diff --git a/scripts/repair_bug_318.py b/scripts/repair_bug_318.py
new file mode 100644
index 00000000..f97afed1
--- /dev/null
+++ b/scripts/repair_bug_318.py
@@ -0,0 +1,351 @@
+#!/usr/bin/env python3
+# -*- coding: utf-8 -*-
+"""
+Bug #318 历史数据修复脚本
+为已存在但未生成手术医嘱的手术申请单补齐数据
+"""
+
+import psycopg2
+import json
+import random
+import string
+from datetime import datetime
+
+# 数据库连接配置
+DB_CONFIG = {
+    "host": "47.116.196.11",
+    "port": 15432,
+    "database": "postgresql",
+    "user": "postgresql",
+    "password": "postgresql",  # 请根据实际情况修改
+}
+
+
+def generate_bus_no():
+    """生成4位随机bus_no"""
+    return "".join(random.choices(string.digits, k=4))
+
+
+def check_repair_needed(conn):
+    """检查需要修复的记录数"""
+    cursor = conn.cursor()
+    sql = """
+    SELECT COUNT(*) 
+    FROM doc_request_form rf
+    LEFT JOIN wor_service_request sr ON sr.prescription_no = rf.prescription_no 
+        AND sr.delete_flag = '0'
+    WHERE rf.type_code = 'PROCEDURE'
+      AND rf.delete_flag = '0'
+      AND sr.id IS NULL
+    """
+    cursor.execute(sql)
+    count = cursor.fetchone()[0]
+    cursor.close()
+    return count
+
+
+def get_repair_list(conn):
+    """获取需要修复的手术申请单列表"""
+    cursor = conn.cursor()
+    sql = """
+    SELECT 
+        rf.id,
+        rf.prescription_no,
+        rf.encounter_id,
+        rf.patient_id,
+        rf.requester_id,
+        rf.create_time,
+        rf.org_id,
+        rf.desc_json
+    FROM doc_request_form rf
+    LEFT JOIN wor_service_request sr ON sr.prescription_no = rf.prescription_no 
+        AND sr.delete_flag = '0'
+    WHERE rf.type_code = 'PROCEDURE'
+      AND rf.delete_flag = '0'
+      AND sr.id IS NULL
+    ORDER BY rf.create_time DESC
+    """
+    cursor.execute(sql)
+    results = cursor.fetchall()
+    cursor.close()
+    return results
+
+
+def parse_surgery_info(desc_json):
+    """解析手术信息"""
+    if not desc_json:
+        return {}
+    try:
+        if isinstance(desc_json, str):
+            return json.loads(desc_json)
+        return desc_json
+    except:
+        return {}
+
+
+def repair_service_request(conn, repair_list):
+    """修复手术医嘱（ServiceRequest）"""
+    cursor = conn.cursor()
+
+    insert_sql = """
+    INSERT INTO wor_service_request (
+        bus_no, prescription_no, status_enum, generate_source_enum,
+        therapy_enum, quantity, unit_code, category_enum,
+        patient_id, requester_id, encounter_id, authored_time,
+        org_id, content_json, delete_flag, create_time, create_by, tenant_id
+    ) VALUES (%s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s)
+    RETURNING id
+    """
+
+    new_requests = []
+    for record in repair_list:
+        (
+            rf_id,
+            prescription_no,
+            encounter_id,
+            patient_id,
+            requester_id,
+            create_time,
+            org_id,
+            desc_json,
+        ) = record
+
+        # 解析手术信息
+        surgery_info = parse_surgery_info(desc_json)
+        content_json = (
+            json.dumps(surgery_info, ensure_ascii=False) if surgery_info else None
+        )
+
+        # 生成bus_no
+        bus_no = generate_bus_no()
+
+        # 插入ServiceRequest
+        cursor.execute(
+            insert_sql,
+            (
+                bus_no,  # bus_no
+                prescription_no,  # prescription_no
+                1,  # status_enum: 1-待签发
+                1,  # generate_source_enum: 1-医生处方
+                2,  # therapy_enum: 2-临时医嘱
+                1,  # quantity
+                "次",  # unit_code
+                4,  # category_enum: 4-手术
+                patient_id,  # patient_id
+                requester_id,  # requester_id
+                encounter_id,  # encounter_id
+                create_time,  # authored_time
+                org_id,  # org_id
+                content_json,  # content_json
+                "0",  # delete_flag
+                create_time,  # create_time
+                requester_id,  # create_by
+                1,  # tenant_id
+            ),
+        )
+
+        service_request_id = cursor.fetchone()[0]
+        new_requests.append(
+            {
+                "service_request_id": service_request_id,
+                "bus_no": bus_no,
+                "prescription_no": prescription_no,
+                "patient_id": patient_id,
+                "encounter_id": encounter_id,
+                "requester_id": requester_id,
+                "create_time": create_time,
+                "org_id": org_id,
+                "surgery_info": surgery_info,
+            }
+        )
+
+    conn.commit()
+    cursor.close()
+    return new_requests
+
+
+def repair_charge_items(conn, new_requests):
+    """修复收费项目（ChargeItem）"""
+    cursor = conn.cursor()
+
+    insert_sql = """
+    INSERT INTO adm_charge_item (
+        bus_no, status_enum, generate_source_enum, patient_id,
+        context_enum, encounter_id, enterer_id, entered_date,
+        service_table, service_id, product_table, requesting_org_id,
+        quantity_value, quantity_unit, unit_price, total_price,
+        delete_flag, create_time, create_by, tenant_id
+    ) VALUES (%s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s, %s)
+    """
+
+    for req in new_requests:
+        surgery_info = req["surgery_info"]
+
+        # 手术费用
+        surgery_fee = 0
+        if surgery_info and "surgeryFee" in surgery_info:
+            try:
+                surgery_fee = float(surgery_info["surgeryFee"])
+            except:
+                surgery_fee = 0
+
+        # 插入手术费用收费项目
+        cursor.execute(
+            insert_sql,
+            (
+                "CI" + req["bus_no"],  # bus_no
+                1,  # status_enum: 1-草稿
+                1,  # generate_source_enum: 1-医生处方
+                req["patient_id"],  # patient_id
+                3,  # context_enum: 3-诊疗
+                req["encounter_id"],  # encounter_id
+                req["requester_id"],  # enterer_id
+                req["create_time"],  # entered_date
+                "wor_service_request",  # service_table
+                req["service_request_id"],  # service_id
+                "wor_activity_definition",  # product_table
+                req["org_id"],  # requesting_org_id
+                1,  # quantity_value
+                "次",  # quantity_unit
+                surgery_fee,  # unit_price
+                surgery_fee,  # total_price
+                "0",  # delete_flag
+                req["create_time"],  # create_time
+                req["requester_id"],  # create_by
+                1,  # tenant_id
+            ),
+        )
+
+        # 麻醉费用（如果存在且大于0）
+        anesthesia_fee = 0
+        if surgery_info and "anesthesiaFee" in surgery_info:
+            try:
+                anesthesia_fee = float(surgery_info["anesthesiaFee"])
+            except:
+                anesthesia_fee = 0
+
+        if anesthesia_fee > 0:
+            cursor.execute(
+                insert_sql,
+                (
+                    "CI" + req["bus_no"] + "_A",  # bus_no
+                    1,  # status_enum
+                    1,  # generate_source_enum
+                    req["patient_id"],  # patient_id
+                    3,  # context_enum
+                    req["encounter_id"],  # encounter_id
+                    req["requester_id"],  # enterer_id
+                    req["create_time"],  # entered_date
+                    "wor_service_request",  # service_table
+                    req["service_request_id"],  # service_id
+                    "wor_activity_definition",  # product_table
+                    req["org_id"],  # requesting_org_id
+                    1,  # quantity_value
+                    "次",  # quantity_unit
+                    anesthesia_fee,  # unit_price
+                    anesthesia_fee,  # total_price
+                    "0",  # delete_flag
+                    req["create_time"],  # create_time
+                    req["requester_id"],  # create_by
+                    1,  # tenant_id
+                ),
+            )
+
+    conn.commit()
+    cursor.close()
+
+
+def verify_repair(conn):
+    """验证修复结果"""
+    cursor = conn.cursor()
+
+    # 统计手术医嘱数量
+    cursor.execute("""
+    SELECT COUNT(*) 
+    FROM wor_service_request 
+    WHERE category_enum = 4 AND delete_flag = '0'
+    """)
+    service_request_count = cursor.fetchone()[0]
+
+    # 统计收费项目数量
+    cursor.execute("""
+    SELECT COUNT(*) 
+    FROM adm_charge_item ci
+    WHERE ci.service_table = 'wor_service_request'
+      AND EXISTS (
+          SELECT 1 FROM wor_service_request sr 
+          WHERE sr.id = ci.service_id AND sr.category_enum = 4
+      )
+    """)
+    charge_item_count = cursor.fetchone()[0]
+
+    cursor.close()
+    return service_request_count, charge_item_count
+
+
+def main():
+    """主函数"""
+    print("=" * 60)
+    print("Bug #318 历史数据修复脚本")
+    print("=" * 60)
+    print()
+
+    try:
+        # 连接数据库
+        print("正在连接数据库...")
+        conn = psycopg2.connect(**DB_CONFIG)
+        print("✓ 数据库连接成功")
+        print()
+
+        # 步骤1：检查需要修复的记录数
+        print("步骤1: 检查需要修复的记录...")
+        need_repair_count = check_repair_needed(conn)
+        print(f"✓ 发现 {need_repair_count} 条需要修复的手术申请单")
+        print()
+
+        if need_repair_count == 0:
+            print("没有需要修复的数据，退出")
+            return
+
+        # 步骤2：获取修复列表
+        print("步骤2: 获取修复列表...")
+        repair_list = get_repair_list(conn)
+        print(f"✓ 获取到 {len(repair_list)} 条记录")
+        print()
+
+        # 步骤3：修复ServiceRequest
+        print("步骤3: 生成手术医嘱（ServiceRequest）...")
+        new_requests = repair_service_request(conn, repair_list)
+        print(f"✓ 成功生成 {len(new_requests)} 条手术医嘱")
+        print()
+
+        # 步骤4：修复ChargeItem
+        print("步骤4: 生成收费项目（ChargeItem）...")
+        repair_charge_items(conn, new_requests)
+        print(f"✓ 成功生成收费项目")
+        print()
+
+        # 步骤5：验证修复结果
+        print("步骤5: 验证修复结果...")
+        service_count, charge_count = verify_repair(conn)
+        print(f"✓ 当前手术医嘱总数: {service_count}")
+        print(f"✓ 当前手术收费项目总数: {charge_count}")
+        print()
+
+        print("=" * 60)
+        print("✓ 修复完成！")
+        print("=" * 60)
+
+    except Exception as e:
+        print(f"✗ 错误: {e}")
+        import traceback
+
+        traceback.print_exc()
+    finally:
+        if "conn" in locals():
+            conn.close()
+            print("\n数据库连接已关闭")
+
+
+if __name__ == "__main__":
+    main()
diff --git a/sql/bug_318_repair_execute.sql b/sql/bug_318_repair_execute.sql
new file mode 100644
index 00000000..278590a5
--- /dev/null
+++ b/sql/bug_318_repair_execute.sql
@@ -0,0 +1,240 @@
+-- ============================================================
+-- Bug #318 历史数据修复 - 简化版SQL脚本
+-- 为已存在但未生成手术医嘱的手术申请单补齐数据
+-- ============================================================
+-- 执行说明：
+-- 1. 在数据库管理工具中执行（如 DBeaver、pgAdmin）
+-- 2. 建议先执行查询部分确认数据
+-- 3. 备份数据库后再执行修复
+-- ============================================================
+
+-- 步骤1: 查看需要修复的记录数
+-- ============================================================
+SELECT 
+    '需要修复的手术申请单数量' as 检查项,
+    COUNT(*) as 数量
+FROM doc_request_form rf
+LEFT JOIN wor_service_request sr ON sr.prescription_no = rf.prescription_no 
+    AND sr.delete_flag = '0'
+WHERE rf.type_code = 'PROCEDURE'
+  AND rf.delete_flag = '0'
+  AND sr.id IS NULL;
+
+-- 步骤2: 查看详细列表（可选）
+-- ============================================================
+/*
+SELECT 
+    rf.id as request_form_id,
+    rf.prescription_no as 手术单号,
+    rf.encounter_id as 就诊ID,
+    rf.patient_id as 患者ID,
+    rf.create_time as 申请时间
+FROM doc_request_form rf
+LEFT JOIN wor_service_request sr ON sr.prescription_no = rf.prescription_no 
+    AND sr.delete_flag = '0'
+WHERE rf.type_code = 'PROCEDURE'
+  AND rf.delete_flag = '0'
+  AND sr.id IS NULL
+ORDER BY rf.create_time DESC
+LIMIT 10;
+*/
+
+-- 步骤3: 执行修复 - 生成手术医嘱（ServiceRequest）
+-- ============================================================
+-- ⚠️ 请在确认备份数据库后执行以下语句
+
+INSERT INTO wor_service_request (
+    bus_no,
+    prescription_no,
+    status_enum,
+    generate_source_enum,
+    therapy_enum,
+    quantity,
+    unit_code,
+    category_enum,
+    patient_id,
+    requester_id,
+    encounter_id,
+    authored_time,
+    org_id,
+    content_json,
+    delete_flag,
+    create_time,
+    create_by,
+    tenant_id
+)
+SELECT 
+    LPAD(FLOOR(RANDOM() * 10000)::TEXT, 4, '0') as bus_no,  -- 生成4位随机数
+    rf.prescription_no,
+    1 as status_enum,          -- 1-待签发
+    1 as generate_source_enum, -- 1-医生处方
+    2 as therapy_enum,         -- 2-临时医嘱
+    1 as quantity,
+    '次' as unit_code,
+    4 as category_enum,        -- 4-手术
+    rf.patient_id,
+    rf.requester_id,
+    rf.encounter_id,
+    rf.create_time as authored_time,
+    rf.org_id,
+    rf.desc_json as content_json,  -- 存储手术详情
+    '0' as delete_flag,
+    rf.create_time,
+    rf.requester_id as create_by,
+    1 as tenant_id
+FROM doc_request_form rf
+LEFT JOIN wor_service_request sr ON sr.prescription_no = rf.prescription_no 
+    AND sr.delete_flag = '0'
+WHERE rf.type_code = 'PROCEDURE'
+  AND rf.delete_flag = '0'
+  AND sr.id IS NULL;
+
+-- 步骤4: 查看生成的手术医嘱数量
+-- ============================================================
+SELECT 
+    '生成的手术医嘱数量' as 检查项,
+    COUNT(*) as 数量
+FROM wor_service_request
+WHERE category_enum = 4
+  AND delete_flag = '0'
+  AND create_time > CURRENT_TIMESTAMP - INTERVAL '1 hour';  -- 最近1小时生成的
+
+-- 步骤5: 生成手术收费项目（ChargeItem）
+-- ============================================================
+-- 先创建临时表存储新生成的ServiceRequest
+CREATE TEMPORARY TABLE temp_new_service_requests AS
+SELECT 
+    sr.id as service_request_id,
+    sr.bus_no,
+    sr.prescription_no,
+    sr.patient_id,
+    sr.encounter_id,
+    sr.requester_id,
+    sr.create_time,
+    sr.org_id,
+    sr.content_json
+FROM wor_service_request sr
+WHERE sr.category_enum = 4
+  AND sr.delete_flag = '0'
+  AND sr.create_time > CURRENT_TIMESTAMP - INTERVAL '1 hour';  -- 最近1小时生成的
+
+-- 插入手术费用收费项目
+INSERT INTO adm_charge_item (
+    bus_no,
+    status_enum,
+    generate_source_enum,
+    patient_id,
+    context_enum,
+    encounter_id,
+    enterer_id,
+    entered_date,
+    service_table,
+    service_id,
+    product_table,
+    requesting_org_id,
+    quantity_value,
+    quantity_unit,
+    unit_price,
+    total_price,
+    delete_flag,
+    create_time,
+    create_by,
+    tenant_id
+)
+SELECT 
+    'CI' || t.bus_no as bus_no,
+    1 as status_enum,          -- 1-草稿
+    1 as generate_source_enum, -- 1-医生处方
+    t.patient_id,
+    3 as context_enum,         -- 3-诊疗
+    t.encounter_id,
+    t.requester_id as enterer_id,
+    t.create_time as entered_date,
+    'wor_service_request' as service_table,
+    t.service_request_id as service_id,
+    'wor_activity_definition' as product_table,
+    t.org_id as requesting_org_id,
+    1 as quantity_value,
+    '次' as quantity_unit,
+    COALESCE((t.content_json::jsonb->>'surgeryFee')::numeric, 0) as unit_price,
+    COALESCE((t.content_json::jsonb->>'surgeryFee')::numeric, 0) as total_price,
+    '0' as delete_flag,
+    t.create_time,
+    t.requester_id as create_by,
+    1 as tenant_id
+FROM temp_new_service_requests t
+WHERE COALESCE((t.content_json::jsonb->>'surgeryFee')::numeric, 0) >= 0;
+
+-- 插入麻醉费用收费项目（如果有麻醉费用）
+INSERT INTO adm_charge_item (
+    bus_no,
+    status_enum,
+    generate_source_enum,
+    patient_id,
+    context_enum,
+    encounter_id,
+    enterer_id,
+    entered_date,
+    service_table,
+    service_id,
+    product_table,
+    requesting_org_id,
+    quantity_value,
+    quantity_unit,
+    unit_price,
+    total_price,
+    delete_flag,
+    create_time,
+    create_by,
+    tenant_id
+)
+SELECT 
+    'CI' || t.bus_no || '_A' as bus_no,
+    1 as status_enum,
+    1 as generate_source_enum,
+    t.patient_id,
+    3 as context_enum,
+    t.encounter_id,
+    t.requester_id as enterer_id,
+    t.create_time as entered_date,
+    'wor_service_request' as service_table,
+    t.service_request_id as service_id,
+    'wor_activity_definition' as product_table,
+    t.org_id as requesting_org_id,
+    1 as quantity_value,
+    '次' as quantity_unit,
+    (t.content_json::jsonb->>'anesthesiaFee')::numeric as unit_price,
+    (t.content_json::jsonb->>'anesthesiaFee')::numeric as total_price,
+    '0' as delete_flag,
+    t.create_time,
+    t.requester_id as create_by,
+    1 as tenant_id
+FROM temp_new_service_requests t
+WHERE t.content_json::jsonb->>'anesthesiaFee' IS NOT NULL
+  AND (t.content_json::jsonb->>'anesthesiaFee')::numeric > 0;
+
+-- 步骤6: 验证修复结果
+-- ============================================================
+SELECT 
+    '手术医嘱总数' as 检查项,
+    COUNT(*) as 数量
+FROM wor_service_request
+WHERE category_enum = 4
+  AND delete_flag = '0';
+
+SELECT 
+    '手术收费项目总数' as 检查项,
+    COUNT(*) as 数量
+FROM adm_charge_item ci
+WHERE ci.service_table = 'wor_service_request'
+  AND EXISTS (
+      SELECT 1 FROM wor_service_request sr 
+      WHERE sr.id = ci.service_id AND sr.category_enum = 4
+  );
+
+-- 清理临时表
+DROP TABLE IF EXISTS temp_new_service_requests;
+
+-- ============================================================
+-- ✓ 修复完成！
+-- ============================================================