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"

根因分析：诊疗类(活动)医嘱签发时，后端handService()的批量状态更新
未区分签发/保存场景，导致statusEnum字段在签发时可能未被正确更新为
ACTIVE(2)；前端依赖后端刷新，缺乏乐观更新机制。

修复方案：
- 前端：签发成功后立即将saveList中对应医嘱的statusEnum设为2（乐观更新），
  再执行getListInfo从后端刷新
- 后端：handService()中分离签发/保存的批量更新逻辑，签发时显式设置
  statusEnum=ACTIVE、authoredTime和signCode，并添加日志

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

openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java

@@ -7,6 +7,7 @@ import com.core.common.utils.MessageUtils;
 import com.openhis.administration.domain.Location;
 import com.openhis.administration.domain.Organization;
 import com.openhis.administration.domain.OrganizationLocation;
+import com.openhis.workflow.domain.ActivityDefinition;
 import com.openhis.administration.mapper.OrganizationLocationMapper;
 import com.openhis.administration.service.ILocationService;
 import com.openhis.administration.service.IOrganizationLocationService;
@@ -70,6 +71,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         // 获取科室下拉选列表
         List<Organization> organizationList = organizationService.getList(OrganizationType.DEPARTMENT.getValue(), null);
         List<OrgLocInitDto.departmentOption> organizationOptions = organizationList.stream()
+            .filter(organization -> organization != null && organization.getName() != null)
             .map(organization -> new OrgLocInitDto.departmentOption(organization.getId(), organization.getName()))
             .collect(Collectors.toList());
         initDto.setLocationFormOptions(chargeItemStatusOptions).setDepartmentOptions(organizationOptions);
@@ -131,12 +133,18 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
     @Override
     public R<?> addOrEditOrgLoc(OrgLocQueryDto orgLocQueryDto) {
 
+        // Validate required fields before processing
+        if (orgLocQueryDto.getOrganizationId() == null) {
+            return R.fail("请选择执行科室");
+        }
+
         OrganizationLocation orgLoc = new OrganizationLocation();
         BeanUtils.copyProperties(orgLocQueryDto, orgLoc);
 
         Long activityDefinitionId = orgLoc.getActivityDefinitionId();
-        String activityName = activityDefinitionId != null
-            ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
+        ActivityDefinition activityDef = activityDefinitionId != null
+            ? activityDefinitionMapper.selectById(activityDefinitionId) : null;
+        String activityName = activityDef != null ? activityDef.getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
             organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java

@@ -2,9 +2,13 @@ package com.openhis.web.clinicalmanage.controller;
 
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.core.common.core.domain.R;
+import com.openhis.common.enums.ActivityDefCategory;
 import com.openhis.web.clinicalmanage.appservice.ISurgicalScheduleAppService;
 import com.openhis.web.clinicalmanage.dto.OpCreateScheduleDto;
 import com.openhis.web.clinicalmanage.dto.OpScheduleDto;
+import com.openhis.web.regdoctorstation.appservice.IRequestFormManageAppService;
+import com.openhis.web.regdoctorstation.dto.RequestFormDto;
+import com.openhis.web.regdoctorstation.dto.RequestFormPageDto;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;
@@ -26,6 +30,7 @@ import java.util.Map;
 public class SurgicalScheduleController {
 
     private final ISurgicalScheduleAppService surgicalScheduleAppService;
+    private final IRequestFormManageAppService requestFormManageAppService;
 
     /**
      * 分页查询手术安排列表
@@ -87,6 +92,27 @@ public class SurgicalScheduleController {
         return surgicalScheduleAppService.deleteSurgerySchedule(scheduleId);
     }
 
+    /**
+     * 分页查询待排期手术申请列表
+     *
+     * @param requestFormDto 查询条件
+     * @return 手术申请列表
+     */
+    @PostMapping(value = "/apply-list")
+    public R<IPage<RequestFormPageDto>> getSurgeryApplyList(@RequestBody RequestFormDto requestFormDto) {
+        if (requestFormDto.getPageNo() == null) {
+            requestFormDto.setPageNo(1);
+        }
+        if (requestFormDto.getPageSize() == null) {
+            requestFormDto.setPageSize(10);
+        }
+        //虽然很想这么写，但是库里的手术申请单的type_code都是直接写的SURGERY
+//        requestFormDto.setTypeCode(ActivityDefCategory.PROCEDURE.getCode());
+        //只查询手术申请单
+        requestFormDto.setTypeCode("SURGERY");
+        return R.ok(requestFormManageAppService.getRequestFormPage(requestFormDto));
+    }
+
     /**
      * 导出手术安排列表
      *

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java

@@ -59,6 +59,16 @@ public interface IDoctorStationAdviceAppService {
      */
     R<?> getRequestBaseInfo(Long encounterId);
 
+    /**
+     * 查询医嘱请求数据（支持按生成来源和来源单据号过滤）
+     *
+     * @param encounterId 就诊id
+     * @param generateSourceEnum 生成来源（可选，如手术计费=6）
+     * @param sourceBillNo 来源业务单据号（可选）
+     * @return 医嘱请求数据
+     */
+    R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo);
+
     /**
      * 门诊签退医嘱
      *

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -228,8 +228,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         // 医嘱定义ID集合
         List<Long> adviceDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getAdviceDefinitionId)
                 .collect(Collectors.toList());
-        // 费用定价主表ID集合
-        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
+        // 费用定价主表ID集合（过滤null值，手术项目无定价定义）
+        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream()
+                .map(AdviceBaseDto::getChargeItemDefinitionId)
+                .filter(Objects::nonNull)
                 .collect(Collectors.toList());
 
         // 判断是否包含药品或耗材类型（只有这些类型才需要库存相关查询）
@@ -275,9 +277,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             medLocationConfig = Collections.emptyList();
             allowedLocByCategory = Collections.emptyMap();
         }
-        // 费用定价子表信息 - 使用分批处理避免大量参数问题
+        // 费用定价子表信息 - 仅药品/耗材需要批次定价查询，手术/诊疗无库存概念不需要
         List<AdvicePriceDto> childCharge = new ArrayList<>();
-        if (chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
+        if (hasMedOrDevice && chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
             // 分批处理，每批最多1000个ID，增加批次大小以减少查询次数
             int batchSize = 1000;
             for (int i = 0; i < chargeItemDefinitionIdList.size(); i += batchSize) {
@@ -957,11 +959,16 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             }
         }
         for (AdviceSaveDto adviceSaveDto : deleteList) {
-            iMedicationRequestService.removeById(adviceSaveDto.getRequestId());
+            Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的药品请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handMedication - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
+            iMedicationRequestService.removeById(requestId);
             // 删除已经产生的药品发放信息
             iMedicationDispenseService.deleteMedicationDispense(adviceSaveDto.getRequestId());
             // 🔧 Bug Fix #219: 删除费用项
-            Long requestId = adviceSaveDto.getRequestId();
             String serviceTable = CommonConstants.TableName.MED_MEDICATION_REQUEST;
             // 直接删除费用项
             iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1417,6 +1424,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         log.info("BugFix#219: handDevice - 开始删除循环, deleteList.size={}", deleteList.size());
         for (AdviceSaveDto adviceSaveDto : deleteList) {
             Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的耗材请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handDevice - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
             log.info("BugFix#219: handDevice - 删除开始: requestId={}", requestId);
             
             // 1. 删除耗材请求
@@ -1527,11 +1539,22 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             deviceRequest.setRequesterId(adviceSaveDto.getPractitionerId()); // 开方医生
             deviceRequest.setOrgId(adviceSaveDto.getFounderOrgId());// 开方人科室
             deviceRequest.setReqAuthoredTime(curDate); // 请求开始时间
-            // 发放耗材房（若前端未传locationId，使用登录用户的科室作为默认值）
+            // 发放耗材房（若前端未传locationId，优先沿用已有DeviceRequest的performLocation，否则使用登录用户科室）
             Long locId = adviceSaveDto.getLocationId();
+            if (locId == null) {
+                // 尝试从已有DeviceRequest获取原始的performLocation
+                if (adviceSaveDto.getRequestId() != null) {
+                    DeviceRequest existingDevice = iDeviceRequestService.getById(adviceSaveDto.getRequestId());
+                    if (existingDevice != null && existingDevice.getPerformLocation() != null) {
+                        locId = existingDevice.getPerformLocation();
+                        log.info("耗材locationId为空，使用已有DeviceRequest的performLocation: locationId={}", locId);
+                    }
+                }
+                // 如果已有记录也没有performLocation，则使用登录用户科室作为兜底
                 if (locId == null) {
                     locId = SecurityUtils.getLoginUser().getOrgId();
-                log.info("耗材locationId为空，使用登录用户科室作为默认值: locationId={}", locId);
+                    log.info("耗材locationId为空且无已有记录，使用登录用户科室作为默认值: locationId={}", locId);
+                }
             }
             deviceRequest.setPerformLocation(locId);
             deviceRequest.setEncounterId(adviceSaveDto.getEncounterId()); // 就诊id
@@ -1721,12 +1744,17 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             }
         }
         for (AdviceSaveDto adviceSaveDto : deleteList) {
-            iServiceRequestService.removeById(adviceSaveDto.getRequestId());// 删除诊疗
+            Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的诊疗请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handService - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
+            iServiceRequestService.removeById(requestId);// 删除诊疗
             iServiceRequestService.remove(
                     new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getParentId,
-                            adviceSaveDto.getRequestId()));// 删除诊疗套餐对应的子项
+                            requestId));// 删除诊疗套餐对应的子项
             // 🔧 Bug Fix #219: 删除费用项
-            Long requestId = adviceSaveDto.getRequestId();
             String serviceTable = CommonConstants.TableName.WOR_SERVICE_REQUEST;
             // 直接删除费用项
             iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1783,8 +1811,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 log.info("handService - 自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
             }
             
-            // 🔧 Bug Fix #238: 诊疗项目执行科室非空校验
-            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3) {
+            // 🔧 Bug Fix #238/#454: 诊疗项目执行科室非空校验（删除操作跳过校验）
+            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3
+                    && !DbOpType.DELETE.getCode().equals(adviceSaveDto.getDbOpType())) {
                 Long effectiveOrgId = adviceSaveDto.getEffectiveOrgId();
                 if (effectiveOrgId == null) {
                     throw new ServiceException("诊疗项目必须选择执行科室");
@@ -1987,13 +2016,25 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
      */
     @Override
     public R<?> getRequestBaseInfo(Long encounterId) {
+        return this.getRequestBaseInfo(encounterId, null, null);
+    }
+
+    @Override
+    public R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo) {
         // 当前账号的参与者id
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
+        // 未指定generateSourceEnum时，默认只查询医生开立的医嘱
+        int sourceEnum = (generateSourceEnum != null) ? generateSourceEnum : GenerateSource.DOCTOR_PRESCRIPTION.getValue();
         // 医嘱请求数据
         List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, null,
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
-                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                sourceEnum, sourceBillNo);
+        // 手术计费场景：sourceBillNo 不为空时，只保留诊疗请求（3/6），过滤掉药品（1）和耗材（2）
+        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
+            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
+                    && (dto.getAdviceType() == 1 || dto.getAdviceType() == 2));
+        }
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto
@@ -2114,7 +2155,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, patientId,
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.YES.getCode(),
-                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                GenerateSource.DOCTOR_PRESCRIPTION.getValue(), null);
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationDiagnosisAppServiceImpl.java

@@ -580,7 +580,11 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
     @Override
     public R<?> saveInfectiousDiseaseReport(InfectiousDiseaseReportDto infectiousDiseaseReportDto) {
         // 检查卡片编号唯一性（新增时检查，编辑时排除当前记录）
-        String cardNo = infectiousDiseaseReportDto.getCardNo().trim();
+        String cardNo = infectiousDiseaseReportDto.getCardNo();
+        if (cardNo == null || cardNo.trim().isEmpty()) {
+            return R.fail("卡片编号不能为空");
+        }
+        cardNo = cardNo.trim();
         LambdaQueryWrapper<InfectiousDiseaseReport> queryWrapper = new LambdaQueryWrapper<>();
         queryWrapper.eq(InfectiousDiseaseReport::getCardNo, cardNo);
         long count = iInfectiousDiseaseReportService.count(queryWrapper);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java

@@ -274,27 +274,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             return R.fail("非就诊中患者不能完诊");
         }
 
-        // 2. 获取 pool_id 和 slot_id：从 encounter → order_main → adm_schedule_slot 链路获取
-        //    确保 div_log 中的值与排班主表一致，不依赖 triage_queue_item（队列项可能不存在或值错误）
+        // 2. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
         Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
-        Long divPoolId = null;
-        Long divSlotId = null;
-        if (encounter.getOrderId() != null) {
-            try {
-                Order order = iOrderService.getById(encounter.getOrderId());
-                if (order != null && order.getSlotId() != null) {
-                    divSlotId = order.getSlotId();
-                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
-                    if (slot != null) {
-                        divPoolId = slot.getPoolId();
-                    }
-                }
-            } catch (Exception e) {
-                log.warn("获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
-            }
-        }
-
-        // 3. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
         TriageQueueItem queueItem = triageQueueItemService.getOne(
             new LambdaQueryWrapper<TriageQueueItem>()
                 .eq(TriageQueueItem::getTenantId, tenantId)
@@ -319,20 +300,53 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             }
         }
 
+        // 3. 获取 pool_id 和 slot_id：优先使用 triage_queue_item（挂号时录入的号源信息，为权威来源）
+        //    队列项不存在或值缺失时，回退使用 encounter → order_main → adm_schedule_slot 链路
+        Long divPoolId = null;
+        Long divSlotId = null;
+        if (queueItem != null && queueItem.getPoolId() != null && queueItem.getSlotId() != null) {
+            divPoolId = queueItem.getPoolId();
+            divSlotId = queueItem.getSlotId();
+        }
+        // 队列项 poolId/slotId 缺失时，通过 encounter.orderId → order_main.slot_id → adm_schedule_slot.pool_id 回退获取
+        if ((divPoolId == null || divSlotId == null) && encounter.getOrderId() != null) {
+            try {
+                Order order = iOrderService.getById(encounter.getOrderId());
+                if (order != null && order.getSlotId() != null) {
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(order.getSlotId());
+                    if (slot != null) {
+                        divSlotId = slot.getId();
+                        divPoolId = slot.getPoolId();
+                    }
+                }
+            } catch (Exception e) {
+                log.warn("回退获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
+            }
+        }
+
         // 如果队列项存在且未完成，更新队列状态为已完成
         // 使用排除法而非白名单：只要不是"已完成"就可以完诊，覆盖跳过、等待等非标准流转状态
         if (queueItem != null &&
             !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
             java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
-            queueItem.setStatus(TriageQueueStatus.COMPLETED.getValue());
-            queueItem.setUpdateTime(nowLocal);
-            triageQueueItemService.updateById(queueItem);
+            // 使用 LambdaUpdateWrapper 直接更新，确保 status 字段必定写入数据库
+            boolean queueUpdate = triageQueueItemService.update(new LambdaUpdateWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getId, queueItem.getId())
+                .set(TriageQueueItem::getStatus, TriageQueueStatus.COMPLETED.getValue())
+                .set(TriageQueueItem::getUpdateTime, nowLocal));
+            if (!queueUpdate) {
+                log.error("完诊：triage_queue_item 状态更新失败，queueItemId={}", queueItem.getId());
+            }
         } else if (queueItem == null) {
             log.error("完诊：未找到任何 triage_queue_item 记录，encounterId={}, tenantId={}",
                 encounterId, tenantId);
         }
 
         // 写入 div_log 审计日志（独立于队列项，确保每次完诊都生成记录）
+        // 防重复：若队列项已是 COMPLETED 状态，说明护士站已处理过并写过分诊日志，不再重复写入
+        boolean queueAlreadyCompleted = queueItem != null
+            && TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus());
+        if (!queueAlreadyCompleted) {
             try {
                 LoginUser loginUser = SecurityUtils.getLoginUser();
                 DivLog divLog = new DivLog()
@@ -347,6 +361,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             } catch (Exception e) {
                 log.error("写入div_log审计日志失败", e);
             }
+        }
 
         // 4. 更新状态、完成时间以及初复诊标识
         Date now = new Date();

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java

@@ -112,11 +112,16 @@ public class DoctorStationAdviceController {
      * 查询医嘱请求数据
      *
      * @param encounterId 就诊id
+     * @param generateSourceEnum 生成来源（可选，用于按来源过滤，如手术计费=6）
+     * @param sourceBillNo 来源业务单据号（可选，用于按来源单据过滤）
      * @return 医嘱请求数据
      */
     @GetMapping(value = "/request-base-info")
-    public R<?> getRequestBaseInfo(@RequestParam(required = false) Long encounterId) {
-        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId);
+    public R<?> getRequestBaseInfo(
+            @RequestParam(required = false) Long encounterId,
+            @RequestParam(required = false) Integer generateSourceEnum,
+            @RequestParam(required = false) String sourceBillNo) {
+        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId, generateSourceEnum, sourceBillNo);
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java

@@ -122,7 +122,8 @@ public interface DoctorStationAdviceAppMapper {
             @Param("MED_MEDICATION_REQUEST") String MED_MEDICATION_REQUEST,
             @Param("WOR_DEVICE_REQUEST") String WOR_DEVICE_REQUEST,
             @Param("WOR_SERVICE_REQUEST") String WOR_SERVICE_REQUEST, @Param("practitionerId") Long practitionerId,
-            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum);
+            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum,
+            @Param("sourceBillNo") String sourceBillNo);
 
     /**
      * 查询就诊费用性质

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/utils/AdviceUtils.java

@@ -178,15 +178,26 @@ public class AdviceUtils {
         // 生命提示信息集合
         List<String> tipsList = new ArrayList<>();
         for (MedicationRequestUseExe medicationRequestUseExe : medUseExeList) {
-            // 聚合同一位置所有批次的库存总量
+            // 第一步：按 performLocation 匹配指定药房的库存
             List<AdviceInventoryDto> matchedInventories = adviceInventory.stream()
                     .filter(inventoryDto -> medicationRequestUseExe.getMedicationId().equals(inventoryDto.getItemId())
                     && CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(inventoryDto.getItemTable())
-                    && medicationRequestUseExe.getPerformLocation().equals(inventoryDto.getLocationId())
+                    && (medicationRequestUseExe.getPerformLocation() == null
+                        || medicationRequestUseExe.getPerformLocation().equals(inventoryDto.getLocationId()))
                     // 如果选择了具体的批次号,校验库存时需要加上批次号的匹配条件
                     && (StringUtils.isEmpty(medicationRequestUseExe.getLotNumber())
                     || medicationRequestUseExe.getLotNumber().equals(inventoryDto.getLotNumber())))
                     .collect(Collectors.toList());
+            // 第二步：如果指定药房没有匹配到库存，则放宽条件查询所有药房的库存
+            if (matchedInventories.isEmpty()) {
+                matchedInventories = adviceInventory.stream()
+                        .filter(inventoryDto -> medicationRequestUseExe.getMedicationId().equals(inventoryDto.getItemId())
+                        && CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(inventoryDto.getItemTable())
+                        // 如果选择了具体的批次号,校验库存时需要加上批次号的匹配条件
+                        && (StringUtils.isEmpty(medicationRequestUseExe.getLotNumber())
+                        || medicationRequestUseExe.getLotNumber().equals(inventoryDto.getLotNumber())))
+                        .collect(Collectors.toList());
+            }
             // 匹配到库存信息
             if (!matchedInventories.isEmpty()) {
                 // 聚合所有批次的可用库存

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

@@ -43,6 +43,19 @@ public interface IRequestFormManageAppService {
      */
     List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate);
 
+    /**
+     * 查询申请单（支持筛选+状态+关键字）
+     *
+     * @param encounterId 就诊id
+     * @param typeCode 申请单类型
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/项目名称模糊匹配）
+     * @return 申请单列表
+     */
+    List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword);
+
     /**
      * 分页查询申请单
      *

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

@@ -341,6 +341,28 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                 .collect(Collectors.toList());
 
+        // 防重复保存：对所有医嘱进行去重（包括 INSERT 和 UPDATE 混合场景），避免签发单条医嘱时产生重复记录
+        Set<String> longUniqueKeySet = new HashSet<>();
+        List<RegAdviceSaveDto> longUniqueList = new ArrayList<>();
+        for (RegAdviceSaveDto adviceSaveDto : longInsertOrUpdateList) {
+            String uniqueKey = adviceSaveDto.getPatientId() + "_"
+                    + adviceSaveDto.getEncounterId() + "_"
+                    + adviceSaveDto.getAdviceDefinitionId() + "_"
+                    + adviceSaveDto.getDose() + "_"
+                    + adviceSaveDto.getMethodCode() + "_"
+                    + adviceSaveDto.getRateCode();
+            if (longUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复长期医嘱（跨操作类型），跳过 - patientId={}, encounterId={}, adviceDefinitionId={}, dbOpType={}",
+                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDbOpType());
+                continue;
+            }
+            longUniqueKeySet.add(uniqueKey);
+            longUniqueList.add(adviceSaveDto);
+        }
+        log.info("防重复保存（长期）：去重前{}条，去重后{}条", longInsertOrUpdateList.size(), longUniqueList.size());
+        longInsertOrUpdateList = longUniqueList;
+
         for (RegAdviceSaveDto regAdviceSaveDto : longInsertOrUpdateList) {
             boolean firstTimeSave = false;// 第一次保存
             longMedicationRequest = new MedicationRequest();
@@ -406,6 +428,29 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 .getValue().equals(e.getTherapyEnum())
                 && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                 .collect(Collectors.toList());
+
+        // 防重复保存：对所有医嘱进行去重（包括 INSERT 和 UPDATE 混合场景），避免签发时产生重复记录
+        Set<String> tempUniqueKeySet = new HashSet<>();
+        List<RegAdviceSaveDto> tempUniqueList = new ArrayList<>();
+        for (RegAdviceSaveDto adviceSaveDto : tempInsertOrUpdateList) {
+            String uniqueKey = adviceSaveDto.getPatientId() + "_"
+                    + adviceSaveDto.getEncounterId() + "_"
+                    + adviceSaveDto.getAdviceDefinitionId() + "_"
+                    + adviceSaveDto.getDose() + "_"
+                    + adviceSaveDto.getMethodCode() + "_"
+                    + adviceSaveDto.getRateCode();
+            if (tempUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复临时医嘱（跨操作类型），跳过 - patientId={}, encounterId={}, adviceDefinitionId={}, dbOpType={}",
+                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDbOpType());
+                continue;
+            }
+            tempUniqueKeySet.add(uniqueKey);
+            tempUniqueList.add(adviceSaveDto);
+        }
+        log.info("防重复保存（临时）：去重前{}条，去重后{}条", tempInsertOrUpdateList.size(), tempUniqueList.size());
+        tempInsertOrUpdateList = tempUniqueList;
+
         for (RegAdviceSaveDto regAdviceSaveDto : tempInsertOrUpdateList) {
             boolean firstTimeSave = false;// 第一次保存
             tempMedicationRequest = new MedicationRequest();
@@ -665,11 +710,21 @@ 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()) {
+            // 🔧 Bug #487 修复：签发时额外设置 authoredTime，确保签发时间被记录
+            if (is_sign) {
                 iServiceRequestService.update(null,
                         new LambdaUpdateWrapper<ServiceRequest>()
-                            .set(ServiceRequest::getStatusEnum,
-                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.ACTIVE.getValue())
+                                .set(ServiceRequest::getAuthoredTime, authoredTime)
+                                .set(ServiceRequest::getSignCode, signCode)
                                 .in(ServiceRequest::getId, processedRequestIds));
+                log.info("签发诊疗医嘱成功，requestIds: {}, signCode: {}", processedRequestIds, signCode);
+            } else {
+                iServiceRequestService.update(null,
+                        new LambdaUpdateWrapper<ServiceRequest>()
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.DRAFT.getValue())
+                                .in(ServiceRequest::getId, processedRequestIds));
+            }
         }
     }
 

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

@@ -31,6 +31,7 @@ import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
 import java.math.BigDecimal;
+import java.text.SimpleDateFormat;
 import java.util.Date;
 import java.util.List;
 import java.util.Map;
@@ -75,12 +76,34 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
     @Override
     @Transactional(rollbackFor = Exception.class)
     public R<?> saveRequestForm(RequestFormSaveDto requestFormSaveDto, String typeCode) {
+        // 申请单ID（前端空字符串可能反序列化为0L，需同时判0）
+        Long requestFormId = requestFormSaveDto.getRequestFormId();
+        boolean isEdit = requestFormId != null && requestFormId != 0L;
+
+        // 诊疗执行科室配置校验（必须在任何数据库操作之前）
+        List<ActivityOrganizationConfigDto> activityOrganizationConfig =
+            requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
+        if (activityOrganizationConfig.isEmpty()) {
+            throw new ServiceException("请先配置当前时间段的执行科室");
+        }
+
+        // 逐个校验activityList中的项目是否都配置了执行科室，避免部分通过后在循环中抛异常导致事务复杂化
+        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
+        if (activityList != null && !activityList.isEmpty()) {
+            for (ActivitySaveDto activitySaveDto : activityList) {
+                Long positionId = activityOrganizationConfig.stream()
+                    .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
+                    .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
+                if (positionId == null) {
+                    throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
+                }
+            }
+        }
+
         // 诊疗处方号
         String prescriptionNo;
-        // 申请单ID
-        Long requestFormId = requestFormSaveDto.getRequestFormId();
         // 编辑场景
-        if (requestFormId != null) {
+        if (isEdit) {
             RequestForm requestFormInfo = iRequestFormService.getById(requestFormId);
             prescriptionNo = requestFormInfo.getPrescriptionNo();
             // 该申请单存在的待发送医嘱个数
@@ -91,8 +114,10 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 return R.fail("无待签发的医嘱,该申请单不可编辑");
             }
         } else {
-            // 诊疗处方号
-            prescriptionNo = assignSeqUtil.getSeq(AssignSeqEnum.ACTIVITY_PSYCHOTROPIC_NO.getPrefix(), 8);
+            // 检查申请单号：JC（检查）+ Z（住院标识）+ yyMMdd（日期）+ 5位顺序号
+            String dateStr = new java.text.SimpleDateFormat("yyMMdd").format(new Date());
+            int seq = assignSeqUtil.getSeqNoByDay(AssignSeqEnum.CHECK_APPLY_NO.getPrefix());
+            prescriptionNo = "JCZ" + dateStr + String.format("%05d", seq);
         }
 
         // 当前时间
@@ -122,7 +147,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         iRequestFormService.saveOrUpdate(requestForm);
 
         // 编辑场景时,先删除掉原有诊疗项目及账单再新增
-        if (requestFormId != null) {
+        if (isEdit) {
             List<Long> serviceRequestIds = iServiceRequestService
                 .list(new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getPrescriptionNo, prescriptionNo))
                 .stream().map(ServiceRequest::getId).collect(Collectors.toList());
@@ -136,15 +161,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
 
         ServiceRequest serviceRequest;
         ChargeItem chargeItem;
-        // 诊疗集合
-        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
         log.info("保存申请单，typeCode={}, activityListSize={}, encounterId={}", typeCode, activityList != null ? activityList.size() : 0, encounterId);
-        // 诊疗执行科室配置
-        List<ActivityOrganizationConfigDto> activityOrganizationConfig =
-            requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
-        if (activityOrganizationConfig.isEmpty()) {
-            throw new ServiceException("请先配置当前时间段的执行科室");
-        }
 
         for (ActivitySaveDto activitySaveDto : activityList) {
             serviceRequest = new ServiceRequest();
@@ -428,12 +445,28 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
      */
     @Override
     public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate) {
+        return getRequestForm(encounterId, typeCode, startDate, endDate, null, null);
+    }
+
+    /**
+     * 查询申请单（支持筛选+状态+关键字）
+     *
+     * @param encounterId 就诊id
+     * @param typeCode 申请单类型
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/项目名称模糊匹配）
+     * @return 申请单列表
+     */
+    @Override
+    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword) {
         // 检查参数
         if (encounterId == null) {
             return new java.util.ArrayList<>();
         }
 
-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate,null,null);
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, keyword);
         for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
             // 查询处方详情
             List<RequestFormDetailQueryDto> requestFormDetail =

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java

@@ -16,6 +16,7 @@ import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;
 
+import java.time.LocalDate;
 import java.util.List;
 
 /**
@@ -81,14 +82,23 @@ public class RequestFormManageController {
      * 查询检查申请单
      *
      * @param encounterId 就诊id
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/检查项目名称模糊匹配）
      * @return 检查申请单
      */
     @GetMapping(value = "/get-check")
-    public R<?> getCheckRequestForm(@RequestParam(required = false) Long encounterId) {
+    public R<?> getCheckRequestForm(
+            @RequestParam(required = false) Long encounterId,
+            @RequestParam(required = false) String startDate,
+            @RequestParam(required = false) String endDate,
+            @RequestParam(required = false) String status,
+            @RequestParam(required = false) String keyword) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode()));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode(), startDate, endDate, status, keyword));
     }
 
     /**
@@ -98,6 +108,7 @@ public class RequestFormManageController {
      * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
      * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
      * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/检验项目模糊匹配）
      * @return 检验申请单
      */
     @GetMapping(value = "/get-inspection")
@@ -105,11 +116,12 @@ public class RequestFormManageController {
             @RequestParam(required = false) Long encounterId,
             @RequestParam(required = false) String startDate,
             @RequestParam(required = false) String endDate,
-            @RequestParam(required = false) String status) {
+            @RequestParam(required = false) String status,
+            @RequestParam(required = false) String keyword) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status, keyword));
     }
 
     /**
@@ -139,6 +151,32 @@ public class RequestFormManageController {
         }
         return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROCEDURE.getCode()));
     }
+/**
+     * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
+     *
+     * @param surgeryNo     手术单号（模糊查询，可选）
+     * @param applyTimeStart 申请时间起始（可选）
+     * @param applyTimeEnd   申请时间截止（可选）
+     * @param mainDoctorId   主刀医生ID（可选）
+     * @param applyDeptId    申请科室ID（可选）
+     * @param pageNo   页码，默认1
+     * @param pageSize 每页数量，默认10
+     * @return 分页手术申请单列表
+     */
+    @GetMapping(value = "/get-surgery-page")
+    public R<IPage<RequestFormPageDto>> getSurgeryRequestFormPage(
+            @RequestParam(required = false) String surgeryNo,
+            @RequestParam(required = false) LocalDate applyTimeStart,
+            @RequestParam(required = false) LocalDate applyTimeEnd,
+            @RequestParam(required = false) Long mainDoctorId,
+            @RequestParam(required = false) Long applyDeptId,
+            @RequestParam(defaultValue = "1") Integer pageNo,
+            @RequestParam(defaultValue = "10") Integer pageSize) {
+        RequestFormDto dto = new RequestFormDto(surgeryNo, ActivityDefCategory.PROCEDURE.getCode(), applyTimeStart, applyTimeEnd,
+                mainDoctorId, applyDeptId, pageNo, pageSize);
+        return R.ok(iRequestFormManageAppService.getRequestFormPage(dto));
+    }
+
     /**
      * 分页查询申请单
      * @return 申请单

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormDto.java

@@ -14,6 +14,10 @@ public class RequestFormDto {
      * 手术单号
      */
     private String surgeryNo;
+    /**
+     * 申请单类型编码
+     */
+    private String typeCode;
     /**
      * 申请时间开始
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/tencentJH/dto/CurrentDayEncounterTencentDto.java

@@ -138,4 +138,12 @@ public class CurrentDayEncounterTencentDto {
      */
     private String englishName;
 
+    /** 号源池ID（用于分诊队列 div_log 审计日志） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long poolId;
+
+    /** 号源槽位ID（用于分诊队列 div_log 审计日志） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long slotId;
+
 }

openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientChargeAppMapper.xml

@@ -100,6 +100,7 @@
                    WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = 6 THEN T2."name"
                    WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
+                   WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{medication} THEN T3."name"
                    WHEN T1.context_enum = #{device} THEN T4."name"
@@ -225,6 +226,7 @@
                           WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = 6 THEN T2."name"
                           WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
+                          WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{medication} THEN T3."name"
                           WHEN T1.context_enum = #{device} THEN T4."name"

openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml

@@ -89,15 +89,12 @@
             cs.apply_doctor_name AS apply_doctor_name,
             drf.create_time AS apply_time,
             os.surgery_nature AS surgeryType,
-            fc.contract_name AS feeType,
+            os.fee_type AS feeType,
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
-        LEFT JOIN adm_encounter ae ON ae.id = cs.encounter_id AND ae.delete_flag = '0'
-        LEFT JOIN adm_account aa ON aa.encounter_id = ae.id AND aa.delete_flag = '0'
-        LEFT JOIN fin_contract fc ON fc.bus_no = aa.contract_no AND fc.delete_flag = '0'
         LEFT JOIN doc_request_form drf ON drf.prescription_no=cs.surgery_no
         LEFT JOIN (
             SELECT patient_id, identifier_no

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml

@@ -527,6 +527,9 @@
         LEFT JOIN cli_condition AS cc ON cc.id = T1.condition_id AND cc.delete_flag = '0'
         LEFT JOIN cli_condition_definition AS ccd ON ccd.id = cc.definition_id
         WHERE T1.delete_flag = '0' AND T1.tcm_flag = 0
+        <if test="generateSourceEnum != null">
+            AND T1.generate_source_enum = #{generateSourceEnum}
+        </if>
         <if test="historyFlag == '0'.toString()">
             AND T1.encounter_id = #{encounterId}
         </if>
@@ -695,6 +698,9 @@
         -- based_on_table='med_medication_request' → 输液/皮试执行记录，应排除
         -- based_on_table='exam_apply'/'lab_apply' → 申请单原始医嘱，应保留
         AND (T1.based_on_id IS NULL OR T1.based_on_table IS NULL OR T1.based_on_table NOT IN ('med_medication_request', 'med_medication_dispense'))
+        <if test="sourceBillNo != null and sourceBillNo != ''">
+            AND T1.prescription_no = #{sourceBillNo}
+        </if>
         <if test="historyFlag == '0'.toString()">
             AND T1.encounter_id = #{encounterId}
         </if>

openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml

@@ -231,7 +231,7 @@
                ae.priority_enum,
                ae.organization_id,
                ae.start_time                     AS in_hos_time,
-               bed.start_time,
+               COALESCE(bed.start_time, ae.start_time) AS start_time,
                bed.location_id                   AS bed_id,
                bed.location_name                 AS bed_name,
                house.location_id                 AS house_id,

openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml

@@ -155,7 +155,7 @@
            ii.performer_check_id,
            ii.category_code,
            ii.dispense_status
-    FROM (( SELECT T1.encounter_id,
+    FROM (( SELECT DISTINCT T1.encounter_id,
                    T1.tenant_id,
                    #{medMedicationRequest} AS advice_table,
                    T1.id AS request_id,
@@ -293,7 +293,7 @@
                      T1.sort_number,
                      T1.group_id )
           UNION
-          ( SELECT T1.encounter_id,
+          ( SELECT DISTINCT T1.encounter_id,
                    T1.tenant_id,
                    #{worServiceRequest} AS advice_table,
                    T1.id AS request_id,

openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml

@@ -288,7 +288,7 @@
         AND T1.refund_device_id IS NULL
         ORDER BY T1.status_enum)
         UNION ALL
-        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE COALESCE(T1.category_enum, 3) END AS advice_type,
+        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE 3 END AS advice_type,
         T1.id AS request_id,
         T1.id || '-3' AS unique_key,
         T1.requester_id AS requester_id,

openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml

@@ -12,12 +12,24 @@
                drf.desc_json,
                drf.requester_id,
                drf.create_time,
-               ap.NAME AS patient_name
+               ap.NAME AS patient_name,
+               CASE MIN(wsr.status_enum)
+                   WHEN 1 THEN 0
+                   WHEN 2 THEN 1
+                   WHEN 3 THEN 4
+                   WHEN 4 THEN 4
+                   WHEN 5 THEN 5
+                   WHEN 6 THEN 5
+                   WHEN 7 THEN 5
+                   ELSE NULL
+               END AS status
         FROM doc_request_form AS drf
                  LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
             AND ae.delete_flag = '0'
                  LEFT JOIN adm_patient AS ap ON ap.ID = ae.patient_id
             AND ap.delete_flag = '0'
+                 LEFT JOIN wor_service_request AS wsr ON wsr.prescription_no = drf.prescription_no
+            AND wsr.delete_flag = '0'
         WHERE drf.delete_flag = '0'
           AND drf.encounter_id = #{encounterId}
           AND drf.type_code = #{typeCode}
@@ -27,6 +39,33 @@
           <if test="endDate != null and endDate != ''">
               AND drf.create_time &lt;= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
           </if>
+          <if test="status != null and status != ''">
+              AND CASE MIN(wsr.status_enum)
+                      WHEN 1 THEN 0
+                      WHEN 2 THEN 1
+                      WHEN 3 THEN 4
+                      WHEN 4 THEN 4
+                      WHEN 5 THEN 5
+                      WHEN 6 THEN 5
+                      WHEN 7 THEN 5
+                      ELSE NULL
+                  END = #{status}::integer
+          </if>
+          <if test="keyword != null and keyword != ''">
+              AND (drf.prescription_no ILIKE '%' || #{keyword} || '%'
+                   OR EXISTS (
+                       SELECT 1 FROM wor_service_request wsr2
+                       WHERE wsr2.prescription_no = drf.prescription_no
+                         AND wsr2.delete_flag = '0'
+                         AND wsr2.activity_id IN (
+                             SELECT id FROM wor_activity_definition wad
+                             WHERE wad.delete_flag = '0'
+                               AND wad.name ILIKE '%' || #{keyword} || '%'
+                         )
+                   ))
+          </if>
+        GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
+                 drf.requester_id, drf.create_time, ap.name
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
@@ -122,6 +161,9 @@
                 <if test="requestFormDto.surgeryNo != null and requestFormDto.surgeryNo != ''">
                     AND drf.prescription_no LIKE CONCAT('%', #{requestFormDto.surgeryNo}, '%')
                 </if>
+                <if test="requestFormDto.typeCode != null and requestFormDto.typeCode != ''">
+                    AND drf.type_code = #{requestFormDto.typeCode}
+                </if>
                 <if test="requestFormDto.applyTimeStart != null">
                     AND drf.create_time >= #{requestFormDto.applyTimeStart}
                 </if>

openhis-server-new/openhis-application/src/main/resources/mapper/tencentJH/TencentAppMapper.xml

@@ -27,7 +27,9 @@
                T9.payment_id,
                T9.picture_url,
                T9.birth_date,
-               t9.english_name
+               t9.english_name,
+               t9.slot_id,
+               t9.pool_id
         from (
                  SELECT T1.tenant_id       AS tenant_id,
                         T1.id              AS encounter_id,
@@ -51,7 +53,9 @@
                         T13.id             AS payment_id,
                         ai.picture_url     AS picture_url,
                         T8.birth_date      AS birth_date,
-                        tx.staff_english_name AS english_name
+                        tx.staff_english_name AS english_name,
+                        om_slot.slot_id    AS slot_id,
+                        om_slot.pool_id    AS pool_id
                  FROM adm_encounter AS T1
                           LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
                           LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
@@ -91,6 +95,8 @@
                  AND T13.status_enum = ${paymentStatus}
                      LEFT JOIN adm_invoice AS ai
                  ON ai.reconciliation_id = T13.id AND ai.delete_flag = '0'
+                 LEFT JOIN order_main AS om ON T1.order_id = om.id AND om.delete_flag = '0'
+                 LEFT JOIN adm_schedule_slot AS om_slot ON om.slot_id = om_slot.id
                  WHERE T1.delete_flag = '0'
                    AND T1.class_enum = #{classEnum}
                    AND T10.context_enum = #{register}

openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AssignSeqEnum.java

@@ -270,6 +270,10 @@ public enum AssignSeqEnum {
      * 诊疗处方号
      */
     ACTIVITY_PSYCHOTROPIC_NO("62", "诊疗处方号", "PAR"),
+    /**
+     * 检查申请单号（住院）
+     */
+    CHECK_APPLY_NO("72", "检查申请单号", "JCZ"),
     /**
      * b 病历文书
      */

openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java

@@ -193,6 +193,9 @@ public class OpSchedule extends HisBaseEntity {
     /** 外请专家姓名 */
     private String externalExpertName;
 
+    /** 费用类别 */
+    private String feeType;
+
     /** 备注信息 */
     private String remark;
 

openhis-server-new/sql/20260115_add_table_triage_queue_item.sql

@@ -13,7 +13,7 @@ CREATE TABLE IF NOT EXISTS triage_queue_item (
     patient_name     VARCHAR(255),
     healthcare_name  VARCHAR(255),
     practitioner_name VARCHAR(255),
-    status           VARCHAR(50)  NOT NULL, -- WAITING/CALLING/SKIPPED/COMPLETED
+    status           INTEGER      NOT NULL DEFAULT 0, -- 分诊队列状态: 0=WAITING(等待), 10=CALLING(叫号中), 20=IN_CLINIC(诊中), 30=COMPLETED(已完成), 40=SKIPPED(已跳过)
     queue_order      INTEGER      NOT NULL,
     create_time      TIMESTAMP,
     update_time      TIMESTAMP,

openhis-server-new/sql/bug_400_fix_triage_queue_item_status_type.sql

@@ -0,0 +1,30 @@
+-- Bug #400 修复：triage_queue_item.status 字段类型修正
+-- 原 DDL 将 status 定义为 VARCHAR(50)，但 Java 实体 TriageQueueItem.status 为 Integer 类型，
+-- 应用层使用 TriageQueueStatus 枚举值（0/10/20/30/40）写入，类型不匹配导致 MyBatis-Plus
+-- 无法正确映射 status 字段，完诊时 status 更新为 30 失败。
+--
+-- 注意：必须在后端实际连接的 schema 中执行（dev=hisdev, test=histest, prd=hisprd）
+-- 执行前请先确认：SET search_path TO hisdev; （或对应的 schema）
+
+-- 1. 先将已有的字符串值转换为对应的整数值
+-- 如果之前写入的是枚举 code（如 'waiting'、'completed'），需要先转换
+UPDATE triage_queue_item
+SET status = CASE
+    WHEN status IN ('0', 'waiting', 'WAITING') THEN 0
+    WHEN status IN ('10', 'calling', 'CALLING') THEN 10
+    WHEN status IN ('20', 'in-clinic', 'IN_CLINIC', 'in-clinic') THEN 20
+    WHEN status IN ('30', 'completed', 'COMPLETED') THEN 30
+    WHEN status IN ('40', 'skipped', 'SKIPPED') THEN 40
+    WHEN status IN ('50', 'refunded', 'REFUNDED') THEN 50
+    WHEN status IN ('60', 'follow', 'FOLLOW') THEN 60
+    ELSE 0
+END
+WHERE status IS NOT NULL AND status !~ '^[0-9]+$';
+
+-- 2. 修改字段类型为 INTEGER
+ALTER TABLE triage_queue_item
+    ALTER COLUMN status TYPE INTEGER USING status::INTEGER;
+
+-- 3. 设置默认值
+ALTER TABLE triage_queue_item
+    ALTER COLUMN status SET DEFAULT 0;

openhis-ui-vue3/src/api/system/checkType.js

@@ -163,7 +163,7 @@ export function updateCheckPart(data) {
 // 查询检查套餐列表
 export function listCheckPackage(query) {
   return request({
-    url: '/system/check-package/list',
+    url: '/system/package/list',
     method: 'get',
     params: query
   })

openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue

@@ -226,8 +226,14 @@ function getList() {
   getDiagnosisTreatmentList(queryParams.value).then((res) => {
     loading.value = false;
     catagoryList.value = res.data.records.map(record => {
-      // 为每一行初始化 filteredOptions，确保显示框能正确显示项目名称
       const filteredOptions = allImplementDepartmentList.value.slice(0, 100);
+      // 确保后端返回的项目名称选项存在于 filteredOptions 中，避免 el-select 因找不到选项而回显为 ID
+      if (record.activityDefinitionId && !filteredOptions.some(o => o.value === record.activityDefinitionId)) {
+        filteredOptions.push({
+          value: record.activityDefinitionId,
+          label: record.activityDefinitionId_dictText || record.activityDefinitionId
+        });
+      }
       return {
         ...record,
         loading: false,

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue

@@ -372,7 +372,6 @@ import {
 } from './diagnosistreatment';
 import PopoverList from '@/components/OpenHis/popoverList/index.vue';
 import medicineList from './medicineList.vue';
-import MedicineList from '../components/medicineList.vue';
 import {getCurrentInstance, nextTick, watch} from 'vue';
 
 const { proxy } = getCurrentInstance();
@@ -467,16 +466,24 @@ function calculateTotalPrice() {
   try {
     let sum = 0;
     treatmentItems.value.forEach((item) => {
-      if (item.adviceDefinitionId && item.retailPrice && item.childrenRequestNum) {
-        const price = parseFloat(item.retailPrice) || 0;
-        const count = parseInt(item.childrenRequestNum) || 0;
+      if (item.adviceDefinitionId && item.adviceDefinitionId !== '') {
+        const price = Number(item.retailPrice) || 0;
+        const count = Number(item.childrenRequestNum) || 0;
         sum += price * count;
       }
     });
     totalPrice.value = sum.toFixed(2);
     // Bug #464: 零售价与诊疗子项合计总价实时同步
-    if (treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId !== '') {
-      form.value.retailPrice = parseFloat(totalPrice.value);
+    const hasValidItem = treatmentItems.value.some(
+      (item) => item.adviceDefinitionId && item.adviceDefinitionId !== ''
+    );
+    if (hasValidItem) {
+      // 使用 nextTick 确保总价更新后零售价才更新，避免 Vue 响应式时序问题
+      nextTick(() => {
+        form.value.retailPrice = parseFloat(totalPrice.value) || 0;
+      });
+    } else {
+      form.value.retailPrice = undefined;
     }
   } catch (error) {
     totalPrice.value = '0.00';
@@ -486,7 +493,7 @@ function calculateTotalPrice() {
 
 // 添加表单项
 function addItem() {
-  treatmentItems.value.push({ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 });
+  treatmentItems.value.push({ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 });
   // 使用nextTick确保DOM更新后再计算
   nextTick(() => {
     calculateTotalPrice();
@@ -560,15 +567,16 @@ function edit() {
     form.value.pricingFlag = 1;
   }
 
-  // 处理子项数据，确保包含retailPrice字段
+  // 处理子项数据，确保包含retailPrice和name字段
   if (props.item.childrenJson) {
     const parsedItems = JSON.parse(props.item.childrenJson);
     treatmentItems.value = parsedItems.map((item) => ({
       ...item,
+      name: item.name || '',
       retailPrice: item.retailPrice || 0,
     }));
   } else {
-    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
+    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
   }
   form.value.permittedUnitCode = form.value.permittedUnitCode
     ? form.value.permittedUnitCode.toString()
@@ -613,7 +621,7 @@ function reset() {
     chrgitmLv: undefined, //医保等级
     pricingFlag: 1, // 划价标记，默认允许划价
   };
-  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
+  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
   totalPrice.value = '0.00';
   proxy.resetForm('diagnosisTreatmentRef');
 }
@@ -647,12 +655,15 @@ async function submitForm() {
   form.value.ybMatchFlag ? (form.value.ybMatchFlag = 1) : (form.value.ybMatchFlag = 0);
   form.value.ruleId ? (form.value.ruleId = 1) : (form.value.ruleId = 0);
   form.value.childrenJson =
-    treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId != ''
+    treatmentItems.value.some((item) => item.adviceDefinitionId != '' && item.adviceDefinitionId)
       ? JSON.stringify(treatmentItems.value)
       : undefined;
   // Bug #464 修复：零售价自动与诊疗子项合计总价同步
   // 当有子项时，零售价自动设置为子项合计总价
-  if (treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId != '') {
+  const hasValidItem = treatmentItems.value.some(
+    (item) => item.adviceDefinitionId && item.adviceDefinitionId !== ''
+  );
+  if (hasValidItem) {
     form.value.retailPrice = parseFloat(totalPrice.value) || 0;
   }
   proxy.$refs['diagnosisTreatmentRef'].validate(async (valid) => {
@@ -752,7 +763,10 @@ function selectRow(row, index) {
   treatmentItems.value[index].adviceDefinitionId = row.id;
   treatmentItems.value[index].retailPrice = row.retailPrice || 0;
   medicineSearchKey.value = '';
+  // 使用 nextTick 确保 DOM 更新后再计算总价
+  nextTick(() => {
     calculateTotalPrice();
+  });
 }
 
 // 清空诊疗子项

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/medicineList.vue

@@ -36,6 +36,7 @@ const emit = defineEmits(['selectRow']);
 const diagnosisTreatmentList = ref([]); // 原始数据列表
 const filteredList = ref([]); // 过滤后的数据列表
 const hasLoaded = ref(false); // 标记是否已加载数据
+const isLoading = ref(false); // 标记是否正在加载
 
 // 获取诊疗项目列表
 function getList() {
@@ -53,7 +54,7 @@ function getList() {
   getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
     .then((res) => {
       diagnosisTreatmentList.value =
-        res.data?.records?.filter((item) => item.childrenJson == null) || [];
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
       filterList(); // 初始化过滤
       hasLoaded.value = true; // 标记为已加载
     })
@@ -62,6 +63,47 @@ function getList() {
     });
 }
 
+// 服务端搜索（当用户输入搜索关键词时）
+function searchList(searchKey) {
+  if (!searchKey || searchKey.trim() === '') return;
+  isLoading.value = true;
+  // 使用较大的pageSize确保搜索结果尽可能多
+  getDiagnosisTreatmentList({ statusEnum: 2, searchKey: searchKey.trim(), pageSize: 5000, pageNo: 1 })
+    .then((res) => {
+      diagnosisTreatmentList.value =
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
+      filterList();
+    })
+    .catch((err) => {
+      console.error('搜索诊疗项目数据失败:', err);
+    })
+    .finally(() => {
+      isLoading.value = false;
+    });
+}
+
+// 获取预加载数据（不带搜索关键词时使用）
+function loadPreloadedData() {
+  if (props.preloadedData && props.preloadedData.length > 0) {
+    diagnosisTreatmentList.value = props.preloadedData;
+    filterList();
+    hasLoaded.value = true;
+    return;
+  }
+
+  if (hasLoaded.value) return;
+  getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
+    .then((res) => {
+      diagnosisTreatmentList.value =
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
+      filterList();
+      hasLoaded.value = true;
+    })
+    .catch((err) => {
+      console.error('获取诊疗项目数据失败:', err);
+    });
+}
+
 // 监听shouldLoadData属性变化，仅在首次为true时加载数据
 watch(
   () => props.shouldLoadData,
@@ -86,11 +128,17 @@ watch(
   { immediate: true }
 );
 
-// 监听搜索关键词变化，实时过滤数据
+// 监听搜索关键词变化，有搜索词时走服务端搜索，否则走本地过滤
 watch(
   () => props.searchKey,
-  () => {
-    filterList();
+  (newVal) => {
+    if (newVal && newVal.trim() !== '') {
+      // 有搜索关键词，走服务端搜索
+      searchList(newVal);
+    } else {
+      // 搜索词为空，使用预加载数据
+      loadPreloadedData();
+    }
   }
 );
 

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

@@ -122,15 +122,37 @@ function getList() {
     return;
   }
 
-  queryParams.value.organizationId = props.patientInfo.orgId;
-  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(queryParams.value));
+  // 🔧 Bug #448 修复：显式构建请求参数，确保 adviceType 正确传递
+  // 不直接使用 queryParams.value，避免 undefined 值被发送到后端导致过滤失效
+  const requestParams = {
+    pageSize: queryParams.value.pageSize,
+    pageNum: queryParams.value.pageNum,
+    organizationId: props.patientInfo.orgId,
+  };
 
-  getAdviceBaseInfo(queryParams.value).then((res) => {
+  // 只在 adviceType 有值时添加（0 是无效值，undefined/null 会导致后端查询所有类型）
+  if (queryParams.value.adviceType != null && queryParams.value.adviceType !== 0) {
+    requestParams.adviceType = queryParams.value.adviceType;
+  }
+
+  // 只在 categoryCode 有值时添加
+  if (queryParams.value.categoryCode) {
+    requestParams.categoryCode = queryParams.value.categoryCode;
+  }
+
+  // 只在 searchKey 有值时添加
+  if (queryParams.value.searchKey) {
+    requestParams.searchKey = queryParams.value.searchKey;
+  }
+
+  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(requestParams));
+
+  getAdviceBaseInfo(requestParams).then((res) => {
     console.log('[adviceBaseList] getList() 响应数据:', {
       total: res.data?.total,
       recordsCount: res.data?.records?.length || 0,
       firstRecord: res.data?.records?.[0]?.adviceName || '无数据',
-      adviceType: queryParams.value.adviceType
+      adviceType: requestParams.adviceType
     });
     adviceBaseList.value = res.data.records || [];
     total.value = res.data.total || 0;

openhis-ui-vue3/src/views/clinicmanagement/bargain/component/api.js

@@ -58,10 +58,17 @@ export function singOut(data) {
 /**
  * 获取患者本次就诊处方
  */
-export function getPrescriptionList(encounterId) {
-  // Add timestamp to bypass browser caching and ensure fresh data is loaded
+export function getPrescriptionList(encounterId, generateSourceEnum, sourceBillNo) {
+  let url = '/doctor-station/advice/request-base-info?encounterId=' + encounterId
+  if (generateSourceEnum != null) {
+    url += '&generateSourceEnum=' + generateSourceEnum
+  }
+  if (sourceBillNo != null) {
+    url += '&sourceBillNo=' + encodeURIComponent(sourceBillNo)
+  }
+  url += '&t=' + Date.now()
   return request({
-    url: '/doctor-station/advice/request-base-info?encounterId=' + encounterId + '&t=' + Date.now(),
+    url: url,
     method: 'get',
   })
 }

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

@@ -381,6 +381,14 @@ const props = defineProps({
   activeTab: {
     type: String,
   },
+  generateSourceEnum: {
+    type: Number,
+    default: null,
+  },
+  sourceBillNo: {
+    type: String,
+    default: null,
+  },
 });
 const isAdding = ref(false);
 const isSaving = ref(false); // #437 防重复提交锁
@@ -468,7 +476,11 @@ watch(
 
 function getListInfo(addNewRow) {
   isAdding.value = false;
-  getPrescriptionList(props.patientInfo.encounterId).then((res) => {
+  getPrescriptionList(
+    props.patientInfo.encounterId,
+    props.generateSourceEnum ?? undefined,
+    props.sourceBillNo ?? undefined,
+  ).then((res) => {
     // 为每行数据添加 adviceTypeValue 字段，用于类型下拉框显示
     prescriptionList.value = (res.data || []).map(item => {
       // 根据 adviceType 和 categoryCode 找到对应的 adviceTypeValue
@@ -875,12 +887,20 @@ function handleDelete() {
     if (item.statusEnum != 1 || item.chargeStatus == 5) {
       return null;
     }
+    // 🔧 Bug #442: 非本人创建的医嘱不允许删除（与签发/签退逻辑保持一致）
+    if (Number(item.bizRequestFlag) !== 1 && item.bizRequestFlag) {
+      return null;
+    }
+    // 🔧 Bug #442: 已保存的行必须有有效的 requestId，否则跳过（避免后端删除不存在的记录）
+    if (item.requestId == null || item.requestId === undefined || item.requestId === '') {
+      return null;
+    }
     return {
       requestId: item.requestId,
       dbOpType: '3',
       adviceType: item.adviceType,
     };
-  }).filter(item => item !== null); // 过滤掉已签发或已收费的项目
+  }).filter(item => item !== null); // 过滤掉已签发、已收费、非本人创建或无 requestId 的项目
   
   if (deleteList.length == 0) {
     proxy.$modal.msgWarning('只能删除待签发且未收费的项目');
@@ -1016,6 +1036,14 @@ function handleSave() {
       requestId: item.requestId,
       dbOpType: '1',
       groupId: item.groupId,
+      // 🔧 Bug #443: 补充顶层关键字段（这些不在 contentJson 中，需从 API 响应顶层提取）
+      encounterId: item.encounterId,
+      patientId: item.patientId,
+      locationId: item.positionId,
+      adviceType: item.adviceType,
+      adviceTableName: item.adviceTableName,
+      adviceDefinitionId: item.adviceDefinitionId,
+      chargeItemId: item.chargeItemId,
     };
   });
   savePrescriptionSign({

openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue

@@ -1243,11 +1243,14 @@ async function show(diagnosisData) {
     const res = await getNextCardNo(orgCode);
     if (res.code === 200 && res.data && res.data.length >= 12) {
       cardNo = res.data;
+    } else {
+      // API返回失败或不合规时，生成临时卡号避免保存时 cardNo 为空导致后端校验失败
+      cardNo = 'TEMP_' + Date.now();
     }
-    // API失败或返回不合规时保持为空字符串，由用户手动填写或后端自动生成
   } catch (err) {
     console.error('获取卡片编号失败:', err);
-    // 保持为空，不使用不合规的临时值
+    // API调用异常时，生成临时卡号
+    cardNo = 'TEMP_' + Date.now();
   }
 
   form.value = {
@@ -1318,7 +1321,11 @@ async function show(diagnosisData) {
     // 系统关联信息
     encounterId: patientInfo.encounterId || '', // 就诊ID
     patientId: patientInfo.patientId || '', // 患者ID
-    diagnosisId: diagnosisData?.conditionId || diagnosisData?.definitionId || '', // 诊断ID
+    diagnosisId: (diagnosisData?.conditionId != null && diagnosisData?.conditionId !== '')
+      ? diagnosisData.conditionId
+      : (diagnosisData?.definitionId != null && diagnosisData?.definitionId !== '')
+        ? diagnosisData.definitionId
+        : '', // 诊断ID
   };
 
   // 更新selectedDiseases数组
@@ -1359,6 +1366,9 @@ async function buildSubmitData() {
   } else if (formData.otherDisease) {
     // 其他传染病使用自定义编码
     diseaseCode = 'OTHER';
+  } else if (formData.selectedDiseases && formData.selectedDiseases.length > 0) {
+    // 兜底：如果 ClassA/B/C 都为空但 selectedDiseases 有值，取第一个作为 diseaseCode
+    diseaseCode = formData.selectedDiseases[0];
   }
 
   // 转换年龄单位：岁=1, 月=2, 天=3
@@ -1373,7 +1383,7 @@ async function buildSubmitData() {
   const submitData = {
     cardNo: formData.cardNo,
     visitId: props.patientInfo?.encounterId || formData.encounterId || null,
-    diagId: formData.diagnosisId || null,
+    diagId: formData.diagnosisId ? Number(formData.diagnosisId) : null,
     patId: formData.patientId || null,
     idType: 1, // 默认身份证
     idNo: formData.idNo,
@@ -1426,8 +1436,8 @@ async function buildSubmitData() {
 function validateFormManually() {
   const errors = [];
 
-  // 卡片编号验证（至少12位，后端自动生成16位编号）
-  if (form.value.cardNo && form.value.cardNo.length < 12) {
+  // 卡片编号验证（至少12位，后端自动生成16位编号；临时卡号 TEMP_ 开头允许通过）
+  if (form.value.cardNo && !form.value.cardNo.startsWith('TEMP_') && form.value.cardNo.length < 12) {
     errors.push('卡片编号至少12位');
   }
 
@@ -1539,6 +1549,12 @@ async function handleSubmit() {
       return;
     }
 
+    // 检查诊断ID是否有效（后端 @NotNull 校验要求）
+    if (!form.value.diagnosisId) {
+      proxy.$modal.msgError('诊断信息不完整，请重新选择诊断后重试');
+      return;
+    }
+
     // 开始加载状态，防止重复提交
     submitLoading.value = true;
 
@@ -1762,6 +1778,33 @@ defineExpose({ show, showReport, close: handleClose });
   color: #999;
 }
 
+/* 输入框下划线样式（与 underline-select 保持一致） */
+.underline-input :deep(.el-input__wrapper) {
+  border: none;
+  border-bottom: 1px solid #dcdfe6;
+  border-radius: 0;
+  box-shadow: none;
+  background: transparent;
+}
+
+.underline-input :deep(.el-input__wrapper:hover) {
+  border-bottom-color: #c0c4cc;
+}
+
+.underline-input :deep(.el-input__wrapper.is-focus) {
+  border-bottom-color: #409eff;
+}
+
+.underline-input :deep(.el-input__inner) {
+  font-size: 12px;
+  color: #666;
+}
+
+.underline-input :deep(.el-input__inner::placeholder) {
+  font-size: 12px;
+  color: #999;
+}
+
 /* 街道下拉框下划线样式 */
 .underline-select {
   width: 100%;

openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue

@@ -3,15 +3,56 @@
     <!-- ====== 顶部卡片：申请单列表 ====== -->
     <div class="top-section">
       <div class="section-header">
-        <span class="section-title">检查项目 ({{ applicationList.length }})</span>
+        <span class="section-title">检查项目 ({{ filteredApplicationList.length }})</span>
         <div class="header-actions">
           <el-button type="primary" @click="handleAdd" icon="Plus">新增</el-button>
           <el-button type="success" @click="handleSave" icon="Finished">保存</el-button>
         </div>
       </div>
+
+      <!-- Bug #499: 查询过滤工具栏 -->
+      <div class="search-toolbar">
+        <el-form :inline="true" size="small">
+          <el-form-item label="日期范围">
+            <el-date-picker
+              v-model="searchForm.dateRange"
+              type="daterange"
+              range-separator="至"
+              start-placeholder="开始日期"
+              end-placeholder="结束日期"
+              value-format="YYYY-MM-DD"
+              style="width: 240px"
+            />
+          </el-form-item>
+          <el-form-item label="状态">
+            <el-select v-model="searchForm.applyStatus" placeholder="全部" clearable style="width: 140px">
+              <el-option
+                v-for="opt in statusOptions"
+                :key="opt.value"
+                :label="opt.label"
+                :value="opt.value"
+              />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="关键字">
+            <el-input
+              v-model="searchForm.keyword"
+              placeholder="申请单号 / 检查项目"
+              clearable
+              style="width: 200px"
+              @keyup.enter="handleSearch"
+            />
+          </el-form-item>
+          <el-form-item>
+            <el-button type="primary" @click="handleSearch" icon="Search">搜索</el-button>
+            <el-button @click="handleResetSearch" icon="Refresh">重置</el-button>
+          </el-form-item>
+        </el-form>
+      </div>
+
       <el-table
         v-loading="loading"
-        :data="applicationList"
+        :data="filteredApplicationList"
         :max-height="200"
         highlight-current-row
         @row-click="handleRowClick"
@@ -335,8 +376,9 @@
                     加载中...
                   </div>
                   <!-- Bug #428修复: 渲染分类联动加载的检查方法列表 -->
+                  <!-- Bug #500修复: v-if 改为 v-show，避免方法列表加载时 DOM 突然插入导致高度跳变 -->
                   <div
-                    v-if="cat.methods && cat.methods.length > 0"
+                    v-show="cat.methods && cat.methods.length > 0"
                     class="method-section"
                   >
                     <div class="method-section-title">检查方法</div>
@@ -402,6 +444,21 @@
                         <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
                       </el-checkbox>
                     </div>
+                    <!-- 选中方法后，显示对应的套餐明细 -->
+                    <div v-if="item.selectedMethod && item.methodPackageDetails && item.methodPackageDetails.length > 0" class="method-package-details">
+                      <div class="method-package-header">
+                        <span class="method-package-title">套餐明细 - {{ item.selectedMethod.name }}</span>
+                      </div>
+                      <div v-for="detail in item.methodPackageDetails" :key="detail.id" class="method-option">
+                        <el-checkbox v-model="detail.checked">
+                          <span class="method-name">{{ detail.name }}</span>
+                          <span class="method-price">数量: {{ detail.quantity }} ¥{{ detail.price }}</span>
+                        </el-checkbox>
+                      </div>
+                    </div>
+                    <div v-if="item.selectedMethod && item.methodPackageLoading" class="method-package-loading">
+                      加载套餐明细中...
+                    </div>
                   </div>
                 </div>
               </div>
@@ -419,7 +476,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
-import { listCheckMethod, searchCheckMethod } from '@/api/system/checkType';
+import { listCheckMethod, searchCheckMethod, listCheckPackage } from '@/api/system/checkType';
 import { getEncounterDiagnosis } from '../api.js';
 
 const props = defineProps({
@@ -437,6 +494,74 @@ const activeDetailTab = ref('applyForm');
 const applicationList = ref([]);
 const selectedItems = ref([]);
 
+// Bug #499: 查询过滤状态
+const searchForm = reactive({
+  dateRange: [],
+  applyStatus: '',
+  keyword: ''
+});
+
+// 申请单状态选项
+const statusOptions = [
+  { label: '已开单', value: 0 },
+  { label: '已收费', value: 1 },
+  { label: '已预约', value: 2 },
+  { label: '已签到', value: 3 },
+  { label: '部分报告', value: 4 },
+  { label: '已完告', value: 5 },
+  { label: '已作废', value: 6 }
+];
+
+// Bug #499: 过滤后的申请单列表
+const filteredApplicationList = computed(() => {
+  let result = applicationList.value;
+
+  // 日期范围过滤
+  if (searchForm.dateRange && searchForm.dateRange.length === 2) {
+    const start = searchForm.dateRange[0];
+    const end = searchForm.dateRange[1];
+    result = result.filter(item => {
+      const d = item.applyTime;
+      if (!d) return false;
+      const dateStr = d.length > 10 ? d.substring(0, 10) : d;
+      return dateStr >= start && dateStr <= end;
+    });
+  }
+
+  // 状态过滤
+  if (searchForm.applyStatus !== '' && searchForm.applyStatus !== null && searchForm.applyStatus !== undefined) {
+    result = result.filter(item => item.applyStatus === searchForm.applyStatus);
+  }
+
+  // 关键字过滤（申请单号、申检部位、检查项目名）
+  if (searchForm.keyword) {
+    const kw = searchForm.keyword.toLowerCase();
+    result = result.filter(item => {
+      return (item.applyNo || '').toLowerCase().includes(kw)
+        || (item.inspectionArea || '').toLowerCase().includes(kw);
+    });
+  }
+
+  return result;
+});
+
+// Bug #499: 搜索与重置
+function handleSearch() {
+  // 过滤逻辑由 computed 自动处理
+}
+
+function handleResetSearch() {
+  const now = new Date();
+  const end = now.toISOString().substring(0, 10);
+  const start = new Date(now.getTime() - 7 * 24 * 60 * 60 * 1000).toISOString().substring(0, 10);
+  searchForm.dateRange = [start, end];
+  searchForm.applyStatus = '';
+  searchForm.keyword = '';
+}
+
+// 初始化默认日期范围为近一周
+handleResetSearch();
+
 // 🔧 BugFix#426: 懒加载套餐明细
 async function loadPackageDetails(row, treeNode, resolve) {
   if (!row.isPackage || !row.packageId) {
@@ -445,7 +570,7 @@ async function loadPackageDetails(row, treeNode, resolve) {
   }
   try {
     const res = await request({
-      url: `/exam/package/${row.packageId}/details`,
+      url: `/system/package/${row.packageId}/details`,
       method: 'get'
     });
     if (res.code === 200 && res.data) {
@@ -467,14 +592,28 @@ async function loadPackageDetails(row, treeNode, resolve) {
   }
 }
 
-// #428: 为已选择项目加载套餐明细
+// #428修复: 为已选择项目加载套餐明细（通过packageId或packageName查询）
 async function loadPackageDetailsForItem(item) {
-  if (!item.isPackage || !item.packageId) {
+  if (!item.isPackage || (!item.packageId && !item.packageName)) {
     return;
   }
   try {
+    let packageId = item.packageId;
+    if (!packageId && item.packageName) {
+      // CheckPart 没有 packageId 字段，需要通过 packageName 查询获取
+      const pkgRes = await listCheckPackage({ packageName: item.packageName });
+      let packages = pkgRes?.data || [];
+      if (!Array.isArray(packages)) {
+        packages = packages.records || packages.data || [];
+      }
+      if (packages.length === 0) {
+        item.packageDetails = [];
+        return;
+      }
+      packageId = packages[0].id;
+    }
     const res = await request({
-      url: `/exam/package/${item.packageId}/details`,
+      url: `/system/package/${packageId}/details`,
       method: 'get'
     });
     if (res.code === 200 && res.data) {
@@ -482,7 +621,7 @@ async function loadPackageDetailsForItem(item) {
         ...detail,
         name: detail.name || detail.itemName,
         unit: detail.unit || '次',
-        price: detail.price || detail.itemPrice || 0,
+        price: detail.price || detail.unitPrice || 0,
         quantity: detail.quantity || 1
       }));
     } else {
@@ -544,6 +683,7 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref('');    // 当前展开的折叠项
 const categoryLoadingSet = ref(new Set());  // Bug #500: 正在加载方法的分类集合
+const currentActiveCategory = ref(null);  // Bug #500: 记录当前激活的分类，忽略过期请求响应
 const isAnimating = ref(false);  // Bug #500: 防止快速切换时折叠动画重叠导致抖动
 
 const allMethods = ref([]);
@@ -661,15 +801,18 @@ const availableMethods = computed(() => {
 // 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
 // #428: 分类展开时联动加载检查方法
 // Bug #500: 使用 categoryLoadingSet 替代 dictLoading，避免切换分类时整个区域闪烁
+// Bug #500: 添加 currentActiveCategory 守卫，忽略过期请求响应，防止快速切换时数据闪烁
 async function handleCategoryExpand(cat) {
   if (!cat || !cat.typeName) return;
 
-  // 如果已加载过或正在加载中，跳过
   if ((cat.methods && cat.methods.length > 0) || categoryLoadingSet.value.has(cat.typeId)) return;
 
   categoryLoadingSet.value.add(cat.typeId);
+  currentActiveCategory.value = cat.typeId;
   try {
     const res = await searchCheckMethod({ checkType: cat.typeName });
+    // 忽略过期请求：用户已切换到其他分类，丢弃当前响应
+    if (currentActiveCategory.value !== cat.typeId) return;
     let data = res?.data?.data || res?.data || res?.rows || res;
     if (!Array.isArray(data) && res?.data && Array.isArray(res.data.data)) {
       data = res.data.data;
@@ -682,25 +825,32 @@ async function handleCategoryExpand(cat) {
         code: m.code,
         price: m.price || 0,
         packageName: m.packageName || '',
+        packageId: m.packageId || null,
         packagePrice: m.packagePrice || null,
         serviceFee: m.serviceFee || null
       }));
     }
   } catch (err) {
+    if (currentActiveCategory.value !== cat.typeId) return;
     console.error('加载分类检查方法失败', err);
   } finally {
     categoryLoadingSet.value.delete(cat.typeId);
   }
 }
-// Bug #500: 添加防抖逻辑，快速切换时跳过中间状态的动画，避免高度跳变和白屏闪烁
+// Bug #500修复: 添加防抖逻辑，快速切换时跳过中间状态的动画，避免高度跳变和白屏闪烁
 function handleCollapseChange(activeName) {
   if (isAnimating.value) return;  // 动画进行中，忽略后续点击
 
   isAnimating.value = true;
   setTimeout(() => { isAnimating.value = false; }, 300);  // 与 CSS 过渡时长一致
 
+  // Bug #500修复: 记录当前激活的分类，用于 handleCategoryExpand 中忽略过期请求
+  currentActiveCategory.value = activeName || null;
+
   if (activeName) {
-    const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
+    // Bug #428修复: 直接从 categoryList（原始响应式数组）查找分类，
+    // 确保后续 handleCategoryExpand 对 cat.methods 的赋值能正确触发 Vue 响应式更新
+    const cat = categoryList.value.find(c => c.typeId == activeName);
     if (cat && (!cat.methods || cat.methods.length === 0)) {
       handleCategoryExpand(cat);  // 异步加载，不 await
     }
@@ -992,12 +1142,20 @@ function handleRowClick(row) {
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
   request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    const d = res.data || res;
-    if (d.data) Object.assign(form, d.data);
-    if (d.items && Array.isArray(d.items)) {
+    const resp = res.data || res;
+    // Bug #408修复: items 在 AjaxResult 顶层(res.items / resp.items)，不在 ExamApply 对象内
+    // 防御性提取：优先取顶层 items，兼容嵌套在 resp.data.items 的情况
+    let rawItems = res.items || resp.items;
+    if (!rawItems && resp.data && typeof resp.data === 'object') {
+      rawItems = resp.data.items;
+    }
+    rawItems = rawItems || [];
+    const d = resp.data || resp;
+    if (d) Object.assign(form, d);
+    if (Array.isArray(rawItems) && rawItems.length > 0) {
       try {
         // 为每个项目加载检查方法
-        const itemsWithMethods = await Promise.all(d.items.map(async m => {
+        const itemsWithMethods = await Promise.all(rawItems.map(async m => {
           const item = {
             id: m.itemCode, name: m.itemName,
             price: m.itemFee || 0, quantity: 1,
@@ -1025,12 +1183,18 @@ function handleRowClick(row) {
                   code: md.code,
                   price: m.itemFee || 0,  // fallback 到已保存的价格
                   packageName: md.packageName || '',
+                  packageId: md.packageId || null,
                   packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
                   serviceFee: md.serviceFee || null
                 }));
                 // 如果有已保存的检查方法信息，尝试匹配
                 if (m.checkMethodId) {
                   item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
+                  // 从已保存的方法中获取套餐信息
+                  if (item.selectedMethod?.packageId) {
+                    item.isPackage = true;
+                    item.packageId = item.selectedMethod.packageId;
+                  }
                 }
               }
             } catch (err) {
@@ -1091,6 +1255,13 @@ async function handleMethodSelect(checked, method, cat) {
     const existingItem = selectedItems.value.find(s => s.id === targetItem.id);
     if (existingItem) {
       existingItem.selectedMethod = method;
+      // 从方法中获取套餐信息
+      if (method.packageId) {
+        existingItem.isPackage = true;
+        existingItem.packageId = method.packageId;
+        // 预加载套餐明细
+        loadPackageDetailsForItem(existingItem);
+      }
       updateMethodDisplay();
       return;
     }
@@ -1098,14 +1269,15 @@ async function handleMethodSelect(checked, method, cat) {
     // 如果该项目不存在，创建一个并关联方法
     if (selectedItems.value.length > 0) {
       const currentCategory = selectedItems.value[0].checkType;
-      const newCategory = cat.typeCode || '';
+      // Bug #428修复: 使用 cat.typeName 进行比较（与 newItem.checkType 保持一致）
+      const newCategory = cat.typeName || '';
       if (currentCategory !== newCategory) {
         ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
         return;
       }
     }
 
-    selectedItems.value.push({
+    const newItem = {
       id: targetItem.id, name: targetItem.name,
       price: targetItem.price, quantity: 1,
       serviceFee: targetItem.serviceFee || 0,
@@ -1117,9 +1289,16 @@ async function handleMethodSelect(checked, method, cat) {
       methods: [method],
       selectedMethod: method,
       expanded: false,
-      isPackage: !!targetItem.packageName,
-      packageId: targetItem.packageId || null
-    });
+      // 从方法中获取套餐信息（优先级高于项目本身的 packageName）
+      isPackage: !!method.packageId || !!targetItem.packageName,
+      packageId: method.packageId || targetItem.packageId || null
+    };
+    selectedItems.value.push(newItem);
+
+    // 如果是套餐，预加载套餐明细
+    if (newItem.isPackage && newItem.packageId) {
+      loadPackageDetailsForItem(newItem);
+    }
 
     // 自动回填执行科室
     if (selectedItems.value.length === 1 && cat?.performDeptName) {
@@ -1164,6 +1343,7 @@ async function handleItemSelect(checked, item, cat) {
             code: m.code,
             price: m.price || item.price,  // fallback 到项目价格
             packageName: m.packageName || '',
+            packageId: m.packageId || null,
             packagePrice: m.packagePrice || null,  // Bug #384修复: 套餐价格
             serviceFee: m.serviceFee || null      // Bug #384修复: 服务费
           }));
@@ -1175,7 +1355,8 @@ async function handleItemSelect(checked, item, cat) {
 
     if (selectedItems.value.length > 0) {
       const currentCategory = selectedItems.value[0].checkType;
-      const newCategory = cat.typeCode || '';
+      // Bug #428修复: 使用 cat.typeName 进行比较（与 effectiveCheckType 保持一致）
+      const newCategory = cat.typeName || '';
       if (currentCategory !== newCategory) {
         ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
         item.checked = false;
@@ -1196,6 +1377,7 @@ async function handleItemSelect(checked, item, cat) {
       selectedMethod: null,
       expanded: false,  // Bug #384修复: 新增展开状态，默认不展开
       isPackage: !!item.packageName,  // Bug #428修复: 标记是否为套餐
+      packageName: item.packageName || null,  // Bug #426修复: 套餐名称，用于查找packageId
       packageId: item.packageId || null  // Bug #428修复: 套餐ID
     });
 
@@ -1228,11 +1410,14 @@ async function toggleItemExpand(item) {
 }
 
 // Bug #384修复: 勾选框选择检查方法（单选逻辑）
-function selectMethodCheckbox(checked, item, method) {
+async function selectMethodCheckbox(checked, item, method) {
   if (checked) {
     item.selectedMethod = method;
+    // 动态加载该方法对应的套餐明细
+    await loadMethodPackageDetails(item, method);
   } else {
     item.selectedMethod = null;
+    item.methodPackageDetails = [];
   }
   // 联动更新表单检查方法显示字段
   updateMethodDisplay();
@@ -1243,6 +1428,50 @@ function selectMethodCheckbox(checked, item, method) {
   });
 }
 
+// 根据检查方法的packageName加载对应的套餐明细
+async function loadMethodPackageDetails(item, method) {
+  item.methodPackageLoading = true;
+  item.methodPackageDetails = [];
+  try {
+    if (!method.packageName) {
+      item.methodPackageLoading = false;
+      return;
+    }
+    // 通过packageName查询套餐获取packageId
+    const pkgRes = await listCheckPackage({ packageName: method.packageName });
+    let packages = pkgRes?.data || [];
+    if (!Array.isArray(packages)) {
+      packages = packages.records || packages.data || [];
+    }
+    if (packages.length === 0) {
+      item.methodPackageLoading = false;
+      return;
+    }
+    const packageId = packages[0].id;
+    // 查询套餐明细
+    const detailRes = await request({
+      url: `/system/package/${packageId}/details`,
+      method: 'get'
+    });
+    if (detailRes.code === 200 && detailRes.data) {
+      item.methodPackageDetails = detailRes.data.map(d => ({
+        id: d.id,
+        name: d.itemName || d.name,
+        quantity: d.quantity || 1,
+        unit: d.unit || '次',
+        price: d.unitPrice || d.price || 0,
+        amount: d.amount || d.total || 0,
+        checked: true  // 默认勾选
+      }));
+    }
+  } catch (err) {
+    console.error('加载方法套餐明细失败:', err);
+    item.methodPackageDetails = [];
+  } finally {
+    item.methodPackageLoading = false;
+  }
+}
+
 // Bug #384修复: 更新检查方法显示字段（联动）
 function updateMethodDisplay() {
   // 找到第一个有选中检查方法的项目
@@ -1332,6 +1561,19 @@ defineExpose({ getList });
   gap: 8px;
 }
 
+/* Bug #499: 查询过滤工具栏 */
+.search-toolbar {
+  margin-bottom: 10px;
+  padding: 8px 0;
+  border-bottom: 1px solid #ebeef5;
+}
+.search-toolbar :deep(.el-form-item) {
+  margin-bottom: 8px;
+}
+.search-toolbar :deep(.el-form-item__label) {
+  font-size: 12px;
+}
+
 /* 底部区域：左表单 + 右分类 */
 .bottom-section {
   display: flex;
@@ -1409,6 +1651,7 @@ defineExpose({ getList });
   flex: 1;
   overflow-y: auto;
   overflow-x: hidden;  /* Bug #500: 防止切换时水平方向溢出导致抖动 */
+  min-height: 120px;   /* Bug #500: 固定最小高度，避免分类切换时 flex 容器高度突变 */
 }
 .empty-hint {
   color: #909399;
@@ -1648,6 +1891,29 @@ defineExpose({ getList });
   margin-left: 8px;
 }
 
+/* 选中方法后显示的套餐明细 */
+.method-package-details {
+  margin-top: 4px;
+  padding: 4px 0;
+  border-top: 1px dashed #dcdfe6;
+}
+
+.method-package-header {
+  padding: 2px 0 4px 24px;
+}
+
+.method-package-title {
+  font-size: 10px;
+  color: #909399;
+  font-weight: 500;
+}
+
+.method-package-loading {
+  padding: 4px 0 4px 24px;
+  font-size: 10px;
+  color: #c0c4cc;
+}
+
 /* 折叠组件细节 */
 :deep(.el-collapse) {
   border: none;
@@ -1658,10 +1924,10 @@ defineExpose({ getList });
   height: auto;
   line-height: 1.5;
 }
-/* Bug #500: 折叠内容添加平滑过渡动画，避免切换时高度跳变 */
+/* Bug #500修复: 折叠内容使用明确属性过渡，避免 transition: all 导致子元素意外动画 */
 :deep(.el-collapse-item__content) {
   padding-bottom: 4px;
-  transition: all 0.3s ease;
+  transition: height 0.3s ease, max-height 0.3s ease;
 }
 /* Bug #500: 折叠面板动画容器，添加 overflow:hidden 防止展开时内容溢出导致闪烁 */
 :deep(.el-collapse-item__wrap) {

openhis-ui-vue3/src/views/doctorstation/components/prescription/orderGroupDrawer.vue

@@ -589,36 +589,46 @@ function handleUseOrderGroup(row) {
       minUnitPrice: orderDetail.minUnitPrice,
       inventoryList: orderDetail.inventoryList || [],
       priceList: orderDetail.priceList || [],
-      partPercent: orderDetail.partPercent || 1,
+      partPercent: orderDetail.partPercent ?? 1,
+      partAttributeEnum: orderDetail.partAttributeEnum,
+      unitConversionRatio: orderDetail.unitConversionRatio,
       // 🔧 Bug #218 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
-      positionId: item.positionId || orderDetail.positionId,
+      positionId: item.positionId ?? orderDetail.positionId,
       defaultLotNumber: orderDetail.defaultLotNumber,
       
       // 单位信息
-      unitCode: item.unitCode || orderDetail.unitCode,
+      unitCode: item.unitCode ?? orderDetail.unitCode,
+      categoryCode: item.categoryCode ?? orderDetail.categoryCode,
       unitCodeName: item.unitCodeName || orderDetail.unitCode_dictText,
       minUnitCode: orderDetail.minUnitCode,
       doseUnitCode: orderDetail.doseUnitCode,
       
       // 合并后的完整对象（用于 setValue）
+      // 先展开 orderDetail 获取所有药品基础字段（categoryCode、minUnitCode、doseUnitCode、
+      // partPercent、partAttributeEnum、unitConversionRatio、defaultLotNumber 等），
+      // 再用组套用户覆盖值覆盖，确保单次剂量/频次/用法/用药天数/总量等不被丢失
       mergedDetail: {
         ...orderDetail,
         adviceName: orderDetail.adviceName || item.orderDefinitionName || '未知项目',
         adviceType: orderDetail.adviceType,
         quantity: item.quantity,
-        unitCode: item.unitCode || orderDetail.unitCode,
+        unitCode: item.unitCode ?? orderDetail.unitCode,
+        categoryCode: item.categoryCode ?? orderDetail.categoryCode,
         unitCodeName: item.unitCodeName,
-        dose: item.dose || orderDetail.dose,
-        rateCode: item.rateCode || orderDetail.rateCode,
-        methodCode: item.methodCode || orderDetail.methodCode,
-        dispensePerDuration: item.dispensePerDuration || orderDetail.dispensePerDuration,
-        doseQuantity: item.doseQuantity,
-        inventoryList: orderDetail.inventoryList || [],
-        priceList: orderDetail.priceList || [],
-        partPercent: orderDetail.partPercent || 1,
-        // 🔧 Bug #218 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
-        positionId: item.positionId || orderDetail.positionId,
-        defaultLotNumber: orderDetail.defaultLotNumber,
+        dose: item.dose ?? orderDetail.dose,
+        rateCode: item.rateCode ?? orderDetail.rateCode,
+        methodCode: item.methodCode ?? orderDetail.methodCode,
+        dispensePerDuration: item.dispensePerDuration ?? orderDetail.dispensePerDuration,
+        doseQuantity: item.doseQuantity ?? orderDetail.doseQuantity,
+        // 🔧 Bug #218 / #403 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
+        positionId: item.positionId ?? orderDetail.positionId,
+        // 执行科室：优先使用组套明细中保存的 orgId
+        orgId: item.orgId ?? orderDetail.orgId,
+        orgName: item.orgName ?? orderDetail.orgName,
+        // 组号（保留组套中的分组信息）
+        groupId: item.groupId,
+        groupOrder: item.groupOrder,
+        therapyEnum: item.therapyEnum ?? orderDetail.therapyEnum ?? '1',
       }
     };
   });

openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue

@@ -1021,7 +1021,21 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
   }
 
   const found = adviceTypeList.value.find((item) => item.value === type);
-  return found ? found.label : '';
+  if (found) {
+    return found.label;
+  }
+
+  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失时的兜底，避免保存后"医嘱类型"列显示为空
+  if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
+    if (type === 6) return '手术';
+    if (type === 4) return '手术';
+    if (type === 1) return '检验';
+    if (type === 2) return '检查';
+    if (type === 5) return '其他';
+    return '诊疗';
+  }
+
+  return '';
 };
 
 // 西药处方管理相关变量
@@ -3312,10 +3326,14 @@ function syncGroupFields(row) {
   }
   
   // 同步执行科室
+  // 🔧 Bug #455: 诊疗类医嘱(adviceType=3)不使用项目配置的执行科室，
+  // 避免配置ID不在机构树中导致显示原始ID，保持患者就诊科室即可
   if (row.orgId || row.positionId) {
+    if (Number(row.adviceType) != 3) {
       // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
       prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
     }
+  }
   
   // 同步皮试标记
   if (row.skinTestFlag !== undefined && row.skinTestFlag !== null) {
@@ -3398,8 +3416,11 @@ async function setValue(row) {
     showPopover: false, // 确保查询框关闭
   };
   console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
-  // 🔧 Bug #455: 执行科室默认逻辑：使用positionId(诊疗执行科室配置) → 患者就诊科室，不再使用row.orgId(项目所属科室)
+  // 🔧 Bug #455: 诊疗医嘱(adviceType=3)的执行科室默认使用患者就诊科室，
+  // 不使用positionId(诊疗目录配置的执行科室)，避免配置ID不在机构树中导致显示原始ID
+  if (Number(row.adviceType) != 3) {
     prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
+  }
   prescriptionList.value[rowIndex.value].dose = row.dose || row.doseQuantity;
   prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;

openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue

@@ -1133,13 +1133,17 @@ function submitForm() {
         // 新增手术
         addSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请提交成功！')
+            proxy.$modal.msgSuccess('手术申请提交成功！')
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
             emit('saved') // 通知父组件刷新医嘱列表
-            // 刷新手术申请列表
+            // 刷新手术申请列表，使用 nextTick 确保数据一致性
+            proxy.$nextTick(() => {
+              if (props.patientInfo?.encounterId) {
                 getList()
+              }
+            })
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1151,13 +1155,17 @@ function submitForm() {
         // 修改手术
         updateSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请修改成功！')
+            proxy.$modal.msgSuccess('手术申请修改成功！')
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
             emit('saved') // 通知父组件刷新医嘱列表
-            // 刷新手术申请列表
+            // 刷新手术申请列表，使用 nextTick 确保数据一致性
+            proxy.$nextTick(() => {
+              if (props.patientInfo?.encounterId) {
                 getList()
+              }
+            })
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }

openhis-ui-vue3/src/views/inpatientDoctor/home/components/adviceBaseList.vue

@@ -51,7 +51,7 @@ const currentSelectRow = ref<any>({});
 const queryParams = ref({
   pageSize: 100,
   pageNo: 1,
-  adviceTypes: '1,2,3,6',
+  adviceTypes: [1, 2, 3, 6],
   searchKey: '',
   organizationId: '',
   categoryCode: '',
@@ -88,10 +88,10 @@ const tableColumns = computed<TableColumn[]>(() => [
 function refresh(adviceType: any, categoryCode: string, searchKey: string) {
   // 有搜索词时跨类型搜索，避免用户输入"级护理"但因当前adviceType为药品而搜不到诊疗类护理项目
   if (searchKey) {
-    queryParams.value.adviceTypes = '1,2,3,6';
+    queryParams.value.adviceTypes = [1, 2, 3, 6];
   } else {
     queryParams.value.adviceTypes =
-      adviceType !== undefined && adviceType !== '' ? String(adviceType) : '1,2,3,6';
+      adviceType !== undefined && adviceType !== '' ? [parseInt(adviceType)] : [1, 2, 3, 6];
   }
   queryParams.value.categoryCode = categoryCode || '';
   queryParams.value.searchKey = searchKey || '';

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js

@@ -44,6 +44,17 @@ export function getSurgery(queryParams) {
   });
 }
 
+/**
+ * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
+ */
+export function getSurgeryPage(queryParams) {
+  return request({
+    url: '/reg-doctorstation/request-form/get-surgery-page',
+    method: 'get',
+    params: queryParams,
+  });
+}
+
 /**
  * 查询护理医嘱信息
  */

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue

@@ -79,7 +79,7 @@
           <el-table-column prop="patientName" label="患者姓名" width="120" />
           <el-table-column prop="name" label="申请单名称" width="140" />
           <el-table-column prop="createTime" label="创建时间" width="160" />
-          <el-table-column prop="prescriptionNo" label="处方号" width="140" />
+          <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="申请单状态" width="120" align="center">
             <template #default="scope">
@@ -118,7 +118,7 @@
             <el-descriptions-item label="创建时间">{{
               currentDetail.createTime || '-'
             }}</el-descriptions-item>
-            <el-descriptions-item label="处方号">{{
+            <el-descriptions-item label="申请单号">{{
               currentDetail.prescriptionNo || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请者">{{
@@ -137,7 +137,7 @@
           <el-descriptions title="申请单描述" :column="2">
             <template v-for="(value, key) in descJsonData" :key="key">
               <el-descriptions-item v-if="isFieldMatched(key)" :label="getFieldLabel(key)">
-                {{ value || '-' }}
+                {{ transformField(key, value) || '-' }}
               </el-descriptions-item>
             </template>
           </el-descriptions>
@@ -168,7 +168,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getCheck} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {getDepartmentList} from '@/api/public.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -270,6 +270,12 @@ const parseStatus = (status) => {
 const labelMap = {
   categoryType: '项目类别',
   targetDepartment: '发往科室',
+  urgencyLevel: '紧急程度',
+  allergyHistory: '过敏史',
+  examinationPurpose: '检查目的',
+  expectedExaminationTime: '期望检查时间',
+  medicalHistorySummary: '病史摘要',
+  allergyConfirmed: '过敏确认',
   symptom: '症状',
   sign: '体征',
   clinicalDiagnosis: '临床诊断',
@@ -278,6 +284,17 @@ const labelMap = {
   attention: '注意事项',
 };
 
+// Fields that need value transformation before display
+const transformField = (key, value) => {
+  if (key === 'urgencyLevel') {
+    return value === 'emergency' ? '急诊' : '普通';
+  }
+  if (key === 'allergyConfirmed') {
+    return value === true || value === 'true' ? '已口头确认' : '未确认';
+  }
+  return value;
+};
+
 const isFieldMatched = (key) => {
   return key in labelMap;
 };
@@ -292,39 +309,45 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
-  getOrgList().then((res) => {
-    orgOptions.value = res.data.records;
-  });
+const getLocationInfo = async () => {
+  try {
+    const res = await getDepartmentList();
+    orgOptions.value = Array.isArray(res.data) ? res.data : [];
+  } catch (e) {
+    console.warn('科室列表加载失败:', e.message);
+    orgOptions.value = [];
+  }
 };
 
-const recursionFun = (targetDepartment) => {
-  let name = '';
-  for (let index = 0; index < orgOptions.value.length; index++) {
-    const obj = orgOptions.value[index];
-    if (obj.id == targetDepartment) {
-      name = obj.name;
-    }
-    const subObjArray = obj['children'];
-    for (let index = 0; index < subObjArray.length; index++) {
-      const item = subObjArray[index];
-      if (item.id == targetDepartment) {
-        name = item.name;
+// 递归查找树形科室节点
+const findTreeItem = (list, id) => {
+  if (!list || list.length === 0) return null;
+  for (const item of list) {
+    if (item.id == id) return item;
+    if (item.children && item.children.length > 0) {
+      const found = findTreeItem(item.children, id);
+      if (found) return found;
     }
   }
-  }
-  return name;
+  return null;
 };
 
-const handleViewDetail = (row) => {
-  console.log('targetDepartment========>', JSON.stringify(row));
+const handleViewDetail = async (row) => {
+  // 确保科室数据已加载，以便将 ID 解析为名称
+  if (!orgOptions.value || orgOptions.value.length === 0) {
+    await getLocationInfo();
+  }
 
   currentDetail.value = row;
   // 解析 descJson
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      obj.targetDepartment = recursionFun(obj.targetDepartment);
+      // 将发往科室 ID 转换为名称
+      if (obj.targetDepartment) {
+        const deptItem = findTreeItem(orgOptions.value, obj.targetDepartment);
+        obj.targetDepartment = deptItem ? deptItem.name : obj.targetDepartment;
+      }
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);

openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue

@@ -41,8 +41,6 @@
               <el-option label="全部" value="" />
               <el-option label="待签发" value="0" />
               <el-option label="已签发" value="1" />
-              <el-option label="已采集" value="2" />
-              <el-option label="已收样" value="3" />
               <el-option label="报告已出" value="4" />
               <el-option label="已作废" value="5" />
             </el-select>
@@ -84,7 +82,11 @@
           </template>
           <el-table-column type="index" label="序号" width="60" align="center" />
           <el-table-column prop="patientName" label="患者姓名" width="120" />
-          <el-table-column prop="name" label="申请单名称" width="140" />
+          <el-table-column label="申请单名称" width="140">
+            <template #default="scope">
+              <span>{{ buildApplicationName(scope.row) }}</span>
+            </template>
+          </el-table-column>
           <el-table-column prop="createTime" label="创建时间" width="160" />
           <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
           <el-table-column label="单据状态" width="100" align="center">
@@ -105,11 +107,11 @@
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="操作" align="center" fixed="right" width="160">
             <template #default="scope">
-              <template v-if="scope.row.billStatus == 0 || scope.row.status == 0">
+              <template v-if="scope.row.status == 0">
                 <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
                 <el-button link type="danger" @click="handleDelete(scope.row)">删除</el-button>
               </template>
-              <template v-else-if="scope.row.billStatus == 1 || scope.row.status == 1">
+              <template v-else-if="scope.row.status == 1">
                 <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
               </template>
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
@@ -139,7 +141,7 @@
             <el-descriptions-item label="创建时间">{{
               currentDetail.createTime || '-'
             }}</el-descriptions-item>
-            <el-descriptions-item label="处方号">{{
+            <el-descriptions-item label="申请单号">{{
               currentDetail.prescriptionNo || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请者">{{
@@ -189,7 +191,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {getDepartmentList} from '@/api/public.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -287,6 +289,9 @@ const labelMap = {
   otherDiagnosis: '其他诊断',
   relatedResult: '相关结果',
   attention: '注意事项',
+  applicationType: '申请类型',
+  specimenName: '标本类型',
+  executeTime: '执行时间',
 };
 
 /**
@@ -298,8 +303,6 @@ const parseBillStatus = (status) => {
   const statusMap = {
     '0': '待签发',
     '1': '已签发',
-    '2': '已采集',
-    '3': '已收样',
     '4': '报告已出',
     '5': '已作废',
   };
@@ -315,8 +318,8 @@ const parsePriorityCode = (descJson) => {
   if (!descJson) return '-';
   try {
     const obj = JSON.parse(descJson);
-    // priorityCode: 0-普通, 1-急
-    return obj.priorityCode === 1 ? '急' : '普通';
+    // applicationType: 0-普通, 1-急诊
+    return obj.applicationType === 1 ? '急' : '普通';
   } catch (e) {
     console.error('解析 descJson 失败:', e);
     return '-';
@@ -340,6 +343,24 @@ const parseSpecimenType = (descJson) => {
   }
 };
 
+/**
+ * 根据申请单详情构建申请单名称
+ * 单一项目：显示项目名称+数量
+ * 多个项目：显示首个项目名称+数量+"等X项"
+ */
+const buildApplicationName = (row) => {
+  const details = row.requestFormDetailList;
+  if (!details || details.length === 0) {
+    return row.name || '-';
+  }
+  if (details.length === 1) {
+    const item = details[0];
+    return `${item.adviceName}${item.quantity || ''}`;
+  }
+  const first = details[0];
+  return `${first.adviceName}${first.quantity || ''}等${details.length}项`;
+};
+
 const isFieldMatched = (key) => {
   return key in labelMap;
 };
@@ -395,6 +416,9 @@ const handleViewDetail = async (row) => {
     try {
       const obj = JSON.parse(row.descJson);
       obj.targetDepartment = recursionFun(obj.targetDepartment);
+      // 转换申请类型编码为可读文本
+      if (obj.applicationType === 0) obj.applicationType = '普通';
+      else if (obj.applicationType === 1) obj.applicationType = '急诊';
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue

@@ -72,6 +72,45 @@
               <el-input v-model="form.attention" autocomplete="off" type="textarea" />
             </el-form-item>
           </el-col>
+          <!-- 申请类型 -->
+          <el-col :span="12">
+            <el-form-item label="申请类型" prop="applicationType" style="width: 100%">
+              <el-radio-group v-model="form.applicationType">
+                <el-radio :value="0">普通</el-radio>
+                <el-radio :value="1">急诊</el-radio>
+              </el-radio-group>
+            </el-form-item>
+          </el-col>
+          <!-- 标本类型 -->
+          <el-col :span="12">
+            <el-form-item label="标本类型" prop="specimenName" style="width: 100%">
+              <el-select v-model="form.specimenName" placeholder="请选择标本类型" style="width: 100%">
+                <el-option label="血液" value="血液" />
+                <el-option label="尿液" value="尿液" />
+                <el-option label="粪便" value="粪便" />
+                <el-option label="痰液" value="痰液" />
+                <el-option label="咽拭子" value="咽拭子" />
+                <el-option label="脑脊液" value="脑脊液" />
+                <el-option label="胸腹水" value="胸腹水" />
+                <el-option label="关节液" value="关节液" />
+                <el-option label="分泌物" value="分泌物" />
+                <el-option label="其他" value="其他" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <!-- 执行时间 -->
+          <el-col :span="12">
+            <el-form-item label="执行时间" prop="executeTime" style="width: 100%">
+              <el-date-picker
+                v-model="form.executeTime"
+                type="datetime"
+                placeholder="选择执行时间"
+                format="YYYY-MM-DD HH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
+                style="width: 100%"
+              />
+            </el-form-item>
+          </el-col>
         </el-row>
       </el-form>
     </div>
@@ -105,23 +144,40 @@ const applicationListAll = ref();
 const applicationList = ref();
 const loading = ref(false);
 const orgOptions = ref([]); // 科室选项
-const getList = () => {
+const getList = async () => {
   if (!patientInfo.value?.inHospitalOrgId) {
     applicationList.value = [];
     return;
   }
   loading.value = true;
-  getApplicationList({
-    pageSize: 9999,
-    pageNum: 1,
+  try {
+    const allRecords = [];
+    let currentPage = 1;
+    const pageSize = 500;
+
+    // 分页拉取全部数据（后端单页最多500条）
+    while (true) {
+      const res = await getApplicationList({
+        pageSize,
+        pageNo: currentPage,
         categoryCode: '22',
         organizationId: patientInfo.value.inHospitalOrgId,
         adviceTypes: [3], // 1 药品 2 耗材 3 诊疗
-  })
-    .then((res) => {
-      if (res.code === 200) {
-        applicationListAll.value = res.data.records;
-        applicationList.value = res.data.records.map((item) => {
+      });
+      if (res.code !== 200) {
+        proxy.$message.error(res.message);
+        applicationList.value = [];
+        return;
+      }
+      const records = res.data?.records || [];
+      allRecords.push(...records);
+      // 当前页不足 pageSize 或已无数据，说明已全部拉取
+      if (records.length < pageSize) break;
+      currentPage++;
+    }
+
+    applicationListAll.value = allRecords;
+    applicationList.value = allRecords.map((item) => {
       const priceInfo = item.priceList?.[0] || {};
       const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
       const unit = item.unitCode_dictText || item.unitCode || '';
@@ -132,15 +188,12 @@ const getList = () => {
         key: item.adviceDefinitionId,
       };
     });
-        console.log('applicationList========>', JSON.stringify(res.data.records));
-      } else {
-        proxy.$message.error(res.message);
+  } catch (e) {
+    proxy.$message.error('获取检验项目列表失败');
     applicationList.value = [];
-      }
-    })
-    .finally(() => {
+  } finally {
     loading.value = false;
-    });
+  }
 };
 const transferValue = ref([]);
 const form = reactive({
@@ -152,6 +205,9 @@ const form = reactive({
   otherDiagnosis: '', // 其他诊断
   relatedResult: '', // 相关结果
   attention: '', // 注意事项
+  applicationType: 0, // 申请类型 0-普通 1-急诊
+  specimenName: '血液', // 标本类型
+  executeTime: null, // 执行时间
   primaryDiagnosisList: [], //主诊断目录
   otherDiagnosisList: [], //其他断目录
 });
@@ -164,7 +220,7 @@ onMounted(() => {
  * type(1：watch监听类型 2:点击保存类型)
  * selectProjectIds(选中项目的id数组)
  * */
-const projectWithDepartment = (selectProjectIds) => {
+const projectWithDepartment = (selectProjectIds, type) => {
   //1.获取选中的项目 2.判断项目的执行科室是否相同 3.判断执行科室是否配置 4.将项目的执行科室复值到执行科室下拉选位置
   let isRelease = true;
   // 选中项目的数组

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue

@@ -483,7 +483,10 @@ const submit = () => {
     encounterId: patientInfo.value.encounterId,
     organizationId: patientInfo.value.inHospitalOrgId,
     requestFormId: '',
-    name: '检查申请单',
+    name: transferValue.value.map(id => {
+      const item = applicationListAll.value?.find(i => i.adviceDefinitionId === id);
+      return item?.adviceName || '';
+    }).filter(Boolean).join('、'),
     descJson: JSON.stringify(submitForm),
     categoryEnum: '2',
   }).then((res) => {

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue

@@ -5,8 +5,7 @@
 -->
 <template>
   <div class="surgery-container">
-    <div class="transfer-wrapper">
-      <div v-loading="loading" style="min-height: 300px;">
+    <div v-loading="loading" class="transfer-wrapper" style="min-height: 300px;">
       <el-transfer
         v-model="transferValue"
         :data="applicationList"
@@ -15,7 +14,6 @@
         :titles="['未选择', '已选择']"
       />
     </div>
-    </div>
     <div class="bloodTransfusion-form">
       <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
         <el-row :gutter="20">
@@ -88,6 +86,9 @@ import {getApplicationList, saveSurgery} from './api';
 import {ElMessage} from 'element-plus';
 
 const { proxy } = getCurrentInstance();
+// 模块级缓存：避免每次打开弹窗都重新请求手术项目列表
+let surgeryRecordsCache = null; // 原始 API 记录
+let surgeryMappedCache = null;  // 映射后的 el-transfer 数据
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
   if (!list || list.length === 0) return null;
@@ -103,8 +104,8 @@ const findTreeItem = (list, id) => {
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
-const applicationListAll = ref([]);
-const applicationList = ref([]);
+const applicationListAll = ref();
+const applicationList = ref();
 const orgOptions = ref([]); // 科室选项
 const loading = ref(false); // 加载状态
 const getList = () => {
@@ -112,6 +113,12 @@ const getList = () => {
     applicationList.value = [];
     return;
   }
+  // 命中缓存时直接使用，避免重复请求导致加载缓慢
+  if (surgeryMappedCache && surgeryMappedCache.length > 0) {
+    applicationList.value = surgeryMappedCache;
+    applicationListAll.value = surgeryRecordsCache;
+    return;
+  }
   loading.value = true;
   getApplicationList({
     pageSize: 500,
@@ -134,6 +141,9 @@ const getList = () => {
             key: item.adviceDefinitionId,
           };
         });
+        // 写入模块缓存，后续打开弹窗直接复用
+        surgeryRecordsCache = res.data.records;
+        surgeryMappedCache = applicationList.value;
       } else {
         console.warn('获取手术项目列表失败:', res.message);
         applicationList.value = [];

openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue

@@ -197,6 +197,7 @@
                     style="width: 62%"
                     v-model="scope.row.adviceName"
                     placeholder="请选择项目"
+                    @input="handleChange"
                     @click="handleFocus(scope.row, scope.$index)"
                     @keyup.enter.stop="handleFocus(scope.row, scope.$index)"
                     @keydown="
@@ -709,9 +710,17 @@ function loadConfiguredCategories() {
 // 数据过滤
 const filterPrescriptionList = computed(() => {
   const pList = prescriptionList.value.filter((item) => {
+    // 修复 Bug #488：orderClassCode 可能是复合值 '1-2'，需提取 adviceType 部分进行比较
+    let matchAdviceType = true;
+    if (orderClassCode.value) {
+      const filterAdviceType = String(orderClassCode.value).includes('-')
+        ? parseInt(String(orderClassCode.value).split('-')[0])
+        : orderClassCode.value;
+      matchAdviceType = filterAdviceType == item.adviceType;
+    }
     return (
       (!therapyEnum.value || therapyEnum.value == item.therapyEnum) &&
-      (!orderClassCode.value || orderClassCode.value == item.adviceType) &&
+      matchAdviceType &&
       (!orderStatus.value || (orderStatus.value == item.statusEnum && item.requestId))
     );
   });
@@ -739,13 +748,29 @@ function getRowDisabled(row) {
 /**
  * 将行的 adviceType + categoryCode 映射为 el-select 的选中值
  * 药品子分类使用复合值如 '1-2'（adviceType-categoryCode），诊疗/手术/全部使用原始值
+ * 修复 Bug #488：当行的 adviceType 在当前配置中找不到匹配选项时，返回最接近的可用值，避免回显为纯数字
  */
 function getRowSelectValue(row) {
   if (row.adviceType == 1 && row.categoryCode) {
-    return '1-' + row.categoryCode;
+    const compositeValue = '1-' + row.categoryCode;
+    // 检查复合值是否在选项列表中
+    if (adviceTypeList.value.some(item => item.value === compositeValue)) {
+      return compositeValue;
+    }
+    // 配置的 categoryCode 已变更，回退到第一个药品选项
+    const firstPharmacy = adviceTypeList.value.find(item => String(item.value).startsWith('1-'));
+    if (firstPharmacy) {
+      return firstPharmacy.value;
     }
     return row.adviceType;
   }
+  // 诊疗/手术等非药品类型，检查其值是否在选项列表中
+  if (adviceTypeList.value.some(item => item.value === row.adviceType)) {
+    return row.adviceType;
+  }
+  // 不在选项中的值（如已废弃的 adviceType），返回 undefined 让 el-select 显示为空
+  return undefined;
+}
 
 // 新增医嘱
 function handleAddPrescription() {
@@ -801,8 +826,8 @@ function clickRowDb(row, column, event) {
     return;
   }
   row.showPopover = false;
-  // “待签发(已保存 requestId存在)”不允许再编辑；仅“待保存(无requestId)”允许编辑
-  if (row.statusEnum == 1 && !row.requestId) {
+  // 仅”待签发(statusEnum==1)”允许编辑；”已签发(statusEnum==2)”及之后状态不允许编辑
+  if (row.statusEnum == 1) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
@@ -1181,8 +1206,10 @@ function handleSave() {
     });
     // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
     loading.value = true;
-    let list = saveList.map((item) => {
-      const parsedContent = JSON.parse(item.contentJson);
+    let list = [];
+    try {
+      list = saveList.map((item) => {
+        const parsedContent = item.contentJson ? JSON.parse(item.contentJson) || {} : {};
         return {
           ...parsedContent,
           adviceType: item.adviceType,
@@ -1194,6 +1221,12 @@ function handleSave() {
           therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
         };
       });
+    } catch (error) {
+      loading.value = false;
+      isSaving.value = false;
+      proxy.$modal.msgError('医嘱内容解析失败，请检查待签发医嘱');
+      return;
+    }
     // 保存签发按钮
     isSaving.value = true;
     console.log('签发处方参数：', {
@@ -1208,9 +1241,16 @@ function handleSave() {
         if (res.code === 200) {
           proxy.$modal.msgSuccess('签发成功');
           isSaving.value = false;
+          // 乐观更新：立即将已签发医嘱的状态设为"已签发"，确保列表实时刷新
+          saveList.forEach((item) => {
+            const row = prescriptionList.value.find((r) => r.requestId && r.requestId === item.requestId);
+            if (row) {
+              row.statusEnum = 2;
+            }
+          });
           getListInfo(false);
           bindMethod.value = {};
-          nextId.value == 1;
+          nextId.value = 1;
         } else {
           proxy.$modal.msgError(res.message);
           isSaving.value = false;
@@ -1311,11 +1351,12 @@ function handleCancelEdit(row, index) {
 
 function handleSaveSign(row, index) {
   if (row.adviceType != 2) {
+    // 修复 Bug #488：严格校验 itemNo，确保非空且为有效字符串才发起请求
     let itemNo = row.adviceType == 1 ? row.methodCode : row.adviceDefinitionId;
-    if (!itemNo) {
+    if (!itemNo || String(itemNo).trim() === '') {
       console.warn('绑定设备检查跳过：itemNo为空（adviceType=' + row.adviceType + ', adviceName=' + row.adviceName + '）');
     } else {
-      getBindDevice({ typeCode: row.adviceType, itemNo: itemNo }).then((res) => {
+      getBindDevice({ typeCode: row.adviceType, itemNo: String(itemNo) }).then((res) => {
         if (res.data.length == 0) {
           return;
         }
@@ -1376,13 +1417,21 @@ function handleSaveSign(row, index) {
     savePrescription({ regAdviceSaveList: [row] }).then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
-        nextId.value == 1;
+        nextId.value = 1;
       }
     });
   } else {
-    if (prescriptionList.value[0].adviceName) {
-      handleAddPrescription();
+    // 新增行：调用保存接口将数据持久化到后端
+    row.dbOpType = '1';
+    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
+      if (res.code === 200) {
+        proxy.$modal.msgSuccess('保存成功');
+        nextId.value = 1;
+        // 保存成功后刷新列表，确保后端返回的数据带 requestId
+        getListInfo(false);
       }
+    });
+    // 不需要再添加空行，保存成功后由 getListInfo 处理
   }
   adviceQueryParams.value.adviceType = undefined;
 }
@@ -1429,12 +1478,13 @@ function handleSaveBatch() {
           if (row) row.isEdit = false;
         });
         getListInfo(false);
-        nextId.value == 1;
+        nextId.value = 1;
         isSaving.value = false;
       }
     })
     .catch((error) => {
       isSaving.value = false;
+      proxy.$modal.msgError(error?.msg || '保存失败，请重试');
     });
 }
 
@@ -1562,17 +1612,21 @@ function handleSaveGroup(orderGroupList) {
     // 🔥 新版组件已经预处理了数据，优先使用 mergedDetail
     const mergedDetail = item.mergedDetail || {
       ...(item.orderDetailInfos || {}),
-      adviceName: item.orderDetailInfos?.adviceName || item.orderDefinitionName || '未知项目',
+      adviceName: item.orderDefinitionName || item.orderDetailInfos?.adviceName || '未知项目',
       adviceType: item.orderDetailInfos?.adviceType,
       adviceDefinitionId: item.orderDefinitionId || item.orderDetailInfos?.adviceDefinitionId,
       quantity: item.quantity,
       unitCode: item.unitCode || item.orderDetailInfos?.unitCode,
       unitCodeName: item.unitCodeName,
-      dose: item.dose || item.orderDetailInfos?.dose,
+      // 🔧 Bug #403 修复：dose/doseQuantity/dispensePerDuration 需用 null 检查，
+      // 避免组套中值为 null 时回退到医嘱库的 orderDetailInfos
+      dose: item.dose !== undefined && item.dose !== null ? item.dose : item.orderDetailInfos?.dose,
       rateCode: item.rateCode || item.orderDetailInfos?.rateCode,
       methodCode: item.methodCode || item.orderDetailInfos?.methodCode,
-      dispensePerDuration: item.dispensePerDuration || item.orderDetailInfos?.dispensePerDuration,
-      doseQuantity: item.doseQuantity,
+      dispensePerDuration: item.dispensePerDuration !== undefined && item.dispensePerDuration !== null
+        ? item.dispensePerDuration : item.orderDetailInfos?.dispensePerDuration,
+      doseQuantity: item.doseQuantity !== undefined && item.doseQuantity !== null
+        ? item.doseQuantity : item.orderDetailInfos?.doseQuantity,
       inventoryList: item.orderDetailInfos?.inventoryList || [],
       priceList: item.orderDetailInfos?.priceList || [],
       partPercent: item.orderDetailInfos?.partPercent || 1,
@@ -1591,20 +1645,15 @@ function handleSaveGroup(orderGroupList) {
     setValue(mergedDetail);
 
     // 创建新的处方项目
+    // 🔧 Bug #403 修复：关键字段使用 null-safe 回退到 mergedDetail（已由 setValue 填充完整数据）
+    // 先取 setValue 填充的行数据作为基础
+    const baseRow = prescriptionList.value[rowIndex.value];
     const newRow = {
-      ...prescriptionList.value[rowIndex.value],
+      ...baseRow,
       patientId: patientInfo.value.patientId,
       encounterId: patientInfo.value.encounterId,
       accountId: accountId.value,
-      quantity: item.quantity,
-      methodCode: item.methodCode,
-      rateCode: item.rateCode,
-      dispensePerDuration: item.dispensePerDuration,
-      dose: item.dose,
-      doseQuantity: item.doseQuantity,
       executeNum: 1,
-      unitCode: item.unitCode,
-      unitCode_dictText: item.unitCodeName || '',
       statusEnum: 1,
       orgId: resolveOrgId(item.orderDetailInfos?.orgId || mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
       // 🔧 修复：同时保存 orgName，确保树匹配不到时仍有中文名称可显示
@@ -1613,19 +1662,33 @@ function handleSaveGroup(orderGroupList) {
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,
       encounterDiagnosisId: encounterDiagnosisId.value,
-      therapyEnum: prescriptionList.value[rowIndex.value]?.therapyEnum || '1',
+      therapyEnum: baseRow?.therapyEnum || '1',
     };
+    // 覆盖关键字段：优先使用 item 的值，其次 mergedDetail（已由 setValue 填充），最后 baseRow
+    newRow.quantity = item.quantity ?? mergedDetail.quantity ?? baseRow.quantity;
+    newRow.methodCode = item.methodCode ?? mergedDetail.methodCode ?? baseRow.methodCode;
+    newRow.rateCode = item.rateCode ?? mergedDetail.rateCode ?? baseRow.rateCode;
+    newRow.dispensePerDuration = item.dispensePerDuration ?? mergedDetail.dispensePerDuration ?? baseRow.dispensePerDuration;
+    newRow.dose = item.dose ?? mergedDetail.dose ?? baseRow.dose;
+    newRow.doseQuantity = item.doseQuantity ?? mergedDetail.doseQuantity ?? baseRow.doseQuantity;
+    newRow.unitCode = item.unitCode ?? mergedDetail.unitCode ?? baseRow.unitCode;
+    newRow.unitCode_dictText = item.unitCodeName || mergedDetail.unitCodeName || baseRow.unitCode_dictText || '';
 
     // 计算价格和总量
-    const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
+    // 🔧 Bug #403 修复：使用 newRow.unitCode（已由 setValue 填充）而非 item.unitCode
+    // 使用 ?? 替代 || 计算 partPercent，确保值为 0 时不会被错误替换
+    const finalUnitCode = newRow.unitCode;
+    const unitInfo = unitCodeList.value.find((k) => k.value == finalUnitCode);
+    const finalQuantity = newRow.quantity;
+    const partPercent = item.orderDetailInfos?.partPercent ?? mergedDetail.partPercent ?? baseRow.partPercent ?? 1;
     if (unitInfo && unitInfo.type == 'minUnit') {
       newRow.price = newRow.minUnitPrice;
-      newRow.totalPrice = (item.quantity * newRow.minUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity;
+      newRow.totalPrice = ((finalQuantity || 0) * newRow.minUnitPrice).toFixed(6);
+      newRow.minUnitQuantity = finalQuantity || 0;
     } else {
       newRow.price = newRow.unitPrice;
-      newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity * (item.orderDetailInfos?.partPercent || mergedDetail.partPercent || 1);
+      newRow.totalPrice = ((finalQuantity || 0) * newRow.unitPrice).toFixed(6);
+      newRow.minUnitQuantity = (finalQuantity || 0) * partPercent;
     }
 
     newRow.contentJson = JSON.stringify(newRow);

openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue

@@ -481,12 +481,43 @@ watch(
   (visible) => {
     if (visible) {
       executeTime.value = formatDateStr(new Date(), 'YYYY-MM-DD HH:mm:ss');
+      // 弹窗打开时重新加载科室和位置选项，确保数据最新
+      loadDepartmentOptions();
+      getDiseaseInitLoc(16);
     } else {
       resetData();
     }
   }
 );
 
+// 监听科室选项加载完成，为已添加的诊疗项目设置默认执行科室
+watch(
+  () => departmentOptions.value,
+  (depts) => {
+    if (!depts || depts.length === 0) return;
+    feeItemsList.value.forEach(item => {
+      if (item.adviceType === 3 && !item.positionId) {
+        const patientOrgId = props.patientInfo.organizationId;
+        const matched = depts.find(d => String(d.id) === String(patientOrgId));
+        item.positionId = matched ? String(matched.id) : String(depts[0].id);
+      }
+    });
+  }
+);
+
+// 监听位置选项加载完成，为已添加的耗材项目设置默认位置
+watch(
+  () => locationOptions.value,
+  (locs) => {
+    if (!locs || locs.length === 0) return;
+    feeItemsList.value.forEach(item => {
+      if (item.adviceType === 2 && !item.positionId) {
+        item.positionId = String(locs[0].value);
+      }
+    });
+  }
+);
+
 // 加载科室选项
 function loadDepartmentOptions() {
   getOrgList()
@@ -527,23 +558,27 @@ function getDiseaseInitLoc() {
       locationOptions.value = [];
     });
 }
-// 下拉框模糊搜索过滤
+// 下拉框模糊搜索过滤（自定义filter-method，配合element-plus filterable使用）
 function filterOptions(val, row, optionsKey) {
   const key = row.adviceDefinitionId + '_' + optionsKey;
-  filterKeywords.value[key] = val;
+  if (!val || val.trim() === '') {
+    delete filterKeywords.value[key];
+  } else {
+    filterKeywords.value[key] = val.toLowerCase();
+  }
 }
 function getFilteredOptions(row, optionsKey) {
   const key = row.adviceDefinitionId + '_' + optionsKey;
   const keyword = filterKeywords.value[key];
   const options = optionsKey === 'departmentOptions' ? departmentOptions.value : locationOptions.value;
-  if (!keyword || keyword.trim() === '') {
+  if (!keyword) {
     return options;
   }
-  const lower = keyword.toLowerCase();
   return options.filter(item => {
     const name = (item.name || item.label || '').toLowerCase();
     const id = String(item.id || item.value || '').toLowerCase();
-    return name.includes(lower) || id.includes(lower);
+    const py = (item.pyStr || '').toLowerCase();
+    return name.includes(keyword) || id.includes(keyword) || py.includes(keyword);
   });
 }
 // 获取组套类型文本
@@ -553,9 +588,9 @@ function getItemType_Text(type) {
 }
 function getUnitCodeOptions(row) {
   const unitCodes = [
-    { code: row.unitCode, codeText: row.unitCode_dictText },
-    { code: row.minUnitCode, codeText: row.minUnitCode_dictText },
-  ];
+    { code: String(row.unitCode), codeText: row.unitCode_dictText },
+    { code: String(row.minUnitCode), codeText: row.minUnitCode_dictText },
+  ].filter(item => item.code);
   // 使用 Set 来跟踪已经存在的 code
   const seenCodes = new Set();
   const uniqueUnitCodes = unitCodes.filter((item) => {
@@ -575,11 +610,11 @@ function unitCodeChange(row) {
   // 获取价格
   const price = row.priceList?.[0]?.price || 0;
 
-  // 根据选择的单位调整单价
-  if (row.selectUnitCode === row.unitCode) {
+  // 根据选择的单位调整单价（统一用字符串比较）
+  if (String(row.selectUnitCode) === String(row.unitCode)) {
     // 如果选择的是大单位 (如 "盒")
     row.unitPrice = price.toFixed(6); // 单价就是原价
-  } else if (row.selectUnitCode === row.minUnitCode) {
+  } else if (String(row.selectUnitCode) === String(row.minUnitCode)) {
     // 如果选择的是小单位 (如 "个")
     row.unitPrice = (price / (row.partPercent || 1)).toFixed(6); // 单价 = 原价 / 拆零比
   }
@@ -771,15 +806,32 @@ function openGroupSetDialog() {
 
 function loadGroupSets() {
   groupSetLoading.value = true;
-  getOrderGroup({ organizationId: orgId.value })
+  const params = { organizationId: orgId.value };
+  // 传递搜索关键字，后端 /group-package-for-order 虽不直接支持 searchKey，
+  // 但保持参数传递以便后续扩展
+  if (groupSetSearchText.value && groupSetSearchText.value.trim()) {
+    params.searchKey = groupSetSearchText.value.trim();
+  }
+  getOrderGroup(params)
     .then((res) => {
       const data = res?.data || {};
+      let rawList = [];
       if (groupSetRange.value === 1) {
-        groupSetList.value = data.personalList || [];
+        rawList = data.personalList || [];
       } else if (groupSetRange.value === 2) {
-        groupSetList.value = data.organizationList || [];
+        rawList = data.organizationList || [];
       } else {
-        groupSetList.value = data.hospitalList || [];
+        rawList = data.hospitalList || [];
+      }
+      // 客户端过滤：根据搜索关键字过滤组套名称
+      const keyword = groupSetSearchText.value?.trim()?.toLowerCase();
+      if (keyword) {
+        groupSetList.value = rawList.filter(item => {
+          const name = (item.name || item.Name || '').toLowerCase();
+          return name.includes(keyword);
+        });
+      } else {
+        groupSetList.value = rawList;
       }
     })
     .catch(() => {

openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue

@@ -302,6 +302,29 @@ function getSelectRows() {
   });
   return list;
 }
+
+function getTableRef(index) {
+  return proxy.$refs['tableRef' + index]?.[0];
+}
+
+function selectAllRows() {
+  prescriptionList.value.forEach((item, index) => {
+    const tableRef = getTableRef(index);
+    if (!tableRef) {
+      return;
+    }
+    item.forEach((row) => {
+      tableRef.toggleRowSelection(row, true);
+    });
+  });
+}
+
+function clearSelection() {
+  prescriptionList.value.forEach((item, index) => {
+    getTableRef(index)?.clearSelection();
+  });
+}
+
 function handleRateChange(value, item, row) {
   // 拼接当前选中时间
   if (value) {
@@ -319,6 +342,8 @@ function handleRateChange(value, item, row) {
 defineExpose({
   handleGetPrescription,
   handleMedicineSummary,
+  selectAllRows,
+  clearSelection,
 });
 </script>
 

openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/summaryMedicineList.vue

@@ -66,13 +66,21 @@ const props = defineProps({
     type: Number,
     default: 1,
   },
+  therapyEnum: {
+    type: Number,
+    default: undefined,
+  },
 });
 
 handleGetPrescription();
 function handleGetPrescription() {
   loading.value = true;
   let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
-  getMedicineSummary({}).then((res) => {
+  const params = {};
+  if (props.therapyEnum !== undefined) {
+    params.therapyEnum = props.therapyEnum;
+  }
+  getMedicineSummary(params).then((res) => {
     medicineSummaryFormList.value = res.data.records;
     loading.value = false;
   });

openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue

@@ -69,7 +69,11 @@
         </div>
         <div>
           <span class="descriptions-item-label">全选：</span>
-          <el-switch v-model="chooseAll" @change="handelSwicthChange" />
+          <el-switch
+            v-model="chooseAll"
+            :disabled="isDetails != '1'"
+            @change="handelSwicthChange"
+          />
           <el-button class="ml20 mr20" type="primary" @click="handleExecute"> 汇总领药 </el-button>
         </div>
       </div>
@@ -81,7 +85,7 @@
         :deadline="deadline"
         :therapyEnum="therapyEnum"
       />
-      <SummaryMedicineList v-else />
+      <SummaryMedicineList v-else :therapyEnum="therapyEnum" />
       <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
         <el-tab-pane
           v-for="tab in prescriptionTabs"
@@ -160,24 +164,31 @@ function handleClick(tabName) {
 }
 
 function handleGetPrescription() {
-  prescriptionRefs.value.handleGetPrescription();
+  chooseAll.value = false;
+  prescriptionRefs.value?.handleGetPrescription();
 }
 
-function handelSwicthChange() {
-  if (chooseAll.value) {
-    proxy.$refs['prescriptionRefs'].selectAllRows();
+function handelSwicthChange(value) {
+  if (!prescriptionRefs.value) {
+    chooseAll.value = false;
+    return;
+  }
+  if (value) {
+    prescriptionRefs.value.selectAllRows();
   } else {
-    proxy.$refs['prescriptionRefs'].clearSelection();
+    prescriptionRefs.value.clearSelection();
   }
 }
 
 function handleRadioChange(value) {
+  chooseAll.value = false;
   if (value == '1') {
     handleGetPrescription();
   }
 }
 
 function handleTherapyChange() {
+  chooseAll.value = false;
   handleGetPrescription();
 }
 

openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue

@@ -453,6 +453,10 @@ const loadPatientInfo = () => {
       interventionForm.value.startTime = dayjs(res.data.startTime).format(
         'YYYY-MM-DD HH:mm:ss'
       );
+    } else if (res.data.inHosTime) {
+      interventionForm.value.startTime = dayjs(res.data.inHosTime).format(
+        'YYYY-MM-DD HH:mm:ss'
+      );
     } else {
       interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss');
     }

openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue

@@ -471,11 +471,13 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
-      // 仅当选中医嘱中包含耗材类医嘱时，才调用耗材批号匹配（排除纯药品医嘱场景）
-      const hasDevice = list.some((item) =>
-        String(item.adviceTable || '').includes('device'),
+      // 仅当选中医嘱中包含诊疗类医嘱（可能绑定耗材）时，才调用耗材批号匹配
+      // adviceTable 取值为 med_medication_request（药品）或 wor_service_request（诊疗/耗材）
+      // 原代码用 includes('device') 判断有误，两个表名均不含 "device" 字符串
+      const hasServiceRequest = list.some((item) =>
+        String(item.adviceTable || '') === 'wor_service_request',
       );
-      if (hasDevice) {
+      if (hasServiceRequest) {
         lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
           console.warn('lotNumberMatch failed after adviceExecute:', error);
         });

openhis-ui-vue3/src/views/surgicalschedule/index.vue

@@ -829,7 +829,9 @@
             </el-descriptions>
           </div>
           <div style="padding: 10px">
-            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef" />
+            <prescriptionlist :patientInfo="chargePatientInfo" ref="prescriptionRef"
+              :generateSourceEnum="1"
+              :sourceBillNo="chargePatientInfo.sourceBillNo" />
             <div class="overlay" v-if="disabled"></div>
           </div>
         </div>
@@ -872,16 +874,59 @@ import { Loading } from '@element-plus/icons-vue' // 🔧 新增：导入 Loadin
 import { getPrescriptionList } from '@/views/clinicmanagement/bargain/component/api'
 
 // API 导入
-import { getSurgerySchedulePage, addSurgerySchedule, updateSurgerySchedule, deleteSurgerySchedule, getSurgeryScheduleDetail } from '@/api/surgicalschedule'
-import { listUser } from '@/api/system/user'
-import { deptTreeSelect } from '@/api/system/user'
-import { listOperatingRoom } from '@/api/operatingroom'
-import { getSurgery} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
-import { getTenantPage } from '@/api/system/tenant'
+import {
+  getSurgerySchedulePage,
+  addSurgerySchedule,
+  updateSurgerySchedule,
+  deleteSurgerySchedule,
+  getSurgeryScheduleDetail
+} from '@/api/surgicalschedule'
+import { getSurgeryPage} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
 import { getContract } from '@/views/inpatientDoctor/home/components/api.js'
+import request from '@/utils/request'
 import SurgeryCharge from '../charge/surgerycharge/index.vue'
 import TemporaryMedical from './temporaryMedical.vue'
 
+// 静默获取字典列表（跳过拦截器错误提示，手术室护士等角色可能无此权限）
+function getTenantPageSilent(query) {
+  return request({
+    url: '/system/tenant/page',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
+// 静默获取科室树（跳过拦截器错误提示）
+function deptTreeSelectSilent(params = {}) {
+  return request({
+    url: '/base-data-manage/organization/organization',
+    method: 'get',
+    params: { typeEnum: 2, ...params },
+    skipErrorMsg: true
+  })
+}
+
+// 静默获取用户列表（跳过拦截器错误提示）
+function listUserSilent(query) {
+  return request({
+    url: '/base-data-manage/practitioner/user-practitioner-page',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
+// 静默获取手术室列表（跳过拦截器错误提示）
+function listOperatingRoomSilent(query) {
+  return request({
+    url: '/base-data-manage/operating-room/list',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
 const loading = ref(true)
@@ -1110,7 +1155,7 @@ onMounted(() => {
 
 // 加载卫生机构列表
 function loadOrgList() {
-  getTenantPage({ pageNo: 1, pageSize: 1000 })
+  getTenantPageSilent({ pageNo: 1, pageSize: 1000 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || res.data || []
@@ -1130,7 +1175,7 @@ function loadOrgList() {
 
 // 加载科室列表
 function loadDeptList() {
-  deptTreeSelect()
+  deptTreeSelectSilent()
     .then(res => {
       if (res.code === 200) {
         const tree = res.data?.records || res.data || []
@@ -1150,7 +1195,7 @@ function loadDeptList() {
 
 // 加载医生列表
 function loadDoctorList() {
-  listUser({ pageNo: 1, pageSize: 1000 })
+  listUserSilent({ pageNo: 1, pageSize: 1000 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1170,7 +1215,7 @@ function loadDoctorList() {
 
 // 加载护士列表
 function loadNurseList() {
-  listUser({ pageNo: 1, pageSize: 1000 })
+  listUserSilent({ pageNo: 1, pageSize: 1000 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1190,7 +1235,7 @@ function loadNurseList() {
 
 // 加载手术室列表
 function loadOperatingRoomList() {
-  listOperatingRoom({ pageNo: 1, pageSize: 1000, statusEnum: 1 })
+  listOperatingRoomSilent({ pageNo: 1, pageSize: 1000, statusEnum: 1 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1388,8 +1433,8 @@ async function handleChargeCharge(row) {
     orgId: userStore.organizationId || userStore.orgId || userStore.tenantId || 1,
     // 添加账户ID
     accountId: accountId,
-    // 添加手术申请单号用于追溯
-    sourceBillNo: row.applyId,
+    // 添加手术单号用于关联对应的手术医嘱
+    sourceBillNo: row.operCode,
     //添加计费标志手术计费
     generateSourceEnum: 6
   }
@@ -1416,6 +1461,7 @@ function closeChargeDialog() {
   if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
     prescriptionRef.value.closeAllPopovers()
   }
+  // 清空数据，避免下次打开时使用缓存
   showChargeDialog.value = false
   chargePatientInfo.value = {}
   chargeSurgeryInfo.value = {}
@@ -1447,7 +1493,8 @@ function handleMedicalAdvice(row) {
     role: userStore.roles[0],
     effectiveOrgId : row.effectiveOrgId,
     orgId: userStore.orgId,
-    positionId: userStore.orgId
+    positionId: userStore.orgId,
+    applyId: row.applyId  // 手术申请单ID，用于过滤关联医嘱
   }
 
   // 🔧 关键修复：如果已有提交的医嘱数据，并且是同一个患者的就诊，则使用保存的数据
@@ -1493,6 +1540,8 @@ function handleMedicalAdvice(row) {
       const filteredItems = res.data.filter(item => {
         // 匹配 encounterId
         if (item.encounterId !== row.visitId) return false;
+        // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
+        if (item.adviceType !== 1) return false;
         // 过滤掉名称为空的项目
         const medicineName = item.adviceName || item.advice_name;
         if (!medicineName || medicineName.trim() === '') return false;
@@ -1745,16 +1794,18 @@ function handleQuoteBilling() {
   // 重新拉取计费药品数据
   if (temporaryPatientInfo.value.visitId) {
     temporaryMedicalLoading.value = true // 🔧 新增：开始加载
-    getPrescriptionList(temporaryPatientInfo.value.visitId).then((res) => {
+    getPrescriptionList(temporaryPatientInfo.value.visitId, 6, temporaryPatientInfo.value.operCode).then((res) => {
             if (res.code === 200 && res.data) {
               // 🔧 修复：先清空旧数据，避免数据累积
               temporaryBillingMedicines.value = []
               temporaryAdvices.value = []
     
-              // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
+              // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
               const filteredItems = res.data.filter(item => {
                 // 匹配 encounterId
                 if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
+                // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
+                if (item.adviceType !== 1) return false;
                 // 过滤掉名称为空的项目
                 const medicineName = item.adviceName || item.advice_name;
                 return medicineName && medicineName.trim() !== '';
@@ -2020,7 +2071,7 @@ function handleFindApply() {
   getSurgicalScheduleList()
 }
 
-// 获取手术申请列表（用于“查找”弹窗）
+// 获取手术申请列表（用于”查找”弹窗）
 function getSurgicalScheduleList() {
   applyLoading.value = true
   const params = { ...applyQueryParams }
@@ -2029,8 +2080,7 @@ function getSurgicalScheduleList() {
     params.applyTimeEnd = params.applyTimeRange[1]
     delete params.applyTimeRange
   }
-  getSurgery(params).then((res) => {
-    // Check if data is nested under data.data or directly under data
+  getSurgeryPage(params).then((res) => {
     const responseData = res.data.data || res.data
     applyList.value = responseData.records || []
     applyTotal.value = responseData.total || 0

openhis-ui-vue3/src/views/surgicalschedule/temporaryMedical.vue

@@ -312,6 +312,13 @@ const getMethodCodeDict = computed(() => {
 
 // 响应式数据 - isSigned 从父组件传入的 prop 初始化
 const isSigned = ref(props.isSignedProp)
+
+// 🔧 修复 Bug #446: 同步父组件 isSignedProp 的变化到本地 isSigned
+// ref(props.isSignedProp) 只在初始化时读取一次，父组件后续更新不会自动同步
+watch(() => props.isSignedProp, (newVal) => {
+  isSigned.value = newVal
+})
+
 const signatureTime = ref('')
 const showSignDialog = ref(false)
 const signPassword = ref('')

sql/bug_434_add_incision_level_to_op_schedule.sql

@@ -0,0 +1,5 @@
+-- Bug #434 修复：为 op_schedule 表添加 incision_level 字段
+-- 手术安排表需要存储切口类型，以便在编辑弹窗中正确回显和保存
+ALTER TABLE op_schedule ADD COLUMN IF NOT EXISTS incision_level INT2;
+
+COMMENT ON COLUMN op_schedule.incision_level IS '手术切口等级 1-I级切口 2-II级切口 3-III级切口 4-IV级切口';