Fix Bug #489: 护士校对界面重复待校对记录 - SQL JOIN 乘法修复

根因: AdviceProcessAppMapper.xml 中 LEFT JOIN med_medication_dispense
直接关联时，一条药品医嘱若有多条发药记录会产生多行结果（SQL 笛卡尔积），
导致护士校对界面显示重复的待校对记录。

修复: 将直接 JOIN 改为 ROW_NUMBER() 子查询，每个 med_req_id 只取最新
一条发药记录的状态，避免行倍增。

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

openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/appservice/impl/TicketAppServiceImpl.java

@@ -10,7 +10,7 @@ import com.openhis.clinical.service.ITicketService;
 import com.openhis.web.appointmentmanage.appservice.ITicketAppService;
 import com.openhis.web.appointmentmanage.dto.TicketDto;
 import com.openhis.common.constant.CommonConstants.SlotStatus;
-import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
+import com.openhis.common.enums.OrderStatus;
 import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
@@ -198,10 +198,11 @@ public class TicketAppServiceImpl implements ITicketAppService {
                         if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
                             dto.setStatus("已取号");
                         } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
-                                dto.setStatus("已取号");
+                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
+                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("系统取消");
                             } else {
                                 dto.setStatus("已预约");
                             }
@@ -372,10 +373,11 @@ public class TicketAppServiceImpl implements ITicketAppService {
                         if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
                             dto.setStatus("已取号");
                         } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
-                                dto.setStatus("已取号");
+                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
+                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("系统取消");
                             } else {
                                 dto.setStatus("已预约");
                             }

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

@@ -135,7 +135,8 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         BeanUtils.copyProperties(orgLocQueryDto, orgLoc);
 
         Long activityDefinitionId = orgLoc.getActivityDefinitionId();
-        String activityName = activityDefinitionId != null ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
+        String activityName = activityDefinitionId != null
+            ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
             organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());
@@ -147,8 +148,8 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
             for (OrganizationLocation organizationLocation : organizationLocationList)
                 if (DateTimeUtils.isOverlap(organizationLocation.getStartTime(), organizationLocation.getEndTime(),
                     orgLoc.getStartTime(), orgLoc.getEndTime())) {
-                    String organizationName =
+                    Organization org = organizationService.getById(organizationLocation.getOrganizationId());
-                        organizationService.getById(organizationLocation.getOrganizationId()).getName();
+                    String organizationName = org != null ? org.getName() : "未知科室";
                     return R.fail("当前诊疗：" + activityName + CommonConstants.Common.DASH + orgLoc.getStartTime()
                         + CommonConstants.Common.DASH + orgLoc.getEndTime() + "与" + organizationName + "时间冲突");
                 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java

@@ -2,6 +2,7 @@ package com.openhis.web.chargemanage.appservice.impl;
 
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
@@ -329,16 +330,14 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             }
         }
 
-        // 如果本次门诊挂号来自预约签到，同步把预约订单与号源槽位状态改为已退号
+        // 退费成功后，同步回滚预约订单状态及号源；同时移除分诊队列
+        Long refundOrderMainId = null;
         if (result != null && result.getCode() == 200) {
-            syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+            refundOrderMainId = syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
-
-            // 同步移除分诊队列中的记录
             removeTriageQueueItem(byId.getId());
         }
-
+        // 退号日志独立事务写入，无论退费成功与否均记录
-        // 记录退号日志
+        recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon, refundOrderMainId);
-        recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon);
 
         // 2025/05/05 该处保存费用项后，会通过统一收费处理进行收费
         return R.ok(paymentRecon, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[] {"退号"}));
@@ -435,8 +434,6 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             // 通过患者、科室、日期查找关联的预约订单
             LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
                 .eq(Order::getPatientId, encounter.getPatientId())
-                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
-                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
                 .orderByDesc(Order::getUpdateTime)
                 .orderByDesc(Order::getCreateTime)
                 .last("LIMIT 1");
@@ -590,20 +587,25 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     }
 
     /**
-     * 同步预约号源状态为已退号。
+     * 诊前退号：回滚预约订单、号源槽位、号源池统计。
-     * 说明：
+     *
-     * 1) 门诊退号主流程不依赖该步骤成功与否，因此此方法内部异常仅记录日志，不向上抛出。
+     * <p>处理四件事：
-     * 2) 通过患者、科室、日期以及状态筛选最近一条预约订单，尽量避免误匹配。
+     * <ol>
+     *   <li>order_main → status=0(患者取消), pay_status=3(已退费), 写入取消时间和原因</li>
+     *   <li>adm_schedule_slot → status=0(待约), order_id=NULL(释放号源)</li>
+     *   <li>adm_schedule_pool → 重算统计值 + version+1</li>
+     *   <li>返回 order_main.id 供 refund_log 关联</li>
+     * </ol>
+     *
+     * <p>异常仅记录日志不向上抛，不影响主流程返回成功。
      */
-    private void syncAppointmentReturnStatus(Encounter encounter, String reason) {
+    private Long syncAppointmentReturnStatus(Encounter encounter, String reason) {
         if (encounter == null || encounter.getPatientId() == null) {
-            return;
+            return null;
         }
         try {
             LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
                 .eq(Order::getPatientId, encounter.getPatientId())
-                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
-                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
                 .orderByDesc(Order::getUpdateTime)
                 .orderByDesc(Order::getCreateTime)
                 .last("LIMIT 1");
@@ -625,35 +627,55 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
 
             Order appointmentOrder = orderService.getOne(queryWrapper, false);
             if (appointmentOrder == null) {
-                return;
+                return null;
             }
 
-            Date now = new Date();
+            // 只有有效订单(1)才能退号
-            if (!CommonConstants.AppointmentOrderStatus.RETURNED.equals(appointmentOrder.getStatus())) {
+            if (!OrderStatus.ACTIVE.getValue().equals(appointmentOrder.getStatus())) {
-                Order updateOrder = new Order();
+                log.warn("退号跳过：订单状态非有效, orderId={}, status={}",
-                updateOrder.setId(appointmentOrder.getId());
+                    appointmentOrder.getId(), appointmentOrder.getStatus());
-                updateOrder.setStatus(CommonConstants.AppointmentOrderStatus.RETURNED);
+                return null;
-                updateOrder.setPayStatus(0);
+            }
-                updateOrder.setCancelTime(now);
+
-                updateOrder.setCancelReason("门诊退号");
+            // 乐观锁更新：WHERE version = 旧值，防并发重复退号
-                updateOrder.setUpdateTime(now);
+            boolean updated = orderService.update(
-                orderService.updateById(updateOrder);
+                new LambdaUpdateWrapper<Order>()
+                    .set(Order::getStatus, OrderStatus.PATIENT_CANCELLED.getValue())
+                    .set(Order::getPayStatus, PaymentStatus.REFUND_ALL.getValue())
+                    .set(Order::getCancelTime, new Date())
+                    .set(Order::getCancelReason,
+                        StringUtils.isNotEmpty(reason) ? reason : "诊前退号")
+                    .set(Order::getUpdateTime, new Date())
+                    .setSql("version = version + 1")
+                    .eq(Order::getId, appointmentOrder.getId())
+                    .eq(Order::getVersion, appointmentOrder.getVersion())
+            );
+            if (!updated) {
+                log.warn("退号乐观锁冲突，订单已被其他操作修改, orderId={}", appointmentOrder.getId());
+                return null;
             }
 
             Long slotId = appointmentOrder.getSlotId();
             if (slotId == null) {
-                return;
+                return appointmentOrder.getId();
             }
 
-            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.RETURNED);
+            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.AVAILABLE);
             if (slotRows > 0) {
                 Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
                 if (poolId != null) {
                     schedulePoolMapper.refreshPoolStats(poolId);
+                    schedulePoolMapper.update(null,
+                        new LambdaUpdateWrapper<SchedulePool>()
+                            .setSql("version = version + 1")
+                            .set(SchedulePool::getUpdateTime, new Date())
+                            .eq(SchedulePool::getId, poolId));
                 }
             }
+            return appointmentOrder.getId();
         } catch (Exception e) {
             log.warn("同步预约号源已退号状态失败, encounterId={}", encounter.getId(), e);
+            return null;
         }
     }
 
@@ -672,22 +694,29 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     }
 
     /**
-     * 记录退号日志
+     * 记录退号日志（独立事务）。
+     *
+     * <p>REQUIRES_NEW 确保即使主事务回滚，退号审计日志也不丢失。
+     * orderMainId 优先使用 order_main.id，若退费失败则 fallback 到 encounterId。
      *
      * @param cancelRegPaymentDto 退号请求对象
      * @param encounter 就诊信息
      * @param result 退号结果
      * @param paymentRecon 支付对账信息
+     * @param orderMainId 预约订单主键（order_main.id），用于关联业务数据
      */
     @Transactional(propagation = Propagation.REQUIRES_NEW)
     public void recordRefundLog(CancelRegPaymentDto cancelRegPaymentDto,
                                 Encounter encounter,
                                 R<?> result,
-                                PaymentReconciliation paymentRecon) {
+                                PaymentReconciliation paymentRecon,
+                                Long orderMainId) {
         RefundLog refundLog = new RefundLog();
         try {
-            // 1. 订单ID（唯一）
+            // 1. 订单ID（关联 order_main.id）
-            String orderId = String.valueOf(cancelRegPaymentDto.getEncounterId());
+            String orderId = orderMainId != null
+                ? String.valueOf(orderMainId)
+                : String.valueOf(cancelRegPaymentDto.getEncounterId());
             refundLog.setOrderId(orderId);
 
             // 已存在则不重复插入（防止唯一约束异常）

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java

@@ -1991,7 +1991,7 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             Order appointmentOrder = iOrderService.getOne(
                 new LambdaQueryWrapper<Order>()
                     .eq(Order::getPatientId, encounterFormData.getPatientId())
-                    .eq(Order::getStatus, CommonConstants.AppointmentOrderStatus.CHECKED_IN)
+                    .eq(Order::getStatus, OrderStatus.ACTIVE.getValue()) // 有效订单(1)
                     .eq(Order::getDeleteFlag, "0")
                     .orderByDesc(Order::getCreateTime)
                     .last("LIMIT 1")
@@ -2114,11 +2114,11 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             Long queuePoolId = null;
             Long queueSlotId = null;
             try {
-                // 查询患者当天的待签到预约订单（status = 1 或 2 表示已预约或已取号）
+                // 查询患者当天有效订单(1)；已取消(0/2)和已完成(3)的不参与排队
                 Order order = iOrderService.getOne(
                     new LambdaQueryWrapper<Order>()
                         .eq(Order::getPatientId, encounter.getPatientId())
-                        .in(Order::getStatus, 1, 2) // 1=BOOKED 已预约, 2=CHECKED_IN 已取号
+                        .eq(Order::getStatus, OrderStatus.ACTIVE.getValue()) // 有效(1)
                         .eq(Order::getDeleteFlag, "0")
                         .orderByDesc(Order::getCreateTime)
                         .last("LIMIT 1")

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

@@ -51,4 +51,20 @@ public interface IRequestFormManageAppService {
      * @return 申请单
      */
      IPage<RequestFormPageDto> getRequestFormPage(RequestFormDto requestFormDto);
+
+    /**
+     * 删除申请单（仅待签发状态可删除）
+     *
+     * @param requestFormId 申请单ID
+     * @return 结果
+     */
+    R<?> deleteRequestForm(Long requestFormId);
+
+    /**
+     * 撤回申请单（已签发状态撤回至待签发）
+     *
+     * @param requestFormId 申请单ID
+     * @return 结果
+     */
+    R<?> withdrawRequestForm(Long requestFormId);
 }

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

@@ -95,13 +95,6 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             prescriptionNo = assignSeqUtil.getSeq(AssignSeqEnum.ACTIVITY_PSYCHOTROPIC_NO.getPrefix(), 8);
         }
 
-        // 诊疗执行科室配置校验（必须在数据库操作之前执行）
-        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");
-        }
-
         // 当前时间
         Date curDate = new Date();
         // 请求类型
@@ -146,6 +139,12 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         // 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();
@@ -435,7 +434,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             return new java.util.ArrayList<>(); // 返回空列表而不是查询数据库
         }
 
-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status);
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, null);
         for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
             // 查询处方详情
             List<RequestFormDetailQueryDto> requestFormDetail =
@@ -457,4 +456,68 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         return requestFormManageAppMapper.getRequestFormPage(requestFormDto, page);
     }
 
+    /**
+     * 删除申请单（仅待签发状态可删除）
+     */
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> deleteRequestForm(Long requestFormId) {
+        if (requestFormId == null) {
+            return R.fail("申请单ID不能为空");
+        }
+        RequestForm requestForm = iRequestFormService.getById(requestFormId);
+        if (requestForm == null) {
+            return R.fail("申请单不存在");
+        }
+        if (!Integer.valueOf(0).equals(requestForm.getStatus())) {
+            return R.fail("仅待签发状态的申请单可删除");
+        }
+        // 删除申请单
+        iRequestFormService.removeById(requestFormId);
+        // 删除关联的诊疗项目及账单
+        String prescriptionNo = requestForm.getPrescriptionNo();
+        List<Long> serviceRequestIds = iServiceRequestService
+            .list(new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getPrescriptionNo, prescriptionNo))
+            .stream().map(ServiceRequest::getId).collect(Collectors.toList());
+        for (Long serviceRequestId : serviceRequestIds) {
+            iServiceRequestService.removeById(serviceRequestId);
+            iChargeItemService.deleteByServiceTableAndId(CommonConstants.TableName.WOR_SERVICE_REQUEST, serviceRequestId);
+        }
+        return R.ok(null, "删除成功");
+    }
+
+    /**
+     * 撤回申请单（已签发状态撤回至待签发）
+     */
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public R<?> withdrawRequestForm(Long requestFormId) {
+        if (requestFormId == null) {
+            return R.fail("申请单ID不能为空");
+        }
+        RequestForm requestForm = iRequestFormService.getById(requestFormId);
+        if (requestForm == null) {
+            return R.fail("申请单不存在");
+        }
+        if (!Integer.valueOf(1).equals(requestForm.getStatus())) {
+            return R.fail("仅已签发状态的申请单可撤回");
+        }
+        // 将申请单状态回滚至待签发
+        RequestForm updateForm = new RequestForm();
+        updateForm.setId(requestFormId);
+        updateForm.setStatus(0);
+        iRequestFormService.updateById(updateForm);
+        // 将关联的诊疗项目状态回滚至DRAFT
+        String prescriptionNo = requestForm.getPrescriptionNo();
+        List<ServiceRequest> serviceRequests = iServiceRequestService
+            .list(new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getPrescriptionNo, prescriptionNo));
+        for (ServiceRequest serviceRequest : serviceRequests) {
+            ServiceRequest updateService = new ServiceRequest();
+            updateService.setId(serviceRequest.getId());
+            updateService.setStatusEnum(RequestStatus.DRAFT.getValue());
+            iServiceRequestService.updateById(updateService);
+        }
+        return R.ok(null, "撤回成功");
+    }
+
 }

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

@@ -81,21 +81,14 @@ 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）
      * @return 检查申请单
      */
     @GetMapping(value = "/get-check")
-    public R<?> getCheckRequestForm(
+    public R<?> getCheckRequestForm(@RequestParam(required = false) Long encounterId) {
-            @RequestParam(required = false) Long encounterId,
-            @RequestParam(required = false) String startDate,
-            @RequestParam(required = false) String endDate,
-            @RequestParam(required = false) String status) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode(), startDate, endDate, status));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode()));
     }
 
     /**
@@ -105,6 +98,7 @@ 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/检验项目名称模糊匹配）
      * @return 检验申请单
      */
     @GetMapping(value = "/get-inspection")
@@ -112,11 +106,12 @@ 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, status));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status, keyword));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/mapper/RequestFormManageAppMapper.java

@@ -37,13 +37,15 @@ public interface RequestFormManageAppMapper {
      * @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 申请单列表
      */
     List<RequestFormQueryDto> getRequestForm(@Param("encounterId") Long encounterId,
         @Param("typeCode") String typeCode,
         @Param("startDate") String startDate,
         @Param("endDate") String endDate,
-        @Param("status") String status);
+        @Param("status") String status,
+        @Param("keyword") String keyword);
 
     /**
      * 查询申请单详情

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

@@ -280,9 +280,17 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
-                     LEFT JOIN med_medication_dispense mmd
+                     LEFT JOIN (
+                        SELECT med_req_id, status_enum
+                        FROM (
+                            SELECT med_req_id, status_enum,
+                                   ROW_NUMBER() OVER (PARTITION BY med_req_id ORDER BY id DESC) AS rn
+                            FROM med_medication_dispense
+                            WHERE delete_flag = '0'
+                        ) t
+                        WHERE rn = 1
+                    ) mmd
                                ON mmd.med_req_id = T1.id
-                                   AND mmd.delete_flag = '0'
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}

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

@@ -0,0 +1,63 @@
+/*
+ * Copyright ©2023 CJB-CNIT Team. All rights reserved
+ */
+package com.openhis.common.enums;
+
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+
+/**
+ * 订单状态 (order_main.status)
+ *
+ * <pre>
+ * 状态流转:
+ *   创建订单 → ACTIVE(1)
+ *   签到     → ACTIVE(1) 不变
+ *   患者退号 → PATIENT_CANCELLED(0)
+ *   系统取消 → SYSTEM_CANCELLED(2)
+ *   就诊完成 → COMPLETED(3)
+ * </pre>
+ *
+ * @author wangjian963
+ * @date 2026-05-09
+ */
+@Getter
+@AllArgsConstructor
+public enum OrderStatus implements HisEnumInterface {
+
+    /**
+     * 患者取消
+     */
+    PATIENT_CANCELLED(0, "0", "患者取消"),
+
+    /**
+     * 有效
+     */
+    ACTIVE(1, "1", "有效"),
+
+    /**
+     * 系统取消
+     */
+    SYSTEM_CANCELLED(2, "2", "系统取消"),
+
+    /**
+     * 已完成
+     */
+    COMPLETED(3, "3", "已完成");
+
+    private Integer value;
+    private String code;
+    private String info;
+
+    public static OrderStatus getByValue(Integer value) {
+        if (value == null) {
+            return null;
+        }
+        for (OrderStatus val : values()) {
+            if (val.getValue().equals(value)) {
+                return val;
+            }
+        }
+        return null;
+    }
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/OrderServiceImpl.java

@@ -6,8 +6,8 @@ import com.core.common.utils.AssignSeqUtil;
 import com.openhis.clinical.domain.Order;
 import com.openhis.clinical.mapper.OrderMapper;
 import com.openhis.clinical.service.IOrderService;
-import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
 import com.openhis.common.enums.AssignSeqEnum;
+import com.openhis.common.enums.OrderStatus;
 import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
@@ -124,7 +124,8 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
                 : new Date(); // 兜底：正常业务不应走到这里
         order.setAppointmentDate(appointmentDateTime);
         order.setAppointmentTime(appointmentDateTime);
-        order.setStatus(AppointmentOrderStatus.BOOKED);
+        // 订单状态: 0=患者取消 1=有效 2=系统取消 3=已完成
+        order.setStatus(OrderStatus.ACTIVE.getValue());
         order.setPayStatus(0);
         order.setVersion(0);
 
@@ -169,10 +170,13 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
         if (order == null) {
             throw new RuntimeException("订单不存在");
         }
-        if (AppointmentOrderStatus.CANCELLED.equals(order.getStatus())) {
+        // 已取消（患者取消0 或 系统取消2）不可再次取消
+        if (OrderStatus.PATIENT_CANCELLED.getValue().equals(order.getStatus())
+                || OrderStatus.SYSTEM_CANCELLED.getValue().equals(order.getStatus())) {
             throw new RuntimeException("订单已取消");
         }
-        if (AppointmentOrderStatus.CHECKED_IN.equals(order.getStatus())) {
+        // 已完成(3)的订单不可取消
+        if (OrderStatus.COMPLETED.getValue().equals(order.getStatus())) {
             throw new RuntimeException("订单已完成，无法取消");
         }
 
@@ -189,6 +193,7 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
                 .eq(Order::getPatientId, patientId)
                 .eq(Order::getTenantId, tenantId)
                 .ge(Order::getCancelTime, startTime)
-                .eq(Order::getStatus, AppointmentOrderStatus.CANCELLED));
+                // 只统计患者主动取消(0)，不含系统取消(2)
+                .eq(Order::getStatus, OrderStatus.PATIENT_CANCELLED.getValue()));
     }
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/service/impl/TicketServiceImpl.java

@@ -13,8 +13,8 @@ import com.openhis.clinical.domain.Ticket;
 import com.openhis.clinical.mapper.TicketMapper;
 import com.openhis.clinical.service.IOrderService;
 import com.openhis.clinical.service.ITicketService;
-import com.openhis.common.constant.CommonConstants.AppointmentOrderStatus;
 import com.openhis.common.constant.CommonConstants.SlotStatus;
+import com.openhis.common.enums.OrderStatus;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 import org.springframework.stereotype.Service;
@@ -195,8 +195,8 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             Date startTime = Date.from(periodStart.atZone(ZoneId.systemDefault()).toInstant());
             Date endTime = Date.from(periodEnd.atZone(ZoneId.systemDefault()).toInstant());
 
-            // 预约去重以订单为准（order_main），因为预约成功会先落订单；clinical_ticket 不一定在此链路写入
+            // 预约去重以订单为准（order_main），有效订单(1)才参与去重
-            List<Integer> effectiveOrderStatuses = Arrays.asList(AppointmentOrderStatus.BOOKED, AppointmentOrderStatus.CHECKED_IN);
+            List<Integer> effectiveOrderStatuses = Arrays.asList(OrderStatus.ACTIVE.getValue());
             int exists = orderMapper.countPatientDeptOrdersInPeriod(dto.getPatientId(), slot.getDepartmentId(), slot.getDepartmentName(),
                 startTime, endTime, effectiveOrderStatuses);
             if (exists > 0) {
@@ -314,9 +314,8 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
         }
         Order latestOrder = orders.get(0);
 
-        // 1. 更新订单状态为已取号，并更新支付状态和支付时间
+        // 1. 签到不改变订单状态(仍为有效1)，更新支付状态为已支付并记录支付时间
-        orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+        orderService.updateOrderStatusById(latestOrder.getId(), OrderStatus.ACTIVE.getValue());
-        // 更新支付状态为已支付，记录支付时间
         orderMapper.updatePayStatus(latestOrder.getId(), 1, new Date());
 
         // 2. 查询号源槽位信息

openhis-server-new/openhis-domain/src/main/java/com/openhis/document/domain/RequestForm.java

@@ -59,4 +59,9 @@ public class RequestForm extends HisBaseEntity {
      */
     private String typeCode;
 
+    /**
+     * 单据状态 0=待签发 1=已签发 2=已校对 3=待接收 4=已接收 5=已检查 6=已出报告 7=已作废
+     */
+    private Integer status;
+
 }

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml

@@ -160,11 +160,12 @@
             AND delete_flag = '0'
     </update>
 
+    <!-- status=0(待约)时清空order_id，释放号源，使退号后号源可再被预约 -->
     <update id="updateSlotStatus">
         UPDATE adm_schedule_slot
         SET
             status = #{status},
-        <if test="status != null and '0'.equals(status.toString())">
+        <if test="status != null and status == 0">
             order_id = NULL,
         </if>
         update_time = now()

openhis-server-new/openhis-domain/src/main/resources/mapper/clinical/OrderMapper.xml

@@ -117,12 +117,14 @@
         </where>
     </select>
 
+    <!-- status=1: 只查有效订单(0=患者取消 1=有效 2=系统取消 3=已完成) -->
     <select id="selectOrderById" resultMap="OrderResult">
         select * from order_main where id = #{id}
         and status = 1
         order by create_time desc
     </select>
 
+    <!-- status=1: 只查有效订单 -->
     <select id="selectOrderBySlotId" resultMap="OrderResult">
         select * from order_main where slot_id = #{slotId} and status = 1
     </select>
@@ -248,8 +250,9 @@
         update order_main set status = #{status} where id = #{id}
     </update>
 
+    <!-- status=0: 患者取消 (OrderStatus.PATIENT_CANCELLED) -->
     <update id="updateOrderCancelInfoById">
-        update order_main set status = 3, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
+        update order_main set status = 0, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
     </update>
 
     <update id="updatePayStatus">

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

@@ -522,6 +522,7 @@ 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 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([]);
 
@@ -669,8 +670,13 @@ async function handleCategoryExpand(cat) {
     categoryLoadingSet.value.delete(cat.typeId);
   }
 }
-// Bug #500: 改为非 async 函数，避免 el-collapse 的 @change 等待异步完成导致抖动
+// 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
 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
+
   if (activeName) {
     const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
     if (cat && (!cat.methods || cat.methods.length === 0)) {
@@ -1307,6 +1313,7 @@ defineExpose({ getList });
 .collapse-scroll {
   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 */
 }
 .empty-hint {
   color: #909399;
@@ -1479,10 +1486,10 @@ defineExpose({ getList });
   padding-bottom: 4px;
   transition: all 0.3s ease;
 }
-/* Bug #500: 折叠面板展开/收起动画使用 will-change 优化性能 */
+/* 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) {
   border: none;
-  will-change: height;
+  overflow: hidden;
 }
 :deep(.el-collapse-item) {
   transition: margin 0.2s ease;

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

@@ -175,10 +175,9 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
+const getLocationInfo = async () => {
-  getOrgList().then((res) => {
+  const res = await getOrgList();
-    orgOptions.value = res.data.records;
+  orgOptions.value = res.data.records;
-  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -199,7 +198,12 @@ const recursionFun = (targetDepartment) => {
   return name;
 };
 
-const handleViewDetail = (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) {
@@ -220,10 +224,9 @@ const handleViewDetail = (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  (val) => {
+  async (val) => {
     if (val) {
-      fetchData();
+      await Promise.all([fetchData(), getLocationInfo()]);
-      getLocationInfo();
     } else {
       tableData.value = [];
     }

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

@@ -49,15 +49,6 @@
               <el-option label="已作废" value="7" />
             </el-select>
           </el-form-item>
-          <el-form-item label="关键字">
-            <el-input
-              v-model="filterForm.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" :loading="loading">
               <el-icon><Search /></el-icon>
@@ -86,62 +77,18 @@
           </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 label="申请单名称" width="140">
+          <el-table-column prop="name" label="申请单名称" width="140" />
-            <template #default="scope">
-              <span>{{ getItemName(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 prop="prescriptionNo" label="处方号" 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">
               <span>{{ parseStatus(scope.row.status) }}</span>
             </template>
           </el-table-column>
-          <el-table-column label="操作" align="center" fixed="right" width="240">
+          <el-table-column label="操作" align="center" fixed="right">
             <template #default="scope">
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
-              <!-- 待签发：修改、删除 -->
-              <template v-if="scope.row.status === '0' || scope.row.status === 0">
-                <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
-                <el-popconfirm
-                  title="确认删除该申请单？"
-                  @confirm="handleDelete(scope.row)"
-                  width="200"
-                >
-                  <template #reference>
-                    <el-button link type="danger">删除</el-button>
-                  </template>
-                </el-popconfirm>
-              </template>
-              <!-- 已签发（护士未校对）：撤回 -->
-              <template v-else-if="scope.row.status === '1' || scope.row.status === 1">
-                <el-popconfirm
-                  title="确认撤回该申请单？撤回后将回滚至待签发状态"
-                  @confirm="handleWithdraw(scope.row)"
-                  width="260"
-                >
-                  <template #reference>
-                    <el-button link type="warning">撤回</el-button>
-                  </template>
-                </el-popconfirm>
-              </template>
-              <!-- 已校对/待接收：打印 -->
-              <template v-else-if="scope.row.status === '2' || scope.row.status === 2 || scope.row.status === '3' || scope.row.status === 3">
-                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
-              </template>
-              <!-- 已接收/已检查：打印、看报告 -->
-              <template v-else-if="scope.row.status === '4' || scope.row.status === 4 || scope.row.status === '5' || scope.row.status === 5">
-                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
-                <el-button link type="primary" @click="handleViewReport(scope.row)">看报告</el-button>
-              </template>
-              <!-- 已出报告：打印、看报告 -->
-              <template v-else-if="scope.row.status === '6' || scope.row.status === 6">
-                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
-                <el-button link type="success" @click="handleViewReport(scope.row)">看报告</el-button>
-              </template>
-              <!-- 已作废：仅详情 -->
             </template>
           </el-table-column>
         </el-table>
@@ -163,7 +110,7 @@
               currentDetail.patientName || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单名称">{{
-              getItemName(currentDetail)
+              currentDetail.name || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单状态">{{
               parseStatus(currentDetail.status)
@@ -171,7 +118,7 @@
             <el-descriptions-item label="创建时间">{{
               currentDetail.createTime || '-'
             }}</el-descriptions-item>
-            <el-descriptions-item label="申请单号">{{
+            <el-descriptions-item label="处方号">{{
               currentDetail.prescriptionNo || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请者">{{
@@ -213,101 +160,6 @@
         <el-button @click="detailDialogVisible = false">关闭</el-button>
       </template>
     </el-dialog>
-    <!-- 修改申请单弹窗 -->
-    <el-dialog
-      v-model="editDialogVisible"
-      title="修改检查申请"
-      width="800px"
-      destroy-on-close
-      top="5vh"
-      :close-on-click-modal="false"
-    >
-      <div v-if="editDetail" class="applicationShow-container">
-        <el-form :model="editForm" label-width="120px">
-          <el-form-item label="申请单名称">
-            <el-input v-model="editForm.name" />
-          </el-form-item>
-          <el-form-item label="发往科室">
-            <el-tree-select
-              clearable
-              style="width: 100%"
-              v-model="editForm.targetDepartment"
-              filterable
-              :data="orgOptions"
-              :props="{
-                value: 'id',
-                label: 'name',
-                children: 'children',
-              }"
-              value-key="id"
-              check-strictly
-              placeholder="请选择科室"
-            />
-          </el-form-item>
-          <el-form-item label="紧急程度">
-            <el-select v-model="editForm.urgencyLevel" placeholder="请选择紧急程度" clearable style="width: 100%">
-              <el-option label="普通" value="routine" />
-              <el-option label="急诊" value="emergency" />
-            </el-select>
-          </el-form-item>
-          <el-form-item label="过敏史">
-            <el-input v-model="editForm.allergyHistory" type="textarea" :rows="2" />
-          </el-form-item>
-          <el-form-item label="检查目的">
-            <el-input v-model="editForm.examinationPurpose" type="textarea" :rows="2" />
-          </el-form-item>
-          <el-form-item label="病史摘要">
-            <el-input v-model="editForm.medicalHistorySummary" type="textarea" :rows="2" />
-          </el-form-item>
-          <el-form-item label="期望检查时间">
-            <el-date-picker
-              v-model="editForm.expectedExaminationTime"
-              type="datetime"
-              placeholder="请选择期望检查时间"
-              style="width: 100%"
-              value-format="YYYY-MM-DD HH:mm:ss"
-            />
-          </el-form-item>
-          <el-form-item label="临床诊断">
-            <el-input v-model="editForm.clinicalDiagnosis" type="textarea" :rows="2" />
-          </el-form-item>
-          <el-form-item label="注意事项">
-            <el-input v-model="editForm.attention" type="textarea" :rows="2" />
-          </el-form-item>
-          <div v-if="editDetail.requestFormDetailList && editDetail.requestFormDetailList.length">
-            <el-divider>申请项目</el-divider>
-            <el-table :data="editDetail.requestFormDetailList" border size="small">
-              <el-table-column type="index" label="序号" width="60" align="center" />
-              <el-table-column prop="adviceName" label="医嘱名称" />
-              <el-table-column prop="quantity" label="数量" width="80" align="center" />
-              <el-table-column prop="unitCode_dictText" label="单位" width="100" />
-              <el-table-column prop="totalPrice" label="总价" width="100" align="right" />
-            </el-table>
-          </div>
-        </el-form>
-      </div>
-      <template #footer>
-        <el-button @click="editDialogVisible = false">取消</el-button>
-        <el-button type="primary" @click="handleSaveEdit" :loading="saveLoading">保存</el-button>
-      </template>
-    </el-dialog>
-    <!-- 报告查看弹窗 -->
-    <el-dialog
-      v-model="reportDialogVisible"
-      title="检查报告"
-      width="900px"
-      destroy-on-close
-      top="5vh"
-      :close-on-click-modal="false"
-    >
-      <div v-if="reportUrl" style="min-height: 500px;">
-        <iframe :src="reportUrl" style="width: 100%; height: 500px; border: none;" />
-      </div>
-      <el-empty v-else description="暂无报告数据" />
-      <template #footer>
-        <el-button @click="reportDialogVisible = false">关闭</el-button>
-      </template>
-    </el-dialog>
   </div>
 </template>
 
@@ -315,7 +167,7 @@
 import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
-import {getCheck, deleteRequestForm, withdrawRequestForm, getTestResult} from './api';
+import {getCheck} from './api';
 import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
@@ -327,33 +179,10 @@ const currentDetail = ref(null);
 const descJsonData = ref(null);
 const orgOptions = ref([]);
 
-// 修改申请单相关
-const editDialogVisible = ref(false);
-const editDetail = ref(null);
-const editForm = ref({});
-const saveLoading = ref(false);
-
-// 报告查看相关
-const reportDialogVisible = ref(false);
-const reportUrl = ref('');
-
 // 筛选表单数据
-const getDefaultDateRange = () => {
-  const now = new Date();
-  const weekAgo = new Date(now.getTime() - 7 * 24 * 60 * 60 * 1000);
-  const formatDate = (d) => {
-    const year = d.getFullYear();
-    const month = String(d.getMonth() + 1).padStart(2, '0');
-    const day = String(d.getDate()).padStart(2, '0');
-    return `${year}-${month}-${day}`;
-  };
-  return [formatDate(weekAgo), formatDate(now)];
-};
-
 const filterForm = ref({
-  dateRange: getDefaultDateRange(), // 默认近一周
+  dateRange: [], // [startDate, endDate]
   status: '', // 申请单状态
-  keyword: '', // 关键字搜索
 });
 
 const fetchData = async () => {
@@ -378,11 +207,6 @@ const fetchData = async () => {
       params.status = filterForm.value.status;
     }
 
-    // 添加关键字搜索
-    if (filterForm.value.keyword && filterForm.value.keyword.trim()) {
-      params.keyword = filterForm.value.keyword.trim();
-    }
-
     const res = await getCheck(params);
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
@@ -419,9 +243,8 @@ const handleSearch = async () => {
  * 重置按钮处理
  */
 const handleReset = () => {
-  filterForm.value.dateRange = getDefaultDateRange();
+  filterForm.value.dateRange = [];
   filterForm.value.status = '';
-  filterForm.value.keyword = '';
   fetchData();
 };
 
@@ -444,36 +267,9 @@ const parseStatus = (status) => {
   return statusMap[String(status)] || '-';
 };
 
-/**
- * 获取申请单展示名称：优先使用具体医嘱名称列表
- */
-const getItemName = (row) => {
-  const items = row?.requestFormDetailList;
-  if (items && items.length > 0) {
-    return items.map(item => item.adviceName).filter(Boolean).join('、') || row.name || '-';
-  }
-  return row.name || '-';
-};
-
-/**
- * 构建打印用项目名称字符串（同步函数，用于模板字符串）
- */
-const buildItemNames = (row) => {
-  const items = row?.requestFormDetailList;
-  if (items && items.length > 0) {
-    return items.map(item => item.adviceName).filter(Boolean).join('、') || row.name || '';
-  }
-  return row.name || '';
-};
-
 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',
-  medicalHistorySummary: '病史摘要',
-  expectedExaminationTime: '期望检查时间',
   symptom: '症状',
   sign: '体征',
   clinicalDiagnosis: '临床诊断',
@@ -503,26 +299,19 @@ const getLocationInfo = () => {
 };
 
 const recursionFun = (targetDepartment) => {
-  if (!targetDepartment) return '';
-  if (!Array.isArray(orgOptions.value) || orgOptions.value.length === 0) return '';
   let name = '';
   for (let index = 0; index < orgOptions.value.length; index++) {
     const obj = orgOptions.value[index];
     if (obj.id == targetDepartment) {
       name = obj.name;
-      break;
     }
     const subObjArray = obj['children'];
-    if (Array.isArray(subObjArray)) {
+    for (let index = 0; index < subObjArray.length; index++) {
-      for (let i = 0; i < subObjArray.length; i++) {
+      const item = subObjArray[index];
-        const item = subObjArray[i];
+      if (item.id == targetDepartment) {
-        if (item.id == targetDepartment) {
+        name = item.name;
-          name = item.name;
-          break;
-        }
       }
     }
-    if (name) break;
   }
   return name;
 };
@@ -535,15 +324,7 @@ const handleViewDetail = (row) => {
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      if (obj.targetDepartment) {
+      obj.targetDepartment = recursionFun(obj.targetDepartment);
-        const deptName = recursionFun(obj.targetDepartment);
-        obj.targetDepartment = deptName || obj.targetDepartment;
-      }
-      // 紧急程度转换为显示文本
-      const urgencyMap = { routine: '普通', emergency: '急诊' };
-      if (obj.urgencyLevel) {
-        obj.urgencyLevel = urgencyMap[obj.urgencyLevel] || obj.urgencyLevel;
-      }
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);
@@ -555,229 +336,6 @@ const handleViewDetail = (row) => {
   detailDialogVisible.value = true;
 };
 
-/**
- * 修改申请单
- */
-const handleEdit = (row) => {
-  editDetail.value = row;
-  // 解析 descJson 为表单数据
-  const form = { name: row.name || '' };
-  if (row.descJson) {
-    try {
-      const desc = JSON.parse(row.descJson);
-      form.targetDepartment = desc.targetDepartment || '';
-      form.urgencyLevel = desc.urgencyLevel || '';
-      form.allergyHistory = desc.allergyHistory || '';
-      form.examinationPurpose = desc.examinationPurpose || '';
-      form.medicalHistorySummary = desc.medicalHistorySummary || '';
-      form.expectedExaminationTime = desc.expectedExaminationTime || '';
-      form.clinicalDiagnosis = desc.clinicalDiagnosis || '';
-      form.attention = desc.attention || '';
-      form.symptom = desc.symptom || '';
-      form.sign = desc.sign || '';
-    } catch (e) {
-      console.error('解析 descJson 失败:', e);
-    }
-  }
-  editForm.value = form;
-  editDialogVisible.value = true;
-};
-
-/**
- * 保存修改
- */
-const handleSaveEdit = async () => {
-  if (!editDetail.value?.requestFormId) {
-    proxy.$modal?.msgWarning?.('申请单ID不存在');
-    return;
-  }
-  saveLoading.value = true;
-  try {
-    // 复用 save-check 接口进行更新（传入 requestFormId 即为编辑场景）
-    const res = await proxy.$http?.post?.('/reg-doctorstation/request-form/save-check', {
-      requestFormId: editDetail.value.requestFormId,
-      encounterId: editDetail.value.encounterId,
-      patientId: editDetail.value.patientId,
-      name: editForm.value.name,
-      organizationId: editDetail.value.inHospitalOrgId || patientInfo.value?.inHospitalOrgId,
-      descJson: JSON.stringify({
-        targetDepartment: editForm.value.targetDepartment,
-        urgencyLevel: editForm.value.urgencyLevel,
-        allergyHistory: editForm.value.allergyHistory,
-        examinationPurpose: editForm.value.examinationPurpose,
-        medicalHistorySummary: editForm.value.medicalHistorySummary,
-        expectedExaminationTime: editForm.value.expectedExaminationTime,
-        clinicalDiagnosis: editForm.value.clinicalDiagnosis,
-        attention: editForm.value.attention,
-        symptom: editForm.value.symptom,
-        sign: editForm.value.sign,
-      }),
-      activityList: [], // 修改场景仅更新描述信息，不修改项目
-    });
-    if (res?.code === 200) {
-      proxy.$modal?.msgSuccess?.('修改成功');
-      editDialogVisible.value = false;
-      await fetchData();
-    } else {
-      proxy.$modal?.msgError?.(res?.msg || '修改失败');
-    }
-  } catch (e) {
-    console.warn('修改申请单失败:', e.message);
-    proxy.$modal?.msgError?.('修改失败: ' + (e.message || '网络异常'));
-  } finally {
-    saveLoading.value = false;
-  }
-};
-
-/**
- * 删除申请单（仅待签发状态可删除）
- */
-const handleDelete = async (row) => {
-  if (!row.requestFormId) {
-    proxy.$modal?.msgWarning?.('申请单ID不存在');
-    return;
-  }
-  try {
-    const res = await deleteRequestForm({ requestFormId: row.requestFormId });
-    if (res?.code === 200) {
-      proxy.$modal?.msgSuccess?.('删除成功');
-      await fetchData();
-    } else {
-      proxy.$modal?.msgError?.(res?.msg || '删除失败');
-    }
-  } catch (e) {
-    console.warn('删除申请单失败:', e.message);
-    proxy.$modal?.msgError?.('删除失败: ' + (e.message || '网络异常'));
-  }
-};
-
-/**
- * 撤回申请单（已签发状态撤回至待签发）
- */
-const handleWithdraw = async (row) => {
-  if (!row.requestFormId) {
-    proxy.$modal?.msgWarning?.('申请单ID不存在');
-    return;
-  }
-  try {
-    const res = await withdrawRequestForm({ requestFormId: row.requestFormId });
-    if (res?.code === 200) {
-      proxy.$modal?.msgSuccess?.('撤回成功');
-      await fetchData();
-    } else {
-      proxy.$modal?.msgError?.(res?.msg || '撤回失败');
-    }
-  } catch (e) {
-    console.warn('撤回申请单失败:', e.message);
-    proxy.$modal?.msgError?.('撤回失败: ' + (e.message || '网络异常'));
-  }
-};
-
-/**
- * 打印申请单
- */
-const handlePrint = (row) => {
-  // 打开新窗口进行打印
-  const printWindow = window.open('', '_blank');
-  if (!printWindow) {
-    proxy.$modal?.msgWarning?.('请允许浏览器弹出窗口以进行打印');
-    return;
-  }
-  const content = buildPrintContent(row);
-  printWindow.document.write(`
-    <!DOCTYPE html>
-    <html>
-    <head>
-      <meta charset="utf-8">
-      <title>检查申请单打印</title>
-      <style>
-        body { font-family: "Microsoft YaHei", sans-serif; padding: 20px; font-size: 14px; }
-        h2 { text-align: center; margin-bottom: 20px; }
-        table { width: 100%; border-collapse: collapse; margin-top: 10px; }
-        th, td { border: 1px solid #ddd; padding: 8px; text-align: left; }
-        th { background: #f5f5f5; }
-        .info-row { margin: 8px 0; }
-        .label { font-weight: bold; display: inline-block; width: 100px; }
-        @media print { .no-print { display: none; } }
-      </style>
-    </head>
-    <body>
-      ${content}
-      <div class="no-print" style="text-align: center; margin-top: 20px;">
-        <button onclick="window.print()">打印</button>
-        <button onclick="window.close()">关闭</button>
-      </div>
-    </body>
-    </html>
-  `);
-  printWindow.document.close();
-};
-
-/**
- * 构建打印内容
- */
-const buildPrintContent = (row) => {
-  let descHtml = '';
-  if (row.descJson) {
-    try {
-      const desc = JSON.parse(row.descJson);
-      descHtml = Object.entries(labelMap)
-        .filter(([key]) => desc[key])
-        .map(([key, label]) => `<div class="info-row"><span class="label">${label}:</span>${desc[key]}</div>`)
-        .join('');
-    } catch (e) {
-      console.error('解析 descJson 失败:', e);
-    }
-  }
-  let itemsHtml = '';
-  if (row.requestFormDetailList && row.requestFormDetailList.length) {
-    itemsHtml = `
-      <h3>申请项目</h3>
-      <table>
-        <tr><th>序号</th><th>医嘱名称</th><th>数量</th><th>单位</th><th>总价</th></tr>
-        ${row.requestFormDetailList.map((item, i) => `
-          <tr>
-            <td>${i + 1}</td>
-            <td>${item.adviceName || '-'}</td>
-            <td>${item.quantity || '-'}</td>
-            <td>${item.unitCode_dictText || '-'}</td>
-            <td>${item.totalPrice || '-'}</td>
-          </tr>
-        `).join('')}
-      </table>
-    `;
-  }
-  return `
-    <h2>检查申请单</h2>
-    <div class="info-row"><span class="label">患者姓名:</span>${row.patientName || '-'}</div>
-    <div class="info-row"><span class="label">申请单名称:</span>${buildItemNames(row) || '-'}</div>
-    <div class="info-row"><span class="label">创建时间:</span>${row.createTime || '-'}</div>
-    <div class="info-row"><span class="label">申请单号:</span>${row.prescriptionNo || '-'}</div>
-    <div class="info-row"><span class="label">申请者:</span>${row.requesterId_dictText || '-'}</div>
-    <div class="info-row"><span class="label">申请单状态:</span>${parseStatus(row.status)}</div>
-    ${descHtml ? `<h3>申请单描述</h3>${descHtml}` : ''}
-    ${itemsHtml}
-  `;
-};
-
-/**
- * 查看报告
- */
-const handleViewReport = async (row) => {
-  reportUrl.value = '';
-  reportDialogVisible.value = true;
-  try {
-    const res = await getTestResult({ encounterId: row.encounterId, requestFormId: row.requestFormId });
-    if (res?.code === 200 && res?.data) {
-      reportUrl.value = res.data;
-    } else {
-      console.warn('获取检查报告失败:', res?.msg || '无数据');
-    }
-  } catch (e) {
-    console.warn('获取检查报告异常:', e.message);
-  }
-};
-
 watch(
   () => patientInfo.value?.encounterId,
   (val) => {
@@ -786,9 +344,8 @@ watch(
       getLocationInfo();
     } else {
       tableData.value = [];
-      filterForm.value.dateRange = getDefaultDateRange();
+      filterForm.value.dateRange = [];
       filterForm.value.status = '';
-      filterForm.value.keyword = '';
     }
   },
   { immediate: true }

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

@@ -181,10 +181,9 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
+const getLocationInfo = async () => {
-  getOrgList().then((res) => {
+  const res = await getOrgList();
-    orgOptions.value = res.data.records;
+  orgOptions.value = res.data.records;
-  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -205,7 +204,12 @@ const recursionFun = (targetDepartment) => {
   return name;
 };
 
-const handleViewDetail = (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) {
@@ -226,10 +230,9 @@ const handleViewDetail = (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  (val) => {
+  async (val) => {
     if (val) {
-      fetchData();
+      await Promise.all([fetchData(), getLocationInfo()]);
-      getLocationInfo();
     } else {
       tableData.value = [];
     }

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

@@ -47,6 +47,15 @@
               <el-option label="已作废" value="5" />
             </el-select>
           </el-form-item>
+          <el-form-item label="关键字">
+            <el-input
+              v-model="filterForm.keyword"
+              placeholder="申请单号/检验项目"
+              clearable
+              style="width: 200px"
+              @keyup.enter="handleSearch"
+            />
+          </el-form-item>
           <el-form-item>
             <el-button type="primary" @click="handleSearch" :loading="loading">
               <el-icon><Search /></el-icon>
@@ -188,6 +197,7 @@ const orgOptions = ref([]);
 const filterForm = ref({
   dateRange: [], // [startDate, endDate]
   status: '', // 单据状态
+  keyword: '', // 关键字搜索
 });
 
 const fetchData = async () => {
@@ -212,6 +222,11 @@ const fetchData = async () => {
       params.status = filterForm.value.status;
     }
 
+    // 添加关键字搜索
+    if (filterForm.value.keyword && filterForm.value.keyword.trim()) {
+      params.keyword = filterForm.value.keyword.trim();
+    }
+
     const res = await getInspection(params);
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
@@ -251,6 +266,7 @@ const handleReset = () => {
   // 重置筛选条件为默认值
   filterForm.value.dateRange = [];
   filterForm.value.status = '';
+  filterForm.value.keyword = '';
   // 重新加载数据
   fetchData();
 };
@@ -331,10 +347,9 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
+const getLocationInfo = async () => {
-  getDepartmentList().then((res) => {
+  const res = await getDepartmentList();
-    orgOptions.value = res.data || [];
+  orgOptions.value = res.data || [];
-  });
 };
 
 const recursionFun = (targetDepartment) => {
@@ -357,7 +372,12 @@ const recursionFun = (targetDepartment) => {
   return name;
 };
 
-const handleViewDetail = (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) {
@@ -378,7 +398,7 @@ const handleViewDetail = (row) => {
 
 watch(
   () => patientInfo.value?.encounterId,
-  (val) => {
+  async (val) => {
     if (val) {
       // 设置默认日期范围为近7天
       const today = new Date();
@@ -398,13 +418,13 @@ watch(
         formatDate(today)
       ];
 
-      fetchData();
+      await Promise.all([fetchData(), getLocationInfo()]);
-      getLocationInfo();
     } else {
       tableData.value = [];
       // 重置筛选条件
       filterForm.value.dateRange = [];
       filterForm.value.status = '';
+      filterForm.value.keyword = '';
     }
   },
   { immediate: true }

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

@@ -881,8 +881,9 @@ function handleFocus(row, index) {
   // 用 adviceType + categoryCode 组合查找匹配的选项
   const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
   const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-  // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
+  // 修复Bug #486：当行没有显式选择医嘱类型时（row.adviceType为undefined），
-  const categoryCode = selectedItem ? selectedItem.categoryCode : (row.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
+  // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -919,8 +920,9 @@ function handleChange(value) {
       // 用 adviceType + categoryCode 组合查找匹配的选项
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
+      // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
-      const categoryCode = selectedItem ? selectedItem.categoryCode : (row?.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
+      // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
       tableRef.refresh(adviceType, categoryCode, value);
     }
   }

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

@@ -17,11 +17,13 @@
             </el-tab-pane>
             <!-- <el-tab-pane label="医技报告" name="fourth">Task</el-tab-pane> -->
             <el-tab-pane label="检验申请" name="test">
-              <TestApplication ref="testApplicationRef" :show-status-column="false" />
+              <TestApplication ref="testApplicationRef" :show-status-column="true" />
             </el-tab-pane>
+```vue
             <el-tab-pane label="检查申请" name="examine">
               <ExamineApplication ref="examineApplicationRef" />
             </el-tab-pane>
+```
             <el-tab-pane label="汇总发药申请" name="summaryDrug">
               <SummaryDrugApplication ref="summaryDrugApplicationRef" />
             </el-tab-pane>
@@ -44,11 +46,10 @@
   </div>
 </template>
 <script setup>
-import { computed, onBeforeMount, onMounted, provide, reactive, ref, watch } from 'vue';
+import {computed, onBeforeMount, onMounted, provide, reactive, ref, watch,} from 'vue';
 
 import Emr from './emr/index.vue';
 import inPatientBarDoctorFold from '@/components/patientBar/inPatientBarDoctorFold.vue';
-import SummaryDrugApplication from './components/applicationShow/summaryDrugApplication.vue';
 import PatientList from '@/components/PatientList/patient-list.vue';
 import {localPatientInfo, updateLocalPatientInfo} from './store/localPatient';
 import {patientInfo, updatePatientInfo} from './store/patient';
@@ -83,7 +84,6 @@ const currentPatientInfo = ref({});
 const testApplicationRef = ref();
 const examineApplicationRef = ref();
 const surgeryApplicationRef = ref();
-const summaryDrugApplicationRef = ref();
 const bloodTtransfusionAapplicationRef = ref();
 
 // 患者列表相关逻辑

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

@@ -174,7 +174,6 @@ const activeNames = ref([]);
 const userStore = useUserStore();
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
-const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
@@ -190,6 +189,10 @@ const props = defineProps({
   deadline: {
     type: String,
   },
+  therapyEnum: {
+    type: Number,
+    default: undefined,
+  },
 });
 
 function handleGetPrescription() {
@@ -200,7 +203,7 @@ function handleGetPrescription() {
       encounterIds: encounterIds,
       pageSize: 10000,
       pageNo: 1,
-      therapyEnum: therapyEnum.value,
+      therapyEnum: props.therapyEnum,
       exeStatus: props.exeStatus,
       requestStatus: props.requestStatus,
     })

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

@@ -58,7 +58,7 @@
             :clearable="false"
             @change="handleGetPrescription"
           />
-          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleRadioChange">
+          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleTherapyChange">
             <el-radio :value="undefined">全部</el-radio>
             <el-radio :value="1">长期</el-radio>
             <el-radio :value="2">临时</el-radio>
@@ -79,6 +79,7 @@
         :exeStatus="exeStatus"
         :requestStatus="requestStatus"
         :deadline="deadline"
+        :therapyEnum="therapyEnum"
       />
       <SummaryMedicineList v-else />
       <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
@@ -120,6 +121,7 @@ const requestStatus = ref(RequestStatus.COMPLETED);
 const chooseAll = ref(false);
 const drugType = ref('1');
 const isDetails = ref('1');
+const therapyEnum = ref(undefined);
 
 // 存储子组件引用的对象
 const prescriptionRefs = ref();
@@ -175,6 +177,10 @@ function handleRadioChange(value) {
   }
 }
 
+function handleTherapyChange() {
+  handleGetPrescription();
+}
+
 function handleExecute() {
   proxy.$refs['prescriptionRefs'].handleMedicineSummary();
 }

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

@@ -469,11 +469,19 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
-      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
       handleGetPrescription();
-      lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
+      // 仅当选中医嘱中包含药品/耗材类医嘱时，才调用耗材批号匹配
-        console.warn('lotNumberMatch failed after adviceExecute:', error);
+      const hasMedOrDevice = list.some(
-      });
+        (item) =>
+          item.adviceTable === 'med_medication_request' ||
+          String(item.adviceTable || '').includes('device'),
+      );
+      if (hasMedOrDevice) {
+        lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
+          console.warn('lotNumberMatch failed after adviceExecute:', error);
+        });
+      }
+      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
     } else {
       proxy.$modal.msgError(res.msg || '医嘱执行失败');
     }

openhis-ui-vue3/src/views/triageandqueuemanage/cardiology/index.vue

@@ -198,53 +198,52 @@
               ↓
             </el-button>
           </div>
-          <div class="queue-actions-right">
-            <el-button 
-              :type="showOnlyWaiting ? 'primary' : ''" 
-              size="small"
-              @click="showOnlyWaiting = true"
-            >
-              只显示等待
-            </el-button>
-            <el-button 
-              :type="!showOnlyWaiting ? 'primary' : ''" 
-              size="small"
-              @click="showOnlyWaiting = false"
-            >
-              显示全部状态
-            </el-button>
-          </div>
         </div>
       </div>
     </div>
 
     <!-- 底部控制面板 -->
     <div class="footer-section">
-      <!-- 诊室快速过滤栏 -->
+      <!-- Bug #411：诊室快速过滤栏，筛选维度从科室改为诊室 -->
       <div class="filter-section">
-        <div class="filter-label">
+        <div class="filter-left">
-          ③ 诊室快速过滤栏
+          <div class="filter-label">
-        </div>
+            ③ 诊室快速过滤栏
-        <div class="filter-select-wrapper">
+          </div>
-          <el-select
+          <div class="filter-button-wrapper">
-            v-model="selectedClinicRoom"
+            <el-button
-            placeholder="请选择诊室"
+              :type="selectedRoom === 'all' ? 'primary' : ''"
-            clearable
+              size="small"
-            filterable
+              @click="selectedRoom = 'all'"
-            style="width: 100%"
+            >
-            size="default"
+              全部
-          >
+            </el-button>
-            <el-option
+            <el-button
-              label="全部"
+              v-for="room in uniqueRooms"
-              value="all"
-            />
-            <el-option
-              v-for="room in clinicRoomList"
               :key="room"
-              :label="room"
+              :type="selectedRoom === room ? 'primary' : ''"
-              :value="room"
+              size="small"
-            />
+              @click="selectedRoom = room"
-          </el-select>
+            >
+              {{ room }}
+            </el-button>
+          </div>
+        </div>
+        <div class="filter-right">
+          <el-button
+            :type="showOnlyWaiting ? 'primary' : ''"
+            size="small"
+            @click="showOnlyWaiting = true"
+          >
+            只显示等待
+          </el-button>
+          <el-button
+            :type="!showOnlyWaiting ? 'primary' : ''"
+            size="small"
+            @click="showOnlyWaiting = false"
+          >
+            显示全部状态
+          </el-button>
         </div>
       </div>
 
@@ -680,10 +679,8 @@ const selectedCandidates = ref([])
 // 显示选项
 const showOnlyWaiting = ref(false)
 
-// 诊室过滤（按诊室维度筛选）
+// Bug #411：诊室过滤，替代原来的科室下拉框（selectedDept/departmentList 已移除）
-const selectedClinicRoom = ref('all')
+const selectedRoom = ref('all')
-// 诊室列表（从数据中动态提取）
-const clinicRoomList = ref([])
 
 // 修复【#397】：动态获取当前科室名称
 const currentDeptName = computed(() => {
@@ -906,11 +903,12 @@ const mapFrontendStatusToBackend = (status) => {
 // 从数据库加载队列
 const loadQueueFromDb = async () => {
   try {
-    // 使用当前登录人的科室
+    // Bug #411：不再按科室选筛加载，后端默认按当前登录人科室查询
+    const organizationId = undefined
+    // 只查询今天的患者
     const today = new Date()
     const todayStr = `${today.getFullYear()}-${String(today.getMonth() + 1).padStart(2, '0')}-${String(today.getDate()).padStart(2, '0')}`
-    console.log('【心内科】loadQueueFromDb 开始：date=', todayStr)
+    const res = await getTriageQueueList({ organizationId, date: todayStr }).catch((err) => {
-    const res = await getTriageQueueList({ date: todayStr }).catch((err) => {
       console.error('【心内科】loadQueueFromDb 请求异常：', err)
       return { code: 500, msg: err?.message || '请求失败', data: null }
     })
@@ -1138,8 +1136,6 @@ const loadDataFromApi = async () => {
 
     // 同步当前呼叫（队列从 DB 加载后已同步；这里再兜底一次）
     syncCurrentCallFromQueue()
-    // 提取诊室列表供过滤栏使用
-    extractClinicRooms()
     console.log('【心内科】数据加载完成：候选池', originalCandidatePoolList.value.length, '条，队列', originalQueueList.value.length, '条')
     ElMessage.success('【心内科】已从门诊挂号接口加载数据')
   } catch (e) {
@@ -1151,42 +1147,35 @@ const loadDataFromApi = async () => {
     totalSignedIn.value = originalCandidatePoolList.value.length
     totalInQueue.value = originalQueueList.value.length
     syncCurrentCallFromQueue()
-    extractClinicRooms()
   }
 }
 
 // 原始数据存储（用于过滤）
 const originalCandidatePoolList = ref(getInitialCandidatePoolList())
 
-// 提取诊室列表（从队列和候选池数据中动态获取）
+// 过滤后的智能候选池数据（按诊室过滤）
-const extractClinicRooms = () => {
-  const roomSet = new Set()
-  // 从队列中提取
-  originalQueueList.value.forEach(item => {
-    if (item.room && item.room !== '-') {
-      roomSet.add(item.room)
-    }
-  })
-  // 从候选池中提取
-  originalCandidatePoolList.value.forEach(item => {
-    if (item.room && item.room !== '-') {
-      roomSet.add(item.room)
-    }
-  })
-  clinicRoomList.value = Array.from(roomSet).sort()
-}
-
-// 过滤后的智能候选池数据
 const filteredCandidatePoolList = computed(() => {
-  if (selectedClinicRoom.value === 'all') {
+  if (selectedRoom.value === 'all') {
     return originalCandidatePoolList.value
   }
-  return originalCandidatePoolList.value.filter(item => item.room === selectedClinicRoom.value)
+  return originalCandidatePoolList.value.filter(item => item.room === selectedRoom.value)
 })
 
 // 原始队列数据存储（用于过滤）
 const originalQueueList = ref(getInitialQueueList())
 
+// 动态计算已加载数据中的唯一诊室列表（依赖上方两个 ref，确保声明顺序正确）
+const uniqueRooms = computed(() => {
+  const rooms = new Set()
+  originalCandidatePoolList.value.forEach(item => {
+    if (item.room && item.room !== '-') rooms.add(item.room)
+  })
+  originalQueueList.value.forEach(item => {
+    if (item.room && item.room !== '-') rooms.add(item.room)
+  })
+  return Array.from(rooms).sort()
+})
+
 const parseMmSsToSeconds = (mmss) => {
   if (!mmss || typeof mmss !== 'string') return 0
   const [mm, ss] = mmss.split(':')
@@ -1203,7 +1192,7 @@ const formatSecondsToMmSs = (totalSeconds) => {
   return `${mm}:${ss}`
 }
 
-// 过滤后的智能队列数据（同时考虑诊室过滤和状态过滤）
+// 过滤后的智能队列数据（Bug #411：诊室过滤 + 状态过滤）
 const filteredQueueList = computed(() => {
   let filtered = originalQueueList.value
 
@@ -1211,8 +1200,8 @@ const filteredQueueList = computed(() => {
   filtered = filtered.filter(item => item.status !== '已完成')
 
   // 再按诊室过滤
-  if (selectedClinicRoom.value !== 'all') {
+  if (selectedRoom.value !== 'all') {
-    filtered = filtered.filter(item => item.room === selectedClinicRoom.value)
+    filtered = filtered.filter(item => item.room === selectedRoom.value)
   }
 
   // 再按状态过滤（只显示等待）
@@ -1723,16 +1712,12 @@ const handleNextPatient = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      // Bug #411：已移除 selectedDept，改为从队列数据中动态获取科室
-      // 全科模式：优先用"当前叫号中/第一个等待"所在科室
+      const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      let orgId = null
+      const waiting = originalQueueList.value.find((i) => i.status === '等待')
-      {
+      console.log('【心内科】handleNextPatient 查找：叫号中=', calling?.patientName, '等待=', waiting?.patientName)
-        const calling = originalQueueList.value.find((i) => i.status === '叫号中')
+      const orgId = calling?.organizationId ?? waiting?.organizationId
-        const waiting = originalQueueList.value.find((i) => i.status === '等待')
+      console.log('【心内科】handleNextPatient 确定的 orgId=', orgId)
-        console.log('【心内科】handleNextPatient 查找：叫号中=', calling?.patientName, '等待=', waiting?.patientName)
-        orgId = calling?.organizationId ?? waiting?.organizationId
-        console.log('【心内科】handleNextPatient 确定的 orgId=', orgId)
-      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1761,13 +1746,9 @@ const handleSkip = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      // 如果没有选中患者，使用当前叫号中的科室
-      // 全科模式：优先用”当前叫号中”所在科室
+      const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      let orgId = null
+      const orgId = calling?.organizationId
-      {
-        const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-        orgId = calling?.organizationId
-      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1795,13 +1776,9 @@ const handleComplete = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      // 如果没有选中患者，使用当前叫号中的科室
-      // 全科模式：优先用”当前叫号中”所在科室
+      const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      let orgId = null
+      const orgId = calling?.organizationId
-      {
-        const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-        orgId = calling?.organizationId
-      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -1829,13 +1806,9 @@ const handleRequeue = async () => {
       reqData.id = selectedQueueRow.value.id
       reqData.organizationId = selectedQueueRow.value.organizationId
     } else {
-      // 如果没有选中患者，使用查询条件（兼容旧逻辑）
+      // 如果没有选中患者，使用当前叫号中的科室
-      // 全科模式：优先用”当前叫号中”所在科室
+      const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-      let orgId = null
+      const orgId = calling?.organizationId
-      {
-        const calling = originalQueueList.value.find((i) => i.status === '叫号中')
-        orgId = calling?.organizationId
-      }
       if (orgId != null) {
         reqData.organizationId = orgId
       }
@@ -2219,10 +2192,6 @@ onUnmounted(() => {
           gap: 10px;
         }
 
-        .queue-actions-right {
-          display: flex;
-          gap: 10px;
-        }
       }
 
       .candidate-actions {
@@ -2244,16 +2213,32 @@ onUnmounted(() => {
 
     .filter-section {
       margin-bottom: 20px;
+      display: flex;
+      align-items: flex-start;
+      justify-content: space-between;
 
-      .filter-label {
+      .filter-left {
-        font-size: 14px;
+        flex: 1;
-        font-weight: bold;
+
-        color: #333;
+        .filter-label {
-        margin-bottom: 10px;
+          font-size: 14px;
+          font-weight: bold;
+          color: #333;
+          margin-bottom: 10px;
+        }
+
+        .filter-button-wrapper {
+          display: flex;
+          flex-wrap: wrap;
+          gap: 8px;
+        }
       }
 
-      .filter-select-wrapper {
+      .filter-right {
-        width: 100%;
+        display: flex;
+        gap: 8px;
+        flex-shrink: 0;
+        align-self: flex-end;
       }
     }