300，301，302预约挂号展示问题

- 修改 OutpatientPricingAppServiceImpl.java，确保仅返回划价标记为“是”的项目
- 修正 VitalSigns.java 中的表名为 "doc_vital_signs"

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

@@ -1,11 +1,15 @@
 package com.core.framework.config;
 
+import com.fasterxml.jackson.datatype.jsr310.JavaTimeModule;
+import com.fasterxml.jackson.datatype.jsr310.ser.LocalDateTimeSerializer;
 import org.mybatis.spring.annotation.MapperScan;
 import org.springframework.boot.autoconfigure.jackson.Jackson2ObjectMapperBuilderCustomizer;
 import org.springframework.context.annotation.Bean;
 import org.springframework.context.annotation.Configuration;
 import org.springframework.context.annotation.EnableAspectJAutoProxy;
 
+import java.time.LocalDateTime;
+import java.time.format.DateTimeFormatter;
 import java.util.TimeZone;
 
 /**
@@ -24,6 +28,14 @@ public class ApplicationConfig {
      */
     @Bean
     public Jackson2ObjectMapperBuilderCustomizer jacksonObjectMapperCustomization() {
-        return jacksonObjectMapperBuilder -> jacksonObjectMapperBuilder.timeZone(TimeZone.getDefault());
+        return builder -> {
+            // 设置默认时区
+            builder.timeZone(TimeZone.getDefault());
+            // 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());
+            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/TicketAppServiceImpl.java

@@ -16,6 +16,7 @@ import org.springframework.stereotype.Service;
 import javax.annotation.Resource;
 import java.util.ArrayList;
 import java.util.List;
+import java.util.Locale;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
 
@@ -123,6 +124,7 @@ public class TicketAppServiceImpl implements ITicketAppService {
         if (query == null) {
             query = new com.openhis.appointmentmanage.dto.TicketQueryDTO();
         }
+        normalizeQueryStatus(query);
 
         // 2. 构造 MyBatis 的分页对象 (传入前端给的当前页和每页条数)
         com.baomidou.mybatisplus.extension.plugins.pagination.Page<com.openhis.appointmentmanage.domain.TicketSlotDTO> pageParam = new com.baomidou.mybatisplus.extension.plugins.pagination.Page<>(
@@ -140,42 +142,67 @@ public class TicketAppServiceImpl implements ITicketAppService {
 
                 // 基础字段映射
                 dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                 dto.setBusNo(String.valueOf(raw.getSlotId()));
                 dto.setDoctor(raw.getDoctor());
                 dto.setDepartment(raw.getDepartmentName()); // 注意：以前这里传成了ID，导致前端出Bug，现在修复成了真正的科室名
                 dto.setFee(raw.getFee());
                 dto.setPatientName(raw.getPatientName());
-                dto.setPatientId(raw.getPatientId() != null ? String.valueOf(raw.getPatientId()) : null);
+                dto.setPatientId(raw.getMedicalCard()); 
                 dto.setPhone(raw.getPhone());
+                dto.setIdCard(raw.getIdCard());
+                dto.setDoctorId(raw.getDoctorId());
+                dto.setDepartmentId(raw.getDepartmentId());
+                dto.setRealPatientId(raw.getPatientId()); 
+
+                // 性别处理：直接读取优先级最高的订单性别字段 (SQL 已处理优先级)
+                if (raw.getPatientGender() != null) {
+                    String pg = raw.getPatientGender().trim();
+                    dto.setGender("1".equals(pg) ? "男" : ("2".equals(pg) ? "女" : "未知"));
+                } else {
+                    dto.setGender("未知");
+                }
 
-                // 号源类型处理 (底层是1，前端要的是expert)
                 if (raw.getRegType() != null && raw.getRegType() == 1) {
                     dto.setTicketType("expert");
                 } else {
                     dto.setTicketType("general");
                 }
 
-                // 拼接就诊时间
                 if (raw.getScheduleDate() != null && raw.getExpectTime() != null) {
                     dto.setDateTime(raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
                     try {
-                        dto.setAppointmentDate(
-                                new java.text.SimpleDateFormat("yyyy-MM-dd").parse(raw.getScheduleDate().toString()));
+                        String timeStr = raw.getAppointmentTime() != null ? raw.getAppointmentTime() : (raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
+                        java.text.SimpleDateFormat sdf = new java.text.SimpleDateFormat(timeStr.length() > 10 ? "yyyy-MM-dd HH:mm" : "yyyy-MM-dd");
+                        java.util.Date date = sdf.parse(timeStr);
+                        dto.setAppointmentDate(date);
+                        dto.setAppointmentTime(date);
                     } catch (Exception e) {
                         dto.setAppointmentDate(new java.util.Date());
                     }
                 }
 
-                // 精准状态翻译！把底层的1和2，翻译回前端能懂的中文
                 if (Boolean.TRUE.equals(raw.getIsStopped())) {
                     dto.setStatus("已停诊");
                 } else {
                     Integer slotStatus = raw.getSlotStatus();
                     if (slotStatus != null) {
-                        if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            dto.setStatus(AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus()) ? "已取号" : "已预约");
-                        } else if (SlotStatus.STOPPED.equals(slotStatus)) {
+                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                            dto.setStatus("已取号");
+                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } 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 {
                             dto.setStatus("未预约");
                         }
@@ -198,6 +225,62 @@ public class TicketAppServiceImpl implements ITicketAppService {
         return R.ok(result);
     }
 
+    /**
+     * 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
+     */
+    private void normalizeQueryStatus(com.openhis.appointmentmanage.dto.TicketQueryDTO query) {
+        String rawStatus = query.getStatus();
+        if (rawStatus == null) {
+            return;
+        }
+        String normalized = rawStatus.trim();
+        if (normalized.isEmpty()) {
+            query.setStatus(null);
+            return;
+        }
+        String lower = normalized.toLowerCase(Locale.ROOT);
+        switch (lower) {
+            case "all":
+            case "全部":
+                query.setStatus("all");
+                break;
+            case "unbooked":
+            case "0":
+            case "未预约":
+                query.setStatus("unbooked");
+                break;
+            case "booked":
+            case "1":
+            case "已预约":
+                query.setStatus("booked");
+                break;
+            case "checked":
+            case "checkin":
+            case "checkedin":
+            case "2":
+            case "已取号":
+                query.setStatus("checked");
+                break;
+            case "cancelled":
+            case "canceled":
+            case "3":
+            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;
+        }
+    }
+
     @Override
     public R<?> listDoctorAvailability(com.openhis.appointmentmanage.dto.TicketQueryDTO query) {
         if (query == null) {
@@ -237,12 +320,13 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 // --- 基础字段处理 ---
                 // 注意：这里已经变成了极其舒服的 .getSlotId() 方法调用，告别魔鬼字符串！
                 dto.setSlot_id(raw.getSlotId());
+                dto.setSeqNo(raw.getSeqNo());
                 dto.setBusNo(String.valueOf(raw.getSlotId())); // 暂时借用真实槽位ID做唯一流水号
                 dto.setDoctor(raw.getDoctor());
                 dto.setDepartment(raw.getDepartmentName());
                 dto.setFee(raw.getFee());
                 dto.setPatientName(raw.getPatientName());
-                dto.setPatientId(raw.getPatientId() != null ? String.valueOf(raw.getPatientId()) : null);
+                dto.setPatientId(raw.getMedicalCard()); 
                 dto.setPhone(raw.getPhone());
 
                 // --- 号源类型处理 (普通/专家) ---
@@ -258,9 +342,13 @@ public class TicketAppServiceImpl implements ITicketAppService {
                 if (raw.getScheduleDate() != null && raw.getExpectTime() != null) {
                     dto.setDateTime(raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
                     try {
-                        dto.setAppointmentDate(
-                                new java.text.SimpleDateFormat("yyyy-MM-dd").parse(raw.getScheduleDate().toString()));
+                        String timeStr = raw.getAppointmentTime() != null ? raw.getAppointmentTime() : (raw.getScheduleDate().toString() + " " + raw.getExpectTime().toString());
+                        java.text.SimpleDateFormat sdf = new java.text.SimpleDateFormat(timeStr.length() > 10 ? "yyyy-MM-dd HH:mm" : "yyyy-MM-dd");
+                        java.util.Date date = sdf.parse(timeStr);
+                        dto.setAppointmentDate(date);
+                        dto.setAppointmentTime(date);
                     } catch (Exception e) {
+                        log.error("时间解析失败", e);
                         dto.setAppointmentDate(new java.util.Date());
                     }
                 }
@@ -273,10 +361,22 @@ public class TicketAppServiceImpl implements ITicketAppService {
                     // 第二关：看独立的细分槽位状态 (0: 可用, 1: 已预约, 2: 已取消...)
                     Integer slotStatus = raw.getSlotStatus();
                     if (slotStatus != null) {
-                        if (SlotStatus.BOOKED.equals(slotStatus)) {
-                            dto.setStatus(AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus()) ? "已取号" : "已预约");
-                        } else if (SlotStatus.STOPPED.equals(slotStatus)) {
-                            dto.setStatus("已停诊"); // 视业务可改回已取消
+                        if (SlotStatus.CHECKED_IN.equals(slotStatus)) {
+                            dto.setStatus("已取号");
+                        } else if (SlotStatus.BOOKED.equals(slotStatus)) {
+                            if (AppointmentOrderStatus.CHECKED_IN.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已取号");
+                            } else if (AppointmentOrderStatus.RETURNED.equals(raw.getOrderStatus())) {
+                                dto.setStatus("已退号");
+                            } 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 {
                             dto.setStatus("未预约");
                         }
@@ -355,14 +455,11 @@ public class TicketAppServiceImpl implements ITicketAppService {
             if (patient != null) {
                 Integer genderEnum = patient.getGenderEnum();
                 if (genderEnum != null) {
-                    switch (genderEnum) {
-                        case 1:
+                    if (Integer.valueOf(1).equals(genderEnum)) {
                         dto.setGender("男");
-                            break;
-                        case 2:
+                    } else if (Integer.valueOf(2).equals(genderEnum)) {
                         dto.setGender("女");
-                            break;
-                        default:
+                    } else {
                         dto.setGender("未知");
                     }
                 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/appointmentmanage/dto/TicketDto.java

@@ -23,6 +23,11 @@ public class TicketDto {
     @JsonSerialize(using = ToStringSerializer.class)
     private Long slot_id;
 
+    /**
+     * 号源序号（对应 adm_schedule_slot.seq_no）
+     */
+    private Integer seqNo;
+
     /**
      * 号源编码
      */
@@ -99,4 +104,15 @@ public class TicketDto {
      */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long doctorId;
+
+    /**
+     * 真实患者ID（数据库主键，区别于 patientId 存的就诊卡号）
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long realPatientId;
+
+    /**
+     * 身份证号
+     */
+    private String idCard;
 }

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

@@ -73,11 +73,10 @@ public class OutpatientPricingAppServiceImpl implements IOutpatientPricingAppSer
         } else {
             adviceTypes = List.of(1, 2, 3);
         }
-        // 门诊划价：不要强制 pricingFlag=1 参与过滤（wor_activity_definition.pricing_flag 可能为 0），
-        // 否则会导致诊疗项目(adviceType=3)查询结果为空 records=[]
         String categoryCode = adviceBaseDto != null ? adviceBaseDto.getCategoryCode() : null;
+        // 门诊划价：仅返回划价标记为“是”的项目
         return iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId, null,
-            organizationId, pageNo, pageSize, null, adviceTypes, null, categoryCode);
+            organizationId, pageNo, pageSize, Whether.YES.getValue(), adviceTypes, null, categoryCode);
     }
 
 }

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

@@ -22,6 +22,10 @@ import com.openhis.common.enums.ybenums.YbPayment;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisPageUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
+import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
+import com.openhis.clinical.domain.Order;
+import com.openhis.clinical.service.IOrderService;
 import com.openhis.financial.domain.PaymentReconciliation;
 import com.openhis.financial.domain.RefundLog;
 import com.openhis.financial.service.IRefundLogService;
@@ -48,6 +52,7 @@ import javax.servlet.http.HttpServletRequest;
 import java.math.BigDecimal;
 import java.time.LocalDate;
 import java.time.LocalDateTime;
+import java.time.ZoneId;
 import java.util.*;
 import java.util.stream.Collectors;
 import lombok.extern.slf4j.Slf4j;
@@ -97,6 +102,15 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
     @Resource
     IRefundLogService iRefundLogService;
 
+    @Resource
+    IOrderService orderService;
+
+    @Resource
+    ScheduleSlotMapper scheduleSlotMapper;
+
+    @Resource
+    SchedulePoolMapper schedulePoolMapper;
+
     /**
      * 门诊挂号 - 查询患者信息
      *
@@ -291,6 +305,11 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
             }
         }
 
+        // 如果本次门诊挂号来自预约签到，同步把预约订单与号源槽位状态改为已退号
+        if (result != null && result.getCode() == 200) {
+            syncAppointmentReturnStatus(byId, cancelRegPaymentDto.getReason());
+        }
+
         // 记录退号日志
         recordRefundLog(cancelRegPaymentDto, byId, result, paymentRecon);
 
@@ -399,6 +418,74 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         return R.ok("已取消挂号");
     }
 
+    /**
+     * 同步预约号源状态为已退号。
+     * 说明：
+     * 1) 门诊退号主流程不依赖该步骤成功与否，因此此方法内部异常仅记录日志，不向上抛出。
+     * 2) 通过患者、科室、日期以及状态筛选最近一条预约订单，尽量避免误匹配。
+     */
+    private void syncAppointmentReturnStatus(Encounter encounter, String reason) {
+        if (encounter == null || encounter.getPatientId() == null) {
+            return;
+        }
+        try {
+            LambdaQueryWrapper<Order> queryWrapper = new LambdaQueryWrapper<Order>()
+                .eq(Order::getPatientId, encounter.getPatientId())
+                .in(Order::getStatus, CommonConstants.AppointmentOrderStatus.BOOKED,
+                    CommonConstants.AppointmentOrderStatus.CHECKED_IN)
+                .orderByDesc(Order::getUpdateTime)
+                .orderByDesc(Order::getCreateTime)
+                .last("LIMIT 1");
+
+            if (encounter.getOrganizationId() != null) {
+                queryWrapper.eq(Order::getDepartmentId, encounter.getOrganizationId());
+            }
+            if (encounter.getTenantId() != null) {
+                queryWrapper.eq(Order::getTenantId, encounter.getTenantId());
+            }
+            if (encounter.getCreateTime() != null) {
+                LocalDate encounterDate = encounter.getCreateTime().toInstant()
+                    .atZone(ZoneId.systemDefault()).toLocalDate();
+                Date startOfDay = Date.from(encounterDate.atStartOfDay(ZoneId.systemDefault()).toInstant());
+                Date nextDayStart = Date.from(encounterDate.plusDays(1).atStartOfDay(ZoneId.systemDefault()).toInstant());
+                queryWrapper.ge(Order::getAppointmentDate, startOfDay)
+                    .lt(Order::getAppointmentDate, nextDayStart);
+            }
+
+            Order appointmentOrder = orderService.getOne(queryWrapper, false);
+            if (appointmentOrder == null) {
+                return;
+            }
+
+            Date now = new Date();
+            if (!CommonConstants.AppointmentOrderStatus.RETURNED.equals(appointmentOrder.getStatus())) {
+                Order updateOrder = new Order();
+                updateOrder.setId(appointmentOrder.getId());
+                updateOrder.setStatus(CommonConstants.AppointmentOrderStatus.RETURNED);
+                updateOrder.setCancelTime(now);
+                updateOrder.setCancelReason(
+                    StringUtils.isNotEmpty(reason) ? reason : "门诊退号");
+                updateOrder.setUpdateTime(now);
+                orderService.updateById(updateOrder);
+            }
+
+            Long slotId = appointmentOrder.getSlotId();
+            if (slotId == null) {
+                return;
+            }
+
+            int slotRows = scheduleSlotMapper.updateSlotStatus(slotId, CommonConstants.SlotStatus.RETURNED);
+            if (slotRows > 0) {
+                Long poolId = scheduleSlotMapper.selectPoolIdBySlotId(slotId);
+                if (poolId != null) {
+                    schedulePoolMapper.refreshPoolStats(poolId);
+                }
+            }
+        } catch (Exception e) {
+            log.warn("同步预约号源已退号状态失败, encounterId={}", encounter.getId(), e);
+        }
+    }
+
     /**
      * 补打挂号
      * 补打挂号不需要修改数据库，只需要返回成功即可，前端已有所有需要的数据用于打印

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

@@ -343,7 +343,24 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         serviceRequest.setEncounterId(surgeryDto.getEncounterId()); // 就诊id
         serviceRequest.setAuthoredTime(curDate); // 请求签发时间
         serviceRequest.setOrgId(orgId); // 执行科室
+        // 🔧 BugFix#318: 设置 contentJson，包含手术名称
+        Map<String, String> serviceContentMap = new HashMap<>();
+        String surgeryNameFromDto = surgeryDto.getSurgeryName();
+        String surgeryCodeFromDto = surgeryDto.getSurgeryCode();
+        log.info("【DEBUG】surgeryName from DTO: {}", surgeryNameFromDto);
+        log.info("【DEBUG】surgeryCode from DTO: {}", surgeryCodeFromDto);
+        serviceContentMap.put("surgeryName", surgeryNameFromDto != null ? surgeryNameFromDto : "");
+        serviceContentMap.put("surgeryCode", surgeryCodeFromDto != null ? surgeryCodeFromDto : "");
+        try {
+            String contentJson = new ObjectMapper().writeValueAsString(serviceContentMap);
+            log.info("【DEBUG】Setting contentJson: {}", contentJson);
+            serviceRequest.setContentJson(contentJson);
+        } catch (JsonProcessingException e) {
+            log.error("【DEBUG】设置手术医嘱 contentJson 失败", e);
+        }
         serviceRequestService.save(serviceRequest);
+        log.info("【DEBUG】Saved serviceRequest with ID: {}, contentJson: {}", 
+                serviceRequest.getId(), serviceRequest.getContentJson());
 
         // 生成收费项目
         ChargeItem chargeItem = new ChargeItem();

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

@@ -371,7 +371,7 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
                     index, // 序号从1开始
                     schedule.getOrgName() != null ? schedule.getOrgName() : "",
                     schedule.getPatientName() != null ? schedule.getPatientName() : "",
-                    schedule.getVisitId() != null ? schedule.getVisitId().toString() : "",
+                    schedule.getIdentifierNo() != null ? schedule.getIdentifierNo() : "",
                     schedule.getOperCode() != null ? schedule.getOperCode() : "",
                     schedule.getOperName() != null ? schedule.getOperName() : "",
                     schedule.getApplyDeptName() != null ? schedule.getApplyDeptName() : "",

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java

@@ -24,6 +24,11 @@ public class OpCreateScheduleDto {
      */
     private Long visitId;
 
+    /**
+     * 就诊卡号
+     */
+    private String identifierNo;
+
     /**
      * 手术编码
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpScheduleDto.java

@@ -43,6 +43,11 @@ public class OpScheduleDto extends OpSchedule {
      */
     private Long encounterId;
 
+    /**
+     * 就诊卡号
+     */
+    private String patientCardNo;
+
     /**
      * 性别
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/SurgeryDto.java

@@ -45,6 +45,9 @@ public class SurgeryDto {
     /** 就诊流水号 */
     private String encounterNo;
 
+    /** 就诊卡号 */
+    private String patientCardNo;
+
     /** 申请医生ID */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long applyDoctorId;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/appservice/impl/DiagTreatMAppServiceImpl.java

@@ -78,7 +78,6 @@ public class DiagTreatMAppServiceImpl implements IDiagTreatMAppService {
     private IOperationRecordService operationRecordService;
     @Resource
     private IServiceRequestService serviceRequestService;
-
     /**
      * 诊疗目录初期查询
      *
@@ -240,9 +239,8 @@ public class DiagTreatMAppServiceImpl implements IDiagTreatMAppService {
             DiagnosisTreatmentSelParam.setPricingFlag(pricingFlagValue);
         }
 
-        // 分页查询
         IPage<DiagnosisTreatmentDto> diseaseTreatmentPage
-                = activityDefinitionManageMapper.getDiseaseTreatmentPage(new Page<DiagnosisTreatmentDto>(pageNo, pageSize), queryWrapper);
+                = activityDefinitionManageMapper.getDiseaseTreatmentPage(new Page<>(pageNo, pageSize), queryWrapper);
 
         diseaseTreatmentPage.getRecords().forEach(e -> {
             // 医保标记枚举类回显赋值
@@ -447,24 +445,17 @@ public class DiagTreatMAppServiceImpl implements IDiagTreatMAppService {
      */
     @Override
     public R<?> editDiseaseTreatmentStop(List<Long> ids) {
-
-        List<ActivityDefinition> ActivityDefinitionList = new CopyOnWriteArrayList<>();
-
-        // 取得更新值
-        for (Long detail : ids) {
-            ActivityDefinition ActivityDefinition = new ActivityDefinition();
-            ActivityDefinition.setId(detail);
-            ActivityDefinition.setStatusEnum(PublicationStatus.RETIRED.getValue());
-            ActivityDefinitionList.add(ActivityDefinition);
+        List<ActivityDefinition> actList = new CopyOnWriteArrayList<>();
+        for (Long id : ids) {
+            ActivityDefinition act = new ActivityDefinition();
+            act.setId(id);
+            act.setStatusEnum(PublicationStatus.RETIRED.getValue());
+            actList.add(act);
         }
-        // 插入操作记录
         operationRecordService.addIdsOperationRecord(DbOpType.STOP.getCode(),
                 CommonConstants.TableName.WOR_ACTIVITY_DEFINITION, ids);
-        // 更新诊疗信息
-        return activityDefinitionService.updateBatchById(ActivityDefinitionList)
-                ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"诊疗目录"}))
-                : R.fail(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00007, null));
-
+        activityDefinitionService.updateBatchById(actList);
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"\u8bca\u7597\u76ee\u5f55"}));
     }
 
     /**
@@ -475,24 +466,17 @@ public class DiagTreatMAppServiceImpl implements IDiagTreatMAppService {
      */
     @Override
     public R<?> editDiseaseTreatmentStart(List<Long> ids) {
-
-        List<ActivityDefinition> ActivityDefinitionList = new CopyOnWriteArrayList<>();
-
-        // 取得更新值
-        for (Long detail : ids) {
-            ActivityDefinition ActivityDefinition = new ActivityDefinition();
-            ActivityDefinition.setId(detail);
-            ActivityDefinition.setStatusEnum(PublicationStatus.ACTIVE.getValue());
-            ActivityDefinitionList.add(ActivityDefinition);
+        List<ActivityDefinition> actList = new CopyOnWriteArrayList<>();
+        for (Long id : ids) {
+            ActivityDefinition act = new ActivityDefinition();
+            act.setId(id);
+            act.setStatusEnum(PublicationStatus.ACTIVE.getValue());
+            actList.add(act);
         }
-        // 插入操作记录
         operationRecordService.addIdsOperationRecord(DbOpType.START.getCode(),
                 CommonConstants.TableName.WOR_ACTIVITY_DEFINITION, ids);
-        // 更新诊疗信息
-        return activityDefinitionService.updateBatchById(ActivityDefinitionList)
-                ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"诊疗目录"}))
-                : R.fail(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00007, null));
-
+        activityDefinitionService.updateBatchById(actList);
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"诊疗目录"}));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/mapper/LabActivityDefinitionManageMapper.java

@@ -0,0 +1,51 @@
+package com.openhis.web.datadictionary.mapper;
+
+import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+import com.baomidou.mybatisplus.core.metadata.IPage;
+import com.baomidou.mybatisplus.core.toolkit.Constants;
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto;
+import org.apache.ibatis.annotations.Param;
+import org.springframework.stereotype.Repository;
+
+import java.util.List;
+
+/**
+ * 检验项目定义管理 Mapper（操作 lab_activity_definition 表）
+ */
+@Repository
+public interface LabActivityDefinitionManageMapper {
+
+    /**
+     * 检验项目分页查询
+     *
+     * @param page         分页参数
+     * @param queryWrapper 查询条件
+     * @return 分页结果
+     */
+    IPage<DiagnosisTreatmentDto> getLabActivityDefinitionPage(
+            @Param("page") Page<DiagnosisTreatmentDto> page,
+            @Param(Constants.WRAPPER) QueryWrapper<DiagnosisTreatmentDto> queryWrapper);
+
+    /**
+     * 检验项目详情
+     *
+     * @param id       项目ID
+     * @param tenantId 租户ID
+     * @return 详情
+     */
+    DiagnosisTreatmentDto getLabActivityDefinitionOne(@Param("id") Long id, @Param("tenantId") Integer tenantId);
+
+    /**
+     * 检验项目下拉列表（轻量级）
+     *
+     * @param statusEnum 状态
+     * @param tenantId   租户ID
+     * @param searchKey  搜索关键词（可选）
+     * @return 列表
+     */
+    List<DiagnosisTreatmentDto> getLabActivityDefinitionSimpleList(
+            @Param("statusEnum") Integer statusEnum,
+            @Param("tenantId") Integer tenantId,
+            @Param("searchKey") String searchKey);
+}

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

@@ -1201,6 +1201,47 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setServiceId(deviceRequest.getId()); // 医疗服务ID
                 chargeItem.setProductTable(adviceSaveDto.getAdviceTableName());// 产品所在表
                 chargeItem.setProductId(adviceSaveDto.getAdviceDefinitionId());// 收费项id
+                
+                // 🔧 Bug Fix: 如果 definitionId 或 definitionDetailId 为 null，从定价信息中获取
+                if (chargeItem.getDefinitionId() == null || chargeItem.getDefDetailId() == null) {
+                    log.warn("耗材的 definitionId 或 definitionDetailId 为 null，尝试从定价信息中获取: deviceDefId={}", 
+                            adviceSaveDto.getAdviceDefinitionId());
+                    // 查询耗材定价信息
+                    IPage<AdviceBaseDto> devicePage = doctorStationAdviceAppMapper.getAdviceBaseInfo(
+                            new Page<>(1, 1),
+                            PublicationStatus.ACTIVE.getValue(),
+                            orgId,
+                            CommonConstants.TableName.ADM_DEVICE_DEFINITION,
+                            null,
+                            null,
+                            null,
+                            Arrays.asList(adviceSaveDto.getAdviceDefinitionId()),
+                            null,
+                            null,
+                            null,
+                            null);
+                    if (devicePage != null && !devicePage.getRecords().isEmpty()) {
+                        AdviceBaseDto deviceBaseInfo = devicePage.getRecords().get(0);
+                        if (deviceBaseInfo.getPriceList() != null && !deviceBaseInfo.getPriceList().isEmpty()) {
+                            AdvicePriceDto devicePrice = deviceBaseInfo.getPriceList().get(0);
+                            if (chargeItem.getDefinitionId() == null) {
+                                chargeItem.setDefinitionId(devicePrice.getDefinitionId());
+                                log.info("从定价信息中获取 definitionId: {}", devicePrice.getDefinitionId());
+                            }
+                            if (chargeItem.getDefDetailId() == null) {
+                                chargeItem.setDefDetailId(devicePrice.getDefinitionDetailId());
+                                log.info("从定价信息中获取 definitionDetailId: {}", devicePrice.getDefinitionDetailId());
+                            }
+                        }
+                    }
+                }
+                
+                // 🔧 Bug Fix: 确保定义ID不为null
+                if (chargeItem.getDefinitionId() == null) {
+                    log.error("无法获取耗材的 definitionId: deviceDefId={}", adviceSaveDto.getAdviceDefinitionId());
+                    throw new ServiceException("无法获取耗材的定价信息，请联系管理员");
+                }
+                
                 // 🔧 Bug Fix: 如果accountId为null，从就诊中获取账户ID，如果没有则自动创建
                 Long accountId = adviceSaveDto.getAccountId();
                 if (accountId == null) {

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

@@ -273,12 +273,28 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
      */
     @Override
     public R<?> saveDoctorDiagnosisNew(SaveDiagnosisParam saveDiagnosisParam) {
+        // 参数校验：确保诊断列表不为空
+        if (saveDiagnosisParam == null) {
+            return R.fail(MessageUtils.message(PromptMsgConstant.Common.M00009, new Object[] { "保存诊断参数" }));
+        }
+        
         // 患者id
         Long patientId = saveDiagnosisParam.getPatientId();
         // 就诊ID
         Long encounterId = saveDiagnosisParam.getEncounterId();
         // 诊断定义集合
         List<SaveDiagnosisChildParam> diagnosisChildList = saveDiagnosisParam.getDiagnosisChildList();
+        
+        // 校验患者ID和就诊ID
+        if (patientId == null || encounterId == null) {
+            return R.fail(MessageUtils.message(PromptMsgConstant.Common.M00009, new Object[] { "患者ID或就诊ID" }));
+        }
+        
+        // 校验诊断列表不为空
+        if (diagnosisChildList == null || diagnosisChildList.isEmpty()) {
+            return R.fail(MessageUtils.message(PromptMsgConstant.Common.M00009, new Object[] { "诊断列表" }));
+        }
+        
         // 先删除再保存
         // iEncounterDiagnosisService.deleteEncounterDiagnosisInfos(encounterId);
 

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

@@ -374,11 +374,11 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
 
         // 查询检验申请单列表
         log.debug("查询申请单数据前");
-        List<InspectionLabApply> list = doctorStationLabApplyMapper.getInspectionApplyListPage(encounterId);
+        List<DoctorStationLabApplyDto> list = doctorStationLabApplyMapper.getInspectionApplyListPage(encounterId);
         log.debug("查询申请单数据后");
 
         // 使用 PageInfo 包装查询结果
-        PageInfo<InspectionLabApply> pageInfo = new PageInfo<>(list);
+        PageInfo<DoctorStationLabApplyDto> pageInfo = new PageInfo<>(list);
 
         // 构建返回结果
         Map<String, Object> result = new HashMap<>();

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

@@ -1,6 +1,7 @@
 package com.openhis.web.doctorstation.appservice.impl;
 
 import cn.hutool.core.util.ObjectUtil;
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
@@ -16,21 +17,23 @@ import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
 import com.openhis.web.doctorstation.appservice.*;
 import com.openhis.web.doctorstation.dto.PatientInfoDto;
 import com.openhis.web.doctorstation.dto.PrescriptionInfoBaseDto;
 import com.openhis.web.doctorstation.dto.PrescriptionInfoDetailDto;
 import com.openhis.web.doctorstation.dto.ReceptionStatisticsDto;
 import com.openhis.web.doctorstation.mapper.DoctorStationMainAppMapper;
+import lombok.extern.slf4j.Slf4j;
 import org.springframework.jdbc.core.JdbcTemplate;
 import org.springframework.stereotype.Service;
-
-import lombok.extern.slf4j.Slf4j;
 import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
 import java.time.LocalDateTime;
+import java.time.temporal.ChronoUnit;
 import java.util.*;
 import java.util.stream.Collectors;
 
@@ -64,6 +67,9 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
     
     @Resource
     private JdbcTemplate jdbcTemplate;
+
+    @Resource
+    private TriageQueueItemService triageQueueItemService;
     /**
      * 查询就诊患者信息
      *
@@ -124,14 +130,40 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
      * @return 结果
      */
     @Override
+    @Transactional(rollbackFor = Exception.class)
     public R<?> receiveEncounter(Long encounterId) {
         Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
         String currentUsername = SecurityUtils.getUsername();
+
+        // 检查就诊记录是否存在
+        Encounter encounter = encounterMapper.selectById(encounterId);
+        if (encounter == null) {
+            return R.fail("就诊记录不存在");
+        }
+
+        // 检查患者状态，防止重复接诊
+        Integer currentStatus = encounter.getStatusEnum();
+        if (EncounterStatus.IN_PROGRESS.getValue().equals(currentStatus)) {
+            return R.fail("已接诊，请勿重复点击，已为您刷新");
+        }
+
         int update = encounterMapper.update(null,
             new LambdaUpdateWrapper<Encounter>().eq(Encounter::getId, encounterId)
+                .eq(Encounter::getStatusEnum, EncounterStatus.PLANNED.getValue()) // 只更新待诊状态的患者
                 .set(Encounter::getReceptionTime, new Date())
                 .set(Encounter::getStatusEnum, EncounterStatus.IN_PROGRESS.getValue())
                 .set(Encounter::getSubjectStatusEnum, EncounterSubjectStatus.RECEIVING_CARE.getValue()));
+
+        // 如果更新失败，说明状态已被其他医生修改
+        if (update <= 0) {
+            // 重新查询当前状态
+            encounter = encounterMapper.selectById(encounterId);
+            if (EncounterStatus.IN_PROGRESS.getValue().equals(encounter.getStatusEnum())) {
+                return R.fail("已接诊，请勿重复接诊");
+            }
+            return R.fail("接诊失败，请刷新后重试");
+        }
+
         // 先把之前的接诊记录更新为已完成
         iEncounterParticipantService.update(new LambdaUpdateWrapper<EncounterParticipant>()
             .eq(EncounterParticipant::getTypeCode, ParticipantType.ADMITTER.getCode())
@@ -148,7 +180,28 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         encounterParticipant.setCreateBy(currentUsername);
         encounterParticipant.setCreateTime(new Date());
         iEncounterParticipantService.save(encounterParticipant);
-        return update > 0 ? R.ok() : R.fail();
+
+        // 更新 triage_queue_item 队列记录状态为 CALLING
+        try {
+            TriageQueueItem queueItem = triageQueueItemService.getOne(
+                new LambdaQueryWrapper<TriageQueueItem>()
+                    .eq(TriageQueueItem::getTenantId, tenantId)
+                    .eq(TriageQueueItem::getEncounterId, encounterId)
+                    .eq(TriageQueueItem::getDeleteFlag, "0")
+            );
+            if (queueItem != null) {
+                queueItem.setStatus("CALLING");
+                queueItem.setUpdateTime(LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS));
+                triageQueueItemService.updateById(queueItem);
+                log.info("接诊时更新队列状态为CALLING，encounterId={}, queueItemId={}", encounterId, queueItem.getId());
+            } else {
+                log.warn("接诊时未找到队列记录，encounterId={}", encounterId);
+            }
+        } catch (Exception e) {
+            log.error("接诊时更新队列状态失败，encounterId={}", encounterId, e);
+        }
+
+        return R.ok();
     }
 
     /**
@@ -181,11 +234,54 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             return R.fail("就诊记录不存在");
         }
 
-        if (!EncounterStatus.IN_PROGRESS.getValue().equals(encounter.getStatusEnum())) {
-            return R.fail("当前患者不在就诊中状态");
+        // 检查患者状态，防止重复完诊
+        Integer currentStatus = encounter.getStatusEnum();
+        if (EncounterStatus.DISCHARGED.getValue().equals(currentStatus) ||
+            EncounterStatus.COMPLETED.getValue().equals(currentStatus)) {
+            // 患者已完成就诊，返回特定提示
+            return R.fail("患者已完成就诊，已为您自动刷新患者列表");
         }
 
-        // 2. 更新状态、完成时间以及初复诊标识
+        if (!EncounterStatus.IN_PROGRESS.getValue().equals(currentStatus)) {
+            return R.fail("非就诊中患者不能完诊");
+        }
+
+        // 2. 查找队列项
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        TriageQueueItem queueItem = triageQueueItemService.getOne(
+            new LambdaQueryWrapper<TriageQueueItem>()
+                .eq(TriageQueueItem::getTenantId, tenantId)
+                .eq(TriageQueueItem::getEncounterId, encounterId)
+                .eq(TriageQueueItem::getDeleteFlag, "0")
+        );
+
+        // 如果队列项存在，检查状态并更新
+        if (queueItem != null && "CALLING".equals(queueItem.getStatus())) {
+            // 更新队列状态为已完成
+            java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
+            queueItem.setStatus("COMPLETED");
+            queueItem.setUpdateTime(nowLocal);
+            triageQueueItemService.updateById(queueItem);
+
+            // 写入 div_log 审计日志
+            try {
+                Long userId = SecurityUtils.getLoginUser().getUserId();
+                String divLogSql = "INSERT INTO hisdev.div_log "
+                        + "(pool_id, slot_id, queue_no, op_user_id, action, create_time) "
+                        + "VALUES (?, ?, ?, ?, 'COMPLETE', NOW()::timestamp(0))";
+
+                jdbcTemplate.update(divLogSql,
+                        queueItem.getOrganizationId(),  // pool_id: 候选池ID（科室）
+                        queueItem.getPractitionerId(),  // slot_id: 槽位ID（医生）
+                        queueItem.getQueueOrder(),      // queue_no: 队列号
+                        userId);                        // op_user_id: 操作用户ID
+            } catch (Exception e) {
+                log.error("写入div_log审计日志失败", e);
+                // 审计日志失败不影响主流程
+            }
+        }
+
+        // 3. 更新状态、完成时间以及初复诊标识
         Date now = new Date();
         int update = encounterMapper.update(null,
                 new LambdaUpdateWrapper<Encounter>()
@@ -198,7 +294,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
 
         if (update <= 0) return R.fail("完诊失败");
 
-        // 3. 审计日志
+        // 4. 审计日志（sys_oper_log）
         try {
             String username = SecurityUtils.getUsernameSafe();
             String sql = "INSERT INTO sys_oper_log "

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

@@ -17,6 +17,10 @@ import java.util.List;
 @Data
 @Accessors(chain = true)
 public class DoctorStationLabApplyDto {
+    /**
+     * 申请单ID（数据库自增主键）
+     */
+    private Long applicationId;
     /**
      * 申请单编号
      */

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

@@ -2,6 +2,7 @@ package com.openhis.web.doctorstation.dto;
 
 import com.fasterxml.jackson.databind.annotation.JsonSerialize;
 import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import com.fasterxml.jackson.annotation.JsonFormat;
 import lombok.Data;
 import lombok.experimental.Accessors;
 
@@ -73,12 +74,16 @@ public class SaveDiagnosisChildParam {
 
     /**
      * 诊断时间
+     * 添加 pattern 以支持前端传来的 "yyyy/M/d HH:mm:ss" 格式
      */
+    @JsonFormat(pattern = "yyyy/M/d HH:mm:ss", timezone = "GMT+8")
     private Date diagnosisTime;
 
     /**
      * 发病时间
+     * 同样添加 pattern 以防前端传来相同格式的发病时间
      */
+    @JsonFormat(pattern = "yyyy/M/d HH:mm:ss", timezone = "GMT+8")
     private Date onsetDate;
 
     /** 患者疾病诊断类型代码 */

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

@@ -1,6 +1,6 @@
 package com.openhis.web.doctorstation.mapper;
 
-import com.openhis.lab.domain.InspectionLabApply;
+import com.openhis.web.doctorstation.dto.DoctorStationLabApplyDto;
 import org.apache.ibatis.annotations.Param;
 import org.springframework.stereotype.Repository;
 
@@ -23,5 +23,5 @@ public interface DoctorStationLabApplyMapper {
      * @param encounterId 就诊 ID
      * @return 检验申请单列表
      */
-    List<InspectionLabApply> getInspectionApplyListPage(@Param("encounterId") Long encounterId);
+    List<DoctorStationLabApplyDto> getInspectionApplyListPage(@Param("encounterId") Long encounterId);
 }

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

@@ -115,6 +115,15 @@ public class AdviceUtils {
                     matched = true;
                     // 检查库存是否充足
                     BigDecimal minUnitQuantity = saveDto.getMinUnitQuantity();
+                    // 🔧 Bug Fix: 对于耗材类型，如果没有设置minUnitQuantity，则使用quantity作为默认值
+                    if (minUnitQuantity == null) {
+                        if (CommonConstants.TableName.ADM_DEVICE_DEFINITION.equals(inventoryDto.getItemTable())) {
+                            // 耗材只有一个单位，minUnitQuantity等于quantity
+                            minUnitQuantity = saveDto.getQuantity();
+                        } else {
+                            return saveDto.getAdviceName() + "的小单位数量不能为空";
+                        }
+                    }
                     BigDecimal chineseHerbsDoseQuantity = saveDto.getChineseHerbsDoseQuantity(); // 中药付数
                     // 中草药医嘱的情况
                     if (chineseHerbsDoseQuantity != null && chineseHerbsDoseQuantity.compareTo(BigDecimal.ZERO) > 0) {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/lab/appservice/ILabActivityDefinitionAppService.java

@@ -0,0 +1,45 @@
+package com.openhis.web.lab.appservice;
+
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentSelParam;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentUpDto;
+import com.core.common.core.domain.R;
+
+import javax.servlet.http.HttpServletRequest;
+import java.util.List;
+
+/**
+ * 检验项目 AppService 接口（独立操作 lab_activity_definition 表）
+ */
+public interface ILabActivityDefinitionAppService {
+
+    /**
+     * 分页查询检验项目列表
+     */
+    R<?> getLabActivityDefinitionPage(DiagnosisTreatmentSelParam selParam, String searchKey,
+                                       Integer pageNo, Integer pageSize, HttpServletRequest request);
+
+    /**
+     * 根据id查询检验项目详情
+     */
+    R<?> getLabActivityDefinitionOne(Long id);
+
+    /**
+     * 新增检验项目
+     */
+    R<?> addLabActivityDefinition(DiagnosisTreatmentUpDto dto);
+
+    /**
+     * 编辑检验项目
+     */
+    R<?> editLabActivityDefinition(DiagnosisTreatmentUpDto dto);
+
+    /**
+     * 停用检验项目
+     */
+    R<?> stopLabActivityDefinition(List<Long> ids);
+
+    /**
+     * 启用检验项目
+     */
+    R<?> startLabActivityDefinition(List<Long> ids);
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/lab/appservice/impl/LabActivityDefinitionAppServiceImpl.java

@@ -0,0 +1,189 @@
+package com.openhis.web.lab.appservice.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+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.core.domain.model.LoginUser;
+import com.core.common.utils.*;
+import com.core.common.utils.bean.BeanUtils;
+import com.openhis.common.constant.PromptMsgConstant;
+import com.openhis.common.enums.ActivityType;
+import com.openhis.common.enums.PublicationStatus;
+import com.openhis.common.enums.Whether;
+import com.core.common.utils.ChineseConvertUtils;
+import com.openhis.common.utils.EnumUtils;
+import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.common.enums.AssignSeqEnum;
+import com.openhis.lab.domain.LabActivityDefinition;
+import com.openhis.lab.service.ILabActivityDefinitionService;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentSelParam;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentUpDto;
+import com.openhis.web.lab.appservice.ILabActivityDefinitionAppService;
+import com.openhis.web.datadictionary.mapper.LabActivityDefinitionManageMapper;
+import org.springframework.stereotype.Service;
+
+import javax.annotation.Resource;
+import javax.servlet.http.HttpServletRequest;
+import java.util.Arrays;
+import java.util.HashSet;
+import java.util.List;
+import java.util.concurrent.CopyOnWriteArrayList;
+
+/**
+ * 检验项目 AppService 实现（独立操作 lab_activity_definition 表）
+ */
+@Service
+public class LabActivityDefinitionAppServiceImpl implements ILabActivityDefinitionAppService {
+
+    @Resource
+    private ILabActivityDefinitionService labActivityDefinitionService;
+
+    @Resource
+    private LabActivityDefinitionManageMapper labActivityDefinitionManageMapper;
+
+    @Resource
+    private AssignSeqUtil assignSeqUtil;
+
+    @Override
+    public R<?> getLabActivityDefinitionPage(DiagnosisTreatmentSelParam selParam, String searchKey,
+                                              Integer pageNo, Integer pageSize, HttpServletRequest request) {
+        if (selParam == null) {
+            selParam = new DiagnosisTreatmentSelParam();
+        }
+        if (selParam.getStatusEnum() == null) {
+            selParam.setStatusEnum(PublicationStatus.ACTIVE.getValue());
+        }
+
+        // 临时移除需要手动拼别名条件的字段
+        Long inspectionTypeIdValue = null;
+        if (selParam.getInspectionTypeId() != null) {
+            inspectionTypeIdValue = selParam.getInspectionTypeId();
+            selParam.setInspectionTypeId(null);
+        }
+        Integer pricingFlagValue = null;
+        if (selParam.getPricingFlag() != null) {
+            pricingFlagValue = selParam.getPricingFlag();
+            selParam.setPricingFlag(null);
+        }
+
+        QueryWrapper<DiagnosisTreatmentDto> queryWrapper = HisQueryUtils.buildQueryWrapper(selParam,
+                searchKey, new HashSet<>(Arrays.asList("T1.bus_no", "T1.name", "T1.py_str", "T1.wb_str")), request);
+
+        if (inspectionTypeIdValue != null) {
+            queryWrapper.eq("T1.inspection_type_id", inspectionTypeIdValue);
+            selParam.setInspectionTypeId(inspectionTypeIdValue);
+        }
+        if (pricingFlagValue != null) {
+            queryWrapper.eq("T1.pricing_flag", pricingFlagValue);
+            selParam.setPricingFlag(pricingFlagValue);
+        }
+
+        IPage<DiagnosisTreatmentDto> page = labActivityDefinitionManageMapper
+                .getLabActivityDefinitionPage(new Page<>(pageNo, pageSize), queryWrapper);
+
+        page.getRecords().forEach(e -> {
+            e.setYbFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getYbFlag()));
+            e.setYbMatchFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getYbMatchFlag()));
+            e.setTypeEnum_enumText(EnumUtils.getInfoByValue(ActivityType.class, e.getTypeEnum()));
+            e.setStatusEnum_enumText(EnumUtils.getInfoByValue(PublicationStatus.class, e.getStatusEnum()));
+            e.setPricingFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getPricingFlag()));
+        });
+
+        return R.ok(page);
+    }
+
+    @Override
+    public R<?> getLabActivityDefinitionOne(Long id) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        DiagnosisTreatmentDto dto = labActivityDefinitionManageMapper.getLabActivityDefinitionOne(id, tenantId);
+        return R.ok(dto);
+    }
+
+    @Override
+    public R<?> addLabActivityDefinition(DiagnosisTreatmentUpDto dto) {
+        if (dto.getOrgId() == null) {
+            dto.setOrgId(SecurityUtils.getLoginUser().getHospitalId());
+        }
+
+        LabActivityDefinition lab = new LabActivityDefinition();
+        BeanUtils.copyProperties(dto, lab);
+        lab.setSortOrder(dto.getSortOrder())
+           .setServiceRange(dto.getServiceRange())
+           .setInspectionTypeId(dto.getInspectionTypeId())
+           .setFeePackageId(dto.getFeePackageId())
+           .setSubItemId(dto.getSubItemId());
+
+        if (StringUtils.isEmpty(lab.getBusNo())) {
+            lab.setBusNo(assignSeqUtil.getSeq(AssignSeqEnum.ACTIVITY_DEFINITION_NUM.getPrefix(), 10));
+        }
+        lab.setPyStr(ChineseConvertUtils.toPinyinFirstLetter(lab.getName()));
+        lab.setWbStr(ChineseConvertUtils.toWBFirstLetter(lab.getName()));
+        lab.setStatusEnum(PublicationStatus.ACTIVE.getValue());
+
+        // 设置创建者和租户ID
+        String createBy = "system";
+        Integer tenantId = null;
+        try {
+            LoginUser loginUser = SecurityUtils.getLoginUser();
+            if (loginUser != null) {
+                createBy = loginUser.getUsername();
+                tenantId = loginUser.getTenantId();
+            }
+        } catch (Exception e) {
+            // 使用默认值
+        }
+        lab.setCreateBy(createBy);
+        lab.setTenantId(tenantId != null ? tenantId : 1);
+        if (lab.getCreateTime() == null) {
+            lab.setCreateTime(new java.util.Date());
+        }
+
+        return labActivityDefinitionService.addLabActivityDefinition(lab)
+                ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"检验项目"}))
+                : R.fail(null, "检验编码已存在：" + lab.getBusNo());
+    }
+
+    @Override
+    public R<?> editLabActivityDefinition(DiagnosisTreatmentUpDto dto) {
+        LabActivityDefinition lab = new LabActivityDefinition();
+        BeanUtils.copyProperties(dto, lab);
+        lab.setSortOrder(dto.getSortOrder())
+           .setServiceRange(dto.getServiceRange())
+           .setInspectionTypeId(dto.getInspectionTypeId())
+           .setFeePackageId(dto.getFeePackageId())
+           .setSubItemId(dto.getSubItemId())
+           .setPricingFlag(dto.getPricingFlag());
+        lab.setPyStr(ChineseConvertUtils.toPinyinFirstLetter(lab.getName()));
+        lab.setWbStr(ChineseConvertUtils.toWBFirstLetter(lab.getName()));
+
+        return labActivityDefinitionService.updateById(lab)
+                ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"检验项目"}))
+                : R.fail(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00007, null));
+    }
+
+    @Override
+    public R<?> stopLabActivityDefinition(List<Long> ids) {
+        List<LabActivityDefinition> labList = new CopyOnWriteArrayList<>();
+        for (Long id : ids) {
+            LabActivityDefinition lab = new LabActivityDefinition();
+            lab.setId(id).setStatusEnum(PublicationStatus.RETIRED.getValue());
+            labList.add(lab);
+        }
+        labActivityDefinitionService.updateBatchById(labList);
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"检验项目"}));
+    }
+
+    @Override
+    public R<?> startLabActivityDefinition(List<Long> ids) {
+        List<LabActivityDefinition> labList = new CopyOnWriteArrayList<>();
+        for (Long id : ids) {
+            LabActivityDefinition lab = new LabActivityDefinition();
+            lab.setId(id).setStatusEnum(PublicationStatus.ACTIVE.getValue());
+            labList.add(lab);
+        }
+        labActivityDefinitionService.updateBatchById(labList);
+        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[]{"检验项目"}));
+    }
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/lab/controller/InspectionTypeController.java

@@ -94,7 +94,6 @@ public class InspectionTypeController extends BaseController {
         
         // 查询是否存在相同编码的记录
         List<InspectionType> existingRecords = inspectionTypeService.list(queryWrapper);
-        log.debug("检查编码唯一性：code={}, 数据库中存在记录数={}", inspectionType.getCode(), existingRecords.size());
         
         if (!existingRecords.isEmpty()) {
             return AjaxResult.error("检验类型编码已存在");
@@ -119,8 +118,6 @@ public class InspectionTypeController extends BaseController {
                 return toAjax(result);
             });
         } catch (Exception e) {
-            log.error("新增检验类型失败：code={}, 错误信息：{}", inspectionType.getCode(), e.getMessage(), e);
-            
             // 捕获唯一性约束冲突异常
             if (e.getMessage().contains("uk_inspection_type_code") || 
                 e.getMessage().contains("duplicate key value") || 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/lab/controller/LabActivityDefinitionController.java

@@ -0,0 +1,78 @@
+package com.openhis.web.lab.controller;
+
+import com.core.common.core.domain.R;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentSelParam;
+import com.openhis.web.datadictionary.dto.DiagnosisTreatmentUpDto;
+import com.openhis.web.lab.appservice.ILabActivityDefinitionAppService;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.validation.annotation.Validated;
+import org.springframework.web.bind.annotation.*;
+
+import javax.annotation.Resource;
+import javax.servlet.http.HttpServletRequest;
+import java.util.List;
+
+/**
+ * 检验项目维护 Controller（独立操作 lab_activity_definition 表）
+ * 路径前缀：/lab/activity-definition
+ */
+@RestController
+@RequestMapping("/lab/activity-definition")
+@Slf4j
+public class LabActivityDefinitionController {
+
+    @Resource
+    private ILabActivityDefinitionAppService labActivityDefinitionAppService;
+
+    /**
+     * 分页查询检验项目列表
+     */
+    @GetMapping("/page")
+    public R<?> getPage(DiagnosisTreatmentSelParam selParam,
+                        @RequestParam(value = "searchKey", defaultValue = "") String searchKey,
+                        @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+                        @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize,
+                        HttpServletRequest request) {
+        return labActivityDefinitionAppService.getLabActivityDefinitionPage(selParam, searchKey, pageNo, pageSize, request);
+    }
+
+    /**
+     * 根据id查询检验项目详情
+     */
+    @GetMapping("/one")
+    public R<?> getOne(@RequestParam Long id) {
+        return labActivityDefinitionAppService.getLabActivityDefinitionOne(id);
+    }
+
+    /**
+     * 新增检验项目
+     */
+    @PostMapping("/add")
+    public R<?> add(@Validated @RequestBody DiagnosisTreatmentUpDto dto) {
+        return labActivityDefinitionAppService.addLabActivityDefinition(dto);
+    }
+
+    /**
+     * 编辑检验项目
+     */
+    @PutMapping("/edit")
+    public R<?> edit(@RequestBody DiagnosisTreatmentUpDto dto) {
+        return labActivityDefinitionAppService.editLabActivityDefinition(dto);
+    }
+
+    /**
+     * 停用检验项目
+     */
+    @PutMapping("/stop")
+    public R<?> stop(@RequestBody List<Long> ids) {
+        return labActivityDefinitionAppService.stopLabActivityDefinition(ids);
+    }
+
+    /**
+     * 启用检验项目
+     */
+    @PutMapping("/start")
+    public R<?> start(@RequestBody List<Long> ids) {
+        return labActivityDefinitionAppService.startLabActivityDefinition(ids);
+    }
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java

@@ -55,6 +55,8 @@ import com.openhis.web.paymentmanage.dto.CancelPaymentDto;
 import com.openhis.web.paymentmanage.dto.Clinic2207OrderResultDto;
 import com.openhis.web.paymentmanage.mapper.PaymentMapper;
 import com.openhis.web.personalization.dto.ActivityDeviceDto;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
+import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IDeviceDispenseService;
 import com.openhis.workflow.service.IDeviceRequestService;
@@ -81,9 +83,11 @@ import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
 import java.math.BigDecimal;
 import java.math.RoundingMode;
+import java.time.LocalDate;
 import java.time.LocalDateTime;
 import java.time.ZoneId;
 import java.time.format.DateTimeFormatter;
+import java.time.temporal.ChronoUnit;
 import java.util.*;
 import java.util.stream.Collectors;
 
@@ -149,6 +153,8 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
     @Resource
     private OutpatientRegistrationAppMapper outpatientRegistrationAppMapper;
     @Resource
+    private TriageQueueItemService triageQueueItemService;
+    @Resource
     private IRegService iRegService;
     @Resource
     private IPatientService iPatientService;
@@ -255,7 +261,9 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
 
         // 账户id，对应的账单列表
         Map<Long, List<ChargeItem>> chargeItemMapByAccountId
-                = chargeItemList.stream().collect(Collectors.groupingBy(ChargeItem::getAccountId));
+                = chargeItemList.stream()
+                        .filter(item -> item.getAccountId() != null)
+                        .collect(Collectors.groupingBy(ChargeItem::getAccountId));
         // 查询合同信息
         List<Contract> contractList = contractService.list();
 
@@ -1928,6 +1936,80 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
 
         // 就诊ID
         Long encounterId = iEncounterService.saveEncounterByRegister(encounter);
+
+        // 创建 triage_queue_item 队列记录
+        try {
+            Integer tenantId = encounter.getTenantId() != null ? encounter.getTenantId() : SecurityUtils.getLoginUser().getTenantId();
+            LocalDate queueDate = LocalDate.now();
+
+            // 查询当前科室当天的最大排队序号
+            Integer maxOrder = triageQueueItemService.list(
+                new LambdaQueryWrapper<TriageQueueItem>()
+                    .eq(TriageQueueItem::getTenantId, tenantId)
+                    .eq(TriageQueueItem::getOrganizationId, encounter.getOrganizationId())
+                    .eq(TriageQueueItem::getQueueDate, queueDate)
+                    .eq(TriageQueueItem::getDeleteFlag, "0")
+                    .ne(TriageQueueItem::getStatus, "COMPLETED")
+            ).stream()
+                .map(TriageQueueItem::getQueueOrder)
+                .filter(Objects::nonNull)
+                .max(Integer::compareTo)
+                .orElse(0);
+
+            // 获取患者信息
+            Patient patient = iPatientService.getById(encounter.getPatientId());
+            String patientName = patient != null ? patient.getName() : null;
+
+            // 获取挂号医生信息
+            String practitionerName = null;
+            Long queuePractitionerId = null;
+            if (encounterParticipantFormData.getPractitionerId() != null) {
+                Practitioner practitioner = iPractitionerService.getById(encounterParticipantFormData.getPractitionerId());
+                if (practitioner != null) {
+                    practitionerName = practitioner.getName();
+                    queuePractitionerId = practitioner.getId();
+                }
+            }
+
+            // 获取科室信息
+            Organization organization = iOrganizationService.getById(encounter.getOrganizationId());
+            String organizationName = organization != null ? organization.getName() : null;
+
+            // 获取服务项目信息（挂号类型）
+            String healthcareName = null;
+            if (encounter.getServiceTypeId() != null) {
+                HealthcareService healthcareService = healthcareServiceService.getById(encounter.getServiceTypeId());
+                if (healthcareService != null) {
+                    healthcareName = healthcareService.getName();
+                }
+            }
+
+            // 创建队列项
+            TriageQueueItem queueItem = new TriageQueueItem()
+                .setTenantId(tenantId)
+                .setQueueDate(queueDate)
+                .setOrganizationId(encounter.getOrganizationId())
+                .setOrganizationName(organizationName)
+                .setEncounterId(encounterId)
+                .setPatientId(encounter.getPatientId())
+                .setPatientName(patientName)
+                .setHealthcareName(healthcareName)
+                .setPractitionerId(queuePractitionerId)
+                .setPractitionerName(practitionerName)
+                .setRoomNo(null)
+                .setStatus("WAITING")
+                .setQueueOrder(maxOrder + 1)
+                .setDeleteFlag("0")
+                .setCreateTime(LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS))
+                .setUpdateTime(LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS));
+
+            triageQueueItemService.save(queueItem);
+            logger.info("挂号时创建队列记录成功，encounterId={}, queueItemId={}", encounterId, queueItem.getId());
+        } catch (Exception e) {
+            logger.error("挂号时创建队列记录失败，encounterId={}", encounterId, e);
+            // 队列记录创建失败不影响挂号流程
+        }
+
         // 保存就诊位置信息
         // 挂号时不选Location了
         // encounterLocationFormData.setEncounterId(encounterId);
@@ -2251,7 +2333,9 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
                 = iChargeItemService.getChargeItemBaseInfoByIds(prePaymentDto.getChargeItemIds());
 
         Map<String, List<ChargeItemBaseInfoDto>> chargeItemKVByContractNo
-                = chargeItemBaseInfoByIds.stream().collect(Collectors.groupingBy(ChargeItemBaseInfoDto::getContractNo));
+                = chargeItemBaseInfoByIds.stream()
+                        .filter(dto -> dto.getContractNo() != null && !dto.getContractNo().isEmpty())
+                        .collect(Collectors.groupingBy(ChargeItemBaseInfoDto::getContractNo));
 
         List<InpatientPreSettleDto> yb2303OutputSetInfos = new ArrayList<>();
         Yb2303OutputSetInfo yb2303OutputSetInfo;
@@ -2379,13 +2463,17 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         List<ChargeItemBaseInfoDto> chargeItemBaseInfoByIds
                 = iChargeItemService.getChargeItemBaseInfoByIds(paymentDto.getChargeItemIds());
         Map<String, List<ChargeItemBaseInfoDto>> chargeItemKVByContractNo
-                = chargeItemBaseInfoByIds.stream().collect(Collectors.groupingBy(ChargeItemBaseInfoDto::getContractNo));
+                = chargeItemBaseInfoByIds.stream()
+                        .filter(dto -> dto.getContractNo() != null && !dto.getContractNo().isEmpty())
+                        .collect(Collectors.groupingBy(ChargeItemBaseInfoDto::getContractNo));
 
         List<Account> accountList = iAccountService.getAccountListByEncounter(paymentDto.getEncounterId());
         if (accountList.isEmpty()) {
             throw new ServiceException("未查询到账户信息");
         }
-        Map<Long, List<Account>> accountKVById = accountList.stream().collect(Collectors.groupingBy(Account::getId));
+        Map<Long, List<Account>> accountKVById = accountList.stream()
+                .filter(acc -> acc.getId() != null)
+                .collect(Collectors.groupingBy(Account::getId));
 
         com.openhis.financial.model.PaymentResult paymentResult;
         List<com.openhis.financial.model.PaymentResult> paymentResultList = new ArrayList<>();
@@ -2395,7 +2483,9 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
 
         // <3>收费详情按照收费批次进行分组后结算
         Map<Long, List<PaymentRecDetail>> payTransNoMap
-                = paymentRecDetails.stream().collect(Collectors.groupingBy(PaymentRecDetail::getAccountId));
+                = paymentRecDetails.stream()
+                        .filter(detail -> detail.getAccountId() != null)
+                        .collect(Collectors.groupingBy(PaymentRecDetail::getAccountId));
 
         for (Map.Entry<Long, List<PaymentRecDetail>> stringListEntry : payTransNoMap.entrySet()) {
             // paymentResult = new PaymentResult();

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

@@ -216,8 +216,19 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         }
 
         // 如果是手术申请单，需要额外生成手术医嘱
-        if (ActivityDefCategory.PROCEDURE.getCode().equals(typeCode)) {
-            log.info("开始生成手术医嘱，encounterId={}, patientId={}, typeCode={}", encounterId, patientId, typeCode);
+        log.info("【调试】判断手术医嘱生成条件: typeCode={}, PROCEDURE.code={}, typeCode类型={}, PROCEDURE.code类型={}", 
+                typeCode, ActivityDefCategory.PROCEDURE.getCode(), 
+                typeCode != null ? typeCode.getClass().getName() : "null",
+                ActivityDefCategory.PROCEDURE.getCode().getClass().getName());
+        boolean isProcedure = ActivityDefCategory.PROCEDURE.getCode().equals(typeCode);
+        log.info("【调试】判断结果: isProcedure={}, typeCode字符串={}, PROCEDURE.code字符串={}", 
+                isProcedure, 
+                typeCode != null ? "'" + typeCode + "'" : "null",
+                "'" + ActivityDefCategory.PROCEDURE.getCode() + "'");
+        if (isProcedure) {
+            log.info("开始生成手术医嘱，encounterId={}, patientId={}, typeCode={}, activityListSize={}", 
+                    encounterId, patientId, typeCode, activityList != null ? activityList.size() : 0);
+            try {
                 // 从 descJson 中解析手术信息
                 String descJson = requestFormSaveDto.getDescJson();
                 Map<String, Object> descMap = null;
@@ -225,9 +236,12 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     try {
                         ObjectMapper objectMapper = new ObjectMapper();
                         descMap = objectMapper.readValue(descJson, Map.class);
+                        log.info("解析手术申请单 descJson 成功: {}", descMap);
                     } catch (Exception e) {
-                    log.error("解析手术申请单 descJson 失败", e);
+                        log.error("解析手术申请单 descJson 失败: {}", descJson, e);
                     }
+                } else {
+                    log.warn("手术申请单 descJson 为空");
                 }
                 
                 // 获取手术信息
@@ -239,6 +253,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 String surgeryIndication = descMap != null ? (String) descMap.get("surgeryIndication") : null;
                 String preoperativeDiagnosis = descMap != null ? (String) descMap.get("preoperativeDiagnosis") : null;
                 
+                // 🔧 BugFix#318: 从 activityList 获取手术项目名称
+                String adviceDefinitionName = null;
+                if (activityList != null && !activityList.isEmpty()) {
+                    adviceDefinitionName = activityList.get(0).getAdviceDefinitionName();
+                    log.info("从 activityList 获取手术项目名称: {}", adviceDefinitionName);
+                }
+                
+                log.info("手术信息: surgeryName={}, surgeryCode={}, surgeryFee={}, anesthesiaFee={}, adviceDefinitionName={}",
+                        surgeryName, surgeryCode, surgeryFee, anesthesiaFee, adviceDefinitionName);
+                
                 // 生成手术医嘱
                 ServiceRequest surgeryServiceRequest = new ServiceRequest();
                 surgeryServiceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());
@@ -249,18 +273,26 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 surgeryServiceRequest.setQuantity(BigDecimal.valueOf(1));
                 surgeryServiceRequest.setUnitCode("次");
                 surgeryServiceRequest.setCategoryEnum(4); // 4-手术
-            // 优先从 activityList 获取手术 ID，如果为空则从 descJson 获取
-            if (!activityList.isEmpty()) {
-                surgeryServiceRequest.setActivityId(activityList.get(0).getAdviceDefinitionId());
+                // 优先从 activityList 获取手术 ID
+                if (activityList != null && !activityList.isEmpty()) {
+                    Long activityId = activityList.get(0).getAdviceDefinitionId();
+                    surgeryServiceRequest.setActivityId(activityId);
+                    log.info("从 activityList 获取手术ID: {}", activityId);
+                } else {
+                    log.warn("activityList 为空，无法获取手术ID");
                 }
                 surgeryServiceRequest.setPatientId(patientId);
                 surgeryServiceRequest.setRequesterId(practitionerId);
                 surgeryServiceRequest.setEncounterId(encounterId);
                 surgeryServiceRequest.setAuthoredTime(curDate);
                 surgeryServiceRequest.setOrgId(orgId);
+                
                 // 设置手术相关信息到 contentJson 字段
                 Map<String, String> contentMap = new java.util.HashMap<>();
-            if (surgeryName != null && !surgeryName.isEmpty()) {
+                // 🔧 BugFix#318: 优先使用 activityList 中的手术项目名称
+                if (adviceDefinitionName != null && !adviceDefinitionName.isEmpty()) {
+                    contentMap.put("surgeryName", adviceDefinitionName);
+                } else if (surgeryName != null && !surgeryName.isEmpty()) {
                     contentMap.put("surgeryName", surgeryName);
                 }
                 if (surgeryCode != null && !surgeryCode.isEmpty()) {
@@ -283,10 +315,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                         log.error("序列化手术信息失败", e);
                     }
                 }
+                try {
                     iServiceRequestService.save(surgeryServiceRequest);
                     log.info("手术医嘱生成成功，serviceRequestId={}, prescriptionNo={}", surgeryServiceRequest.getId(), prescriptionNo);
+                } catch (Exception e) {
+                    log.error("保存手术医嘱失败", e);
+                    throw new ServiceException("保存手术医嘱失败: " + e.getMessage());
+                }
 
                 // 生成手术收费项目
+                try {
                     ChargeItem surgeryChargeItem = new ChargeItem();
                     surgeryChargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue());
                     surgeryChargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(surgeryServiceRequest.getBusNo()));
@@ -299,11 +337,11 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     surgeryChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
                     surgeryChargeItem.setServiceId(surgeryServiceRequest.getId());
                     surgeryChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
-            // 优先从 activityList 获取 productId，如果为空则不设置
-            if (!activityList.isEmpty()) {
+                    // 优先从 activityList 获取 productId
+                    if (activityList != null && !activityList.isEmpty()) {
                         surgeryChargeItem.setProductId(activityList.get(0).getAdviceDefinitionId());
+                        surgeryChargeItem.setAccountId(activityList.get(0).getAccountId());
                     }
-            surgeryChargeItem.setAccountId(activityList.isEmpty() ? null : activityList.get(0).getAccountId());
                     surgeryChargeItem.setRequestingOrgId(orgId);
                     surgeryChargeItem.setQuantityValue(BigDecimal.valueOf(1));
                     surgeryChargeItem.setQuantityUnit("次");
@@ -317,6 +355,11 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                         }
                     }
                     iChargeItemService.save(surgeryChargeItem);
+                    log.info("手术收费项目生成成功，chargeItemId={}", surgeryChargeItem.getId());
+                } catch (Exception e) {
+                    log.error("生成手术收费项目失败", e);
+                    throw new ServiceException("生成手术收费项目失败: " + e.getMessage());
+                }
                 
                 // 如果存在麻醉费用，生成麻醉收费项目
                 if (anesthesiaFee != null && !anesthesiaFee.isEmpty()) {
@@ -341,11 +384,18 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                             anesthesiaChargeItem.setUnitPrice(anesthesiaFeeAmount);
                             anesthesiaChargeItem.setTotalPrice(anesthesiaFeeAmount);
                             iChargeItemService.save(anesthesiaChargeItem);
+                            log.info("麻醉收费项目生成成功");
                         }
                     } catch (NumberFormatException e) {
                         log.warn("麻醉费用格式不正确：{}", anesthesiaFee);
                     }
                 }
+            } catch (Exception e) {
+                log.error("生成手术医嘱过程中发生异常", e);
+                throw e;
+            }
+        } else {
+            log.info("不是手术申请单，跳过手术医嘱生成，typeCode={}", typeCode);
         }
 
         return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[] {"申请单"}));

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

@@ -72,6 +72,7 @@ public class RequestFormManageController {
      */
     @PostMapping(value = "/save-surgery")
     public R<?> saveSurgeryRequestForm(@RequestBody RequestFormSaveDto requestFormSaveDto) {
+        log.info("【Controller】保存手术申请单，typeCode={}", ActivityDefCategory.PROCEDURE.getCode());
         return iRequestFormManageAppService.saveRequestForm(requestFormSaveDto,
             ActivityDefCategory.PROCEDURE.getCode());
     }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormPageDto.java

@@ -93,4 +93,9 @@ public class RequestFormPageDto {
      * 手术等级
      */
     private Integer surgeryLevel;
+
+    /**
+     * 就诊卡号
+     */
+    private String identifierNo;
 }

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

@@ -13,6 +13,7 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
         <result property="patientAge" column="patient_age" />
         <result property="encounterId" column="encounter_id" />
         <result property="encounterNo" column="encounter_no" />
+        <result property="patientCardNo" column="patient_card_no" />
         <result property="applyDoctorId" column="apply_doctor_id" />
         <result property="applyDoctorName" column="apply_doctor_name" />
         <result property="applyDeptId" column="apply_dept_id" />
@@ -79,6 +80,7 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             EXTRACT(YEAR FROM AGE(p.birth_date)) as patient_age,
             s.encounter_id,
             e.bus_no as encounter_no,
+            pi.identifier_no as patient_card_no,
             s.apply_doctor_id,
             COALESCE(s.apply_doctor_name, apply_doc.name) as apply_doctor_name,
             s.apply_dept_id,
@@ -177,6 +179,18 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
         FROM cli_surgery s
         LEFT JOIN adm_patient p ON s.patient_id = p.id
         LEFT JOIN adm_encounter e ON s.encounter_id = e.id
+        LEFT JOIN (
+            SELECT patient_id, identifier_no
+            FROM (
+                SELECT patient_id, identifier_no,
+                    ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                FROM adm_patient_identifier
+                WHERE delete_flag = '0'
+                AND identifier_no IS NOT NULL
+                AND identifier_no != ''
+            ) t
+            WHERE rn = 1
+        ) pi ON s.patient_id = pi.patient_id
         LEFT JOIN adm_operating_room r ON s.operating_room_id = r.id
         LEFT JOIN adm_organization ro ON r.organization_id = ro.id
         LEFT JOIN adm_organization o ON s.org_id = o.id
@@ -248,6 +262,8 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             p.birth_date,
             <!-- 就诊编号 -->
             e.bus_no as encounter_no,
+            <!-- 就诊卡号 -->
+            pi.identifier_no as patient_card_no,
             <!-- 字典文本：使用CASE WHEN避免额外JOIN -->
             CASE s.surgery_type_enum
                 WHEN 1 THEN '门诊手术'
@@ -302,6 +318,19 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
         <!-- 只JOIN必要的表：患者和就诊 -->
         LEFT JOIN adm_patient p ON s.patient_id = p.id
         LEFT JOIN adm_encounter e ON s.encounter_id = e.id
+        <!-- 关联患者标识表获取就诊卡号 -->
+        LEFT JOIN (
+            SELECT patient_id, identifier_no
+            FROM (
+                SELECT patient_id, identifier_no,
+                    ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                FROM adm_patient_identifier
+                WHERE delete_flag = '0'
+                AND identifier_no IS NOT NULL
+                AND identifier_no != ''
+            ) t
+            WHERE rn = 1
+        ) pi ON s.patient_id = pi.patient_id
         <where>
             s.delete_flag = '0'
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">

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

@@ -30,13 +30,26 @@
             cs.apply_dept_name,
             cs.org_id,
             o.name AS org_name,
-            cs.main_surgeon_name AS surgeon_name
+            cs.main_surgeon_name AS surgeon_name,
+            COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN sys_tenant st ON st.id = os.tenant_id
         LEFT JOIN sys_user su ON su.user_id = os.creator_id
+        LEFT JOIN (
+            SELECT patient_id, identifier_no
+            FROM (
+                SELECT patient_id, identifier_no,
+                    ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                FROM adm_patient_identifier
+                WHERE delete_flag = '0'
+                AND identifier_no IS NOT NULL
+                AND identifier_no != ''
+            ) t
+            WHERE rn = 1
+        ) pi ON os.patient_id = pi.patient_id
         <where>
         <if test="dto.tenantId != null">
             AND os.tenant_id = #{dto.tenantId}
@@ -75,12 +88,25 @@
             cs.main_surgeon_name AS surgeon_name,
             cs.apply_doctor_name AS apply_doctor_name,
             drf.create_time AS apply_time,
-            os.surgery_nature AS surgeryType
+            os.surgery_nature AS surgeryType,
+            COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN doc_request_form drf ON drf.prescription_no=cs.surgery_no
+        LEFT JOIN (
+            SELECT patient_id, identifier_no
+            FROM (
+                SELECT patient_id, identifier_no,
+                    ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                FROM adm_patient_identifier
+                WHERE delete_flag = '0'
+                AND identifier_no IS NOT NULL
+                AND identifier_no != ''
+            ) t
+            WHERE rn = 1
+        ) pi ON os.patient_id = pi.patient_id
         WHERE os.schedule_id = #{scheduleId}
         LIMIT 1
     </select>
@@ -123,13 +149,26 @@
             cs.apply_dept_name,
             cs.org_id,
             o.name AS org_name,
-            cs.main_surgeon_name AS surgeon_name
+            cs.main_surgeon_name AS surgeon_name,
+            COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN sys_tenant st ON st.id = os.tenant_id
         LEFT JOIN sys_user su ON su.user_id = os.creator_id
+        LEFT JOIN (
+            SELECT patient_id, identifier_no
+            FROM (
+                SELECT patient_id, identifier_no,
+                    ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                FROM adm_patient_identifier
+                WHERE delete_flag = '0'
+                AND identifier_no IS NOT NULL
+                AND identifier_no != ''
+            ) t
+            WHERE rn = 1
+        ) pi ON os.patient_id = pi.patient_id
         <where>
             AND os.delete_flag = '0'
             <if test="dto.patientId != null"> AND os.patient_id = #{dto.patientId}</if>

openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/LabActivityDefinitionManageMapper.xml

@@ -0,0 +1,149 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN" "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.openhis.web.datadictionary.mapper.LabActivityDefinitionManageMapper">
+
+    <!-- 检验项目分页查询（操作 lab_activity_definition 表，无物理外键） -->
+    <select id="getLabActivityDefinitionPage" parameterType="java.util.Map"
+            resultType="com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto">
+        SELECT
+            T1.id,
+            T1.category_code,
+            T1.bus_no,
+            T1.name,
+            T1.py_str,
+            T1.wb_str,
+            T1.type_enum,
+            T1.permitted_unit_code,
+            T1.org_id,
+            T1.location_id,
+            T1.yb_flag,
+            T1.yb_no,
+            T1.yb_match_flag,
+            T1.status_enum,
+            T1.body_site_code,
+            T1.specimen_code,
+            T1.description_text,
+            T1.rule_id,
+            T1.tenant_id,
+            T1.chrgitm_lv,
+            T1.children_json,
+            T1.pricing_flag,
+            T1.sort_order,
+            T1.service_range,
+            T1.inspection_type_id,
+            T1.fee_package_id,
+            T1.sub_item_id,
+            T3.name AS test_type,
+            T5.package_name,
+            T6.name AS sub_item_name
+        FROM lab_activity_definition T1
+        /* 检验类型关联（逻辑关联，无外键） */
+        LEFT JOIN inspection_type T3
+            ON T1.inspection_type_id = T3.id
+            AND T3.valid_flag = 1
+        /* 费用套餐关联（逻辑关联，无外键） */
+        LEFT JOIN inspection_basic_information T5
+            ON T1.fee_package_id = T5.basic_information_id
+            AND T5.del_flag = false
+        /* 下级医技类型关联（逻辑关联，无外键） */
+        LEFT JOIN inspection_type T6
+            ON T1.sub_item_id = T6.id
+            AND T6.valid_flag = 1
+        <where>
+            T1.delete_flag = '0'
+            <if test="ew.customSqlSegment != null and ew.customSqlSegment != ''">
+                <choose>
+                    <when test="ew.customSqlSegment.contains('tenant_id')">
+                        ${ew.customSqlSegment.replaceFirst('tenant_id', 'T1.tenant_id').replaceFirst('status_enum', 'T1.status_enum').replaceFirst('WHERE', 'AND')}
+                    </when>
+                    <otherwise>
+                        ${ew.customSqlSegment.replaceFirst('status_enum', 'T1.status_enum').replaceFirst('WHERE', 'AND')}
+                    </otherwise>
+                </choose>
+            </if>
+        </where>
+        ORDER BY T1.id DESC
+    </select>
+
+    <!-- 检验项目详情 -->
+    <select id="getLabActivityDefinitionOne" resultType="com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto">
+        SELECT
+            T1.id,
+            T1.category_code,
+            T1.bus_no,
+            T1.name,
+            T1.py_str,
+            T1.wb_str,
+            T1.type_enum,
+            T1.permitted_unit_code,
+            T1.org_id,
+            T1.location_id,
+            T1.yb_flag,
+            T1.yb_no,
+            T1.yb_match_flag,
+            T1.status_enum,
+            T1.body_site_code,
+            T1.specimen_code,
+            T1.description_text,
+            T1.rule_id,
+            T1.tenant_id,
+            T1.chrgitm_lv,
+            T1.children_json,
+            T1.pricing_flag,
+            T1.sort_order,
+            T1.service_range,
+            T1.inspection_type_id,
+            T1.fee_package_id,
+            T1.sub_item_id,
+            T3.name AS test_type,
+            T5.package_name,
+            T6.name AS sub_item_name
+        FROM lab_activity_definition T1
+        LEFT JOIN inspection_type T3
+            ON T1.inspection_type_id = T3.id
+            AND T3.valid_flag = 1
+        LEFT JOIN inspection_basic_information T5
+            ON T1.fee_package_id = T5.basic_information_id
+            AND T5.del_flag = false
+        LEFT JOIN inspection_type T6
+            ON T1.sub_item_id = T6.id
+            AND T6.valid_flag = 1
+        <where>
+            T1.delete_flag = '0'
+            <if test="id != null">
+                AND T1.id = #{id}
+            </if>
+            <if test="tenantId != null">
+                AND T1.tenant_id = #{tenantId}
+            </if>
+        </where>
+    </select>
+
+    <!-- 检验项目下拉列表（轻量级） -->
+    <select id="getLabActivityDefinitionSimpleList" resultType="com.openhis.web.datadictionary.dto.DiagnosisTreatmentDto">
+        SELECT
+            T1.id,
+            T1.bus_no,
+            T1.name,
+            T1.permitted_unit_code
+        FROM lab_activity_definition T1
+        WHERE T1.delete_flag = '0'
+            AND T1.status_enum = #{statusEnum}
+            AND T1.tenant_id = #{tenantId}
+            <if test="searchKey != null and searchKey != ''">
+                AND (
+                    T1.name LIKE CONCAT('%', #{searchKey}, '%')
+                    OR T1.bus_no LIKE CONCAT('%', #{searchKey}, '%')
+                    OR T1.py_str LIKE CONCAT('%', #{searchKey}, '%')
+                )
+            </if>
+        ORDER BY T1.id DESC
+        <if test="searchKey != null and searchKey != ''">
+            LIMIT 1500
+        </if>
+        <if test="searchKey == null or searchKey == ''">
+            LIMIT 500
+        </if>
+    </select>
+
+</mapper>

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

@@ -7,6 +7,7 @@
     <!-- 根据申请单号查询检验申请单（返回完整字段） -->
     <select id="getInspectionApplyByApplyNo" resultType="com.openhis.web.doctorstation.dto.DoctorStationLabApplyDto">
         SELECT
+            id AS applicationId,
             apply_no AS applyNo,
             patient_id AS patientId,
             patient_name AS patientName,
@@ -40,20 +41,17 @@
     </select>
 
     <!-- 分页查询检验申请单列表（根据就诊ID查询，按申请时间降序）
-         encounterId: 就诊ID作为查询条件查出患者id（patient_id）再以患者id对申请单进行查询
-         对申请单表(lab_apply)、申请单明细表(lab_apply_item)和就诊表(adm_encounter)进行联合查询(申请单号，检验项目，申请医生，申请单优先级码，申请单状态，金额)-->
+         直接查询申请单表，不关联明细表，避免重复记录-->
     <select id="getInspectionApplyListPage" resultType="com.openhis.web.doctorstation.dto.DoctorStationLabApplyDto">
-        SELECT t1.apply_no        AS applyNo,
-               t1.inspection_item AS inspectionItem,
+        SELECT t1.id              AS applicationId,
+               t1.apply_no        AS applyNo,
+               t1.inspection_item AS itemName,
                t1.apply_doc_name  AS applyDocName,
                t1.priority_code   AS priorityCode,
-               t2.item_name       AS itemName,
                t1.apply_status    AS applyStatus,
-               t2.item_amount     AS itemAmount
+               t1.apply_remark    AS applyRemark
         FROM lab_apply AS t1
                  INNER JOIN adm_encounter AS t3 ON t1.patient_id::bigint = t3.patient_id
-                 LEFT JOIN lab_apply_item AS t2
-        ON t1.apply_no = t2.apply_no
         WHERE t1.delete_flag = '0'
           AND t3.id = #{encounterId}
         ORDER BY t1.apply_time DESC

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

@@ -68,6 +68,7 @@
         <result column="anesthesia_type_enum" property="anesthesiaTypeEnum"/>
         <result column="incision_level" property="incisionLevel"/>
         <result column="surgery_level" property="surgeryLevel"/>
+        <result column="identifier_no" property="identifierNo"/>
     </resultMap>
 
     <!-- 分页查询申请单 -->
@@ -92,7 +93,8 @@
                 cs.anesthesia_type_enum,
                 cs.incision_level,
                 cs.surgery_level,
-                fc.contract_name AS fee_type
+                fc.contract_name AS fee_type,
+                COALESCE(pi.identifier_no, ap.bus_no, '') AS identifier_no
             FROM doc_request_form drf
             LEFT JOIN cli_surgery cs ON cs.surgery_no = drf.prescription_no
             LEFT JOIN adm_patient ap ON ap.id = cs.patient_id
@@ -100,6 +102,16 @@
             LEFT JOIN adm_account aa ON aa.encounter_id = ae.id AND aa.delete_flag = '0'
             LEFT JOIN fin_contract fc ON fc.bus_no = aa.contract_no AND fc.delete_flag = '0'
             LEFT JOIN op_schedule os ON os.apply_id = drf.id AND os.delete_flag = '0'
+            LEFT JOIN (
+                SELECT patient_id, identifier_no
+                FROM (
+                    SELECT patient_id, identifier_no,
+                           ROW_NUMBER() OVER (PARTITION BY patient_id ORDER BY create_time ASC) AS rn
+                    FROM adm_patient_identifier
+                    WHERE delete_flag = '0' AND identifier_no IS NOT NULL AND identifier_no != ''
+                ) t
+                WHERE rn = 1
+            ) pi ON ap.id = pi.patient_id
             <where>
                 <if test="requestFormDto.surgeryNo != null and requestFormDto.surgeryNo != ''">
                     AND drf.prescription_no LIKE CONCAT('%', #{requestFormDto.surgeryNo}, '%')

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

@@ -769,15 +769,21 @@ public class CommonConstants {
     }
 
     /**
-     * 号源槽位状态 (adm_schedule_slot.slot_status)
+     * 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;
-        /** 已停诊 / 已失效 */
-        Integer STOPPED = 2;
+        /** 已取消 / 已停诊 */
+        Integer CANCELLED = 2;
+        /** 已锁定 */
+        Integer LOCKED = 3;
+        /** 已签到 / 已取号 */
+        Integer CHECKED_IN = 4;
+        /** 已退号 */
+        Integer RETURNED = 5;
     }
 
     /**
@@ -790,6 +796,8 @@ public class CommonConstants {
         Integer CHECKED_IN = 2;
         /** 已取消 */
         Integer CANCELLED = 3;
+        /** 已退号 */
+        Integer RETURNED = 4;
     }
 
 }

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

@@ -9,6 +9,8 @@ import lombok.EqualsAndHashCode;
 import lombok.experimental.Accessors;
 
 import java.time.LocalTime;
+import java.util.Date;
+
 /**
  * 号源池明细Entity
  *
@@ -29,7 +31,7 @@ public class ScheduleSlot extends HisBaseEntity {
     /** 序号 */
     private Integer seqNo;
 
-    /** 序号状态: 0-可用,1-已预约,2-已取消,3-已过期等 */
+    /** 序号状态: 0-可用,1-已预约,2-已取消/已停诊,3-已锁定,4-已签到,5-已退号 */
     private Integer status;
 
     /** 预约订单ID */
@@ -37,4 +39,7 @@ public class ScheduleSlot extends HisBaseEntity {
 
     /** 预计叫号时间 */
     private LocalTime expectTime;
+
+    /** 签到时间 */
+    private Date checkInTime;
 }

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

@@ -11,6 +11,7 @@ import java.time.LocalTime;
 public class TicketSlotDTO {
     // 基础信息
     private Long slotId;
+    private Integer seqNo;
     private Long scheduleId;
     private String doctor;
     private Long doctorId;
@@ -22,6 +23,13 @@ public class TicketSlotDTO {
     private Long patientId;
     private String phone;
     private Integer orderStatus;
+    private Long orderId;
+    private String orderNo;
+    private String patientGender;
+    private Integer genderEnum;
+    private String idCard;
+    private String encounterId;
+    private String appointmentTime;
 
     // 底层逻辑判断专属字段
     private Integer slotStatus;

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

@@ -37,4 +37,21 @@ public interface SchedulePoolMapper extends BaseMapper<SchedulePool> {
               AND p.delete_flag = '0'
             """)
     int refreshPoolStats(@Param("poolId") Long poolId);
+
+    /**
+     * 签到时更新号源池统计：锁定数-1，已预约数+1
+     *
+     * @param poolId 号源池ID
+     * @return 结果
+     */
+    @Update("""
+            UPDATE adm_schedule_pool
+            SET locked_num = locked_num - 1,
+                booked_num = booked_num + 1,
+                update_time = NOW()
+            WHERE id = #{poolId}
+              AND locked_num > 0
+              AND delete_flag = '0'
+            """)
+    int updatePoolStatsOnCheckIn(@Param("poolId") Integer poolId);
 }

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

@@ -6,6 +6,7 @@ import com.openhis.appointmentmanage.domain.ScheduleSlot;
 import com.openhis.appointmentmanage.domain.TicketSlotDTO;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.openhis.appointmentmanage.dto.TicketQueryDTO;
+import java.util.Date;
 import java.util.List;
 import org.springframework.stereotype.Repository;
 import org.apache.ibatis.annotations.Param;
@@ -30,6 +31,16 @@ public interface ScheduleSlotMapper extends BaseMapper<ScheduleSlot> {
      */
     int updateSlotStatus(@Param("slotId") Long slotId, @Param("status") Integer status);
 
+    /**
+     * 更新槽位状态并记录签到时间
+     *
+     * @param slotId      槽位ID
+     * @param status      状态
+     * @param checkInTime 签到时间
+     * @return 结果
+     */
+    int updateSlotStatusAndCheckInTime(@Param("slotId") Long slotId, @Param("status") Integer status, @Param("checkInTime") Date checkInTime);
+
     /**
      * 根据槽位ID查询所属号源池ID。
      */

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/domain/Order.java

@@ -20,7 +20,7 @@ import lombok.experimental.Accessors;
 @EqualsAndHashCode(callSuper = false)
 public class Order extends HisBaseEntity {
 
-    @TableId(type = IdType.ASSIGN_ID)
+    @TableId(type = IdType.AUTO)
     @JsonSerialize(using = ToStringSerializer.class)
     private Long id;
 

openhis-server-new/openhis-domain/src/main/java/com/openhis/clinical/mapper/OrderMapper.java

@@ -32,4 +32,14 @@ public interface OrderMapper extends BaseMapper<Order> {
     int updateOrderStatusById(Long id, Integer status);
 
     int updateOrderCancelInfoById(Long id, Date cancelTime, String cancelReason);
+
+    /**
+     * 更新订单支付状态
+     *
+     * @param orderId   订单ID
+     * @param payStatus 支付状态：0-未支付，1-已支付
+     * @param payTime   支付时间
+     * @return 结果
+     */
+    int updatePayStatus(@Param("orderId") Long orderId, @Param("payStatus") Integer payStatus, @Param("payTime") Date payTime);
 }

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

@@ -88,6 +88,7 @@ public class OrderServiceImpl extends ServiceImpl<OrderMapper, Order> implements
         }
 
         Order order = new Order();
+        order.setId(null); // 显式置空，确保触发数据库自增，避免 MP 预分配雪花 ID 的干扰
         String orderNo = assignSeqUtil.getSeq(AssignSeqEnum.ORDER_NUM.getPrefix(), 18);
         order.setOrderNo(orderNo);
 

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

@@ -5,6 +5,7 @@ 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.ScheduleSlot;
 import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
 import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
 import com.openhis.clinical.domain.Order;
@@ -52,6 +53,9 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
     @Resource
     private SchedulePoolMapper schedulePoolMapper;
 
+    @Resource
+    private com.openhis.clinical.mapper.OrderMapper orderMapper;
+
     @Resource
     private IAppointmentConfigService appointmentConfigService;
 
@@ -146,7 +150,25 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
 
         logger.debug("开始执行纯净打单路线，slotId: {}, patientName: {}", slotId, dto.getPatientName());
 
-        // 1. 直查物理大底座！
+        // 1. 检查患者取消预约次数限制（应在预约挂号时限制，而非取消预约时）
+        Integer tenantId = dto.getTenant_id();
+        Long patientId = dto.getPatientId();
+        if (tenantId != null && patientId != null) {
+            AppointmentConfig config = appointmentConfigService.getConfigByTenantId(tenantId);
+            if (config != null && config.getCancelAppointmentCount() != null
+                    && config.getCancelAppointmentCount() > 0) {
+                // 计算当前周期的起始时间
+                LocalDateTime startTime = calculatePeriodStartTime(config.getCancelAppointmentType());
+                // 统计已取消次数
+                long cancelledCount = orderService.countPatientCancellations(patientId, tenantId, startTime);
+                if (cancelledCount >= config.getCancelAppointmentCount()) {
+                    String periodName = getPeriodName(config.getCancelAppointmentType());
+                    throw new RuntimeException("由于您在" + periodName + "内累计取消预约已达" + cancelledCount + "次，触发系统限制，暂时无法在线预约，请联系分诊台或咨询客服。");
+                }
+            }
+        }
+
+        // 2. 直查物理大底座！
         TicketSlotDTO slot = scheduleSlotMapper.selectTicketSlotById(slotId);
 
         if (slot == null) {
@@ -242,26 +264,11 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             throw new RuntimeException("当前号源没有可取消的预约订单");
         }
 
-        // 核心逻辑：获取订单信息并检查机构取消限制
+        // 获取订单信息
         Order latestOrder = orders.get(0);
-        Integer tenantId = latestOrder.getTenantId();
-        Long patientId = latestOrder.getPatientId();
-
-        if (tenantId != null && patientId != null) {
-            AppointmentConfig config = appointmentConfigService.getConfigByTenantId(tenantId);
-            if (config != null && config.getCancelAppointmentCount() != null
-                    && config.getCancelAppointmentCount() > 0) {
-                // 计算当前周期的起始时间
-                LocalDateTime startTime = calculatePeriodStartTime(config.getCancelAppointmentType());
-                // 统计已取消次数
-                long cancelledCount = orderService.countPatientCancellations(patientId, tenantId, startTime);
-                if (cancelledCount >= config.getCancelAppointmentCount()) {
-                    String periodName = getPeriodName(config.getCancelAppointmentType());
-                    throw new RuntimeException("您在" + periodName + "内已达到该机构取消预约次数上限（" + config.getCancelAppointmentCount() + "次），禁止取消");
-                }
-            }
-        }
 
+        // 直接执行取消，不再检查取消限制
+        // 根据需求，取消限制应在预约挂号时检查，而非取消预约时
         for (Order order : orders) {
             orderService.cancelAppointmentOrder(order.getId(), "患者取消预约");
         }
@@ -274,7 +281,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
     }
 
     /**
-     * 取号
+     * 取号（签到）
      *
      * @param slotId 槽位ID
      * @return 结果
@@ -287,7 +294,24 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             throw new RuntimeException("当前号源没有可取号的预约订单");
         }
         Order latestOrder = orders.get(0);
-        return orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+
+        // 1. 更新订单状态为已取号，并更新支付状态和支付时间
+        orderService.updateOrderStatusById(latestOrder.getId(), AppointmentOrderStatus.CHECKED_IN);
+        // 更新支付状态为已支付，记录支付时间
+        orderMapper.updatePayStatus(latestOrder.getId(), 1, new Date());
+
+        // 2. 查询号源槽位信息
+        ScheduleSlot slot = scheduleSlotMapper.selectById(slotId);
+
+        // 3. 更新号源槽位状态为已签到，记录签到时间
+        scheduleSlotMapper.updateSlotStatusAndCheckInTime(slotId, SlotStatus.CHECKED_IN, new Date());
+
+        // 4. 更新号源池统计：锁定数-1，已预约数+1
+        if (slot != null && slot.getPoolId() != null) {
+            schedulePoolMapper.updatePoolStatsOnCheckIn(slot.getPoolId());
+        }
+
+        return 1;
     }
 
     /**
@@ -309,7 +333,7 @@ public class TicketServiceImpl extends ServiceImpl<TicketMapper, Ticket> impleme
             orderService.cancelAppointmentOrder(order.getId(), "医生停诊");
         }
 
-        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.STOPPED);
+        int updated = scheduleSlotMapper.updateSlotStatus(slotId, SlotStatus.CANCELLED);
         if (updated > 0) {
             refreshPoolStatsBySlotId(slotId);
         }

openhis-server-new/openhis-domain/src/main/java/com/openhis/document/domain/VitalSigns.java

@@ -17,7 +17,7 @@ import java.util.Date;
  * @date 2025-06-03
  */
 @Data
-@TableName("doc_ital_signs")
+@TableName("doc_vital_signs")
 @Accessors(chain = true)
 @EqualsAndHashCode(callSuper = false)
 public class VitalSigns extends HisBaseEntity {

openhis-server-new/openhis-domain/src/main/java/com/openhis/financial/service/impl/PaymentRecStaticServiceImpl.java

@@ -46,16 +46,24 @@ public class PaymentRecStaticServiceImpl extends ServiceImpl<PaymentRecStaticMap
         Map<String, List<ChargeItemDefInfo>> collect;
         List<PaymentRecStatic> paymentRecStatics = new ArrayList<>();
         if (paymentStatisticalMethod == PaymentStatisticalMethod.FIN_TYPE_CODE) {
-            collect = chargeItemDefInfoList.stream().collect(Collectors.groupingBy(ChargeItemDefInfo::getTypeCode));
+            collect = chargeItemDefInfoList.stream()
+                    .filter(info -> info.getTypeCode() != null)
+                    .collect(Collectors.groupingBy(ChargeItemDefInfo::getTypeCode));
             getPaymentRecStaticList(paymentId, paymentType, paymentStatisticalMethod, collect, paymentRecStatics);
         } else if (paymentStatisticalMethod == PaymentStatisticalMethod.MED_CHRGITM_TYPE) {
-            collect = chargeItemDefInfoList.stream().collect(Collectors.groupingBy(ChargeItemDefInfo::getYbType));
+            collect = chargeItemDefInfoList.stream()
+                    .filter(info -> info.getYbType() != null)
+                    .collect(Collectors.groupingBy(ChargeItemDefInfo::getYbType));
             getPaymentRecStaticList(paymentId, paymentType, paymentStatisticalMethod, collect, paymentRecStatics);
         } else {
-            collect = chargeItemDefInfoList.stream().collect(Collectors.groupingBy(ChargeItemDefInfo::getTypeCode));
+            collect = chargeItemDefInfoList.stream()
+                    .filter(info -> info.getTypeCode() != null)
+                    .collect(Collectors.groupingBy(ChargeItemDefInfo::getTypeCode));
             getPaymentRecStaticList(paymentId, paymentType, PaymentStatisticalMethod.FIN_TYPE_CODE, collect,
                 paymentRecStatics);
-            collect = chargeItemDefInfoList.stream().collect(Collectors.groupingBy(ChargeItemDefInfo::getYbType));
+            collect = chargeItemDefInfoList.stream()
+                    .filter(info -> info.getYbType() != null)
+                    .collect(Collectors.groupingBy(ChargeItemDefInfo::getYbType));
             getPaymentRecStaticList(paymentId, paymentType, PaymentStatisticalMethod.MED_CHRGITM_TYPE, collect,
                 paymentRecStatics);
         }

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApply.java

@@ -24,9 +24,14 @@ import java.util.Date;
 public class InspectionLabApply extends HisBaseEntity {
 
     /**
-     * 主键ID,申请单编号
+     * 主键ID（自增）
+     */
+    @TableId(type = IdType.AUTO)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+    /**
+     * 申请单编号
      */
-    @TableId(type = IdType.NONE)
     private String applyNo;
     /**
      * 患者主索引

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionPackageDetail.java

@@ -55,7 +55,10 @@ public class InspectionPackageDetail {
     /** 单位 */
     private String unit;
 
-    /** 单价 */
+    /** 原始单价（未折扣前的价格，用于折扣变更时恢复原价） */
+    private BigDecimal originalPrice;
+
+    /** 单价（折后单价 = 原始单价 × 折扣比例） */
     private BigDecimal unitPrice;
 
     /** 金额 */

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/LabActivityDefinition.java

@@ -0,0 +1,106 @@
+package com.openhis.lab.domain;
+
+import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableId;
+import com.baomidou.mybatisplus.annotation.TableName;
+import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
+
+/**
+ * 检验项目定义实体（独立表 lab_activity_definition，不依赖 wor_activity_definition）
+ */
+@Data
+@TableName("lab_activity_definition")
+@Accessors(chain = true)
+@EqualsAndHashCode(callSuper = false)
+public class LabActivityDefinition extends HisBaseEntity {
+
+    /** 主键ID */
+    @TableId(type = IdType.ASSIGN_ID)
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long id;
+
+    /** 目录类别 */
+    private String categoryCode;
+
+    /** 编码 */
+    private String busNo;
+
+    /** 项目名称 */
+    private String name;
+
+    /** 项目名称拼音 */
+    private String pyStr;
+
+    /** 五笔拼音 */
+    private String wbStr;
+
+    /** 类型 */
+    private Integer typeEnum;
+
+    /** 使用单位 */
+    private String permittedUnitCode;
+
+    /** 所属科室 */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long orgId;
+
+    /** 所在位置 */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long locationId;
+
+    /** 医保标记 */
+    private Integer ybFlag;
+
+    /** 医保编码 */
+    private String ybNo;
+
+    /** 医保对码标记 */
+    private Integer ybMatchFlag;
+
+    /** 状态 */
+    private Integer statusEnum;
+
+    /** 身体部位 */
+    private String bodySiteCode;
+
+    /** 所需标本 */
+    private String specimenCode;
+
+    /** 说明 */
+    private String descriptionText;
+
+    /** 规则id */
+    private Integer ruleId;
+
+    /** 医保等级 */
+    private Integer chrgitmLv;
+
+    /** 子项json */
+    private String childrenJson;
+
+    /** 划价标记 */
+    private Integer pricingFlag;
+
+    /** 序号 */
+    private Integer sortOrder;
+
+    /** 服务范围 */
+    private String serviceRange;
+
+    /** 检验类型ID（关联 inspection_type 大类，逻辑关联无外键） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long inspectionTypeId;
+
+    /** 费用套餐ID（关联 inspection_basic_information，逻辑关联无外键） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long feePackageId;
+
+    /** 下级医技类型ID（关联 inspection_type 子类，逻辑关联无外键） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long subItemId;
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/mapper/LabActivityDefinitionMapper.java

@@ -0,0 +1,13 @@
+package com.openhis.lab.mapper;
+
+import com.baomidou.mybatisplus.core.mapper.BaseMapper;
+import com.openhis.lab.domain.LabActivityDefinition;
+import org.springframework.stereotype.Repository;
+
+/**
+ * 检验项目定义 Mapper 接口
+ */
+@Repository
+public interface LabActivityDefinitionMapper extends BaseMapper<LabActivityDefinition> {
+
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/service/ILabActivityDefinitionService.java

@@ -0,0 +1,18 @@
+package com.openhis.lab.service;
+
+import com.baomidou.mybatisplus.extension.service.IService;
+import com.openhis.lab.domain.LabActivityDefinition;
+
+/**
+ * 检验项目定义 Service 接口
+ */
+public interface ILabActivityDefinitionService extends IService<LabActivityDefinition> {
+
+    /**
+     * 新增检验项目
+     *
+     * @param labActivityDefinition 检验项目实体
+     * @return 是否成功
+     */
+    boolean addLabActivityDefinition(LabActivityDefinition labActivityDefinition);
+}

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/service/impl/LabActivityDefinitionServiceImpl.java

@@ -0,0 +1,63 @@
+package com.openhis.lab.service.impl;
+
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.extension.service.impl.ServiceImpl;
+import com.core.common.utils.SecurityUtils;
+import com.core.common.core.domain.model.LoginUser;
+import com.openhis.lab.domain.LabActivityDefinition;
+import com.openhis.lab.mapper.LabActivityDefinitionMapper;
+import com.openhis.lab.service.ILabActivityDefinitionService;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.stereotype.Service;
+import org.springframework.transaction.annotation.Transactional;
+
+import java.util.Date;
+import java.util.List;
+
+/**
+ * 检验项目定义 Service 实现类
+ */
+@Slf4j
+@Service
+public class LabActivityDefinitionServiceImpl
+        extends ServiceImpl<LabActivityDefinitionMapper, LabActivityDefinition>
+        implements ILabActivityDefinitionService {
+
+    /**
+     * 新增检验项目（检查编码唯一性）
+     */
+    @Override
+    @Transactional(rollbackFor = Exception.class)
+    public boolean addLabActivityDefinition(LabActivityDefinition labActivityDefinition) {
+        // 根据编码判断是否已存在
+        List<LabActivityDefinition> existing = baseMapper.selectList(
+                new LambdaQueryWrapper<LabActivityDefinition>()
+                        .eq(LabActivityDefinition::getBusNo, labActivityDefinition.getBusNo()));
+        if (!existing.isEmpty()) {
+            return false;
+        }
+        setRequiredFields(labActivityDefinition);
+        return baseMapper.insert(labActivityDefinition) == 1;
+    }
+
+    /**
+     * 补全必填字段（create_by、tenant_id、create_time）
+     */
+    private void setRequiredFields(LabActivityDefinition entity) {
+        String createBy = "system";
+        Integer tenantId = 1;
+        try {
+            LoginUser loginUser = SecurityUtils.getLoginUser();
+            if (loginUser != null) {
+                createBy = loginUser.getUsername();
+                tenantId = loginUser.getTenantId() != null ? loginUser.getTenantId() : 1;
+            }
+        } catch (Exception ignored) {
+        }
+        entity.setCreateBy(createBy);
+        entity.setTenantId(tenantId);
+        if (entity.getCreateTime() == null) {
+            entity.setCreateTime(new Date());
+        }
+    }
+}

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

@@ -37,6 +37,10 @@ public class OpSchedule extends HisBaseEntity {
     /** 就诊ID */
     private Long visitId;
 
+    /** 就诊卡号 */
+    @TableField(exist = false)
+    private String identifierNo;
+
     /** 手术编码 */
     private String operCode;
 

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

@@ -4,10 +4,46 @@
         "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 -->
+    <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 ('3', 'locked') THEN 3
+            WHEN LOWER(CONCAT('', s.status)) IN ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', s.status)) IN ('5', 'returned') THEN 5
+            ELSE NULL
+        END
+    </sql>
+
+    <sql id="orderStatusNormExpr">
+        CASE
+            WHEN LOWER(CONCAT('', o.status)) IN ('1', 'booked') THEN 1
+            WHEN LOWER(CONCAT('', o.status)) IN ('2', 'checked', 'checked_in', 'checkin') THEN 2
+            WHEN LOWER(CONCAT('', o.status)) IN ('3', 'cancelled', 'canceled') THEN 3
+            WHEN LOWER(CONCAT('', o.status)) IN ('4', 'returned') THEN 4
+            ELSE NULL
+        END
+    </sql>
+
+    <sql id="poolStatusNormExpr">
+        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 ('3', 'locked') THEN 3
+            WHEN LOWER(CONCAT('', p.status)) IN ('4', 'checked', 'checked_in', 'checkin') THEN 4
+            WHEN LOWER(CONCAT('', p.status)) IN ('5', 'returned') THEN 5
+            ELSE NULL
+        END
+    </sql>
+
     <!-- 注意这里的 resultType 指向了您刚建好的 DTO 实体类 -->
     <select id="selectAllTicketSlots" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.dept_id AS departmentId,
@@ -16,12 +52,12 @@
             o.patient_name AS patientName,
             o.medical_card AS medicalCard,
             o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
             s.expect_time AS expectTime,
             p.schedule_date AS scheduleDate,
             d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
             p.stop_reason AS stopReason,
             d.is_stopped AS isStopped
         FROM
@@ -39,7 +75,7 @@
                 FROM
                     order_main
                 WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                 ORDER BY
                     slot_id,
                     create_time DESC
@@ -56,6 +92,7 @@
     <select id="selectTicketSlotById" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.doctor_id AS doctorId,
@@ -66,12 +103,18 @@
             o.patient_name AS patientName,
             o.medical_card AS medicalCard,
             o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            o.id AS orderId,
+            o.order_no AS orderNo,
+            COALESCE(CAST(o.gender AS VARCHAR), CAST(pinfo.gender_enum AS VARCHAR)) AS patientGender,
+            pinfo.gender_enum AS genderEnum,
+            pinfo.id_card AS idCard,
+            o.appointment_time AS appointmentTime,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
             s.expect_time AS expectTime,
             p.schedule_date AS scheduleDate,
             d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
             p.stop_reason AS stopReason,
             d.is_stopped AS isStopped
         FROM
@@ -87,15 +130,20 @@
                     patient_name,
                     medical_card,
                     phone,
+                    id,
+                    order_no,
+                    gender,
+                    appointment_time,
                     status
                 FROM
                     order_main
                 WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                 ORDER BY
                     slot_id,
                     create_time DESC
             ) o ON o.slot_id = s.id
+            LEFT JOIN adm_patient pinfo ON o.patient_id = pinfo.id
         WHERE
             s.id = #{id}
     </select>
@@ -115,7 +163,7 @@
         UPDATE adm_schedule_slot
         SET
             status = #{status},
-        <if test="status == 0">
+        <if test="status != null and '0'.equals(status.toString())">
             order_id = NULL,
         </if>
         update_time = now()
@@ -124,10 +172,24 @@
             AND delete_flag = '0'
     </update>
 
+    <update id="updateSlotStatusAndCheckInTime">
+        UPDATE adm_schedule_slot
+        SET
+            status = #{status},
+            check_in_time = #{checkInTime},
+            update_time = NOW()
+        WHERE
+            id = #{slotId}
+            AND delete_flag = '0'
+    </update>
+
     <select id="selectPoolIdBySlotId" resultType="java.lang.Long">
-        SELECT pool_id
-        FROM adm_schedule_slot
-        WHERE id = #{slotId}
+        SELECT
+            pool_id
+        FROM
+            adm_schedule_slot
+        WHERE
+            id = #{slotId}
             AND delete_flag = '0'
     </select>
 
@@ -145,6 +207,7 @@
     <select id="selectTicketSlotsPage" resultType="com.openhis.appointmentmanage.domain.TicketSlotDTO">
         SELECT
             s.id AS slotId,
+            s.seq_no AS seqNo,
             p.schedule_id AS scheduleId,
             p.doctor_name AS doctor,
             p.doctor_id AS doctorId,
@@ -155,12 +218,18 @@
             o.patient_name AS patientName,
             o.medical_card AS medicalCard,
             o.phone AS phone,
-            o.status AS orderStatus,
-            s.status AS slotStatus,
+            o.id AS orderId,
+            o.order_no AS orderNo,
+            COALESCE(CAST(o.gender AS VARCHAR), CAST(pinfo.gender_enum AS VARCHAR)) AS patientGender,
+            pinfo.gender_enum AS genderEnum,
+            pinfo.id_card AS idCard,
+            o.appointment_time AS appointmentTime,
+            <include refid="orderStatusNormExpr" /> AS orderStatus,
+            <include refid="slotStatusNormExpr" /> AS slotStatus,
             s.expect_time AS expectTime,
             p.schedule_date AS scheduleDate,
             d.reg_type AS regType,
-            p.status AS poolStatus,
+            <include refid="poolStatusNormExpr" /> AS poolStatus,
             p.stop_reason AS stopReason,
             d.is_stopped AS isStopped
         FROM
@@ -176,15 +245,20 @@
                     patient_name,
                     medical_card,
                     phone,
+                    id,
+                    order_no,
+                    gender,
+                    appointment_time,
                     status
                 FROM
                     order_main
                 WHERE
-                    status IN (1, 2)
+                    LOWER(CONCAT('', status)) IN ('1', '2', '4', 'booked', 'checked', 'checked_in', 'checkin', 'returned')
                 ORDER BY
                     slot_id,
                     create_time DESC
             ) o ON o.slot_id = s.id
+            LEFT JOIN adm_patient pinfo ON o.patient_id = pinfo.id
         <where>
             p.delete_flag = '0'
             AND s.delete_flag = '0' <!-- 1. 按日期查 -->
@@ -225,35 +299,49 @@
             <!-- 5. 核心：解答您疑问的 4 种业务状态的复合查询！ -->
             <if test="query.status != null and query.status != '' and query.status != 'all'">
                 <choose>
-                    <when test="query.status == 'unbooked'">
-                        AND s.status = 0
+                    <when test="'unbooked'.equals(query.status) or '未预约'.equals(query.status)">
+                        AND <include refid="slotStatusNormExpr" /> = 0
                         AND (
                             d.is_stopped IS NULL
                             OR d.is_stopped = FALSE
                         )
                     </when>
-                    <when test="query.status == 'booked'">
-                        AND s.status = 1
-                        AND o.status = 1
+                    <when test="'booked'.equals(query.status) or '已预约'.equals(query.status)">
+                        AND <include refid="slotStatusNormExpr" /> = 1
+                        AND <include refid="orderStatusNormExpr" /> = 1
                         AND (
                             d.is_stopped IS NULL
                             OR d.is_stopped = FALSE
                         )
                     </when>
-                    <when test="query.status == 'checked'">
-                        AND s.status = 1
-                        AND o.status = 2
+                    <when test="'checked'.equals(query.status) or '已取号'.equals(query.status)">
+                        AND (
+                            <include refid="slotStatusNormExpr" /> = 4
+                            OR (
+                                <include refid="slotStatusNormExpr" /> = 1
+                                AND <include refid="orderStatusNormExpr" /> = 2
+                            )
+                        )
                         AND (
                             d.is_stopped IS NULL
                             OR d.is_stopped = FALSE
                         )
                     </when>
-                    <when test="query.status == 'cancelled'">
+                    <when test="'cancelled'.equals(query.status) or '已停诊'.equals(query.status) or '已取消'.equals(query.status)">
                         AND (
-                            s.status = 2
+                            <include refid="slotStatusNormExpr" /> = 2
                             OR d.is_stopped = TRUE
                         )
                     </when>
+                    <when test="'returned'.equals(query.status) or '已退号'.equals(query.status)">
+                        AND (
+                            <include refid="slotStatusNormExpr" /> = 5
+                            OR <include refid="orderStatusNormExpr" /> = 4
+                        )
+                    </when>
+                    <otherwise>
+                        AND 1 = 2
+                    </otherwise>
                 </choose>
             </if>
         </where>
@@ -266,9 +354,22 @@
         SELECT
             p.doctor_id AS doctorId,
             p.doctor_name AS doctorName,
-            COALESCE(SUM(GREATEST(COALESCE(p.total_quota, 0) - COALESCE(p.booked_num, 0) - COALESCE(p.locked_num, 0), 0)), 0) AS available,
+            COALESCE(
+                SUM(
+                    GREATEST(
+                        COALESCE(p.total_quota, 0) - COALESCE(p.booked_num, 0) - COALESCE(p.locked_num, 0),
+                        0
+                    )
+                ),
+                0
+            ) AS available,
             CASE
-                WHEN MAX(CASE WHEN d.reg_type = 1 THEN 1 ELSE 0 END) = 1 THEN 'expert'
+                WHEN MAX(
+                    CASE
+                        WHEN d.reg_type = 1 THEN 1
+                        ELSE 0
+                    END
+                ) = 1 THEN 'expert'
                 ELSE 'general'
             END AS ticketType
         FROM
@@ -290,7 +391,10 @@
                         AND d.reg_type = 1
                     </when>
                     <when test="query.type == 'general'">
-                        AND (d.reg_type != 1 OR d.reg_type IS NULL)
+                        AND (
+                            d.reg_type != 1
+                            OR d.reg_type IS NULL
+                        )
                     </when>
                 </choose>
             </if>

openhis-server-new/openhis-domain/src/main/resources/mapper/clinical/OrderMapper.xml

@@ -127,7 +127,7 @@
         select * from order_main where slot_id = #{slotId} and status = 1
     </select>
 
-    <insert id="insertOrder" parameterType="com.openhis.clinical.domain.Order">
+    <insert id="insertOrder" parameterType="com.openhis.clinical.domain.Order" useGeneratedKeys="true" keyProperty="id">
         insert into order_main
         <trim prefix="(" suffix=")" suffixOverrides=",">
             <if test="orderNo != null and orderNo != ''">order_no,</if>
@@ -225,6 +225,12 @@
         update order_main set status = 3, cancel_time = #{cancelTime}, cancel_reason = #{cancelReason} where id = #{id}
     </update>
 
+    <update id="updatePayStatus">
+        update order_main
+        set pay_status = #{payStatus}, pay_time = #{payTime}, update_time = NOW()
+        where id = #{orderId}
+    </update>
+
     <delete id="deleteOrderById">
         delete from order_main where id = #{id}
     </delete>

openhis-server-new/openhis-domain/src/main/resources/mapper/lab/LabActivityDefinitionMapper.xml

@@ -0,0 +1,7 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper
+        PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
+<mapper namespace="com.openhis.lab.mapper.LabActivityDefinitionMapper">
+
+</mapper>

openhis-ui-vue3/src/api/lab/labActivityDefinition.js

@@ -0,0 +1,60 @@
+import request from '@/utils/request';
+
+/**
+ * 检验项目维护专属 API（操作 lab_activity_definition 表）
+ * 后端路径前缀：/lab/activity-definition
+ */
+
+// 分页查询检验项目列表
+export function getLabActivityDefinitionPage(query) {
+  return request({
+    url: '/lab/activity-definition/page',
+    method: 'get',
+    params: query,
+  });
+}
+
+// 查询检验项目详情
+export function getLabActivityDefinitionOne(id) {
+  return request({
+    url: '/lab/activity-definition/one',
+    method: 'get',
+    params: { id },
+  });
+}
+
+// 新增检验项目
+export function addLabActivityDefinition(data) {
+  return request({
+    url: '/lab/activity-definition/add',
+    method: 'post',
+    data: data,
+  });
+}
+
+// 编辑检验项目
+export function editLabActivityDefinition(data) {
+  return request({
+    url: '/lab/activity-definition/edit',
+    method: 'put',
+    data: data,
+  });
+}
+
+// 停用检验项目
+export function stopLabActivityDefinition(ids) {
+  return request({
+    url: '/lab/activity-definition/stop',
+    method: 'put',
+    data: ids,
+  });
+}
+
+// 启用检验项目
+export function startLabActivityDefinition(ids) {
+  return request({
+    url: '/lab/activity-definition/start',
+    method: 'put',
+    data: ids,
+  });
+}

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

@@ -29,10 +29,17 @@ export function formatDateStr(cellValue, format = 'YYYY-MM-DD HH:mm:ss') {
   const minutes = String(date.getMinutes()).padStart(2, '0');
   const seconds = String(date.getSeconds()).padStart(2, '0');
   
+  // 支持不带前导零的格式
+  const monthNoPad = String(date.getMonth() + 1);
+  const dayNoPad = String(date.getDate());
+
   return format
     .replace('YYYY', year)
     .replace('MM', month)
     .replace('DD', day)
+    .replace('M/', monthNoPad + '/')  // 支持 M/ 格式
+    .replace('D ', dayNoPad + ' ')     // 支持 D 格式（后跟空格）
+    .replace('/D', '/' + dayNoPad)     // 支持 /D 格式
     .replace('HH', hours)
     .replace('mm', minutes)
     .replace('ss', seconds);

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

@@ -162,3 +162,61 @@ export const STATUS = {
   NORMAL: '0',   // 正常/启用
   DISABLE: '1'  // 停用
 };
+
+/**
+ * 号源槽位状态（与后端 CommonConstants.SlotStatus 保持一致）
+ * adm_schedule_slot.status 字段
+ */
+export const SlotStatus = {
+  /** 可用 / 待预约 */
+  AVAILABLE: 0,
+  /** 已预约 */
+  BOOKED: 1,
+  /** 已取消 / 已停诊 */
+  CANCELLED: 2,
+  /** 已锁定 */
+  LOCKED: 3,
+  /** 已签到 / 已取号 */
+  CHECKED_IN: 4,
+};
+
+/**
+ * 号源槽位状态说明信息
+ */
+export const SlotStatusDescriptions = {
+  0: '未预约',
+  1: '已预约',
+  2: '已停诊',
+  3: '已锁定',
+  4: '已取号',
+};
+
+/**
+ * 号源槽位状态对应的CSS类名
+ */
+export const SlotStatusClassMap = {
+  '未预约': 'status-unbooked',
+  '已预约': 'status-booked',
+  '已取号': 'status-checked',
+  '已停诊': 'status-cancelled',
+  '已取消': 'status-cancelled',
+  '已锁定': 'status-locked',
+};
+
+/**
+ * 获取号源槽位状态的说明
+ * @param {number} value - 状态值
+ * @returns {string} - 说明信息
+ */
+export function getSlotStatusDescription(value) {
+  return SlotStatusDescriptions[value] || '未知状态';
+}
+
+/**
+ * 获取号源槽位状态对应的CSS类名
+ * @param {string} status - 状态说明
+ * @returns {string} - CSS类名
+ */
+export function getSlotStatusClass(status) {
+  return SlotStatusClassMap[status] || 'status-unbooked';
+}

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

@@ -37,6 +37,7 @@
             <option value="booked">已预约</option>
             <option value="checked">已取号</option>
             <option value="cancelled">已停诊</option>
+            <option value="returned">已退号</option>
           </select>
         </div>
         <div id="patientSearch" class="patient-search">
@@ -105,7 +106,7 @@
         <div class="ticket-grid" v-if="filteredTickets.length > 0">
           <div v-for="(item, index) in filteredTickets" :key="item.slot_id" class="ticket-card" @dblclick="handleDoubleClick(item)" @contextmenu.prevent="handleRightClick($event, item)">
             <!-- 序号放在最右侧 -->
-            <div class="ticket-index">{{ index + 1 }}</div>
+            <div class="ticket-index">{{ item.seqNo != null ? item.seqNo : index + 1 }}</div>
             <!-- 1.时间 -->
             <div class="ticket-id-time">{{ item.dateTime }}</div>
             <!-- 2. 状态标签 -->
@@ -125,7 +126,7 @@
             <div class="ticket-type">{{ item.ticketType === 'general' ? '普通' : '专家' }}</div>
             <!-- 7. 已预约患者信息 -->
             <div v-if="(item.status === '已预约' || item.status === '已取号') && item.patientName" class="ticket-patient">
-              {{ item.patientName }}({{ item.patientId }})
+              {{ item.patientName }}({{ item.patientId }},{{ getGenderText(item.gender || item.patientGender) }})
             </div>
             <div class="ticket-actions">
               <button class="action-button book-button" @click="openPatientSelectModal(item.slot_id)" :disabled="item.status !== '未预约'" :class="{ 'disabled': item.status !== '未预约' }">
@@ -194,7 +195,8 @@
                 >
                   <td>{{ index + 1 }}</td>
                   <td>{{ patient.name }}</td>
-                  <td>{{ patient.id || patient.medicalCard }}</td>
+                  <td>{{ patient.identifierNo || patient.medicalCard || patient.id }}</td>
+                  <td>{{ patient.identifierNo }}</td>
                   <td>{{ getGenderText(patient.genderEnum_enumText || patient.genderEnum || patient.gender || patient.sex) }}</td>
                   <td>{{ patient.idCard }}</td>
                   <td>{{ patient.phone }}</td>
@@ -254,6 +256,7 @@ const STATUS_CLASS_MAP = {
   '未预约': 'status-unbooked',
   '已预约': 'status-booked',
   '已取号': 'status-checked',
+  '已退号': 'status-returned',
   '已停诊': 'status-cancelled',
   '已取消': 'status-cancelled'
 };
@@ -364,14 +367,23 @@ export default {
       this.searchPatients();
     },
     getPatientUniqueId(patient, index = null) {
-      return patient.idCard || patient.medicalCard || patient.id || (index !== null ? `temp_${index}` : null);
+      return patient.id || patient.patientId || patient.identifierNo || patient.medicalCard || patient.idCard ||
+        (index !== null ? `temp_${index}` : null);
     },
     matchPatientKeyword(patient, keyword) {
       const normalizedKeyword = String(keyword || '').trim().toLowerCase();
       if (!normalizedKeyword) {
         return true;
       }
-      const fields = [patient.name, patient.id, patient.medicalCard, patient.idCard, patient.phone];
+      const fields = [
+        patient.name,
+        patient.id,
+        patient.patientId,
+        patient.identifierNo,
+        patient.medicalCard,
+        patient.idCard,
+        patient.phone
+      ];
       return fields.some(field => String(field || '').toLowerCase().includes(normalizedKeyword));
     },
     searchPatients() {
@@ -394,6 +406,8 @@ export default {
             const rowKey = this.getPatientUniqueId(patient, index);
             return {
               ...patient,
+              // 统一口径：预约场景的就诊卡号使用患者标识表中的 identifierNo
+              medicalCard: patient.identifierNo || patient.medicalCard || '',
               _rowKey: rowKey
             };
           });
@@ -494,6 +508,7 @@ export default {
             this.tickets[ticketIndex].patientName = null;
             this.tickets[ticketIndex].patientId = null;
             this.tickets[ticketIndex].patientGender = null;
+            this.tickets[ticketIndex].gender = null;
             this.tickets[ticketIndex].medicalCard = null;
             this.tickets[ticketIndex].phone = null;
           }
@@ -554,12 +569,22 @@ export default {
 
       try {
         const userStore = useUserStore();
+        const patientPrimaryId = this.selectedPatient.id || this.selectedPatient.patientId;
+        const medicalCard = this.selectedPatient.identifierNo || this.selectedPatient.medicalCard;
+        if (!patientPrimaryId) {
+          ElMessage.error('患者ID缺失，无法预约，请重新选择患者');
+          return;
+        }
+        if (!medicalCard) {
+          ElMessage.error('就诊卡号缺失，无法预约，请先维护患者就诊卡号');
+          return;
+        }
         const appointmentData = {
           ticketId: this.currentTicket.slot_id,
           slotId: this.currentTicket.slot_id,
-          patientId: this.selectedPatient.id || this.selectedPatient.idCard || this.selectedPatient.medicalCard,
+          patientId: patientPrimaryId,
           patientName: this.selectedPatient.name,
-          medicalCard: this.selectedPatient.medicalCard || this.selectedPatient.id,
+          medicalCard,
           phone: this.selectedPatient.phone,
           gender: this.getGenderValueForBackend(this.selectedPatient),
           fee: Number(this.currentTicket.fee) || 0,
@@ -578,8 +603,9 @@ export default {
           if (ticketIndex !== -1) {
             this.tickets[ticketIndex].status = '已预约';
             this.tickets[ticketIndex].patientName = this.selectedPatient.name;
-            this.tickets[ticketIndex].patientId = this.selectedPatient.medicalCard || this.selectedPatient.id;
+            this.tickets[ticketIndex].patientId = medicalCard;
             this.tickets[ticketIndex].patientGender = this.selectedPatient.genderEnum_enumText || this.selectedPatient.genderEnum || this.selectedPatient.gender || this.selectedPatient.sex;
+            this.tickets[ticketIndex].gender = this.getGenderText(this.tickets[ticketIndex].patientGender);
           }
 
           this.closePatientSelectModal();
@@ -601,9 +627,9 @@ export default {
     },
     // 获取性别文本
     getGenderText(genderValue) {
-      // 如果值为null或undefined，返回'-'
+      // 如果值为null或undefined，返回"未知"
       if (genderValue === null || genderValue === undefined) {
-        return '-';
+        return '未知';
       }
       
       // 将值转换为字符串进行比较
@@ -623,8 +649,8 @@ export default {
         return '女';
       }
       
-      // 如果都不是，返回原值或'-'
-      return '-';
+      // 如果都不是，返回"未知"
+      return '未知';
     },
     // 获取用于后端的性别值
     getGenderValueForBackend(patient) {
@@ -703,10 +729,36 @@ export default {
         return;
       }
       const records = payload.list || payload.records || [];
+      const filteredRecords = this.applyStatusFilter(records);
       const total = Number(payload.total);
-      this.tickets = [...records];
-      this.allTickets = [...records];
+      this.tickets = [...filteredRecords];
+      this.allTickets = [...filteredRecords];
+      // 当按状态筛选时，优先使用前端过滤后的数量，避免后端状态未生效导致“显示全部”
+      if (this.selectedStatus && this.selectedStatus !== 'all') {
+        this.totalTickets = this.tickets.length;
+      } else {
         this.totalTickets = Number.isFinite(total) ? total : this.tickets.length;
+      }
+    },
+    applyStatusFilter(records = []) {
+      if (!Array.isArray(records) || records.length === 0) {
+        return [];
+      }
+      if (!this.selectedStatus || this.selectedStatus === 'all') {
+        return records;
+      }
+      const statusMap = {
+        unbooked: ['未预约'],
+        booked: ['已预约'],
+        checked: ['已取号'],
+        cancelled: ['已停诊', '已取消'],
+        returned: ['已退号']
+      };
+      const matchedStatusList = statusMap[this.selectedStatus] || [];
+      if (matchedStatusList.length === 0) {
+        return records;
+      }
+      return records.filter(item => matchedStatusList.includes(item?.status));
     },
     updateDoctorsListFromApi(doctorResponse) {
       let doctorList = [];
@@ -1376,6 +1428,11 @@ export default {
   color: #52c41a;
 }
 
+.status-returned {
+  background-color: #fff7e6;
+  color: #d46b08;
+}
+
 .status-cancelled {
   background-color: #fff1f0;
   color: #ff4d4f;

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

@@ -7,6 +7,7 @@
             <div style="display: flex; align-items: center; width: 100%">
               <span style="font-size: 16px; font-weight: bold; margin-right: 20px;">门诊挂号</span>
               <div style="flex: 1; display: flex; justify-content: center; align-items: center;">
+                <el-button type="success" icon="Check" @click="handleCheckIn" size="small">预约签到</el-button>
                 <el-button type="primary" icon="Document" @click="goToPatientRecord" size="small">档案</el-button>
                 <el-button type="primary" icon="Plus" @click="handleAddPatient" size="small">新建</el-button>
                 <el-button type="primary" plain icon="Search" @click="handleSearch" size="small">查询</el-button>
@@ -15,7 +16,7 @@
                 <el-button type="primary" plain @click="handleReadCard('03')" size="small">医保卡</el-button>
                 <el-button type="warning" plain icon="CircleClose" @click="handleClear" size="small">清空</el-button>
                 <el-button type="primary" icon="Plus" @click="handleAdd" size="small">保存挂号</el-button>
-                <el-button type="success" icon="Printer" @click="handleReprint" size="small">补打挂号</el-button>
+                <el-button type="info" icon="Printer" @click="handleReprint" size="small">补打挂号</el-button>
               </div>
             </div>
           </template>
@@ -615,6 +616,74 @@
         }
       "
     />
+
+    <!-- 预约签到患者选择弹窗 -->
+    <el-dialog
+      v-model="showCheckInPatientModal"
+      title="请选择预约的患者"
+      width="1200px"
+      :close-on-click-modal="false"
+    >
+      <div style="margin-bottom: 20px; display: flex; gap: 10px;">
+        <el-input
+          v-model="checkInSearchKey"
+          placeholder="输入患者姓名回车查询"
+          style="width: 400px"
+          @keyup.enter="loadCheckInPatientList"
+        />
+        <el-button type="primary" @click="loadCheckInPatientList">查询</el-button>
+      </div>
+
+      <el-table 
+        v-loading="checkInLoading"
+        :data="checkInPatientList" 
+        border 
+        style="width: 100%" 
+        @row-click="selectRow"
+        highlight-current-row
+      >
+        <el-table-column type="index" label="序号" width="60" align="center" />
+        <el-table-column prop="patientId" label="就诊卡号" width="120" align="center" />
+        <el-table-column prop="patientName" label="姓名" width="120" align="center">
+          <template #default="scope">
+            <span style="color: #ff4d4f">{{ scope.row.patientName }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="gender" label="性别" width="80" align="center" />
+        <el-table-column label="证件类型" width="150" align="center">
+          <template #default>居民身份证</template>
+        </el-table-column>
+        <el-table-column prop="idCard" label="证件号码" width="200" align="center" />
+        <el-table-column prop="phone" label="手机号码" width="150" align="center" />
+        <el-table-column label="号源类型" width="100" align="center">
+          <template #default="scope">
+            <el-tag :type="scope.row.ticketType === 'expert' ? 'danger' : 'success'">
+              {{ scope.row.ticketType === 'expert' ? '专家号' : '普通号' }}
+            </el-tag>
+          </template>
+        </el-table-column>
+        <el-table-column prop="fee" label="预约金额" width="100" align="center">
+          <template #default="scope">
+            <span style="font-weight: bold; color: #f5222d">￥{{ scope.row.fee }}</span>
+          </template>
+        </el-table-column>
+        <el-table-column prop="dateTime" label="就诊时间" width="180" align="center" />
+      </el-table>
+
+      <div style="margin-top: 20px; display: flex; justify-content: space-between; align-items: center;">
+        <el-pagination
+          v-model:current-page="checkInPage"
+          v-model:page-size="checkInLimit"
+          :total="checkInTotal"
+          layout="prev, pager, next"
+          @current-change="loadCheckInPatientList"
+        />
+        <div class="dialog-footer">
+          <el-button @click="showCheckInPatientModal = false">取消</el-button>
+          <el-button type="primary" @click="confirmCheckIn" :disabled="!selectedCheckInPatient">确定</el-button>
+        </div>
+      </div>
+    </el-dialog>
   </div>
 </template>
 
@@ -632,7 +701,8 @@ import {
   returnRegister,
   updatePatientPhone,
 } from './components/outpatientregistration';
-import {invokeYbPlugin5000, invokeYbPlugin5001} from '@/api/public';
+import { listTicket, checkInTicket } from '@/api/appoinmentmanage/ticket';
+import { invokeYbPlugin5000, invokeYbPlugin5001 } from '@/api/public';
 import patientInfoDialog from './components/patientInfoDialog';
 import PatientAddDialog from './components/patientAddDialog';
 import patientList from './components/patientList';
@@ -644,7 +714,7 @@ import {handleColor} from '@/utils/his';
 import useUserStore from '@/store/modules/user';
 import {formatDateStr} from '@/utils/index';
 import {isValidCNPhoneNumber} from '../../../utils/validate';
-import {ElMessage} from 'element-plus';
+import {ElMessage, ElMessageBox} from 'element-plus';
 import {hiprint} from 'vue-plugin-hiprint';
 import outpatientRegistrationTemplate from '@/components/Print/OutpatientRegistration.json';
 
@@ -687,14 +757,25 @@ const ybTypeRef = ref(null);
 const openDialog = ref(false);
 const openRefundDialog = ref(false);
 const openReprintDialog = ref(false);
+
+// 预约签到相关变量
+const showCheckInPatientModal = ref(false);
+const checkInPatientList = ref([]);
+const selectedCheckInPatient = ref(null);
 const totalAmount = ref(0);
 const chargeItemIdList = ref([]);
 const chrgBchnoList = ref([]);
 const paymentId = ref('');
 const loadingText = ref('');
+const checkInSearchKey = ref('');
+const checkInPage = ref(1);
+const checkInLimit = ref(10);
+const checkInTotal = ref(0);
+const checkInLoading = ref(false);
 const registerInfo = ref({}); // 原挂号记录信息
 const queryType = ref('all'); // 查询类型：all-全部, normal-正常挂号, returned-退号记录
 const guardianAgeConfig = ref(''); // 监护人规定年龄配置
+const currentSlotId = ref(null); // 当前预约签到的号源ID
 
 // 使用 ref 定义查询所得用户信息数据
 const patientInfoList = ref(undefined);
@@ -1584,6 +1665,189 @@ function handleReprint() {
   openReprintDialog.value = true;
 }
 
+/** 预约签到 - 打开患者选择弹窗 */
+function handleCheckIn() {
+  // 打开患者选择弹窗，显示已预约但未签到的患者列表
+  showCheckInPatientModal.value = true;
+  // 加载已预约未签到的患者列表
+  loadCheckInPatientList();
+}
+
+/** 加载预约签到患者列表 */
+function loadCheckInPatientList() {
+  checkInLoading.value = true;
+  const today = formatDateStr(new Date(), 'YYYY-MM-DD');
+  listTicket({
+    date: today,
+    status: 'booked',
+    name: checkInSearchKey.value, // 支持姓名等模糊查询，后端需适配
+    page: checkInPage.value,
+    limit: checkInLimit.value
+  }).then(res => {
+    const data = res.data?.list || res.list || res.data || [];
+    const total = res.data?.total || res.total || data.length;
+    
+    checkInPatientList.value = data.map(item => ({
+      ...item,
+      appointmentDate: item.scheduleDate + ' ' + (item.expectTime || '')
+    }));
+    checkInTotal.value = total;
+  }).catch(err => {
+    console.error('加载预约导出失败:', err);
+    ElMessage.error('获取预约列表失败');
+  }).finally(() => {
+    checkInLoading.value = false;
+  });
+}
+
+/** 弹窗行点击处理 */
+function selectRow(row) {
+  selectedCheckInPatient.value = row;
+}
+
+/** 确认签到（一键签到：直接构建挂号参数 → 预结算 → 弹收费窗口） */
+async function confirmCheckIn() {
+  if (!selectedCheckInPatient.value) {
+    ElMessage.warning('请先选择患者');
+    return;
+  }
+
+  const patient = selectedCheckInPatient.value;
+  // 每次开始新的签到流程先清理残留 slotId，避免历史脏值串单
+  currentSlotId.value = null;
+
+  // 弹出确认提示
+  try {
+    await ElMessageBox.confirm(
+      `确认为患者【${patient.patientName}】办理签到挂号？\n` +
+      `科室：${patient.department || '-'}\n` +
+      `医生：${patient.doctor || '-'}\n` +
+      `费用：￥${patient.fee || '0.00'}`,
+      '签到确认',
+      {
+        confirmButtonText: '确认签到',
+        cancelButtonText: '取消',
+        type: 'info',
+      }
+    );
+  } catch {
+    // 用户点了取消
+    return;
+  }
+
+  showCheckInPatientModal.value = false;
+
+  readCardLoading.value = true;
+  loadingText.value = '正在处理签到挂号...';
+
+  try {
+    // 1. 用科室ID加载该科室的挂号类型列表，获取 serviceTypeId 和 definitionId
+    const healthcareRes = await getHealthcareMetadata({ organizationId: patient.departmentId });
+    const healthcareRecords = healthcareRes.data?.records || [];
+
+    if (healthcareRecords.length === 0) {
+      ElMessage.error('该科室未配置挂号类型，无法自动签到');
+      readCardLoading.value = false;
+      return;
+    }
+
+    // 2. 按号源类型（专家/普通）模糊匹配挂号类型
+    const matchTypeName = (patient.ticketType === 'expert') ? '专家' : '普通';
+    const matchedService = healthcareRecords.find(h => h.name && h.name.includes(matchTypeName));
+
+    if (!matchedService) {
+      // 匹配不到就取第一个作为兜底
+      ElMessage.warning('未精确匹配到挂号类型，已使用默认类型');
+    }
+
+    const service = matchedService || healthcareRecords[0];
+    const realPatientId = patient.realPatientId; // 后端新增的真实患者数据库ID
+
+    if (!realPatientId) {
+      ElMessage.error('患者ID缺失，请联系管理员检查预约数据');
+      readCardLoading.value = false;
+      return;
+    }
+
+    // 3. 构建挂号参数（与 transformFormData 结构一致）
+    const registrationParam = {
+      encounterFormData: {
+        patientId: realPatientId,
+        priorityEnum: 3, // 默认优先级
+        serviceTypeId: service.id,
+        organizationId: patient.departmentId,
+      },
+      encounterLocationFormData: {
+        locationId: null,
+      },
+      encounterParticipantFormData: {
+        practitionerId: patient.doctorId,
+      },
+      accountFormData: {
+        patientId: realPatientId,
+        typeCode: 1, // 个人现金账户
+        contractNo: '0000', // 默认自费
+      },
+      chargeItemFormData: {
+        patientId: realPatientId,
+        definitionId: service.definitionId,
+        serviceId: service.id,
+        totalPrice: parseFloat(patient.fee) || ((service.price || 0) + (service.activityPrice || 0)),
+      },
+    };
+
+    // 4. 设置 patientInfo（ChargeDialog 需要展示）
+    patientInfo.value = {
+      patientId: realPatientId,
+      patientName: patient.patientName,
+      genderEnum_enumText: patient.gender || '-',
+      age: '',
+      contractName: '自费',
+      idCard: patient.idCard,
+      phone: patient.phone,
+      categoryEnum: '门诊',
+      organizationName: patient.department || '',
+      practitionerName: patient.doctor || '',
+      healthcareName: service.name || '',
+    };
+
+    // 同步设置 form 的 contractNo，ChargeDialog 的 feeType 会读取它
+    form.value.contractNo = '0000';
+
+    // 5. 调用预结算接口（reg-pre-pay）
+    const res = await addOutpatientRegistration(registrationParam);
+
+    if (res.code == 200) {
+      // 仅在预结算成功后记录待签到的号源，避免失败路径残留脏数据
+      currentSlotId.value = patient.slot_id;
+
+      // 6. 设置收费弹窗所需的数据
+      chrgBchno.value = res.data.chrgBchno;
+      registerBusNo.value = res.data.busNo;
+      totalAmount.value = res.data.psnCashPay;
+      patientInfo.value.encounterId = res.data.encounterId || '';
+      patientInfo.value.busNo = res.data.busNo || '';
+      transformedData.value = registrationParam;
+      chargeItemIdList.value = [];
+
+      // 7. 打开收费弹窗
+      openDialog.value = true;
+
+      // 打印挂号单
+      printRegistrationByHiprint(res.data);
+    } else {
+      currentSlotId.value = null;
+      ElMessage.error(res.msg || '预结算失败');
+    }
+  } catch (err) {
+    currentSlotId.value = null;
+    console.error('预约签到失败:', err);
+    ElMessage.error('签到处理失败: ' + (err.message || '未知错误'));
+  } finally {
+    readCardLoading.value = false;
+  }
+}
+
 /**
  * 点击患者列表给表单赋值
  */
@@ -1656,20 +1920,29 @@ function handleClose(value) {
     proxy.$modal.msgSuccess('操作成功');
     // 更新患者手机号
     updatePhone();
-    // getList();
-    // reset();
-    // addOutpatientRegistration(transformedData.value).then((response) => {
-    //   reset();
-    //   proxy.$modal.msgSuccess('新增成功');
-    //   getList();
-    // });
+
+    // 先取出并清空，避免接口失败/取消等路径导致 slotId 残留污染下一单
+    const pendingSlotId = currentSlotId.value;
+    currentSlotId.value = null;
+
+    // 如果是预约签到的挂号，执行签到状态更新
+    if (pendingSlotId) {
+      checkInTicket(pendingSlotId).then(() => {
+        console.log('预约状态已更新为已取号');
+      }).catch(err => {
+        console.error('更新预约状态失败:', err);
+        ElMessage.error('预约状态更新失败，请手动签到');
+      });
+    }
   } else if (value == 'cancel') {
+    currentSlotId.value = null;
     // cancelRegister(patientInfo.value.encounterId).then((res) => {
     //   if (res.code == 200) {
     //     getList();
     //   }
     // });
   } else {
+    currentSlotId.value = null;
     openRefundDialog.value = false;
   }
 }

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

@@ -273,7 +273,10 @@ function fetchFromApi(searchKey) {
             minUnitCode_dictText: item.minUnitCode_dictText || item.unitCode_dictText || '',
             volume: item.size || item.totalVolume || '',
             partPercent: item.partPercent || 1,
-            inventoryList: [],
+            // 🔧 Bug Fix: 如果后端提供了inventoryList，则使用；否则为空数组
+            inventoryList: item.inventoryList || [],
+            // 🔧 Bug Fix: 构造stockList用于库存显示
+            stockList: item.inventoryList || [],
             adviceDefinitionId: item.id,
             chargeItemDefinitionId: item.id,
             positionId: item.locationId,
@@ -354,6 +357,11 @@ function handleQuantity(row) {
     const totalQuantity = row.inventoryList.reduce((sum, item) => sum + (item.quantity || 0), 0);
     return totalQuantity.toString() + row.minUnitCode_dictText;
   }
+  // 🔧 Bug Fix: 耗材类型可能没有inventoryList，但可能有stockList
+  if (row.stockList && row.stockList.length > 0) {
+    const totalQuantity = row.stockList.reduce((sum, item) => sum + (item.quantity || 0), 0);
+    return totalQuantity.toString() + row.minUnitCode_dictText;
+  }
   return 0;
 }
 

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

@@ -280,6 +280,7 @@ import {
   saveDiagnosis,
 } from '../api';
 import { DIAG_TYPE } from '@/utils/medicalConstants';
+import { formatDateStr } from '@/utils';
 import diagnosisdialog from '../diagnosis/diagnosisdialog.vue';
 import AddDiagnosisDialog from './addDiagnosisDialog.vue';
 import diagnosislist from '../diagnosis/diagnosislist.vue';
@@ -628,11 +629,11 @@ async function handleSaveDiagnosis() {
     // 开始加载状态，防止重复提交
     saveLoading.value = true;
 
-    // 保存前按排序号排序，并转换日期格式为ISO字符串
+    // 保存前按排序号排序，并转换日期格式为后端期望的格式 yyyy/M/d HH:mm:ss
     const diagnosisChildList = form.value.diagnosisList.map(item => ({
       ...item,
-      onsetDate: item.onsetDate ? new Date(item.onsetDate).toISOString() : null,
-      diagnosisTime: item.diagnosisTime ? new Date(item.diagnosisTime).toISOString() : null
+      onsetDate: item.onsetDate ? formatDateStr(item.onsetDate, 'YYYY/M/D HH:mm:ss') : null,
+      diagnosisTime: item.diagnosisTime ? formatDateStr(item.diagnosisTime, 'YYYY/M/D HH:mm:ss') : null
     }));
 
     // 调用保存诊断接口
@@ -657,7 +658,9 @@ async function handleSaveDiagnosis() {
     }
   } catch (error) {
     console.error('保存诊断失败:', error);
-    proxy.$modal.msgError('保存诊断失败，请稍后重试');
+    // 显示后端返回的具体错误信息
+    const errorMsg = error?.response?.data?.msg || error?.message || '保存诊断失败，请稍后重试';
+    proxy.$modal.msgError(errorMsg);
   } finally {
     // 结束加载状态
     saveLoading.value = false;

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

@@ -164,7 +164,14 @@
                 </el-col>
                 <el-col :span="8">
                   <el-form-item label="检查方法">
-                    <el-input v-model="form.inspectionMethod" readonly />
+                    <el-select v-model="form.inspectionMethod" placeholder="请选择" clearable filterable style="width: 100%;">
+                      <el-option
+                        v-for="method in availableMethods"
+                        :key="method.id"
+                        :label="method.name"
+                        :value="method.name"
+                      />
+                    </el-select>
                   </el-form-item>
                 </el-col>
               </el-row>
@@ -308,6 +315,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
+import { listCheckMethod } from '@/api/system/checkType';
 
 const props = defineProps({
   patientInfo: { type: Object, default: () => ({}) },
@@ -373,10 +381,69 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref([]);    // 当前展开的折叠项
 
+const allMethods = ref([]);
+
+// 加载所有检查方法
+async function loadAllMethods() {
+  try {
+    const res = await listCheckMethod(); // 使用已导入的或者直接利用 request 请求
+    let methods = [];
+    if (res && res.data) {
+      if (Array.isArray(res.data)) {
+        methods = res.data;
+      } else if (res.data.records) {
+        methods = res.data.records;
+      } else if (res.data.data && Array.isArray(res.data.data)) {
+        methods = res.data.data;
+      }
+    } else if (Array.isArray(res)) {
+      methods = res;
+    } else if (res && res.rows) {
+      methods = res.rows;
+    }
+    allMethods.value = methods;
+  } catch (err) {
+    console.error('加载检查方法失败', err);
+  }
+}
+
 onMounted(async () => {
+  await loadAllMethods();
   await loadCategoryList();
 });
 
+// 动态可用的检查方法（根据已选部位所属的检查类型进行过滤）
+const normalizeTypeValue = value => String(value ?? '').trim().toLowerCase();
+
+const availableMethods = computed(() => {
+  // 获取当前已选部位的检查类型（可取第一个选中的部位的 checkType）
+  const currentType = form.examTypeCode || (selectedItems.value.length > 0 ? selectedItems.value[0].checkType : '');
+  const normalizedCurrentType = normalizeTypeValue(currentType);
+  if (normalizedCurrentType) {
+    // 兼容脏数据：method 的类型可能落在 checkType/type/typeCode/code/typeName/categoryName 中
+    const filtered = allMethods.value.filter(m => {
+      const typeCandidates = [
+        m.checkType,
+        m.type,
+        m.typeCode,
+        m.code,
+        m.typeName,
+        m.categoryName
+      ].map(normalizeTypeValue).filter(Boolean);
+      return typeCandidates.includes(normalizedCurrentType);
+    });
+    return filtered.length > 0 ? filtered : allMethods.value;
+  }
+  return allMethods.value;
+});
+
+// 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
+watch(availableMethods, (newMethods) => {
+  if (form.inspectionMethod && !newMethods.find(m => m.name === form.inspectionMethod)) {
+    form.inspectionMethod = '';
+  }
+});
+
 /**
  * 加载检查类型（分类）和检查项目（部位/项目），按类型分组展示
  */
@@ -390,25 +457,45 @@ async function loadCategoryList() {
       params: { pageNo: 1, pageSize: 500 }  // 取全量分类数据
     });
     let types = [];
-    if (typeRes.data?.records) types = typeRes.data.records;
-    else if (Array.isArray(typeRes.data)) types = typeRes.data;
-    else if (Array.isArray(typeRes.rows)) types = typeRes.rows;
+    if (typeRes && typeRes.data) {
+      if (Array.isArray(typeRes.data)) {
+        types = typeRes.data;
+      } else if (typeRes.data.records) {
+        types = typeRes.data.records;
+      } else if (typeRes.data.data && Array.isArray(typeRes.data.data)) {
+        types = typeRes.data.data;
+      }
+    } else if (Array.isArray(typeRes)) {
+      types = typeRes;
+    } else if (typeRes && typeRes.rows) {
+      types = typeRes.rows;
+    }
 
     // 2. 加载检查项目（检查部位项目）
     const partRes = await request({ url: '/check/part/list', method: 'get' });
     let parts = [];
-    if (Array.isArray(partRes)) parts = partRes;
-    else if (Array.isArray(partRes.data?.data)) parts = partRes.data.data;  // 双层嵌套：{ data: { data: [...] } }
-    else if (Array.isArray(partRes.data)) parts = partRes.data;
-    else if (Array.isArray(partRes.rows)) parts = partRes.rows;
-    else if (partRes.data?.records) parts = partRes.data.records;
+    if (partRes && partRes.data) {
+      if (Array.isArray(partRes.data)) {
+        parts = partRes.data;
+      } else if (partRes.data.records) {
+        parts = partRes.data.records;
+      } else if (partRes.data.data && Array.isArray(partRes.data.data)) {
+        parts = partRes.data.data;
+      }
+    } else if (Array.isArray(partRes)) {
+      parts = partRes;
+    } else if (partRes && partRes.rows) {
+      parts = partRes.rows;
+    }
 
     // 3. 按 checkType 归类
     const dict = [];
     for (const t of types) {
       dict.push({
         typeId: t.id,
-        typeCode: t.type,
+        typeCode: t.code,        // 保存 code 用于后备匹配
+        orgType: t.type,         // 保存 type 用于后备匹配
+        typeName: t.name,        // 保存 name
         categoryName: t.name,
         items: []
       });
@@ -425,7 +512,15 @@ async function loadCategoryList() {
         nationalCode: p.nationalCode || '',
         checked: false
       };
-      const target = dict.find(d => d.typeCode === p.checkType);
+      
+      // 增强匹配逻辑：部位的 checkType (如 'ECG', 'CT') 优先去匹配大类的 orgType，
+      // 如果大类的 type 字段脏了（比如填了中文），则尝试匹配 code，甚至是分类名称
+      const target = dict.find(d => 
+        d.orgType === p.checkType || 
+        d.typeCode === p.checkType ||
+        d.typeName === p.checkType
+      );
+      
       if (target) target.items.push(mapped);
       else unclassified.push(mapped);
     }

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

@@ -2,9 +2,9 @@
   <el-container class="inspection-application-container">
 
     <!-- 顶部操作按钮区 -->
-    <el-header class="top-action-bar" height="50px">
+    <el-header class="top-action-bar" height="60px">
       <el-row class="action-buttons" type="flex" justify="end" :gutter="10">
-        <el-button type="success" size="large" @click="handleSave" class="save-btn" :loading="saving">
+        <el-button type="primary" size="large" @click="handleSave" class="save-btn" :loading="saving">
           <el-icon><Document /></el-icon>
           保存
         </el-button>
@@ -30,7 +30,7 @@
           border
           stripe
           size="small"
-          max-height="300px"
+          max-height="280px"
           style="width: 100%; min-width: 100%"
           class="inspection-table"
           highlight-current-row
@@ -39,12 +39,12 @@
           @cell-click="handleCellClick"
         >
         <el-table-column type="selection" width="55" align="center" header-align="center" />
-        <el-table-column label="序号" width="60" align="center" header-align="center">
-          <template #default="{ $index }">
-            <span>{{ $index + 1 }}</span>
+        <el-table-column label="申请ID" prop="applicationId" width="80" align="center" header-align="center">
+          <template #default="scope">
+            <span>{{ scope.row.applicationId || '-' }}</span>
           </template>
         </el-table-column>
-        <el-table-column label="申请单号" prop="applyNo" min-width="180" align="center" header-align="center" />
+        <el-table-column label="申请单号" prop="applyNo" min-width="160" align="center" header-align="center" />
         <el-table-column label="检验项目" prop="itemName" min-width="170px" align="center" header-align="center" />
         <el-table-column label="申请医生" prop="applyDocName" width="120" align="center" header-align="center" />
         <el-table-column label="急" width="60" align="center" header-align="center">
@@ -82,49 +82,50 @@
         </el-table-column>
         </el-table>
         <!-- 分页 -->
-        <el-row class="pagination-container" justify="center" style="margin-top: 10px">
+        <div style="width: 100%; text-align: center; margin-top: 8px;">
           <el-pagination
             v-model:current-page="queryParams.pageNo"
             v-model:page-size="queryParams.pageSize"
-            :page-sizes="[10, 20, 50, 100]"
             :total="total"
-            layout="prev, pager, next, jumper, total"
+            layout="prev, pager, next"
             :pager-count="5"
-            :hide-on-single-page="false"
+            :hide-on-single-page="true"
+            small
             @size-change="handleSizeChange"
             @current-change="handleCurrentChange"
+            style="display: inline-flex;"
           />
-        </el-row>
+        </div>
       </el-card>
     </el-main>
 
       <!-- 底部表单与项目选择区 -->
     <el-main class="bottom-content-area">
-      <el-row :gutter="16">
-        <!-- 左侧：申请单表单区（65%） -->
-        <el-col :span="15" class="form-area">
+      <el-row :gutter="12">
+        <!-- 左侧：申请单表单区（60%） -->
+        <el-col :span="14" class="form-area">
           <el-card class="form-card" style="width: 100%">
             <el-tabs v-model="leftActiveTab" class="form-tabs">
               <el-tab-pane label="申请单" name="application">
                 <el-form class="application-form" :model="formData" label-width="auto">
-              <el-form-item label="申请单号" style="margin-bottom: 1px">
+              <el-form-item label="申请单号" style="margin-bottom: 2px">
                 <el-input v-model="formData.applyNo" disabled size="small" />
               </el-form-item>
 
               <!-- 患者信息行 -->
-              <el-row :gutter="20" style="margin-bottom: 1px">
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="8">
-                  <el-form-item label="姓名" required>
+                  <el-form-item label="姓名" required style="margin-bottom: 4px">
                     <el-input v-model="formData.patientName" readonly size="small" />
                   </el-form-item>
                 </el-col>
                 <el-col :span="8">
-                  <el-form-item label="就诊卡号" required>
+                  <el-form-item label="就诊卡号" required style="margin-bottom: 4px">
                     <el-input v-model="formData.medicalrecordNumber" readonly size="small" />
                   </el-form-item>
                 </el-col>
                 <el-col :span="8">
-                  <el-form-item label="费用性质" required>
+                  <el-form-item label="费用性质" required style="margin-bottom: 4px">
                     <el-select v-model="formData.natureofCost" placeholder="请选择费用性质" size="small" style="width: 100%">
                       <el-option label="自费医疗" value="self" />
                       <el-option label="医保" value="medical" />
@@ -137,10 +138,10 @@
               </el-row>
 
               <!-- 申请信息行 -->
-              <el-row :gutter="20" style="margin-bottom: 1px">
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <!--申请日期-->
                 <el-col :span="8">
-                  <el-form-item label="申请日期" required>
+                  <el-form-item label="申请日期" required style="margin-bottom: 4px">
                     <el-input
                       v-model="formData.applyTime"
                       readonly
@@ -150,13 +151,13 @@
                 </el-col>
                 <!--申请科室-->
                 <el-col :span="8">
-                  <el-form-item label="申请科室" required>
+                  <el-form-item label="申请科室" required style="margin-bottom: 4px">
                     <el-input v-model="formData.applyDepartment" readonly size="small" />
                   </el-form-item>
                 </el-col>
                 <!--申请医生-->
                 <el-col :span="8">
-                  <el-form-item label="申请医生" required>
+                  <el-form-item label="申请医生" required style="margin-bottom: 4px">
                     <el-input v-model="formData.applyDocName" readonly size="small" />
                   </el-form-item>
                 </el-col>
@@ -166,7 +167,7 @@
               <el-form-item
                 label="执行科室"
                 required
-                style="margin-bottom: 1px"
+                style="margin-bottom: 4px"
                 :class="{ 'form-item-error': validationErrors.executeDepartment }"
                 :error="validationErrors.executeDepartment ? '请选择执行科室' : ''"
               >
@@ -186,19 +187,20 @@
                 </el-select>
               </el-form-item>
 
-              <!-- 诊断描述 -->
-              <el-row :gutter="20" style="margin-bottom: 1px">
+              <!-- 诊断描述与临床诊断 -->
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="12">
                   <el-form-item
                     label="诊断描述"
                     required
+                    style="margin-bottom: 4px"
                     :class="{ 'form-item-error': validationErrors.clinicDesc }"
                     :error="validationErrors.clinicDesc ? '请输入诊断描述' : ''"
                   >
                     <el-input
                       v-model="formData.clinicDesc"
                       type="textarea"
-                      :rows="2"
+                      :rows="1"
                       size="small"
                       :class="{ 'is-error': validationErrors.clinicDesc }"
                     />
@@ -208,13 +210,14 @@
                   <el-form-item
                     label="临床诊断"
                     required
+                    style="margin-bottom: 4px"
                     :class="{ 'form-item-error': validationErrors.clinicDiag }"
                     :error="validationErrors.clinicDiag ? '请输入临床诊断' : ''"
                   >
                     <el-input
                       v-model="formData.clinicDiag"
                       type="textarea"
-                      :rows="2"
+                      :rows="1"
                       size="small"
                       :class="{ 'is-error': validationErrors.clinicDiag }"
                     />
@@ -222,24 +225,20 @@
                 </el-col>
               </el-row>
 
-              <!-- 禁忌症、病史摘要、检验目的、体格检查 -->
-              <el-row :gutter="20" style="margin-bottom: 1px">
-                <el-col :span="12">
-                  <el-form-item label="禁忌症">
-                    <el-input v-model="formData.contraindication" type="textarea" :rows="2" size="small" />
-                  </el-form-item>
-                </el-col>
+              <!-- 病史摘要与检验目的 -->
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="12">
                   <el-form-item
                     label="病史摘要"
                     required
+                    style="margin-bottom: 4px"
                     :class="{ 'form-item-error': validationErrors.medicalHistorySummary }"
                     :error="validationErrors.medicalHistorySummary ? '请输入病史摘要' : ''"
                   >
                     <el-input
                       v-model="formData.medicalHistorySummary"
                       type="textarea"
-                      :rows="2"
+                      :rows="1"
                       size="small"
                       :class="{ 'is-error': validationErrors.medicalHistorySummary }"
                     />
@@ -249,47 +248,57 @@
                   <el-form-item
                     label="检验目的"
                     required
+                    style="margin-bottom: 4px"
                     :class="{ 'form-item-error': validationErrors.purposeofInspection }"
                     :error="validationErrors.purposeofInspection ? '请输入检验目的' : ''"
                   >
                     <el-input
                       v-model="formData.purposeofInspection"
                       type="textarea"
-                      :rows="2"
+                      :rows="1"
                       size="small"
                       :class="{ 'is-error': validationErrors.purposeofInspection }"
                     />
                   </el-form-item>
                 </el-col>
+              </el-row>
+
+              <!-- 禁忌症与体格检查 -->
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="12">
-                  <el-form-item label="体格检查">
-                    <el-input v-model="formData.physicalExam" type="textarea" :rows="2" size="small" />
+                  <el-form-item label="禁忌症" style="margin-bottom: 4px">
+                    <el-input v-model="formData.contraindication" size="small" />
+                  </el-form-item>
+                </el-col>
+                <el-col :span="12">
+                  <el-form-item label="体格检查" style="margin-bottom: 4px">
+                    <el-input v-model="formData.physicalExam" size="small" />
                   </el-form-item>
                 </el-col>
               </el-row>
 
               <!-- 检验项目和备注 -->
-              <el-row :gutter="20" style="margin-bottom: 1px">
+              <el-row :gutter="12" style="margin-bottom: 0">
                 <el-col :span="12">
-                  <el-form-item label="检验项目">
-                    <el-input v-model="formData.inspectionItemsText" type="textarea" :rows="2" size="small" readonly />
+                  <el-form-item label="检验项目" style="margin-bottom: 4px">
+                    <el-input v-model="formData.inspectionItemsText" size="small" readonly />
                   </el-form-item>
                 </el-col>
                 <el-col :span="12">
-                  <el-form-item label="备注">
-                    <el-input v-model="formData.applyRemark" type="textarea" :rows="2" size="small" />
+                  <el-form-item label="备注" style="margin-bottom: 4px">
+                    <el-input v-model="formData.applyRemark" size="small" />
                   </el-form-item>
                 </el-col>
               </el-row>
 
               <!-- 状态复选框组 -->
-            <el-card style="margin-bottom: 16px; padding: 16px; background: #f8f9fa; border-radius: 4px; border: 1px solid #e9ecef" shadow="never">
+            <el-card style="margin-bottom: 4px; padding: 8px 12px; background: #f8f9fa; border-radius: 4px; border: 1px solid #e9ecef" shadow="never">
                 <template #header>
-                  <span style="font-weight: bold; color: #1a2b6d; font-size: 14px">
+                  <span style="font-weight: bold; color: #1a2b6d; font-size: 13px">
                     状态设置
                   </span>
                 </template>
-                <el-row type="flex" :gutter="16" wrap>
+                <el-row type="flex" :gutter="12" wrap>
                   <el-col :xs="12" :sm="6" :md="6" :lg="6">
                     <!-- 只有急标记能编辑 -->
                     <el-checkbox v-model="formData.priorityCode" :true-value="1" :false-value="0">急</el-checkbox>
@@ -311,8 +320,8 @@
             </el-form>
               </el-tab-pane>
           <el-tab-pane label="检验信息" name="inspectionInfo">
-            <el-card style="padding: 20px; height: 700px; overflow-y: auto; border: 1px solid #e4e7ed; border-radius: 4px; margin: 10px; width: 100%">
-              <el-form :model="formData" label-width="100px" style="margin-bottom: 20px">
+            <el-card style="padding: 10px; overflow-y: auto; border: 1px solid #e4e7ed; border-radius: 4px; margin: 5px; width: 100%">
+              <el-form :model="formData" label-width="100px" style="margin-bottom: 10px">
                 <el-row :gutter="15">
                   <el-col :span="12">
                     <el-form-item label="检验医生">
@@ -354,11 +363,11 @@
               </el-form>
 
               <!-- 检验信息详情表格 -->
-              <el-card style="margin-top: 20px; width: 100%" shadow="never">
+              <el-card style="margin-top: 10px; width: 100%" shadow="never">
                 <template #header>
                   <h4 style="margin: 0; font-weight: bold">检验信息详情</h4>
                 </template>
-                <el-table :data="selectedInspectionItems" border size="small" style="width: 100%; min-width: 100%" max-height="350">
+                <el-table :data="selectedInspectionItems" border size="small" style="width: 100%; min-width: 100%" max-height="250">
                   <el-table-column label="项目名称" prop="itemName" width="200" />
                   <el-table-column label="样本类型" prop="sampleType" width="80" align="center" />
                   <el-table-column label="单位" prop="unit" width="60" align="center" />
@@ -395,8 +404,8 @@
         </el-tabs>
       </el-card>
         </el-col>
-      <!-- 右侧：项目选择区（35%） -->
-      <el-col :span="9" class="selection-area">
+      <!-- 右侧：项目选择区（40%） -->
+      <el-col :span="10" class="selection-area">
         <!-- 检验项目选择区（上部50%） -->
         <el-card class="inspection-selector" v-loading="inspectionLoading" element-loading-text="正在加载检验项目...">
           <template #header>
@@ -429,7 +438,7 @@
           <!-- 分类树 -->
           <el-scrollbar
             class="category-tree"
-            style="max-height: 280px"
+            style="max-height: 220px"
             @scroll="handleScroll"
           >
             <!-- 无数据提示 -->
@@ -504,7 +513,7 @@
           </template>
 
           <!-- 已选项目列表 -->
-          <el-scrollbar class="selected-tree" style="max-height: 300px">
+          <el-scrollbar class="selected-tree" style="max-height: 220px">
             <el-list v-if="selectedInspectionItems.length > 0" :data="selectedInspectionItems" class="selected-items-list">
               <el-list-item
                 v-for="item in selectedInspectionItems"
@@ -638,7 +647,7 @@ const initData = async () => {
 // 查询参数
 const queryParams = reactive({
   pageNo: 1,
-  pageSize: 10,
+  pageSize: 3,
   encounterId: props.patientInfo.encounterId
 })
 
@@ -987,14 +996,14 @@ const getInspectionList = () => {
       if (res.data && typeof res.data === 'object') {
         // 如果返回的是分页对象 {records: [...], total: 100}
         if (Array.isArray(res.data.records)) {
-          // 处理数据：将同一个申请单的多个明细合并成一条记录
-          inspectionList.value = mergeInspectionApplyRecords(res.data.records)
-          total.value = res.data.total || 0
+          // 直接使用后端返回的数据（后端已按申请单返回，无需合并）
+          inspectionList.value = res.data.records
+          total.value = res.data.total || res.data.records.length
         }
         // 如果返回的是普通数组
         else if (Array.isArray(res.data)) {
-          // 处理数据：将同一个申请单的多个明细合并成一条记录
-          inspectionList.value = mergeInspectionApplyRecords(res.data)
+          // 直接使用后端返回的数据
+          inspectionList.value = res.data
           total.value = res.data.length
         }
         // 如果返回的是其他对象结构
@@ -1625,10 +1634,16 @@ defineExpose({
 </script>
 
 <style lang="scss" scoped>
-/* 页面容器 */
+/* 页面容器 - 紧凑布局 */
 .inspection-application-container {
-  max-height: 750px;
-  overflow-y: auto;
+  height: auto;
+  max-height: none;
+  overflow: visible;
+  padding: 0;
+}
+
+/* 覆盖 el-main 默认 padding */
+.inspection-application-container .el-main {
   padding: 0;
 }
 
@@ -1647,15 +1662,41 @@ defineExpose({
   gap: 10px;
 }
 
-/* 检验信息表格区 */
+/* 新增按钮样式 - PRD要求蓝色背景 #4a89dc */
+.new-btn {
+  background-color: #4a89dc !important;
+  border-color: #4a89dc !important;
+  color: #fff !important;
+}
+
+.new-btn:hover {
+  background-color: #5a9aec !important;
+  border-color: #5a9aec !important;
+}
+
+/* 保存按钮样式 - PRD要求绿色背景 #48cfad */
+.save-btn {
+  background-color: #48cfad !important;
+  border-color: #48cfad !important;
+  color: #fff !important;
+}
+
+.save-btn:hover {
+  background-color: #58dfbd !important;
+  border-color: #58dfbd !important;
+}
+
+/* 检验信息表格区 - 紧凑高度 */
 .inspection-section {
-  padding: 20px;
+  padding: 4px 10px 0 10px;
 }
 
 .table-card {
-  height: 300px;
-  display: flex;
-  flex-direction: column;
+  height: auto;
+}
+
+.table-card :deep(.el-card__body) {
+  padding-bottom: 8px;
 }
 
 .card-header {
@@ -1668,37 +1709,45 @@ defineExpose({
 
 /* 底部内容区域 */
 .bottom-content-area {
-  padding: 20px;
+  padding: 4px 10px;
 }
 
 /* 表单区域 */
 .form-card {
-  height: 700px;
+  height: auto;
+}
+
+/* 表单区域使用主色调 */
+.form-tabs :deep(.el-tabs__item.is-active) {
+  color: #51A3F3 !important;
+}
+
+.form-tabs :deep(.el-tabs__active-bar) {
+  background-color: #51A3F3 !important;
 }
 
 .form-tabs {
-  height: 100%;
+  height: auto;
 }
 
 .application-form {
-  height: 650px;
-  overflow-y: auto;
-  padding: 20px;
+  overflow: visible;
+  padding: 6px 8px;
   border: 1px solid #e4e7ed;
   border-radius: 4px;
-  margin: 10px;
+  margin: 2px;
 }
 
 /* 选择区域 */
 .selection-area {
   display: flex;
   flex-direction: column;
-  gap: 20px;
+  gap: 8px;
 }
 
 .inspection-selector,
 .selected-items-area {
-  height: 350px;
+  height: auto;
 }
 
 .card-title {
@@ -1707,7 +1756,7 @@ defineExpose({
 }
 
 .search-input {
-  margin-bottom: 15px;
+  margin-bottom: 8px;
 }
 
 .selected-header {
@@ -1717,14 +1766,6 @@ defineExpose({
   flex-shrink: 0;
 }
 
-.pagination-container {
-  display: flex;
-  justify-content: center;
-  margin-top: 10px;
-  padding-top: 10px;
-  border-top: 1px solid var(--el-border-color-light);
-}
-
 
 :deep(.el-pagination) {
   .el-pager li {
@@ -1976,6 +2017,7 @@ defineExpose({
   box-shadow: 0 2px 4px rgba(0, 0, 0, 0.04);
 }
 
+/* 主色调 #51A3F3 - PRD样式规范 */
 :deep(.inspection-table .el-table__header) {
   th {
     background: linear-gradient(to bottom, #f8fafc 0%, #f1f5f9 100%);
@@ -1987,6 +2029,17 @@ defineExpose({
   }
 }
 
+/* 选中状态使用主色调 #51A3F3 */
+:deep(.inspection-table .el-checkbox__input.is-checked .el-checkbox__inner) {
+  background-color: #51A3F3 !important;
+  border-color: #51A3F3 !important;
+}
+
+:deep(.inspection-table .el-checkbox__input.is-indeterminate .el-checkbox__inner) {
+  background-color: #51A3F3 !important;
+  border-color: #51A3F3 !important;
+}
+
 :deep(.inspection-table .el-table__body) {
   td {
     border-bottom: 1px solid #f1f5f9;
@@ -2038,7 +2091,7 @@ defineExpose({
   line-height: 1.4;
 }
 
-/* 新的树形结构样式 */
+/* 新的树形结构样式 - PRD要求高度约350px */
 .category-tree {
   border: 1px solid #ebeef5;
   border-radius: 4px;
@@ -2072,7 +2125,7 @@ defineExpose({
 
 .category-tree-header.active {
   background-color: #e6f7ff;
-  color: #409eff;
+  color: #51A3F3;
   font-weight: bold;
 }
 
@@ -2081,7 +2134,7 @@ defineExpose({
   font-size: 12px;
   width: 12px;
   text-align: center;
-  color: #409eff;
+  color: #51A3F3;
 }
 
 .category-count {
@@ -2147,7 +2200,7 @@ defineExpose({
 
 .inspection-tree-item.selected {
   background-color: #ecf5ff;
-  border-left: 3px solid #409eff;
+  border-left: 3px solid #51A3F3;
 }
 
 .inspection-tree-item .item-itemName {
@@ -2162,7 +2215,7 @@ defineExpose({
   margin-left: 10px;
 }
 
-/* 已选项目区样式 */
+/* 已选项目区样式 - PRD要求高度约350px */
 .selected-items-area {
   display: flex;
   flex-direction: column;
@@ -2170,6 +2223,7 @@ defineExpose({
 
 .selected-tree {
   flex: 1;
+  max-height: 280px;
 }
 
 .selected-tree-item {

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

@@ -140,6 +140,12 @@ function handleReceive(row) {
   // }
   receiveEncounter(row.encounterId).then(() => {
     emits('toCurrent', row);
+  }).catch(error => {
+    // 如果接诊失败，检查是否是"已接诊"的错误
+    if (error && error.message && error.message.includes('已接诊')) {
+      // 自动刷新列表，移除已接诊的患者
+      getPatientList();
+    }
   });
 }
 

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

@@ -546,6 +546,11 @@
                   expandOrder = [];
                   // 当医嘱类型改变时，清空当前选择的项目名称，因为不同类型项目的数据结构可能不兼容
                   prescriptionList[scope.$index].adviceName = undefined;
+                  prescriptionList[scope.$index].adviceType_dictText = '';
+                  // 🔧 Bug Fix: 医嘱类型改变时，重置minUnitQuantity和minUnitCode，避免null值
+                  prescriptionList[scope.$index].minUnitQuantity = prescriptionList[scope.$index].quantity || 1;
+                  prescriptionList[scope.$index].minUnitCode = prescriptionList[scope.$index].unitCode;
+                  prescriptionList[scope.$index].minUnitCode_dictText = prescriptionList[scope.$index].unitCode_dictText;
                   adviceQueryParams.adviceTypes = value; // 🎯 修复：改为 adviceTypes（复数）
 
                   // 根据选择的类型设置categoryCode，用于药品分类筛选
@@ -956,14 +961,18 @@ const { method_code, unit_code, rate_code, distribution_category_code, drord_doc
 // drord_doctor_type: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
 const adviceTypeList = computed(() => {
   // 如果字典已加载，使用字典数据；否则使用默认值
+  let list = [];
   if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
-    return drord_doctor_type.value.map(item => ({
+    // 过滤掉字典中已有的"全部"选项，避免重复
+    list = drord_doctor_type.value
+      .filter(item => item.label !== '全部')
+      .map(item => ({
         label: item.label,
         value: parseInt(item.value) || item.value
       }));
-  }
+  } else {
     // 默认返回值，确保页面正常显示
-  return [
+    list = [
       { label: '西药', value: 1 },
       { label: '中成药', value: 2 },
       { label: '诊疗', value: 3 },
@@ -971,10 +980,19 @@ const adviceTypeList = computed(() => {
       { label: '会诊', value: 5 },
       { label: '手术', value: 6 },
     ];
+  }
+  // 在最后添加"全部"选项
+  list.push({ label: '全部', value: 0 });
+  return list;
 });
 
 // 根据类型值获取显示标签，避免非编辑态出现空标签
-const mapAdviceTypeLabel = (type) => {
+const mapAdviceTypeLabel = (type, adviceTableName) => {
+  // 🔧 Bug Fix: 根据adviceTableName判断耗材类型
+  // 后端adviceType=2既表示中成药又表示耗材，需要通过表名区分
+  if (type === 2 && adviceTableName === 'adm_device_definition') {
+    return '耗材';
+  }
   const found = adviceTypeList.value.find((item) => item.value === type);
   return found ? found.label : '';
 };
@@ -1602,11 +1620,8 @@ function getListInfo(addNewRow) {
         // 🔧 Bug Fix: 后端保存时将耗材(4)转换为中成药(2)，显示时需要转换回来
         // 检查 adviceTableName，如果是耗材表则应该是耗材类型
         const adviceTableName = contentJson?.adviceTableName || item.adviceTableName;
-        if (adviceType === 2 && adviceTableName === 'adm_device_definition') {
-          adviceType = 4; // 后端2(中成药) -> 前端4(耗材)
-        }
         
-        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType);
+        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType, adviceTableName);
         
         // 如果是会诊类型，设置为会诊类型
         if (isConsultation) {
@@ -2343,6 +2358,13 @@ function handleSave(prescriptionId) {
         item.accountId = finalAccountId;
       }
       item.dbOpType = '1';
+      
+      // 🔧 Bug Fix: 确保耗材的minUnitQuantity被正确设置
+      if (item.adviceType == 4) {
+        item.minUnitQuantity = item.quantity;
+        item.minUnitCode = item.unitCode;
+        item.minUnitCode_dictText = item.unitCode_dictText;
+      }
     });
 
     loading.value = true;
@@ -2366,20 +2388,25 @@ function handleSave(prescriptionId) {
           finalUnitCode = item.minUnitCode;
         }
         item.minUnitQuantity = finalQuantity;
+      } else if (item.adviceType == 4) {
+        // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitQuantity等于quantity
+        item.minUnitQuantity = item.quantity;
+        // 🔧 Bug Fix: 确保minUnitCode等于unitCode
+        item.minUnitCode = item.unitCode;
+        item.minUnitCode_dictText = item.unitCode_dictText;
+        finalUnitCode = item.unitCode;
       } else {
         item.minUnitQuantity = item.quantity;
       }
 
       // --- 【修改点3：Bug 1 修复 (类型转换)】 ---
       let saveAdviceType = item.adviceType;
-      if (item.adviceType == 4) {
-        saveAdviceType = 2; // 耗材：前端4 -> 后端2
-      } else if (item.adviceType == 2) {
-        saveAdviceType = 1; // 中成药：前端2 -> 后端1
-      } else if (item.adviceType == 5) {
+      // 🔧 Bug Fix: 保持原类型，不进行转换
+      // 前端类型: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
+      // 后端类型: 1=药品, 2=耗材, 3=医疗活动, 6=手术
+      // 后端会通过 ItemType.DEVICE.getValue() || adviceType == 4 来识别耗材
+      if (item.adviceType == 5) {
         saveAdviceType = 3; // 会诊：前端5 -> 后端3（诊疗类）
-      } else if (item.adviceType == 6) {
-        saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
       }
 
       // 🔧 Bug Fix: Validate and fix NaN values before sending to backend
@@ -2439,6 +2466,8 @@ function handleSave(prescriptionId) {
         quantity: finalQuantity,
         unitCode: finalUnitCode,
         totalPrice: item.totalPrice, // Ensure totalPrice is valid
+        // 🔧 Bug Fix: 确保 categoryEnum 被传递（耗材必填字段）
+        categoryEnum: item.categoryEnum || parsedContent.categoryEnum,
         // 🔧 Bug Fix: 确保库存匹配成功的关键字段
         adviceTableName: adviceTableNameVal,
         locationId: locationIdVal,
@@ -2446,6 +2475,13 @@ function handleSave(prescriptionId) {
         methodCode: item.methodCode || parsedContent.methodCode,
         // 🔧 确保 accountId 被传递（用于预结算）
         accountId: item.accountId || parsedContent.accountId,
+        // 🔧 Bug Fix: 确保minUnitQuantity被传递（耗材必填字段）
+        minUnitQuantity: item.minUnitQuantity,
+        minUnitCode: item.minUnitCode,
+        minUnitCode_dictText: item.minUnitCode_dictText,
+        // 🔧 Bug Fix: 确保 definitionId 和 definitionDetailId 被传递（费用项必填字段）
+        definitionId: item.definitionId || parsedContent.definitionId,
+        definitionDetailId: item.definitionDetailId || parsedContent.definitionDetailId,
         // 🔧 更新 contentJson 中的 adviceType，确保后端分类正确
         contentJson: JSON.stringify({
           ...parsedContent,
@@ -2635,12 +2671,17 @@ function handleOrderBindInfo(bindIdInfo, currentMethodCode) {
         encounterDiagnosisId: encounterDiagnosisId.value,
         // 🔧 确保 adviceType 和显示文本正确设置
         adviceType: item.adviceType,
-        adviceType_dictText: mapAdviceTypeLabel(item.adviceType),
+        adviceType_dictText: mapAdviceTypeLabel(item.adviceType, item.adviceTableName),
       };
 
       // 计算价格和总量
       const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
-      if (unitInfo && unitInfo.type == 'minUnit') {
+      // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitQuantity等于quantity
+      if (item.adviceType == 4) {
+        newRow.price = newRow.unitPrice;
+        newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
+        newRow.minUnitQuantity = item.quantity;
+      } else if (unitInfo && unitInfo.type == 'minUnit') {
         newRow.price = newRow.minUnitPrice;
         newRow.totalPrice = (item.quantity * newRow.minUnitPrice).toFixed(6);
         newRow.minUnitQuantity = item.quantity;
@@ -2705,6 +2746,12 @@ function handleSaveSign(row, index, prescriptionId) {
     return;
   }
 
+  // 🔧 Bug Fix: 验证医嘱类型不能为"全部"
+  if (row.adviceType === 0) {
+    proxy.$modal.msgWarning('请选择医嘱类型');
+    return;
+  }
+
   // 重新查找索引，确保使用当前处方列表中的正确索引
   const actualIndex = prescriptionList.value.findIndex(item => item.uniqueKey === row.uniqueKey);
   if (actualIndex === -1) {
@@ -2774,14 +2821,18 @@ function handleSaveSign(row, index, prescriptionId) {
       row.encounterId = props.patientInfo.encounterId;
       row.accountId = accountId.value;
       // 确保非编辑态显示正确的医嘱类型标签
-      row.adviceType_dictText = mapAdviceTypeLabel(row.adviceType);
+      row.adviceType_dictText = mapAdviceTypeLabel(row.adviceType, row.adviceTableName);
 
       // 更新本地显示的最小单位数量（仅用于前端逻辑，不影响显示单位）
       if (row.adviceType == 1 || row.adviceType == 2) {
         row.minUnitQuantity =
             row.minUnitCode == row.unitCode ? row.quantity : row.quantity * row.partPercent;
       } else {
+        // 🔧 Bug Fix: 耗材和其他类型，minUnitQuantity等于quantity
         row.minUnitQuantity = row.quantity;
+        // 🔧 Bug Fix: 确保minUnitCode等于unitCode（耗材只有一个单位）
+        row.minUnitCode = row.unitCode;
+        row.minUnitCode_dictText = row.unitCode_dictText;
       }
 
       row.conditionId = conditionId.value;
@@ -2976,14 +3027,12 @@ function handleSaveBatch(prescriptionId) {
 
         // --- Bug 1 修复：类型转换 ---
         let saveAdviceType = item.adviceType;
-        if (item.adviceType == 4) {
-          saveAdviceType = 2; // 耗材前端4 -> 后端2
-        } else if (item.adviceType == 2) {
-          saveAdviceType = 1; // 中成药前端2 -> 后端1
-        } else if (item.adviceType == 5) {
+        // 🔧 Bug Fix: 保持原类型，不进行转换
+        // 前端类型: 1=西药, 2=中成药, 3=诊疗, 4=耗材, 5=会诊, 6=手术
+        // 后端类型: 1=药品, 2=耗材, 3=医疗活动, 6=手术
+        // 后端会通过 ItemType.DEVICE.getValue() || adviceType == 4 来识别耗材
+        if (item.adviceType == 5) {
           saveAdviceType = 3; // 会诊前端5 -> 后端3（诊疗类）
-        } else if (item.adviceType == 6) {
-          saveAdviceType = 6; // 🔧 BugFix#318: 手术类型保持为6
         }
 
         // 🔧 BugFix#318: 过滤掉手术特有字段，只保留标准医嘱字段
@@ -2994,7 +3043,11 @@ function handleSaveBatch(prescriptionId) {
           'encounterId', 'groupId', 'injectFlag', 'lotNumber', 'methodCode', 'partPercent',
           'patientId', 'positionId', 'positionName', 'prescriptionNo', 'quantity', 'rateCode',
           'requestId', 'skinTestFlag', 'sortNumber', 'statusEnum', 'totalPrice',
-          'unitCode', 'unitPrice', 'volume', 'ybClassEnum'
+          'unitCode', 'unitPrice', 'volume', 'ybClassEnum',
+          // 🔧 Bug Fix: 添加 definitionId 和 definitionDetailId 字段
+          'definitionId', 'definitionDetailId',
+          // 🔧 Bug Fix: 添加 categoryEnum 字段（耗材必填）
+          'categoryEnum'
         ];
         let filteredItem = {};
         standardItemFields.forEach(field => {
@@ -3193,6 +3246,14 @@ function syncGroupFields(row) {
 function setValue(row) {
   unitCodeList.value = [];
   unitCodeList.value.push({ value: row.unitCode, label: row.unitCode_dictText, type: 'unit' });
+  
+  // 🔧 Bug Fix: 耗材类型只有一个单位，不需要dose和minUnit选项
+  if (row.adviceType == 4) {
+    // 耗材只添加一个单位选项
+    row.minUnitCode = row.unitCode;
+    row.minUnitCode_dictText = row.unitCode_dictText;
+  } else {
+    // 药品类型添加dose和minUnit选项
     unitCodeList.value.push({
       value: row.doseUnitCode,
       label: row.doseUnitCode_dictText,
@@ -3204,6 +3265,7 @@ function setValue(row) {
       label: row.minUnitCode_dictText,
       type: 'minUnit',
     });
+  }
   if (row.adviceType == 2 && row.minUnitCode != row.unitCode) {
     unitCodeList.value.push({
       value: row.minUnitCode,
@@ -3237,8 +3299,15 @@ function setValue(row) {
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
   prescriptionList.value[rowIndex.value].doseUnitCode = row.doseUnitCode;
   prescriptionList.value[rowIndex.value].minUnitCode = row.minUnitCode;
+  // 🔧 Bug Fix: 耗材类型只有一个单位，minUnitCode应该等于unitCode
+  if (Number(row.adviceType) == 4) {
+    prescriptionList.value[rowIndex.value].minUnitCode = row.unitCode;
+    prescriptionList.value[rowIndex.value].minUnitCode_dictText = row.unitCode_dictText;
+    prescriptionList.value[rowIndex.value].unitCode = row.unitCode;
+  } else {
     prescriptionList.value[rowIndex.value].unitCode =
         row.partAttributeEnum == 1 ? row.minUnitCode : row.unitCode;
+  }
   prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode;
   prescriptionList.value[rowIndex.value].skinTestFlag = row.skinTestFlag;
   prescriptionList.value[rowIndex.value].definitionId = row.chargeItemDefinitionId;
@@ -3307,6 +3376,10 @@ function setValue(row) {
       // 🔧 Bug #218 修复：保留组套中的quantity，如果没有则默认1
       prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
       prescriptionList.value[rowIndex.value].totalPrice = validPrice * (row.quantity || 1);
+      // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
+      prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
+      // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
+      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
       prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
       // 🔧 Bug Fix: 使用 positionId，如果为空则使用患者信息中的 orgId
       console.log('设置耗材locationId:', {
@@ -3325,6 +3398,10 @@ function setValue(row) {
       prescriptionList.value[rowIndex.value].minUnitPrice = 0;
       prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
       prescriptionList.value[rowIndex.value].totalPrice = 0;
+      // 🔧 Bug Fix: 设置耗材的minUnitQuantity，避免保存时null错误
+      prescriptionList.value[rowIndex.value].minUnitQuantity = row.quantity || 1;
+      // 🔧 Bug Fix: 设置耗材的categoryEnum，避免数据库约束错误
+      prescriptionList.value[rowIndex.value].categoryEnum = row.categoryCode || 3; // 默认为3
       prescriptionList.value[rowIndex.value].positionName = row.positionName || '';
       const finalLocationId = row.positionId || props.patientInfo.orgId;
       prescriptionList.value[rowIndex.value].locationId = finalLocationId;
@@ -3967,6 +4044,16 @@ function convertDoseValues(row, index) {
 // 总量计算,仅适用只有两种单位的情况
 function calculateTotalAmount(row, index) {
   nextTick(() => {
+    // 🔧 Bug Fix: 处理耗材类型的总金额计算
+    if (row.adviceType == 4) {
+      row.totalPrice = (row.quantity * row.unitPrice).toFixed(6);
+      // 🔧 Bug Fix: 确保耗材的minUnitQuantity和minUnitCode正确设置
+      row.minUnitQuantity = row.quantity;
+      row.minUnitCode = row.unitCode;
+      row.minUnitCode_dictText = row.unitCode_dictText;
+      return;
+    }
+    
     if (row.adviceType == 2) {
       calculateTotalPrice(row, index);
       return;

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

@@ -505,7 +505,8 @@ import { useDict } from '@/utils/dict'
 const { surgery_type, surgery_level, incision_level, anesthesia_type } = useDict('surgery_type', 'surgery_level', 'incision_level', 'anesthesia_type')
 
 const { proxy } = getCurrentInstance()
-const userStore = useUserStore()
+const userStore = useUserStore() // 🔧 BugFix: 初始化 userStore，否则 applyDoctorName 和 applyDeptName 会是 undefined
+const emit = defineEmits(['saved'])
 const props = defineProps({
   patientInfo: {
     type: Object,
@@ -963,9 +964,13 @@ function doSearchAnesthesia(query) {
 
 // 手术项目选择变更
 function handleSurgeryChange(val) {
+  // 🔧 BugFix#318: 确保 surgeryName 被正确设置
+  form.value.surgeryName = val
   const selected = surgeryNameList.value.find(item => item.name === val)
   if (selected) {
     form.value.surgeryCode = selected.busNo
+    // 🔧 BugFix#318: 确保 surgeryName 从选中项获取（避免空值）
+    form.value.surgeryName = selected.name
     // 设置手术费用 (增加对多种字段名和类型的兼容)
     const price = selected.retailPrice ?? selected.retail_price ?? selected.price ?? selected.salePrice ?? 0
     form.value.surgeryFee = parseFloat(price)
@@ -1051,6 +1056,27 @@ function submitForm() {
       console.log('【提交表单】手术指征字段值:', form.value.surgeryIndication)
       console.log('【提交表单】手术指征字段类型:', typeof form.value.surgeryIndication)
       
+      // 🔧 BugFix#318: 验证 surgeryName 和 surgeryCode
+      if (!form.value.surgeryName) {
+        console.error('【提交表单】错误: surgeryName 为空!')
+        proxy.$modal.msgError('手术名称不能为空，请重新选择手术项目')
+        return
+      }
+      if (!form.value.surgeryCode) {
+        console.error('【提交表单】错误: surgeryCode 为空!')
+        // 尝试从 surgeryNameList 获取
+        const selected = surgeryNameList.value.find(item => item.name === form.value.surgeryName)
+        if (selected) {
+          form.value.surgeryCode = selected.busNo
+          console.log('【提交表单】自动填充 surgeryCode:', form.value.surgeryCode)
+        } else {
+          proxy.$modal.msgError('手术编码不能为空，请重新选择手术项目')
+          return
+        }
+      }
+      
+      console.log('【提交表单】最终数据 - surgeryName:', form.value.surgeryName, 'surgeryCode:', form.value.surgeryCode)
+
       if (form.value.id == undefined) {
         // 新增手术
         addSurgery(form.value).then((res) => {
@@ -1060,6 +1086,7 @@ function submitForm() {
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
             getList()
+            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1076,6 +1103,7 @@ function submitForm() {
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
             getList()
+            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }

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

@@ -150,7 +150,8 @@
               @saved="() => prescriptionRef?.getListInfo()" />
           </el-tab-pane>
           <el-tab-pane label="手术申请" name="surgery">
-            <surgeryApplication :patientInfo="patientInfo" :activeTab="activeTab" ref="surgeryRef" />
+            <surgeryApplication :patientInfo="patientInfo" :activeTab="activeTab" ref="surgeryRef" 
+              @saved="() => prescriptionRef?.getListInfo()" />
           </el-tab-pane>
           <el-tab-pane label="电子处方" name="eprescription">
             <eprescriptionlist :patientInfo="patientInfo" ref="eprescriptionRef" />
@@ -168,7 +169,7 @@
         <div class="overlay" :class="{ 'overlay-disabled': disabled }" v-if="disabled"></div>
       </div>
     </div>
-    <el-drawer v-model="drawer" title="患者队列" direction="ltr" @open="handleOpen">
+    <el-drawer v-model="drawer" title="患者队列" direction="ltr" @open="handleOpen" @closed="handleDrawerClosed">
       <PatientList ref="patientDrawerRef" @toCurrent="handleReceive" />
     </el-drawer>
     <RefundListDialog :open="openRefundListDialog" :encounterId="currentEncounterId"
@@ -562,6 +563,13 @@ function handleOpen() {
   patientDrawerRef.value.refreshList();
 }
 
+function handleDrawerClosed() {
+  // 关闭患者队列抽屉时，刷新现诊患者列表和待诊患者数量
+  // 这样可以确保如果有其他医生接诊了患者，当前医生能看到最新状态
+  getPatientList();
+  getWaitPatient();
+}
+
 function handleCardClick(item, index) {
   console.log('handleCardClick 被调用');
   console.log('点击的患者项目:', item);
@@ -709,6 +717,12 @@ async function handleFinish(encounterId) {
       firstEnum.value = 1; // 重置为初诊
       getPatientList();
     }
+  }).catch(error => {
+    // 如果完诊失败，检查是否是"已完成"的错误
+    if (error && error.message && (error.message.includes('已完成') || error.message.includes('完诊'))) {
+      // 自动刷新现诊患者列表
+      getPatientList();
+    }
   });
 }
 
@@ -726,9 +740,6 @@ function handleTimeChange(value) {
 
 // 处理办理住院点击事件
 function handleHospitalizationClick() {
-  console.log('handleHospitalizationClick 被调用');
-  console.log('当前patientInfo:', patientInfo.value);
-  console.log('当前patientInfo.encounterId:', patientInfo.value?.encounterId);
 
   if (!patientInfo.value || !patientInfo.value.encounterId) {
     console.log('患者信息不完整，无法办理住院');

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

@@ -293,7 +293,7 @@ function getList() {
       emits('diagnosisSave', false);
     }
   });
-  getTcmDiagnosis({ encounterId: patientInfo.value.encounterId }).then((res) => {
+  getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
     console.log('getTcmDiagnosis=======>', JSON.stringify(res.data.illness));
 
     if (res.code == 200) {
@@ -337,7 +337,6 @@ function init() {
 
 function handleImport() {
   if (!props.patientInfo || !props.patientInfo.encounterId) {
-    console.warn('患者就诊信息不完整，无法导入慢性病信息');
     return;
   }
   
@@ -356,7 +355,9 @@ function handleImport() {
           iptDiseTypeCode: 2,
           diagnosisDesc: '',
           diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-              diagnosisTime: new Date().toLocaleString('zh-CN')
+          diagnosisTime: new Date().toLocaleString('zh-CN'),
+          //添加 patientId
+          patientId: props.patientInfo.patientId
         },
           });
         });
@@ -469,7 +470,6 @@ function handleAddDiagnosis() {
  * 添加诊断项
  */
 function addDiagnosisItem() {
-  console.log('执行添加诊断，当前列表长度:', form.value.diagnosisList.length);
   form.value.diagnosisList.push({
     showPopover: false,
     name: undefined,
@@ -479,12 +479,15 @@ function addDiagnosisItem() {
     iptDiseTypeCode: 2,
     diagnosisDesc: '',
     diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-    diagnosisTime: new Date().toLocaleString('zh-CN')
+    diagnosisTime: new Date().toLocaleString('zh-CN'),
+
+    // 新增这一行：为每个诊断项添加 patientId
+    patientId: props.patientInfo.patientId
   });
+
   if (form.value.diagnosisList.length == 1) {
     form.value.diagnosisList[0].maindiseFlag = 1;
   }
-  console.log('添加完成，新列表长度:', form.value.diagnosisList.length);
 }
 
 // 添加中医诊断
@@ -565,8 +568,6 @@ function handleMaindise(value, index) {
  * 保存诊断
  */
 function handleSaveDiagnosis() {
-  console.log('form.value.diagnosisList=======>', JSON.stringify(form.value.diagnosisList));
-
   for (let index = 0; index < (form.value.diagnosisList || []).length; index++) {
     const item = form.value.diagnosisList[index];
     if (!item.diagSrtNo) {
@@ -690,11 +691,13 @@ function handleNodeClick(data) {
     ybNo: data.ybNo,
     name: data.name,
     verificationStatusEnum: 4,
-    medTypeCode: undefined,  // 不设默认值
+    medTypeCode: undefined,
     diagSrtNo: form.value.diagnosisList.length + 1,
     definitionId: data.definitionId,
     diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-    diagnosisTime: new Date().toLocaleString('zh-CN')
+    diagnosisTime: new Date().toLocaleString('zh-CN'),
+    // 添加 patientId
+    patientId: props.patientInfo.patientId
   });
   if (form.value.diagnosisList.length == 1) {
     form.value.diagnosisList[0].maindiseFlag = 1;

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

@@ -141,7 +141,10 @@ const submitApplicationForm = () => {
 const submitOk = () => {
   applicationFormDialogVisible.value = false;
   applicationFormName.value = null;
+  // 🔧 BugFix#318: 延迟刷新，确保后端数据已提交
+  setTimeout(() => {
     emits('refResh');
+  }, 500);
 };
 defineExpose({ state });
 </script>

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

@@ -215,6 +215,7 @@ const submit = () => {
   applicationListAllFilter = applicationListAllFilter.map((item) => {
     return {
       adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
+      adviceDefinitionName: item.adviceDefinitionName /** 诊疗定义名称（手术项目名称） */,
       quantity: 1, // /** 请求数量 */
       unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
       unitPrice: item.priceList[0].price /** 单价 */,

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

@@ -151,6 +151,8 @@ const handleItemClick = (node) => {
     // 同时更新本地和全局状态，确保模块内组件和跨模块组件都能正确响应
     updatePatientInfo(node);
     updateLocalPatientInfo(node);
+    // 关键修复：同步更新 currentPatientInfo，确保诊断组件能获取到 patientId 和 encounterId
+    currentPatientInfo.value = node;
 
     diagnosisRef.value?.getList();
     diagnosisRef.value?.getDetail(node?.encounterId);

openhis-ui-vue3/src/views/maintainSystem/Inspection/PackageManagement.vue

@@ -431,9 +431,9 @@ async function loadData() {
           level: item.packageLevel || '',
           dept: item.department || '',
           user: item.userId || '',
-          amount: parseFloat(item.packageAmount || 0),
+          amount: parseFloat((parseFloat(item.packageAmount || 0) - parseFloat(item.serviceFee || 0)).toFixed(2)),
           fee: parseFloat(item.serviceFee || 0),
-          total: parseFloat(item.packageAmount || 0) + parseFloat(item.serviceFee || 0),
+          total: parseFloat(item.packageAmount || 0),
           combined: item.enablePackagePrice === true ? '是' : '否',
           display: item.showPackageName === true ? '是' : '否',
           enabled: item.isDisabled === true ? '否' : '是',

openhis-ui-vue3/src/views/maintainSystem/Inspection/index.vue

@@ -816,11 +816,14 @@ import {
 } from '@/api/system/inspectionType';
 import {
   getDiagnosisTreatmentList,
-  addDiagnosisTreatment,
-  editDiagnosisTreatment,
-  stopDiseaseTreatment,
   getDiseaseTreatmentInit
 } from '@/views/catalog/diagnosistreatment/components/diagnosistreatment';
+import {
+  getLabActivityDefinitionPage,
+  addLabActivityDefinition,
+  editLabActivityDefinition,
+  stopLabActivityDefinition
+} from '@/api/lab/labActivityDefinition';
 import {listLisGroup} from '@/api/system/checkType';
 import {
   addInspectionPackage,
@@ -1374,7 +1377,7 @@ const loadObservationItems = async (resetPage = false) => {
       }
     }
 
-    const response = await getDiagnosisTreatmentList(params);
+    const response = await getLabActivityDefinitionPage(params);
 
     if (response.code === 200) {
       let data = [];
@@ -1643,25 +1646,37 @@ const cancelEditItem = (index) => {
 };
 
 // 计算套餐金额和服务费
+// 规则：
+//   单价   = 原始单价 × (折扣% / 100)
+//   金额   = 折后单价 × 数量
+//   总金额 = 金额 + 服务费
+//   套餐金额 = 各行总金额之和
 const calculateAmounts = () => {
-  // 更新每个项目的金额（金额 = 数量 × 单价，不受折扣影响）和总金额
+  const discountRate = parseFloat(discount.value);
+  const hasDiscount = !isNaN(discountRate) && discountRate > 0;
+
   packageItems.value.forEach(item => {
-    item.amount = parseFloat(((item.quantity || 1) * (item.unitPrice || 0.00)).toFixed(2));
-    // serviceFee 由用户手动输入，不覆盖；只更新 totalAmount
-    item.totalAmount = parseFloat(((item.amount) + (item.serviceFee || 0)).toFixed(2));
+    // 单价 = 原始单价 × 折扣比例
+    const originalPrice = item.originalPrice != null ? item.originalPrice : item.unitPrice;
+    item.originalPrice = originalPrice; // 确保 originalPrice 始终保留
+    if (hasDiscount) {
+      item.unitPrice = parseFloat((originalPrice * discountRate / 100).toFixed(2));
+    } else {
+      item.unitPrice = parseFloat(originalPrice.toFixed(2));
+    }
+    // 金额 = 折后单价 × 数量
+    item.amount = parseFloat(((item.quantity || 1) * item.unitPrice).toFixed(2));
+    // 总金额 = 金额 + 服务费
+    item.totalAmount = parseFloat((item.amount + (item.serviceFee || 0)).toFixed(2));
   });
 
   // 汇总各明细行服务费到基本信息服务费（只读展示）
   serviceFee.value = parseFloat(packageItems.value.reduce((sum, item) => sum + (item.serviceFee || 0), 0).toFixed(2));
 
-  // 套餐总金额 = (各行金额之和 + 各行服务费之和) × 折扣比例
-  const rawTotal = packageItems.value.reduce((sum, item) => sum + (item.amount || 0) + (item.serviceFee || 0), 0);
-  let finalTotal = rawTotal;
-  if (discount.value && !isNaN(parseFloat(discount.value)) && parseFloat(discount.value) > 0) {
-    const discountRate = parseFloat(discount.value) / 100;  // 80 → 0.8，表示八折保留80%
-    finalTotal = rawTotal * discountRate;
-  }
-  packageAmount.value = parseFloat(finalTotal.toFixed(2));
+  // 套餐金额 = 各行总金额之和
+  packageAmount.value = parseFloat(
+    packageItems.value.reduce((sum, item) => sum + (item.totalAmount || 0), 0).toFixed(2)
+  );
 };
 
 const itemNameRefs = ref([]);
@@ -2030,16 +2045,18 @@ const saveItem = async (item) => {
 
     // 判断是新增还是更新
     if (typeof item.id === 'number') { // 临时ID（数字类型），新增
-      const response = await addDiagnosisTreatment(submitData);
+      const response = await addLabActivityDefinition(submitData);
       if (response.code === 200) {
         ElMessage.success('添加成功');
+        // 新增成功后跳到第1页，后端按id降序排列，最新数据在第1页首位
+        inspectionCurrentPage.value = 1;
         await loadObservationItems();
       } else {
         ElMessage.error(response.msg || '添加失败');
       }
     } else { // 真实ID（字符串类型），更新
       submitData.id = item.id;
-      const response = await editDiagnosisTreatment(submitData);
+      const response = await editLabActivityDefinition(submitData);
       if (response.code === 200) {
         ElMessage.success('更新成功');
         await loadObservationItems();
@@ -2062,7 +2079,7 @@ const deleteItem = async (id) => {
     type: 'warning'
   }).then(async () => {
     try {
-      const response = await stopDiseaseTreatment([id]);
+      const response = await stopLabActivityDefinition([id]);
       if (response.code === 200) {
         ElMessage.success('删除成功');
         await loadObservationItems();
@@ -2208,10 +2225,11 @@ const handleSave = () => {
     days: item.days,
     quantity: item.quantity,
     unit: item.unit,
-    unitPrice: item.unitPrice,
+    originalPrice: item.originalPrice != null ? item.originalPrice : item.unitPrice, // 原始单价
+    unitPrice: item.unitPrice,   // 折后单价
     amount: item.amount,
     serviceFee: item.serviceFee || 0,
-    totalAmount: parseFloat(((item.amount || 0) + (item.serviceFee || 0)).toFixed(2)),
+    totalAmount: item.totalAmount, // 金额 + 服务费
     origin: item.origin,
     createTime: new Date().toISOString(),
     updateTime: new Date().toISOString()
@@ -2314,7 +2332,16 @@ const handleProjectInlineSearch = async (query, cb, row) => {
 const handleProjectInlineSelect = (selectedItem, row) => {
   row.name = selectedItem.name;
   row.spec = selectedItem.spec || '';
-  row.unitPrice = parseFloat(selectedItem.retailPrice || 0);
+  // 保存原始单价，供折扣计算使用
+  const originalPrice = parseFloat(selectedItem.retailPrice || 0);
+  row.originalPrice = originalPrice;
+  // 单价 = 原始单价 × 折扣比例
+  const discountRate = parseFloat(discount.value);
+  if (!isNaN(discountRate) && discountRate > 0) {
+    row.unitPrice = parseFloat((originalPrice * discountRate / 100).toFixed(2));
+  } else {
+    row.unitPrice = originalPrice;
+  }
   row.unit = selectedItem.permittedUnitCode_dictText || selectedItem.unit || '次';
   if (!row.quantity) row.quantity = 1;
   row.amount = parseFloat((row.unitPrice * row.quantity).toFixed(2));
@@ -2557,7 +2584,23 @@ const loadInspectionPackage = async (packageId) => {
     remarks.value = basicData.remarks || '';
 
     // 填充明细数据（必须映射 id，否则取消编辑时会被误判为新增行删除）
-    packageItems.value = detailData.map(item => ({
+    const loadedDiscount = parseFloat(basicData.discount);
+    packageItems.value = detailData.map(item => {
+      const savedOriginalPrice = parseFloat(item.originalPrice || 0);
+      const savedUnitPrice = parseFloat(item.unitPrice || 0);
+      // 恢复原始单价：
+      //   1. 后端有 originalPrice 时直接用
+      //   2. 旧数据无 originalPrice 时，通过折扣反推：originalPrice = unitPrice / (discount/100)
+      let originalPrice;
+      if (savedOriginalPrice > 0) {
+        originalPrice = savedOriginalPrice;
+      } else if (!isNaN(loadedDiscount) && loadedDiscount > 0 && loadedDiscount !== 100) {
+        originalPrice = parseFloat((savedUnitPrice / (loadedDiscount / 100)).toFixed(2));
+      } else {
+        // 折扣为空或100（原价），originalPrice = unitPrice
+        originalPrice = savedUnitPrice;
+      }
+      return {
         id: item.detailId || item.id,
         name: item.itemName || item.name,
         dosage: item.dosage || '',
@@ -2566,12 +2609,14 @@ const loadInspectionPackage = async (packageId) => {
         days: item.days || '',
         quantity: item.quantity || 1,
         unit: item.unit || '',
-      unitPrice: parseFloat(item.unitPrice || 0),
+        originalPrice,
+        unitPrice: savedUnitPrice,
         amount: parseFloat(item.amount || 0),
         serviceFee: parseFloat(item.serviceFee || 0),
         totalAmount: parseFloat(item.totalAmount || 0),
         origin: item.origin || ''
-    }));
+      };
+    });
 
     // 恢复监听
     isLoadingPackage.value = false;

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

@@ -89,7 +89,7 @@
       </el-table-column>
       <el-table-column label="卫生机构" align="center" prop="orgName" width="120" show-overflow-tooltip />
       <el-table-column label="姓名" align="center" prop="patientName" width="100" />
-      <el-table-column label="就诊卡号" align="center" prop="visitId" width="120" />
+      <el-table-column label="就诊卡号" align="center" prop="identifierNo" width="120" />
       <el-table-column label="手术名称" align="center" prop="operName" min-width="140" show-overflow-tooltip />
       <el-table-column label="申请科室" align="center" prop="applyDeptName" width="100" show-overflow-tooltip>
         <template #default="scope">
@@ -161,9 +161,9 @@
             </el-form-item>
           </el-col>
           <el-col :span="8">
-            <el-form-item label="就诊卡号" prop="visitId">
-              <el-tooltip :content="form.visitId" placement="top" :disabled="!form.visitId">
-                <el-input v-model="form.visitId" :disabled="true" style="width: 100%" />
+            <el-form-item label="就诊卡号" prop="identifierNo">
+              <el-tooltip :content="form.identifierNo" placement="top" :disabled="!form.identifierNo">
+                <el-input v-model="form.identifierNo" :disabled="true" style="width: 100%" />
               </el-tooltip>
             </el-form-item>
           </el-col>
@@ -900,6 +900,7 @@ const form = reactive({
   applyId: undefined,
   patientId: undefined,
   visitId: undefined,
+  identifierNo: undefined,
   operCode: undefined,
   operName: undefined,
   preoperativeDiagnosis: undefined,
@@ -1783,6 +1784,7 @@ function confirmApply() {
   form.applyId=selectedRow.applyId// 手术申请id
   form.patientId = selectedRow.patientId// 患者id
   form.visitId = selectedRow.encounterId // id对应填入就诊id
+  form.identifierNo = selectedRow.identifierNo || '' // 就诊卡号
   form.operCode = selectedRow.surgeryNo // 手术单号作为手术编码
   form.operName = selectedRow.descJson?.surgeryName//手术名称
   form.preoperativeDiagnosis = selectedRow.preoperativeDiagnosis || selectedRow.descJson?.preoperativeDiagnosis

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

@@ -8,7 +8,7 @@
       <div class="patient-info-content">
         <el-descriptions :column="3" border>
           <el-descriptions-item label="患者：">{{ patientInfo.patientName || '-' }}</el-descriptions-item>
-          <el-descriptions-item label="就诊卡号：">{{ patientInfo.visitId || '-' }}</el-descriptions-item>
+          <el-descriptions-item label="就诊卡号：">{{ patientInfo.identifierNo || '-' }}</el-descriptions-item>
           <el-descriptions-item label="手术单号：">{{ patientInfo.operCode || '-' }}</el-descriptions-item>
           <el-descriptions-item label="科室：">{{ patientInfo.roomCode || '-' }}</el-descriptions-item>
           <el-descriptions-item label="医师：">{{ patientInfo.doctorName || '-' }}</el-descriptions-item>