diff --git a/md/bug-analysis/bug444-analysis.md b/md/bug-analysis/bug444-analysis.md
new file mode 100644
index 000000000..36265ee6a
--- /dev/null
+++ b/md/bug-analysis/bug444-analysis.md
@@ -0,0 +1,30 @@
+# Bug #444 分析报告
+
+## Bug 描述
+生成临时医嘱界面，"已引用计费药品"列表未正常显示药品详细名称信息。具体表现为：
+- 列表中出现了"小腿烧伤扩创交腿皮瓣修复术"（属于手术诊疗项目）
+- 列表中出现了"心脏彩色多普勒超声"（属于检查/诊疗项目）
+- 非药品类计费信息错误地混入"已引用计费药品"列表
+
+## 根因定位
+**文件**: `openhis-ui-vue3/src/views/surgicalschedule/index.vue`
+**行号**: 1580 (handleMedicalAdvice), 1864 (handleQuoteBilling), 1850 (handleTemporaryMedicalRefresh)
+
+三处过滤逻辑均使用：
+```javascript
+if (item.adviceType !== 1) return false;
+```
+
+**问题1（主因）**: `adviceType` 字段命名兼容不完整。代码在 `insuranceType`、`contentJson` 等字段上做了 camelCase + snake_case 双兼容（如 `item.insuranceType || item.insurance_type`），但 `adviceType` 只检查了 camelCase。若后端返回 snake_case 数据（`advice_type`），`item.adviceType` 为 `undefined`，`undefined !== 1` 为 `true`，导致所有非药品项目全部放行。
+
+**问题2（次因）**: 即使 `adviceType` 正确返回，后端可能存在数据标注错误的情况（非药品项目被标为 adviceType=1），缺乏基于药品名称的二次验证。
+
+## 修复方案
+1. `adviceType` 检查增加 snake_case 回退：`const at = item.adviceType ?? item.advice_type; if (at !== 1) return false;`
+2. 增加药品名称关键字二次过滤：排除名称中包含"术"、"检查"、"超声"、"多普勒"等关键词的非药品项目
+
+## 验收标准
+1. "已引用计费药品"列表中只显示药品类项目
+2. 不显示手术诊疗项目（如"小腿烧伤扩创交腿皮瓣修复术"）
+3. 不显示检查项目（如"心脏彩色多普勒超声"）
+4. 药品名称正常显示
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java
index 3bf2ac301..b207decf1 100755
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java
@@ -159,7 +159,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         String activityName = activityDef != null ? activityDef.getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
-            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());
+            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getOrganizationId(), orgLoc.getActivityDefinitionId());
         organizationLocationList = (orgLoc.getId() != null)
             ? organizationLocationList.stream().filter(item -> !orgLoc.getId().equals(item.getId())).toList()
             : organizationLocationList;
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java
index c9e680fae..0212232e1 100755
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java
@@ -53,12 +53,14 @@ public class OrganizationLocationServiceImpl extends ServiceImpl<OrganizationLoc
     /**
      * 查询诊疗的执行科室列表
      *
+     * @param organizationId 机构id
      * @param activityDefinitionId 诊疗定义id
      * @return 诊疗的执行科室列表
      */
     @Override
-    public List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long activityDefinitionId) {
+    public List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long organizationId, Long activityDefinitionId) {
         return baseMapper.selectList(new LambdaQueryWrapper<OrganizationLocation>()
+            .eq(OrganizationLocation::getOrganizationId, organizationId)
             .eq(OrganizationLocation::getActivityDefinitionId, activityDefinitionId));
     }