Fix Bug #511: [住院医生工作站-临床医嘱] 护士退回的医嘱在医生站双击无法进入编辑模式，导致无法修改重发

- 使用 Number() 做 statusEnum 类型转换并用 === 严格比较，避免前后端类型不一致导致双击无响应
- 使用 splice 替代直接赋值更新 prescriptionList，确保 Vue 响应式系统能正确触发渲染更新
- 使用 nextTick 包裹 expandOrder 设置，确保数据更新后再设置展开状态，保证 el-table 正确识别 row-key
- 增加 findIndex 返回 -1 时的错误处理，给用户可见提示而非静默失败

openhis-server-new/core-system/src/main/java/com/core/system/service/impl/SysDictTypeServiceImpl.java

@@ -86,17 +86,12 @@ public class SysDictTypeServiceImpl implements ISysDictTypeService {
             return dictDataMapper.selectDictDataByTypeWithSearch(dictType, trimmedKey);
         }
 
-        // 否则使用原有方法（带缓存）
+        // 直接查询数据库，避免缓存中为空数据导致前端下拉框显示"无数据"
-        List<SysDictData> dictDatas = DictUtils.getDictCache(dictType);
+        List<SysDictData> dictDatas = dictDataMapper.selectDictDataByType(dictType);
-        if (StringUtils.isNotEmpty(dictDatas)) {
-            return dictDatas;
-        }
-        dictDatas = dictDataMapper.selectDictDataByType(dictType);
         if (StringUtils.isNotEmpty(dictDatas)) {
             DictUtils.setDictCache(dictType, dictDatas);
-            return dictDatas;
         }
-        return null;
+        return dictDatas;
     }
 
     /**

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

@@ -366,7 +366,7 @@ public class SurgeryAppServiceImpl implements ISurgeryAppService {
         serviceRequest.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue());// 治疗类型
         serviceRequest.setQuantity(BigDecimal.valueOf(1)); // 请求数量
         serviceRequest.setUnitCode("次"); // 请求单位编码
-        serviceRequest.setCategoryEnum(4); // 请求类型：4-手术
+        serviceRequest.setCategoryEnum(24); // 请求类型：24-手术（新值域，避开 adviceType 碰撞）
         serviceRequest.setActivityId(surgeryId); // 手术ID作为诊疗定义id
         serviceRequest.setPatientId(surgeryDto.getPatientId()); // 患者
         serviceRequest.setRequesterId(practitionerId); // 开方医生

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

@@ -7,7 +7,6 @@ import com.core.common.core.domain.R;
 import com.core.common.core.domain.model.LoginUser;
 import com.core.common.utils.SecurityUtils;
 import com.openhis.administration.domain.Patient;
-import com.openhis.administration.service.IOrganizationService;
 import com.openhis.administration.service.IPatientService;
 import com.openhis.clinical.domain.Surgery;
 import com.openhis.clinical.service.ISurgeryService;
@@ -28,7 +27,6 @@ import java.io.IOException;
 import java.io.OutputStream;
 import java.io.PrintWriter;
 import java.net.URLEncoder;
-import java.time.LocalDate;
 import java.time.LocalDateTime;
 import java.util.Date;
 import java.util.List;
@@ -204,6 +202,8 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
             return R.fail("新增手术安排失败");
         }
 
+        syncSurgeryIncisionLevel(opSchedule.getOperCode(), opCreateScheduleDto.getIncisionLevel());
+
         // Bug #247 修复：更新手术申请单状态为已排期 (1)
         if (opCreateScheduleDto.getApplyId() != null) {
             try {
@@ -300,6 +300,8 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
             return R.fail("修改手术安排失败");
         }
 
+        syncSurgeryIncisionLevel(opScheduleDto.getOperCode(), opScheduleDto.getIncisionLevel());
+
         return R.ok("修改手术安排成功");
     }
 
@@ -433,6 +435,28 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
         return scheduleDate.format(java.time.format.DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss"));
     }
 
+    /**
+     * 同步手术申请表中的切口类型
+     */
+    private void syncSurgeryIncisionLevel(String surgeryNo, Integer incisionLevel) {
+        if (surgeryNo == null || surgeryNo.isEmpty() || incisionLevel == null) {
+            return;
+        }
+
+        LambdaQueryWrapper<Surgery> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.eq(Surgery::getSurgeryNo, surgeryNo)
+                .eq(Surgery::getDeleteFlag, "0");
+        Surgery surgery = surgeryService.getOne(queryWrapper);
+        if (surgery == null) {
+            log.warn("未找到需要同步切口类型的手术申请记录 - surgeryNo: {}", surgeryNo);
+            return;
+        }
+
+        surgery.setIncisionLevel(incisionLevel);
+        surgery.setUpdateTime(new Date());
+        surgeryService.updateById(surgery);
+    }
+
     /**
      * 填充手术申请中缺失的名称字段
      * 在创建手术安排时调用，确保关联的cli_surgery表中的名称字段有值

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

@@ -4,7 +4,6 @@ import com.fasterxml.jackson.annotation.JsonFormat;
 import lombok.Data;
 
 import java.math.BigDecimal;
-import java.time.LocalDate;
 import java.time.LocalDateTime;
 
 @Data
@@ -85,6 +84,11 @@ public class OpCreateScheduleDto {
      */
     private String surgerySite;
 
+    /**
+     * 切口类型
+     */
+    private Integer incisionLevel;
+
     /**
      * 入院时间
      */
@@ -261,6 +265,11 @@ public class OpCreateScheduleDto {
      */
     private String remark;
 
+    /**
+     * 费用类别
+     */
+    private String feeType;
+
     /**
      * 创建时间
      */

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

@@ -4,6 +4,7 @@ import com.fasterxml.jackson.annotation.JsonFormat;
 import com.openhis.surgicalschedule.domain.OpSchedule;
 import lombok.Data;
 import lombok.EqualsAndHashCode;
+import lombok.experimental.Accessors;
 import org.springframework.format.annotation.DateTimeFormat;
 
 import java.time.LocalDate;
@@ -93,6 +94,12 @@ public class OpScheduleDto extends OpSchedule {
      * 手术类型
      */
     private String surgeryType;
+
+    /**
+     * 切口类型
+     */
+    private Integer incisionLevel;
+
     /**
      * 申请科室
      */
@@ -107,8 +114,4 @@ public class OpScheduleDto extends OpSchedule {
      */
     private String createByName;
 
-    /**
-     * 费用类别
-     */
-    private String feeType;
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/ICommonService.java

@@ -200,9 +200,10 @@ public interface ICommonService {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
+     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
-    R<?> lotNumberMatch(List<Long> encounterIdList);
+    R<?> lotNumberMatch(List<Long> encounterIdList, List<Long> requestIdList);
 
     /**
      * 根据机构ID获取机构名称

openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/appservice/impl/CommonServiceImpl.java

@@ -39,8 +39,10 @@ import com.openhis.web.common.dto.*;
 import com.openhis.web.common.mapper.CommonAppMapper;
 import com.openhis.web.pharmacymanage.dto.InventoryDetailDto;
 import com.openhis.workflow.domain.DeviceDispense;
+import com.openhis.workflow.domain.DeviceRequest;
 import com.openhis.workflow.domain.InventoryItem;
 import com.openhis.workflow.service.IDeviceDispenseService;
+import com.openhis.workflow.service.IDeviceRequestService;
 import com.openhis.workflow.service.IInventoryItemService;
 import org.slf4j.Logger;
 import org.slf4j.LoggerFactory;
@@ -99,6 +101,9 @@ public class CommonServiceImpl implements ICommonService {
     @Resource
     private IDeviceDispenseService deviceDispenseService;
 
+    @Resource
+    private IDeviceRequestService deviceRequestService;
+
     /**
      * 获取药房列表
      *
@@ -678,10 +683,11 @@ public class CommonServiceImpl implements ICommonService {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
+     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
     @Override
-    public R<?> lotNumberMatch(List<Long> encounterIdList) {
+    public R<?> lotNumberMatch(List<Long> encounterIdList, List<Long> requestIdList) {
         // 查询患者待发放的药品信息
         List<MedicationDispense> medicationDispenseList = medicationDispenseService
                 .list(new LambdaQueryWrapper<MedicationDispense>().in(MedicationDispense::getEncounterId, encounterIdList)
@@ -798,10 +804,27 @@ public class CommonServiceImpl implements ICommonService {
             }
         }
         // 查询患者待发放的耗材信息
-        List<DeviceDispense> deviceDispenseList = deviceDispenseService
+        LambdaQueryWrapper<DeviceDispense> deviceDispenseQuery = new LambdaQueryWrapper<DeviceDispense>()
-                .list(new LambdaQueryWrapper<DeviceDispense>().in(DeviceDispense::getEncounterId, encounterIdList)
+                .in(DeviceDispense::getEncounterId, encounterIdList)
                 .eq(DeviceDispense::getStatusEnum, DispenseStatus.PREPARATION.getValue())
-                        .eq(DeviceDispense::getDeleteFlag, DelFlag.NO.getCode()));
+                .eq(DeviceDispense::getDeleteFlag, DelFlag.NO.getCode());
+        // 若传入requestIdList，则仅查询与指定医嘱请求关联的耗材，避免其他未执行医嘱的耗材记录干扰
+        if (requestIdList != null && !requestIdList.isEmpty()) {
+            List<Long> deviceReqIds = deviceRequestService
+                    .list(new LambdaQueryWrapper<DeviceRequest>()
+                            .in(DeviceRequest::getBasedOnId, requestIdList)
+                            .eq(DeviceRequest::getBasedOnTable, CommonConstants.TableName.WOR_SERVICE_REQUEST))
+                    .stream()
+                    .map(DeviceRequest::getId)
+                    .collect(java.util.stream.Collectors.toList());
+            if (!deviceReqIds.isEmpty()) {
+                deviceDispenseQuery.in(DeviceDispense::getDeviceReqId, deviceReqIds);
+            } else {
+                // 无关联的耗材请求，直接跳过耗材校验
+                deviceDispenseQuery.eq(DeviceDispense::getId, -1L);
+            }
+        }
+        List<DeviceDispense> deviceDispenseList = deviceDispenseService.list(deviceDispenseQuery);
         // 耗材批号匹配
         if (deviceDispenseList != null && !deviceDispenseList.isEmpty()) {
             // 获取待发放的耗材id

openhis-server-new/openhis-application/src/main/java/com/openhis/web/common/controller/CommonAppController.java

@@ -274,10 +274,13 @@ public class CommonAppController {
      * 批号匹配
      *
      * @param encounterIdList 就诊id列表
+     * @param requestIdList 医嘱请求id列表（可选，用于限定仅校验与当前执行医嘱关联的耗材）
      * @return 处理结果
      */
     @GetMapping("/lot-number-match")
-    public R<?> lotNumberMatch(@RequestParam(value = "encounterIdList") List<Long> encounterIdList) {
+    public R<?> lotNumberMatch(
-        return commonService.lotNumberMatch(encounterIdList);
+            @RequestParam(value = "encounterIdList") List<Long> encounterIdList,
+            @RequestParam(value = "requestIdList", required = false) List<Long> requestIdList) {
+        return commonService.lotNumberMatch(encounterIdList, requestIdList);
     }
 }

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

@@ -35,6 +35,7 @@ import com.openhis.medication.service.IMedicationDispenseService;
 import com.openhis.medication.service.IMedicationRequestService;
 import com.openhis.web.chargemanage.mapper.OutpatientRegistrationAppMapper;
 import com.openhis.web.doctorstation.appservice.IDoctorStationAdviceAppService;
+import com.openhis.web.doctorstation.appservice.IDoctorStationInspectionLabApplyService;
 import com.openhis.web.doctorstation.dto.*;
 import com.openhis.web.doctorstation.mapper.DoctorStationAdviceAppMapper;
 import com.openhis.web.doctorstation.utils.AdviceUtils;
@@ -47,12 +48,15 @@ import com.openhis.workflow.domain.InventoryItem;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.*;
 import lombok.extern.slf4j.Slf4j;
+import org.springframework.context.annotation.Lazy;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
 import java.math.BigDecimal;
 import java.util.*;
+import java.util.regex.Matcher;
+import java.util.regex.Pattern;
 import java.util.stream.Collectors;
 
 /**
@@ -62,6 +66,9 @@ import java.util.stream.Collectors;
 @Service
 public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAppService {
 
+    private static final Pattern INSPECTION_APPLY_NO_JSON =
+        Pattern.compile("\"applyNo\"\\s*:\\s*\"([^\"]+)\"");
+
     @Resource
     AssignSeqUtil assignSeqUtil;
 
@@ -118,6 +125,13 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Resource
     IInventoryItemService inventoryItemService;
 
+    /**
+     * 与检验申请实现存在循环依赖，需延迟注入；删除诊疗医嘱时按 contentJson 级联作废检验申请单。
+     */
+    @Resource
+    @Lazy
+    private IDoctorStationInspectionLabApplyService iDoctorStationInspectionLabApplyService;
+
     // 缓存 key 前缀
     private static final String ADVICE_BASE_INFO_CACHE_PREFIX = "advice:base:info:";
     // 缓存过期时间（小时）
@@ -714,8 +728,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
             /**
              * 处理耗材请求
+             * 🔧 BugFix #443: 签发时跳过 handDevice，避免重复创建 DeviceDispense 并覆盖关键字段（如 performLocation）
+             * 签发时只需更新状态（下方 sign-advice 批量更新逻辑已处理）
              */
+            if (AdviceOpType.SAVE_ADVICE.getCode().equals(adviceOpType)) {
                 this.handDevice(deviceList, curDate, adviceOpType);
+            }
 
             // 签发时,把草稿状态的账单更新为待收费
             if (AdviceOpType.SIGN_ADVICE.getCode().equals(adviceOpType) && !adviceSaveList.isEmpty()) {
@@ -1529,21 +1547,44 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
             }
             deviceRequest.setGenerateSourceEnum(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
             deviceRequest.setLotNumber(adviceSaveDto.getLotNumber());// 产品批号
 
             deviceRequest.setCategoryEnum(adviceSaveDto.getCategoryEnum()); // 请求类型
+            // 🔧 BugFix #498: categoryEnum=22(检查) 走 ServiceRequest，不走 DeviceRequest
+            // 检查申请单的诊疗定义ID存在 activityId，不在 adviceDefinitionId
+            // deviceDefId 对应耗材定义ID，不能用诊疗定义ID填充
+            if (adviceSaveDto.getCategoryEnum() == 22) {
+                log.info("handDevice skip - 检查申请单(categoryEnum=22) 走 ServiceRequest 路径，跳过 DeviceRequest 保存");
+                continue; // 跳过本次循环，不走耗材请求路径
+            } else if (adviceSaveDto.getAdviceDefinitionId() != null) {
                 deviceRequest.setDeviceDefId(adviceSaveDto.getAdviceDefinitionId());// 耗材定义id
+            } else {
+                log.warn("handDevice - deviceDefId 为空，adviceDefinitionId=null, categoryEnum={}", adviceSaveDto.getCategoryEnum());
+            }
+
             deviceRequest.setPatientId(adviceSaveDto.getPatientId()); // 患者
             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) {
+                // 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，使用登录用户科室作为默认值: locationId={}", locId);
+                    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
@@ -1684,6 +1725,21 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         }
     }
 
+    /**
+     * 从诊疗医嘱 contentJson 中解析检验申请单号（检验保存时写入形如 {"applyNo":"..."}）。
+     */
+    private String extractInspectionApplyNoFromContentJson(String contentJson) {
+        if (StringUtils.isBlank(contentJson) || !contentJson.contains("applyNo")) {
+            return null;
+        }
+        Matcher m = INSPECTION_APPLY_NO_JSON.matcher(contentJson);
+        if (!m.find()) {
+            return null;
+        }
+        String applyNo = m.group(1).trim();
+        return StringUtils.isBlank(applyNo) ? null : applyNo;
+    }
+
     /**
      * 处理诊疗
      */
@@ -1732,6 +1788,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
         }
+        // 检验申请单在医嘱 contentJson 中写入 applyNo；从医嘱删除时需先级联作废检验单，避免检验页签仍显示孤儿申请
+        Map<String, List<Long>> labApplyNoToRequestIds = new LinkedHashMap<>();
         for (AdviceSaveDto adviceSaveDto : deleteList) {
             Long requestId = adviceSaveDto.getRequestId();
             // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的诊疗请求
@@ -1740,6 +1798,35 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 continue;
             }
             iServiceRequestService.removeById(requestId);// 删除诊疗
+            ServiceRequest existing = iServiceRequestService.getById(adviceSaveDto.getRequestId());
+            if (existing == null) {
+                continue;
+            }
+            String applyNo = extractInspectionApplyNoFromContentJson(existing.getContentJson());
+            if (StringUtils.isNotBlank(applyNo)) {
+                labApplyNoToRequestIds.computeIfAbsent(applyNo, k -> new ArrayList<>())
+                    .add(adviceSaveDto.getRequestId());
+            }
+        }
+        Set<Long> labCascadeSkippedRequestIds = new HashSet<>();
+        for (Map.Entry<String, List<Long>> e : labApplyNoToRequestIds.entrySet()) {
+            R<?> delLab = iDoctorStationInspectionLabApplyService.deleteInspectionLabApply(e.getKey());
+            if (delLab != null && R.isSuccess(delLab)) {
+                labCascadeSkippedRequestIds.addAll(e.getValue());
+                log.info("handService - 级联作废检验申请单 applyNo={}，已跳过重复删除的医嘱 requestIds={}",
+                    e.getKey(), e.getValue());
+            } else {
+                String msg = delLab != null && StringUtils.isNotEmpty(delLab.getMsg()) ? delLab.getMsg() : "删除检验申请单失败";
+                log.warn("handService - 级联作废检验申请单未成功 applyNo={} msg={}，将回退为仅删除当前医嘱记录",
+                    e.getKey(), msg);
+            }
+        }
+        for (AdviceSaveDto adviceSaveDto : deleteList) {
+            if (labCascadeSkippedRequestIds.contains(adviceSaveDto.getRequestId())) {
+                continue;
+            }
+            Long requestId = adviceSaveDto.getRequestId();
+            iServiceRequestService.removeById(requestId);// 删除诊疗
             iServiceRequestService.remove(
                     new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getParentId,
                             requestId));// 删除诊疗套餐对应的子项
@@ -1824,6 +1911,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 serviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.SERVICE_RES_NO.getPrefix(), 4));
             }
             serviceRequest.setGenerateSourceEnum(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
 
@@ -2019,11 +2107,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                 CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.NO.getCode(),
                 sourceEnum, sourceBillNo);
-        // 手术计费场景：sourceBillNo 不为空时，只保留诊疗请求（3/6），过滤掉药品（1）和耗材（2）
+        // 🔧 修复 Bug #444: 移除手术计费场景的药品过滤。
-        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
+        // 原过滤会导致门诊手术医嘱界面无法获取手术计费创建的药品记录。
-            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
+        // 前端各组件已根据自身业务逻辑做了正确的 adviceType 过滤。
-                    && (dto.getAdviceType() == 1 || dto.getAdviceType() == 2));
-        }
         for (RequestBaseDto requestBaseDto : requestBaseInfo) {
             // 请求状态
             requestBaseDto

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.*;
 
@@ -243,7 +246,8 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         EncounterDiagnosis encounterDiagnosis;
         for (SaveDiagnosisChildParam saveDiagnosisChildParam : diagnosisChildList) {
             encounterDiagnosis = new EncounterDiagnosis();
-            encounterDiagnosis.setId(saveDiagnosisChildParam.getEncounterDiagnosisId());
+            // 注意：不设置 encounterDiagnosisId，因为上面已经删除了所有记录
+            // 如果设置旧的 ID，saveOrUpdate 会尝试 UPDATE 不存在的记录导致失败或重复插入
             encounterDiagnosis.setEncounterId(encounterId);
             encounterDiagnosis.setConditionId(saveDiagnosisChildParam.getConditionId());
             encounterDiagnosis.setMaindiseFlag(saveDiagnosisChildParam.getMaindiseFlag());
@@ -261,8 +265,10 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
             // 设置创建时间，避免数据库约束错误
             encounterDiagnosis.setCreateTime(new Date());
             iEncounterDiagnosisService.saveOrUpdate(encounterDiagnosis);
+            // 回写就诊诊断ID，供前端后续更新使用
+            saveDiagnosisChildParam.setEncounterDiagnosisId(encounterDiagnosis.getId());
         }
-        return R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[] {"诊断"}));
+        return R.ok(saveDiagnosisParam, MessageUtils.createMessage(PromptMsgConstant.Common.M00002, new Object[] {"诊断"}));
     }
 
 
@@ -580,7 +586,11 @@ 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);
@@ -592,6 +602,25 @@ 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

@@ -326,6 +326,9 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
 
         // 如果队列项存在且未完成，更新队列状态为已完成
         // 使用排除法而非白名单：只要不是"已完成"就可以完诊，覆盖跳过、等待等非标准流转状态
+        // Bug #401：在更新前记录队列原始完成状态，用于判断是否需要写入 div_log
+        boolean queueWasAlreadyCompleted = queueItem != null
+            && TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus());
         if (queueItem != null &&
             !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
             java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
@@ -343,6 +346,8 @@ 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）
+        // 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"
+        if (!queueWasAlreadyCompleted) {
             try {
                 LoginUser loginUser = SecurityUtils.getLoginUser();
                 DivLog divLog = new DivLog()
@@ -357,6 +362,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             } 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
         Date now = new Date();

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/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/inhospitalnursestation/appservice/impl/AdviceProcessAppServiceImpl.java

@@ -178,6 +178,8 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
         inpatientAdviceParam.setEncounterIds(null);
         Integer exeStatus = inpatientAdviceParam.getExeStatus();
         inpatientAdviceParam.setExeStatus(null);
+        Integer requestStatus = inpatientAdviceParam.getRequestStatus();
+        inpatientAdviceParam.setRequestStatus(null);
         // 构建查询条件
         QueryWrapper<InpatientAdviceParam> queryWrapper
                 = HisQueryUtils.buildQueryWrapper(inpatientAdviceParam, null, null, null);
@@ -196,7 +198,7 @@ public class AdviceProcessAppServiceImpl implements IAdviceProcessAppService {
                         ParticipantType.ADMITTING_DOCTOR.getCode(), AccountType.PERSONAL_CASH_ACCOUNT.getCode(),
                         ChargeItemStatus.BILLABLE.getValue(), ChargeItemStatus.BILLED.getValue(),
                         ChargeItemStatus.REFUNDED.getValue(), EncounterClass.IMP.getValue(),
-                        GenerateSource.DOCTOR_PRESCRIPTION.getValue());
+                        GenerateSource.DOCTOR_PRESCRIPTION.getValue(), requestStatus);
         inpatientAdvicePage.getRecords().forEach(e -> {
             // 是否皮试
             e.setSkinTestFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getSkinTestFlag()));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/mapper/AdviceProcessAppMapper.java

@@ -69,5 +69,6 @@ public interface AdviceProcessAppMapper {
         @Param("active") Integer active, @Param("bed") Integer bed, @Param("admittingDoctor") String admittingDoctor,
         @Param("personalCashAccount") String personalCashAccount, @Param("billable") Integer billable,
         @Param("billed") Integer billed, @Param("refunded") Integer refunded, @Param("imp") Integer imp,
-        @Param("doctorPrescription") Integer doctorPrescription);
+        @Param("doctorPrescription") Integer doctorPrescription,
+        @Param("requestStatus") Integer requestStatus);
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/controller/NursingRecordController.java

@@ -31,6 +31,7 @@ public class NursingRecordController {
      * 获取住院患者信息 分页显示
      *
      * @param nursingSearchParam 查询参数
+     *
      * @param searchKey 模糊查询
      * @param pageNo 当前页码
      * @param pageSize 查询条数

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/IRequestFormManageAppService.java

@@ -63,4 +63,20 @@ public interface IRequestFormManageAppService {
      * @return 申请单
      */
      IPage<RequestFormPageDto> getRequestFormPage(RequestFormDto requestFormDto);
+
+    /**
+     * 删除申请单（仅待签发状态可删除）
+     *
+     * @param requestFormId 申请单ID
+     * @return 结果
+     */
+    R<?> deleteRequestForm(Long requestFormId);
+
+    /**
+     * 撤回申请单（已签发状态撤回至待签发）
+     *
+     * @param requestFormId 申请单ID
+     * @return 结果
+     */
+    R<?> withdrawRequestForm(Long requestFormId);
 }

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)) {
+            if (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={}",
+                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)) {
+            if (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={}",
+                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);
@@ -710,11 +710,21 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
 
         // 批量更新诊疗医嘱状态（使用 update 确保状态字段必定更新）
         if (!processedRequestIds.isEmpty()) {
+            // 🔧 Bug #487 修复：签发时额外设置 authoredTime，确保签发时间被记录
+            if (is_sign) {
                 iServiceRequestService.update(null,
                         new LambdaUpdateWrapper<ServiceRequest>()
-                            .set(ServiceRequest::getStatusEnum,
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.ACTIVE.getValue())
-                                    is_save ? RequestStatus.DRAFT.getValue() : RequestStatus.ACTIVE.getValue())
+                                .set(ServiceRequest::getAuthoredTime, authoredTime)
+                                .set(ServiceRequest::getSignCode, signCode)
                                 .in(ServiceRequest::getId, processedRequestIds));
+                log.info("签发诊疗医嘱成功，requestIds: {}, signCode: {}", processedRequestIds, signCode);
+            } else {
+                iServiceRequestService.update(null,
+                        new LambdaUpdateWrapper<ServiceRequest>()
+                                .set(ServiceRequest::getStatusEnum, RequestStatus.DRAFT.getValue())
+                                .in(ServiceRequest::getId, processedRequestIds));
+            }
         }
     }
 
@@ -751,6 +761,8 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
             if (is_sign) {
                 deviceRequest.setReqAuthoredTime(authoredTime); // 医嘱签发时间
             }
+            // 保存或签发时都需要设置耗材定义ID（防止 sign 分支 deviceDefId 为空触发 NOT NULL 约束）
+            deviceRequest.setDeviceDefId(regAdviceSaveDto.getAdviceDefinitionId());
             // 保存时处理的字段属性
             if (is_save) {
                 deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));
@@ -788,6 +800,8 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
             if (is_sign) {
                 deviceRequest.setReqAuthoredTime(authoredTime); // 医嘱签发时间
             }
+            // 保存或签发时都需要设置耗材定义ID（防止 sign 分支 deviceDefId 为空触发 NOT NULL 约束）
+            deviceRequest.setDeviceDefId(regAdviceSaveDto.getAdviceDefinitionId());
             // 保存时处理的字段属性
             if (is_save) {
                 deviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.DEVICE_RES_NO.getPrefix(), 4));

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

@@ -1,6 +1,7 @@
 package com.openhis.web.regdoctorstation.appservice.impl;
 
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
@@ -76,19 +77,45 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
     @Override
     @Transactional(rollbackFor = Exception.class)
     public R<?> saveRequestForm(RequestFormSaveDto requestFormSaveDto, String typeCode) {
-        // 诊疗执行科室配置校验（必须在任何数据库操作之前）
+        // 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;
+
+        // 校验所有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
+        List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
+        if (activityList == null || activityList.isEmpty()) {
+            throw new ServiceException("请选择检查项目");
+        }
+
+        // 🔧 Bug #475: 查询诊疗执行科室配置
         List<ActivityOrganizationConfigDto> activityOrganizationConfig =
             requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
-        if (activityOrganizationConfig.isEmpty()) {
+
-            throw new ServiceException("请先配置当前时间段的执行科室");
+        // 缓存校验结果，先全部验证通过后再进行数据库操作
+        // 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
+        java.util.Map<Long, Long> activityIdToPositionIdMap = new java.util.HashMap<>();
+        for (ActivitySaveDto activitySaveDto : activityList) {
+            // 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 (configPositionId == null) {
+                throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
+            }
+            activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
         }
 
         // 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 +159,7 @@ 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 +173,6 @@ 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) {
@@ -166,9 +191,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             serviceRequest.setEncounterId(encounterId); // 就诊id
             serviceRequest.setAuthoredTime(curDate); // 请求签发时间
 
-            Long positionId = activityOrganizationConfig.stream()
+            Long positionId = activityIdToPositionIdMap.get(activitySaveDto.getAdviceDefinitionId());
-                .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");
             }
@@ -279,7 +302,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 surgeryServiceRequest.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue());
                 surgeryServiceRequest.setQuantity(BigDecimal.valueOf(1));
                 surgeryServiceRequest.setUnitCode("次");
-                surgeryServiceRequest.setCategoryEnum(4); // 4-手术
+                surgeryServiceRequest.setCategoryEnum(24); // 24-手术（新值域，避开 adviceType 碰撞）
                 // 优先从 activityList 获取手术 ID
                 if (activityList != null && !activityList.isEmpty()) {
                     Long activityId = activityList.get(0).getAdviceDefinitionId();
@@ -475,4 +498,90 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         return requestFormManageAppMapper.getRequestFormPage(requestFormDto, page);
     }
 
+    @Override
+    public R<?> deleteRequestForm(Long requestFormId) {
+        if (requestFormId == null) {
+            return R.fail("申请单ID不能为空");
+        }
+        RequestForm requestForm = iRequestFormService.getById(requestFormId);
+        if (requestForm == null) {
+            return R.fail("申请单不存在");
+        }
+        String prescriptionNo = requestForm.getPrescriptionNo();
+
+        // 查询该申请单下所有 ServiceRequest（含子项）
+        List<ServiceRequest> serviceRequests = iServiceRequestService.list(
+            new LambdaQueryWrapper<ServiceRequest>()
+                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo));
+        if (serviceRequests == null || serviceRequests.isEmpty()) {
+            return R.fail("未找到关联的诊疗医嘱");
+        }
+
+        // 校验：只有待签发(status=0)的申请单可删除
+        boolean allDraft = serviceRequests.stream()
+            .allMatch(sr -> RequestStatus.DRAFT.getValue().equals(sr.getStatusEnum()));
+        if (!allDraft) {
+            return R.fail("只有待签发状态的申请单可删除");
+        }
+
+        List<Long> serviceRequestIds = serviceRequests.stream()
+            .map(ServiceRequest::getId).collect(Collectors.toList());
+
+        // 1. 删除关联的费用项
+        for (Long srId : serviceRequestIds) {
+            iChargeItemService.deleteByServiceTableAndId(
+                CommonConstants.TableName.WOR_SERVICE_REQUEST, srId);
+        }
+        // 2. 删除子项 ServiceRequest（parentId 非空）
+        iServiceRequestService.remove(
+            new LambdaQueryWrapper<ServiceRequest>()
+                .in(ServiceRequest::getId, serviceRequestIds)
+                .isNotNull(ServiceRequest::getParentId));
+        // 3. 删除主项 ServiceRequest
+        iServiceRequestService.removeByIds(serviceRequestIds);
+        // 4. 删除申请单
+        iRequestFormService.removeById(requestFormId);
+
+        log.info("检查申请单删除成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
+        return R.ok("删除成功");
+    }
+
+    @Override
+    public R<?> withdrawRequestForm(Long requestFormId) {
+        if (requestFormId == null) {
+            return R.fail("申请单ID不能为空");
+        }
+        RequestForm requestForm = iRequestFormService.getById(requestFormId);
+        if (requestForm == null) {
+            return R.fail("申请单不存在");
+        }
+        String prescriptionNo = requestForm.getPrescriptionNo();
+
+        // 查询该申请单下所有 ServiceRequest
+        List<ServiceRequest> serviceRequests = iServiceRequestService.list(
+            new LambdaQueryWrapper<ServiceRequest>()
+                .eq(ServiceRequest::getPrescriptionNo, prescriptionNo));
+        if (serviceRequests == null || serviceRequests.isEmpty()) {
+            return R.fail("未找到关联的诊疗医嘱");
+        }
+
+        // 校验：只有已签发(status=2)的申请单可撤回
+        boolean allActive = serviceRequests.stream()
+            .allMatch(sr -> RequestStatus.ACTIVE.getValue().equals(sr.getStatusEnum()));
+        if (!allActive) {
+            return R.fail("只有已签发状态的申请单可撤回");
+        }
+
+        // 将所有 ServiceRequest 状态改回待签发(DRAFT=0)
+        List<Long> serviceRequestIds = serviceRequests.stream()
+            .map(ServiceRequest::getId).collect(Collectors.toList());
+        iServiceRequestService.update(
+            new ServiceRequest().setStatusEnum(RequestStatus.DRAFT.getValue()),
+            new LambdaUpdateWrapper<ServiceRequest>()
+                .in(ServiceRequest::getId, serviceRequestIds));
+
+        log.info("检查申请单撤回成功，requestFormId={}, prescriptionNo={}", requestFormId, prescriptionNo);
+        return R.ok("撤回成功");
+    }
+
 }

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

@@ -18,6 +18,7 @@ import org.springframework.web.bind.annotation.*;
 
 import java.time.LocalDate;
 import java.util.List;
+import java.util.Map;
 
 /**
  * 申请单管理 controller
@@ -82,14 +83,23 @@ 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));
     }
 
     /**
@@ -176,4 +186,26 @@ public class RequestFormManageController {
     public R<IPage<RequestFormPageDto>> getRequestFormPage(@RequestBody RequestFormDto requestFormDto) {
         return R.ok(iRequestFormManageAppService.getRequestFormPage(requestFormDto));
     }
+
+    /**
+     * 删除申请单（仅待签发状态可删除）
+     *
+     * @param data 包含 requestFormId 的请求体
+     * @return 结果
+     */
+    @PostMapping(value = "/delete")
+    public R<?> deleteRequestForm(@RequestBody Map<String, Long> data) {
+        return iRequestFormManageAppService.deleteRequestForm(data.get("requestFormId"));
+    }
+
+    /**
+     * 撤回申请单（已签发状态撤回至待签发）
+     *
+     * @param data 包含 requestFormId 的请求体
+     * @return 结果
+     */
+    @PostMapping(value = "/withdraw")
+    public R<?> withdrawRequestForm(@RequestBody Map<String, Long> data) {
+        return iRequestFormManageAppService.withdrawRequestForm(data.get("requestFormId"));
+    }
 }

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/chargemanage/OutpatientChargeAppMapper.xml

@@ -97,6 +97,10 @@
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
                    WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
+                   WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN COALESCE(
+                       wsr.content_json::json->>'surgeryName',
+                       wsr.content_json::json->>'adviceName',
+                       T9sr.surgery_name)
                    WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = 6 THEN T2."name"
                    WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
@@ -108,6 +112,7 @@
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN NULL
                    WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN NULL
+                   WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN NULL
                    WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
                    WHEN T1.context_enum = 6 THEN T2.yb_no
                    WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
@@ -118,6 +123,7 @@
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.id
                    WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN T9.id
+                   WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN COALESCE(T9sr.id, wsr.activity_id)
                    WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
                    WHEN T1.context_enum = 6 THEN T2.id
                    WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
@@ -159,6 +165,11 @@
                   LEFT JOIN med_medication_request AS mmr ON mmr.id = T1.service_id AND mmr.delete_flag = '0'
                   LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND wdr.delete_flag = '0'
                   LEFT JOIN wor_service_request AS wsr ON wsr.id = T1.service_id AND wsr.delete_flag = '0'
+                  LEFT JOIN cli_surgery AS T9sr ON T1.context_enum = 6
+                      AND T1.service_table = 'wor_service_request'
+                      AND wsr.activity_id IS NOT NULL
+                      AND wsr.activity_id = T9sr.id
+                      AND T9sr.delete_flag = '0'
                   LEFT JOIN wor_service_request AS wsrp ON wsrp.id = wsr.parent_id AND wsrp.delete_flag = '0'
          WHERE T1.encounter_id = #{encounterId}
           AND T1.status_enum IN (0
@@ -223,6 +234,10 @@
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
                           WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
+                          WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN COALESCE(
+                              wsr.content_json::json->>'surgeryName',
+                              wsr.content_json::json->>'adviceName',
+                              T9sr.surgery_name)
                           WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = 6 THEN T2."name"
                           WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
@@ -234,6 +249,7 @@
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN NULL
                           WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN NULL
+                          WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN NULL
                           WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
                           WHEN T1.context_enum = 6 THEN T2.yb_no
                           WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
@@ -244,6 +260,7 @@
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.id
                           WHEN T1.context_enum = 6 AND T1.product_table = 'cli_surgery' THEN T9.id
+                          WHEN T1.context_enum = 6 AND T1.service_table = 'wor_service_request' THEN COALESCE(T9sr.id, wsr.activity_id)
                           WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
                           WHEN T1.context_enum = 6 THEN T2.id
                           WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
@@ -286,6 +303,11 @@
                         LEFT JOIN med_medication_request AS mmr ON mmr.id = T1.service_id AND mmr.delete_flag = '0'
                         LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND wdr.delete_flag = '0'
                         LEFT JOIN wor_service_request AS wsr ON wsr.id = T1.service_id AND wsr.delete_flag = '0'
+                        LEFT JOIN cli_surgery AS T9sr ON T1.context_enum = 6
+                            AND T1.service_table = 'wor_service_request'
+                            AND wsr.activity_id IS NOT NULL
+                            AND wsr.activity_id = T9sr.id
+                            AND T9sr.delete_flag = '0'
                WHERE T1.encounter_id = #{encounterId}
                 AND T1.status_enum IN (0
                   , #{planned}

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

@@ -71,7 +71,7 @@
         </if>
             AND os.delete_flag = '0'
         </where>
-        ORDER BY os.create_time DESC
+        ORDER BY os.create_time DESC, os.schedule_id DESC
     </select>
 <!--    根据ID查询手术安排详情-->
     <select id="getSurgeryScheduleDetail" resultType="com.openhis.web.clinicalmanage.dto.OpScheduleDto">
@@ -89,16 +89,17 @@
             cs.apply_doctor_name AS apply_doctor_name,
             drf.create_time AS apply_time,
             os.surgery_nature AS surgeryType,
+            cs.incision_level AS incisionLevel,
             fc.contract_name 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 doc_request_form drf ON drf.prescription_no=cs.surgery_no
+        LEFT JOIN adm_encounter ae ON ae.id = os.visit_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
             FROM (
@@ -186,7 +187,7 @@
             <if test="dto.applyDeptId != null and dto.applyDeptId != ''"> AND cs.apply_dept_id = #{dto.applyDeptId}</if>
             <if test="dto.patientName != null and dto.patientName != ''"> AND ap.name LIKE CONCAT('%', #{dto.patientName}, '%')</if>
         </where>
-        ORDER BY os.create_time DESC
+        ORDER BY os.create_time DESC, os.schedule_id DESC
     </select>
 <!--    查询时间段内该手术室是否被占用-->
     <select id="isScheduleConflict" resultType="java.lang.Boolean">

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

@@ -42,8 +42,8 @@
             T5.package_name,
             T6.name as sub_item_name
         FROM wor_activity_definition T1
-        /* 只JOIN必要的价格表，使用INNER JOIN避免笛卡尔积 */
+        /* 价格表使用LEFT JOIN，避免因缺少价格记录导致搜索不到项目 */
-        INNER JOIN adm_charge_item_definition T2
+        LEFT JOIN adm_charge_item_definition T2
             ON T1.id = T2.instance_id
             AND T2.instance_table = 'wor_activity_definition'
         /* 检验类型关联 */

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

@@ -239,7 +239,7 @@
                 NULL AS activity_type_dictText,
                 -- 前端"包装单位"列：显示使用单位（permitted_unit_code）
                 T1.permitted_unit_code AS unit_code,
-                '' AS min_unit_code,
+                T1.permitted_unit_code AS min_unit_code,
                 '' AS volume,
                 '' AS method_code,
                 '' AS rate_code,
@@ -539,7 +539,8 @@
         AND T1.refund_medicine_id IS NULL
         ORDER BY T1.status_enum,T1.sort_number)
         UNION ALL
-        -- 🔧 新增：查询门诊术中计费生成的耗材数据（这些数据存在于 adm_charge_item 和 wor_device_request）
+        -- 🔧 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,
         CI.service_id AS request_id,
         CI.service_id || '-ci-dev' AS unique_key,
@@ -583,6 +584,9 @@
         LEFT JOIN adm_location AS AL ON AL.id = DR.perform_location AND AL.delete_flag = '0'
         WHERE CI.delete_flag = '0'
           AND CI.service_table = 'wor_device_request'
+          <if test="generateSourceEnum != null">
+              AND DR.generate_source_enum IS NULL <!-- 仅匹配孤儿记录，normal DeviceRequest 由 Part 3 负责，避免 UNION ALL 重复 -->
+          </if>
           <if test="historyFlag == '0'.toString()">
               AND CI.encounter_id = #{encounterId}
           </if>

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/ATDManageAppMapper.xml

@@ -264,7 +264,6 @@
                     WHERE ael.status_enum = #{active}
                       AND ael.delete_flag = '0'
                       AND ael.form_enum = #{bed}
-                    LIMIT 1
                 ) AS bed ON bed.encounter_id = ae.id
                  LEFT JOIN (
                     SELECT ael.encounter_id,
@@ -275,7 +274,6 @@
                     WHERE ael.status_enum = #{active}
                       AND ael.delete_flag = '0'
                       AND ael.form_enum = #{house}
-                    LIMIT 1
                 ) AS house ON house.encounter_id = ae.id
                  LEFT JOIN (
                     SELECT ael.encounter_id,
@@ -286,7 +284,6 @@
                     WHERE ael.status_enum = #{active}
                       AND ael.delete_flag = '0'
                       AND ael.form_enum = #{ward}
-                    LIMIT 1
                 ) AS ward ON ward.encounter_id = ae.id
                  LEFT JOIN (
                      SELECT aep.encounter_id,

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,
@@ -280,12 +280,17 @@
                                          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}
+                AND T1.status_enum = #{requestStatus}
                 AND CASE WHEN T1.status_enum = #{draft}
                     THEN T1.performer_check_id IS NOT NULL
                     ELSE 1=1 END
@@ -293,7 +298,7 @@
                      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,
@@ -418,6 +423,7 @@
                                    AND af.delete_flag = '0'
             WHERE T1.delete_flag = '0'
                 AND T1.generate_source_enum = #{doctorPrescription}
+                AND T1.status_enum = #{requestStatus}
                 AND CASE WHEN T1.status_enum = #{draft}
                     THEN T1.performer_check_id IS NOT NULL
                     ELSE 1=1 END

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

@@ -288,7 +288,7 @@
         AND T1.refund_device_id IS NULL
         ORDER BY T1.status_enum)
         UNION ALL
-        (SELECT CASE WHEN T1.category_enum = 4 THEN 6 ELSE 3 END AS advice_type,
+        (SELECT CASE WHEN T1.category_enum IN (4, 24) THEN 6 ELSE 3 END AS advice_type,
         T1.id AS request_id,
         T1.id || '-3' AS unique_key,
         T1.requester_id AS requester_id,

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

@@ -8,19 +8,25 @@
         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)
+                CASE
-                   WHEN 1 THEN 0
+                    WHEN MIN(wsr.status_enum) = 1 THEN 0
-                   WHEN 2 THEN 1
+                    WHEN MIN(wsr.status_enum) = 2 THEN 1
-                   WHEN 3 THEN 4
+                    WHEN MIN(wsr.status_enum) = 3 AND MAX(CASE WHEN wsr.performer_check_id IS NOT NULL THEN 1 ELSE 0 END) = 1 THEN 2
-                   WHEN 4 THEN 4
+                    WHEN MIN(wsr.status_enum) = 3 THEN 4
-                   WHEN 5 THEN 5
+                    WHEN MIN(wsr.status_enum) = 4 THEN 3
-                   WHEN 6 THEN 5
+                    WHEN MIN(wsr.status_enum) = 5 OR MIN(wsr.status_enum) = 6 OR MIN(wsr.status_enum) = 7 THEN 7
-                   WHEN 7 THEN 5
+                    WHEN MIN(wsr.status_enum) = 8 THEN 6
                     ELSE NULL
                 END AS status
         FROM doc_request_form AS drf
@@ -39,18 +45,6 @@
           <if test="endDate != null and endDate != ''">
               AND drf.create_time &lt;= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
           </if>
-          <if test="status != null and status != ''">
-              AND CASE MIN(wsr.status_enum)
-                      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
-                      ELSE NULL
-                  END = #{status}::integer
-          </if>
           <if test="keyword != null and keyword != ''">
               AND (drf.prescription_no ILIKE '%' || #{keyword} || '%'
                    OR EXISTS (
@@ -66,12 +60,28 @@
           </if>
         GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
                  drf.requester_id, drf.create_time, ap.name
+        <if test="status != null and status != ''">
+            HAVING CASE
+                       WHEN MIN(wsr.status_enum) = 1 THEN 0
+                       WHEN MIN(wsr.status_enum) = 2 THEN 1
+                       WHEN MIN(wsr.status_enum) = 3 AND MAX(CASE WHEN wsr.performer_check_id IS NOT NULL THEN 1 ELSE 0 END) = 1 THEN 2
+                       WHEN MIN(wsr.status_enum) = 3 THEN 4
+                       WHEN MIN(wsr.status_enum) = 4 THEN 3
+                       WHEN MIN(wsr.status_enum) = 5 OR MIN(wsr.status_enum) = 6 OR MIN(wsr.status_enum) = 7 THEN 7
+                       WHEN MIN(wsr.status_enum) = 8 THEN 6
+                       ELSE NULL
+                   END = #{status}::integer
+        </if>
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
         SELECT wsr.quantity,
                wsr.unit_code,
-               COALESCE(wad.NAME, wsr.content_json::jsonb->>'surgeryName') AS advice_name,
+               COALESCE(
+                   wad.NAME,
+                   wsr.content_json::jsonb->>'surgeryName',
+                   '检验项目'
+               ) AS advice_name,
                aci.total_price
         FROM wor_service_request AS wsr
                  LEFT JOIN wor_activity_definition AS wad ON wad.ID = wsr.activity_id
@@ -81,6 +91,7 @@
             AND aci.delete_flag = '0'
         WHERE wsr.delete_flag = '0'
           AND wsr.prescription_no = #{prescriptionNo}
+        ORDER BY wsr.id
     </select>
 
     <select id="getActivityOrganizationConfig"
@@ -162,7 +173,7 @@
                     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}

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-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-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/utils/his.js

@@ -1,3 +1,5 @@
+import useDictStore from '@/store/modules/dict';
+
 // 日期格式化
 export function parseTime(time, pattern) {
   if (arguments.length === 0 || !time) {
@@ -275,30 +277,13 @@ export function blobValidate(data) {
 
 // 按照频次天数计算总数量
 export function calculateQuantityByDays(frequency, days) {
-  // const dict = useDict('rate_code').rate_code.value
+  const dicts = useDictStore().getDict('rate_code');
-  // const rate = dict.find(item => item.value === frequency).remark
+  if (!dicts) return;
-  // if(rate){
+  const dict = dicts.find(item => item.value === frequency);
-  //   return Math.floor(Number(rate) * days)
+  if (!dict?.remark) return;
-  // } else {
+  const rate = Number(dict.remark);
-  //   return undefined
+  if (isNaN(rate) || !rate) return;
-  // }
+  const quantity = rate * days;
-  const frequencyMap = {
-    ST: 1,
-    QD: 1, // 每日一次
-    BID: 2, // 每日两次
-    TID: 3, // 每日三次
-    QID: 4, // 每日四次
-    QN: 1, // 每晚一次
-    QOD: 1 / 2, // 每隔一日一次
-    QW: 1 / 7, // 每周一次
-    BIW: 2 / 7, // 每周两次
-    TIW: 3 / 7, // 每周三次
-    QOW: 1 / 14, // 隔周一次
-  };
-  if (!frequencyMap[frequency]) {
-    return;
-  }
-  const quantity = frequencyMap[frequency] * days;
   return quantity < 1 ? 1 : Math.ceil(quantity);
 }
 

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

@@ -178,22 +178,25 @@ service.interceptors.request.use(config => {
       }
       return Promise.reject('无效的会话，或者会话已过期，请重新登录。')
     } else if (code === 500) {
-      // 检查是否需要跳过错误提示
+      // 检查是否需要跳过错误提示（静默请求：返回响应让.then()处理）
-      if (!res.config?.skipErrorMsg) {
+      if (res.config?.skipErrorMsg) {
-        ElMessage({ message: msg, type: 'error' })
+        return Promise.resolve(res.data)
       }
+      ElMessage({ message: msg, type: 'error' })
       return Promise.reject(new Error(msg))
     } else if (code === 601) {
-      // 检查是否需要跳过错误提示
+      // 检查是否需要跳过错误提示（静默请求：返回响应让.then()处理）
-      if (!res.config?.skipErrorMsg) {
+      if (res.config?.skipErrorMsg) {
-        ElMessage({ message: msg, type: 'warning' })
+        return Promise.resolve(res.data)
       }
+      ElMessage({ message: msg, type: 'warning' })
       return Promise.reject(new Error(msg))
     } else if (code !== 200) {
-      // 检查是否需要跳过错误提示
+      // 检查是否需要跳过错误提示（静默请求：返回响应让.then()处理）
-      if (!res.config?.skipErrorMsg) {
+      if (res.config?.skipErrorMsg) {
-        ElNotification.error({ title: msg })
+        return Promise.resolve(res.data)
       }
+      ElNotification.error({ title: msg })
       return Promise.reject('error')
     } else {
       return  Promise.resolve(res.data)

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/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
-      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
-  nextTick(() => {
   calculateTotalPrice();
-  });
 }
 
 // 清空诊疗子项

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

@@ -122,15 +122,37 @@ function getList() {
     return;
   }
 
-  queryParams.value.organizationId = props.patientInfo.orgId;
+  // 🔧 Bug #448 修复：显式构建请求参数，确保 adviceType 正确传递
-  console.log('[adviceBaseList] getList() 请求参数:', JSON.stringify(queryParams.value));
+  // 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,
+  };
 
-  getAdviceBaseInfo(queryParams.value).then((res) => {
+  // 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

@@ -461,7 +461,7 @@ watch(
     console.log(prescriptionList.value,"prescriptionList.value")
     if(newValue&&newValue.length>0){
       let saveList = prescriptionList.value.filter((item) => {
-        return item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
+        return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
       })
        console.log(saveList,"prescriptionList.value")
       if (saveList.length == 0) {
@@ -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.$modal.msgWarning('只能删除待签发且未收费的项目');
@@ -1011,7 +1015,7 @@ function handleSave() {
     return;
   }
   let saveList = prescriptionList.value.filter((item) => {
-    return item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
+    return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
   });
   // let saveList = prescriptionList.value
   // .filter((item) => {
@@ -1032,6 +1036,14 @@ function handleSave() {
       requestId: item.requestId,
       dbOpType: '1',
       groupId: item.groupId,
+      // 🔧 Bug #443: 补充顶层关键字段（这些不在 contentJson 中，需从 API 响应顶层提取）
+      encounterId: item.encounterId,
+      patientId: item.patientId,
+      locationId: item.positionId,
+      adviceType: item.adviceType,
+      adviceTableName: item.adviceTableName,
+      adviceDefinitionId: item.adviceDefinitionId,
+      chargeItemId: item.chargeItemId,
     };
   });
   savePrescriptionSign({
@@ -1047,7 +1059,12 @@ function handleSave() {
       groupIndexList.value = []
       groupList.value = []
       nextId.value = 1;
+    } else {
+      proxy.$modal.msgError(res?.msg || '签发失败，请重试');
     }
+  }).catch((error) => {
+    console.error('签发失败:', error);
+    proxy.$modal.msgError(error?.response?.data?.msg || error?.message || '签发失败，请重试');
   });
 }
 
@@ -1063,9 +1080,12 @@ function handleSaveSign(row, index) {
     proxy.$modal.msgWarning('诊疗项目必须选择执行科室');
     return;
   }
+  isSaving.value = true; // #437 立即加锁，消除 TOCTOU 竞态
   proxy.$refs['formRef' + index].validate((valid) => {
-    if (valid) {
+    if (!valid) {
-      isSaving.value = true; // #437 加锁
+      isSaving.value = false; // 验证失败释放锁
+      return;
+    }
     row.isEdit = false;
     isAdding.value = false;
     expandOrder.value = [];
@@ -1083,7 +1103,7 @@ function handleSaveSign(row, index) {
       cleanRow.sourceBillNo = props.patientInfo.sourceBillNo;
     }
     console.log('cleanRow', cleanRow)
-      savePrescription({ adviceSaveList: [cleanRow] }).then((res) => {
+    savePrescription({ adviceSaveList: [cleanRow] }, '1').then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
         getListInfo(false);
@@ -1097,8 +1117,7 @@ function handleSaveSign(row, index) {
     }).finally(() => {
       isSaving.value = false; // #437 释放锁
     });
-    }
+  })
-  });
 }
 
 // 签退

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

@@ -49,6 +49,40 @@
           </el-col>
         </el-row>
 
+        <!-- 性别、出生日期、或实足年龄 -->
+        <el-row :gutter="16" class="form-row">
+          <el-col :span="7" class="form-item">
+            <span class="form-label required">性别</span>
+            <el-radio-group v-model="form.sex" class="gender-radio-group">
+              <el-radio value="男">男</el-radio>
+              <el-radio value="女">女</el-radio>
+              <el-radio value="未知">未知</el-radio>
+            </el-radio-group>
+          </el-col>
+          <el-col :span="10" class="form-item">
+            <span class="form-label required">出生日期</span>
+            <div class="birth-input-group">
+              <el-input v-model="form.birthYear" class="birth-input year" placeholder="年" maxlength="4" />
+              <span class="birth-separator">年</span>
+              <el-input v-model="form.birthMonth" class="birth-input month" placeholder="月" maxlength="2" />
+              <span class="birth-separator">月</span>
+              <el-input v-model="form.birthDay" class="birth-input day" placeholder="日" maxlength="2" />
+              <span class="birth-separator">日</span>
+            </div>
+          </el-col>
+          <el-col :span="7" class="form-item">
+            <span class="form-label">或 实足年龄</span>
+            <div class="age-input-group">
+              <el-input v-model="form.age" class="age-input" placeholder="年龄" />
+              <el-select v-model="form.ageUnit" class="age-unit-select">
+                <el-option label="岁" value="岁" />
+                <el-option label="月" value="月" />
+                <el-option label="天" value="天" />
+              </el-select>
+            </div>
+          </el-col>
+        </el-row>
+
         <!-- 联系电话、紧急联系人电话 -->
         <el-row :gutter="16" class="form-row">
           <el-col :span="12" class="form-item">
@@ -1000,6 +1034,17 @@ 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',
@@ -1261,7 +1306,7 @@ 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
@@ -1366,6 +1411,9 @@ 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 +1823,33 @@ 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%;
@@ -1962,4 +2037,53 @@ defineExpose({ show, showReport, close: handleClose });
   display: flex !important;
   justify-content: center !important;
 }
+
+/* 性别单选按钮组 */
+.gender-radio-group {
+  display: flex;
+  gap: 12px;
+  padding-top: 4px;
+}
+
+/* 出生日期输入组 */
+.birth-input-group {
+  display: flex;
+  align-items: center;
+  gap: 2px;
+}
+
+.birth-input {
+  text-align: center;
+}
+
+.birth-input.year {
+  width: 70px;
+}
+
+.birth-input.month,
+.birth-input.day {
+  width: 50px;
+}
+
+.birth-separator {
+  color: #606266;
+  font-size: 13px;
+  margin: 0 2px;
+}
+
+/* 年龄输入组 */
+.age-input-group {
+  display: flex;
+  align-items: center;
+  gap: 6px;
+}
+
+.age-input {
+  width: 70px;
+  text-align: center;
+}
+
+.age-unit-select {
+  width: 65px;
+}
 </style>

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

@@ -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,
+        dose: item.dose ?? orderDetail.dose,
-        rateCode: item.rateCode || orderDetail.rateCode,
+        rateCode: item.rateCode ?? orderDetail.rateCode,
-        methodCode: item.methodCode || orderDetail.methodCode,
+        methodCode: item.methodCode ?? orderDetail.methodCode,
-        dispensePerDuration: item.dispensePerDuration || orderDetail.dispensePerDuration,
+        dispensePerDuration: item.dispensePerDuration ?? orderDetail.dispensePerDuration,
-        doseQuantity: item.doseQuantity,
+        doseQuantity: item.doseQuantity ?? orderDetail.doseQuantity,
-        inventoryList: orderDetail.inventoryList || [],
+        // 🔧 Bug #218 / #403 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
-        priceList: orderDetail.priceList || [],
+        positionId: item.positionId ?? orderDetail.positionId,
-        partPercent: orderDetail.partPercent || 1,
+        // 执行科室：优先使用组套明细中保存的 orgId
-        // 🔧 Bug #218 修复：positionId 可能存储在 item 本身，优先使用 item.positionId
+        orgId: item.orgId ?? orderDetail.orgId,
-        positionId: item.positionId || orderDetail.positionId,
+        orgName: item.orgName ?? orderDetail.orgName,
-        defaultLotNumber: orderDetail.defaultLotNumber,
+        // 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/prescription/prescriptionlist.vue

@@ -315,6 +315,7 @@
                       data-prop="dispensePerDuration">
                       <el-input-number v-model="scope.row.dispensePerDuration" style="width: 80px" :min="1"
                         controls-position="right" :controls="false" :ref="(el) => (inputRefs.dispensePerDuration = el)"
+                        @input="calculateTotalAmount(scope.row, scope.$index)"
                         @change="calculateTotalAmount(scope.row, scope.$index)"
                         @keyup.enter.prevent="
                           handleEnter('dispensePerDuration', scope.row, scope.$index)
@@ -874,7 +875,7 @@ import { ArrowDown, Search, Memo, Minus, Plus, Edit, Delete } from '@element-plu
 import printUtils, { getPrinterList, PRINT_TEMPLATE, savePrinterToCache, } from '@/utils/printUtils';
 import Template from "@/views/inpatientDoctor/home/emr/components/template.vue";
 
-const emit = defineEmits(['selectDiagnosis']);
+const emit = defineEmits(['selectDiagnosis', 'inspectionListRefresh']);
 const total = ref(0);
 const queryParams = ref({});
 const prescriptionList = ref([]);
@@ -1025,7 +1026,7 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return found.label;
   }
 
-  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失时的兜底，避免保存后"医嘱类型"列显示为空
+  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失或标签为空时的兜底
   if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
     if (type === 6) return '手术';
     if (type === 4) return '手术';
@@ -1035,6 +1036,15 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
     return '诊疗';
   }
 
+  // 🔧 Bug #458 Fix: 兜底映射，确保所有有效 adviceType 都有显示标签
+  // 不依赖字典数据和表名，直接返回标准类型名称
+  if (type === 3) return '诊疗';
+  if (type === 6) return '手术';
+  if (type === 4) return '耗材';
+  if (type === 1) return '西药';
+  if (type === 2) return '中成药';
+  if (type === 5) return '会诊';
+
   return '';
 };
 
@@ -1662,7 +1672,11 @@ function getListInfo(addNewRow) {
         // 检查 adviceTableName，如果是耗材表则应该是耗材类型
         const adviceTableName = contentJson?.adviceTableName || item.adviceTableName;
 
-        let adviceType_dictText = item.adviceType_dictText || mapAdviceTypeLabel(adviceType, adviceTableName);
+        // 🔧 Bug #458 Fix: 后端可能返回空字符串的 adviceType_dictText，需重新计算
+        const backendDictText = item.adviceType_dictText;
+        let adviceType_dictText = (backendDictText && backendDictText.trim())
+          ? backendDictText
+          : mapAdviceTypeLabel(adviceType, adviceTableName);
         
         // 如果是会诊类型，设置为会诊类型
         if (isConsultation) {
@@ -2083,6 +2097,21 @@ function getOrgList() {
   });
 }
 
+/** 诊疗医嘱关联检验申请时 contentJson 含 applyNo */
+function getInspectionApplyNoFromAdviceRow(row) {
+  if (!row || row.adviceType !== 3) {
+    return null;
+  }
+  try {
+    const raw = row.contentJson;
+    const j = raw ? (typeof raw === 'string' ? JSON.parse(raw) : raw) : {};
+    const no = j && j.applyNo != null ? String(j.applyNo).trim() : '';
+    return no || null;
+  } catch (e) {
+    return null;
+  }
+}
+
 function handleDelete() {
   let selectRows = prescriptionRef.value.getSelectionRows();
   console.log('BugFix#219: handleDelete called, selectRows=', selectRows);
@@ -2262,12 +2291,31 @@ function handleDelete() {
   }
   
   if (deleteList.length > 0) {
+    const hasLabLinked = deleteList.some((d) => {
+      const row = normalRows.find((r) => r.requestId === d.requestId);
+      return row && getInspectionApplyNoFromAdviceRow(row);
+    });
+    const runApiDelete = () => {
       savePrescription({ adviceSaveList: deleteList }).then((res) => {
         if (res.code == 200) {
           proxy.$modal.msgSuccess('删除成功');
           getListInfo(false);
+          emit('inspectionListRefresh');
         }
       });
+    };
+    if (hasLabLinked) {
+      proxy.$modal
+        .confirm(
+          '删除此医嘱将同时作废关联的检验申请单（检验页签中的同单申请及同单下相关医嘱）。是否继续？',
+          '删除确认',
+          { type: 'warning' }
+        )
+        .then(runApiDelete)
+        .catch(() => {});
+    } else {
+      runApiDelete();
+    }
   } else if (consultationRows.length == 0) {
     proxy.$modal.msgWarning('所选医嘱不可删除，请先撤回后再删除');
     return;
@@ -3418,7 +3466,12 @@ async function setValue(row) {
   console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
   // 🔧 Bug #455: 诊疗医嘱(adviceType=3)的执行科室默认使用患者就诊科室，
   // 不使用positionId(诊疗目录配置的执行科室)，避免配置ID不在机构树中导致显示原始ID
-  if (Number(row.adviceType) != 3) {
+  if (Number(row.adviceType) == 3) {
+    // 覆盖 catalog 传来的 positionId/orgId，使用患者就诊科室
+    prescriptionList.value[rowIndex.value].orgId = props.patientInfo?.orgId;
+    prescriptionList.value[rowIndex.value].positionId = props.patientInfo?.orgId;
+    prescriptionList.value[rowIndex.value].positionName = findOrgNameById(props.patientInfo?.orgId) || props.patientInfo?.orgName || '';
+  } else {
     prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
   }
   prescriptionList.value[rowIndex.value].dose = row.dose || row.doseQuantity;
@@ -3551,13 +3604,10 @@ 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].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
@@ -3652,7 +3702,10 @@ function handleSaveGroup(orderGroupList) {
       unitCode_dictText: item.unitCodeName || '',
       statusEnum: 1,
       // 🔧 修复执行科室逻辑：优先使用 orgId(所属科室)，其次 positionId
-      orgId: item.orderDetailInfos?.orgId || mergedDetail.orgId || item.positionId || item.orderDetailInfos?.positionId || mergedDetail.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),
       dbOpType: prescriptionList.value[rowIndex.value].requestId ? '2' : '1',
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,

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

@@ -633,10 +633,14 @@ function getList() {
     pageSize: 100,
     encounterId: props.patientInfo.encounterId
   }).then((res) => {
-    surgeryList.value = res.data.records || []
+    if (res.code === 200) {
+      surgeryList.value = res.data?.records || []
+    } else {
+      console.warn('手术列表加载失败（可能无权限或数据异常）:', res.msg)
+      surgeryList.value = []
+    }
   }).catch(error => {
-    console.error('获取手术列表失败:', error)
+    console.warn('手术列表请求异常:', error)
-    proxy.$modal.msgError('数据加载失败，请稍后重试')
     surgeryList.value = []
   }).finally(() => {
     loading.value = false
@@ -1133,13 +1137,14 @@ function submitForm() {
         // 新增手术
         addSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请提交成功！')
+            proxy.$modal.msgSuccess('手术申请提交成功！')
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            emit('saved') // 通知父组件刷新医嘱列表
+            // 子组件自身主动刷新列表（立即），确保数据展示不依赖父组件事件
-            // 刷新手术申请列表
             getList()
+            // 通知父组件刷新医嘱列表（父组件也会带延迟再次刷新手术列表作为兜底）
+            emit('saved')
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1151,13 +1156,14 @@ 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
+            // 子组件自身主动刷新列表（立即）
-            // 刷新手术申请列表
             getList()
+            // 由父组件 @saved 事件负责刷新列表
+            emit('saved')
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }

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

@@ -138,7 +138,8 @@
           </el-tab-pane>
           <el-tab-pane label="医嘱" name="prescription">
             <prescriptionlist :patientInfo="patientInfo" ref="prescriptionRef" :activeTab="activeTab"
-              :outpatientEmrSaved="outpatientEmrSaved" />
+              :outpatientEmrSaved="outpatientEmrSaved"
+              @inspectionListRefresh="refreshInspectionListFromAdvice" />
           </el-tab-pane>
           <el-tab-pane label="中医" name="tcm">
             <tcmAdvice :patientInfo="patientInfo" ref="tcmRef" />
@@ -152,7 +153,7 @@
           </el-tab-pane>
           <el-tab-pane label="手术申请" name="surgery">
             <surgeryApplication :patientInfo="patientInfo" :activeTab="activeTab" ref="surgeryRef"
-              @saved="() => prescriptionRef?.getListInfo()" />
+              @saved="() => { prescriptionRef?.getListInfo(); setTimeout(() => surgeryRef?.getList(), 500) }" />
           </el-tab-pane>
           <el-tab-pane label="电子处方" name="eprescription">
             <eprescriptionlist :patientInfo="patientInfo" ref="eprescriptionRef" />
@@ -312,6 +313,9 @@ const patientDrawerRef = ref();
 const prescriptionRef = ref();
 const tcmRef = ref();
 const inspectionRef = ref();
+function refreshInspectionListFromAdvice() {
+  inspectionRef.value?.getList?.();
+}
 const examinationRef = ref();
 const surgeryRef = ref();
 const emrRef = ref();

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

@@ -51,7 +51,7 @@ const currentSelectRow = ref<any>({});
 const queryParams = ref({
   pageSize: 100,
   pageNo: 1,
-  adviceTypes: '1,2,3,6',
+  adviceTypes: [1, 2, 3, 6],
   searchKey: '',
   organizationId: '',
   categoryCode: '',
@@ -88,10 +88,10 @@ const tableColumns = computed<TableColumn[]>(() => [
 function refresh(adviceType: any, categoryCode: string, searchKey: string) {
   // 有搜索词时跨类型搜索，避免用户输入"级护理"但因当前adviceType为药品而搜不到诊疗类护理项目
   if (searchKey) {
-    queryParams.value.adviceTypes = '1,2,3,6';
+    queryParams.value.adviceTypes = [1, 2, 3, 6];
   } else {
     queryParams.value.adviceTypes =
-      adviceType !== undefined && adviceType !== '' ? String(adviceType) : '1,2,3,6';
+      adviceType !== undefined && adviceType !== '' ? [parseInt(adviceType)] : [1, 2, 3, 6];
   }
   queryParams.value.categoryCode = categoryCode || '';
   queryParams.value.searchKey = searchKey || '';
@@ -131,7 +131,8 @@ function getList() {
         }
       });
     })
-    .catch(() => {
+    .catch((err) => {
+      console.warn('医嘱基础信息加载失败:', err);
       adviceBaseList.value = [];
     })
     .finally(() => {

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

@@ -49,6 +49,15 @@
               <el-option label="已作废" value="7" />
             </el-select>
           </el-form-item>
+          <el-form-item label="关键字">
+            <el-input
+              v-model="filterForm.keyword"
+              placeholder="申请单号 / 检查项目名称"
+              clearable
+              style="width: 220px"
+              @keyup.enter="handleSearch"
+            />
+          </el-form-item>
           <el-form-item>
             <el-button type="primary" @click="handleSearch" :loading="loading">
               <el-icon><Search /></el-icon>
@@ -77,18 +86,53 @@
           </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">
-          <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">
-              <span>{{ parseStatus(scope.row.status) }}</span>
+              <span>{{ buildApplicationName(scope.row) }}</span>
             </template>
           </el-table-column>
-          <el-table-column label="操作" align="center" fixed="right">
+          <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 label="申请单状态" width="120" align="center">
             <template #default="scope">
+              <el-tag :type="getStatusTagType(scope.row.status)" effect="plain" round>
+                {{ parseStatus(scope.row.status) }}
+              </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 -->
               <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
+              <!-- 待签发：修改、删除 -->
+              <template v-if="scope.row.status === '0' || 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：撤回 -->
+              <template v-else-if="scope.row.status === '1' || scope.row.status === 1">
+                <el-button link type="warning" @click="handleRecall(scope.row)">撤回</el-button>
+              </template>
+              <!-- 已校对/待接收：打印 -->
+              <template v-else-if="scope.row.status === '2' || scope.row.status === 2 || scope.row.status === '3' || scope.row.status === 3">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+              </template>
+              <!-- 已接收/已检查：看报告 -->
+              <template v-else-if="scope.row.status === '4' || scope.row.status === 4 || scope.row.status === '5' || scope.row.status === 5">
+                <el-button link type="success" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已出报告：打印、看报告 -->
+              <template v-else-if="scope.row.status === '6' || scope.row.status === 6">
+                <el-button link type="primary" @click="handlePrint(scope.row)">打印</el-button>
+                <el-button link type="success" @click="handleViewReport(scope.row)">看报告</el-button>
+              </template>
+              <!-- 已作废：无额外按钮 -->
+              <template v-else-if="scope.row.status === '7' || scope.row.status === 7">
+              </template>
+              <!-- 其他/未知状态：仅详情 -->
+              <template v-else>
+              </template>
             </template>
           </el-table-column>
         </el-table>
@@ -137,7 +181,7 @@
           <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>
@@ -160,15 +204,102 @@
         <el-button @click="detailDialogVisible = false">关闭</el-button>
       </template>
     </el-dialog>
+
+    <!-- 修改申请单弹窗 - 复用检查申请单组件 -->
+    <el-dialog
+      v-model="editDialogVisible"
+      title="修改检查申请"
+      width="1200px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <MedicalExaminations
+        v-if="editDialogVisible"
+        ref="editFormRef"
+        :is-edit-mode="true"
+        :edit-data="editingRow"
+        :external-patient-info="patientInfo"
+      />
+      <template #footer>
+        <el-button @click="editDialogVisible = false">取消</el-button>
+        <el-button type="primary" @click="handleEditSubmit">确认</el-button>
+      </template>
+    </el-dialog>
+
+    <!-- 查看报告弹窗 -->
+    <el-dialog
+      v-model="reportDialogVisible"
+      :title="'检查报告 - ' + (reportData?.prescriptionNo || '')"
+      width="900px"
+      destroy-on-close
+      top="5vh"
+      :close-on-click-modal="false"
+    >
+      <div v-loading="reportLoading" class="report-viewer">
+        <!-- 报告基本信息 -->
+        <div v-if="reportData" class="report-viewer-container">
+          <el-descriptions title="报告信息" :column="2" border size="small">
+            <el-descriptions-item label="患者姓名">{{ reportData.patientName || reportRow?.patientName || '-' }}</el-descriptions-item>
+            <el-descriptions-item label="申请单号">{{ reportData.prescriptionNo || reportRow?.prescriptionNo || '-' }}</el-descriptions-item>
+            <el-descriptions-item label="申请单名称">{{ reportData.name || reportRow?.name || '-' }}</el-descriptions-item>
+            <el-descriptions-item label="报告时间">{{ reportData.reportTime || '-' }}</el-descriptions-item>
+            <el-descriptions-item label="诊断意见" :span="2">{{ reportData.diagnosis || reportData.conclusion || '-' }}</el-descriptions-item>
+          </el-descriptions>
+
+          <!-- 报告详细内容 -->
+          <div v-if="reportData.content" class="report-content-section">
+            <div class="section-title">报告内容</div>
+            <div class="report-content-text">{{ reportData.content }}</div>
+          </div>
+
+          <!-- 影像预览 - PACS链接 -->
+          <div v-if="reportData.imageUrl || reportData.pacsUrl" class="report-image-section">
+            <div class="section-title">
+              影像预览
+              <el-button
+                v-if="reportData.imageUrl || reportData.pacsUrl"
+                type="primary"
+                size="small"
+                plain
+                style="margin-left: 12px;"
+                @click="openPacsLink"
+              >
+                <el-icon><Link /></el-icon>
+                打开PACS影像
+              </el-button>
+            </div>
+            <iframe
+              v-if="reportData.imageUrl"
+              :src="reportData.imageUrl"
+              class="report-iframe"
+              frameborder="0"
+            />
+            <el-empty v-else-if="!reportData.imageUrl && reportData.pacsUrl" description="点击上方按钮打开PACS影像" :image-size="60" />
+          </div>
+
+          <!-- 完全无数据时的提示 -->
+          <el-empty v-if="!reportData.content && !reportData.imageUrl && !reportData.pacsUrl" description="暂无详细报告数据" :image-size="60" />
+        </div>
+
+        <!-- 未获取到报告 -->
+        <el-empty v-else description="暂未生成报告" :image-size="80" />
+      </div>
+      <template #footer>
+        <el-button @click="reportDialogVisible = false">关闭</el-button>
+      </template>
+    </el-dialog>
   </div>
 </template>
 
 <script setup>
-import {computed, getCurrentInstance, ref, watch} from 'vue';
+import {computed, getCurrentInstance, ref, watch, nextTick} from 'vue';
-import {Refresh, Search} from '@element-plus/icons-vue';
+import {Refresh, Search, Link} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
-import {getCheck} from './api';
+import {getCheck, deleteRequestForm, withdrawRequestForm, getTestResult} from './api';
 import {getDepartmentList} from '@/api/public.js';
+import {getApplicationList, saveCheckd} from '../order/applicationForm/api';
+import MedicalExaminations from '../order/applicationForm/medicalExaminations.vue';
 
 const { proxy } = getCurrentInstance();
 
@@ -178,11 +309,38 @@ const detailDialogVisible = ref(false);
 const currentDetail = ref(null);
 const descJsonData = ref(null);
 const orgOptions = ref([]);
+const editForm = ref({
+  name: '',
+  targetDepartment: '',
+  symptom: '',
+  sign: '',
+  clinicalDiagnosis: '',
+  otherDiagnosis: '',
+  relatedResult: '',
+  attention: '',
+  examinationPurpose: '',
+  medicalHistorySummary: '',
+});
+
+// 报告弹窗相关
+const reportDialogVisible = ref(false);
+const reportLoading = ref(false);
+const reportData = ref(null);
+const reportRow = ref(null);
+
+// 获取近7天的日期范围作为默认值
+const getDefaultDateRange = () => {
+  const now = new Date();
+  const endDate = now.toISOString().split('T')[0];
+  const startDate = new Date(now.getTime() - 7 * 24 * 60 * 60 * 1000).toISOString().split('T')[0];
+  return [startDate, endDate];
+};
 
 // 筛选表单数据
 const filterForm = ref({
-  dateRange: [], // [startDate, endDate]
+  dateRange: getDefaultDateRange(), // 默认近一周
   status: '', // 申请单状态
+  keyword: '', // 关键字搜索
 });
 
 const fetchData = async () => {
@@ -207,11 +365,18 @@ const fetchData = async () => {
       params.status = filterForm.value.status;
     }
 
+    // 添加关键字搜索
+    if (filterForm.value.keyword && filterForm.value.keyword.trim()) {
+      params.keyword = filterForm.value.keyword.trim();
+    }
+
     const res = await getCheck(params);
     if (res.code === 200 && res.data) {
       const raw = res.data?.records || res.data;
       const list = Array.isArray(raw) ? raw : [raw];
+      console.log('API返回的原始数据:', JSON.stringify(list, null, 2));
       tableData.value = list.filter(Boolean);
+      console.log('tableData设置后的第一条:', tableData.value[0]);
     } else {
       tableData.value = [];
     }
@@ -243,8 +408,9 @@ const handleSearch = async () => {
  * 重置按钮处理
  */
 const handleReset = () => {
-  filterForm.value.dateRange = [];
+  filterForm.value.dateRange = getDefaultDateRange();
   filterForm.value.status = '';
+  filterForm.value.keyword = '';
   fetchData();
 };
 
@@ -267,9 +433,51 @@ 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
+ * @returns {string} el-tag type
+ */
+const getStatusTagType = (status) => {
+  const typeMap = {
+    '0': 'primary',  // 待签发 - 蓝色
+    '1': 'success',   // 已签发 - 绿色
+    '2': 'success',   // 已校对 - 绿色
+    '3': 'primary',   // 待接收 - 蓝色
+    '4': 'primary',   // 已接收 - 蓝色
+    '5': 'success',   // 已检查 - 绿色
+    '6': 'success',   // 已出报告 - 绿色
+    '7': 'danger',   // 已作废 - 红色
+  };
+  return typeMap[String(status)] || 'info';
+};
+
 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 +486,17 @@ 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;
 };
@@ -292,50 +511,68 @@ const hasMatchedFields = computed(() => {
 });
 
 /** 查询科室 */
-const getLocationInfo = () => {
+const getLocationInfo = async () => {
-  getDepartmentList().then((res) => {
+  try {
-    orgOptions.value = res.data || [];
+    const res = await getDepartmentList();
-  });
+    orgOptions.value = Array.isArray(res.data) ? res.data : [];
+  } catch (e) {
+    console.warn('科室列表加载失败:', e.message);
+    orgOptions.value = [];
+  }
+};
+
+// 递归查找树形科室节点
+const findTreeItem = (list, id) => {
+  if (!list || list.length === 0) return null;
+  for (const item of list) {
+    if (item.id == id) return item;
+    if (item.children && item.children.length > 0) {
+      const found = findTreeItem(item.children, id);
+      if (found) return found;
+    }
+  }
+  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 index = 0; index < subObjArray.length; index++) {
+      for (let i = 0; i < subObjArray.length; i++) {
-        const item = subObjArray[index];
+        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
+      // 将发往科室 ID 转换为名称
-      if (!orgOptions.value || orgOptions.value.length === 0) {
+      if (obj.targetDepartment) {
-        await new Promise((resolve) => {
-          getDepartmentList().then((res) => {
-            orgOptions.value = res.data || [];
-            resolve();
-          });
-        });
-      }
         obj.targetDepartment = recursionFun(obj.targetDepartment);
+      }
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);
@@ -347,6 +584,396 @@ const handleViewDetail = async (row) => {
   detailDialogVisible.value = true;
 };
 
+/**
+ * 删除申请单 - 仅待签发状态可用
+ */
+const handleDelete = async (row) => {
+  try {
+    await proxy.$modal?.confirm?.('确认删除该检查申请单？', '提示', {
+      confirmButtonText: '确定',
+      cancelButtonText: '取消',
+      type: 'warning',
+    });
+    const res = await deleteRequestForm({ requestFormId: row.requestFormId });
+    if (res.code === 200) {
+      proxy.$modal?.msgSuccess?.('删除成功');
+      fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res.msg || '删除失败');
+    }
+  } catch (e) {
+    // 用户取消操作，不做处理
+  }
+};
+
+/**
+ * 撤回申请单 - 仅已签发状态可用
+ */
+const handleRecall = async (row) => {
+  try {
+    await proxy.$modal?.confirm?.('确认撤回该申请单？撤回后状态将变更为"待签发"。', '提示', {
+      confirmButtonText: '确定撤回',
+      cancelButtonText: '取消',
+      type: 'warning',
+    });
+    const res = await withdrawRequestForm({ requestFormId: row.requestFormId });
+    if (res.code === 200) {
+      proxy.$modal?.msgSuccess?.('撤回成功');
+      fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res.msg || '撤回失败');
+    }
+  } catch (e) {
+    // 用户取消操作，不做处理
+  }
+};
+
+/**
+ * 打印申请单 - 已校对/待接收/已接收/已检查状态可用
+ * 打印内容与详情展示一致，并包含申请单条码
+ */
+const handlePrint = async (row) => {
+  try {
+    proxy.$modal?.msgInfo?.('正在生成打印预览...');
+
+    // 确保科室数据已加载，用于解析发往科室名称
+    if (!orgOptions.value || orgOptions.value.length === 0) {
+      await new Promise((resolve) => {
+        getDepartmentList().then((res) => {
+          orgOptions.value = res.data || [];
+          resolve();
+        });
+      });
+    }
+
+    // 解析 descJson
+    let descData = {};
+    if (row.descJson) {
+      try {
+        const obj = JSON.parse(row.descJson);
+        // 将发往科室ID转换为名称
+        if (obj.targetDepartment) {
+          obj.targetDepartment = recursionFun(obj.targetDepartment);
+        }
+        descData = obj;
+      } catch (e) {
+        console.error('解析 descJson 失败:', e);
+      }
+    }
+
+    // 构建诊疗项目表格行
+    let detailRowsHtml = '';
+    const detailList = row.requestFormDetailList || [];
+    if (detailList.length > 0) {
+      detailList.forEach((item, index) => {
+        detailRowsHtml += `
+          <tr>
+            <td style="text-align:center;padding:6px 8px;border:1px solid #ddd;">${index + 1}</td>
+            <td style="padding:6px 8px;border:1px solid #ddd;">${item.adviceName || '-'}</td>
+            <td style="text-align:center;padding:6px 8px;border:1px solid #ddd;">${item.quantity || '-'}</td>
+            <td style="padding:6px 8px;border:1px solid #ddd;">${item.unitCode_dictText || '-'}</td>
+            <td style="text-align:right;padding:6px 8px;border:1px solid #ddd;">${item.totalPrice != null ? '¥' + Number(item.totalPrice).toFixed(2) : '-'}</td>
+          </tr>`;
+      });
+    }
+
+    // 构建 descJson 字段行（与详情弹窗展示的字段一致）
+    const fieldKeys = ['targetDepartment', 'urgencyLevel', 'expectedExaminationTime', 'allergyHistory', 'examinationPurpose', 'medicalHistorySummary', 'symptom', 'sign', 'clinicalDiagnosis', 'otherDiagnosis', 'relatedResult', 'attention'];
+    let descFieldsHtml = '';
+    fieldKeys.forEach((key) => {
+      const label = labelMap[key] || key;
+      const value = transformField(key, descData[key]);
+      if (value != null && value !== '') {
+        descFieldsHtml += `
+          <div class="info-row">
+            <span class="label">${label}：</span>
+            <span class="value">${value}</span>
+          </div>`;
+      }
+    });
+
+    // 构建完整打印HTML
+    const printContent = `
+      <div class="print-wrapper">
+        <!-- 标题 -->
+        <div class="print-header">
+          <div class="print-title">检查申请单</div>
+          <div class="print-meta">打印时间：${new Date().toLocaleString()}</div>
+        </div>
+
+        <!-- 基本信息 -->
+        <div class="print-section">
+          <div class="section-title">基本信息</div>
+          <div class="info-grid">
+            <div class="info-row"><span class="label">患者姓名：</span><span class="value">${row.patientName || '-'}</span></div>
+            <div class="info-row"><span class="label">申请单名称：</span><span class="value">${row.name || '-'}</span></div>
+            <div class="info-row"><span class="label">申请单状态：</span><span class="value">${parseStatus(row.status)}</span></div>
+            <div class="info-row"><span class="label">创建时间：</span><span class="value">${row.createTime || '-'}</span></div>
+            <div class="info-row"><span class="label">申请单号：</span><span class="value">${row.prescriptionNo || '-'}</span></div>
+            <div class="info-row"><span class="label">申请者：</span><span class="value">${row.requesterId_dictText || '-'}</span></div>
+            <div class="info-row"><span class="label">就诊ID：</span><span class="value">${row.encounterId || '-'}</span></div>
+            <div class="info-row"><span class="label">申请单ID：</span><span class="value">${row.requestFormId || '-'}</span></div>
+          </div>
+        </div>
+
+        ${descFieldsHtml ? `
+        <!-- 申请单描述 -->
+        <div class="print-section">
+          <div class="section-title">申请单描述</div>
+          ${descFieldsHtml}
+        </div>` : ''}
+
+        ${detailRowsHtml ? `
+        <!-- 诊疗项目 -->
+        <div class="print-section">
+          <div class="section-title">诊疗项目</div>
+          <table class="detail-table">
+            <thead>
+              <tr>
+                <th style="width:50px;padding:8px;border:1px solid #ddd;background:#f5f7fa;text-align:center;">序号</th>
+                <th style="padding:8px;border:1px solid #ddd;background:#f5f7fa;text-align:left;">医嘱名称</th>
+                <th style="width:60px;padding:8px;border:1px solid #ddd;background:#f5f7fa;text-align:center;">数量</th>
+                <th style="width:60px;padding:8px;border:1px solid #ddd;background:#f5f7fa;text-align:center;">单位</th>
+                <th style="width:80px;padding:8px;border:1px solid #ddd;background:#f5f7fa;text-align:right;">总价</th>
+              </tr>
+            </thead>
+            <tbody>${detailRowsHtml}</tbody>
+          </table>
+        </div>` : ''}
+
+        <!-- 条码区 -->
+        <div class="barcode-section">
+          <div class="barcode-container">
+            <div class="barcode-number">${row.prescriptionNo || ''}</div>
+            <div class="barcode-label">申请单号 / 扫码核验</div>
+          </div>
+        </div>
+
+        <div class="print-footer">
+          <div class="footer-line">本申请单仅供院内使用，请勿外传</div>
+        </div>
+      </div>
+    `;
+
+    // 打开新窗口打印
+    const printWindow = window.open('', '_blank');
+    if (!printWindow) {
+      proxy.$modal?.msgError?.('无法打开打印窗口，请检查浏览器弹窗设置');
+      return;
+    }
+
+    printWindow.document.write(`
+      <!DOCTYPE html>
+      <html>
+      <head>
+        <meta charset="UTF-8">
+        <title>检查申请单 - 打印</title>
+        <style>
+          * { margin: 0; padding: 0; box-sizing: border-box; }
+          body {
+            font-family: -apple-system, BlinkMacSystemFont, 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei', sans-serif;
+            font-size: 12px;
+            color: #333;
+            padding: 20px;
+          }
+          .print-wrapper {
+            max-width: 210mm;
+            margin: 0 auto;
+          }
+          .print-header {
+            text-align: center;
+            padding-bottom: 12px;
+            margin-bottom: 16px;
+            border-bottom: 2px solid #333;
+          }
+          .print-title {
+            font-size: 20px;
+            font-weight: bold;
+            letter-spacing: 4px;
+            margin-bottom: 6px;
+          }
+          .print-meta {
+            font-size: 11px;
+            color: #666;
+          }
+          .print-section {
+            margin-bottom: 16px;
+          }
+          .section-title {
+            font-size: 14px;
+            font-weight: bold;
+            margin-bottom: 10px;
+            padding-bottom: 4px;
+            border-bottom: 1px solid #ddd;
+          }
+          .info-grid {
+            display: grid;
+            grid-template-columns: 1fr 1fr;
+            gap: 6px 16px;
+          }
+          .info-row {
+            font-size: 12px;
+            line-height: 1.8;
+          }
+          .info-row .label {
+            font-weight: 600;
+            color: #555;
+          }
+          .info-row .value {
+            color: #333;
+          }
+          .detail-table {
+            width: 100%;
+            border-collapse: collapse;
+            margin-top: 6px;
+          }
+          .detail-table th {
+            font-size: 11px;
+            font-weight: 600;
+            color: #555;
+          }
+          .detail-table td {
+            font-size: 12px;
+          }
+          .barcode-section {
+            margin-top: 24px;
+            padding-top: 16px;
+            border-top: 1px dashed #ccc;
+            text-align: center;
+          }
+          .barcode-container {
+            display: inline-block;
+            padding: 12px 24px;
+            border: 2px solid #333;
+            border-radius: 6px;
+            background: #fff;
+          }
+          .barcode-number {
+            font-family: 'Libre Barcode 128', 'Libre Barcode 39', 'Code128', 'C', monospace;
+            font-size: 42px;
+            letter-spacing: 4px;
+            color: #000;
+            line-height: 1.2;
+          }
+          .barcode-label {
+            font-size: 10px;
+            color: #888;
+            margin-top: 4px;
+            letter-spacing: 2px;
+          }
+          .print-footer {
+            margin-top: 20px;
+            text-align: center;
+          }
+          .footer-line {
+            font-size: 10px;
+            color: #aaa;
+          }
+          @media print {
+            body { padding: 0; }
+            .print-wrapper { max-width: none; }
+            .barcode-section { page-break-inside: avoid; }
+          }
+        </style>
+      </head>
+      <body>
+        ${printContent}
+      </body>
+      </html>
+    `);
+
+    printWindow.document.close();
+    // 等待内容渲染后打印
+    printWindow.onload = function() {
+      setTimeout(() => {
+        printWindow.print();
+        proxy.$modal?.closeAll?.();
+      }, 300);
+    };
+  } catch (error) {
+    console.error('打印失败:', error);
+    proxy.$modal?.msgError?.('打印失败: ' + (error.message || '未知错误'));
+  }
+};
+
+/**
+ * 查看报告 - 仅已出报告状态可用
+ * 调用报告查询接口，弹窗展示结构化报告或影像预览（PACS链接）
+ */
+const handleViewReport = async (row) => {
+  reportRow.value = row;
+  reportDialogVisible.value = true;
+  reportLoading.value = true;
+  reportData.value = null;
+  try {
+    const res = await getTestResult({ prescriptionNo: row.prescriptionNo });
+    if (res.code === 200) {
+      if (res.data) {
+        // 支持两种返回格式：
+        // 1. res.data 为对象（结构化报告）：含 patientName, prescriptionNo, reportTime, diagnosis/content, imageUrl/pacsUrl
+        // 2. res.data 为字符串（报告URL）：映射到 imageUrl 以支持iframe预览
+        if (typeof res.data === 'string') {
+          reportData.value = {
+            prescriptionNo: row.prescriptionNo,
+            imageUrl: res.data,
+          };
+        } else if (typeof res.data === 'object') {
+          reportData.value = {
+            ...res.data,
+            prescriptionNo: res.data.prescriptionNo || row.prescriptionNo,
+          };
+        }
+      } else {
+        reportData.value = null;
+      }
+    } else {
+      reportData.value = null;
+      proxy.$modal?.msgWarning?.(res.msg || '暂未生成报告');
+    }
+  } catch (e) {
+    console.error('获取报告失败:', e);
+    reportData.value = null;
+    proxy.$modal?.msgError?.('获取报告失败');
+  } finally {
+    reportLoading.value = false;
+  }
+};
+
+/**
+ * 打开PACS影像链接
+ */
+const openPacsLink = () => {
+  const url = reportData.value?.pacsUrl || reportData.value?.imageUrl;
+  if (url) {
+    window.open(url, '_blank');
+  }
+};
+
+// ========== 修改申请单相关 ==========
+const editDialogVisible = ref(false);
+const editFormRef = ref(null);
+const editingRow = ref(null);
+
+// 修改申请单 - 复用检查申请单弹窗
+const handleEdit = (row) => {
+  editingRow.value = { ...row };
+  editDialogVisible.value = true;
+  // 弹窗打开后，手动调用getList确保数据加载
+  nextTick(() => {
+    editFormRef.value?.getList?.();
+    editFormRef.value?.getLocationInfo?.();
+    editFormRef.value?.getDiagnosisList?.();
+  });
+};
+
+// 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();
+  }
+};
+
 watch(
   () => patientInfo.value?.encounterId,
   (val) => {
@@ -355,8 +982,9 @@ watch(
       getLocationInfo();
     } else {
       tableData.value = [];
-      filterForm.value.dateRange = [];
+      filterForm.value.dateRange = getDefaultDateRange();
       filterForm.value.status = '';
+      filterForm.value.keyword = '';
     }
   },
   { immediate: true }
@@ -470,4 +1098,96 @@ defineExpose({
     overflow: auto;
   }
 }
+
+// 报告弹窗样式
+.report-viewer {
+  min-height: 200px;
+  padding: 8px 0;
+}
+
+.report-viewer-container {
+  .report-content-section {
+    margin-top: 16px;
+    padding: 12px;
+    background: #fafafa;
+    border-radius: 6px;
+    border: 1px solid #eee;
+
+    .section-title {
+      font-size: 14px;
+      font-weight: 600;
+      margin-bottom: 10px;
+      color: #303133;
+      display: flex;
+      align-items: center;
+    }
+
+    .report-content-text {
+      font-size: 13px;
+      line-height: 1.8;
+      color: #606266;
+      white-space: pre-wrap;
+    }
+  }
+
+  .report-image-section {
+    margin-top: 16px;
+
+    .section-title {
+      font-size: 14px;
+      font-weight: 600;
+      margin-bottom: 10px;
+      color: #303133;
+      display: flex;
+      align-items: center;
+    }
+
+    .report-iframe {
+      width: 100%;
+      height: 480px;
+      border: 1px solid #dcdfe6;
+      border-radius: 4px;
+    }
+  }
+}
+
+// 状态标签样式 - 参考临床医嘱
+:deep(.el-tag) {
+  border-radius: 2px;
+  padding: 0 8px;
+  height: 24px;
+  line-height: 22px;
+  font-size: 12px;
+  border-width: 1px;
+}
+
+:deep(.el-tag--info.is-plain) {
+  background: #f4f4f5;
+  border-color: #e9e9eb;
+  color: #909399;
+}
+
+:deep(.el-tag--primary.is-plain) {
+  background: #ecf5ff;
+  border-color: #d9ecff;
+  color: #409eff;
+}
+
+:deep(.el-tag--success.is-plain) {
+  background: #f0f9eb;
+  border-color: #e1f3d8;
+  color: #67c23a;
+}
+
+:deep(.el-tag--warning.is-plain) {
+  background: #fdf6ec;
+  border-color: #faecd8;
+  color: #e6a23c;
+}
+
+:deep(.el-tag--danger.is-plain) {
+  background: #fef0f0;
+  border-color: #fde2e2;
+  color: #f56c6c;
+}
 </style>

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

@@ -82,7 +82,11 @@
           </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 label="单据状态" width="100" align="center">
@@ -103,11 +107,11 @@
           <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>
@@ -132,12 +136,12 @@
               currentDetail.patientName || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请单名称">{{
-              currentDetail.name || '-'
+              buildApplicationName(currentDetail)
             }}</el-descriptions-item>
             <el-descriptions-item label="创建时间">{{
               currentDetail.createTime || '-'
             }}</el-descriptions-item>
-            <el-descriptions-item label="处方号">{{
+            <el-descriptions-item label="申请单号">{{
               currentDetail.prescriptionNo || '-'
             }}</el-descriptions-item>
             <el-descriptions-item label="申请者">{{
@@ -179,6 +183,26 @@
         <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>
 
@@ -187,13 +211,18 @@ 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';
+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([]);
@@ -285,6 +314,9 @@ 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 +343,8 @@ const parsePriorityCode = (descJson) => {
   if (!descJson) return '-';
   try {
     const obj = JSON.parse(descJson);
-    // priorityCode: 0-普通, 1-急
+    // applicationType: 0-普通, 1-急诊
-    return obj.priorityCode === 1 ? '急' : '普通';
+    return obj.applicationType === 1 ? '急' : '普通';
   } catch (e) {
     console.error('解析 descJson 失败:', e);
     return '-';
@@ -336,6 +368,24 @@ const parseSpecimenType = (descJson) => {
   }
 };
 
+/**
+ * 根据申请单详情构建申请单名称
+ * 单一项目：显示项目名称+数量
+ * 多个项目：显示首个项目名称+数量+"等X项"
+ */
+const buildApplicationName = (row) => {
+  const details = row.requestFormDetailList;
+  if (!details || details.length === 0) {
+    return row.name || '-';
+  }
+  if (details.length === 1) {
+    const item = details[0];
+    return `${item.adviceName}${item.quantity || ''}`;
+  }
+  const first = details[0];
+  return `${first.adviceName}${first.quantity || ''}等${details.length}项`;
+};
+
 const isFieldMatched = (key) => {
   return key in labelMap;
 };
@@ -391,6 +441,9 @@ const handleViewDetail = async (row) => {
     try {
       const obj = JSON.parse(row.descJson);
       obj.targetDepartment = recursionFun(obj.targetDepartment);
+      // 转换申请类型编码为可读文本
+      if (obj.applicationType === 0) obj.applicationType = '普通';
+      else if (obj.applicationType === 1) obj.applicationType = '急诊';
       descJsonData.value = obj;
     } catch (e) {
       console.error('解析 descJson 失败:', e);
@@ -405,10 +458,32 @@ const handleViewDetail = async (row) => {
 /**
  * 修改检验申请单（待签发状态）
  */
-const handleEdit = (row) => {
+const handleEdit = async (row) => {
-  // 复用详情查看逻辑，后续可扩展为打开编辑弹窗
+  // 确保科室数据已加载
-  handleViewDetail(row);
+  if (!orgOptions.value || orgOptions.value.length === 0) {
-  proxy.$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();
+  }
 };
 
 /**
@@ -422,7 +497,7 @@ 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();
@@ -445,7 +520,7 @@ 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/diagnosis/diagnosis.vue

@@ -289,19 +289,19 @@ function getList() {
         return obj;
       });
       form.value.diagnosisList = datas;
-      // form.value.diagnosisList = res.data;
+      // 去重：按 conditionId 去重，防止后端重复插入导致重复记录
+      deduplicateDiagnosisList();
       emits('diagnosisSave', false);
     }
   });
   getTcmDiagnosis({ encounterId: props.patientInfo.encounterId }).then((res) => {
-    console.log('getTcmDiagnosis=======>', JSON.stringify(res.data.illness));
+    console.log('getTcmDiagnosis=======>', JSON.stringify(res.data?.illness));
 
-    if (res.code == 200) {
+    if (res.code == 200 && res.data?.illness?.length > 0) {
-      if (res.data.illness.length > 0) {
       diagnosisNetDatas.value = res.data.illness;
       res.data.illness.forEach((item, index) => {
         newList.push({
-            name: item.name + '-' + (res.data.symptom[index]?.name || ''),
+          name: item.name + '-' + (res.data.symptom?.[index]?.name || ''),
           ybNo: item.ybNo,
           medTypeCode: item.medTypeCode,
           diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
@@ -318,14 +318,33 @@ function getList() {
         const bNo = typeof b.diagSrtNo === 'number' ? b.diagSrtNo : 9999;
         return aNo - bNo;
       });
+      // TCM 数据添加后也去重
+      deduplicateDiagnosisList();
     }
     emits('diagnosisSave', false);
-    }
   });
 
   getTree();
 }
 
+/**
+ * 诊断列表去重：按 ybNo + name 组合去重，保留第一条记录
+ * 防止后端 saveOrUpdate 在删除后误 INSERT 导致重复
+ */
+function deduplicateDiagnosisList() {
+  const seen = new Set();
+  const dedupedList = [];
+  for (const item of form.value.diagnosisList) {
+    // 使用 ybNo 和 name 组合作为唯一标识（中医诊断没有 ybNo，用 name 去重）
+    const key = item.ybNo ? `${item.ybNo}` : `name_${item.name}`;
+    if (!seen.has(key)) {
+      seen.add(key);
+      dedupedList.push(item);
+    }
+  }
+  form.value.diagnosisList = dedupedList;
+}
+
 init();
 function init() {
   diagnosisInit().then((res) => {
@@ -568,6 +587,11 @@ function handleMaindise(value, index) {
  * 保存诊断
  */
 function handleSaveDiagnosis() {
+  // 防止重复点击保存
+  if (isSaving.value) {
+    return;
+  }
+
   for (let index = 0; index < (form.value.diagnosisList || []).length; index++) {
     const item = form.value.diagnosisList[index];
     if (!item.diagSrtNo) {
@@ -598,9 +622,21 @@ function handleSaveDiagnosis() {
         return aNo - bNo;
       });
 
+      // 步骤1.5：确保每条诊断都有诊断医生和诊断时间（元数据补全）
+      const doctorName = props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name;
+      const now = new Date().toLocaleString('zh-CN');
+      sortedList.forEach((item) => {
+        if (!item.diagnosisDoctor) {
+          item.diagnosisDoctor = doctorName;
+        }
+        if (!item.diagnosisTime) {
+          item.diagnosisTime = now;
+        }
+      });
+
       // 步骤2：重新分配连续的序号（从1开始）
       sortedList.forEach((item, index) => {
-        item.diagSrtNo = index + 1; // 这里是关键！把“诊断排序”改成新顺序
+        item.diagSrtNo = index + 1; // 这里是关键！把”诊断排序”改成新顺序
       });
 
       // 步骤3：提交排序后的数据
@@ -610,12 +646,12 @@ function handleSaveDiagnosis() {
         diagnosisChildList: sortedList,
       }).then((res) => {
         if (res.code === 200) {
-          // 步骤4：更新本地数据，使用全新对象防止响应式问题
-          form.value.diagnosisList = sortedList.map(item => ({ ...item }));
-
           emits('diagnosisSave', false);
           proxy.$modal.msgSuccess('诊断已保存');
 
+          // 保存成功后从服务器重新加载数据，确保前后端数据一致
+          getList();
+
           // 食源性疾病逻辑
           isFoodDiseasesNew({ encounterId: props.patientInfo.encounterId }).then((res2) => {
             if (res2.code === 20 && res2.data) {

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

@@ -249,7 +249,7 @@ const submit = () => {
     requestFormId: '', // 申请单ID
     name: '输血申请单',
     descJson: JSON.stringify(form),
-    categoryEnum: '3', // 1 检验 2 检查 3 输血 4 手术
+    categoryEnum: '23', // 21 检验 22 检查 23 输血 24 手术（避开 adviceType 1-6 碰撞）
   }).then((res) => {
     if (res.code === 200) {
       proxy.$message.success(res.msg);

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

@@ -6,9 +6,26 @@
 <template>
   <div class="LaboratoryTests-container">
     <div v-loading="loading" class="transfer-wrapper">
+      <!-- 远程搜索框 -->
+      <div class="search-bar">
+        <el-input
+          v-model="searchKey"
+          placeholder="输入项目代码/名称搜索"
+          clearable
+          @keyup.enter="handleSearch"
+          @clear="handleSearch"
+          style="width: 300px; margin-bottom: 10px"
+        >
+          <template #append>
+            <el-button @click="handleSearch">搜索</el-button>
+          </template>
+        </el-input>
+        <span v-if="!searchKey" class="total-count">共 {{ totalCount }} 项</span>
+        <span v-else class="total-count">搜索到 {{ filteredCount }} 项 / 共 {{ totalCount }} 项</span>
+      </div>
       <el-transfer
         v-model="transferValue"
-        :data="applicationList"
+        :data="transferData"
         filter-placeholder="项目代码/名称"
         filterable
         :titles="['未选择', '已选择']"
@@ -117,7 +134,7 @@
   </div>
 </template>
 <script setup name="LaboratoryTests">
-import {getCurrentInstance, onBeforeMount, onMounted, reactive, watch} from 'vue';
+import {getCurrentInstance, onMounted, reactive, ref, watch, computed} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
 import {getApplicationList, saveInspection} from './api';
 import {getOrgList} from '@/views/doctorstation/components/api.js';
@@ -138,29 +155,23 @@ 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 applicationListAll = ref([]);
-const applicationList = ref();
 const loading = ref(false);
-const orgOptions = ref([]); // 科室选项
+const orgOptions = ref([]);
-const getList = () => {
+const searchKey = ref('');
-  if (!patientInfo.value?.inHospitalOrgId) {
+const totalCount = ref(0);
-    applicationList.value = [];
+
-    return;
+// 将已加载的全部数据转为 transfer 组件所需的格式
-  }
+const buildTransferData = (records) => {
-  loading.value = true;
+  return records.map((item) => {
-  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 || '';
@@ -171,15 +182,65 @@ const getList = () => {
       key: item.adviceDefinitionId,
     };
   });
-        console.log('applicationList========>', JSON.stringify(res.data.records));
+};
-      } else {
+
-        proxy.$message.error(res.message);
+// 加载全部数据（不分页，一次性拉取）
-        applicationList.value = [];
+const loadAllData = async () => {
+  if (!patientInfo.value?.inHospitalOrgId) {
+    applicationListAll.value = [];
+    return;
   }
-    })
+  loading.value = true;
-    .finally(() => {
+  try {
-      loading.value = false;
+    // 使用大 pageSize 一次性拉取所有启用状态的检验类诊疗项目
+    const res = await getApplicationList({
+      pageSize: 9999,
+      pageNo: 1,
+      categoryCode: '22',
+      organizationId: patientInfo.value.inHospitalOrgId,
+      adviceTypes: [3], // 1 药品 2 耗材 3 诊疗
     });
+    if (res.code !== 200) {
+      proxy.$message.error(res.message);
+      applicationListAll.value = [];
+      return;
+    }
+    applicationListAll.value = res.data?.records || [];
+    totalCount.value = res.data?.total || 0;
+  } catch (e) {
+    proxy.$message.error('获取检验项目列表失败');
+    applicationListAll.value = [];
+  } finally {
+    loading.value = false;
+  }
+};
+
+// 根据搜索关键词过滤数据
+const filterData = (key) => {
+  if (!key || key.trim() === '') {
+    return applicationListAll.value;
+  }
+  const lowerKey = key.toLowerCase().trim();
+  return applicationListAll.value.filter((item) => {
+    return (
+      item.adviceName?.toLowerCase().includes(lowerKey) ||
+      item.pyStr?.toLowerCase().includes(lowerKey) ||
+      item.adviceBusNo?.toLowerCase().includes(lowerKey)
+    );
+  });
+};
+
+// transfer 组件实际显示的数据（受搜索词影响）
+const transferData = computed(() => buildTransferData(filterData(searchKey.value)));
+// 当前显示的条数
+const filteredCount = computed(() => filterData(searchKey.value).length);
+
+const getList = async () => {
+  await loadAllData();
+};
+
+const handleSearch = () => {
+  // 搜索时保持已选中的项目不受影响
 };
 const transferValue = ref([]);
 const form = reactive({
@@ -198,7 +259,6 @@ const form = reactive({
   otherDiagnosisList: [], //其他断目录
 });
 const rules = reactive({});
-onBeforeMount(() => {});
 onMounted(() => {
   getList();
 });
@@ -211,12 +271,22 @@ const projectWithDepartment = (selectProjectIds, type) => {
   let isRelease = true;
   // 选中项目的数组
   const arr = [];
-  // 根据选中的项目id查找对应的项目
+  // 根据选中的项目id查找对应的项目（从全部原始数据中查找）
   selectProjectIds.forEach((element) => {
-    const searchData = applicationList.value.find((item) => {
+    const searchData = applicationListAll.value.find((item) => {
       return element == item.adviceDefinitionId;
     });
-    arr.push(searchData);
+    if (searchData) {
+      const priceInfo = searchData.priceList?.[0] || {};
+      const price = priceInfo.price != null ? Number(priceInfo.price).toFixed(2) : '0.00';
+      const unit = searchData.unitCode_dictText || searchData.unitCode || '';
+      arr.push({
+        adviceDefinitionId: searchData.adviceDefinitionId,
+        orgId: searchData.orgId,
+        label: searchData.adviceName + ' (￥' + price + '/' + unit + ')',
+        key: searchData.adviceDefinitionId,
+      });
+    }
   });
   // 保存用户手动选择的发往科室（提交时需要保留）
   const manualDept = type === 2 ? form.targetDepartment : '';
@@ -242,18 +312,27 @@ const projectWithDepartment = (selectProjectIds, type) => {
       if (type === 2 && manualDept) {
         form.targetDepartment = manualDept;
         isRelease = true;
-      } else {
+      } else if (type === 2 && !manualDept) {
+        // 提交时用户未手动选择科室，才提示错误
         isRelease = false;
         ElMessage({
           type: 'error',
           message: '未找到项目执行的科室',
         });
+      } else {
+        // type=1(选择项目变化)时，不弹窗，仅清空科室让用户自行选择
+        isRelease = false;
       }
     }
     if (findItem && isRelease) {
+      // 提交时若用户已选「发往科室」，不得用项目默认执行科室覆盖
+      if (type === 2 && manualDept) {
+        form.targetDepartment = manualDept;
+      } else {
         form.targetDepartment = findItem.id;
       }
     }
+  }
   return isRelease;
 };
 // 监听选择项目变化
@@ -263,6 +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');
@@ -280,7 +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
@@ -295,15 +412,15 @@ 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: '1', // 1 检验 2 检查 3 输血 4 手术
+    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);
-      applicationList.value = [];
+      transferValue.value = [];
       emits('submitOk');
     } else {
       proxy.$message.error(res.message);
@@ -360,6 +477,19 @@ defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
   .transfer-wrapper {
     position: relative;
     min-height: 300px;
+
+    .search-bar {
+      display: flex;
+      align-items: center;
+      gap: 12px;
+      margin-bottom: 8px;
+
+      .total-count {
+        font-size: 13px;
+        color: #909399;
+        white-space: nowrap;
+      }
+    }
   }
 
   .el-transfer {

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

@@ -5,36 +5,25 @@
 -->
 <template>
   <div class="medicalExaminations-container">
-    <!-- 顶部标题栏 -->
+    <!-- 主体内容 -->
-    <div class="form-header">
+    <div class="form-body">
-      <div class="header-left">
+      <!-- 右上角：紧急程度 -->
-        <el-icon class="header-icon"><Files /></el-icon>
+      <div class="urgency-bar">
-        <span class="header-title">检查申请单</span>
+        <span class="urgency-bar-label">紧急程度：</span>
-      </div>
+        <el-radio-group v-model="form.urgencyLevel" @change="handleUrgencyChange" size="small">
-      <div class="header-right">
-        <span class="urgency-label">紧急程度</span>
-        <el-radio-group v-model="form.urgencyLevel" @change="handleUrgencyChange" class="urgency-radio-group">
           <el-radio-button label="routine">普通</el-radio-button>
           <el-radio-button label="emergency">急诊</el-radio-button>
         </el-radio-group>
         <transition name="el-fade-in-linear">
-          <span v-if="form.urgencyLevel === 'emergency'" class="emergency-tip">
+          <span v-if="form.urgencyLevel === 'emergency'" class="emergency-tip-inline">
             <el-icon><WarningFilled /></el-icon>
-            急诊单将进入绿色通道
+            绿色通道
           </span>
         </transition>
       </div>
-    </div>
-
-    <!-- 主体内容区 -->
-    <div class="form-body">
       <!-- 选择检查项目 -->
       <div class="section-card">
-        <div class="section-header">
+        <div class="transfer-wrapper">
-          <el-icon><Document /></el-icon>
-          <span>选择检查项目</span>
-        </div>
-        <div v-loading="loading" class="transfer-wrapper">
           <el-transfer
             v-model="transferValue"
             :data="applicationList"
@@ -45,17 +34,10 @@
         </div>
       </div>
 
-      <!-- 申请信息 -->
-      <div class="section-card">
-        <div class="section-header">
-          <el-icon><EditPen /></el-icon>
-          <span>申请信息</span>
-        </div>
-
       <el-form :model="form" :rules="rules" ref="formRef" label-position="top" class="info-form">
-            <!-- 第一行：发往科室 + 期望检查时间 -->
+        <!-- 第一行：发往科室 + 紧急程度 + 期望检查时间 -->
         <el-row :gutter="16">
-              <el-col :span="12">
+          <el-col :span="8">
             <el-form-item label="发往科室" prop="targetDepartment">
               <el-tree-select
                 clearable
@@ -127,45 +109,11 @@
             </el-form-item>
           </el-col>
         </el-row>
-          </el-form>
 
-        <!-- 过敏史卡片 -->
+        <!-- 第五行：检查目的 + 病史摘要 -->
-        <div class="section-card allergy-card">
+        <el-row :gutter="16">
-          <div class="section-header">
+          <el-col :span="12">
-            <el-icon><Warning /></el-icon>
+            <el-form-item label="检查目的" prop="examinationPurpose">
-            <span>过敏史</span>
-            <span v-if="form.allergyHistory" class="header-count">{{ form.allergyHistory.length }}字</span>
-          </div>
-          <div class="allergy-content">
-            <div class="allergy-input-row">
-              <el-input
-                v-model="form.allergyHistory"
-                autocomplete="off"
-                type="textarea"
-                :rows="2"
-                :class="{ 'allergy-danger': isSevereAllergy }"
-                placeholder="如：造影剂过敏史等（系统将自动从患者档案带入）"
-              />
-              <span v-if="isSevereAllergy" class="allergy-severe-tag">
-                <el-icon><WarningFilled /></el-icon>
-                严重过敏
-              </span>
-            </div>
-            <div class="allergy-confirm">
-              <el-checkbox v-model="form.allergyConfirmed" size="small">
-                已通过口头询问确认无过敏史
-              </el-checkbox>
-            </div>
-          </div>
-        </div>
-
-        <!-- 检查目的卡片 -->
-        <div class="section-card purpose-card">
-          <div class="section-header">
-            <el-icon><Aim /></el-icon>
-            <span>检查目的</span>
-            <span class="required-mark">必填</span>
-          </div>
               <el-input
                 v-model="form.examinationPurpose"
                 autocomplete="off"
@@ -175,35 +123,61 @@
                 show-word-limit
                 placeholder="请输入检查目的，如：明确诊断、术后复查、疗效评估等"
               />
-        </div>
+            </el-form-item>
-
+          </el-col>
-        <!-- 病史摘要卡片 -->
+          <el-col :span="12">
-        <div class="section-card history-card">
+            <el-form-item label="病史摘要" prop="medicalHistorySummary">
-          <div class="section-header">
+              <div class="history-field-wrapper">
-            <el-icon><DocumentCopy /></el-icon>
-            <span>病史摘要</span>
-            <span class="required-mark">必填</span>
-            <el-button
-              type="primary"
-              plain
-              size="small"
-              class="sync-btn"
-              @click="handleSyncHistory"
-              :loading="syncingHistory"
-            >
-              <el-icon><Refresh /></el-icon>
-              同步现病史/体征
-            </el-button>
-          </div>
                 <el-input
                   v-model="form.medicalHistorySummary"
                   autocomplete="off"
                   type="textarea"
-            :rows="3"
+                  :rows="2"
                   placeholder="请简要描述患者病史摘要"
                 />
+                <el-button
+                  type="primary"
+                  plain
+                  size="small"
+                  class="history-sync-btn"
+                  @click="handleSyncHistory"
+                  :loading="syncingHistory"
+                >
+                  <el-icon><Refresh /></el-icon>
+                  同步
+                </el-button>
+              </div>
+            </el-form-item>
+          </el-col>
+        </el-row>
+
+        <!-- 第六行：过敏史 -->
+        <el-row :gutter="16">
+          <el-col :span="24">
+            <el-form-item label="过敏史">
+              <div class="allergy-wrapper">
+                <el-input
+                  v-model="form.allergyHistory"
+                  autocomplete="off"
+                  type="textarea"
+                  :rows="1"
+                  :class="{ 'allergy-danger': isSevereAllergy }"
+                  placeholder="如：造影剂过敏史等（系统将自动从患者档案带入）"
+                />
+                <div class="allergy-actions">
+                  <span v-if="isSevereAllergy" class="allergy-severe-tag-inline">
+                    <el-icon><WarningFilled /></el-icon>
+                    严重过敏
+                  </span>
+                  <el-checkbox v-model="form.allergyConfirmed" size="small">
+                    已通过口头询问确认无过敏史
+                  </el-checkbox>
                 </div>
               </div>
+            </el-form-item>
+          </el-col>
+        </el-row>
+      </el-form>
     </div>
 
     <!-- 急诊确认弹窗 -->
@@ -227,7 +201,8 @@
 </template>
 
 <script setup name="MedicalExaminations">
-import {getCurrentInstance, onMounted, reactive, ref, watch, computed} from 'vue';
+import {getCurrentInstance, onMounted, reactive, ref, watch, computed, nextTick} from 'vue';
+import dayjs from 'dayjs';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
@@ -251,7 +226,26 @@ const findTreeItem = (list, id) => {
 };
 
 const emits = defineEmits(['submitOk']);
-const props = defineProps({});
+const props = defineProps({
+  isEditMode: {
+    type: Boolean,
+    default: false,
+  },
+  editData: {
+    type: Object,
+    default: () => ({}),
+  },
+  // 支持通过props传入patientInfo
+  externalPatientInfo: {
+    type: Object,
+    default: null,
+  },
+});
+
+// 优先使用外部传入的patientInfo，否则使用store中的
+const effectivePatientInfo = computed(() => {
+  return props.externalPatientInfo || patientInfo.value;
+});
 const orgOptions = ref([]);
 const state = reactive({});
 const applicationListAll = ref();
@@ -272,7 +266,9 @@ const isSevereAllergy = computed(() => {
 });
 
 const getList = () => {
-  if (!patientInfo.value?.inHospitalOrgId) {
+  console.log('getList called, effectivePatientInfo:', effectivePatientInfo.value);
+  if (!effectivePatientInfo.value?.inHospitalOrgId) {
+    console.log('inHospitalOrgId is missing, setting empty list');
     applicationList.value = [];
     return;
   }
@@ -281,7 +277,7 @@ const getList = () => {
     pageSize: 500,
     pageNum: 1,
     categoryCode: '23',
-    organizationId: patientInfo.value.inHospitalOrgId,
+    organizationId: effectivePatientInfo.value.inHospitalOrgId,
     adviceTypes: [3],
   })
     .then((res) => {
@@ -298,6 +294,24 @@ const getList = () => {
             key: item.adviceDefinitionId,
           };
         });
+        // 编辑模式下，加载完数据后设置已选项目
+        if (props.isEditMode && props.editData?.requestFormDetailList?.length) {
+          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
+              const appName = app.label?.split(' (')[0];
+              if (selectedNames.includes(appName)) {
+                selectedIds.push(app.key);
+              }
+            });
+            console.log('getList completed, matched selectedIds:', selectedIds);
+            transferValue.value = selectedIds;
+          });
+        }
       } else {
         proxy.$message.error(res.message);
         applicationList.value = [];
@@ -316,7 +330,7 @@ const form = reactive({
   allergyHistory: '',
   examinationPurpose: '',
   medicalHistorySummary: '',
-  expectedExaminationTime: '',
+  expectedExaminationTime: dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss'),
   symptom: '',
   sign: '',
   clinicalDiagnosis: '',
@@ -387,12 +401,65 @@ const handleSyncHistory = async () => {
 
 // 自动带入患者过敏史
 const loadPatientAllergyHistory = () => {
-  if (!patientInfo.value?.patientId) return;
+  if (!effectivePatientInfo.value?.patientId) return;
+};
+
+// 加载编辑数据
+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);
+      form.targetDepartment = obj.targetDepartment || '';
+      form.urgencyLevel = obj.urgencyLevel || 'routine';
+      form.allergyHistory = obj.allergyHistory || '';
+      form.examinationPurpose = obj.examinationPurpose || '';
+      form.medicalHistorySummary = obj.medicalHistorySummary || '';
+      form.expectedExaminationTime = obj.expectedExaminationTime || '';
+      form.symptom = obj.symptom || '';
+      form.sign = obj.sign || '';
+      form.clinicalDiagnosis = obj.clinicalDiagnosis || '';
+      form.otherDiagnosis = obj.otherDiagnosis || '';
+      form.relatedResult = obj.relatedResult || '';
+      form.attention = obj.attention || '';
+      form.allergyConfirmed = obj.allergyConfirmed || false;
+    } catch (e) {
+      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) => {
   let isRelease = true;
   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;
@@ -429,9 +496,28 @@ const projectWithDepartment = (selectProjectIds, type) => {
 };
 
 watch(() => transferValue.value, (newValue) => {
+  console.log('transferValue changed:', 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 = () => {
   return form.urgencyLevel === 'emergency' ? 1 : 0;
 };
@@ -459,6 +545,7 @@ const submit = () => {
   applicationListAllFilter = applicationListAllFilter.map((item) => {
     return {
       adviceDefinitionId: item.adviceDefinitionId,
+      adviceName: item.adviceName,
       quantity: 1,
       unitCode: item.priceList[0].unitCode,
       unitPrice: item.priceList[0].price,
@@ -470,25 +557,32 @@ const submit = () => {
       adviceType: item.adviceType,
       definitionId: item.priceList[0].definitionId,
       definitionDetailId: item.priceList[0].definitionDetailId,
-      accountId: patientInfo.value.accountId,
+      accountId: effectivePatientInfo.value.accountId,
     };
   });
 
   const submitForm = { ...form, priorityCode: getPriorityCode() };
   console.log('提交 descJson:', JSON.stringify(submitForm));
 
+  // 如果是编辑模式，带上requestFormId
+  const requestFormId = props.isEditMode ? props.editData?.requestFormId : '';
+
   saveCheckd({
     activityList: applicationListAllFilter,
-    patientId: patientInfo.value.patientId,
+    patientId: effectivePatientInfo.value.patientId,
-    encounterId: patientInfo.value.encounterId,
+    encounterId: effectivePatientInfo.value.encounterId,
-    organizationId: patientInfo.value.inHospitalOrgId,
+    organizationId: effectivePatientInfo.value.inHospitalOrgId,
-    requestFormId: '',
+    requestFormId: requestFormId,
     name: applicationListAllFilter.map(item => item.adviceName).join('、'),
     descJson: JSON.stringify(submitForm),
-    categoryEnum: '2',
+    categoryEnum: '22',
   }).then((res) => {
     if (res.code === 200) {
+      if (props.isEditMode) {
+        proxy.$message.success(res.msg || '修改成功');
+      } else {
         proxy.$message.success(res.msg);
+      }
       applicationList.value = [];
       resetForm();
       emits('submitOk');
@@ -504,7 +598,7 @@ const resetForm = () => {
   form.allergyHistory = '';
   form.examinationPurpose = '';
   form.medicalHistorySummary = '';
-  form.expectedExaminationTime = '';
+  form.expectedExaminationTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss');
   form.symptom = '';
   form.sign = '';
   form.clinicalDiagnosis = '';
@@ -524,7 +618,7 @@ const getLocationInfo = () => {
 };
 
 function getDiagnosisList() {
-  getEncounterDiagnosis(patientInfo.value.encounterId).then((res) => {
+  getEncounterDiagnosis(effectivePatientInfo.value.encounterId).then((res) => {
     if (res.code == 200) {
       const datas = (res.data || []).map((item) => {
         let obj = { ...item };
@@ -545,9 +639,24 @@ onMounted(() => {
   getList();
   getLocationInfo();
   loadPatientAllergyHistory();
+  loadEditData();
 });
 
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList, resetForm });
+// 监听编辑模式变化，重新加载数据
+watch(
+  () => props.isEditMode,
+  (newVal) => {
+    if (newVal) {
+      nextTick(() => {
+        getList();
+        getLocationInfo();
+        loadEditData();
+      });
+    }
+  }
+);
+
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, resetForm, getList });
 </script>
 
 <style lang="scss" scoped>
@@ -572,81 +681,13 @@ $bg-color: #f5f7fa;
   background: $bg-color;
   font-family: -apple-system, BlinkMacSystemFont, 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei', sans-serif;
 
-  // 顶部标题栏
+  // 主体内容区 - 紧凑布局
-  .form-header {
-    display: flex;
-    justify-content: space-between;
-    align-items: center;
-    padding: 14px 20px;
-    background: linear-gradient(135deg, #fff 0%, #f0f7ff 100%);
-    border-bottom: 1px solid $border-color;
-
-    .header-left {
-      display: flex;
-      align-items: center;
-      gap: 10px;
-
-      .header-icon {
-        font-size: 24px;
-        color: $primary-color;
-      }
-
-      .header-title {
-        font-size: 18px;
-        font-weight: 600;
-        color: $text-primary;
-        letter-spacing: 1px;
-      }
-    }
-
-    .header-right {
-      display: flex;
-      align-items: center;
-      gap: 12px;
-
-      .urgency-label {
-        font-size: 13px;
-        color: $text-secondary;
-        font-weight: 500;
-      }
-
-      .urgency-radio-group {
-        :deep(.el-radio-button__inner) {
-          border-radius: 4px;
-          margin: 0;
-        }
-
-        :deep(.el-radio-button:first-child .el-radio-button__inner) {
-          border-radius: 4px;
-        }
-
-        :deep(.el-radio-button:last-child .el-radio-button__inner) {
-          border-radius: 4px;
-        }
-      }
-
-      .emergency-tip {
-        display: flex;
-        align-items: center;
-        gap: 4px;
-        color: $danger-color;
-        font-size: 13px;
-        font-weight: 500;
-        background: #fef0f0;
-        padding: 4px 10px;
-        border-radius: 4px;
-        border: 1px solid #fde2e2;
-      }
-    }
-  }
-
-  // 主体内容区
   .form-body {
     flex: 1;
     display: flex;
     flex-direction: column;
-    gap: 12px;
+    gap: 8px;
-    padding: 16px;
+    padding: 8px 12px;
     overflow-y: auto;
 
     &::-webkit-scrollbar {
@@ -663,47 +704,30 @@ $bg-color: #f5f7fa;
     }
   }
 
-  // 卡片通用样式
+  // 紧急程度栏 - 右上角
-  .section-card {
+  .urgency-bar {
-    background: #fff;
-    border-radius: 8px;
-    padding: 16px;
-    box-shadow: 0 2px 8px rgba(0, 0, 0, 0.06);
-    border: 1px solid rgba(0, 0, 0, 0.04);
-
-    .section-header {
     display: flex;
     align-items: center;
+    justify-content: flex-end;
     gap: 8px;
-      padding-bottom: 12px;
+    padding: 4px 0;
-      margin-bottom: 12px;
+    margin-bottom: 4px;
-      border-bottom: 1px dashed $border-color;
-      font-size: 14px;
-      font-weight: 600;
-      color: $text-primary;
-
-      > i {
-        font-size: 16px;
-        color: $primary-color;
   }
 
-      .header-count {
+  .urgency-bar-label {
-        margin-left: auto;
+    font-size: 13px;
-        font-size: 12px;
-        font-weight: 400;
-        color: $text-secondary;
-      }
-
-      .required-mark {
-        font-size: 12px;
     font-weight: 500;
-        color: #fff;
+    color: $text-regular;
-        background: $danger-color;
+    white-space: nowrap;
-        padding: 2px 8px;
-        border-radius: 10px;
-        margin-left: 4px;
-      }
   }
+
+  // 卡片通用样式 - 紧凑
+  .section-card {
+    background: #fff;
+    border-radius: 6px;
+    padding: 8px;
+    border: 1px solid #e4e7ed;
+    margin-bottom: 4px;
   }
 
   .transfer-wrapper {
@@ -717,10 +741,23 @@ $bg-color: #f5f7fa;
     display: flex !important;
     flex-direction: row !important;
   }
-  // 信息表单
+
+  // 穿梭框按钮垂直居中
+  :deep(.el-transfer__buttons) {
+    display: flex;
+    flex-direction: column;
+    justify-content: center;
+    align-items: center;
+    padding: 0 4px;
+  }
+
+  :deep(.el-transfer__button) {
+    margin: 4px 0;
+  }
+  // 信息表单 - 紧凑
   .info-form {
     :deep(.el-form-item) {
-      margin-bottom: 14px;
+      margin-bottom: 6px;
 
       .el-form-item__label {
         font-size: 13px;
@@ -750,54 +787,11 @@ $bg-color: #f5f7fa;
     }
   }
 
-  // 过敏史卡片
+  // 过敏史危险输入样式
-  .allergy-card {
+  :deep(.el-textarea__inner.allergy-danger) {
-    .allergy-content {
-      .allergy-input-row {
-        position: relative;
-
-        :deep(.el-textarea) {
-          .el-textarea__inner.allergy-danger {
     border-color: $danger-color !important;
     background-color: #fef0f0;
   }
-        }
-      }
-
-      .allergy-severe-tag {
-        position: absolute;
-        right: 12px;
-        top: 8px;
-        display: flex;
-        align-items: center;
-        gap: 4px;
-        color: $danger-color;
-        font-size: 13px;
-        font-weight: 600;
-        background: #fef0f0;
-        padding: 3px 10px;
-        border-radius: 12px;
-        border: 1px solid #fde2e2;
-      }
-
-      .allergy-confirm {
-        margin-top: 10px;
-        padding-left: 4px;
-      }
-    }
-  }
-
-  // 病史摘要卡片
-  .history-card {
-    .section-header {
-      .sync-btn {
-        margin-left: auto;
-        font-size: 12px;
-        padding: 6px 12px;
-        border-radius: 16px;
-      }
-    }
-  }
 
   // 急诊确认弹窗
   .emergency-dialog-content {
@@ -835,4 +829,64 @@ $bg-color: #f5f7fa;
 .fade-in-linear-leave-to {
   opacity: 0;
 }
+
+/* 紧急程度行内布局 */
+.urgency-inline {
+  display: flex;
+  align-items: center;
+  gap: 8px;
+  width: 100%;
+}
+
+.emergency-tip-inline {
+  display: inline-flex;
+  align-items: center;
+  gap: 2px;
+  color: $danger-color;
+  font-size: 11px;
+  font-weight: 500;
+  background: #fef0f0;
+  padding: 2px 6px;
+  border-radius: 3px;
+  white-space: nowrap;
+}
+
+/* 过敏史包装 */
+.allergy-wrapper {
+  width: 100%;
+}
+
+.allergy-actions {
+  display: flex;
+  align-items: center;
+  gap: 12px;
+  margin-top: 4px;
+}
+
+.allergy-severe-tag-inline {
+  display: inline-flex;
+  align-items: center;
+  gap: 2px;
+  color: $danger-color;
+  font-size: 11px;
+  font-weight: 600;
+  background: #fef0f0;
+  padding: 2px 8px;
+  border-radius: 3px;
+}
+
+/* 病史摘要同步按钮 */
+.history-field-wrapper {
+  position: relative;
+  width: 100%;
+}
+
+.history-sync-btn {
+  position: absolute;
+  right: 4px;
+  top: -28px;
+  font-size: 11px;
+  padding: 2px 8px;
+  height: 24px;
+}
 </style>

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 = [];
@@ -255,7 +267,7 @@ const submit = () => {
     requestFormId: '', // 申请单ID
     name: '手术申请单',
     descJson: JSON.stringify(form),
-    categoryEnum: '4', // 1 检验 2 检查 3 输血 4 手术
+    categoryEnum: '24', // 21 检验 22 检查 23 输血 24 手术（避开 adviceType 1-6 碰撞）
   }).then((res) => {
     if (res.code === 200) {
       proxy.$message.success(res.msg);

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

@@ -142,6 +142,11 @@
         <el-table-column label="医嘱" align="center" prop="productName" width="300">
           <template #default="scope">
             <template v-if="getRowDisabled(scope.row)">
+              <!-- 当行的 adviceType 不在当前选项列表中时，显示标签而非下拉框 -->
+              <template v-if="!hasAdviceTypeOption(scope.row)">
+                <el-tag size="small" type="primary">{{ getAdviceTypeLabel(scope.row.adviceType) }}</el-tag>
+              </template>
+              <template v-else>
               <el-select
                 style="width: 35%; margin-right: 8px"
                 :model-value="getRowSelectValue(scope.row)"
@@ -197,6 +202,7 @@
                     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="
@@ -216,6 +222,7 @@
                 </template>
               </el-popover>
               </template>
+            </template>
             <span v-else>{{ scope.row.adviceName }}</span>
           </template>
         </el-table-column>
@@ -532,6 +539,7 @@ const statusOption = [
 let loadingInstance = undefined;
 onMounted(() => {
   document.addEventListener('keydown', escKeyListener);
+  getList();
 });
 
 onBeforeUnmount(() => {
@@ -572,7 +580,6 @@ function handleTotalAmount() {
     }
   }, new Decimal(0));
 }
-getList();
 function getList() {
   getDiagnosisDefinitionList(queryParams.value).then((res) => {
     // prescriptionList.value = res.data.records;
@@ -584,6 +591,11 @@ 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();
@@ -709,9 +721,17 @@ 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))
     );
   });
@@ -736,16 +756,57 @@ function getRowDisabled(row) {
   return row.isEdit;
 }
 
+/**
+ * 判断行的 adviceType 是否在当前 adviceTypeList 选项中有匹配项
+ * 修复 Bug #488：避免 el-select 因无匹配选项而回显为纯数字
+ */
+function hasAdviceTypeOption(row) {
+  if (!row.adviceType && row.adviceType !== 0) return false;
+  if (row.adviceType == 1 && row.categoryCode) {
+    const compositeValue = '1-' + row.categoryCode;
+    return adviceTypeList.value.some(item => item.value === compositeValue);
+  }
+  return adviceTypeList.value.some(item => item.value === row.adviceType);
+}
+
+/**
+ * 将原始 adviceType 数字映射为人类可读标签
+ * 修复 Bug #488：当 adviceType 不在选项列表中时，显示标签而非数字
+ */
+function getAdviceTypeLabel(type) {
+  if (!type && type !== 0) return '';
+  // 优先使用字典文本（如果后端返回了 adviceType_dictText）
+  // 但由于当前行数据可能没有 dictText，提供兜底映射
+  const fallbackMap = { 1: '西药', 2: '中成药', 3: '诊疗', 4: '耗材', 5: '会诊', 6: '手术', 23: '检查' };
+  return fallbackMap[type] || String(type);
+}
+
 /**
  * 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;
   }
+  // 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
 function handleAddPrescription() {
@@ -802,13 +863,22 @@ function clickRowDb(row, column, event) {
   }
   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
-  if (row.statusEnum == 1) {
+  // 使用 Number() 做类型转换，确保后端返回的数值能正确比较
+  if (Number(row.statusEnum) === 1) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
     const index = prescriptionList.value.findIndex((item) => item.uniqueKey === row.uniqueKey);
-    prescriptionList.value[index] = row;
+    if (index !== -1) {
+      prescriptionList.value.splice(index, 1, row);
+      // 使用 nextTick 确保数据更新后再设置展开状态，保证 el-table 能正确识别 row-key
+      nextTick(() => {
         expandOrder.value = [row.uniqueKey];
+      });
+    } else {
+      console.warn('⚠️ clickRowDb 未找到匹配行: uniqueKey=', row.uniqueKey, ', row=', row);
+      proxy.$modal.msgWarning('无法进入编辑模式，请刷新列表后重试');
+    }
   }
 }
 
@@ -880,9 +950,8 @@ 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），
+  // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
-  // 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 = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
-  const categoryCode = row.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
   const searchKey = row.adviceName || '';
 
   nextTick(() => {
@@ -919,10 +988,11 @@ 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），
+      // 当行没有显式选择医嘱类型时，使用已配置的默认categoryCode，确保后端能返回结果
-      // 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 = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : (adviceQueryParams.value.categoryCode || '');
-      const categoryCode = row?.adviceType !== undefined ? (selectedItem ? selectedItem.categoryCode : '') : '';
+      // 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
-      tableRef.refresh(adviceType, categoryCode, value);
+      const effectiveAdviceType = (adviceType && !isNaN(Number(adviceType))) ? adviceType : '';
+      tableRef.refresh(effectiveAdviceType, categoryCode, value);
     }
   }
 }
@@ -1193,7 +1263,7 @@ function handleSave() {
           groupId: item.groupId,
           uniqueKey: undefined,
           // 确保 therapyEnum 被正确传递
-          therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
+          therapyEnum: parsedContent?.therapyEnum || item.therapyEnum || '1',
         };
       });
     } catch (error) {
@@ -1216,6 +1286,13 @@ 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;
@@ -1319,11 +1396,12 @@ 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;
         }
@@ -1338,6 +1416,9 @@ function handleSaveSign(row, index) {
             bindMethod.value[itemNo] = true;
           }
         }
+      }).catch(() => {
+        // 绑定设备接口失败不影响主流程保存，静默降级
+        console.warn('绑定设备检查接口调用失败（adviceType=' + row.adviceType + ', itemNo=' + itemNo + '）');
       });
     }
   }
@@ -1439,11 +1520,18 @@ function handleSaveBatch() {
     .then((res) => {
       if (res.code === 200) {
         proxy.$modal.msgSuccess('保存成功');
-        // 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
+        // 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
+        // saveList 中的 item 与 prescriptionList 是同一对象引用，直接修改即可
         saveList.forEach(item => {
-          const row = prescriptionList.value.find(r => r.uniqueKey === item.uniqueKey);
+          item.isEdit = false;
-          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;
         isSaving.value = false;
@@ -1456,16 +1544,16 @@ function handleSaveBatch() {
 }
 
 function setValue(row) {
-  // 构造单位列表
+  // 构造单位列表，确保 value 始终为 String 类型，避免 el-select 值类型不匹配
   unitCodeList.value = [
-    { value: row.unitCode, label: row.unitCode_dictText, type: 'unit' },
+    { value: String(row.unitCode ?? ''), label: row.unitCode_dictText, type: 'unit' },
     {
-      value: row.doseUnitCode,
+      value: String(row.doseUnitCode ?? ''),
       label: row.doseUnitCode_dictText,
       type: 'dose',
     },
     {
-      value: row.minUnitCode,
+      value: String(row.minUnitCode ?? ''),
       label: row.minUnitCode_dictText,
       type: 'minUnit',
     },
@@ -1530,9 +1618,9 @@ function setValue(row) {
     orgName: row.adviceType != 3 ? undefined : (findOrgName(row.orgId || row.positionId || patientInfo.value?.inHospitalOrgId) || row.orgName || patientInfo.value?.inHospitalOrgName || ''),
     // dose: undefined, Removed to preserve dose value from group package
     unitCodeList: unitCodeList.value,
-    doseUnitCode: row.doseUnitCode,
+    doseUnitCode: String(row.doseUnitCode ?? ''),
-    minUnitCode: row.minUnitCode,
+    minUnitCode: String(row.minUnitCode ?? ''),
-    unitCode: row.partAttributeEnum == 1 ? row.minUnitCode : row.unitCode,
+    unitCode: row.partAttributeEnum == 1 ? String(row.minUnitCode ?? '') : String(row.unitCode ?? ''),
     categoryEnum: row.categoryCode,
     definitionId: row.chargeItemDefinitionId,
     executeNum: 1,
@@ -1548,6 +1636,10 @@ function setValue(row) {
             ? new Decimal(selectedStock.price).div(row.partPercent).toFixed(6)
             : prevRow.minUnitPrice,
           positionName: selectedStock?.locationName,
+          // 🔧 Bug #523 修复：初始化 totalPrice 为 0，避免总金额列显示为横杠
+          totalPrice: row.quantity
+            ? new Decimal(row.quantity).mul(selectedStock?.price ?? 0).toFixed(6)
+            : '0',
         }
       : {
           quantity: 1,
@@ -1613,20 +1705,14 @@ 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 +1721,33 @@ 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.totalPrice = ((finalQuantity || 0) * newRow.minUnitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity;
+      newRow.minUnitQuantity = finalQuantity || 0;
     } else {
       newRow.price = newRow.unitPrice;
-      newRow.totalPrice = (item.quantity * newRow.unitPrice).toFixed(6);
+      newRow.totalPrice = ((finalQuantity || 0) * newRow.unitPrice).toFixed(6);
-      newRow.minUnitQuantity = item.quantity * (item.orderDetailInfos?.partPercent || mergedDetail.partPercent || 1);
+      newRow.minUnitQuantity = (finalQuantity || 0) * partPercent;
     }
 
     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

@@ -1,4 +1,5 @@
 <template>
+  <div class="fee-dialog-wrapper">
     <el-dialog v-model="dialogVisible" title="补费" width="80%" :close-on-click-modal="false">
     <div style="font-size: 16px; font-weight: bold; margin-bottom: 10px">
       患者信息：{{
@@ -251,7 +252,7 @@
     </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" destroy-on-close>
     <div style="margin-bottom: 15px; display: flex; align-items: center; gap: 10px">
       <el-input
         v-model="groupSetSearchText"
@@ -296,11 +297,13 @@
         </template>
       </el-table-column>
     </el-table>
+    <el-empty v-if="!groupSetLoading && groupSetList.length === 0" description="暂无划价组套数据" :image-size="80" />
     <div style="margin-top: 15px; text-align: right">
       <el-button @click="groupSetDialogVisible = false">取消</el-button>
       <el-button type="primary" @click="applyGroupSet" :disabled="!selectedGroupSet">应用</el-button>
     </div>
   </el-dialog>
+  </div>
 </template>
 
 <script setup>
@@ -481,19 +484,65 @@ 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();
     }
   }
 );
 
-// 加载科室选项
+// 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（递归扁平化树形结构）
 function loadDepartmentOptions() {
   getOrgList()
     .then((res) => {
-      if (res.data && res.data.records && res.data.records.length > 0) {
+      if (!res?.data?.records?.length) {
-        departmentOptions.value = res.data.records[0].children || [];
+        departmentOptions.value = [];
+        return;
       }
+      // 递归扁平化树形结构，提取所有科室节点
+      const flattenTree = (nodes) => {
+        const result = [];
+        for (const node of nodes) {
+          if (node?.id && node?.name) {
+            result.push(node);
+          }
+          if (node?.children?.length) {
+            result.push(...flattenTree(node.children));
+          }
+        }
+        return result;
+      };
+      departmentOptions.value = flattenTree(res.data.records);
     })
     .catch(() => {
       console.warn('科室列表加载失败（可能无权限）');
@@ -527,23 +576,27 @@ 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
@@ -552,19 +605,26 @@ function getItemType_Text(type) {
   return map[type] || '其他';
 }
 function getUnitCodeOptions(row) {
-  const unitCodes = [
+  const unitCodes = [];
-    { code: row.unitCode, 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, codeText: row.minUnitCode_dictText },
+  if (row.unitCode != null && String(row.unitCode) !== '') {
-  ];
+    unitCodes.push({ code: String(row.unitCode), codeText: row.unitCode_dictText || String(row.unitCode) });
-  // 使用 Set 来跟踪已经存在的 code
+  } else if (row.unitCode_dictText) {
+    unitCodes.push({ code: row.unitCode_dictText, codeText: row.unitCode_dictText });
+  }
+  // 小单位：同上
+  if (row.minUnitCode != null && String(row.minUnitCode) !== '') {
+    unitCodes.push({ code: String(row.minUnitCode), codeText: row.minUnitCode_dictText || String(row.minUnitCode) });
+  } else if (row.minUnitCode_dictText) {
+    unitCodes.push({ code: row.minUnitCode_dictText, codeText: row.minUnitCode_dictText });
+  }
+  // 去重
   const seenCodes = new Set();
   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;
@@ -575,11 +635,11 @@ 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
+  // 根据选择的单位调整单价（统一用字符串比较）
-  if (row.selectUnitCode === row.unitCode) {
+  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
   }
@@ -627,14 +687,36 @@ function selectChange(row) {
     defaultUnitCode = String(row.minUnitCode);
   } else if (row.unitCode) {
     defaultUnitCode = String(row.unitCode);
+  } else if (row.minUnitCode_dictText) {
+    // 兜底：如果 minUnitCode 为空但字典文本存在，使用文本作为选项值
+    defaultUnitCode = row.minUnitCode_dictText;
+  } else if (row.unitCode_dictText) {
+    defaultUnitCode = row.unitCode_dictText;
+  }
+  // 如果默认单位不在 uniqueUnitCodes 中，添加兜底选项
+  if (defaultUnitCode && !uniqueUnitCodes.some(u => u.code === defaultUnitCode)) {
+    uniqueUnitCodes.push({ code: defaultUnitCode, codeText: defaultUnitCode });
   }
   // 设置默认执行科室/位置（统一转为字符串，避免 el-select 类型不匹配）
   let defaultPositionId = undefined;
   if (row.adviceType === 3 && departmentOptions.value.length > 0) {
-    // 诊疗：优先使用患者所在科室，否则取第一个科室
+    // 诊疗：
-    const patientOrgId = props.patientInfo.organizationId;
+    // 1. 优先使用诊疗目录项目的"所属科室"（row.orgId）
-    const matched = departmentOptions.value.find(d => String(d.id) === String(patientOrgId));
+    // 2. 其次使用患者当前病房科室（patientInfo.organizationId）
-    defaultPositionId = matched ? String(matched.id) : String(departmentOptions.value[0].id);
+    // 3. 最后取第一个科室
+    const orgIdPriority = [row.orgId, props.patientInfo.organizationId];
+    for (const id of orgIdPriority) {
+      if (id) {
+        const matched = departmentOptions.value.find(d => String(d.id) === String(id));
+        if (matched) {
+          defaultPositionId = String(matched.id);
+          break;
+        }
+      }
+    }
+    if (!defaultPositionId) {
+      defaultPositionId = String(departmentOptions.value[0].id);
+    }
   } else if (row.adviceType === 2 && locationOptions.value.length > 0) {
     // 耗材：默认取第一个药房/耗材房
     defaultPositionId = String(locationOptions.value[0].value);
@@ -763,6 +845,7 @@ function resetData() {
 
 // 划价组套相关功能
 function openGroupSetDialog() {
+  console.log('openGroupSetDialog called');
   groupSetDialogVisible.value = true;
   groupSetSearchText.value = '';
   selectedGroupSet.value = null;
@@ -771,19 +854,37 @@ 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(() => {
+    .catch((err) => {
-      console.warn('组套列表加载失败（可能无权限）');
+      console.warn('组套列表加载失败（可能无权限）:', err);
+      ElMessage.warning('组套列表加载失败，当前暂无可用组套');
       groupSetList.value = [];
     })
     .finally(() => {

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

@@ -28,6 +28,7 @@ export function getOrgList() {
   return request({
     url: '/base-data-manage/organization/organization',
     method: 'get',
+    params: { pageSize: 100, pageNum: 1 },
   });
 }
 /**

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/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 ref="summaryMedicineRefs" :therapyEnum="therapyEnum" />
       <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
         <el-tab-pane
           v-for="tab in prescriptionTabs"
@@ -129,6 +129,7 @@ const therapyEnum = ref(undefined);
 
 // 存储子组件引用的对象
 const prescriptionRefs = ref();
+const summaryMedicineRefs = ref();
 
 const navigationButtons = inpatientNurseNavs;
 
@@ -165,7 +166,11 @@ function handleClick(tabName) {
 
 function handleGetPrescription() {
   chooseAll.value = false;
+  if (isDetails.value == '1') {
     prescriptionRefs.value?.handleGetPrescription();
+  } else {
+    summaryMedicineRefs.value?.handleGetPrescription();
+  }
 }
 
 function handelSwicthChange(value) {

openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue

@@ -458,7 +458,9 @@ const loadPatientInfo = () => {
         'YYYY-MM-DD HH:mm:ss'
       );
     } else {
-      interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss');
+      // 已有患者（entranceType == 1）不自动填充当前时间，避免覆盖历史数据
+      // 新入科患者由后端默认返回当前时间，或由用户手动选择
+      interventionForm.value.startTime = '';
     }
     interventionForm.value.height = res.data.height;
     interventionForm.value.weight = res.data.weight;

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

@@ -241,6 +241,8 @@ const loading = ref(false);
 const chooseAll = ref(false);
 // 独立维护选中行ID集合，避免el-table内部selection状态异常导致联动全选
 const selectedRowIds = ref(new Set());
+// 跳过选中事件级联：程序化调用 toggleRowSelection 时阻止 handleRowSelect 触发 selectAllCheckboxesInRow
+const skipSelectCascade = ref(false);
 const props = defineProps({
   exeStatus: {
     type: Number,
@@ -459,10 +461,15 @@ function handleGetPrescription(skipAutoSelectAll = false) {
 // 执行
 function handleExecute() {
   let list = getSelectRows();
+  if (list.length === 0) {
+    proxy.$modal.msgWarning('请选择需要执行的医嘱');
+    return;
+  }
   let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
   list = list.map((item) => {
     return {
       requestId: item.requestId,
+      encounterId: item.encounterId,
       accountId: item.accountId,
       adviceTable: item.adviceTable,
       executeTimes: item.executeTimes,
@@ -471,21 +478,40 @@ 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）
+      // 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
-      const hasDevice = list.some((item) =>
+      // adviceTable 取值为 med_medication_request（药品）或 wor_service_request（诊疗/耗材）
-        String(item.adviceTable || '').includes('device'),
+      const hasServiceRequest = list.some((item) =>
+        String(item.adviceTable || '') === 'wor_service_request',
       );
-      if (hasDevice) {
+      if (hasServiceRequest) {
-        lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
+        // 仅传入选中医嘱对应的 encounterId，避免其他患者的耗材记录干扰
+        const selectedEncounterIds = [...new Set(list.map((item) => item.encounterId).filter(Boolean))];
+        // 仅传入诊疗类医嘱的 requestId，让后端仅校验与本次执行相关的耗材，避免其他未执行医嘱的耗材记录干扰
+        const selectedRequestIds = list
+          .filter((item) => String(item.adviceTable || '') === 'wor_service_request')
+          .map((item) => item.requestId)
+          .filter(Boolean);
+        if (selectedEncounterIds.length > 0) {
+          lotNumberMatch({ encounterIdList: selectedEncounterIds, requestIdList: selectedRequestIds }, { skipErrorMsg: true })
+            .then((matchRes) => {
+              if (matchRes && matchRes.code !== 200) {
+                console.warn('lotNumberMatch returned error:', matchRes.msg);
+              }
+            })
+            .catch((error) => {
               console.warn('lotNumberMatch failed after adviceExecute:', error);
             });
         }
+      }
       // 刷新列表（不自动全选，保持用户操作前的选择状态）
       handleGetPrescription(true);
       proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
     } else {
       proxy.$modal.msgError(res.msg || '医嘱执行失败');
     }
+  }).catch((error) => {
+    console.error('医嘱执行接口调用失败:', error);
+    proxy.$modal.msgError('医嘱执行失败，请稍后重试');
   });
 }
 
@@ -631,6 +657,7 @@ function handleRateChange(value, date, time, row, rateItem) {
 }
 
 function handelSwicthChange(value) {
+  skipSelectCascade.value = true;
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
@@ -651,12 +678,15 @@ function handelSwicthChange(value) {
       }
     }
   });
+  skipSelectCascade.value = false;
 }
 
 // 默认选中全部行
 function defaultSelectAllRows() {
   // 清空并重建选中集合
   selectedRowIds.value.clear();
+  // 阻止 toggleRowSelection 触发 handleRowSelect 中的 selectAllCheckboxesInRow 级联
+  skipSelectCascade.value = true;
   prescriptionList.value.forEach((item, index) => {
     const tableRef = proxy.$refs['tableRef' + index];
     if (tableRef && tableRef[0]) {
@@ -669,6 +699,7 @@ function defaultSelectAllRows() {
       });
     }
   });
+  skipSelectCascade.value = false;
   // 更新全选开关状态
   chooseAll.value = true;
 }
@@ -745,6 +776,7 @@ function checkAndToggleRowSelection(row) {
         const isCurrentlySelected = selectedRowIds.value.has(row.requestId);
 
         // 根据checkbox状态更新表格行选中状态
+        skipSelectCascade.value = true;
         if (isAllSelected && !isCurrentlySelected) {
           selectedRowIds.value.add(row.requestId);
           tableRef[0].toggleRowSelection(row, true);
@@ -752,6 +784,7 @@ function checkAndToggleRowSelection(row) {
           selectedRowIds.value.delete(row.requestId);
           tableRef[0].toggleRowSelection(row, false);
         }
+        skipSelectCascade.value = false;
       }
     }
   });
@@ -763,8 +796,10 @@ function handleRowSelect(selection, row, tableIndex) {
 
   if (isSelected) {
     selectedRowIds.value.add(row.requestId);
-    // 选中行时，选中该行内部的所有checkbox
+    // 仅在非程序化选中时，联动选中该行内部的所有checkbox
+    if (!skipSelectCascade.value) {
       selectAllCheckboxesInRow(row);
+    }
   } else {
     selectedRowIds.value.delete(row.requestId);
     // 取消选中行时，取消选中该行内部的所有checkbox

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/components/list.vue

@@ -61,7 +61,11 @@ const props = defineProps({
     type: String,
     default: '',
   },
-
+  /** 表头所选出库仓库：传入后药品列表只含该仓有库存的行，避免选到别仓批号导致 inventory-item-info 一直为 0 */
+  orgLocationId: {
+    type: [String, Number],
+    default: undefined,
+  },
 });
 const emit = defineEmits(['selectRow']);
 const queryParams = ref({
@@ -89,11 +93,14 @@ watch(
     queryParams.value.searchKey = newValue.searchKey;
     queryParams.value.itemType = newValue.itemType;
     queryParams.value.purchaseFlag = 0;
-    // queryParams.value.sourceLocationId = newValue.sourceLocationId;
+    if (newValue.orgLocationId != null && newValue.orgLocationId !== '') {
-    // queryParams.value.purposeLocationId = newValue.purposeLocationId;
+      queryParams.value.orgLocationId = newValue.orgLocationId;
+    } else {
+      delete queryParams.value.orgLocationId;
+    }
     throttledGetList();
   },
-  { immdiate: true, deep: true }
+  { immediate: true, deep: true }
 );
 
 getList();

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

@@ -133,6 +133,7 @@
           filterable
           style="width: 200px"
           :disabled="data.isEdit"
+          @change="onHeaderWarehouseChange"
         >
           <el-option
             v-for="item in purposeTypeListOptions"
@@ -222,6 +223,7 @@
                         @selectRow="(row) => selectRow(row, scope.$index)"
                         :searchKey="medicineSearchKey"
                         :itemType="itemType"
+                        :orgLocationId="receiptHeaderForm.headerLocationId"
                       />
                     </template>
                   </PopoverList>
@@ -483,6 +485,46 @@ import {useStore} from '@/store/store';
 import useTagsViewStore from '@/store/modules/tagsView';
 import TraceNoDialog from '@/components/OpenHis/TraceNoDialog/index.vue'
 
+/** 领用保存 IssueDto：后端 Jackson 只认 yyyy-MM-dd HH:mm:ss；库存接口可能回传 2025/4/2 00:00:00 等 */
+function toIssueDateTimeStr(val) {
+  if (val == null || val === '') return undefined;
+  if (typeof val === 'string') {
+    const s = val.trim();
+    if (/^\d{4}-\d{2}-\d{2} \d{2}:\d{2}:\d{2}$/.test(s)) return s;
+    if (/^\d{4}-\d{2}-\d{2}$/.test(s)) return `${s} 00:00:00`;
+  }
+  const d = val instanceof Date ? val : new Date(val);
+  if (Number.isNaN(d.getTime())) return undefined;
+  return formatDate(d);
+}
+
+/** 总库存 totalQuantity 为最小单位；领用数量按当前计量单位折算成最小单位后再比较 */
+function getRequisitionQtyInMinUnit(r) {
+  const q = Number(r.itemQuantity ?? 0);
+  if (!Number.isFinite(q) || q < 0) return NaN;
+  const minCode = r.unitList?.minUnitCode;
+  if (!minCode || r.unitCode === minCode) return q;
+  const part = Number(r.partPercent ?? 1);
+  return q * part;
+}
+
+function validateRequisitionQtyVsStock(r, lineNo) {
+  const cap = Number(r.totalQuantity ?? 0);
+  const reqMin = getRequisitionQtyInMinUnit(r);
+  if (!Number.isFinite(reqMin)) {
+    return `第${lineNo}行：领用数量请输入有效数字`;
+  }
+  if (cap > 0 && reqMin > cap + 1e-9) {
+    const name = r.name || `第${lineNo}行`;
+    return `${name}：领用数量（折合最小单位）不能超过当前仓库可领库存 ${cap}，请修改后再保存。`;
+  }
+  if (cap <= 0 && reqMin > 0) {
+    const name = r.name || `第${lineNo}行`;
+    return `${name}：当前仓库可领库存为 0，不能填写正数领用数量。`;
+  }
+  return null;
+}
+
 const tagsViewStore = useTagsViewStore();
 const store = useStore();
 
@@ -492,6 +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 } =
@@ -568,6 +611,8 @@ const data = reactive({
     medicationType: [{ required: true, message: '请选择药品类型', trigger: 'change' }],
     locationId: [{ required: true, message: '请选择领用部门', trigger: 'change' }],
     practitionerId: [{ required: true, message: '请选择部门经手人', trigger: 'change' }],
+    // 领用出库按「表头仓库」查 /app-common/inventory-item-info，未选仓库会查不到库存并误报「仓库数量为0」
+    headerLocationId: [{ required: true, message: '请先选择仓库（按仓库查询可领用库存）', trigger: 'change' }],
   },
   tableRules: {
     name: [{ required: true, message: '项目不能为空', trigger: 'change' }],
@@ -988,10 +1033,9 @@ function selectRow(rowValue, index) {
   form.purchaseinventoryList[index].unitList = rowValue.unitList[0];
   form.purchaseinventoryList[index].lotNumber = rowValue.lotNumber;
   form.purchaseinventoryList[index].ybNo = rowValue.ybNo;
-  // #439 fix: 不清空sourceLocationId，保留handleAddRow设置的仓库ID
+  // 出库仓库：优先表头当前所选仓库（避免先选药后选仓时行上一直为空）
-  if (!form.purchaseinventoryList[index].sourceLocationId) {
+  form.purchaseinventoryList[index].sourceLocationId =
-    form.purchaseinventoryList[index].sourceLocationId = receiptHeaderForm.headerLocationId || '';
+    receiptHeaderForm.headerLocationId || form.purchaseinventoryList[index].sourceLocationId || '';
-  }
   getPharmacyCabinetList().then((res) => {
     purposeTypeListOptions.value = res.data;
     handleLocationClick(1, rowValue, index)
@@ -1004,78 +1048,127 @@ function selectRow(rowValue, index) {
   });
 }
 
-// 选择仓库
+/** 多条库存记录时取可领数量最大的一条（避免仅取 res.data[0] 恰好为 0） */
-function handleLocationClick(item, row, index) {
+function pickBestOrgQuantityRow(list) {
-  getCount({
+  if (!Array.isArray(list) || list.length === 0) return null;
-    itemId: form.purchaseinventoryList[index].itemId,
+  return list.reduce((best, cur) => {
-    orgLocationId: form.purchaseinventoryList[index].sourceLocationId,
+    const cq = Number(cur?.orgQuantity ?? 0);
-    // objLocationId:purposeLocationId,
+    const bq = Number(best?.orgQuantity ?? 0);
-    lotNumber: form.purchaseinventoryList[index].lotNumber,
+    return cq > bq ? cur : best;
-  }).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;
 
-      if (res.data[0].price) {
+/** 表头「仓库」变化：同步每行 sourceLocationId 并重新拉库存（修复先选药品后选仓库行上仍无仓库 ID） */
-        form.purchaseinventoryList[index].price = res.data[0].price.toFixed(4);
+function onHeaderWarehouseChange() {
-      } else {
+  const hid = receiptHeaderForm.headerLocationId;
-        form.purchaseinventoryList[index].price = 0;
+  form.purchaseinventoryList.forEach((r) => {
+    r.sourceLocationId = hid || '';
+  });
+  form.purchaseinventoryList.forEach((r, idx) => {
+    if (hid && r.itemId) {
+      handleLocationClick(1, {}, idx);
     }
-      // 获取供应商id
+  });
-      form.purchaseinventoryList[index].supplierId = res.data[0].supplierId || '';
-      // 生产日期
-      form.purchaseinventoryList[index].startTime = res.data[0].productionDate;
-      // 有效期
-      form.purchaseinventoryList[index].endTime = res.data[0].expirationDate;
-      form.purchaseinventoryList[index].unitCode =
-        form.purchaseinventoryList[index].unitList.minUnitCode;
-      form.purchaseinventoryList[index].unitCode_dictText =
-        form.purchaseinventoryList[index].unitList.minUnitCode_dictText;
-      // 单价   大单位单价
-      console.log(
-        form.purchaseinventoryList[index].unitCode ==
-          form.purchaseinventoryList[index].unitList.minUnitCode,
-        1212121
-      );
-      if (
-        form.purchaseinventoryList[index].unitCode ==
-        form.purchaseinventoryList[index].unitList.minUnitCode
-      ) {
-        form.purchaseinventoryList[index].price =
-          res.data[0].price / form.purchaseinventoryList[index].partPercent || '';
-        form.purchaseinventoryList[index].price =
-          form.purchaseinventoryList[index].price.toFixed(4);
-        // parseFloat(form.purchaseinventoryList[index].price.toFixed(4))
-      } else {
-        console.log(
-          form.purchaseinventoryList[index].price > 1,
-          1212,
-          form.purchaseinventoryList[index].price
-        );
-        if (form.purchaseinventoryList[index].price > 1) {
-          form.purchaseinventoryList[index].price =
-            form.purchaseinventoryList[index].price.toFixed(4);
 }
-      }
+
-      if (form.purchaseinventoryList[index].totalQuantity == 0) {
+// 选择仓库 / 选药品后拉取该仓库存
-        proxy.$message.warning('仓库数量为0，无法调用！');
+function handleLocationClick(item, row, index) {
+  const r = form.purchaseinventoryList[index];
+  let orgLocationId = r.sourceLocationId || receiptHeaderForm.headerLocationId || '';
+  if (!orgLocationId) {
+    proxy.$message.warning('请先在表头选择「仓库」。库存按仓库维度查询，未选仓库无法匹配您看到的总库存。');
+    r.totalQuantity = 0;
+    r.price = 0;
     return;
   }
-    } else {
+  if (!r.sourceLocationId) {
-      form.purchaseinventoryList[index].totalQuantity = 0;
+    r.sourceLocationId = orgLocationId;
-      form.purchaseinventoryList[index].price = 0;
-      // if(form.purchaseinventoryList[index].totalQuantity==0){
-      proxy.$message.warning('仓库数量为0，无法调用！');
-      // }
   }
-  }).catch(() => {
+
-    form.purchaseinventoryList[index].totalQuantity = 0;
+  const lotTrimmed =
-    form.purchaseinventoryList[index].price = 0;
+    r.lotNumber != null && String(r.lotNumber).trim() !== '' ? String(r.lotNumber).trim() : null;
-  });
+
+  const runGet = (withLot) => {
+    const params = { itemId: r.itemId, orgLocationId };
+    if (withLot && lotTrimmed) {
+      params.lotNumber = lotTrimmed;
+    }
+    return getCount(params);
+  };
+
+  const applyFromDto = (d, syncLotFromPick) => {
+    if (syncLotFromPick && d.lotNumber != null && d.lotNumber !== '') {
+      r.lotNumber = d.lotNumber;
+    }
+    r.itemTable = d.itemTable || '';
+    r.totalQuantity = d.orgQuantity || 0;
+    if (d.price) {
+      r.price = d.price.toFixed(4);
+    } else {
+      r.price = 0;
+    }
+    r.supplierId = d.supplierId || '';
+    r.startTime = toIssueDateTimeStr(d.productionDate) || '';
+    r.endTime = toIssueDateTimeStr(d.expirationDate) || '';
+    r.unitCode = r.unitList.minUnitCode;
+    r.unitCode_dictText = r.unitList.minUnitCode_dictText;
+    if (r.unitCode == r.unitList.minUnitCode) {
+      r.price = d.price / r.partPercent || '';
+      r.price = r.price.toFixed(4);
+    } else if (r.price > 1) {
+      r.price = r.price.toFixed(4);
+    }
+  };
+
+  const persistStore = () => {
     store.setCurrentDataLYCK({
       purchaseinventoryList: form.purchaseinventoryList,
       receiptHeaderForm: receiptHeaderForm,
     });
+  };
+
+  runGet(true)
+    .then((res) => {
+      const list = res.data || [];
+      const d = pickBestOrgQuantityRow(list);
+
+      // 严格批号查询有库存（orgQuantity > 0）
+      if (d && Number(d.orgQuantity ?? 0) > 0) {
+        applyFromDto(d, false);
+        persistStore();
+        return;
+      }
+
+      // 严格查询无库存或数量为0 → 回退到非严格查询（查同仓库其他批号）
+      if (lotTrimmed) {
+        return runGet(false).then((res2) => {
+          const list2 = res2.data || [];
+          const d2 = pickBestOrgQuantityRow(list2);
+          if (d2 && Number(d2.orgQuantity ?? 0) > 0) {
+            applyFromDto(d2, true);
+            proxy.$message.info(
+              '所选批号在本仓库无对应库存或批号不一致，已按仓库实物回显批号与可领数量，请核对。'
+            );
+          } else {
+            r.totalQuantity = 0;
+            r.price = 0;
+            proxy.$message.warning('仓库数量为0，无法调用！');
+          }
+          persistStore();
+        });
+      }
+
+      // 没有指定批号，直接提示
+      r.totalQuantity = 0;
+      r.price = 0;
+      proxy.$message.warning('仓库数量为0，无法调用！');
+      persistStore();
+    })
+    .catch(() => {
+      r.totalQuantity = 0;
+      r.price = 0;
+      persistStore();
+    });
 }
 // 切换仓库类型获取药房/药库列表
 // function handleChangeLocationType(value) {
@@ -1232,20 +1325,19 @@ function getMaxCounts(row, index, counts) {
 }
 // 计算总价
 function handleTotalPrice(index) {
-  form.purchaseinventoryList[index].olditemQuantity =
+  const r = form.purchaseinventoryList[index];
-    form.purchaseinventoryList[index].itemQuantity * row.partPercent;
+  r.olditemQuantity = r.itemQuantity * (r.partPercent ?? 1);
-  form.purchaseinventoryList[index].itemMaxQuantity =
+  r.itemMaxQuantity = r.itemQuantity;
-    form.purchaseinventoryList[index].itemQuantity;
+  let purchaseItem = r;
-  let purchaseItem = form.purchaseinventoryList[index];
   if (purchaseItem.price > 0 && purchaseItem.itemQuantity > 0) {
-    form.purchaseinventoryList[index].totalPrice = purchaseItem.price * purchaseItem.itemQuantity;
+    r.totalPrice = purchaseItem.price * purchaseItem.itemQuantity;
-    form.purchaseinventoryList[index].totalPrice =
+    r.totalPrice = r.totalPrice.toFixed(4);
-      form.purchaseinventoryList[index].totalPrice.toFixed(4);
-    //  parseFloat(form.purchaseinventoryList[index].totalPrice.toFixed(4))
   }
-  if (form.purchaseinventoryList[index].itemQuantity == 0) {
+  if (r.itemQuantity == 0) {
-    form.purchaseinventoryList[index].totalPrice = 0;
+    r.totalPrice = 0;
   }
+  const qtyErr = validateRequisitionQtyVsStock(r, index + 1);
+  r.error = !!qtyErr;
   store.setCurrentDataLYCK({
     purchaseinventoryList: form.purchaseinventoryList,
     receiptHeaderForm: receiptHeaderForm,
@@ -1254,6 +1346,15 @@ function handleTotalPrice(index) {
 // 保存
 function handleSave(row, index) {
   rowList.value = [];
+  for (let i = 0; i < form.purchaseinventoryList.length; i++) {
+    const line = form.purchaseinventoryList[i];
+    if (!line) continue;
+    const err = validateRequisitionQtyVsStock(line, i + 1);
+    if (err) {
+      proxy.$message.warning(err);
+      return;
+    }
+  }
   form.purchaseinventoryList.map((row, index) => {
     if (row) {
       // 触发校验
@@ -1301,7 +1402,13 @@ function handleSave(row, index) {
   });
 }
 function addTransferProducts(rowList) {
-  addTransferProduct(JSON.parse(JSON.stringify(rowList))).then((res) => {
+  const payload = (Array.isArray(rowList) ? rowList : []).map((item) => ({
+    ...item,
+    startTime: toIssueDateTimeStr(item.startTime),
+    endTime: toIssueDateTimeStr(item.endTime),
+    occurrenceTime: toIssueDateTimeStr(item.occurrenceTime) ?? item.occurrenceTime,
+  }));
+  addTransferProduct(JSON.parse(JSON.stringify(payload))).then((res) => {
     // 当前行没有id视为首次新增
     // if (!row.id) {
     //   data.isAdding = false; // 允许新增下一行
@@ -1593,6 +1700,17 @@ const exportRequiredParams = ref({
   pageSize: 10,
   busNo: route.query.supplyBusNo
 });
+
+// 追溯码对话框提交处理
+function submit(traceNoData) {
+  if (currentIndex.value >= 0 && form.purchaseinventoryList[currentIndex.value]) {
+    form.purchaseinventoryList[currentIndex.value].traceNo = traceNoData.traceNo;
+    form.purchaseinventoryList[currentIndex.value].ybNo = traceNoData.ybNo;
+    proxy.$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/surgerymanage/index.vue

@@ -76,7 +76,7 @@
       <right-toolbar v-model:showSearch="showSearch" @queryTable="getList"></right-toolbar>
     </el-row>
 
-    <el-table v-loading="loading" :data="surgeryList" row-key="id" :row-class-name="getRowClassName">
+    <el-table v-loading="loading" :data="surgeryList" row-key="id" :row-class-name="getRowClassName" highlight-current-row @current-change="handleCurrentChange">
       <!-- 申请日期：datetime - 2025-09-19 14:15:00 - 不可操作 -->
       <el-table-column label="申请日期" align="center" prop="createTime" width="160">
         <template #default="scope">
@@ -1405,6 +1405,12 @@ function getRowClassName({ row }) {
   return ''
 }
 
+// 当前选中行（高亮）
+const currentRow = ref(null)
+function handleCurrentChange(row) {
+  currentRow.value = row
+}
+
 // 时间格式化函数
 function parseTime(time, pattern) {
   if (!time) return ''

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

@@ -803,7 +803,7 @@
     </el-dialog>
 
     <!-- 手术计费弹窗 -->
-    <el-dialog :title="chargeDialogTitle" v-model="showChargeDialog" width="1400px" @close="closeChargeDialog" append-to-body>
+    <el-dialog :title="chargeDialogTitle" v-model="showChargeDialog" width="1400px" @close="closeChargeDialog" append-to-body destroy-on-close>
       <div style="display: flex; justify-content: space-between; height: 80vh">
         <div style="width: 100%; border: 1px solid #eee; position: relative">
           <div style="padding: 10px; border: 1px solid #eee; height: 50px; border-left: 0">
@@ -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)
@@ -939,7 +966,7 @@ const form = reactive({
   allergyRemark: undefined,
   surgeryNature: undefined,
   surgerySite: undefined,
-  incisionLevel: undefined,
+  incisionType: undefined,
   surgeryLevel: undefined,
 
   admissionTime: undefined,
@@ -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 || []
@@ -1429,17 +1456,18 @@ async function handleChargeCharge(row) {
 }
 
 // 关闭计费弹窗
-function closeChargeDialog() {
+async function closeChargeDialog() {
   // 先关闭 prescriptionlist 内所有已打开的项目字典 popover
   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
+  // 等待 Vue 完成 popover 可见性更新的 DOM 操作，
-  nextTick(() => {
+  // 因为 el-popover 通过 teleport 渲染在 body 上，需要在 dialog 卸载前完成清理
+  await nextTick()
+  // 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"
@@ -1500,11 +1528,15 @@ function handleMedicalAdvice(row) {
   // 先清空旧数据
   temporaryBillingMedicines.value = []
   temporaryAdvices.value = []
-  temporarySigned.value = false // 🔧 重置签名状态
+  // 🔧 修复 Bug #446: 如果是同一 encounter 且已有提交的医嘱（有 requestId），保留签名状态
+  const hasSubmittedAdvices = temporaryAdvices.value.length > 0 &&
+    temporaryAdvices.value[0]?.originalMedicine?.encounterId === row.visitId &&
+    temporaryAdvices.value.some(a => a.originalMedicine?.requestId);
+  temporarySigned.value = hasSubmittedAdvices; // 修复：根据已有数据状态设置，而非盲目重置
   temporaryMedicalLoading.value = true // 🔧 新增：开始加载
 
-  // 调用计费接口获取数据
+  // 调用计费接口获取数据（使用手术计费来源参数，匹配 surgery billing 创建的记录）
-  getPrescriptionList(row.visitId).then((res) => {
+  getPrescriptionList(row.visitId, 6, row.operCode).then((res) => {
     console.log('=== 拉取计费数据返回结果 ===', res)
     if (res.code === 200 && res.data) {
       // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
@@ -1515,9 +1547,13 @@ 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;
+        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId 的不应出现在"待生成"列表）
+        if (item.requestId) return false;
         // 根据药品请求ID去重，避免重复显示
         const itemId = item.requestId || item.id;
         if (itemId && seenIds.has(itemId)) return false;
@@ -1705,15 +1741,39 @@ function handleTemporaryMedicalSubmit(data) {
       }
     })
     
-    // 同步更新计费药品列表：移除已生成医嘱的项目，避免数据重复显示
+    // 🔧 修复 Bug #445: 使用稳定可靠的字段组合匹配已提交项目，从已生成列表中剔除待生成项
-    const submittedIds = new Set(
+    // 匹配键：优先使用 chargeItemId（后端费用项目ID，最可靠），其次使用 名称+规格+数量 组合
-      (data.temporaryAdvices || []).map(a => a.originalMedicine?.requestId || a.originalMedicine?.chargeItemId).filter(Boolean)
+    const submittedKeys = new Set()
-    )
+    const submittedChargeIds = new Set()
-    if (submittedIds.size > 0) {
+
-      temporaryBillingMedicines.value = (data.billingMedicines || []).filter(
+    ;(data.temporaryAdvices || []).forEach(a => {
-        m => !submittedIds.has(m.requestId || m.chargeItemId)
+      const om = a.originalMedicine || {}
-      )
+      // 收集 chargeItemId（最可靠的匹配标识）
+      if (om.chargeItemId) {
+        submittedChargeIds.add(om.chargeItemId)
+      }
+      // 构建名称+规格+数量的匹配键（用于无 chargeItemId 的兜底匹配）
+      // 注意：originalMedicine 中的名称字段是 adviceName（来自 billingMedicines.map 时的字段）
+      const name = om.medicineName || om.adviceName || om.advice_name || a.adviceName || ''
+      const spec = om.specification || om.volume || ''
+      const qty = om.quantity || 0
+      if (name) {
+        submittedKeys.add(`${name}|||${spec}|||${qty}`)
+      }
+    })
+
+    if (submittedChargeIds.size > 0 || submittedKeys.size > 0) {
+      temporaryBillingMedicines.value = (temporaryBillingMedicines.value || []).filter(m => {
+        // 优先用 chargeItemId 匹配
+        if (m.chargeItemId && submittedChargeIds.has(m.chargeItemId)) {
+          return false
+        }
+        // 兜底用 名称+规格+数量 匹配
+        const key = `${m.medicineName || m.adviceName || ''}|||${m.specification || m.volume || ''}|||${m.quantity || 0}`
+        return !submittedKeys.has(key)
+      })
     } else {
+      // 如果没有任何匹配标识，清空待生成列表（保守策略：认为所有项目都已提交）
       temporaryBillingMedicines.value = []
     }
     
@@ -1773,13 +1833,19 @@ 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
+              // 🔧 修复 Bug #445: 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
+              // 同时过滤掉已有 requestId 的项目（已生成医嘱的不需要再次显示在"待生成"列表中）
               const filteredItems = res.data.filter(item => {
                 // 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() !== '';
+                if (!medicineName || medicineName.trim() === '') return false;
+                // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId）
+                if (item.requestId) return false;
+                return true;
               })
         // 🔧 修复：限制返回数量，最多显示前100条，避免数据过多导致页面卡死
         const maxItems = 100
@@ -1996,7 +2062,12 @@ function resetForm() {
 function submitForm() {
   proxy.$refs['surgeryRef'].validate((valid) => {
     if (valid) {
-      const submitData = { ...form, orgId: userStore.orgId }
+      const submitData = {
+        ...form,
+        orgId: userStore.orgId,
+        incisionLevel: form.incisionType
+      }
+      delete submitData.incisionType
       if (!form.scheduleId) {
         // 新增手术安排
         addSurgerySchedule(submitData).then((res) => {

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

@@ -147,9 +147,10 @@
         <el-button class="cancel-btn" @click="handleCancel">取消</el-button>
         <el-button
           class="sign-btn"
+          :disabled="allItemsSubmitted"
           @click="handleSignAndSubmit"
         >
-          {{ isSigned ? '提交医嘱' : '一键签名并生成医嘱' }}
+          {{ allItemsSubmitted ? '已签发' : (isSigned ? '提交医嘱' : '一键签名并生成医嘱') }}
         </el-button>
       </div>
     </div>
@@ -310,8 +311,21 @@ const getMethodCodeDict = computed(() => {
   return dict
 })
 
+// 🔧 修复 Bug #446: 检查计费药品是否已全部提交（有 requestId），用于区分"首次签名"和"已提交重开"
+const allItemsSubmitted = computed(() => {
+  const meds = props.billingMedicines || []
+  return meds.length > 0 && meds.every(m => m.requestId)
+})
+
 // 响应式数据 - isSigned 从父组件传入的 prop 初始化
 const isSigned = ref(props.isSignedProp)
+
+// 🔧 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('')