diff --git a/MD/MODULE_INDEX.md b/MD/MODULE_INDEX.md
index 873e8a687..ac26f3911 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: 2026-06-17 12:00 (301 个 Controller)
+> 最后更新: 2026-06-17 18:00 (309 个 Controller)
 
 ## 关键词 → 模块速查
 
diff --git a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
index ff88469d2..d4b98b46a 100755
--- a/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
+++ b/healthlink-his-ui/src/views/inpatientDoctor/home/components/diagnosis/diagnosis.vue
@@ -611,7 +611,22 @@ function handleImport() {
   if (!props.patientInfo || !props.patientInfo.encounterId) {
     return;
   }
-  
+
+  // 检查是否已填写病历
+  if (!allowAdd.value) {
+    proxy.$modal.msgWarning('请先填写病历');
+    return;
+  }
+
+  // 检查当前列表是否有未保存的诊断，阻止重复新增
+  const hasUnsaved = (form.value.diagnosisList || []).some(
+    (item) => !item.conditionId && !item.encounterDiagnosisId
+  );
+  if (hasUnsaved) {
+    proxy.$modal.msgWarning('请保存当前诊断');
+    return;
+  }
+
   if (props.patientInfo.contractName != '自费') {
     // 获取患者慢性病信息
     getChronicDisease({ encounterId: props.patientInfo.encounterId }).then((res) => {
@@ -711,6 +726,12 @@ function getTree() {
 function handleAddDiagnosis() {
   console.log('点击新增诊断按钮，allowAdd:', allowAdd.value);
 
+  // 检查是否已填写病历（必须先于其他检查）
+  if (!allowAdd.value) {
+    proxy.$modal.msgWarning('请先填写病历');
+    return;
+  }
+
   // 检查当前列表是否已有未保存的诊断，阻止重复新增
   const hasUnsaved = (form.value.diagnosisList || []).some(
     (item) => !item.conditionId && !item.encounterDiagnosisId
@@ -730,20 +751,7 @@ function handleAddDiagnosis() {
 
   proxy.$refs.formRef.validate((valid, fields) => {
     console.log('表单验证结果:', valid, '错误字段:', fields);
-    if (valid) {
-      if (!allowAdd.value) {
-        proxy.$modal.msgWarning('请先填写病历');
-        return;
-      }
-      addDiagnosisItem();
-    } else {
-      console.warn('表单验证失败:', fields);
-      // 验证失败时也允许添加（因为是新增空行）
-      if (allowAdd.value) {
-        console.log('验证失败但允许添加，强制添加诊断');
-        addDiagnosisItem();
-      }
-    }
+    addDiagnosisItem();
   });
 }
 
@@ -1094,10 +1102,22 @@ function handleNodeClick(data) {
     // 如果是根节点，不执行任何操作
     return;
   }
-  // if (!allowAdd.value) {
-  //   proxy.$modal.msgWarning('请先填写病历');
-  //   return;
-  // }
+
+  // 检查是否已填写病历
+  if (!allowAdd.value) {
+    proxy.$modal.msgWarning('请先填写病历');
+    return;
+  }
+
+  // 检查当前列表是否有未保存的诊断，阻止重复新增
+  const hasUnsaved = (form.value.diagnosisList || []).some(
+    (item) => !item.conditionId && !item.encounterDiagnosisId
+  );
+  if (hasUnsaved) {
+    proxy.$modal.msgWarning('请保存当前诊断');
+    return;
+  }
+
   const isDuplicate = form.value.diagnosisList.some(
     (diagnosis) => diagnosis.ybNo === data.ybNo || diagnosis.name === data.name
   );
diff --git a/healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue b/healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
index 39a24468f..df814cd11 100755
--- a/healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
+++ b/healthlink-his-ui/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
@@ -15,6 +15,7 @@
         <el-radio-group
           v-model="type"
           @change="handleRadioChange"
+        >
           <el-radio :value="0">
             全部
           </el-radio>
@@ -33,9 +34,12 @@
           value-format="YYYY-MM-DD HH:mm:ss"
           style="width: 200px"
         />
+        <el-button
           plain
           @click="handleGetPrescription"
+        >
           查询
+        </el-button>
       </div>
       <div style="flex: 1; min-width: 0;" />
       <div style="display: flex; align-items: center; gap: 12px; flex-shrink: 1; min-width: 0;">
@@ -47,11 +51,37 @@
           v-model="chooseAll"
           @change="handelSwitchChange"
         />
-          type="primary"
-        >
-        <el-button
-        >
-        </el-button>
+        <!-- 未校对tab：显示核对通过/退回 -->
+        <template v-if="activeTab === 'unverified'">
+          <el-button
+            type="primary"
+            @click="handleCheck"
+          >
+            核对通过
+          </el-button>
+          <el-button
+            type="danger"
+            :disabled="hasDispensedSelected"
+            @click="handleCancel"
+          >
+            退回
+          </el-button>
+        </template>
+        <!-- 已校对tab：显示执行/不执行 -->
+        <template v-else-if="activeTab === 'verified'">
+          <el-button
+            type="success"
+            @click="handleExecute"
+          >
+            执行
+          </el-button>
+          <el-button
+            type="warning"
+            @click="handleVoid"
+          >
+            不执行
+          </el-button>
+        </template>
       </div>
     </div>
     <div
@@ -667,6 +697,11 @@ function getSelectRows() {
       requestId: item.requestId,
       requestTable: item.adviceTable,
       dispenseStatus: item.dispenseStatus,
+      encounterId: item.encounterId,
+      patientId: item.patientId,
+      accountId: item.accountId,
+      therapyEnum: item.therapyEnum,
+      exePerformRecordList: item.exePerformRecordList,
     };
   });
 }
@@ -710,66 +745,6 @@ function getDateRange(startDate, endDate) {
 // 处理后端返回的时间集合
 function handleTime() {}
 
-defineExpose({
-  handleGetPrescription,
-});
-</script>
-
-<style scoped>
-.el-collapse-icon-position-left :deep(.el-collapse-item__header) {
-  padding: 10px;
-}
-
-:deep(.el-collapse-item__wrap) {
-  padding: 10px;
-}
-
-/* 表头背景色 */
-:deep(.prescription-table .vxe-table--header th) {
-  background-color: #eef9fd !important;
-}
-
-:deep(.vxe-body--row:hover > td) {
-  background-color: #eef9fd !important;
-}
-</style>
-
-        <!-- 未校对tab：显示核对通过/退回 -->
-        <template v-if="activeTab === 'unverified'">
-          <el-button
-            type="primary"
-            @click="handleCheck"
-          >
-            核对通过
-          </el-button>
-          <el-button
-            type="danger"
-            :disabled="hasDispensedSelected"
-            @click="handleCancel"
-          >
-            退回
-          </el-button>
-        </template>
-        <!-- 已校对tab：显示执行/不执行 -->
-        <template v-else-if="activeTab === 'verified'">
-          <el-button
-            type="success"
-            @click="handleExecute"
-          >
-            执行
-          </el-button>
-          <el-button
-            type="warning"
-            @click="handleVoid"
-          >
-            不执行
-          </el-button>
-        </template>
-      encounterId: item.encounterId,
-      patientId: item.patientId,
-      accountId: item.accountId,
-      therapyEnum: item.therapyEnum,
-      exePerformRecordList: item.exePerformRecordList,
 /**
  * 执行医嘱
  */
@@ -853,3 +828,27 @@ function handleVoid() {
     }
   });
 }
+
+defineExpose({
+  handleGetPrescription,
+});
+</script>
+
+<style scoped>
+.el-collapse-icon-position-left :deep(.el-collapse-item__header) {
+  padding: 10px;
+}
+
+:deep(.el-collapse-item__wrap) {
+  padding: 10px;
+}
+
+/* 表头背景色 */
+:deep(.prescription-table .vxe-table--header th) {
+  background-color: #eef9fd !important;
+}
+
+:deep(.vxe-body--row:hover > td) {
+  background-color: #eef9fd !important;
+}
+</style>