap = Map.of();
+        }
+
+        // 转换为DTO并填充价格
+        return methods.stream().map(m -> {
+            CheckMethodDto dto = new CheckMethodDto();
+            dto.setId(m.getId() != null ? m.getId().longValue() : null);
+            dto.setCheckType(m.getCheckType());
+            dto.setCode(m.getCode());
+            dto.setName(m.getName());
+            dto.setPackageName(m.getPackageName());
+            dto.setExposureNum(m.getExposureNum());
+            dto.setOrderNum(m.getOrderNum());
+            dto.setRemark(m.getRemark());
+            dto.setCreateTime(m.getCreateTime());
+            dto.setUpdateTime(m.getUpdateTime());
+
+            // 通过packageName匹配套餐价格
+            if (ObjectUtil.isNotEmpty(m.getPackageName())) {
+                CheckPackage pkg = packageMap.get(m.getPackageName());
+                if (pkg != null) {
+                    dto.setPackagePrice(pkg.getPackagePrice());
+                    dto.setServiceFee(pkg.getServiceFee());
+                }
+            }
+
+            return dto;
+        }).collect(Collectors.toList());
     }
 
     @Override
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
index 8bf60d9a..54582a31 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java
@@ -1,12 +1,15 @@
 package com.openhis.web.check.dto;
 
-import com.baomidou.mybatisplus.annotation.IdType;
-import com.baomidou.mybatisplus.annotation.TableId;
 import lombok.Data;
 import lombok.experimental.Accessors;
 
+import java.math.BigDecimal;
 import java.time.LocalDateTime;
 
+/**
+ * 检查方法DTO - Bug #384修复：增加套餐价格字段
+ * 用于API返回数据传输，不含数据库注解
+ */
 @Data
 @Accessors(chain = true)
 public class CheckMethodDto {
@@ -14,7 +17,6 @@ public class CheckMethodDto {
     /**
      * 检查方法ID
      */
-    @TableId(type = IdType.AUTO)
     private Long id;
 
     /* 检查类型 */
@@ -29,6 +31,12 @@ public class CheckMethodDto {
     /* 套餐名称 */
     private String packageName;
 
+    /* 套餐价格 - Bug #384修复：通过packageName匹配CheckPackage获取 */
+    private BigDecimal packagePrice;
+
+    /* 服务费 - Bug #384修复：通过packageName匹配CheckPackage获取 */
+    private BigDecimal serviceFee;
+
     /* 曝光次数 */
     private Integer exposureNum;
 
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
index dee8b486..00a70ab1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationLabApplyServiceImpl.java
@@ -7,6 +7,7 @@ import com.core.common.utils.SecurityUtils;
 import com.openhis.common.enums.DbOpType;
 import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.domain.Account;
+import com.openhis.administration.service.IChargeItemService;  // Bug #386修复: 添加 ChargeItemService
 import com.openhis.lab.domain.InspectionLabApply;
 import com.openhis.lab.domain.InspectionLabApplyItem;
 import com.openhis.lab.domain.BarCode;
@@ -97,6 +98,10 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
     @Autowired
     private ILabActivityDefinitionService labActivityDefinitionService;
 
+    // Bug #386修复: ChargeItemService 用于删除收费项目
+    @Autowired
+    private IChargeItemService chargeItemService;
+
     /**
      * 保存检验申请单信息
      * @param doctorStationLabApplyDto
@@ -598,8 +603,14 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
             );
             
             if (updateResult) {
-                log.debug("成功将申请单号 [{}] 关联的 {} 条门诊医嘱的删除状态更新为1，更新人：{}，更新时间：{}", 
+                log.debug("成功将申请单号 [{}] 关联的 {} 条门诊医嘱的删除状态更新为1，更新人：{}，更新时间：{}",
                     applyNo, requestIds.size(), currentUsername, currentTime);
+
+                // Bug #386修复: 同步删除关联的收费项目
+                for (Long requestId : requestIds) {
+                    chargeItemService.deleteByServiceTableAndId("wor_service_request", requestId);
+                }
+                log.debug("成功删除申请单号 [{}] 关联的 {} 条收费项目", applyNo, requestIds.size());
             } else {
                 log.warn("更新申请单号 [{}] 关联的门诊医嘱删除状态失败", applyNo);
             }
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
index 9e0d9558..bd359914 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -104,14 +104,14 @@
                 </el-col>
                 <el-col :span="8">
                   <el-form-item label="申请科室" prop="applyDeptCode">
-                    <el-input v-model="form.applyDeptCode" />
+                    <el-input v-model="form.applyDeptCode" disabled />
                   </el-form-item>
                 </el-col>
               </el-row>
               <el-row :gutter="12">
                 <el-col :span="8">
                   <el-form-item label="申请医生" prop="applyDocCode">
-                    <el-input v-model="form.applyDocCode" />
+                    <el-input v-model="form.applyDocCode" disabled />
                   </el-form-item>
                 </el-col>
                 <el-col :span="8">
@@ -184,16 +184,10 @@
                     <el-input v-model="form.inspectionArea" readonly />
                   </el-form-item>
                 </el-col>
+                <!-- Bug #384修复: 添加检查方法只读输入框，联动显示选中的检查方法 -->
                 <el-col :span="8">
                   <el-form-item label="检查方法">
-                    <el-select v-model="form.inspectionMethod" placeholder="请选择" clearable filterable style="width: 100%;">
-                      <el-option
-                        v-for="method in availableMethods"
-                        :key="method.id"
-                        :label="method.name"
-                        :value="method.name"
-                      />
-                    </el-select>
+                    <el-input v-model="form.selectedMethodDisplay" readonly placeholder="请在右侧选择" />
                   </el-form-item>
                 </el-col>
               </el-row>
@@ -233,16 +227,34 @@
                   <el-input v-model="scope.row.applyPart" size="small" />
                 </template>
               </el-table-column>
+              <el-table-column label="检查方法" min-width="120">
+                <template #default="scope">
+                  <!-- Bug #384修复: 显示检查方法名称，不显示套餐名称 -->
+                  <span v-if="scope.row.selectedMethod">
+                    {{ scope.row.selectedMethod.name }}
+                  </span>
+                  <span v-else-if="scope.row.methods && scope.row.methods.length > 0" style="color: #909399;">
+                    未选择
+                  </span>
+                  <span v-else style="color: #c0c4cc;">-</span>
+                </template>
+              </el-table-column>
               <el-table-column label="单位" prop="unit" width="55" align="center" />
               <el-table-column label="总量" prop="quantity" width="70" align="center">
                 <template #default="scope">
                   <el-input-number v-model="scope.row.quantity" :min="1" size="small" :controls="false" style="width:100%" />
                 </template>
               </el-table-column>
-              <el-table-column label="单价" prop="price" width="75" align="right" />
+              <!-- Bug #384修复: 单价显示套餐价格（如果选中）或部位价格 -->
+              <el-table-column label="单价" width="75" align="right">
+                <template #default="scope">
+                  {{ scope.row.selectedMethod?.packagePrice || scope.row.price }}
+                </template>
+              </el-table-column>
+              <!-- Bug #384修复: 金额使用有效价格计算 -->
               <el-table-column label="金额" width="80" align="right">
                 <template #default="scope">
-                  {{ ((scope.row.price || 0) * (scope.row.quantity || 1)).toFixed(2) }}
+                  {{ ((scope.row.selectedMethod?.packagePrice || scope.row.price || 0) * (scope.row.quantity || 1)).toFixed(2) }}
                 </template>
               </el-table-column>
               <el-table-column label="类型" prop="checkType" width="70" align="center" />
@@ -307,22 +319,48 @@
             </div>
           </div>
 
-          <!-- 右侧：已选择 tags -->
+          <!-- 右侧：已选择 项目卡片（可展开显示检查方法） -->
           <div class="selected-panel">
             <div class="panel-label">已选择:</div>
             <div class="selected-tags">
               <div v-if="selectedItems.length === 0" class="empty-selected">–</div>
-              <el-tag
+              <div
                 v-else
                 v-for="(item, idx) in selectedItems"
                 :key="idx"
-                closable
-                size="small"
-                @close="handleRemoveItem(idx, item)"
-                class="selected-tag"
+                class="selected-item-card"
               >
-                {{ item.name }} ¥{{ item.price }}
-              </el-tag>
+                <!-- Bug #384修复: 项目卡片头部，可展开/收起 -->
+                <div class="card-header" @click="toggleItemExpand(item)">
+                  <span class="card-name">{{ item.name }}</span>
+                  <span class="card-price">¥{{ item.price }}</span>
+                  <!-- 展开图标 -->
+                  <el-icon :class="['expand-icon', { expanded: item.expanded }]">
+                    <ArrowDown v-if="!item.expanded" />
+                    <ArrowUp v-if="item.expanded" />
+                  </el-icon>
+                  <!-- 删除按钮 -->
+                  <el-button link type="danger" size="small" @click.stop="handleRemoveItem(idx, item)">
+                    <el-icon><Close /></el-icon>
+                  </el-button>
+                </div>
+                <!-- Bug #384修复: 展开后显示检查方法勾选框列表 -->
+                <div v-if="item.expanded && item.methods && item.methods.length > 0" class="method-list">
+                  <div
+                    v-for="method in item.methods"
+                    :key="method.id"
+                    class="method-option"
+                  >
+                    <el-checkbox
+                      :model-value="item.selectedMethod?.id === method.id"
+                      @change="(val) => selectMethodCheckbox(val, item, method)"
+                    >
+                      <span class="method-name">{{ method.name }}</span>
+                      <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
+                    </el-checkbox>
+                  </div>
+                </div>
+              </div>
             </div>
           </div>
         </div>
@@ -334,10 +372,11 @@
 <script setup>
 import { ref, reactive, computed, watch, onMounted, nextTick } from 'vue';
 import { ElMessage, ElMessageBox } from 'element-plus';
-import { Printer, Delete } from '@element-plus/icons-vue';
+import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
-import { listCheckMethod } from '@/api/system/checkType';
+import { listCheckMethod, searchCheckMethod } from '@/api/system/checkType';
+import { getEncounterDiagnosis } from '../api.js';
 
 const props = defineProps({
   patientInfo: { type: Object, default: () => ({}) },
@@ -384,7 +423,8 @@ const form = reactive({
   isCharged: 0,
   isRefunded: 0,
   isExecuted: 0,
-  examTypeCode: ''   // 检查类型编码，必填字段，保存时从已选项目自动推导
+  examTypeCode: '',   // 检查类型编码，必填字段，保存时从已选项目自动推导
+  selectedMethodDisplay: ''  // Bug #384修复: 检查方法显示字段（联动）
 });
 
 const rules = {
@@ -590,6 +630,7 @@ async function loadCategoryList() {
         unit: '次',
         checkType: p.checkType || '',
         nationalCode: p.nationalCode || '',
+        packageName: p.packageName || '',
         checked: false
       };
       
@@ -631,9 +672,11 @@ const filteredCategoryList = computed(() => {
 });
 
 // ====== 合计 ======
+// Bug #384修复: 如果选中了检查方法，使用套餐价格；否则使用部位价格
 const totalAmountCalc = computed(() => {
   const total = selectedItems.value.reduce((sum, item) => {
-    return sum + (item.price * (item.quantity || 1));
+    const effectivePrice = item.selectedMethod?.packagePrice || item.price;
+    return sum + (effectivePrice * (item.quantity || 1));
   }, 0);
   return total.toFixed(2);
 });
@@ -652,19 +695,49 @@ watch(() => props.patientInfo, (newVal) => {
   }
 }, { immediate: true, deep: true });
 
-watch(() => props.activeTab, (val) => {
-  if (val === 'examination') getList();
+watch(() => props.activeTab, async (val) => {
+  if (val === 'examination') {
+    getList();
+    // 切换到检查页签时，重新获取临床诊断（确保与诊断页签同步）
+    if (props.patientInfo?.encounterId) {
+      await loadClinicalDiag();
+    }
+  }
 });
 
 function initPatientForm(patient) {
   form.patientName = patient.patientName || '';
-  form.medicalrecordNumber = patient.busNo || patient.visitNo || '';
+  // 就诊卡号应取值于 identifierNo，而非 busNo（busNo 是病历号）
+  form.medicalrecordNumber = patient.identifierNo || patient.visitNo || '';
   form.patientId = patient.patientId || '';
   form.visitNo = patient.visitNo || '';
   form.applyDeptCode = userStore.orgName || patient.organizationName || '';
   form.applyDocCode = userStore.nickName || '';
 }
 
+// 加载临床诊断：获取患者主诊断并填充到临床诊断字段
+async function loadClinicalDiag() {
+  if (!props.patientInfo?.encounterId) return;
+  try {
+    const res = await getEncounterDiagnosis(props.patientInfo.encounterId);
+    const diagnoses = res.data || res.rows || res;
+    if (Array.isArray(diagnoses) && diagnoses.length > 0) {
+      // Bug #380, #381 修复: 主诊断字段名为 maindiseFlag (后端 DiagnosisQueryDto 定义)
+      const mainDiag = diagnoses.find(d => d.maindiseFlag === 1 || d.maindiseFlag === '1');
+      // 如果有主诊断使用主诊断，否则使用第一个诊断
+      const targetDiag = mainDiag || diagnoses[0];
+      // 优先使用 diagnosisName，其次是 conditionName 或 name
+      form.clinicalDiag = targetDiag.diagnosisName || targetDiag.conditionName || targetDiag.name || '';
+    } else {
+      // 如果没有诊断，清空临床诊断字段
+      form.clinicalDiag = '';
+    }
+  } catch (err) {
+    console.error('加载临床诊断失败', err);
+    // 获取失败时不阻断用户操作，保持字段为空
+  }
+}
+
 // ====== 申请单 CRUD ======
 function getList() {
   loading.value = true;
@@ -682,24 +755,30 @@ function getList() {
 function handleAdd() {
   formRef.value?.resetFields();
   Object.assign(form, {
-    applyNo: '', patientId: props.patientInfo?.patientId || '',
+    applyNo: '',
+    patientId: props.patientInfo?.patientId || '',
     visitNo: props.patientInfo?.visitNo || '',
+    // 保留患者姓名和就诊卡号，不应重置为空
+    patientName: props.patientInfo?.patientName || '',
+    medicalrecordNumber: props.patientInfo?.identifierNo || '',
     applyDeptCode: userStore.orgName || '',
     performDeptCode: '',
     applyDocCode: userStore.nickName || '',
     applyTime: new Date().toISOString().split('T')[0] + ' 12:00:00',
-    medicalrecordNumber: props.patientInfo?.busNo || '',
     natureofCost: '自费医疗',
     clinicDesc: '', contraindication: '', medicalHistorySummary: '',
     purposeofInspection: '', inspectionArea: '', inspectionMethod: '',
     applyRemark: '', clinicalDiag: '', purposeDesc: '',
     isUrgent: 0, pregnancyState: 0, allergyDesc: '',
     applyStatus: 0, isCharged: 0, isRefunded: 0, isExecuted: 0,
-    examTypeCode: ''
+    examTypeCode: '',
+    selectedMethodDisplay: ''  // Bug #384修复: 重置检查方法显示
   });
   selectedItems.value = [];
   resetCategoryChecked();
   activeDetailTab.value = 'applyForm';
+  // 自动加载临床诊断
+  loadClinicalDiag();
 }
 
 function handleSave() {
@@ -713,6 +792,12 @@ function handleSave() {
     const firstCheckType = selectedItems.value[0]?.checkType || 'unknown';
     form.examTypeCode = firstCheckType;
 
+    // 如果有选中的检查方法，更新表单中的检查方法字段（取第一个选中项目的检查方法）
+    const firstItemWithMethod = selectedItems.value.find(item => item.selectedMethod);
+    if (firstItemWithMethod?.selectedMethod) {
+      form.inspectionMethod = firstItemWithMethod.selectedMethod.name;
+    }
+
     const payload = {
       ...form,
       encounterId: props.patientInfo?.encounterId || null,
@@ -721,10 +806,16 @@ function handleSave() {
         itemCode: String(item.id),
         itemName: item.name,
         bodyPartCode: item.checkType || 'unknown',
-        itemFee: item.price,
+        // Bug #384修复: 如果选中了检查方法且有套餐价格，使用套餐价格；否则使用部位价格
+        itemFee: item.selectedMethod?.packagePrice || item.price,
         performDeptCode: form.performDeptCode || '',
         itemStatus: 0,
-        itemSeq: index + 1
+        itemSeq: index + 1,
+        // 检查方法信息
+        checkMethodId: item.selectedMethod?.id || null,
+        checkMethodName: item.selectedMethod?.name || null,
+        checkMethodCode: item.selectedMethod?.code || null,
+        checkMethodPackageName: item.selectedMethod?.packageName || null  // Bug #384修复: 保存套餐名称
       }))
     };
     request({
@@ -743,22 +834,70 @@ function handleSave() {
 
 function handleRowClick(row) {
   Object.assign(form, row);
+  form.selectedMethodDisplay = '';  // Bug #384修复: 先清空，后面根据回充数据更新
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
-  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(res => {
+  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
     const d = res.data || res;
     if (d.data) Object.assign(form, d.data);
     if (d.items && Array.isArray(d.items)) {
-      selectedItems.value = d.items.map(m => ({
-        id: m.itemCode, name: m.itemName,
-        price: m.itemFee || 0, quantity: 1,
-        serviceFee: 0, unit: '次',
-        applyPart: m.itemName,
-        checkType: m.bodyPartCode || '',
-        nationalCode: '', checked: true
-      }));
-      syncCategoryChecked();
+      try {
+        // 为每个项目加载检查方法
+        const itemsWithMethods = await Promise.all(d.items.map(async m => {
+          const item = {
+            id: m.itemCode, name: m.itemName,
+            price: m.itemFee || 0, quantity: 1,
+            serviceFee: 0, unit: '次',
+            applyPart: m.itemName,
+            checkType: m.bodyPartCode || '',
+            nationalCode: '', checked: true,
+            methods: [],
+            selectedMethod: null,
+            expanded: false  // Bug #384修复: 添加展开状态
+          };
+          // 加载该项目的检查方法
+          if (m.bodyPartCode) {
+            try {
+              const methodRes = await searchCheckMethod({ checkType: m.bodyPartCode });
+              // Bug #384修复: 正确解析 API 返回结构
+              let methodData = methodRes?.data?.data || methodRes?.data || methodRes?.rows || methodRes;
+              if (!Array.isArray(methodData) && methodRes?.data && Array.isArray(methodRes.data.data)) {
+                methodData = methodRes.data.data;
+              }
+              if (Array.isArray(methodData)) {
+                item.methods = methodData.map(md => ({
+                  id: md.id,
+                  name: md.name,
+                  code: md.code,
+                  price: m.itemFee || 0,  // fallback 到已保存的价格
+                  packageName: md.packageName || '',
+                  packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
+                  serviceFee: md.serviceFee || null
+                }));
+                // 如果有已保存的检查方法信息，尝试匹配
+                if (m.checkMethodId) {
+                  item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
+                }
+              }
+            } catch (err) {
+              console.error('加载检查方法失败', err);
+              // 单个项目加载失败不影响其他项目，继续返回 item
+            }
+          }
+          return item;
+        }));
+        selectedItems.value = itemsWithMethods;
+        syncCategoryChecked();
+        // Bug #384修复: 回充后更新检查方法显示
+        updateMethodDisplay();
+      } catch (err) {
+        console.error('加载申请单详情失败', err);
+        ElMessage.error('加载申请单详情失败');
+      }
     }
+  }).catch(err => {
+    console.error('获取申请单详情失败', err);
+    ElMessage.error('获取申请单详情失败');
   });
 }
 
@@ -775,8 +914,37 @@ function handleDelete(row) {
 }
 
 // ====== 勾选逻辑 ======
-function handleItemSelect(checked, item, cat) {
+async function handleItemSelect(checked, item, cat) {
   if (checked) {
+    // Bug #384修复: 检查方法表的 checkType 字段关联的是检查类型的 name（中文名称，如"心电图")
+    const effectiveCheckType = cat?.typeName || cat?.categoryName || '';
+
+    // 查询该检查类型对应的检查方法
+    let methods = [];
+    try {
+      if (effectiveCheckType) {
+        const res = await searchCheckMethod({ checkType: effectiveCheckType });
+        // Bug #384修复: API 返回结构可能是 {data: {data: Array}} 或 {data: Array}
+        let data = res?.data?.data || res?.data || res?.rows || res;
+        if (!Array.isArray(data) && res?.data && Array.isArray(res.data.data)) {
+          data = res.data.data;
+        }
+        if (Array.isArray(data)) {
+          methods = data.map(m => ({
+            id: m.id,
+            name: m.name,
+            code: m.code,
+            price: m.price || item.price,  // fallback 到项目价格
+            packageName: m.packageName || '',
+            packagePrice: m.packagePrice || null,  // Bug #384修复: 套餐价格
+            serviceFee: m.serviceFee || null      // Bug #384修复: 服务费
+          }));
+        }
+      }
+    } catch (err) {
+      console.error('加载检查方法失败', err);
+    }
+
     if (selectedItems.value.length > 0) {
       const currentCategory = selectedItems.value[0].checkType;
       const newCategory = cat.typeCode || '';
@@ -793,9 +961,12 @@ function handleItemSelect(checked, item, cat) {
       serviceFee: item.serviceFee || 0,
       unit: item.unit || '次',
       applyPart: item.name,
-      checkType: cat.typeCode || '',
+      checkType: effectiveCheckType,  // Bug #384修复: 使用有效的 checkType
       nationalCode: item.nationalCode || '',
-      checked: true
+      checked: true,
+      methods: methods,
+      selectedMethod: null,
+      expanded: false  // Bug #384修复: 新增展开状态，默认不展开
     });
 
     // 自动回填执行科室：按检查项目类型 → 检查类型管理里配置的执行科室
@@ -804,6 +975,13 @@ function handleItemSelect(checked, item, cat) {
     } else if (!form.performDeptCode && cat?.performDeptName) {
       form.performDeptCode = cat.performDeptName;
     }
+
+    // 如果有且仅有一个检查方法，自动选中并更新显示
+    if (methods.length === 1) {
+      const lastIdx = selectedItems.value.length - 1;
+      selectedItems.value[lastIdx].selectedMethod = methods[0];
+      updateMethodDisplay();  // Bug #384修复: 联动更新显示
+    }
   } else {
     const idx = selectedItems.value.findIndex(s => s.id === item.id);
     if (idx > -1) selectedItems.value.splice(idx, 1);
@@ -813,11 +991,45 @@ function handleItemSelect(checked, item, cat) {
       form.examTypeCode = '';
     }
   }
-  // 有选项时切换到明细tab
-  if (selectedItems.value.length > 0) {
-    activeDetailTab.value = 'applyDetail';
-    nextTick(() => detailTableRef.value?.doLayout());
+  // Bug #382 修复：移除自动切换页签逻辑，保持当前页签状态
+}
+
+// Bug #384修复: 展开/收起项目卡片
+function toggleItemExpand(item) {
+  item.expanded = !item.expanded;
+}
+
+// Bug #384修复: 勾选框选择检查方法（单选逻辑）
+function selectMethodCheckbox(checked, item, method) {
+  if (checked) {
+    item.selectedMethod = method;
+  } else {
+    item.selectedMethod = null;
   }
+  // 联动更新表单检查方法显示字段
+  updateMethodDisplay();
+}
+
+// Bug #384修复: 更新检查方法显示字段（联动）
+function updateMethodDisplay() {
+  // 找到第一个有选中检查方法的项目
+  const itemWithMethod = selectedItems.value.find(item => item.selectedMethod);
+  if (itemWithMethod?.selectedMethod) {
+    form.selectedMethodDisplay = itemWithMethod.selectedMethod.name;  // 显示检查方法名称，不显示套餐名称
+  } else {
+    form.selectedMethodDisplay = '';
+  }
+}
+
+// 选择检查方法
+function selectMethod(item, method) {
+  if (item.selectedMethod?.id === method.id) {
+    item.selectedMethod = null;
+  } else {
+    item.selectedMethod = method;
+  }
+  // Bug #384修复: 联动更新表单检查方法显示字段
+  updateMethodDisplay();
 }
 
 function handleRemoveItem(idx, item) {
@@ -827,10 +1039,14 @@ function handleRemoveItem(idx, item) {
     const found = cat.items.find(x => x.id === item.id);
     if (found) { found.checked = false; break; }
   }
-  
+
   if (selectedItems.value.length === 0) {
     form.performDeptCode = '';
     form.examTypeCode = '';
+    form.selectedMethodDisplay = '';  // Bug #384修复: 清空检查方法显示
+  } else {
+    // Bug #384修复: 移除后重新计算检查方法显示
+    updateMethodDisplay();
   }
 }
 
@@ -999,7 +1215,7 @@ defineExpose({ getList });
 
 /* 已选择 tags */
 .selected-panel {
-  width: 120px;
+  width: 140px;  /* Bug #384修复: 加宽以适应展开内容 */
   flex-shrink: 0;
   display: flex;
   flex-direction: column;
@@ -1009,7 +1225,7 @@ defineExpose({ getList });
   overflow-y: auto;
   display: flex;
   flex-direction: column;
-  gap: 4px;
+  gap: 6px;
 }
 .selected-tag {
   max-width: 100%;
@@ -1022,6 +1238,86 @@ defineExpose({ getList });
   font-size: 12px;
 }
 
+/* Bug #384修复: 已选择项目卡片（可展开） */
+.selected-item-card {
+  display: flex;
+  flex-direction: column;
+  background: #F5F5F5;
+  border-radius: 4px;
+  border: 1px solid #e4e7ed;
+}
+
+.selected-item-card .card-header {
+  display: flex;
+  align-items: center;
+  padding: 8px 10px;
+  cursor: pointer;
+  gap: 4px;
+}
+
+.selected-item-card .card-header:hover {
+  background: #E6F7FF;
+}
+
+.card-name {
+  flex: 1;
+  font-size: 12px;
+  color: #303133;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+
+.card-price {
+  font-size: 12px;
+  color: #1890FF;
+  font-weight: 500;
+}
+
+.expand-icon {
+  font-size: 12px;
+  color: #909399;
+  transition: transform 0.2s;
+}
+
+.expand-icon.expanded {
+  transform: rotate(180deg);
+}
+
+/* Bug #384修复: 检查方法勾选框列表 */
+.method-list {
+  padding: 6px 10px;
+  background: #fff;
+  border-top: 1px solid #e4e7ed;
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+}
+
+.method-option {
+  display: flex;
+  align-items: center;
+}
+
+.method-option :deep(.el-checkbox__label) {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  width: 100%;
+}
+
+.method-option .method-name {
+  font-size: 11px;
+  color: #606266;
+}
+
+.method-option .method-price {
+  font-size: 11px;
+  color: #e6a23c;
+  font-weight: 500;
+  margin-left: 8px;
+}
+
 /* 折叠组件细节 */
 :deep(.el-collapse) {
   border: none;
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
index 0a5b4a4c..99c12772 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -45,35 +45,10 @@
           class="inspection-table"
           highlight-current-row
           row-key="applicationId"
-          :expand-row-keys="expandedRowKeys"
-          @expand-change="handleExpandChange"
           @selection-change="handleSelectionChange"
           @current-change="handleRowClick"
           @cell-click="handleCellClick"
         >
-        <el-table-column type="expand" width="50" align="center" header-align="center">
-          <template #default="scope">
-            <div v-if="scope.row.children && scope.row.children.length > 0" class="expand-content">
-              <el-table :data="scope.row.children" border size="small" style="width: 100%">
-                <el-table-column label="明细项目" prop="itemName" min-width="150" />
-                <el-table-column label="样本类型" prop="sampleType" width="100" />
-                <el-table-column label="单位" prop="unit" width="80" />
-                <el-table-column label="单价" prop="itemPrice" width="80" align="right">
-                  <template #default="itemScope">
-                    ¥{{ formatAmount(itemScope.row.itemPrice) }}
-                  </template>
-                </el-table-column>
-                <el-table-column label="数量" prop="itemQty" width="80" align="center" />
-                <el-table-column label="金额" prop="itemAmount" width="80" align="right">
-                  <template #default="itemScope">
-                    ¥{{ formatAmount(itemScope.row.itemAmount) }}
-                  </template>
-                </el-table-column>
-              </el-table>
-            </div>
-            <div v-else class="expand-empty">无明细项目</div>
-          </template>
-        </el-table-column>
         <el-table-column type="selection" width="55" align="center" header-align="center" />
         <el-table-column label="申请 ID" prop="applicationId" width="80" align="center" header-align="center">
           <template #default="scope">
@@ -83,14 +58,7 @@
         <el-table-column label="申请单号" prop="applyNo" min-width="160" align="center" header-align="center" />
         <el-table-column label="检验项目" prop="itemName" min-width="170px" align="center" header-align="center">
           <template #default="scope">
-            <span v-if="scope.row.hasChildren" style="color: #409EFF; cursor: pointer" @click.stop="toggleExpand(scope.row)">
-              <el-icon style="vertical-align: middle; margin-right: 4px">
-                <Right v-if="!isExpanded(scope.row.applicationId)" />
-                <Bottom v-else />
-              </el-icon>
-              {{ scope.row.itemName }}
-            </span>
-            <span v-else>{{ scope.row.itemName }}</span>
+            <span>{{ scope.row.itemName }}</span>
           </template>
         </el-table-column>
         <el-table-column label="申请医生" prop="applyDocName" width="120" align="center" header-align="center" />
@@ -645,7 +613,7 @@
 <script setup>
 import {onMounted, onUnmounted, reactive, ref, watch, computed, getCurrentInstance} from 'vue'
 import {ElMessage, ElMessageBox} from 'element-plus'
-import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading, Right, Bottom } from '@element-plus/icons-vue'
+import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading } from '@element-plus/icons-vue'
 import {
   deleteInspectionApplication, getApplyList,
   saveInspectionApplication,
@@ -792,53 +760,39 @@ const loading = ref(false)
 const saving = ref(false) // 保存状态
 const total = ref(0)
 const leftActiveTab = ref('application')
-const expandedRowKeys = ref([])
 
-const isExpanded = (applicationId) => {
-  return expandedRowKeys.value.includes(applicationId)
-}
-
-const toggleExpand = async (row) => {
-  const applicationId = row.applicationId
-  const isCurrentlyExpanded = isExpanded(applicationId)
-
-  if (isCurrentlyExpanded) {
-    // 收起
-    expandedRowKeys.value = expandedRowKeys.value.filter(id => id !== applicationId)
-  } else {
-    // 展开 - 先检查是否需要加载明细数据
-    if (row.hasChildren && (!row.children || row.children.length === 0)) {
-      // 加载套餐明细
-      await loadPackageDetails(row)
-    }
-    expandedRowKeys.value = [...expandedRowKeys.value, applicationId]
-  }
-}
-
-const handleExpandChange = (row, expandedRows) => {
-  expandedRowKeys.value = expandedRows.map(r => r.applicationId)
-}
-
-const loadPackageDetails = async (row) => {
+/**
+ * 加载套餐明细（公共函数）
+ * @param {string|number} packageId 套餐ID
+ * @returns {Promise<Array>} 明细数组
+ */
+const fetchPackageDetails = async (packageId) => {
+  if (!packageId) return []
   try {
-    const packageId = row.feePackageId || row.packageId
-    if (!packageId) return
-
     const res = await getInspectionPackageDetails(packageId)
     if (res.code === 200 && res.data) {
-      row.children = res.data.map(detail => ({
-        itemId: detail.detailId || detail.id || detail.itemId,
-        itemName: detail.itemName || detail.name,
-        sampleType: detail.sampleType || '',
-        unit: detail.unit || '',
-        itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
-        itemQty: detail.quantity || detail.itemQty || detail.qty || 1,
-        itemAmount: (detail.unitPrice || detail.itemPrice || 0) * (detail.quantity || detail.itemQty || 1)
-      }))
+      return res.data.map(detail => {
+        const detailId = detail.detailId || detail.id || detail.itemId
+        const qty = detail.quantity || detail.itemQty || detail.qty || 1
+        const price = detail.unitPrice || detail.itemPrice || detail.price || 0
+        return {
+          detailId: detailId,
+          itemId: detailId,           // 兼容表格 row-key
+          itemName: detail.itemName || detail.name,
+          sampleType: detail.sampleType || '',
+          unit: detail.unit || '',
+          quantity: qty,
+          itemQty: qty,               // 兼容表格"总量"列
+          unitPrice: price,
+          itemPrice: price,           // 兼容表格"单价"列
+          itemAmount: price * qty
+        }
+      })
     }
+    return []
   } catch (error) {
     console.error('加载套餐明细失败:', error)
-    row.children = []
+    return []
   }
 }
 
@@ -847,35 +801,9 @@ const loadPackageDetailsForTable = async (row, treeNode, resolve) => {
     resolve([])
     return
   }
-
-  try {
-    const packageId = row.feePackageId || row.packageId
-    if (!packageId) {
-      resolve([])
-      return
-    }
-
-    const res = await getInspectionPackageDetails(packageId)
-    if (res.code === 200 && res.data) {
-      // 构建明细数据结构
-      // BugFix: 后端返回字段为 unitPrice 和 quantity，需正确映射
-      const children = res.data.map(detail => ({
-        itemId: detail.detailId || detail.id || detail.itemId,
-        itemName: detail.itemName || detail.name,
-        sampleType: detail.sampleType || '',
-        unit: detail.unit || '',
-        itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
-        itemQty: detail.quantity || detail.itemQty || detail.qty || 1,
-        itemAmount: (detail.unitPrice || detail.itemPrice || 0) * (detail.quantity || detail.itemQty || 1)
-      }))
-      resolve(children)
-    } else {
-      resolve([])
-    }
-  } catch (error) {
-    console.error('加载套餐明细失败:', error)
-    resolve([])
-  }
+  const packageId = row.feePackageId || row.packageId
+  const children = await fetchPackageDetails(packageId)
+  resolve(children)
 }
 
 const togglePackageExpand = async (item) => {
@@ -885,27 +813,9 @@ const togglePackageExpand = async (item) => {
 
   if (item.expanded && (!item.children || item.children.length === 0)) {
     item.loading = true
-    try {
-      const packageId = item.feePackageId || item.packageId
-      if (packageId) {
-        const res = await getInspectionPackageDetails(packageId)
-        if (res.code === 200 && res.data) {
-          item.children = res.data.map(detail => ({
-            detailId: detail.detailId || detail.id || detail.itemId,
-            itemName: detail.itemName || detail.name,
-            unit: detail.unit || '',
-            quantity: detail.quantity || detail.itemQty || detail.qty || 1,
-            unitPrice: detail.unitPrice || detail.itemPrice || detail.price || 0,
-            itemPrice: detail.unitPrice || detail.itemPrice || detail.price || 0
-          }))
-        }
-      }
-    } catch (error) {
-      console.error('加载套餐明细失败:', error)
-      item.children = []
-    } finally {
-      item.loading = false
-    }
+    const packageId = item.feePackageId || item.packageId
+    item.children = await fetchPackageDetails(packageId)
+    item.loading = false
   }
 }
 
@@ -1822,6 +1732,26 @@ const clearAllSelected = () => {
   selectedInspectionItems.value = []
 }
 
+// Bug #387修复: 同步分类勾选状态
+const syncCategoryChecked = () => {
+  // 重置所有分类项目的勾选状态
+  inspectionCategories.value.forEach(category => {
+    category.items.forEach(item => {
+      item.checked = false
+    })
+  })
+  // 获取已选项目的ID集合
+  const ids = new Set(selectedInspectionItems.value.map(s => s.itemId))
+  // 同步勾选状态
+  for (const cat of inspectionCategories.value) {
+    for (const item of cat.items) {
+      if (ids.has(item.itemId)) {
+        item.checked = true
+      }
+    }
+  }
+}
+
 // 分页大小改变
 const handleSizeChange = (size) => {
   queryParams.pageSize = size
@@ -1977,6 +1907,7 @@ const loadApplicationToForm = async (row) => {
       if (detail.labApplyItemList && detail.labApplyItemList.length > 0) {
         // Bug #326修复: 直接使用后端返回的数据，不再从本地缓存查找匹配项
         // 后端已返回完整关联信息（activityId、feePackageId、inspectionTypeId、sampleType、unit）
+        // Bug #387修复: 套餐项目默认展开，并自动加载明细
         selectedInspectionItems.value = detail.labApplyItemList.map(item => {
           const itemId = item.activityId || item.itemId || item.id || Math.random().toString(36).substring(2, 11)
           const isPackage = item.feePackageId != null || item.itemName?.includes('套餐')
@@ -1995,12 +1926,25 @@ const loadApplicationToForm = async (row) => {
             feePackageId: item.feePackageId || null,
             activityId: item.activityId || itemId,
             inspectionTypeId: item.inspectionTypeId || null,
-            expanded: false,
+            expanded: isPackage,            // Bug #387: 套餐默认展开
             children: [],
-            childrenLoaded: false,
+            childrenLoaded: !isPackage,     // Bug #387: 套餐需加载明细
             loading: false
           }
         })
+
+        // Bug #387修复: 自动加载套餐明细
+        for (const pkgItem of selectedInspectionItems.value) {
+          if (pkgItem.isPackage && pkgItem.feePackageId) {
+            pkgItem.loading = true
+            pkgItem.children = await fetchPackageDetails(pkgItem.feePackageId)
+            pkgItem.childrenLoaded = true
+            pkgItem.loading = false
+          }
+        }
+
+        // Bug #387修复: 同步分类勾选状态
+        syncCategoryChecked()
       } else if (detail.inspectionItem || detail.itemName) {
         // 如果只有项目名称，尝试从本地分类中查找匹配项
         const itemNames = (detail.inspectionItem || detail.itemName).split(/[+,]/)
diff --git a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
index 5c114ff9..d34d0961 100644
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
@@ -181,6 +181,7 @@ function handleGetPrescription() {
     getPrescriptionList({
       encounterIds: encounterIds,
       requestStatus: props.requestStatus,
+      therapyEnum: type.value === 1 ? undefined : type.value === 2 ? 1 : 2, // 1=全部(不传), 2=长期(1), 3=临时(2)
       pageSize: 10000,
       pageNo: 1,
     }).then((res) => {