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

将执行科室配置校验提前到数据库写入操作之前，避免校验失败时已写入RequestForm记录

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(
-                    StringUtils.isNotEmpty(reason) ? reason : "门诊退号");
+                updateOrder.setCancelReason("门诊退号");
                 updateOrder.setUpdateTime(now);
                 orderService.updateById(updateOrder);
             }

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

@@ -83,9 +83,14 @@ public class AdviceUtils {
      * @return 提示信息
      */
     public String checkInventory(List<AdviceSaveDto> adviceSaveList) {
-        // 医嘱定义ID集合
+        // 医嘱定义ID集合（过滤null值，避免SQL查询异常）
         List<Long> adviceDefinitionIdList
-                = adviceSaveList.stream().map(AdviceSaveDto::getAdviceDefinitionId).collect(Collectors.toList());
+                = adviceSaveList.stream().map(AdviceSaveDto::getAdviceDefinitionId)
+                .filter(id -> id != null).collect(Collectors.toList());
+        // 🔧 Bug #504 修复：如果所有adviceDefinitionId都为null，跳过库存校验
+        if (adviceDefinitionIdList.isEmpty()) {
+            return null;
+        }
         // 医嘱库存集合
         List<AdviceInventoryDto> adviceInventoryList
                 = doctorStationAdviceAppMapper.getAdviceInventory(null, adviceDefinitionIdList,
@@ -99,6 +104,10 @@ public class AdviceUtils {
                 = this.subtractInventory(adviceInventoryList, adviceDraftInventoryList);
         // 检查库存
         for (AdviceSaveDto saveDto : adviceSaveList) {
+            // 🔧 Bug #504 修复：退回医嘱可能adviceDefinitionId为空，跳过校验
+            if (saveDto.getAdviceDefinitionId() == null) {
+                continue;
+            }
             boolean matched = false;
             for (AdviceInventoryDto inventoryDto : adviceInventory) {
                 // 匹配条件：adviceDefinitionId, adviceTableName, locationId, lotNumber 同时相等
@@ -108,10 +117,12 @@ public class AdviceUtils {
                         || saveDto.getLotNumber().equals(inventoryDto.getLotNumber());
                 boolean tableNameMatch = StringUtils.isEmpty(saveDto.getAdviceTableName())
                         || inventoryDto.getItemTable().equals(saveDto.getAdviceTableName());
-//                if (saveDto.)
+                // 🔧 Bug #504 修复：退回医嘱可能locationId为空，跳过location匹配
+                boolean locationMatch = saveDto.getLocationId() == null
+                        || inventoryDto.getLocationId().equals(saveDto.getLocationId());
                 if (inventoryDto.getItemId().equals(saveDto.getAdviceDefinitionId())
                         && tableNameMatch
-                        && inventoryDto.getLocationId().equals(saveDto.getLocationId()) && lotNumberMatch) {
+                        && locationMatch && lotNumberMatch) {
                     matched = true;
                     // 检查库存是否充足
                     BigDecimal minUnitQuantity = saveDto.getMinUnitQuantity();
@@ -167,22 +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()) {
-                AdviceInventoryDto inventoryDto = matchedInventory.get();
-                if ((medicationRequestUseExe.getExecuteTimesNum()
-                        .multiply(medicationRequestUseExe.getMinUnitQuantity()))
-                        .compareTo(inventoryDto.getQuantity()) > 0) {
+            if (!matchedInventories.isEmpty()) {
+                // 聚合所有批次的可用库存
+                BigDecimal totalQuantity = matchedInventories.stream()
+                        .map(dto -> dto.getQuantity() != null ? dto.getQuantity() : BigDecimal.ZERO)
+                        .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/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -206,6 +206,8 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
             e.setTherapyEnum_enumText(EnumUtils.getInfoByValue(TherapyTimeType.class, e.getTherapyEnum()));
             // 请求状态
             e.setRequestStatus_enumText(EnumUtils.getInfoByValue(RequestStatus.class, e.getRequestStatus()));
+            // 发药状态
+            e.setDispenseStatus_enumText(EnumUtils.getInfoByValue(DispenseStatus.class, e.getDispenseStatus()));
             // 性别枚举
             e.setGenderEnum_enumText(EnumUtils.getInfoByValue(AdministrativeGender.class, e.getGenderEnum()));
             // 计算年龄
@@ -356,6 +358,17 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 medRequestList.add(item);
             }
         }
+        // 校验药品医嘱是否已发药，已发药的医嘱不允许退回
+        if (!medRequestList.isEmpty()) {
+            List<Long> medReqIds = medRequestList.stream().map(PerformInfoDto::getRequestId).toList();
+            List<MedicationDispense> dispenseList = medicationDispenseService.list(
+                    new LambdaQueryWrapper<MedicationDispense>()
+                            .in(MedicationDispense::getMedReqId, medReqIds)
+                            .eq(MedicationDispense::getStatusEnum, DispenseStatus.COMPLETED.getValue()));
+            if (!dispenseList.isEmpty()) {
+                return R.fail("该医嘱已发药，无法退回");
+            }
+        }
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
         Date checkDate = new Date();
         if (!serviceRequestList.isEmpty()) {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/dto/InpatientAdviceDto.java

@@ -255,4 +255,8 @@ public class InpatientAdviceDto {
 
     /** 总价 */
     private BigDecimal totalPrice;
+
+    /** 发药状态 */
+    private Integer dispenseStatus;
+    private String dispenseStatus_enumText;
 }

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/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml

@@ -153,7 +153,8 @@
            ii.balance_amount AS balance_amount,
            ii.account_id AS account_id,
            ii.performer_check_id,
-           ii.category_code
+           ii.category_code,
+           ii.dispense_status
     FROM (( SELECT T1.encounter_id,
                    T1.tenant_id,
                    #{medMedicationRequest} AS advice_table,
@@ -197,7 +198,8 @@
                    pra."name" AS admitting_doctor_name,
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
-                   T2.category_code
+                   T2.category_code,
+                   mmd.status_enum AS dispense_status
             FROM med_medication_request AS T1
                      LEFT JOIN med_medication_definition AS T2
                                ON T2.id = T1.medication_id
@@ -278,6 +280,9 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
+                     LEFT JOIN med_medication_dispense mmd
+                               ON mmd.med_req_id = T1.id
+                                   AND mmd.delete_flag = '0'
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}
@@ -331,7 +336,8 @@
                    pra."name" AS admitting_doctor_name,
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
-                   T2.category_code
+                   T2.category_code,
+                   NULL AS dispense_status
             FROM wor_service_request AS T1
                      LEFT JOIN wor_activity_definition AS T2
                                ON T2.id = T1.activity_id

openhis-server-new/openhis-application/src/main/resources/mapper/pharmacymanage/WesternMedicineDispenseMapper.xml

@@ -105,6 +105,8 @@
                          <if test="statusEnum == 4">
                              T4.status_enum = #{completed}
                          </if>
+                         AND T4.summary_no IS NOT NULL
+                         AND T4.summary_no != ''
         ) AS ii
         ${ew.customSqlSegment}
         GROUP BY ii.encounter_id,
@@ -263,6 +265,8 @@
         AND T15.delete_flag = '0'
         WHERE T1.delete_flag = '0'
         -- 因发药配药合并，前台只能看到待发药，已发药状态，但是后台配药发药状态都查
+        AND T1.summary_no IS NOT NULL
+        AND T1.summary_no != ''
         AND
         <if test="dispenseStatus == null">
             T1.status_enum IN (#{inProgress},#{completed},#{preparation},#{prepared})

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

@@ -216,7 +216,8 @@
         ccd.name AS condition_definition_name,
         T1.therapy_enum AS therapyEnum,
         T1.sort_number AS sort_number,
-        T1.based_on_id AS based_on_id
+        T1.based_on_id AS based_on_id,
+        T1.medication_id AS advice_definition_id
         FROM med_medication_request AS T1
         LEFT JOIN med_medication_definition AS T2 ON T2.ID = T1.medication_id
         AND T2.delete_flag = '0'
@@ -268,7 +269,8 @@
         '' AS condition_definition_name,
         2 AS therapyEnum,
         99 AS sort_number,
-        T1.based_on_id AS based_on_id
+        T1.based_on_id AS based_on_id,
+        T1.device_def_id AS advice_definition_id
         FROM wor_device_request AS T1
         LEFT JOIN adm_device_definition AS T2 ON T2.ID = T1.device_def_id
         AND T2.delete_flag = '0'
@@ -317,7 +319,8 @@
         '' AS condition_definition_name,
         COALESCE(T1.therapy_enum, 2) AS therapyEnum,
         99 AS sort_number,
-        T1.based_on_id AS based_on_id
+        T1.based_on_id AS based_on_id,
+        T1.activity_id AS advice_definition_id
         FROM wor_service_request AS T1
         LEFT JOIN wor_activity_definition AS T2
         ON T2.ID = T1.activity_id

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

@@ -314,6 +314,7 @@
                 >
                   <template #title>
                     <span class="cat-title">{{ cat.categoryName }}</span>
+                    <span v-if="categoryLoadingSet.has(cat.typeId)" class="loading-dot"></span>
                   </template>
                   <div
                     v-for="item in cat.items"
@@ -329,6 +330,9 @@
                     </el-checkbox>
                     <span class="item-price">¥{{ item.price }}/{{ item.unit || "次" }}</span>
                   </div>
+                  <div v-if="categoryLoadingSet.has(cat.typeId)" class="category-loading-hint">
+                    加载中...
+                  </div>
                 </el-collapse-item>
               </el-collapse>
             </div>
@@ -517,6 +521,7 @@ const rules = {
 const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref('');    // 当前展开的折叠项
+const categoryLoadingSet = ref(new Set());  // Bug #500: 正在加载方法的分类集合
 
 const allMethods = ref([]);
 
@@ -632,9 +637,14 @@ const availableMethods = computed(() => {
 
 // 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
 // #428: 分类展开时联动加载检查方法
+// Bug #500: 使用 categoryLoadingSet 替代 dictLoading，避免切换分类时整个区域闪烁
 async function handleCategoryExpand(cat) {
   if (!cat || !cat.typeName) return;
 
+  // 如果已加载过或正在加载中，跳过
+  if ((cat.methods && cat.methods.length > 0) || categoryLoadingSet.value.has(cat.typeId)) return;
+
+  categoryLoadingSet.value.add(cat.typeId);
   try {
     const res = await searchCheckMethod({ checkType: cat.typeName });
     let data = res?.data?.data || res?.data || res?.rows || res;
@@ -655,14 +665,16 @@ async function handleCategoryExpand(cat) {
     }
   } catch (err) {
     console.error('加载分类检查方法失败', err);
+  } finally {
+    categoryLoadingSet.value.delete(cat.typeId);
   }
 }
-async function handleCollapseChange(activeName) {
-  // 当折叠面板展开时，加载对应分类的检查方法
+// Bug #500: 改为非 async 函数，避免 el-collapse 的 @change 等待异步完成导致抖动
+function handleCollapseChange(activeName) {
   if (activeName) {
     const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
     if (cat && (!cat.methods || cat.methods.length === 0)) {
-      await handleCategoryExpand(cat);
+      handleCategoryExpand(cat);  // 异步加载，不 await
     }
   }
 }
@@ -1309,6 +1321,20 @@ defineExpose({ getList });
   font-weight: 500;
   color: #303133;
 }
+/* Bug #500: 分类加载中的小圆点动画 */
+.loading-dot {
+  display: inline-block;
+  width: 6px;
+  height: 6px;
+  border-radius: 50%;
+  background: #409eff;
+  margin-left: 6px;
+  animation: dotPulse 1s ease-in-out infinite;
+}
+@keyframes dotPulse {
+  0%, 100% { opacity: 0.3; transform: scale(0.8); }
+  50% { opacity: 1; transform: scale(1.2); }
+}
 .item-row {
   display: flex;
   align-items: center;
@@ -1448,10 +1474,24 @@ defineExpose({ getList });
   height: auto;
   line-height: 1.5;
 }
+/* Bug #500: 折叠内容添加平滑过渡动画，避免切换时高度跳变 */
 :deep(.el-collapse-item__content) {
   padding-bottom: 4px;
+  transition: all 0.3s ease;
 }
+/* Bug #500: 折叠面板展开/收起动画使用 will-change 优化性能 */
 :deep(.el-collapse-item__wrap) {
   border: none;
+  will-change: height;
+}
+:deep(.el-collapse-item) {
+  transition: margin 0.2s ease;
+}
+/* Bug #500: 分类加载中提示样式 */
+.category-loading-hint {
+  color: #909399;
+  font-size: 12px;
+  text-align: center;
+  padding: 8px 0;
 }
 </style>

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

@@ -313,6 +313,7 @@
                       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/inpatientDoctor/home/components/applicationShow/api.js

@@ -121,3 +121,25 @@ export function getTestResultPage(queryParams) {
     data: queryParams,
   });
 }
+
+/**
+ * 删除申请单（仅待签发状态可删除）
+ */
+export function deleteRequestForm(data) {
+  return request({
+    url: '/reg-doctorstation/request-form/delete',
+    method: 'post',
+    data: data,
+  });
+}
+
+/**
+ * 撤回申请单（已签发状态撤回至待签发）
+ */
+export function withdrawRequestForm(data) {
+  return request({
+    url: '/reg-doctorstation/request-form/withdraw',
+    method: 'post',
+    data: data,
+  });
+}

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

@@ -86,7 +86,11 @@
           </template>
           <el-table-column type="index" label="序号" width="60" align="center" />
           <el-table-column prop="patientName" label="患者姓名" width="120" />
-          <el-table-column prop="name" label="申请单名称" width="140" />
+          <el-table-column label="申请单名称" width="140">
+            <template #default="scope">
+              <span>{{ 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="requesterId_dictText" label="申请者" width="120" />
@@ -95,9 +99,49 @@
               <span>{{ parseStatus(scope.row.status) }}</span>
             </template>
           </el-table-column>
-          <el-table-column label="操作" align="center" fixed="right">
+          <el-table-column label="操作" align="center" fixed="right" width="240">
             <template #default="scope">
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
+              <!-- 待签发：修改、删除 -->
+              <template v-if="scope.row.status === '0' || scope.row.status === 0">
+                <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
+                <el-popconfirm
+                  title="确认删除该申请单？"
+                  @confirm="handleDelete(scope.row)"
+                  width="200"
+                >
+                  <template #reference>
+                    <el-button link type="danger">删除</el-button>
+                  </template>
+                </el-popconfirm>
+              </template>
+              <!-- 已签发（护士未校对）：撤回 -->
+              <template v-else-if="scope.row.status === '1' || scope.row.status === 1">
+                <el-popconfirm
+                  title="确认撤回该申请单？撤回后将回滚至待签发状态"
+                  @confirm="handleWithdraw(scope.row)"
+                  width="260"
+                >
+                  <template #reference>
+                    <el-button link type="warning">撤回</el-button>
+                  </template>
+                </el-popconfirm>
+              </template>
+              <!-- 已校对/待接收：打印 -->
+              <template v-else-if="scope.row.status === '2' || scope.row.status === 2 || scope.row.status === '3' || scope.row.status === 3">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+              </template>
+              <!-- 已接收/已检查：打印、看报告 -->
+              <template v-else-if="scope.row.status === '4' || scope.row.status === 4 || scope.row.status === '5' || scope.row.status === 5">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+                <el-button link type="primary" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已出报告：打印、看报告 -->
+              <template v-else-if="scope.row.status === '6' || scope.row.status === 6">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+                <el-button link type="success" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已作废：仅详情 -->
             </template>
           </el-table-column>
         </el-table>
@@ -119,7 +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)
@@ -169,6 +213,60 @@
         <el-button @click="detailDialogVisible = false">关闭</el-button>
       </template>
     </el-dialog>
+    <!-- 修改申请单弹窗 -->
+    <el-dialog
+      v-model="editDialogVisible"
+      title="修改检查申请"
+      width="800px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <div v-if="editDetail" class="applicationShow-container">
+        <el-form :model="editForm" label-width="120px">
+          <el-form-item label="申请单名称">
+            <el-input v-model="editForm.name" />
+          </el-form-item>
+          <el-form-item label="临床诊断">
+            <el-input v-model="editForm.clinicalDiagnosis" type="textarea" :rows="2" />
+          </el-form-item>
+          <el-form-item label="注意事项">
+            <el-input v-model="editForm.attention" type="textarea" :rows="2" />
+          </el-form-item>
+          <div v-if="editDetail.requestFormDetailList && editDetail.requestFormDetailList.length">
+            <el-divider>申请项目</el-divider>
+            <el-table :data="editDetail.requestFormDetailList" border size="small">
+              <el-table-column type="index" label="序号" width="60" align="center" />
+              <el-table-column prop="adviceName" label="医嘱名称" />
+              <el-table-column prop="quantity" label="数量" width="80" align="center" />
+              <el-table-column prop="unitCode_dictText" label="单位" width="100" />
+              <el-table-column prop="totalPrice" label="总价" width="100" align="right" />
+            </el-table>
+          </div>
+        </el-form>
+      </div>
+      <template #footer>
+        <el-button @click="editDialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="handleSaveEdit" :loading="saveLoading">保存</el-button>
+      </template>
+    </el-dialog>
+    <!-- 报告查看弹窗 -->
+    <el-dialog
+      v-model="reportDialogVisible"
+      title="检查报告"
+      width="900px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <div v-if="reportUrl" style="min-height: 500px;">
+        <iframe :src="reportUrl" style="width: 100%; height: 500px; border: none;" />
+      </div>
+      <el-empty v-else description="暂无报告数据" />
+      <template #footer>
+        <el-button @click="reportDialogVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
   </div>
 </template>
 
@@ -176,7 +274,7 @@
 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 {getCheck, deleteRequestForm, withdrawRequestForm, getTestResult} from './api';
 import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
@@ -188,6 +286,16 @@ const currentDetail = ref(null);
 const descJsonData = ref(null);
 const orgOptions = ref([]);
 
+// 修改申请单相关
+const editDialogVisible = ref(false);
+const editDetail = ref(null);
+const editForm = ref({});
+const saveLoading = ref(false);
+
+// 报告查看相关
+const reportDialogVisible = ref(false);
+const reportUrl = ref('');
+
 // 筛选表单数据
 const getDefaultDateRange = () => {
   const now = new Date();
@@ -295,6 +403,28 @@ 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',
@@ -327,20 +457,27 @@ 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++) {
-      const item = subObjArray[index];
+    if (Array.isArray(subObjArray)) {
+      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;
 };
 
@@ -352,7 +489,10 @@ 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;
+      }
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);
@@ -364,6 +504,217 @@ const handleViewDetail = (row) => {
   detailDialogVisible.value = true;
 };
 
+/**
+ * 修改申请单
+ */
+const handleEdit = (row) => {
+  editDetail.value = row;
+  // 解析 descJson 为表单数据
+  const form = { name: row.name || '' };
+  if (row.descJson) {
+    try {
+      const desc = JSON.parse(row.descJson);
+      form.clinicalDiagnosis = desc.clinicalDiagnosis || '';
+      form.attention = desc.attention || '';
+      form.symptom = desc.symptom || '';
+      form.sign = desc.sign || '';
+    } catch (e) {
+      console.error('解析 descJson 失败:', e);
+    }
+  }
+  editForm.value = form;
+  editDialogVisible.value = true;
+};
+
+/**
+ * 保存修改
+ */
+const handleSaveEdit = async () => {
+  if (!editDetail.value?.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  saveLoading.value = true;
+  try {
+    // 复用 save-check 接口进行更新（传入 requestFormId 即为编辑场景）
+    const res = await proxy.$http?.post?.('/reg-doctorstation/request-form/save-check', {
+      requestFormId: editDetail.value.requestFormId,
+      encounterId: editDetail.value.encounterId,
+      patientId: editDetail.value.patientId,
+      name: editForm.value.name,
+      organizationId: editDetail.value.inHospitalOrgId || patientInfo.value?.inHospitalOrgId,
+      descJson: JSON.stringify({
+        clinicalDiagnosis: editForm.value.clinicalDiagnosis,
+        attention: editForm.value.attention,
+        symptom: editForm.value.symptom,
+        sign: editForm.value.sign,
+      }),
+      activityList: [], // 修改场景仅更新描述信息，不修改项目
+    });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('修改成功');
+      editDialogVisible.value = false;
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '修改失败');
+    }
+  } catch (e) {
+    console.warn('修改申请单失败:', e.message);
+    proxy.$modal?.msgError?.('修改失败: ' + (e.message || '网络异常'));
+  } finally {
+    saveLoading.value = false;
+  }
+};
+
+/**
+ * 删除申请单（仅待签发状态可删除）
+ */
+const handleDelete = async (row) => {
+  if (!row.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  try {
+    const res = await deleteRequestForm({ requestFormId: row.requestFormId });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('删除成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '删除失败');
+    }
+  } catch (e) {
+    console.warn('删除申请单失败:', e.message);
+    proxy.$modal?.msgError?.('删除失败: ' + (e.message || '网络异常'));
+  }
+};
+
+/**
+ * 撤回申请单（已签发状态撤回至待签发）
+ */
+const handleWithdraw = async (row) => {
+  if (!row.requestFormId) {
+    proxy.$modal?.msgWarning?.('申请单ID不存在');
+    return;
+  }
+  try {
+    const res = await withdrawRequestForm({ requestFormId: row.requestFormId });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('撤回成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '撤回失败');
+    }
+  } catch (e) {
+    console.warn('撤回申请单失败:', e.message);
+    proxy.$modal?.msgError?.('撤回失败: ' + (e.message || '网络异常'));
+  }
+};
+
+/**
+ * 打印申请单
+ */
+const handlePrint = (row) => {
+  // 打开新窗口进行打印
+  const printWindow = window.open('', '_blank');
+  if (!printWindow) {
+    proxy.$modal?.msgWarning?.('请允许浏览器弹出窗口以进行打印');
+    return;
+  }
+  const content = buildPrintContent(row);
+  printWindow.document.write(`
+    <!DOCTYPE html>
+    <html>
+    <head>
+      <meta charset="utf-8">
+      <title>检查申请单打印</title>
+      <style>
+        body { font-family: "Microsoft YaHei", sans-serif; padding: 20px; font-size: 14px; }
+        h2 { text-align: center; margin-bottom: 20px; }
+        table { width: 100%; border-collapse: collapse; margin-top: 10px; }
+        th, td { border: 1px solid #ddd; padding: 8px; text-align: left; }
+        th { background: #f5f5f5; }
+        .info-row { margin: 8px 0; }
+        .label { font-weight: bold; display: inline-block; width: 100px; }
+        @media print { .no-print { display: none; } }
+      </style>
+    </head>
+    <body>
+      ${content}
+      <div class="no-print" style="text-align: center; margin-top: 20px;">
+        <button onclick="window.print()">打印</button>
+        <button onclick="window.close()">关闭</button>
+      </div>
+    </body>
+    </html>
+  `);
+  printWindow.document.close();
+};
+
+/**
+ * 构建打印内容
+ */
+const buildPrintContent = (row) => {
+  let descHtml = '';
+  if (row.descJson) {
+    try {
+      const desc = JSON.parse(row.descJson);
+      descHtml = Object.entries(labelMap)
+        .filter(([key]) => desc[key])
+        .map(([key, label]) => `<div class="info-row"><span class="label">${label}:</span>${desc[key]}</div>`)
+        .join('');
+    } catch (e) {
+      console.error('解析 descJson 失败:', e);
+    }
+  }
+  let itemsHtml = '';
+  if (row.requestFormDetailList && row.requestFormDetailList.length) {
+    itemsHtml = `
+      <h3>申请项目</h3>
+      <table>
+        <tr><th>序号</th><th>医嘱名称</th><th>数量</th><th>单位</th><th>总价</th></tr>
+        ${row.requestFormDetailList.map((item, i) => `
+          <tr>
+            <td>${i + 1}</td>
+            <td>${item.adviceName || '-'}</td>
+            <td>${item.quantity || '-'}</td>
+            <td>${item.unitCode_dictText || '-'}</td>
+            <td>${item.totalPrice || '-'}</td>
+          </tr>
+        `).join('')}
+      </table>
+    `;
+  }
+  return `
+    <h2>检查申请单</h2>
+    <div class="info-row"><span class="label">患者姓名:</span>${row.patientName || '-'}</div>
+    <div class="info-row"><span class="label">申请单名称:</span>${buildItemNames(row) || '-'}</div>
+    <div class="info-row"><span class="label">创建时间:</span>${row.createTime || '-'}</div>
+    <div class="info-row"><span class="label">处方号:</span>${row.prescriptionNo || '-'}</div>
+    <div class="info-row"><span class="label">申请者:</span>${row.requesterId_dictText || '-'}</div>
+    <div class="info-row"><span class="label">申请单状态:</span>${parseStatus(row.status)}</div>
+    ${descHtml ? `<h3>申请单描述</h3>${descHtml}` : ''}
+    ${itemsHtml}
+  `;
+};
+
+/**
+ * 查看报告
+ */
+const handleViewReport = async (row) => {
+  reportUrl.value = '';
+  reportDialogVisible.value = true;
+  try {
+    const res = await getTestResult({ encounterId: row.encounterId, requestFormId: row.requestFormId });
+    if (res?.code === 200 && res?.data) {
+      reportUrl.value = res.data;
+    } else {
+      console.warn('获取检查报告失败:', res?.msg || '无数据');
+    }
+  } catch (e) {
+    console.warn('获取检查报告异常:', e.message);
+  }
+};
+
 watch(
   () => patientInfo.value?.encounterId,
   (val) => {

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) => {
-    orgOptions.value = res.data.records;
+  getDepartmentList().then((res) => {
+    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++) {
-      const item = subObjArray[index];
+    if (subObjArray && subObjArray.length > 0) {
+      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/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
-  // 药品(1)才有categoryCode（如'1'=中成药,'2'=西药,'4'=中草药）
-  const categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
+  // 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 : (row.adviceType !== undefined ? (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
-      const categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
+      // 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 : (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>
@@ -48,6 +46,10 @@
 <script setup>
 import {computed, onBeforeMount, onMounted, provide, reactive, ref, watch,} from 'vue';
 
+import Emr from './emr/index.vue';
+import inPatientBarDoctorFold from '@/component
+```
+
 import Emr from './emr/index.vue';
 import inPatientBarDoctorFold from '@/components/patientBar/inPatientBarDoctorFold.vue';
 import PatientList from '@/components/PatientList/patient-list.vue';

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

@@ -40,7 +40,7 @@
           </template>
         </el-input>
       </div>
-      <el-button type="primary">划价组套</el-button>
+      <el-button type="primary" @click="openGroupSetDialog">划价组套</el-button>
     </div>
     <!-- 弹窗内容 - 左右布局 -->
     <div style="display: flex; gap: 20px; height: 70vh">
@@ -147,6 +147,7 @@
               <el-select
                 v-model="scope.row.selectUnitCode"
                 placeholder="单位"
+                filterable
                 style="width: 100px"
                 @change="unitCodeChange(scope.row)"
               >
@@ -171,12 +172,13 @@
                 v-if="scope.row.adviceType == 3"
                 clearable
                 filterable
+                :filter-method="(val) => filterOptions(val, scope.row, 'departmentOptions')"
                 v-model="scope.row.positionId"
                 placeholder="选择科室"
                 style="width: 220px"
               >
                 <el-option
-                  v-for="dept in departmentOptions"
+                  v-for="dept in getFilteredOptions(scope.row, 'departmentOptions')"
                   :key="dept.id"
                   :label="dept.name"
                   :value="dept.id"
@@ -186,12 +188,13 @@
                 v-if="scope.row.adviceType == 2"
                 clearable
                 filterable
+                :filter-method="(val) => filterOptions(val, scope.row, 'locationOptions')"
                 v-model="scope.row.positionId"
                 placeholder="选择药房/耗材房"
                 style="width: 220px"
               >
                 <el-option
-                  v-for="dept in locationOptions"
+                  v-for="dept in getFilteredOptions(scope.row, 'locationOptions')"
                   :key="dept.value"
                   :label="dept.label"
                   :value="dept.value"
@@ -247,6 +250,49 @@
       </div>
     </div>
   </el-dialog>
+  <!-- 划价组套选择对话框 -->
+  <el-dialog v-model="groupSetDialogVisible" title="划价组套选择" width="600px" :close-on-click-modal="false" append-to-body>
+    <div style="margin-bottom: 15px; display: flex; align-items: center; gap: 10px">
+      <el-input
+        v-model="groupSetSearchText"
+        placeholder="请输入组套名称搜索"
+        clearable
+        style="width: 250px"
+        @keyup.enter="loadGroupSets"
+      >
+        <template #append>
+          <el-button icon="Search" @click="loadGroupSets" />
+        </template>
+      </el-input>
+      <el-radio-group v-model="groupSetRange" @change="loadGroupSets">
+        <el-radio-button :label="1">个人</el-radio-button>
+        <el-radio-button :label="2">科室</el-radio-button>
+        <el-radio-button :label="3">全院</el-radio-button>
+      </el-radio-group>
+    </div>
+    <el-table
+      :data="groupSetList"
+      v-loading="groupSetLoading"
+      highlight-current-row
+      border
+      stripe
+      @current-change="handleGroupSetSelect"
+      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="使用范围" prop="rangeCode_dictText" width="100" align="center" />
+      <el-table-column label="明细数量" width="100" align="center">
+        <template #default="scope">
+          {{ scope.row.detailList?.length || 0 }} 项
+        </template>
+      </el-table-column>
+    </el-table>
+    <div style="margin-top: 15px; text-align: right">
+      <el-button @click="groupSetDialogVisible = false">取消</el-button>
+      <el-button type="primary" @click="applyGroupSet" :disabled="!selectedGroupSet">应用</el-button>
+    </div>
+  </el-dialog>
 </template>
 
 <script setup>
@@ -254,6 +300,7 @@ import {computed, getCurrentInstance, onMounted, reactive, ref, watch} from 'vue
 import {ElMessage} from 'element-plus';
 import {formatDateStr} from '@/utils/index';
 import {getAdviceBaseInfo, getDiseaseTreatmentInitLoc, getOrgList} from './api.js';
+import {getOrderGroup} from '@/views/doctorstation/components/api.js';
 import useUserStore from '@/store/modules/user';
 
 const { proxy } = getCurrentInstance();
@@ -312,6 +359,8 @@ const locationOptions = ref([]);
 const searchText = ref('');
 const userId = ref('');
 const orgId = ref('');
+// 下拉框模糊搜索关键字（按行存储）
+const filterKeywords = ref({});
 const queryParams = ref({
   pageSize: 100,
   pageNum: 1,
@@ -389,6 +438,14 @@ const submitData = reactive({
 });
 const adviceLoading = ref(false);
 
+// 划价组套相关
+const groupSetDialogVisible = ref(false);
+const groupSetList = ref([]);
+const groupSetLoading = ref(false);
+const groupSetSearchText = ref('');
+const groupSetRange = ref(2);
+const selectedGroupSet = ref(null);
+
 // 【优化核心】计算总金额 - 使用计算属性实现实时更新
 const totalAmount = computed(() => {
   return feeItemsList.value.reduce((sum, item) => {
@@ -452,6 +509,25 @@ function getDiseaseInitLoc() {
     locationOptions.value = response.data.locationOptions;
   });
 }
+// 下拉框模糊搜索过滤
+function filterOptions(val, row, optionsKey) {
+  const key = row.adviceDefinitionId + '_' + optionsKey;
+  filterKeywords.value[key] = val;
+}
+function getFilteredOptions(row, optionsKey) {
+  const key = row.adviceDefinitionId + '_' + optionsKey;
+  const keyword = filterKeywords.value[key];
+  const options = optionsKey === 'departmentOptions' ? departmentOptions.value : locationOptions.value;
+  if (!keyword || keyword.trim() === '') {
+    return options;
+  }
+  const lower = keyword.toLowerCase();
+  return options.filter(item => {
+    const name = (item.name || item.label || '').toLowerCase();
+    const id = String(item.id || item.value || '').toLowerCase();
+    return name.includes(lower) || id.includes(lower);
+  });
+}
 // 获取组套类型文本
 function getItemType_Text(type) {
   const map = { 2: '耗材', 3: '诊疗' };
@@ -527,14 +603,24 @@ 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
+  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
+      || 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;
+  }
   //插入费用列表
   feeItemsList.value.push({
     ...row,
     uniqueUnitCodes: uniqueUnitCodes,
     unitPrice: (price / (row.partPercent || 1)).toFixed(6), // 根据拆零比计算单价
     quantity: 1,
-    // positionId: row.positionId === null || row.positionId === undefined ? orgId : row.positionId, // 默认执行科室
-    selectUnitCode: row.minUnitCode, // 默认选择小单位
+    positionId: defaultPositionId, // 默认执行科室/位置
+    selectUnitCode: String(row.minUnitCode || ''), // 默认选择小单位，确保字符串类型
   });
 }
 
@@ -648,6 +734,94 @@ function resetData() {
   searchText.value = '';
   executeTime.value = '';
 }
+
+// 划价组套相关功能
+function openGroupSetDialog() {
+  groupSetDialogVisible.value = true;
+  groupSetSearchText.value = '';
+  selectedGroupSet.value = null;
+  loadGroupSets();
+}
+
+function loadGroupSets() {
+  groupSetLoading.value = true;
+  getOrderGroup({ organizationId: orgId.value, searchKey: groupSetSearchText.value })
+    .then((res) => {
+      const data = res?.data || {};
+      if (groupSetRange.value === 1) {
+        groupSetList.value = data.personalList || [];
+      } else if (groupSetRange.value === 2) {
+        groupSetList.value = data.organizationList || [];
+      } else {
+        groupSetList.value = data.hospitalList || [];
+      }
+    })
+    .catch(() => {
+      console.warn('组套列表加载失败（可能无权限）');
+      groupSetList.value = [];
+    })
+    .finally(() => {
+      groupSetLoading.value = false;
+    });
+}
+
+function handleGroupSetSelect(row) {
+  selectedGroupSet.value = row;
+}
+
+function applyGroupSet() {
+  if (!selectedGroupSet.value) {
+    ElMessage.warning('请先选择一个组套');
+    return;
+  }
+  const detailList = selectedGroupSet.value.detailList;
+  if (!detailList || detailList.length === 0) {
+    ElMessage.warning('该组套没有明细项');
+    return;
+  }
+  let successCount = 0;
+  detailList.forEach((item) => {
+    const orderDetail = item.orderDetailInfos || {};
+    const feeItem = {
+      adviceDefinitionId: item.orderDefinitionId || orderDetail.adviceDefinitionId,
+      adviceName: orderDetail.adviceName || item.orderDefinitionName || '未知项目',
+      adviceType: orderDetail.adviceType,
+      unitPrice: orderDetail.unitPrice,
+      minUnitPrice: orderDetail.minUnitPrice,
+      inventoryList: orderDetail.inventoryList || [],
+      priceList: orderDetail.priceList || [],
+      partPercent: orderDetail.partPercent || 1,
+      positionId: item.positionId || orderDetail.positionId,
+      defaultLotNumber: orderDetail.defaultLotNumber,
+      unitCode: item.unitCode || orderDetail.unitCode,
+      unitCode_dictText: item.unitCodeName || orderDetail.unitCode_dictText,
+      minUnitCode: orderDetail.minUnitCode,
+      doseUnitCode: orderDetail.doseUnitCode,
+      categoryCode: orderDetail.categoryCode,
+      pharmacologyCategoryCode: orderDetail.pharmacologyCategoryCode,
+      partAttributeEnum: orderDetail.partAttributeEnum,
+      chargeItemDefinitionId: orderDetail.chargeItemDefinitionId,
+      adviceTableName: orderDetail.adviceTableName,
+      methodCode: item.methodCode || orderDetail.methodCode,
+      rateCode: item.rateCode || orderDetail.rateCode,
+      dose: item.dose || orderDetail.dose,
+      doseQuantity: item.doseQuantity,
+      dispensePerDuration: item.dispensePerDuration || orderDetail.dispensePerDuration,
+      dosageInstruction: orderDetail.dosageInstruction,
+      skinTestFlag: orderDetail.skinTestFlag,
+      injectFlag: orderDetail.injectFlag,
+      quantity: item.quantity || 1,
+      chrgitmLv_dictText: orderDetail.chrgitmLv_dictText,
+      volume: orderDetail.volume,
+    };
+    selectChange(feeItem);
+    successCount++;
+  });
+  if (successCount > 0) {
+    ElMessage.success(`已添加 ${successCount} 项组套费用`);
+  }
+  groupSetDialogVisible.value = false;
+}
 </script>
 
 <style scoped>

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
-  reloadAllPatients();
+  // 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
+  // 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

@@ -67,6 +67,7 @@
         </el-button>
       </div>
     </div>
+  </div>
   <div
       style="padding: 10px; background-color: #eef9fd; height: 100%; overflow-y: auto"
       v-loading="loading"
@@ -229,7 +230,7 @@ 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([]);
@@ -239,6 +240,8 @@ 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,
@@ -280,9 +283,10 @@ 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;
@@ -427,18 +431,26 @@ 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 {
-      //   loading.value = false;
-      // }
+      } catch (error) {
+        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.$message.warning('请选择患者');
   }
 }
@@ -497,8 +509,15 @@ function handleCancel() {
   let list = getSelectRows();
   let producerIds = [];
   list.forEach((item) => {
+    // 从 exePerformRecordList 直接提取 procedureId，确保取消执行时数据完整
+    const procedureIds = (item.exePerformRecordList || []).map((record) => record.procedureId);
+    if (procedureIds.length === 0 && (!item.procedureIds || item.procedureIds.length === 0)) {
+      proxy.$modal.msgError('请选择已执行的医嘱记录');
+      return;
+    }
+    const ids = procedureIds.length > 0 ? procedureIds : item.procedureIds;
     producerIds.push(
-      ...item.procedureIds.map((value) => {
+      ...ids.map((value) => {
         return {
           procedureId: value,
           therapyEnum: item.therapyEnum,
@@ -506,6 +525,9 @@ function handleCancel() {
       })
     );
   });
+  if (producerIds.length === 0) {
+    return;
+  }
   adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
     if (res.code == 200) {
       proxy.$modal.msgSuccess(res.msg || '取消执行成功');
@@ -517,10 +539,14 @@ function handleCancel() {
 }
 
 function getSelectRows() {
-  // 获取选中的医嘱信息
-  let list = [];
-  prescriptionList.value.forEach((item, index) => {
-    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
+  // 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
+  const list = [];
+  prescriptionList.value.forEach((item) => {
+    item.forEach((row) => {
+      if (selectedRowIds.value.has(row.requestId)) {
+        list.push(row);
+      }
+    });
   });
   return list;
 }
@@ -596,12 +622,14 @@ 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);
         });
@@ -612,11 +640,14 @@ 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.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
       // 选中该表格的所有行
       item.forEach((row) => {
+        selectedRowIds.value.add(row.requestId);
         tableRef[0].toggleRowSelection(row, true);
         // 同时选中该行内部的所有checkbox
         selectAllCheckboxesInRow(row);
@@ -696,13 +727,14 @@ function checkAndToggleRowSelection(row) {
       const tableRef = proxy.$refs['tableRef' + tableIndex];
       if (tableRef && tableRef[0]) {
         const isAllSelected = isAllCheckboxesSelected(row);
-        const selectedRows = tableRef[0].getSelectionRows();
-        const isCurrentlySelected = selectedRows.some((r) => r.requestId === row.requestId);
+        const isCurrentlySelected = selectedRowIds.value.has(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);
         }
       }
@@ -715,9 +747,11 @@ 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);
   }
@@ -734,11 +768,13 @@ 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);
     });
   }
@@ -750,17 +786,13 @@ function handleSelectAll(selection, tableIndex) {
 // 更新全选开关状态
 function updateChooseAllStatus() {
   let allSelected = true;
-  prescriptionList.value.forEach((item, index) => {
-    const tableRef = proxy.$refs['tableRef' + index];
-    if (tableRef && tableRef[0]) {
-      const selectedRows = tableRef[0].getSelectionRows();
-      if (selectedRows.length !== item.length) {
-        allSelected = false;
-      }
-    } else {
+  prescriptionList.value.forEach((item) => {
+    item.forEach((row) => {
+      if (!selectedRowIds.value.has(row.requestId)) {
         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) => {
@@ -288,6 +288,12 @@ function handleCheck() {
 function handleCancel() {
   let list = getSelectRows();
   if (list.length > 0) {
+    // 校验已发药的医嘱不允许退回
+    let dispensedItems = list.filter(item => item.dispenseStatus === 4);
+    if (dispensedItems.length > 0) {
+      proxy.$message.error('该医嘱已发药，无法退回');
+      return;
+    }
     cancel(list).then((res) => {
       if (res.code == 200) {
         proxy.$modal.msgSuccess(res.msg);

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/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"
-            placeholder="请选择就诊科室"
+            v-model="selectedClinicRoom"
+            placeholder="请选择诊室"
             clearable
             filterable
             style="width: 100%"
@@ -239,10 +239,10 @@
               value="all"
             />
             <el-option
-              v-for="dept in departmentList"
-              :key="dept.id"
-              :label="dept.name"
-              :value="dept.id"
+              v-for="room in clinicRoomList"
+              :key="room"
+              :label="room"
+              :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）
-const selectedDept = ref('all')
-// 就诊科室列表
-const departmentList = ref([])
+// 诊室过滤（按诊室维度筛选）
+const selectedClinicRoom = ref('all')
+// 诊室列表（从数据中动态提取）
+const clinicRoomList = ref([])
 
 // 修复【#397】：动态获取当前科室名称
 const currentDeptName = computed(() => {
@@ -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）
-    const organizationId = selectedDept.value !== 'all' ? selectedDept.value : undefined
-    // 只查询今天的患者
+    // 使用当前登录人的科室
     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)
-    const res = await getTriageQueueList({ organizationId, date: todayStr }).catch((err) => {
+    console.log('【心内科】loadQueueFromDb 开始：date=', todayStr)
+    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
-const flattenDepartmentTree = (tree, result = []) => {
-  if (!Array.isArray(tree)) return result
-  tree.forEach(node => {
-    if (node.id && node.name) {
-      result.push({ id: node.id, name: node.name })
-    }
-    if (node.children && Array.isArray(node.children)) {
-      flattenDepartmentTree(node.children, result)
+// 提取诊室列表（从队列和候选池数据中动态获取）
+const extractClinicRooms = () => {
+  const roomSet = new Set()
+  // 从队列中提取
+  originalQueueList.value.forEach(item => {
+    if (item.room && item.room !== '-') {
+      roomSet.add(item.room)
     }
   })
-  return result
+  // 从候选池中提取
+  originalCandidatePoolList.value.forEach(item => {
+    if (item.room && item.room !== '-') {
+      roomSet.add(item.room)
     }
-
-// 加载就诊科室列表
-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)
-    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
+  })
+  clinicRoomList.value = Array.from(roomSet).sort()
 }
 
 // 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()
-  if (!deptName) return originalCandidatePoolList.value
-  return originalCandidatePoolList.value.filter(item => item.room === deptName)
+  return originalCandidatePoolList.value.filter(item => item.room === selectedClinicRoom.value)
 })
 
 // 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
-  if (selectedDept.value !== 'all') {
-    const deptName = getSelectedDeptName()
-    if (deptName) {
-      filtered = filtered.filter(item => item.room === deptName)
-    }
+  // 再按诊室过滤
+  if (selectedClinicRoom.value !== 'all') {
+    filtered = filtered.filter(item => item.room === selectedClinicRoom.value)
   }
 
   // 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
-      if (orgId == null) {
+      // 全科模式：优先用"当前叫号中/第一个等待"所在科室
+      let 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
-      if (orgId == null) {
+      // 全科模式：优先用”当前叫号中”所在科室
+      let 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
-      if (orgId == null) {
+      // 全科模式：优先用”当前叫号中”所在科室
+      let 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
-      if (orgId == null) {
+      // 全科模式：优先用”当前叫号中”所在科室
+      let 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()