Fix Bug #487: 【临床医嘱】诊疗类医嘱签发后，列表状态未实时刷新为"已签发"

诊疗类医嘱(handService)签发时仅依赖saveOrUpdate更新statusEnum，
但该方式对已有记录可能未正确将statusEnum更新为ACTIVE(2)。
修复：在handService方法末尾使用LambdaUpdateWrapper批量显式更新
所有已处理ServiceRequest的statusEnum为ACTIVE(签发)/DRAFT(保存)，
与ServiceRequestServiceImpl中activeStatusEnum/updateDraftStatusBatch
等方法的实现模式保持一致。

Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java

@@ -511,6 +511,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         // 签发操作
         boolean is_sign = AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType);
 
+        // 收集已处理的requestId，用于批量更新状态
+        List<Long> processedRequestIds = new ArrayList<>();
+
         // 声明长期医嘱诊疗请求
         ServiceRequest longServiceRequest;
         // 新增 + 修改 (长期医嘱)
@@ -555,6 +558,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(longServiceRequest);
+            if (longServiceRequest.getId() != null) {
+                processedRequestIds.add(longServiceRequest.getId());
+            }
         }
 
         // 声明临时医嘱诊疗请求
@@ -603,6 +609,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(tempServiceRequest);
+            if (tempServiceRequest.getId() != null) {
+                processedRequestIds.add(tempServiceRequest.getId());
+            }
 
             // 保存时,保存诊疗费用项
             if (is_save) {
@@ -654,6 +663,14 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
             }
         }
 
+        // 批量更新诊疗医嘱状态（使用 update 确保状态字段必定更新）
+        if (!processedRequestIds.isEmpty()) {
+            iServiceRequestService.update(null,
+                    new LambdaUpdateWrapper<ServiceRequest>()
+                            .set(ServiceRequest::getStatusEnum,
+                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                            .in(ServiceRequest::getId, processedRequestIds));
+        }
     }
 
     /**