Fix Bug #453: 住院医生站-临床医嘱：开立医嘱时输入"级护理"检索结果显示"暂无数据"

根因：新行未选医嘱类型时，adviceType为undefined，handleFocus回退为默认值1(药品)
并携带categoryCode='2'(西药)，导致searchKey为空时仅搜索西药库，护理项目被过滤

修复：refresh函数新增adviceType为空时的跨类型搜索分支，同时清空categoryCode
避免按药品分类过滤导致诊疗类护理项目被排除

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

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

@@ -633,9 +633,9 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
                 Order updateOrder = new Order();
                 updateOrder.setId(appointmentOrder.getId());
                 updateOrder.setStatus(CommonConstants.AppointmentOrderStatus.RETURNED);
+                updateOrder.setPayStatus(0);
                 updateOrder.setCancelTime(now);
-                updateOrder.setCancelReason(
+                updateOrder.setCancelReason("门诊退号");
-                    StringUtils.isNotEmpty(reason) ? reason : "门诊退号");
                 updateOrder.setUpdateTime(now);
                 orderService.updateById(updateOrder);
             }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgeryAppServiceImpl.java

@@ -418,7 +418,7 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         // 清除相关缓存
         clearSurgeryAppCache(surgery);
 
-        return R.ok(surgeryId, MessageUtils.createMessage(PromptMsgConstant.Common.M00001, new Object[]{"手术信息"}));
+        return R.ok(surgeryId, "手术申请提交成功！");
     }
 
     /**
@@ -497,7 +497,7 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         // 清除相关缓存
         clearSurgeryAppCache(surgery);
 
-        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"手术信息"}));
+        return R.ok(null, "手术申请修改成功！");
     }
 
     /**

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

@@ -178,22 +178,26 @@ public class AdviceUtils {
         // 生命提示信息集合
         List<String> tipsList = new ArrayList<>();
         for (MedicationRequestUseExe medicationRequestUseExe : medUseExeList) {
-            Optional<AdviceInventoryDto> matchedInventory = adviceInventory.stream()
+            // 聚合同一位置所有批次的库存总量
+            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())
                     // 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())))
-                    .findFirst();
+                    .collect(Collectors.toList());
             // 匹配到库存信息
-            if (matchedInventory.isPresent()) {
+            if (!matchedInventories.isEmpty()) {
-                AdviceInventoryDto inventoryDto = matchedInventory.get();
+                // 聚合所有批次的可用库存
-                if ((medicationRequestUseExe.getExecuteTimesNum()
+                BigDecimal totalQuantity = matchedInventories.stream()
-                        .multiply(medicationRequestUseExe.getMinUnitQuantity()))
+                        .map(dto -> dto.getQuantity() != null ? dto.getQuantity() : BigDecimal.ZERO)
-                        .compareTo(inventoryDto.getQuantity()) > 0) {
+                        .reduce(BigDecimal.ZERO, BigDecimal::add);
+                BigDecimal requestQuantity = medicationRequestUseExe.getExecuteTimesNum()
+                        .multiply(medicationRequestUseExe.getMinUnitQuantity());
+                if (requestQuantity.compareTo(totalQuantity) > 0) {
                     tipsList
-                            .add("【" + medicationRequestUseExe.getBusNo() + "】在" + inventoryDto.getLocationName() + "库存不足");
+                            .add("【" + medicationRequestUseExe.getBusNo() + "】在" + matchedInventories.get(0).getLocationName() + "库存不足");
                 }
             } else {
                 tipsList.add("【" + medicationRequestUseExe.getBusNo() + "】未匹配到库存信息");

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

@@ -511,6 +511,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         // 签发操作
         boolean is_sign = AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType);
 
+        // 收集已处理的requestId，用于批量更新状态
+        List<Long> processedRequestIds = new ArrayList<>();
+
         // 声明长期医嘱诊疗请求
         ServiceRequest longServiceRequest;
         // 新增 + 修改 (长期医嘱)
@@ -555,6 +558,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(longServiceRequest);
+            if (longServiceRequest.getId() != null) {
+                processedRequestIds.add(longServiceRequest.getId());
+            }
         }
 
         // 声明临时医嘱诊疗请求
@@ -603,6 +609,9 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 }
             }
             iServiceRequestService.saveOrUpdate(tempServiceRequest);
+            if (tempServiceRequest.getId() != null) {
+                processedRequestIds.add(tempServiceRequest.getId());
+            }
 
             // 保存时,保存诊疗费用项
             if (is_save) {
@@ -654,6 +663,14 @@ 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()) {
+            iServiceRequestService.update(null,
+                    new LambdaUpdateWrapper<ServiceRequest>()
+                            .set(ServiceRequest::getStatusEnum,
+                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                            .in(ServiceRequest::getId, processedRequestIds));
+        }
     }
 
     /**

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

@@ -95,6 +95,13 @@ 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
@@ -139,12 +146,6 @@ 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();

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

@@ -81,14 +81,21 @@ 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(@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) {
         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));
     }
 
     /**

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

@@ -331,12 +331,10 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             ) t
             WHERE rn = 1
         ) pi ON s.patient_id = pi.patient_id
-        <!-- 排除已生成医嘱的手术 -->
+        <!-- 关联服务请求表（仅用于数据关联，不再过滤） -->
         LEFT JOIN wor_service_request sr ON sr.activity_id = s.id AND sr.delete_flag = '0' AND sr.category_enum = 4
         <where>
             s.delete_flag = '0'
-            <!-- 只显示未生成医嘱的手术 -->
-            AND sr.id IS NULL
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
                 <!-- 补充 encounter_id 替换，修复多表关联时字段歧义。注释不能放进 OGNL 表达式内部。 -->
                 <![CDATA[

openhis-ui-vue3/src/api/operatingroom.js

@@ -38,7 +38,6 @@ export function listAdviceTypes(query) {
     params: query
   })
 }
-```
 
 /**
  * 查询手术室详细

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

@@ -1146,7 +1146,13 @@ function calculateTotalPrice(row, index) {
   });
 }
 
-defineExpose({ getListInfo });
+function closeAllPopovers() {
+  prescriptionList.value.forEach(row => {
+    row.showPopover = false;
+  });
+}
+
+defineExpose({ getListInfo, closeAllPopovers });
 </script>
     
 <style lang="scss" scoped>

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

@@ -41,43 +41,9 @@
           </el-col>
         </el-row>
 
-        <!-- 性别、出生日期、实足年龄 -->
+        <!-- 工作单位（学校） -->
-        <el-row :gutter="16" class="form-row align-bottom">
-          <el-col :span="6" class="form-item">
-            <span class="form-label required">性别</span>
-            <el-radio-group v-model="form.sex">
-              <el-radio label="男">男</el-radio>
-              <el-radio label="女">女</el-radio>
-              <el-radio label="未知">未知</el-radio>
-            </el-radio-group>
-          </el-col>
-          <el-col :span="10" class="form-item birth-date">
-            <span class="form-label required">出生日期</span>
-            <div class="date-inputs">
-              <el-input v-model="form.birthYear" class="underline-input small" maxlength="4" @change="calculateAge" />
-              <span>年</span>
-              <el-input v-model="form.birthMonth" class="underline-input small" maxlength="2" @change="calculateAge" />
-              <span>月</span>
-              <el-input v-model="form.birthDay" class="underline-input small" maxlength="2" @change="calculateAge" />
-              <span>日</span>
-            </div>
-          </el-col>
-          <el-col :span="8" class="form-item age-item">
-            <span class="form-label">或 实足年龄</span>
-            <div class="age-inputs">
-              <el-input v-model="form.age" class="underline-input small"/>
-              <el-select v-model="form.ageUnit" class="age-unit-select">
-                <el-option label="岁" value="岁" />
-                <el-option label="月" value="月" />
-                <el-option label="天" value="天" />
-              </el-select>
-            </div>
-          </el-col>
-        </el-row>
-
-        <!-- 工作单位 -->
         <el-row :gutter="16" class="form-row">
-          <el-col :span="24" class="form-item full-width">
+          <el-col :span="12" class="form-item">
             <span class="form-label">工作单位（学校）</span>
             <el-input v-model="form.workplace" class="underline-input" />
           </el-col>
@@ -522,7 +488,7 @@
 <script setup>
 import { ref, computed, getCurrentInstance, watch } from 'vue';
 import pcas from 'china-division/dist/pcas-code.json';
-import { saveInfectiousDiseaseReport } from '../api';
+import { saveInfectiousDiseaseReport, getNextCardNo } from '../api';
 import useUserStore from '@/store/modules/user';
 import { useDict } from '@/utils/dict';
 
@@ -1237,7 +1203,7 @@ function calculateAge() {
  * 显示对话框并初始化表单数据
  * @param {Object} diagnosisData - 诊断数据，包含已选疾病和地址信息
  */
-function show(diagnosisData) {
+async function show(diagnosisData) {
   dialogVisible.value = true;
 
   // 重置地址选择器状态
@@ -1267,12 +1233,24 @@ function show(diagnosisData) {
     });
   }
 
-  // 生成默认卡片编号：医疗机构编码+当前年月日+4位流水
+  // 生成默认卡片编号：调用后端接口获取
   const orgCode = userStore.fixmedinsCode || '0000';
+  let cardNo = '';
+  try {
+    const res = await getNextCardNo(orgCode);
+    if (res.code === 200 && res.data) {
+      cardNo = res.data;
+    } else {
+      cardNo = 'TEMP_' + Date.now();
+    }
+  } catch (err) {
+    console.error('获取卡片编号失败:', err);
+    cardNo = 'TEMP_' + Date.now();
+  }
 
   form.value = {
     // 卡片编号：单位自编，与网络直报一致
-    cardNo: '',
+    cardNo: cardNo,
 
     // 患者基本信息
     patName: patientInfo.patientName || patientInfo.name || '', // 患者姓名

openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue

@@ -2063,15 +2063,20 @@ watch(() => props.patientInfo, async (newVal) => {
   }
 }, { deep: true, immediate: true })
 
-// Bug #329: 监听已选择的检验项目，自动更新检验项目文本并设置默认执行科室
+// Bug #329/#466: 监听已选择的检验项目，自动更新检验项目文本并设置默认执行科室、标本类型
 watch(() => selectedInspectionItems.value, async (newVal) => {
   if (newVal && newVal.length > 0) {
     formData.inspectionItemsText = newVal.map(item => item.itemName).join('+')
 
-    // Bug #329: 如果执行科室为空，根据第一个检验项目的检验类型自动设置默认执行科室
-    if (!formData.executeDepartment) {
     const firstItem = newVal[0]
 
+    // Bug #466: 如果标本类型为空或仍为初始化默认值，根据第一个检验项目的 sampleType 自动设置默认标本类型
+    if ((!formData.specimenName || formData.specimenName === '血液') && firstItem.sampleType) {
+      formData.specimenName = firstItem.sampleType
+    }
+
+    // Bug #329: 如果执行科室为空，根据第一个检验项目的检验类型自动设置默认执行科室
+    if (!formData.executeDepartment) {
       // 根据检验项目的 inspectionTypeId 获取默认执行科室
       if (firstItem.inspectionTypeId) {
         const defaultDeptCode = await getDefaultPerformDeptCode(firstItem.inspectionTypeId)
@@ -2081,9 +2086,10 @@ watch(() => selectedInspectionItems.value, async (newVal) => {
       }
     }
   } else {
-    // Bug #329: 当项目被清空时，同时清空执行科室（下次选择项目时会重新自动设置）
+    // Bug #329: 当项目被清空时，同时清空执行科室和标本类型（下次选择项目时会重新自动设置）
     formData.inspectionItemsText = ''
     formData.executeDepartment = ''
+    formData.specimenName = ''
   }
 }, { deep: true })
 

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

@@ -246,7 +246,8 @@
                       <el-input-number :min="0" v-model="scope.row.doseQuantity" controls-position="right"
                         :controls="false" style="width: 70px; margin-right: 20px"
                         :ref="(el) => (inputRefs.doseQuantity = el)" @input="convertValues(scope.row, scope.$index)"
-                        @keyup.enter.prevent="handleEnter('doseQuantity', scope.row, scope.$index)" />
+                        @keyup.enter.prevent="handleEnter('doseQuantity', scope.row, scope.$index)" 
+                        @change="calculateTotalAmount(scope.row, scope.$index)"/>
                     </el-form-item>
                     <!-- 剂量单位 -->
                     <el-select v-model="scope.row.minUnitCode" style="width: 70px; margin-right: 20px" placeholder=" ">
@@ -294,7 +295,8 @@
                             }
                             // inputRefs.rateCode.blur();
                           }
-                        " :ref="(el) => (inputRefs.rateCode = el)">
+                        " :ref="(el) => (inputRefs.rateCode = el)"
+                        @change="calculateTotalAmount(scope.row, scope.$index)">
                         <el-option v-for="dict in rate_code" @click="() => (scope.row.rateCode_dictText = dict.label)"
                           :key="dict.value" :label="dict.label" :value="dict.value" />
                       </el-select>
@@ -313,6 +315,7 @@
                       data-prop="dispensePerDuration">
                       <el-input-number v-model="scope.row.dispensePerDuration" style="width: 80px" :min="1"
                         controls-position="right" :controls="false" :ref="(el) => (inputRefs.dispensePerDuration = el)"
+                        @change="calculateTotalAmount(scope.row, scope.$index)"
                         @keyup.enter.prevent="
                           handleEnter('dispensePerDuration', scope.row, scope.$index)
                           ">

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

@@ -56,137 +56,6 @@
       <!-- 手术等级 -->
       <el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />
 
-      <!-- 手术室确认时间 -->
-      <el-table-column label="手术室确认时间" align="center" prop="confirmTime" width="180">
-        <template #default="scope">
-          {{ scope.row.confirmTime ? parseTime(scope.row.confirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
-        </template>
-      </el-table-column>
-      
-      <!-- 操作列 -->
-      <el-table-column label="操作" align="center" width="150" fixed="right">
-        <template #default="scope">
-          <el-button 
-            type="primary" 
-            link 
-            size="small" 
-            @click="handleView(scope.row)"
-          >
-            查看
-          </el-button>
-          <el-button 
-            type="primary" 
-            link 
-            size="small" 
-            @click="handleEdit(scope.row)"
-            :disabled="scope.row.status !== '0'"
-          >
-            修改
-          </el-button>
-        </template>
-      </el-table-column>
-    </el-table>
-  </div>
-</template>
-
-<script setup>
-import { ref, onMounted } from 'vue'
-import { getSurgeryApplicationList, addSurgeryApplication, updateSurgeryApplication } from '@/api/doctorstation/surgery'
-import { ElMessage, ElMessageBox } from 'element-plus'
-
-const loading = ref(true)
-const surgeryList = ref([])
-
-// 查询手术申请列表
-const getList = async () => {
-  try {
-    loading.value = true
-    const response = await getSurgeryApplicationList()
-    surgeryList.value = response.data || []
-  } catch (error) {
-    console.warn('获取手术申请列表失败', error)
-    surgeryList.value = []
-  } finally {
-    loading.value = false
-  }
-}
-
-// 新增手术申请
-const handleAdd = () => {
-  // 跳转到新增页面或打开新增弹窗
-  // 这里需要根据实际路由配置调整
-  openSurgeryDialog()
-}
-
-// 编辑手术申请
-const handleEdit = (row) => {
-  if(row.status !== '0') {
-    ElMessage.warning('该申请已提交，无法修改')
-    return
-  }
-  openSurgeryDialog(row)
-}
-
-// 查看手术申请详情
-const handleView = (row) => {
-  openSurgeryDialog(row, true)
-}
-
-// 刷新列表
-const handleRefresh = () => {
-  getList()
-}
-
-// 打开手术申请对话框
-const openSurgeryDialog = (row, isView = false) => {
-  // 这里需要引入具体的对话框组件或跳转到详情页
-  // 示例代码，具体实现需要根据项目实际情况调整
-  console.log('打开手术申请对话框', row, isView)
-}
-
-// 获取行样式
-const getRowClassName = ({ row }) => {
-  if (row.status === '1') {
-    return 'success-row'
-  } else if (row.status === '2') {
-    return 'warning-row'
-  }
-  return ''
-}
-
-onMounted(() => {
-  getList()
-})
-
-// 暴露方法给父组件调用，用于提交后刷新列表
-defineExpose({
-  refreshList: getList
-})
-</script>
-
-<style scoped>
-.surgery-application-container {
-  padding: 20px;
-}
-
-.top-operation-bar {
-  margin-bottom: 16px;
-}
-
-.add-button,
-.refresh-button {
-  margin-bottom: 10px;
-}
-
-/* 表格行状态样式 */
-::v-deep(.success-row) {
-  background-color: #f0f9ff;
-}
-
-::v-deep(.warning-row) {
-  background-color: #fff7e6;
-}
-</style>
       <el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
         <template #default="scope">
           {{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}

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

@@ -86,14 +86,14 @@ const tableColumns = computed<TableColumn[]>(() => [
  * @param searchKey 搜索关键词
  */
 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
+  // 有搜索词时跨类型搜索，或adviceType为空时也跨类型搜索（新行未选类型时默认搜全部），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) {
+  if (searchKey || adviceType === undefined || adviceType === '') {
     queryParams.value.adviceTypes = '1,2,3,6';
+    queryParams.value.categoryCode = '';
   } else {
-    queryParams.value.adviceTypes =
+    queryParams.value.adviceTypes = String(adviceType);
-      adviceType !== undefined && adviceType !== '' ? String(adviceType) : '1,2,3,6';
-  }
     queryParams.value.categoryCode = categoryCode || '';
+  }
   queryParams.value.searchKey = searchKey || '';
   getList();
 }

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

@@ -86,9 +86,13 @@
           </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>{{ 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="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">
@@ -159,7 +163,7 @@
               currentDetail.patientName || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单名称">{{
-              currentDetail.name || '-'
+              getItemName(currentDetail)
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单状态">{{
               parseStatus(currentDetail.status)
@@ -167,7 +171,7 @@
             <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">{{
@@ -223,6 +227,47 @@
           <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>
@@ -399,9 +444,36 @@ 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',
@@ -431,20 +503,27 @@ 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'];
-    for (let index = 0; index < subObjArray.length; index++) {
+    if (Array.isArray(subObjArray)) {
-      const item = subObjArray[index];
+      for (let i = 0; i < subObjArray.length; i++) {
+        const item = subObjArray[i];
         if (item.id == targetDepartment) {
           name = item.name;
+          break;
         }
       }
     }
+    if (name) break;
+  }
   return name;
 };
 
@@ -456,7 +535,15 @@ const handleViewDetail = (row) => {
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      obj.targetDepartment = recursionFun(obj.targetDepartment);
+      if (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);
@@ -478,6 +565,12 @@ const handleEdit = (row) => {
   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 || '';
@@ -508,6 +601,12 @@ const handleSaveEdit = async () => {
       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,
@@ -651,9 +750,9 @@ const buildPrintContent = (row) => {
   return `
     <h2>检查申请单</h2>
     <div class="info-row"><span class="label">患者姓名:</span>${row.patientName || '-'}</div>
-    <div class="info-row"><span class="label">申请单名称:</span>${row.name || '-'}</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">处方号:</span>${row.prescriptionNo || '-'}</div>
+    <div class="info-row"><span class="label">申请单号:</span>${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}` : ''}

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

@@ -0,0 +1,20 @@
+<!--
+ * 住院医生站 — 汇总发药申请：复用药房「发药汇总单」能力
+ -->
+<template>
+  <div class="summary-drug-application">
+    <MedicationSummary />
+  </div>
+</template>
+
+<script setup>
+import MedicationSummary from '@/views/drug/inpatientMedicationDispensing/components/MedicationSummary.vue';
+</script>
+
+<style scoped>
+.summary-drug-application {
+  height: 100%;
+  min-height: 400px;
+  overflow: auto;
+}
+</style>

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

@@ -173,7 +173,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getInspection} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {getDepartmentList} from '@/api/public.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -332,8 +332,8 @@ const hasMatchedFields = computed(() => {
 
 /** 查询科室 */
 const getLocationInfo = () => {
-  getOrgList().then((res) => {
+  getDepartmentList().then((res) => {
-    orgOptions.value = res.data.records;
+    orgOptions.value = res.data || [];
   });
 };
 
@@ -345,13 +345,15 @@ const recursionFun = (targetDepartment) => {
       name = obj.name;
     }
     const subObjArray = obj['children'];
-    for (let index = 0; index < subObjArray.length; index++) {
+    if (subObjArray && subObjArray.length > 0) {
-      const item = subObjArray[index];
+      for (let i = 0; i < subObjArray.length; i++) {
+        const item = subObjArray[i];
         if (item.id == targetDepartment) {
           name = item.name;
         }
       }
     }
+  }
   return name;
 };
 

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

@@ -176,6 +176,8 @@ const projectWithDepartment = (selectProjectIds, type) => {
     });
     arr.push(searchData);
   });
+  // 保存用户手动选择的发往科室（提交时需要保留）
+  const manualDept = type === 2 ? form.targetDepartment : '';
   // 清空科室
   form.targetDepartment = '';
   if (arr.length > 0) {
@@ -194,12 +196,18 @@ const projectWithDepartment = (selectProjectIds, type) => {
     // 选中项目中的执行科室id与全部科室数据做匹配
     const findItem = findTreeItem(orgOptions.value, obj.orgId);
     if (!findItem) {
+      // type=2(提交)时，若用户已手动选择发往科室，则允许提交
+      if (type === 2 && manualDept) {
+        form.targetDepartment = manualDept;
+        isRelease = true;
+      } else {
         isRelease = false;
         ElMessage({
           type: 'error',
           message: '未找到项目执行的科室',
         });
       }
+    }
     if (type == 1) {
       if (isRelease) {
         form.targetDepartment = findItem.id;
@@ -232,7 +240,7 @@ const submit = () => {
       unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
       unitPrice: item.priceList[0].price /** 单价 */,
       totalPrice: item.priceList[0].price /** 总价 */,
-      positionId: item.positionId, //执行科室id
+      positionId: item.positionId || form.targetDepartment, //执行科室id，未配置时使用用户手动选择的科室
       ybClassEnum: item.ybClassEnum, //类别医保编码
       conditionId: item.conditionId, //诊断ID
       encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id

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

@@ -42,6 +42,40 @@
               />
             </el-form-item>
           </el-col>
+          <el-col :span="12">
+            <el-form-item label="紧急程度" prop="urgencyLevel" style="width: 100%">
+              <el-select v-model="form.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-col>
+          <el-col :span="12">
+            <el-form-item label="过敏史" prop="allergyHistory" style="width: 100%">
+              <el-input v-model="form.allergyHistory" autocomplete="off" type="textarea" placeholder="如：造影剂过敏史等" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="检查目的" prop="examinationPurpose" style="width: 100%">
+              <el-input v-model="form.examinationPurpose" autocomplete="off" type="textarea" placeholder="请说明检查目的" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="病史摘要" prop="medicalHistorySummary" style="width: 100%">
+              <el-input v-model="form.medicalHistorySummary" autocomplete="off" type="textarea" placeholder="请简要描述患者病史" />
+            </el-form-item>
+          </el-col>
+          <el-col :span="12">
+            <el-form-item label="期望检查时间" prop="expectedExaminationTime" style="width: 100%">
+              <el-date-picker
+                v-model="form.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-col>
           <el-col :span="12">
             <el-form-item label="症状" prop="symptom" style="width: 100%">
               <el-input v-model="form.symptom" autocomplete="off" type="textarea" />
@@ -145,6 +179,11 @@ const transferValue = ref([]);
 const form = reactive({
   // 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
@@ -242,13 +281,14 @@ const submit = () => {
       accountId: patientInfo.value.accountId, // // 账户id
     };
   });
+  const itemNames = applicationListAllFilter.map(item => item.adviceName).filter(Boolean).join('、');
   saveCheckd({
     activityList: applicationListAllFilter,
     patientId: patientInfo.value.patientId, //患者ID
     encounterId: patientInfo.value.encounterId, // 就诊ID
     organizationId: patientInfo.value.inHospitalOrgId, // 医疗机构ID
     requestFormId: '', // 申请单ID
-    name: '检查申请单',
+    name: itemNames || '检查申请单',
     descJson: JSON.stringify(form),
     categoryEnum: '2', // 1 检验 2 检查 3 输血 4 手术
   }).then((res) => {

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

@@ -122,7 +122,6 @@
 
         <el-table-column label="类型" align="center" prop="" width="120">
           <template #default="scope">
-            {{ console.log(scope.row, 1111) }}
             <el-radio-group
               v-model="scope.row.therapyEnum"
               size="small"
@@ -270,7 +269,6 @@
         </el-table-column>
         <el-table-column label="频次/用法" align="center" prop="" width="180">
           <template #default="scope">
-            {{ console.log(scope.row) }}
             <span v-if="!scope.row.isEdit && scope.row.adviceType == 1" style="text-align: right">
               {{
                 [
@@ -879,14 +877,12 @@ function handleDiagnosisChange(item) {
 function handleFocus(row, index) {
   rowIndex.value = index;
   row.showPopover = true;
-  // el-popover 懒渲染，需要等两帧组件才会挂载
   const adviceType = row.adviceType !== undefined ? row.adviceType : adviceQueryParams.value.adviceType;
   // 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);
-  // 诊疗(3)和手术(6)没有categoryCode，传空字符串给refresh，由子组件转为undefined不发送
+  // 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
-  // 药品(1)才有categoryCode（如'1'=中成药,'2'=西药,'4'=中草药）
+  const categoryCode = selectedItem ? selectedItem.categoryCode : (row.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
-  const categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -923,8 +919,8 @@ 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);
-      // 诊疗/手术的categoryCode为空字符串，由子组件转为undefined不发送
+      // 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
-      const categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
+      const categoryCode = selectedItem ? selectedItem.categoryCode : (row?.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
       tableRef.refresh(adviceType, categoryCode, value);
     }
   }
@@ -1214,12 +1210,8 @@ function handleSave() {
           getListInfo(false);
           bindMethod.value = {};
           nextId.value == 1;
-
-          // 处方保存成功后，自动将医嘱信息同步至患者处置记录
-          // handleEmrTreatment();
         } else {
           proxy.$modal.msgError(res.message);
-          conso;
           isSaving.value = false;
         }
       })
@@ -1319,6 +1311,9 @@ function handleCancelEdit(row, index) {
 function handleSaveSign(row, index) {
   if (row.adviceType != 2) {
     let itemNo = row.adviceType == 1 ? row.methodCode : row.adviceDefinitionId;
+    if (!itemNo) {
+      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) => {
         if (res.data.length == 0) {
           return;
@@ -1336,6 +1331,7 @@ function handleSaveSign(row, index) {
         }
       });
     }
+  }
 
   // 更新UI状态
   row.isEdit = false;

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

@@ -17,13 +17,11 @@
             </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="true" />
+              <TestApplication ref="testApplicationRef" :show-status-column="false" />
             </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>
@@ -46,10 +44,11 @@
   </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';
@@ -84,6 +83,7 @@ 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/InpatientBilling/components/FeeDialog.vue

@@ -181,7 +181,7 @@
                   v-for="dept in getFilteredOptions(scope.row, 'departmentOptions')"
                   :key="dept.id"
                   :label="dept.name"
-                  :value="dept.id"
+                  :value="String(dept.id)"
                 />
               </el-select>
               <el-select
@@ -197,7 +197,7 @@
                   v-for="dept in getFilteredOptions(scope.row, 'locationOptions')"
                   :key="dept.value"
                   :label="dept.label"
-                  :value="dept.value"
+                  :value="String(dept.value)"
                 />
               </el-select>
             </template>
@@ -280,8 +280,16 @@
       style="width: 100%"
     >
       <el-table-column type="index" label="序号" width="60" align="center" />
-      <el-table-column label="组套名称" prop="name" min-width="180" show-overflow-tooltip />
+      <el-table-column label="组套名称" min-width="180" show-overflow-tooltip>
-      <el-table-column label="使用范围" prop="rangeCode_dictText" width="100" align="center" />
+        <template #default="scope">
+          {{ scope.row.name || scope.row.Name || '' }}
+        </template>
+      </el-table-column>
+      <el-table-column label="使用范围" width="100" align="center">
+        <template #default="scope">
+          {{ getRangeText(scope.row) }}
+        </template>
+      </el-table-column>
       <el-table-column label="明细数量" width="100" align="center">
         <template #default="scope">
           {{ scope.row.detailList?.length || 0 }} 项
@@ -481,10 +489,15 @@ watch(
 
 // 加载科室选项
 function loadDepartmentOptions() {
-  getOrgList().then((res) => {
+  getOrgList()
+    .then((res) => {
       if (res.data && res.data.records && res.data.records.length > 0) {
         departmentOptions.value = res.data.records[0].children || [];
       }
+    })
+    .catch(() => {
+      console.warn('科室列表加载失败（可能无权限）');
+      departmentOptions.value = [];
     });
 }
 
@@ -504,9 +517,14 @@ function getAdviceBaseInfos() {
     });
 }
 function getDiseaseInitLoc() {
-  getDiseaseTreatmentInitLoc(16).then((response) => {
+  getDiseaseTreatmentInitLoc(16)
+    .then((response) => {
       console.log('Disease Treatment Init Loc:', response);
       locationOptions.value = response.data.locationOptions;
+    })
+    .catch(() => {
+      console.warn('位置列表加载失败（可能无权限）');
+      locationOptions.value = [];
     });
 }
 // 下拉框模糊搜索过滤
@@ -603,15 +621,23 @@ function selectChange(row) {
   const price = row.priceList?.[0]?.price || 0;
   //获取大小单位
   const uniqueUnitCodes = getUnitCodeOptions(row);
-  // 设置默认执行科室/位置
+  // 设置默认单位：优先使用 minUnitCode（小单位），回退到 unitCode（大单位）
+  let defaultUnitCode = '';
+  if (row.minUnitCode) {
+    defaultUnitCode = String(row.minUnitCode);
+  } else if (row.unitCode) {
+    defaultUnitCode = String(row.unitCode);
+  }
+  // 设置默认执行科室/位置（统一转为字符串，避免 el-select 类型不匹配）
   let defaultPositionId = undefined;
   if (row.adviceType === 3 && departmentOptions.value.length > 0) {
     // 诊疗：优先使用患者所在科室，否则取第一个科室
-    defaultPositionId = departmentOptions.value.find(d => d.id === props.patientInfo.organizationId)?.id
+    const patientOrgId = props.patientInfo.organizationId;
-      || departmentOptions.value[0]?.id;
+    const matched = departmentOptions.value.find(d => String(d.id) === String(patientOrgId));
+    defaultPositionId = matched ? String(matched.id) : String(departmentOptions.value[0].id);
   } else if (row.adviceType === 2 && locationOptions.value.length > 0) {
     // 耗材：默认取第一个药房/耗材房
-    defaultPositionId = locationOptions.value[0]?.value;
+    defaultPositionId = String(locationOptions.value[0].value);
   }
   //插入费用列表
   feeItemsList.value.push({
@@ -619,8 +645,8 @@ function selectChange(row) {
     uniqueUnitCodes: uniqueUnitCodes,
     unitPrice: (price / (row.partPercent || 1)).toFixed(6), // 根据拆零比计算单价
     quantity: 1,
-    positionId: defaultPositionId, // 默认执行科室/位置
+    positionId: defaultPositionId, // 默认执行科室/位置（字符串类型）
-    selectUnitCode: String(row.minUnitCode || ''), // 默认选择小单位，确保字符串类型
+    selectUnitCode: defaultUnitCode, // 默认选择小单位
   });
 }
 
@@ -745,7 +771,7 @@ function openGroupSetDialog() {
 
 function loadGroupSets() {
   groupSetLoading.value = true;
-  getOrderGroup({ organizationId: orgId.value, searchKey: groupSetSearchText.value })
+  getOrderGroup({ organizationId: orgId.value })
     .then((res) => {
       const data = res?.data || {};
       if (groupSetRange.value === 1) {
@@ -765,6 +791,13 @@ function loadGroupSets() {
     });
 }
 
+function getRangeText(row) {
+  // 后端未返回rangeCode，根据当前选中的范围标签显示
+  const rangeMap = { 1: '个人', 2: '科室', 3: '全院' };
+  if (row.rangeCode_dictText) return row.rangeCode_dictText;
+  return rangeMap[groupSetRange.value] || '';
+}
+
 function handleGroupSetSelect(row) {
   selectedGroupSet.value = row;
 }

openhis-ui-vue3/src/views/inpatientNurse/components/patientList.vue

@@ -273,8 +273,9 @@ function handleSearch() {
   // 清除缓存（搜索时需要重新加载）
   patientDataCache.value.clear();
 
-  // 重新加载所有已展开病区的患者列表
+  // 通过递增 key 强制重新渲染树组件，触发重新加载所有病区患者列表
-  reloadAllPatients();
+  // 此时 searchKey 已有值，loadPatientList 会将 searchKey 传给后端进行过滤
+  treeKey.value += 1;
 }
 
 // 暴露方法供外部调用

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

@@ -67,9 +67,6 @@
         </el-button>
       </div>
     </div>
-  </div>
-</template>
-    </div>
     <div
       style="padding: 10px; background-color: #eef9fd; height: 100%; overflow-y: auto"
       v-loading="loading"
@@ -232,7 +229,7 @@ import {adviceCancel, adviceExecute, adviceNoExecute, getPrescriptionList} from
 import {patientInfoList} from '../../components/store/patient.js';
 import {lotNumberMatch} from '@/api/public';
 import {formatDateStr} from '@/utils/index';
-import {getCurrentInstance, nextTick, ref} from 'vue';
+import {getCurrentInstance, nextTick, ref, provide} from 'vue';
 
 const activeNames = ref([]);
 const prescriptionList = ref([]);
@@ -242,6 +239,8 @@ const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
+// 独立维护选中行ID集合，避免el-table内部selection状态异常导致联动全选
+const selectedRowIds = ref(new Set());
 const props = defineProps({
   exeStatus: {
     type: Number,
@@ -283,9 +282,10 @@ function handleGetPrescription() {
       exeStatus: props.exeStatus,
       requestStatus: props.requestStatus,
     }).then((res) => {
-      // try {
+      try {
+      const records = res?.data?.records || [];
       // 根据encounterId分组
-      const groupedPrescriptions = res.data.records.reduce((groups, prescription) => {
+      const groupedPrescriptions = records.reduce((groups, prescription) => {
         // 获取当前医嘱全部执行频次
         let rate;
         let times;
@@ -430,18 +430,26 @@ function handleGetPrescription() {
 
       // 将分组结果转换为数组形式
       prescriptionList.value = Object.values(groupedPrescriptions);
-      loading.value = false;
       // 默认选中全部行
       nextTick(() => {
         defaultSelectAllRows();
       });
-      // } catch {
+      } catch (error) {
-      //   loading.value = false;
+        console.error('医嘱执行-获取处方列表数据处理失败:', error);
-      // }
+        prescriptionList.value = [];
+      } finally {
+        loading.value = false;
+      }
+    }).catch((error) => {
+      console.error('医嘱执行-获取处方列表接口失败:', error);
+      prescriptionList.value = [];
+      loading.value = false;
     });
     chooseAll.value = false;
   } else {
     prescriptionList.value = [];
+    selectedRowIds.value.clear();
+    loading.value = false;
     // proxy.$message.warning('请选择患者');
   }
 }
@@ -461,11 +469,19 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
-      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
       handleGetPrescription();
+      // 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
+      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');
     }
@@ -500,23 +516,28 @@ function handleCancel() {
   let list = getSelectRows();
   let producerIds = [];
   list.forEach((item) => {
-    // 从 exePerformRecordList 直接提取 procedureId，确保取消执行时数据完整
+    // 从 exePerformRecordList 直接提取 procedureId，过滤空值避免后端SQL异常
-    const procedureIds = (item.exePerformRecordList || []).map((record) => record.procedureId);
+    const procedureIds = (item.exePerformRecordList || [])
+      .map((record) => record.procedureId)
+      .filter((id) => id != null && id !== '');
     if (procedureIds.length === 0 && (!item.procedureIds || item.procedureIds.length === 0)) {
       proxy.$modal.msgError('请选择已执行的医嘱记录');
       return;
     }
     const ids = procedureIds.length > 0 ? procedureIds : item.procedureIds;
     producerIds.push(
-      ...ids.map((value) => {
+      ...ids
+        .filter((value) => value != null && value !== '')
+        .map((value) => {
           return {
             procedureId: value,
-          therapyEnum: item.therapyEnum,
+            therapyEnum: Number(item.therapyEnum),
           };
         })
     );
   });
   if (producerIds.length === 0) {
+    proxy.$modal.msgError('未找到有效的执行记录，无法取消执行');
     return;
   }
   adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
@@ -526,14 +547,20 @@ function handleCancel() {
     } else {
       proxy.$modal.msgError(res.msg || '取消执行失败');
     }
+  }).catch(() => {
+    proxy.$modal.msgError('取消执行失败，请稍后重试');
   });
 }
 
 function getSelectRows() {
-  // 获取选中的医嘱信息
+  // 优先从独立维护的selectedRowIds集合中获取选中行，避免el-table内部selection状态异常
-  let list = [];
+  const list = [];
-  prescriptionList.value.forEach((item, index) => {
+  prescriptionList.value.forEach((item) => {
-    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
+    item.forEach((row) => {
+      if (selectedRowIds.value.has(row.requestId)) {
+        list.push(row);
+      }
+    });
   });
   return list;
 }
@@ -609,12 +636,14 @@ function handelSwicthChange(value) {
       if (value) {
         // 全选：选中所有行并联动checkbox
         item.forEach((row) => {
+          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
           selectAllCheckboxesInRow(row);
         });
       } else {
         // 取消全选：取消选中所有行并联动checkbox
         item.forEach((row) => {
+          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
           unselectAllCheckboxesInRow(row);
         });
@@ -625,11 +654,14 @@ function handelSwicthChange(value) {
 
 // 默认选中全部行
 function defaultSelectAllRows() {
+  // 清空并重建选中集合
+  selectedRowIds.value.clear();
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
       // 选中该表格的所有行
       item.forEach((row) => {
+        selectedRowIds.value.add(row.requestId);
         tableRef[0].toggleRowSelection(row, true);
         // 同时选中该行内部的所有checkbox
         selectAllCheckboxesInRow(row);
@@ -709,13 +741,14 @@ function checkAndToggleRowSelection(row) {
       const tableRef = proxy.$refs['tableRef' + tableIndex];
       if (tableRef && tableRef[0]) {
         const isAllSelected = isAllCheckboxesSelected(row);
-        const selectedRows = tableRef[0].getSelectionRows();
+        const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
-        const isCurrentlySelected = selectedRows.some((r) => r.requestId === row.requestId);
 
         // 根据checkbox状态更新表格行选中状态
         if (isAllSelected && !isCurrentlySelected) {
+          selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
         } else if (!isAllSelected && isCurrentlySelected) {
+          selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
         }
       }
@@ -728,9 +761,11 @@ function handleRowSelect(selection, row, tableIndex) {
   const isSelected = selection.some((item) => item.requestId === row.requestId);
 
   if (isSelected) {
+    selectedRowIds.value.add(row.requestId);
     // 选中行时，选中该行内部的所有checkbox
     selectAllCheckboxesInRow(row);
   } else {
+    selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox
     unselectAllCheckboxesInRow(row);
   }
@@ -747,11 +782,13 @@ function handleSelectAll(selection, tableIndex) {
   if (selection.length > 0) {
     // 全选时，选中所有行内部的所有checkbox
     tableData.forEach((row) => {
+      selectedRowIds.value.add(row.requestId);
       selectAllCheckboxesInRow(row);
     });
   } else {
     // 取消全选时，取消选中所有行内部的所有checkbox
     tableData.forEach((row) => {
+      selectedRowIds.value.delete(row.requestId);
       unselectAllCheckboxesInRow(row);
     });
   }
@@ -763,17 +800,13 @@ function handleSelectAll(selection, tableIndex) {
 // 更新全选开关状态
 function updateChooseAllStatus() {
   let allSelected = true;
-  prescriptionList.value.forEach((item, index) => {
+  prescriptionList.value.forEach((item) => {
-    const tableRef = proxy.$refs['tableRef' + index];
+    item.forEach((row) => {
-    if (tableRef && tableRef[0]) {
+      if (!selectedRowIds.value.has(row.requestId)) {
-      const selectedRows = tableRef[0].getSelectionRows();
-      if (selectedRows.length !== item.length) {
-        allSelected = false;
-      }
-    } else {
         allSelected = false;
       }
     });
+  });
   chooseAll.value = allSelected;
 }
 

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

@@ -51,7 +51,7 @@
 </template>
 
 <script setup>
-import {getCurrentInstance} from 'vue';
+import {getCurrentInstance, ref, nextTick, provide} from 'vue';
 import PatientList from '../components/patientList.vue';
 import PrescriptionList from './components/prescriptionList.vue';
 import { RequestStatus } from '@/utils/medicalConstants';

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

@@ -181,7 +181,7 @@ function handleGetPrescription() {
     getPrescriptionList({
       encounterIds: encounterIds,
       requestStatus: props.requestStatus,
-      therapyEnum: type.value === 1 ? undefined : type.value === 2 ? 1 : 2, // 1=全部(不传), 2=长期(1), 3=临时(2)
+      ...(type.value !== undefined ? { therapyEnum: type.value } : {}),
       pageSize: 10000,
       pageNo: 1,
     }).then((res) => {

openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue

@@ -112,6 +112,19 @@
           <el-form ref="dynamicForm" :model="formData" label-width="100px" :rules="formRules">
             <div class="page-bottom">
               <el-row :gutter="24">
+                <el-col :span="8">
+                  <el-form-item style="margin-top: 15px" label="录入日期">
+                    <el-date-picker
+                      v-model="formData.recordingDate"
+                      type="date"
+                      placeholder="请选择日期"
+                      size="small"
+                      format="YYYY/MM/DD"
+                      value-format="YYYY-MM-DD"
+                      style="width: 100%"
+                    />
+                  </el-form-item>
+                </el-col>
                 <el-col :span="8">
                   <el-form-item style="margin-top: 15px" label="录入时间">
                     <div class="input-time-inline">
@@ -766,6 +779,7 @@ const receptionTime = ref(null);
 
 // 表单数据 - 体征录入
 const formData = ref({
+  recordingDate: '',
   timePoint: '',
   temperature: '',
   systolicPressure: '',
@@ -872,6 +886,7 @@ function getPatientDetial() {
   // 默认查询今天的数据
   const today = moment().format('YYYY-MM-DD');
   receptionTime.value = [today, today];
+  formData.value.recordingDate = today;
   // 自动加载数据
   getPatientList();
   listPatient(queryParams.value).then((res) => {
@@ -920,6 +935,7 @@ function handleRowClick(row) {
   formData.value = {
     ...formData.value,
     id: row.id,
+    recordingDate: row.recordingDate || '',
     timePoint: convertTimePoint(row.timePoint) || '',
     temperature: row.temperature || '',
     systolicPressure: row.systolicPressure || '',
@@ -1038,7 +1054,7 @@ function confirmCharge() {
 
   params.vitalSignsCode = vitalSignsCode;
   params.vitalSignsValues = vitalSignsValues;
-  params.recordingDate = moment(new Date()).format('YYYY-MM-DD');
+  params.recordingDate = formData.value.recordingDate || moment(new Date()).format('YYYY-MM-DD');
 
   addVitalSigns(params).then(res => {
     console.log('保存成功:', res);
@@ -1047,6 +1063,7 @@ function confirmCharge() {
       getPatientList();
       // 清空表单
       formData.value = {
+        recordingDate: '',
         timePoint: '',
         temperature: '',
         systolicPressure: '',

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

@@ -1481,6 +1481,8 @@ function handleMedicalAdvice(row) {
       const filteredItems = res.data.filter(item => {
         // 匹配 encounterId
         if (item.encounterId !== row.visitId) return false;
+        // 仅保留药品（adviceType=1），过滤耗材(2)和项目(3)
+        if (item.adviceType !== 1 && item.advice_type !== 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;
@@ -1743,6 +1745,8 @@ function handleQuoteBilling() {
               const filteredItems = res.data.filter(item => {
                 // 匹配 encounterId
                 if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
+                // 仅保留药品（adviceType=1），过滤耗材(2)和项目(3)
+                if (item.adviceType !== 1 && item.advice_type !== 1) return false;
                 // 过滤掉名称为空的项目
                 const medicineName = item.adviceName || item.advice_name;
                 return medicineName && medicineName.trim() !== '';

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

@@ -220,15 +220,15 @@
 
     <!-- 底部控制面板 -->
     <div class="footer-section">
-      <!-- 就诊科室快速过滤栏 -->
+      <!-- 诊室快速过滤栏 -->
       <div class="filter-section">
         <div class="filter-label">
-          ③ 就诊科室快速过滤栏
+          ③ 诊室快速过滤栏
         </div>
         <div class="filter-select-wrapper">
           <el-select
-            v-model="selectedDept"
+            v-model="selectedClinicRoom"
-            placeholder="请选择就诊科室"
+            placeholder="请选择诊室"
             clearable
             filterable
             style="width: 100%"
@@ -239,10 +239,10 @@
               value="all"
             />
             <el-option
-              v-for="dept in departmentList"
+              v-for="room in clinicRoomList"
-              :key="dept.id"
+              :key="room"
-              :label="dept.name"
+              :label="room"
-              :value="dept.id"
+              :value="room"
             />
           </el-select>
         </div>
@@ -648,7 +648,6 @@ import { Refresh } from '@element-plus/icons-vue'
 import { ElMessage } from 'element-plus'
 import {
   getCandidatePool,
-  getLocationTree,
   getTriageQueueList,
   addToQueue,
   removeFromQueue,
@@ -681,10 +680,10 @@ const selectedCandidates = ref([])
 // 显示选项
 const showOnlyWaiting = ref(false)
 
-// 科室过滤（改为使用就诊科室）
+// 诊室过滤（按诊室维度筛选）
-const selectedDept = ref('all')
+const selectedClinicRoom = ref('all')
-// 就诊科室列表
+// 诊室列表（从数据中动态提取）
-const departmentList = ref([])
+const clinicRoomList = ref([])
 
 // 修复【#397】：动态获取当前科室名称
 const currentDeptName = computed(() => {
@@ -907,13 +906,11 @@ const mapFrontendStatusToBackend = (status) => {
 // 从数据库加载队列
 const loadQueueFromDb = async () => {
   try {
-    // 如果选择了具体科室，就按科室加载；否则加载当前登录人科室（后端默认）
+    // 使用当前登录人的科室
-    const organizationId = selectedDept.value !== 'all' ? selectedDept.value : 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：organizationId=', organizationId, 'date=', todayStr, 'selectedDept=', selectedDept.value)
+    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 }
     })
@@ -1141,6 +1138,8 @@ 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) {
@@ -1152,56 +1151,37 @@ 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())
 
-// 辅助函数：扁平化科室树形结构
+// 提取诊室列表（从队列和候选池数据中动态获取）
-const flattenDepartmentTree = (tree, result = []) => {
+const extractClinicRooms = () => {
-  if (!Array.isArray(tree)) return result
+  const roomSet = new Set()
-  tree.forEach(node => {
+  // 从队列中提取
-    if (node.id && node.name) {
+  originalQueueList.value.forEach(item => {
-      result.push({ id: node.id, name: node.name })
+    if (item.room && item.room !== '-') {
-    }
+      roomSet.add(item.room)
-    if (node.children && Array.isArray(node.children)) {
-      flattenDepartmentTree(node.children, result)
     }
   })
-  return result
+  // 从候选池中提取
-}
+  originalCandidatePoolList.value.forEach(item => {
-
+    if (item.room && item.room !== '-') {
-// 加载就诊科室列表
+      roomSet.add(item.room)
-const loadDepartmentList = async () => {
-  try {
-    const response = await getLocationTree()
-    if (response && response.data) {
-      // 扁平化树形结构
-      departmentList.value = flattenDepartmentTree(response.data)
-      console.log('【心内科】已加载就诊科室列表：', departmentList.value.length, '个科室')
     }
-  } catch (error) {
+  })
-    console.error('【心内科】加载就诊科室列表失败：', error)
+  clinicRoomList.value = Array.from(roomSet).sort()
-    ElMessage.warning('加载就诊科室列表失败，使用默认数据')
-  }
-}
-
-// 获取选中科室的名称
-const getSelectedDeptName = () => {
-  if (selectedDept.value === 'all') return null
-  const dept = departmentList.value.find(d => d.id === selectedDept.value)
-  return dept ? dept.name : null
 }
 
 // 过滤后的智能候选池数据
 const filteredCandidatePoolList = computed(() => {
-  if (selectedDept.value === 'all') {
+  if (selectedClinicRoom.value === 'all') {
     return originalCandidatePoolList.value
   }
-  const deptName = getSelectedDeptName()
+  return originalCandidatePoolList.value.filter(item => item.room === selectedClinicRoom.value)
-  if (!deptName) return originalCandidatePoolList.value
-  return originalCandidatePoolList.value.filter(item => item.room === deptName)
 })
 
 // 原始队列数据存储（用于过滤）
@@ -1223,19 +1203,16 @@ const formatSecondsToMmSs = (totalSeconds) => {
   return `${mm}:${ss}`
 }
 
-// 过滤后的智能队列数据（同时考虑科室过滤和状态过滤）
+// 过滤后的智能队列数据（同时考虑诊室过滤和状态过滤）
 const filteredQueueList = computed(() => {
   let filtered = originalQueueList.value
 
   // 先过滤掉"已完成"状态的患者（无论什么情况都不显示）
   filtered = filtered.filter(item => item.status !== '已完成')
 
-  // 再按科室过滤
+  // 再按诊室过滤
-  if (selectedDept.value !== 'all') {
+  if (selectedClinicRoom.value !== 'all') {
-    const deptName = getSelectedDeptName()
+    filtered = filtered.filter(item => item.room === selectedClinicRoom.value)
-    if (deptName) {
-      filtered = filtered.filter(item => item.room === deptName)
-    }
   }
 
   // 再按状态过滤（只显示等待）
@@ -1747,9 +1724,9 @@ const handleNextPatient = async () => {
       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）
-      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // 全科模式：优先用"当前叫号中/第一个等待"所在科室
-      // "全科"模式：优先用"当前叫号中/第一个等待"所在科室
+      let orgId = null
-      if (orgId == null) {
+      {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
         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)
@@ -1785,9 +1762,9 @@ const handleSkip = async () => {
       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）
-      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // 全科模式：优先用”当前叫号中”所在科室
-      // “全科”模式：优先用“当前叫号中”所在科室
+      let orgId = null
-      if (orgId == null) {
+      {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
         orgId = calling?.organizationId
       }
@@ -1819,9 +1796,9 @@ const handleComplete = async () => {
       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）
-      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // 全科模式：优先用”当前叫号中”所在科室
-      // “全科”模式：优先用“当前叫号中”所在科室
+      let orgId = null
-      if (orgId == null) {
+      {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
         orgId = calling?.organizationId
       }
@@ -1853,9 +1830,9 @@ const handleRequeue = async () => {
       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）
-      let orgId = selectedDept.value !== 'all' ? selectedDept.value : undefined
+      // 全科模式：优先用”当前叫号中”所在科室
-      // “全科”模式：优先用“当前叫号中”所在科室
+      let orgId = null
-      if (orgId == null) {
+      {
         const calling = originalQueueList.value.find((i) => i.status === '叫号中')
         orgId = calling?.organizationId
       }
@@ -2121,8 +2098,6 @@ const handleTestRule = () => {
 
 // 组件挂载
 onMounted(() => {
-  // 加载就诊科室列表
-  loadDepartmentList()
   // 初始化：优先从后端加载，失败则回退本地假数据
   loadDataFromApi()
   startWaitingTimer()