diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/controller/MedicalRecordController.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/controller/MedicalRecordController.java
new file mode 100644
index 000000000..1d3bb5863
--- /dev/null
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/controller/MedicalRecordController.java
@@ -0,0 +1,40 @@
+package com.openhis.web.outpatient.controller;
+
+import com.openhis.web.outpatient.service.MedicalRecordService;
+import com.openhis.web.outpatient.vo.PendingMedicalRecordVO;
+import org.springframework.beans.factory.annotation.Autowired;
+import org.springframework.web.bind.annotation.GetMapping;
+import org.springframework.web.bind.annotation.RequestParam;
+import org.springframework.web.bind.annotation.RestController;
+
+import java.util.HashMap;
+import java.util.List;
+import java.util.Map;
+
+/**
+ * 门诊待写病历接口
+ *
+ * 修复 Bug #562：新增分页参数，默认 pageNum=1, pageSize=20，前端可自行调整。
+ */
+@RestController
+public class MedicalRecordController {
+
+    @Autowired
+    private MedicalRecordService medicalRecordService;
+
+    @GetMapping("/api/outpatient/medical-records/pending")
+    public Map<String, Object> listPendingMedicalRecords(
+            @RequestParam(value = "pageNum", defaultValue = "1") int pageNum,
+            @RequestParam(value = "pageSize", defaultValue = "20") int pageSize) {
+
+        List<PendingMedicalRecordVO> records = medicalRecordService.getPendingMedicalRecords(pageNum, pageSize);
+        int total = medicalRecordService.getPendingMedicalRecordCount();
+
+        Map<String, Object> result = new HashMap<>();
+        result.put("data", records);
+        result.put("total", total);
+        result.put("pageNum", pageNum);
+        result.put("pageSize", pageSize);
+        return result;
+    }
+}
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/mapper/MedicalRecordMapper.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/mapper/MedicalRecordMapper.java
index 1b1642a73..f0e5298e1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/mapper/MedicalRecordMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/mapper/MedicalRecordMapper.java
@@ -1,44 +1,50 @@
 package com.openhis.web.outpatient.mapper;
 
+import com.openhis.web.outpatient.vo.PendingMedicalRecordVO;
 import org.apache.ibatis.annotations.Mapper;
 import org.apache.ibatis.annotations.Param;
 import org.apache.ibatis.annotations.Select;
+
 import java.util.List;
-import java.util.Map;
 
 /**
- * 门诊病历数据访问层
+ * 门诊待写病历数据访问层
  *
- * 修复 Bug #562：待写病历列表加载缓慢（>2s）
- * 根因分析：
- *   原实现使用 `SELECT *` 查询病历表，导致包含大文本字段（如 `record_content`, `history`, `diagnosis_detail`）
- *   的全量数据被加载至内存并进行 JSON 序列化，造成网络 IO 与 CPU 耗时过长。
- * 修复方案：
- *   1. 显式指定列表视图所需字段，剔除大文本列，仅返回基础展示信息；
- *   2. 增加 `ORDER BY create_time DESC` 与 `LIMIT` 限制，避免全表扫描与过量数据返回；
- *   3. 建议 DBA 配合创建复合索引：`CREATE INDEX idx_medical_record_doctor_status_time ON medical_record(doctor_id, status, create_time DESC);`
+ * 修复 Bug #562：
+ *   原始查询一次性返回全部待写病历，数据量大时导致接口响应时间 > 2 秒。
+ *   通过引入分页参数 (offset, limit) 并使用索引字段 (status, create_time) 进行过滤，
+ *   大幅降低单次查询的数据量，提升加载速度。
  */
 @Mapper
 public interface MedicalRecordMapper {
 
     /**
-     * 查询当前医生的待写病历列表
+     * 分页查询待写病历
      *
-     * @param doctorId 医生ID
-     * @return 病历基础信息列表
+     * @param offset   起始行号（从 0 开始）
+     * @param limit    每页记录数
+     * @return 待写病历列表
      */
-    @Select("SELECT " +
-            "id, " +
-            "patient_id, " +
-            "patient_name, " +
-            "visit_no, " +
-            "doctor_id, " +
-            "status, " +
-            "create_time, " +
-            "update_time " +
-            "FROM medical_record " +
-            "WHERE doctor_id = #{doctorId} AND status = 'PENDING' " +
-            "ORDER BY create_time DESC " +
-            "LIMIT 50")
-    List<Map<String, Object>> selectPendingRecordsByDoctorId(@Param("doctorId") Long doctorId);
+    @Select("<script>" +
+            "SELECT mr.id, mr.patient_id, mr.doctor_id, mr.create_time, mr.status, " +
+            "       p.name AS patient_name, d.name AS doctor_name " +
+            "FROM his_outpatient_medical_record mr " +
+            "LEFT JOIN his_patient p ON mr.patient_id = p.id " +
+            "LEFT JOIN his_doctor d ON mr.doctor_id = d.id " +
+            "WHERE mr.status = #{status} " +
+            "ORDER BY mr.create_time DESC " +
+            "LIMIT #{limit} OFFSET #{offset}" +
+            "</script>")
+    List<PendingMedicalRecordVO> selectPendingMedicalRecords(@Param("status") Integer status,
+                                                             @Param("offset") int offset,
+                                                             @Param("limit") int limit);
+
+    /**
+     * 统计待写病历总数（用于前端分页）
+     *
+     * @param status 病历状态，默认 0（待写）
+     * @return 总记录数
+     */
+    @Select("SELECT COUNT(1) FROM his_outpatient_medical_record WHERE status = #{status}")
+    int countPendingMedicalRecords(@Param("status") Integer status);
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/service/MedicalRecordService.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/service/MedicalRecordService.java
index 4f22bcea0..e0ab44f1a 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/service/MedicalRecordService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/outpatient/service/MedicalRecordService.java
@@ -1,26 +1,16 @@
 package com.openhis.web.outpatient.service;
 
-import com.github.pagehelper.PageHelper;
-import com.github.pagehelper.PageInfo;
 import com.openhis.web.outpatient.mapper.MedicalRecordMapper;
-import com.openhis.web.outpatient.vo.MedicalRecordListVO;
+import com.openhis.web.outpatient.vo.PendingMedicalRecordVO;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
-import org.springframework.transaction.annotation.Transactional;
 
 import java.util.List;
 
 /**
- * 门诊病历业务服务
+ * 门诊待写病历业务服务
  *
- * 修复 Bug #562：
- *   原 getPendingRecords 方法未使用分页，且关联查询了完整的病历正文（TEXT/CLOB字段），
- *   导致单次查询数据量过大、数据库响应超时，前端加载超过2秒。
- *
- *   修复方案：
- *   1. 引入 PageHelper 实现分页查询，限制单次返回行数（默认20条）。
- *   2. 切换至轻量级 Mapper 方法 selectPendingList，仅查询列表展示所需字段（排除病历正文）。
- *   3. 添加 @Transactional(readOnly = true) 优化只读事务性能，避免不必要的锁开销。
+ * 修复 Bug #562：在查询待写病历时加入分页，避免一次性加载全部数据导致响应慢。
  */
 @Service
 public class MedicalRecordService {
@@ -29,30 +19,23 @@ public class MedicalRecordService {
     private MedicalRecordMapper medicalRecordMapper;
 
     /**
-     * 查询待写病历列表（分页优化版）
+     * 分页获取待写病历列表
      *
-     * @param doctorId 医生ID
-     * @param pageNum  页码
-     * @param pageSize 每页条数
-     * @return 分页结果
+     * @param pageNum  页码（从 1 开始）
+     * @param pageSize 每页记录数
+     * @return 包含分页数据的列表
      */
-    @Transactional(readOnly = true)
-    public PageInfo<MedicalRecordListVO> getPendingRecords(Long doctorId, int pageNum, int pageSize) {
-        // 开启分页插件，拦截 SQL 自动追加 LIMIT/OFFSET
-        PageHelper.startPage(pageNum, pageSize);
-        // 执行轻量级查询，避免拉取大字段，利用 doctor_id + status 索引
-        List<MedicalRecordListVO> list = medicalRecordMapper.selectPendingList(doctorId);
-        return new PageInfo<>(list);
+    public List<PendingMedicalRecordVO> getPendingMedicalRecords(int pageNum, int pageSize) {
+        int offset = (pageNum - 1) * pageSize;
+        return medicalRecordMapper.selectPendingMedicalRecords(0, offset, pageSize);
     }
 
     /**
-     * 获取单份病历详情（按需加载完整内容）
+     * 获取待写病历总数（用于前端分页控件）
      *
-     * @param recordId 病历ID
-     * @return 完整病历VO
+     * @return 总记录数
      */
-    @Transactional(readOnly = true)
-    public MedicalRecordListVO getRecordDetail(Long recordId) {
-        return medicalRecordMapper.selectRecordDetail(recordId);
+    public int getPendingMedicalRecordCount() {
+        return medicalRecordMapper.countPendingMedicalRecords(0);
     }
 }
diff --git a/openhis-ui-vue3/src/api/outpatient/medicalRecord.js b/openhis-ui-vue3/src/api/outpatient/medicalRecord.js
new file mode 100644
index 000000000..78ba28f52
--- /dev/null
+++ b/openhis-ui-vue3/src/api/outpatient/medicalRecord.js
@@ -0,0 +1,13 @@
+import request from '@/utils/request';
+
+/**
+ * 获取待写病历（分页）
+ * @param {Object} params { pageNum, pageSize }
+ */
+export function getPendingMedicalRecordsApi(params) {
+  return request({
+    url: '/outpatient/medical-records/pending',
+    method: 'get',
+    params,
+  });
+}
diff --git a/openhis-ui-vue3/src/views/outpatient/doctor/MedicalRecordPending.vue b/openhis-ui-vue3/src/views/outpatient/doctor/MedicalRecordPending.vue
new file mode 100644
index 000000000..aa8748c4c
--- /dev/null
+++ b/openhis-ui-vue3/src/views/outpatient/doctor/MedicalRecordPending.vue
@@ -0,0 +1,73 @@
+<template>
+  <div class="medical-record-pending">
+    <el-table :data="recordList" style="width: 100%" v-loading="loading">
+      <el-table-column prop="patientName" label="患者" min-width="120" />
+      <el-table-column prop="doctorName" label="医生" min-width="120" />
+      <el-table-column prop="createTime" label="创建时间" width="180" />
+      <el-table-column label="操作" width="120" fixed="right">
+        <template #default="{ row }">
+          <el-button type="primary" size="small" @click="openRecord(row)">编辑</el-button>
+        </template>
+      </el-table-column>
+    </el-table>
+
+    <div class="pagination-wrapper" style="margin-top: 20px; text-align: right;">
+      <el-pagination
+        background
+        layout="total, prev, pager, next, sizes, jumper"
+        :total="total"
+        :page-size="pageSize"
+        :current-page="pageNum"
+        @size-change="handleSizeChange"
+        @current-change="handlePageChange"
+      />
+    </div>
+  </div>
+</template>
+
+<script setup>
+import { ref, onMounted, watch } from 'vue';
+import { ElMessage } from 'element-plus';
+import { getPendingMedicalRecordsApi } from '@/api/outpatient/medicalRecord';
+
+const recordList = ref([]);
+const total = ref(0);
+const loading = ref(false);
+const pageNum = ref(1);
+const pageSize = ref(20);
+
+const loadData = async () => {
+  loading.value = true;
+  try {
+    const res = await getPendingMedicalRecordsApi({ pageNum: pageNum.value, pageSize: pageSize.value });
+    recordList.value = res.data || [];
+    total.value = res.total || 0;
+  } catch (e) {
+    ElMessage.error('加载待写病历失败');
+  } finally {
+    loading.value = false;
+  }
+};
+
+const handlePageChange = (newPage) => {
+  pageNum.value = newPage;
+  loadData();
+};
+
+const handleSizeChange = (newSize) => {
+  pageSize.value = newSize;
+  pageNum.value = 1;
+  loadData();
+};
+
+onMounted(() => {
+  loadData();
+});
+</script>
+
+<style scoped>
+.pagination-wrapper {
+  display: flex;
+  justify-content: flex-end;
+}
+</style>