diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
index aaa7df64..97b5b099 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java
@@ -482,4 +482,4 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
 
         return R.ok(encounterDiagnosis);
     }
-}
+}
\ No newline at end of file
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java
index 7b60f299..fd72e0ca 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java
@@ -143,29 +143,35 @@ public class PatientInformationServiceImpl implements IPatientInformationService
                         CommonConstants.FieldName.BusNo, CommonConstants.FieldName.PyStr, CommonConstants.FieldName.WbStr)),
                 request);
         
-        // 查询当前用户对应的医生信息
-        LambdaQueryWrapper<com.openhis.administration.domain.Practitioner> practitionerQuery = new LambdaQueryWrapper<>();
-        practitionerQuery.eq(com.openhis.administration.domain.Practitioner::getUserId, userId);
-        // 使用list()避免TooManyResultsException异常，然后取第一个记录
-        List<com.openhis.administration.domain.Practitioner> practitionerList = practitionerService.list(practitionerQuery);
-        com.openhis.administration.domain.Practitioner practitioner = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
+        // 检查是否是精确ID查询（从门诊挂号页面跳转时使用）
+        boolean hasExactIdQuery = (patientBaseInfoDto.getId() != null);
         
-        // 如果当前用户是医生，添加医生患者过滤条件
-        if (practitioner != null) {
-            // 查询该医生作为接诊医生（ADMITTER, code="1"）和挂号医生（REGISTRATION_DOCTOR, code="12"）的所有就诊记录的患者ID
-            List<Long> doctorPatientIds = patientManageMapper.getPatientIdsByPractitionerId(
-                    practitioner.getId(), 
-                    Arrays.asList(ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode()));
+        // 只有非精确ID查询时，才添加医生患者过滤条件
+        if (!hasExactIdQuery) {
+            // 查询当前用户对应的医生信息
+            LambdaQueryWrapper<com.openhis.administration.domain.Practitioner> practitionerQuery = new LambdaQueryWrapper<>();
+            practitionerQuery.eq(com.openhis.administration.domain.Practitioner::getUserId, userId);
+            // 使用list()避免TooManyResultsException异常，然后取第一个记录
+            List<com.openhis.administration.domain.Practitioner> practitionerList = practitionerService.list(practitionerQuery);
+            com.openhis.administration.domain.Practitioner practitioner = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
             
-            if (doctorPatientIds != null && !doctorPatientIds.isEmpty()) {
-                // 添加患者ID过滤条件 - 注意：这里使用列名而不是表别名
-                queryWrapper.in("id", doctorPatientIds);
-            } else {
-                // 如果没有相关患者，返回空结果
-                queryWrapper.eq("id", -1); // 设置一个不存在的ID
+            // 如果当前用户是医生，添加医生患者过滤条件
+            if (practitioner != null) {
+                // 查询该医生作为接诊医生（ADMITTER, code="1"）和挂号医生（REGISTRATION_DOCTOR, code="12"）的所有就诊记录的患者ID
+                List<Long> doctorPatientIds = patientManageMapper.getPatientIdsByPractitionerId(
+                        practitioner.getId(), 
+                        Arrays.asList(ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode()));
+                
+                if (doctorPatientIds != null && !doctorPatientIds.isEmpty()) {
+                    // 添加患者ID过滤条件 - 注意：这里使用列名而不是表别名
+                    queryWrapper.in("id", doctorPatientIds);
+                } else {
+                    // 如果没有相关患者，返回空结果
+                    queryWrapper.eq("id", -1); // 设置一个不存在的ID
+                }
             }
+            // 如果不是医生，查询所有患者
         }
-        // 如果不是医生，查询所有患者
         
         IPage<PatientBaseInfoDto> patientInformationPage
                 = patientManageMapper.getPatientPage(new Page<>(pageNo, pageSize), queryWrapper);
diff --git a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
index 2001d9b4..0408dd7f 100644
--- a/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
+++ b/openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue
@@ -961,7 +961,20 @@ async function handleReadCard(value) {
 
 /** 跳转到患者档案页面 */
 function goToPatientRecord() {
-  router.push('/patient/patientmgr');
+  // 如果已选择患者,则跳转到档案页面并定位到该患者
+  if (form.value.patientId) {
+    // 使用患者ID作为查询参数传递到档案页面
+    router.push({
+      path: '/patient/patientmgr',
+      query: {
+        patientId: form.value.patientId,
+        patientName: form.value.name
+      }
+    });
+  } else {
+    // 未选择患者时,直接跳转到档案页面
+    router.push('/patient/patientmgr');
+  }
 }
 
 /** 新增用户信息弹窗 */
diff --git a/openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue b/openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue
index a3c8766b..f0c81478 100644
--- a/openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue
+++ b/openhis-ui-vue3/src/views/patientmanagement/patientmanagement/index.vue
@@ -118,9 +118,14 @@
 <script setup name="patientManagement">
 import pcas from 'china-division/dist/pcas-code.json';
 import {nextTick, ref} from 'vue';
+import {useRoute} from 'vue-router';
+import {useRouter} from 'vue-router';
 import {addPatient, listPatient, lists, updatePatient} from './component/api';
 import PatientAddDialog from '@/views/charge/outpatientregistration/components/patientAddDialog';
 
+const route = useRoute();
+const router = useRouter();
+
 const showSearch = ref(true);
 const open = ref(false);
 const title = ref('');
@@ -178,7 +183,9 @@ const data = reactive({
     pageNo: 1,
     pageSize: 10,
     searchKey: undefined,
-    name: undefined
+    name: undefined,
+    patientId: undefined, // 新增: 专门用于数据库ID查询
+    searchType: 'name' // 新增: 查询类型, 'name'按姓名查询, 'patientId'按病人ID查询
   },
   rules: {
     name: [{ required: true, message: '姓名不能为空', trigger: 'blur' }],
@@ -242,13 +249,25 @@ const findNodeByCode = (data, code) => {
   return null;
 };
 
-/** 查询患者列表 */
+/** 查询患者列表 - 基础查询方法,用于初始化等操作 */
 function getList() {
+  // 执行查询
   listPatient(queryParams.value).then((response) => {
     patientList.value = response.data.records;
     total.value = response.data.total;
     console.log('patientList======>', JSON.stringify(patientList.value));
   });
+  
+  // 初始化字典数据(仅在第一次加载时执行)
+  if (!listsFlag.value) {
+    getInitDictData();
+    listsFlag.value = true;
+  }
+}
+
+/** 初始化字典数据 - 分离字典数据加载逻辑 */
+const listsFlag = ref(false);
+function getInitDictData() {
   lists().then((response) => {
     console.log(response);
     occupationtypeList.value = response.data.occupationType;
@@ -262,6 +281,86 @@ function getList() {
   });
 }
 
+/** 搜索按钮操作 - 支持按姓名和病人ID两种查询方式 */
+function handleQuery() {
+  queryParams.value.pageNo = 1;
+  queryParams.value.createTimeSTime =
+    dateRange.value && dateRange.value.length == 2 ? dateRange.value[0] : '';
+  queryParams.value.createTimeETime =
+    dateRange.value && dateRange.value.length == 2 ? dateRange.value[1] : '';
+  
+  // 根据查询类型设置查询参数
+  if (queryParams.value.searchType === 'patientId') {
+    // 按病人ID查询(数据库ID) - 直接传递ID参数
+    const queryParamsCopy = {
+      pageNo: queryParams.value.pageNo,
+      pageSize: queryParams.value.pageSize,
+      id: queryParams.value.patientId,
+      searchKey: undefined
+    };
+    console.log('按数据库ID查询参数:', queryParamsCopy);
+    
+    // 执行查询
+    listPatient(queryParamsCopy).then((response) => {
+      patientList.value = response.data.records;
+      total.value = response.data.total;
+      console.log('查询结果:', response.data);
+    });
+  } else {
+    // 按姓名/拼音码/病人ID查询(兼容原有逻辑)
+    queryParams.value.id = undefined;
+    
+    // 执行查询
+    listPatient(queryParams.value).then((response) => {
+      patientList.value = response.data.records;
+      total.value = response.data.total;
+    });
+  }
+}
+
+/** 重置按钮操作 */
+function resetQuery() {
+  dateRange.value = [];
+  proxy.resetForm('queryRef');
+  queryParams.value.patientId = undefined;
+  queryParams.value.searchType = 'name';
+  queryParams.value.id = undefined;
+  queryParams.value.name = undefined;
+  handleQuery();
+}
+
+/** 从门诊挂号页面跳转时的精确查询 - 按数据库ID查询 */
+function queryByPatientId(patientId) {
+  console.log('收到门诊挂号传递的patientId:', patientId);
+  
+  // 直接构造查询参数,避免受到其他条件干扰
+  const exactQueryParams = {
+    pageNo: 1,
+    pageSize: 10,
+    id: patientId,  // 直接使用ID字段进行精确查询
+    searchKey: undefined
+  };
+  
+  console.log('精确查询参数:', exactQueryParams);
+  
+  // 执行查询
+  listPatient(exactQueryParams).then((response) => {
+    patientList.value = response.data.records;
+    total.value = response.data.total;
+    console.log('按数据库ID查询结果:', JSON.stringify(patientList.value));
+    console.log('查询到的患者数量:', response.data.records.length);
+    
+    // 如果查询成功,清空patientId以免影响后续查询
+    if (response.data.records && response.data.records.length > 0) {
+      console.log('查询成功,找到患者:', response.data.records[0].name);
+    } else {
+      console.warn('未找到匹配的患者,ID:', patientId);
+    }
+  }).catch(error => {
+    console.error('查询失败:', error);
+  });
+}
+
 /** 表单重置 */
 function reset() {
   form.value = {
@@ -305,23 +404,6 @@ function handlePatientAdded(patientData) {
   // 患者添加成功后刷新列表
   getList();
 }
-
-/** 搜索按钮操作 */
-function handleQuery() {
-  queryParams.value.pageNo = 1;
-  queryParams.value.createTimeSTime =
-    dateRange.value && dateRange.value.length == 2 ? dateRange.value[0] : '';
-  queryParams.value.createTimeETime =
-    dateRange.value && dateRange.value.length == 2 ? dateRange.value[1] : '';
-  // 执行查询
-  getList();
-}
-/** 重置按钮操作 */
-function resetQuery() {
-  dateRange.value = [];
-  proxy.resetForm('queryRef');
-  handleQuery();
-}
 /** 新增按钮操作 */
 function handleAdd() {
   patientAddRef.value.show(); // 使用与门诊挂号一致的方式显示新增患者组件
@@ -640,7 +722,14 @@ function submitForm() {
 }
 
 onMounted(() => {
-  getList();
+  // 检查是否从门诊挂号页面跳转过来,并携带了patientId参数
+  if (route.query.patientId) {
+    // 使用精确查询方法按数据库ID查询
+    queryByPatientId(route.query.patientId);
+  } else {
+    // 正常加载患者列表
+    getList();
+  }
 });
 </script>