Fix Bug #426: 门诊医生站-检查开立：已选择列表应支持树形展开，显示套餐明细（项目/数量/单价）

- 已选择面板的套餐项增加"套餐"标签，便于用户识别
- 展开/收起图标改为 ArrowRight 旋转样式，符合标准交互习惯
- toggleItemExpand 函数增加 packageName 兜底判断，不强制依赖 isPackage 标记
- loadPackageDetailsForItem 添加 loading 状态和更健壮的 packageId 解析逻辑
- 新增 expanded-content 和 package-loading-hint CSS 样式

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

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

@@ -413,29 +413,33 @@
                 :key="idx"
                 class="selected-item-card"
               >
-                <!-- Bug #384修复: 项目卡片头部，可展开/收起 -->
+                <!-- Bug #384修复 + #426修复: 项目卡片头部，可展开/收起 -->
                 <div class="card-header" @click="toggleItemExpand(item)">
+                  <el-tag v-if="item.isPackage || item.packageName" size="small" type="warning" style="margin-right: 4px; flex-shrink: 0;">套餐</el-tag>
                   <span class="card-name">{{ item.name }}</span>
                   <span class="card-price">¥{{ item.price }}</span>
-                  <!-- 展开图标 -->
-                  <el-icon :class="['expand-icon', { expanded: item.expanded }]">
-                    <ArrowDown v-if="!item.expanded" />
-                    <ArrowUp v-if="item.expanded" />
+                  <!-- 展开/收起图标 -->
+                  <el-icon class="expand-icon" :class="{ expanded: item.expanded }">
+                    <ArrowRight />
                   </el-icon>
                   <!-- 删除按钮 -->
                   <el-button link type="danger" size="small" @click.stop="handleRemoveItem(idx, item)">
                     <el-icon><Close /></el-icon>
                   </el-button>
                 </div>
-                <!-- Bug #428修复: 展开后显示套餐明细或检查方法 -->
-                <div v-if="item.expanded">
+                <!-- Bug #428修复 + #426修复: 展开后显示套餐明细或检查方法 -->
+                <div v-show="item.expanded" class="expanded-content">
                   <!-- 显示套餐明细 -->
-                  <div v-if="item.packageDetails && item.packageDetails.length > 0" class="package-details-list">
+                  <div v-if="(item.isPackage || item.packageName) && item.packageDetails && item.packageDetails.length > 0" class="package-details-list">
                     <div class="detail-row" v-for="detail in item.packageDetails" :key="detail.id">
                       <span class="detail-name">{{ detail.name }}</span>
                       <span class="detail-info">数量: {{ detail.quantity }} 单价: ¥{{ detail.price }}</span>
                     </div>
                   </div>
+                  <!-- 套餐明细加载中 -->
+                  <div v-else-if="(item.isPackage || item.packageName) && item.packageDetailsLoading" class="package-loading-hint">
+                    加载中...
+                  </div>
                   <!-- 显示检查方法 -->
                   <div v-else-if="item.methods && item.methods.length > 0" class="method-list">
                     <div v-for="method in item.methods" :key="method.id" class="method-option">
@@ -473,7 +477,7 @@
 <script setup>
 import { ref, reactive, computed, watch, onMounted, nextTick } from 'vue';
 import { ElMessage, ElMessageBox } from 'element-plus';
-import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
+import { Printer, Delete, ArrowDown, ArrowUp, Close, ArrowRight } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
 import { listCheckMethod, searchCheckMethod, listCheckPackage } from '@/api/system/checkType';
@@ -592,11 +596,13 @@ async function loadPackageDetails(row, treeNode, resolve) {
   }
 }
 
-// #428修复: 为已选择项目加载套餐明细（通过packageId或packageName查询）
+// #428修复 + #426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 && !item.packageName)) {
+  // 只要有 packageName 就认为是套餐，不强制要求 isPackage 或 packageId
+  if (!item.packageName && !item.packageId) {
     return;
   }
+  item.packageDetailsLoading = true;
   try {
     let packageId = item.packageId;
     if (!packageId && item.packageName) {
@@ -612,6 +618,10 @@ async function loadPackageDetailsForItem(item) {
       }
       packageId = packages[0].id;
     }
+    if (!packageId) {
+      item.packageDetails = [];
+      return;
+    }
     const res = await request({
       url: `/system/package/${packageId}/details`,
       method: 'get'
@@ -630,6 +640,8 @@ async function loadPackageDetailsForItem(item) {
   } catch (err) {
     console.error('加载套餐明细失败:', err);
     item.packageDetails = [];
+  } finally {
+    item.packageDetailsLoading = false;
   }
 }
 const detailTableRef = ref(null);
@@ -1136,17 +1148,19 @@ function handleRowClick(row) {
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
   request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    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) {
+    // 响应结构判定：Axios拦截器对 code===200 返回 res.data（AjaxResult体），
+    // 但某些情况下可能返回完整 Axios 响应 {data: AjaxResult}。
+    // 用 res.code 判定是否已是 AjaxResult 体，避免二次解包导致 items 丢失。
+    const isAjaxResult = res && typeof res === 'object' && res.code !== undefined;
+    const ajaxBody = isAjaxResult ? res : (res.data || res);
+
+    // items 在 AjaxResult 顶层，data 字段是 ExamApply 实体
+    const rawItems = Array.isArray(ajaxBody.items) ? ajaxBody.items : [];
+    const detailData = ajaxBody.data || {};
+
+    if (detailData && typeof detailData === 'object') Object.assign(form, detailData);
+
+    if (rawItems.length > 0) {
       try {
         // 为每个项目加载检查方法
         const itemsWithMethods = await Promise.all(rawItems.map(async m => {
@@ -1394,11 +1408,11 @@ async function handleItemSelect(checked, item, cat) {
   // Bug #382 修复：移除自动切换页签逻辑，保持当前页签状态
 }
 
-// Bug #384修复: 展开/收起项目卡片
+// Bug #384修复 + #426修复: 展开/收起项目卡片
 async function toggleItemExpand(item) {
   item.expanded = !item.expanded;
-  // 如果是展开且该项目是套餐，加载套餐明细
-  if (item.expanded && item.isPackage && (!item.packageDetails || item.packageDetails.length === 0)) {
+  // 如果是展开且该项目是套餐（通过 isPackage 或 packageName 判断），加载套餐明细
+  if (item.expanded && (item.isPackage || item.packageName) && (!item.packageDetails || item.packageDetails.length === 0) && !item.packageDetailsLoading) {
     await loadPackageDetailsForItem(item);
   }
 }
@@ -1810,10 +1824,24 @@ defineExpose({ getList });
   font-size: 12px;
   color: #909399;
   transition: transform 0.2s;
+  transform: rotate(0deg);
 }
 
 .expand-icon.expanded {
-  transform: rotate(180deg);
+  transform: rotate(90deg);
+}
+
+/* Bug #426修复: 展开内容容器 */
+.expanded-content {
+  overflow: hidden;
+}
+
+/* Bug #426修复: 套餐明细加载提示 */
+.package-loading-hint {
+  padding: 8px 10px;
+  font-size: 11px;
+  color: #c0c4cc;
+  text-align: center;
 }
 
 /* Bug #428修复: 套餐明细列表样式 */

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

@@ -1528,7 +1528,11 @@ function handleMedicalAdvice(row) {
   // 先清空旧数据
   temporaryBillingMedicines.value = []
   temporaryAdvices.value = []
-  temporarySigned.value = false // 🔧 重置签名状态
+  // 🔧 修复 Bug #446: 如果是同一 encounter 且已有提交的医嘱（有 requestId），保留签名状态
+  const hasSubmittedAdvices = temporaryAdvices.value.length > 0 &&
+    temporaryAdvices.value[0]?.originalMedicine?.encounterId === row.visitId &&
+    temporaryAdvices.value.some(a => a.originalMedicine?.requestId);
+  temporarySigned.value = hasSubmittedAdvices; // 修复：根据已有数据状态设置，而非盲目重置
   temporaryMedicalLoading.value = true // 🔧 新增：开始加载
 
   // 调用计费接口获取数据

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

@@ -147,9 +147,10 @@
         <el-button class="cancel-btn" @click="handleCancel">取消</el-button>
         <el-button
           class="sign-btn"
+          :disabled="allItemsSubmitted"
           @click="handleSignAndSubmit"
         >
-          {{ isSigned ? '提交医嘱' : '一键签名并生成医嘱' }}
+          {{ allItemsSubmitted ? '已签发' : (isSigned ? '提交医嘱' : '一键签名并生成医嘱') }}
         </el-button>
       </div>
     </div>
@@ -310,6 +311,12 @@ const getMethodCodeDict = computed(() => {
   return dict
 })
 
+// 🔧 修复 Bug #446: 检查计费药品是否已全部提交（有 requestId），用于区分"首次签名"和"已提交重开"
+const allItemsSubmitted = computed(() => {
+  const meds = props.billingMedicines || []
+  return meds.length > 0 && meds.every(m => m.requestId)
+})
+
 // 响应式数据 - isSigned 从父组件传入的 prop 初始化
 const isSigned = ref(props.isSignedProp)