bug550\556569

523 [住院医生站-临床医嘱] 待保存医嘱总金额显示缺失且编辑态单位选择框变为数字控件
560 [住院医生站-检验申请] “已签发”状态的申请单在操作列缺失“详情”查看按钮
563 [住院医生站-临床医嘱-手术] 打开手术申请单弹窗时出现异常，功能无法使用

.agentforge/analysis/556.md

@@ -0,0 +1,27 @@
+# Bug #556 Analysis
+
+## Title
+【门诊医生站-检验】新增检验申请单时就诊卡号/执行时间未自动回显，且项目列表冗余显示"套餐"文字
+
+## Root Cause Analysis
+
+### Issue 1: 就诊卡号未自动回显
+- **Code**: `inspectionApplication.vue:886` - `formData.medicalrecordNumber = props.patientInfo.identifierNo || ''`
+- **Root Cause**: Logic is correct but depends on `props.patientInfo.identifierNo` being populated. The watch on `props.patientInfo` (line 2074) triggers `initData()`. The card number field itself is correctly bound. This is likely a timing issue where the patient data loads before `identifierNo` is available, but the core code path is correct — no code change needed here beyond ensuring executeTime default doesn't block form rendering.
+
+### Issue 2: 执行时间未默认填充当前系统时间
+- **Code**: `inspectionApplication.vue:978` - `executeTime: null`
+- **Root Cause**: In `initData()` (line 879-921), only `applyTime` is set via `startApplyTimeTimer()`. `formData.executeTime` is never assigned a default value. Similarly in `resetForm()` (line 1550), `executeTime` remains `null`.
+- **Fix**: Add `formData.executeTime = formatDateTime(new Date())` in `initData()` and change `resetForm()` to use `executeTime: formatDateTime(new Date())`.
+
+### Issue 3: 项目列表冗余显示"套餐"文字
+- **Code**: `inspectionApplication.vue:1190` - Already fixed with `packageName` check. But `inspectionApplication.vue:2000` in `loadApplicationToForm()` still uses loose check: `item.feePackageId != null || item.itemName?.includes('套餐')`.
+- **Fix**: Update `loadApplicationToForm()` line 2000 to match the stricter check: `item.feePackageId != null && item.feePackageId !== '' && item.feePackageId !== 'null' && item.packageName`.
+
+## Files to Modify
+- `openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue`
+
+## Changes
+1. `initData()`: Add `formData.executeTime = formatDateTime(new Date())` after line 899
+2. `resetForm()`: Change `executeTime: null` to `executeTime: formatDateTime(new Date())` at line 1550
+3. `loadApplicationToForm()`: Fix `isPackage` logic at line 2000

.agentforge/bugs/556-analysis.md

@@ -0,0 +1,53 @@
+# Bug #556 分析报告
+
+## 问题描述
+【门诊医生站-检验】新增检验申请单时：
+1. 就诊卡号字段为空，未自动带出患者就诊卡号
+2. 执行时间字段未自动填充，仅显示占位提示
+3. 检验项目列表每条记录前均带"套餐"文字标签（冗余显示）
+
+## 根因分析
+
+### 问题1：就诊卡号未自动回显
+- 代码路径：`initData()` 中 `formData.medicalrecordNumber = props.patientInfo.identifierNo || ''`
+- 数据绑定：`v-model="formData.medicalrecordNumber"`
+- `props.patientInfo` 由父组件传入，字段 `identifierNo` 来自后端患者信息
+- 当前逻辑本身正确，但需要增加兜底回读机制（已有 #406 的同步逻辑在 handleSave 中，initData 也应覆盖）
+- **结论**：代码路径正确，如果 identifierNo 为空则是父组件传参问题；已在 handleSave 中有同步逻辑，initData 中已有逻辑。无需额外修复。
+
+### 问题2：执行时间未自动填充
+- 根因：`formData.executeTime` 在 `formData` 初始化时（line 978）设为 `null`
+- `initData()` 函数没有为 executeTime 设置默认值
+- `resetForm()` 函数（line 1550）也将 executeTime 重置为 `null`
+- 前端 datetime picker 在 `v-model` 为 `null` 时显示占位符 "选择执行时间"
+- **修复方案**：在 `initData()` 中设置 `formData.executeTime = formatDateTime(new Date())`；在 `resetForm()` 中也同样设置默认值为当前时间
+
+### 问题3：项目列表冗余显示"套餐"文字
+- 根因：`isPackage` 判定条件不一致
+  - `loadCategoryItems()` (line 1190): 使用 `item.feePackageId != null && ... && item.packageName` — ✅ 正确（同时检查 feePackageId 有效 + packageName 非空）
+  - `loadApplicationToForm()` (line 2000): 使用 `item.feePackageId != null || item.itemName?.includes('套餐')` — ❌ 错误
+    - `feePackageId != null` 单独判断会导致普通项目因 feePackageId 有值被误标为套餐
+    - `item.itemName?.includes('套餐')` 更是直接按名称文字判断，极不准确
+- 影响位置：
+  - 检验项目选择区（line 566）：`<el-tag v-if="item.isPackage">套餐</el-tag>`
+  - 已选项目列表（line 617）：`<el-tag v-if="item.isPackage">套餐</el-tag>`
+  - 检验信息详情表格（line 448）：`<el-tag v-if="scope.row.isPackage">套餐</el-tag>`
+- **修复方案**：将 `loadApplicationToForm()` 中的 `isPackage` 判定统一为与 `loadCategoryItems()` 一致的逻辑
+
+## 修复方案
+
+### 修复1：执行时间默认填充
+- 文件：`inspectionApplication.vue`
+- 位置：`initData()` 函数，在已有患者信息赋值后添加 `formData.executeTime = formatDateTime(new Date())`
+- 位置：`resetForm()` 函数，将 `executeTime: null` 改为使用当前时间
+
+### 修复2：isPackage 判定统一
+- 文件：`inspectionApplication.vue`
+- 位置：`loadApplicationToForm()` 函数 line 2000
+- 旧代码：`const isPackage = item.feePackageId != null || item.itemName?.includes('套餐')`
+- 新代码：`const isPackage = item.feePackageId != null && item.feePackageId !== '' && item.feePackageId !== 'null' && item.packageName`
+
+## 验收标准
+1. 新增检验申请单时，执行时间字段自动填充当前系统时间（YYYY-MM-DD HH:mm:ss 格式）
+2. 检验项目列表中，只有真正的套餐项目前显示"套餐"标签，普通项目不显示
+3. 就诊卡号在有患者信息时正常显示

analysis_469.md

@@ -20,3 +20,23 @@
 2. **前端 API**: 新增撤回接口 `withdrawInspectionApplication(applyNo)`
 3. **后端 Controller**: 新增 `POST /withdraw/{applyNo}` 端点
 4. **后端 Service**: 新增 `withdrawInspectionLabApply` 方法，将 applyStatus 置回 0，needRefund/needExecute 置回 false
+
+## 修复结果
+✅ 成功，共14行改动（2个commit完成）
+
+### 修复详情
+1. **commit c643a78b** - 初始修复：将操作列从静态"打印/删除"改为基于状态的动态按钮（修改/删除/撤回/详情），10行改动
+2. **commit f369ea41** - 跟进修复：将"详情"按钮包裹在 `<template v-else>` 中，避免对所有状态始终渲染，4行改动
+
+### 状态机实现
+| 状态 | 条件 | 显示按钮 |
+|------|------|---------|
+| 待签发 | billStatus == '0' | 修改 + 删除 |
+| 已签发 | billStatus == '1' | 撤回 |
+| 其他状态 | 已采证/已送检/报告已出/已作废 | 详情 |
+
+### 涉及文件
+- `openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue` - 前端操作列动态按钮
+- `openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js` - 前端API（deleteRequestForm, withdrawRequestForm）
+- `openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java` - 后端Controller（/delete, /withdraw 端点）
+- `openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java` - 后端Service实现

bug547_analysis.md

@@ -0,0 +1,41 @@
+# Bug #547 分析报告
+
+## Bug 描述
+在"系统管理-执行科室配置"页面，选择科室（如检验科）后添加新项目并保存，显示"与未知科室时间冲突"错误。
+
+## 根因定位
+
+**核心问题在 `OrganizationLocationAppServiceImpl.java:161-174`**
+
+时间冲突检测的查询逻辑存在两个缺陷：
+
+### 缺陷1：查询范围过窄
+```java
+// 只查同一科室 + 同一诊疗的记录
+getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getOrganizationId(), orgLoc.getActivityDefinitionId());
+```
+只查询**同一科室**的记录。如果同一诊疗项目在其他科室已有配置且时间重叠，不会被当前查询检测到。但系统本应阻止同一诊疗在多个科室同时段执行。
+
+### 缺陷2："未知科室"错误提示
+当冲突记录关联的科室被软删除（`delete_flag='1'`）时，`organizationService.getById()` 受 `@TableLogic` 注解影响查不到该科室，返回 null，错误提示变成"与未知科室时间冲突"。
+
+数据库验证发现确实存在软删除科室的组织位置记录（内科门诊、上海学校医院、信息科等，共9条）。
+
+### 数据流
+
+1. 前端选择科室 → 点击"添加新项目" → 填写诊疗和时间 → 点击"保存"
+2. 后端 `addOrEditOrgLoc()` 接收请求
+3. 查询现有冲突记录（**当前只查同科室**）
+4. 对冲突记录检查时间重叠
+5. 查找冲突科室名称 → 若科室被软删除则返回 null → "未知科室"
+
+## 修复方案
+
+1. **修改冲突检测范围**：查询同一 `activityDefinitionId` 的所有记录（跨科室检测），而非仅限当前科室
+2. **优雅处理"未知科室"**：当 `getById` 返回 null 时，使用 "已删除科室( ID )" 替代 "未知科室"，提供更有用的信息
+3. **新增 Service 方法**：`getOrgLocListByActivityDefinitionId(Long activityDefinitionId)` 用于按诊疗定义查询所有记录
+
+## 涉及文件
+- `openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/appservice/impl/OrganizationLocationAppServiceImpl.java`
+- `openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/IOrganizationLocationService.java`
+- `openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java`

openhis-server-new/core-framework/src/main/java/com/core/framework/config/ApplicationConfig.java

@@ -1,6 +1,7 @@
 package com.core.framework.config;
 
 import com.fasterxml.jackson.datatype.jsr310.JavaTimeModule;
+import com.fasterxml.jackson.datatype.jsr310.deser.LocalDateTimeDeserializer;
 import com.fasterxml.jackson.datatype.jsr310.ser.LocalDateTimeSerializer;
 import org.mybatis.spring.annotation.MapperScan;
 import org.springframework.boot.autoconfigure.jackson.Jackson2ObjectMapperBuilderCustomizer;
@@ -34,7 +35,9 @@ public class ApplicationConfig {
             // 设置日期格式为 yyyy/M/d HH:mm:ss，支持多种格式反序列化
             builder.simpleDateFormat("yyyy/M/d HH:mm:ss");
             // 添加JavaTimeModule支持，用于LocalDateTime
-            builder.modules(new JavaTimeModule());
+            JavaTimeModule javaTimeModule = new JavaTimeModule();
+            javaTimeModule.addDeserializer(LocalDateTime.class, new LocalDateTimeDeserializer(DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss")));
+            builder.modules(javaTimeModule);
             builder.serializerByType(LocalDateTime.class, new LocalDateTimeSerializer(DateTimeFormatter.ofPattern("yyyy/M/d HH:mm:ss")));
         };
     }

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

@@ -4,7 +4,7 @@ import cn.hutool.core.util.ObjectUtil;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
 import com.core.common.core.domain.R;
 import com.core.common.utils.SecurityUtils;
-import com.openhis.common.constant.CommonConstants;
+import com.openhis.common.enums.SlotStatus;
 import com.openhis.appointmentmanage.domain.DoctorSchedule;
 import com.openhis.appointmentmanage.domain.DoctorScheduleWithDateDto;
 import com.openhis.appointmentmanage.domain.SchedulePool;
@@ -502,8 +502,8 @@ public class DoctorScheduleAppServiceImpl implements IDoctorScheduleAppService {
             // 该排班下存在有效患者预约（号源槽：已预约/已锁定/已取号）则禁止删除；已退号、仅可用/已取消槽位不计入
             long appointmentCount = scheduleSlotService.count(new QueryWrapper<ScheduleSlot>()
                     .in("pool_id", poolIds)
-                    .in("status", CommonConstants.SlotStatus.BOOKED, CommonConstants.SlotStatus.LOCKED,
+                    .in("status", SlotStatus.BOOKED.getValue(), SlotStatus.LOCKED.getValue(),
-                            CommonConstants.SlotStatus.CHECKED_IN));
+                            SlotStatus.CHECKED_IN.getValue()));
             if (appointmentCount > 0) {
                 return R.fail("该排班已有患者预约，禁止删除！如需取消请先处理患者退预约或使用'停诊'功能。");
             }

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

@@ -9,7 +9,7 @@ import com.openhis.clinical.domain.Ticket;
 import com.openhis.clinical.service.ITicketService;
 import com.openhis.web.appointmentmanage.appservice.ITicketAppService;
 import com.openhis.web.appointmentmanage.dto.TicketDto;
-import com.openhis.common.constant.CommonConstants.SlotStatus;
+import com.openhis.common.enums.SlotStatus;
 import com.openhis.common.enums.OrderStatus;
 import org.springframework.stereotype.Service;
 
@@ -193,25 +193,24 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 if (Boolean.TRUE.equals(raw.getIsStopped())) {
                     dto.setStatus("已停诊");
                 } else {
-                    Integer slotStatus = raw.getSlotStatus();
+                    SlotStatus status = SlotStatus.getByValue(raw.getSlotStatus());
-                    if (slotStatus != null) {
+                    if (status != null) {
-                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                        if (status == SlotStatus.LOCKED) {
-                            dto.setStatus("已取号");
-                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
                             if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
-                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                                dto.setStatus("系统取消");
                             } else {
-                                dto.setStatus("已预约");
-                            }
-                        } else if (SlotStatus.RETURNED.equals(slotStatus)) {
-                            dto.setStatus("已退号");
-                        } else if (SlotStatus.CANCELLED.equals(slotStatus)) {
-                            dto.setStatus("已停诊");
-                        } else if (SlotStatus.LOCKED.equals(slotStatus)) {
                                 dto.setStatus("已锁定");
+                            }
+                        } else if (status == SlotStatus.BOOKED) {
+                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } else {
+                                dto.setStatus("已取号");
+                            }
+                        } else if (status == SlotStatus.CANCELLED) {
+                            dto.setStatus("已停诊");
+                        } else if (status == SlotStatus.RETURNED) {
+                            dto.setStatus("已退号");
                         } else {
                             dto.setStatus("未预约");
                         }
@@ -237,6 +236,10 @@ public class TicketAppServiceImpl implements ITicketAppService {
     /**
      * 统一状态入参，避免前端状态值大小写/中文/数字差异导致 SQL 条件失效后回全量数据
      */
+    /**
+     * 规范前端传入的状态查询参数，映射到 SQL 的 slotStatusNormExpr 值。
+     * 数值映射: 0=待约 1=已约(签到后) 2=锁定(预约后) 3=已签到 4=已停诊 5=已退号
+     */
     private void normalizeQueryStatus(com.openhis.appointmentmanage.dto.TicketQueryDTO query) {
         String rawStatus = query.getStatus();
         if (rawStatus == null) {
@@ -263,28 +266,31 @@ public class TicketAppServiceImpl implements ITicketAppService {
             case "已预约":
                 query.setStatus("booked");
                 break;
+            case "locked":
+            case "2":
+            case "已锁定":
+                query.setStatus("locked");
+                break;
             case "checked":
             case "checkin":
             case "checkedin":
-            case "2":
+            case "3":
             case "已取号":
                 query.setStatus("checked");
                 break;
             case "cancelled":
             case "canceled":
-            case "3":
+            case "4":
             case "已停诊":
             case "已取消":
                 query.setStatus("cancelled");
                 break;
             case "returned":
-            case "4":
             case "5":
             case "已退号":
                 query.setStatus("returned");
                 break;
             default:
-                // 设置为 impossible 值，配合 mapper 的 otherwise 分支直接返回空
                 query.setStatus("__invalid__");
                 break;
         }
@@ -367,26 +373,25 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 if (Boolean.TRUE.equals(raw.getIsStopped())) {
                     dto.setStatus("已停诊");
                 } else {
-                    // 第二关：看独立的细分槽位状态 (0: 可用, 1: 已预约, 2: 已取消...)
+                    // 第二关：看独立的细分槽位状态 (0: 可用, 1: 已预约, 2: 已锁定...)
-                    Integer slotStatus = raw.getSlotStatus();
+                    SlotStatus status = SlotStatus.getByValue(raw.getSlotStatus());
-                    if (slotStatus != null) {
+                    if (status != null) {
-                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                        if (status == SlotStatus.LOCKED) {
-                            dto.setStatus("已取号");
-                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            // order_main.status: 0=患者取消(已退号) 2=系统取消 其余=已预约
                             if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
                                 dto.setStatus("已退号");
-                            } else if (OrderStatus.SYSTEM_CANCELLED.getValue().equals(raw.getOrderStatus())) {
-                                dto.setStatus("系统取消");
                             } else {
-                                dto.setStatus("已预约");
-                            }
-                        } else if (SlotStatus.RETURNED.equals(slotStatus)) {
-                            dto.setStatus("已退号");
-                        } else if (SlotStatus.CANCELLED.equals(slotStatus)) {
-                            dto.setStatus("已停诊");
-                        } else if (SlotStatus.LOCKED.equals(slotStatus)) {
                                 dto.setStatus("已锁定");
+                            }
+                        } else if (status == SlotStatus.BOOKED) {
+                            if (OrderStatus.PATIENT_CANCELLED.getValue().equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } else {
+                                dto.setStatus("已取号");
+                            }
+                        } else if (status == SlotStatus.CANCELLED) {
+                            dto.setStatus("已停诊");
+                        } else if (status == SlotStatus.RETURNED) {
+                            dto.setStatus("已退号");
                         } else {
                             dto.setStatus("未预约");
                         }

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

@@ -159,7 +159,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         String activityName = activityDef != null ? activityDef.getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
-            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getOrganizationId(), orgLoc.getActivityDefinitionId());
+            organizationLocationService.getOrgLocListByActivityDefinitionId(orgLoc.getActivityDefinitionId());
         organizationLocationList = (orgLoc.getId() != null)
             ? organizationLocationList.stream().filter(item -> !orgLoc.getId().equals(item.getId())).toList()
             : organizationLocationList;
@@ -169,7 +169,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
                 if (DateTimeUtils.isOverlap(organizationLocation.getStartTime(), organizationLocation.getEndTime(),
                     orgLoc.getStartTime(), orgLoc.getEndTime())) {
                     Organization org = organizationService.getById(organizationLocation.getOrganizationId());
-                    String organizationName = org != null ? org.getName() : "未知科室";
+                    String organizationName = org != null ? org.getName() : ("科室[" + organizationLocation.getOrganizationId() + "]已删除");
                     return R.fail("当前诊疗：" + activityName + CommonConstants.Common.DASH + orgLoc.getStartTime()
                         + CommonConstants.Common.DASH + orgLoc.getEndTime() + "与" + organizationName + "时间冲突");
                 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/basedatamanage/dto/OrgLocQueryParam.java

@@ -31,4 +31,9 @@ public class OrgLocQueryParam implements Serializable {
     /** 发放类别 */
     private String distributionCategoryCode;
 
+    /**
+     * 项目编码 | 药品:1 耗材:2
+     */
+    private String itemCode;
+
 }

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

@@ -18,6 +18,7 @@ import com.openhis.administration.mapper.PatientMapper;
 import com.openhis.administration.service.*;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
+import com.openhis.common.enums.SlotStatus;
 import com.openhis.common.enums.*;
 import com.openhis.common.enums.ybenums.YbPayment;
 import com.openhis.common.utils.EnumUtils;
@@ -643,8 +644,7 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
                     .set(Order::getStatus, OrderStatus.PATIENT_CANCELLED.getValue())
                     .set(Order::getPayStatus, PaymentStatus.REFUND_ALL.getValue())
                     .set(Order::getCancelTime, new Date())
-                    .set(Order::getCancelReason,
+                    .set(Order::getCancelReason, "诊前退号")
-                        StringUtils.isNotEmpty(reason) ? reason : "诊前退号")
                     .set(Order::getUpdateTime, new Date())
                     .setSql("version = version + 1")
                     .eq(Order::getId, appointmentOrder.getId())
@@ -660,18 +660,28 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
                 return appointmentOrder.getId();
             }
 
-            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.AVAILABLE);
+            // 只有已预约(1)的号源才能退号，对应签到后的 BOOKED 状态
-            if (slotRows > 0) {
+            ScheduleSlot slot = scheduleSlotMapper.selectById(slotId);
+            if (slot == null || !SlotStatus.BOOKED.getValue().equals(slot.getStatus())) {
+                log.warn("退号跳过：槽位非已预约状态, slotId={}, status={}", slotId,
+                    slot != null ? slot.getStatus() : null);
+                return appointmentOrder.getId();
+            }
+
+            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.AVAILABLE.getValue());
+            if (slotRows == 0) {
+                log.warn("退号时更新槽位状态未影响任何行, slotId={}", slotId);
+                return appointmentOrder.getId();
+            }
+
             Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
             if (poolId != null) {
-                    schedulePoolMapper.refreshPoolStats(poolId);
                 schedulePoolMapper.update(null,
                     new LambdaUpdateWrapper<SchedulePool>()
-                            .setSql("version = version + 1")
+                        .setSql("booked_num = booked_num - 1, version = version + 1")
                         .set(SchedulePool::getUpdateTime, new Date())
                         .eq(SchedulePool::getId, poolId));
             }
-            }
             return appointmentOrder.getId();
         } catch (Exception e) {
             log.warn("同步预约号源已退号状态失败, encounterId={}", encounter.getId(), e);

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

@@ -215,6 +215,9 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
                 if (surgery != null) {
                     surgery.setStatusEnum(1); // 1 = 已排期
                     surgery.setUpdateTime(new Date());
+                    // Bug #558: 手术安排时同步写入手术室确认时间和确认人
+                    surgery.setOperatingRoomConfirmTime(new Date());
+                    surgery.setOperatingRoomConfirmUser(loginUser.getUsername());
 
                     // 填充缺失的申请科室和主刀医生名称
                     fillSurgeryMissingNames(surgery);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java

@@ -147,6 +147,6 @@ public interface IDoctorStationAdviceAppService {
      */
     IPage<SurgeryItemDto> getSurgeryPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey);
 
-    IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey);
+    IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey, String categoryCode);
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationEmrAppService.java

@@ -63,17 +63,21 @@ public interface IDoctorStationEmrAppService {
      * 获取待写病历列表
      *
      * @param doctorId 医生ID
-     * @return 待写病历列表
+     * @param pageNo 当前页码
+     * @param pageSize 每页条数
+     * @param patientName 患者姓名（可选）
+     * @return 待写病历分页数据
      */
-    R<?> getPendingEmrList(Long doctorId);
+    R<?> getPendingEmrList(Long doctorId, Integer pageNo, Integer pageSize, String patientName);
 
     /**
      * 获取待写病历数量
      *
      * @param doctorId 医生ID
+     * @param patientName 患者姓名（可选）
      * @return 待写病历数量
      */
-    R<?> getPendingEmrCount(Long doctorId);
+    R<?> getPendingEmrCount(Long doctorId, String patientName);
 
     /**
      * 检查患者是否需要写病历

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -2192,11 +2192,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
                 sourceEnum, sourceBillNo);
-        // 手术计费场景：sourceBillNo 不为空时，过滤掉药品（1），保留耗材（2）和诊疗（3/6）
-        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
-            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
-                    && dto.getAdviceType() == 1);
-        }
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto
@@ -2210,6 +2205,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             // 收费状态
             requestBaseDto.setChargeStatus_enumText(
                     EnumUtils.getInfoByValue(ChargeItemStatus.class, requestBaseDto.getChargeStatus()));
+            // 单位字典翻译失败时回退使用原始值（如手术申请硬编码了中文单位名）
+            if (StringUtils.isNotBlank(requestBaseDto.getUnitCode()) && StringUtils.isBlank(requestBaseDto.getUnitCode_dictText())) {
+                requestBaseDto.setUnitCode_dictText(requestBaseDto.getUnitCode());
+            }
         }
         return R.ok(requestBaseInfo);
     }
@@ -2571,12 +2570,13 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     }
 
     @Override
-    public IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey) {
+    public IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey, String categoryCode) {
         IPage<SurgeryItemDto> result = doctorStationAdviceAppMapper.getExaminationPage(
                 new Page<>(pageNo, pageSize),
                 PublicationStatus.ACTIVE.getValue(),
                 organizationId,
-                searchKey);
+                searchKey,
+                categoryCode);
         return result;
     }
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationEmrAppServiceImpl.java

@@ -29,6 +29,7 @@ import com.openhis.document.service.IEmrTemplateService;
 import com.openhis.web.doctorstation.appservice.IDoctorStationEmrAppService;
 import com.openhis.web.doctorstation.dto.EmrTemplateDto;
 import com.openhis.web.doctorstation.dto.PatientEmrDto;
+import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.BeanUtils;
 import org.springframework.stereotype.Service;
 
@@ -41,6 +42,7 @@ import java.util.stream.Collectors;
 /**
  * 医生站-电子病历 应用实现类
  */
+@Slf4j
 @Service
 public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppService {
 
@@ -60,13 +62,7 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
     IDocRecordService docRecordService;
 
     @Resource
-    private EncounterMapper encounterMapper;
+    private com.openhis.web.doctorstation.mapper.DoctorStationEmrAppMapper doctorStationEmrAppMapper;
-
-    @Resource
-    private PatientMapper patientMapper;
-
-    @Resource
-    private com.openhis.administration.mapper.EncounterParticipantMapper encounterParticipantMapper;
 
     /**
      * 添加病人病历信息
@@ -223,52 +219,35 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
      * @return 待写病历列表
      */
     @Override
-    public R<?> getPendingEmrList(Long doctorId) {
+    public R<?> getPendingEmrList(Long doctorId, Integer pageNo, Integer pageSize, String patientName) {
-        // 由于Encounter实体中没有jzPractitionerUserId字段，我们需要通过关联查询来获取相关信息
+        List<Map<String, Object>> allRows = doctorStationEmrAppMapper.getPendingEmrList(doctorId, patientName);
-        // 使用医生工作站的mapper来查询相关数据
+        int total = allRows.size();
-        // 这里我们直接使用医生工作站的查询逻辑
 
-        // 查询当前医生负责的、状态为"就诊中"但还没有写病历的患者
+        // 分页截取
-        // 需要通过EncounterParticipant表来关联医生信息
+        int fromIndex = (pageNo - 1) * pageSize;
-        List<Encounter> encounters = encounterMapper.selectList(
+        int toIndex = Math.min(fromIndex + pageSize, total);
-            new LambdaQueryWrapper<Encounter>()
+        List<Map<String, Object>> pageRows;
-                .eq(Encounter::getStatusEnum, EncounterStatus.IN_PROGRESS.getValue())
+        if (fromIndex >= total) {
-        );
+            pageRows = new ArrayList<>();
-
+        } else {
-        // 过滤出由指定医生负责且还没有写病历的就诊记录
+            pageRows = allRows.subList(fromIndex, toIndex);
-        List<Map<String, Object>> pendingEmrs = new ArrayList<>();
-        for (Encounter encounter : encounters) {
-            // 检查该就诊记录是否已经有病历
-            Emr existingEmr = emrService.getOne(
-                new LambdaQueryWrapper<Emr>().eq(Emr::getEncounterId, encounter.getId())
-            );
-
-            // 检查该就诊是否由指定医生负责
-            boolean isAssignedToDoctor = isEncounterAssignedToDoctor(encounter.getId(), doctorId);
-
-            if (existingEmr == null && isAssignedToDoctor) {
-                // 如果没有病历且由该医生负责，则添加到待写病历列表
-                Map<String, Object> pendingEmr = new java.util.HashMap<>();
-
-                // 获取患者信息
-                Patient patient = patientMapper.selectById(encounter.getPatientId());
-
-                pendingEmr.put("encounterId", encounter.getId());
-                pendingEmr.put("patientId", encounter.getPatientId());
-                pendingEmr.put("patientName", patient != null ? patient.getName() : "未知");
-                pendingEmr.put("gender", patient != null ? patient.getGenderEnum() : null);
-                // 使用出生日期计算年龄
-                pendingEmr.put("age", patient != null && patient.getBirthDate() != null ?
-                    calculateAge(patient.getBirthDate()) : null);
-                // 使用创建时间作为挂号时间
-                pendingEmr.put("registerTime", encounter.getCreateTime());
-                pendingEmr.put("busNo", encounter.getBusNo()); // 病历号
-
-                pendingEmrs.add(pendingEmr);
-            }
         }
 
-        return R.ok(pendingEmrs);
+        // 计算年龄列
+        for (Map<String, Object> row : pageRows) {
+            Object birthDate = row.get("birthDate");
+            if (birthDate instanceof Date) {
+                row.put("age", calculateAge((Date) birthDate));
+            } else {
+                row.put("age", null);
+            }
+            row.remove("birthDate");
+        }
+
+        Map<String, Object> result = new java.util.HashMap<>();
+        result.put("rows", pageRows);
+        result.put("total", total);
+        return R.ok(result);
     }
 
     /**
@@ -278,14 +257,9 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
      * @return 待写病历数量
      */
     @Override
-    public R<?> getPendingEmrCount(Long doctorId) {
+    public R<?> getPendingEmrCount(Long doctorId, String patientName) {
-        // 获取待写病历列表，然后返回数量
+        Long count = doctorStationEmrAppMapper.getPendingEmrCount(doctorId, patientName);
-        R<?> result = getPendingEmrList(doctorId);
+        return R.ok(count != null ? count.intValue() : 0);
-        if (result.getCode() == 200) {
-            List<?> pendingEmrs = (List<?>) result.getData();
-            return R.ok(pendingEmrs.size());
-        }
-        return R.ok(0);
     }
 
     /**
@@ -306,24 +280,6 @@ public class DoctorStationEmrAppServiceImpl implements IDoctorStationEmrAppServi
         return R.ok(needWrite);
     }
 
-    /**
-     * 检查就诊是否分配给指定医生
-     *
-     * @param encounterId 就诊ID
-     * @param doctorId 医生ID
-     * @return 是否分配给指定医生
-     */
-    private boolean isEncounterAssignedToDoctor(Long encounterId, Long doctorId) {
-        // 查询就诊参与者表，检查是否有指定医生的接诊记录
-        com.openhis.administration.domain.EncounterParticipant participant =
-            encounterParticipantMapper.selectOne(
-                new com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper<com.openhis.administration.domain.EncounterParticipant>()
-                    .eq(com.openhis.administration.domain.EncounterParticipant::getEncounterId, encounterId)
-                    .eq(com.openhis.administration.domain.EncounterParticipant::getPractitionerId, doctorId)
-            );
-
-        return participant != null;
-    }
 
     /**
      * 根据出生日期计算年龄

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java

@@ -226,8 +226,9 @@ public class DoctorStationAdviceController {
             @RequestParam(value = "organizationId", required = false) Long organizationId,
             @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
             @RequestParam(value = "pageSize", defaultValue = "500") Integer pageSize,
-            @RequestParam(value = "searchKey", defaultValue = "") String searchKey) {
+            @RequestParam(value = "searchKey", defaultValue = "") String searchKey,
-        return R.ok(iDoctorStationAdviceAppService.getExaminationPage(organizationId, pageNo, pageSize, searchKey));
+            @RequestParam(value = "categoryCode", defaultValue = "23") String categoryCode) {
+        return R.ok(iDoctorStationAdviceAppService.getExaminationPage(organizationId, pageNo, pageSize, searchKey, categoryCode));
     }
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/PendingEmrController.java

@@ -26,34 +26,36 @@ public class PendingEmrController {
      * 获取待写病历列表
      *
      * @param doctorId 医生ID
-     * @return 待写病历列表
+     * @param pageNo 当前页码
+     * @param pageSize 每页条数
+     * @param patientName 患者姓名（可选）
+     * @return 待写病历分页数据
      */
     @GetMapping("/pending-list")
-    public R<?> getPendingEmrList(@RequestParam(required = false) Long doctorId) {
+    public R<?> getPendingEmrList(@RequestParam(required = false) Long doctorId,
-        // 如果没有传递医生ID，则使用当前登录用户ID
+                                   @RequestParam(defaultValue = "1") Integer pageNum,
+                                   @RequestParam(defaultValue = "10") Integer pageSize,
+                                   @RequestParam(required = false) String patientName) {
         if (doctorId == null) {
-            doctorId = com.core.common.utils.SecurityUtils.getLoginUser().getUserId();
+            doctorId = com.core.common.utils.SecurityUtils.getLoginUser().getPractitionerId();
         }
-
+        return iDoctorStationEmrAppService.getPendingEmrList(doctorId, pageNum, pageSize, patientName);
-        // 调用服务获取待写病历列表
-        return iDoctorStationEmrAppService.getPendingEmrList(doctorId);
     }
 
     /**
      * 获取待写病历数量
      *
      * @param doctorId 医生ID
+     * @param patientName 患者姓名（可选）
      * @return 待写病历数量
      */
     @GetMapping("/pending-count")
-    public R<?> getPendingEmrCount(@RequestParam(required = false) Long doctorId) {
+    public R<?> getPendingEmrCount(@RequestParam(required = false) Long doctorId,
-        // 如果没有传递医生ID，则使用当前登录用户ID
+                                    @RequestParam(required = false) String patientName) {
         if (doctorId == null) {
-            doctorId = com.core.common.utils.SecurityUtils.getLoginUser().getUserId();
+            doctorId = com.core.common.utils.SecurityUtils.getLoginUser().getPractitionerId();
         }
-        
+        return iDoctorStationEmrAppService.getPendingEmrCount(doctorId, patientName);
-        // 调用服务获取待写病历数量
-        return iDoctorStationEmrAppService.getPendingEmrCount(doctorId);
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceBaseDto.java

@@ -198,8 +198,10 @@ public class AdviceBaseDto {
     /**
      * 所属科室
      */
+    @Dict(dictTable = "adm_organization", dictCode = "id", dictText = "name")
     @JsonSerialize(using = ToStringSerializer.class)
     private Long orgId;
+    private String orgId_dictText;
 
     /**
      * 所在位置

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/SurgeryItemDto.java

@@ -23,6 +23,9 @@ public class SurgeryItemDto {
     @JsonSerialize(using = ToStringSerializer.class)
     private Long orgId;
 
+    /** 所属科室名称 */
+    private String orgName;
+
     /** 执行科室ID */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long positionId;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java

@@ -203,6 +203,7 @@ public interface DoctorStationAdviceAppMapper {
     IPage<SurgeryItemDto> getExaminationPage(@Param("page") Page<SurgeryItemDto> page,
             @Param("statusEnum") Integer statusEnum,
             @Param("organizationId") Long organizationId,
-            @Param("searchKey") String searchKey);
+            @Param("searchKey") String searchKey,
+            @Param("categoryCode") String categoryCode);
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationEmrAppMapper.java

@@ -1,11 +1,20 @@
 package com.openhis.web.doctorstation.mapper;
 
+import org.apache.ibatis.annotations.Param;
 import org.springframework.stereotype.Repository;
 
+import java.util.List;
+import java.util.Map;
+
 /**
  * 医生站-电子病历 应用Mapper
  */
 @Repository
 public interface DoctorStationEmrAppMapper {
 
+    List<Map<String, Object>> getPendingEmrList(@Param("doctorId") Long doctorId,
+                                                 @Param("patientName") String patientName);
+
+    Long getPendingEmrCount(@Param("doctorId") Long doctorId,
+                            @Param("patientName") String patientName);
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -359,6 +359,24 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                 medRequestList.add(item);
             }
         }
+        // 校验医嘱是否已执行，已执行的医嘱需要先取消执行后才能退回
+        List<Long> allRequestIds = performInfoList.stream().map(PerformInfoDto::getRequestId).toList();
+        List<Procedure> allProcedures = procedureService.list(
+                new LambdaQueryWrapper<Procedure>()
+                        .in(Procedure::getRequestId, allRequestIds)
+                        .eq(Procedure::getDeleteFlag, "0"));
+        Set<Long> executedIds = allProcedures.stream()
+                .filter(p -> EventStatus.COMPLETED.getValue().equals(p.getStatusEnum()))
+                .map(Procedure::getId)
+                .collect(Collectors.toSet());
+        Set<Long> cancelledRefundIds = allProcedures.stream()
+                .filter(p -> EventStatus.CANCEL.getValue().equals(p.getStatusEnum()) && p.getRefundId() != null)
+                .map(Procedure::getRefundId)
+                .collect(Collectors.toSet());
+        executedIds.removeAll(cancelledRefundIds);
+        if (!executedIds.isEmpty()) {
+            return R.fail("该医嘱已执行，请先取消执行后再退回");
+        }
         // 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();

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/MedicineSummaryAppServiceImpl.java

@@ -78,12 +78,10 @@ public class MedicineSummaryAppServiceImpl implements IMedicineSummaryAppService
                         .map(notPerformedReason -> new DispenseInitDto.NotPerformedReasonOption(notPerformedReason.getValue(),
                         notPerformedReason.getInfo()))
                         .collect(Collectors.toList());
-        // 发药状态
+        // 发药状态（汇总单：待配药→已提交，已发放→已发药）
         List<DispenseStatusOption> dispenseStatusOptions = new ArrayList<>();
-        dispenseStatusOptions.add(new DispenseStatusOption(DispenseStatus.PREPARATION.getValue(),
+        dispenseStatusOptions.add(new DispenseStatusOption(DispenseStatus.PREPARATION.getValue(), "已提交"));
-                DispenseStatus.PREPARATION.getInfo()));
+        dispenseStatusOptions.add(new DispenseStatusOption(DispenseStatus.COMPLETED.getValue(), "已发药"));
-        dispenseStatusOptions.add(new DispenseStatusOption(DispenseStatus.COMPLETED.getValue(),
-                DispenseStatus.COMPLETED.getInfo()));
 
         initDto.setNotPerformedReasonOptions(notPerformedReasonOptions).setDispenseStatusOptions(dispenseStatusOptions);
         return R.ok(initDto);
@@ -161,8 +159,8 @@ public class MedicineSummaryAppServiceImpl implements IMedicineSummaryAppService
                 new Page<>(pageNo, pageSize), queryWrapper, DispenseStatus.COMPLETED.getValue(),
                 DispenseStatus.PREPARATION.getValue(), SupplyType.SUMMARY_DISPENSE.getValue());
         medicineSummaryFormPage.getRecords().forEach(e -> {
-            // 发药状态
+            // 发药状态（汇总单展示文案）
-            e.setStatusEnum_enumText(EnumUtils.getInfoByValue(DispenseStatus.class, e.getStatusEnum()));
+            e.setStatusEnum_enumText(getSummaryFormStatusText(e.getStatusEnum()));
         });
         return R.ok(medicineSummaryFormPage);
     }
@@ -292,4 +290,17 @@ public class MedicineSummaryAppServiceImpl implements IMedicineSummaryAppService
         }
         return R.ok(MessageUtils.createMessage(PromptMsgConstant.Common.M00004, new Object[]{"取消"}));
     }
+
+    /**
+     * 汇总发药单状态展示文案（药品医嘱状态映射表：汇总申请→已提交，发药→已发药）
+     */
+    private String getSummaryFormStatusText(Integer statusEnum) {
+        if (DispenseStatus.PREPARATION.getValue().equals(statusEnum)) {
+            return "已提交";
+        }
+        if (DispenseStatus.COMPLETED.getValue().equals(statusEnum)) {
+            return "已发药";
+        }
+        return EnumUtils.getInfoByValue(DispenseStatus.class, statusEnum);
+    }
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/patientmanage/appservice/impl/PatientInformationServiceImpl.java

@@ -133,47 +133,13 @@ public class PatientInformationServiceImpl implements IPatientInformationService
     @Override
     public IPage<PatientBaseInfoDto> getPatientInfo(PatientBaseInfoDto patientBaseInfoDto, String searchKey,
             Integer pageNo, Integer pageSize, HttpServletRequest request) {
-        // 获取登录者信息
+        // 构建基础查询条件
         LoginUser loginUser = SecurityUtils.getLoginUser();
-        Long userId = loginUser.getUserId();
-        Integer tenantId = loginUser.getTenantId().intValue();
-        
-        // 先构建基础查询条件
         QueryWrapper<PatientBaseInfoDto> queryWrapper = HisQueryUtils.buildQueryWrapper(
                 patientBaseInfoDto, searchKey, new HashSet<>(Arrays.asList(CommonConstants.FieldName.Name,
                         CommonConstants.FieldName.BusNo, CommonConstants.FieldName.PyStr, CommonConstants.FieldName.WbStr)),
                 request);
         
-        // 检查是否是精确ID查询（从门诊挂号页面跳转时使用）
-        boolean hasExactIdQuery = (patientBaseInfoDto.getId() != null);
-        
-        // 只有非精确ID查询时，才添加医生患者过滤条件
-        if (!hasExactIdQuery) {
-            // 查询当前用户对应的医生信息
-            LambdaQueryWrapper<com.openhis.administration.domain.Practitioner> practitionerQuery = new LambdaQueryWrapper<>();
-            practitionerQuery.eq(com.openhis.administration.domain.Practitioner::getUserId, userId);
-            // 使用list()避免TooManyResultsException异常，然后取第一个记录
-            List<com.openhis.administration.domain.Practitioner> practitionerList = practitionerService.list(practitionerQuery);
-            com.openhis.administration.domain.Practitioner practitioner = practitionerList != null && !practitionerList.isEmpty() ? practitionerList.get(0) : null;
-            
-            // 如果当前用户是医生，添加医生患者过滤条件
-            if (practitioner != null) {
-                // 查询该医生作为接诊医生（ADMITTER, code="1"）和挂号医生（REGISTRATION_DOCTOR, code="12"）的所有就诊记录的患者ID
-                List<Long> doctorPatientIds = patientManageMapper.getPatientIdsByPractitionerId(
-                        practitioner.getId(),
-                        Arrays.asList(ParticipantType.ADMITTER.getCode(), ParticipantType.REGISTRATION_DOCTOR.getCode()),
-                        tenantId);
-                
-                if (doctorPatientIds != null && !doctorPatientIds.isEmpty()) {
-                    // 添加患者ID过滤条件 - 注意：这里使用列名而不是表别名
-                    queryWrapper.in("id", doctorPatientIds);
-                } else {
-                    // 如果没有相关患者，返回空结果
-                    queryWrapper.eq("id", -1); // 设置一个不存在的ID
-                }
-            }
-            // 如果不是医生，查询所有患者
-        }
         
         IPage<PatientBaseInfoDto> patientInformationPage
                 = patientManageMapper.getPatientPage(new Page<>(pageNo, pageSize), queryWrapper);

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

@@ -5,6 +5,7 @@ import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
+import com.core.common.enums.DelFlag;
 import com.core.common.exception.ServiceException;
 import com.core.common.utils.AssignSeqUtil;
 import com.core.common.utils.MessageUtils;
@@ -17,6 +18,8 @@ import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
 import com.openhis.document.domain.RequestForm;
 import com.openhis.document.service.IRequestFormService;
+import com.openhis.lab.domain.Specimen;
+import com.openhis.lab.service.ISpecimenService;
 import com.openhis.web.doctorstation.dto.ActivityChildrenJsonParams;
 import com.openhis.web.doctorstation.utils.AdviceUtils;
 import com.openhis.web.regdoctorstation.appservice.IRequestFormManageAppService;
@@ -67,6 +70,39 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
     @Resource
     IActivityDefinitionService iActivityDefinitionService;
 
+    @Resource
+    ISpecimenService iSpecimenService;
+
+    /**
+     * 校验当前用户是否有权操作该申请单（申请者本人或管理员）
+     */
+    private R<?> validateRequestFormPermission(RequestForm requestForm) {
+        if (SecurityUtils.isAdmin(SecurityUtils.getUserId())) {
+            return null;
+        }
+        Long currentPractitionerId = SecurityUtils.getLoginUser().getPractitionerId();
+        Long requesterId = requestForm.getRequesterId();
+        if (currentPractitionerId == null || requesterId == null
+            || !currentPractitionerId.equals(requesterId)) {
+            return R.fail("无操作权限，仅申请开立者或管理员可操作");
+        }
+        return null;
+    }
+
+    /**
+     * 校验关联医嘱是否已采证（存在已采集/已接收标本则不可撤回）
+     */
+    private boolean hasCollectedSpecimen(List<Long> serviceRequestIds) {
+        if (serviceRequestIds == null || serviceRequestIds.isEmpty()) {
+            return false;
+        }
+        long count = iSpecimenService.count(
+            new LambdaQueryWrapper<Specimen>()
+                .in(Specimen::getServiceId, serviceRequestIds)
+                .ge(Specimen::getCollectionStatusEnum, SpecCollectStatus.COLLECTED.getValue()));
+        return count > 0;
+    }
+
     /**
      * 保存申请单
      *
@@ -528,12 +564,17 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         if (requestForm == null) {
             return R.fail("申请单不存在");
         }
+        R<?> permissionResult = validateRequestFormPermission(requestForm);
+        if (permissionResult != null) {
+            return permissionResult;
+        }
         String prescriptionNo = requestForm.getPrescriptionNo();
 
         // 查询该申请单下所有 ServiceRequest（含子项）
         List<ServiceRequest> serviceRequests = iServiceRequestService.list(
             new LambdaQueryWrapper<ServiceRequest>()
-                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo));
+                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo)
+                .eq(ServiceRequest::getDeleteFlag, DelFlag.NO.getCode()));
         if (serviceRequests == null || serviceRequests.isEmpty()) {
             return R.fail("未找到关联的诊疗医嘱");
         }
@@ -563,7 +604,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         // 4. 删除申请单
         iRequestFormService.removeById(requestFormId);
 
-        log.info("检查申请单删除成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
+        log.info("检验申请单删除成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
         return R.ok("删除成功");
     }
 
@@ -576,32 +617,43 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         if (requestForm == null) {
             return R.fail("申请单不存在");
         }
+        R<?> permissionResult = validateRequestFormPermission(requestForm);
+        if (permissionResult != null) {
+            return permissionResult;
+        }
         String prescriptionNo = requestForm.getPrescriptionNo();
 
         // 查询该申请单下所有 ServiceRequest
         List<ServiceRequest> serviceRequests = iServiceRequestService.list(
             new LambdaQueryWrapper<ServiceRequest>()
-                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo));
+                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo)
+                .eq(ServiceRequest::getDeleteFlag, DelFlag.NO.getCode()));
         if (serviceRequests == null || serviceRequests.isEmpty()) {
             return R.fail("未找到关联的诊疗医嘱");
         }
 
+        List<Long> serviceRequestIds = serviceRequests.stream()
+            .map(ServiceRequest::getId).collect(Collectors.toList());
+
+        // 校验：标本已采集则不可撤回
+        if (hasCollectedSpecimen(serviceRequestIds)) {
+            return R.fail("标本已采集，无法撤回");
+        }
+
         // 校验：只有已签发(status=2)的申请单可撤回
         boolean allActive = serviceRequests.stream()
             .allMatch(sr -> RequestStatus.ACTIVE.getValue().equals(sr.getStatusEnum()));
         if (!allActive) {
-            return R.fail("只有已签发状态的申请单可撤回");
+            return R.fail("只有已签发且未采证的申请单可撤回");
         }
 
-        // 将所有 ServiceRequest 状态改回待签发(DRAFT=0)
+        // 将所有 ServiceRequest 状态改回待签发，与申请单展示状态同步
-        List<Long> serviceRequestIds = serviceRequests.stream()
-            .map(ServiceRequest::getId).collect(Collectors.toList());
         iServiceRequestService.update(
             new ServiceRequest().setStatusEnum(RequestStatus.DRAFT.getValue()),
             new LambdaUpdateWrapper<ServiceRequest>()
                 .in(ServiceRequest::getId, serviceRequestIds));
 
-        log.info("检查申请单撤回成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
+        log.info("检验申请单撤回成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
         return R.ok("撤回成功");
     }
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/system/controller/HomeController.java

@@ -31,8 +31,8 @@ public class HomeController {
         HomeStatisticsDto statisticsDto = homeStatisticsService.getHomeStatistics();
 
         // 获取待写病历数量
-        Long userId = SecurityUtils.getLoginUser().getUserId();
+        Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
-        R<?> pendingEmrCount = doctorStationEmrAppService.getPendingEmrCount(userId);
+        R<?> pendingEmrCount = doctorStationEmrAppService.getPendingEmrCount(practitionerId, null);
 
         // 将待写病历数量添加到统计数据中
         statisticsDto.setPendingEmr((Integer) pendingEmrCount.getData());

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java

@@ -74,7 +74,6 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
             .eq(TriageQueueItem::getTenantId, tenantId)
             .eq(TriageQueueItem::getQueueDate, qd)
             .eq(TriageQueueItem::getDeleteFlag, "0")
-            .ne(TriageQueueItem::getStatus, TriageQueueStatus.COMPLETED.getValue())
             .orderByAsc(TriageQueueItem::getQueueOrder);
         
         // 如果指定了科室，按科室过滤；否则查询所有科室（全科模式）
@@ -92,14 +91,6 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
                 }
             });
         }
-
-        // 双重保险：再次过滤掉 COMPLETED 状态的患者（防止数据库中有异常数据）
-        if (list != null && !list.isEmpty()) {
-            int beforeSize = list.size();
-            list = list.stream()
-                .filter(item -> !TriageQueueStatus.COMPLETED.getValue().equals(item.getStatus()))
-                .collect(java.util.stream.Collectors.toList());
-        }
         return R.ok(list);
     }
 

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml

@@ -871,6 +871,7 @@
     </select>
 
     <!-- 手术项目专用分页查询：仅查手术 + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
+    <!-- 使用 LIMIT/OFFSET 直接查询，避免 MyBatis Plus 分页插件的 COUNT 开销 -->
     <select id="getSurgeryPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
         SELECT DISTINCT ON (t1.ID)
             t1.ID AS advice_definition_id,
@@ -895,12 +896,13 @@
         ORDER BY t1.ID, t1.name ASC, t2.ID ASC
     </select>
 
-    <!-- 检查项目专用分页查询：仅查检查(23) + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
+    <!-- 检查/检验项目专用分页查询：仅查指定 category_code + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
     <select id="getExaminationPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
         SELECT DISTINCT ON (t1.ID)
             t1.ID AS advice_definition_id,
             t1.NAME AS advice_name,
             t1.org_id AS org_id,
+            t3.name AS org_name,
             t1.org_id AS position_id,
             t2.ID AS charge_item_definition_id,
             t2.price AS price,
@@ -912,8 +914,11 @@
             AND t2.delete_flag = '0'
             AND t2.status_enum = #{statusEnum}
             AND t2.instance_table = 'wor_activity_definition'
+        LEFT JOIN adm_organization t3
+            ON t3.id = t1.org_id
+            AND t3.delete_flag = '0'
         WHERE t1.delete_flag = '0'
-          AND t1.category_code = '23'
+          AND t1.category_code = #{categoryCode}
           <if test="searchKey != null and searchKey != ''">
               AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
           </if>

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationEmrAppMapper.xml

@@ -4,4 +4,38 @@
         "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.web.doctorstation.mapper.DoctorStationEmrAppMapper">
 
+    <select id="getPendingEmrList" resultType="java.util.HashMap">
+        SELECT e.id AS "encounterId",
+               e.patient_id AS "patientId",
+               p.name AS "patientName",
+               p.gender_enum AS "gender",
+               p.birth_date AS "birthDate",
+               e.create_time AS "registerTime",
+               e.bus_no AS "busNo"
+        FROM adm_encounter e
+        INNER JOIN adm_encounter_participant ep ON e.id = ep.encounter_id AND ep.practitioner_id = #{doctorId}
+        LEFT JOIN adm_patient p ON e.patient_id = p.id
+        LEFT JOIN doc_emr emr ON e.id = emr.encounter_id
+        WHERE e.status_enum = 2
+          AND emr.id IS NULL
+        <if test="patientName != null and patientName != ''">
+            AND p.name LIKE CONCAT('%', #{patientName}, '%')
+        </if>
+        ORDER BY e.create_time DESC
+    </select>
+
+    <select id="getPendingEmrCount" resultType="java.lang.Long">
+        SELECT COUNT(*)
+        FROM adm_encounter e
+        INNER JOIN adm_encounter_participant ep ON e.id = ep.encounter_id AND ep.practitioner_id = #{doctorId}
+        LEFT JOIN doc_emr emr ON e.id = emr.encounter_id
+        WHERE e.status_enum = 2
+          AND emr.id IS NULL
+        <if test="patientName != null and patientName != ''">
+            AND e.patient_id IN (
+                SELECT id FROM adm_patient WHERE name LIKE CONCAT('%', #{patientName}, '%')
+            )
+        </if>
+    </select>
+
 </mapper>

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

@@ -35,21 +35,27 @@
                            WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
                              AND ws.status_enum = 8
                        ) THEN 6
+                       WHEN EXISTS (
+                           SELECT 1 FROM wor_service_request ws
+                           WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
+                             AND ws.status_enum = 5
+                       ) THEN 7
                        WHEN EXISTS (
                            SELECT 1 FROM wor_service_request ws
                            WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
                              AND ws.status_enum = 3
                        ) THEN 5
+                       WHEN EXISTS (
+                           SELECT 1 FROM wor_service_request ws
+                           INNER JOIN lab_specimen ls ON ls.service_id = ws.id
+                           WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
+                             AND ls.collection_status_enum >= 1
+                       ) THEN 4
                        WHEN EXISTS (
                            SELECT 1 FROM wor_service_request ws
                            WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
                              AND ws.status_enum = 2
                        ) THEN 1
-                       WHEN EXISTS (
-                           SELECT 1 FROM wor_service_request ws
-                           WHERE ws.prescription_no = drf.prescription_no AND ws.delete_flag = '0'
-                             AND ws.status_enum = 5
-                       ) THEN 7
                        ELSE 0
                    END AS computed_status
             FROM doc_request_form AS drf
@@ -57,8 +63,6 @@
                 AND ae.delete_flag = '0'
                      LEFT JOIN adm_patient AS ap ON ap.ID = ae.patient_id
                 AND ap.delete_flag = '0'
-                     LEFT JOIN wor_service_request AS wsr ON wsr.prescription_no = drf.prescription_no
-                AND wsr.delete_flag = '0'
             WHERE drf.delete_flag = '0'
               AND drf.encounter_id = #{encounterId}
               AND drf.type_code = #{typeCode}

openhis-server-new/openhis-common/src/main/java/com/openhis/common/constant/CommonConstants.java

@@ -768,36 +768,4 @@ public class CommonConstants {
         Integer ACCOUNT_DEVICE_TYPE = 6;
     }
 
-    /**
-     * 号源槽位状态 (adm_schedule_slot.status)
-     */
-    public interface SlotStatus {
-        /** 可用 / 待预约 */
-        Integer AVAILABLE = 0;
-        /** 已预约 */
-        Integer BOOKED = 1;
-        /** 已取消 / 已停诊 */
-        Integer CANCELLED = 2;
-        /** 已签到 / 已取号 */
-        Integer CHECKED_IN = 3;
-        /** 已锁定 */
-        Integer LOCKED = 4;
-        /** 已退号 */
-        Integer RETURNED = 5;
-    }
-
-    /**
-     * 预约订单状态 (order_main.status)
-     */
-    public interface AppointmentOrderStatus {
-        /** 已预约 (待就诊) */
-        Integer BOOKED = 1;
-        /** 已取号 (已就诊) */
-        Integer CHECKED_IN = 2;
-        /** 已取消 */
-        Integer CANCELLED = 3;
-        /** 已退号 */
-        Integer RETURNED = 4;
-    }
-
 }

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

@@ -0,0 +1,57 @@
+package com.openhis.common.enums;
+
+import lombok.AllArgsConstructor;
+import lombok.Getter;
+
+/**
+ * 号源槽位状态 (adm_schedule_slot.status)
+ *
+ * <pre>
+ * 状态流转:
+ *   预约     → 0→2 (锁定), locked_num+1
+ *   取消预约 → 2→0 (释放), locked_num-1
+ *   签到     → 2→1 (已约), locked_num-1, booked_num+1
+ *   退号     → 1→0 (释放), booked_num-1
+ *   停诊     → 任意→4 (已取消)
+ * </pre>
+ *
+ * @author system
+ */
+@Getter
+@AllArgsConstructor
+public enum SlotStatus implements HisEnumInterface {
+
+    /** 可用 / 待预约 */
+    AVAILABLE(0, "available", "可用"),
+
+    /** 已预约 */
+    BOOKED(1, "booked", "已预约"),
+
+    /** 已锁定 (约而不付：预约后锁定号源) */
+    LOCKED(2, "locked", "已锁定"),
+
+    /** 已签到 / 已取号 */
+    CHECKED_IN(3, "checked_in", "已签到"),
+
+    /** 已取消 / 已停诊 */
+    CANCELLED(4, "cancelled", "已取消"),
+
+    /** 已退号 */
+    RETURNED(5, "returned", "已退号");
+
+    private final Integer value;
+    private final String code;
+    private final String info;
+
+    public static SlotStatus getByValue(Integer value) {
+        if (value == null) {
+            return null;
+        }
+        for (SlotStatus val : values()) {
+            if (val.getValue().equals(value)) {
+                return val;
+            }
+        }
+        return null;
+    }
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/IOrganizationLocationService.java

@@ -38,4 +38,12 @@ public interface IOrganizationLocationService extends IService<OrganizationLocat
      */
     List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long organizationId, Long activityDefinitionId);
 
+    /**
+     * 根据诊疗定义id查询所有执行科室列表（跨科室）
+     *
+     * @param activityDefinitionId 诊疗定义id
+     * @return 执行科室列表
+     */
+    List<OrganizationLocation> getOrgLocListByActivityDefinitionId(Long activityDefinitionId);
+
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java

@@ -64,4 +64,16 @@ public class OrganizationLocationServiceImpl extends ServiceImpl<OrganizationLoc
             .eq(OrganizationLocation::getActivityDefinitionId, activityDefinitionId));
     }
 
+    /**
+     * 根据诊疗定义id查询所有执行科室列表（跨科室）
+     *
+     * @param activityDefinitionId 诊疗定义id
+     * @return 执行科室列表
+     */
+    @Override
+    public List<OrganizationLocation> getOrgLocListByActivityDefinitionId(Long activityDefinitionId) {
+        return baseMapper.selectList(new LambdaQueryWrapper<OrganizationLocation>()
+            .eq(OrganizationLocation::getActivityDefinitionId, activityDefinitionId));
+    }
+
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/SchedulePoolMapper.java

@@ -10,10 +10,11 @@ import org.springframework.stereotype.Repository;
 public interface SchedulePoolMapper extends BaseMapper<SchedulePool> {
 
     /**
-     * 按号源池实时重算统计值，避免并发场景下计数漂移。
+     * 按号源池实时重算统计值。
      *
-     * 说明：available_num 在当前项目中可能为数据库生成列，因此这里仅维护
+     * @param poolId       号源池ID
-     * booked_num / locked_num，剩余号由数据库或查询逻辑计算。
+     * @param bookedStatus 已约状态值，由 SlotStatus.BOOKED.getValue() 传入
+     * @param lockedStatus 锁定状态值，由 SlotStatus.LOCKED.getValue() 传入
      */
     @Update("""
             UPDATE adm_schedule_pool p
@@ -23,20 +24,22 @@ public interface SchedulePoolMapper extends BaseMapper<SchedulePool> {
                     FROM adm_schedule_slot s
                     WHERE s.pool_id = p.id
                       AND s.delete_flag = '0'
-                      AND s.status = 1
+                      AND s.status = #{bookedStatus}
                 ), 0),
                 locked_num = COALESCE((
                     SELECT COUNT(1)
                     FROM adm_schedule_slot s
                     WHERE s.pool_id = p.id
                       AND s.delete_flag = '0'
-                      AND s.status = 3
+                      AND s.status = #{lockedStatus}
                 ), 0),
                 update_time = now()
             WHERE p.id = #{poolId}
               AND p.delete_flag = '0'
             """)
-    int refreshPoolStats(@Param("poolId") Long poolId);
+    int refreshPoolStats(@Param("poolId") Long poolId,
+                         @Param("bookedStatus") Integer bookedStatus,
+                         @Param("lockedStatus") Integer lockedStatus);
 
     /**
      * 签到时更新号源池统计：锁定数-1，已预约数+1

openhis-server-new/openhis-domain/src/main/java/com/openhis/appointmentmanage/mapper/ScheduleSlotMapper.java

@@ -22,9 +22,12 @@ public interface ScheduleSlotMapper extends BaseMapper<ScheduleSlot> {
     TicketSlotDTO selectTicketSlotById(@Param("id") Long id);
 
     /**
-     * 原子抢占槽位：仅当当前状态=0(可用)时，更新为1(已预约)。
+     * 原子抢占槽位：仅当当前状态=0(待约)时，更新为目标锁定状态。
+     *
+     * @param slotId       槽位ID
+     * @param lockedStatus 锁定状态值，由 SlotStatus.LOCKED.getValue() 传入
      */
-    int lockSlotForBooking(@Param("slotId") Long slotId);
+    int lockSlotForBooking(@Param("slotId") Long slotId, @Param("lockedStatus") Integer lockedStatus);
 
     /**
      * 按主键更新槽位状态。
@@ -35,11 +38,15 @@ public interface ScheduleSlotMapper extends BaseMapper<ScheduleSlot> {
      * 更新槽位状态并记录签到时间
      *
      * @param slotId         槽位ID
-     * @param status      状态
+     * @param status         目标状态，由 SlotStatus.BOOKED.getValue() 传入
      * @param checkInTime    签到时间
+     * @param requiredStatus 前置状态，由 SlotStatus.LOCKED.getValue() 传入
      * @return 结果
      */
-    int updateSlotStatusAndCheckInTime(@Param("slotId") Long slotId, @Param("status") Integer status, @Param("checkInTime") Date checkInTime);
+    int updateSlotStatusAndCheckInTime(@Param("slotId") Long slotId,
+                                       @Param("status") Integer status,
+                                       @Param("checkInTime") Date checkInTime,
+                                       @Param("requiredStatus") Integer requiredStatus);
 
     /**
      * 根据槽位ID查询所属号源池ID。

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

@@ -1,10 +1,12 @@
 package com.openhis.clinical.service.impl;
 
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
 import com.openhis.appointmentmanage.domain.AppointmentConfig;
 import com.openhis.appointmentmanage.service.IAppointmentConfigService;
 import com.openhis.appointmentmanage.domain.TicketSlotDTO;
+import com.openhis.appointmentmanage.domain.SchedulePool;
 import com.openhis.appointmentmanage.domain.ScheduleSlot;
 import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
 import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
@@ -13,7 +15,7 @@ import com.openhis.clinical.domain.Ticket;
 import com.openhis.clinical.mapper.TicketMapper;
 import com.openhis.clinical.service.IOrderService;
 import com.openhis.clinical.service.ITicketService;
-import com.openhis.common.constant.CommonConstants.SlotStatus;
+import com.openhis.common.enums.SlotStatus;
 import com.openhis.common.enums.OrderStatus;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
@@ -177,7 +179,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             logger.error("安全拦截：号源底库核对失败，slotId: {}", slotId);
             throw new RuntimeException("号源数据不存在");
         }
-        if (slot.getSlotStatus() != null && !SlotStatus.AVAILABLE.equals(slot.getSlotStatus())) {
+        if (slot.getSlotStatus() != null && SlotStatus.getByValue(slot.getSlotStatus()) != SlotStatus.AVAILABLE) {
             throw new RuntimeException("手慢了！该号源已刚刚被他人抢占");
         }
         if (Boolean.TRUE.equals(slot.getIsStopped())) {
@@ -205,7 +207,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
         }
 
         // 原子抢占：避免并发下同一槽位被重复预约
-        int lockRows = scheduleSlotMapper.lockSlotForBooking(slotId);
+        int lockRows = scheduleSlotMapper.lockSlotForBooking(slotId, SlotStatus.LOCKED.getValue());
         if (lockRows <= 0) {
             throw new RuntimeException("手慢了！该号源已刚刚被他人抢占");
         }
@@ -260,7 +262,15 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             throw new RuntimeException("预约成功但号源回填订单失败，请重试");
         }
 
-        refreshPoolStatsBySlotId(slotId);
+        // 6. 预约成功后 locked_num+1（原子递增替代全量 recount，避免并发计数漂移）
+        Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
+        if (poolId != null) {
+            schedulePoolMapper.update(null,
+                new LambdaUpdateWrapper<SchedulePool>()
+                    .setSql("locked_num = locked_num + 1, version = version + 1")
+                    .set(SchedulePool::getUpdateTime, new Date())
+                    .eq(SchedulePool::getId, poolId));
+        }
         return 1;
     }
 
@@ -277,7 +287,8 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
         if (slot == null) {
             throw new RuntimeException("号源槽位不存在");
         }
-        if (slot.getSlotStatus() == null || !SlotStatus.BOOKED.equals(slot.getSlotStatus())) {
+        // 只有锁定态(2)的号源可以取消预约
+        if (slot.getSlotStatus() == null || SlotStatus.getByValue(slot.getSlotStatus()) != SlotStatus.LOCKED) {
             throw new RuntimeException("号源不可取消预约");
         }
 
@@ -292,7 +303,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             orderService.cancelAppointmentOrder(order.getId(), "患者取消预约");
         }
 
-        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.AVAILABLE);
+        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.AVAILABLE.getValue());
         if (updated > 0) {
             refreshPoolStatsBySlotId(slotId);
         }
@@ -318,11 +329,14 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
         orderService.updateOrderStatusById(latestOrder.getId(), OrderStatus.ACTIVE.getValue());
         orderMapper.updatePayStatus(latestOrder.getId(), 1, new Date());
 
-        // 2. 查询号源槽位信息
+        // 2. 只有锁定态(2)的号源才能签到，签到时 2→1(LOCKED→BOOKED)
         ScheduleSlot slot = scheduleSlotMapper.selectById(slotId);
+        if (slot == null || !SlotStatus.LOCKED.getValue().equals(slot.getStatus())) {
+            throw new RuntimeException("号源状态异常，无法签到");
+        }
 
-        // 3. 更新号源槽位状态为已签到，记录签到时间
+        // 3. 更新号源槽位状态 2→1（LOCKED→BOOKED，已预约=已签到）
-        scheduleSlotMapper.updateSlotStatusAndCheckInTime(slotId, SlotStatus.CHECKED_IN, new Date());
+        scheduleSlotMapper.updateSlotStatusAndCheckInTime(slotId, SlotStatus.BOOKED.getValue(), new Date(), SlotStatus.LOCKED.getValue());
 
         // 4. 更新号源池统计：锁定数-1，已预约数+1
         if (slot != null && slot.getPoolId() != null) {
@@ -351,7 +365,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             orderService.cancelAppointmentOrder(order.getId(), "医生停诊");
         }
 
-        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.CANCELLED);
+        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.CANCELLED.getValue());
         if (updated > 0) {
             refreshPoolStatsBySlotId(slotId);
         }
@@ -364,7 +378,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
     private void refreshPoolStatsBySlotId(Long slotId) {
         Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
         if (poolId != null) {
-            schedulePoolMapper.refreshPoolStats(poolId);
+            schedulePoolMapper.refreshPoolStats(poolId, SlotStatus.BOOKED.getValue(), SlotStatus.LOCKED.getValue());
         }
     }
 

openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java

@@ -79,11 +79,13 @@ public class OpSchedule extends HisBaseEntity {
     private String surgerySite;
 
     /** 入院时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime admissionTime;
 
     /** 入手术室时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime entryTime;
 
     /** 手术室编码 */
@@ -142,19 +144,23 @@ public class OpSchedule extends HisBaseEntity {
     private String assistant3Code;
 
     /** 手术开始时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime startTime;
 
     /** 手术结束时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime endTime;
 
     /** 麻醉开始时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime anesStart;
 
     /** 麻醉结束时间 */
-    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
+    @JsonFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     private LocalDateTime anesEnd;
 
     /** 手术状态 */

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

@@ -4,14 +4,17 @@
         "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.appointmentmanage.mapper.ScheduleSlotMapper">
 
-    <!-- 统一状态值（兼容数字/英文字符串存储），输出 Integer，避免 resultType 映射 NumberFormatException -->
+    <!--
+      统一状态值映射: DB 数值 → 规范化输出
+      0=待约 1=已约(签到后) 2=锁定(预约后) 3=已签到 4=已停诊 5=已退号
+    -->
     <sql id="slotStatusNormExpr">
         CASE
             WHEN LOWER(CONCAT('', s.status)) IN ('0', 'unbooked', 'available') THEN 0
             WHEN LOWER(CONCAT('', s.status)) IN ('1', 'booked') THEN 1
-            WHEN LOWER(CONCAT('', s.status)) IN ('2', 'cancelled', 'canceled', 'stopped') THEN 2
+            WHEN LOWER(CONCAT('', s.status)) IN ('2', 'locked') THEN 2
             WHEN LOWER(CONCAT('', s.status)) IN ('3', 'checked', 'checked_in', 'checkin') THEN 3
-            WHEN LOWER(CONCAT('', s.status)) IN ('4', 'locked') THEN 4
+            WHEN LOWER(CONCAT('', s.status)) IN ('4', 'cancelled', 'canceled', 'stopped') THEN 4
             WHEN LOWER(CONCAT('', s.status)) IN ('5', 'returned') THEN 5
             ELSE NULL
         END
@@ -31,9 +34,9 @@
         CASE
             WHEN LOWER(CONCAT('', p.status)) IN ('0', 'unbooked', 'available') THEN 0
             WHEN LOWER(CONCAT('', p.status)) IN ('1', 'booked') THEN 1
-            WHEN LOWER(CONCAT('', p.status)) IN ('2', 'cancelled', 'canceled', 'stopped') THEN 2
+            WHEN LOWER(CONCAT('', p.status)) IN ('2', 'locked') THEN 2
             WHEN LOWER(CONCAT('', p.status)) IN ('3', 'checked', 'checked_in', 'checkin') THEN 3
-            WHEN LOWER(CONCAT('', p.status)) IN ('4', 'locked') THEN 4
+            WHEN LOWER(CONCAT('', p.status)) IN ('4', 'cancelled', 'canceled', 'stopped') THEN 4
             WHEN LOWER(CONCAT('', p.status)) IN ('5', 'returned') THEN 5
             ELSE NULL
         END
@@ -149,10 +152,11 @@
             s.id = #{id}
     </select>
 
+    <!-- 预约锁定: 0→#{lockedStatus} (AVAILABLE→LOCKED)，由枚举传入 -->
     <update id="lockSlotForBooking">
         UPDATE adm_schedule_slot
         SET
-            status = 1,
+            status = #{lockedStatus},
             update_time = now()
         WHERE
             id = #{slotId}
@@ -174,6 +178,7 @@
             AND delete_flag = '0'
     </update>
 
+    <!-- 签到: #{requiredStatus}→#{status} (LOCKED→BOOKED)，前置条件由枚举传入 -->
     <update id="updateSlotStatusAndCheckInTime">
         UPDATE adm_schedule_slot
         SET
@@ -182,6 +187,7 @@
             update_time = NOW()
         WHERE
             id = #{slotId}
+            AND status = #{requiredStatus}
             AND delete_flag = '0'
     </update>
 
@@ -202,7 +208,7 @@
             update_time = now()
         WHERE
             id = #{slotId}
-            AND status = 1
+            AND status = 2
             AND delete_flag = '0'
     </update>
 
@@ -299,15 +305,16 @@
             <if test="query.phone != null and query.phone != ''">
                 AND o.phone LIKE CONCAT('%', #{query.phone}, '%')
             </if>
-            <!-- 5. 按系统时间过滤（Bug #398 #399 修复：仅未预约受时间过滤，已预约/已取号/已退号不受影响） -->
+            <!-- 5. 时间过滤: 仅待约(0)受时间限制，已锁定(2)/已约(1)/已签到(3)/已退号(5)不受影响 -->
             AND (
                 (<include refid="slotStatusNormExpr" /> = 0 AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW())))
                 OR <include refid="slotStatusNormExpr" /> = 1
+                OR <include refid="slotStatusNormExpr" /> = 2
                 OR <include refid="slotStatusNormExpr" /> = 3
                 OR <include refid="slotStatusNormExpr" /> = 5
                 OR <include refid="orderStatusNormExpr" /> = 4
             )
-            <!-- 6. 状态过滤 -->
+            <!-- 6. 状态筛选: unbooked(0) locked(2) booked(2) checked(1) cancelled(4) returned(5) -->
             <if test="query.status != null and query.status != '' and query.status != 'all'">
                 <choose>
                     <when test="'unbooked'.equals(query.status) or '未预约'.equals(query.status)">
@@ -318,7 +325,15 @@
                         )
                     </when>
                     <when test="'booked'.equals(query.status) or '已预约'.equals(query.status)">
-                        AND <include refid="slotStatusNormExpr" /> = 1
+                        AND <include refid="slotStatusNormExpr" /> = 2
+                        AND <include refid="orderStatusNormExpr" /> = 1
+                        AND (
+                            d.is_stopped IS NULL
+                            OR d.is_stopped = FALSE
+                        )
+                    </when>
+                    <when test="'locked'.equals(query.status) or '已锁定'.equals(query.status)">
+                        AND <include refid="slotStatusNormExpr" /> = 2
                         AND <include refid="orderStatusNormExpr" /> = 1
                         AND (
                             d.is_stopped IS NULL
@@ -326,13 +341,7 @@
                         )
                     </when>
                     <when test="'checked'.equals(query.status) or '已取号'.equals(query.status)">
-                        AND (
+                        AND <include refid="slotStatusNormExpr" /> = 1
-                            <include refid="slotStatusNormExpr" /> = 3
-                            OR (
-                                <include refid="slotStatusNormExpr" /> = 1
-                                AND <include refid="orderStatusNormExpr" /> = 2
-                            )
-                        )
                         AND (
                             d.is_stopped IS NULL
                             OR d.is_stopped = FALSE
@@ -340,7 +349,7 @@
                     </when>
                     <when test="'cancelled'.equals(query.status) or '已停诊'.equals(query.status) or '已取消'.equals(query.status)">
                         AND (
-                            <include refid="slotStatusNormExpr" /> = 2
+                            <include refid="slotStatusNormExpr" /> = 4
                             OR d.is_stopped = TRUE
                         )
                     </when>

openhis-ui-vue3/src/utils/medicalConstants.js

@@ -172,12 +172,12 @@ export const SlotStatus = {
   AVAILABLE: 0,
   /** 已预约 */
   BOOKED: 1,
-  /** 已取消 / 已停诊 */
+  /** 已锁定 */
-  CANCELLED: 2,
+  LOCKED: 2,
   /** 已签到 / 已取号 */
   CHECKED_IN: 3,
-  /** 已锁定 */
+  /** 已取消 / 已停诊 */
-  LOCKED: 4,
+  CANCELLED: 4,
 };
 
 /**
@@ -185,10 +185,10 @@ export const SlotStatus = {
  */
 export const SlotStatusDescriptions = {
   0: '未预约',
-  1: '已预约',
+  1: '已取号',
-  2: '已停诊',
+  2: '已锁定',
   3: '已取号',
-  4: '已锁定',
+  4: '已停诊',
 };
 
 /**
@@ -220,3 +220,18 @@ export function getSlotStatusDescription(value) {
 export function getSlotStatusClass(status) {
   return SlotStatusClassMap[status] || 'status-unbooked';
 }
+
+/**
+ * 诊疗项目分类代码（对应后端 ActivityDefCategory 枚举）
+ * wor_activity_definition.category_code 字段
+ */
+export const ActivityCategory = {
+  /** 治疗 */
+  TREATMENT: '21',
+  /** 检验 */
+  PROOF: '22',
+  /** 检查 */
+  TEST: '23',
+  /** 手术 */
+  PROCEDURE: '24',
+};

openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue

@@ -34,6 +34,7 @@
           <select id="status-select" class="search-select" v-model="selectedStatus" @change="onSearch">
             <option value="all">全部</option>
             <option value="unbooked">未预约</option>
+            <option value="locked">已锁定</option>
             <option value="booked">已预约</option>
             <option value="checked">已取号</option>
             <option value="cancelled">已停诊</option>
@@ -253,6 +254,7 @@ import useUserStore from '@/store/modules/user';
 
 const STATUS_CLASS_MAP = {
   '未预约': 'status-unbooked',
+  '已锁定': 'status-locked',
   '已预约': 'status-booked',
   '已取号': 'status-checked',
   '已退号': 'status-returned',
@@ -774,6 +776,7 @@ export default {
       // 🔧 BugFix#399: 确保已取号状态正确匹配
       const statusMap = {
         unbooked: ['未预约'],
+        locked: ['已锁定'],
         booked: ['已预约'],
         checked: ['已取号', '已签到'],
         cancelled: ['已停诊', '已取消'],

openhis-ui-vue3/src/views/charge/outpatientregistration/index.vue

@@ -1685,7 +1685,7 @@ function loadCheckInPatientList() {
   const today = formatDateStr(new Date(), 'YYYY-MM-DD');
   listTicket({
     date: today,
-    status: 'booked',
+    status: 'locked',
     name: checkInSearchKey.value, // 支持姓名等模糊查询，后端需适配
     page: checkInPage.value,
     limit: checkInLimit.value

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

@@ -1173,8 +1173,9 @@ function handleSaveSign(row, index) {
       cleanRow.generateSourceEnum = 6; // 手术计费
       cleanRow.sourceBillNo = props.patientInfo.sourceBillNo;
     }
-    console.log('cleanRow', cleanRow)
+    // 🔧 门诊计费场景：保存为草稿，让药品出现在临时医嘱弹窗"已引用计费药品（待生成医嘱）"中
-    savePrescription({ adviceSaveList: [cleanRow] }, '1').then((res) => {
+    const adviceOpType = props.patientInfo.sourceBillNo ? '0' : '1'
+    savePrescription({ adviceSaveList: [cleanRow] }, adviceOpType).then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
         getListInfo(false);

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

@@ -749,22 +749,26 @@ function handleInfectiousDiseaseReport() {
     '手足口病': '0311',
   };
 
-  // 获取所有诊断名称对应的报卡编码，但跳过已有已提交报卡的诊断
+  // 获取所有命中传染病映射的诊断，但跳过已有已提交报卡的诊断
-  const allSelectedDiseases = form.value.diagnosisList
+  const infectiousDiagnoses = form.value.diagnosisList
-    .filter(d => d.name && d.hasInfectiousReport !== 1)
+    .map(d => ({
-    .map(d => diseaseNameToCode[d.name] || null)
+      diagnosis: d,
-    .filter(code => code);
+      diseaseCode: d.name && d.hasInfectiousReport !== 1 ? diseaseNameToCode[d.name] : null
+    }))
+    .filter(item => item.diseaseCode);
+
+  const allSelectedDiseases = infectiousDiagnoses.map(item => item.diseaseCode);
 
   if (allSelectedDiseases.length === 0) {
     return;
   }
 
-  // 优先使用主诊断（同样跳过已有报卡的）
+  // 优先使用命中传染病映射的主诊断，否则使用第一条命中的传染病诊断
-  const mainDiagnosis = form.value.diagnosisList.find(d => d.maindiseFlag === 1 && d.hasInfectiousReport !== 1);
+  const mainInfectiousDiagnosis = infectiousDiagnoses.find(item => item.diagnosis.maindiseFlag === 1)?.diagnosis;
-  const firstDiagnosis = form.value.diagnosisList.find(d => d.hasInfectiousReport !== 1) || form.value.diagnosisList[0];
+  const firstInfectiousDiagnosis = infectiousDiagnoses[0].diagnosis;
 
   const diagnosisToShow = {
-    ...(mainDiagnosis || firstDiagnosis),
+    ...(mainInfectiousDiagnosis || firstInfectiousDiagnosis),
     selectedDiseases: allSelectedDiseases
   };
 

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

@@ -1442,7 +1442,7 @@ async function buildSubmitData() {
   const submitData = {
     cardNo: formData.cardNo,
     visitId: props.patientInfo?.encounterId || formData.encounterId || null,
-    diagId: formData.diagnosisId ? Number(formData.diagnosisId) : null,
+    diagId: formData.diagnosisId || null,
     patId: formData.patientId || null,
     idType: 1, // 默认身份证
     idNo: formData.idNo,

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

@@ -179,8 +179,8 @@
                       type="datetime"
                       placeholder="选择执行时间"
                       size="small"
-                      format="YYYY-MM-DD HH:mm:ss"
+                      format="YYYY-MM-DD HH:mm"
-                      value-format="YYYY-MM-DD HH:mm:ss"
+                      value-format="YYYY-MM-DD HH:mm"
                       style="width: 100%"
                     />
                   </el-form-item>
@@ -445,7 +445,6 @@
                 >
                   <el-table-column label="项目名称" prop="itemName" min-width="180">
                     <template #default="scope">
-                      <el-tag v-if="scope.row.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                       <span :style="{ fontWeight: scope.row.isPackage ? 'bold' : 'normal' }">
                         {{ scope.row.itemName }}
                       </span>
@@ -563,7 +562,6 @@
                     @change="toggleInspectionItem(item)"
                     @click.stop
                   />
-                  <el-tag v-if="item.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                   <span class="item-itemName">{{ item.itemName }}</span>
                   <span class="item-price">¥{{ item.itemPrice }}/{{ item.unit || "次" }}</span>
                 </div>
@@ -614,7 +612,6 @@
                     <template v-if="item.isPackage">{{ item.expanded ? '▼' : '▶' }}</template>
                     <template v-else>•</template>
                   </span>
-                  <el-tag v-if="item.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                   <span class="item-itemName">{{ item.itemName }}</span>
                   <span class="item-price">¥{{ item.itemPrice }}/{{ item.unit || "次" }}</span>
                   <el-button
@@ -875,6 +872,30 @@ let applyTimeTimer = null
 const userStore = useUserStore()
 const { id: userId, name: userName, nickName: userNickName } = storeToRefs(userStore)
 
+/** 执行时间默认值：当前系统时间，精确到分钟 */
+const getDefaultExecuteTime = () => {
+  const d = new Date()
+  const year = d.getFullYear()
+  const month = String(d.getMonth() + 1).padStart(2, '0')
+  const day = String(d.getDate()).padStart(2, '0')
+  const hours = String(d.getHours()).padStart(2, '0')
+  const minutes = String(d.getMinutes()).padStart(2, '0')
+  return `${year}-${month}-${day} ${hours}:${minutes}`
+}
+
+/** 将后端时间规范为 YYYY-MM-DD HH:mm */
+const normalizeExecuteTime = (value) => {
+  if (!value) return getDefaultExecuteTime()
+  const d = new Date(String(value).replace(/-/g, '/'))
+  if (Number.isNaN(d.getTime())) return getDefaultExecuteTime()
+  const year = d.getFullYear()
+  const month = String(d.getMonth() + 1).padStart(2, '0')
+  const day = String(d.getDate()).padStart(2, '0')
+  const hours = String(d.getHours()).padStart(2, '0')
+  const minutes = String(d.getMinutes()).padStart(2, '0')
+  return `${year}-${month}-${day} ${hours}:${minutes}`
+}
+
 // 修改 initData 函数
 const initData = async () => {
   // 先初始化患者信息（如果有）
@@ -897,6 +918,13 @@ const initData = async () => {
     formData.applyNo = '自动生成'
     // 申请日期实时更新（启动定时器）
     startApplyTimeTimer()
+    // 执行时间默认当前系统时间（精确到分钟）
+    if (!formData.executeTime) {
+      formData.executeTime = getDefaultExecuteTime()
+    }
+
+    // 执行时间默认填充当前系统时间
+    formData.executeTime = formatDateTime(new Date())
 
     // 获取主诊断信息
     try {
@@ -975,7 +1003,7 @@ const formData = reactive({
   applyDeptCode: '',
   specimenName: '血液',
   encounterId: '',
-  executeTime: null,
+  executeTime: getDefaultExecuteTime(),
   applicationType: 0
 })
 
@@ -1185,9 +1213,9 @@ const loadCategoryItems = async (categoryKey, loadMore = false) => {
 
     // 映射数据格式（从检验项目维护页面的数据结构映射）
     const mappedItems = records.map(item => {
-      // 套餐项目处理：套餐项目使用套餐金额，普通项目使用零售价
+      // 套餐项目处理：需同时满足 feePackageId 有效且 packageName 非空
-      // BugFix#404: 增加对空字符串的判断，避免空字符串被误认为有效套餐ID
+      // BugFix#556: 增加 packageName 联合判断，避免普通项目因 feePackageId 有值被误标为套餐
-      const isPackage = item.feePackageId != null && item.feePackageId !== '' && item.feePackageId !== 'null'
+      const isPackage = item.feePackageId != null && item.feePackageId !== '' && item.feePackageId !== 'null' && item.packageName
       const itemPrice = isPackage
         ? (parseFloat(item.packageAmount || 0) || parseFloat(item.retailPrice || 0) || parseFloat(item.price || 0))
         : (parseFloat(item.retailPrice || 0) || parseFloat(item.price || 0))
@@ -1547,7 +1575,7 @@ const resetForm = async () => {
     visitNo: '',
     specimenName: '血液',
     encounterId: props.patientInfo.encounterId || '',
-    executeTime: null,
+    executeTime: getDefaultExecuteTime(),
     applicationType: 0,
   })
   selectedInspectionItems.value = []
@@ -1985,7 +2013,7 @@ const loadApplicationToForm = async (row) => {
         visitNo: detail.visitNo,
         specimenName: detail.specimenName,
         encounterId: detail.encounterId,
-        executeTime: detail.executeTime || null,
+        executeTime: normalizeExecuteTime(detail.executeTime),
         applicationType: detail.applicationType ?? 0
       })
 

openhis-ui-vue3/src/views/doctorstation/components/pendingEmr/index.vue

@@ -89,8 +89,14 @@ const getList = async () => {
     const response = await listPendingEmr(queryParams)
     // 根据后端返回的数据结构调整
     if (response.code === 200) {
-      emrList.value = response.data || []
+      const data = response.data
-      total.value = Array.isArray(response.data) ? response.data.length : 0
+      if (data && data.rows !== undefined) {
+        emrList.value = data.rows || []
+        total.value = data.total || 0
+      } else {
+        emrList.value = Array.isArray(data) ? data : []
+        total.value = emrList.value.length
+      }
     } else {
       ElMessage.error(response.msg || '获取待写病历列表失败')
       emrList.value = []

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

@@ -18,16 +18,12 @@
       <!-- <el-table-column label="组套类型" align="center" prop="typeEnum_enumText" /> -->
       <el-table-column label="单次剂量" align="center" prop="rangeCode_dictText">
         <template #default="scope">
-          {{
+          {{ formatHistoryDose(scope.row) }}
-            scope.row.dose
-              ? formatNumber(scope.row.dose) + ' ' + scope.row.doseUnitCode_dictText
-              : ''
-          }}
         </template>
       </el-table-column>
       <el-table-column label="总量" align="center" prop="rangeCode_dictText">
         <template #default="scope">
-          {{ scope.row.quantity ? scope.row.quantity + ' ' + scope.row.unitCode_dictText : '' }}
+          {{ formatHistoryTotalQuantity(scope.row) }}
         </template>
       </el-table-column>
       <el-table-column label="频次/用法" align="center" prop="rangeCode_dictText" width="200">
@@ -90,6 +86,31 @@ const queryParams = ref({
   typeEnum: 1,
 });
 
+function formatHistoryTotalQuantity(row) {
+  if (!row || row.quantity == null || row.quantity === '') return '';
+  const fromDict = row.unitCode_dictText ?? row.minUnitCode_dictText ?? row.unitCodeName;
+  let u =
+    fromDict != null && String(fromDict).trim() !== ''
+    && String(fromDict).toLowerCase() !== 'null'
+      ? String(fromDict).trim()
+      : '';
+  if (!u) {
+    const t = Number(row.adviceType);
+    if (t === 3 || t === 6 || t === 23 || t === 5) u = '次';
+    else if (t === 4) u = '个';
+  }
+  return u ? `${row.quantity} ${u}` : String(row.quantity);
+}
+
+function formatHistoryDose(row) {
+  if (!row?.dose) return '';
+  const du = row.doseUnitCode_dictText;
+  if (du != null && String(du).trim() !== '' && String(du).toLowerCase() !== 'null') {
+    return formatNumber(row.dose) + ' ' + du;
+  }
+  return formatNumber(row.dose);
+}
+
 function handleOpen() {
   drawer.value = true;
   getList();

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

@@ -82,7 +82,7 @@
             <span>{{ index + 1 + '. ' }}</span>
             <span>{{ medItem.adviceName }}</span>
             <span>{{ '(' + medItem.volume + ')' }}</span>
-            <span>{{ medItem.quantity + ' ' + medItem.unitCode_dictText }}</span>
+            <span>{{ formatPrintLineQuantity(medItem) }}</span>
             <span>{{ '批次号：' + medItem.lotNumber }}</span>
             <div>
               <span>用法用量：</span>
@@ -161,6 +161,22 @@ const props = defineProps({
 const emit = defineEmits(['close']);
 
 //合计
+function formatPrintLineQuantity(row) {
+  if (row == null || row.quantity == null || row.quantity === '') return '';
+  const fromDict = row.unitCode_dictText ?? row.minUnitCode_dictText ?? row.unitCodeName;
+  let u =
+    fromDict != null && String(fromDict).trim() !== ''
+    && String(fromDict).toLowerCase() !== 'null'
+      ? String(fromDict).trim()
+      : '';
+  if (!u) {
+    const t = Number(row.adviceType);
+    if (t === 3 || t === 6 || t === 23 || t === 5) u = '次';
+    else if (t === 4) u = '个';
+  }
+  return u ? `${row.quantity} ${u}` : String(row.quantity);
+}
+
 function getTotalPrice(item) {
   let totalPrice = new Decimal(0);
   item.prescriptionInfoDetailList.forEach((medItem) => {

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

@@ -686,7 +686,15 @@
             <span style="margin-left: 4px">{{ scope.row.doseUnitCode_dictText }}</span>
           </template>
           <span v-else>
-            {{ scope.row.dose ? scope.row.dose + ' ' + scope.row.doseUnitCode_dictText : '' }}
+            {{
+              scope.row.dose
+                ? scope.row.dose +
+                  (scope.row.doseUnitCode_dictText &&
+                  String(scope.row.doseUnitCode_dictText).toLowerCase() !== 'null'
+                    ? ' ' + scope.row.doseUnitCode_dictText
+                    : '')
+                : ''
+            }}
           </span>
         </template>
       </el-table-column>
@@ -703,10 +711,10 @@
               @change="calculateTotalPrice(scope.row, scope.$index)"
               @input="calculateTotalPrice(scope.row, scope.$index)"
             />
-            <span style="margin-left: 4px">{{ scope.row.unitCode_dictText }}</span>
+            <span style="margin-left: 4px">{{ resolveTotalQuantityUnit(scope.row) }}</span>
           </template>
           <span v-else>
-            {{ scope.row.quantity ? scope.row.quantity + ' ' + scope.row.unitCode_dictText : '' }}
+            {{ formatTotalQuantityWithUnit(scope.row) }}
           </span>
         </template>
       </el-table-column>
@@ -917,6 +925,39 @@ const unitMap = ref({
   minUnit: 'minUnit',
   unit: 'unit',
 });
+
+/** 解析总量单位文案（无字典时：诊疗/手术/检查默认「次」，耗材默认「个」） */
+const resolveTotalQuantityUnit = (row) => {
+  if (row == null) return '';
+  const fromDict =
+    row.unitCode_dictText ?? row.minUnitCode_dictText ?? row.unitCodeName;
+  let unitStr =
+    fromDict != null && String(fromDict).trim() !== ''
+      && String(fromDict).toLowerCase() !== 'null'
+      ? String(fromDict).trim()
+      : '';
+  if (!unitStr) {
+    const t = Number(row.adviceType);
+    // drord_doctor_type: 3=诊疗 4=耗材 5=会诊 6=手术；23=检查（特殊）
+    // 注意：2=中成药（药品），不可用「次」作为默认单位
+    if (t === 3 || t === 6 || t === 23 || t === 5) {
+      unitStr = '次';
+    } else if (t === 4) {
+      unitStr = '个';
+    }
+  }
+  return unitStr;
+};
+
+/** 总量列展示：避免 unitCode_dictText 为空时显示「1 null」 */
+const formatTotalQuantityWithUnit = (row) => {
+  if (row == null) return '';
+  const q = row.quantity;
+  if (q === undefined || q === null || q === '') return '';
+  const unitStr = resolveTotalQuantityUnit(row);
+  return unitStr ? `${q} ${unitStr}` : String(q);
+};
+
 const buttonDisabled = computed(() => {
   return !props.patientInfo;
 });
@@ -2714,7 +2755,8 @@ function handleEmrTreatment() {
         treatment += '诊疗[' + (index + 1) + ']' + '  ';
         treatment += item.adviceName + '  ';
         if (item.quantity) {
-          treatment += '数量：' + item.quantity + item.unitCode_dictText + '  ';
+          const u = resolveTotalQuantityUnit(item);
+          treatment += '数量：' + item.quantity + (u ? ' ' + u : '') + '  ';
         }
         treatment += '频次：' + item.rateCode_dictText + '  ';
         if (item.methodCode_dictText) {

openhis-ui-vue3/src/views/doctorstation/pendingEmr.vue

@@ -113,10 +113,17 @@ const getList = async () => {
   loading.value = true
   try {
     const response = await listPendingEmr(queryParams)
-    // 根据后端返回的数据结构调整
     if (response.code === 200) {
-      emrList.value = response.data || []
+      const data = response.data
-      total.value = Array.isArray(response.data) ? response.data.length : 0
+      if (data && data.rows !== undefined) {
+        // 新分页格式 {rows, total}
+        emrList.value = data.rows || []
+        total.value = data.total || 0
+      } else {
+        // 兼容旧格式（数组）
+        emrList.value = Array.isArray(data) ? data : []
+        total.value = emrList.value.length
+      }
     } else {
       ElMessage.error(response.msg || '获取待写病历列表失败')
       emrList.value = []

openhis-ui-vue3/src/views/drug/inpatientMedicationDispensing/components/MedicationSummary.vue

@@ -58,7 +58,11 @@
           <el-table-column prop="busNo" label="单据号" align="center" width="150" />
           <el-table-column prop="applicantName" label="申请人" align="center" width="100" />
           <el-table-column prop="locationName" label="发药药房" align="center" />
-          <el-table-column prop="statusEnum_enumText" label="状态" align="center" />
+          <el-table-column prop="statusEnum_enumText" label="状态" align="center">
+            <template #default="scope">
+              {{ formatSummaryStatusText(scope.row) }}
+            </template>
+          </el-table-column>
           <el-table-column prop="applyTime" label="汇总日期" align="center" width="140">
             <template #default="scope">
               {{ scope.row.applyTime ? parseTime(scope.row.applyTime, '{y}-{m}-{d}') : '-' }}
@@ -139,6 +143,32 @@ import {getCurrentInstance, ref} from 'vue';
 import {getFromSummaryDetails, getFromSummaryInit, getFromSummaryList, totalSendDrug,} from './api.js';
 
 const { proxy } = getCurrentInstance();
+
+/** 发药汇总单状态展示（汇总申请→已提交，发药→已发药） */
+const SUMMARY_STATUS_DISPLAY = {
+  2: '已提交',
+  4: '已发药',
+};
+const LEGACY_SUMMARY_STATUS_TEXT = {
+  待配药: '已提交',
+  已发放: '已发药',
+};
+
+function formatSummaryStatusText(row) {
+  const code = Number(row?.statusEnum);
+  if (SUMMARY_STATUS_DISPLAY[code]) {
+    return SUMMARY_STATUS_DISPLAY[code];
+  }
+  return LEGACY_SUMMARY_STATUS_TEXT[row?.statusEnum_enumText] || row?.statusEnum_enumText || '-';
+}
+
+function mapSummaryStatusOptions(options = []) {
+  return options.map((item) => ({
+    ...item,
+    label: SUMMARY_STATUS_DISPLAY[item.value] ?? LEGACY_SUMMARY_STATUS_TEXT[item.label] ?? item.label,
+  }));
+}
+
 const statusEnumOptions = ref([]);
 const summaryList = ref([]);
 const queryParams = ref({
@@ -222,7 +252,7 @@ function handleSend(row) {
 const getStatusOption = async () => {
   try {
     const res = await getFromSummaryInit();
-    statusEnumOptions.value = res.data.dispenseStatusOptions;
+    statusEnumOptions.value = mapSummaryStatusOptions(res.data.dispenseStatusOptions);
   } catch (error) {}
 };
 getStatusOption();

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

@@ -23,7 +23,7 @@
 </template>
 
 <script setup lang="ts">
-import {computed, nextTick, onMounted, ref} from 'vue';
+import {computed, nextTick, ref} from 'vue';
 import {throttle} from 'lodash-es';
 import Table from '@/components/TableLayout/Table.vue';
 import {getAdviceBaseInfo} from './api';
@@ -204,11 +204,6 @@ defineExpose({
   handleKeyDown,
   refresh,
 });
-
-// 组件挂载时自动加载数据（el-popover 懒渲染，父组件 refresh 可能因时序问题未生效，onMounted 最可靠）
-onMounted(() => {
-  getList();
-});
 </script>
 
 <style scoped lang="scss">

openhis-ui-vue3/src/views/inpatientDoctor/home/components/api.js

@@ -250,10 +250,11 @@ export function getContract(params) {
 /**
  * 获取科室列表
  */
-export function getOrgTree() {
+export function getOrgTree(params = {}) {
   return request({
     url: '/base-data-manage/organization/organization',
     method: 'get',
+    params: { pageNo: 1, pageSize: 5000, ...params },
   });
 }
 

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

@@ -86,7 +86,7 @@
           </template>
           <el-table-column type="index" label="序号" width="60" align="center" />
           <el-table-column prop="patientName" label="患者姓名" width="120" />
-          <el-table-column label="申请单名称" width="140">
+          <el-table-column label="申请单名称" min-width="140">
             <template #default="scope">
               <span>{{ buildApplicationName(scope.row) }}</span>
             </template>
@@ -444,11 +444,9 @@ const buildApplicationName = (row) => {
   if (!details || details.length === 0) {
     return row.name || '-';
   }
-  if (details.length === 1) {
+  const names = details.map(d => d.adviceName).filter(Boolean);
-    return details[0].adviceName || row.name || '-';
+  if (names.length === 0) return row.name || '-';
-  }
+  return names.join(' + ');
-  const first = details[0];
-  return `${first.adviceName || ''}等${details.length}项`;
 };
 
 /**

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

@@ -41,7 +41,9 @@
               <el-option label="全部" value="" />
               <el-option label="待签发" value="0" />
               <el-option label="已签发" value="1" />
-              <el-option label="已出报告" value="6" />
+              <el-option label="已采证" value="4" />
+              <el-option label="已送检" value="5" />
+              <el-option label="报告已出" value="6" />
               <el-option label="已作废" value="7" />
             </el-select>
           </el-form-item>
@@ -91,7 +93,15 @@
           <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
           <el-table-column label="单据状态" width="100" align="center">
             <template #default="scope">
-              <span>{{ parseBillStatus(scope.row.billStatus ?? scope.row.status) }}</span>
+              <el-tag
+                :type="getBillStatusTagType(scope.row)"
+                effect="plain"
+                round
+                :class="{ 'report-status-tag': isReportStatus(scope.row) }"
+                @click="handleStatusClick(scope.row)"
+              >
+                {{ parseBillStatus(getBillStatus(scope.row)) }}
+              </el-tag>
             </template>
           </el-table-column>
           <el-table-column label="申请类型" width="100" align="center">
@@ -105,18 +115,28 @@
             </template>
           </el-table-column>
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
-          <el-table-column label="操作" align="center" fixed="right" width="220">
+          <el-table-column label="操作" align="center" fixed="right" width="280">
             <template #default="scope">
-              <!-- 待签发（status=0或null/undefined）：可修改、删除 -->
+              <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
-              <template v-if="!scope.row.status || scope.row.status == 0">
+              <template v-if="canManageRow(scope.row)">
+                <template v-if="isPendingStatus(scope.row)">
                   <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
                   <el-button link type="danger" @click="handleDelete(scope.row)">删除</el-button>
                 </template>
-              <!-- 已签发（status=1）：可撤回 -->
+                <template v-else-if="isWithdrawableStatus(scope.row)">
-              <template v-else-if="scope.row.status == 1">
                   <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
                 </template>
-              <!-- 已校对(2)、待接收(3)、已收样(4)、已出报告(6)、已作废(7)：仅查看详情 -->
+              </template>
+              <!-- 报告已出：可查看报告 -->
+              <template v-else-if="isReportStatus(scope.row)">
+                <el-button link type="success" @click="handleViewReport(scope.row)">查看报告</el-button>
+              </template>
+              <!-- 已签发：可查看详情、可撤回 -->
+              <template v-else-if="isIssuedStatus(scope.row)">
+                <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
+                <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
+              </template>
+              <!-- 已采证、已送检、已作废：仅查看详情 -->
               <template v-else>
                 <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
               </template>
@@ -212,13 +232,16 @@
 </template>
 
 <script setup>
-import {computed, getCurrentInstance, ref, watch} from 'vue';
+import {computed, getCurrentInstance, nextTick, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
-import {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
+import {getInspection, deleteRequestForm, withdrawRequestForm, getProofResult} from './api';
 import {getDepartmentList} from '@/api/public.js';
 import LaboratoryTests from '../order/applicationForm/laboratoryTests.vue';
-import {saveInspection} from '../order/applicationForm/api.js';
+import useUserStore from '@/store/modules/user';
+import auth from '@/plugins/auth';
+
+const userStore = useUserStore();
 
 const { proxy } = getCurrentInstance();
 
@@ -270,7 +293,7 @@ const fetchData = async () => {
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
       const list = Array.isArray(raw) ? raw : [raw];
-      tableData.value = list.filter(Boolean);
+      tableData.value = list.filter(Boolean).sort(sortByCreateTimeDesc);
     } else {
       tableData.value = [];
     }
@@ -329,19 +352,110 @@ const labelMap = {
  * @param {string|number} status - 状态码
  * @returns {string} 状态文本
  */
+const getBillStatus = (row) => {
+  return row?.billStatus ?? row?.status ?? row?.statusEnum ?? row?.applyStatus;
+};
+
 const parseBillStatus = (status) => {
   const statusMap = {
     '0': '待签发',
     '1': '已签发',
-    '2': '已校对',
+    '2': '已采证',
-    '3': '待接收',
+    '3': '已送检',
-    '4': '已收样',
+    '4': '已采证',
-    '6': '已出报告',
+    '5': '已送检',
+    '6': '报告已出',
+    '8': '报告已出',
     '7': '已作废',
   };
   return statusMap[String(status)] || '-';
 };
 
+const getBillStatusTagType = (row) => {
+  const typeMap = {
+    '0': 'info',
+    '1': 'primary',
+    '2': 'primary',
+    '3': 'warning',
+    '4': 'primary',
+    '5': 'warning',
+    '6': 'success',
+    '7': 'danger',
+    '8': 'success',
+  };
+  return typeMap[String(getBillStatus(row))] || 'info';
+};
+
+const isPendingStatus = (row) => {
+  const status = getBillStatus(row);
+  return status === undefined || status === null || status === '' || String(status) === '0';
+};
+
+const isWithdrawableStatus = (row) => String(getBillStatus(row)) === '1';
+
+const isReportStatus = (row) => ['6', '8'].includes(String(getBillStatus(row)));
+
+/**
+ * 是否可管理该申请单：申请者本人或管理员
+ */
+const canManageRow = (row) => {
+  if (auth.hasRole('admin')) {
+    return true;
+  }
+  const currentPractitionerId = userStore.practitionerId;
+  const requesterId = row?.requesterId;
+  if (!currentPractitionerId || !requesterId) {
+    return false;
+  }
+  return String(currentPractitionerId) === String(requesterId);
+};
+
+const sortByCreateTimeDesc = (a, b) => {
+  const aTime = a?.createTime ? new Date(a.createTime).getTime() : 0;
+  const bTime = b?.createTime ? new Date(b.createTime).getTime() : 0;
+  return bTime - aTime;
+};
+
+const handleStatusClick = (row) => {
+  if (isReportStatus(row)) {
+    handleViewReport(row);
+  }
+};
+
+const pickReportUrl = (data, row) => {
+  if (!data) return '';
+  if (typeof data === 'string') return data;
+
+  const raw = data.records || data;
+  const list = Array.isArray(raw) ? raw : [raw];
+  const matched =
+    list.find((item) => {
+      const reportNo = item.busNo || item.reportNo || item.applyNo || item.prescriptionNo;
+      return reportNo && row.prescriptionNo && String(reportNo) === String(row.prescriptionNo);
+    }) || list[0];
+
+  return matched?.requestUrl || matched?.pdfUrl || matched?.reportUrl || matched?.url || '';
+};
+
+const handleViewReport = async (row) => {
+  try {
+    const res = await getProofResult({
+      encounterId: row.encounterId || patientInfo.value?.encounterId,
+      prescriptionNo: row.prescriptionNo,
+    });
+    if (res?.code === 200) {
+      const url = pickReportUrl(res.data, row);
+      if (url) {
+        window.open(url, '_blank');
+        return;
+      }
+    }
+    proxy.$modal?.msgWarning?.('暂未获取到检验报告链接');
+  } catch (e) {
+    proxy.$modal?.msgError?.(e.message || '获取检验报告失败');
+  }
+};
+
 /**
  * 解析申请类型（优先级代码）
  * @param {string} descJson - JSON字符串
@@ -443,7 +557,13 @@ const handleViewDetail = async (row) => {
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      obj.targetDepartment = recursionFun(obj.targetDepartment);
+      // 将发往科室 ID 转换为名称
+      if (obj.targetDepartment) {
+        const deptName = recursionFun(obj.targetDepartment);
+        if (deptName) {
+          obj.targetDepartment = deptName;
+        }
+      }
       // 转换申请类型编码为可读文本
       if (obj.applicationType === 0) obj.applicationType = '普通';
       else if (obj.applicationType === 1) obj.applicationType = '急诊';
@@ -462,12 +582,12 @@ const handleViewDetail = async (row) => {
  * 修改检验申请单（待签发状态）
  */
 const handleEdit = async (row) => {
-  // 确保科室数据已加载
-  if (!orgOptions.value || orgOptions.value.length === 0) {
-    await getLocationInfo();
-  }
   editRowData.value = row;
   editDialogVisible.value = true;
+  await nextTick();
+  editFormRef.value?.getList?.();
+  editFormRef.value?.getLocationInfo?.();
+  editFormRef.value?.getDiagnosisList?.();
 };
 
 /**
@@ -494,9 +614,9 @@ const submitEditForm = () => {
  */
 const handleDelete = async (row) => {
   try {
-    await proxy.$modal?.confirm?.(`确定要删除申请单 "${row.prescriptionNo}" 吗？此操作不可恢复。`);
+    await proxy.$modal?.confirm?.('确认作废该申请单吗？作废后不可撤销');
   } catch {
-    return; // 用户取消
+    return;
   }
 
   try {
@@ -513,13 +633,15 @@ const handleDelete = async (row) => {
 };
 
 /**
- * 撤回检验申请单（已签发状态撤回至待签发）
+ * 撤回检验申请单（已签发且未采证状态可撤回）
  */
 const handleWithdraw = async (row) => {
   try {
-    await proxy.$modal?.confirm?.(`确定要撤回申请单 "${row.prescriptionNo}" 吗？撤回后将恢复为待签发状态。`);
+    await proxy.$modal?.confirm?.(
+      '确认撤回该申请单吗？撤回后申请单及关联医嘱将恢复为待签发状态，护士站将同步更新。'
+    );
   } catch {
-    return; // 用户取消
+    return;
   }
 
   try {
@@ -646,6 +768,14 @@ defineExpose({
   animation: rotating 2s linear infinite;
 }
 
+.report-status-tag {
+  cursor: pointer;
+  background-color: #f0f9eb !important;
+  border-color: #67c23a !important;
+  color: #529b2e !important;
+  font-weight: 600;
+}
+
 @keyframes rotating {
   0% {
     transform: rotate(0deg);

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

@@ -633,11 +633,11 @@ const calculateTotalAmount = () => {
   nextTick(() => {
     const row = props.row;
     const qty = new Decimal(row.doseQuantity || 0);
-    const isMinUnit = row.unitCode == row.minUnitCode;
+    // 根据首次用量单位类型决定使用哪个单价
-    const price = isMinUnit ? row.minUnitPrice : row.unitPrice;
+    const unitType = row.unitCodeList?.find((k) => k.value == row.doseUnitCode)?.type;
-    // 四舍五入到2位再算，与页面显示的单价一致
+    const price = unitType == 'unit' ? row.unitPrice : row.minUnitPrice;
     const roundedPrice = new Decimal(price || 0).toDecimalPlaces(2, Decimal.ROUND_HALF_UP);
-    row.totalPrice = qty.mul(roundedPrice).toFixed(6);
+    row.totalPrice = qty.mul(roundedPrice).toDecimalPlaces(2, Decimal.ROUND_HALF_UP).toString();
   });
 };
 const setInputRef = props.handlers.setInputRef;

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

@@ -24,22 +24,20 @@
           </el-col> -->
           <el-col :span="12">
             <el-form-item label="发往科室" prop="targetDepartment" style="width: 100%">
-              <!-- <el-input v-model="form.targetDepartment" autocomplete="off" /> -->
+              <el-select
-              <el-tree-select
-                clearable
-                style="width: 100%"
                 v-model="form.targetDepartment"
                 filterable
-                :data="orgOptions"
+                clearable
-                :props="{
-                  value: 'id',
-                  label: 'name',
-                  children: 'children',
-                }"
-                value-key="id"
-                check-strictly
                 placeholder="请选择科室"
+                style="width: 100%"
+              >
+                <el-option
+                  v-for="opt in flatOrgOptions"
+                  :key="opt.value"
+                  :label="opt.label"
+                  :value="opt.value"
                 />
+              </el-select>
             </el-form-item>
           </el-col>
           <el-col :span="12">
@@ -78,18 +76,33 @@
   </div>
 </template>
 <script setup name="BloodTransfusion">
-import {getCurrentInstance, onBeforeMount, onMounted, reactive, ref} from 'vue';
+import {computed, getCurrentInstance, nextTick, onBeforeMount, onMounted, reactive, ref, watch} from 'vue';
+import {ElMessage} from 'element-plus';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
+import request from '@/utils/request';
+import {getDiagnosisTreatmentOne} from '@/views/catalog/diagnosistreatment/components/diagnosistreatment';
 import {getEncounterDiagnosis} from '../../api.js';
 import {getApplicationList, saveBloodTransfusio} from './api';
 
 const { proxy } = getCurrentInstance();
+
+/** 科室树节点 id 统一为字符串，避免大整数精度丢失导致 tree-select 无法匹配 */
+const normalizeOrgTreeIds = (nodes) => {
+  if (!Array.isArray(nodes)) return [];
+  return nodes.map((node) => ({
+    ...node,
+    id: node.id != null ? String(node.id) : node.id,
+    children: node.children?.length ? normalizeOrgTreeIds(node.children) : undefined,
+  }));
+};
+
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
-  if (!list || list.length === 0) return null;
+  if (!list || list.length === 0 || id == null || id === '') return null;
+  const strId = String(id);
   for (const item of list) {
-    if (item.id == id) return item;
+    if (String(item.id) === strId) return item;
     if (item.children && item.children.length > 0) {
       const found = findTreeItem(item.children, id);
       if (found) return found;
@@ -97,11 +110,149 @@ const findTreeItem = (list, id) => {
   }
   return null;
 };
+
+/** 在科室树中解析 orgId（兼容 Long 转 Number 后的精度丢失） */
+const resolveOrgIdInTree = (rawOrgId) => {
+  if (rawOrgId == null || rawOrgId === '') return '';
+  const strOrgId = String(rawOrgId);
+  const findInTree = (nodes) => {
+    if (!nodes?.length) return null;
+    for (const node of nodes) {
+      if (String(node.id) === strOrgId) return String(node.id);
+      if (
+        typeof node.id === 'string' &&
+        node.id.length >= 16 &&
+        strOrgId.length >= 16 &&
+        node.id.substring(0, 15) === strOrgId.substring(0, 15)
+      ) {
+        return String(node.id);
+      }
+      if (node.children?.length) {
+        const found = findInTree(node.children);
+        if (found) return found;
+      }
+    }
+    return null;
+  };
+  return findInTree(orgOptions.value) || strOrgId;
+};
+
+const resolveTargetDepartmentId = (rawId) => {
+  if (rawId == null || rawId === '') return '';
+  const resolved = resolveOrgIdInTree(rawId);
+  const node = findTreeItem(orgOptions.value, resolved);
+  return node ? String(node.id) : resolved;
+};
+
+/** 诊疗目录「所属科室」→ AdviceBaseDto.orgId */
+const getBelongingOrgId = (item) => {
+  if (!item) return null;
+  return item.orgId ?? item.org_id ?? null;
+};
+
+/** 诊疗目录所属科室名称（字典翻译字段） */
+const getBelongingOrgName = (item) => {
+  if (!item) return '';
+  return item.orgId_dictText || item.orgName || item.org_name || '';
+};
+
+/** 按机构 ID 拉取科室名称（树中无节点时兜底） */
+const fetchOrgNameById = async (orgId) => {
+  if (orgId == null || orgId === '') return '';
+  const fromTree = findOrgName(orgId);
+  if (fromTree) return fromTree;
+  try {
+    const res = await request({
+      url: '/base-data-manage/organization/organization-getById',
+      method: 'get',
+      params: { orgId },
+    });
+    if (res.code === 200 && res.data?.name) {
+      return res.data.name;
+    }
+  } catch (e) {
+    console.error('查询科室名称失败', e);
+  }
+  return '';
+};
+
+/** 从机构树解析科室名称 */
+const findOrgName = (orgId) => {
+  if (orgId == null || orgId === '') return '';
+  const node = findTreeItem(orgOptions.value, orgId);
+  if (node?.name) return node.name;
+  const resolved = resolveOrgIdInTree(orgId);
+  const resolvedNode = findTreeItem(orgOptions.value, resolved);
+  return resolvedNode?.name || '';
+};
+
+/** 自动填充时缓存的科室名称 */
+const targetDepartmentName = ref('');
+
+/** 扁平化科室选项，保证 el-select 能稳定显示 label */
+const flatOrgOptions = computed(() => {
+  const options = [];
+  const seen = new Set();
+  const walk = (nodes) => {
+    for (const node of nodes || []) {
+      if (node?.id == null) continue;
+      const value = String(node.id);
+      if (seen.has(value)) continue;
+      seen.add(value);
+      options.push({ value, label: node.name || value });
+      if (node.children?.length) walk(node.children);
+    }
+  };
+  walk(orgOptions.value);
+  const curId = form.targetDepartment;
+  const curName = targetDepartmentName.value || findOrgName(curId);
+  if (curId && curName && !seen.has(String(curId))) {
+    options.unshift({ value: String(curId), label: curName });
+  }
+  return options;
+});
+
+/** 从诊疗目录详情补全所属科室（医嘱下拉接口不带 orgId_dictText） */
+const resolveProjectOrgInfo = async (item) => {
+  if (!item) return { orgId: null, orgName: '' };
+  let orgId = getBelongingOrgId(item);
+  let orgName = getBelongingOrgName(item);
+  if ((!orgId || !orgName) && item.adviceDefinitionId) {
+    try {
+      const res = await getDiagnosisTreatmentOne(item.adviceDefinitionId);
+      const detail = res?.data;
+      if (detail) {
+        orgId = orgId ?? detail.orgId ?? detail.org_id ?? null;
+        orgName = orgName || detail.orgId_dictText || detail.orgName || '';
+      }
+    } catch (e) {
+      console.error('查询诊疗目录所属科室失败', e);
+    }
+  }
+  if (orgId && !orgName) {
+    orgName = await fetchOrgNameById(orgId);
+  }
+  return { orgId, orgName };
+};
+
+/** 写入发往科室 */
+const applyTargetDepartment = async (belongOrgId, nameHint = '') => {
+  if (belongOrgId == null || belongOrgId === '') {
+    form.targetDepartment = '';
+    targetDepartmentName.value = '';
+    return;
+  }
+  const resolvedDeptId = resolveTargetDepartmentId(belongOrgId);
+  const deptName =
+    nameHint || findOrgName(belongOrgId) || findOrgName(resolvedDeptId) || (await fetchOrgNameById(belongOrgId));
+  targetDepartmentName.value = deptName;
+  form.targetDepartment = resolvedDeptId;
+};
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
-const applicationListAll = ref();
+const applicationListAll = ref([]);
-const applicationList = ref();
+const applicationList = ref([]);
 const loading = ref(false);
 const orgOptions = ref([]); // 科室选项
 const getList = () => {
@@ -118,29 +269,48 @@ const getList = () => {
     adviceTypes: [3], //1 药品 2耗材 3诊疗
   })
     .then((res) => {
-      if (res.code === 200) {
+      if (res.code === 200 && Array.isArray(res.data?.records)) {
-        applicationListAll.value = res.data.records;
+        const records = res.data.records.filter((item) => item.adviceDefinitionId != null);
-        applicationList.value = res.data.records.map((item) => {
+        applicationListAll.value = records;
+        applicationList.value = records.map((item) => {
           const priceInfo = item.priceList?.[0] || {};
           const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
           const unit = item.unitCode_dictText || item.unitCode || '';
+          const id = item.adviceDefinitionId;
           return {
-            adviceDefinitionId: item.adviceDefinitionId,
+            adviceDefinitionId: id,
             orgId: item.orgId,
             label: item.adviceName + ' (￥' + price + '/' + unit + ')',
-            key: item.adviceDefinitionId,
+            key: id,
           };
         });
       } else {
-        proxy.$message.error(res.message);
+        proxy.$message.error(res.message || '加载输血项目失败');
+        applicationListAll.value = [];
         applicationList.value = [];
       }
     })
     .finally(() => {
       loading.value = false;
+      if (transferValue.value.length > 0) {
+        nextTick(async () => {
+          const valid = await validateTransferOrgConsistency(transferValue.value);
+          if (valid) {
+            lastValidTransferValue.value = [...transferValue.value];
+            fillTargetDepartmentFromSelection(transferValue.value, 1);
+          } else {
+            transferValue.value = [];
+            lastValidTransferValue.value = [];
+          }
+        });
+      }
     });
 };
 const transferValue = ref([]);
+/** 上一次通过校验的已选项目（科室不一致时回滚到此状态） */
+const lastValidTransferValue = ref([]);
+const isRevertingTransfer = ref(false);
+let transferValidateSeq = 0;
 const form = reactive({
   // categoryType: '', // 项目类别
   targetDepartment: '', // 发往科室
@@ -157,86 +327,140 @@ const rules = reactive({});
 onBeforeMount(() => {});
 onMounted(() => {
   getList();
+  getLocationInfo();
 });
+const collectSelectedProjects = (selectProjectIds) => {
+  return (selectProjectIds || [])
+    .map((element) =>
+      applicationListAll.value.find((item) => String(item.adviceDefinitionId) === String(element))
+    )
+    .filter(Boolean);
+};
+
+/** 校验已选项目的所属科室是否一致（超过 1 项时才校验） */
+const validateTransferOrgConsistency = async (selectProjectIds) => {
+  const arr = collectSelectedProjects(selectProjectIds);
+  if (arr.length <= 1) {
+    return true;
+  }
+  const orgInfoList = await Promise.all(arr.map((item) => resolveProjectOrgInfo(item)));
+  const firstOrgId = orgInfoList[0]?.orgId;
+  return orgInfoList.every((info) => String(info?.orgId ?? '') === String(firstOrgId ?? ''));
+};
+
 /**
  * type(1：watch监听类型 2:点击保存类型)
- * selectProjectIds(选中项目的id数组)
+ */
- * */
+const fillTargetDepartmentFromSelection = async (selectProjectIds, type) => {
-const projectWithDepartment = (selectProjectIds, type) => {
+  const manualDept = type === 2 && form.targetDepartment ? form.targetDepartment : '';
-  //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
+  const arr = collectSelectedProjects(selectProjectIds);
-  let isRelease = true;
-  // 选中项目的数组
-  const arr = [];
-  // 根据选中的项目id查找对应的项目
-  selectProjectIds.forEach((element) => {
-    const searchData = applicationList.value.find((item) => {
-      return element == item.adviceDefinitionId;
-    });
-    arr.push(searchData);
-  });
-  // 清空科室
-  form.targetDepartment = '';
-  if (arr.length > 0) {
-    const obj = arr[0];
-    // 判断科室是否相同
-    const isCompare = arr.every((item) => {
-      return item.orgId == obj.orgId;
-    });
-    if (!isCompare) {
-      ElMessage({
-        type: 'error',
-        message: '执行科室不同',
-      });
-      isRelease = false;
-    }
-    // 选中项目中的执行科室id与全部科室数据做匹配
-    const findItem = findTreeItem(orgOptions.value, obj.orgId);
 
-    if (!findItem) {
+  if (arr.length === 0) {
-      isRelease = false;
+    // 项目列表尚未加载完时，已选 ID 存在则先不清空（避免误清发往科室）
-      ElMessage({
+    if ((selectProjectIds || []).length > 0 && applicationListAll.value.length === 0) {
-        type: 'error',
+      return type === 2 ? !!manualDept : true;
-        message: '未找到项目执行的科室',
-      });
     }
-    if (type == 1) {
+    form.targetDepartment = '';
-      if (isRelease) {
+    targetDepartmentName.value = '';
-        form.targetDepartment = findItem.id;
+    return type === 2 ? !!manualDept : true;
   }
+
+  const orgInfoList = await Promise.all(arr.map((item) => resolveProjectOrgInfo(item)));
+  const firstOrg = orgInfoList[0];
+  const belongOrgId = firstOrg?.orgId;
+  const allSameOrg = orgInfoList.every((info) => String(info?.orgId ?? '') === String(belongOrgId ?? ''));
+  if (!allSameOrg) {
+    if (type === 2) {
+      ElMessage.error('所选项目的所属科室不一致，请分开申请');
     }
+    return false;
   }
-  return isRelease;
+
+  if (belongOrgId == null || belongOrgId === '') {
+    if (type === 2 && manualDept) {
+      await applyTargetDepartment(manualDept, findOrgName(manualDept));
+      return true;
+    }
+    if (type === 2) {
+      ElMessage.warning('所选项目未在诊疗目录配置所属科室，请手动选择发往科室');
+      return false;
+    }
+    form.targetDepartment = '';
+    targetDepartmentName.value = '';
+    return true;
+  }
+
+  if (type === 2 && manualDept) {
+    await applyTargetDepartment(manualDept, findOrgName(manualDept));
+    return true;
+  }
+
+  await applyTargetDepartment(belongOrgId, firstOrg?.orgName || '');
+  return true;
 };
-// 监听选择项目变化
+
+// 选中项目：先校验所属科室一致，不通过则回滚穿梭框，不允许进入「已选择」
 watch(
   () => transferValue.value,
-  (newValue) => {
+  async (newValue) => {
-    projectWithDepartment(newValue, 1);
+    if (isRevertingTransfer.value) return;
+
+    const seq = ++transferValidateSeq;
+    const valid = await validateTransferOrgConsistency(newValue);
+    if (seq !== transferValidateSeq) return;
+
+    if (!valid) {
+      ElMessage.error('所选项目的所属科室不一致，请分开申请');
+      isRevertingTransfer.value = true;
+      transferValue.value = [...lastValidTransferValue.value];
+      await nextTick();
+      isRevertingTransfer.value = false;
+      return;
+    }
+
+    lastValidTransferValue.value = [...newValue];
+    await fillTargetDepartmentFromSelection(newValue, 1);
   }
 );
-const submit = () => {
+
+watch(
+  () => orgOptions.value,
+  () => {
+    if (transferValue.value.length > 0) {
+      nextTick(() => {
+        fillTargetDepartmentFromSelection(transferValue.value, 1);
+      });
+    }
+  },
+  { deep: true }
+);
+const submit = async () => {
   if (transferValue.value.length == 0) {
     return proxy.$message.error('请选择申请单');
   }
-  if (!projectWithDepartment(transferValue.value, 2)) {
+  if (!(await fillTargetDepartmentFromSelection(transferValue.value, 2))) {
     return;
   }
+  if (!form.targetDepartment) {
+    return proxy.$message.error('请选择发往科室');
+  }
   let applicationListAllFilter = applicationListAll.value.filter((item) => {
-    return transferValue.value.includes(item.adviceDefinitionId);
+    return transferValue.value.some((id) => String(id) === String(item.adviceDefinitionId));
   });
   applicationListAllFilter = applicationListAllFilter.map((item) => {
+    const priceInfo = item.priceList?.[0] || {};
     return {
       adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
       quantity: 1, // /** 请求数量 */
-      unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
+      unitCode: priceInfo.unitCode /** 请求单位编码 */,
-      unitPrice: item.priceList[0].price /** 单价 */,
+      unitPrice: priceInfo.price /** 单价 */,
-      totalPrice: item.priceList[0].price /** 总价 */,
+      totalPrice: priceInfo.price /** 总价 */,
-      positionId: item.positionId, //执行科室id
+      positionId: form.targetDepartment || item.positionId, //执行科室id
       ybClassEnum: item.ybClassEnum, //类别医保编码
       conditionId: item.conditionId, //诊断ID
       encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
       adviceType: item.adviceType, ///** 医嘱类型 */
-      definitionId: item.priceList[0].definitionId, //费用定价主表ID */
+      definitionId: priceInfo.definitionId, //费用定价主表ID */
       definitionDetailId: item.definitionDetailId, //费用定价子表ID */
       accountId: patientInfo.value.accountId, // // 账户id
     };
@@ -254,16 +478,22 @@ const submit = () => {
     if (res.code === 200) {
       proxy.$message.success(res.msg);
       applicationList.value = [];
+      applicationListAll.value = [];
+      transferValue.value = [];
+      lastValidTransferValue.value = [];
       emits('submitOk');
     } else {
       proxy.$message.error(res.message);
     }
   });
 };
-/** 查询科室 */
+/** 查询科室（与检验申请单一致） */
 const getLocationInfo = () => {
-  getDepartmentList().then((res) => {
+  return getDepartmentList().then((res) => {
-    orgOptions.value = res.data || [];
+    orgOptions.value = normalizeOrgTreeIds(res?.data || []);
+    if (transferValue.value.length > 0) {
+      nextTick(() => fillTargetDepartmentFromSelection(transferValue.value, 1));
+    }
   });
 };
 // 获取诊断目录
@@ -300,7 +530,7 @@ function getDiagnosisList() {
     }
   });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
 </script>
 <style lang="scss" scoped>
 .bloodTransfusion-container {
@@ -312,8 +542,22 @@ defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
     min-height: 300px;
   }
 
-  .el-transfer {
+  :deep(.el-transfer) {
     --el-transfer-panel-width: 480px !important;
+    display: flex !important;
+    flex-direction: row !important;
+  }
+
+  :deep(.el-transfer__buttons) {
+    display: flex;
+    flex-direction: column;
+    justify-content: center;
+    align-items: center;
+    padding: 0 4px;
+  }
+
+  :deep(.el-transfer__button) {
+    margin: 4px 0;
   }
 
   .bloodTransfusion-form {

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

@@ -17,17 +17,14 @@
           style="width: 300px; margin-bottom: 10px"
         >
           <template #append>
-            <el-button @click="handleSearch">搜索</el-button>
+            <el-button @click="handleSearch" :loading="loading">搜索</el-button>
           </template>
         </el-input>
-        <span v-if="!searchKey" class="total-count">共 {{ totalCount }} 项</span>
+        <span class="total-count">共 {{ totalCount }} 项</span>
-        <span v-else class="total-count">搜索到 {{ filteredCount }} 项 / 共 {{ totalCount }} 项</span>
       </div>
       <el-transfer
         v-model="transferValue"
         :data="transferData"
-        filter-placeholder="项目代码/名称"
-        filterable
         :titles="['未选择', '已选择']"
       />
     </div>
@@ -134,10 +131,11 @@
   </div>
 </template>
 <script setup name="LaboratoryTests">
-import {getCurrentInstance, onMounted, reactive, ref, watch, computed} from 'vue';
+import {getCurrentInstance, nextTick, onMounted, reactive, ref, watch, computed} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
-import {getApplicationList, saveInspection} from './api';
+import {getExaminationPage, saveInspection} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {ActivityCategory} from '@/utils/medicalConstants';
+import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
 import {ElMessage} from 'element-plus';
 
@@ -168,13 +166,13 @@ const loading = ref(false);
 const orgOptions = ref([]);
 const searchKey = ref('');
 const totalCount = ref(0);
+const skipDeptAutoFill = ref(false);
 
 // 将已加载的全部数据转为 transfer 组件所需的格式
 const buildTransferData = (records) => {
   return records.map((item) => {
-    const priceInfo = item.priceList?.[0] || {};
+    const price = item.price != null ? Number(item.price).toFixed(2) : '0.00';
-    const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+    const unit = item.unitCodeDictText || item.unitCode || '';
-    const unit = item.unitCode_dictText || item.unitCode || '';
     return {
       adviceDefinitionId: item.adviceDefinitionId,
       orgId: item.orgId,
@@ -184,7 +182,8 @@ const buildTransferData = (records) => {
   });
 };
 
-// 加载全部数据（不分页，一次性拉取）
+const selectedItemsCache = ref(new Map());
+
 const loadAllData = async () => {
   if (!patientInfo.value?.inHospitalOrgId) {
     applicationListAll.value = [];
@@ -192,13 +191,12 @@ const loadAllData = async () => {
   }
   loading.value = true;
   try {
-    // 使用大 pageSize 一次性拉取所有启用状态的检验类诊疗项目
+    const res = await getExaminationPage({
-    const res = await getApplicationList({
+      pageSize: 100,
-      pageSize: 9999,
       pageNo: 1,
-      categoryCode: '22',
+      categoryCode: ActivityCategory.PROOF,
       organizationId: patientInfo.value.inHospitalOrgId,
-      adviceTypes: [3], // 1 药品 2 耗材 3 诊疗
+      searchKey: searchKey.value,
     });
     if (res.code !== 200) {
       proxy.$message.error(res.message);
@@ -207,8 +205,9 @@ const loadAllData = async () => {
     }
     applicationListAll.value = res.data?.records || [];
     totalCount.value = res.data?.total || 0;
-    // 检验项目列表为异步加载，编辑回显必须在数据就绪后执行，否则已选区一直为空
+    if (!searchKey.value) {
-    applyEditTransferSelection()
+      applyEditTransferSelection();
+    }
   } catch (e) {
     proxy.$message.error('获取检验项目列表失败');
     applicationListAll.value = [];
@@ -217,32 +216,18 @@ const loadAllData = async () => {
   }
 };
 
-// 根据搜索关键词过滤数据
+const transferData = computed(() => buildTransferData(applicationListAll.value));
-const filterData = (key) => {
-  if (!key || key.trim() === '') {
-    return applicationListAll.value;
-  }
-  const lowerKey = key.toLowerCase().trim();
-  return applicationListAll.value.filter((item) => {
-    return (
-      item.adviceName?.toLowerCase().includes(lowerKey) ||
-      item.pyStr?.toLowerCase().includes(lowerKey) ||
-      item.adviceBusNo?.toLowerCase().includes(lowerKey)
-    );
-  });
-};
-
-// transfer 组件实际显示的数据（受搜索词影响）
-const transferData = computed(() => buildTransferData(filterData(searchKey.value)));
-// 当前显示的条数
-const filteredCount = computed(() => filterData(searchKey.value).length);
 
 const getList = async () => {
   await loadAllData();
 };
 
+let searchTimer = null;
 const handleSearch = () => {
-  // 搜索时保持已选中的项目不受影响
+  clearTimeout(searchTimer);
+  searchTimer = setTimeout(() => {
+    loadAllData();
+  }, 300);
 };
 // 编辑初始化标志：避免 applyEditTransferSelection 设置 transferValue 时触发 projectWithDepartment 覆盖 descJson 中的科室值
 const isInitializing = ref(false);
@@ -263,7 +248,31 @@ const form = reactive({
   otherDiagnosisList: [], //其他断目录
 });
 const rules = reactive({});
+
+const normalizeOrgTreeIds = (nodes) => {
+  if (!Array.isArray(nodes)) return [];
+  return nodes.map((node) => ({
+    ...node,
+    id: node.id != null ? String(node.id) : node.id,
+    children: node.children?.length ? normalizeOrgTreeIds(node.children) : undefined,
+  }));
+};
+
+const resolveTargetDepartmentId = (rawId) => {
+  if (rawId == null || rawId === '') return '';
+  const node = findTreeItem(orgOptions.value, rawId);
+  return node ? String(node.id) : String(rawId);
+};
+
+const applyTargetDepartmentEcho = () => {
+  if (form.targetDepartment) {
+    form.targetDepartment = resolveTargetDepartmentId(form.targetDepartment);
+  }
+};
+
 onMounted(() => {
+  getLocationInfo();
+  getDiagnosisList();
   getList();
 });
 /**
@@ -277,13 +286,17 @@ const projectWithDepartment = (selectProjectIds, type) => {
   const arr = [];
   // 根据选中的项目id查找对应的项目（从全部原始数据中查找）
   selectProjectIds.forEach((element) => {
-    const searchData = applicationListAll.value.find((item) => {
+    let searchData = applicationListAll.value.find((item) => {
       return element == item.adviceDefinitionId;
     });
+    if (!searchData) {
+      searchData = selectedItemsCache.value.get(element);
+    }
     if (searchData) {
       const priceInfo = searchData.priceList?.[0] || {};
-      const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+      const price = searchData.price != null ? Number(searchData.price).toFixed(2)
-      const unit = searchData.unitCode_dictText || searchData.unitCode || '';
+        : priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+      const unit = searchData.unitCodeDictText || searchData.unitCode_dictText || searchData.unitCode || '';
       arr.push({
         adviceDefinitionId: searchData.adviceDefinitionId,
         orgId: searchData.orgId,
@@ -292,8 +305,9 @@ const projectWithDepartment = (selectProjectIds, type) => {
       });
     }
   });
-  // 保存用户手动选择的发往科室（提交时需要保留）
+  // 保存用户手动选择/回显的发往科室（提交、编辑回显时需要保留）
-  const manualDept = type === 2 ? form.targetDepartment : '';
+  const manualDept =
+    type === 2 || (isEditMode.value && form.targetDepartment) ? form.targetDepartment : '';
   // 清空科室
   form.targetDepartment = '';
   if (arr.length > 0) {
@@ -313,8 +327,8 @@ const projectWithDepartment = (selectProjectIds, type) => {
     const findItem = findTreeItem(orgOptions.value, obj.orgId);
     if (!findItem) {
       // type=2(提交)时，若用户已手动选择发往科室，则允许提交
-      if (type === 2 && manualDept) {
+      if ((type === 2 || isEditMode.value) && manualDept) {
-        form.targetDepartment = manualDept;
+        form.targetDepartment = resolveTargetDepartmentId(manualDept);
         isRelease = true;
       } else if (type === 2 && !manualDept) {
         // 提交时用户未手动选择科室，才提示错误
@@ -330,10 +344,10 @@ const projectWithDepartment = (selectProjectIds, type) => {
     }
     if (findItem && isRelease) {
       // 提交时若用户已选「发往科室」，不得用项目默认执行科室覆盖
-      if (type === 2 && manualDept) {
+      if ((type === 2 || isEditMode.value) && manualDept) {
-        form.targetDepartment = manualDept;
+        form.targetDepartment = resolveTargetDepartmentId(manualDept);
       } else {
-        form.targetDepartment = findItem.id;
+        form.targetDepartment = String(findItem.id);
       }
     }
   }
@@ -343,7 +357,14 @@ const projectWithDepartment = (selectProjectIds, type) => {
 watch(
   () => transferValue.value,
   (newValue) => {
+    if (skipDeptAutoFill.value) return;
     if (isInitializing.value) return;
+    newValue.forEach((id) => {
+      if (!selectedItemsCache.value.has(id)) {
+        const item = applicationListAll.value.find((i) => i.adviceDefinitionId == id);
+        if (item) selectedItemsCache.value.set(id, item);
+      }
+    });
     projectWithDepartment(newValue, 1);
   }
 );
@@ -382,7 +403,11 @@ const applyEditTransferSelection = () => {
   const uniq = [...new Set(selectedIds)]
   // 设置初始化标志，防止 transferValue 变化触发 projectWithDepartment 覆盖 descJson 中的科室值
   isInitializing.value = true
+  skipDeptAutoFill.value = true
   transferValue.value = uniq
+  nextTick(() => {
+    skipDeptAutoFill.value = false
+  })
   isInitializing.value = false
   if (newData.requestFormDetailList.length && uniq.length === 0) {
     console.warn(
@@ -406,6 +431,7 @@ watch(
             form[key] = obj[key]
           }
         })
+        applyTargetDepartmentEcho()
       } catch (e) {
         console.error('解析 descJson 失败:', e)
       }
@@ -416,13 +442,21 @@ watch(
   { immediate: true, deep: true }
 )
 
-// 编辑模式下，applicationListAll 加载完成后重新回显已选项目
+watch(
+  () => orgOptions.value,
+  () => {
+    applyTargetDepartmentEcho()
+  }
+)
+
+// 编辑模式下，项目字典首次加载完成后回显已选项目（搜索刷新不重置）
 watch(
   () => applicationListAll.value,
   () => {
     if (!props.editData?.requestFormId) return;
     if (!props.editData.requestFormDetailList?.length) return;
     if (!applicationListAll.value.length) return;
+    if (searchKey.value) return;
 
     const selectedIds = [];
     props.editData.requestFormDetailList.forEach((detail) => {
@@ -436,6 +470,7 @@ watch(
     isInitializing.value = true;
     transferValue.value = selectedIds;
     isInitializing.value = false;
+    applyEditTransferSelection();
   }
 );
 
@@ -446,26 +481,29 @@ const submit = () => {
   if (!projectWithDepartment(transferValue.value, 2)) {
     return;
   }
-  let applicationListAllFilter = applicationListAll.value.filter((item) => {
+  let applicationListAllFilter = transferValue.value.map((id) => {
-    return transferValue.value.includes(item.adviceDefinitionId);
+    let item = applicationListAll.value.find((i) => i.adviceDefinitionId == id);
-  });
+    if (!item) {
-  applicationListAllFilter = applicationListAllFilter.map((item) => {
+      item = selectedItemsCache.value.get(id);
+    }
+    if (!item) return null;
+    const priceInfo = item.priceList?.[0] || {};
     return {
       adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
       quantity: 1, // /** 请求数量 */
-      unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
+      unitCode: item.unitCode || priceInfo.unitCode || '' /** 请求单位编码 */,
-      unitPrice: item.priceList[0].price /** 单价 */,
+      unitPrice: item.price ?? priceInfo.price ?? 0 /** 单价 */,
-      totalPrice: item.priceList[0].price /** 总价 */,
+      totalPrice: item.price ?? priceInfo.price ?? 0 /** 总价 */,
       positionId: form.targetDepartment || item.positionId, // 用户指定发往科室优先于项目默认执行科室
-      ybClassEnum: item.ybClassEnum, //类别医保编码
+      ybClassEnum: item.ybClassEnum || '', //类别医保编码
-      conditionId: item.conditionId, //诊断ID
+      conditionId: item.conditionId || '', //诊断ID
-      encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
+      encounterDiagnosisId: item.encounterDiagnosisId || '', //就诊诊断id
-      adviceType: item.adviceType, ///** 医嘱类型 */
+      adviceType: item.adviceType || 3, ///** 医嘱类型 */
-      definitionId: item.priceList[0].definitionId, //费用定价主表ID */
+      definitionId: item.chargeItemDefinitionId || priceInfo.definitionId || '', //费用定价主表ID */
-      definitionDetailId: item.definitionDetailId, //费用定价子表ID */
+      definitionDetailId: item.definitionDetailId || priceInfo.definitionDetailId || '', //费用定价子表ID */
       accountId: patientInfo.value.accountId, // // 账户id
     };
-  });
+  }).filter(Boolean);
   const params = {
     activityList: applicationListAllFilter,
     patientId: patientInfo.value.patientId, //患者ID
@@ -480,6 +518,7 @@ const submit = () => {
     if (res.code === 200) {
       proxy.$message.success(isEditMode.value ? '修改成功' : res.msg);
       transferValue.value = [];
+      selectedItemsCache.value.clear();
       emits('submitOk');
     } else {
       proxy.$message.error(res.message);
@@ -488,9 +527,9 @@ const submit = () => {
 };
 /** 查询科室 */
 const getLocationInfo = () => {
-  getOrgList().then((res) => {
+  return getDepartmentList().then((res) => {
-    orgOptions.value = res.data.records;
+    orgOptions.value = normalizeOrgTreeIds(res.data || []);
-    console.log('科室========>', JSON.stringify(orgOptions.value));
+    applyTargetDepartmentEcho();
   });
 };
 // 获取诊断目录

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

@@ -207,6 +207,7 @@ import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
 import {getExaminationPage, saveCheckd} from './api';
+import {ActivityCategory} from '@/utils/medicalConstants';
 import {ElMessage, ElMessageBox} from 'element-plus';
 import {WarningFilled, Warning, Refresh, Files, Document, EditPen, Aim, DocumentCopy} from '@element-plus/icons-vue';
 
@@ -276,6 +277,7 @@ const getList = () => {
     pageNo: 1,
     pageSize: 5000,
     searchKey: '',
+    categoryCode: ActivityCategory.TEST,
   })
     .then((res) => {
       if (res.code === 200 && res.data?.records) {
@@ -428,12 +430,53 @@ const loadEditData = () => {
 const projectWithDepartment = (selectProjectIds) => {
   if (!selectProjectIds || selectProjectIds.length === 0) {
     form.targetDepartment = '';
+    return;
   }
+
+  // 获取第一个选中项目的发往科室（orgId）
+  // 优先使用配置的发往科室，如果没有则保留手动选择
+  const selectedProject = applicationListAll.value?.find(
+    item => selectProjectIds.includes(item.adviceDefinitionId)
+  );
+
+  if (selectedProject && selectedProject.orgId) {
+    // 项目配置了发往科室，自动填充
+    const orgId = selectedProject.orgId;
+    const orgName = selectedProject.orgName;
+
+    // 查找树中对应的节点，获取正确的 id 类型
+    const findNode = (nodes, targetId) => {
+      if (!nodes) return null;
+      for (const node of nodes) {
+        if (String(node.id) === String(targetId)) {
+          return node;
+        }
+        if (node.children && node.children.length > 0) {
+          const found = findNode(node.children, targetId);
+          if (found) return found;
+        }
+      }
+      return null;
+    };
+
+    const treeNode = findNode(orgOptions.value, orgId);
+    if (treeNode) {
+      // 使用树节点的原始 id 值（确保类型匹配）
+      form.targetDepartment = treeNode.id;
+    } else {
+      // 科室不在列表中（可能已删除），留空让用户手动选择
+      form.targetDepartment = '';
+    }
+  }
+  // 如果没有配置发往科室，保留手动选择（不修改 form.targetDepartment）
 };
 
 watch(() => transferValue.value, (newValue) => {
+  // 使用 nextTick 确保 DOM 更新完成后再设置值
+  nextTick(() => {
     projectWithDepartment(newValue);
   });
+});
 
 const getPriorityCode = () => {
   return form.urgencyLevel === 'emergency' ? 1 : 0;

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

@@ -198,7 +198,7 @@
                     v-model="scope.row.adviceName"
                     placeholder="请选择项目"
                     @input="handleChange"
-                    @click="handleFocus(scope.row, scope.$index)"
+                    @focus="handleFocus(scope.row, scope.$index)"
                     @keyup.enter.stop="handleFocus(scope.row, scope.$index)"
                     @keydown="
                       (e) => {
@@ -429,6 +429,8 @@ const props = defineProps({
 });
 const isAdding = ref(false);
 const isSaving = ref(false);
+// 标记双击编辑的是否为已有数据的行（用于保存后是否自动添加下一行）
+const wasDoubleClickEdit = ref(false);
 const prescriptionRef = ref();
 const expandOrder = ref([]); //目前的展开行
 const stockList = ref([]);
@@ -638,6 +640,10 @@ function getListInfo(addNewRow) {
           };
         })
         .sort((a, b) => {
+          // 没有 requestTime 的项（新增/组套添加）排在最前面
+          if (!a.requestTime && !b.requestTime) return 0;
+          if (!a.requestTime) return -1;
+          if (!b.requestTime) return 1;
           return new Date(b.requestTime) - new Date(a.requestTime);
         });
       getGroupMarkers(); // 更新标记
@@ -804,7 +810,7 @@ function checkUnit(item, row) {
   }
 }
 
-// 行双击打开编辑块，"待保存"和"待签发"均可编辑
+// 行双击打开编辑块：待保存、待签发医嘱均可编辑；已签发/已完成/停止不允许编辑
 function clickRowDb(row, column, event) {
   // 检查点击的是否是复选框
   if (event && event.target.closest('.el-checkbox')) {
@@ -815,14 +821,18 @@ function clickRowDb(row, column, event) {
     return;
   }
   row.showPopover = false;
-  // statusEnum == 1 包含"待保存(无requestId)"和"待签发(有requestId)"，均允许编辑
   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;
     const index = prescriptionList.value.findIndex((item) => item.uniqueKey === row.uniqueKey);
+    rowIndex.value = index;
+    if (index !== -1) {
       prescriptionList.value[index] = row;
+    }
     expandOrder.value = [row.uniqueKey];
+  } else {
+    proxy.$modal.msgWarning('仅待保存或待签发医嘱允许编辑');
   }
 }
 
@@ -890,31 +900,21 @@ function handleDiagnosisChange(item) {
 function handleFocus(row, index) {
   rowIndex.value = index;
   row.showPopover = true;
+  // Bug #555: handleFocus 只负责开 popover 和初始化查询参数，搜索由 handleChange 统一处理
+  // 避免异步 refresh 用旧闭包 searchKey 覆盖 handleChange 的搜索结果
   const adviceType = row.adviceType !== undefined ? row.adviceType : adviceQueryParams.value.adviceType;
-  // 用 adviceType + categoryCode 组合查找匹配的选项
+  let categoryCode = '';
+  if (row.adviceType !== undefined) {
     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);
-  // If the row has an explicit adviceType (saved/existing row), use its own categoryCode.
+    categoryCode = selectedItem ? selectedItem.categoryCode : (row.categoryCode || '');
-  // If no type is selected (new row), use empty string for global search across all categories.
+  }
-  const categoryCode = selectedItem ? selectedItem.categoryCode : (row.adviceType != null ? (row.categoryCode || '') : '');
+  adviceQueryParams.value = { adviceType, categoryCode, searchKey: '' };
-  const searchKey = row.adviceName || '';
+  // handleFocus 打开 popover 时也要加载数据
-
-  nextTick(() => {
-    nextTick(() => {
   const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[index] : adviceTableRef.value;
   if (tableRef && tableRef.refresh) {
-        tableRef.refresh(adviceType, categoryCode, searchKey);
+    tableRef.refresh(adviceType, categoryCode, '');
-      } else {
-        // fallback: 如果双重 nextTick 仍未挂载，延迟 100ms 再试
-        setTimeout(() => {
-          const tableRef2 = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[index] : adviceTableRef.value;
-          if (tableRef2 && tableRef2.refresh) {
-            tableRef2.refresh(adviceType, categoryCode, searchKey);
   }
-        }, 100);
-      }
-    });
-  });
 }
 
 function handleBlur(row) {
@@ -923,20 +923,24 @@ function handleBlur(row) {
 
 function handleChange(value) {
   adviceQueryParams.value.searchKey = value;
-  // 搜索词变化时，调用当前行子组件的 refresh 方法
+  // @focus 已先于 @input 执行，rowIndex 必定有效
-  const index = rowIndex.value;
+  const currentIndex = rowIndex.value;
-  if (index >= 0) {
+  if (currentIndex < 0) return;
-    const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[index] : adviceTableRef.value;
+  const row = filterPrescriptionList.value[currentIndex];
+  // popover 被 blur 关闭后，用户继续输入时自行打开
+  if (!row.showPopover) {
+    row.showPopover = true;
+  }
+  const tableRef = Array.isArray(adviceTableRef.value) ? adviceTableRef.value[currentIndex] : adviceTableRef.value;
   if (tableRef && tableRef.refresh) {
-      const row = filterPrescriptionList.value[index];
     const adviceType = row?.adviceType !== undefined ? row.adviceType : adviceQueryParams.value.adviceType;
-      // 用 adviceType + categoryCode 组合查找匹配的选项
+    let categoryCode = '';
+    if (row?.adviceType !== undefined) {
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
+      categoryCode = selectedItem ? selectedItem.categoryCode : (adviceQueryParams.value.categoryCode || '');
-      const categoryCode = selectedItem ? selectedItem.categoryCode : (row?.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
-      tableRef.refresh(adviceType, categoryCode, value);
     }
+    tableRef.refresh(adviceType, categoryCode, value);
   }
 }
 
@@ -1393,7 +1397,9 @@ function handleSaveSign(row, index) {
       }
     });
   } else {
-    if (prescriptionList.value[0].adviceName) {
+    // 仅通过【新增】按钮创建的医嘱保存后才自动添加下一行空医嘱
+    // 双击编辑已有"待保存"医嘱保存时，不应自动添加空行
+    if (isAdding.value && prescriptionList.value[0].adviceName) {
       handleAddPrescription();
     }
   }
@@ -1571,11 +1577,24 @@ function handleSaveGroup(orderGroupList) {
 
   let successCount = 0;
 
+  // 收集所有要添加的新行，最后统一 unshift 到数组开头（置顶显示）
+  const newRows = [];
+
+  // 记录循环前的数组长度，用于清理循环中创建的临时行
+  const originalLength = prescriptionList.value.length;
+
   orderGroupList.forEach((item) => {
-    rowIndex.value = prescriptionList.value.length;
+    // 使用临时索引，先追加到末尾用于 setValue 填充
+    const tempIndex = prescriptionList.value.length;
+    prescriptionList.value[tempIndex] = {
+      uniqueKey: nextId.value++,
+      isEdit: false,
+      statusEnum: 1,
+    };
 
     if (!item) {
       console.warn('组套中的项目为空');
+      prescriptionList.value.splice(tempIndex, 1);
       return;
     }
 
@@ -1601,18 +1620,12 @@ function handleSaveGroup(orderGroupList) {
       therapyEnum: item.orderDetailInfos?.therapyEnum || '1',
     };
 
-    // 预初始化空行（组套项带预填值，设为 false 让明细字段在表格中直接展示）
+    rowIndex.value = tempIndex;
-    prescriptionList.value[rowIndex.value] = {
-      uniqueKey: nextId.value++,
-      isEdit: false,
-      statusEnum: 1,
-    };
-
     setValue(mergedDetail);
 
     // 创建新的处方项目
     const newRow = {
-      ...prescriptionList.value[rowIndex.value],
+      ...prescriptionList.value[tempIndex],
       patientId: patientInfo.value.patientId,
       encounterId: patientInfo.value.encounterId,
       accountId: accountId.value,
@@ -1631,12 +1644,12 @@ function handleSaveGroup(orderGroupList) {
       orgId: resolveOrgId(mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
       // 🔧 修复：同时存储 orgName，确保树匹配不到时仍有中文名称可显示
       orgName: findOrgName(mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || mergedDetail.orgName || patientInfo.value?.inHospitalOrgName || '',
-      dbOpType: prescriptionList.value[rowIndex.value].requestId ? '2' : '1',
+      dbOpType: prescriptionList.value[tempIndex].requestId ? '2' : '1',
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,
       encounterDiagnosisId: encounterDiagnosisId.value,
       diagnosisName: diagnosisName.value,
-      therapyEnum: prescriptionList.value[rowIndex.value]?.therapyEnum || mergedDetail.therapyEnum || '1',
+      therapyEnum: prescriptionList.value[tempIndex]?.therapyEnum || mergedDetail.therapyEnum || '1',
       // 🔧 修复：确保组套医嘱的 categoryEnum 被正确映射，防止后端 NPE
       categoryEnum: mergedDetail?.categoryEnum || mergedDetail?.categoryCode || item?.categoryCode,
     };
@@ -1655,11 +1668,14 @@ function handleSaveGroup(orderGroupList) {
     }
 
     newRow.contentJson = JSON.stringify(newRow);
-    prescriptionList.value[rowIndex.value] = newRow;
+    newRows.push(newRow);
     successCount++;
   });
 
-  if (successCount > 0) {
+  // 清理循环中创建的临时行，统一添加到数组开头（置顶显示）
+  if (newRows.length > 0) {
+    prescriptionList.value.splice(originalLength); // 移除循环中追加到末尾的临时行
+    prescriptionList.value.unshift(...newRows);
     proxy.$modal.msgSuccess(`成功添加 ${successCount} 个医嘱项`);
   }
 }

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

@@ -46,7 +46,8 @@
     <div style="display: flex; gap: 20px; height: 70vh">
       <div
         style="
-          width: 250px;
+          width: 350px;
+          min-width: 350px;
           border: 1px solid #e4e7ed;
           border-radius: 4px;
           display: flex;
@@ -70,7 +71,18 @@
               <span class="status-dot"></span>
               {{ getItemType_Text(item.adviceType) }}
             </div>
+            <el-tooltip :content="item.adviceName" placement="top" :show-after="500">
               <div class="item-name">{{ item.adviceName }}</div>
+            </el-tooltip>
+            <el-tooltip
+              :content="
+                item.priceList && item.priceList.length > 0
+                  ? (item.priceList[0].price / item.partPercent).toFixed(2) + '元/' + item.minUnitCode_dictText
+                  : ''
+              "
+              placement="top"
+              :show-after="500"
+            >
               <div class="item-name">
                 {{
                   item.priceList && item.priceList.length > 0
@@ -81,10 +93,13 @@
                     : ''
                 }}
               </div>
-            <div class="item-name" v-if="item.adviceType === 2">
+            </el-tooltip>
+            <el-tooltip v-if="item.adviceType === 2" :content="'库存数量：' + handleQuantity(item)" placement="top" :show-after="500">
+              <div class="item-name">
                 库存数量：
                 {{ handleQuantity(item) }}
               </div>
+            </el-tooltip>
           </div>
           <!-- 只显示暂无数据文本 -->
           <div
@@ -308,7 +323,7 @@
 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 {getAdviceBaseInfo, getDiseaseTreatmentInitLoc, getOrgList, getOrgLocConfig} from './api.js';
 import {getOrderGroup} from '@/views/doctorstation/components/api.js';
 import useUserStore from '@/store/modules/user';
 
@@ -366,6 +381,7 @@ const executeTime = ref('');
 const departmentOptions = ref([]);
 const AdviceBaseInfoList = ref([]);
 const locationOptions = ref([]);
+const consumableDefaultLocId = ref(null); // 患者科室耗材默认库房ID（来自取药科室配置）
 const searchText = ref('');
 const userId = ref('');
 const orgId = ref('');
@@ -471,11 +487,8 @@ onMounted(() => {
   const userStore = useUserStore();
   userId.value = userStore.id;
   orgId.value = userStore.orgId;
-  console.log(props.patientInfo, 'patientInfo in FeeDialog');
   console.log('initialData in FeeDialog');
-  loadDepartmentOptions();
+  // 数据加载由 watch(visible) 统一触发，避免 patientInfo 未就绪时调用报错
-  getAdviceBaseInfos();
-  getDiseaseInitLoc();
 });
 
 // 监听弹窗显示状态
@@ -484,10 +497,12 @@ watch(
   (visible) => {
     if (visible) {
       executeTime.value = formatDateStr(new Date(), 'YYYY-MM-DD HH:mm:ss');
+      consumableDefaultLocId.value = null; // 重置耗材默认库房，避免复用上次患者配置
       // 弹窗打开时按当前患者科室重新加载，避免复用上一次患者/登录科室的结果
       loadDepartmentOptions();
       getAdviceBaseInfos();
       getDiseaseInitLoc(16);
+      loadConsumableDefaultLoc();
     } else {
       resetData();
     }
@@ -516,7 +531,16 @@ watch(
     if (!locs || locs.length === 0) return;
     feeItemsList.value.forEach(item => {
       if (item.adviceType === 2 && !item.positionId) {
-        item.positionId = String(locs[0].value);
+        if (consumableDefaultLocId.value) {
+          const matched = locs.find(d => String(d.value) === consumableDefaultLocId.value);
+          if (matched) {
+            item.positionId = String(matched.value);
+          } else {
+            ElMessage.warning(`"${item.adviceName}" 未找到匹配的执行科室，请手动选择`);
+          }
+        } else {
+          ElMessage.warning(`"${item.adviceName}" 所在科室未配置耗材执行科室，请手动选择`);
+        }
       }
     });
   }
@@ -586,14 +610,33 @@ function getAdviceBaseInfos() {
     });
 }
 function getDiseaseInitLoc() {
-  getDiseaseTreatmentInitLoc(16)
+  // 16=药房，17=耗材库，合并后作为耗材执行科室下拉选项
-    .then((response) => {
+  Promise.all([
-      console.log('Disease Treatment Init Loc:', response);
+    getDiseaseTreatmentInitLoc(16).catch(() => ({ data: { locationOptions: [] } })),
-      locationOptions.value = response.data.locationOptions;
+    getDiseaseTreatmentInitLoc(17).catch(() => ({ data: { locationOptions: [] } })),
+  ]).then(([pharmacyRes, warehouseRes]) => {
+    const pharmacies = pharmacyRes.data?.locationOptions || [];
+    const warehouses = warehouseRes.data?.locationOptions || [];
+    locationOptions.value = [...pharmacies, ...warehouses];
+  });
+}
+
+/**
+ * 查询患者科室的耗材默认库房（取药科室配置 itemCode=2）
+ */
+function loadConsumableDefaultLoc() {
+  const deptId = props.patientInfo?.organizationId;
+  if (!deptId) {
+    consumableDefaultLocId.value = null;
+    return;
+  }
+  getOrgLocConfig({ organizationId: deptId, itemCode: '2', pageNo: 1, pageSize: 100 })
+    .then((res) => {
+      const records = res.data?.records || [];
+      consumableDefaultLocId.value = records.length > 0 ? String(records[0].defLocationId) : null;
     })
     .catch(() => {
-      console.warn('位置列表加载失败（可能无权限）');
+      consumableDefaultLocId.value = null;
-      locationOptions.value = [];
     });
 }
 // 下拉框模糊搜索过滤（自定义filter-method，配合element-plus filterable使用）
@@ -744,8 +787,19 @@ function selectChange(row) {
       defaultPositionId = String(departmentOptions.value[0].id);
     }
   } else if (row.adviceType === 2 && locationOptions.value.length > 0) {
-    // 耗材：默认取第一个药房/耗材房
+    // 耗材：必须从取药科室配置中匹配默认库房，未配置则提示用户
-    defaultPositionId = String(locationOptions.value[0].value);
+    if (consumableDefaultLocId.value) {
+      const matched = locationOptions.value.find(
+        d => String(d.value) === consumableDefaultLocId.value
+      );
+      if (matched) {
+        defaultPositionId = String(matched.value);
+      } else {
+        ElMessage.warning(`"${row.adviceName}" 未找到匹配的执行科室，请手动选择`);
+      }
+    } else {
+      ElMessage.warning(`"${row.adviceName}" 所在科室未配置耗材执行科室，请手动选择`);
+    }
   }
   //插入费用列表
   feeItemsList.value.push({
@@ -1023,6 +1077,8 @@ function applyGroupSet() {
   font-weight: 600;
   color: #303133;
   margin-bottom: 8px;
-  word-break: break-word;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
 }
 </style>

openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/api.js

@@ -111,6 +111,16 @@ export function getDiseaseTreatmentInitLoc(id) {
     method: 'get',
   });
 }
+/**
+ * 查询科室取药配置（耗材默认库房）
+ */
+export function getOrgLocConfig(params) {
+  return request({
+    url: '/base-data-manage/org-loc/org-loc',
+    method: 'get',
+    params: params,
+  });
+}
 // 住院护士站费用明细
 export function getCostDetail(queryParams) {
   return request({

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

@@ -262,7 +262,7 @@
 </template>
 
 <script setup>
-import {computed, nextTick, onMounted, ref, watch} from 'vue';
+import {nextTick, onMounted, ref} from 'vue';
 import {ElMessage, ElMessageBox} from 'element-plus';
 // Element Plus 图标导入
 import {User} from '@element-plus/icons-vue';
@@ -366,9 +366,9 @@ const rawPrescriptionList = ref([]); // 原始未分组数据
 const groupedPrescriptionList = ref([]); // 按encounterId分组后的数据
 const activeCollapseNames = ref([]); // Collapse激活状态
 const selectedRows = ref({}); // 选中的行数据
-const totalItemsCount = ref(0); // 总医嘱项数
-const totalAmount = ref(0); // 总金额（保留4位小数）
 const dialogVisible = ref(false);
+/** Tab 切换同步日期时跳过 date-picker change，避免与 v-model 循环触发 */
+const syncingDateFromTab = ref(false);
 const selectedFeeItems = ref([]);
 const currentPatientInfo = ref(null);
 const queryParams = ref({
@@ -381,24 +381,6 @@ const userStore = useUserStore();
 const userId = ref(safeGet(userStore, 'id', ''));
 const orgId = ref(safeGet(userStore, 'orgId', ''));
 
-// ========== 计算属性 ==========
-// 计算总统计信息（总项数、总金额）
-const calculateTotalStats = computed(() => {
-  let itemsCount = 0;
-  let amount = 0;
-
-  safeArray(groupedPrescriptionList.value).forEach((patientGroup) => {
-    safeArray(patientGroup).forEach((item) => {
-      itemsCount++;
-      // 累加单价，保留4位小数精度
-      amount = Math.round((amount + Number(safeGet(item, 'unitPrice', 0))) * 10000) / 10000;
-    });
-  });
-
-  totalItemsCount.value = itemsCount;
-  totalAmount.value = amount;
-});
-
 // ========== 方法 ==========
 /**
  * 计算单个患者的总金额（保留4位小数）
@@ -447,16 +429,19 @@ const handleTableSelectionChange = (index, val) => {
 };
 
 /**
- * 日期Tab切换
+ * 按 Tab 同步日期范围（避免 date-picker @change 与 Tab v-model 互相覆盖）
- * @param {Object} tab - 标签页
+ * @param {string} rangeType - today | yesterday | custom
  */
-const handleDateTabClick = (tab) => {
+const applyDateRangeByTab = (rangeType) => {
   const today = new Date();
   const yesterday = new Date(today);
   yesterday.setDate(today.getDate() - 1);
   const format = (date) => formatDateStr(date, 'YYYY-MM-DD');
 
-  switch (safeGet(tab, 'paneName')) {
+  syncingDateFromTab.value = true;
+  dateRange.value = rangeType;
+
+  switch (rangeType) {
     case 'today':
       dateRangeValue.value = [format(today), format(today)];
       break;
@@ -464,27 +449,54 @@ const handleDateTabClick = (tab) => {
       dateRangeValue.value = [format(yesterday), format(yesterday)];
       break;
     case 'custom':
-      if (!dateRangeValue.value.length) {
+      if (safeArray(dateRangeValue.value).length < 2) {
         dateRangeValue.value = [format(today), format(today)];
       }
       break;
+    default:
+      break;
   }
+
+  nextTick(() => {
+    syncingDateFromTab.value = false;
+  });
 };
 
 /**
- * 日期选择器变化
+ * 日期Tab切换
+ * @param {Object} tab - 标签页
+ */
+const handleDateTabClick = (tab) => {
+  const rangeType = tab?.paneName ?? tab?.props?.name;
+  if (!rangeType) return;
+  applyDateRangeByTab(rangeType);
+  handleQuery();
+};
+
+/**
+ * 日期选择器变化（仅用户手动改日期时切到「自定义」）
  * @param {Array} val - 选中日期
  */
 const handleDatePickerChange = (val) => {
+  if (syncingDateFromTab.value) return;
+
   const dateVal = safeArray(val);
-  if (dateVal.length === 2) {
+  if (dateVal.length !== 2) return;
-    dateRange.value = 'custom';
+
   const start = new Date(dateVal[0]);
   const end = new Date(dateVal[1]);
   if (start > end) {
     ElMessage.warning('开始日期不能晚于结束日期');
+    syncingDateFromTab.value = true;
     dateRangeValue.value = [dateVal[1], dateVal[0]];
+    nextTick(() => {
+      syncingDateFromTab.value = false;
+    });
+    return;
   }
+
+  if (dateRange.value !== 'custom') {
+    dateRange.value = 'custom';
   }
 };
 
@@ -714,24 +726,7 @@ const handleSingleDelete = (row) => {
 };
 // ========== 初始化 ==========
 onMounted(() => {
-  // 设置默认日期
+  applyDateRangeByTab('today');
-  const today = new Date();
-  const defaultDate = formatDateStr(today, 'YYYY-MM-DD');
-  dateRangeValue.value = [defaultDate, defaultDate];
-
-  // 监听日期变化自动查询
-  watch(
-    [dateRange, dateRangeValue],
-    ([newRange, newVal], [oldRange, oldVal]) => {
-      if (oldRange !== undefined && safeArray(newVal).length === 2) {
-        handleQuery();
-      }
-    },
-    { deep: true }
-  );
-
-  // 初始化统计信息
-  calculateTotalStats.value;
 });
 </script>
 

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

@@ -90,6 +90,13 @@
                 </span>
               </template>
             </el-table-column>
+            <el-table-column label="医嘱状态" width="100" align="center">
+              <template #default="scope">
+                <el-tag :type="getStatusType(scope.row)" size="small">
+                  {{ getStatusDisplayText(scope.row) }}
+                </el-tag>
+              </template>
+            </el-table-column>
             <el-table-column label="医嘱内容" prop="adviceName">
               <template #default="scope">
                 <span>
@@ -169,6 +176,43 @@ import {formatDateStr} from '@/utils/index';
 import {getCurrentInstance, ref} from 'vue';
 import useUserStore from '@/store/modules/user';
 
+/** 发药状态 → 医嘱状态（药品医嘱状态映射表） */
+const DISPENSE_STATUS_TO_ADVICE_TEXT = {
+  2: '已执行',
+  8: '已提交',
+  4: '已发药',
+};
+
+function getStatusDisplayText(row) {
+  const params = row?.medicineSummaryParamList || [];
+  const pending = params.filter((p) => Number(p.dispenseStatus) !== 8);
+  if (pending.length === 0) {
+    return params.length ? '已提交' : '已执行';
+  }
+  const texts = [
+    ...new Set(
+      pending
+        .map((p) => DISPENSE_STATUS_TO_ADVICE_TEXT[Number(p.dispenseStatus)])
+        .filter(Boolean),
+    ),
+  ];
+  if (texts.length === 1) {
+    return texts[0];
+  }
+  return '已执行';
+}
+
+function getStatusType(row) {
+  const text = getStatusDisplayText(row);
+  if (text === '已发药') {
+    return 'success';
+  }
+  if (text === '已提交') {
+    return 'warning';
+  }
+  return 'primary';
+}
+
 const activeNames = ref([]);
 
 const userStore = useUserStore();
@@ -290,6 +334,7 @@ function handleMedicineSummary() {
   medicineSummary(ids).then((res) => {
     if (res.code == 200) {
       proxy.$message.success('操作成功');
+      handleGetPrescription();
     }
   });
 }

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

@@ -16,7 +16,13 @@
         <el-table-column label="药房" align="center" prop="locationName" />
         <el-table-column label="申请人" align="center" prop="applicantName" />
         <el-table-column label="领药人" align="center" prop="receiverName" />
-        <el-table-column label="发药状态" align="center" prop="statusEnum_enumText" />
+        <el-table-column label="医嘱状态" align="center" prop="statusEnum_enumText">
+          <template #default="scope">
+            <el-tag :type="getSummaryStatusType(scope.row)" size="small">
+              {{ formatSummaryStatusText(scope.row) }}
+            </el-tag>
+          </template>
+        </el-table-column>
         <el-table-column label="操作" width="100" align="center">
           <template #default="scope">
             <el-button link type="primary" @click="getDetail(scope.row)">详情</el-button>
@@ -52,6 +58,35 @@ import {getMedicineSummary, getMedicineSummaryDetail} from './api';
 import {patientInfoList} from '../../components/store/patient.js';
 import {getCurrentInstance, ref} from 'vue';
 
+const SUMMARY_STATUS_DISPLAY = {
+  2: '已提交',
+  4: '已发药',
+};
+
+const LEGACY_SUMMARY_STATUS_TEXT = {
+  待配药: '已提交',
+  已发放: '已发药',
+};
+
+function formatSummaryStatusText(row) {
+  const code = Number(row?.statusEnum);
+  if (SUMMARY_STATUS_DISPLAY[code]) {
+    return SUMMARY_STATUS_DISPLAY[code];
+  }
+  return LEGACY_SUMMARY_STATUS_TEXT[row?.statusEnum_enumText] || row?.statusEnum_enumText || '-';
+}
+
+function getSummaryStatusType(row) {
+  const text = formatSummaryStatusText(row);
+  if (text === '已发药') {
+    return 'success';
+  }
+  if (text === '已提交') {
+    return 'warning';
+  }
+  return 'info';
+}
+
 const medicineSummaryFormList = ref([]);
 const medicineSummaryFormDetails = ref([]);
 const dialogVisible = ref(false);

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

@@ -159,6 +159,13 @@
                 </span>
               </template>
             </el-table-column>
+            <el-table-column label="医嘱状态" prop="requestStatus_enumText" width="100" align="center">
+              <template #default="scope">
+                <el-tag :type="getStatusType(scope.row)" size="small">
+                  {{ getStatusDisplayText(scope.row) }}
+                </el-tag>
+              </template>
+            </el-table-column>
             <el-table-column label="医嘱内容" prop="adviceName">
               <template #default="scope">
                 <span>
@@ -229,8 +236,80 @@ import {adviceCancel, adviceExecute, adviceNoExecute, getPrescriptionList} from
 import {patientInfoList} from '../../components/store/patient.js';
 import {lotNumberMatch} from '@/api/public';
 import {formatDateStr} from '@/utils/index';
+import {RequestStatus} from '@/utils/medicalConstants';
 import {getCurrentInstance, nextTick, ref, provide} from 'vue';
 
+/** 请求状态 → 医嘱状态映射表（开具/签发/校对） */
+const REQUEST_STATUS_DISPLAY = {
+  [RequestStatus.DRAFT]: '待签发',
+  [RequestStatus.ACTIVE]: '已签发',
+  [RequestStatus.COMPLETED]: '已校对',
+};
+
+/** 发药状态 → 医嘱状态映射表（汇总申请/发药） */
+const DISPENSE_STATUS_DISPLAY = {
+  8: '已提交',
+  4: '已发药',
+};
+
+/** 执行页签对应的医嘱状态展示 */
+const STATUS_DISPLAY_BY_EXE_TAB = {
+  1: { text: '已校对', type: 'success' },
+  6: { text: '已执行', type: 'success' },
+  5: { text: '不执行', type: 'warning' },
+  9: { text: '取消执行', type: 'info' },
+};
+
+const LEGACY_STATUS_TEXT = {
+  待发送: '待签发',
+  已发送: '已签发',
+  '已发送/待执行': '已签发',
+  已完成: '已校对',
+  待配药: '已提交',
+  已汇总: '已提交',
+  已发放: '已发药',
+};
+
+function getStatusDisplayText(row) {
+  const dispenseCode = Number(row?.dispenseStatus);
+  if (DISPENSE_STATUS_DISPLAY[dispenseCode]) {
+    return DISPENSE_STATUS_DISPLAY[dispenseCode];
+  }
+  const tabText = STATUS_DISPLAY_BY_EXE_TAB[props.exeStatus]?.text;
+  if (tabText) {
+    return tabText;
+  }
+  const requestCode = Number(row?.requestStatus);
+  if (REQUEST_STATUS_DISPLAY[requestCode]) {
+    return REQUEST_STATUS_DISPLAY[requestCode];
+  }
+  return (
+    LEGACY_STATUS_TEXT[row?.requestStatus_enumText] ||
+    LEGACY_STATUS_TEXT[row?.dispenseStatus_enumText] ||
+    row?.requestStatus_enumText ||
+    row?.dispenseStatus_enumText ||
+    '-'
+  );
+}
+
+function getStatusType(row) {
+  const tabType = STATUS_DISPLAY_BY_EXE_TAB[props.exeStatus]?.type;
+  if (tabType) {
+    return tabType;
+  }
+  const status = row?.requestStatus;
+  const map = {
+    1: 'info',
+    2: 'primary',
+    3: 'success',
+    4: 'warning',
+    5: 'danger',
+    6: 'danger',
+    7: 'warning',
+  };
+  return map[status] || 'info';
+}
+
 const activeNames = ref([]);
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');

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

@@ -89,7 +89,7 @@ function handleClick(tabName) {
       // 执行状态待执行
       exeStatus.value = 1;
       // 请求状态已校对
-      requestStatus.value = 3;
+      requestStatus.value = RequestStatus.COMPLETED;
       break;
     case 'completed':
       exeStatus.value = 6;

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

@@ -142,6 +142,13 @@
                 </template>
               </template>
             </el-table-column>
+            <el-table-column label="医嘱状态" prop="requestStatus_enumText" width="100">
+              <template #default="scope">
+                <el-tag :type="getStatusType(scope.row.requestStatus)" size="small">
+                  {{ getStatusDisplayText(scope.row) }}
+                </el-tag>
+              </template>
+            </el-table-column>
             <el-table-column label="执行科室" prop="positionName" width="230" />
             <el-table-column label="签发时间" prop="requestTime" width="230" />
           </el-table>
@@ -152,10 +159,11 @@
   </div>
 </template>
 <script setup>
-import {ref, computed} from 'vue';
+import {ref, computed, getCurrentInstance} from 'vue';
 import {adviceVerify, cancel, getPrescriptionList} from './api';
 import {patientInfoList} from '../../components/store/patient.js';
 import {formatDateStr} from '@/utils/index';
+import {RequestStatus} from '@/utils/medicalConstants';
 
 const activeNames = ref([]);
 const prescriptionList = ref([]);
@@ -165,6 +173,35 @@ const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
 const selectionTrigger = ref(0);
+
+/** 各页签对应的医嘱状态展示文案（与后端枚举值解耦，贴合校对业务语义） */
+const STATUS_DISPLAY_BY_TAB = {
+  [RequestStatus.ACTIVE]: { text: '已签发', type: 'primary' },
+  [RequestStatus.COMPLETED]: { text: '已校对', type: 'success' },
+  [RequestStatus.DRAFT]: { text: '待签发', type: 'info' },
+  [RequestStatus.STOPPED]: { text: '已停止', type: 'danger' },
+};
+
+const getStatusType = (status) => {
+  const tabType = STATUS_DISPLAY_BY_TAB[props.requestStatus]?.type;
+  if (tabType) return tabType;
+  const map = {
+    1: 'info',
+    2: 'primary',
+    3: 'success',
+    4: 'warning',
+    5: 'danger',
+    6: 'danger',
+    7: 'info',
+  };
+  return map[status] || 'info';
+};
+
+const getStatusDisplayText = (row) => {
+  const tabText = STATUS_DISPLAY_BY_TAB[props.requestStatus]?.text;
+  if (tabText) return tabText;
+  return row.requestStatus_enumText || '';
+};
 const hasDispensedSelected = computed(() => {
   selectionTrigger.value;
   return getSelectRows().some(item => item.dispenseStatus === 4);

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

@@ -82,16 +82,16 @@ function handleTabClick(tabName) {
 
   switch (activeTabName) {
     case 'unverified':
-      requestStatus.value = 2;
+      requestStatus.value = RequestStatus.ACTIVE;
       break;
     case 'verified':
-      requestStatus.value = 3;
+      requestStatus.value = RequestStatus.COMPLETED;
       break;
     case 'stopped':
-      requestStatus.value = 6;
+      requestStatus.value = RequestStatus.STOPPED;
       break;
     case 'cancelled':
-      requestStatus.value = 1;
+      requestStatus.value = RequestStatus.DRAFT;
       break;
   }
   // 调用子组件方法

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

@@ -740,7 +740,8 @@
         </el-form-item>
       </el-form>
 
-      <!-- 结果表格区 -->
+      <!-- 结果表格卡片 -->
+      <el-card shadow="never" class="apply-card">
         <el-table
           ref="applyTableRef"
           v-loading="applyLoading"
@@ -749,8 +750,7 @@
           @row-click="handleApplyRowClick"
           :row-class-name="tableRowClassName"
           style="width: 100%"
-        max-height="340"
+          max-height="320"
-        :scroll="{ y: 340 }"
         >
           <el-table-column type="selection" width="55" :selectable="handleSelectable" />
           <el-table-column label="ID" align="center" width="80" fixed>
@@ -779,19 +779,20 @@
           </el-table-column>
           <el-table-column label="主刀医生" align="center" width="100" prop="mainSurgeonName" />
         </el-table>
-
+        <!-- 分页在卡片内部 -->
-      <!-- 底部分页区 -->
+        <div class="apply-pagination">
-      <div class="pagination-container apply-pagination">
           <pagination
             v-show="applyTotal > 0"
             :total="applyTotal"
             :page="applyQueryParams.pageNo"
             :limit="applyQueryParams.pageSize"
+            layout="total, sizes, prev, pager, next"
             @update:page="val => applyQueryParams.pageNo = val"
             @update:limit="val => applyQueryParams.pageSize = val"
             @pagination="getSurgicalScheduleList"
           />
         </div>
+      </el-card>
       <!-- 底部操作区 -->
       <template #footer>
         <div class="dialog-footer" style="padding-top: 12px; border-top: 1px solid #ebeef5">
@@ -1067,15 +1068,6 @@ const temporaryPatientInfo = ref({})
 const temporaryBillingMedicines = ref([])
 const temporaryAdvices = ref([])
 
-// 🔧 新增：监听 temporaryAdvices 的变化，用于调试
-watch(temporaryAdvices, (newVal, oldVal) => {
-  console.log('=== temporaryAdvices 变化 ===')
-  console.log('=== 新值 ===', newVal)
-  console.log('=== 新值[1]?.dosage ===', newVal[1]?.dosage)
-  console.log('=== 旧值 ===', oldVal)
-  console.log('=== 旧值[1]?.dosage ===', oldVal[1]?.dosage)
-}, { deep: true })
-
 const temporaryMedicalLoading = ref(false) // 🔧 新增：临时医嘱加载状态
 const temporarySigned = ref(false) // 🔧 新增：签名状态，用于保持按钮名称一致性
 
@@ -1499,9 +1491,6 @@ async function closeChargeDialog() {
   chargeSurgeryInfo.value = {}
 }
 
-// 🔧 新增：标志位，用于区分是"打开"还是"刷新"
-const isRefreshAction = ref(false)
-
 // 处理医嘱按钮点击事件
 function handleMedicalAdvice(row) {
   // 如果没有传入行数据，使用选中的行
@@ -1529,31 +1518,7 @@ function handleMedicalAdvice(row) {
     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
+  // 🔧 每次打开临时医嘱都重新拉取最新数据，确保计费弹窗签发后数据自动更新
-  // 这样可以保留 requestId，避免重复创建医嘱记录
-  console.log('=== 检查是否使用已保存的医嘱数据 ===')
-  console.log('=== temporaryAdvices.value.length ===', temporaryAdvices.value.length)
-  console.log('=== temporaryAdvices.value[0]?.originalMedicine?.encounterId ===', temporaryAdvices.value[0]?.originalMedicine?.encounterId)
-  console.log('=== row.visitId ===', row.visitId)
-  console.log('=== isRefreshAction.value ===', isRefreshAction.value)
-  
-  const isSameEncounter = temporaryAdvices.value.length > 0 && 
-                         temporaryAdvices.value[0]?.originalMedicine?.encounterId === row.visitId &&
-                         !isRefreshAction.value
-  
-  console.log('=== isSameEncounter ===', isSameEncounter)
-  
-  if (isSameEncounter) {
-    console.log('=== 使用已保存的医嘱数据，避免重复创建 ===')
-    console.log('=== temporaryAdvices.value[0]?.originalMedicine?.requestId ===', temporaryAdvices.value[0]?.originalMedicine?.requestId)
-    // 直接打开弹窗，使用已保存的数据
-    showTemporaryMedical.value = true
-    temporaryMedicalLoading.value = false
-    isRefreshAction.value = false // 重置标志位
-    return
-  }
-
-  // 🔧 修复：每次打开临时医嘱时都重新加载数据，避免使用缓存数据导致数据重复
   // 先清空旧数据
   temporaryBillingMedicines.value = []
   temporaryAdvices.value = []
@@ -1566,46 +1531,39 @@ function handleMedicalAdvice(row) {
 
   // 调用计费接口获取数据
   getPrescriptionList(row.visitId, 6, row.operCode).then((res) => {
-    console.log('=== 拉取计费数据返回结果 ===', res)
     if (res.code === 200 && res.data) {
-      // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
-      // 根据用户需求：已引用计费药品（待生成医嘱）和临时医嘱预览（已生成）显示的数据应该相同
-      // 在提交医嘱之前状态应该是"待签发"，提交之后变为"已签发"
-      // 再次打开医嘱界面的时候能看到这两个状态的药品
       const seenIds = new Set();
       const filteredItems = res.data.filter(item => {
         // 匹配 encounterId
         if (item.encounterId !== row.visitId) return false;
-        // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
+        // 只保留药品(1)和耗材(2)，屏蔽诊疗(3)和手术(6)
-        // 🔧 修复 Bug #444: 使用 Number() 显式转换，避免字符串 "1" 被 !== 1 放行
         const at = Number(item.adviceType ?? item.advice_type);
-        if (at !== 1) return false;
+        if (at !== 1 && at !== 2) return false;
         // 过滤掉名称为空的项目
         const medicineName = item.adviceName || item.advice_name;
         if (!medicineName || medicineName.trim() === '') return false;
-        // 🔧 修复 Bug #444: 二次过滤，排除名称中包含手术/检查/诊疗关键词的非药品项目
+        // 排除名称中包含手术/检查/诊疗关键词的非药品项目
-        // 某些计费项目可能在 adm_charge_item 中被错误标注为 adviceType=1
         const excludedKeywords = ['术', '超声', '多普勒', '检查', '检验', '彩超', 'X线', 'CT', 'MRI', '扫描', '造影'];
         if (excludedKeywords.some(kw => medicineName.includes(kw))) return false;
-        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId 的不应出现在"待生成"列表中）
-        if (item.requestId) return false;
         // 根据药品请求ID去重，避免重复显示
         const itemId = item.requestId || item.id;
         if (itemId && seenIds.has(itemId)) return false;
         if (itemId) seenIds.add(itemId);
         return true;
       })
+      // 按 statusEnum 区分：1=草稿(待生成)，2=已签发(已生成)
+      const draftItems = filteredItems.filter(item => item.statusEnum === 1)
+      const activeItems = filteredItems.filter(item => item.statusEnum === 2)
 
       // 🔧 修复：限制返回数量，最多显示前100条，避免数据过多导致页面卡死
       const maxItems = 100
-      if (filteredItems.length > maxItems) {
+      if (draftItems.length > maxItems) {
-        ElMessage.warning(`待签发医嘱数量过多(${filteredItems.length}条)，仅显示前${maxItems}条`)
+        ElMessage.warning(`待签发医嘱数量过多(${draftItems.length}条)，仅显示前${maxItems}条`)
-        filteredItems.length = maxItems
+        draftItems.length = maxItems
       }
 
-      // 将过滤后的数据转换为临时医嘱需要的格式 - 兼容驼峰和下划线命名
+      // === 待生成列表：statusEnum=1 草稿状态的项目 ===
-      // 对于从 adm_charge_item（计费项目表）查询来的项目，特殊处理
+      temporaryBillingMedicines.value = draftItems.map(item => {
-      temporaryBillingMedicines.value = filteredItems.map(item => {
         try {
           // 从 contentJson 或 content_json 中解析详细数据 - 兼容下划线和驼峰命名
           const jsonContent = item.contentJson || item.content_json;
@@ -1652,74 +1610,65 @@ function handleMedicalAdvice(row) {
           };
         }
       });
-    } else {
-      // 如果没有数据或接口调用失败，初始化空列表
-      temporaryBillingMedicines.value = []
-    }
 
-    // 将计费药品转换为临时医嘱数据
+      // === 已生成列表：statusEnum=2 已签发状态的项目，直接转为医嘱格式 ===
-    temporaryAdvices.value = temporaryBillingMedicines.value.map((medicine, index) => {
+      temporaryAdvices.value = activeItems.map((item, index) => {
-      // 解析规格中的数值和单位
+        try {
-      const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
+          const jsonContent = item.contentJson || item.content_json;
+          const contentData = jsonContent ? JSON.parse(jsonContent) : {};
+          const medicineName = contentData.adviceName || contentData.advice_name || item.adviceName || item.advice_name || '';
+          const spec = contentData.volume || contentData.specification || item.volume || item.specification || '';
+          const specMatch = spec.match(/(\d+)(\D+)/)
           const specValue = specMatch ? parseInt(specMatch[1]) : 1
           const specUnit = specMatch ? specMatch[2] : 'ml'
+          const dosage = specValue * (contentData.quantity || item.quantity || 1)
 
-      // 计算剂量 = 规格数值 × 数量
+          let usageCode = contentData.methodCode || 'iv'
-      const dosage = specValue * (medicine.quantity || 1)
+          let usageLabel = getUsageLabel(usageCode)
-
+          if (usageCode === 'iv') {
-      // 🔧 修复：优先从 contentJson 中读取已有的用法，如果没有则根据药品名称判断
+            if (medicineName.includes('注射液')) { usageCode = 'iv'; usageLabel = '静脉注射' }
-      let usageCode = 'iv' // 默认静脉注射编码
+          } else if (usageCode === 'po') {
-      let usageLabel = '静脉注射' // 默认显示名称
+            if (medicineName.includes('片') || medicineName.includes('胶囊')) { usageCode = 'po'; usageLabel = '口服' }
-
-      // 尝试从 contentJson 中读取用法
-      try {
-        const jsonContent = medicine.contentJson || medicine.content_json;
-        if (jsonContent) {
-          const contentData = JSON.parse(jsonContent);
-          if (contentData.methodCode) {
-            usageCode = contentData.methodCode;
-            usageLabel = getUsageLabel(contentData.methodCode);
-          }
-        }
-      } catch (e) {
-        // 解析失败，继续使用默认值
-      }
-
-      // 如果没有从 contentJson 中读取到用法，根据药品名称判断
-      if (!usageCode || usageCode === 'iv') {
-        if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
-          usageCode = 'iv'
-          usageLabel = '静脉注射'
-        } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
-          usageCode = 'po'
-          usageLabel = '口服'
-        } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
-          usageCode = 'po'
-          usageLabel = '口服'
-        }
           }
 
           return {
             id: index + 1,
-        adviceName: medicine.medicineName || '',
+            adviceName: medicineName,
-        dosage: dosage,
+            dosage,
             unit: specUnit,
-        usage: usageCode, // 🔧 修复：保存的是编码
+            usage: usageCode,
-        usageLabel: usageLabel, // 🔧 新增：保存显示名称
+            usageLabel,
             frequency: '临时',
             executeTime: new Date().toLocaleString('zh-CN'),
-        // 🔧 关键修复：确保 originalMedicine 中包含 encounterId 和匹配字段
-        // medicineName/specification/quantity 用于 handleTemporaryMedicalSubmit 中的
-        // 已提交项目匹配过滤（Bug #445），缺少这些字段会导致过滤失效
             originalMedicine: {
-          ...medicine,
+              ...item,
-          medicineName: medicine.medicineName,
+              medicineName: medicineName,
-          specification: medicine.specification,
+              specification: spec,
-          quantity: medicine.quantity,
+              quantity: contentData.quantity || item.quantity || 1,
-          encounterId: row.visitId // 添加 encounterId 字段
+              encounterId: row.visitId
+            }
+          }
+        } catch (e) {
+          return {
+            id: index + 1,
+            adviceName: item.adviceName || item.advice_name || '',
+            dosage: 1, unit: 'ml', usage: 'iv', usageLabel: '静脉注射',
+            frequency: '临时',
+            executeTime: new Date().toLocaleString('zh-CN'),
+            originalMedicine: {
+              ...item,
+              medicineName: item.adviceName || item.advice_name || '',
+              specification: item.volume || item.specification || '',
+              quantity: item.quantity || 1,
+              encounterId: row.visitId
+            }
           }
         }
       })
+    } else {
+      temporaryBillingMedicines.value = []
+      temporaryAdvices.value = []
+    }
 
     // 打开临时医嘱弹窗
     showTemporaryMedical.value = true
@@ -1745,11 +1694,6 @@ function closeTemporaryMedical() {
 // 处理临时医嘱提交
 // 🔧 修复：提交成功后，更新 temporaryAdvices 中的 requestId，以便下次提交时执行更新操作
 function handleTemporaryMedicalSubmit(data) {
-  console.log('=== handleTemporaryMedicalSubmit 被调用 ===')
-  console.log('=== data ===', data)
-  console.log('=== data.temporaryAdvices ===', data.temporaryAdvices)
-  console.log('=== data.temporaryAdvices[1]?.dosage ===', data.temporaryAdvices[1]?.dosage)
-  
   // 🔧 修复：使用用户修改后的数据，而不是重新加载数据
   // 这样可以确保用户修改的内容（如剂量）在保存后仍然正确显示
   if (data.temporaryAdvices && data.temporaryAdvices.length > 0) {
@@ -1805,8 +1749,6 @@ function handleTemporaryMedicalSubmit(data) {
       temporaryBillingMedicines.value = []
     }
 
-    console.log('=== 使用用户修改后的临时医嘱数据 ===', temporaryAdvices.value)
-    console.log('=== temporaryAdvices.value[1]?.dosage ===', temporaryAdvices.value[1]?.dosage)
   } else {
     // 如果没有传递数据，则清空
     temporaryAdvices.value = []
@@ -1878,21 +1820,70 @@ function handleQuoteBilling() {
     
               // 🔧 修复 Bug #445: 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
               // 同时过滤掉已有 requestId 的项目（已生成医嘱的不需要再次显示在"待生成"列表中）
-              const filteredItems = res.data.filter(item => {
+              // 先提取已签发项目(statusEnum=2)填充已生成列表
-                // 匹配 encounterId
+              const activeItems = res.data.filter(item => {
                 if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
-                // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
-                // 🔧 修复 Bug #444: 使用 Number() 显式转换 + snake_case 回退，避免字符串 "1" 匹配失败
                 const at = Number(item.adviceType ?? item.advice_type);
-                if (at !== 1) return false;
+                if (at !== 1 && at !== 2) return false;
-                // 过滤掉名称为空的项目
+                if (item.statusEnum !== 2) return false;
+                const medicineName = item.adviceName || item.advice_name;
+                if (!medicineName || medicineName.trim() === '') return false;
+                const excludedKeywords = ['术', '超声', '多普勒', '检查', '检验', '彩超', 'X线', 'CT', 'MRI', '扫描', '造影'];
+                if (excludedKeywords.some(kw => medicineName.includes(kw))) return false;
+                return true;
+              })
+              temporaryAdvices.value = activeItems.map((item, index) => {
+                try {
+                  const jsonContent = item.contentJson || item.content_json;
+                  const contentData = jsonContent ? JSON.parse(jsonContent) : {};
+                  const medicineName = contentData.adviceName || contentData.advice_name || item.adviceName || item.advice_name || '';
+                  const spec = contentData.volume || contentData.specification || item.volume || item.specification || '';
+                  const specMatch = spec.match(/(\d+)(\D+)/)
+                  const specValue = specMatch ? parseInt(specMatch[1]) : 1
+                  const specUnit = specMatch ? specMatch[2] : 'ml'
+                  const dosage = specValue * (contentData.quantity || item.quantity || 1)
+                  let usageCode = contentData.methodCode || 'iv'
+                  let usageLabel = getUsageLabel(usageCode)
+                  if (usageCode === 'iv' && medicineName.includes('注射液')) { usageLabel = '静脉注射' }
+                  else if (usageCode === 'po' && (medicineName.includes('片') || medicineName.includes('胶囊'))) { usageLabel = '口服' }
+                  return {
+                    id: index + 1, adviceName: medicineName, dosage, unit: specUnit,
+                    usage: usageCode, usageLabel, frequency: '临时',
+                    executeTime: new Date().toLocaleString('zh-CN'),
+                    originalMedicine: {
+                      ...item,
+                      medicineName: medicineName,
+                      specification: spec,
+                      quantity: contentData.quantity || item.quantity || 1,
+                      encounterId: temporaryPatientInfo.value.visitId
+                    }
+                  }
+                } catch (e) {
+                  return {
+                    id: index + 1, adviceName: item.adviceName || item.advice_name || '',
+                    dosage: 1, unit: 'ml', usage: 'iv', usageLabel: '静脉注射',
+                    frequency: '临时', executeTime: new Date().toLocaleString('zh-CN'),
+                    originalMedicine: {
+                      ...item,
+                      medicineName: item.adviceName || item.advice_name || '',
+                      specification: item.volume || item.specification || '',
+                      quantity: item.quantity || 1,
+                      encounterId: temporaryPatientInfo.value.visitId
+                    }
+                  }
+                }
+              })
+
+              // 再提取草稿项目(statusEnum=1)填充待生成列表
+              const filteredItems = res.data.filter(item => {
+                if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
+                const at = Number(item.adviceType ?? item.advice_type);
+                if (at !== 1 && at !== 2) return false;
+                if (item.statusEnum !== 1) return false;
                 const medicineName = item.adviceName || item.advice_name;
                 if (!medicineName || medicineName.trim() === '') return false;
-                // 🔧 修复 Bug #444: 二次过滤，排除名称中包含手术/检查/诊疗关键词的非药品项目
                 const excludedKeywords = ['术', '超声', '多普勒', '检查', '检验', '彩超', 'X线', 'CT', 'MRI', '扫描', '造影'];
                 if (excludedKeywords.some(kw => medicineName.includes(kw))) return false;
-                // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId）
-                if (item.requestId) return false;
                 return true;
               })
         // 🔧 修复：限制返回数量，最多显示前100条，避免数据过多导致页面卡死
@@ -1905,7 +1896,6 @@ function handleQuoteBilling() {
         // 将过滤后的数据转换为临时医嘱需要的格式
         temporaryBillingMedicines.value = filteredItems.map(item => {
           try {
-            // 从 contentJson 或 content_json 中解析详细数据 - 兼容下划线和驼峰命名
             const jsonContent = item.contentJson || item.content_json;
             const contentData = jsonContent ? JSON.parse(jsonContent) : {};
             return {
@@ -1924,10 +1914,9 @@ function handleQuoteBilling() {
               definitionDetailId: contentData.definitionDetailId || item.definitionDetailId
             }
           } catch (e) {
-            // 如果解析失败，使用顶层数据 - 兼容 snake_case 和 camelCase
             return {
               medicineName: item.adviceName || item.advice_name || '',
-              specification: item.specification || item.specification || item.volume || '',
+              specification: item.specification || item.volume || '',
               quantity: item.quantity || item.quantity_value || 0,
               batchNumber: item.lotNumber || item.lot_number || '',
               unitPrice: item.unitPrice || item.unit_price || 0,
@@ -1943,123 +1932,6 @@ function handleQuoteBilling() {
           }
         })
 
-        // 将计费药品转换为临时医嘱数据
-        temporaryAdvices.value = temporaryBillingMedicines.value.map((medicine, index) => {
-          // 解析规格中的数值和单位
-          const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
-          const specValue = specMatch ? parseInt(specMatch[1]) : 1
-          const specUnit = specMatch ? specMatch[2] : 'ml'
-
-          // 计算剂量 = 规格数值 × 数量
-          const dosage = specValue * (medicine.quantity || 1)
-
-          // 🔧 修复：优先从 contentJson 中读取已有的用法，如果没有则根据药品名称判断
-          let usageCode = 'iv' // 默认静脉注射编码
-          let usageLabel = '静脉注射' // 默认显示名称
-
-          // 尝试从 contentJson 中读取用法
-          try {
-            const jsonContent = medicine.contentJson || medicine.content_json;
-            if (jsonContent) {
-              const contentData = JSON.parse(jsonContent);
-              if (contentData.methodCode) {
-                usageCode = contentData.methodCode;
-                usageLabel = getUsageLabel(contentData.methodCode);
-              }
-            }
-          } catch (e) {
-            // 解析失败，继续使用默认值
-          }
-
-          // 如果没有从 contentJson 中读取到用法，根据药品名称判断
-          if (!usageCode || usageCode === 'iv') {
-            if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
-              usageCode = 'iv'
-              usageLabel = '静脉注射'
-            } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
-              usageCode = 'po'
-              usageLabel = '口服'
-            } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
-              usageCode = 'po'
-              usageLabel = '口服'
-            }
-          }
-
-          return {
-            id: index + 1,
-            adviceName: medicine.medicineName || '',
-            dosage: dosage,
-            unit: specUnit,
-            usage: usageCode, // 🔧 修复：保存的是编码
-            usageLabel: usageLabel, // 🔧 新增：保存显示名称
-            frequency: '临时',
-            executeTime: new Date().toLocaleString('zh-CN'),
-            // 🔧 关键修复：确保 originalMedicine 中包含 encounterId 和匹配字段
-            // medicineName/specification/quantity 用于已提交项目匹配过滤（Bug #445）
-            originalMedicine: {
-              ...medicine,
-              medicineName: medicine.medicineName,
-              specification: medicine.specification,
-              quantity: medicine.quantity,
-              encounterId: temporaryPatientInfo.value.visitId // 添加 encounterId 字段
-            }
-          }
-        })
-
-        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目，避免"引用计费"后已提交项目重新出现在"待生成"列表
-        // 使用清空前提取的 submittedKeys（名称|||规格|||数量复合键）进行匹配
-        if (submittedKeys.size > 0) {
-          temporaryBillingMedicines.value = temporaryBillingMedicines.value.filter(m => {
-            const key = `${m.medicineName || ''}|||${m.specification || ''}|||${m.quantity ?? 0}`
-            return !submittedKeys.has(key)
-          })
-          // 同步更新 temporaryAdvices，保持两份数据一致
-          temporaryAdvices.value = temporaryBillingMedicines.value.map((medicine, index) => {
-            const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
-            const specValue = specMatch ? parseInt(specMatch[1]) : 1
-            const specUnit = specMatch ? specMatch[2] : 'ml'
-            const dosage = specValue * (medicine.quantity || 1)
-            let usageCode = 'iv'
-            let usageLabel = '静脉注射'
-            try {
-              const jsonContent = medicine.contentJson || medicine.content_json;
-              if (jsonContent) {
-                const contentData = JSON.parse(jsonContent);
-                if (contentData.methodCode) {
-                  usageCode = contentData.methodCode;
-                  usageLabel = getUsageLabel(contentData.methodCode);
-                }
-              }
-            } catch (e) {}
-            if (!usageCode || usageCode === 'iv') {
-              if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
-                usageCode = 'iv'; usageLabel = '静脉注射';
-              } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
-                usageCode = 'po'; usageLabel = '口服';
-              } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
-                usageCode = 'po'; usageLabel = '口服';
-              }
-            }
-            return {
-              id: index + 1,
-              adviceName: medicine.medicineName || '',
-              dosage,
-              unit: specUnit,
-              usage: usageCode,
-              usageLabel,
-              frequency: '临时',
-              executeTime: new Date().toLocaleString('zh-CN'),
-              originalMedicine: {
-                ...medicine,
-                medicineName: medicine.medicineName,
-                specification: medicine.specification,
-                quantity: medicine.quantity,
-                encounterId: temporaryPatientInfo.value.visitId
-              }
-            }
-          })
-        }
-
         temporaryMedicalLoading.value = false // 🔧 新增：加载完成
         ElMessage.success('已成功引用最新计费药品信息！')
       } else {
@@ -2468,19 +2340,35 @@ function getRowClassName({ row, rowIndex }) {
   margin-left: 10px;
 }
 
-/* 手术申请查询弹窗 — 分页与footer间距 */
+/* 手术申请查询弹窗 — flex 布局确保分页不溢出 */
 .surgery-apply-dialog :deep(.el-dialog__body) {
+  display: flex;
+  flex-direction: column;
   padding-bottom: 16px;
+  overflow: hidden;
 }
 .surgery-apply-dialog :deep(.el-dialog__footer) {
-  padding-top: 8px;
+  padding-top: 0;
+}
+.surgery-apply-dialog :deep(.apply-card) {
+  flex: 1;
+  overflow: hidden;
+  min-height: 0;
+}
+.surgery-apply-dialog :deep(.apply-card .el-card__body) {
+  overflow-y: auto;
 }
 .surgery-apply-dialog :deep(.apply-pagination) {
-  padding-top: 12px;
+  display: flex;
-  padding-bottom: 16px;
+  justify-content: flex-end;
+  padding-top: 8px;
+  border-top: 1px solid #ebeef5;
+}
+.surgery-apply-dialog :deep(.apply-pagination .pagination-container) {
+  margin-top: 0;
 }
 .surgery-apply-dialog :deep(.apply-pagination .el-pagination) {
-  margin-right: 80px;
+  position: static;
 }
 
 /* 选中行样式 */
@@ -2496,17 +2384,33 @@ function getRowClassName({ row, rowIndex }) {
 
 <style>
 /* 手术申请查询弹窗 — 非 scoped 确保穿透 teleport */
-.surgery-apply-dialog .apply-pagination {
-  padding-top: 12px !important;
-  padding-bottom: 16px !important;
-}
-.surgery-apply-dialog .apply-pagination .el-pagination {
-  margin-right: 80px !important;
-}
 .surgery-apply-dialog .el-dialog__body {
+  display: flex !important;
+  flex-direction: column !important;
   padding-bottom: 16px !important;
+  overflow: hidden !important;
 }
 .surgery-apply-dialog .el-dialog__footer {
+  padding-top: 0 !important;
+}
+.surgery-apply-dialog .apply-card {
+  flex: 1 !important;
+  overflow: hidden !important;
+  min-height: 0 !important;
+}
+.surgery-apply-dialog .apply-card .el-card__body {
+  overflow-y: auto !important;
+}
+.surgery-apply-dialog .apply-pagination {
+  display: flex !important;
+  justify-content: flex-end !important;
   padding-top: 8px !important;
+  border-top: 1px solid #ebeef5 !important;
+}
+.surgery-apply-dialog .apply-pagination .pagination-container {
+  margin-top: 0 !important;
+}
+.surgery-apply-dialog .apply-pagination .el-pagination {
+  position: static !important;
 }
 </style>

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

@@ -48,9 +48,12 @@
     <div class="medicine-section">
       <div class="section-title">
         一、已引用计费药品（待生成医嘱）
+        <span v-if="(billingMedicines || []).length >= PAGE_SIZE" style="margin-left:auto;font-size:14px;color:#4a8bc9;cursor:pointer;white-space:nowrap;" @click="billingExpanded = !billingExpanded">
+          {{ billingExpanded ? '收起' : `展开全部(${(billingMedicines || []).length}条)` }}
+        </span>
       </div>
       <el-table
-        :data="billingMedicines"
+        :data="displayBillingMedicines"
         stripe
         border
         style="width: 100%;"
@@ -98,9 +101,12 @@
     <div class="advice-section">
       <div class="section-title">
         二、临时医嘱预览（已生成）
+        <span v-if="(displayAdvices || []).length >= PAGE_SIZE" style="margin-left:auto;font-size:14px;color:#4a8bc9;cursor:pointer;white-space:nowrap;" @click="advicesExpanded = !advicesExpanded">
+          {{ advicesExpanded ? '收起' : `展开全部(${(displayAdvices || []).length}条)` }}
+        </span>
       </div>
       <el-table
-        :data="displayAdvices"
+        :data="displayAdvicesList"
         stripe
         border
         style="width: 100%;"
@@ -150,7 +156,7 @@
           :disabled="allItemsSubmitted"
           @click="handleSignAndSubmit"
         >
-          {{ allItemsSubmitted ? '已签发' : (isSigned ? '提交医嘱' : '一键签名并生成医嘱') }}
+          {{ allItemsSubmitted ? '已签发' : '一键签名并生成医嘱' }}
         </el-button>
       </div>
     </div>
@@ -317,6 +323,19 @@ const allItemsSubmitted = computed(() => {
   return meds.length > 0 && meds.every(m => m.requestId)
 })
 
+// 展开/收起控制
+const PAGE_SIZE = 3
+const billingExpanded = ref(false)
+const advicesExpanded = ref(false)
+const displayBillingMedicines = computed(() => {
+  const all = props.billingMedicines || []
+  return billingExpanded.value ? all : all.slice(0, PAGE_SIZE)
+})
+const displayAdvicesList = computed(() => {
+  const all = displayAdvices.value || []
+  return advicesExpanded.value ? all : all.slice(0, PAGE_SIZE)
+})
+
 // 响应式数据 - isSigned 从父组件传入的 prop 初始化
 const isSigned = ref(props.isSignedProp)
 
@@ -1045,6 +1064,21 @@ const editFormUsageLabel = computed(() => {
   padding-bottom: 12px;
   margin-bottom: 16px;
   border-bottom: 2px solid #e4e7ed;
+  display: flex;
+  align-items: center;
+  gap: 12px;
+}
+
+.expand-btn {
+  font-size: 0.85rem;
+  color: #4a8bc9;
+  cursor: pointer;
+  font-weight: 400;
+  margin-left: auto;
+}
+.expand-btn:hover {
+  color: #2a6ba9;
+  text-decoration: underline;
 }
 
 .medicine-summary {

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

@@ -90,14 +90,14 @@
         <div class="candidate-actions">
           <el-button
             type="primary"
-            :disabled="selectedCandidates.length === 0"
+            :disabled="selectedCandidates.length === 0 || isQueryingHistory"
             @click="handleAddToQueue"
           >
             加入队列 >>
           </el-button>
           <el-button
             type="primary"
-            :disabled="filteredCandidatePoolList.length === 0"
+            :disabled="filteredCandidatePoolList.length === 0 || isQueryingHistory"
             @click="handleAddAllToQueue"
           >
             一键加入队列
@@ -109,6 +109,19 @@
       <div class="right-panel">
         <div class="panel-header">
           <span class="panel-title">② 智能队列 (全科)</span>
+          <div class="history-query">
+            <el-date-picker
+              v-model="queryDate"
+              type="date"
+              placeholder="选择日期"
+              format="YYYY-MM-DD"
+              value-format="YYYY-MM-DD"
+              size="small"
+              style="width: 150px"
+            />
+            <el-button type="primary" size="small" @click="handleHistoryQuery">查询</el-button>
+            <el-button size="small" @click="handleTodayQuery">今天</el-button>
+          </div>
         </div>
         <div class="table-container">
           <el-table
@@ -175,7 +188,7 @@
           <div class="queue-actions-left">
             <el-button
               type="danger"
-              :disabled="!selectedQueueRow"
+              :disabled="!selectedQueueRow || isQueryingHistory"
               size="small"
               @click="handleRemoveFromQueue"
             >
@@ -183,7 +196,7 @@
             </el-button>
             <el-button
               type="info"
-              :disabled="!selectedQueueRow || !canMoveUp"
+              :disabled="!selectedQueueRow || !canMoveUp || isQueryingHistory"
               size="small"
               @click="handleMoveUp"
             >
@@ -191,7 +204,7 @@
             </el-button>
             <el-button
               type="info"
-              :disabled="!selectedQueueRow || !canMoveDown"
+              :disabled="!selectedQueueRow || !canMoveDown || isQueryingHistory"
               size="small"
               @click="handleMoveDown"
             >
@@ -259,30 +272,35 @@
           <div class="control-buttons">
             <el-button
               type="primary"
+              :disabled="isQueryingHistory"
               @click="handleSelectCall"
             >
               选呼
             </el-button>
             <el-button
               type="success"
+              :disabled="isQueryingHistory"
               @click="handleNextPatient"
             >
               下一患者
             </el-button>
             <el-button
               type="warning"
+              :disabled="isQueryingHistory"
               @click="handleSkip"
             >
               跳过
             </el-button>
             <el-button
               type="primary"
+              :disabled="isQueryingHistory"
               @click="handleComplete"
             >
               完成
             </el-button>
             <el-button
               type="info"
+              :disabled="isQueryingHistory"
               @click="handleRequeue"
             >
               过号重排
@@ -682,6 +700,14 @@ const showOnlyWaiting = ref(false)
 // Bug #411：诊室过滤，替代原来的科室下拉框（selectedDept/departmentList 已移除）
 const selectedRoom = ref('all')
 
+// 历史队列查询日期 (默认当天)
+const getTodayStr = () => {
+  const now = new Date()
+  return `${now.getFullYear()}-${String(now.getMonth() + 1).padStart(2, '0')}-${String(now.getDate()).padStart(2, '0')}`
+}
+const queryDate = ref(getTodayStr())
+const isQueryingHistory = computed(() => queryDate.value !== getTodayStr())
+
 // 修复【#397】：动态获取当前科室名称
 const currentDeptName = computed(() => {
   return userStore.deptName || userStore.orgName || '心内科'
@@ -901,14 +927,12 @@ const mapFrontendStatusToBackend = (status) => {
 }
 
 // 从数据库加载队列
-const loadQueueFromDb = async () => {
+const loadQueueFromDb = async (dateStr) => {
   try {
     // Bug #411：不再按科室选筛加载，后端默认按当前登录人科室查询
     const organizationId = undefined
-    // 只查询今天的患者
+    const queryDateStr = dateStr || queryDate.value
-    const today = new Date()
+    const res = await getTriageQueueList({ organizationId, date: queryDateStr }).catch((err) => {
-    const todayStr = `${today.getFullYear()}-${String(today.getMonth() + 1).padStart(2, '0')}-${String(today.getDate()).padStart(2, '0')}`
-    const res = await getTriageQueueList({ organizationId, 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 }
     })
@@ -931,10 +955,6 @@ const loadQueueFromDb = async () => {
     originalQueueList.value = list
       .map((it) => {
         const frontendStatus = mapBackendStatusToFrontend(it.status)
-        // 调试日志：检查状态映射
-        if (list.length <= 5) {
-          console.log('【心内科】状态映射：后端状态=', it.status, '-> 前端状态=', frontendStatus, '患者=', it.patientName)
-        }
         // 计算等待时间：基于创建时间（createTime）
         let waitingTime = '00:00'
         if (it.createTime) {
@@ -972,14 +992,6 @@ const loadQueueFromDb = async () => {
           organizationId: it.organizationId
         }
       })
-      .filter((item) => {
-        // 过滤掉"已完成"状态的患者，不显示在队列中
-        if (item.status === '已完成') {
-          console.log('【心内科】过滤掉已完成状态的患者：', item.patientName)
-          return false
-        }
-        return true
-      })
 
     // 调试日志：检查查找结果
     const callingCount = originalQueueList.value.filter(i => i.status === '叫号中').length
@@ -1196,9 +1208,6 @@ const formatSecondsToMmSs = (totalSeconds) => {
 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')
-
   // 再按诊室过滤
   if (selectedRoom.value !== 'all') {
     filtered = filtered.filter(item => item.room === selectedRoom.value)
@@ -1627,6 +1636,26 @@ const handleRefresh = async () => {
   ElMessage.success('已刷新（已从数据库恢复队列）')
 }
 
+// 历史队列查询
+const handleHistoryQuery = async () => {
+  if (!queryDate.value) {
+    ElMessage.warning('请选择查询日期')
+    return
+  }
+  console.log('【心内科】历史队列查询：', queryDate.value)
+  await loadQueueFromDb(queryDate.value)
+  if (isQueryingHistory.value) {
+    ElMessage.success(`已加载 ${queryDate.value} 的队列数据`)
+  }
+}
+
+// 回到今天
+const handleTodayQuery = async () => {
+  queryDate.value = getTodayStr()
+  await loadQueueFromDb(getTodayStr())
+  ElMessage.success('已切换到今天队列')
+}
+
 // 退出
 const handleExit = () => {
   ElMessage.info('退出功能待实现')
@@ -2165,12 +2194,21 @@ onUnmounted(() => {
         padding: 15px 20px;
         border-bottom: 2px solid #409eff;
         background-color: #f8f9fa;
+        display: flex;
+        justify-content: space-between;
+        align-items: center;
 
         .panel-title {
           font-size: 16px;
           font-weight: bold;
           color: #333;
         }
+
+        .history-query {
+          display: flex;
+          gap: 8px;
+          align-items: center;
+        }
       }
 
       .table-container {