bug 703 - 708

healthlink-his-server/core-framework/src/main/java/com/core/framework/config/ApplicationConfig.java

@@ -42,8 +42,10 @@ public class ApplicationConfig {
     @Bean
     public ObjectMapper objectMapper() {
         ObjectMapper mapper = new ObjectMapper();
-        mapper.setTimeZone(TimeZone.getDefault());
+        mapper.setTimeZone(TimeZone.getTimeZone("Asia/Shanghai"));
-        mapper.setDateFormat(new SimpleDateFormat("yyyy-MM-dd HH:mm:ss"));
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd HH:mm:ss");
+        sdf.setTimeZone(TimeZone.getTimeZone("Asia/Shanghai"));
+        mapper.setDateFormat(sdf);
         mapper.disable(SerializationFeature.WRITE_DATES_AS_TIMESTAMPS);
 
         JavaTimeModule javaTimeModule = new JavaTimeModule();

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/common/dto/PerformRecordDto.java

@@ -30,11 +30,11 @@ public class PerformRecordDto {
     private String statusEnum_enumText;
 
     /** 预计执行时间 */
-    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
+    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss", timezone = "Asia/Shanghai")
     private Date occurrenceTime;
 
     /** 实际执行时间 */
-    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss")
+    @JsonFormat(shape = JsonFormat.Shape.STRING, pattern = "yyyy-MM-dd HH:mm:ss", timezone = "Asia/Shanghai")
     private Date recordedTime;
 
     /** 执行位置 */

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -74,6 +74,13 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"),
             DateTimeFormatter.ofPattern("yyyy-MM-dd H:mm:ss"));
 
+    /** Date → "yyyy-MM-dd HH:mm:ss"，与前端 formatDateStr 输出格式一致 */
+    private static String formatOccurrenceTime(Date date) {
+        if (date == null) return "";
+        LocalDateTime ldt = date.toInstant().atZone(ZoneId.systemDefault()).toLocalDateTime();
+        return ldt.format(DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"));
+    }
+
     @Resource
     AssignSeqUtil assignSeqUtil;
 
@@ -334,7 +341,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 if (performRecordList != null && !performRecordList.isEmpty()) {
                     // 按时间分组，处理每个时间点的多条记录
                     Map<String, List<PerformRecordDto>> recordsByTime = performRecordList.stream()
-                            .collect(Collectors.groupingBy(record -> record.getOccurrenceTime().toString()));
+                            .collect(Collectors.groupingBy(record -> formatOccurrenceTime(record.getOccurrenceTime())));
                     for (Map.Entry<String, List<PerformRecordDto>> entry : recordsByTime.entrySet()) {
                         List<PerformRecordDto> records = entry.getValue();
                         // 按操作顺序排序
@@ -563,12 +570,25 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         Date exeDate = adviceExecuteParam.getExeDate();
         // 医嘱集合
         List<AdviceExecuteDetailParam> adviceExecuteDetailList = adviceExecuteParam.getAdviceExecuteDetailList();
+
+        // 前置校验：确保有待执行的医嘱且 executeTimes 不为空
+        if (adviceExecuteDetailList == null || adviceExecuteDetailList.isEmpty()) {
+            return R.fail("未选择需要执行的医嘱");
+        }
+        adviceExecuteDetailList.removeIf(item -> item.getExecuteTimes() == null || item.getExecuteTimes().isEmpty());
+        if (adviceExecuteDetailList.isEmpty()) {
+            return R.fail("所选医嘱没有可执行的时间点，请勾选预计执行时间后再操作");
+        }
+
         // 药品
         List<AdviceExecuteDetailParam> medicineList = adviceExecuteDetailList.stream()
                 .filter(e -> CommonConstants.TableName.MED_MEDICATION_REQUEST.equals(e.getAdviceTable())).toList();
         // 诊疗
         List<AdviceExecuteDetailParam> activityList = adviceExecuteDetailList.stream()
                 .filter(e -> CommonConstants.TableName.WOR_SERVICE_REQUEST.equals(e.getAdviceTable())).toList();
+
+        int totalCreatedCount = 0;
+
         // -------------------------------------------药品
         if (!medicineList.isEmpty()) {
             // 组装药品请求用于执行的数据结构
@@ -581,14 +601,14 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 }
             }
             // 处理药品执行
-            this.exeMedication(medUseExeList, exeDate);
+            totalCreatedCount += this.exeMedication(medUseExeList, exeDate);
         }
         // -------------------------------------------诊疗
         if (!activityList.isEmpty()) {
             // 组装诊疗请求用于执行的数据结构
             List<ServiceRequestUseExe> actUseExeList = this.assemblyActivity(activityList);
             // 处理诊疗执行
-            this.exeActivity(actUseExeList, exeDate);
+            totalCreatedCount += this.exeActivity(actUseExeList, exeDate);
             // 检查类医嘱执行后，状态改为"待接收"（PENDING_RECEIVE=11）
             List<Long> actReqIds = activityList.stream().map(AdviceExecuteDetailParam::getRequestId).toList();
             List<ServiceRequest> executedReqs = serviceRequestService.listByIds(actReqIds);
@@ -607,6 +627,11 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             }
         }
 
+        // 后置校验：确认有执行记录被实际创建
+        if (totalCreatedCount == 0) {
+            return R.fail("执行失败，未生成任何执行记录，请检查医嘱状态后重试");
+        }
+
         return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[]{"医嘱执行"}));
     }
 
@@ -908,8 +933,10 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
      *
      * @param medUseExeList 药品医嘱
      * @param exeDate 实际执行时间
+     * @return 实际创建的执行记录数
      */
-    private void exeMedication(List<MedicationRequestUseExe> medUseExeList, Date exeDate) {
+    private int exeMedication(List<MedicationRequestUseExe> medUseExeList, Date exeDate) {
+        int createdCount = 0;
         // 长期医嘱
         List<MedicationRequestUseExe> longMedication = medUseExeList.stream()
                 .filter(e -> TherapyTimeType.LONG_TERM.getValue().equals(e.getTherapyEnum())).toList();
@@ -932,6 +959,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         MedicationRequest longMedicationRequest;
         ChargeItem chargeItem;
         for (MedicationRequestUseExe medicationRequestUseExe : longMedication) {
+            if (medicationRequestUseExe.getExecuteTimes() == null) continue;
             for (String executeTime : medicationRequestUseExe.getExecuteTimes()) {
                 longMedicationRequest = new MedicationRequest();
                 BeanUtils.copyProperties(medicationRequestUseExe, longMedicationRequest);
@@ -961,6 +989,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         CommonConstants.TableName.MED_MEDICATION_REQUEST, EventStatus.COMPLETED,
                         ProcedureCategory.INPATIENT_ADVICE, null, expectedDate, exeDate, longMedicationRequest.getGroupId(),
                         null);
+                createdCount++;
 
                 // 医嘱定价来源
                 String orderPricingSource = TenantOptionUtil.getOptionContent(TenantOptionDict.ORDER_PRICING_SOURCE);
@@ -1161,6 +1190,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         // 临时
         MedicationRequest tempMedicationRequest;
         for (MedicationRequestUseExe medicationRequestUseExe : tempMedication) {
+            if (medicationRequestUseExe.getExecuteTimes() == null) continue;
             for (String executeTime : medicationRequestUseExe.getExecuteTimes()) {
                 tempMedicationRequest = new MedicationRequest();
                 BeanUtils.copyProperties(medicationRequestUseExe, tempMedicationRequest);
@@ -1173,6 +1203,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         CommonConstants.TableName.MED_MEDICATION_REQUEST, EventStatus.COMPLETED,
                         ProcedureCategory.INPATIENT_ADVICE, null, expectedDate, exeDate, tempMedicationRequest.getGroupId(),
                         null);
+                createdCount++;
 
                 // 更新药品放发状态
                 medicationDispenseService.update(new LambdaUpdateWrapper<MedicationDispense>()
@@ -1189,6 +1220,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             }
         }
 
+        return createdCount;
     }
 
     /**
@@ -1196,8 +1228,10 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
      *
      * @param actUseExeList 诊疗医嘱
      * @param exeDate 实际执行时间
+     * @return 实际创建的执行记录数
      */
-    private void exeActivity(List<ServiceRequestUseExe> actUseExeList, Date exeDate) {
+    private int exeActivity(List<ServiceRequestUseExe> actUseExeList, Date exeDate) {
+        int createdCount = 0;
         // 长期医嘱
         List<ServiceRequestUseExe> longActivity = actUseExeList.stream()
                 .filter(e -> TherapyTimeType.LONG_TERM.getValue().equals(e.getTherapyEnum())).toList();
@@ -1222,6 +1256,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         ServiceRequest longServiceRequest;
         ChargeItem chargeItem;
         for (ServiceRequestUseExe serviceRequestUseExe : longActivity) {
+            if (serviceRequestUseExe.getExecuteTimes() == null) continue;
             // 查询耗材的取药科室
             Long takeDeviceLocationId = doctorStationAdviceAppMapper
                     .getTakeDeviceLocationId(serviceRequestUseExe.getEncounterId(), ItemCategoryCode.DEVICE.getCode());
@@ -1236,6 +1271,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         longServiceRequest.getPatientId(), longServiceRequest.getId(),
                         CommonConstants.TableName.WOR_SERVICE_REQUEST, EventStatus.COMPLETED,
                         ProcedureCategory.INPATIENT_ADVICE, null, expectedDate, exeDate, null, null);
+                createdCount++;
 
                 // 生成账单
                 chargeItem = new ChargeItem();
@@ -1293,6 +1329,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         // 临时
         ServiceRequest tempServiceRequest;
         for (ServiceRequestUseExe serviceRequestUseExe : tempActivity) {
+            if (serviceRequestUseExe.getExecuteTimes() == null) continue;
             // 查询耗材的取药科室
             Long takeDeviceLocationId = doctorStationAdviceAppMapper
                     .getTakeDeviceLocationId(serviceRequestUseExe.getEncounterId(), ItemCategoryCode.DEVICE.getCode());
@@ -1307,6 +1344,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         tempServiceRequest.getPatientId(), tempServiceRequest.getId(),
                         CommonConstants.TableName.WOR_SERVICE_REQUEST, EventStatus.COMPLETED,
                         ProcedureCategory.INPATIENT_ADVICE, null, expectedDate, exeDate, null, null);
+                createdCount++;
 
                 // 更新账单状态
                 chargeItemService.update(
@@ -1324,6 +1362,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             }
         }
 
+        return createdCount;
     }
 
     /**

healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/regdoctorstation/dto/RegRequestBaseDto.java

@@ -51,6 +51,9 @@ public class RegRequestBaseDto extends RequestBaseDto {
     private String doseUnitCode_dictText;
 
 
+    /** 药品分类编码（1-中成药 2-西药 4-中草药） */
+    private String categoryCode;
+
     /**
      * 备注（最长50字）
      */

healthlink-his-server/healthlink-his-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml

@@ -197,6 +197,7 @@
         T1.infusion_flag AS inject_flag,
         T1.group_id AS group_id,
         T2.NAME AS advice_name,
+        T2.category_code AS category_code,
         T3.total_volume AS volume,
         T1.lot_number AS lot_number,
         T1.quantity AS quantity,
@@ -256,6 +257,7 @@
         null AS inject_flag,
         null AS group_id,
         T2.NAME AS advice_name,
+        '' AS category_code,
         T2.SIZE AS volume,
         T1.lot_number AS lot_number,
         T1.quantity AS quantity,
@@ -312,6 +314,7 @@
         null AS inject_flag,
         null AS group_id,
         COALESCE(T2.NAME, T1.content_json::jsonb->>'surgeryName', T1.content_json::jsonb->>'adviceName') AS advice_name,
+        '' AS category_code,
         '' AS volume,
         '' AS lot_number,
         T1.quantity AS quantity,

healthlink-his-ui/src/views/inpatientDoctor/home/components/applicationShow/surgeryApplication.vue

@@ -277,7 +277,7 @@
                 currentDetail.createTime || '-'
               }}
             </el-descriptions-item>
-            <el-descriptions-item label="处方号">
+            <el-descriptions-item label="手术单号">
               {{
                 currentDetail.prescriptionNo || '-'
               }}
@@ -574,13 +574,7 @@ const handleEdit = async (row) => {
   editFormRef.value?.getLocationInfo?.();
   editFormRef.value?.getDiagnosisList?.();
   editFormRef.value?.loadDoctorOptions?.();
-  if (row.requestFormDetailList?.length > 0) {
+  // fillForm 由 SurgeryForm 内部 editData watcher 在 getList 完成后自动调用
-    editFormRef.value?.fillForm?.(
-      JSON.parse(row.descJson || '{}'),
-      row.requestFormDetailList,
-      row.requestFormId
-    );
-  }
 };
 
 const handleEditSubmitOk = async () => {

healthlink-his-ui/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue

@@ -356,6 +356,7 @@ let surgeryRecordsCache = null; // 原始 API 记录
 let surgeryMappedCache = null;  // 映射后的 el-transfer 数据
 let doctorCache = null;         // 医生列表（含默认主刀医生 ID）
 const transferRef = ref(null);
+const listLoaded = ref(false); // 手术项目列表是否已加载完成
 const dbTotal = ref(0); // 数据库中的手术项目总数
 const checkedCount = computed(() => transferValue.value.length);
 const leftPanelFormat = computed(() => ({
@@ -417,6 +418,7 @@ const getList = async (key) => {
     applicationList.value = surgeryMappedCache;
     applicationListAll.value = surgeryRecordsCache;
     dbTotal.value = surgeryRecordsCache.length;
+    listLoaded.value = true;
     return;
   }
   loading.value = true;
@@ -436,12 +438,14 @@ const getList = async (key) => {
         surgeryMappedCache = applicationList.value;
       }
       loading.value = false;
+      listLoaded.value = true;
     })
     .catch((e) => {
       console.error('手术项目加载失败:', e);
       applicationList.value = [];
       dbTotal.value = 0;
       loading.value = false;
+      listLoaded.value = true;
     });
 };
 
@@ -471,7 +475,7 @@ const mapToTransferItem = (item) => ({
 const fillForm = (descJson, details, formId) => {
   editingRequestFormId.value = formId || '';
   // 回填已选手术项目到穿梭框
-  const ids = (details || []).map((d) => String(d.adviceDefinitionId));
+  const ids = (details || []).map((d) => String(d.activityId));
   transferValue.value = ids;
   // 回填表单字段
   if (descJson) {
@@ -536,6 +540,27 @@ onMounted(() => {
   loadDoctorOptions();
 });
 
+// 编辑模式：等手术项目列表加载完成后回填穿梭框
+watch(() => props.editData, (val) => {
+  if (!val) return;
+  const doFill = () => {
+    if (val.requestFormDetailList?.length > 0) {
+      fillForm(
+        JSON.parse(val.descJson || '{}'),
+        val.requestFormDetailList,
+        val.requestFormId
+      );
+    }
+  };
+  if (listLoaded.value) {
+    doFill();
+  } else {
+    const unwatch = watch(listLoaded, (loaded) => {
+      if (loaded) { unwatch(); doFill(); }
+    });
+  }
+}, { immediate: true });
+
 /**
  * 加载字典选项
  */

healthlink-his-ui/src/views/inpatientDoctor/home/components/order/index.vue

@@ -63,8 +63,8 @@
       </div>
       <div class="operate-btns" style="display: flex; align-items: center; gap: 12px;">
           <el-radio-group v-model="therapyEnum">
-            <el-radio-button>全部</el-radio-button>
+            <el-radio-button value="">全部</el-radio-button>
-            <el-radio-button>长期</el-radio-button>
+            <el-radio-button value="1">长期</el-radio-button>
             <el-radio-button value="2">临时</el-radio-button>
           </el-radio-group>
           <el-select v-model="orderClassCode" placeholder="医嘱类型" style="width: 240px" clearable>
@@ -864,7 +864,15 @@ const filterPrescriptionList = computed(() => {
   const pList = prescriptionList.value.filter((item) => {
     return (
       (!therapyEnum.value || therapyEnum.value == item.therapyEnum) &&
-      (!orderClassCode.value || orderClassCode.value == item.adviceType) &&
+      (() => {
+        if (!orderClassCode.value) return true;
+        const code = String(orderClassCode.value);
+        if (code.includes('-')) {
+          const [aType, cCode] = code.split('-');
+          return item.adviceType == aType && item.categoryCode == cCode;
+        }
+        return orderClassCode.value == item.adviceType;
+      })() &&
       (!orderStatus.value || (orderStatus.value == item.statusEnum && item.requestId))
     );
   });
@@ -2742,16 +2750,25 @@ function calculateTotalAmount(row, index) {
 }
 
 // 选择框改变时的处理
+// 防止 toggleCheckboxRow 触发 @checkbox-change 导致递归
+let _groupSelectLock = false;
 function handleSelectionChange({ selection, row }) {
+  if (_groupSelectLock) return;
   if (!row || !selection) return;
+  if (!row.groupId) return;
   const isSelected = selection.some((item) => item.uniqueKey === row.uniqueKey);
-  prescriptionList.value
+  const siblings = prescriptionList.value.filter(
-    .filter((item) => {
+    (item) => item.groupId && item.groupId == row.groupId
-      return item.groupId && item.groupId == row?.groupId;
+  );
-    })
+  if (siblings.length <= 1) return;
-    .forEach((row) => {
+  _groupSelectLock = true;
-      prescriptionRef.value.toggleCheckboxRow(row, isSelected);
+  try {
+    siblings.forEach((sibling) => {
+      prescriptionRef.value.setCheckboxRow([sibling], isSelected);
     });
+  } finally {
+    nextTick(() => { _groupSelectLock = false; });
+  }
 }
 
 /**

healthlink-his-ui/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue

@@ -174,8 +174,8 @@
             :data="item"
             border
             :header-cell-style="{ background: '#eef9fd !important' }"
-            @checkbox-change="({ selection, row }) => handleRowSelect(selection, row, index)"
+            @checkbox-change="({ records, row }) => handleRowSelect(records, row, index)"
-            @checkbox-all="({ selection }) => handleSelectAll(selection, index)"
+            @checkbox-all="({ records }) => handleSelectAll(records, index)"
           >
             <vxe-column
               type="checkbox"
@@ -413,6 +413,8 @@ function normalizeDayTimeHm(part) {
 
 function handleGetPrescription(skipAutoSelectAll = false) {
   if (patientInfoList.value.length > 0) {
+    // 刷新前保存当前选中状态，刷新后恢复（用于执行/不执行后的列表更新）
+    const previousSelectedIds = skipAutoSelectAll ? new Set(selectedRowIds.value) : null;
     loading.value = true;
     let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
     getPrescriptionList({
@@ -451,17 +453,21 @@ function handleGetPrescription(skipAutoSelectAll = false) {
         prescription.procedureIds = [];
         // 添加复选框状态管理
         prescription.checkedRates = {};
-        // 已执行时间点列表
+        // 已执行时间点列表（只取日期部分，忽略时间——全局ObjectMapper的setDateFormat
+        // 会丢失时区导致时间部分恒为00:00:00，与前端dateStr中的HH:mm无法匹配）
         let exeTimeList = prescription.exePerformRecordList.map((item) => {
-          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD HH:mm:ss');
+          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD');
         });
+        if (exeTimeList.length > 0) {
+          console.log('[DEBUG] requestId:', prescription.requestId, 'exeTimeList:', exeTimeList, 'raw:', prescription.exePerformRecordList.map(i => i.occurrenceTime));
+        }
         // 不执行时间点列表
         let stopTimeList = prescription.stopPerformRecordList.map((item) => {
-          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD HH:mm:ss');
+          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD');
         });
         // 取消执行时间点列表
         let cancelTimeList = prescription.cancelPerformRecordList.map((item) => {
-          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD HH:mm:ss');
+          return formatDateStr(item.occurrenceTime, 'YYYY-MM-DD');
         });
         if (rate) {
           // 拼成日期加全部时间点的形式，显示示例：03-01 [09:00, 10:00, 11:00]
@@ -475,10 +481,12 @@ function handleGetPrescription(skipAutoSelectAll = false) {
             let rateItems = [];
             rate.forEach((rateItem) => {
               let dateStr = prescription.year + '-' + time + ' ' + rateItem + ':00';
+              // 日期部分，用于与 exeTimeList/stopTimeList/cancelTimeList 匹配（后者只含日期，无时间）
+              let dateOnly = prescription.year + '-' + time;
               switch (props.exeStatus) {
                 case 1: // 待执行tab
-                  // 如果该时间点未执行并且不在不执行列表中，则加入待选中列表
+                  // 如果该日期未执行并且不在不执行列表中，则加入待选中列表
-                  if (!exeTimeList.includes(dateStr) && !stopTimeList.includes(dateStr)) {
+                  if (!exeTimeList.includes(dateOnly) && !stopTimeList.includes(dateOnly)) {
                     rateItems.push({
                       rate: rateItem,
                     });
@@ -488,7 +496,7 @@ function handleGetPrescription(skipAutoSelectAll = false) {
                   break;
                 case 6: // 已执行tab
                   let index = exeTimeList.findIndex((item) => {
-                    return item == dateStr;
+                    return item == dateOnly;
                   });
                   if (index != -1) {
                     // 显示执行人practitionerName
@@ -504,9 +512,9 @@ function handleGetPrescription(skipAutoSelectAll = false) {
                   break;
                 case 5: // 不执行tab
                   let index1 = stopTimeList.findIndex((item) => {
-                    return item == dateStr;
+                    return item == dateOnly;
                   });
-                  if (stopTimeList.includes(dateStr)) {
+                  if (stopTimeList.includes(dateOnly)) {
                     // 显示执行人practitionerName
                     rateItems.push({
                       practitionerName: prescription.stopPerformRecordList[index1].practitionerName,
@@ -517,9 +525,9 @@ function handleGetPrescription(skipAutoSelectAll = false) {
                   break;
                 case 9: // 取消执行tab
                   let index2 = cancelTimeList.findIndex((item) => {
-                    return item == dateStr;
+                    return item == dateOnly;
                   });
-                  if (cancelTimeList.includes(dateStr)) {
+                  if (cancelTimeList.includes(dateOnly)) {
                     rateItems.push({
                       practitionerName:
                         prescription.cancelPerformRecordList[index2].practitionerName,
@@ -547,7 +555,10 @@ function handleGetPrescription(skipAutoSelectAll = false) {
           prescription.checkedRates = newCheckedRates;
           // 处理已执行记录，拿到全部的执行人id，取消执行时候要传id
           prescription.exePerformRecordList.forEach((item) => {
-            if (prescription.executeTimes.includes(item.occurrenceTime)) {
+            // occurrenceTime 经全局 ObjectMapper 序列化后时间部分为 00:00:00，
+            // 用日期部分匹配 executeTimes 中的完整时间字符串
+            const occDateOnly = formatDateStr(item.occurrenceTime, 'YYYY-MM-DD');
+            if (prescription.executeTimes.some((t) => t.startsWith(occDateOnly))) {
               prescription.procedureIds.push(item.procedureId);
             }
           });
@@ -571,8 +582,29 @@ function handleGetPrescription(skipAutoSelectAll = false) {
 
       // 将分组结果转换为数组形式
       prescriptionList.value = Object.values(groupedPrescriptions);
-      // 默认选中全部行（执行后刷新时不自动全选，保持用户操作状态）
+      if (skipAutoSelectAll && previousSelectedIds) {
-      if (!skipAutoSelectAll) {
+        // 执行/不执行后刷新：只恢复父checkbox行选中，子checkbox保持未选中
+        nextTick(() => {
+          selectedRowIds.value.clear();
+          prescriptionList.value.forEach((item, index) => {
+            const tableRef = proxy.$refs['tableRef' + index];
+            item.forEach((row) => {
+              if (previousSelectedIds.has(row.requestId)) {
+                selectedRowIds.value.add(row.requestId);
+                if (tableRef && tableRef[0]) {
+                  tableRef[0].setCheckboxRow([row], true);
+                }
+              }
+              // 清空子checkbox选中状态，避免刷新后自动勾选
+              row.checkedRates = {};
+              row.executeTimes = [];
+              row.procedureIds = [];
+            });
+          });
+          updateChooseAllStatus();
+        });
+      } else {
+        // 初次加载或手动刷新：默认全选
         nextTick(() => {
           defaultSelectAllRows();
         });
@@ -588,7 +620,6 @@ function handleGetPrescription(skipAutoSelectAll = false) {
       prescriptionList.value = [];
       loading.value = false;
     });
-    chooseAll.value = false;
   } else {
     prescriptionList.value = [];
     selectedRowIds.value.clear();
@@ -794,21 +825,17 @@ function handelSwicthChange(value) {
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
-      if (value) {
+      // 批量设置选中/取消选中（setCheckboxRow 显式设置，比 toggleCheckboxRow 更可靠）
-        // 全选：选中所有行并联动checkbox
+      tableRef[0].setCheckboxRow(item, value);
-        item.forEach((row) => {
+      item.forEach((row) => {
+        if (value) {
           selectedRowIds.value.add(row.requestId);
-          tableRef[0].toggleCheckboxRow(row, true);
           selectAllCheckboxesInRow(row);
-        });
+        } else {
-      } else {
-        // 取消全选：取消选中所有行并联动checkbox
-        item.forEach((row) => {
           selectedRowIds.value.delete(row.requestId);
-          tableRef[0].toggleCheckboxRow(row, false);
           unselectAllCheckboxesInRow(row);
-        });
+        }
-      }
+      });
     }
   });
 }
@@ -820,10 +847,10 @@ function defaultSelectAllRows() {
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
-      // 选中该表格的所有行
+      // 批量选中该表格的所有行（setCheckboxRow 显式设置选中状态，比 toggleCheckboxRow 更可靠）
+      tableRef[0].setCheckboxRow(item, true);
       item.forEach((row) => {
         selectedRowIds.value.add(row.requestId);
-        tableRef[0].toggleCheckboxRow(row, true);
         // 同时选中该行内部的所有checkbox
         selectAllCheckboxesInRow(row);
       });
@@ -904,31 +931,45 @@ function checkAndToggleRowSelection(row) {
         const isAllSelected = isAllCheckboxesSelected(row);
         const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
 
-        // 根据checkbox状态更新表格行选中状态
+        // 根据checkbox状态更新表格行选中状态（使用 setCheckboxRow 显式设置，避免 toggleCheckboxRow 翻转方向不确定）
         if (isAllSelected && !isCurrentlySelected) {
           selectedRowIds.value.add(row.requestId);
-          tableRef[0].toggleCheckboxRow(row, true);
+          tableRef[0].setCheckboxRow([row], true);
         } else if (!isAllSelected && isCurrentlySelected) {
           selectedRowIds.value.delete(row.requestId);
-          tableRef[0].toggleCheckboxRow(row, false);
+          tableRef[0].setCheckboxRow([row], false);
         }
       }
     }
   });
 }
 
+// 根据 requestId 从 prescriptionList 中查找原始行数据引用
+// vxe-table 事件回调传出的 row 可能是内部代理对象，直接修改其属性不会触发 Vue 响应式更新
+function findOriginalRow(requestId) {
+  for (const group of prescriptionList.value) {
+    const found = group.find((r) => r.requestId === requestId);
+    if (found) return found;
+  }
+  return null;
+}
+
 // 处理表格行选中事件
 function handleRowSelect(selection, row, tableIndex) {
+  // 回查原始行引用，避免修改 vxe-table 代理对象导致 el-checkbox 不更新
+  const originalRow = findOriginalRow(row.requestId);
+  if (!originalRow) return;
+
   const isSelected = selection.some((item) => item.requestId === row.requestId);
 
   if (isSelected) {
     selectedRowIds.value.add(row.requestId);
     // 选中行时，选中该行内部的所有checkbox
-    selectAllCheckboxesInRow(row);
+    selectAllCheckboxesInRow(originalRow);
   } else {
     selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox
-    unselectAllCheckboxesInRow(row);
+    unselectAllCheckboxesInRow(originalRow);
   }
 
   // 更新全选开关状态