372 【住院医生站】医嘱录入执行科室显示ID乱码，且缺乏动态匹配逻辑

373 【住院医生站】医嘱搜索缺失“II级护理”项目（与诊疗目录配置不符）

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue

@@ -702,7 +702,14 @@ async function selectAdviceBase(key, row) {
   };
 
   // 后续字段处理保持原样
-  prescriptionList.value[rowIndex.value].orgId = undefined;
+  // 🔧 修复执行科室逻辑：诊疗项目优先使用项目维护的所属科室(row.orgId)
+  // 如果所属科室为空，则回退到患者当前所在科室
+  if (row.adviceType === 3 && row.orgId) {
+    // 项目有所属科室，直接使用
+    prescriptionList.value[rowIndex.value].orgId = row.orgId;
+  } else {
+    prescriptionList.value[rowIndex.value].orgId = undefined;
+  }
   prescriptionList.value[rowIndex.value].dose = undefined;
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
   prescriptionList.value[rowIndex.value].doseUnitCode =