diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
index 72457271..0b9fd2f2 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java
@@ -465,7 +465,13 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
                 updateServiceRequestStatus(entity.getOrderId(), RequestStatus.DRAFT.getValue());
 
             } else {
-                // 作废：将状态改为"已取消"
+                // 作废：状态校验 - 已确认(20)、已签名(30)、已完成(40) 状态禁止作废
+                ConsultationStatusEnum currentStatus = ConsultationStatusEnum.getByCode(entity.getConsultationStatus());
+                if (currentStatus != null && !currentStatus.canCancel()) {
+                    throw new IllegalArgumentException("当前状态【" + currentStatus.getDescription() + "】不允许作废，只有新开或已提交状态的会诊申请才能作废");
+                }
+
+                // 将状态改为"已取消"
                 entity.setConsultationStatus(CANCELLED.getCode());
                 entity.setCancelReason(cancelReason);
                 entity.setCancelNatureDate(new Date());
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
index 72886204..8aded5d1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/enums/ConsultationStatusEnum.java
@@ -76,10 +76,12 @@ public enum ConsultationStatusEnum {
     }
     
     /**
-     * 判断是否可以取消
+     * 判断是否可以取消/作废
+     * 只有新开(0)和已提交(10)状态可以作废
+     * 已确认(20)、已签名(30)、已完成(40)状态禁止作废
      */
     public boolean canCancel() {
-        return this == NEW || this == SUBMITTED || this == CONFIRMED;
+        return this == NEW || this == SUBMITTED;
     }
 }
 
diff --git a/openhis-ui-vue3/src/views/consultationmanagement/consultationapplication/index.vue b/openhis-ui-vue3/src/views/consultationmanagement/consultationapplication/index.vue
index 613cd172..d915b961 100644
--- a/openhis-ui-vue3/src/views/consultationmanagement/consultationapplication/index.vue
+++ b/openhis-ui-vue3/src/views/consultationmanagement/consultationapplication/index.vue
@@ -174,7 +174,7 @@
               size="small"
               :icon="Delete"
               @click="handleDelete(scope.row)"
-              :disabled="scope.row.consultationStatus >= STATUS.ENDED"
+              :disabled="scope.row.consultationStatus >= STATUS.CONFIRMED"
               title="作废"
             />
           </template>
@@ -666,8 +666,9 @@ const handleSave = async () => {
 }
 
 const handleDelete = async (row) => {
-  if (row.consultationStatus >= STATUS.ENDED) {
-    ElMessage.warning('已结束的会诊申请不可作废')
+  // 已确认(20)、已签名(30)、已完成(40) 状态禁止作废
+  if (row.consultationStatus >= STATUS.CONFIRMED) {
+    ElMessage.warning('已确认/已签名状态的会诊申请不可作废')
     return
   }