diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/techstation/controller/TechStationController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/techstation/controller/TechStationController.java
new file mode 100644
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+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/techstation/controller/TechStationController.java
@@ -0,0 +1,337 @@
+package com.openhis.web.techstation.controller;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.core.controller.BaseController;
+import com.core.common.core.domain.AjaxResult;
+import com.core.common.core.page.TableDataInfo;
+import com.openhis.check.domain.ExamApply;
+import com.openhis.check.domain.ExamApplyItem;
+import com.openhis.check.service.IExamApplyItemService;
+import com.openhis.check.service.IExamApplyService;
+import com.openhis.lab.domain.InspectionLabApply;
+import com.openhis.lab.service.IInspectionLabApplyService;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.transaction.annotation.Transactional;
+import org.springframework.web.bind.annotation.*;
+
+import java.time.LocalDateTime;
+import java.util.*;
+import java.util.stream.Collectors;
+
+/**
+ * 医技工作站 Controller
+ * <p>
+ * 职责：
+ * 1. 医技执行 — 查询待执行的检查/检验申请单，执行确认
+ * 2. 医技退费审批 — 查询待退费审批的申请单，审批通过/驳回
+ * </p>
+ */
+@RestController
+@RequestMapping("/tech-station")
+public class TechStationController extends BaseController {
+
+    @Autowired
+    private IExamApplyService examApplyService;
+
+    @Autowired
+    private IExamApplyItemService examApplyItemService;
+
+    @Autowired
+    private IInspectionLabApplyService inspectionLabApplyService;
+
+    // ========== 医技执行 ==========
+
+    /**
+     * 待执行列表（检查 + 检验）
+     * 查询已收费但未执行的申请单
+     */
+    @GetMapping("/execute/list")
+    public TableDataInfo executeList(
+            @RequestParam(value = "applyType", required = false) String applyType,
+            @RequestParam(value = "patientName", required = false) String patientName,
+            @RequestParam(value = "applyNo", required = false) String applyNo,
+            @RequestParam(value = "startTime", required = false) String startTime,
+            @RequestParam(value = "endTime", required = false) String endTime) {
+
+        startPage();
+        List<Map<String, Object>> resultList = new ArrayList<>();
+
+        // 查询检查申请单（exam_apply）
+        // applyStatus: 1=已收费, 2=已预约, 3=已签到 → 待执行
+        if (applyType == null || "exam".equals(applyType)) {
+            LambdaQueryWrapper<ExamApply> wrapper = new LambdaQueryWrapper<>();
+            wrapper.eq(ExamApply::getIsCharged, 1)
+                   .eq(ExamApply::getIsExecuted, 0)
+                   .ne(ExamApply::getApplyStatus, 6); // 排除作废
+            if (patientName != null && !patientName.isEmpty()) {
+                wrapper.like(ExamApply::getPatientId, patientName);
+            }
+            if (applyNo != null && !applyNo.isEmpty()) {
+                wrapper.like(ExamApply::getApplyNo, applyNo);
+            }
+            wrapper.orderByDesc(ExamApply::getApplyTime);
+            List<ExamApply> examList = examApplyService.list(wrapper);
+            for (ExamApply exam : examList) {
+                Map<String, Object> item = new HashMap<>();
+                item.put("applyNo", exam.getApplyNo());
+                item.put("applyType", "exam");
+                item.put("applyTypeName", "检查");
+                item.put("patientId", exam.getPatientId());
+                item.put("visitNo", exam.getVisitNo());
+                item.put("applyDeptCode", exam.getApplyDeptCode());
+                item.put("applyDocCode", exam.getApplyDocCode());
+                item.put("applyTime", exam.getApplyTime());
+                item.put("clinicDesc", exam.getClinicDesc());
+                item.put("examTypeCode", exam.getExamTypeCode());
+                item.put("inspectionArea", exam.getInspectionArea());
+                item.put("inspectionMethod", exam.getInspectionMethod());
+                item.put("applyStatus", exam.getApplyStatus());
+                item.put("isUrgent", exam.getIsUrgent());
+                item.put("applyRemark", exam.getApplyRemark());
+                resultList.add(item);
+            }
+        }
+
+        // 查询检验申请单（lab_apply）
+        // applyStatus: 2=已收费 → 待执行
+        if (applyType == null || "lab".equals(applyType)) {
+            LambdaQueryWrapper<InspectionLabApply> wrapper = new LambdaQueryWrapper<>();
+            wrapper.eq(InspectionLabApply::getApplyStatus, 2L);
+            if (patientName != null && !patientName.isEmpty()) {
+                wrapper.like(InspectionLabApply::getPatientName, patientName);
+            }
+            if (applyNo != null && !applyNo.isEmpty()) {
+                wrapper.like(InspectionLabApply::getApplyNo, applyNo);
+            }
+            wrapper.orderByDesc(InspectionLabApply::getApplyTime);
+            List<InspectionLabApply> labList = inspectionLabApplyService.list(wrapper);
+            for (InspectionLabApply lab : labList) {
+                Map<String, Object> item = new HashMap<>();
+                item.put("applyNo", lab.getApplyNo());
+                item.put("applyType", "lab");
+                item.put("applyTypeName", "检验");
+                item.put("patientId", lab.getPatientId());
+                item.put("patientName", lab.getPatientName());
+                item.put("medicalrecordNumber", lab.getMedicalrecordNumber());
+                item.put("applyDeptCode", lab.getApplyDeptCode());
+                item.put("applyDepartment", lab.getApplyDepartment());
+                item.put("applyDocCode", lab.getApplyDocCode());
+                item.put("applyDocName", lab.getApplyDocName());
+                item.put("applyTime", lab.getApplyTime());
+                item.put("clinicDiag", lab.getClinicDiag());
+                item.put("inspectionItem", lab.getInspectionItem());
+                item.put("specimenName", lab.getSpecimenName());
+                item.put("priorityCode", lab.getPriorityCode());
+                item.put("applyStatus", lab.getApplyStatus());
+                item.put("applyRemark", lab.getApplyRemark());
+                resultList.add(item);
+            }
+        }
+
+        // 按申请时间倒序排序
+        resultList.sort((a, b) -> {
+            Object timeA = a.get("applyTime");
+            Object timeB = b.get("applyTime");
+            if (timeA == null && timeB == null) return 0;
+            if (timeA == null) return 1;
+            if (timeB == null) return -1;
+            if (timeA instanceof LocalDateTime && timeB instanceof LocalDateTime) {
+                return ((LocalDateTime) timeB).compareTo((LocalDateTime) timeA);
+            }
+            if (timeA instanceof Date && timeB instanceof Date) {
+                return ((Date) timeB).compareTo((Date) timeA);
+            }
+            return 0;
+        });
+
+        return getDataTable(resultList);
+    }
+
+    /**
+     * 执行确认（检查申请单）
+     */
+    @PutMapping("/execute/exam/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult executeExam(@PathVariable String applyNo) {
+        ExamApply examApply = examApplyService.getById(applyNo);
+        if (examApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        if (examApply.getIsExecuted() == 1) {
+            return AjaxResult.error("该申请单已执行");
+        }
+        examApply.setIsExecuted(1);
+        examApply.setApplyStatus(5); // 已完成
+        examApplyService.updateById(examApply);
+        return AjaxResult.success("执行成功");
+    }
+
+    /**
+     * 执行确认（检验申请单）
+     */
+    @PutMapping("/execute/lab/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult executeLab(@PathVariable String applyNo) {
+        LambdaQueryWrapper<InspectionLabApply> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(InspectionLabApply::getApplyNo, applyNo);
+        InspectionLabApply labApply = inspectionLabApplyService.getOne(wrapper);
+        if (labApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        if (labApply.getApplyStatus() == 3L) {
+            return AjaxResult.error("该申请单已执行");
+        }
+        labApply.setApplyStatus(3L); // 已执行/已完成
+        inspectionLabApplyService.updateById(labApply);
+        return AjaxResult.success("执行成功");
+    }
+
+    // ========== 医技退费审批 ==========
+
+    /**
+     * 待退费审批列表
+     * 查询 isRefunded=1（已申请退费）且需要审批的申请单
+     */
+    @GetMapping("/refund-approve/list")
+    public TableDataInfo refundApproveList(
+            @RequestParam(value = "applyType", required = false) String applyType,
+            @RequestParam(value = "patientName", required = false) String patientName,
+            @RequestParam(value = "applyNo", required = false) String applyNo,
+            @RequestParam(value = "approveStatus", required = false) Integer approveStatus) {
+
+        startPage();
+        List<Map<String, Object>> resultList = new ArrayList<>();
+
+        // 查询已申请退费的检查申请单
+        if (applyType == null || "exam".equals(applyType)) {
+            LambdaQueryWrapper<ExamApply> wrapper = new LambdaQueryWrapper<>();
+            wrapper.eq(ExamApply::getIsRefunded, 1);
+            // applyStatus=6 表示作废（退费申请）
+            if (approveStatus != null) {
+                wrapper.eq(ExamApply::getApplyStatus, approveStatus);
+            }
+            if (patientName != null && !patientName.isEmpty()) {
+                wrapper.like(ExamApply::getPatientId, patientName);
+            }
+            if (applyNo != null && !applyNo.isEmpty()) {
+                wrapper.like(ExamApply::getApplyNo, applyNo);
+            }
+            wrapper.orderByDesc(ExamApply::getApplyTime);
+            List<ExamApply> examList = examApplyService.list(wrapper);
+            for (ExamApply exam : examList) {
+                Map<String, Object> item = new HashMap<>();
+                item.put("applyNo", exam.getApplyNo());
+                item.put("applyType", "exam");
+                item.put("applyTypeName", "检查");
+                item.put("patientId", exam.getPatientId());
+                item.put("visitNo", exam.getVisitNo());
+                item.put("applyDeptCode", exam.getApplyDeptCode());
+                item.put("applyDocCode", exam.getApplyDocCode());
+                item.put("applyTime", exam.getApplyTime());
+                item.put("clinicDesc", exam.getClinicDesc());
+                item.put("applyStatus", exam.getApplyStatus());
+                item.put("isRefunded", exam.getIsRefunded());
+                item.put("applyRemark", exam.getApplyRemark());
+                resultList.add(item);
+            }
+        }
+
+        // 查询已申请退费的检验申请单（applyStatus=5 表示待退）
+        if (applyType == null || "lab".equals(applyType)) {
+            LambdaQueryWrapper<InspectionLabApply> wrapper = new LambdaQueryWrapper<>();
+            wrapper.eq(InspectionLabApply::getApplyStatus, 5L);
+            if (patientName != null && !patientName.isEmpty()) {
+                wrapper.like(InspectionLabApply::getPatientName, patientName);
+            }
+            if (applyNo != null && !applyNo.isEmpty()) {
+                wrapper.like(InspectionLabApply::getApplyNo, applyNo);
+            }
+            wrapper.orderByDesc(InspectionLabApply::getApplyTime);
+            List<InspectionLabApply> labList = inspectionLabApplyService.list(wrapper);
+            for (InspectionLabApply lab : labList) {
+                Map<String, Object> item = new HashMap<>();
+                item.put("applyNo", lab.getApplyNo());
+                item.put("applyType", "lab");
+                item.put("applyTypeName", "检验");
+                item.put("patientId", lab.getPatientId());
+                item.put("patientName", lab.getPatientName());
+                item.put("medicalrecordNumber", lab.getMedicalrecordNumber());
+                item.put("applyDeptCode", lab.getApplyDeptCode());
+                item.put("applyDepartment", lab.getApplyDepartment());
+                item.put("applyDocCode", lab.getApplyDocCode());
+                item.put("applyDocName", lab.getApplyDocName());
+                item.put("applyTime", lab.getApplyTime());
+                item.put("clinicDiag", lab.getClinicDiag());
+                item.put("applyStatus", lab.getApplyStatus());
+                item.put("applyRemark", lab.getApplyRemark());
+                resultList.add(item);
+            }
+        }
+
+        return getDataTable(resultList);
+    }
+
+    /**
+     * 退费审批通过（检查）
+     */
+    @PutMapping("/refund-approve/approve/exam/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult approveExamRefund(@PathVariable String applyNo) {
+        ExamApply examApply = examApplyService.getById(applyNo);
+        if (examApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        examApply.setApplyStatus(6); // 作废（退费完成）
+        examApplyService.updateById(examApply);
+        return AjaxResult.success("审批通过");
+    }
+
+    /**
+     * 退费审批驳回（检查）
+     */
+    @PutMapping("/refund-approve/reject/exam/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult rejectExamRefund(@PathVariable String applyNo) {
+        ExamApply examApply = examApplyService.getById(applyNo);
+        if (examApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        examApply.setIsRefunded(0); // 恢复为未退费
+        examApplyService.updateById(examApply);
+        return AjaxResult.success("已驳回");
+    }
+
+    /**
+     * 退费审批通过（检验）
+     */
+    @PutMapping("/refund-approve/approve/lab/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult approveLabRefund(@PathVariable String applyNo) {
+        LambdaQueryWrapper<InspectionLabApply> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(InspectionLabApply::getApplyNo, applyNo);
+        InspectionLabApply labApply = inspectionLabApplyService.getOne(wrapper);
+        if (labApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        labApply.setApplyStatus(6L); // 作废（退费完成）
+        inspectionLabApplyService.updateById(labApply);
+        return AjaxResult.success("审批通过");
+    }
+
+    /**
+     * 退费审批驳回（检验）
+     */
+    @PutMapping("/refund-approve/reject/lab/{applyNo}")
+    @Transactional(rollbackFor = Exception.class)
+    public AjaxResult rejectLabRefund(@PathVariable String applyNo) {
+        LambdaQueryWrapper<InspectionLabApply> wrapper = new LambdaQueryWrapper<>();
+        wrapper.eq(InspectionLabApply::getApplyNo, applyNo);
+        InspectionLabApply labApply = inspectionLabApplyService.getOne(wrapper);
+        if (labApply == null) {
+            return AjaxResult.error("申请单不存在");
+        }
+        labApply.setApplyStatus(2L); // 恢复为已收费
+        inspectionLabApplyService.updateById(labApply);
+        return AjaxResult.success("已驳回");
+    }
+}
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