diff --git a/MD/MODULE_INDEX.md b/MD/MODULE_INDEX.md
index ee424cbb4..f2bba9296 100644
--- a/MD/MODULE_INDEX.md
+++ b/MD/MODULE_INDEX.md
@@ -1,7 +1,7 @@
 # HealthLink-HIS 代码模块索引
 
 > 供 LLM 快速定位代码。每个模块列出 Controller → Service → Mapper 关键文件。
-> 最后更新: 2026-06-15 06:00 (298 个 Controller)
+> 最后更新: 2026-06-15 12:00 (300 个 Controller)
 
 ## 关键词 → 模块速查
 
diff --git a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
index ba79d6f4d..341921034 100755
--- a/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/healthlink-his-ui/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -3735,10 +3735,9 @@ function handleSaveBatch(prescriptionId) {
     prescription.accountId = finalAccountId;
   }
 
-  // 获取对应处方的展开状态
-  const prescriptionExpandOrder = prescription.expandOrder || [];
-  if (prescriptionExpandOrder.length > 0) {
-    proxy.$modal.msgWarning('请先点击确定确认当前医嘱');
+  // 🔧 Bug Fix #749: 检查是否有展开行未确认（使用组件级响应式变量 expandOrder.value）
+  if (expandOrder.value.length > 0) {
+    proxy.$modal.msgWarning('请先点击确定确认当前医嘱，或关闭展开行');
     return;
   }
 
@@ -5590,3 +5589,7 @@ defineExpose({ getListInfo, getDiagnosisInfo });
   min-width: 0;
 }
 </style>
+
+  // 🔧 Bug Fix #749: 检查是否有展开行未确认（使用组件级响应式变量 expandOrder.value）
+  if (expandOrder.value.length > 0) {
+    proxy.$modal.msgWarning('请先点击确定确认当前医嘱，或关闭展开行');
\ No newline at end of file