Fix Bug #475 : 【住院医生工作站】开立检查申请单报错"请先配置当前时间段的执行科室"后，系统仍生成申请记录

根因：saveRequestForm 方法中，执行科室配置校验（activityOrganizationConfig.isEmpty）位于 saveOrUpdate(requestForm) 之后，导致即使校验失败抛出异常，RequestForm 记录已被写入数据库。修复：将校验逻辑移至方法开头，在任何数据库操作之前执行，确保校验失败时不产生任何脏数据。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
Fix Bug #472 : 住院医生工作站-手术申请单：勾选手术项目无效，导致无法正常开立医嘱
2026-05-13 18:12:18 +08:00 · 2026-05-13 18:12:17 +08:00 · 2026-05-13 18:10:44 +08:00 · 2026-05-13 18:06:09 +08:00 · 2026-05-13 17:49:27 +08:00 · 2026-05-13 17:48:26 +08:00
37 changed files with 776 additions and 182 deletions
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java
@@ -7,6 +7,7 @@ import com.core.common.utils.MessageUtils;
 import com.openhis.administration.domain.Location;
 import com.openhis.administration.domain.Organization;
 import com.openhis.administration.domain.OrganizationLocation;
+import com.openhis.workflow.domain.ActivityDefinition;
 import com.openhis.administration.mapper.OrganizationLocationMapper;
 import com.openhis.administration.service.ILocationService;
 import com.openhis.administration.service.IOrganizationLocationService;
@@ -70,6 +71,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
        // 获取科室下拉选列表
        List<Organization> organizationList = organizationService.getList(OrganizationType.DEPARTMENT.getValue(), null);
        List<OrgLocInitDto.departmentOption> organizationOptions = organizationList.stream()
+            .filter(organization -> organization != null && organization.getName() != null)
            .map(organization -> new OrgLocInitDto.departmentOption(organization.getId(), organization.getName()))
            .collect(Collectors.toList());
        initDto.setLocationFormOptions(chargeItemStatusOptions).setDepartmentOptions(organizationOptions);
@@ -131,12 +133,18 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
    @Override
    public R<?> addOrEditOrgLoc(OrgLocQueryDto orgLocQueryDto) {

+        // Validate required fields before processing
+        if (orgLocQueryDto.getOrganizationId() == null) {
+            return R.fail("请选择执行科室");
+        }
+
        OrganizationLocation orgLoc = new OrganizationLocation();
        BeanUtils.copyProperties(orgLocQueryDto, orgLoc);

        Long activityDefinitionId = orgLoc.getActivityDefinitionId();
-        String activityName = activityDefinitionId != null
-            ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
+        ActivityDefinition activityDef = activityDefinitionId != null
+            ? activityDefinitionMapper.selectById(activityDefinitionId) : null;
+        String activityName = activityDef != null ? activityDef.getName() : "";

        List<OrganizationLocation> organizationLocationList =
            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java
@@ -2,9 +2,13 @@ package com.openhis.web.clinicalmanage.controller;

 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.core.common.core.domain.R;
+import com.openhis.common.enums.ActivityDefCategory;
 import com.openhis.web.clinicalmanage.appservice.ISurgicalScheduleAppService;
 import com.openhis.web.clinicalmanage.dto.OpCreateScheduleDto;
 import com.openhis.web.clinicalmanage.dto.OpScheduleDto;
+import com.openhis.web.regdoctorstation.appservice.IRequestFormManageAppService;
+import com.openhis.web.regdoctorstation.dto.RequestFormDto;
+import com.openhis.web.regdoctorstation.dto.RequestFormPageDto;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;
@@ -26,6 +30,7 @@ import java.util.Map;
 public class SurgicalScheduleController {

    private final ISurgicalScheduleAppService surgicalScheduleAppService;
+    private final IRequestFormManageAppService requestFormManageAppService;

    /**
     * 分页查询手术安排列表
@@ -87,6 +92,27 @@ public class SurgicalScheduleController {
        return surgicalScheduleAppService.deleteSurgerySchedule(scheduleId);
    }

+    /**
+     * 分页查询待排期手术申请列表
+     *
+     * @param requestFormDto 查询条件
+     * @return 手术申请列表
+     */
+    @PostMapping(value = "/apply-list")
+    public R<IPage<RequestFormPageDto>> getSurgeryApplyList(@RequestBody RequestFormDto requestFormDto) {
+        if (requestFormDto.getPageNo() == null) {
+            requestFormDto.setPageNo(1);
+        }
+        if (requestFormDto.getPageSize() == null) {
+            requestFormDto.setPageSize(10);
+        }
+        //虽然很想这么写，但是库里的手术申请单的type_code都是直接写的SURGERY
+//        requestFormDto.setTypeCode(ActivityDefCategory.PROCEDURE.getCode());
+        //只查询手术申请单
+        requestFormDto.setTypeCode("SURGERY");
+        return R.ok(requestFormManageAppService.getRequestFormPage(requestFormDto));
+    }
+
    /**
     * 导出手术安排列表
     *
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java
@@ -59,6 +59,16 @@ public interface IDoctorStationAdviceAppService {
     */
    R<?> getRequestBaseInfo(Long encounterId);

+    /**
+     * 查询医嘱请求数据（支持按生成来源和来源单据号过滤）
+     *
+     * @param encounterId 就诊id
+     * @param generateSourceEnum 生成来源（可选，如手术计费=6）
+     * @param sourceBillNo 来源业务单据号（可选）
+     * @return 医嘱请求数据
+     */
+    R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo);
+
    /**
     * 门诊签退医嘱
     *
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -228,8 +228,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        // 医嘱定义ID集合
        List<Long> adviceDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getAdviceDefinitionId)
                .collect(Collectors.toList());
-        // 费用定价主表ID集合
-        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
+        // 费用定价主表ID集合（过滤null值，手术项目无定价定义）
+        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream()
+                .map(AdviceBaseDto::getChargeItemDefinitionId)
+                .filter(Objects::nonNull)
                .collect(Collectors.toList());

        // 判断是否包含药品或耗材类型（只有这些类型才需要库存相关查询）
@@ -275,9 +277,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            medLocationConfig = Collections.emptyList();
            allowedLocByCategory = Collections.emptyMap();
        }
-        // 费用定价子表信息 - 使用分批处理避免大量参数问题
+        // 费用定价子表信息 - 仅药品/耗材需要批次定价查询，手术/诊疗无库存概念不需要
        List<AdvicePriceDto> childCharge = new ArrayList<>();
-        if (chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
+        if (hasMedOrDevice && chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
            // 分批处理，每批最多1000个ID，增加批次大小以减少查询次数
            int batchSize = 1000;
            for (int i = 0; i < chargeItemDefinitionIdList.size(); i += batchSize) {
@@ -957,11 +959,16 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            }
        }
        for (AdviceSaveDto adviceSaveDto : deleteList) {
-            iMedicationRequestService.removeById(adviceSaveDto.getRequestId());
+            Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的药品请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handMedication - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
+            iMedicationRequestService.removeById(requestId);
            // 删除已经产生的药品发放信息
            iMedicationDispenseService.deleteMedicationDispense(adviceSaveDto.getRequestId());
            // 🔧 Bug Fix #219: 删除费用项
-            Long requestId = adviceSaveDto.getRequestId();
            String serviceTable = CommonConstants.TableName.MED_MEDICATION_REQUEST;
            // 直接删除费用项
            iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1417,6 +1424,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        log.info("BugFix#219: handDevice - 开始删除循环, deleteList.size={}", deleteList.size());
        for (AdviceSaveDto adviceSaveDto : deleteList) {
            Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的耗材请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handDevice - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
            log.info("BugFix#219: handDevice - 删除开始: requestId={}", requestId);
            
            // 1. 删除耗材请求
@@ -1721,12 +1733,17 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            }
        }
        for (AdviceSaveDto adviceSaveDto : deleteList) {
-            iServiceRequestService.removeById(adviceSaveDto.getRequestId());// 删除诊疗
+            Long requestId = adviceSaveDto.getRequestId();
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的诊疗请求
+            if (requestId == null) {
+                log.warn("BugFix#442: handService - 跳过 requestId 为 null 的删除请求");
+                continue;
+            }
+            iServiceRequestService.removeById(requestId);// 删除诊疗
            iServiceRequestService.remove(
                    new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getParentId,
-                            adviceSaveDto.getRequestId()));// 删除诊疗套餐对应的子项
+                            requestId));// 删除诊疗套餐对应的子项
            // 🔧 Bug Fix #219: 删除费用项
-            Long requestId = adviceSaveDto.getRequestId();
            String serviceTable = CommonConstants.TableName.WOR_SERVICE_REQUEST;
            // 直接删除费用项
            iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1783,8 +1800,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                log.info("handService - 自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
            }
            
-            // 🔧 Bug Fix #238: 诊疗项目执行科室非空校验
-            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3) {
+            // 🔧 Bug Fix #238/#454: 诊疗项目执行科室非空校验（删除操作跳过校验）
+            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3
+                    && !DbOpType.DELETE.getCode().equals(adviceSaveDto.getDbOpType())) {
                Long effectiveOrgId = adviceSaveDto.getEffectiveOrgId();
                if (effectiveOrgId == null) {
                    throw new ServiceException("诊疗项目必须选择执行科室");
@@ -1987,13 +2005,25 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     */
    @Override
    public R<?> getRequestBaseInfo(Long encounterId) {
+        return this.getRequestBaseInfo(encounterId, null, null);
+    }
+
+    @Override
+    public R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo) {
        // 当前账号的参与者id
        Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
+        // 未指定generateSourceEnum时，默认只查询医生开立的医嘱
+        int sourceEnum = (generateSourceEnum != null) ? generateSourceEnum : GenerateSource.DOCTOR_PRESCRIPTION.getValue();
        // 医嘱请求数据
        List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, null,
                CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
-                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                sourceEnum, sourceBillNo);
+        // 手术计费场景：sourceBillNo 不为空时，只保留诊疗请求（3/6），过滤掉药品（1）和耗材（2）
+        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
+            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
+                    && (dto.getAdviceType() == 1 || dto.getAdviceType() == 2));
+        }
        for (RequestBaseDto requestBaseDto : requestBaseInfo) {
            // 请求状态
            requestBaseDto
@@ -2114,7 +2144,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, patientId,
                CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.YES.getCode(),
-                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                GenerateSource.DOCTOR_PRESCRIPTION.getValue(), null);
        for (RequestBaseDto requestBaseDto : requestBaseInfo) {
            // 请求状态
            requestBaseDto
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -274,27 +274,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
            return R.fail("非就诊中患者不能完诊");
        }

-        // 2. 获取 pool_id 和 slot_id：从 encounter → order_main → adm_schedule_slot 链路获取
-        //    确保 div_log 中的值与排班主表一致，不依赖 triage_queue_item（队列项可能不存在或值错误）
+        // 2. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
-        Long divPoolId = null;
-        Long divSlotId = null;
-        if (encounter.getOrderId() != null) {
-            try {
-                Order order = iOrderService.getById(encounter.getOrderId());
-                if (order != null && order.getSlotId() != null) {
-                    divSlotId = order.getSlotId();
-                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
-                    if (slot != null) {
-                        divPoolId = slot.getPoolId();
-                    }
-                }
-            } catch (Exception e) {
-                log.warn("获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
-            }
-        }
-
-        // 3. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
        TriageQueueItem queueItem = triageQueueItemService.getOne(
            new LambdaQueryWrapper<TriageQueueItem>()
                .eq(TriageQueueItem::getTenantId, tenantId)
@@ -319,14 +300,43 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
            }
        }

+        // 3. 获取 pool_id 和 slot_id：优先使用 triage_queue_item（挂号时录入的号源信息，为权威来源）
+        //    队列项不存在或值缺失时，回退使用 encounter → order_main → adm_schedule_slot 链路
+        Long divPoolId = null;
+        Long divSlotId = null;
+        if (queueItem != null && queueItem.getPoolId() != null && queueItem.getSlotId() != null) {
+            divPoolId = queueItem.getPoolId();
+            divSlotId = queueItem.getSlotId();
+        }
+        // 队列项 poolId/slotId 缺失时，通过 encounter.orderId → order_main.slot_id → adm_schedule_slot.pool_id 回退获取
+        if ((divPoolId == null || divSlotId == null) && encounter.getOrderId() != null) {
+            try {
+                Order order = iOrderService.getById(encounter.getOrderId());
+                if (order != null && order.getSlotId() != null) {
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(order.getSlotId());
+                    if (slot != null) {
+                        divSlotId = slot.getId();
+                        divPoolId = slot.getPoolId();
+                    }
+                }
+            } catch (Exception e) {
+                log.warn("回退获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
+            }
+        }
+
        // 如果队列项存在且未完成，更新队列状态为已完成
        // 使用排除法而非白名单：只要不是"已完成"就可以完诊，覆盖跳过、等待等非标准流转状态
        if (queueItem != null &&
            !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
            java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
-            queueItem.setStatus(TriageQueueStatus.COMPLETED.getValue());
-            queueItem.setUpdateTime(nowLocal);
-            triageQueueItemService.updateById(queueItem);
+            // 使用 LambdaUpdateWrapper 直接更新，确保 status 字段必定写入数据库
+            boolean queueUpdate = triageQueueItemService.update(new LambdaUpdateWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getId, queueItem.getId())
+                .set(TriageQueueItem::getStatus, TriageQueueStatus.COMPLETED.getValue())
+                .set(TriageQueueItem::getUpdateTime, nowLocal));
+            if (!queueUpdate) {
+                log.error("完诊：triage_queue_item 状态更新失败，queueItemId={}", queueItem.getId());
+            }
        } else if (queueItem == null) {
            log.error("完诊：未找到任何 triage_queue_item 记录，encounterId={}, tenantId={}",
                encounterId, tenantId);
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java
@@ -112,11 +112,16 @@ public class DoctorStationAdviceController {
     * 查询医嘱请求数据
     *
     * @param encounterId 就诊id
+     * @param generateSourceEnum 生成来源（可选，用于按来源过滤，如手术计费=6）
+     * @param sourceBillNo 来源业务单据号（可选，用于按来源单据过滤）
     * @return 医嘱请求数据
     */
    @GetMapping(value = "/request-base-info")
-    public R<?> getRequestBaseInfo(@RequestParam(required = false) Long encounterId) {
-        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId);
+    public R<?> getRequestBaseInfo(
+            @RequestParam(required = false) Long encounterId,
+            @RequestParam(required = false) Integer generateSourceEnum,
+            @RequestParam(required = false) String sourceBillNo) {
+        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId, generateSourceEnum, sourceBillNo);
    }

    /**
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java
@@ -122,7 +122,8 @@ public interface DoctorStationAdviceAppMapper {
            @Param("MED_MEDICATION_REQUEST") String MED_MEDICATION_REQUEST,
            @Param("WOR_DEVICE_REQUEST") String WOR_DEVICE_REQUEST,
            @Param("WOR_SERVICE_REQUEST") String WOR_SERVICE_REQUEST, @Param("practitionerId") Long practitionerId,
-            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum);
+            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum,
+            @Param("sourceBillNo") String sourceBillNo);

    /**
     * 查询就诊费用性质
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
@@ -341,6 +341,28 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                .collect(Collectors.toList());

+        // 防重复保存：对新增医嘱进行去重，避免签发单条长期医嘱时产生重复记录
+        Set<String> longUniqueKeySet = new HashSet<>();
+        List<RegAdviceSaveDto> longUniqueList = new ArrayList<>();
+        for (RegAdviceSaveDto adviceSaveDto : longInsertOrUpdateList) {
+            String uniqueKey = adviceSaveDto.getPatientId() + "_"
+                    + adviceSaveDto.getEncounterId() + "_"
+                    + adviceSaveDto.getAdviceDefinitionId() + "_"
+                    + adviceSaveDto.getDose() + "_"
+                    + adviceSaveDto.getMethodCode() + "_"
+                    + adviceSaveDto.getRateCode();
+            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && longUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复长期医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
+                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
+                continue;
+            }
+            longUniqueKeySet.add(uniqueKey);
+            longUniqueList.add(adviceSaveDto);
+        }
+        log.info("防重复保存（长期）：去重前{}条，去重后{}条", longInsertOrUpdateList.size(), longUniqueList.size());
+        longInsertOrUpdateList = longUniqueList;
+
        for (RegAdviceSaveDto regAdviceSaveDto : longInsertOrUpdateList) {
            boolean firstTimeSave = false;// 第一次保存
            longMedicationRequest = new MedicationRequest();
@@ -406,6 +428,29 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                .getValue().equals(e.getTherapyEnum())
                && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                .collect(Collectors.toList());
+
+        // 防重复保存：对新增医嘱进行去重
+        Set<String> tempUniqueKeySet = new HashSet<>();
+        List<RegAdviceSaveDto> tempUniqueList = new ArrayList<>();
+        for (RegAdviceSaveDto adviceSaveDto : tempInsertOrUpdateList) {
+            String uniqueKey = adviceSaveDto.getPatientId() + "_"
+                    + adviceSaveDto.getEncounterId() + "_"
+                    + adviceSaveDto.getAdviceDefinitionId() + "_"
+                    + adviceSaveDto.getDose() + "_"
+                    + adviceSaveDto.getMethodCode() + "_"
+                    + adviceSaveDto.getRateCode();
+            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && tempUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复临时医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
+                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
+                continue;
+            }
+            tempUniqueKeySet.add(uniqueKey);
+            tempUniqueList.add(adviceSaveDto);
+        }
+        log.info("防重复保存（临时）：去重前{}条，去重后{}条", tempInsertOrUpdateList.size(), tempUniqueList.size());
+        tempInsertOrUpdateList = tempUniqueList;
+
        for (RegAdviceSaveDto regAdviceSaveDto : tempInsertOrUpdateList) {
            boolean firstTimeSave = false;// 第一次保存
            tempMedicationRequest = new MedicationRequest();
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -31,6 +31,7 @@ import org.springframework.transaction.annotation.Transactional;

 import javax.annotation.Resource;
 import java.math.BigDecimal;
+import java.text.SimpleDateFormat;
 import java.util.Date;
 import java.util.List;
 import java.util.Map;
@@ -75,6 +76,13 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
    @Override
    @Transactional(rollbackFor = Exception.class)
    public R<?> saveRequestForm(RequestFormSaveDto requestFormSaveDto, String typeCode) {
+        // 诊疗执行科室配置校验（必须在任何数据库操作之前）
+        List<ActivityOrganizationConfigDto> activityOrganizationConfig =
+            requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
+        if (activityOrganizationConfig.isEmpty()) {
+            throw new ServiceException("请先配置当前时间段的执行科室");
+        }
+
        // 诊疗处方号
        String prescriptionNo;
        // 申请单ID
@@ -91,8 +99,10 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                return R.fail("无待签发的医嘱,该申请单不可编辑");
            }
        } else {
-            // 诊疗处方号
-            prescriptionNo = assignSeqUtil.getSeq(AssignSeqEnum.ACTIVITY_PSYCHOTROPIC_NO.getPrefix(), 8);
+            // 检查申请单号：JC（检查）+ Z（住院标识）+ yyMMdd（日期）+ 5位顺序号
+            String dateStr = new java.text.SimpleDateFormat("yyMMdd").format(new Date());
+            int seq = assignSeqUtil.getSeqNoByDay(AssignSeqEnum.CHECK_APPLY_NO.getPrefix());
+            prescriptionNo = "JCZ" + dateStr + String.format("%05d", seq);
        }

        // 当前时间
@@ -139,12 +149,6 @@ 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();
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
@@ -16,6 +16,7 @@ import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;

+import java.time.LocalDate;
 import java.util.List;

 /**
@@ -142,6 +143,32 @@ public class RequestFormManageController {
        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROCEDURE.getCode()));
    }
 /**
+     * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
+     *
+     * @param surgeryNo     手术单号（模糊查询，可选）
+     * @param applyTimeStart 申请时间起始（可选）
+     * @param applyTimeEnd   申请时间截止（可选）
+     * @param mainDoctorId   主刀医生ID（可选）
+     * @param applyDeptId    申请科室ID（可选）
+     * @param pageNo   页码，默认1
+     * @param pageSize 每页数量，默认10
+     * @return 分页手术申请单列表
+     */
+    @GetMapping(value = "/get-surgery-page")
+    public R<IPage<RequestFormPageDto>> getSurgeryRequestFormPage(
+            @RequestParam(required = false) String surgeryNo,
+            @RequestParam(required = false) LocalDate applyTimeStart,
+            @RequestParam(required = false) LocalDate applyTimeEnd,
+            @RequestParam(required = false) Long mainDoctorId,
+            @RequestParam(required = false) Long applyDeptId,
+            @RequestParam(defaultValue = "1") Integer pageNo,
+            @RequestParam(defaultValue = "10") Integer pageSize) {
+        RequestFormDto dto = new RequestFormDto(surgeryNo, ActivityDefCategory.PROCEDURE.getCode(), applyTimeStart, applyTimeEnd,
+                mainDoctorId, applyDeptId, pageNo, pageSize);
+        return R.ok(iRequestFormManageAppService.getRequestFormPage(dto));
+    }
+
+    /**
     * 分页查询申请单
     * @return 申请单
     */
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormDto.java
@@ -14,6 +14,10 @@ public class RequestFormDto {
     * 手术单号
     */
    private String surgeryNo;
+    /**
+     * 申请单类型编码
+     */
+    private String typeCode;
    /**
     * 申请时间开始
     */
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -527,6 +527,9 @@
        LEFT JOIN cli_condition AS cc ON cc.id = T1.condition_id AND cc.delete_flag = '0'
        LEFT JOIN cli_condition_definition AS ccd ON ccd.id = cc.definition_id
        WHERE T1.delete_flag = '0' AND T1.tcm_flag = 0
+        <if test="generateSourceEnum != null">
+            AND T1.generate_source_enum = #{generateSourceEnum}
+        </if>
        <if test="historyFlag == '0'.toString()">
            AND T1.encounter_id = #{encounterId}
        </if>
@@ -695,6 +698,9 @@
        -- based_on_table='med_medication_request' → 输液/皮试执行记录，应排除
        -- based_on_table='exam_apply'/'lab_apply' → 申请单原始医嘱，应保留
        AND (T1.based_on_id IS NULL OR T1.based_on_table IS NULL OR T1.based_on_table NOT IN ('med_medication_request', 'med_medication_dispense'))
+        <if test="sourceBillNo != null and sourceBillNo != ''">
+            AND T1.prescription_no = #{sourceBillNo}
+        </if>
        <if test="historyFlag == '0'.toString()">
            AND T1.encounter_id = #{encounterId}
        </if>
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml
@@ -231,7 +231,7 @@
               ae.priority_enum,
               ae.organization_id,
               ae.start_time                     AS in_hos_time,
-               bed.start_time,
+               COALESCE(bed.start_time, ae.start_time) AS start_time,
               bed.location_id                   AS bed_id,
               bed.location_name                 AS bed_name,
               house.location_id                 AS house_id,
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
@@ -288,7 +288,7 @@
        AND T1.refund_device_id IS NULL
        ORDER BY T1.status_enum)
        UNION ALL
-        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE COALESCE(T1.category_enum, 3) END AS advice_type,
+        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE 3 END AS advice_type,
        T1.id AS request_id,
        T1.id || '-3' AS unique_key,
        T1.requester_id AS requester_id,
@@ -373,4 +373,4 @@
        </if>
    </select>

-</mapper>
+</mapper>
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
@@ -161,6 +161,9 @@
                <if test="requestFormDto.surgeryNo != null and requestFormDto.surgeryNo != ''">
                    AND drf.prescription_no LIKE CONCAT('%', #{requestFormDto.surgeryNo}, '%')
                </if>
+                <if test="requestFormDto.typeCode != null and requestFormDto.typeCode != ''">
+                    AND drf.type_code = #{requestFormDto.typeCode}
+                </if>
                <if test="requestFormDto.applyTimeStart != null">
                    AND drf.create_time >= #{requestFormDto.applyTimeStart}
                </if>
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AssignSeqEnum.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AssignSeqEnum.java
@@ -270,6 +270,10 @@ public enum AssignSeqEnum {
     * 诊疗处方号
     */
    ACTIVITY_PSYCHOTROPIC_NO("62", "诊疗处方号", "PAR"),
+    /**
+     * 检查申请单号（住院）
+     */
+    CHECK_APPLY_NO("72", "检查申请单号", "JCZ"),
    /**
     * b 病历文书
     */
--- a/openhis-server-new/sql/20260115_add_table_triage_queue_item.sql
+++ b/openhis-server-new/sql/20260115_add_table_triage_queue_item.sql
@@ -13,7 +13,7 @@ CREATE TABLE IF NOT EXISTS triage_queue_item (
    patient_name     VARCHAR(255),
    healthcare_name  VARCHAR(255),
    practitioner_name VARCHAR(255),
-    status           VARCHAR(50)  NOT NULL, -- WAITING/CALLING/SKIPPED/COMPLETED
+    status           INTEGER      NOT NULL DEFAULT 0, -- 分诊队列状态: 0=WAITING(等待), 10=CALLING(叫号中), 20=IN_CLINIC(诊中), 30=COMPLETED(已完成), 40=SKIPPED(已跳过)
    queue_order      INTEGER      NOT NULL,
    create_time      TIMESTAMP,
    update_time      TIMESTAMP,
--- a/openhis-server-new/sql/bug_400_fix_triage_queue_item_status_type.sql
+++ b/openhis-server-new/sql/bug_400_fix_triage_queue_item_status_type.sql
@@ -0,0 +1,30 @@
+-- Bug #400 修复：triage_queue_item.status 字段类型修正
+-- 原 DDL 将 status 定义为 VARCHAR(50)，但 Java 实体 TriageQueueItem.status 为 Integer 类型，
+-- 应用层使用 TriageQueueStatus 枚举值（0/10/20/30/40）写入，类型不匹配导致 MyBatis-Plus
+-- 无法正确映射 status 字段，完诊时 status 更新为 30 失败。
+--
+-- 注意：必须在后端实际连接的 schema 中执行（dev=hisdev, test=histest, prd=hisprd）
+-- 执行前请先确认：SET search_path TO hisdev; （或对应的 schema）
+
+-- 1. 先将已有的字符串值转换为对应的整数值
+-- 如果之前写入的是枚举 code（如 'waiting'、'completed'），需要先转换
+UPDATE triage_queue_item
+SET status = CASE
+    WHEN status IN ('0', 'waiting', 'WAITING') THEN 0
+    WHEN status IN ('10', 'calling', 'CALLING') THEN 10
+    WHEN status IN ('20', 'in-clinic', 'IN_CLINIC', 'in-clinic') THEN 20
+    WHEN status IN ('30', 'completed', 'COMPLETED') THEN 30
+    WHEN status IN ('40', 'skipped', 'SKIPPED') THEN 40
+    WHEN status IN ('50', 'refunded', 'REFUNDED') THEN 50
+    WHEN status IN ('60', 'follow', 'FOLLOW') THEN 60
+    ELSE 0
+END
+WHERE status IS NOT NULL AND status !~ '^[0-9]+$';
+
+-- 2. 修改字段类型为 INTEGER
+ALTER TABLE triage_queue_item
+    ALTER COLUMN status TYPE INTEGER USING status::INTEGER;
+
+-- 3. 设置默认值
+ALTER TABLE triage_queue_item
+    ALTER COLUMN status SET DEFAULT 0;
--- a/openhis-ui-vue3/src/api/system/checkType.js
+++ b/openhis-ui-vue3/src/api/system/checkType.js
@@ -163,7 +163,7 @@ export function updateCheckPart(data) {
 // 查询检查套餐列表
 export function listCheckPackage(query) {
  return request({
-    url: '/system/check-package/list',
+    url: '/system/package/list',
    method: 'get',
    params: query
  })
--- a/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue
+++ b/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue
@@ -372,7 +372,6 @@ import {
 } from './diagnosistreatment';
 import PopoverList from '@/components/OpenHis/popoverList/index.vue';
 import medicineList from './medicineList.vue';
-import MedicineList from '../components/medicineList.vue';
 import {getCurrentInstance, nextTick, watch} from 'vue';

 const { proxy } = getCurrentInstance();
@@ -467,9 +466,9 @@ function calculateTotalPrice() {
  try {
    let sum = 0;
    treatmentItems.value.forEach((item) => {
-      if (item.adviceDefinitionId && item.retailPrice && item.childrenRequestNum) {
-        const price = parseFloat(item.retailPrice) || 0;
-        const count = parseInt(item.childrenRequestNum) || 0;
+      if (item.adviceDefinitionId && item.adviceDefinitionId !== '') {
+        const price = Number(item.retailPrice) || 0;
+        const count = Number(item.childrenRequestNum) || 0;
        sum += price * count;
      }
    });
@@ -479,7 +478,10 @@ function calculateTotalPrice() {
      (item) => item.adviceDefinitionId && item.adviceDefinitionId !== ''
    );
    if (hasValidItem) {
-      form.value.retailPrice = parseFloat(totalPrice.value);
+      // 使用 nextTick 确保总价更新后零售价才更新，避免 Vue 响应式时序问题
+      nextTick(() => {
+        form.value.retailPrice = parseFloat(totalPrice.value) || 0;
+      });
    } else {
      form.value.retailPrice = undefined;
    }
@@ -565,15 +567,16 @@ function edit() {
    form.value.pricingFlag = 1;
  }

-  // 处理子项数据，确保包含retailPrice字段
+  // 处理子项数据，确保包含retailPrice和name字段
  if (props.item.childrenJson) {
    const parsedItems = JSON.parse(props.item.childrenJson);
    treatmentItems.value = parsedItems.map((item) => ({
      ...item,
+      name: item.name || '',
      retailPrice: item.retailPrice || 0,
    }));
  } else {
-    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
+    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
  }
  form.value.permittedUnitCode = form.value.permittedUnitCode
    ? form.value.permittedUnitCode.toString()
@@ -618,7 +621,7 @@ function reset() {
    chrgitmLv: undefined, //医保等级
    pricingFlag: 1, // 划价标记，默认允许划价
  };
-  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
+  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
  totalPrice.value = '0.00';
  proxy.resetForm('diagnosisTreatmentRef');
 }
@@ -760,7 +763,10 @@ function selectRow(row, index) {
  treatmentItems.value[index].adviceDefinitionId = row.id;
  treatmentItems.value[index].retailPrice = row.retailPrice || 0;
  medicineSearchKey.value = '';
-  calculateTotalPrice();
+  // 使用 nextTick 确保 DOM 更新后再计算总价
+  nextTick(() => {
+    calculateTotalPrice();
+  });
 }

 // 清空诊疗子项
--- a/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/medicineList.vue
+++ b/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/medicineList.vue
@@ -36,6 +36,7 @@ const emit = defineEmits(['selectRow']);
 const diagnosisTreatmentList = ref([]); // 原始数据列表
 const filteredList = ref([]); // 过滤后的数据列表
 const hasLoaded = ref(false); // 标记是否已加载数据
+const isLoading = ref(false); // 标记是否正在加载

 // 获取诊疗项目列表
 function getList() {
@@ -53,7 +54,7 @@ function getList() {
  getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
    .then((res) => {
      diagnosisTreatmentList.value =
-        res.data?.records?.filter((item) => item.childrenJson == null) || [];
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
      filterList(); // 初始化过滤
      hasLoaded.value = true; // 标记为已加载
    })
@@ -62,6 +63,47 @@ function getList() {
    });
 }

+// 服务端搜索（当用户输入搜索关键词时）
+function searchList(searchKey) {
+  if (!searchKey || searchKey.trim() === '') return;
+  isLoading.value = true;
+  // 使用较大的pageSize确保搜索结果尽可能多
+  getDiagnosisTreatmentList({ statusEnum: 2, searchKey: searchKey.trim(), pageSize: 5000, pageNo: 1 })
+    .then((res) => {
+      diagnosisTreatmentList.value =
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
+      filterList();
+    })
+    .catch((err) => {
+      console.error('搜索诊疗项目数据失败:', err);
+    })
+    .finally(() => {
+      isLoading.value = false;
+    });
+}
+
+// 获取预加载数据（不带搜索关键词时使用）
+function loadPreloadedData() {
+  if (props.preloadedData && props.preloadedData.length > 0) {
+    diagnosisTreatmentList.value = props.preloadedData;
+    filterList();
+    hasLoaded.value = true;
+    return;
+  }
+
+  if (hasLoaded.value) return;
+  getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
+    .then((res) => {
+      diagnosisTreatmentList.value =
+        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
+      filterList();
+      hasLoaded.value = true;
+    })
+    .catch((err) => {
+      console.error('获取诊疗项目数据失败:', err);
+    });
+}
+
 // 监听shouldLoadData属性变化，仅在首次为true时加载数据
 watch(
  () => props.shouldLoadData,
@@ -86,11 +128,17 @@ watch(
  { immediate: true }
 );

-// 监听搜索关键词变化，实时过滤数据
+// 监听搜索关键词变化，有搜索词时走服务端搜索，否则走本地过滤
 watch(
  () => props.searchKey,
-  () => {
-    filterList();
+  (newVal) => {
+    if (newVal && newVal.trim() !== '') {
+      // 有搜索关键词，走服务端搜索
+      searchList(newVal);
+    } else {
+      // 搜索词为空，使用预加载数据
+      loadPreloadedData();
+    }
  }
 );

--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/api.js
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/api.js
@@ -58,10 +58,17 @@ export function singOut(data) {
 /**
 * 获取患者本次就诊处方
 */
-export function getPrescriptionList(encounterId) {
-  // Add timestamp to bypass browser caching and ensure fresh data is loaded
+export function getPrescriptionList(encounterId, generateSourceEnum, sourceBillNo) {
+  let url = '/doctor-station/advice/request-base-info?encounterId=' + encounterId
+  if (generateSourceEnum != null) {
+    url += '&generateSourceEnum=' + generateSourceEnum
+  }
+  if (sourceBillNo != null) {
+    url += '&sourceBillNo=' + encodeURIComponent(sourceBillNo)
+  }
+  url += '&t=' + Date.now()
  return request({
-    url: '/doctor-station/advice/request-base-info?encounterId=' + encounterId + '&t=' + Date.now(),
+    url: url,
    method: 'get',
  })
 }
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
@@ -381,6 +381,14 @@ const props = defineProps({
  activeTab: {
    type: String,
  },
+  generateSourceEnum: {
+    type: Number,
+    default: null,
+  },
+  sourceBillNo: {
+    type: String,
+    default: null,
+  },
 });
 const isAdding = ref(false);
 const isSaving = ref(false); // #437 防重复提交锁
@@ -468,7 +476,11 @@ watch(

 function getListInfo(addNewRow) {
  isAdding.value = false;
-  getPrescriptionList(props.patientInfo.encounterId).then((res) => {
+  getPrescriptionList(
+    props.patientInfo.encounterId,
+    props.generateSourceEnum ?? undefined,
+    props.sourceBillNo ?? undefined,
+  ).then((res) => {
    // 为每行数据添加 adviceTypeValue 字段，用于类型下拉框显示
    prescriptionList.value = (res.data || []).map(item => {
      // 根据 adviceType 和 categoryCode 找到对应的 adviceTypeValue
@@ -868,19 +880,23 @@ function handleDelete() {
    proxy.$modal.msgWarning('请选择要删除的项目');
    return;
  }
-  
+
  let deleteList = groupIndexList.value.map((index) => {
    const item = prescriptionList.value[index];
    // 只删除待签发且未收费的项目
    if (item.statusEnum != 1 || item.chargeStatus == 5) {
      return null;
    }
+    // 🔧 Bug #442: 已保存的行必须有有效的 requestId，否则跳过（避免后端删除不存在的记录）
+    if (item.requestId == null || item.requestId === undefined || item.requestId === '') {
+      return null;
+    }
    return {
      requestId: item.requestId,
      dbOpType: '3',
      adviceType: item.adviceType,
    };
-  }).filter(item => item !== null); // 过滤掉已签发或已收费的项目
+  }).filter(item => item !== null); // 过滤掉已签发、已收费或无 requestId 的项目
  
  if (deleteList.length == 0) {
    proxy.$modal.msgWarning('只能删除待签发且未收费的项目');
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
@@ -1243,11 +1243,14 @@ async function show(diagnosisData) {
    const res = await getNextCardNo(orgCode);
    if (res.code === 200 && res.data && res.data.length >= 12) {
      cardNo = res.data;
+    } else {
+      // API返回失败或不合规时，生成临时卡号避免保存时 cardNo 为空导致后端校验失败
+      cardNo = 'TEMP_' + Date.now();
    }
-    // API失败或返回不合规时保持为空字符串，由用户手动填写或后端自动生成
  } catch (err) {
    console.error('获取卡片编号失败:', err);
-    // 保持为空，不使用不合规的临时值
+    // API调用异常时，生成临时卡号
+    cardNo = 'TEMP_' + Date.now();
  }

  form.value = {
@@ -1318,7 +1321,11 @@ async function show(diagnosisData) {
    // 系统关联信息
    encounterId: patientInfo.encounterId || '', // 就诊ID
    patientId: patientInfo.patientId || '', // 患者ID
-    diagnosisId: diagnosisData?.conditionId || diagnosisData?.definitionId || '', // 诊断ID
+    diagnosisId: (diagnosisData?.conditionId != null && diagnosisData?.conditionId !== '')
+      ? diagnosisData.conditionId
+      : (diagnosisData?.definitionId != null && diagnosisData?.definitionId !== '')
+        ? diagnosisData.definitionId
+        : '', // 诊断ID
  };

  // 更新selectedDiseases数组
@@ -1373,7 +1380,7 @@ async function buildSubmitData() {
  const submitData = {
    cardNo: formData.cardNo,
    visitId: props.patientInfo?.encounterId || formData.encounterId || null,
-    diagId: formData.diagnosisId || null,
+    diagId: formData.diagnosisId ? Number(formData.diagnosisId) : null,
    patId: formData.patientId || null,
    idType: 1, // 默认身份证
    idNo: formData.idNo,
@@ -1426,8 +1433,8 @@ async function buildSubmitData() {
 function validateFormManually() {
  const errors = [];

-  // 卡片编号验证（至少12位，后端自动生成16位编号）
-  if (form.value.cardNo && form.value.cardNo.length < 12) {
+  // 卡片编号验证（至少12位，后端自动生成16位编号；临时卡号 TEMP_ 开头允许通过）
+  if (form.value.cardNo && !form.value.cardNo.startsWith('TEMP_') && form.value.cardNo.length < 12) {
    errors.push('卡片编号至少12位');
  }

@@ -1539,6 +1546,12 @@ async function handleSubmit() {
      return;
    }

+    // 检查诊断ID是否有效（后端 @NotNull 校验要求）
+    if (!form.value.diagnosisId) {
+      proxy.$modal.msgError('诊断信息不完整，请重新选择诊断后重试');
+      return;
+    }
+
    // 开始加载状态，防止重复提交
    submitLoading.value = true;

--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -402,6 +402,21 @@
                        <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
                      </el-checkbox>
                    </div>
+                    <!-- 选中方法后，显示对应的套餐明细 -->
+                    <div v-if="item.selectedMethod && item.methodPackageDetails && item.methodPackageDetails.length > 0" class="method-package-details">
+                      <div class="method-package-header">
+                        <span class="method-package-title">套餐明细 - {{ item.selectedMethod.name }}</span>
+                      </div>
+                      <div v-for="detail in item.methodPackageDetails" :key="detail.id" class="method-option">
+                        <el-checkbox v-model="detail.checked">
+                          <span class="method-name">{{ detail.name }}</span>
+                          <span class="method-price">数量: {{ detail.quantity }} ¥{{ detail.price }}</span>
+                        </el-checkbox>
+                      </div>
+                    </div>
+                    <div v-if="item.selectedMethod && item.methodPackageLoading" class="method-package-loading">
+                      加载套餐明细中...
+                    </div>
                  </div>
                </div>
              </div>
@@ -419,7 +434,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
-import { listCheckMethod, searchCheckMethod } from '@/api/system/checkType';
+import { listCheckMethod, searchCheckMethod, listCheckPackage } from '@/api/system/checkType';
 import { getEncounterDiagnosis } from '../api.js';

 const props = defineProps({
@@ -445,7 +460,7 @@ async function loadPackageDetails(row, treeNode, resolve) {
  }
  try {
    const res = await request({
-      url: `/exam/package/${row.packageId}/details`,
+      url: `/system/package/${row.packageId}/details`,
      method: 'get'
    });
    if (res.code === 200 && res.data) {
@@ -467,14 +482,28 @@ async function loadPackageDetails(row, treeNode, resolve) {
  }
 }

-// #428: 为已选择项目加载套餐明细
+// #428修复: 为已选择项目加载套餐明细（通过packageId或packageName查询）
 async function loadPackageDetailsForItem(item) {
-  if (!item.isPackage || !item.packageId) {
+  if (!item.isPackage || (!item.packageId && !item.packageName)) {
    return;
  }
  try {
+    let packageId = item.packageId;
+    if (!packageId && item.packageName) {
+      // CheckPart 没有 packageId 字段，需要通过 packageName 查询获取
+      const pkgRes = await listCheckPackage({ packageName: item.packageName });
+      let packages = pkgRes?.data || [];
+      if (!Array.isArray(packages)) {
+        packages = packages.records || packages.data || [];
+      }
+      if (packages.length === 0) {
+        item.packageDetails = [];
+        return;
+      }
+      packageId = packages[0].id;
+    }
    const res = await request({
-      url: `/exam/package/${item.packageId}/details`,
+      url: `/system/package/${packageId}/details`,
      method: 'get'
    });
    if (res.code === 200 && res.data) {
@@ -482,7 +511,7 @@ async function loadPackageDetailsForItem(item) {
        ...detail,
        name: detail.name || detail.itemName,
        unit: detail.unit || '次',
-        price: detail.price || detail.itemPrice || 0,
+        price: detail.price || detail.unitPrice || 0,
        quantity: detail.quantity || 1
      }));
    } else {
@@ -682,6 +711,7 @@ async function handleCategoryExpand(cat) {
        code: m.code,
        price: m.price || 0,
        packageName: m.packageName || '',
+        packageId: m.packageId || null,
        packagePrice: m.packagePrice || null,
        serviceFee: m.serviceFee || null
      }));
@@ -700,7 +730,9 @@ function handleCollapseChange(activeName) {
  setTimeout(() => { isAnimating.value = false; }, 300);  // 与 CSS 过渡时长一致

  if (activeName) {
-    const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
+    // Bug #428修复: 直接从 categoryList（原始响应式数组）查找分类，
+    // 确保后续 handleCategoryExpand 对 cat.methods 的赋值能正确触发 Vue 响应式更新
+    const cat = categoryList.value.find(c => c.typeId == activeName);
    if (cat && (!cat.methods || cat.methods.length === 0)) {
      handleCategoryExpand(cat);  // 异步加载，不 await
    }
@@ -992,12 +1024,20 @@ function handleRowClick(row) {
  selectedItems.value = [];
  activeDetailTab.value = 'applyForm';
  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    const d = res.data || res;
-    if (d.data) Object.assign(form, d.data);
-    if (d.items && Array.isArray(d.items)) {
+    const resp = res.data || res;
+    // Bug #408修复: items 在 AjaxResult 顶层(res.items / resp.items)，不在 ExamApply 对象内
+    // 防御性提取：优先取顶层 items，兼容嵌套在 resp.data.items 的情况
+    let rawItems = res.items || resp.items;
+    if (!rawItems && resp.data && typeof resp.data === 'object') {
+      rawItems = resp.data.items;
+    }
+    rawItems = rawItems || [];
+    const d = resp.data || resp;
+    if (d) Object.assign(form, d);
+    if (Array.isArray(rawItems) && rawItems.length > 0) {
      try {
        // 为每个项目加载检查方法
-        const itemsWithMethods = await Promise.all(d.items.map(async m => {
+        const itemsWithMethods = await Promise.all(rawItems.map(async m => {
          const item = {
            id: m.itemCode, name: m.itemName,
            price: m.itemFee || 0, quantity: 1,
@@ -1025,12 +1065,18 @@ function handleRowClick(row) {
                  code: md.code,
                  price: m.itemFee || 0,  // fallback 到已保存的价格
                  packageName: md.packageName || '',
+                  packageId: md.packageId || null,
                  packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
                  serviceFee: md.serviceFee || null
                }));
                // 如果有已保存的检查方法信息，尝试匹配
                if (m.checkMethodId) {
                  item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
+                  // 从已保存的方法中获取套餐信息
+                  if (item.selectedMethod?.packageId) {
+                    item.isPackage = true;
+                    item.packageId = item.selectedMethod.packageId;
+                  }
                }
              }
            } catch (err) {
@@ -1091,6 +1137,13 @@ async function handleMethodSelect(checked, method, cat) {
    const existingItem = selectedItems.value.find(s => s.id === targetItem.id);
    if (existingItem) {
      existingItem.selectedMethod = method;
+      // 从方法中获取套餐信息
+      if (method.packageId) {
+        existingItem.isPackage = true;
+        existingItem.packageId = method.packageId;
+        // 预加载套餐明细
+        loadPackageDetailsForItem(existingItem);
+      }
      updateMethodDisplay();
      return;
    }
@@ -1098,14 +1151,15 @@ async function handleMethodSelect(checked, method, cat) {
    // 如果该项目不存在，创建一个并关联方法
    if (selectedItems.value.length > 0) {
      const currentCategory = selectedItems.value[0].checkType;
-      const newCategory = cat.typeCode || '';
+      // Bug #428修复: 使用 cat.typeName 进行比较（与 newItem.checkType 保持一致）
+      const newCategory = cat.typeName || '';
      if (currentCategory !== newCategory) {
        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
        return;
      }
    }

-    selectedItems.value.push({
+    const newItem = {
      id: targetItem.id, name: targetItem.name,
      price: targetItem.price, quantity: 1,
      serviceFee: targetItem.serviceFee || 0,
@@ -1117,9 +1171,16 @@ async function handleMethodSelect(checked, method, cat) {
      methods: [method],
      selectedMethod: method,
      expanded: false,
-      isPackage: !!targetItem.packageName,
-      packageId: targetItem.packageId || null
-    });
+      // 从方法中获取套餐信息（优先级高于项目本身的 packageName）
+      isPackage: !!method.packageId || !!targetItem.packageName,
+      packageId: method.packageId || targetItem.packageId || null
+    };
+    selectedItems.value.push(newItem);
+
+    // 如果是套餐，预加载套餐明细
+    if (newItem.isPackage && newItem.packageId) {
+      loadPackageDetailsForItem(newItem);
+    }

    // 自动回填执行科室
    if (selectedItems.value.length === 1 && cat?.performDeptName) {
@@ -1164,6 +1225,7 @@ async function handleItemSelect(checked, item, cat) {
            code: m.code,
            price: m.price || item.price,  // fallback 到项目价格
            packageName: m.packageName || '',
+            packageId: m.packageId || null,
            packagePrice: m.packagePrice || null,  // Bug #384修复: 套餐价格
            serviceFee: m.serviceFee || null      // Bug #384修复: 服务费
          }));
@@ -1175,7 +1237,8 @@ async function handleItemSelect(checked, item, cat) {

    if (selectedItems.value.length > 0) {
      const currentCategory = selectedItems.value[0].checkType;
-      const newCategory = cat.typeCode || '';
+      // Bug #428修复: 使用 cat.typeName 进行比较（与 effectiveCheckType 保持一致）
+      const newCategory = cat.typeName || '';
      if (currentCategory !== newCategory) {
        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
        item.checked = false;
@@ -1196,6 +1259,7 @@ async function handleItemSelect(checked, item, cat) {
      selectedMethod: null,
      expanded: false,  // Bug #384修复: 新增展开状态，默认不展开
      isPackage: !!item.packageName,  // Bug #428修复: 标记是否为套餐
+      packageName: item.packageName || null,  // Bug #426修复: 套餐名称，用于查找packageId
      packageId: item.packageId || null  // Bug #428修复: 套餐ID
    });

@@ -1228,21 +1292,68 @@ async function toggleItemExpand(item) {
 }

 // Bug #384修复: 勾选框选择检查方法（单选逻辑）
-function selectMethodCheckbox(checked, item, method) {
+async function selectMethodCheckbox(checked, item, method) {
  if (checked) {
    item.selectedMethod = method;
+    // 动态加载该方法对应的套餐明细
+    await loadMethodPackageDetails(item, method);
  } else {
    item.selectedMethod = null;
+    item.methodPackageDetails = [];
  }
  // 联动更新表单检查方法显示字段
  updateMethodDisplay();
-  
+
  // #430: 套餐金额实时同步到申请单
  nextTick(() => {
    form.totalAmount = totalAmountCalc.value;
  });
 }

+// 根据检查方法的packageName加载对应的套餐明细
+async function loadMethodPackageDetails(item, method) {
+  item.methodPackageLoading = true;
+  item.methodPackageDetails = [];
+  try {
+    if (!method.packageName) {
+      item.methodPackageLoading = false;
+      return;
+    }
+    // 通过packageName查询套餐获取packageId
+    const pkgRes = await listCheckPackage({ packageName: method.packageName });
+    let packages = pkgRes?.data || [];
+    if (!Array.isArray(packages)) {
+      packages = packages.records || packages.data || [];
+    }
+    if (packages.length === 0) {
+      item.methodPackageLoading = false;
+      return;
+    }
+    const packageId = packages[0].id;
+    // 查询套餐明细
+    const detailRes = await request({
+      url: `/system/package/${packageId}/details`,
+      method: 'get'
+    });
+    if (detailRes.code === 200 && detailRes.data) {
+      item.methodPackageDetails = detailRes.data.map(d => ({
+        id: d.id,
+        name: d.itemName || d.name,
+        quantity: d.quantity || 1,
+        unit: d.unit || '次',
+        price: d.unitPrice || d.price || 0,
+        amount: d.amount || d.total || 0,
+        checked: true  // 默认勾选
+      }));
+    }
+  } catch (err) {
+    console.error('加载方法套餐明细失败:', err);
+    item.methodPackageDetails = [];
+  } finally {
+    item.methodPackageLoading = false;
+  }
+}
+
 // Bug #384修复: 更新检查方法显示字段（联动）
 function updateMethodDisplay() {
  // 找到第一个有选中检查方法的项目
@@ -1648,6 +1759,29 @@ defineExpose({ getList });
  margin-left: 8px;
 }

+/* 选中方法后显示的套餐明细 */
+.method-package-details {
+  margin-top: 4px;
+  padding: 4px 0;
+  border-top: 1px dashed #dcdfe6;
+}
+
+.method-package-header {
+  padding: 2px 0 4px 24px;
+}
+
+.method-package-title {
+  font-size: 10px;
+  color: #909399;
+  font-weight: 500;
+}
+
+.method-package-loading {
+  padding: 4px 0 4px 24px;
+  font-size: 10px;
+  color: #c0c4cc;
+}
+
 /* 折叠组件细节 */
 :deep(.el-collapse) {
  border: none;
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -3326,9 +3326,13 @@ function syncGroupFields(row) {
  }
  
  // 同步执行科室
+  // 🔧 Bug #455: 诊疗类医嘱(adviceType=3)不使用项目配置的执行科室，
+  // 避免配置ID不在机构树中导致显示原始ID，保持患者就诊科室即可
  if (row.orgId || row.positionId) {
-    // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
-    prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
+    if (Number(row.adviceType) != 3) {
+      // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
+      prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
+    }
  }
  
  // 同步皮试标记
@@ -3412,8 +3416,11 @@ async function setValue(row) {
    showPopover: false, // 确保查询框关闭
  };
  console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
-  // 🔧 Bug #455: 执行科室默认逻辑：使用positionId(诊疗执行科室配置) → 患者就诊科室，不再使用row.orgId(项目所属科室)
-  prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
+  // 🔧 Bug #455: 诊疗医嘱(adviceType=3)的执行科室默认使用患者就诊科室，
+  // 不使用positionId(诊疗目录配置的执行科室)，避免配置ID不在机构树中导致显示原始ID
+  if (Number(row.adviceType) != 3) {
+    prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
+  }
  prescriptionList.value[rowIndex.value].dose = row.dose || row.doseQuantity;
  prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
  prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js
@@ -44,6 +44,17 @@ export function getSurgery(queryParams) {
  });
 }

+/**
+ * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
+ */
+export function getSurgeryPage(queryParams) {
+  return request({
+    url: '/reg-doctorstation/request-form/get-surgery-page',
+    method: 'get',
+    params: queryParams,
+  });
+}
+
 /**
 * 查询护理医嘱信息
 */
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
@@ -79,7 +79,7 @@
          <el-table-column prop="patientName" label="患者姓名" width="120" />
          <el-table-column prop="name" label="申请单名称" width="140" />
          <el-table-column prop="createTime" label="创建时间" width="160" />
-          <el-table-column prop="prescriptionNo" label="处方号" width="140" />
+          <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
          <el-table-column label="申请单状态" width="120" align="center">
            <template #default="scope">
@@ -118,7 +118,7 @@
            <el-descriptions-item label="创建时间">{{
              currentDetail.createTime || '-'
            }}</el-descriptions-item>
-            <el-descriptions-item label="处方号">{{
+            <el-descriptions-item label="申请单号">{{
              currentDetail.prescriptionNo || '-'
            }}</el-descriptions-item>
            <el-descriptions-item label="申请者">{{
@@ -168,7 +168,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getCheck} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {getDepartmentList} from '@/api/public.js';

 const { proxy } = getCurrentInstance();

@@ -293,8 +293,8 @@ const hasMatchedFields = computed(() => {

 /** 查询科室 */
 const getLocationInfo = () => {
-  getOrgList().then((res) => {
-    orgOptions.value = res.data.records;
+  getDepartmentList().then((res) => {
+    orgOptions.value = res.data || [];
  });
 };

@@ -306,17 +306,19 @@ const recursionFun = (targetDepartment) => {
      name = obj.name;
    }
    const subObjArray = obj['children'];
-    for (let index = 0; index < subObjArray.length; index++) {
-      const item = subObjArray[index];
-      if (item.id == targetDepartment) {
-        name = item.name;
+    if (subObjArray && subObjArray.length > 0) {
+      for (let index = 0; index < subObjArray.length; index++) {
+        const item = subObjArray[index];
+        if (item.id == targetDepartment) {
+          name = item.name;
+        }
      }
    }
  }
  return name;
 };

-const handleViewDetail = (row) => {
+const handleViewDetail = async (row) => {
  console.log('targetDepartment========>', JSON.stringify(row));

  currentDetail.value = row;
@@ -324,6 +326,15 @@ const handleViewDetail = (row) => {
  if (row.descJson) {
    try {
      const obj = JSON.parse(row.descJson);
+      // 确保科室数据已加载
+      if (!orgOptions.value || orgOptions.value.length === 0) {
+        await new Promise((resolve) => {
+          getDepartmentList().then((res) => {
+            orgOptions.value = res.data || [];
+            resolve();
+          });
+        });
+      }
      obj.targetDepartment = recursionFun(obj.targetDepartment);
      descJsonData.value = obj;
    } catch (e) {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
@@ -72,6 +72,45 @@
              <el-input v-model="form.attention" autocomplete="off" type="textarea" />
            </el-form-item>
          </el-col>
+          <!-- 申请类型 -->
+          <el-col :span="12">
+            <el-form-item label="申请类型" prop="applicationType" style="width: 100%">
+              <el-radio-group v-model="form.applicationType">
+                <el-radio :value="0">普通</el-radio>
+                <el-radio :value="1">急诊</el-radio>
+              </el-radio-group>
+            </el-form-item>
+          </el-col>
+          <!-- 标本类型 -->
+          <el-col :span="12">
+            <el-form-item label="标本类型" prop="specimenName" style="width: 100%">
+              <el-select v-model="form.specimenName" placeholder="请选择标本类型" style="width: 100%">
+                <el-option label="血液" value="血液" />
+                <el-option label="尿液" value="尿液" />
+                <el-option label="粪便" value="粪便" />
+                <el-option label="痰液" value="痰液" />
+                <el-option label="咽拭子" value="咽拭子" />
+                <el-option label="脑脊液" value="脑脊液" />
+                <el-option label="胸腹水" value="胸腹水" />
+                <el-option label="关节液" value="关节液" />
+                <el-option label="分泌物" value="分泌物" />
+                <el-option label="其他" value="其他" />
+              </el-select>
+            </el-form-item>
+          </el-col>
+          <!-- 执行时间 -->
+          <el-col :span="12">
+            <el-form-item label="执行时间" prop="executeTime" style="width: 100%">
+              <el-date-picker
+                v-model="form.executeTime"
+                type="datetime"
+                placeholder="选择执行时间"
+                format="YYYY-MM-DD HH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
+                style="width: 100%"
+              />
+            </el-form-item>
+          </el-col>
        </el-row>
      </el-form>
    </div>
@@ -152,6 +191,9 @@ const form = reactive({
  otherDiagnosis: '', // 其他诊断
  relatedResult: '', // 相关结果
  attention: '', // 注意事项
+  applicationType: 0, // 申请类型 0-普通 1-急诊
+  specimenName: '血液', // 标本类型
+  executeTime: null, // 执行时间
  primaryDiagnosisList: [], //主诊断目录
  otherDiagnosisList: [], //其他断目录
 });
@@ -164,7 +206,7 @@ onMounted(() => {
 * type(1：watch监听类型 2:点击保存类型)
 * selectProjectIds(选中项目的id数组)
 * */
-const projectWithDepartment = (selectProjectIds) => {
+const projectWithDepartment = (selectProjectIds, type) => {
  //1.获取选中的项目 2.判断项目的执行科室是否相同 3.判断执行科室是否配置 4.将项目的执行科室复值到执行科室下拉选位置
  let isRelease = true;
  // 选中项目的数组
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
@@ -483,7 +483,7 @@ const submit = () => {
    encounterId: patientInfo.value.encounterId,
    organizationId: patientInfo.value.inHospitalOrgId,
    requestFormId: '',
-    name: '检查申请单',
+    name: applicationListAllFilter.map(item => item.adviceName).join('、'),
    descJson: JSON.stringify(submitForm),
    categoryEnum: '2',
  }).then((res) => {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
@@ -5,16 +5,14 @@
 -->
 <template>
  <div class="surgery-container">
-    <div class="transfer-wrapper">
-      <div v-loading="loading" style="min-height: 300px;">
-        <el-transfer
-          v-model="transferValue"
-          :data="applicationList"
-          filter-placeholder="项目代码/名称"
-          filterable
-          :titles="['未选择', '已选择']"
-        />
-      </div>
+    <div v-loading="loading" class="transfer-wrapper" style="min-height: 300px;">
+      <el-transfer
+        v-model="transferValue"
+        :data="applicationList"
+        filter-placeholder="项目代码/名称"
+        filterable
+        :titles="['未选择', '已选择']"
+      />
    </div>
    <div class="bloodTransfusion-form">
      <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
@@ -103,8 +101,8 @@ const findTreeItem = (list, id) => {
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
-const applicationListAll = ref([]);
-const applicationList = ref([]);
+const applicationListAll = ref();
+const applicationList = ref();
 const orgOptions = ref([]); // 科室选项
 const loading = ref(false); // 加载状态
 const getList = () => {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -801,8 +801,8 @@ function clickRowDb(row, column, event) {
    return;
  }
  row.showPopover = false;
-  // “待签发(已保存 requestId存在)”不允许再编辑；仅“待保存(无requestId)”允许编辑
-  if (row.statusEnum == 1 && !row.requestId) {
+  // 仅”待签发(statusEnum==1)”允许编辑；”已签发(statusEnum==2)”及之后状态不允许编辑
+  if (row.statusEnum == 1) {
    // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
    row.therapyEnum = String(row.therapyEnum ?? '1');
    row.isEdit = true;
@@ -1181,19 +1181,27 @@ function handleSave() {
    });
    // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
    loading.value = true;
-    let list = saveList.map((item) => {
-      const parsedContent = JSON.parse(item.contentJson);
-      return {
-        ...parsedContent,
-        adviceType: item.adviceType,
-        requestId: item.requestId,
-        dbOpType: '1',
-        groupId: item.groupId,
-        uniqueKey: undefined,
-        // 确保 therapyEnum 被正确传递
-        therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
-      };
-    });
+    let list = [];
+    try {
+      list = saveList.map((item) => {
+        const parsedContent = item.contentJson ? JSON.parse(item.contentJson) || {} : {};
+        return {
+          ...parsedContent,
+          adviceType: item.adviceType,
+          requestId: item.requestId,
+          dbOpType: '1',
+          groupId: item.groupId,
+          uniqueKey: undefined,
+          // 确保 therapyEnum 被正确传递
+          therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
+        };
+      });
+    } catch (error) {
+      loading.value = false;
+      isSaving.value = false;
+      proxy.$modal.msgError('医嘱内容解析失败，请检查待签发医嘱');
+      return;
+    }
    // 保存签发按钮
    isSaving.value = true;
    console.log('签发处方参数：', {
@@ -1210,7 +1218,7 @@ function handleSave() {
          isSaving.value = false;
          getListInfo(false);
          bindMethod.value = {};
-          nextId.value == 1;
+          nextId.value = 1;
        } else {
          proxy.$modal.msgError(res.message);
          isSaving.value = false;
@@ -1376,13 +1384,21 @@ function handleSaveSign(row, index) {
    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
      if (res.code === 200) {
        proxy.$modal.msgSuccess('保存成功');
-        nextId.value == 1;
+        nextId.value = 1;
      }
    });
  } else {
-    if (prescriptionList.value[0].adviceName) {
-      handleAddPrescription();
-    }
+    // 新增行：调用保存接口将数据持久化到后端
+    row.dbOpType = '1';
+    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
+      if (res.code === 200) {
+        proxy.$modal.msgSuccess('保存成功');
+        nextId.value = 1;
+        // 保存成功后刷新列表，确保后端返回的数据带 requestId
+        getListInfo(false);
+      }
+    });
+    // 不需要再添加空行，保存成功后由 getListInfo 处理
  }
  adviceQueryParams.value.adviceType = undefined;
 }
@@ -1429,12 +1445,13 @@ function handleSaveBatch() {
          if (row) row.isEdit = false;
        });
        getListInfo(false);
-        nextId.value == 1;
+        nextId.value = 1;
        isSaving.value = false;
      }
    })
    .catch((error) => {
      isSaving.value = false;
+      proxy.$modal.msgError(error?.msg || '保存失败，请重试');
    });
 }

@@ -1562,17 +1579,21 @@ function handleSaveGroup(orderGroupList) {
    // 🔥 新版组件已经预处理了数据，优先使用 mergedDetail
    const mergedDetail = item.mergedDetail || {
      ...(item.orderDetailInfos || {}),
-      adviceName: item.orderDetailInfos?.adviceName || item.orderDefinitionName || '未知项目',
+      adviceName: item.orderDefinitionName || item.orderDetailInfos?.adviceName || '未知项目',
      adviceType: item.orderDetailInfos?.adviceType,
      adviceDefinitionId: item.orderDefinitionId || item.orderDetailInfos?.adviceDefinitionId,
      quantity: item.quantity,
      unitCode: item.unitCode || item.orderDetailInfos?.unitCode,
      unitCodeName: item.unitCodeName,
-      dose: item.dose || item.orderDetailInfos?.dose,
+      // 🔧 Bug #403 修复：dose/doseQuantity/dispensePerDuration 需用 null 检查，
+      // 避免组套中值为 null 时回退到医嘱库的 orderDetailInfos
+      dose: item.dose !== undefined && item.dose !== null ? item.dose : item.orderDetailInfos?.dose,
      rateCode: item.rateCode || item.orderDetailInfos?.rateCode,
      methodCode: item.methodCode || item.orderDetailInfos?.methodCode,
-      dispensePerDuration: item.dispensePerDuration || item.orderDetailInfos?.dispensePerDuration,
-      doseQuantity: item.doseQuantity,
+      dispensePerDuration: item.dispensePerDuration !== undefined && item.dispensePerDuration !== null
+        ? item.dispensePerDuration : item.orderDetailInfos?.dispensePerDuration,
+      doseQuantity: item.doseQuantity !== undefined && item.doseQuantity !== null
+        ? item.doseQuantity : item.orderDetailInfos?.doseQuantity,
      inventoryList: item.orderDetailInfos?.inventoryList || [],
      priceList: item.orderDetailInfos?.priceList || [],
      partPercent: item.orderDetailInfos?.partPercent || 1,
@@ -1591,20 +1612,21 @@ function handleSaveGroup(orderGroupList) {
    setValue(mergedDetail);

    // 创建新的处方项目
+    // 🔧 Bug #403 修复：关键字段使用 null-safe 回退到 mergedDetail（已由 setValue 填充完整数据）
    const newRow = {
      ...prescriptionList.value[rowIndex.value],
      patientId: patientInfo.value.patientId,
      encounterId: patientInfo.value.encounterId,
      accountId: accountId.value,
-      quantity: item.quantity,
-      methodCode: item.methodCode,
-      rateCode: item.rateCode,
-      dispensePerDuration: item.dispensePerDuration,
-      dose: item.dose,
-      doseQuantity: item.doseQuantity,
+      quantity: item.quantity ?? mergedDetail.quantity,
+      methodCode: item.methodCode ?? mergedDetail.methodCode,
+      rateCode: item.rateCode ?? mergedDetail.rateCode,
+      dispensePerDuration: item.dispensePerDuration ?? mergedDetail.dispensePerDuration,
+      dose: item.dose ?? mergedDetail.dose,
+      doseQuantity: item.doseQuantity ?? mergedDetail.doseQuantity,
      executeNum: 1,
-      unitCode: item.unitCode,
-      unitCode_dictText: item.unitCodeName || '',
+      unitCode: item.unitCode ?? mergedDetail.unitCode,
+      unitCode_dictText: item.unitCodeName || mergedDetail.unitCodeName || '',
      statusEnum: 1,
      orgId: resolveOrgId(item.orderDetailInfos?.orgId || mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
      // 🔧 修复：同时保存 orgName，确保树匹配不到时仍有中文名称可显示
--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
@@ -302,6 +302,29 @@ function getSelectRows() {
  });
  return list;
 }
+
+function getTableRef(index) {
+  return proxy.$refs['tableRef' + index]?.[0];
+}
+
+function selectAllRows() {
+  prescriptionList.value.forEach((item, index) => {
+    const tableRef = getTableRef(index);
+    if (!tableRef) {
+      return;
+    }
+    item.forEach((row) => {
+      tableRef.toggleRowSelection(row, true);
+    });
+  });
+}
+
+function clearSelection() {
+  prescriptionList.value.forEach((item, index) => {
+    getTableRef(index)?.clearSelection();
+  });
+}
+
 function handleRateChange(value, item, row) {
  // 拼接当前选中时间
  if (value) {
@@ -319,6 +342,8 @@ function handleRateChange(value, item, row) {
 defineExpose({
  handleGetPrescription,
  handleMedicineSummary,
+  selectAllRows,
+  clearSelection,
 });
 </script>

--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
@@ -69,7 +69,11 @@
        </div>
        <div>
          <span class="descriptions-item-label">全选：</span>
-          <el-switch v-model="chooseAll" @change="handelSwicthChange" />
+          <el-switch
+            v-model="chooseAll"
+            :disabled="isDetails != '1'"
+            @change="handelSwicthChange"
+          />
          <el-button class="ml20 mr20" type="primary" @click="handleExecute"> 汇总领药 </el-button>
        </div>
      </div>
@@ -160,24 +164,31 @@ function handleClick(tabName) {
 }

 function handleGetPrescription() {
-  prescriptionRefs.value.handleGetPrescription();
+  chooseAll.value = false;
+  prescriptionRefs.value?.handleGetPrescription();
 }

-function handelSwicthChange() {
-  if (chooseAll.value) {
-    proxy.$refs['prescriptionRefs'].selectAllRows();
+function handelSwicthChange(value) {
+  if (!prescriptionRefs.value) {
+    chooseAll.value = false;
+    return;
+  }
+  if (value) {
+    prescriptionRefs.value.selectAllRows();
  } else {
-    proxy.$refs['prescriptionRefs'].clearSelection();
+    prescriptionRefs.value.clearSelection();
  }
 }

 function handleRadioChange(value) {
+  chooseAll.value = false;
  if (value == '1') {
    handleGetPrescription();
  }
 }

 function handleTherapyChange() {
+  chooseAll.value = false;
  handleGetPrescription();
 }

@@ -216,4 +227,4 @@ provide('handleGetPrescription', (value) => {
 :deep(.el-tabs__header) {
  margin: 0;
 }
-</style>
+</style>
--- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
@@ -453,6 +453,10 @@ const loadPatientInfo = () => {
      interventionForm.value.startTime = dayjs(res.data.startTime).format(
        'YYYY-MM-DD HH:mm:ss'
      );
+    } else if (res.data.inHosTime) {
+      interventionForm.value.startTime = dayjs(res.data.inHosTime).format(
+        'YYYY-MM-DD HH:mm:ss'
+      );
    } else {
      interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss');
    }
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -829,7 +829,9 @@
            </el-descriptions>
          </div>
          <div style="padding: 10px">
-            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef" />
+            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef"
+              :generateSourceEnum="1"
+              :sourceBillNo="chargePatientInfo.sourceBillNo" />
            <div class="overlay" v-if="disabled"></div>
          </div>
        </div>
@@ -872,16 +874,32 @@ import { Loading } from '@element-plus/icons-vue' // 🔧 新增：导入 Loadin
 import { getPrescriptionList } from '@/views/clinicmanagement/bargain/component/api'

 // API 导入
-import { getSurgerySchedulePage, addSurgerySchedule, updateSurgerySchedule, deleteSurgerySchedule, getSurgeryScheduleDetail } from '@/api/surgicalschedule'
+import {
+  getSurgerySchedulePage,
+  addSurgerySchedule,
+  updateSurgerySchedule,
+  deleteSurgerySchedule,
+  getSurgeryScheduleDetail
+} from '@/api/surgicalschedule'
 import { listUser } from '@/api/system/user'
 import { deptTreeSelect } from '@/api/system/user'
 import { listOperatingRoom } from '@/api/operatingroom'
-import { getSurgery} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
-import { getTenantPage } from '@/api/system/tenant'
+import { getSurgeryPage} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
 import { getContract } from '@/views/inpatientDoctor/home/components/api.js'
+import request from '@/utils/request'
 import SurgeryCharge from '../charge/surgerycharge/index.vue'
 import TemporaryMedical from './temporaryMedical.vue'

+// 静默获取卫生机构列表（跳过拦截器错误提示，手术室护士等角色可能无此权限）
+function getTenantPageSilent(query) {
+  return request({
+    url: '/system/tenant/page',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
 const loading = ref(true)
@@ -1110,7 +1128,7 @@ onMounted(() => {

 // 加载卫生机构列表
 function loadOrgList() {
-  getTenantPage({ pageNo: 1, pageSize: 1000 })
+  getTenantPageSilent({ pageNo: 1, pageSize: 1000 })
    .then(res => {
      if (res.code === 200) {
        const records = res.data?.records || res.data || []
@@ -1388,8 +1406,8 @@ async function handleChargeCharge(row) {
    orgId: userStore.organizationId || userStore.orgId || userStore.tenantId || 1,
    // 添加账户ID
    accountId: accountId,
-    // 添加手术申请单号用于追溯
-    sourceBillNo: row.applyId,
+    // 添加手术单号用于关联对应的手术医嘱
+    sourceBillNo: row.operCode,
    //添加计费标志手术计费
    generateSourceEnum: 6
  }
@@ -1416,9 +1434,12 @@ function closeChargeDialog() {
  if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
    prescriptionRef.value.closeAllPopovers()
  }
-  showChargeDialog.value = false
-  chargePatientInfo.value = {}
-  chargeSurgeryInfo.value = {}
+  // 等 Vue 完成 DOM 更新后再关闭弹窗，确保 popover 先消失
+  nextTick(() => {
+    showChargeDialog.value = false
+    chargePatientInfo.value = {}
+    chargeSurgeryInfo.value = {}
+  })
 }

 // 🔧 新增：标志位，用于区分是"打开"还是"刷新"
@@ -1447,7 +1468,8 @@ function handleMedicalAdvice(row) {
    role: userStore.roles[0],
    effectiveOrgId : row.effectiveOrgId,
    orgId: userStore.orgId,
-    positionId: userStore.orgId
+    positionId: userStore.orgId,
+    applyId: row.applyId  // 手术申请单ID，用于过滤关联医嘱
  }

  // 🔧 关键修复：如果已有提交的医嘱数据，并且是同一个患者的就诊，则使用保存的数据
@@ -1745,7 +1767,7 @@ function handleQuoteBilling() {
  // 重新拉取计费药品数据
  if (temporaryPatientInfo.value.visitId) {
    temporaryMedicalLoading.value = true // 🔧 新增：开始加载
-    getPrescriptionList(temporaryPatientInfo.value.visitId).then((res) => {
+    getPrescriptionList(temporaryPatientInfo.value.visitId, 6, temporaryPatientInfo.value.operCode).then((res) => {
            if (res.code === 200 && res.data) {
              // 🔧 修复：先清空旧数据，避免数据累积
              temporaryBillingMedicines.value = []
@@ -2020,7 +2042,7 @@ function handleFindApply() {
  getSurgicalScheduleList()
 }

-// 获取手术申请列表（用于“查找”弹窗）
+// 获取手术申请列表（用于”查找”弹窗）
 function getSurgicalScheduleList() {
  applyLoading.value = true
  const params = { ...applyQueryParams }
@@ -2029,8 +2051,7 @@ function getSurgicalScheduleList() {
    params.applyTimeEnd = params.applyTimeRange[1]
    delete params.applyTimeRange
  }
-  getSurgery(params).then((res) => {
-    // Check if data is nested under data.data or directly under data
+  getSurgeryPage(params).then((res) => {
    const responseData = res.data.data || res.data
    applyList.value = responseData.records || []
    applyTotal.value = responseData.total || 0
@@ -2279,4 +2300,4 @@ function getRowClassName({ row, rowIndex }) {
  border-bottom: 1px solid #d9ecff !important;
 }

-</style>
+</style>
--- a/sql/bug_434_add_incision_level_to_op_schedule.sql
+++ b/sql/bug_434_add_incision_level_to_op_schedule.sql
@@ -0,0 +1,5 @@
+-- Bug #434 修复：为 op_schedule 表添加 incision_level 字段
+-- 手术安排表需要存储切口类型，以便在编辑弹窗中正确回显和保存
+ALTER TABLE op_schedule ADD COLUMN IF NOT EXISTS incision_level INT2;
+
+COMMENT ON COLUMN op_schedule.incision_level IS '手术切口等级 1-I级切口 2-II级切口 3-III级切口 4-IV级切口';