diff --git a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
index 23404eed..10fa2a0d 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -3410,7 +3410,7 @@ function setValue(row) {
   // 🔧 Bug Fix #456: 诊疗类医嘱(adviceType=3)不应将categoryCode赋值给categoryEnum，
   // 否则保存后SQL查询会根据category_enum=2(检查目录)将类型误判为"检查"
   if (row.adviceType != 3) {
-    prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode;
+    prescriptionList.value[rowIndex.value].categoryEnum = row.activityType;
   }
   prescriptionList.value[rowIndex.value].skinTestFlag = row.skinTestFlag;
   prescriptionList.value[rowIndex.value].definitionId = row.chargeItemDefinitionId;
@@ -3482,7 +3482,7 @@ function setValue(row) {
       // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
       prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
       // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
-      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
+      prescriptionList.value[rowIndex.value].categoryEnum = row.activityType || 3; // 默认为3
       prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
       // 🔧 Bug Fix: 使用 positionId，如果为空则使用患者信息中的 orgId
       console.log('设置耗材locationId:', {
@@ -3504,7 +3504,7 @@ function setValue(row) {
       // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
       prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
       // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
-      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
+      prescriptionList.value[rowIndex.value].categoryEnum = row.activityType || 3; // 默认为3
       prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
       const finalLocationId = row.positionId || props.patientInfo.orgId;
       prescriptionList.value[rowIndex.value].locationId = finalLocationId;