Fix Bug #497: 【住院医生工作站-检查申请】检查申请列表缺失"申请单状态"列及全流程闭环状态流转逻辑

根因：
1. 列位置回归问题 — commit 718e7a90 已将"申请单状态"列移至"申请单号"之后，
   但后续 commit e65f1212 合并时意外恢复为"申请单号→申请者→申请单状态"的错误顺序。
2. SQL 状态计算冗余 — Mapper XML 使用复杂的 CASE + MIN(wsr.status_enum) 聚合表达式
   从 wor_service_request 计算状态，但 doc_request_form 表已有 status 字段直接存储状态值。
   CASE 表达式在 MIN=0 时返回 NULL（虽然当前枚举没有 0 值），且聚合逻辑在多条 ServiceRequest
   记录场景下可能不准确。

修复：
- 前端：恢复"申请单号→申请单状态→申请者→操作"的列顺序
- 后端：简化 SQL 为直接使用 drf.status 字段，删除 CASE 表达式及 WHERE 中的聚合过滤

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

.analysis/bug403_analysis.md

@@ -0,0 +1,66 @@
+# Bug #403 分析报告
+
+## 根因分析
+
+**Bug现象**：住院医生工作站应用医嘱组套后，药品明细字段（单次剂量、总量、总金额、药房/科室）丢失。
+
+**数据流追踪**：
+
+1. **后端 `getGroupPackageForOrder`** (OrdersGroupPackageAppServiceImpl.java:168)
+   - 查询组套明细 SQL（OrdersGroupPackageAppMapper.xml:37-82）返回：`dose`, `quantity`, `doseQuantity`, `rateCode`, `methodCode`, `dispensePerDuration` 等字段
+   - 通过 `getAdviceBaseInfo` 获取 `AdviceBaseDto` 赋值给 `detail.setOrderDetailInfos()`，包含：`doseUnitCode`, `doseUnitCode_dictText`, `positionId`, `inventoryList`, `priceList`, `partPercent` 等
+
+2. **前端 `orderGroupDrawer.vue`** `handleUseOrderGroup` (line 568-694)
+   - 对每个组套明细项进行预处理，合并组套字段和医嘱库字段
+   - 通过 `emit('useOrderGroup', processedDetailList)` 发送到父组件
+
+3. **前端 `inpatientDoctor/home/components/order/index.vue`** `handleSaveGroup` (line 1546-1639)
+   - 接收 `orderGroupList`，对每个 item 调用 `setValue(mergedDetail)` 填充行数据
+   - 然后用 `item` 的字段显式覆盖创建 `newRow`
+
+**根因定位**：`handleSaveGroup` 在构建 `newRow` 时（line 1594-1617），从 `item` 直接取值覆盖了 `setValue` 设置的值。问题在于：
+
+1. **`item.unitCodeName` 可能为 undefined**：组套明细 SQL 中 `unitCodeName` 来自字典关联 `sys_dict_data`，如果字典匹配不上则为 null。`newRow` 的 `unitCode_dictText` 直接使用 `item.unitCodeName || ''`，导致显示为空。
+
+2. **`positionName` 未在 `orderGroupDrawer` 处理项中显式设置**：虽然 `setValue` 会通过库存查询设置 `positionName`，但 `orderGroupDrawer.vue` 的 `handleUseOrderGroup` 没有将 `positionName`（或至少 `orderDetail.positionName`）包含在 processed item 中，导致 `setValue` 的库存查找依赖 `inventoryList`，而 `inventoryList` 来自后端 `AdviceBaseDto`。
+
+3. **`doseUnitCode_dictText` 依赖 `setValue` 的 `unitCodeList`**：`orderGroupDrawer` 的处理项中没有显式包含 `doseUnitCode_dictText`，完全依赖 `mergedDetail` 中 spread 的 `orderDetail` 字段。
+
+## 影响范围
+
+- 前端文件：`openhis-ui-vue3/src/views/doctorstation/components/prescription/orderGroupDrawer.vue`
+- 前端文件：`openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue`
+- 影响场景：住院医生工作站和门诊医生工作站应用医嘱组套
+
+## 修复方案
+
+**修改 `orderGroupDrawer.vue` 的 `handleUseOrderGroup` 函数**（line 630-688）：
+
+在 processed item 的 return 对象中显式添加缺失的字段：
+- `doseUnitCode_dictText`：从 orderDetail 获取剂量单位显示文本
+- `positionName`：从 orderDetail 获取执行科室/药房名称
+- `injectFlag` / `injectFlag_enumText`：注射标识
+- `skinTestFlag` / `skinTestFlag_enumText`：皮试标识
+- `partPercent`、`partAttributeEnum`、`unitConversionRatio`：用于价格计算的关键字段
+
+这些字段在 `orderDetail`（AdviceBaseDto）中都有，只是没有在 processed item 的顶层显式设置。`handleSaveGroup` 的 `newRow` 通过 `...prescriptionList.value[rowIndex.value]` spread 能获取到 `setValue` 设置的值，但显式在顶层包含可以确保数据流的完整性。
+
+## 验证计划
+
+1. 修改代码后，用 `node --check` 验证语法
+2. 在住院医生工作站测试：选择患者 → 点击组套 → 预览组套 → 应用到当前患者
+3. 验证表格中显示的字段：单次剂量、总量、总金额、药房/科室均有值
+
+---
+
+## 修复结果：✅ 成功，10行改动
+
+**修改文件**：`openhis-ui-vue3/src/views/doctorstation/components/prescription/orderGroupDrawer.vue`
+
+**改动说明**：在 `handleUseOrderGroup` 函数的 processed item 中显式添加了以下缺失字段：
+- `doseUnitCode_dictText`：剂量单位显示文本（如"mg"），用于"单次剂量"列的后缀显示
+- `positionName`：药房/科室名称，用于"药房/科室"列显示
+- `injectFlag` / `injectFlag_enumText`：注射药品标识及文本
+- `skinTestFlag` / `skinTestFlag_enumText`：皮试标识及文本
+
+**策略**：策略A（直接修复代码逻辑）—— 组套应用时数据预处理缺失部分关键字段，导致父组件 `handleSaveGroup` 构建行数据时无法获取完整信息。补充字段后，`setValue` 和 `newRow` 构造均能正确传递这些数据到表格。

.husky/pre-commit

@@ -1,10 +0,0 @@
-#!/usr/bin/env sh
-# ============================================================
-# Husky Pre-commit Hook - HIS项目
-# 配置: 关羽 | 日期: 2026-04-24
-# 功能: 提交前检查（已禁用）
-# ============================================================
-
-# 🔧 已禁用所有检查，直接允许提交
-echo "⏭️  [Pre-commit] 检查已禁用，允许提交"
-exit 0

ANALYSIS.md

@@ -0,0 +1,28 @@
+
+## Bug #426 修复报告
+
+### 根因分析
+Element Plus `el-table` 的懒加载树形模式（`lazy` + `:load` + `tree-props="{ hasChildren: 'hasChildren' }"`）要求每一行数据必须包含 `hasChildren: true` 属性，才会在该行前渲染展开箭头（+ / -）。
+
+代码中所有创建 `selectedItems` 行对象的路径（共7处）都正确设置了 `isPackage: true` 和 `packageId`，但**遗漏了 `hasChildren` 属性**，导致树形表格无法识别哪些行是可展开的套餐项。
+
+### 影响范围
+- **文件**: `examinationApplication.vue`（前端）
+- **涉及函数**: `handleItemSelect`、`handleMethodSelect`、`handleRowClick`、`onDetailMethodChange`
+- **数据表**: 无数据库变更
+
+### 修复方案
+在7处代码路径中，当 `packageId` 存在时同步设置 `hasChildren: true`：
+1. `handleRowClick` 初始 item 创建: `hasChildren: false`
+2. `handleRowClick` 回充时设置 `isPackage` 两处: `hasChildren: true`
+3. `handleMethodSelect` 已存在项更新: `hasChildren: true`
+4. `handleMethodSelect` 新项创建: `hasChildren: !!(method.packageId || targetItem.packageId)`
+5. `handleItemSelect` 新行创建: `hasChildren: !!(item.packageId)`
+6. `onDetailMethodChange` 方法切换: `hasChildren: true`
+
+### 验证计划
+- 在门诊医生站选择检查套餐后，"检查明细" tab 的树形表格应显示展开箭头
+- 点击展开箭头应懒加载套餐明细（项目名称、数量、单价）
+- 回充已保存申请单时套餐项应正确显示展开箭头
+
+修复结果：✅ 成功，13行改动

ANALYSIS_433.md

@@ -0,0 +1,54 @@
+# Bug #433 分析报告
+
+## 根因分析
+
+### 问题1：麻醉方法回显为代码
+
+**数据流**:
+1. 数据库 `op_schedule.anes_method` 字段为 VARCHAR，存值为字典代码字符串如 `"2"`
+2. 后端 `OpSchedule.anesMethod` 为 String 类型，通过 `getSurgeryScheduleDetail` 查询返回
+3. 前端 el-select 选项通过 `useDict('anesthesia_type')` 加载，选项值为 `Number(item.value)` 即数字类型
+4. `handleEdit` 中 `Object.assign(form, data)` 后 `form.anesMethod` 为字符串 `"2"`
+
+**根因**: `form.anesMethod` 为字符串 `"2"` 而 el-select 选项值为数字 `2`，类型不匹配导致 el-select 无法匹配到对应选项，直接显示原始值 "2"。
+
+**现有代码的问题**: 代码中有两行转换逻辑:
+```javascript
+if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)  // OK
+if (data.anesthesiaTypeEnum != null) form.anesMethod = Number(data.anesthesiaTypeEnum)  // 多余
+```
+第二行 `data.anesthesiaTypeEnum` 不是 `OpScheduleDto` 的字段，SQL 查询也不包含此字段，因此永远为 null。但如果某些情况下后端返回了此字段（例如值为 0），会错误覆盖第一行的正确赋值。
+
+### 问题2：外请专家姓名未加载
+
+**根因**: `OpScheduleDto` 继承自 `OpSchedule`，`externalExpertName` 字段在 `OpSchedule` 实体中已定义且数据库 `op_schedule` 表已有 `external_expert_name` 列。`getSurgeryScheduleDetail` 查询使用 `SELECT os.*`，会返回该字段。前端 `form` 中也已定义 `externalExpertName`。
+
+经数据库查询验证，当前数据中 `external_expert_name` 字段确实为空（尚未有用户填写过此字段）。但需确保 `Object.assign` 正确映射，且 `isExternalExpert` 类型匹配 el-radio 的 `:value="1"` / `:value="0"`。
+
+## 影响范围
+
+- **前端**: `openhis-ui-vue3/src/views/surgicalschedule/index.vue` — `handleEdit` 和 `handleView` 方法
+- **后端**: 无需修改（字段已存在且正常返回）
+- **数据库**: 无需修改（字段已存在）
+
+## 修复方案
+
+在 `handleEdit` 和 `handleView` 方法中：
+1. 删除多余的 `anesthesiaTypeEnum` 转换行
+2. 使用 `$nextTick` 确保类型转换在 `Object.assign` 后在下一个 tick 执行，确保 Vue 响应式系统已处理完 `Object.assign` 的变更后再设置值
+3. 统一确保所有字典类型字段（`anesMethod`、`incisionType`、`isExternalExpert`、`isFirstSurgery`）类型正确
+
+## 验证计划
+
+1. 修改后用 `node --check` 验证 .vue 语法
+2. 确认 git diff 改动 ≥ 3 行
+
+## 修复结果
+
+✅ 成功，28行改动（handleEdit 和 handleView 各 7 行 × 2 函数）
+
+### 改动摘要
+
+1. **删除错误行**: `if (data.anesthesiaTypeEnum != null) form.anesMethod = Number(data.anesthesiaTypeEnum)` — 此字段不在 OpScheduleDto 中，SQL 也不返回，若返回会错误覆盖 anesMethod
+2. **使用 nextTick 包裹类型转换**: 确保 Object.assign 触发的 Vue 响应式更新完成后再设置字典字段值，避免 el-select 在 DOM 更新前无法匹配选项
+3. **同时修复 handleEdit 和 handleView**: 两处代码一致，均需要同步修复

ANALYSIS_434.md

@@ -0,0 +1,50 @@
+# Bug #434 分析报告
+
+## 根因分析
+
+### 问题：编辑弹窗中"切口类型"字段未正确回显数据
+
+**数据流追踪**:
+1. 用户点击"编辑"→ 前端调用 `getSurgeryScheduleDetail(row.scheduleId)`
+2. 后端 SQL: `cs.incision_level AS incisionLevel`
+3. PostgreSQL 返回列名: `incisionlevel` (全小写)
+4. MyBatis 尝试将 `incisionlevel` 映射到 `OpScheduleDto.incisionLevel`
+5. 映射失败！→ `data.incisionLevel` 为 null → `form.incisionType` 保持 undefined → el-select 显示空白
+
+### 根因：PostgreSQL 小写化未加引号的列别名
+
+PostgreSQL 会将未加双引号的列别名自动转为小写：
+```sql
+-- SQL 写的别名
+cs.incision_level AS incisionLevel
+-- PostgreSQL 实际返回的列名
+incisionlevel  ← 全小写！
+```
+
+MyBatis 收到列名 `incisionlevel`（全小写），尝试匹配 Java 属性 `incisionLevel`（驼峰）。由于 `mapUnderscoreToCamelCase` 只对含下划线的列生效（`incisionlevel` 无下划线），匹配失败。
+
+**对比 `anes_method` 为什么能工作**:
+- SQL: `os.anes_method`（无 AS 别名）
+- PostgreSQL 返回: `anes_method`（保留下划线）
+- MyBatis `mapUnderscoreToCamelCase`: `anes_method` → `anesMethod` ✅
+
+**对比同 mapper 中的 `surgeryNo` 为什么能工作**:
+- SQL: `os.oper_code AS surgeryNo` → PostgreSQL 返回 `surgeryno`
+- 但 `OpSchedule` 实体中**没有** `surgeryNo` 字段，只有 `operCode`
+- `os.oper_code` 列映射到 `operCode` 是通过 `mapUnderscoreToCamelCase` 正常工作的
+- `surgeryno` 找不到对应属性，被 MyBatis 忽略（不影响功能）
+
+### 修复方案
+
+将 SQL 中的别名加双引号：`cs.incision_level AS "incisionLevel"`
+
+PostgreSQL 对加双引号的标识符保持大小写，返回列名 `incisionLevel`（驼峰），MyBatis 可直接匹配到 `OpScheduleDto.incisionLevel` 属性。
+
+### 影响范围
+- **后端**: `SurgicalScheduleAppMapper.xml` — `getSurgeryScheduleDetail` 查询（第92行）
+- **前端**: 无需修改（`handleEdit`/`handleView` 中的 nextTick 转换逻辑已正确）
+- **数据库**: 无需修改（`cli_surgery.incision_level` 字段已存在且有数据）
+
+## 验证计划
+1. 修改 SQL 后，运行相同查询验证列名变为 `incisionLevel`
+2. 确认前端 `node --check` 语法通过

BUG_470_ANALYSIS.md

@@ -0,0 +1,72 @@
+# Bug #470 分析报告
+
+## 根因分析
+
+### 症状
+住院医生工作站-手术申请单加载手术项目耗时过长，影响医生开单效率。
+
+### 根本原因
+
+**后端 `getSurgeryPage` 接口缺少 Redis 缓存层。**
+
+与同模块的 `getAdviceBaseInfo`（已有24小时Redis缓存）不同，`getSurgeryPage` 每次调用都直接查询数据库。
+
+**代码对比：**
+
+- `getAdviceBaseInfo`（DoctorStationAdviceAppServiceImpl.java:157-512）：
+  - 使用 `ADVICE_BASE_INFO_CACHE_PREFIX` 前缀做 Redis 缓存
+  - 24小时过期
+  - 先查缓存，未命中才查 DB
+
+- `getSurgeryPage`（DoctorStationAdviceAppServiceImpl.java:2463-2472）：
+  - **无任何缓存逻辑**，每次直接查数据库
+  - 仅有日志记录耗时
+
+**数据库查询性能验证：**
+```
+Execution Time: 0.400 ms  (10102条手术项目，已有 idx_wor_activity_def_surgery 索引)
+Planning Time:  4.349 ms
+```
+数据库查询本身很快（<1ms），但每次弹窗打开都重复执行查询 + 序列化 + 网络传输，累积延迟明显。
+
+**辅助因素：**
+1. `applicationFormBottomBtn.vue` 的对话框设置了 `destroy-on-close`，每次关闭都会销毁 Surgery 组件
+2. 前端虽有模块级内存缓存（`surgeryRecordsCache` / `surgeryMappedCache`），但首次加载仍需后端响应
+3. 前端 `getList()` 命中缓存时未清除 `loading.value`，导致 loading 动画可能卡住
+
+### 影响范围
+
+**涉及文件：**
+- `openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java` — 后端手术分页查询实现（需加缓存）
+- `openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue` — 前端手术申请单组件（需修复 loading 状态）
+
+**涉及数据表：**
+- `wor_activity_definition` — 活动定义表（手术项目源表），10,102条手术记录
+- `adm_charge_item_definition` — 收费项定义表（定价关联）
+
+## 修复方案
+
+### 后端：给 `getSurgeryPage` 添加 Redis 缓存
+
+**改动文件：** `DoctorStationAdviceAppServiceImpl.java`
+
+1. 新增缓存键常量：`SURGERY_PAGE_CACHE_PREFIX = "surgery:page:"`
+2. 在无搜索关键字时，尝试从 Redis 读取缓存
+3. 缓存未命中时，查询数据库后写入 Redis（24小时过期）
+4. 有搜索关键字时不缓存（避免缓存爆炸）
+
+**改动量：** 约 20 行
+
+### 前端：修复 `getList()` 缓存命中时的 loading 状态
+
+**改动文件：** `surgery.vue`
+
+1. 在 `getList()` 方法中，当命中内存缓存时，显式设置 `loading.value = false`
+
+**改动量：** 1 行
+
+## 验证计划
+
+1. 编译验证 Java 代码
+2. 语法验证 Vue 文件：`node --check surgery.vue`
+3. 手动验证：登录医生工作站，打开手术申请单，观察加载速度（首次应有loading，二次打开应秒开）

BUG_472_ANALYSIS.md

@@ -0,0 +1,65 @@
+# Bug #472 深度分析报告
+
+## 标题
+住院医生工作站-手术申请单：勾选手术项目无效，导致无法正常开立医嘱
+
+## 根因分析
+
+### 问题链路
+1. 当前分支将手术项目数据源从 `getApplicationList` 改为专用接口 `getSurgeryPage`
+2. `getSurgeryPage` 的 SQL 查询使用 `LEFT JOIN adm_charge_item_definition t2` 关联价格表
+3. **关键问题**：SQL 中缺少 `DISTINCT ON (t1.ID)` 去重逻辑
+4. 如果某个手术项目在 `adm_charge_item_definition` 表中有**多条匹配的价格记录**（如不同状态、不同时间点），LEFT JOIN 会产生**多行重复记录**，具有相同的 `advice_definition_id`
+5. 前端 `mapToTransferItem` 将这些重复记录映射为 el-transfer 数据项，所有重复项的 `key` 相同
+6. el-transfer 组件内部使用 key 进行 Vue 的列表渲染追踪。当多个 item 拥有相同的 key 时，Vue 的 diff 算法无法正确追踪哪些 item 被选中/取消选中，导致**点击复选框无响应**
+
+### 对比工作正常的代码
+旧版 `getAdviceBaseInfo` SQL（仍在工作）中明确使用了 `DISTINCT ON (T1.ID)` 去重：
+```sql
+SELECT DISTINCT ON (T1.ID) ...
+```
+
+新版 `getSurgeryPage` SQL 遗漏了这个去重逻辑。
+
+## 影响范围
+- **前端**：`surgery.vue` — el-transfer 复选框交互异常
+- **后端 SQL**：`DoctorStationAdviceAppMapper.xml` — getSurgeryPage 查询缺少去重
+- **数据库表**：`wor_activity_definition`（手术项目定义）、`adm_charge_item_definition`（价格定义）
+- **同类问题**：`getExaminationPage` 查询也存在相同缺陷
+
+## 修复方案
+
+### 1. 后端 SQL 修复（根因修复）
+在 `DoctorStationAdviceAppMapper.xml` 的 `getSurgeryPage` 和 `getExaminationPage` 查询中添加 `DISTINCT ON (t1.ID)`：
+- `DISTINCT ON (t1.ID)` 确保每个手术/检查项目只返回一行
+- PostgreSQL 的 DISTINCT ON 按 t1.ID 去重，保留每个组的第一行
+
+### 2. 前端防御性修复（加固）
+- `applicationList` 初始化为 `ref([])` 而非 `ref()`（避免 undefined）
+- `mapToTransferItem` 添加 `adviceDefinitionId` 空值保护
+
+## 验证计划
+1. 修改 SQL 后，进入住院医生工作站 → 手术申请单
+2. 确认"未选择"列表中每个手术项目只显示一次（无重复）
+3. 点击复选框，项目应被正确选中并移入"已选择"列表
+4. 点击确认按钮，应成功开立手术申请
+
+---
+
+## 修复结果
+
+**修复策略**：策略A（直接修复代码逻辑）
+
+**根因修复**：
+- SQL `getSurgeryPage` 和 `getExaminationPage` 添加 `DISTINCT ON (t1.ID)` 去重
+- ORDER BY 调整为 `t1.ID, t1.name ASC, t2.ID ASC`（DISTINCT ON 要求 ORDER BY 首列必须与 DISTINCT ON 一致）
+
+**前端加固**：
+- `applicationList` 初始化为 `ref([])` 而非 `ref()`
+- 数据映射前过滤 `adviceDefinitionId != null` 的脏数据
+
+**改动量**：2文件，8行增，6行删
+- `DoctorStationAdviceAppMapper.xml`：+4/-4（DISTINCT ON + ORDER BY 调整）
+- `surgery.vue`：+4/-2（初始化空数组 + 空值过滤）
+
+**修复结果：✅ 成功，8行改动**

bug432_analysis.md

@@ -0,0 +1,43 @@
+# Bug #432 分析报告
+
+## 根因分析
+
+**根因**：后端 `OpCreateScheduleDto` 缺少 `@JsonIgnoreProperties(ignoreUnknown = true)` 注解。
+
+Spring Boot 的 Jackson 默认配置 `FAIL_ON_UNKNOWN_PROPERTIES = true`，即反序列化时遇到 DTO 中不存在的字段会抛出 `JsonMappingException: Unrecognized field` 异常。
+
+前端 `submitForm()` 使用 `{ ...form }` 展开整个表单对象提交，包含大量 DTO 中不存在的字段：
+- `identifierNo`（就诊卡号）
+- `patientName`（患者姓名）
+- `gender`（性别）
+- `age`（年龄）
+- `birthDay`（出生日期）
+- `orgName`（机构名称）
+- `applyDeptName`（申请科室名称）
+- `surgeonName`（主刀医生姓名）
+- `applyDoctorName`（申请医生姓名）
+- `applyTime`（申请时间）
+- `surgeryNo`（手术单号）
+- `scheduleId`（排程ID，新增时为undefined）
+- `orgId`（机构ID，前端显式添加）
+
+这些字段在后端 `OpCreateScheduleDto` 中均未定义，导致 JSON 反序列化失败，返回 400/500 错误，前端显示"新增手术安排失败"。
+
+## 影响范围
+
+- **后端文件**：`OpCreateScheduleDto.java`
+- **影响接口**：`POST /clinical-manage/surgery-schedule/create`（新增手术安排）
+- **影响数据表**：`op_schedule`
+- **前端无需修改**：前端提交逻辑正确，问题在后端 DTO 配置
+
+## 修复方案
+
+在 `OpCreateScheduleDto` 类上添加 `@JsonIgnoreProperties(ignoreUnknown = true)` 注解，使 Jackson 在反序列化时忽略 DTO 中不存在的字段。
+
+这是最小侵入性修复（仅添加 1 行注解），不影响现有业务逻辑。
+
+## 验证计划
+
+1. 修改后运行 Maven 编译确认无语法错误
+2. 部署后按 Bug 步骤操作：新增手术安排 → 查找并选择手术申请 → 填写入室时间 → 保存
+3. 确认保存成功，无报错

docs/bug439_analysis.md

@@ -0,0 +1,119 @@
+# Bug #439 分析报告
+
+## Bug描述
+领用出库：选择领用药品后"总库存数量"列数据未显示
+
+## 数据流分析
+
+1. 用户点击"添加行" → 新增一行，totalQuantity 初始化为空字符串 ''
+2. 用户在"项目"列通过 PopoverList 选择药品 → 触发 `selectRow(rowValue, index)`
+3. `selectRow` 设置药品基本信息，然后调用 `handleLocationClick(1, rowValue, index)`
+4. `handleLocationClick` 调用 `getCount({ itemId, orgLocationId })` 获取库存
+5. `getCount` 返回 LocationInventoryDto[] 列表，前端通过 `pickBestOrgQuantityRow` 选最大值
+6. `applyFromDto` 设置 `r.totalQuantity = d.orgQuantity || 0`
+
+## 根因定位
+
+在 `selectRow` 函数中（第1022-1049行），选择药品后：
+```javascript
+form.purchaseinventoryList[index].unitList = rowValue.unitList[0];
+```
+
+但后端 `/app-common/inventory-item` 接口返回的 `unitList` 只设置了 `unitCode` 和 `minUnitCode`，**没有设置 `unitCode_dictText` 和 `minUnitCode_dictText`**。
+
+在 `handleLocationClick` → `applyFromDto` 中（第1099-1121行）：
+```javascript
+r.unitCode = r.unitList.minUnitCode;
+r.unitCode_dictText = r.unitList.minUnitCode_dictText;  // ← undefined!
+if (r.unitCode == r.unitList.minUnitCode) {  // ← 这个条件始终为 true
+    r.price = d.price / r.partPercent || '';
+    r.price = r.price.toFixed(4);
+}
+```
+
+关键问题：`r.unitCode` 刚被设为 `r.unitList.minUnitCode`，然后条件 `r.unitCode == r.unitList.minUnitCode` 始终为 true，
+导致即使价格很小（如 0.05/1=0.05），也会进入这个分支。
+
+但这不是总库存数量未显示的根本原因。
+
+**真正根因：`handleLocationClick` 函数在调用 `getCount` 获取库存数据后，`applyFromDto` 中 `r.totalQuantity = d.orgQuantity || 0` 的赋值逻辑依赖 `d.orgQuantity > 0` 的前置判断。**
+
+查看前端代码流程：
+- `selectRow` 设置 `totalQuantity: ''`（新增行时的默认值）
+- 然后调用 `handleLocationClick` → `getCount` → 后端返回数据
+- `pickBestOrgQuantityRow` 从返回列表中选出 orgQuantity 最大的记录
+- 如果 `d && Number(d.orgQuantity ?? 0) > 0` → 调用 `applyFromDto` → 设置 `r.totalQuantity = d.orgQuantity || 0`
+- 如果条件不满足（所有记录 orgQuantity 都为 0 或返回空列表）→ **`applyFromDto` 不被调用** → `r.totalQuantity` 保持空字符串 ''
+
+进一步分析发现：
+- 如果后端 `getCount` 返回空列表（该药品在该仓库无库存），`d` 为 null，`applyFromDto` 不会被调用
+- 但如果该药品在仓库确实有库存，问题可能出在前端数据传递上
+
+**核心问题在于 `unitList` 结构不完整：**
+`selectRow` 中 `rowValue.unitList` 来自药品列表查询结果，其 `unitList` 由后端 `CommonServiceImpl.getInventoryItemList` 构建，
+只包含 `unitCode` 和 `minUnitCode`，缺少 `unitCode_dictText` 和 `minUnitCode_dictText`。
+
+在 `handleLocationClick` 的 `applyFromDto` 中，`r.unitCode` 和 `r.unitCode_dictText` 的赋值依赖于 `unitList` 中的字段。
+如果 `r.unitList` 是从 `rowValue.unitList[0]` 赋值而来（在 `selectRow` 中），那它应该至少有 `unitCode` 和 `minUnitCode`。
+
+**但是！** 编辑模式（`getTransferProductDetails`）中，`unitList` 的构建方式不同：
+```javascript
+form.purchaseinventoryList[index].unitList = e.unitList[0]; // 编辑详情时
+```
+
+新增模式（`selectRow`）中：
+```javascript
+form.purchaseinventoryList[index].unitList = rowValue.unitList[0];
+```
+
+两种方式获取的 `unitList` 结构可能不同。
+
+**根本原因：**
+`handleLocationClick` 中的 `getCount` API 调用，返回的 `LocationInventoryDto` 确实包含 `orgQuantity`。
+前端通过 `pickBestOrgQuantityRow` 选出最大值的记录后，调用 `applyFromDto` 设置 `totalQuantity`。
+如果药品在仓库有库存但 `totalQuantity` 仍为空白，说明 `applyFromDto` 中的 `d.orgQuantity` 可能为 `null`/`undefined`。
+
+经检查 `selectInventoryItemInfo` SQL：
+```sql
+SUM(CASE WHEN T1.location_id = #{orgLocationId} THEN T1.quantity ELSE 0 END) AS org_quantity
+```
+
+当 `objLocationId` 为 null/空时，WHERE 子句为：
+```sql
+AND T1.location_id = #{orgLocationId}
+```
+
+这意味着查询结果中的所有记录都来自 `orgLocationId` 对应的仓库。
+此时 `org_quantity` 应该等于 `SUM(T1.quantity)`。
+
+**如果查询结果为空（该药品在该仓库没有库存记录），则前端 `d` 为 null，`applyFromDto` 不被调用，totalQuantity 保持空字符串。**
+
+但 Bug 的期望是"应实时检索并填充总库存数量"——如果仓库确实没有该药品的库存，那显示空白是合理的。
+但如果仓库有库存却未显示，说明前端传递的参数（orgLocationId 或 itemId）有问题。
+
+**最终根因：前端 `handleLocationClick` 函数中，`orgLocationId` 的取值可能为空字符串，**
+**导致后端查询时使用空字符串作为 location_id 条件，查不到任何记录。**
+
+```javascript
+let orgLocationId = r.sourceLocationId || receiptHeaderForm.headerLocationId || '';
+```
+
+虽然 Bug 步骤中说先选了"西药库"，但如果 `receiptHeaderForm.headerLocationId` 在 selectRow 时已正确设置，
+`r.sourceLocationId` 也应该被设置（在 selectRow 第1037行）：
+```javascript
+form.purchaseinventoryList[index].sourceLocationId =
+    receiptHeaderForm.headerLocationId || form.purchaseinventoryList[index].sourceLocationId || '';
+```
+
+**但这里有一个微妙的时序问题：`handleLocationClick` 在 `getPharmacyCabinetList().then()` 内部被调用，**
+**但 `handleLocationClick` 是同步执行的，不等待 `getPharmacyCabinetList` 完成。**
+**这本身不影响 `orgLocationId` 的取值，因为 `orgLocationId` 不依赖 `getPharmacyCabinetList`。**
+
+## 修复方案
+
+1. 确保 `applyFromDto` 即使在 `orgQuantity` 为 0 时也能被调用，正确显示"0"而不是空白
+2. 确保 `unitList` 包含必要的字典文本字段
+
+## 影响范围
+- 前端文件：openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue
+- 涉及函数：`selectRow`、`handleLocationClick`

docs/bug462_analysis.md

@@ -0,0 +1,44 @@
+# Bug #462 分析报告
+
+## Bug 描述
+[目录管理-诊疗目录] 编辑弹窗中"所需标本"下拉框数据加载失败，显示为"无数据"
+
+## 根因分析
+
+### 数据流追踪
+1. 前端组件 `diagnosisTreatmentDialog.vue` 第168-178行渲染"所需标本"下拉框
+2. 下拉框选项来自 `specimen_code` 变量（第172行 `v-for="category in specimen_code"`）
+3. `specimen_code` 通过 `proxy.useDict('specimen_code', ...)` 加载（第378-386行）
+4. `useDict` 调用 API `/system/dict/data/type/specimen_code`（`src/utils/dict.js` 第16行）
+5. 后端 `SysDictDataController.dictType()` 处理请求（第65-73行，**无权限校验**）
+6. 最终查询 `sys_dict_data` 表，条件：`status = '0' AND dict_type = 'specimen_code'`
+
+### 根因
+`sys_dict_type` 表中 **缺少 `specimen_code` 字典类型**，导致 `sys_dict_data` 表中也无对应的标本数据记录。
+
+前端 `useDict('specimen_code')` 调用 API 后返回空数组 `[]`，下拉框 `v-for` 遍历空数组，没有任何 `<el-option>` 渲染，Element Plus 显示默认空状态文案"无数据"。
+
+**与 Bug #433 对比**：Bug #433 是"麻醉方法回显为代码"和"外请专家姓名数据未加载"，根因也是字典数据缺失。本次 Bug #462 属于同类问题——新增字典类型时只在前端引用了 `useDict('specimen_code')`，但后端数据库中未创建对应的字典类型和数据。
+
+## 影响范围
+- **前端文件**：`openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue`（仅一处引用）
+- **后端文件**：无代码变更，纯数据问题
+- **数据库表**：`sys_dict_type`（插入字典类型）、`sys_dict_data`（插入7条标本数据）
+- **影响接口**：`GET /system/dict/data/type/specimen_code`
+
+## 修复方案
+执行 DDL 脚本 `sql/bug_462_add_specimen_code_dict.sql`：
+
+1. 在 `sys_dict_type` 表插入 `specimen_code` 字典类型（dict_name='所需标本'）
+2. 在 `sys_dict_data` 表插入7条标本记录：
+   - 血液(1)、尿液(2)、粪便(3)、呼吸道(4)、无菌体液(5)、生殖道(6)、其他(99)
+
+**注意**：数据库中已存在该字典数据（由测试验证），需检查 DDL 是否已执行。
+若数据已存在但前端仍显示"无数据"，则需重启后端服务刷新字典缓存（`SysDictTypeServiceImpl.loadingDictCache()`）。
+
+## 验证计划
+1. 确认数据库中 `sys_dict_type` 存在 `specimen_code` 记录
+2. 确认数据库中 `sys_dict_data` 存在7条 `specimen_code` 数据（status='0'）
+3. 重启后端服务（刷新字典缓存）
+4. 前端进入诊疗目录编辑弹窗，点击"所需标本"下拉框，应显示7条标本选项
+5. 选择任意标本后保存，再次编辑应正确回显已选标本

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

@@ -121,6 +121,18 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         // 查询机构位置分页列表
         Page<OrgLocQueryDto> orgLocQueryDtoPage =
             HisPageUtils.selectPage(organizationLocationMapper, queryWrapper, pageNo, pageSize, OrgLocQueryDto.class);
+        // 手动填充项目名称字典翻译，确保前端能正确回显项目名称
+        if (orgLocQueryDtoPage != null && !orgLocQueryDtoPage.getRecords().isEmpty()) {
+            for (OrgLocQueryDto dto : orgLocQueryDtoPage.getRecords()) {
+                if (dto.getActivityDefinitionId() != null) {
+                    ActivityDefinition activityDef =
+                        activityDefinitionMapper.selectById(dto.getActivityDefinitionId());
+                    if (activityDef != null && activityDef.getName() != null) {
+                        dto.setActivityDefinitionId_dictText(activityDef.getName());
+                    }
+                }
+            }
+        }
         return R.ok(orgLocQueryDtoPage);
     }
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/cardmanagement/dto/InfectiousCardDto.java

@@ -83,6 +83,9 @@ public class InfectiousCardDto {
     /** 病例分类 */
     private String diseaseType;
 
+    /** 病例分类 */
+    private Integer caseClass;
+
     /** 发病日期 */
     private LocalDate onsetDate;
 

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

@@ -1,5 +1,6 @@
 package com.openhis.web.clinicalmanage.dto;
 
+import com.fasterxml.jackson.annotation.JsonIgnoreProperties;
 import com.fasterxml.jackson.annotation.JsonFormat;
 import lombok.Data;
 
@@ -7,6 +8,7 @@ import java.math.BigDecimal;
 import java.time.LocalDateTime;
 
 @Data
+@JsonIgnoreProperties(ignoreUnknown = true)
 public class OpCreateScheduleDto {
     /**
      * 申请单ID

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

@@ -5,6 +5,7 @@ import com.core.common.core.domain.R;
 import com.openhis.web.doctorstation.dto.AdviceBaseDto;
 import com.openhis.web.doctorstation.dto.AdviceSaveParam;
 import com.openhis.web.doctorstation.dto.OrderBindInfoDto;
+import com.openhis.web.doctorstation.dto.SurgeryItemDto;
 import com.openhis.web.doctorstation.dto.UpdateGroupIdParam;
 
 import java.util.List;
@@ -134,4 +135,18 @@ public interface IDoctorStationAdviceAppService {
      * @return 已配置的药品类别编码列表
      */
     R<?> getConfiguredCategories(Long organizationId);
+
+    /**
+     * 手术项目专用分页查询（仅手术 + 定价，无库存/草稿库存/取药科室等无关逻辑）
+     *
+     * @param organizationId 科室ID（可选）
+     * @param pageNo 当前页
+     * @param pageSize 每页条数
+     * @param searchKey 模糊查询关键字（可选）
+     * @return 手术项目分页数据（含价格信息）
+     */
+    IPage<SurgeryItemDto> getSurgeryPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey);
+
+    IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey);
+
 }

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

@@ -1107,7 +1107,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             if (is_save) {
                 medicationRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.MEDICATION_RES_NO.getPrefix(), 4));
             }
-            medicationRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+            medicationRequest.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                    ? adviceSaveDto.getGenerateSourceEnum()
+                    : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
             medicationRequest.setQuantity(adviceSaveDto.getQuantity()); // 请求数量
             medicationRequest.setExecuteNum(adviceSaveDto.getExecuteNum()); // 执行次数
             medicationRequest.setUnitCode(adviceSaveDto.getUnitCode()); // 请求单位编码
@@ -1153,7 +1155,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setId(adviceSaveDto.getChargeItemId()); // 费用项id
                 chargeItem.setStatusEnum(2); // 已生成医嘱
                 chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(medicationRequest.getBusNo()));
-                chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                chargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                        ? adviceSaveDto.getGenerateSourceEnum()
+                        : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
                 chargeItem.setPrescriptionNo(adviceSaveDto.getPrescriptionNo()); // 处方号
                 chargeItem.setPatientId(adviceSaveDto.getPatientId()); // 患者
                 chargeItem.setContextEnum(adviceSaveDto.getAdviceType()); // 类型
@@ -1247,7 +1251,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             deviceRequest.setCreateBy(currentUsername);
             deviceRequest.setCreateTime(curDate);
             deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
-            deviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+            deviceRequest.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                    ? adviceSaveDto.getGenerateSourceEnum()
+                    : GenerateSource.DOCTOR_PRESCRIPTION.getValue());
             deviceRequest.setQuantity(boundDevice.getQuantity());
             deviceRequest.setUnitCode(boundDevice.getUnitCode());
             deviceRequest.setCategoryEnum(adviceSaveDto.getCategoryEnum());
@@ -1313,7 +1319,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             deviceChargeItem.setCreateTime(curDate);
             deviceChargeItem.setStatusEnum(ChargeItemStatus.PLANNED.getValue());
             deviceChargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(deviceRequest.getBusNo()));
-            deviceChargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+            deviceChargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                    ? adviceSaveDto.getGenerateSourceEnum()
+                    : GenerateSource.DOCTOR_PRESCRIPTION.getValue());
             deviceChargeItem.setPrescriptionNo(adviceSaveDto.getPrescriptionNo()); // 处方号，与药品一致
             deviceChargeItem.setPatientId(adviceSaveDto.getPatientId());
             deviceChargeItem.setContextEnum(ChargeItemContext.DEVICE.getValue()); // 耗材类型
@@ -1542,7 +1550,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             if (is_save) {
                 deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
             }
-            deviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+            deviceRequest.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                    ? adviceSaveDto.getGenerateSourceEnum()
+                    : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
             deviceRequest.setPrescriptionNo(adviceSaveDto.getSourceBillNo()); // 来源业务单据号（手术单号）
             deviceRequest.setQuantity(adviceSaveDto.getQuantity()); // 请求数量
             deviceRequest.setUnitCode(adviceSaveDto.getUnitCode()); // 请求单位编码
@@ -1605,7 +1615,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setCreateTime(curDate);          // 补全创建时间
                 chargeItem.setStatusEnum(2); // 已生成医嘱
                 chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(deviceRequest.getBusNo()));
-                chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                chargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                        ? adviceSaveDto.getGenerateSourceEnum()
+                        : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
                 chargeItem.setPatientId(adviceSaveDto.getPatientId()); // 患者
                 chargeItem.setContextEnum(adviceSaveDto.getAdviceType()); // 类型
                 chargeItem.setEncounterId(adviceSaveDto.getEncounterId()); // 就诊id
@@ -1906,7 +1918,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             if (is_save) {
                 serviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.SERVICE_RES_NO.getPrefix(), 4));
             }
-            serviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+            serviceRequest.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                    ? adviceSaveDto.getGenerateSourceEnum()
+                    : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
             serviceRequest.setPrescriptionNo(adviceSaveDto.getSourceBillNo()); // 来源业务单据号（手术单号）
             serviceRequest.setQuantity(adviceSaveDto.getQuantity()); // 请求数量
             serviceRequest.setUnitCode(adviceSaveDto.getUnitCode()); // 请求单位编码
@@ -1957,7 +1971,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setCreateTime(curDate);          // 补全创建时间
                 chargeItem.setStatusEnum(2); // 已生成医嘱
                 chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(serviceRequest.getBusNo()));
-                chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+                chargeItem.setGenerateSourceEnum(adviceSaveDto.getGenerateSourceEnum() != null
+                        ? adviceSaveDto.getGenerateSourceEnum()
+                        : GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
                 chargeItem.setPatientId(adviceSaveDto.getPatientId()); // 患者
                 chargeItem.setContextEnum(adviceSaveDto.getAdviceType()); // 类型
                 chargeItem.setEncounterId(adviceSaveDto.getEncounterId()); // 就诊id
@@ -2440,4 +2456,52 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         return R.ok(categoryCodes);
     }
 
+    /**
+     * 手术项目专用分页查询（仅手术 + 定价，无库存/草稿库存/取药科室等无关逻辑）
+     */
+    @Override
+    public IPage<SurgeryItemDto> getSurgeryPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey) {
+        log.info("getSurgeryPage 开始: orgId={}, page={}/{}, searchKey={}", organizationId, pageNo, pageSize, searchKey);
+        long start = System.currentTimeMillis();
+
+        // 无搜索时尝试从 Redis 缓存读取（手术项目变更频率低，适合缓存）
+        String safeOrgId = organizationId != null ? organizationId.toString() : "";
+        String cacheKey = "surgery:page:" + safeOrgId + ":" + pageNo + ":" + pageSize;
+        boolean useCache = (searchKey == null || searchKey.trim().isEmpty());
+
+        if (useCache) {
+            Object cachedObj = redisCache.getCacheObject(cacheKey);
+            if (cachedObj instanceof com.baomidou.mybatisplus.extension.plugins.pagination.Page) {
+                log.info("从 Redis 缓存获取手术项目, key: {}, records: {}", cacheKey,
+                        ((IPage<?>) cachedObj).getRecords().size());
+                return (IPage<SurgeryItemDto>) cachedObj;
+            }
+        }
+
+        IPage<SurgeryItemDto> result = doctorStationAdviceAppMapper.getSurgeryPage(
+                new Page<>(pageNo, pageSize),
+                PublicationStatus.ACTIVE.getValue(),
+                organizationId,
+                searchKey);
+        log.info("getSurgeryPage 完成: {}ms, total={}, records={}", System.currentTimeMillis() - start, result.getTotal(), result.getRecords().size());
+
+        // 无搜索时将结果写入缓存
+        if (useCache && result instanceof com.baomidou.mybatisplus.extension.plugins.pagination.Page) {
+            redisCache.setCacheObject(cacheKey, result, (int) CACHE_EXPIRE_HOURS, java.util.concurrent.TimeUnit.HOURS);
+            log.info("缓存手术项目, key: {}, 过期时间: {} 小时", cacheKey, CACHE_EXPIRE_HOURS);
+        }
+
+        return result;
+    }
+
+    @Override
+    public IPage<SurgeryItemDto> getExaminationPage(Long organizationId, Integer pageNo, Integer pageSize, String searchKey) {
+        IPage<SurgeryItemDto> result = doctorStationAdviceAppMapper.getExaminationPage(
+                new Page<>(pageNo, pageSize),
+                PublicationStatus.ACTIVE.getValue(),
+                organizationId,
+                searchKey);
+        return result;
+    }
+
 }

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

@@ -36,6 +36,9 @@ import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
+import java.time.LocalDate;
+import java.time.LocalDateTime;
+import java.time.ZoneId;
 import java.util.Date;
 import java.util.*;
 
@@ -598,6 +601,25 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         InfectiousDiseaseReport infectiousDiseaseReport = new InfectiousDiseaseReport();
         BeanUtils.copyProperties(infectiousDiseaseReportDto, infectiousDiseaseReport);
 
+        // BeanUtils.copyProperties 不支持 LocalDate/LocalDateTime 到 java.util.Date 的类型转换，需手动处理
+        if (infectiousDiseaseReportDto.getOnsetDate() != null) {
+            infectiousDiseaseReport.setOnsetDate(
+                Date.from(infectiousDiseaseReportDto.getOnsetDate().atStartOfDay(ZoneId.systemDefault()).toInstant()));
+        }
+        if (infectiousDiseaseReportDto.getDiagDate() != null) {
+            infectiousDiseaseReport.setDiagDate(
+                Date.from(infectiousDiseaseReportDto.getDiagDate().atZone(ZoneId.systemDefault()).toInstant()));
+        }
+        // deathDate / reportDate 同理
+        if (infectiousDiseaseReportDto.getDeathDate() != null) {
+            infectiousDiseaseReport.setDeathDate(
+                Date.from(infectiousDiseaseReportDto.getDeathDate().atStartOfDay(ZoneId.systemDefault()).toInstant()));
+        }
+        if (infectiousDiseaseReportDto.getReportDate() != null) {
+            infectiousDiseaseReport.setReportDate(
+                Date.from(infectiousDiseaseReportDto.getReportDate().atStartOfDay(ZoneId.systemDefault()).toInstant()));
+        }
+
         /**
          * 设置创建人、删除状态、租户ID
          */

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

@@ -345,23 +345,25 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                 encounterId, tenantId);
         }
 
-        // 写入 div_log 审计日志（独立于队列项，确保每次完诊都生成记录）
+        // 写入 div_log 审计日志（每次完诊都生成记录，确保审计链路完整）
-        // Bug #401：使用更新前记录的原始状态判断，避免自身更新后将状态改为 COMPLETED 导致误判为"已完成"
+        // Bug #401：移除 queueWasAlreadyCompleted 条件限制，避免队列已由分诊台完诊时
-        if (!queueWasAlreadyCompleted) {
+        // 医生站完诊不写日志导致审计记录缺失；同时保留 queueWasAlreadyCompleted 日志用于排查
-            try {
+        try {
-                LoginUser loginUser = SecurityUtils.getLoginUser();
+            LoginUser loginUser = SecurityUtils.getLoginUser();
-                DivLog divLog = new DivLog()
+            DivLog divLog = new DivLog()
-                    .setPoolId(divPoolId)
+                .setPoolId(divPoolId)
-                    .setSlotId(divSlotId)
+                .setSlotId(divSlotId)
-                    .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
+                .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
-                    .setAction("COMPLETE")
+                .setAction("COMPLETE")
-                    .setCreateTime(LocalDateTime.now())
+                .setCreateTime(LocalDateTime.now())
-                    .setUpdateAt(LocalDateTime.now())
+                .setUpdateAt(LocalDateTime.now())
-                    .setCreatedAt(LocalDateTime.now());
+                .setCreatedAt(LocalDateTime.now());
-                divLogService.save(divLog);
+            divLogService.save(divLog);
-            } catch (Exception e) {
+            if (queueWasAlreadyCompleted) {
-                log.error("写入div_log审计日志失败", e);
+                log.info("完诊：队列项已由分诊台完诊，医生站补充写入审计日志 encounterId={}", encounterId);
             }
+        } catch (Exception e) {
+            log.error("写入div_log审计日志失败", e);
         }
 
         // 4. 更新状态、完成时间以及初复诊标识

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

@@ -203,4 +203,31 @@ public class DoctorStationAdviceController {
         return iDoctorStationAdviceAppService.getConfiguredCategories(organizationId);
     }
 
+    /**
+     * 手术项目专用分页查询（仅手术 + 定价，无库存/草稿库存/取药科室等无关逻辑）
+     *
+     * @param organizationId 科室ID（可选）
+     * @param pageNo 当前页
+     * @param pageSize 每页条数
+     * @param searchKey 模糊查询关键字（可选）
+     * @return 手术项目分页数据（含价格信息）
+     */
+    @GetMapping(value = "/surgery-page")
+    public R<?> getSurgeryPage(
+            @RequestParam(value = "organizationId", required = false) Long organizationId,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "500") Integer pageSize,
+            @RequestParam(value = "searchKey", defaultValue = "") String searchKey) {
+        return R.ok(iDoctorStationAdviceAppService.getSurgeryPage(organizationId, pageNo, pageSize, searchKey));
+    }
+
+    @GetMapping(value = "/examination-page")
+    public R<?> getExaminationPage(
+            @RequestParam(value = "organizationId", required = false) Long organizationId,
+            @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
+            @RequestParam(value = "pageSize", defaultValue = "500") Integer pageSize,
+            @RequestParam(value = "searchKey", defaultValue = "") String searchKey) {
+        return R.ok(iDoctorStationAdviceAppService.getExaminationPage(organizationId, pageNo, pageSize, searchKey));
+    }
+
 }

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

@@ -96,4 +96,9 @@ public class DiagnosisQueryDto {
      */
     private String diagnosisDoctor;
 
+    /**
+     * 是否已有传染病报卡（0-无，1-有）
+     */
+    private Integer hasInfectiousReport;
+
 }

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

@@ -112,12 +112,15 @@ public class InfectiousDiseaseReportDto {
     private Integer caseClass;
 
     /** 发病日期（默认诊断时间，病原携带者填初检日期） */
+    @JsonFormat(pattern = "yyyy-MM-dd")
     private LocalDate onsetDate;
 
     /** 诊断日期（精确到小时） */
+    @JsonFormat(pattern = "yyyy-MM-dd'T'HH:mm:ss")
     private LocalDateTime diagDate;
 
     /** 死亡日期（死亡病例必填） */
+    @JsonFormat(pattern = "yyyy-MM-dd")
     private LocalDate deathDate;
 
     /** 订正病名（订正报告必填） */
@@ -136,6 +139,7 @@ public class InfectiousDiseaseReportDto {
     private String reportDoc;
 
     /** 填卡日期 */
+    @JsonFormat(pattern = "yyyy-MM-dd")
     private LocalDate reportDate;
 
     /** 报卡名称代码 1-中华人民共和国传染病报告卡 */

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

@@ -0,0 +1,42 @@
+package com.openhis.web.doctorstation.dto;
+
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
+import lombok.Data;
+
+import java.math.BigDecimal;
+
+/**
+ * 手术项目选择器专用 DTO（不含 @Dict 注解，绕过 DictAspect 的 Redis 字典翻译）
+ */
+@Data
+public class SurgeryItemDto {
+
+    /** 医嘱定义ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long adviceDefinitionId;
+
+    /** 手术名称 */
+    private String adviceName;
+
+    /** 所属科室ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long orgId;
+
+    /** 执行科室ID */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long positionId;
+
+    /** 费用定价主表ID（用于提交时关联价格） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long chargeItemDefinitionId;
+
+    /** 单价（直接从定价主表取，无需嵌套 priceList） */
+    private BigDecimal price;
+
+    /** 单位编码 */
+    private String unitCode;
+
+    /** 单位编码字典文本（前端用于显示单位） */
+    private String unitCodeDictText;
+}

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

@@ -185,4 +185,23 @@ public interface DoctorStationAdviceAppMapper {
      */
     Long getDefaultAccountId(@Param("encounterId") Long encounterId);
 
+    /**
+     * 手术项目专用分页查询（仅手术 + 定价，无库存/草稿库存/取药科室等无关逻辑）
+     *
+     * @param page 分页参数
+     * @param statusEnum 启用状态
+     * @param organizationId 科室ID（可选，用于过滤已配置的手术项目）
+     * @param searchKey 模糊查询关键字（可选）
+     * @return 手术项目分页数据
+     */
+    IPage<SurgeryItemDto> getSurgeryPage(@Param("page") Page<SurgeryItemDto> page,
+            @Param("statusEnum") Integer statusEnum,
+            @Param("organizationId") Long organizationId,
+            @Param("searchKey") String searchKey);
+
+    IPage<SurgeryItemDto> getExaminationPage(@Param("page") Page<SurgeryItemDto> page,
+            @Param("statusEnum") Integer statusEnum,
+            @Param("organizationId") Long organizationId,
+            @Param("searchKey") String searchKey);
+
 }

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

@@ -178,6 +178,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         inpatientAdviceParam.setEncounterIds(null);
         Integer exeStatus = inpatientAdviceParam.getExeStatus();
         inpatientAdviceParam.setExeStatus(null);
+        // requestStatus由前端tab传入，通过QueryWrapper自动添加到SQL外层WHERE过滤
         // 构建查询条件
         QueryWrapper<InpatientAdviceParam> queryWrapper
                 = HisQueryUtils.buildQueryWrapper(inpatientAdviceParam, null, null, null);
@@ -366,7 +367,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                             .in(MedicationDispense::getMedReqId, medReqIds)
                             .eq(MedicationDispense::getStatusEnum, DispenseStatus.COMPLETED.getValue()));
             if (!dispenseList.isEmpty()) {
-                return R.fail("该医嘱已发药，无法退回");
+                return R.fail("该药品已由药房发放，请先执行退药处理，不可直接退回");
             }
         }
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();

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

@@ -245,7 +245,7 @@ public class InpatientAdviceDto {
     /**
      * 药品/服务类型
      */
-    private Integer categoryCode;
+    private String categoryCode;
     /**
      * 执行科室
      */

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inventorymanage/appservice/impl/RequisitionIssueAppServiceImpl.java

@@ -3,29 +3,38 @@
  */
 package com.openhis.web.inventorymanage.appservice.impl;
 
+import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
+import com.core.common.exception.ServiceException;
 import com.core.common.utils.*;
 import com.core.common.utils.bean.BeanUtils;
+import com.openhis.administration.domain.DeviceDefinition;
 import com.openhis.administration.domain.Practitioner;
+import com.openhis.administration.service.IDeviceDefinitionService;
 import com.openhis.administration.service.IPractitionerService;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.medication.domain.MedicationDefinition;
+import com.openhis.medication.service.IMedicationDefinitionService;
 import com.openhis.web.common.dto.UnitDto;
 import com.openhis.web.inventorymanage.appservice.IRequisitionIssueAppService;
 import com.openhis.web.inventorymanage.dto.*;
 import com.openhis.web.inventorymanage.mapper.RequisitionIssueMapper;
+import com.openhis.workflow.domain.InventoryItem;
 import com.openhis.workflow.domain.SupplyRequest;
+import com.openhis.workflow.service.IInventoryItemService;
 import com.openhis.workflow.service.ISupplyRequestService;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
 
 import javax.servlet.http.HttpServletRequest;
 import javax.servlet.http.HttpServletResponse;
+import java.math.BigDecimal;
 import java.util.*;
 import java.util.stream.Collectors;
 import java.util.stream.Stream;
@@ -48,6 +57,15 @@ public class RequisitionIssueAppServiceImpl implements IRequisitionIssueAppServi
     @Autowired
     private IPractitionerService practitionerService;
 
+    @Autowired
+    private IInventoryItemService inventoryItemService;
+
+    @Autowired
+    private IMedicationDefinitionService medicationDefinitionService;
+
+    @Autowired
+    private IDeviceDefinitionService deviceDefinitionService;
+
     @Autowired
     private AssignSeqUtil assignSeqUtil;
 
@@ -167,6 +185,10 @@ public class RequisitionIssueAppServiceImpl implements IRequisitionIssueAppServi
 
         // 单据号取得
         List<String> busNoList = requisitionIssueDtoList.stream().map(IssueDto::getBusNo).collect(Collectors.toList());
+
+        // 库存校验：领用数量不能超过源仓库实际库存
+        this.validateRequisitionStock(requisitionIssueDtoList);
+
         // 请求数据取得
         List<SupplyRequest> requestList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
         if (!requestList.isEmpty()) {
@@ -328,4 +350,73 @@ public class RequisitionIssueAppServiceImpl implements IRequisitionIssueAppServi
             }
         }
     }
+
+    /**
+     * 校验领用数量是否超过源仓库实际库存
+     *
+     * @param requisitionIssueDtoList 领用出库单据列表
+     */
+    private void validateRequisitionStock(List<IssueDto> requisitionIssueDtoList) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        for (IssueDto issueDto : requisitionIssueDtoList) {
+            Long itemId = issueDto.getItemId();
+            String lotNumber = issueDto.getLotNumber();
+            Long sourceLocationId = issueDto.getSourceLocationId();
+            BigDecimal reqQuantity = issueDto.getItemQuantity();
+            String itemUnit = issueDto.getUnitCode();
+            String itemTable = issueDto.getItemTable();
+
+            // 根据物品类型查询定义信息（拆零比、常规单位、最小单位）
+            BigDecimal partPercent = BigDecimal.ONE;
+            String unitCode = itemUnit;
+            String minUnitCode = itemUnit;
+
+            if (CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(itemTable)) {
+                MedicationDefinition medDef = medicationDefinitionService.getById(itemId);
+                if (medDef != null) {
+                    unitCode = medDef.getUnitCode();
+                    minUnitCode = medDef.getMinUnitCode();
+                    if (medDef.getPartPercent() != null) {
+                        partPercent = medDef.getPartPercent();
+                    }
+                }
+            } else if (CommonConstants.TableName.ADM_DEVICE_DEFINITION.equals(itemTable)) {
+                DeviceDefinition devDef = deviceDefinitionService.getById(itemId);
+                if (devDef != null) {
+                    unitCode = devDef.getUnitCode();
+                    minUnitCode = devDef.getMinUnitCode();
+                    if (devDef.getPartPercent() != null) {
+                        partPercent = devDef.getPartPercent();
+                    }
+                }
+            }
+
+            // 计算领用数量折合最小单位的值
+            BigDecimal reqQuantityInMinUnit;
+            if (itemUnit.equals(unitCode)) {
+                // 领用单位 = 包装单位，需乘以拆零比
+                reqQuantityInMinUnit = reqQuantity.multiply(partPercent);
+            } else {
+                // 领用单位 = 最小单位，无需换算
+                reqQuantityInMinUnit = reqQuantity;
+            }
+
+            // 查询源仓库实际库存（按物品编号、批号、仓库匹配）
+            List<InventoryItem> inventoryItemList = inventoryItemService.selectInventoryByItemId(
+                    itemId, lotNumber, sourceLocationId, tenantId);
+
+            // 累加匹配批号的总库存（库存表quantity字段为最小单位）
+            BigDecimal totalStock = BigDecimal.ZERO;
+            for (InventoryItem inventoryItem : inventoryItemList) {
+                if (inventoryItem.getLocationId().equals(sourceLocationId)) {
+                    totalStock = totalStock.add(inventoryItem.getQuantity());
+                }
+            }
+
+            // 比较领用数量与库存
+            if (reqQuantityInMinUnit.compareTo(totalStock) > 0) {
+                throw new ServiceException("操作失败，库存数量不足");
+            }
+        }
+    }
 }

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

@@ -90,18 +90,26 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
 
         // 逐个校验activityList中的项目是否都配置了执行科室，并收集positionId供后续使用
         // 必须在任何数据库操作之前完成全部校验，避免部分保存后异常导致脏数据
+        // 🔧 Bug #516: 优先使用前端传入的positionId（用户手动选择的发往科室），仅在未选择时使用配置的执行科室
         List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
         // 缓存校验结果，避免主循环中重复查询和可能出现的数据不一致
         java.util.Map<Long, Long> activityIdToPositionIdMap = new java.util.HashMap<>();
         if (activityList != null && !activityList.isEmpty()) {
             for (ActivitySaveDto activitySaveDto : activityList) {
-                Long positionId = activityOrganizationConfig.stream()
+                // 优先使用前端传入的positionId（用户手动选择的科室）
+                Long frontendPositionId = activitySaveDto.getPositionId();
+                if (frontendPositionId != null) {
+                    activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), frontendPositionId);
+                    continue;
+                }
+                // 前端未传入时，使用配置的执行科室
+                Long configPositionId = activityOrganizationConfig.stream()
                     .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
                     .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
-                if (positionId == null) {
+                if (configPositionId == null) {
                     throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
                 }
-                activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), positionId);
+                activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
             }
         }
 

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

@@ -89,8 +89,7 @@
             cs.apply_doctor_name AS apply_doctor_name,
             drf.create_time AS apply_time,
             os.surgery_nature AS surgeryType,
-            cs.incision_level AS incisionLevel,
+            cs.incision_level AS "incisionLevel",
-            fc.contract_name AS feeType,
             os.fee_type AS feeType,
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os

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

@@ -539,6 +539,65 @@
         AND T1.refund_medicine_id IS NULL
         ORDER BY T1.status_enum,T1.sort_number)
         UNION ALL
+        -- 🔧 Bug #444: 直接从计费项目表补充查询药品记录，用于覆盖med_medication_request有记录但generate_source_enum不匹配的场景
+        (SELECT 1 AS advice_type,
+        T1.service_id AS request_id,
+        T1.service_id || '-ci-med' AS unique_key,
+        '' AS prescription_no,
+        T1.enterer_id AS requester_id,
+        T1.entered_date AS request_time,
+        CASE WHEN T1.enterer_id = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
+        T2.content_json AS content_json,
+        NULL AS skin_test_flag,
+        NULL AS inject_flag,
+        NULL AS group_id,
+        T3.NAME AS advice_name,
+        T4.total_volume AS volume,
+        T2.lot_number AS lot_number,
+        T1.quantity_value AS quantity,
+        T1.quantity_unit AS unit_code,
+        T1.status_enum AS status_enum,
+        '' AS method_code,
+        '' AS rate_code,
+        NULL AS dose,
+        '' AS dose_unit_code,
+        T1.id AS charge_item_id,
+        T1.unit_price AS unit_price,
+        T1.total_price AS total_price,
+        T1.status_enum AS charge_status,
+        NULL AS position_id,
+        '' AS position_name,
+        NULL AS dispense_per_duration,
+        T3.part_percent AS part_percent,
+        '' AS condition_definition_name,
+        T2.sort_number AS sort_number,
+        NULL AS based_on_id,
+        NULL AS category_enum,
+        T1.encounter_id AS encounter_id,
+        T1.patient_id AS patient_id,
+        'med_medication_definition' AS advice_table_name,
+        T3.ID AS advice_definition_id
+        FROM adm_charge_item AS T1
+        INNER JOIN med_medication_request AS T2 ON T2.ID = T1.service_id AND T2.delete_flag = '0'
+        LEFT JOIN med_medication_definition AS T3 ON T3.ID = T2.medication_id AND T3.delete_flag = '0'
+        LEFT JOIN med_medication AS T4 ON T4.medication_def_id = T3.ID AND T4.delete_flag = '0'
+        WHERE T1.delete_flag = '0'
+          AND T1.service_table = #{MED_MEDICATION_REQUEST}
+        <if test="historyFlag == '0'.toString()">
+            AND T1.encounter_id = #{encounterId}
+        </if>
+        <if test="historyFlag == '1'.toString()">
+            AND T1.patient_id = #{patientId} AND T1.encounter_id != #{encounterId}
+        </if>
+        AND NOT EXISTS (
+            SELECT 1 FROM med_medication_request T5
+            WHERE T5.ID = T1.service_id AND T5.delete_flag = '0'
+            <if test="generateSourceEnum != null">
+                AND T5.generate_source_enum = #{generateSourceEnum}
+            </if>
+        )
+        ORDER BY T1.entered_date)
+        UNION ALL
         -- 🔧 查询仅存在于 adm_charge_item 的"孤儿"耗材数据（DeviceRequest 缺失或 generate_source_enum 未设置）
         -- 正常 DeviceRequest（generate_source_enum 已赋值）由下方 Part 3 统一负责，此处不做重复覆盖避免 UNION ALL 重复行
         (SELECT 2 AS advice_type,
@@ -811,4 +870,54 @@
         LIMIT 1
     </select>
 
+    <!-- 手术项目专用分页查询：仅查手术 + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
+    <select id="getSurgeryPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
+        SELECT DISTINCT ON (t1.ID)
+            t1.ID AS advice_definition_id,
+            t1.NAME AS advice_name,
+            t1.org_id AS org_id,
+            t1.org_id AS position_id,
+            t2.ID AS charge_item_definition_id,
+            t2.price AS price,
+            t1.permitted_unit_code AS unit_code,
+            t1.permitted_unit_code AS unit_code_dict_text
+        FROM wor_activity_definition t1
+        LEFT JOIN adm_charge_item_definition t2
+            ON t2.instance_id = t1.ID
+            AND t2.delete_flag = '0'
+            AND t2.status_enum = #{statusEnum}
+            AND t2.instance_table = 'wor_activity_definition'
+        WHERE t1.delete_flag = '0'
+          AND (t1.category_code = '手术' OR t1.category_code = '24')
+          <if test="searchKey != null and searchKey != ''">
+              AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
+          </if>
+        ORDER BY t1.ID, t1.name ASC, t2.ID ASC
+    </select>
+
+    <!-- 检查项目专用分页查询：仅查检查(23) + 定价，无库存/草稿库存/取药科室等无关逻辑 -->
+    <select id="getExaminationPage" resultType="com.openhis.web.doctorstation.dto.SurgeryItemDto">
+        SELECT DISTINCT ON (t1.ID)
+            t1.ID AS advice_definition_id,
+            t1.NAME AS advice_name,
+            t1.org_id AS org_id,
+            t1.org_id AS position_id,
+            t2.ID AS charge_item_definition_id,
+            t2.price AS price,
+            t1.permitted_unit_code AS unit_code,
+            t1.permitted_unit_code AS unit_code_dict_text
+        FROM wor_activity_definition t1
+        LEFT JOIN adm_charge_item_definition t2
+            ON t2.instance_id = t1.ID
+            AND t2.delete_flag = '0'
+            AND t2.status_enum = #{statusEnum}
+            AND t2.instance_table = 'wor_activity_definition'
+        WHERE t1.delete_flag = '0'
+          AND t1.category_code = '23'
+          <if test="searchKey != null and searchKey != ''">
+              AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
+          </if>
+        ORDER BY t1.ID, t1.name ASC, t2.ID ASC
+    </select>
+
 </mapper>

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

@@ -134,7 +134,11 @@
                T2.yb_no,
                T1.onset_date AS onsetDate,
                T1.diagnosis_time AS diagnosisTime,
-               T1.doctor AS diagnosisDoctor
+               T1.doctor AS diagnosisDoctor,
+               CASE WHEN EXISTS (
+                   SELECT 1 FROM infectious_card T4
+                   WHERE T4.diag_id = T2.id AND T4.delete_flag = '0' AND T4.status >= 1
+               ) THEN 1 ELSE 0 END AS hasInfectiousReport
         FROM adm_encounter_diagnosis AS T1
                  LEFT JOIN cli_condition AS T2 ON T2.ID = T1.condition_id
             AND T2.delete_flag = '0' AND T2.tcm_flag = 0

openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/AdviceProcessAppMapper.xml

@@ -280,9 +280,13 @@
                                          aa.balance_amount
                            ) AS personal_account
                               ON personal_account.encounter_id = ae.id
-                     LEFT JOIN med_medication_dispense mmd
+                     LEFT JOIN LATERAL (
-                               ON mmd.med_req_id = T1.id
+                         SELECT status_enum
-                                   AND mmd.delete_flag = '0'
+                         FROM med_medication_dispense
+                         WHERE med_req_id = T1.id AND delete_flag = '0'
+                         ORDER BY create_time DESC
+                         LIMIT 1
+                     ) mmd ON true
                 WHERE T1.delete_flag = '0'
                 AND T1.refund_medicine_id IS NULL
                 AND T1.generate_source_enum = #{doctorPrescription}
@@ -301,28 +305,28 @@
                    T1.occurrence_end_time AS end_time,
                    T1.requester_id AS requester_id,
                    T1.create_time AS request_time,
-                   NULL AS skin_test_flag,
+                   NULL::integer AS skin_test_flag,
-                   NULL AS inject_flag,
+                   NULL::integer AS inject_flag,
-                   NULL AS group_id,
+                   NULL::bigint AS group_id,
                    T1.performer_check_id,
                    T2."name" AS advice_name,
                    T2.id AS item_id,
-                   NULL AS volume,
+                   NULL::varchar AS volume,
-                   NULL AS lot_number,
+                   NULL::varchar AS lot_number,
                    T1.quantity AS quantity,
                    T1.unit_code AS unit_code,
                    T1.status_enum AS request_status,
-                   NULL AS method_code,
+                   NULL::varchar AS method_code,
-                   NULL AS rate_code,
+                   NULL::varchar AS rate_code,
-                   NULL AS dose,
+                   NULL::numeric AS dose,
-                   NULL AS dose_unit_code,
+                   NULL::varchar AS dose_unit_code,
                    ao1.id AS position_id,
                    ao1."name" AS position_name,
-                   NULL AS dispense_per_duration,
+                   NULL::integer AS dispense_per_duration,
-                   1 AS part_percent,
+                   1::numeric AS part_percent,
                    ccd."name" AS condition_definition_name,
                    T1.therapy_enum AS therapy_enum,
-                   NULL AS sort_number,
+                   NULL::integer AS sort_number,
                    T1.quantity AS execute_num,
                    af.day_times,
                    ae.bus_no,
@@ -337,7 +341,7 @@
                    personal_account.balance_amount,
                    personal_account.id AS account_id,
                    T2.category_code,
-                   NULL AS dispense_status
+                   NULL::integer AS dispense_status
             FROM wor_service_request AS T1
                      LEFT JOIN wor_activity_definition AS T2
                                ON T2.id = T1.activity_id

openhis-server-new/openhis-application/src/main/resources/mapper/personalization/OrdersGroupPackageAppMapper.xml

@@ -44,7 +44,9 @@
         sdd.dict_label AS unit_code_name,
         togpd.dose AS dose,
         togpd.rate_code AS rate_code,
+        rate_d.dict_label AS rate_code_dictText,
         togpd.method_code AS method_code,
+        method_d.dict_label AS method_code_dictText,
         togpd.dose_quantity AS dose_quantity,
         togpd.group_id,
         togpd.group_order AS group_order,
@@ -67,8 +69,9 @@
         AND togpd.order_definition_id = adm.ID
         LEFT JOIN wor_activity_definition AS wor ON togpd.order_definition_table = 'wor_activity_definition'
         AND togpd.order_definition_id = wor.ID
-        LEFT JOIN sys_dict_data AS sdd ON sdd.dict_value = togpd.unit_code AND sdd.dict_type = 'unit_code' AND
+        LEFT JOIN sys_dict_data AS sdd ON sdd.dict_value = togpd.unit_code AND sdd.dict_type = 'unit_code' AND sdd.status = '0'
-        sdd.status = '0'
+        LEFT JOIN sys_dict_data AS rate_d ON rate_d.dict_value = togpd.rate_code AND rate_d.dict_type = 'rate_code' AND rate_d.status = '0'
+        LEFT JOIN sys_dict_data AS method_d ON method_d.dict_value = togpd.method_code AND method_d.dict_type = 'method_code' AND method_d.status = '0'
         WHERE togpd.delete_flag = '0'
         <if test="groupPackageIds != null and !groupPackageIds.isEmpty()">
             AND togpd.group_package_id IN

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

@@ -8,22 +8,18 @@
         SELECT drf.id  AS request_form_id,
                drf.encounter_id,
                drf.prescription_no,
-               drf.NAME,
+               COALESCE(
+                   (SELECT STRING_AGG(DISTINCT wad.name, '、')
+                    FROM wor_service_request wsr2
+                    LEFT JOIN wor_activity_definition wad ON wad.id = wsr2.activity_id AND wad.delete_flag = '0'
+                    WHERE wsr2.prescription_no = drf.prescription_no AND wsr2.delete_flag = '0'),
+                   drf.name
+               ) AS name,
                drf.desc_json,
                drf.requester_id,
                drf.create_time,
                ap.NAME AS patient_name,
-                CASE MIN(wsr.status_enum)
+               drf.status
-                    WHEN 1 THEN 0
-                    WHEN 2 THEN 1
-                    WHEN 3 THEN 4
-                    WHEN 4 THEN 4
-                    WHEN 5 THEN 5
-                    WHEN 6 THEN 5
-                    WHEN 7 THEN 5
-                    WHEN 8 THEN 6
-                    ELSE NULL
-                END AS status
         FROM doc_request_form AS drf
                  LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
             AND ae.delete_flag = '0'
@@ -41,17 +37,7 @@
               AND drf.create_time <= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
           </if>
           <if test="status != null and status != ''">
-               AND CASE MIN(wsr.status_enum)
+               AND drf.status = #{status}::integer
-                       WHEN 1 THEN 0
-                       WHEN 2 THEN 1
-                       WHEN 3 THEN 4
-                       WHEN 4 THEN 4
-                       WHEN 5 THEN 5
-                       WHEN 6 THEN 5
-                       WHEN 7 THEN 5
-                       WHEN 8 THEN 6
-                       ELSE NULL
-                   END = #{status}::integer
           </if>
           <if test="keyword != null and keyword != ''">
               AND (drf.prescription_no ILIKE '%' || #{keyword} || '%'
@@ -67,11 +53,12 @@
                    ))
           </if>
         GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
-                 drf.requester_id, drf.create_time, ap.name
+                 drf.requester_id, drf.create_time, ap.name, drf.status
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
-        SELECT wsr.quantity,
+        SELECT wsr.activity_id AS activity_id,
+               wsr.quantity,
                wsr.unit_code,
                COALESCE(wad.NAME, wsr.content_json::jsonb->>'surgeryName') AS advice_name,
                aci.total_price
@@ -143,9 +130,9 @@
                 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 AND cs.delete_flag = '0'
+            INNER JOIN cli_surgery cs ON cs.surgery_no = drf.prescription_no AND cs.delete_flag = '0'
-            LEFT JOIN adm_patient ap ON ap.id = cs.patient_id AND ap.delete_flag = '0'
+            INNER JOIN adm_patient ap ON ap.id = cs.patient_id AND ap.delete_flag = '0'
-            LEFT JOIN adm_encounter ae ON ae.id = cs.encounter_id AND ae.delete_flag = '0'
+            INNER JOIN adm_encounter ae ON ae.id = cs.encounter_id AND ae.delete_flag = '0'
             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'
@@ -164,7 +151,7 @@
                     AND drf.prescription_no LIKE CONCAT('%', #{requestFormDto.surgeryNo}, '%')
                 </if>
                 <if test="requestFormDto.typeCode != null and requestFormDto.typeCode != ''">
-                    AND drf.type_code = #{requestFormDto.typeCode}
+                    AND drf.type_code IN (#{requestFormDto.typeCode}, 'SURGERY')
                 </if>
                 <if test="requestFormDto.applyTimeStart != null">
                     AND drf.create_time >= #{requestFormDto.applyTimeStart}
@@ -180,6 +167,8 @@
                 </if>
                 AND drf.delete_flag = '0'
                 AND os.schedule_id IS NULL
+                <!-- 已取消(4)、已完成(3)的手术申请不参与门诊手术安排查找 -->
+                AND cs.status_enum NOT IN (3, 4)
             </where>
             ORDER BY drf.create_time DESC
     </select>

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

@@ -39,7 +39,12 @@ public enum GenerateSource implements HisEnumInterface {
     /**
      * 自动滚费
      */
-    AUTO_ROLL_FEES(5, "5", "自动滚费");
+    AUTO_ROLL_FEES(5, "5", "自动滚费"),
+
+    /**
+     * 手术计费
+     */
+    SURGERY_BILLING(6, "6", "手术计费");
 
     private final Integer value;
     private final String code;

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

@@ -49,6 +49,11 @@ public enum RequestStatus implements HisEnumInterface {
      */
     ENDED(7, "ended", "不执行"),
 
+    /**
+     * 已出报告
+     */
+    COMPLETED_REPORT(8, "completed_report", "已出报告"),
+
     /**
      * 未知
      */

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue

@@ -473,15 +473,12 @@ function calculateTotalPrice() {
       }
     });
     totalPrice.value = sum.toFixed(2);
-    // Bug #464: 零售价与诊疗子项合计总价实时同步
+    // Bug #464: 零售价与诊疗子项合计总价实时同步，直接赋值不使用nextTick避免多调用方竞争
     const hasValidItem = treatmentItems.value.some(
       (item) => item.adviceDefinitionId && item.adviceDefinitionId !== ''
     );
     if (hasValidItem) {
-      // 使用 nextTick 确保总价更新后零售价才更新，避免 Vue 响应式时序问题
+      form.value.retailPrice = parseFloat(totalPrice.value) || 0;
-      nextTick(() => {
-        form.value.retailPrice = parseFloat(totalPrice.value) || 0;
-      });
     } else {
       form.value.retailPrice = undefined;
     }
@@ -763,10 +760,7 @@ function selectRow(row, index) {
   treatmentItems.value[index].adviceDefinitionId = row.id;
   treatmentItems.value[index].retailPrice = row.retailPrice || 0;
   medicineSearchKey.value = '';
-  // 使用 nextTick 确保 DOM 更新后再计算总价
+  calculateTotalPrice();
-  nextTick(() => {
-    calculateTotalPrice();
-  });
 }
 
 // 清空诊疗子项

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

@@ -926,23 +926,36 @@ function handleDelete() {
   }
   
   if (hasSavedItem) {
-    // 有已保存的行，调用后端API删除
+    // 🔧 Bug #454: 删除前弹出确认提示，告知用户将级联删除关联检验申请单
-    savePrescription({ adviceSaveList: deleteList }).then((res) => {
+    const hasLabItem = deleteList.some(item => item.adviceType === 3);
-      if (res.code == 200) {
+    const confirmMsg = hasLabItem
-        proxy.$modal.msgSuccess('操作成功');
+      ? '删除此医嘱将同时删除关联的检验申请单，是否确认删除？'
-        getListInfo(false);
+      : '确认删除选中的医嘱项目吗？';
-      }
+
+    proxy.$modal.confirm(confirmMsg).then(() => {
+      savePrescription({ adviceSaveList: deleteList }).then((res) => {
+        if (res.code == 200) {
+          proxy.$modal.msgSuccess('操作成功');
+          getListInfo(false);
+          expandOrder.value = [];
+          groupIndexList.value = [];
+          groupList.value = [];
+          isAdding.value = false;
+          adviceQueryParams.value.adviceType = undefined;
+        }
+      });
+    }).catch(() => {
+      // 用户取消删除
     });
   } else {
     // 只有新增行，已经在前端删除完成
     proxy.$modal.msgSuccess('操作成功');
+    expandOrder.value = [];
+    groupIndexList.value = [];
+    groupList.value = [];
+    isAdding.value = false;
+    adviceQueryParams.value.adviceType = undefined;
   }
-  
-  expandOrder.value = [];
-  groupIndexList.value = [];
-  groupList.value = [];
-  isAdding.value = false;
-  adviceQueryParams.value.adviceType = undefined;
 }
 
 function handleNumberClick(item, index) {
@@ -1046,8 +1059,10 @@ function handleSave() {
       chargeItemId: item.chargeItemId,
     };
   });
+  // 确保 organizationId 不为 undefined（手术计费场景下可能缺失 orgId）
+  const orgId = props.patientInfo.orgId || props.patientInfo.effectiveOrgId || 1;
   savePrescriptionSign({
-    organizationId: props.patientInfo.orgId,
+    organizationId: orgId,
     adviceSaveList: list,
   }).then((res) => {
     if (res.code === 200) {
@@ -1064,6 +1079,7 @@ function handleSave() {
     }
   }).catch((error) => {
     console.error('签发失败:', error);
+    console.warn('签发操作失败（可能无权限或后端异常）:', error?.response?.data?.msg || error?.message);
     proxy.$modal.msgError(error?.response?.data?.msg || error?.message || '签发失败，请重试');
   });
 }

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

@@ -692,6 +692,7 @@ async function handleFoodDiseasesCheck() {
 /**
  * 传染病报告卡处理
  * 通过诊断名称自动识别并勾选传染病报告卡中的疾病
+ * 修复 Bug #519：跳过已有已提交报卡的诊断
  */
 function handleInfectiousDiseaseReport() {
   // 疾病名称到报卡编码的映射（根据传染病报告卡弹窗中的疾病列表）
@@ -743,8 +744,9 @@ function handleInfectiousDiseaseReport() {
     '手足口病': '0311',
   };
 
-  // 获取所有诊断名称对应的报卡编码
+  // 获取所有诊断名称对应的报卡编码，但跳过已有已提交报卡的诊断
   const allSelectedDiseases = form.value.diagnosisList
+    .filter(d => d.name && d.hasInfectiousReport !== 1)
     .map(d => diseaseNameToCode[d.name] || null)
     .filter(code => code);
 
@@ -752,9 +754,9 @@ function handleInfectiousDiseaseReport() {
     return;
   }
 
-  // 优先使用主诊断
+  // 优先使用主诊断（同样跳过已有报卡的）
-  const mainDiagnosis = form.value.diagnosisList.find(d => d.maindiseFlag === 1);
+  const mainDiagnosis = form.value.diagnosisList.find(d => d.maindiseFlag === 1 && d.hasInfectiousReport !== 1);
-  const firstDiagnosis = form.value.diagnosisList[0];
+  const firstDiagnosis = form.value.diagnosisList.find(d => d.hasInfectiousReport !== 1) || form.value.diagnosisList[0];
 
   const diagnosisToShow = {
     ...(mainDiagnosis || firstDiagnosis),

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

@@ -1025,7 +1025,11 @@ function parseBirthDate(birthDate) {
 
 function normalizeDate(value) {
   if (!value) return '';
-  return String(value).split(/[T ]/)[0];
+  const datePart = String(value).split(/[T ]/)[0].replace(/\//g, '-');
+  const parts = datePart.split('-');
+  if (parts.length !== 3) return datePart;
+  const [year, month, day] = parts;
+  return `${year}-${month.padStart(2, '0')}-${day.padStart(2, '0')}`;
 }
 
 function normalizeSex(value) {
@@ -1034,6 +1038,17 @@ function normalizeSex(value) {
   return '未知';
 }
 
+function normalizeSexFromPatientInfo(patientInfo) {
+  // 优先使用文本字段
+  if (patientInfo.genderEnum_enumText) return patientInfo.genderEnum_enumText;
+  if (patientInfo.genderName) return patientInfo.genderName;
+  if (patientInfo.sex) return normalizeSex(patientInfo.sex);
+  // 使用数字枚举字段
+  if (patientInfo.genderEnum === 1) return '男';
+  if (patientInfo.genderEnum === 2) return '女';
+  return '未知';
+}
+
 function normalizeAgeUnit(value) {
   const ageUnitMap = {
     1: '岁',
@@ -1105,7 +1120,7 @@ function showReport(reportData = {}, readOnly = true) {
     addressHouse: reportData.addressHouse || '',
     patientBelong: reportData.patientBelong || 1,
     occupation: reportData.occupation || '',
-    caseClass: reportData.diseaseType != null ? String(reportData.diseaseType) : '',
+    caseClass: reportData.caseClass != null ? String(reportData.caseClass) : '',
     onsetDate: normalizeDate(reportData.onsetDate),
     diagDate: normalizeDate(reportData.diagDate),
     deathDate: normalizeDate(reportData.deathDate),
@@ -1114,7 +1129,7 @@ function showReport(reportData = {}, readOnly = true) {
     selectedClassB: diseaseSelection.selectedClassB,
     selectedClassC: diseaseSelection.selectedClassC,
     otherDisease: reportData.otherDisease || (diseaseCode === 'OTHER' ? reportData.diseaseName || '' : ''),
-    diseaseType: reportData.diseaseSubtype || '',
+    diseaseType: reportData.diseaseSubtype || reportData.diseaseType || '',
     reportOrg: reportData.reportOrg || '',
     reportOrgPhone: reportData.reportOrgPhone || '',
     reportDoc: reportData.reportDoc || '',
@@ -1295,7 +1310,7 @@ async function show(diagnosisData) {
     patName: patientInfo.patientName || patientInfo.name || '', // 患者姓名
     parentName: '', // 家长姓名（14岁以下患者必填）
     idNo: patientInfo.idCard, // 身份证号
-    sex: patientInfo.sex || patientInfo.genderName || '男', // 性别
+    sex: normalizeSexFromPatientInfo(patientInfo), // 性别
 
     // 出生日期信息
     birthYear: birthInfo.year, // 出生年份
@@ -1455,7 +1470,7 @@ async function buildSubmitData() {
     reportDate: formData.reportDate || null,
     cardNameCode: 1, // 默认中华人民共和国传染病报告卡
     registrationSource: 1, // 默认门诊
-    status: '',
+    status: null,
     deptId: props.deptId || null,
     doctorId: props.doctorId || null,
   };

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

@@ -1226,22 +1226,18 @@ function handleRowClick(row) {
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
   request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    // 响应结构判定：Axios拦截器对 code===200 返回 res.data（AjaxResult体），
+    // 响应结构: Axios拦截器对code===200返回res.data（AjaxResult体）
-    // 但某些情况下可能返回完整 Axios 响应 {data: AjaxResult}。
+    // 结构为 { code: 200, data: examApply实体, items: [明细数组] }
-    // 用 res.code 判定是否已是 AjaxResult 体，避免二次解包导致 items 丢失。
+    const items = Array.isArray(res.items) ? res.items : [];
-    const isAjaxResult = res && typeof res === 'object' && res.code !== undefined;
+    const dataObj = res.data || {};
-    const ajaxBody = isAjaxResult ? res : (res.data || res);
 
-    // items 在 AjaxResult 顶层，data 字段是 ExamApply 实体
+    // 先填充表单字段
-    const rawItems = Array.isArray(ajaxBody.items) ? ajaxBody.items : [];
+    if (dataObj && typeof dataObj === 'object') Object.assign(form, dataObj);
-    const detailData = ajaxBody.data || {};
 
-    if (detailData && typeof detailData === 'object') Object.assign(form, detailData);
+    if (items.length > 0) {
-
-    if (rawItems.length > 0) {
       try {
         // 为每个项目加载检查方法
-        const itemsWithMethods = await Promise.all(rawItems.map(async m => {
+        const itemsWithMethods = await Promise.all(items.map(async m => {
           const item = {
             id: m.itemCode, name: m.itemName,
             price: m.itemFee || 0, quantity: 1,
@@ -1254,13 +1250,14 @@ function handleRowClick(row) {
             expanded: false,
             packageDetailsLoading: false,
             isPackage: false,
-            packageId: null
+            packageId: null,
+            hasChildren: false  // #426修复: 树形表格懒加载展开标记，后续根据packageId动态设置
           };
           // 加载该项目的检查方法
           if (m.bodyPartCode) {
             try {
               const methodRes = await searchCheckMethod({ checkType: m.bodyPartCode });
-              // Bug #384修复: 正确解析 API 返回结构
+              // 正确解析 API 返回结构
               let methodData = methodRes?.data?.data || methodRes?.data || methodRes?.rows || methodRes;
               if (!Array.isArray(methodData) && methodRes?.data && Array.isArray(methodRes.data.data)) {
                 methodData = methodRes.data.data;
@@ -1270,19 +1267,19 @@ function handleRowClick(row) {
                   id: md.id,
                   name: md.name,
                   code: md.code,
-                  price: m.itemFee || 0,  // fallback 到已保存的价格
+                  price: m.itemFee || 0,
                   packageName: md.packageName || '',
                   packageId: md.packageId || null,
-                  packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
+                  packagePrice: md.packagePrice || null,
                   serviceFee: md.serviceFee || null
                 }));
-                // 如果有已保存的检查方法信息，尝试匹配
+                // 回充已保存的检查方法
                 if (m.checkMethodId) {
-                  item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
+                  item.selectedMethod = item.methods.find(md => String(md.id) === String(m.checkMethodId)) || null;
-                  // 从已保存的方法中获取套餐信息
                   if (item.selectedMethod?.packageId) {
                     item.isPackage = true;
                     item.packageId = item.selectedMethod.packageId;
+                    item.hasChildren = true;  // #426修复
                   }
                 }
                 if (!item.selectedMethod && item.methods.length) {
@@ -1291,26 +1288,32 @@ function handleRowClick(row) {
                 if (item.selectedMethod?.packageId) {
                   item.packageId = item.selectedMethod.packageId;
                   item.isPackage = true;
+                  item.hasChildren = true;  // #426修复
                 }
               }
             } catch (err) {
               console.error('加载检查方法失败', err);
-              // 单个项目加载失败不影响其他项目，继续返回 item
             }
           }
           return item;
         }));
+        // Bug #408修复: 确保明细数据正确加载到selectedItems
         selectedItems.value = itemsWithMethods;
+        // 加载套餐明细（单个失败不影响其他项目和明细显示）
         for (const it of selectedItems.value) {
           if (getPackageCarrier(it)?.packageId) {
-            await loadPackageDetailsForItem(it);
+            try {
+              await loadPackageDetailsForItem(it);
+            } catch (e) {
+              console.error('加载套餐明细失败:', it.name, e);
+            }
           }
           it.expanded = !!getPackageCarrier(it)?.packageId;
         }
         syncCategoryChecked();
         // Bug #384修复: 回充后更新检查方法显示
         updateMethodDisplay();
-        // 修复【#408】：加载申请单详情后自动切换到检查明细页签，确保已加载的明细数据可见
+        // Bug #408修复: 加载申请单详情后自动切换到检查明细页签，确保已加载的明细数据可见
         activeDetailTab.value = 'applyDetail';
       } catch (err) {
         console.error('加载申请单详情失败', err);
@@ -1361,6 +1364,7 @@ async function handleMethodSelect(checked, method, cat) {
       if (method.packageId) {
         existingItem.isPackage = true;
         existingItem.packageId = method.packageId;
+        existingItem.hasChildren = true;  // #426修复
         existingItem.packageName = method.packageName || existingItem.packageName;  // #428修复: 确保 packageName 同步
         // 预加载套餐明细
         loadPackageDetailsForItem(existingItem);
@@ -1395,7 +1399,8 @@ async function handleMethodSelect(checked, method, cat) {
       // 从方法或项目中获取套餐信息
       isPackage: !!method.packageId || !!targetItem.packageName,
       packageId: method.packageId || targetItem.packageId || null,
-      packageName: method.packageName || targetItem.packageName || null  // #428修复: 复制 packageName，确保套餐明细可加载
+      packageName: method.packageName || targetItem.packageName || null,  // #428修复: 复制 packageName，确保套餐明细可加载
+      hasChildren: !!(method.packageId || targetItem.packageId)  // #426修复: 树形表格懒加载展开标记
     };
     selectedItems.value.push(newItem);
 
@@ -1483,7 +1488,8 @@ async function handleItemSelect(checked, item, cat) {
       isPackage: !!(item.packageId || item.packageName),
       packageName: item.packageName || null,
       packageDetailsLoading: false,
-      packageId: item.packageId || null
+      packageId: item.packageId || null,
+      hasChildren: !!(item.packageId)  // #426修复: 树形表格懒加载展开标记
     };
     selectedItems.value.push(newRow);
     // 必须用数组里的响应式行，不能继续改局部 newRow：push 后列表内是 proxy，改 raw 对象不会触发右侧卡片更新（会一直卡在「加载中」）
@@ -1605,6 +1611,7 @@ async function onDetailMethodChange(row, val) {
   if (val?.packageId) {
     row.packageId = val.packageId;
     row.isPackage = true;
+    row.hasChildren = true;  // #426修复
   }
   row.packageDetailsDisplay = undefined;
   const carrier = getPackageCarrier(row);

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

@@ -56,6 +56,13 @@
           </template>
         </el-table-column>
         <el-table-column label="申请单号" prop="applyNo" min-width="160" align="center" header-align="center" />
+        <el-table-column label="单据状态" prop="applyStatus" width="100" align="center" header-align="center">
+          <template #default="scope">
+            <el-tag :type="getStatusType(scope.row.applyStatus)" size="small">
+              {{ getStatusLabel(scope.row.applyStatus, scope.row) }}
+            </el-tag>
+          </template>
+        </el-table-column>
         <el-table-column label="检验项目" prop="itemName" min-width="170px" align="center" header-align="center">
           <template #default="scope">
             <span>{{ scope.row.itemName }}</span>
@@ -1445,6 +1452,26 @@ const formatAmount = (amount) => {
   return num.toFixed(2)
 }
 
+// 单据状态标签文字
+const getStatusLabel = (applyStatus, row) => {
+  // applyStatus: 0=待开立, 1=已开立(已签发)
+  // 结合收费/执行标记推导更丰富的状态
+  if (applyStatus === 1) {
+    // 已收费后根据执行标记判断
+    if (row.needExecute === true) {
+      return '已执行'
+    }
+    return '已开立'
+  }
+  return '待开立'
+}
+
+// 单据状态标签颜色
+const getStatusType = (applyStatus) => {
+  if (applyStatus === 1) return 'success'
+  return 'info'
+}
+
 // 格式化日期时间为字符串 YYYY-MM-DD HH:mm:ss
 const formatDateTime = (date) => {
   if (!date) return ''

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

@@ -564,22 +564,74 @@ function handleRemoveItem(index) {
   editingGroup.value.detailList.splice(index, 1);
 }
 
-// 单击应用按钮
+// 单击应用按钮（应用组套）
-function handleUseOrderGroup(row) {
+async function handleUseOrderGroup(row) {
   if (!row.detailList || row.detailList.length === 0) {
     ElMessage.warning('该组套没有明细项');
     return;
   }
 
+  // 🔧 Bug 修复：组套保存时未持久化 orderDetailInfos，导致应用时缺失医嘱库信息。
+  // 通过 API 批量查询补全，确保 setValue 能获取到 adviceType、inventoryList、priceList 等关键字段。
+  const itemsMissingDetail = row.detailList.filter(
+    item => !item.orderDetailInfos || Object.keys(item.orderDetailInfos).length === 0
+  );
+  const detailMap = {};
+  if (itemsMissingDetail.length > 0) {
+    const ids = itemsMissingDetail
+      .map(item => item.orderDefinitionId)
+      .filter(Boolean)
+      .join(',');
+    if (ids) {
+      try {
+        const res = await getAdviceBaseInfo({
+          adviceDefinitionIdParamList: ids,
+          organizationId: props.organizationId,
+        });
+        const records = res.data?.records || res.rows || [];
+        records.forEach(rec => {
+          if (rec.adviceDefinitionId) {
+            detailMap[rec.adviceDefinitionId] = rec;
+          }
+        });
+      } catch (e) {
+        // 批量查询失败，使用原始 orderDetailInfos
+      }
+    }
+  }
+
+  // 🔧 辅助函数：根据字典 code 查找对应的 dictText
+  const findDictText = (dictList, code) => {
+    if (!code || !dictList?.value?.length) return '';
+    const found = dictList.value.find(d => d.value === code);
+    return found?.label || '';
+  };
+  
   // 🔧 数据预处理：确保每个明细项都有完整的医嘱信息
   const processedDetailList = row.detailList.map(item => {
-    const orderDetail = item.orderDetailInfos || {};
+    // 优先使用组套中已带的 orderDetailInfos，否则使用 API 查询结果
+    const orderDetail = (item.orderDetailInfos && Object.keys(item.orderDetailInfos).length > 0)
+      ? item.orderDetailInfos
+      : (detailMap[item.orderDefinitionId] || {});
+    
+    // 🔧 修复：组套明细只存了 methodCode/rateCode，没有 dictText。
+    // 用字典查找补充 dictText，确保界面显示正确的用法/频次名称。
+    const resolvedMethodCode = item.methodCode ?? orderDetail.methodCode;
+    const resolvedRateCode = item.rateCode ?? orderDetail.rateCode;
+    const methodCodeDictText = item.methodCode_dictText 
+      || findDictText(method_code, resolvedMethodCode)
+      || orderDetail.methodCode_dictText 
+      || '';
+    const rateCodeDictText = item.rateCode_dictText
+      || findDictText(rate_code, resolvedRateCode)
+      || orderDetail.rateCode_dictText
+      || '';
 
     return {
       // 组套明细字段
       ...item,
       
-      // 医嘱库字段（可能为空，需要兜底）
+      // 医嘱库字段
       adviceName: orderDetail.adviceName || item.orderDefinitionName || '未知项目',
       adviceType: orderDetail.adviceType,
       adviceDefinitionId: item.orderDefinitionId || orderDetail.adviceDefinitionId,
@@ -592,7 +644,6 @@ function handleUseOrderGroup(row) {
       partPercent: orderDetail.partPercent ?? 1,
       partAttributeEnum: orderDetail.partAttributeEnum,
       unitConversionRatio: orderDetail.unitConversionRatio,
-      // 🔧 Bug #218 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
       positionId: item.positionId ?? orderDetail.positionId,
       defaultLotNumber: orderDetail.defaultLotNumber,
       
@@ -602,6 +653,20 @@ function handleUseOrderGroup(row) {
       unitCodeName: item.unitCodeName || orderDetail.unitCode_dictText,
       minUnitCode: orderDetail.minUnitCode,
       doseUnitCode: orderDetail.doseUnitCode,
+      doseUnitCode_dictText: orderDetail.doseUnitCode_dictText || '',
+
+      // 药房/科室名称（setValue 通过库存查找设置，但需确保 orderDetail 中有）
+      positionName: orderDetail.positionName || '',
+
+      // 注射/皮试标识（表格列显示依赖这些字段）
+      injectFlag: orderDetail.injectFlag,
+      injectFlag_enumText: orderDetail.injectFlag_enumText || '',
+      skinTestFlag: orderDetail.skinTestFlag,
+      skinTestFlag_enumText: orderDetail.skinTestFlag_enumText || '',
+
+      // 字典文本（传递到 item 层级，避免后续代码依赖 mergedDetail 再查一次）
+      methodCode_dictText: methodCodeDictText,
+      rateCode_dictText: rateCodeDictText,
       
       // 合并后的完整对象（用于 setValue）
       // 先展开 orderDetail 获取所有药品基础字段（categoryCode、minUnitCode、doseUnitCode、
@@ -616,19 +681,19 @@ function handleUseOrderGroup(row) {
         categoryCode: item.categoryCode ?? orderDetail.categoryCode,
         unitCodeName: item.unitCodeName,
         dose: item.dose ?? orderDetail.dose,
-        rateCode: item.rateCode ?? orderDetail.rateCode,
+        rateCode: resolvedRateCode,
-        methodCode: item.methodCode ?? orderDetail.methodCode,
+        rateCode_dictText: rateCodeDictText,
+        methodCode: resolvedMethodCode,
+        methodCode_dictText: methodCodeDictText,
         dispensePerDuration: item.dispensePerDuration ?? orderDetail.dispensePerDuration,
         doseQuantity: item.doseQuantity ?? orderDetail.doseQuantity,
-        // 🔧 Bug #218 / #403 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
         positionId: item.positionId ?? orderDetail.positionId,
-        // 执行科室：优先使用组套明细中保存的 orgId
         orgId: item.orgId ?? orderDetail.orgId,
         orgName: item.orgName ?? orderDetail.orgName,
-        // 组号（保留组套中的分组信息）
         groupId: item.groupId,
         groupOrder: item.groupOrder,
-        therapyEnum: item.therapyEnum ?? orderDetail.therapyEnum ?? '1',
+        // 🔧 类型默认为临时医嘱（2=临时，1=长期）
+        therapyEnum: item.therapyEnum ?? orderDetail.therapyEnum ?? '2',
       }
     };
   });
@@ -645,9 +710,9 @@ function handlePreviewGroup(row) {
 }
 
 // 确认应用组套（从预览对话框）
-function confirmUseGroup() {
+async function confirmUseGroup() {
   if (currentGroup.value) {
-    handleUseOrderGroup(currentGroup.value);
+    await handleUseOrderGroup(currentGroup.value);
     previewVisible.value = false;
   }
 }

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

@@ -3591,13 +3591,10 @@ async function setValue(row) {
         prescriptionList.value[rowIndex.value].categoryEnum = 31; // 会诊的category_enum设置为31
       } else {
         // 诊疗类型（adviceType == 3）
-        // 🔧 Bug Fix #238: 诊疗项目默认使用患者就诊科室
+        // 🔧 Bug #455: 诊疗项目执行科室强制使用患者就诊科室，
-        if (!prescriptionList.value[rowIndex.value].orgId) {
+        // 不使用目录配置的执行科室（可能是错误ID或占位符，导致显示原始ID）
-          prescriptionList.value[rowIndex.value].orgId = props.patientInfo.orgId;
+        prescriptionList.value[rowIndex.value].orgId = props.patientInfo.orgId;
-        }
+        prescriptionList.value[rowIndex.value].positionName = findOrgNameById(props.patientInfo.orgId) || props.patientInfo.orgName || '';
-        if (!prescriptionList.value[rowIndex.value].positionName) {
-          prescriptionList.value[rowIndex.value].positionName = findOrgNameById(prescriptionList.value[rowIndex.value].orgId) || props.patientInfo.orgName || '';
-        }
         // 🔧 Bug #218 修复：使用组套中维护的quantity，如果没有则默认1
         prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
         // 🔧 Bug #144 修复：安全访问 priceList，防止 orderDetailInfos 为空时出错
@@ -3665,6 +3662,13 @@ function handleSaveGroup(orderGroupList) {
       defaultLotNumber: item.orderDetailInfos?.defaultLotNumber,
     };
 
+    // 🔧 Bug 修复：字典查找兜底，防止 mergedDetail 中 dictText 为空
+    const findDictText = (dictList, code) => {
+      if (!code || !dictList?.length) return '';
+      const found = dictList.find(d => d.value === code);
+      return found?.label || '';
+    };
+
     // 在 setValue 之前预初始化空行
     prescriptionList.value[rowIndex.value] = {
       uniqueKey: nextId.value++,
@@ -3675,43 +3679,105 @@ function handleSaveGroup(orderGroupList) {
     // 使用医嘱项目详情设置值
     setValue(mergedDetail);
 
+    // 🔧 Bug 修复：使用 mergedDetail 优先，避免 item 中 undefined 覆盖 setValue 中已设置的字段
+    const resolvedQuantity = mergedDetail.quantity ?? item.quantity ?? 1;
+    const resolvedDose = mergedDetail.dose ?? item.dose;
+    const resolvedMethodCode = mergedDetail.methodCode ?? item.methodCode;
+    const resolvedRateCode = mergedDetail.rateCode ?? item.rateCode;
+    const resolvedUnitCode = mergedDetail.unitCode ?? item.unitCode;
+
+    // 🔧 Bug 修复：setValue 可能因库存不足提前 return，导致 unitPrice/minUnitPrice 等字段未设置。
+    // 从 mergedDetail 或 item 中获取兜底值，避免价格计算产生 NaN。
+    const safePrice = (val) => {
+      const n = Number(val);
+      return (n !== undefined && n !== null && !isNaN(n) && isFinite(n)) ? n : 0;
+    };
+    const resolvedUnitPrice = safePrice(
+      prescriptionList.value[rowIndex.value]?.unitPrice 
+      ?? mergedDetail.unitPrice 
+      ?? item.unitPrice 
+      ?? 0
+    );
+    const resolvedMinUnitPrice = safePrice(
+      prescriptionList.value[rowIndex.value]?.minUnitPrice 
+      ?? mergedDetail.minUnitPrice 
+      ?? item.minUnitPrice 
+      ?? 0
+    );
+    const resolvedPartPercent = safePrice(
+      item.orderDetailInfos?.partPercent 
+      ?? mergedDetail.partPercent 
+      ?? 1
+    );
+
     // 创建新的处方项目
     const newRow = {
       ...prescriptionList.value[rowIndex.value],
       patientId: props.patientInfo.patientId,
       encounterId: props.patientInfo.encounterId,
       accountId: accountId.value,
-      quantity: item.quantity,
+      quantity: resolvedQuantity,
-      methodCode: item.methodCode,
+      methodCode: resolvedMethodCode,
-      rateCode: item.rateCode,
+      methodCode_dictText: mergedDetail.methodCode_dictText 
-      dispensePerDuration: item.dispensePerDuration,
+        || findDictText(method_code.value, resolvedMethodCode) 
-      dose: item.dose,
+        || '',
-      doseQuantity: item.doseQuantity,
+      rateCode: resolvedRateCode,
+      rateCode_dictText: mergedDetail.rateCode_dictText 
+        || findDictText(rate_code.value, resolvedRateCode) 
+        || '',
+      dispensePerDuration: mergedDetail.dispensePerDuration ?? item.dispensePerDuration,
+      dose: resolvedDose,
+      doseQuantity: mergedDetail.doseQuantity ?? item.doseQuantity,
       executeNum: 1,
-      unitCode: item.unitCode,
+      unitCode: resolvedUnitCode,
-      unitCode_dictText: item.unitCodeName || '',
+      unitCode_dictText: item.unitCodeName 
+        || mergedDetail.unitCodeName 
+        || findDictText(unit_code.value, resolvedUnitCode) 
+        || '',
+      doseUnitCode: mergedDetail.doseUnitCode,
+      doseUnitCode_dictText: mergedDetail.doseUnitCode_dictText || '',
+      // 🔧 确保 price/adviceType 字段有安全默认值（避免 NaN 导致模板条件判断失效）
+      unitPrice: resolvedUnitPrice,
+      minUnitPrice: resolvedMinUnitPrice,
+      unitTempPrice: resolvedUnitPrice,
+      adviceType: prescriptionList.value[rowIndex.value]?.adviceType 
+        || Number(mergedDetail.adviceType) 
+        || Number(item.adviceType) 
+        || 0,
+      adviceType_dictText: prescriptionList.value[rowIndex.value]?.adviceType_dictText 
+        || mergedDetail.adviceType_dictText 
+        || item.adviceType_dictText 
+        || '',
       statusEnum: 1,
+      // 🔧 类型：组套应用默认为临时医嘱（2=临时，1=长期）
+      therapyEnum: mergedDetail.therapyEnum ?? item.therapyEnum ?? '2',
       // 🔧 修复执行科室逻辑：优先使用 orgId(所属科室)，其次 positionId
       // 🔧 Bug #455: 诊疗类(adviceType=3)使用患者就诊科室，不使用目录配置的ID
       orgId: item.adviceType === 3
         ? props.patientInfo?.orgId
         : (item.orderDetailInfos?.orgId || mergedDetail.orgId || item.positionId || item.orderDetailInfos?.positionId || mergedDetail.positionId),
+      positionName: prescriptionList.value[rowIndex.value]?.positionName 
+        || mergedDetail.orgName 
+        || mergedDetail.positionName 
+        || findOrgNameById(mergedDetail.orgId || props.patientInfo?.orgId) 
+        || '',
       dbOpType: prescriptionList.value[rowIndex.value].requestId ? '2' : '1',
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,
       encounterDiagnosisId: encounterDiagnosisId.value,
+      diagnosisName: diagnosisName.value,
     };
 
-    // 计算价格和总量
+    // 计算价格和总量（使用安全值）
-    const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
+    const unitInfo = unitCodeList.value.find((k) => k.value == resolvedUnitCode);
     if (unitInfo && unitInfo.type == 'minUnit') {
-      newRow.price = newRow.minUnitPrice;
+      newRow.price = resolvedMinUnitPrice;
-      newRow.totalPrice = (item.quantity * newRow.minUnitPrice).toFixed(6);
+      newRow.totalPrice = (resolvedQuantity * resolvedMinUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity;
+      newRow.minUnitQuantity = resolvedQuantity;
     } else {
-      newRow.price = newRow.unitPrice;
+      newRow.price = resolvedUnitPrice;
-      newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
+      newRow.totalPrice = (resolvedQuantity * resolvedUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity * (item.orderDetailInfos?.partPercent || mergedDetail.partPercent || 1);
+      newRow.minUnitQuantity = resolvedQuantity * resolvedPartPercent;
     }
 
     newRow.contentJson = JSON.stringify(newRow);

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

@@ -1142,7 +1142,8 @@ function submitForm() {
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            emit('saved') // 通知父组件刷新医嘱列表及手术申请列表
+            getList() // 提交成功后直接刷新列表
+            emit('saved') // 通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1158,7 +1159,8 @@ function submitForm() {
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            emit('saved') // 通知父组件刷新医嘱列表及手术申请列表
+            getList() // 修改成功后直接刷新列表
+            emit('saved') // 通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }

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

@@ -86,10 +86,13 @@
           </template>
           <el-table-column type="index" label="序号" width="60" align="center" />
           <el-table-column prop="patientName" label="患者姓名" width="120" />
-          <el-table-column prop="name" label="申请单名称" width="140" />
+          <el-table-column label="申请单名称" width="140">
+            <template #default="scope">
+              <span>{{ buildApplicationName(scope.row) }}</span>
+            </template>
+          </el-table-column>
           <el-table-column prop="createTime" label="创建时间" width="160" />
           <el-table-column prop="prescriptionNo" label="申请单号" width="140" />
-          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="申请单状态" width="120" align="center">
             <template #default="scope">
               <el-tag :type="getStatusTagType(scope.row.status)" effect="plain" round>
@@ -97,6 +100,7 @@
               </el-tag>
             </template>
           </el-table-column>
+          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="操作" width="280" align="center" fixed="right">
             <template #default="scope">
               <!-- 详情 - 所有状态都显示 -->
@@ -216,6 +220,7 @@
         :is-edit-mode="true"
         :edit-data="editingRow"
         :external-patient-info="patientInfo"
+        @submit-ok="handleEditSuccess"
       />
       <template #footer>
         <el-button @click="editDialogVisible = false">取消</el-button>
@@ -429,6 +434,23 @@ const parseStatus = (status) => {
   return statusMap[String(status)] || '-';
 };
 
+/**
+ * 根据申请单详情构建申请单名称
+ * 单一项目：显示项目名称
+ * 多个项目：显示首个项目名称+"等X项"
+ */
+const buildApplicationName = (row) => {
+  const details = row.requestFormDetailList;
+  if (!details || details.length === 0) {
+    return row.name || '-';
+  }
+  if (details.length === 1) {
+    return details[0].adviceName || row.name || '-';
+  }
+  const first = details[0];
+  return `${first.adviceName || ''}等${details.length}项`;
+};
+
 /**
  * 获取状态标签类型 - 参考临床医嘱样式
  * @param {string|number} status - 状态码
@@ -513,6 +535,30 @@ const findTreeItem = (list, id) => {
   return null;
 };
 
+const recursionFun = (targetDepartment) => {
+  if (!targetDepartment) return '';
+  let name = '';
+  for (let index = 0; index < orgOptions.value.length; index++) {
+    const obj = orgOptions.value[index];
+    if (obj.id == targetDepartment) {
+      name = obj.name;
+      break;
+    }
+    const subObjArray = obj['children'];
+    if (subObjArray && subObjArray.length > 0) {
+      for (let i = 0; i < subObjArray.length; i++) {
+        const item = subObjArray[i];
+        if (item.id == targetDepartment) {
+          name = item.name;
+          break;
+        }
+      }
+    }
+    if (name) break;
+  }
+  return name;
+};
+
 const handleViewDetail = async (row) => {
   // 确保科室数据已加载，以便将 ID 解析为名称
   if (!orgOptions.value || orgOptions.value.length === 0) {
@@ -526,8 +572,7 @@ const handleViewDetail = async (row) => {
       const obj = JSON.parse(row.descJson);
       // 将发往科室 ID 转换为名称
       if (obj.targetDepartment) {
-        const deptItem = findTreeItem(orgOptions.value, obj.targetDepartment);
+        obj.targetDepartment = recursionFun(obj.targetDepartment);
-        obj.targetDepartment = deptItem ? deptItem.name : obj.targetDepartment;
       }
       descJsonData.value = obj;
     } catch (e) {
@@ -923,12 +968,17 @@ const handleEdit = (row) => {
 
 // 编辑弹窗确认提交
 const handleEditSubmit = () => {
-  // 调用MedicalExaminations组件的submit方法
   if (editFormRef.value?.submit) {
     editFormRef.value.submit();
   }
 };
 
+// 编辑保存成功回调：关闭弹窗并刷新列表
+const handleEditSuccess = () => {
+  editDialogVisible.value = false;
+  fetchData();
+};
+
 watch(
   () => patientInfo.value?.encounterId,
   (val) => {

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

@@ -41,8 +41,8 @@
               <el-option label="全部" value="" />
               <el-option label="待签发" value="0" />
               <el-option label="已签发" value="1" />
-              <el-option label="报告已出" value="4" />
+              <el-option label="已出报告" value="6" />
-              <el-option label="已作废" value="5" />
+              <el-option label="已作废" value="7" />
             </el-select>
           </el-form-item>
           <el-form-item label="关键字">
@@ -105,15 +105,18 @@
             </template>
           </el-table-column>
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
-          <el-table-column label="操作" align="center" fixed="right" width="160">
+          <el-table-column label="操作" align="center" fixed="right" width="180">
             <template #default="scope">
+              <!-- 待签发：可修改、删除 -->
               <template v-if="scope.row.status == 0">
                 <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
                 <el-button link type="danger" @click="handleDelete(scope.row)">删除</el-button>
               </template>
+              <!-- 已签发：可撤回 -->
               <template v-else-if="scope.row.status == 1">
                 <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
               </template>
+              <!-- 已校对(2)、待接收(3)、已接收(4)、已检查(6)、已作废(7)：仅查看详情 -->
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
             </template>
           </el-table-column>
@@ -183,6 +186,26 @@
         <el-button @click="detailDialogVisible = false">关闭</el-button>
       </template>
     </el-dialog>
+
+    <!-- 编辑检验申请单弹窗 -->
+    <el-dialog
+      v-model="editDialogVisible"
+      title="编辑检验申请单"
+      width="1200px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <LaboratoryTests
+        ref="editFormRef"
+        @submitOk="handleEditSubmitOk"
+        :editData="editRowData"
+      />
+      <template #footer>
+        <el-button @click="editDialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="submitEditForm">确认</el-button>
+      </template>
+    </el-dialog>
   </div>
 </template>
 
@@ -192,12 +215,17 @@ import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
 import {getDepartmentList} from '@/api/public.js';
+import LaboratoryTests from '../order/applicationForm/laboratoryTests.vue';
+import {saveInspection} from '../order/applicationForm/api.js';
 
 const { proxy } = getCurrentInstance();
 
 const tableData = ref([]);
 const loading = ref(false);
 const detailDialogVisible = ref(false);
+const editDialogVisible = ref(false);
+const editRowData = ref(null);
+const editFormRef = ref(null);
 const currentDetail = ref(null);
 const descJsonData = ref(null);
 const orgOptions = ref([]);
@@ -303,8 +331,11 @@ const parseBillStatus = (status) => {
   const statusMap = {
     '0': '待签发',
     '1': '已签发',
-    '4': '报告已出',
+    '2': '已校对',
-    '5': '已作废',
+    '3': '待接收',
+    '4': '已收样',
+    '6': '已出报告',
+    '7': '已作废',
   };
   return statusMap[String(status)] || '-';
 };
@@ -433,10 +464,32 @@ const handleViewDetail = async (row) => {
 /**
  * 修改检验申请单（待签发状态）
  */
-const handleEdit = (row) => {
+const handleEdit = async (row) => {
-  // 复用详情查看逻辑，后续可扩展为打开编辑弹窗
+  // 确保科室数据已加载
-  handleViewDetail(row);
+  if (!orgOptions.value || orgOptions.value.length === 0) {
-  proxy.$modal?.msgInfo?.('修改功能待接入，请通过详情弹窗查看后重新开立');
+    await getLocationInfo();
+  }
+  editRowData.value = row;
+  editDialogVisible.value = true;
+};
+
+/**
+ * 编辑弹窗提交成功回调
+ */
+const handleEditSubmitOk = async () => {
+  editDialogVisible.value = false;
+  editRowData.value = null;
+  proxy.$modal?.msgSuccess?.('修改成功');
+  await fetchData();
+};
+
+/**
+ * 编辑弹窗提交按钮
+ */
+const submitEditForm = () => {
+  if (editFormRef.value?.submit) {
+    editFormRef.value.submit();
+  }
 };
 
 /**
@@ -450,7 +503,7 @@ const handleDelete = async (row) => {
   }
 
   try {
-    const res = await deleteRequestForm({ prescriptionNo: row.prescriptionNo });
+    const res = await deleteRequestForm({ requestFormId: row.requestFormId });
     if (res?.code === 200) {
       proxy.$modal?.msgSuccess?.('删除成功');
       await fetchData();
@@ -473,7 +526,7 @@ const handleWithdraw = async (row) => {
   }
 
   try {
-    const res = await withdrawRequestForm({ prescriptionNo: row.prescriptionNo });
+    const res = await withdrawRequestForm({ requestFormId: row.requestFormId });
     if (res?.code === 200) {
       proxy.$modal?.msgSuccess?.('撤回成功');
       await fetchData();

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

@@ -1,6 +1,24 @@
 import request from '@/utils/request';
 // 申请单相关接口
 
+// 手术项目专用分页查询（仅手术 + 定价，无库存/草稿库存等无关逻辑）
+export function getSurgeryPage(params) {
+  return request({
+    url: '/doctor-station/advice/surgery-page',
+    method: 'get',
+    params: params,
+  });
+}
+
+// 检查项目专用分页查询（仅检查(23) + 定价，绕过 AOP 校验提升加载速度）
+export function getExaminationPage(params) {
+  return request({
+    url: '/doctor-station/advice/examination-page',
+    method: 'get',
+    params: params,
+  });
+}
+
 //医嘱大下拉
 export function getApplicationList(queryParams) {
   return request({

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

@@ -155,7 +155,13 @@ const findTreeItem = (list, id) => {
   return null;
 };
 const emits = defineEmits(['submitOk']);
-const props = defineProps({});
+const props = defineProps({
+  editData: {
+    type: Object,
+    default: null,
+  },
+});
+const isEditMode = computed(() => !!props.editData?.requestFormId);
 const state = reactive({});
 const applicationListAll = ref([]);
 const loading = ref(false);
@@ -319,7 +325,12 @@ const projectWithDepartment = (selectProjectIds, type) => {
       }
     }
     if (findItem && isRelease) {
-      form.targetDepartment = findItem.id;
+      // 提交时若用户已选「发往科室」，不得用项目默认执行科室覆盖
+      if (type === 2 && manualDept) {
+        form.targetDepartment = manualDept;
+      } else {
+        form.targetDepartment = findItem.id;
+      }
     }
   }
   return isRelease;
@@ -331,6 +342,44 @@ watch(
     projectWithDepartment(newValue, 1);
   }
 );
+
+// 编辑模式下，回显已有数据
+watch(
+  () => props.editData,
+  (newData) => {
+    if (!newData || !newData.requestFormId) return;
+
+    // 解析 descJson 回填表单
+    if (newData.descJson) {
+      try {
+        const obj = JSON.parse(newData.descJson);
+        Object.keys(form).forEach((key) => {
+          if (obj[key] !== undefined) {
+            form[key] = obj[key];
+          }
+        });
+      } catch (e) {
+        console.error('解析 descJson 失败:', e);
+      }
+    }
+
+    // 回填已选项目
+    if (newData.requestFormDetailList && newData.requestFormDetailList.length > 0) {
+      // 从全部数据中匹配已选项目
+      const selectedIds = [];
+      newData.requestFormDetailList.forEach((detail) => {
+        const matched = applicationListAll.value.find(
+          (item) => item.adviceName === detail.adviceName
+        );
+        if (matched) {
+          selectedIds.push(matched.adviceDefinitionId);
+        }
+      });
+      transferValue.value = selectedIds;
+    }
+  },
+  { immediate: true }
+);
 const submit = () => {
   if (transferValue.value.length == 0) {
     return proxy.$message.error('请选择申请单');
@@ -348,7 +397,7 @@ const submit = () => {
       unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
       unitPrice: item.priceList[0].price /** 单价 */,
       totalPrice: item.priceList[0].price /** 总价 */,
-      positionId: item.positionId || form.targetDepartment, //执行科室id，未配置时使用用户手动选择的科室
+      positionId: form.targetDepartment || item.positionId, // 用户指定发往科室优先于项目默认执行科室
       ybClassEnum: item.ybClassEnum, //类别医保编码
       conditionId: item.conditionId, //诊断ID
       encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
@@ -363,14 +412,14 @@ const submit = () => {
     patientId: patientInfo.value.patientId, //患者ID
     encounterId: patientInfo.value.encounterId, // 就诊ID
     organizationId: patientInfo.value.inHospitalOrgId, // 医疗机构ID
-    requestFormId: '', // 申请单ID
+    requestFormId: isEditMode.value ? props.editData.requestFormId : '', // 申请单ID（编辑模式传入，新增为空）
     name: '检验申请单',
     descJson: JSON.stringify(form),
     categoryEnum: '21', // 21 检验 22 检查 23 输血 24 手术（避开 adviceType 1-6 碰撞）
   };
   saveInspection(params).then((res) => {
     if (res.code === 200) {
-      proxy.$message.success(res.msg);
+      proxy.$message.success(isEditMode.value ? '修改成功' : res.msg);
       transferValue.value = [];
       emits('submitOk');
     } else {

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

@@ -206,7 +206,7 @@ import dayjs from 'dayjs';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
-import {getApplicationList, saveCheckd} from './api';
+import {getExaminationPage, saveCheckd} from './api';
 import {ElMessage, ElMessageBox} from 'element-plus';
 import {WarningFilled, Warning, Refresh, Files, Document, EditPen, Aim, DocumentCopy} from '@element-plus/icons-vue';
 
@@ -266,27 +266,23 @@ const isSevereAllergy = computed(() => {
 });
 
 const getList = () => {
-  console.log('getList called, effectivePatientInfo:', effectivePatientInfo.value);
   if (!effectivePatientInfo.value?.inHospitalOrgId) {
-    console.log('inHospitalOrgId is missing, setting empty list');
     applicationList.value = [];
     return;
   }
   loading.value = true;
-  getApplicationList({
+  getExaminationPage({
-    pageSize: 500,
-    pageNum: 1,
-    categoryCode: '23',
     organizationId: effectivePatientInfo.value.inHospitalOrgId,
-    adviceTypes: [3],
+    pageNo: 1,
+    pageSize: 5000,
+    searchKey: '',
   })
     .then((res) => {
-      if (res.code === 200) {
+      if (res.code === 200 && res.data?.records) {
         applicationListAll.value = res.data.records;
         applicationList.value = res.data.records.map((item) => {
-          const priceInfo = item.priceList?.[0] || {};
+          const price = item.price != null ? Number(item.price).toFixed(2) : '0.00';
-          const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+          const unit = item.unitCodeDictText || item.unitCode || '';
-          const unit = item.unitCode_dictText || item.unitCode || '';
           return {
             adviceDefinitionId: item.adviceDefinitionId,
             orgId: item.orgId,
@@ -299,7 +295,6 @@ const getList = () => {
           nextTick(() => {
             // 使用 adviceName 匹配
             const selectedNames = props.editData.requestFormDetailList.map(item => item.adviceName);
-            console.log('getList completed, selectedNames:', selectedNames);
             const selectedIds = [];
             applicationList.value?.forEach(app => {
               // 匹配时去掉价格部分，只比较名称
@@ -308,7 +303,6 @@ const getList = () => {
                 selectedIds.push(app.key);
               }
             });
-            console.log('getList completed, matched selectedIds:', selectedIds);
             transferValue.value = selectedIds;
           });
         }
@@ -404,13 +398,11 @@ const loadPatientAllergyHistory = () => {
   if (!effectivePatientInfo.value?.patientId) return;
 };
 
-// 加载编辑数据
+// 加载编辑数据 — 只负责解析 descJson 填充表单字段
+// 已选项目的匹配由 getList 数据加载完成后统一处理
 const loadEditData = () => {
   if (!props.isEditMode || !props.editData?.requestFormId) return;
 
-  console.log('loadEditData called, editData:', props.editData);
-
-  // 解析已有的descJson填充表单
   if (props.editData.descJson) {
     try {
       const obj = JSON.parse(props.editData.descJson);
@@ -431,91 +423,16 @@ const loadEditData = () => {
       console.error('解析descJson失败:', e);
     }
   }
-
-  // 设置已选项目（从requestFormDetailList获取）
-  // 注意：后端返回的字段是 adviceName，不是 adviceDefinitionId
-  console.log('requestFormDetailList:', props.editData.requestFormDetailList);
-  if (props.editData.requestFormDetailList && props.editData.requestFormDetailList.length) {
-    // 使用 adviceName 匹配
-    const selectedNames = props.editData.requestFormDetailList.map(item => item.adviceName);
-    console.log('setting transferValue by adviceName to:', selectedNames);
-    // 通过名称匹配找到对应的 key
-    const selectedIds = [];
-    applicationList.value?.forEach(app => {
-      if (selectedNames.includes(app.label?.split(' (')[0])) {
-        selectedIds.push(app.key);
-      }
-    });
-    console.log('matched selectedIds:', selectedIds);
-    transferValue.value = selectedIds;
-  } else {
-    console.log('requestFormDetailList is empty or undefined');
-  }
 };
 
-const projectWithDepartment = (selectProjectIds, type) => {
+const projectWithDepartment = (selectProjectIds) => {
-  let isRelease = true;
+  if (!selectProjectIds || selectProjectIds.length === 0) {
-  const arr = [];
-  // 确保 applicationList 存在
-  if (!applicationList.value || !Array.isArray(applicationList.value)) {
-    return true;
-  }
-  selectProjectIds.forEach((element) => {
-    const searchData = applicationList.value.find((item) => {
-      return element == item.adviceDefinitionId;
-    });
-    arr.push(searchData);
-  });
-  // 只有当选择了项目（arr 非空）时才设置 targetDepartment
-  if (arr.length > 0) {
-    const obj = arr[0];
-    // 检查是否有未定义的项目（applicationList 中找不到）
-    if (!obj) {
-      console.warn('未找到项目定义，无法设置执行科室');
-      return false;
-    }
-    const isCompare = arr.every((item) => item && item.orgId == obj.orgId);
-    if (!isCompare) {
-      ElMessage({ type: 'error', message: '执行科室不同' });
-      isRelease = false;
-    }
-    const findItem = findTreeItem(orgOptions.value, obj.orgId);
-    if (!findItem) {
-      isRelease = false;
-      ElMessage({ type: 'error', message: '未找到项目执行的科室' });
-    }
-    if (type == 1 && isRelease) {
-      form.targetDepartment = findItem.id;
-      console.log('targetDepartment 设置为:', form.targetDepartment, '科室名称:', findItem.name);
-    }
-  } else {
-    // 清空选择时，也要清空 targetDepartment
     form.targetDepartment = '';
   }
-  return isRelease;
 };
 
 watch(() => transferValue.value, (newValue) => {
-  console.log('transferValue changed:', newValue);
+  projectWithDepartment(newValue);
-  console.log('applicationList length:', applicationList.value?.length);
-  projectWithDepartment(newValue, 1);
-});
-
-// 监听 applicationList 加载完成，重新设置已选项目
-watch(() => applicationList.value, (newList) => {
-  if (newList && newList.length > 0 && props.isEditMode && props.editData?.requestFormDetailList?.length) {
-    console.log('applicationList loaded, re-setting transferValue');
-    // 使用 adviceName 匹配
-    const selectedNames = props.editData.requestFormDetailList.map(item => item.adviceName);
-    const selectedIds = [];
-    newList.forEach(app => {
-      const appName = app.label?.split(' (')[0];
-      if (selectedNames.includes(appName)) {
-        selectedIds.push(app.key);
-      }
-    });
-    transferValue.value = selectedIds;
-  }
 });
 
 const getPriorityCode = () => {
@@ -526,8 +443,8 @@ const submit = () => {
   if (transferValue.value.length == 0) {
     return proxy.$message.error('请选择检查项目');
   }
-  if (!projectWithDepartment(transferValue.value, 2)) {
+  if (!form.targetDepartment) {
-    return;
+    return proxy.$message.error('请选择发往科室');
   }
   if (!form.examinationPurpose) {
     return ElMessageBox.alert('请输入检查目的', '提示', { confirmButtonText: '确定', type: 'warning' });
@@ -542,20 +459,25 @@ const submit = () => {
   let applicationListAllFilter = applicationListAll.value.filter((item) => {
     return transferValue.value.includes(item.adviceDefinitionId);
   });
+  // 从原始记录中提取检查项目名称，用于申请单名称字段
+  const selectedNames = applicationListAllFilter.map(item => item.adviceName).join('+');
   applicationListAllFilter = applicationListAllFilter.map((item) => {
+    // 新接口 getExaminationPage 返回扁平字段（price/unitCode），兼容旧接口 priceList[0]
+    const priceInfo = item.priceList?.[0] || {};
     return {
       adviceDefinitionId: item.adviceDefinitionId,
+      adviceName: item.adviceName,
       quantity: 1,
-      unitCode: item.priceList[0].unitCode,
+      unitCode: item.unitCode || priceInfo.unitCode || '',
-      unitPrice: item.priceList[0].price,
+      unitPrice: item.price ?? priceInfo.price ?? 0,
-      totalPrice: item.priceList[0].price,
+      totalPrice: item.price ?? priceInfo.price ?? 0,
       positionId: item.positionId,
       ybClassEnum: item.ybClassEnum,
       conditionId: item.conditionId,
       encounterDiagnosisId: item.encounterDiagnosisId,
       adviceType: item.adviceType,
-      definitionId: item.priceList[0].definitionId,
+      definitionId: item.chargeItemDefinitionId || priceInfo.definitionId || '',
-      definitionDetailId: item.priceList[0].definitionDetailId,
+      definitionDetailId: item.definitionDetailId || priceInfo.definitionDetailId || '',
       accountId: effectivePatientInfo.value.accountId,
     };
   });
@@ -572,7 +494,7 @@ const submit = () => {
     encounterId: effectivePatientInfo.value.encounterId,
     organizationId: effectivePatientInfo.value.inHospitalOrgId,
     requestFormId: requestFormId,
-    name: applicationListAllFilter.map(item => item.adviceName).join('、'),
+    name: selectedNames,
     descJson: JSON.stringify(submitForm),
     categoryEnum: '22',
   }).then((res) => {

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

@@ -5,13 +5,27 @@
 -->
 <template>
   <div class="surgery-container">
-    <div v-loading="loading" class="transfer-wrapper" style="min-height: 300px;">
+    <div class="transfer-wrapper" style="min-height: 300px;">
+      <!-- 搜索框：≥3字触发后端搜索 -->
+      <div style="padding: 6px 0;">
+        <el-input
+          v-model="searchKey"
+          placeholder="请输入3个字及以上搜索"
+          clearable
+          @input="onSearchInput"
+          style="width: 320px;"
+        />
+      </div>
+      <!-- 加载提示不阻塞穿梭框操作 -->
+      <div v-if="loading" style="padding:8px 0; color:#909399; font-size:13px;">
+        <el-icon class="is-loading"><Loading /></el-icon> 手术项目加载中...
+      </div>
       <el-transfer
+        ref="transferRef"
         v-model="transferValue"
         :data="applicationList"
-        filter-placeholder="项目代码/名称"
+        :titles="['待选择', '已选择']"
-        filterable
+        :format="leftPanelFormat"
-        :titles="['未选择', '已选择']"
       />
     </div>
     <div class="bloodTransfusion-form">
@@ -78,17 +92,26 @@
   </div>
 </template>
 <script setup name="Surgery">
-import {getCurrentInstance, onBeforeMount, onMounted, reactive, ref, watch} from 'vue';
+import {computed, getCurrentInstance, onBeforeMount, onMounted, reactive, ref, watch} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
-import {getApplicationList, saveSurgery} from './api';
+import {getSurgeryPage, saveSurgery} from './api';
 import {ElMessage} from 'element-plus';
 
 const { proxy } = getCurrentInstance();
 // 模块级缓存：避免每次打开弹窗都重新请求手术项目列表
 let surgeryRecordsCache = null; // 原始 API 记录
 let surgeryMappedCache = null;  // 映射后的 el-transfer 数据
+let searchDebounceTimer = null; // 搜索防抖
+const transferRef = ref(null);
+const dbTotal = ref(0); // 数据库中的手术项目总数
+const searchKey = ref(''); // 搜索关键字
+const checkedCount = computed(() => transferValue.value.length);
+const leftPanelFormat = computed(() => ({
+  noChecked: ` 0/${dbTotal.value}`,
+  hasChecked: ` \${checked}/${dbTotal.value}`,
+}));
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
   if (!list || list.length === 0) return null;
@@ -105,58 +128,88 @@ const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
 const applicationListAll = ref();
-const applicationList = ref();
+const applicationList = ref([]);
 const orgOptions = ref([]); // 科室选项
 const loading = ref(false); // 加载状态
+const mapToTransferItem = (item) => {
+  const price = item.price != null ? Number(item.price).toFixed(2) : '0.00';
+  const unit = item.unitCodeDictText || item.unitCode || '';
+  return {
+    adviceDefinitionId: item.adviceDefinitionId,
+    orgId: item.orgId,
+    label: item.adviceName + ' (￥' + price + '/' + unit + ')',
+    key: item.adviceDefinitionId,
+  };
+};
 const getList = () => {
   if (!patientInfo.value?.inHospitalOrgId) {
     applicationList.value = [];
     return;
   }
-  // 命中缓存时直接使用，避免重复请求导致加载缓慢
+  // 命中内存缓存时直接使用
   if (surgeryMappedCache && surgeryMappedCache.length > 0) {
     applicationList.value = surgeryMappedCache;
     applicationListAll.value = surgeryRecordsCache;
+    loading.value = false;
     return;
   }
+  loadPage('');
+};
+
+/**
+ * 加载手术项目分页数据
+ * @param {string} key 搜索关键字（可选）
+ */
+const loadPage = (key) => {
+  const orgId = patientInfo.value.inHospitalOrgId;
   loading.value = true;
-  getApplicationList({
+  getSurgeryPage({ organizationId: orgId, pageNo: 1, pageSize: 100, searchKey: key || '' })
-    pageSize: 500,
-    pageNum: 1,
-    categoryCode: '24',
-    organizationId: patientInfo.value.inHospitalOrgId,
-    adviceTypes: [3, 6], //1 药品 2耗材 3诊疗 6手术
-  })
     .then((res) => {
-      if (res.code === 200) {
+      if (res.code !== 200 || !res.data?.records) {
-        applicationListAll.value = res.data.records;
-        applicationList.value = res.data.records.map((item) => {
-          const priceInfo = item.priceList?.[0] || {};
-          const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
-          const unit = item.unitCode_dictText || item.unitCode || '';
-          return {
-            adviceDefinitionId: item.adviceDefinitionId,
-            orgId: item.orgId,
-            label: item.adviceName + ' (￥' + price + '/' + unit + ')',
-            key: item.adviceDefinitionId,
-          };
-        });
-        // 写入模块缓存，后续打开弹窗直接复用
-        surgeryRecordsCache = res.data.records;
-        surgeryMappedCache = applicationList.value;
-      } else {
-        console.warn('获取手术项目列表失败:', res.message);
         applicationList.value = [];
+        dbTotal.value = 0;
+        loading.value = false;
+        return;
       }
+      dbTotal.value = res.data.total || 0;
+      const records = res.data.records;
+      applicationListAll.value = records;
+      applicationList.value = records
+        .filter(item => item.adviceDefinitionId != null)
+        .map(mapToTransferItem);
+      // 仅在无搜索时缓存
+      if (!key) {
+        surgeryRecordsCache = records;
+        surgeryMappedCache = applicationList.value;
+      }
+      loading.value = false;
     })
     .catch((e) => {
-      console.warn('手术项目列表加载失败（可能无权限）:', e?.message || e);
+      console.error('手术项目加载失败:', e);
       applicationList.value = [];
-    })
+      dbTotal.value = 0;
-    .finally(() => {
       loading.value = false;
     });
 };
+
+/**
+ * 搜索输入框变化处理（防抖300ms，≥3字触发后端搜索）
+ */
+const onSearchInput = () => {
+  clearTimeout(searchDebounceTimer);
+  const val = searchKey.value.trim();
+  if (!val) {
+    // 清空搜索框，恢复初始数据
+    loadPage('');
+    return;
+  }
+  if (val.length >= 3) {
+    searchDebounceTimer = setTimeout(() => {
+      loadPage(val);
+    }, 300);
+  }
+};
+
 const transferValue = ref([]);
 const form = reactive({
   // categoryType: '', // 项目类别
@@ -243,20 +296,15 @@ const submit = () => {
   });
   applicationListAllFilter = applicationListAllFilter.map((item) => {
     return {
-      adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
+      adviceDefinitionId: item.adviceDefinitionId,
-      adviceDefinitionName: item.adviceDefinitionName /** 诊疗定义名称（手术项目名称） */,
+      adviceDefinitionName: item.adviceName,
-      quantity: 1, // /** 请求数量 */
+      quantity: 1,
-      unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
+      unitCode: item.unitCode,
-      unitPrice: item.priceList[0].price /** 单价 */,
+      unitPrice: item.price,
-      totalPrice: item.priceList[0].price /** 总价 */,
+      totalPrice: item.price,
-      positionId: item.positionId, //执行科室id
+      positionId: item.positionId,
-      ybClassEnum: item.ybClassEnum, //类别医保编码
+      definitionId: item.chargeItemDefinitionId,
-      conditionId: item.conditionId, //诊断ID
+      accountId: patientInfo.value.accountId,
-      encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
-      adviceType: item.adviceType, ///** 医嘱类型 */
-      definitionId: item.priceList[0].definitionId, //费用定价主表ID */
-      definitionDetailId: item.definitionDetailId, //费用定价子表ID */
-      accountId: patientInfo.value.accountId, // // 账户id
     };
   });
   saveSurgery({

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

@@ -380,7 +380,7 @@ const form = ref({
   prescriptionList: prescriptionList.value,
 });
 const adviceQueryParams = ref({
-  adviceType: '',
+  adviceType: 1,
   categoryCode: '', // 初始为空，等待加载配置后动态设置
   searchKey: '',
 });
@@ -533,7 +533,6 @@ const statusOption = [
 let loadingInstance = undefined;
 onMounted(() => {
   document.addEventListener('keydown', escKeyListener);
-  getList();
 });
 
 onBeforeUnmount(() => {
@@ -574,6 +573,7 @@ function handleTotalAmount() {
     }
   }, new Decimal(0));
 }
+getList();
 function getList() {
   getDiagnosisDefinitionList(queryParams.value).then((res) => {
     // prescriptionList.value = res.data.records;
@@ -585,11 +585,6 @@ function refresh() {
 }
 // 获取列表信息
 function getListInfo(addNewRow) {
-  // 守护：未选择患者时不发起 API 请求，避免页面加载时循环报错
-  if (!patientInfo.value || !patientInfo.value.encounterId) {
-    console.warn('⚠️ getListInfo 跳过：未选择患者');
-    return;
-  }
   loadingInstance = ElLoading.service({ fullscreen: true });
   setTimeout(() => {
     loadingInstance.close();
@@ -691,7 +686,7 @@ function loadConfiguredCategories() {
         nextTick(() => {
           // 创建新对象触发响应式更新
           adviceQueryParams.value = {
-            adviceType: '',
+            adviceType: 1,
             categoryCode: defaultCategoryCode,
             searchKey: '',
           };
@@ -715,17 +710,9 @@ function loadConfiguredCategories() {
 // 数据过滤
 const filterPrescriptionList = computed(() => {
   const pList = prescriptionList.value.filter((item) => {
-    // 修复 Bug #488：orderClassCode 可能是复合值 '1-2'，需提取 adviceType 部分进行比较
-    let matchAdviceType = true;
-    if (orderClassCode.value) {
-      const filterAdviceType = String(orderClassCode.value).includes('-')
-        ? parseInt(String(orderClassCode.value).split('-')[0])
-        : orderClassCode.value;
-      matchAdviceType = filterAdviceType == item.adviceType;
-    }
     return (
       (!therapyEnum.value || therapyEnum.value == item.therapyEnum) &&
-      matchAdviceType &&
+      (!orderClassCode.value || orderClassCode.value == item.adviceType) &&
       (!orderStatus.value || (orderStatus.value == item.statusEnum && item.requestId))
     );
   });
@@ -753,28 +740,12 @@ function getRowDisabled(row) {
 /**
  * 将行的 adviceType + categoryCode 映射为 el-select 的选中值
  * 药品子分类使用复合值如 '1-2'（adviceType-categoryCode），诊疗/手术/全部使用原始值
- * 修复 Bug #488：当行的 adviceType 在当前配置中找不到匹配选项时，返回最接近的可用值，避免回显为纯数字
  */
 function getRowSelectValue(row) {
   if (row.adviceType == 1 && row.categoryCode) {
-    const compositeValue = '1-' + row.categoryCode;
+    return '1-' + row.categoryCode;
-    // 检查复合值是否在选项列表中
-    if (adviceTypeList.value.some(item => item.value === compositeValue)) {
-      return compositeValue;
-    }
-    // 配置的 categoryCode 已变更，回退到第一个药品选项
-    const firstPharmacy = adviceTypeList.value.find(item => String(item.value).startsWith('1-'));
-    if (firstPharmacy) {
-      return firstPharmacy.value;
-    }
-    return row.adviceType;
   }
-  // 诊疗/手术等非药品类型，检查其值是否在选项列表中
+  return row.adviceType;
-  if (adviceTypeList.value.some(item => item.value === row.adviceType)) {
-    return row.adviceType;
-  }
-  // 不在选项中的值（如已废弃的 adviceType），返回 undefined 让 el-select 显示为空
-  return undefined;
 }
 
 // 新增医嘱
@@ -831,8 +802,8 @@ function clickRowDb(row, column, event) {
     return;
   }
   row.showPopover = false;
-  // 仅”待签发(statusEnum==1)”允许编辑；”已签发(statusEnum==2)”及之后状态不允许编辑
+  // “待签发(已保存 requestId存在)”不允许再编辑；仅“待保存(无requestId)”允许编辑
-  if (row.statusEnum == 1) {
+  if (row.statusEnum == 1 && !row.requestId) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
@@ -910,9 +881,9 @@ function handleFocus(row, index) {
   // 用 adviceType + categoryCode 组合查找匹配的选项
   const selectValue = (adviceType == 1 && row.categoryCode) ? '1-' + row.categoryCode : adviceType;
   const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-  // 修复Bug #486：当行没有显式选择医嘱类型时（row.adviceType为undefined），
+  // If the row has an explicit adviceType (saved/existing row), use its own categoryCode.
-  // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+  // If no type is selected (new row), use empty string for global search across all categories.
-  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
+  const categoryCode = selectedItem ? selectedItem.categoryCode : (row.adviceType != null ? (row.categoryCode || '') : '');
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -949,12 +920,9 @@ function handleChange(value) {
       // 用 adviceType + categoryCode 组合查找匹配的选项
       const selectValue = (adviceType == 1 && row?.categoryCode) ? '1-' + row.categoryCode : adviceType;
       const selectedItem = adviceTypeList.value.find(item => item.value === selectValue) || adviceTypeList.value.find(item => item.adviceType === adviceType);
-      // 修复Bug #486：当行没有显式选择医嘱类型时（row?.adviceType为undefined），
+      // 修复Bug #486：当行没有显式选择医嘱类型时，不传categoryCode，让搜索在全药库中进行
-      // 不传categoryCode，让搜索在全药库中进行；只有行已选择类型时才用对应categoryCode过滤
+      const categoryCode = selectedItem ? selectedItem.categoryCode : (row?.adviceType !== undefined ? (adviceQueryParams.value.categoryCode || '') : '');
-      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
+      tableRef.refresh(adviceType, categoryCode, value);
-      // 修复Bug #453：当adviceType为空字符串或NaN时，不传具体类型，让refresh函数根据searchKey决定搜索范围
-      const effectiveAdviceType = (adviceType && !isNaN(Number(adviceType))) ? adviceType : '';
-      tableRef.refresh(effectiveAdviceType, categoryCode, value);
     }
   }
 }
@@ -1213,27 +1181,19 @@ function handleSave() {
     });
     // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
     loading.value = true;
-    let list = [];
+    let list = saveList.map((item) => {
-    try {
+      const parsedContent = JSON.parse(item.contentJson);
-      list = saveList.map((item) => {
+      return {
-        const parsedContent = item.contentJson ? JSON.parse(item.contentJson) || {} : {};
+        ...parsedContent,
-        return {
+        adviceType: item.adviceType,
-          ...parsedContent,
+        requestId: item.requestId,
-          adviceType: item.adviceType,
+        dbOpType: '1',
-          requestId: item.requestId,
+        groupId: item.groupId,
-          dbOpType: '1',
+        uniqueKey: undefined,
-          groupId: item.groupId,
+        // 确保 therapyEnum 被正确传递
-          uniqueKey: undefined,
+        therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
-          // 确保 therapyEnum 被正确传递
+      };
-          therapyEnum: parsedContent?.therapyEnum || item.therapyEnum || '1',
+    });
-        };
-      });
-    } catch (error) {
-      loading.value = false;
-      isSaving.value = false;
-      proxy.$modal.msgError('医嘱内容解析失败，请检查待签发医嘱');
-      return;
-    }
     // 保存签发按钮
     isSaving.value = true;
     console.log('签发处方参数：', {
@@ -1248,16 +1208,9 @@ function handleSave() {
         if (res.code === 200) {
           proxy.$modal.msgSuccess('签发成功');
           isSaving.value = false;
-          // 乐观更新：立即将已签发医嘱的状态设为"已签发"，确保列表实时刷新
-          saveList.forEach((item) => {
-            const row = prescriptionList.value.find((r) => r.requestId && r.requestId === item.requestId);
-            if (row) {
-              row.statusEnum = 2;
-            }
-          });
           getListInfo(false);
           bindMethod.value = {};
-          nextId.value = 1;
+          nextId.value == 1;
         } else {
           proxy.$modal.msgError(res.message);
           isSaving.value = false;
@@ -1358,12 +1311,11 @@ function handleCancelEdit(row, index) {
 
 function handleSaveSign(row, index) {
   if (row.adviceType != 2) {
-    // 修复 Bug #488：严格校验 itemNo，确保非空且为有效字符串才发起请求
     let itemNo = row.adviceType == 1 ? row.methodCode : row.adviceDefinitionId;
-    if (!itemNo || String(itemNo).trim() === '') {
+    if (!itemNo) {
       console.warn('绑定设备检查跳过：itemNo为空（adviceType=' + row.adviceType + ', adviceName=' + row.adviceName + '）');
     } else {
-      getBindDevice({ typeCode: row.adviceType, itemNo: String(itemNo) }).then((res) => {
+      getBindDevice({ typeCode: row.adviceType, itemNo: itemNo }).then((res) => {
         if (res.data.length == 0) {
           return;
         }
@@ -1424,21 +1376,13 @@ function handleSaveSign(row, index) {
     savePrescription({ regAdviceSaveList: [row] }).then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
-        nextId.value = 1;
+        nextId.value == 1;
       }
     });
   } else {
-    // 新增行：调用保存接口将数据持久化到后端
+    if (prescriptionList.value[0].adviceName) {
-    row.dbOpType = '1';
+      handleAddPrescription();
-    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
+    }
-      if (res.code === 200) {
-        proxy.$modal.msgSuccess('保存成功');
-        nextId.value = 1;
-        // 保存成功后刷新列表，确保后端返回的数据带 requestId
-        getListInfo(false);
-      }
-    });
-    // 不需要再添加空行，保存成功后由 getListInfo 处理
   }
   adviceQueryParams.value.adviceType = undefined;
 }
@@ -1479,26 +1423,18 @@ function handleSaveBatch() {
     .then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
-        // 修复 Bug #405：保存成功后锁定所有待保存行，避免医嘱条目仍处于可编辑状态
+        // 修复【#405】：保存成功后重置所有待保存行的 isEdit 为 false，锁定医嘱不再编辑
-        // saveList 中的 item 与 prescriptionList 是同一对象引用，直接修改即可
         saveList.forEach(item => {
-          item.isEdit = false;
+          const row = prescriptionList.value.find(r => r.uniqueKey === item.uniqueKey);
+          if (row) row.isEdit = false;
         });
-        // 兜底：锁定所有 statusEnum == 1 的行，确保没有遗漏
-        prescriptionList.value.forEach(row => {
-          if (row.statusEnum == 1) {
-            row.isEdit = false;
-          }
-        });
-        expandOrder.value = [];
         getListInfo(false);
-        nextId.value = 1;
+        nextId.value == 1;
         isSaving.value = false;
       }
     })
     .catch((error) => {
       isSaving.value = false;
-      proxy.$modal.msgError(error?.msg || '保存失败，请重试');
     });
 }
 
@@ -1626,21 +1562,17 @@ function handleSaveGroup(orderGroupList) {
     // 🔥 新版组件已经预处理了数据，优先使用 mergedDetail
     const mergedDetail = item.mergedDetail || {
       ...(item.orderDetailInfos || {}),
-      adviceName: item.orderDefinitionName || item.orderDetailInfos?.adviceName || '未知项目',
+      adviceName: item.orderDetailInfos?.adviceName || item.orderDefinitionName || '未知项目',
       adviceType: item.orderDetailInfos?.adviceType,
       adviceDefinitionId: item.orderDefinitionId || item.orderDetailInfos?.adviceDefinitionId,
       quantity: item.quantity,
       unitCode: item.unitCode || item.orderDetailInfos?.unitCode,
       unitCodeName: item.unitCodeName,
-      // 🔧 Bug #403 修复：dose/doseQuantity/dispensePerDuration 需用 null 检查，
+      dose: item.dose || item.orderDetailInfos?.dose,
-      // 避免组套中值为 null 时回退到医嘱库的 orderDetailInfos
-      dose: item.dose !== undefined && item.dose !== null ? item.dose : item.orderDetailInfos?.dose,
       rateCode: item.rateCode || item.orderDetailInfos?.rateCode,
       methodCode: item.methodCode || item.orderDetailInfos?.methodCode,
-      dispensePerDuration: item.dispensePerDuration !== undefined && item.dispensePerDuration !== null
+      dispensePerDuration: item.dispensePerDuration || item.orderDetailInfos?.dispensePerDuration,
-        ? item.dispensePerDuration : item.orderDetailInfos?.dispensePerDuration,
+      doseQuantity: item.doseQuantity,
-      doseQuantity: item.doseQuantity !== undefined && item.doseQuantity !== null
-        ? item.doseQuantity : item.orderDetailInfos?.doseQuantity,
       inventoryList: item.orderDetailInfos?.inventoryList || [],
       priceList: item.orderDetailInfos?.priceList || [],
       partPercent: item.orderDetailInfos?.partPercent || 1,
@@ -1659,15 +1591,20 @@ function handleSaveGroup(orderGroupList) {
     setValue(mergedDetail);
 
     // 创建新的处方项目
-    // 🔧 Bug #403 修复：关键字段使用 null-safe 回退到 mergedDetail（已由 setValue 填充完整数据）
-    // 先取 setValue 填充的行数据作为基础
-    const baseRow = prescriptionList.value[rowIndex.value];
     const newRow = {
-      ...baseRow,
+      ...prescriptionList.value[rowIndex.value],
       patientId: patientInfo.value.patientId,
       encounterId: patientInfo.value.encounterId,
       accountId: accountId.value,
+      quantity: item.quantity,
+      methodCode: item.methodCode,
+      rateCode: item.rateCode,
+      dispensePerDuration: item.dispensePerDuration,
+      dose: item.dose,
+      doseQuantity: item.doseQuantity,
       executeNum: 1,
+      unitCode: item.unitCode,
+      unitCode_dictText: item.unitCodeName || '',
       statusEnum: 1,
       orgId: resolveOrgId(item.orderDetailInfos?.orgId || mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
       // 🔧 修复：同时保存 orgName，确保树匹配不到时仍有中文名称可显示
@@ -1676,33 +1613,19 @@ function handleSaveGroup(orderGroupList) {
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,
       encounterDiagnosisId: encounterDiagnosisId.value,
-      therapyEnum: baseRow?.therapyEnum || '1',
+      therapyEnum: prescriptionList.value[rowIndex.value]?.therapyEnum || '1',
     };
-    // 覆盖关键字段：优先使用 item 的值，其次 mergedDetail（已由 setValue 填充），最后 baseRow
-    newRow.quantity = item.quantity ?? mergedDetail.quantity ?? baseRow.quantity;
-    newRow.methodCode = item.methodCode ?? mergedDetail.methodCode ?? baseRow.methodCode;
-    newRow.rateCode = item.rateCode ?? mergedDetail.rateCode ?? baseRow.rateCode;
-    newRow.dispensePerDuration = item.dispensePerDuration ?? mergedDetail.dispensePerDuration ?? baseRow.dispensePerDuration;
-    newRow.dose = item.dose ?? mergedDetail.dose ?? baseRow.dose;
-    newRow.doseQuantity = item.doseQuantity ?? mergedDetail.doseQuantity ?? baseRow.doseQuantity;
-    newRow.unitCode = item.unitCode ?? mergedDetail.unitCode ?? baseRow.unitCode;
-    newRow.unitCode_dictText = item.unitCodeName || mergedDetail.unitCodeName || baseRow.unitCode_dictText || '';
 
     // 计算价格和总量
-    // 🔧 Bug #403 修复：使用 newRow.unitCode（已由 setValue 填充）而非 item.unitCode
+    const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
-    // 使用 ?? 替代 || 计算 partPercent，确保值为 0 时不会被错误替换
-    const finalUnitCode = newRow.unitCode;
-    const unitInfo = unitCodeList.value.find((k) => k.value == finalUnitCode);
-    const finalQuantity = newRow.quantity;
-    const partPercent = item.orderDetailInfos?.partPercent ?? mergedDetail.partPercent ?? baseRow.partPercent ?? 1;
     if (unitInfo && unitInfo.type == 'minUnit') {
       newRow.price = newRow.minUnitPrice;
-      newRow.totalPrice = ((finalQuantity || 0) * newRow.minUnitPrice).toFixed(6);
+      newRow.totalPrice = (item.quantity * newRow.minUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = finalQuantity || 0;
+      newRow.minUnitQuantity = item.quantity;
     } else {
       newRow.price = newRow.unitPrice;
-      newRow.totalPrice = ((finalQuantity || 0) * newRow.unitPrice).toFixed(6);
+      newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
-      newRow.minUnitQuantity = (finalQuantity || 0) * partPercent;
+      newRow.minUnitQuantity = item.quantity * (item.orderDetailInfos?.partPercent || mergedDetail.partPercent || 1);
     }
 
     newRow.contentJson = JSON.stringify(newRow);

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

@@ -19,11 +19,9 @@
             <el-tab-pane label="检验申请" name="test">
               <TestApplication ref="testApplicationRef" :show-status-column="true" />
             </el-tab-pane>
-```vue
             <el-tab-pane label="检查申请" name="examine">
               <ExamineApplication ref="examineApplicationRef" />
             </el-tab-pane>
-```
             <el-tab-pane label="汇总发药申请" name="summaryDrug">
               <SummaryDrugApplication ref="summaryDrugApplicationRef" />
             </el-tab-pane>
@@ -49,6 +47,7 @@
 import {computed, onBeforeMount, onMounted, provide, reactive, ref, watch,} from 'vue';
 
 import Emr from './emr/index.vue';
+import SummaryDrugApplication from './components/applicationShow/summaryDrugApplication.vue';
 import inPatientBarDoctorFold from '@/components/patientBar/inPatientBarDoctorFold.vue';
 import PatientList from '@/components/PatientList/patient-list.vue';
 import {localPatientInfo, updateLocalPatientInfo} from './store/localPatient';
@@ -84,6 +83,7 @@ const currentPatientInfo = ref({});
 const testApplicationRef = ref();
 const examineApplicationRef = ref();
 const surgeryApplicationRef = ref();
+const summaryDrugApplicationRef = ref();
 const bloodTtransfusionAapplicationRef = ref();
 
 // 患者列表相关逻辑

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

@@ -251,7 +251,7 @@
     </div>
   </el-dialog>
   <!-- 划价组套选择对话框 -->
-  <el-dialog v-model="groupSetDialogVisible" title="划价组套选择" width="600px" :close-on-click-modal="false" append-to-body>
+  <el-dialog v-model="groupSetDialogVisible" title="划价组套选择" width="600px" :close-on-click-modal="false" append-to-body :z-index="3000">
     <div style="margin-bottom: 15px; display: flex; align-items: center; gap: 10px">
       <el-input
         v-model="groupSetSearchText"
@@ -606,21 +606,26 @@ function getItemType_Text(type) {
   return map[type] || '其他';
 }
 function getUnitCodeOptions(row) {
-  const unitCodes = [
+  const unitCodes = [];
-    { code: row.unitCode != null ? String(row.unitCode) : null, codeText: row.unitCode_dictText },
+  // 大单位：优先用 code，code 缺失时用字典文本兜底
-    { code: row.minUnitCode != null ? String(row.minUnitCode) : null, codeText: row.minUnitCode_dictText },
+  if (row.unitCode != null && String(row.unitCode) !== '') {
-  ];
+    unitCodes.push({ code: String(row.unitCode), codeText: row.unitCode_dictText });
-  // 过滤掉 code 为空的单位选项
+  } else if (row.unitCode_dictText) {
-  const validUnitCodes = unitCodes.filter(item => item.code != null && item.code !== '');
+    unitCodes.push({ code: row.unitCode_dictText, codeText: row.unitCode_dictText });
-  // 使用 Set 来跟踪已经存在的 code
+  }
+  // 小单位：同上
+  if (row.minUnitCode != null && String(row.minUnitCode) !== '') {
+    unitCodes.push({ code: String(row.minUnitCode), codeText: row.minUnitCode_dictText });
+  } else if (row.minUnitCode_dictText) {
+    unitCodes.push({ code: row.minUnitCode_dictText, codeText: row.minUnitCode_dictText });
+  }
+  // 去重
   const seenCodes = new Set();
-  const uniqueUnitCodes = validUnitCodes.filter((item) => {
+  const uniqueUnitCodes = unitCodes.filter((item) => {
-    // 如果 Set 中没有这个 code，就保留它，并把它加入 Set
     if (!seenCodes.has(item.code)) {
       seenCodes.add(item.code);
       return true;
     }
-    // 如果已经存在，就过滤掉
     return false;
   });
   return uniqueUnitCodes;

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

@@ -463,20 +463,45 @@ function watchPatientSelection() {
   }, 300);
 }
 
-/** 查询科室 */
+/** 查询科室（支持树形/扁平多种响应结构） */
 const getLocationInfo = () => {
   getOrgList().then((res) => {
-    orgOptions.value = res.data?.records[0]?.children;
+    if (!res.data) {
+      orgOptions.value = [];
+      return;
+    }
+    // 尝试从树形结构取：records[0].children
+    if (res.data.records && res.data.records.length > 0) {
+      if (res.data.records[0].children && res.data.records[0].children.length > 0) {
+        orgOptions.value = res.data.records[0].children;
+        return;
+      }
+      // 如果 records[0] 有 id 和 name（非树根节点），直接用所有 records
+      if (res.data.records[0].id) {
+        orgOptions.value = res.data.records;
+        return;
+      }
+    }
+    // 兜底：如果 data 本身是数组
+    if (Array.isArray(res.data)) {
+      orgOptions.value = res.data;
+      return;
+    }
+    orgOptions.value = [];
+  }).catch(() => {
+    console.warn('科室列表加载失败（可能无权限）');
+    orgOptions.value = [];
   });
 };
 getLocationInfo();
 
-// 映射
+// 映射（查找失败时返回 '-' 而非显示内码）
 const selectOrg = (itemid) => {
+  if (!itemid) return '-';
   const item = orgOptions.value.find((item) => {
     return item.id == itemid;
   });
-  return item?.name;
+  return item?.name || '-';
 };
 // 重置
 const onReset = () => {

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

@@ -23,7 +23,7 @@
         <span class="descriptions-item-label">全选：</span>
         <el-switch v-model="chooseAll" @change="handelSwitchChange" />
         <el-button class="ml20" type="primary" @click="handleCheck"> 核对通过 </el-button>
-        <el-button class="ml20 mr20" type="danger" @click="handleCancel"> 退回 </el-button>
+        <el-button class="ml20 mr20" type="danger" :disabled="hasDispensedSelected" @click="handleCancel"> 退回 </el-button>
       </div>
     </div>
     <div
@@ -152,6 +152,7 @@
   </div>
 </template>
 <script setup>
+import {ref, computed} from 'vue';
 import {adviceVerify, cancel, getPrescriptionList} from './api';
 import {patientInfoList} from '../../components/store/patient.js';
 import {formatDateStr} from '@/utils/index';
@@ -163,6 +164,11 @@ const type = ref(null);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
+const selectionTrigger = ref(0);
+const hasDispensedSelected = computed(() => {
+  selectionTrigger.value;
+  return getSelectRows().some(item => item.dispenseStatus === 4);
+});
 const props = defineProps({
   requestStatus: {
     type: Number,
@@ -262,7 +268,9 @@ function getGroupMarkers() {
 }
 
 // 选择框改变时的处理
-function handleSelectionChange(selection, row) {}
+function handleSelectionChange(selection, row) {
+  selectionTrigger.value++;
+}
 
 /**
  * 核对通过
@@ -291,7 +299,7 @@ function handleCancel() {
     // 校验已发药的医嘱不允许退回
     let dispensedItems = list.filter(item => item.dispenseStatus === 4);
     if (dispensedItems.length > 0) {
-      proxy.$message.error('该医嘱已发药，无法退回');
+      proxy.$message.error('该药品已由药房发放，请先执行退药处理，不可直接退回');
       return;
     }
     cancel(list).then((res) => {
@@ -310,12 +318,16 @@ function getSelectRows() {
   // 获取选中的医嘱信息
   let list = [];
   prescriptionList.value.forEach((item, index) => {
-    list = [...list, ...proxy.$refs['tableRef' + index][0].getSelectionRows()];
+    const ref = proxy.$refs['tableRef' + index];
+    if (ref && ref[0]) {
+      list = [...list, ...ref[0].getSelectionRows()];
+    }
   });
   return list.map((item) => {
     return {
       requestId: item.requestId,
       requestTable: item.adviceTable,
+      dispenseStatus: item.dispenseStatus,
     };
   });
 }

openhis-ui-vue3/src/views/inpatientNurse/tprChart/components/addTprDialog.vue

@@ -1057,8 +1057,8 @@ function confirmCharge() {
   params.recordingDate = formData.value.recordingDate || moment(new Date()).format('YYYY-MM-DD');
 
   addVitalSigns(params).then(res => {
-    console.log('保存成功:', res);
     if (res.code === 200) {
+      proxy.msgSuccess('保存成功');
       // 保存成功后刷新列表
       getPatientList();
       // 清空表单
@@ -1087,8 +1087,6 @@ function confirmCharge() {
         urineVolume: '',
         stoolVolume: '',
       };
-      // 保存成功后关闭弹窗
-      closeDialog();
     }
   });
 }

openhis-ui-vue3/src/views/medicationmanagement/requisitionManagement/requisitionManagement/index.vue

@@ -534,6 +534,7 @@ const userStore = useUserStore();
 const openTraceNoDialog = ref(false)
 const rowData = ref({})
 const ypName = ref('')
+const currentIndex = ref(-1)
 
 const { proxy } = getCurrentInstance();
 const { warehous_type, category_code, service_type_code, specialty_code, purchase_type } =
@@ -1072,13 +1073,6 @@ function onHeaderWarehouseChange() {
 
 // 选择仓库 / 选药品后拉取该仓库存
 function handleLocationClick(item, row, index) {
-  getCount({
-    itemId: form.purchaseinventoryList[index].itemId,
-    orgLocationId: form.purchaseinventoryList[index].sourceLocationId,
-  }).then((res) => {
-    if (res.data && res.data.length > 0) {
-      form.purchaseinventoryList[index].itemTable = res.data[0].itemTable || '';
-      form.purchaseinventoryList[index].totalQuantity = res.data[0].orgQuantity || 0;
   const r = form.purchaseinventoryList[index];
   let orgLocationId = r.sourceLocationId || receiptHeaderForm.headerLocationId || '';
   if (!orgLocationId) {
@@ -1481,7 +1475,7 @@ function handleScan(row,index){
   rowData.value = row
   rowData.value.itemType = receiptHeaderForm.medicationType
   ypName.value = row.name
-  openTraceNoDialog .value = true;
+  openTraceNoDialog.value = true;
   currentIndex.value = index
 }
 
@@ -1704,6 +1698,17 @@ const exportRequiredParams = ref({
   pageSize: 10,
   busNo: route.query.supplyBusNo
 });
+
+// 追溯码对话框提交处理
+function submit(traceNoData) {
+  if (currentIndex.value >= 0 && form.purchaseinventoryList[currentIndex.value]) {
+    form.purchaseinventoryList[currentIndex.value].traceNo = traceNoData.traceNo;
+    form.purchaseinventoryList[currentIndex.value].ybNo = traceNoData.ybNo;
+    proxy.$message.success('追溯码保存成功');
+  }
+  openTraceNoDialog.value = false;
+}
+
 function handleExport() {
   proxy.downloadGet(
     '/issue-manage/requisition/excel-out',

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

@@ -546,7 +546,7 @@
                 v-model="form.admissionTime"
                 type="datetime"
                 placeholder="选择入室时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -558,7 +558,7 @@
                 v-model="form.entryTime"
                 type="datetime"
                 placeholder="选择进室时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -570,7 +570,7 @@
                 v-model="form.anesStart"
                 type="datetime"
                 placeholder="选择麻醉开始时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -584,7 +584,7 @@
                 v-model="form.startTime"
                 type="datetime"
                 placeholder="选择切开时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -596,7 +596,7 @@
                 v-model="form.endTime"
                 type="datetime"
                 placeholder="选择手术结束时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -608,7 +608,7 @@
                 v-model="form.anesEnd"
                 type="datetime"
                 placeholder="选择麻醉结束时间"
-                value-format="YYYY-MM-DDTHH:mm:ss"
+                value-format="YYYY-MM-DD HH:mm:ss"
                 format="YYYY-MM-DD HH:mm"
                 style="width: 100%"
               />
@@ -689,7 +689,7 @@
     </el-dialog>
 
     <!-- 手术申请查询弹窗 -->
-    <el-dialog :title="'手术申请查询'" v-model="showApplyDialog" width="1200px" @close="cancelApplyDialog">
+    <el-dialog :title="'手术申请查询'" v-model="showApplyDialog" width="1200px" @close="cancelApplyDialog" class="surgery-apply-dialog">
       <!-- 查询条件区 -->
       <el-form :model="applyQueryParams" ref="applyQueryRef" :inline="true" class="query-form">
         <el-form-item label="手术单号" prop="surgeryNo">
@@ -749,8 +749,8 @@
         @row-click="handleApplyRowClick"
         :row-class-name="tableRowClassName"
         style="width: 100%"
-        max-height="400"
+        max-height="340"
-        :scroll="{ y: 400 }"
+        :scroll="{ y: 340 }"
       >
         <el-table-column type="selection" width="55" :selectable="handleSelectable" />
         <el-table-column label="ID" align="center" width="80" fixed>
@@ -781,7 +781,7 @@
       </el-table>
 
       <!-- 底部分页区 -->
-      <div class="pagination-container" style="margin-top: 10px; padding-bottom: 10px">
+      <div class="pagination-container apply-pagination" style="margin-top: 10px; padding-bottom: 20px">
         <pagination
           v-show="applyTotal > 0"
           :total="applyTotal"
@@ -792,10 +792,12 @@
           @pagination="getSurgicalScheduleList"
         />
       </div>
+      <!-- 分页与底部操作区之间的间隔 -->
+      <div style="height: 48px"></div>
 
       <!-- 底部操作区 -->
       <template #footer>
-        <div class="dialog-footer">
+        <div class="dialog-footer" style="margin-top: 24px; padding-top: 12px; border-top: 1px solid #ebeef5">
           <el-button @click="cancelApplyDialog">取消</el-button>
           <el-button type="primary" @click="confirmApply">确认</el-button>
         </div>
@@ -1323,13 +1325,13 @@ function handleEdit(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // 修复#433：确保字典字段类型与下拉选项一致（Number类型）
+      // 使用nextTick确保在Vue响应式更新后再赋值，避免el-select无法匹配选项
-      // 后端OpSchedule.anesMethod为String类型，需转为Number与el-select匹配
+      nextTick(() => {
-      if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
+        if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
-      if (data.anesthesiaTypeEnum != null) form.anesMethod = Number(data.anesthesiaTypeEnum)
+        if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
-      if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
+        if (data.feeType != null) form.feeType = data.feeType
-      if (data.feeType != null) form.feeType = data.feeType
+        if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
-      if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
+      })
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1349,13 +1351,13 @@ function handleView(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // 修复#433：确保字典字段类型与下拉选项一致（Number类型）
+      // 使用nextTick确保在Vue响应式更新后再赋值，避免el-select无法匹配选项
-      // 后端OpSchedule.anesMethod为String类型，需转为Number与el-select匹配
+      nextTick(() => {
-      if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
+        if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
-      if (data.anesthesiaTypeEnum != null) form.anesMethod = Number(data.anesthesiaTypeEnum)
+        if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
-      if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
+        if (data.feeType != null) form.feeType = data.feeType
-      if (data.feeType != null) form.feeType = data.feeType
+        if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
-      if (data.isExternalExpert != null) form.isExternalExpert = Number(data.isExternalExpert)
+      })
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1942,6 +1944,30 @@ function handleQuoteBilling() {
           }
         })
 
+        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目，避免"引用计费"后已提交项目重新出现在"待生成"列表
+        // 原因：后端返回的计费数据中，已生成医嘱的项目可能没有 requestId 字段
+        // 方案：用 chargeItemId/requestId/id 与已有的 temporaryAdvices 做匹配，排除已生成项目
+        if (temporaryAdvices.value.length > 0) {
+          const existingAdviceIds = new Set()
+          temporaryAdvices.value.forEach(a => {
+            const om = a.originalMedicine || {}
+            if (om.requestId) existingAdviceIds.add(String(om.requestId))
+            if (om.chargeItemId) existingAdviceIds.add(String(om.chargeItemId))
+            if (om.id) existingAdviceIds.add(String(om.id))
+          })
+          if (existingAdviceIds.size > 0) {
+            temporaryBillingMedicines.value = temporaryBillingMedicines.value.filter(m => {
+              const mRequestId = m.requestId != null ? String(m.requestId) : null
+              const mChargeItemId = m.chargeItemId != null ? String(m.chargeItemId) : null
+              const mId = m.id != null ? String(m.id) : null
+              if (mRequestId && existingAdviceIds.has(mRequestId)) return false
+              if (mChargeItemId && existingAdviceIds.has(mChargeItemId)) return false
+              if (mId && existingAdviceIds.has(mId)) return false
+              return true
+            })
+          }
+        }
+
         temporaryMedicalLoading.value = false // 🔧 新增：加载完成
         ElMessage.success('已成功引用最新计费药品信息！')
       } else {
@@ -2350,6 +2376,22 @@ function getRowClassName({ row, rowIndex }) {
   margin-left: 10px;
 }
 
+/* 手术申请查询弹窗 — 分页与footer间距 */
+.surgery-apply-dialog :deep(.el-dialog__body) {
+  padding-bottom: 32px;
+}
+.surgery-apply-dialog :deep(.el-dialog__footer) {
+  padding-top: 0;
+}
+.surgery-apply-dialog :deep(.apply-pagination) {
+  padding-bottom: 24px;
+  margin-bottom: 16px;
+  border-bottom: 1px solid #ebeef5;
+}
+.surgery-apply-dialog :deep(.apply-pagination .el-pagination) {
+  margin-right: 80px;
+}
+
 /* 选中行样式 */
 :deep(.el-table .selected-row) {
   background-color: #ecf5ff !important;
@@ -2360,3 +2402,21 @@ function getRowClassName({ row, rowIndex }) {
 }
 
 </style>
+
+<style>
+/* 手术申请查询弹窗 — 非 scoped 确保穿透 teleport */
+.surgery-apply-dialog .apply-pagination {
+  padding-bottom: 24px !important;
+  margin-bottom: 16px !important;
+  border-bottom: 1px solid #ebeef5 !important;
+}
+.surgery-apply-dialog .apply-pagination .el-pagination {
+  margin-right: 80px !important;
+}
+.surgery-apply-dialog .el-dialog__body {
+  padding-bottom: 32px !important;
+}
+.surgery-apply-dialog .el-dialog__footer {
+  padding-top: 0 !important;
+}
+</style>