diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiagnosisTreatmentDto.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiagnosisTreatmentDto.java
index 3d5e9549..dbb37d7f 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiagnosisTreatmentDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/dto/DiagnosisTreatmentDto.java
@@ -147,6 +147,12 @@ public class DiagnosisTreatmentDto {
     /** 费用套餐名称（JOIN inspection_basic_information.package_name） */
     private String packageName;
 
+    /** 套餐金额（JOIN inspection_basic_information.package_amount） */
+    private BigDecimal packageAmount;
+
+    /** 套餐服务费（JOIN inspection_basic_information.service_fee） */
+    private BigDecimal serviceFee;
+
     /** 下级医技类型ID（关联 inspection_type 子类） */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long subItemId;
diff --git a/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/LabActivityDefinitionManageMapper.xml b/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/LabActivityDefinitionManageMapper.xml
index 5caaa144..c2ecdd48 100644
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/LabActivityDefinitionManageMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/LabActivityDefinitionManageMapper.xml
@@ -35,6 +35,8 @@
             T1.sub_item_id,
             T3.name AS test_type,
             T5.package_name,
+            T5.package_amount,
+            T5.service_fee,
             T6.name AS sub_item_name
         FROM lab_activity_definition T1
         /* 检验类型关联（逻辑关联，无外键） */
@@ -97,6 +99,8 @@
             T1.sub_item_id,
             T3.name AS test_type,
             T5.package_name,
+            T5.package_amount,
+            T5.service_fee,
             T6.name AS sub_item_name
         FROM lab_activity_definition T1
         LEFT JOIN inspection_type T3
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
index d6b21fe4..a1042405 100644
--- a/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue
@@ -1,28 +1,25 @@
 <template>
   <el-container class="inspection-application-container">
 
-    <!-- 顶部操作按钮区 - Bug#334: 优化垂直空间利用率 -->
-    <el-header class="top-action-bar" height="48px">
-      <el-row class="action-buttons" type="flex" justify="end" :gutter="8">
-        <el-button type="primary" size="default" @click="handleSave" class="save-btn" :loading="saving">
-          <el-icon><Document /></el-icon>
-          保存
-        </el-button>
-        <el-button type="primary" size="default"  @click="handleNewApplication" class="new-btn">
-          <el-icon><Plus /></el-icon>
-          新增
-        </el-button>
-      </el-row>
+    <!-- 顶部操作按钮区 - 隐藏，按钮移到卡片标题行 -->
+    <el-header class="top-action-bar" height="0" style="overflow: hidden">
     </el-header>
 
     <!-- 检验信息表格区 -->
     <el-main class="inspection-section" style="width: 100%; max-width: 100%">
       <el-card class="table-card" style="width: 100%">
         <template #header>
-          <el-row class="card-header" type="flex" align="middle">
-            <el-icon><DocumentChecked /></el-icon>
-            <span>检验信息</span>
-            </el-row>
+          <div class="table-card-header-bar">
+            <span class="table-card-title"><el-icon><DocumentChecked /></el-icon> 检验信息</span>
+            <span class="table-card-btns">
+              <el-button type="primary" size="default" @click="handleSave" :loading="saving">
+                <el-icon><Document /></el-icon> 保存
+              </el-button>
+              <el-button type="primary" size="default" @click="handleNewApplication">
+                <el-icon><Plus /></el-icon> 新增
+              </el-button>
+            </span>
+          </div>
         </template>
         <el-table
           ref="inspectionTableRef"
@@ -512,28 +509,58 @@
               </el-row>
           </template>
 
-          <!-- 已选项目列表 -->
+          <!-- 已选项目列表 - 支持树形展开 -->
           <el-scrollbar class="selected-tree" style="max-height: 220px">
-            <el-list v-if="selectedInspectionItems.length > 0" :data="selectedInspectionItems" class="selected-items-list">
-              <el-list-item
+            <div v-if="selectedInspectionItems.length > 0" class="selected-items-list">
+              <div
                 v-for="item in selectedInspectionItems"
                 :key="item.itemId"
-                class="selected-list-item"
+                class="selected-item-wrapper"
               >
-                <el-row class="selected-item-content" type="flex" align="middle" style="width: 100%">
+                <!-- 主项目行 -->
+                <div
+                  :class="['selected-item-content', { 'is-package': item.feePackageId }]"
+                  @click="item.feePackageId && togglePackageExpand(item)"
+                >
+                  <!-- 套餐展开图标 -->
+                  <el-icon
+                    v-if="item.feePackageId"
+                    :class="['expand-icon', { 'is-expanded': item.expanded }]"
+                  >
+                    <ArrowRight />
+                  </el-icon>
                   <span class="item-itemName">{{ item.itemName }}</span>
                   <span class="item-price">¥{{ item.itemPrice }}</span>
                   <el-button
                     link
                     size="small"
                     style="color: #f56c6c; margin-left: auto"
-                    @click="removeInspectionItem(item)"
+                    @click.stop="removeInspectionItem(item)"
                   >
                     删除
                   </el-button>
-                </el-row>
-              </el-list-item>
-            </el-list>
+                </div>
+
+                <!-- 套餐明细项（树形展开） -->
+                <div v-if="item.feePackageId && item.expanded" class="package-details">
+                  <div v-if="item.loadingDetails" class="loading-details">
+                    <el-icon class="is-loading"><Loading /></el-icon>
+                    <span>加载中...</span>
+                  </div>
+                  <div v-else-if="item.details && item.details.length > 0">
+                    <div
+                      v-for="detail in item.details"
+                      :key="detail.detailId"
+                      class="detail-item"
+                    >
+                      <span class="detail-name">{{ detail.itemName }}</span>
+                      <span class="detail-price">¥{{ detail.unitPrice || 0 }}</span>
+                    </div>
+                  </div>
+                  <div v-else class="no-details">暂无明细</div>
+                </div>
+              </div>
+            </div>
             <el-empty v-if="selectedInspectionItems.length === 0" class="no-selection" description="暂无选择项目" />
           </el-scrollbar>
         </el-card>
@@ -546,15 +573,16 @@
 <script setup>
 import {onMounted, onUnmounted, reactive, ref, watch, computed, getCurrentInstance} from 'vue'
 import {ElMessage, ElMessageBox} from 'element-plus'
-import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading } from '@element-plus/icons-vue'
+import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading, ArrowRight } from '@element-plus/icons-vue'
 import {
   deleteInspectionApplication, getApplyList,
   saveInspectionApplication,
   getInspectionTypeList,
-  getInspectionItemList,
   getEncounterDiagnosis,
   getInspectionApplyDetail
 } from '../api'
+import { getLabActivityDefinitionPage } from '@/api/lab/labActivityDefinition'
+import { listInspectionPackageDetails } from '@/api/system/inspectionPackage'
 import useUserStore from '@/store/modules/user.js'
 // 迁移到 hiprint
 import { previewPrint } from '@/utils/printUtils.js'
@@ -806,7 +834,7 @@ const loadCategoryItems = async (categoryKey, loadMore = false) => {
       params.inspectionTypeId = category.typeId
     }
 
-    const res = await getInspectionItemList(params)
+    const res = await getLabActivityDefinitionPage(params)
 
     // 解析数据
     let records = []
@@ -822,22 +850,31 @@ const loadCategoryItems = async (categoryKey, loadMore = false) => {
       total = records.length
     }
 
-    // 映射数据格式
-    const mappedItems = records.map(item => ({
-      itemId: item.id || item.activityId || Math.random().toString(36).substring(2, 11),
-      itemName: item.name || item.itemName || '',
-      itemPrice: item.retailPrice || item.price || 0,
-      itemAmount: item.retailPrice || item.price || 0,
-      sampleType: item.specimenCode_dictText || item.sampleType || '血液',
-      unit: item.unit || '',
-      itemQty: 1,
-      serviceFee: 0,
-      type: category.label,
-      isSelfPay: false,
-      activityId: item.activityId,
-      code: item.busNo || item.code || item.activityCode,
-      inspectionTypeId: item.inspectionTypeId || null
-    }))
+    // 映射数据格式，计算套餐价格
+    const mappedItems = records.map(item => {
+      // 计算价格：套餐项目使用 packageAmount + serviceFee，否则使用 retailPrice
+      let itemPrice = item.retailPrice || 0
+      if (item.feePackageId && item.packageAmount) {
+        itemPrice = (Number(item.packageAmount) || 0) + (Number(item.serviceFee) || 0)
+      }
+
+      return {
+        itemId: item.id || Math.random().toString(36).substring(2, 11),
+        itemName: item.name || '',
+        itemPrice: itemPrice,
+        itemAmount: itemPrice,
+        sampleType: item.specimenCode_dictText || '血液',
+        unit: item.permittedUnitCode || '',
+        itemQty: 1,
+        serviceFee: item.serviceFee || 0,
+        type: category.label,
+        isSelfPay: false,
+        code: item.busNo || '',
+        inspectionTypeId: item.inspectionTypeId || null,
+        feePackageId: item.feePackageId || null,
+        packageName: item.packageName || null
+      }
+    })
 
     // 更新分类数据
     if (loadMore) {
@@ -936,21 +973,28 @@ const querySearchInspectionItems = async (queryString, cb) => {
       searchKey: queryString
     }
 
-    const res = await getInspectionItemList(params)
+    const res = await getLabActivityDefinitionPage(params)
 
     let suggestions = []
     if (res.data && res.data.records) {
       // 映射数据格式，与 loadInspectionItemsByType 保持一致
-      suggestions = res.data.records.map(item => ({
-        itemId: item.id || item.activityId,
-        itemName: item.name || item.itemName || '',
-        itemPrice: item.retailPrice || item.price || 0,
-        sampleType: item.specimenCode_dictText || item.sampleType || '血液',
-        unit: item.unit || '',
-        code: item.busNo || item.code || item.activityCode,
-        activityId: item.activityId,
-        inspectionTypeId: item.inspectionTypeId || null
-      }))
+      suggestions = res.data.records.map(item => {
+        // 计算价格
+        let itemPrice = item.retailPrice || 0
+        if (item.feePackageId && item.packageAmount) {
+          itemPrice = (Number(item.packageAmount) || 0) + (Number(item.serviceFee) || 0)
+        }
+        return {
+          itemId: item.id,
+          itemName: item.name || '',
+          itemPrice: itemPrice,
+          sampleType: item.specimenCode_dictText || '血液',
+          unit: item.permittedUnitCode || '',
+          code: item.busNo || '',
+          inspectionTypeId: item.inspectionTypeId || null,
+          feePackageId: item.feePackageId || null
+        }
+      })
     }
 
     cb(suggestions)
@@ -1384,6 +1428,25 @@ const removeInspectionItem = (item) => {
   }
 }
 
+// 切换套餐展开状态（Bug #325）
+const togglePackageExpand = async (item) => {
+  item.expanded = !item.expanded
+  if (item.expanded && !item.details && item.feePackageId) {
+    item.loadingDetails = true
+    try {
+      const res = await listInspectionPackageDetails(item.feePackageId)
+      if (res.code === 200 && res.data) {
+        item.details = res.data
+      }
+    } catch (error) {
+      console.error('获取套餐明细失败', error)
+      item.details = []
+    } finally {
+      item.loadingDetails = false
+    }
+  }
+}
+
 // 清空所有选择
 const clearAllSelected = () => {
   selectedInspectionItems.value = []
@@ -1647,15 +1710,33 @@ defineExpose({
   padding: 0;
 }
 
-/* Bug#334: 顶部操作按钮区 - 优化垂直空间利用率 */
+/* Bug#334: 顶部操作按钮区 - 隐藏原区域，按钮移到卡片标题行 */
 .top-action-bar {
+  height: 0 !important;
+  overflow: hidden !important;
+  border: none !important;
+  padding: 0 !important;
+}
+
+/* 表格卡片标题行：标题在左，按钮在右 */
+.table-card-header-bar {
   display: flex;
   align-items: center;
-  justify-content: flex-end;
-  border-bottom: 1px solid var(--el-border-color-light);
-  background: var(--el-bg-color);
-  box-shadow: 0 1px 2px rgba(0, 0, 0, 0.08);
-  padding: 0 12px;
+  justify-content: space-between;
+  width: 100%;
+}
+
+.table-card-header-bar .table-card-title {
+  display: flex;
+  align-items: center;
+  gap: 6px;
+  font-weight: 600;
+  color: var(--el-text-color-primary);
+}
+
+.table-card-header-bar .table-card-btns {
+  display: flex;
+  gap: 8px;
 }
 
 .action-buttons {
@@ -2245,6 +2326,24 @@ defineExpose({
   margin: 2px 0;
 }
 
+.selected-item-content.is-package {
+  cursor: pointer;
+}
+
+.selected-item-content.is-package:hover {
+  background: #f0f1f2;
+}
+
+.selected-item-content .expand-icon {
+  margin-right: 6px;
+  transition: transform 0.3s;
+  color: #909399;
+}
+
+.selected-item-content .expand-icon.is-expanded {
+  transform: rotate(90deg);
+}
+
 .selected-item-content .item-itemName {
   flex: 1;
   font-weight: 500;
@@ -2256,6 +2355,44 @@ defineExpose({
   margin-right: 10px;
 }
 
+/* 套餐明细样式 */
+.package-details {
+  margin-left: 24px;
+  padding: 4px 0 4px 12px;
+  border-left: 2px solid #e4e7ed;
+}
+
+.package-details .detail-item {
+  display: flex;
+  align-items: center;
+  padding: 4px 8px;
+  font-size: 13px;
+  color: #606266;
+}
+
+.package-details .detail-name {
+  flex: 1;
+}
+
+.package-details .detail-price {
+  color: #e6a23c;
+}
+
+.package-details .loading-details {
+  display: flex;
+  align-items: center;
+  gap: 6px;
+  padding: 8px;
+  color: #909399;
+  font-size: 13px;
+}
+
+.package-details .no-details {
+  padding: 8px;
+  color: #909399;
+  font-size: 13px;
+}
+
 .no-selection {
   text-align: center;
   padding: 40px 20px;