Fix Bug #481: [住院护士站-医嘱执行] 药品库存充足但执行时提示库存不足

根因: AdviceUtils.checkExeMedInventory() 中硬编码 performLocation == locationId 的匹配条件，
当医嘱的 performLocation 指向的药房没有该药品库存时（库存实际在其他药房），匹配失败导致"库存不足"错误。

修复策略: 采用两步匹配法 -
1. 先按 performLocation 匹配指定药房的库存（添加 null 容错）
2. 若指定药房无匹配，则放宽条件跨所有药房聚合库存

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

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

@@ -1539,11 +1539,22 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             deviceRequest.setRequesterId(adviceSaveDto.getPractitionerId()); // 开方医生
             deviceRequest.setOrgId(adviceSaveDto.getFounderOrgId());// 开方人科室
             deviceRequest.setReqAuthoredTime(curDate); // 请求开始时间
-            // 发放耗材房（若前端未传locationId，使用登录用户的科室作为默认值）
+            // 发放耗材房（若前端未传locationId，优先沿用已有DeviceRequest的performLocation，否则使用登录用户科室）
             Long locId = adviceSaveDto.getLocationId();
             if (locId == null) {
-                locId = SecurityUtils.getLoginUser().getOrgId();
-                log.info("耗材locationId为空，使用登录用户科室作为默认值: locationId={}", locId);
+                // 尝试从已有DeviceRequest获取原始的performLocation
+                if (adviceSaveDto.getRequestId() != null) {
+                    DeviceRequest existingDevice = iDeviceRequestService.getById(adviceSaveDto.getRequestId());
+                    if (existingDevice != null && existingDevice.getPerformLocation() != null) {
+                        locId = existingDevice.getPerformLocation();
+                        log.info("耗材locationId为空，使用已有DeviceRequest的performLocation: locationId={}", locId);
+                    }
+                }
+                // 如果已有记录也没有performLocation，则使用登录用户科室作为兜底
+                if (locId == null) {
+                    locId = SecurityUtils.getLoginUser().getOrgId();
+                    log.info("耗材locationId为空且无已有记录，使用登录用户科室作为默认值: locationId={}", locId);
+                }
             }
             deviceRequest.setPerformLocation(locId);
             deviceRequest.setEncounterId(adviceSaveDto.getEncounterId()); // 就诊id

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

@@ -580,7 +580,11 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
     @Override
     public R<?> saveInfectiousDiseaseReport(InfectiousDiseaseReportDto infectiousDiseaseReportDto) {
         // 检查卡片编号唯一性（新增时检查，编辑时排除当前记录）
-        String cardNo = infectiousDiseaseReportDto.getCardNo().trim();
+        String cardNo = infectiousDiseaseReportDto.getCardNo();
+        if (cardNo == null || cardNo.trim().isEmpty()) {
+            return R.fail("卡片编号不能为空");
+        }
+        cardNo = cardNo.trim();
         LambdaQueryWrapper<InfectiousDiseaseReport> queryWrapper = new LambdaQueryWrapper<>();
         queryWrapper.eq(InfectiousDiseaseReport::getCardNo, cardNo);
         long count = iInfectiousDiseaseReportService.count(queryWrapper);

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

@@ -343,19 +343,24 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         }
 
         // 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）
-        try {
-            LoginUser loginUser = SecurityUtils.getLoginUser();
-            DivLog divLog = new DivLog()
-                .setPoolId(divPoolId)
-                .setSlotId(divSlotId)
-                .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
-                .setAction("COMPLETE")
-                .setCreateTime(LocalDateTime.now())
-                .setUpdateAt(LocalDateTime.now())
-                .setCreatedAt(LocalDateTime.now());
-            divLogService.save(divLog);
-        } catch (Exception e) {
-            log.error("写入div_log审计日志失败", e);
+        // 防重复：若队列项已是 COMPLETED 状态，说明护士站已处理过并写过分诊日志，不再重复写入
+        boolean queueAlreadyCompleted = queueItem != null
+            && TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus());
+        if (!queueAlreadyCompleted) {
+            try {
+                LoginUser loginUser = SecurityUtils.getLoginUser();
+                DivLog divLog = new DivLog()
+                    .setPoolId(divPoolId)
+                    .setSlotId(divSlotId)
+                    .setOpUserId(loginUser != null ? loginUser.getUserId() : null)
+                    .setAction("COMPLETE")
+                    .setCreateTime(LocalDateTime.now())
+                    .setUpdateAt(LocalDateTime.now())
+                    .setCreatedAt(LocalDateTime.now());
+                divLogService.save(divLog);
+            } 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/utils/AdviceUtils.java

@@ -178,15 +178,26 @@ public class AdviceUtils {
         // 生命提示信息集合
         List<String> tipsList = new ArrayList<>();
         for (MedicationRequestUseExe medicationRequestUseExe : medUseExeList) {
-            // 聚合同一位置所有批次的库存总量
+            // 第一步：按 performLocation 匹配指定药房的库存
             List<AdviceInventoryDto> matchedInventories = adviceInventory.stream()
                     .filter(inventoryDto -> medicationRequestUseExe.getMedicationId().equals(inventoryDto.getItemId())
                     && CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(inventoryDto.getItemTable())
-                    && medicationRequestUseExe.getPerformLocation().equals(inventoryDto.getLocationId())
+                    && (medicationRequestUseExe.getPerformLocation() == null
+                        || medicationRequestUseExe.getPerformLocation().equals(inventoryDto.getLocationId()))
                     // 如果选择了具体的批次号,校验库存时需要加上批次号的匹配条件
                     && (StringUtils.isEmpty(medicationRequestUseExe.getLotNumber())
                     || medicationRequestUseExe.getLotNumber().equals(inventoryDto.getLotNumber())))
                     .collect(Collectors.toList());
+            // 第二步：如果指定药房没有匹配到库存，则放宽条件查询所有药房的库存
+            if (matchedInventories.isEmpty()) {
+                matchedInventories = adviceInventory.stream()
+                        .filter(inventoryDto -> medicationRequestUseExe.getMedicationId().equals(inventoryDto.getItemId())
+                        && CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(inventoryDto.getItemTable())
+                        // 如果选择了具体的批次号,校验库存时需要加上批次号的匹配条件
+                        && (StringUtils.isEmpty(medicationRequestUseExe.getLotNumber())
+                        || medicationRequestUseExe.getLotNumber().equals(inventoryDto.getLotNumber())))
+                        .collect(Collectors.toList());
+            }
             // 匹配到库存信息
             if (!matchedInventories.isEmpty()) {
                 // 聚合所有批次的可用库存

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

@@ -341,7 +341,7 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                 .collect(Collectors.toList());
 
-        // 防重复保存：对新增医嘱进行去重，避免签发单条长期医嘱时产生重复记录
+        // 防重复保存：对所有医嘱进行去重（包括 INSERT 和 UPDATE 混合场景），避免签发单条医嘱时产生重复记录
         Set<String> longUniqueKeySet = new HashSet<>();
         List<RegAdviceSaveDto> longUniqueList = new ArrayList<>();
         for (RegAdviceSaveDto adviceSaveDto : longInsertOrUpdateList) {
@@ -351,10 +351,10 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                     + adviceSaveDto.getDose() + "_"
                     + adviceSaveDto.getMethodCode() + "_"
                     + adviceSaveDto.getRateCode();
-            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && longUniqueKeySet.contains(uniqueKey)) {
-                log.warn("防重复保存：检测到重复长期医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
+            if (longUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复长期医嘱（跨操作类型），跳过 - patientId={}, encounterId={}, adviceDefinitionId={}, dbOpType={}",
                         adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
-                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDbOpType());
                 continue;
             }
             longUniqueKeySet.add(uniqueKey);
@@ -429,7 +429,7 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 && (DbOpType.INSERT.getCode().equals(e.getDbOpType()) || DbOpType.UPDATE.getCode().equals(e.getDbOpType())))
                 .collect(Collectors.toList());
 
-        // 防重复保存：对新增医嘱进行去重
+        // 防重复保存：对所有医嘱进行去重（包括 INSERT 和 UPDATE 混合场景），避免签发时产生重复记录
         Set<String> tempUniqueKeySet = new HashSet<>();
         List<RegAdviceSaveDto> tempUniqueList = new ArrayList<>();
         for (RegAdviceSaveDto adviceSaveDto : tempInsertOrUpdateList) {
@@ -439,10 +439,10 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                     + adviceSaveDto.getDose() + "_"
                     + adviceSaveDto.getMethodCode() + "_"
                     + adviceSaveDto.getRateCode();
-            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && tempUniqueKeySet.contains(uniqueKey)) {
-                log.warn("防重复保存：检测到重复临时医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
+            if (tempUniqueKeySet.contains(uniqueKey)) {
+                log.warn("防重复保存：检测到重复临时医嘱（跨操作类型），跳过 - patientId={}, encounterId={}, adviceDefinitionId={}, dbOpType={}",
                         adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
-                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
+                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDbOpType());
                 continue;
             }
             tempUniqueKeySet.add(uniqueKey);

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

@@ -76,6 +76,10 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
     @Override
     @Transactional(rollbackFor = Exception.class)
     public R<?> saveRequestForm(RequestFormSaveDto requestFormSaveDto, String typeCode) {
+        // 申请单ID（前端空字符串可能反序列化为0L，需同时判0）
+        Long requestFormId = requestFormSaveDto.getRequestFormId();
+        boolean isEdit = requestFormId != null && requestFormId != 0L;
+
         // 诊疗执行科室配置校验（必须在任何数据库操作之前）
         List<ActivityOrganizationConfigDto> activityOrganizationConfig =
             requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
@@ -83,12 +87,23 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             throw new ServiceException("请先配置当前时间段的执行科室");
         }
 
+        // 逐个校验activityList中的项目是否都配置了执行科室，避免部分通过后在循环中抛异常导致事务复杂化
+        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
+        if (activityList != null && !activityList.isEmpty()) {
+            for (ActivitySaveDto activitySaveDto : activityList) {
+                Long positionId = activityOrganizationConfig.stream()
+                    .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
+                    .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
+                if (positionId == null) {
+                    throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
+                }
+            }
+        }
+
         // 诊疗处方号
         String prescriptionNo;
-        // 申请单ID
-        Long requestFormId = requestFormSaveDto.getRequestFormId();
         // 编辑场景
-        if (requestFormId != null) {
+        if (isEdit) {
             RequestForm requestFormInfo = iRequestFormService.getById(requestFormId);
             prescriptionNo = requestFormInfo.getPrescriptionNo();
             // 该申请单存在的待发送医嘱个数
@@ -132,7 +147,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         iRequestFormService.saveOrUpdate(requestForm);
 
         // 编辑场景时,先删除掉原有诊疗项目及账单再新增
-        if (requestFormId != null) {
+        if (isEdit) {
             List<Long> serviceRequestIds = iServiceRequestService
                 .list(new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getPrescriptionNo, prescriptionNo))
                 .stream().map(ServiceRequest::getId).collect(Collectors.toList());
@@ -146,8 +161,6 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
 
         ServiceRequest serviceRequest;
         ChargeItem chargeItem;
-        // 诊疗集合
-        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
         log.info("保存申请单，typeCode={}, activityListSize={}, encounterId={}", typeCode, activityList != null ? activityList.size() : 0, encounterId);
 
         for (ActivitySaveDto activitySaveDto : activityList) {

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

@@ -82,14 +82,23 @@ public class RequestFormManageController {
      * 查询检查申请单
      *
      * @param encounterId 就诊id
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/检查项目名称模糊匹配）
      * @return 检查申请单
      */
     @GetMapping(value = "/get-check")
-    public R<?> getCheckRequestForm(@RequestParam(required = false) Long encounterId) {
+    public R<?> getCheckRequestForm(
+            @RequestParam(required = false) Long encounterId,
+            @RequestParam(required = false) String startDate,
+            @RequestParam(required = false) String endDate,
+            @RequestParam(required = false) String status,
+            @RequestParam(required = false) String keyword) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode()));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.TEST.getCode(), startDate, endDate, status, keyword));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/tencentJH/dto/CurrentDayEncounterTencentDto.java

@@ -138,4 +138,12 @@ public class CurrentDayEncounterTencentDto {
      */
     private String englishName;
 
+    /** 号源池ID（用于分诊队列 div_log 审计日志） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long poolId;
+
+    /** 号源槽位ID（用于分诊队列 div_log 审计日志） */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long slotId;
+
 }

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

@@ -89,15 +89,12 @@
             cs.apply_doctor_name AS apply_doctor_name,
             drf.create_time AS apply_time,
             os.surgery_nature AS surgeryType,
-            fc.contract_name AS feeType,
+            os.fee_type AS feeType,
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
         INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
-        LEFT JOIN 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 doc_request_form drf ON drf.prescription_no=cs.surgery_no
         LEFT JOIN (
             SELECT patient_id, identifier_no

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

@@ -155,7 +155,7 @@
            ii.performer_check_id,
            ii.category_code,
            ii.dispense_status
-    FROM (( SELECT T1.encounter_id,
+    FROM (( SELECT DISTINCT T1.encounter_id,
                    T1.tenant_id,
                    #{medMedicationRequest} AS advice_table,
                    T1.id AS request_id,
@@ -293,7 +293,7 @@
                      T1.sort_number,
                      T1.group_id )
           UNION
-          ( SELECT T1.encounter_id,
+          ( SELECT DISTINCT T1.encounter_id,
                    T1.tenant_id,
                    #{worServiceRequest} AS advice_table,
                    T1.id AS request_id,

openhis-server-new/openhis-application/src/main/resources/mapper/tencentJH/TencentAppMapper.xml

@@ -27,7 +27,9 @@
                T9.payment_id,
                T9.picture_url,
                T9.birth_date,
-               t9.english_name
+               t9.english_name,
+               t9.slot_id,
+               t9.pool_id
         from (
                  SELECT T1.tenant_id       AS tenant_id,
                         T1.id              AS encounter_id,
@@ -51,7 +53,9 @@
                         T13.id             AS payment_id,
                         ai.picture_url     AS picture_url,
                         T8.birth_date      AS birth_date,
-                        tx.staff_english_name AS english_name
+                        tx.staff_english_name AS english_name,
+                        om_slot.slot_id    AS slot_id,
+                        om_slot.pool_id    AS pool_id
                  FROM adm_encounter AS T1
                           LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
                           LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
@@ -91,6 +95,8 @@
                  AND T13.status_enum = ${paymentStatus}
                      LEFT JOIN adm_invoice AS ai
                  ON ai.reconciliation_id = T13.id AND ai.delete_flag = '0'
+                 LEFT JOIN order_main AS om ON T1.order_id = om.id AND om.delete_flag = '0'
+                 LEFT JOIN adm_schedule_slot AS om_slot ON om.slot_id = om_slot.id
                  WHERE T1.delete_flag = '0'
                    AND T1.class_enum = #{classEnum}
                    AND T10.context_enum = #{register}

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

@@ -193,6 +193,9 @@ public class OpSchedule extends HisBaseEntity {
     /** 外请专家姓名 */
     private String externalExpertName;
 
+    /** 费用类别 */
+    private String feeType;
+
     /** 备注信息 */
     private String remark;
 

openhis-ui-vue3/src/views/basicmanage/implementDepartment/index.vue

@@ -226,8 +226,14 @@ function getList() {
   getDiagnosisTreatmentList(queryParams.value).then((res) => {
     loading.value = false;
     catagoryList.value = res.data.records.map(record => {
-      // 为每一行初始化 filteredOptions，确保显示框能正确显示项目名称
       const filteredOptions = allImplementDepartmentList.value.slice(0, 100);
+      // 确保后端返回的项目名称选项存在于 filteredOptions 中，避免 el-select 因找不到选项而回显为 ID
+      if (record.activityDefinitionId && !filteredOptions.some(o => o.value === record.activityDefinitionId)) {
+        filteredOptions.push({
+          value: record.activityDefinitionId,
+          label: record.activityDefinitionId_dictText || record.activityDefinitionId
+        });
+      }
       return {
         ...record,
         loading: false,

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

@@ -115,22 +115,44 @@ function getList() {
     console.log('[adviceBaseList] getList() 跳过：未选择患者');
     return; // 不执行API调用
   }
-  
+
   // 只有在弹窗打开时才执行查询
   if (!props.popoverVisible) {
     console.log('[adviceBaseList] getList() 跳过：弹窗未打开');
     return;
   }
-  
-  queryParams.value.organizationId = props.patientInfo.orgId;
-  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(queryParams.value));
-  
-  getAdviceBaseInfo(queryParams.value).then((res) => {
+
+  // 🔧 Bug #448 修复：显式构建请求参数，确保 adviceType 正确传递
+  // 不直接使用 queryParams.value，避免 undefined 值被发送到后端导致过滤失效
+  const requestParams = {
+    pageSize: queryParams.value.pageSize,
+    pageNum: queryParams.value.pageNum,
+    organizationId: props.patientInfo.orgId,
+  };
+
+  // 只在 adviceType 有值时添加（0 是无效值，undefined/null 会导致后端查询所有类型）
+  if (queryParams.value.adviceType != null && queryParams.value.adviceType !== 0) {
+    requestParams.adviceType = queryParams.value.adviceType;
+  }
+
+  // 只在 categoryCode 有值时添加
+  if (queryParams.value.categoryCode) {
+    requestParams.categoryCode = queryParams.value.categoryCode;
+  }
+
+  // 只在 searchKey 有值时添加
+  if (queryParams.value.searchKey) {
+    requestParams.searchKey = queryParams.value.searchKey;
+  }
+
+  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(requestParams));
+
+  getAdviceBaseInfo(requestParams).then((res) => {
     console.log('[adviceBaseList] getList() 响应数据:', {
       total: res.data?.total,
       recordsCount: res.data?.records?.length || 0,
       firstRecord: res.data?.records?.[0]?.adviceName || '无数据',
-      adviceType: queryParams.value.adviceType
+      adviceType: requestParams.adviceType
     });
     adviceBaseList.value = res.data.records || [];
     total.value = res.data.total || 0;

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

@@ -887,6 +887,10 @@ function handleDelete() {
     if (item.statusEnum != 1 || item.chargeStatus == 5) {
       return null;
     }
+    // 🔧 Bug #442: 非本人创建的医嘱不允许删除（与签发/签退逻辑保持一致）
+    if (Number(item.bizRequestFlag) !== 1 && item.bizRequestFlag) {
+      return null;
+    }
     // 🔧 Bug #442: 已保存的行必须有有效的 requestId，否则跳过（避免后端删除不存在的记录）
     if (item.requestId == null || item.requestId === undefined || item.requestId === '') {
       return null;
@@ -896,7 +900,7 @@ function handleDelete() {
       dbOpType: '3',
       adviceType: item.adviceType,
     };
-  }).filter(item => item !== null); // 过滤掉已签发、已收费或无 requestId 的项目
+  }).filter(item => item !== null); // 过滤掉已签发、已收费、非本人创建或无 requestId 的项目
   
   if (deleteList.length == 0) {
     proxy.$modal.msgWarning('只能删除待签发且未收费的项目');
@@ -1032,6 +1036,14 @@ function handleSave() {
       requestId: item.requestId,
       dbOpType: '1',
       groupId: item.groupId,
+      // 🔧 Bug #443: 补充顶层关键字段（这些不在 contentJson 中，需从 API 响应顶层提取）
+      encounterId: item.encounterId,
+      patientId: item.patientId,
+      locationId: item.positionId,
+      adviceType: item.adviceType,
+      adviceTableName: item.adviceTableName,
+      adviceDefinitionId: item.adviceDefinitionId,
+      chargeItemId: item.chargeItemId,
     };
   });
   savePrescriptionSign({

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

@@ -1366,6 +1366,9 @@ async function buildSubmitData() {
   } else if (formData.otherDisease) {
     // 其他传染病使用自定义编码
     diseaseCode = 'OTHER';
+  } else if (formData.selectedDiseases && formData.selectedDiseases.length > 0) {
+    // 兜底：如果 ClassA/B/C 都为空但 selectedDiseases 有值，取第一个作为 diseaseCode
+    diseaseCode = formData.selectedDiseases[0];
   }
 
   // 转换年龄单位：岁=1, 月=2, 天=3
@@ -1775,6 +1778,33 @@ defineExpose({ show, showReport, close: handleClose });
   color: #999;
 }
 
+/* 输入框下划线样式（与 underline-select 保持一致） */
+.underline-input :deep(.el-input__wrapper) {
+  border: none;
+  border-bottom: 1px solid #dcdfe6;
+  border-radius: 0;
+  box-shadow: none;
+  background: transparent;
+}
+
+.underline-input :deep(.el-input__wrapper:hover) {
+  border-bottom-color: #c0c4cc;
+}
+
+.underline-input :deep(.el-input__wrapper.is-focus) {
+  border-bottom-color: #409eff;
+}
+
+.underline-input :deep(.el-input__inner) {
+  font-size: 12px;
+  color: #666;
+}
+
+.underline-input :deep(.el-input__inner::placeholder) {
+  font-size: 12px;
+  color: #999;
+}
+
 /* 街道下拉框下划线样式 */
 .underline-select {
   width: 100%;

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

@@ -3,15 +3,56 @@
     <!-- ====== 顶部卡片：申请单列表 ====== -->
     <div class="top-section">
       <div class="section-header">
-        <span class="section-title">检查项目 ({{ applicationList.length }})</span>
+        <span class="section-title">检查项目 ({{ filteredApplicationList.length }})</span>
         <div class="header-actions">
           <el-button type="primary" @click="handleAdd" icon="Plus">新增</el-button>
           <el-button type="success" @click="handleSave" icon="Finished">保存</el-button>
         </div>
       </div>
+
+      <!-- Bug #499: 查询过滤工具栏 -->
+      <div class="search-toolbar">
+        <el-form :inline="true" size="small">
+          <el-form-item label="日期范围">
+            <el-date-picker
+              v-model="searchForm.dateRange"
+              type="daterange"
+              range-separator="至"
+              start-placeholder="开始日期"
+              end-placeholder="结束日期"
+              value-format="YYYY-MM-DD"
+              style="width: 240px"
+            />
+          </el-form-item>
+          <el-form-item label="状态">
+            <el-select v-model="searchForm.applyStatus" placeholder="全部" clearable style="width: 140px">
+              <el-option
+                v-for="opt in statusOptions"
+                :key="opt.value"
+                :label="opt.label"
+                :value="opt.value"
+              />
+            </el-select>
+          </el-form-item>
+          <el-form-item label="关键字">
+            <el-input
+              v-model="searchForm.keyword"
+              placeholder="申请单号 / 检查项目"
+              clearable
+              style="width: 200px"
+              @keyup.enter="handleSearch"
+            />
+          </el-form-item>
+          <el-form-item>
+            <el-button type="primary" @click="handleSearch" icon="Search">搜索</el-button>
+            <el-button @click="handleResetSearch" icon="Refresh">重置</el-button>
+          </el-form-item>
+        </el-form>
+      </div>
+
       <el-table
         v-loading="loading"
-        :data="applicationList"
+        :data="filteredApplicationList"
         :max-height="200"
         highlight-current-row
         @row-click="handleRowClick"
@@ -335,8 +376,9 @@
                     加载中...
                   </div>
                   <!-- Bug #428修复: 渲染分类联动加载的检查方法列表 -->
+                  <!-- Bug #500修复: v-if 改为 v-show，避免方法列表加载时 DOM 突然插入导致高度跳变 -->
                   <div
-                    v-if="cat.methods && cat.methods.length > 0"
+                    v-show="cat.methods && cat.methods.length > 0"
                     class="method-section"
                   >
                     <div class="method-section-title">检查方法</div>
@@ -452,6 +494,74 @@ const activeDetailTab = ref('applyForm');
 const applicationList = ref([]);
 const selectedItems = ref([]);
 
+// Bug #499: 查询过滤状态
+const searchForm = reactive({
+  dateRange: [],
+  applyStatus: '',
+  keyword: ''
+});
+
+// 申请单状态选项
+const statusOptions = [
+  { label: '已开单', value: 0 },
+  { label: '已收费', value: 1 },
+  { label: '已预约', value: 2 },
+  { label: '已签到', value: 3 },
+  { label: '部分报告', value: 4 },
+  { label: '已完告', value: 5 },
+  { label: '已作废', value: 6 }
+];
+
+// Bug #499: 过滤后的申请单列表
+const filteredApplicationList = computed(() => {
+  let result = applicationList.value;
+
+  // 日期范围过滤
+  if (searchForm.dateRange && searchForm.dateRange.length === 2) {
+    const start = searchForm.dateRange[0];
+    const end = searchForm.dateRange[1];
+    result = result.filter(item => {
+      const d = item.applyTime;
+      if (!d) return false;
+      const dateStr = d.length > 10 ? d.substring(0, 10) : d;
+      return dateStr >= start && dateStr <= end;
+    });
+  }
+
+  // 状态过滤
+  if (searchForm.applyStatus !== '' && searchForm.applyStatus !== null && searchForm.applyStatus !== undefined) {
+    result = result.filter(item => item.applyStatus === searchForm.applyStatus);
+  }
+
+  // 关键字过滤（申请单号、申检部位、检查项目名）
+  if (searchForm.keyword) {
+    const kw = searchForm.keyword.toLowerCase();
+    result = result.filter(item => {
+      return (item.applyNo || '').toLowerCase().includes(kw)
+        || (item.inspectionArea || '').toLowerCase().includes(kw);
+    });
+  }
+
+  return result;
+});
+
+// Bug #499: 搜索与重置
+function handleSearch() {
+  // 过滤逻辑由 computed 自动处理
+}
+
+function handleResetSearch() {
+  const now = new Date();
+  const end = now.toISOString().substring(0, 10);
+  const start = new Date(now.getTime() - 7 * 24 * 60 * 60 * 1000).toISOString().substring(0, 10);
+  searchForm.dateRange = [start, end];
+  searchForm.applyStatus = '';
+  searchForm.keyword = '';
+}
+
+// 初始化默认日期范围为近一周
+handleResetSearch();
+
 // 🔧 BugFix#426: 懒加载套餐明细
 async function loadPackageDetails(row, treeNode, resolve) {
   if (!row.isPackage || !row.packageId) {
@@ -573,6 +683,7 @@ const categoryList = ref([]);   // 原始分类+项目数据
 const dictSearchKey = ref('');
 const activeNames = ref('');    // 当前展开的折叠项
 const categoryLoadingSet = ref(new Set());  // Bug #500: 正在加载方法的分类集合
+const currentActiveCategory = ref(null);  // Bug #500: 记录当前激活的分类，忽略过期请求响应
 const isAnimating = ref(false);  // Bug #500: 防止快速切换时折叠动画重叠导致抖动
 
 const allMethods = ref([]);
@@ -690,15 +801,18 @@ const availableMethods = computed(() => {
 // 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
 // #428: 分类展开时联动加载检查方法
 // Bug #500: 使用 categoryLoadingSet 替代 dictLoading，避免切换分类时整个区域闪烁
+// Bug #500: 添加 currentActiveCategory 守卫，忽略过期请求响应，防止快速切换时数据闪烁
 async function handleCategoryExpand(cat) {
   if (!cat || !cat.typeName) return;
 
-  // 如果已加载过或正在加载中，跳过
   if ((cat.methods && cat.methods.length > 0) || categoryLoadingSet.value.has(cat.typeId)) return;
 
   categoryLoadingSet.value.add(cat.typeId);
+  currentActiveCategory.value = cat.typeId;
   try {
     const res = await searchCheckMethod({ checkType: cat.typeName });
+    // 忽略过期请求：用户已切换到其他分类，丢弃当前响应
+    if (currentActiveCategory.value !== cat.typeId) return;
     let data = res?.data?.data || res?.data || res?.rows || res;
     if (!Array.isArray(data) && res?.data && Array.isArray(res.data.data)) {
       data = res.data.data;
@@ -717,18 +831,22 @@ async function handleCategoryExpand(cat) {
       }));
     }
   } catch (err) {
+    if (currentActiveCategory.value !== cat.typeId) return;
     console.error('加载分类检查方法失败', err);
   } finally {
     categoryLoadingSet.value.delete(cat.typeId);
   }
 }
-// Bug #500: 添加防抖逻辑，快速切换时跳过中间状态的动画，避免高度跳变和白屏闪烁
+// Bug #500修复: 添加防抖逻辑，快速切换时跳过中间状态的动画，避免高度跳变和白屏闪烁
 function handleCollapseChange(activeName) {
   if (isAnimating.value) return;  // 动画进行中，忽略后续点击
 
   isAnimating.value = true;
   setTimeout(() => { isAnimating.value = false; }, 300);  // 与 CSS 过渡时长一致
 
+  // Bug #500修复: 记录当前激活的分类，用于 handleCategoryExpand 中忽略过期请求
+  currentActiveCategory.value = activeName || null;
+
   if (activeName) {
     // Bug #428修复: 直接从 categoryList（原始响应式数组）查找分类，
     // 确保后续 handleCategoryExpand 对 cat.methods 的赋值能正确触发 Vue 响应式更新
@@ -1443,6 +1561,19 @@ defineExpose({ getList });
   gap: 8px;
 }
 
+/* Bug #499: 查询过滤工具栏 */
+.search-toolbar {
+  margin-bottom: 10px;
+  padding: 8px 0;
+  border-bottom: 1px solid #ebeef5;
+}
+.search-toolbar :deep(.el-form-item) {
+  margin-bottom: 8px;
+}
+.search-toolbar :deep(.el-form-item__label) {
+  font-size: 12px;
+}
+
 /* 底部区域：左表单 + 右分类 */
 .bottom-section {
   display: flex;
@@ -1520,6 +1651,7 @@ defineExpose({ getList });
   flex: 1;
   overflow-y: auto;
   overflow-x: hidden;  /* Bug #500: 防止切换时水平方向溢出导致抖动 */
+  min-height: 120px;   /* Bug #500: 固定最小高度，避免分类切换时 flex 容器高度突变 */
 }
 .empty-hint {
   color: #909399;
@@ -1792,10 +1924,10 @@ defineExpose({ getList });
   height: auto;
   line-height: 1.5;
 }
-/* Bug #500: 折叠内容添加平滑过渡动画，避免切换时高度跳变 */
+/* Bug #500修复: 折叠内容使用明确属性过渡，避免 transition: all 导致子元素意外动画 */
 :deep(.el-collapse-item__content) {
   padding-bottom: 4px;
-  transition: all 0.3s ease;
+  transition: height 0.3s ease, max-height 0.3s ease;
 }
 /* Bug #500: 折叠面板动画容器，添加 overflow:hidden 防止展开时内容溢出导致闪烁 */
 :deep(.el-collapse-item__wrap) {

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

@@ -589,36 +589,46 @@ function handleUseOrderGroup(row) {
       minUnitPrice: orderDetail.minUnitPrice,
       inventoryList: orderDetail.inventoryList || [],
       priceList: orderDetail.priceList || [],
-      partPercent: orderDetail.partPercent || 1,
+      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,
+      positionId: item.positionId ?? orderDetail.positionId,
       defaultLotNumber: orderDetail.defaultLotNumber,
       
       // 单位信息
-      unitCode: item.unitCode || orderDetail.unitCode,
+      unitCode: item.unitCode ?? orderDetail.unitCode,
+      categoryCode: item.categoryCode ?? orderDetail.categoryCode,
       unitCodeName: item.unitCodeName || orderDetail.unitCode_dictText,
       minUnitCode: orderDetail.minUnitCode,
       doseUnitCode: orderDetail.doseUnitCode,
       
       // 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、
+      // partPercent、partAttributeEnum、unitConversionRatio、defaultLotNumber 等），
+      // 再用组套用户覆盖值覆盖，确保单次剂量/频次/用法/用药天数/总量等不被丢失
       mergedDetail: {
         ...orderDetail,
         adviceName: orderDetail.adviceName || item.orderDefinitionName || '未知项目',
         adviceType: orderDetail.adviceType,
         quantity: item.quantity,
-        unitCode: item.unitCode || orderDetail.unitCode,
+        unitCode: item.unitCode ?? orderDetail.unitCode,
+        categoryCode: item.categoryCode ?? orderDetail.categoryCode,
         unitCodeName: item.unitCodeName,
-        dose: item.dose || orderDetail.dose,
-        rateCode: item.rateCode || orderDetail.rateCode,
-        methodCode: item.methodCode || orderDetail.methodCode,
-        dispensePerDuration: item.dispensePerDuration || orderDetail.dispensePerDuration,
-        doseQuantity: item.doseQuantity,
-        inventoryList: orderDetail.inventoryList || [],
-        priceList: orderDetail.priceList || [],
-        partPercent: orderDetail.partPercent || 1,
-        // 🔧 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,
+        dose: item.dose ?? orderDetail.dose,
+        rateCode: item.rateCode ?? orderDetail.rateCode,
+        methodCode: item.methodCode ?? orderDetail.methodCode,
+        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',
       }
     };
   });

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

@@ -1133,13 +1133,17 @@ function submitForm() {
         // 新增手术
         addSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请提交成功！')
+            proxy.$modal.msgSuccess('手术申请提交成功！')
             // 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
-            // 刷新手术申请列表
-            getList()
+            // 刷新手术申请列表，使用 nextTick 确保数据一致性
+            proxy.$nextTick(() => {
+              if (props.patientInfo?.encounterId) {
+                getList()
+              }
+            })
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1151,13 +1155,17 @@ function submitForm() {
         // 修改手术
         updateSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请修改成功！')
+            proxy.$modal.msgSuccess('手术申请修改成功！')
             // 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
-            // 刷新手术申请列表
-            getList()
+            // 刷新手术申请列表，使用 nextTick 确保数据一致性
+            proxy.$nextTick(() => {
+              if (props.patientInfo?.encounterId) {
+                getList()
+              }
+            })
           } else {
             proxy.$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

@@ -137,7 +137,7 @@
           <el-descriptions title="申请单描述" :column="2">
             <template v-for="(value, key) in descJsonData" :key="key">
               <el-descriptions-item v-if="isFieldMatched(key)" :label="getFieldLabel(key)">
-                {{ value || '-' }}
+                {{ transformField(key, value) || '-' }}
               </el-descriptions-item>
             </template>
           </el-descriptions>
@@ -270,6 +270,12 @@ const parseStatus = (status) => {
 const labelMap = {
   categoryType: '项目类别',
   targetDepartment: '发往科室',
+  urgencyLevel: '紧急程度',
+  allergyHistory: '过敏史',
+  examinationPurpose: '检查目的',
+  expectedExaminationTime: '期望检查时间',
+  medicalHistorySummary: '病史摘要',
+  allergyConfirmed: '过敏确认',
   symptom: '症状',
   sign: '体征',
   clinicalDiagnosis: '临床诊断',
@@ -278,6 +284,17 @@ const labelMap = {
   attention: '注意事项',
 };
 
+// Fields that need value transformation before display
+const transformField = (key, value) => {
+  if (key === 'urgencyLevel') {
+    return value === 'emergency' ? '急诊' : '普通';
+  }
+  if (key === 'allergyConfirmed') {
+    return value === true || value === 'true' ? '已口头确认' : '未确认';
+  }
+  return value;
+};
+
 const isFieldMatched = (key) => {
   return key in labelMap;
 };
@@ -292,49 +309,46 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
-  getDepartmentList().then((res) => {
-    orgOptions.value = res.data || [];
-  });
+const getLocationInfo = async () => {
+  const res = await getDepartmentList();
+  orgOptions.value = res.data || [];
 };
 
 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 index = 0; index < subObjArray.length; index++) {
-        const item = subObjArray[index];
+      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) => {
-  console.log('targetDepartment========>', JSON.stringify(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) {
+    await getLocationInfo();
+  }
 
   currentDetail.value = row;
   // 解析 descJson
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      // 确保科室数据已加载
-      if (!orgOptions.value || orgOptions.value.length === 0) {
-        await new Promise((resolve) => {
-          getDepartmentList().then((res) => {
-            orgOptions.value = res.data || [];
-            resolve();
-          });
-        });
-      }
       obj.targetDepartment = recursionFun(obj.targetDepartment);
       descJsonData.value = obj;
     } catch (e) {

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

@@ -103,11 +103,11 @@
           <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
           <el-table-column label="操作" align="center" fixed="right" width="160">
             <template #default="scope">
-              <template v-if="scope.row.billStatus == 0 || scope.row.status == 0">
+              <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>
-              <template v-else-if="scope.row.billStatus == 1 || scope.row.status == 1">
+              <template v-else-if="scope.row.status == 1">
                 <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
               </template>
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
@@ -187,7 +187,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
-import {getOrgList} from '@/views/doctorstation/components/api.js';
+import {getDepartmentList} from '@/api/public.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -285,6 +285,9 @@ const labelMap = {
   otherDiagnosis: '其他诊断',
   relatedResult: '相关结果',
   attention: '注意事项',
+  applicationType: '申请类型',
+  specimenName: '标本类型',
+  executeTime: '执行时间',
 };
 
 /**
@@ -311,8 +314,8 @@ const parsePriorityCode = (descJson) => {
   if (!descJson) return '-';
   try {
     const obj = JSON.parse(descJson);
-    // priorityCode: 0-普通, 1-急
-    return obj.priorityCode === 1 ? '急' : '普通';
+    // applicationType: 0-普通, 1-急诊
+    return obj.applicationType === 1 ? '急' : '普通';
   } catch (e) {
     console.error('解析 descJson 失败:', e);
     return '-';
@@ -391,6 +394,9 @@ const handleViewDetail = async (row) => {
     try {
       const obj = JSON.parse(row.descJson);
       obj.targetDepartment = recursionFun(obj.targetDepartment);
+      // 转换申请类型编码为可读文本
+      if (obj.applicationType === 0) obj.applicationType = '普通';
+      else if (obj.applicationType === 1) obj.applicationType = '急诊';
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);

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

@@ -144,42 +144,56 @@ const applicationListAll = ref();
 const applicationList = ref();
 const loading = ref(false);
 const orgOptions = ref([]); // 科室选项
-const getList = () => {
+const getList = async () => {
   if (!patientInfo.value?.inHospitalOrgId) {
     applicationList.value = [];
     return;
   }
   loading.value = true;
-  getApplicationList({
-    pageSize: 9999,
-    pageNum: 1,
-    categoryCode: '22',
-    organizationId: patientInfo.value.inHospitalOrgId,
-    adviceTypes: [3], //1 药品 2耗材 3诊疗
-  })
-    .then((res) => {
-      if (res.code === 200) {
-        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,
-          };
-        });
-        console.log('applicationList========>', JSON.stringify(res.data.records));
-      } else {
+  try {
+    const allRecords = [];
+    let currentPage = 1;
+    const pageSize = 500;
+
+    // 分页拉取全部数据（后端单页最多500条）
+    while (true) {
+      const res = await getApplicationList({
+        pageSize,
+        pageNo: currentPage,
+        categoryCode: '22',
+        organizationId: patientInfo.value.inHospitalOrgId,
+        adviceTypes: [3], // 1 药品 2 耗材 3 诊疗
+      });
+      if (res.code !== 200) {
         proxy.$message.error(res.message);
         applicationList.value = [];
+        return;
       }
-    })
-    .finally(() => {
-      loading.value = false;
+      const records = res.data?.records || [];
+      allRecords.push(...records);
+      // 当前页不足 pageSize 或已无数据，说明已全部拉取
+      if (records.length < pageSize) break;
+      currentPage++;
+    }
+
+    applicationListAll.value = allRecords;
+    applicationList.value = allRecords.map((item) => {
+      const priceInfo = item.priceList?.[0] || {};
+      const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+      const unit = item.unitCode_dictText || item.unitCode || '';
+      return {
+        adviceDefinitionId: item.adviceDefinitionId,
+        orgId: item.orgId,
+        label: item.adviceName + ' (￥' + price + '/' + unit + ')',
+        key: item.adviceDefinitionId,
+      };
     });
+  } catch (e) {
+    proxy.$message.error('获取检验项目列表失败');
+    applicationList.value = [];
+  } finally {
+    loading.value = false;
+  }
 };
 const transferValue = ref([]);
 const form = reactive({

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

@@ -483,7 +483,10 @@ const submit = () => {
     encounterId: patientInfo.value.encounterId,
     organizationId: patientInfo.value.inHospitalOrgId,
     requestFormId: '',
-    name: applicationListAllFilter.map(item => item.adviceName).join('、'),
+    name: transferValue.value.map(id => {
+      const item = applicationListAll.value?.find(i => i.adviceDefinitionId === id);
+      return item?.adviceName || '';
+    }).filter(Boolean).join('、'),
     descJson: JSON.stringify(submitForm),
     categoryEnum: '2',
   }).then((res) => {

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

@@ -86,6 +86,9 @@ import {getApplicationList, 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
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
   if (!list || list.length === 0) return null;
@@ -110,6 +113,12 @@ const getList = () => {
     applicationList.value = [];
     return;
   }
+  // 命中缓存时直接使用，避免重复请求导致加载缓慢
+  if (surgeryMappedCache && surgeryMappedCache.length > 0) {
+    applicationList.value = surgeryMappedCache;
+    applicationListAll.value = surgeryRecordsCache;
+    return;
+  }
   loading.value = true;
   getApplicationList({
     pageSize: 500,
@@ -132,6 +141,9 @@ const getList = () => {
             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 = [];

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

@@ -197,6 +197,7 @@
                     style="width: 62%"
                     v-model="scope.row.adviceName"
                     placeholder="请选择项目"
+                    @input="handleChange"
                     @click="handleFocus(scope.row, scope.$index)"
                     @keyup.enter.stop="handleFocus(scope.row, scope.$index)"
                     @keydown="
@@ -709,9 +710,17 @@ 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) &&
-      (!orderClassCode.value || orderClassCode.value == item.adviceType) &&
+      matchAdviceType &&
       (!orderStatus.value || (orderStatus.value == item.statusEnum && item.requestId))
     );
   });
@@ -739,12 +748,28 @@ 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) {
-    return '1-' + row.categoryCode;
+    const compositeValue = '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;
   }
-  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
+  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
@@ -1319,11 +1344,12 @@ 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) {
+    if (!itemNo || String(itemNo).trim() === '') {
       console.warn('绑定设备检查跳过：itemNo为空（adviceType=' + row.adviceType + ', adviceName=' + row.adviceName + '）');
     } else {
-      getBindDevice({ typeCode: row.adviceType, itemNo: itemNo }).then((res) => {
+      getBindDevice({ typeCode: row.adviceType, itemNo: String(itemNo) }).then((res) => {
         if (res.data.length == 0) {
           return;
         }
@@ -1613,20 +1639,14 @@ function handleSaveGroup(orderGroupList) {
 
     // 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 = {
-      ...prescriptionList.value[rowIndex.value],
+      ...baseRow,
       patientId: patientInfo.value.patientId,
       encounterId: patientInfo.value.encounterId,
       accountId: accountId.value,
-      quantity: item.quantity ?? mergedDetail.quantity,
-      methodCode: item.methodCode ?? mergedDetail.methodCode,
-      rateCode: item.rateCode ?? mergedDetail.rateCode,
-      dispensePerDuration: item.dispensePerDuration ?? mergedDetail.dispensePerDuration,
-      dose: item.dose ?? mergedDetail.dose,
-      doseQuantity: item.doseQuantity ?? mergedDetail.doseQuantity,
       executeNum: 1,
-      unitCode: item.unitCode ?? mergedDetail.unitCode,
-      unitCode_dictText: item.unitCodeName || mergedDetail.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
@@ -1635,19 +1655,33 @@ function handleSaveGroup(orderGroupList) {
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,
       encounterDiagnosisId: encounterDiagnosisId.value,
-      therapyEnum: prescriptionList.value[rowIndex.value]?.therapyEnum || '1',
+      therapyEnum: baseRow?.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
-    const unitInfo = unitCodeList.value.find((k) => k.value == item.unitCode);
+    // 🔧 Bug #403 修复：使用 newRow.unitCode（已由 setValue 填充）而非 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 = (item.quantity * newRow.minUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity;
+      newRow.totalPrice = ((finalQuantity || 0) * newRow.minUnitPrice).toFixed(6);
+      newRow.minUnitQuantity = finalQuantity || 0;
     } else {
       newRow.price = newRow.unitPrice;
-      newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity * (item.orderDetailInfos?.partPercent || mergedDetail.partPercent || 1);
+      newRow.totalPrice = ((finalQuantity || 0) * newRow.unitPrice).toFixed(6);
+      newRow.minUnitQuantity = (finalQuantity || 0) * partPercent;
     }
 
     newRow.contentJson = JSON.stringify(newRow);

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

@@ -481,12 +481,43 @@ watch(
   (visible) => {
     if (visible) {
       executeTime.value = formatDateStr(new Date(), 'YYYY-MM-DD HH:mm:ss');
+      // 弹窗打开时重新加载科室和位置选项，确保数据最新
+      loadDepartmentOptions();
+      getDiseaseInitLoc(16);
     } else {
       resetData();
     }
   }
 );
 
+// 监听科室选项加载完成，为已添加的诊疗项目设置默认执行科室
+watch(
+  () => departmentOptions.value,
+  (depts) => {
+    if (!depts || depts.length === 0) return;
+    feeItemsList.value.forEach(item => {
+      if (item.adviceType === 3 && !item.positionId) {
+        const patientOrgId = props.patientInfo.organizationId;
+        const matched = depts.find(d => String(d.id) === String(patientOrgId));
+        item.positionId = matched ? String(matched.id) : String(depts[0].id);
+      }
+    });
+  }
+);
+
+// 监听位置选项加载完成，为已添加的耗材项目设置默认位置
+watch(
+  () => locationOptions.value,
+  (locs) => {
+    if (!locs || locs.length === 0) return;
+    feeItemsList.value.forEach(item => {
+      if (item.adviceType === 2 && !item.positionId) {
+        item.positionId = String(locs[0].value);
+      }
+    });
+  }
+);
+
 // 加载科室选项
 function loadDepartmentOptions() {
   getOrgList()
@@ -527,23 +558,27 @@ function getDiseaseInitLoc() {
       locationOptions.value = [];
     });
 }
-// 下拉框模糊搜索过滤
+// 下拉框模糊搜索过滤（自定义filter-method，配合element-plus filterable使用）
 function filterOptions(val, row, optionsKey) {
   const key = row.adviceDefinitionId + '_' + optionsKey;
-  filterKeywords.value[key] = val;
+  if (!val || val.trim() === '') {
+    delete filterKeywords.value[key];
+  } else {
+    filterKeywords.value[key] = val.toLowerCase();
+  }
 }
 function getFilteredOptions(row, optionsKey) {
   const key = row.adviceDefinitionId + '_' + optionsKey;
   const keyword = filterKeywords.value[key];
   const options = optionsKey === 'departmentOptions' ? departmentOptions.value : locationOptions.value;
-  if (!keyword || keyword.trim() === '') {
+  if (!keyword) {
     return options;
   }
-  const lower = keyword.toLowerCase();
   return options.filter(item => {
     const name = (item.name || item.label || '').toLowerCase();
     const id = String(item.id || item.value || '').toLowerCase();
-    return name.includes(lower) || id.includes(lower);
+    const py = (item.pyStr || '').toLowerCase();
+    return name.includes(keyword) || id.includes(keyword) || py.includes(keyword);
   });
 }
 // 获取组套类型文本
@@ -553,9 +588,9 @@ function getItemType_Text(type) {
 }
 function getUnitCodeOptions(row) {
   const unitCodes = [
-    { code: row.unitCode, codeText: row.unitCode_dictText },
-    { code: row.minUnitCode, codeText: row.minUnitCode_dictText },
-  ];
+    { code: String(row.unitCode), codeText: row.unitCode_dictText },
+    { code: String(row.minUnitCode), codeText: row.minUnitCode_dictText },
+  ].filter(item => item.code);
   // 使用 Set 来跟踪已经存在的 code
   const seenCodes = new Set();
   const uniqueUnitCodes = unitCodes.filter((item) => {
@@ -575,11 +610,11 @@ function unitCodeChange(row) {
   // 获取价格
   const price = row.priceList?.[0]?.price || 0;
 
-  // 根据选择的单位调整单价
-  if (row.selectUnitCode === row.unitCode) {
+  // 根据选择的单位调整单价（统一用字符串比较）
+  if (String(row.selectUnitCode) === String(row.unitCode)) {
     // 如果选择的是大单位 (如 "盒")
     row.unitPrice = price.toFixed(6); // 单价就是原价
-  } else if (row.selectUnitCode === row.minUnitCode) {
+  } else if (String(row.selectUnitCode) === String(row.minUnitCode)) {
     // 如果选择的是小单位 (如 "个")
     row.unitPrice = (price / (row.partPercent || 1)).toFixed(6); // 单价 = 原价 / 拆零比
   }
@@ -771,15 +806,32 @@ function openGroupSetDialog() {
 
 function loadGroupSets() {
   groupSetLoading.value = true;
-  getOrderGroup({ organizationId: orgId.value })
+  const params = { organizationId: orgId.value };
+  // 传递搜索关键字，后端 /group-package-for-order 虽不直接支持 searchKey，
+  // 但保持参数传递以便后续扩展
+  if (groupSetSearchText.value && groupSetSearchText.value.trim()) {
+    params.searchKey = groupSetSearchText.value.trim();
+  }
+  getOrderGroup(params)
     .then((res) => {
       const data = res?.data || {};
+      let rawList = [];
       if (groupSetRange.value === 1) {
-        groupSetList.value = data.personalList || [];
+        rawList = data.personalList || [];
       } else if (groupSetRange.value === 2) {
-        groupSetList.value = data.organizationList || [];
+        rawList = data.organizationList || [];
       } else {
-        groupSetList.value = data.hospitalList || [];
+        rawList = data.hospitalList || [];
+      }
+      // 客户端过滤：根据搜索关键字过滤组套名称
+      const keyword = groupSetSearchText.value?.trim()?.toLowerCase();
+      if (keyword) {
+        groupSetList.value = rawList.filter(item => {
+          const name = (item.name || item.Name || '').toLowerCase();
+          return name.includes(keyword);
+        });
+      } else {
+        groupSetList.value = rawList;
       }
     })
     .catch(() => {

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

@@ -66,13 +66,21 @@ const props = defineProps({
     type: Number,
     default: 1,
   },
+  therapyEnum: {
+    type: Number,
+    default: undefined,
+  },
 });
 
 handleGetPrescription();
 function handleGetPrescription() {
   loading.value = true;
   let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
-  getMedicineSummary({}).then((res) => {
+  const params = {};
+  if (props.therapyEnum !== undefined) {
+    params.therapyEnum = props.therapyEnum;
+  }
+  getMedicineSummary(params).then((res) => {
     medicineSummaryFormList.value = res.data.records;
     loading.value = false;
   });

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

@@ -85,7 +85,7 @@
         :deadline="deadline"
         :therapyEnum="therapyEnum"
       />
-      <SummaryMedicineList v-else />
+      <SummaryMedicineList v-else :therapyEnum="therapyEnum" />
       <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
         <el-tab-pane
           v-for="tab in prescriptionTabs"

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

@@ -471,11 +471,13 @@ function handleExecute() {
   console.log(list, 'list');
   adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
     if (res.code == 200) {
-      // 仅当选中医嘱中包含耗材类医嘱时，才调用耗材批号匹配（排除纯药品医嘱场景）
-      const hasDevice = list.some((item) =>
-        String(item.adviceTable || '').includes('device'),
+      // 仅当选中医嘱中包含诊疗类医嘱（可能绑定耗材）时，才调用耗材批号匹配
+      // adviceTable 取值为 med_medication_request（药品）或 wor_service_request（诊疗/耗材）
+      // 原代码用 includes('device') 判断有误，两个表名均不含 "device" 字符串
+      const hasServiceRequest = list.some((item) =>
+        String(item.adviceTable || '') === 'wor_service_request',
       );
-      if (hasDevice) {
+      if (hasServiceRequest) {
         lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
           console.warn('lotNumberMatch failed after adviceExecute:', error);
         });

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

@@ -829,7 +829,7 @@
             </el-descriptions>
           </div>
           <div style="padding: 10px">
-            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef"
+            <prescriptionlist :patientInfo="chargePatientInfo" ref="prescriptionRef"
               :generateSourceEnum="1"
               :sourceBillNo="chargePatientInfo.sourceBillNo" />
             <div class="overlay" v-if="disabled"></div>
@@ -881,16 +881,13 @@ import {
   deleteSurgerySchedule,
   getSurgeryScheduleDetail
 } from '@/api/surgicalschedule'
-import { listUser } from '@/api/system/user'
-import { deptTreeSelect } from '@/api/system/user'
-import { listOperatingRoom } from '@/api/operatingroom'
 import { getSurgeryPage} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
 import { getContract } from '@/views/inpatientDoctor/home/components/api.js'
 import request from '@/utils/request'
 import SurgeryCharge from '../charge/surgerycharge/index.vue'
 import TemporaryMedical from './temporaryMedical.vue'
 
-// 静默获取卫生机构列表（跳过拦截器错误提示，手术室护士等角色可能无此权限）
+// 静默获取字典列表（跳过拦截器错误提示，手术室护士等角色可能无此权限）
 function getTenantPageSilent(query) {
   return request({
     url: '/system/tenant/page',
@@ -900,6 +897,36 @@ function getTenantPageSilent(query) {
   })
 }
 
+// 静默获取科室树（跳过拦截器错误提示）
+function deptTreeSelectSilent(params = {}) {
+  return request({
+    url: '/base-data-manage/organization/organization',
+    method: 'get',
+    params: { typeEnum: 2, ...params },
+    skipErrorMsg: true
+  })
+}
+
+// 静默获取用户列表（跳过拦截器错误提示）
+function listUserSilent(query) {
+  return request({
+    url: '/base-data-manage/practitioner/user-practitioner-page',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
+// 静默获取手术室列表（跳过拦截器错误提示）
+function listOperatingRoomSilent(query) {
+  return request({
+    url: '/base-data-manage/operating-room/list',
+    method: 'get',
+    params: query,
+    skipErrorMsg: true
+  })
+}
+
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
 const loading = ref(true)
@@ -1148,7 +1175,7 @@ function loadOrgList() {
 
 // 加载科室列表
 function loadDeptList() {
-  deptTreeSelect()
+  deptTreeSelectSilent()
     .then(res => {
       if (res.code === 200) {
         const tree = res.data?.records || res.data || []
@@ -1168,7 +1195,7 @@ function loadDeptList() {
 
 // 加载医生列表
 function loadDoctorList() {
-  listUser({ pageNo: 1, pageSize: 1000 })
+  listUserSilent({ pageNo: 1, pageSize: 1000 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1188,7 +1215,7 @@ function loadDoctorList() {
 
 // 加载护士列表
 function loadNurseList() {
-  listUser({ pageNo: 1, pageSize: 1000 })
+  listUserSilent({ pageNo: 1, pageSize: 1000 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1208,7 +1235,7 @@ function loadNurseList() {
 
 // 加载手术室列表
 function loadOperatingRoomList() {
-  listOperatingRoom({ pageNo: 1, pageSize: 1000, statusEnum: 1 })
+  listOperatingRoomSilent({ pageNo: 1, pageSize: 1000, statusEnum: 1 })
     .then(res => {
       if (res.code === 200) {
         const records = res.data?.records || []
@@ -1434,12 +1461,10 @@ function closeChargeDialog() {
   if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
     prescriptionRef.value.closeAllPopovers()
   }
-  // 等 Vue 完成 DOM 更新后再关闭弹窗，确保 popover 先消失
-  nextTick(() => {
-    showChargeDialog.value = false
-    chargePatientInfo.value = {}
-    chargeSurgeryInfo.value = {}
-  })
+  // 清空数据，避免下次打开时使用缓存
+  showChargeDialog.value = false
+  chargePatientInfo.value = {}
+  chargeSurgeryInfo.value = {}
 }
 
 // 🔧 新增：标志位，用于区分是"打开"还是"刷新"
@@ -1515,6 +1540,8 @@ function handleMedicalAdvice(row) {
       const filteredItems = res.data.filter(item => {
         // 匹配 encounterId
         if (item.encounterId !== row.visitId) return false;
+        // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
+        if (item.adviceType !== 1) return false;
         // 过滤掉名称为空的项目
         const medicineName = item.adviceName || item.advice_name;
         if (!medicineName || medicineName.trim() === '') return false;
@@ -1773,10 +1800,12 @@ function handleQuoteBilling() {
               temporaryBillingMedicines.value = []
               temporaryAdvices.value = []
     
-              // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
+              // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
               const filteredItems = res.data.filter(item => {
                 // 匹配 encounterId
                 if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
+                // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
+                if (item.adviceType !== 1) return false;
                 // 过滤掉名称为空的项目
                 const medicineName = item.adviceName || item.advice_name;
                 return medicineName && medicineName.trim() !== '';

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

@@ -312,6 +312,13 @@ const getMethodCodeDict = computed(() => {
 
 // 响应式数据 - isSigned 从父组件传入的 prop 初始化
 const isSigned = ref(props.isSignedProp)
+
+// 🔧 修复 Bug #446: 同步父组件 isSignedProp 的变化到本地 isSigned
+// ref(props.isSignedProp) 只在初始化时读取一次，父组件后续更新不会自动同步
+watch(() => props.isSignedProp, (newVal) => {
+  isSigned.value = newVal
+})
+
 const signatureTime = ref('')
 const showSignDialog = ref(false)
 const signPassword = ref('')