diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/DoctorScheduleAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/DoctorScheduleAppServiceImpl.java
index 9fae7f0c..576e9e1e 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/DoctorScheduleAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/DoctorScheduleAppServiceImpl.java
@@ -3,6 +3,7 @@ package com.openhis.web.appointmentmanage.appservice.impl;
 import cn.hutool.core.util.ObjectUtil;
 import com.core.common.core.domain.R;
 import com.openhis.appointmentmanage.domain.DoctorSchedule;
+import com.openhis.appointmentmanage.mapper.DoctorScheduleMapper;
 import com.openhis.appointmentmanage.service.IDoctorScheduleService;
 import com.openhis.web.appointmentmanage.appservice.IDoctorScheduleAppService;
 import org.springframework.stereotype.Service;
@@ -14,6 +15,9 @@ import java.util.List;
 public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
     @Resource
     private IDoctorScheduleService doctorScheduleService;
+    
+    @Resource
+    private DoctorScheduleMapper doctorScheduleMapper;
 
 
     @Override
@@ -27,8 +31,35 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
         if (ObjectUtil.isEmpty(doctorSchedule)) {
             return R.fail("医生排班不能为空");
         }
-        boolean save = doctorScheduleService.save(doctorSchedule);
-        return R.ok(save);
+        // 创建新对象，排除id字段（数据库id列是GENERATED ALWAYS，由数据库自动生成）
+        DoctorSchedule newSchedule = new DoctorSchedule();
+        newSchedule.setWeekday(doctorSchedule.getWeekday());
+        newSchedule.setTimePeriod(doctorSchedule.getTimePeriod());
+        newSchedule.setDoctor(doctorSchedule.getDoctor());
+        newSchedule.setClinic(doctorSchedule.getClinic());
+        newSchedule.setStartTime(doctorSchedule.getStartTime());
+        newSchedule.setEndTime(doctorSchedule.getEndTime());
+        newSchedule.setLimitNumber(doctorSchedule.getLimitNumber());
+        // call_sign_record 字段不能为null，设置默认值为空字符串
+        newSchedule.setCallSignRecord(doctorSchedule.getCallSignRecord() != null ? doctorSchedule.getCallSignRecord() : "");
+        newSchedule.setRegisterItem(doctorSchedule.getRegisterItem() != null ? doctorSchedule.getRegisterItem() : "");
+        newSchedule.setRegisterFee(doctorSchedule.getRegisterFee() != null ? doctorSchedule.getRegisterFee() : 0);
+        newSchedule.setDiagnosisItem(doctorSchedule.getDiagnosisItem() != null ? doctorSchedule.getDiagnosisItem() : "");
+        newSchedule.setDiagnosisFee(doctorSchedule.getDiagnosisFee() != null ? doctorSchedule.getDiagnosisFee() : 0);
+        newSchedule.setIsOnline(doctorSchedule.getIsOnline() != null ? doctorSchedule.getIsOnline() : false);
+        newSchedule.setIsStopped(doctorSchedule.getIsStopped() != null ? doctorSchedule.getIsStopped() : false);
+        newSchedule.setStopReason(doctorSchedule.getStopReason() != null ? doctorSchedule.getStopReason() : "");
+        newSchedule.setDeptId(doctorSchedule.getDeptId());
+        // 不设置id字段，让数据库自动生成
+        // 使用自定义的insertWithoutId方法，确保INSERT语句不包含id字段
+        int result = doctorScheduleMapper.insertWithoutId(newSchedule);
+        boolean save = result > 0;
+        if (save) {
+            // 返回保存后的实体对象，包含数据库生成的ID
+            return R.ok(newSchedule);
+        } else {
+            return R.fail("保存失败");
+        }
     }
 
     @Override
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/DoctorSchedule.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/DoctorSchedule.java
index 1e8f2317..4e226c83 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/DoctorSchedule.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/domain/DoctorSchedule.java
@@ -1,5 +1,7 @@
 package com.openhis.appointmentmanage.domain;
 
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
 import lombok.Data;
 import lombok.experimental.Accessors;
@@ -15,7 +17,8 @@ import java.time.LocalTime;
 @TableName(value = "adm_doctor_schedule")
 @Accessors(chain = true)
 public class DoctorSchedule {
-    /** id */
+    /** id - 数据库GENERATED ALWAYS，由数据库自动生成，插入时不应包含此字段 */
+    @TableId(type = IdType.NONE)
     private Integer id;
 
     /** 星期 */
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/DoctorScheduleMapper.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/DoctorScheduleMapper.java
index 0eb56aec..8dc18b2e 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/DoctorScheduleMapper.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/DoctorScheduleMapper.java
@@ -2,8 +2,12 @@ package com.openhis.appointmentmanage.mapper;
 
 import com.baomidou.mybatisplus.core.mapper.BaseMapper;
 import com.openhis.appointmentmanage.domain.DoctorSchedule;
-import org.springframework.stereotype.Repository;
+import org.apache.ibatis.annotations.Mapper;
 
-@Repository
+@Mapper
 public interface DoctorScheduleMapper extends BaseMapper<DoctorSchedule> {
+    /**
+     * 自定义插入方法，排除id字段（数据库GENERATED ALWAYS）
+     */
+    int insertWithoutId(DoctorSchedule doctorSchedule);
 }
diff --git a/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/doctorschedule/index.vue b/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/doctorschedule/index.vue
index 3c68e3e8..eefa96e7 100644
--- a/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/doctorschedule/index.vue
+++ b/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/doctorschedule/index.vue
@@ -27,8 +27,8 @@
         
         <span class="filter-label">排班类型</span>
         <div class="radio-group">
-          <el-radio v-model="filterParams.appointmentType" label="普通">普通</el-radio>
-          <el-radio v-model="filterParams.appointmentType" label="专家">专家</el-radio>
+          <el-radio v-model="filterParams.appointmentType" label="普通" @change="handleAppointmentTypeChange">普通</el-radio>
+          <el-radio v-model="filterParams.appointmentType" label="专家" @change="handleAppointmentTypeChange">专家</el-radio>
         </div>
       </div>
       
@@ -42,7 +42,7 @@
           </div>
           <el-table :data="dateGroup.items" border style="width: 100%" class="schedule-table">
             <el-table-column prop="timeSlot" label="时段" width="100"></el-table-column>
-            <el-table-column prop="doctorName" label="医生" width="120">
+            <el-table-column prop="doctorName" :label="filterParams.appointmentType === '专家' ? '专家' : '医生'" width="150">
               <template #default="scope">
                 <el-select 
                   v-model="scope.row.doctorName" 
@@ -50,10 +50,12 @@
                   class="inline-select"
                   :disabled="!isEditMode"
                 >
-                  <el-option label="张医生" value="张医生"></el-option>
-                  <el-option label="李医生" value="李医生"></el-option>
-                  <el-option label="王医生" value="王医生"></el-option>
-                  <el-option label="赵医生" value="赵医生"></el-option>
+                  <el-option 
+                    v-for="doctor in getDoctorOptions(filterParams.appointmentType)" 
+                    :key="doctor.value" 
+                    :label="doctor.label" 
+                    :value="doctor.value"
+                  ></el-option>
                 </el-select>
               </template>
             </el-table-column>
@@ -125,6 +127,7 @@
                   placeholder="请选" 
                   class="inline-select"
                   :disabled="!isEditMode"
+                  @change="handleAppointmentItemChange(scope.row)"
                 >
                   <el-option label="挂号费 50" value="挂号费 50"></el-option>
                   <el-option label="一般诊疗费 10" value="一般诊疗费 10"></el-option>
@@ -133,7 +136,11 @@
                 </el-select>
               </template>
             </el-table-column>
-            <el-table-column prop="registrationFee" label="挂号费(元)" width="100"></el-table-column>
+            <el-table-column prop="registrationFee" label="挂号费(元)" width="100">
+              <template #default="scope">
+                <span>{{ scope.row.registrationFee || '0' }}</span>
+              </template>
+            </el-table-column>
             <el-table-column prop="clinicItem" label="诊查项目" width="150">
               <template #default="scope">
                 <el-select 
@@ -141,6 +148,7 @@
                   placeholder="请选择诊查项目" 
                   class="inline-select"
                   :disabled="!isEditMode"
+                  @change="handleClinicItemChange(scope.row)"
                 >
                   <el-option label="常规诊查" value="常规诊查"></el-option>
                   <el-option label="专科诊查" value="专科诊查"></el-option>
@@ -149,7 +157,11 @@
                 </el-select>
               </template>
             </el-table-column>
-            <el-table-column prop="treatmentFee" label="诊疗费(元)" width="100"></el-table-column>
+            <el-table-column prop="treatmentFee" label="诊疗费(元)" width="100">
+              <template #default="scope">
+                <span>{{ scope.row.treatmentFee || '0' }}</span>
+              </template>
+            </el-table-column>
             <el-table-column prop="online" label="线上" width="60">
               <template #default="scope">
                 <el-checkbox v-model="scope.row.online" :disabled="!isEditMode"></el-checkbox>
@@ -227,6 +239,7 @@ import { ref, onMounted, computed, watch } from 'vue'
 import { useRoute, useRouter } from 'vue-router'
 import { ElMessage, ElMessageBox, ElDialog } from 'element-plus'
 import { View } from '@element-plus/icons-vue'
+import { addDoctorSchedule, deleteDoctorSchedule } from '../api'
 
 // 路由和导航
 const route = useRoute()
@@ -240,6 +253,28 @@ const filterParams = ref({
   appointmentType: '普通'
 })
 
+// 医生列表数据
+const doctorOptions = ref({
+  '普通': [
+    { label: '张医生', value: '张医生' },
+    { label: '李医生', value: '李医生' },
+    { label: '王医生', value: '王医生' },
+    { label: '赵医生', value: '赵医生' }
+  ],
+  '专家': [
+    { label: '请选择专家', value: '' },
+    { label: '王教授', value: '王教授' },
+    { label: '李主任', value: '李主任' },
+    { label: '赵教授', value: '赵教授' },
+    { label: '张主任', value: '张主任' }
+  ]
+})
+
+// 根据排班类型获取医生选项
+const getDoctorOptions = (appointmentType) => {
+  return doctorOptions.value[appointmentType] || doctorOptions.value['普通']
+}
+
 // 编辑模式控制
 const isEditMode = computed(() => {
   return route.query.mode === 'edit'
@@ -248,6 +283,9 @@ const isEditMode = computed(() => {
 // 排班列表数据
 const scheduleList = ref([])
 
+// 当前科室信息
+const currentDept = ref(null)
+
 // 按日期分组的排班数据
 const groupedSchedule = computed(() => {
   // 按日期分组
@@ -299,9 +337,9 @@ const generateWeekSchedule = (startDate) => {
         room: '',
         maxNumber: '',
         appointmentItem: '',
-        registrationFee: '',
+        registrationFee: 0,
         clinicItem: '',
-        treatmentFee: '',
+        treatmentFee: 0,
         online: true,
         stopClinic: false,
         stopReason: ''
@@ -318,18 +356,130 @@ const initData = () => {
   const deptId = route.query.deptId
   console.log('科室ID:', deptId)
   
+  // 设置当前科室信息
+  if (deptId) {
+    currentDept.value = { id: deptId }
+  }
+  
   // 生成排班数据
   scheduleList.value = generateWeekSchedule(filterParams.value.startDate)
 }
 
+// 排班类型变化处理
+const handleAppointmentTypeChange = () => {
+  // 当排班类型改变时，清空所有排班记录的医生选择
+  scheduleList.value.forEach(item => {
+    // 如果当前选择的医生不在新类型对应的医生列表中，则清空
+    const currentDoctors = getDoctorOptions(filterParams.value.appointmentType)
+    const doctorExists = currentDoctors.some(doctor => doctor.value === item.doctorName)
+    if (!doctorExists) {
+      item.doctorName = ''
+    }
+  })
+}
+
+// 挂号项目变化处理
+const handleAppointmentItemChange = (row) => {
+  if (row.appointmentItem) {
+    // 从挂号项目中提取费用数字，例如 "挂号费 50" -> 50
+    const feeMatch = row.appointmentItem.match(/(\d+)/)
+    if (feeMatch) {
+      row.registrationFee = parseInt(feeMatch[1])
+    } else {
+      row.registrationFee = 0
+    }
+  } else {
+    row.registrationFee = 0
+  }
+}
+
+// 诊查项目变化处理
+const handleClinicItemChange = (row) => {
+  // 诊查项目费用映射表
+  const clinicFeeMap = {
+    '常规诊查': 10,
+    '专科诊查': 20,
+    '特殊诊查': 30,
+    '专家诊查': 50
+  }
+  
+  if (row.clinicItem && clinicFeeMap[row.clinicItem]) {
+    row.treatmentFee = clinicFeeMap[row.clinicItem]
+  } else {
+    row.treatmentFee = 0
+  }
+}
+
 // 添加排班
 const handleAddSchedule = (row) => {
-  ElMessage.info('添加排班功能待实现')
+  // 创建新的排班记录，基于当前行的日期和时段
+  const newSchedule = {
+    id: `new-${Date.now()}-${Math.random()}`,
+    date: row.date,
+    weekday: row.weekday,
+    timeSlot: row.timeSlot,
+    startTime: row.startTime || '08:00',
+    endTime: row.endTime || '12:00',
+    doctorName: '',
+    room: '',
+    maxNumber: '',
+    appointmentItem: '',
+    registrationFee: '',
+    clinicItem: '',
+    treatmentFee: '',
+    online: true,
+    stopClinic: false,
+    stopReason: '',
+    isNew: true // 标记为新添加的记录
+  }
+  
+  // 找到当前行在列表中的位置，在其后插入新记录
+  const currentIndex = scheduleList.value.findIndex(item => item.id === row.id)
+  if (currentIndex !== -1) {
+    scheduleList.value.splice(currentIndex + 1, 0, newSchedule)
+    ElMessage.success('添加排班成功')
+  } else {
+    // 如果找不到，添加到对应日期组的末尾
+    scheduleList.value.push(newSchedule)
+    ElMessage.success('添加排班成功')
+  }
 }
 
 // 删除排班
 const handleDeleteSchedule = (row) => {
-  ElMessage.info('删除排班功能待实现')
+  ElMessageBox.confirm('确定要删除这条排班记录吗？', '提示', {
+    confirmButtonText: '确定',
+    cancelButtonText: '取消',
+    type: 'warning'
+  }).then(() => {
+    // 如果是已保存的记录（有后端ID），调用删除接口
+    if (row.backendId && !row.isNew) {
+      deleteDoctorSchedule(row.backendId).then(res => {
+        if (res.code === 200) {
+          // 从列表中移除
+          const index = scheduleList.value.findIndex(item => item.id === row.id)
+          if (index !== -1) {
+            scheduleList.value.splice(index, 1)
+          }
+          ElMessage.success('删除成功')
+        } else {
+          ElMessage.error(res.msg || '删除失败')
+        }
+      }).catch(error => {
+        console.error('删除排班失败:', error)
+        ElMessage.error('删除失败，请稍后重试')
+      })
+    } else {
+      // 如果是新添加的记录（未保存），直接从列表中移除
+      const index = scheduleList.value.findIndex(item => item.id === row.id)
+      if (index !== -1) {
+        scheduleList.value.splice(index, 1)
+        ElMessage.success('删除成功')
+      }
+    }
+  }).catch(() => {
+    // 用户取消删除
+  })
 }
 
 // 号源记录对话框相关
@@ -386,10 +536,139 @@ const handleViewRecord = (row) => {
 }
 
 // 保存排班
-const handleSave = () => {
-  ElMessage.success('排班保存成功')
-  // 返回上一页
-  router.back()
+const handleSave = async () => {
+  try {
+    // 验证必填字段
+    const invalidSchedules = scheduleList.value.filter(item => {
+      // 检查是否有必填字段为空
+      return !item.doctorName || !item.room || !item.startTime || !item.endTime || !item.maxNumber
+    })
+    
+    if (invalidSchedules.length > 0) {
+      ElMessage.warning('请完善所有排班记录的必填信息（医生、诊室、开始时间、结束时间、限号数量）')
+      return
+    }
+    
+    // 转换数据格式以匹配后端实体，并建立映射关系
+    const schedulesToSave = scheduleList.value.map((item, index) => {
+      // 解析挂号项目和诊查项目，提取费用
+      let registrationFee = 0
+      let diagnosisFee = 0
+      
+      if (item.appointmentItem) {
+        const feeMatch = item.appointmentItem.match(/(\d+)/)
+        if (feeMatch) {
+          registrationFee = parseInt(feeMatch[1])
+        }
+      }
+      
+      if (item.clinicItem) {
+        // 这里可以根据诊查项目设置诊疗费，暂时设为0或从其他字段获取
+        diagnosisFee = item.treatmentFee ? parseInt(item.treatmentFee) : 0
+      }
+      
+      return {
+        localIndex: index, // 保存本地索引，用于更新
+        localId: item.id, // 保存本地ID
+        scheduleData: {
+          id: item.backendId || null, // 如果是新记录，id为null
+          weekday: item.weekday,
+          timePeriod: item.timeSlot,
+          doctor: item.doctorName,
+          clinic: item.room,
+          startTime: item.startTime,
+          endTime: item.endTime,
+          limitNumber: parseInt(item.maxNumber) || 0,
+          registerItem: item.appointmentItem || '',
+          registerFee: registrationFee,
+          diagnosisItem: item.clinicItem || '',
+          diagnosisFee: diagnosisFee,
+          isOnline: item.online || false,
+          isStopped: item.stopClinic || false,
+          stopReason: item.stopClinic ? (item.stopReason || '') : '',
+          deptId: currentDept.value?.id || route.query.deptId || null,
+        }
+      }
+    })
+    
+    // 只保存新添加的记录（isNew: true）或没有backendId的记录
+    const newSchedulesToSave = schedulesToSave.filter(({ localIndex }) => {
+      const item = scheduleList.value[localIndex]
+      return item.isNew || !item.backendId // 只保存新记录或没有backendId的记录
+    })
+    
+    if (newSchedulesToSave.length === 0) {
+      ElMessage.info('没有需要保存的新排班记录')
+      // 返回上一页
+      router.back()
+      return
+    }
+    
+    // 批量保存排班
+    let successCount = 0
+    let failCount = 0
+    const errors = []
+    
+    for (const { localIndex, localId, scheduleData } of newSchedulesToSave) {
+      try {
+        // 确保新记录的id为null
+        scheduleData.id = null
+        
+        const res = await addDoctorSchedule(scheduleData)
+        if (res.code === 200 && res.data) {
+          successCount++
+          // 更新本地记录的backendId
+          const localItem = scheduleList.value[localIndex]
+          if (localItem) {
+            // 从响应中获取保存后的ID
+            if (res.data && typeof res.data === 'object' && res.data.id) {
+              localItem.backendId = res.data.id
+              localItem.isNew = false
+            } else if (res.data && typeof res.data === 'number') {
+              localItem.backendId = res.data
+              localItem.isNew = false
+            } else if (res.data === true) {
+              // 如果后端返回的是boolean true，标记为已保存
+              localItem.isNew = false
+              localItem.saved = true
+            } else {
+              // 其他情况，标记为已保存
+              localItem.isNew = false
+            }
+          }
+        } else {
+          failCount++
+          const errorMsg = res.msg || '保存失败'
+          errors.push(errorMsg)
+          console.error('保存排班失败:', errorMsg, res)
+        }
+      } catch (error) {
+        failCount++
+        const errorMsg = error.message || '保存异常'
+        errors.push(errorMsg)
+        console.error('保存排班异常:', error)
+      }
+    }
+    
+    // 如果有错误，显示详细错误信息
+    if (errors.length > 0) {
+      console.error('保存错误详情:', errors)
+    }
+    
+    if (failCount === 0) {
+      ElMessage.success(`排班保存成功，共保存 ${successCount} 条记录`)
+      // 返回上一页
+      router.back()
+    } else {
+      ElMessage.warning(`部分排班保存失败，成功 ${successCount} 条，失败 ${failCount} 条`)
+      if (errors.length > 0) {
+        console.error('错误详情:', errors.join('; '))
+      }
+    }
+  } catch (error) {
+    console.error('保存排班失败:', error)
+    ElMessage.error('保存失败，请稍后重试')
+  }
 }
 
 // 取消操作
diff --git a/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/index.vue b/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/index.vue
index a046786c..3e673823 100644
--- a/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/index.vue
+++ b/openhis-ui-vue3/src/views/appoinmentmanage/deptManage/index.vue
@@ -153,8 +153,8 @@
         
         <span class="filter-label">排班类型</span>
         <div class="radio-group">
-          <el-radio v-model="filterParams.appointmentType" label="普通">普通</el-radio>
-          <el-radio v-model="filterParams.appointmentType" label="专家">专家</el-radio>
+          <el-radio v-model="filterParams.appointmentType" label="普通" @change="handleAppointmentTypeChange">普通</el-radio>
+          <el-radio v-model="filterParams.appointmentType" label="专家" @change="handleAppointmentTypeChange">专家</el-radio>
         </div>
       </div>
       
@@ -168,18 +168,21 @@
           </div>
           <el-table :data="dateGroup.items" border style="width: 100%" class="schedule-table">
             <el-table-column prop="timeSlot" label="时段" width="100"></el-table-column>
-            <el-table-column prop="doctorName" label="医生" width="120">
+            <el-table-column prop="doctorName" :label="filterParams.appointmentType === '专家' ? '专家' : '医生'" width="150">
               <template #default="scope">
                 <el-select 
                   v-model="scope.row.doctorName" 
                   placeholder="请选" 
                   class="inline-select"
                   :disabled="!isEditMode"
+                  :key="`doctor-${filterParams.appointmentType}-${scope.row.id}`"
                 >
-                  <el-option label="张医生" value="张医生"></el-option>
-                  <el-option label="李医生" value="李医生"></el-option>
-                  <el-option label="王医生" value="王医生"></el-option>
-                  <el-option label="赵医生" value="赵医生"></el-option>
+                  <el-option 
+                    v-for="doctor in getDoctorOptions(filterParams.appointmentType)" 
+                    :key="doctor.value" 
+                    :label="doctor.label" 
+                    :value="doctor.value"
+                  ></el-option>
                 </el-select>
               </template>
             </el-table-column>
@@ -251,6 +254,7 @@
                   placeholder="请选" 
                   class="inline-select"
                   :disabled="!isEditMode"
+                  @change="handleAppointmentItemChange(scope.row)"
                 >
                   <el-option label="挂号费 50" value="挂号费 50"></el-option>
                   <el-option label="一般诊疗费 10" value="一般诊疗费 10"></el-option>
@@ -259,7 +263,11 @@
                 </el-select>
               </template>
             </el-table-column>
-            <el-table-column prop="registrationFee" label="挂号费(元)" width="100"></el-table-column>
+            <el-table-column prop="registrationFee" label="挂号费(元)" width="100">
+              <template #default="scope">
+                <span>{{ scope.row.registrationFee || '0' }}</span>
+              </template>
+            </el-table-column>
             <el-table-column prop="clinicItem" label="诊查项目" width="150">
               <template #default="scope">
                 <el-select 
@@ -267,6 +275,7 @@
                   placeholder="请选择诊查项目" 
                   class="inline-select"
                   :disabled="!isEditMode"
+                  @change="handleClinicItemChange(scope.row)"
                 >
                   <el-option label="常规诊查" value="常规诊查"></el-option>
                   <el-option label="专科诊查" value="专科诊查"></el-option>
@@ -275,7 +284,11 @@
                 </el-select>
               </template>
             </el-table-column>
-            <el-table-column prop="treatmentFee" label="诊疗费(元)" width="100"></el-table-column>
+            <el-table-column prop="treatmentFee" label="诊疗费(元)" width="100">
+              <template #default="scope">
+                <span>{{ scope.row.treatmentFee || '0' }}</span>
+              </template>
+            </el-table-column>
             <el-table-column prop="online" label="线上" width="60">
               <template #default="scope">
                 <el-checkbox v-model="scope.row.online" :disabled="!isEditMode"></el-checkbox>
@@ -355,6 +368,7 @@ import { ElMessage, ElDialog, ElSelect, ElOption, ElInput, ElForm, ElFormItem, E
 import { EditPen, View, DocumentRemove } from '@element-plus/icons-vue'
 import { listDept, searchDept } from '@/api/appoinmentmanage/dept'
 import { getLocationTree } from '@/views/charge/outpatientregistration/components/outpatientregistration'
+import { addDoctorSchedule, deleteDoctorSchedule, batchSaveDoctorSchedule } from './api'
 
 // 查询参数
 const queryParams = ref({
@@ -402,6 +416,28 @@ const filterParams = ref({
   appointmentType: '普通'
 })
 
+// 医生列表数据
+const doctorOptions = ref({
+  '普通': [
+    { label: '张医生', value: '张医生' },
+    { label: '李医生', value: '李医生' },
+    { label: '王医生', value: '王医生' },
+    { label: '赵医生', value: '赵医生' }
+  ],
+  '专家': [
+    { label: '请选择专家', value: '' },
+    { label: '王教授', value: '王教授' },
+    { label: '李主任', value: '李主任' },
+    { label: '赵教授', value: '赵教授' },
+    { label: '张主任', value: '张主任' }
+  ]
+})
+
+// 根据排班类型获取医生选项
+const getDoctorOptions = (appointmentType) => {
+  return doctorOptions.value[appointmentType] || doctorOptions.value['普通']
+}
+
 // 排班列表数据
 const scheduleList = ref([])
 
@@ -566,9 +602,9 @@ const generateWeekSchedule = (startDate) => {
         room: '',
         maxNumber: '',
         appointmentItem: '',
-        registrationFee: '',
+        registrationFee: 0,
         clinicItem: '',
-        treatmentFee: '',
+        treatmentFee: 0,
         online: true,
         stopClinic: false,
         stopReason: ''
@@ -615,14 +651,145 @@ const handleView = (row) => {
   scheduleDialogVisible.value = true
 }
 
+// 医生映射关系（普通医生 -> 专家医生）
+const doctorMapping = {
+  '张医生': '张主任',
+  '李医生': '李主任',
+  '王医生': '王教授',
+  '赵医生': '赵教授',
+  '张主任': '张医生',
+  '李主任': '李医生',
+  '王教授': '王医生',
+  '赵教授': '赵医生'
+}
+
+// 排班类型变化处理
+const handleAppointmentTypeChange = () => {
+  // 当排班类型改变时，自动匹配对应的医生
+  scheduleList.value.forEach(item => {
+    if (item.doctorName) {
+      // 获取新类型对应的医生列表
+      const newTypeDoctors = getDoctorOptions(filterParams.value.appointmentType)
+      // 检查当前医生是否在新类型的医生列表中
+      const doctorExists = newTypeDoctors.some(doctor => doctor.value === item.doctorName)
+      
+      if (!doctorExists) {
+        // 如果当前医生不在新类型列表中，尝试通过映射关系找到对应的医生
+        const mappedDoctor = doctorMapping[item.doctorName]
+        if (mappedDoctor && newTypeDoctors.some(doctor => doctor.value === mappedDoctor)) {
+          // 如果找到对应的医生，则更新
+          item.doctorName = mappedDoctor
+        } else {
+          // 如果找不到对应的医生，则清空
+          item.doctorName = ''
+        }
+      }
+    }
+  })
+}
+
+// 挂号项目变化处理
+const handleAppointmentItemChange = (row) => {
+  if (row.appointmentItem) {
+    // 从挂号项目中提取费用数字，例如 "挂号费 50" -> 50
+    const feeMatch = row.appointmentItem.match(/(\d+)/)
+    if (feeMatch) {
+      row.registrationFee = parseInt(feeMatch[1])
+    } else {
+      row.registrationFee = 0
+    }
+  } else {
+    row.registrationFee = 0
+  }
+}
+
+// 诊查项目变化处理
+const handleClinicItemChange = (row) => {
+  // 诊查项目费用映射表
+  const clinicFeeMap = {
+    '常规诊查': 10,
+    '专科诊查': 20,
+    '特殊诊查': 30,
+    '专家诊查': 50
+  }
+  
+  if (row.clinicItem && clinicFeeMap[row.clinicItem]) {
+    row.treatmentFee = clinicFeeMap[row.clinicItem]
+  } else {
+    row.treatmentFee = 0
+  }
+}
+
 // 添加排班
 const handleAddSchedule = (row) => {
-  ElMessage.info('添加排班功能待实现')
+  // 创建新的排班记录，基于当前行的日期和时段
+  const newSchedule = {
+    id: `new-${Date.now()}-${Math.random()}`,
+    date: row.date,
+    weekday: row.weekday,
+    timeSlot: row.timeSlot,
+    startTime: row.startTime || '08:00',
+    endTime: row.endTime || '12:00',
+    doctorName: '',
+    room: '',
+    maxNumber: '',
+    appointmentItem: '',
+    registrationFee: 0,
+    clinicItem: '',
+    treatmentFee: 0,
+    online: true,
+    stopClinic: false,
+    stopReason: '',
+    isNew: true // 标记为新添加的记录
+  }
+  
+  // 找到当前行在列表中的位置，在其后插入新记录
+  const currentIndex = scheduleList.value.findIndex(item => item.id === row.id)
+  if (currentIndex !== -1) {
+    scheduleList.value.splice(currentIndex + 1, 0, newSchedule)
+    ElMessage.success('添加排班成功')
+  } else {
+    // 如果找不到，添加到对应日期组的末尾
+    scheduleList.value.push(newSchedule)
+    ElMessage.success('添加排班成功')
+  }
 }
 
 // 删除排班
 const handleDeleteSchedule = (row) => {
-  ElMessage.info('删除排班功能待实现')
+  ElMessageBox.confirm('确定要删除这条排班记录吗？', '提示', {
+    confirmButtonText: '确定',
+    cancelButtonText: '取消',
+    type: 'warning'
+  }).then(() => {
+    // 如果是已保存的记录（有后端ID），调用删除接口
+    if (row.backendId && !row.isNew) {
+      deleteDoctorSchedule(row.backendId).then(res => {
+        if (res.code === 200) {
+          // 从列表中移除
+          const index = scheduleList.value.findIndex(item => item.id === row.id)
+          if (index !== -1) {
+            scheduleList.value.splice(index, 1)
+          }
+          ElMessage.success('删除成功')
+        } else {
+          ElMessage.error(res.msg || '删除失败')
+        }
+      }).catch(error => {
+        console.error('删除排班失败:', error)
+        ElMessage.error('删除失败，请稍后重试')
+      })
+    } else {
+      // 如果是新添加的记录（未保存），直接从列表中移除
+      const index = scheduleList.value.findIndex(item => item.id === row.id)
+      if (index !== -1) {
+        scheduleList.value.splice(index, 1)
+        ElMessage.success('删除成功')
+      }
+    }
+  }).catch(() => {
+    // 用户取消删除
+  })
 }
 
 // 计算号源记录
@@ -674,9 +841,150 @@ const handleViewRecord = (row) => {
 }
 
 // 保存排班
-const handleSave = () => {
-  ElMessage.success('排班保存成功')
-  scheduleDialogVisible.value = false
+const handleSave = async () => {
+  try {
+    // 验证必填字段
+    const invalidSchedules = scheduleList.value.filter(item => {
+      // 检查是否有必填字段为空
+      return !item.doctorName || !item.room || !item.startTime || !item.endTime || !item.maxNumber
+    })
+    
+    if (invalidSchedules.length > 0) {
+      ElMessage.warning('请完善所有排班记录的必填信息（医生、诊室、开始时间、结束时间、限号数量）')
+      return
+    }
+    
+    // 转换数据格式以匹配后端实体，并建立映射关系
+    const schedulesToSave = scheduleList.value.map((item, index) => {
+      // 解析挂号项目和诊查项目，提取费用
+      let registrationFee = 0
+      let diagnosisFee = 0
+      
+      if (item.appointmentItem) {
+        const feeMatch = item.appointmentItem.match(/(\d+)/)
+        if (feeMatch) {
+          registrationFee = parseInt(feeMatch[1])
+        }
+      }
+      
+      if (item.clinicItem) {
+        // 这里可以根据诊查项目设置诊疗费，暂时设为0或从其他字段获取
+        diagnosisFee = item.treatmentFee ? parseInt(item.treatmentFee) : 0
+      }
+      
+      // 构建排班数据对象
+      const scheduleData = {
+        weekday: item.weekday,
+        timePeriod: item.timeSlot,
+        doctor: item.doctorName,
+        clinic: item.room,
+        startTime: item.startTime,
+        endTime: item.endTime,
+        limitNumber: parseInt(item.maxNumber) || 0,
+        registerItem: item.appointmentItem || '',
+        registerFee: registrationFee,
+        diagnosisItem: item.clinicItem || '',
+        diagnosisFee: diagnosisFee,
+        isOnline: item.online || false,
+        isStopped: item.stopClinic || false,
+        stopReason: item.stopClinic ? (item.stopReason || '') : '',
+        deptId: currentDept.value?.id || null,
+      }
+      
+      // 只有已存在的记录才包含id字段（用于更新）
+      if (item.backendId) {
+        scheduleData.id = item.backendId
+      }
+      
+      return {
+        localIndex: index, // 保存本地索引，用于更新
+        localId: item.id, // 保存本地ID
+        scheduleData: scheduleData
+      }
+    })
+    
+    // 只保存新添加的记录（isNew: true）或已修改的记录
+    const newSchedulesToSave = schedulesToSave.filter(({ localIndex }) => {
+      const item = scheduleList.value[localIndex]
+      return item.isNew || !item.backendId // 只保存新记录或没有backendId的记录
+    })
+    
+    if (newSchedulesToSave.length === 0) {
+      ElMessage.info('没有需要保存的新排班记录')
+      scheduleDialogVisible.value = false
+      return
+    }
+    
+    // 批量保存排班
+    let successCount = 0
+    let failCount = 0
+    const errors = []
+    
+    for (const { localIndex, localId, scheduleData } of newSchedulesToSave) {
+      try {
+        // 新记录不包含id字段（数据库id列是GENERATED ALWAYS，由数据库自动生成）
+        // 创建新对象，明确排除id字段，确保JSON序列化时不包含id
+        const dataToSave = {}
+        Object.keys(scheduleData).forEach(key => {
+          // 排除id字段，只复制其他字段
+          if (key !== 'id') {
+            dataToSave[key] = scheduleData[key]
+          }
+        })
+        
+        const res = await addDoctorSchedule(dataToSave)
+        if (res.code === 200 && res.data) {
+          successCount++
+          // 更新本地记录的backendId
+          const localItem = scheduleList.value[localIndex]
+          if (localItem) {
+            // 从响应中获取保存后的ID
+            if (res.data && typeof res.data === 'object' && res.data.id) {
+              // 后端返回了实体对象，包含ID
+              localItem.backendId = res.data.id
+              localItem.isNew = false
+            } else if (res.data && typeof res.data === 'number') {
+              // 如果返回的是数字ID
+              localItem.backendId = res.data
+              localItem.isNew = false
+            } else if (res.data === true) {
+              // 如果后端返回的是boolean true，标记为已保存
+              localItem.isNew = false
+              localItem.saved = true
+            } else {
+              // 其他情况，标记为已保存
+              localItem.isNew = false
+            }
+          }
+        } else {
+          failCount++
+          const errorMsg = res.msg || '保存失败'
+          errors.push(errorMsg)
+          console.error('保存排班失败:', errorMsg, res)
+        }
+      } catch (error) {
+        failCount++
+        const errorMsg = error.message || '保存异常'
+        errors.push(errorMsg)
+        console.error('保存排班异常:', error)
+      }
+    }
+    
+    // 如果有错误，显示详细错误信息
+    if (errors.length > 0) {
+      console.error('保存错误详情:', errors)
+    }
+    
+    if (failCount === 0) {
+      ElMessage.success(`排班保存成功，共保存 ${successCount} 条记录`)
+      scheduleDialogVisible.value = false
+    } else {
+      ElMessage.warning(`部分排班保存失败，成功 ${successCount} 条，失败 ${failCount} 条`)
+    }
+  } catch (error) {
+    console.error('保存排班失败:', error)
+    ElMessage.error('保存失败，请稍后重试')
+  }
 }
 
 // 取消操作