diff --git a/openhis-ui-vue3/src/views/outpatient/ExamRequest.vue b/openhis-ui-vue3/src/views/outpatient/ExamRequest.vue
new file mode 100644
index 000000000..7b365d149
--- /dev/null
+++ b/openhis-ui-vue3/src/views/outpatient/ExamRequest.vue
@@ -0,0 +1,175 @@
+<template>
+  <div class="exam-request-container">
+    <el-row :gutter="16" class="main-layout">
+      <!-- 左侧：检查分类 -->
+      <el-col :span="6" class="category-panel">
+        <el-tree :data="categories" :props="{ label: 'name', children: 'children' }" @node-click="handleCategoryClick" />
+      </el-col>
+
+      <!-- 中间：检查项目 -->
+      <el-col :span="9" class="item-panel">
+        <el-table :data="currentItems" border style="width: 100%" @selection-change="handleItemSelection">
+          <el-table-column type="selection" width="40" />
+          <el-table-column prop="name" label="检查项目" />
+          <el-table-column prop="price" label="价格" width="80" />
+        </el-table>
+      </el-col>
+
+      <!-- 右侧：已选择区域 -->
+      <el-col :span="9" class="selected-panel">
+        <div class="panel-header">
+          <h3>已选择</h3>
+          <el-button type="danger" size="small" @click="clearAll">清空</el-button>
+        </div>
+        
+        <!-- 移除原“项目套餐明细”冗余标签 -->
+        <div class="selected-list">
+          <div v-for="item in selectedItems" :key="item.id" class="selected-card">
+            <div class="card-header" @click="toggleExpand(item)">
+              <el-checkbox 
+                v-model="item.checked" 
+                @change="onItemCheck(item)" 
+                @click.stop 
+              />
+              <el-tooltip :content="item.displayName" placement="top" :show-after="300" :disabled="!item.isTruncated">
+                <span 
+                  ref="nameRefs" 
+                  class="item-name" 
+                  @mouseenter="checkTruncate(item)"
+                >{{ item.displayName }}</span>
+              </el-tooltip>
+              <el-icon class="expand-icon">
+                <ArrowDown v-if="item.expanded" />
+                <ArrowRight v-else />
+              </el-icon>
+            </div>
+            
+            <!-- 检查方法明细，严格遵循 项目 > 检查方法 层级，默认收起 -->
+            <div v-show="item.expanded" class="method-list">
+              <div v-for="method in item.methods" :key="method.id" class="method-row">
+                <el-checkbox 
+                  v-model="method.checked" 
+                  @change="onMethodCheck(method)" 
+                  @click.stop 
+                />
+                <span class="method-name">{{ method.name }}</span>
+              </div>
+            </div>
+          </div>
+          <el-empty v-if="selectedItems.length === 0" description="暂无已选项目" :image-size="60" />
+        </div>
+      </el-col>
+    </el-row>
+  </div>
+</template>
+
+<script setup>
+import { ref, reactive, computed, nextTick } from 'vue'
+import { ArrowDown, ArrowRight } from '@element-plus/icons-vue'
+import { ElMessage } from 'element-plus'
+
+// 模拟数据源
+const categories = ref([
+  { id: 1, name: '彩超', children: [] }
+])
+const currentItems = ref([
+  { id: 10, name: '128线排彩超套餐', price: 150, methods: [
+    { id: 101, name: '常规腹部检查', checked: false },
+    { id: 102, name: '心脏彩超', checked: false }
+  ]}
+])
+
+// 已选项目状态管理
+const selectedItems = reactive([])
+const nameRefs = ref([])
+
+// 计算属性：清理“套餐”字样，优化显示
+const cleanName = (name) => name.replace(/套餐/g, '').trim()
+
+// 添加项目到已选列表
+const handleItemSelection = (selection) => {
+  // 解耦逻辑：仅同步选中项，不自动勾选子方法
+  const newIds = new Set(selection.map(i => i.id))
+  
+  // 移除未选中的
+  for (let i = selectedItems.length - 1; i >= 0; i--) {
+    if (!newIds.has(selectedItems[i].id)) {
+      selectedItems.splice(i, 1)
+    }
+  }
+  
+  // 新增已选中的
+  selection.forEach(item => {
+    if (!selectedItems.find(s => s.id === item.id)) {
+      selectedItems.push({
+        id: item.id,
+        name: item.name,
+        displayName: cleanName(item.name),
+        checked: true,
+        expanded: false, // 默认收起
+        isTruncated: false,
+        methods: item.methods.map(m => ({ ...m, checked: false })) // 方法默认不勾选
+      })
+    }
+  })
+}
+
+// 解耦：项目勾选独立，不级联方法
+const onItemCheck = (item) => {
+  // 仅记录状态，不触发 methods 联动
+  console.log(`[解耦] 项目 ${item.displayName} 状态: ${item.checked}`)
+}
+
+// 解耦：方法勾选独立
+const onMethodCheck = (method) => {
+  console.log(`[解耦] 方法 ${method.name} 状态: ${method.checked}`)
+}
+
+// 展开/收起明细
+const toggleExpand = (item) => {
+  item.expanded = !item.expanded
+}
+
+// 检测文本是否截断以控制 Tooltip
+const checkTruncate = async (item) => {
+  await nextTick()
+  const el = nameRefs.value.find(r => r?.textContent === item.displayName)
+  if (el) {
+    item.isTruncated = el.scrollWidth > el.clientWidth
+  }
+}
+
+const clearAll = () => {
+  selectedItems.length = 0
+  ElMessage.success('已清空选择')
+}
+
+const handleCategoryClick = (data) => {
+  // 加载对应分类下的项目逻辑（略）
+}
+</script>
+
+<style scoped>
+.exam-request-container { padding: 16px; background: #f5f7fa; min-height: 100vh; }
+.main-layout { background: #fff; padding: 16px; border-radius: 8px; }
+.category-panel, .item-panel, .selected-panel { height: 600px; overflow-y: auto; }
+.selected-panel { border-left: 1px solid #ebeef5; padding-left: 16px; }
+.panel-header { display: flex; justify-content: space-between; align-items: center; margin-bottom: 12px; }
+.panel-header h3 { margin: 0; font-size: 16px; color: #303133; }
+.selected-list { display: flex; flex-direction: column; gap: 10px; }
+.selected-card { border: 1px solid #e4e7ed; border-radius: 6px; background: #fafafa; overflow: hidden; }
+.card-header { display: flex; align-items: center; gap: 8px; padding: 10px 12px; cursor: pointer; transition: background 0.2s; }
+.card-header:hover { background: #f2f6fc; }
+.item-name { 
+  flex: 1; 
+  overflow: hidden; 
+  text-overflow: ellipsis; 
+  white-space: nowrap; 
+  font-weight: 500; 
+  color: #303133;
+}
+.expand-icon { color: #909399; font-size: 14px; }
+.method-list { padding: 8px 12px 12px 32px; background: #fff; border-top: 1px dashed #ebeef5; }
+.method-row { display: flex; align-items: center; gap: 8px; padding: 4px 0; }
+.method-name { color: #606266; font-size: 13px; }
+</style>