fix(prescription): 解决处方列表中手术类型和其他医嘱类型的问题

- 更新 lodash.template 修复脚本以处理 assignWith 函数的自定义器参数 - 在多个处方组件中引入 drord_doctor_type 字典用于动态生成医嘱类型列表 - 修复手术类型(adviceType=6)的特殊处理逻辑，包括类型映射和字段过滤 - 调整后端医嘱保存服务中的类型分类逻辑，正确处理手术类型 - 更新数据库查询映射以支持手术类型的正确显示和数据传输 - 修复费用对话框和订单表单中的相关类型显示问题
2026-04-01 18:24:24 +08:00
parent 6694ae52ba
commit ac1cd3afc8
16 changed files with 306 additions and 186 deletions
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -564,13 +564,15 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            // 耗材（前端adviceType=4，后端ItemType.DEVICE=2）
            List<AdviceSaveDto> deviceList = adviceSaveList.stream()
                    .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType()) 
-                            || e.getAdviceType() == 4) // 🔧 BugFix: 前端耗材类型值为4
+                            || e.getAdviceType() == 4) // 前端耗材类型值为4
                    .collect(Collectors.toList());
-            // 诊疗活动（包括普通诊疗：前端adviceType=3，会诊：前端adviceType=5）
+            
+            // 诊疗活动（前端adviceType=3诊疗、adviceType=5会诊、adviceType=6手术）
            List<AdviceSaveDto> activityList = adviceSaveList.stream()
                    .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType()) 
-                            || e.getAdviceType() == 3  // 🔧 BugFix: 前端诊疗类型值为3
-                            || e.getAdviceType() == 5) // 🔧 BugFix: 前端会诊类型值为5
+                            || e.getAdviceType() == 3  // 前端诊疗类型值为3
+                            || e.getAdviceType() == 5   // 前端会诊类型值为5
+                            || ItemType.SURGERY.getValue().equals(e.getAdviceType())) // 🔧 BugFix#318: 手术类型值为6
                    .collect(Collectors.toList());
            
            // 🔍 Debug日志: 记录分类结果
@@ -599,11 +601,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                    iDeviceDispenseService.deleteDeviceDispense(adviceSaveDto.getRequestId());
                }

-                // 🔧 Bug Fix: 跳过耗材的库存校验（耗材的库存校验逻辑不同）
+                // 🔧 Bug Fix: 跳过耗材、诊疗、手术的库存校验
                List<AdviceSaveDto> needCheckList = adviceSaveList.stream()
                        .filter(e -> !DbOpType.DELETE.getCode().equals(e.getDbOpType())
                                && !ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
-                                && !ItemType.DEVICE.getValue().equals(e.getAdviceType())) // 排除耗材
+                                && !ItemType.DEVICE.getValue().equals(e.getAdviceType())
+                                && !ItemType.SURGERY.getValue().equals(e.getAdviceType())) // 🔧 BugFix#318: 排除手术类型
                        .collect(Collectors.toList());
                // 校验库存
                String tipRes = adviceUtils.checkInventory(needCheckList);
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/RequestBaseDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/RequestBaseDto.java
@@ -161,6 +161,11 @@ public class RequestBaseDto {
    private String doseUnitCode;
    private String doseUnitCode_dictText;

+    /**
+     * 单价
+     */
+    private BigDecimal unitPrice;
+
    /**
     * 总价
     */
@@ -215,4 +220,16 @@ public class RequestBaseDto {
    @JsonSerialize(using = ToStringSerializer.class)
    private Long basedOnId;

+    /**
+     * 就诊id
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long encounterId;
+
+    /**
+     * 患者id
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long patientId;
+
 }
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -292,7 +292,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
            surgeryChargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(surgeryServiceRequest.getBusNo()));
            surgeryChargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
            surgeryChargeItem.setPatientId(patientId);
-            surgeryChargeItem.setContextEnum(3); // 3-诊疗
+            surgeryChargeItem.setContextEnum(6); // 6-手术
            surgeryChargeItem.setEncounterId(encounterId);
            surgeryChargeItem.setEntererId(practitionerId);
            surgeryChargeItem.setEnteredDate(curDate);
--- 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
@@ -468,6 +468,7 @@
        T1.dose AS dose,
        T1.dose_unit_code AS dose_unit_code,
        T4.id AS charge_item_id,
+        T4.unit_price AS unit_price,
        T4.total_price AS total_price,
        T4.status_enum AS charge_status,
        al.id AS position_id,
@@ -477,7 +478,9 @@
        ccd.name AS condition_definition_name,
        T1.sort_number AS sort_number,
        T1.based_on_id AS based_on_id,
-        T1.category_enum AS category_enum
+        T1.category_enum AS category_enum,
+        T1.encounter_id AS encounter_id,
+        T1.patient_id AS patient_id
        FROM med_medication_request AS T1
        LEFT JOIN med_medication_definition AS T2 ON T2.ID = T1.medication_id
        AND T2.delete_flag = '0'
@@ -520,6 +523,7 @@
        NULL AS dose,
        '' AS dose_unit_code,
        T3.id AS charge_item_id,
+        T3.unit_price AS unit_price,
        T3.total_price AS total_price,
        T3.status_enum AS charge_status,
        al.id AS position_id,
@@ -529,7 +533,9 @@
        '' AS condition_definition_name,
        99 AS sort_number,
        T1.based_on_id AS based_on_id,
-        T1.category_enum AS category_enum
+        T1.category_enum AS category_enum,
+        T1.encounter_id AS encounter_id,
+        T1.patient_id AS patient_id
        FROM wor_device_request AS T1
        LEFT JOIN adm_device_definition AS T2 ON T2.ID = T1.device_def_id
        AND T2.delete_flag = '0'
@@ -547,7 +553,7 @@
        AND T1.refund_device_id IS NULL
        ORDER BY T1.status_enum)
        UNION ALL
-        (SELECT COALESCE(T1.category_enum, 3) AS advice_type,
+        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE COALESCE(T1.category_enum, 3) END AS advice_type,
        T1.id AS request_id,
        T1.id || '-3' AS unique_key,
        '' AS prescription_no,
@@ -561,15 +567,16 @@
        COALESCE(T2.NAME, T1.content_json::jsonb->>'surgeryName', T1.content_json::jsonb->>'adviceName') AS advice_name,
        '' AS volume,
        '' AS lot_number,
-        T1.quantity AS quantity,
-        T1.unit_code AS unit_code,
-        T1.status_enum AS status_enum,
-        '' AS method_code,
-        '' AS rate_code,
-        NULL AS dose,
-        '' AS dose_unit_code,
-        T3.id AS charge_item_id,
-        T3.total_price AS total_price,
+         T1.quantity AS quantity,
+         T1.unit_code AS unit_code,
+         T1.status_enum AS status_enum,
+         '' AS method_code,
+         '' AS rate_code,
+         NULL AS dose,
+         '' AS dose_unit_code,
+         T3.id AS charge_item_id,
+         T3.unit_price AS unit_price,
+         T3.total_price AS total_price,
        T3.status_enum AS charge_status,
        ao.id AS position_id,
        ao.name AS position_name,
@@ -577,9 +584,11 @@
        1 AS part_percent,
        '' AS condition_definition_name,
        99 AS sort_number,
-        T1.based_on_id AS based_on_id,
-        T1.category_enum AS category_enum
-        FROM wor_service_request AS T1
+         T1.based_on_id AS based_on_id,
+         T1.category_enum AS category_enum,
+         T1.encounter_id AS encounter_id,
+         T1.patient_id AS patient_id
+         FROM wor_service_request AS T1
        LEFT JOIN wor_activity_definition AS T2
        ON T2.ID = T1.activity_id
        AND T2.delete_flag = '0'
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
@@ -203,6 +203,7 @@
        T1.dose AS dose,
        T1.dose_unit_code AS dose_unit_code,
        T4.id AS charge_item_id,
+        T4.unit_price AS unit_price,
        T4.total_price AS total_price,
        T4.status_enum AS charge_status,
        al.id AS position_id,
@@ -254,6 +255,7 @@
        NULL AS dose,
        '' AS dose_unit_code,
        T3.id AS charge_item_id,
+        T3.unit_price AS unit_price,
        T3.total_price AS total_price,
        T3.status_enum AS charge_status,
        al.id AS position_id,
@@ -281,7 +283,7 @@
        AND T1.refund_device_id IS NULL
        ORDER BY T1.status_enum)
        UNION ALL
-        (SELECT COALESCE(T1.category_enum, 3) AS advice_type,
+        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE COALESCE(T1.category_enum, 3) END AS advice_type,
        T1.id AS request_id,
        T1.id || '-3' AS unique_key,
        T1.requester_id AS requester_id,
@@ -302,6 +304,7 @@
        NULL AS dose,
        '' AS dose_unit_code,
        T3.id AS charge_item_id,
+        T3.unit_price AS unit_price,
        T3.total_price AS total_price,
        T3.status_enum AS charge_status,
        ao.id AS position_id,
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
@@ -26,12 +26,13 @@
    <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
        SELECT wsr.quantity,
               wsr.unit_code,
-               wad.NAME AS advice_name,
+               COALESCE(wad.NAME, wsr.content_json::jsonb->>'surgeryName') AS advice_name,
               aci.total_price
        FROM wor_service_request AS wsr
                 LEFT JOIN wor_activity_definition AS wad ON wad.ID = wsr.activity_id
            AND wad.delete_flag = '0'
                 LEFT JOIN adm_charge_item AS aci ON aci.service_id = wsr.ID
+            AND aci.service_table = 'wor_service_request'
            AND aci.delete_flag = '0'
        WHERE wsr.delete_flag = '0'
          AND wsr.prescription_no = #{prescriptionNo}
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/ItemType.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/ItemType.java
@@ -23,14 +23,19 @@ public enum ItemType implements HisEnumInterface {
    MEDICINE(1, "1", "药品"),

    /**
-     * 耗材
+     * 医疗活动
+     */
+    ACTIVITY(3, "3", "医疗活动"),
+
+    /**
+     * 耗材（前端使用值2）
     */
    DEVICE(2, "2", "耗材"),

    /**
-     * 医疗活动
+     * 手术（前端使用值6，避免与耗材冲突）
     */
-    ACTIVITY(3, "3", "医疗活动");
+    SURGERY(6, "6", "手术");

    @EnumValue
    private Integer value;
--- a/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/fix-lodash-manual.js
+++ b/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/fix-lodash-manual.js
@@ -1,4 +1,3 @@
-#!/usr/bin/env node
 /**
 * Fix lodash.template assignWith issue - Manual fix script
 * Run this after npm/yarn install and before build
@@ -18,34 +17,35 @@ if (!fs.existsSync(lodashTemplatePath)) {

 let content = fs.readFileSync(lodashTemplatePath, 'utf8');

-// Check if already patched
-if (content.includes('/* LODASH_TEMPLATE_PATCHED */')) {
-  console.log('✓ lodash.template already patched');
+// Check if already patched with new version
+if (content.includes('/* LODASH_TEMPLATE_PATCHED_V2 */')) {
+  console.log('✓ lodash.template already patched with v2');
  process.exit(0);
 }

-// Check if assignWith is actually missing
-if (content.includes('assignWith')) {
-  // Check if it's used but not defined
-  const hasFunctionDefinition = /function\s+assignWith|var\s+assignWith\s*=/.test(content);
-  if (hasFunctionDefinition) {
-    console.log('✓ assignWith is already defined in lodash.template');
-    process.exit(0);
-  }
+// Remove old patch if exists
+if (content.includes('/* LODASH_TEMPLATE_PATCHED */')) {
+  console.log('🔄 Removing old patch...');
+  content = content.replace(/\/\* LODASH_TEMPLATE_PATCHED \*\/\n.*assignWith[\s\S]*?^\}/m, '');
 }

-console.log('🔧 Patching lodash.template...');
+console.log('🔧 Patching lodash.template with v2...');

-// Simple assignWith implementation
-const assignWithImpl = `/* LODASH_TEMPLATE_PATCHED */
-// assignWith polyfill for lodash.template
+// Correct assignWith implementation that handles undefined customizer
+const assignWithImpl = `/* LODASH_TEMPLATE_PATCHED_V2 */
+// assignWith polyfill for lodash.template - Fixed version
 function assignWith(object, source, customizer) {
  if (object == null) return object;
+  if (typeof customizer !== 'function') {
+    customizer = function(objValue, srcValue) {
+      return srcValue;
+    };
+  }
  var props = Object.keys(Object(source));
  for (var i = 0; i < props.length; i++) {
    var key = props[i];
    var value = source[key];
-    var assignedValue = customizer ? customizer(object[key], value, key, object, source) : value;
+    var assignedValue = customizer(object[key], value, key, object, source);
    if (assignedValue !== undefined) {
      object[key] = assignedValue;
    }
@@ -74,5 +74,5 @@ const after = content.substring(insertPos);
 content = before + '\n' + assignWithImpl + after;

 fs.writeFileSync(lodashTemplatePath, content);
-console.log('✅ Successfully patched lodash.template with assignWith function');
+console.log('✅ Successfully patched lodash.template with assignWith function (v2)');
 console.log('   File:', lodashTemplatePath);
--- a/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/fix-lodash.sh
+++ b/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/fix-lodash.sh
@@ -1,5 +1,5 @@
 #!/bin/bash
-# Fix lodash.template assignWith issue for Linux/Mac servers
+# Fix lodash.template assignWith issue for Linux/Mac servers - V2
 # Run this script after npm/yarn install

 LODGASH_TEMPLATE="node_modules/lodash.template/index.js"
@@ -9,34 +9,43 @@ if [ ! -f "$LODGASH_TEMPLATE" ]; then
    exit 1
 fi

-# Check if already patched
-if grep -q "LODASH_TEMPLATE_PATCHED" "$LODGASH_TEMPLATE"; then
-    echo "✓ lodash.template already patched"
+# Check if already patched with v2
+if grep -q "LODASH_TEMPLATE_PATCHED_V2" "$LODGASH_TEMPLATE"; then
+    echo "✓ lodash.template already patched with v2"
    exit 0
 fi

-echo "🔧 Patching lodash.template..."
+# Remove old patch if exists
+if grep -q "LODASH_TEMPLATE_PATCHED" "$LODGASH_TEMPLATE"; then
+    echo "🔄 Removing old patch..."
+    # Use sed to remove old patch (multi-line)
+    sed -i '/\/\* LODASH_TEMPLATE_PATCHED \*\//,/^}$/d' "$LODGASH_TEMPLATE"
+fi
+
+echo "🔧 Patching lodash.template with v2..."

 # Create a temporary file with the patch
-PATCH=$(cat <<'EOF'
-/* LODASH_TEMPLATE_PATCHED */
-// assignWith polyfill for lodash.template
+PATCH='/* LODASH_TEMPLATE_PATCHED_V2 */
+// assignWith polyfill for lodash.template - Fixed version
 function assignWith(object, source, customizer) {
  if (object == null) return object;
+  if (typeof customizer !== "function") {
+    customizer = function(objValue, srcValue) {
+      return srcValue;
+    };
+  }
  var props = Object.keys(Object(source));
  for (var i = 0; i < props.length; i++) {
    var key = props[i];
    var value = source[key];
-    var assignedValue = customizer ? customizer(object[key], value, key, object, source) : value;
+    var assignedValue = customizer(object[key], value, key, object, source);
    if (assignedValue !== undefined) {
      object[key] = assignedValue;
    }
  }
  return object;
 }
-
-EOF
-)
+'

 # Insert after the first line (license comment)
 { 
@@ -45,4 +54,4 @@ EOF
    tail -n +2 "$LODGASH_TEMPLATE"
 } > "$LODGASH_TEMPLATE.tmp" && mv "$LODGASH_TEMPLATE.tmp" "$LODGASH_TEMPLATE"

-echo "✅ Successfully patched lodash.template with assignWith function"
+echo "✅ Successfully patched lodash.template with assignWith function (v2)"
--- a/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/package.json
+++ b/openhis-ui-vue3/public/help-center/vuepress-theme-vdoing-doc/package.json
@@ -9,7 +9,10 @@
    "predev": "node utils/check.js dev && vdoing",
    "prebuild": "node utils/check.js build && vdoing",
    "updateTheme": "yarn remove vuepress-theme-vdoing && rm -rf node_modules && yarn && yarn add vuepress-theme-vdoing -D",
-    "editFm": "node utils/editFrontmatter.js"
+    "editFm": "node utils/editFrontmatter.js",
+    "fix-lodash": "node fix-lodash-manual.js",
+    "build:fixed": "npm run fix-lodash && npm run build",
+    "build:win:fixed": "npm run fix-lodash && npm run build:win"
  },
  "license": "MIT",
  "engines": {
@@ -23,6 +26,7 @@
    "inquirer": "^7.1.0",
    "json2yaml": "^1.1.0",
    "lodash": "^4.17.21",
+    "lodash.assignwith": "^4.2.0",
    "vuepress": "1.9.9",
    "vuepress-plugin-baidu-tongji": "^1.0.1",
    "vuepress-plugin-demo-block": "^0.7.2",
@@ -33,5 +37,13 @@
    "vuepress-theme-vdoing": "^1.12.9",
    "yamljs": "^0.3.0"
  },
-  "dependencies": {}
+  "dependencies": {},
+  "resolutions": {
+    "lodash": "^4.17.21",
+    "lodash.template": "^4.5.0"
+  },
+  "overrides": {
+    "lodash": "^4.17.21",
+    "lodash.template": "^4.5.0"
+  }
 }
--- a/openhis-ui-vue3/src/views/basicmanage/ordersCombination/components/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/basicmanage/ordersCombination/components/prescriptionlist.vue
@@ -571,7 +571,7 @@
 <script setup>
 import {getOrgTree, saveOrderGroup} from './api';
 import adviceBaseList from './adviceBaseList';
-import {getCurrentInstance, nextTick, watch} from 'vue';
+import {computed, getCurrentInstance, nextTick, ref, watch} from 'vue';
 import {calculateQuantityByDays, formatNumber} from '@/utils/his';

 const emit = defineEmits(['selectDiagnosis']);
@@ -620,31 +620,31 @@ const stockList = ref([]);
 const { proxy } = getCurrentInstance();
 const inputRefs = ref({}); // 存储输入框实例
 const requiredProps = ref([]); // 存储必填项 prop 顺序
-const { method_code, unit_code, rate_code, distribution_category_code } = proxy.useDict(
+const { method_code, unit_code, rate_code, distribution_category_code, drord_doctor_type } = proxy.useDict(
  'method_code',
  'unit_code',
  'rate_code',
-  'distribution_category_code'
+  'distribution_category_code',
+  'drord_doctor_type'
 );

-const adviceTypeList = ref([
-  {
-    label: '西药中成药',
-    value: 1,
-  },
-  {
-    label: '耗材',
-    value: 2,
-  },
-  {
-    label: '诊疗',
-    value: 3,
-  },
-  {
-    label: '全部',
-    value: undefined,
-  },
-]);
+// 使用 drord_doctor_type 字典
+const adviceTypeList = computed(() => {
+  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
+    const list = drord_doctor_type.value.map(item => ({
+      label: item.label,
+      value: parseInt(item.value) || item.value
+    }));
+    return [...list, { label: '全部', value: undefined }];
+  }
+  // 默认值
+  return [
+    { label: '西药中成药', value: 1 },
+    { label: '耗材', value: 4 },
+    { label: '诊疗', value: 3 },
+    { label: '全部', value: undefined },
+  ];
+});
 onMounted(() => {
  document.addEventListener('keydown', escKeyListener);
 });
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
@@ -289,7 +289,7 @@
 <script setup>
 import {getOrgTree, getPrescriptionList, savePrescription, savePrescriptionSign, singOut,} from './api';
 import adviceBaseList from './adviceBaseList';
-import {getCurrentInstance, nextTick, ref, watch} from 'vue';
+import {computed, getCurrentInstance, nextTick, ref, watch} from 'vue';

 const emit = defineEmits(['selectDiagnosis']);
 const prescriptionList = ref([]);
@@ -334,28 +334,35 @@ const groupList = ref([])
 const { proxy } = getCurrentInstance();
 const inputRefs = ref({}); // 存储输入框实例
 const requiredProps = ref([]); // 存储必填项 prop 顺序
-const { method_code, unit_code, rate_code, distribution_category_code } = proxy.useDict(
+const { method_code, unit_code, rate_code, distribution_category_code, drord_doctor_type } = proxy.useDict(
  'method_code',
  'unit_code',
  'rate_code',
-  'distribution_category_code'
+  'distribution_category_code',
+  'drord_doctor_type'
 );
 const handleSaveDisabled = ref(false)  //签发状态
 const handleSingOutDisabled = ref(false) //签退状态
-const adviceTypeList = ref([
-  {
-    label: '耗材',
-    value: 2,
-  },
-  {
-    label: '诊疗',
-    value: 3,
-  },
-  {
-    label: '全部',
-    value: undefined,
-  },
-]);
+// 使用 drord_doctor_type 字典
+const adviceTypeList = computed(() => {
+  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
+    // 只保留耗材(4)和诊疗(3)类型，并添加全部选项
+    const filtered = drord_doctor_type.value.filter(item => {
+      const val = parseInt(item.value);
+      return val === 3 || val === 4; // 诊疗和耗材
+    }).map(item => ({
+      label: item.label,
+      value: parseInt(item.value)
+    }));
+    return [...filtered, { label: '全部', value: undefined }];
+  }
+  // 默认值
+  return [
+    { label: '耗材', value: 4 },
+    { label: '诊疗', value: 3 },
+    { label: '全部', value: undefined },
+  ];
+});
 watch(
  () => expandOrder.value,
  (newValue) => {
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -957,34 +957,26 @@ const { method_code, unit_code, rate_code, distribution_category_code, drord_doc
  'drord_doctor_type'
 );

-// 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([
-  {
-    label: '西药',
-    value: 1,
-  },
-  {
-    label: '中成药',
-    value: 2,
-  },
-  {
-    label: '诊疗',
-    value: 3,
-  },
-  {
-    label: '耗材',
-    value: 4,
-  },
-  {
-    label: '会诊',
-    value: 5,
-  },
-  {
-    label: '全部',
-    value: '',
-  },
-]);
+// 使用 drord_doctor_type 字典，不再硬编码
+// drord_doctor_type: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
+const adviceTypeList = computed(() => {
+  // 如果字典已加载，使用字典数据；否则使用默认值
+  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
+    return drord_doctor_type.value.map(item => ({
+      label: item.label,
+      value: parseInt(item.value) || item.value
+    }));
+  }
+  // 默认返回值，确保页面正常显示
+  return [
+    { label: '西药', value: 1 },
+    { label: '中成药', value: 2 },
+    { label: '诊疗', value: 3 },
+    { label: '耗材', value: 4 },
+    { label: '会诊', value: 5 },
+    { label: '手术', value: 6 },
+  ];
+});

 // 根据类型值获取显示标签，避免非编辑态出现空标签
 const mapAdviceTypeLabel = (type) => {
@@ -2394,6 +2386,8 @@ function handleSave(prescriptionId) {
        saveAdviceType = 1; // 中成药：前端2 -> 后端1
      } else if (item.adviceType == 5) {
        saveAdviceType = 3; // 会诊：前端5 -> 后端3（诊疗类）
+      } else if (item.adviceType == 6) {
+        saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
      }

      // 🔧 Bug Fix: Validate and fix NaN values before sending to backend
@@ -2403,6 +2397,21 @@ function handleSave(prescriptionId) {
        console.warn('Fixed NaN totalPrice for item:', item.adviceName);
      }

+      // 🔧 BugFix#318: 从 parsedContent 提取标准医嘱字段，排除手术特有字段
+      const standardFields = [
+        'accountId', 'chargeItemId', 'conditionDefinitionId', 'conditionId', 
+        'contentJson', 'definitionDetailId', 'definitionId', 'diagnosisName', 
+        'dosageInstruction', 'effectiveOrgId', 'encounterDiagnosisId', 
+        'encounterId', 'lotNumber', 'patientId', 'practitionerId', 
+        'prescriptionNo', 'skinTestFlag', 'unitPrice', 'volume', 'ybClassEnum'
+      ];
+      let filteredContent = {};
+      standardFields.forEach(field => {
+        if (parsedContent[field] !== undefined) {
+          filteredContent[field] = parsedContent[field];
+        }
+      });
+
      // 构造请求参数
      // 🔧 Bug Fix: 确保库存匹配成功的关键字段
      // 耗材使用 adm_device_definition 表
@@ -2427,10 +2436,12 @@ function handleSave(prescriptionId) {
      });
      
      return {
-        ...parsedContent,
+        ...filteredContent, // 🔧 BugFix#318: 使用过滤后的字段，排除手术特有字段
        adviceType: saveAdviceType, // 使用转换后的类型
        requestId: item.requestId,
-        dbOpType: '1',
+        dbOpType: item.requestId ? '2' : '1', // 🔧 BugFix: 根据requestId判断是新增还是修改
+        encounterId: item.encounterId || props.patientInfo.encounterId, // 🔧 BugFix: 确保encounterId
+        patientId: item.patientId || props.patientInfo.patientId, // 🔧 BugFix: 确保patientId
        groupId: item.groupId,
        uniqueKey: undefined,
        // 使用转换后的数量和单位
@@ -2723,28 +2734,32 @@ function handleSaveSign(row, index, prescriptionId) {

  formRef.validate((valid) => {
    if (valid) {
-      if (row.adviceType != 2) {
+      // 🔧 BugFix#318: 手术类型(adviceType=6)不需要检查绑定耗材/药品
+      if (row.adviceType != 2 && row.adviceType != 6) {
        // 1:用法绑东西 2:诊疗绑东西
        let typeCode = row.adviceType == 1 ? '1' : '2';
        // 用法字典值/诊疗定义id
        let itemNo = row.adviceType == 1 ? row.methodCode : row.adviceDefinitionId;
-        getBindDevice({ typeCode: typeCode, itemNo: itemNo }).then((res) => {
-          if (res.data.length == 0) {
-            return;
-          }
-          // 是否需要打开弹窗
-          let openBindDialog = localStorage.getItem('doctor' + userStore.id);
-          if (!JSON.parse(openBindDialog)) {
-            proxy.$refs['orderBindInfoRef'].open(res.data);
-          } else {
-            // 如果弹窗不提示带出的项目，自动带出
-            // 如果有未签发的项目，并且当前的项目没有带出过绑定项目，则自动带出
-            if (!bindMethod.value[itemNo]) {
-              handleOrderBindInfo(res.data, row.methodCode);
-              bindMethod.value[itemNo] = true;
+        // 🔧 确保 itemNo 有值才调用接口
+        if (itemNo) {
+          getBindDevice({ typeCode: typeCode, itemNo: itemNo }).then((res) => {
+            if (res.data.length == 0) {
+              return;
            }
-          }
-        });
+            // 是否需要打开弹窗
+            let openBindDialog = localStorage.getItem('doctor' + userStore.id);
+            if (!JSON.parse(openBindDialog)) {
+              proxy.$refs['orderBindInfoRef'].open(res.data);
+            } else {
+              // 如果弹窗不提示带出的项目，自动带出
+              // 如果有未签发的项目，并且当前的项目没有带出过绑定项目，则自动带出
+              if (!bindMethod.value[itemNo]) {
+                handleOrderBindInfo(res.data, row.methodCode);
+                bindMethod.value[itemNo] = true;
+              }
+            }
+          });
+        }
      }
      row.isEdit = false;
      isAdding.value = false;
@@ -2766,15 +2781,20 @@ function handleSaveSign(row, index, prescriptionId) {

      row.conditionId = conditionId.value;
      // 处理总量为小单位情况，需要把单价也保存成小单位的
-      if (row.unitCodeList.find((item) => item.value == row.unitCode).type == 'unit') {
-        if (row.adviceType != 3) {
-          row.unitPrice = row.unitTempPrice;
+      // 🔧 BugFix#318: 手术类型(adviceType=6)可能没有unitCodeList，需要判断
+      if (row.unitCodeList && row.unitCodeList.length > 0) {
+        const foundUnit = row.unitCodeList.find((item) => item.value == row.unitCode);
+        if (foundUnit && foundUnit.type == 'unit') {
+          if (row.adviceType != 3) {
+            row.unitPrice = row.unitTempPrice;
+          }
+        } else {
+          const minUnitItem = row.unitCodeList.find((item) => item.value == row.minUnitCode);
+          if (minUnitItem) {
+            row.unitCode_dictText = minUnitItem.label;
+          }
+          row.unitPrice = row.minUnitPrice;
        }
-      } else {
-        row.unitCode_dictText = row.unitCodeList.find(
-            (item) => item.value == row.minUnitCode
-        ).label;
-        row.unitPrice = row.minUnitPrice;
      }
      row.conditionDefinitionId = conditionDefinitionId.value;
      row.encounterDiagnosisId = encounterDiagnosisId.value;
@@ -2956,8 +2976,27 @@ function handleSaveBatch(prescriptionId) {
          saveAdviceType = 1; // 中成药前端2 -> 后端1
        } else if (item.adviceType == 5) {
          saveAdviceType = 3; // 会诊前端5 -> 后端3（诊疗类）
+        } else if (item.adviceType == 6) {
+          saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
        }

+        // 🔧 BugFix#318: 过滤掉手术特有字段，只保留标准医嘱字段
+        const standardItemFields = [
+          'adviceDefinitionId', 'adviceName', 'adviceTableName', 'adviceType',
+          'basedOnId', 'chargeItemId', 'chargeStatus', 'conditionDefinitionId',
+          'conditionId', 'contentJson', 'dose', 'doseUnitCode', 'encounterDiagnosisId',
+          'encounterId', 'groupId', 'injectFlag', 'lotNumber', 'methodCode', 'partPercent',
+          'patientId', 'positionId', 'positionName', 'prescriptionNo', 'quantity', 'rateCode',
+          'requestId', 'skinTestFlag', 'sortNumber', 'statusEnum', 'totalPrice',
+          'unitCode', 'unitPrice', 'volume', 'ybClassEnum'
+        ];
+        let filteredItem = {};
+        standardItemFields.forEach(field => {
+          if (item[field] !== undefined) {
+            filteredItem[field] = item[field];
+          }
+        });
+
        // 构造 contentJson (保持前端UI原始数据)
        const itemToSave = {
          ...item,
@@ -3003,7 +3042,7 @@ function handleSaveBatch(prescriptionId) {
        });

        return {
-          ...item,
+          ...filteredItem, // 🔧 BugFix#318: 使用过滤后的字段
          patientId: props.patientInfo.patientId,
          encounterId: props.patientInfo.encounterId,
          adviceType: saveAdviceType,
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/OrderForm.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/OrderForm.vue
@@ -371,7 +371,7 @@
        <div style="display: flex; align-items: center; margin-bottom: 16px; gap: 16px">
          <span style="font-size: 16px; font-weight: 600">
            {{ row.adviceName }}
-            {{ row.unitPrice ? Number(row.unitPrice).toFixed(2) + '/次' : '-' + '元' }}
+            {{ row.unitPrice ? ' -' + Number(row.unitPrice).toFixed(2) + '元' : ' -元' }}
          </span>
          <div class="form-group">
            <el-form-item
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -426,38 +426,35 @@ const inputRefs = ref({}); // 存储输入框实例
 const requiredProps = ref([]); // 存储必填项 prop 顺序
 const totalAmount = ref(0);
 const therapyEnum = ref('');
-const { method_code, unit_code, rate_code, distribution_category_code } = proxy.useDict(
+const { method_code, unit_code, rate_code, distribution_category_code, drord_doctor_type } = proxy.useDict(
  'method_code',
  'unit_code',
  'rate_code',
-  'distribution_category_code'
+  'distribution_category_code',
+  'drord_doctor_type'
 );
 const openDrawer = ref(false);
 const orderClassCode = ref('');
 const orderStatus = ref('');
-// 医嘱类型
-const adviceTypeList = ref([
-  {
-    label: '西药中成药',
-    value: 1,
-  },
-  // {
-  //   label: '耗材',
-  //   value: 2,
-  // },
-  {
-    label: '诊疗',
-    value: 3,
-  },
-  {
-    label: '手术',
-    value: 4,
-  },
-  {
-    label: '全部',
-    value: '',
-  },
-]);
+// 医嘱类型 - 使用 drord_doctor_type 字典
+const adviceTypeList = computed(() => {
+  // 如果字典已加载，使用字典数据（过滤掉全部选项）
+  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
+    const list = drord_doctor_type.value.map(item => ({
+      label: item.label,
+      value: parseInt(item.value) || item.value
+    }));
+    // 添加全部选项
+    return [...list, { label: '全部', value: '' }];
+  }
+  // 默认返回值
+  return [
+    { label: '西药中成药', value: 1 },
+    { label: '诊疗', value: 3 },
+    { label: '手术', value: 6 },
+    { label: '全部', value: '' },
+  ];
+});
 // 医嘱状态
 const statusOption = [
  {
--- a/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue
@@ -250,12 +250,15 @@
 </template>

 <script setup>
-import {computed, onMounted, reactive, ref, watch} from 'vue';
+import {computed, getCurrentInstance, onMounted, reactive, ref, watch} from 'vue';
 import {ElMessage} from 'element-plus';
 import {formatDateStr} from '@/utils/index';
 import {getAdviceBaseInfo, getDiseaseTreatmentInitLoc, getOrgList} from './api.js';
 import useUserStore from '@/store/modules/user';

+const { proxy } = getCurrentInstance();
+const { drord_doctor_type } = proxy.useDict('drord_doctor_type');
+
 // Props定义
 const props = defineProps({
  visible: {
@@ -280,11 +283,26 @@ const dialogVisible = computed({
  get: () => props.visible,
  set: (value) => emit('update:visible', value),
 });
-const adviceTypeList = ref([
-  { label: '耗材', value: 2 },
-  { label: '诊疗', value: 3 },
-  { label: '全部', value: '' },
-]);
+// 使用 drord_doctor_type 字典
+const adviceTypeList = computed(() => {
+  if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
+    // 只保留耗材(4)和诊疗(3)类型，并添加全部选项
+    const filtered = drord_doctor_type.value.filter(item => {
+      const val = parseInt(item.value);
+      return val === 3 || val === 4;
+    }).map(item => ({
+      label: item.label,
+      value: parseInt(item.value)
+    }));
+    return [...filtered, { label: '全部', value: '' }];
+  }
+  // 默认值
+  return [
+    { label: '耗材', value: 4 },
+    { label: '诊疗', value: 3 },
+    { label: '全部', value: '' },
+  ];
+});
 const adviceType = ref('');
 const feeItemsList = ref([]);
 const executeTime = ref('');