diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
index c8bbfdbdd..a6ce1d80d 100755
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -539,6 +539,65 @@
         AND T1.refund_medicine_id IS NULL
         ORDER BY T1.status_enum,T1.sort_number)
         UNION ALL
+        -- 🔧 Bug #444: 直接从计费项目表补充查询药品记录，用于覆盖med_medication_request有记录但generate_source_enum不匹配的场景
+        (SELECT 1 AS advice_type,
+        T1.service_id AS request_id,
+        T1.service_id || '-ci-med' AS unique_key,
+        '' AS prescription_no,
+        T1.enterer_id AS requester_id,
+        T1.entered_date AS request_time,
+        CASE WHEN T1.enterer_id = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
+        T2.content_json AS content_json,
+        NULL AS skin_test_flag,
+        NULL AS inject_flag,
+        NULL AS group_id,
+        T3.NAME AS advice_name,
+        T4.total_volume AS volume,
+        T2.lot_number AS lot_number,
+        T1.quantity_value AS quantity,
+        T1.quantity_unit AS unit_code,
+        T1.status_enum AS status_enum,
+        '' AS method_code,
+        '' AS rate_code,
+        NULL AS dose,
+        '' AS dose_unit_code,
+        T1.id AS charge_item_id,
+        T1.unit_price AS unit_price,
+        T1.total_price AS total_price,
+        T1.status_enum AS charge_status,
+        NULL AS position_id,
+        '' AS position_name,
+        NULL AS dispense_per_duration,
+        T3.part_percent AS part_percent,
+        '' AS condition_definition_name,
+        T2.sort_number AS sort_number,
+        NULL AS based_on_id,
+        NULL AS category_enum,
+        T1.encounter_id AS encounter_id,
+        T1.patient_id AS patient_id,
+        'med_medication_definition' AS advice_table_name,
+        T3.ID AS advice_definition_id
+        FROM adm_charge_item AS T1
+        INNER JOIN med_medication_request AS T2 ON T2.ID = T1.service_id AND T2.delete_flag = '0'
+        LEFT JOIN med_medication_definition AS T3 ON T3.ID = T2.medication_id AND T3.delete_flag = '0'
+        LEFT JOIN med_medication AS T4 ON T4.medication_def_id = T3.ID AND T4.delete_flag = '0'
+        WHERE T1.delete_flag = '0'
+          AND T1.service_table = #{MED_MEDICATION_REQUEST}
+        <if test="historyFlag == '0'.toString()">
+            AND T1.encounter_id = #{encounterId}
+        </if>
+        <if test="historyFlag == '1'.toString()">
+            AND T1.patient_id = #{patientId} AND T1.encounter_id != #{encounterId}
+        </if>
+        AND NOT EXISTS (
+            SELECT 1 FROM med_medication_request T5
+            WHERE T5.ID = T1.service_id AND T5.delete_flag = '0'
+            <if test="generateSourceEnum != null">
+                AND T5.generate_source_enum = #{generateSourceEnum}
+            </if>
+        )
+        ORDER BY T1.entered_date)
+        UNION ALL
         -- 🔧 查询仅存在于 adm_charge_item 的"孤儿"耗材数据（DeviceRequest 缺失或 generate_source_enum 未设置）
         -- 正常 DeviceRequest（generate_source_enum 已赋值）由下方 Part 3 统一负责，此处不做重复覆盖避免 UNION ALL 重复行
         (SELECT 2 AS advice_type,