Fix Bug #493 : 【住院医生工作站-临床医嘱-检验申请】项目未维护执行科室时，医生手动选择发往科室后仍报错且数据被清空

根因：projectWithDepartment 函数定义时遗漏了 type 参数，导致函数体内引用 type 变量时报 ReferenceError（未定义），type === 2 的判断永远无法正确执行。用户在提交时手动选择的发往科室被清空且无法提交。修复：在函数签名中添加 type 参数，与 working 版本 medicalExaminations.vue 保持一致。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
Fix Bug #491 : 【执行科室配置】保存配置时系统报错 - 修复Organization.getName()空指针异常
2026-05-13 00:13:44 +08:00 · 2026-05-13 00:13:44 +08:00 · 2026-05-13 00:13:44 +08:00 · 2026-05-13 00:13:44 +08:00 · 2026-05-13 00:13:44 +08:00 · 2026-05-13 00:13:44 +08:00
36 changed files with 169 additions and 744 deletions
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/controller/SurgicalScheduleController.java
@@ -2,13 +2,9 @@ package com.openhis.web.clinicalmanage.controller;

 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.core.common.core.domain.R;
-import com.openhis.common.enums.ActivityDefCategory;
 import com.openhis.web.clinicalmanage.appservice.ISurgicalScheduleAppService;
 import com.openhis.web.clinicalmanage.dto.OpCreateScheduleDto;
 import com.openhis.web.clinicalmanage.dto.OpScheduleDto;
-import com.openhis.web.regdoctorstation.appservice.IRequestFormManageAppService;
-import com.openhis.web.regdoctorstation.dto.RequestFormDto;
-import com.openhis.web.regdoctorstation.dto.RequestFormPageDto;
 import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;
@@ -30,7 +26,6 @@ import java.util.Map;
 public class SurgicalScheduleController {

    private final ISurgicalScheduleAppService surgicalScheduleAppService;
-    private final IRequestFormManageAppService requestFormManageAppService;

    /**
     * 分页查询手术安排列表
@@ -92,27 +87,6 @@ public class SurgicalScheduleController {
        return surgicalScheduleAppService.deleteSurgerySchedule(scheduleId);
    }

-    /**
-     * 分页查询待排期手术申请列表
-     *
-     * @param requestFormDto 查询条件
-     * @return 手术申请列表
-     */
-    @PostMapping(value = "/apply-list")
-    public R<IPage<RequestFormPageDto>> getSurgeryApplyList(@RequestBody RequestFormDto requestFormDto) {
-        if (requestFormDto.getPageNo() == null) {
-            requestFormDto.setPageNo(1);
-        }
-        if (requestFormDto.getPageSize() == null) {
-            requestFormDto.setPageSize(10);
-        }
-        //虽然很想这么写，但是库里的手术申请单的type_code都是直接写的SURGERY
-//        requestFormDto.setTypeCode(ActivityDefCategory.PROCEDURE.getCode());
-        //只查询手术申请单
-        requestFormDto.setTypeCode("SURGERY");
-        return R.ok(requestFormManageAppService.getRequestFormPage(requestFormDto));
-    }
-
    /**
     * 导出手术安排列表
     *
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/IDoctorStationAdviceAppService.java
@@ -59,16 +59,6 @@ public interface IDoctorStationAdviceAppService {
     */
    R<?> getRequestBaseInfo(Long encounterId);

-    /**
-     * 查询医嘱请求数据（支持按生成来源和来源单据号过滤）
-     *
-     * @param encounterId 就诊id
-     * @param generateSourceEnum 生成来源（可选，如手术计费=6）
-     * @param sourceBillNo 来源业务单据号（可选）
-     * @return 医嘱请求数据
-     */
-    R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo);
-
    /**
     * 门诊签退医嘱
     *
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -228,10 +228,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        // 医嘱定义ID集合
        List<Long> adviceDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getAdviceDefinitionId)
                .collect(Collectors.toList());
-        // 费用定价主表ID集合（过滤null值，手术项目无定价定义）
-        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream()
-                .map(AdviceBaseDto::getChargeItemDefinitionId)
-                .filter(Objects::nonNull)
+        // 费用定价主表ID集合
+        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
                .collect(Collectors.toList());

        // 判断是否包含药品或耗材类型（只有这些类型才需要库存相关查询）
@@ -277,9 +275,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            medLocationConfig = Collections.emptyList();
            allowedLocByCategory = Collections.emptyMap();
        }
-        // 费用定价子表信息 - 仅药品/耗材需要批次定价查询，手术/诊疗无库存概念不需要
+        // 费用定价子表信息 - 使用分批处理避免大量参数问题
        List<AdvicePriceDto> childCharge = new ArrayList<>();
-        if (hasMedOrDevice && chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
+        if (chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
            // 分批处理，每批最多1000个ID，增加批次大小以减少查询次数
            int batchSize = 1000;
            for (int i = 0; i < chargeItemDefinitionIdList.size(); i += batchSize) {
@@ -959,16 +957,11 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            }
        }
        for (AdviceSaveDto adviceSaveDto : deleteList) {
-            Long requestId = adviceSaveDto.getRequestId();
-            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的药品请求
-            if (requestId == null) {
-                log.warn("BugFix#442: handMedication - 跳过 requestId 为 null 的删除请求");
-                continue;
-            }
-            iMedicationRequestService.removeById(requestId);
+            iMedicationRequestService.removeById(adviceSaveDto.getRequestId());
            // 删除已经产生的药品发放信息
            iMedicationDispenseService.deleteMedicationDispense(adviceSaveDto.getRequestId());
            // 🔧 Bug Fix #219: 删除费用项
+            Long requestId = adviceSaveDto.getRequestId();
            String serviceTable = CommonConstants.TableName.MED_MEDICATION_REQUEST;
            // 直接删除费用项
            iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1424,11 +1417,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        log.info("BugFix#219: handDevice - 开始删除循环, deleteList.size={}", deleteList.size());
        for (AdviceSaveDto adviceSaveDto : deleteList) {
            Long requestId = adviceSaveDto.getRequestId();
-            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的耗材请求
-            if (requestId == null) {
-                log.warn("BugFix#442: handDevice - 跳过 requestId 为 null 的删除请求");
-                continue;
-            }
            log.info("BugFix#219: handDevice - 删除开始: requestId={}", requestId);
            
            // 1. 删除耗材请求
@@ -1733,17 +1721,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
            }
        }
        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
-            if (requestId == null) {
-                log.warn("BugFix#442: handService - 跳过 requestId 为 null 的删除请求");
-                continue;
-            }
-            iServiceRequestService.removeById(requestId);// 删除诊疗
+            iServiceRequestService.removeById(adviceSaveDto.getRequestId());// 删除诊疗
            iServiceRequestService.remove(
                    new LambdaQueryWrapper<ServiceRequest>().eq(ServiceRequest::getParentId,
-                            requestId));// 删除诊疗套餐对应的子项
+                            adviceSaveDto.getRequestId()));// 删除诊疗套餐对应的子项
            // 🔧 Bug Fix #219: 删除费用项
+            Long requestId = adviceSaveDto.getRequestId();
            String serviceTable = CommonConstants.TableName.WOR_SERVICE_REQUEST;
            // 直接删除费用项
            iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
@@ -1800,9 +1783,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                log.info("handService - 自动补全founderOrgId: founderOrgId={}", adviceSaveDto.getFounderOrgId());
            }
            
-            // 🔧 Bug Fix #238/#454: 诊疗项目执行科室非空校验（删除操作跳过校验）
-            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3
-                    && !DbOpType.DELETE.getCode().equals(adviceSaveDto.getDbOpType())) {
+            // 🔧 Bug Fix #238: 诊疗项目执行科室非空校验
+            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 3) {
                Long effectiveOrgId = adviceSaveDto.getEffectiveOrgId();
                if (effectiveOrgId == null) {
                    throw new ServiceException("诊疗项目必须选择执行科室");
@@ -2005,25 +1987,13 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     */
    @Override
    public R<?> getRequestBaseInfo(Long encounterId) {
-        return this.getRequestBaseInfo(encounterId, null, null);
-    }
-
-    @Override
-    public R<?> getRequestBaseInfo(Long encounterId, Integer generateSourceEnum, String sourceBillNo) {
        // 当前账号的参与者id
        Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
-        // 未指定generateSourceEnum时，默认只查询医生开立的医嘱
-        int sourceEnum = (generateSourceEnum != null) ? generateSourceEnum : GenerateSource.DOCTOR_PRESCRIPTION.getValue();
        // 医嘱请求数据
        List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, null,
                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）
-        if (sourceBillNo != null && !sourceBillNo.isEmpty()) {
-            requestBaseInfo.removeIf(dto -> dto.getAdviceType() != null
-                    && (dto.getAdviceType() == 1 || dto.getAdviceType() == 2));
-        }
+                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
        for (RequestBaseDto requestBaseDto : requestBaseInfo) {
            // 请求状态
            requestBaseDto
@@ -2144,7 +2114,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        List<RequestBaseDto> requestBaseInfo = doctorStationAdviceAppMapper.getRequestBaseInfo(encounterId, patientId,
                CommonConstants.TableName.MED_MEDICATION_REQUEST, CommonConstants.TableName.WOR_DEVICE_REQUEST,
                CommonConstants.TableName.WOR_SERVICE_REQUEST, practitionerId, Whether.YES.getCode(),
-                GenerateSource.DOCTOR_PRESCRIPTION.getValue(), null);
+                GenerateSource.DOCTOR_PRESCRIPTION.getValue());
        for (RequestBaseDto requestBaseDto : requestBaseInfo) {
            // 请求状态
            requestBaseDto
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -274,8 +274,27 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
            return R.fail("非就诊中患者不能完诊");
        }

-        // 2. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
+        // 2. 获取 pool_id 和 slot_id：从 encounter → order_main → adm_schedule_slot 链路获取
+        //    确保 div_log 中的值与排班主表一致，不依赖 triage_queue_item（队列项可能不存在或值错误）
        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        Long divPoolId = null;
+        Long divSlotId = null;
+        if (encounter.getOrderId() != null) {
+            try {
+                Order order = iOrderService.getById(encounter.getOrderId());
+                if (order != null && order.getSlotId() != null) {
+                    divSlotId = order.getSlotId();
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(divSlotId);
+                    if (slot != null) {
+                        divPoolId = slot.getPoolId();
+                    }
+                }
+            } catch (Exception e) {
+                log.warn("获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
+            }
+        }
+
+        // 3. 查找队列项（限定当天，避免复诊患者匹配到历史队列记录）
        TriageQueueItem queueItem = triageQueueItemService.getOne(
            new LambdaQueryWrapper<TriageQueueItem>()
                .eq(TriageQueueItem::getTenantId, tenantId)
@@ -300,43 +319,14 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
            }
        }

-        // 3. 获取 pool_id 和 slot_id：优先使用 triage_queue_item（挂号时录入的号源信息，为权威来源）
-        //    队列项不存在或值缺失时，回退使用 encounter → order_main → adm_schedule_slot 链路
-        Long divPoolId = null;
-        Long divSlotId = null;
-        if (queueItem != null && queueItem.getPoolId() != null && queueItem.getSlotId() != null) {
-            divPoolId = queueItem.getPoolId();
-            divSlotId = queueItem.getSlotId();
-        }
-        // 队列项 poolId/slotId 缺失时，通过 encounter.orderId → order_main.slot_id → adm_schedule_slot.pool_id 回退获取
-        if ((divPoolId == null || divSlotId == null) && encounter.getOrderId() != null) {
-            try {
-                Order order = iOrderService.getById(encounter.getOrderId());
-                if (order != null && order.getSlotId() != null) {
-                    ScheduleSlot slot = scheduleSlotMapper.selectById(order.getSlotId());
-                    if (slot != null) {
-                        divSlotId = slot.getId();
-                        divPoolId = slot.getPoolId();
-                    }
-                }
-            } catch (Exception e) {
-                log.warn("回退获取完诊div_log的pool_id/slot_id失败，encounterId={}", encounterId, e);
-            }
-        }
-
        // 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
        if (queueItem != null &&
            !TriageQueueStatus.COMPLETED.getValue().equals(queueItem.getStatus())) {
            java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
-            // 使用 LambdaUpdateWrapper 直接更新，确保 status 字段必定写入数据库
-            boolean queueUpdate = triageQueueItemService.update(new LambdaUpdateWrapper<TriageQueueItem>()
-                .eq(TriageQueueItem::getId, queueItem.getId())
-                .set(TriageQueueItem::getStatus, TriageQueueStatus.COMPLETED.getValue())
-                .set(TriageQueueItem::getUpdateTime, nowLocal));
-            if (!queueUpdate) {
-                log.error("完诊：triage_queue_item 状态更新失败，queueItemId={}", queueItem.getId());
-            }
+            queueItem.setStatus(TriageQueueStatus.COMPLETED.getValue());
+            queueItem.setUpdateTime(nowLocal);
+            triageQueueItemService.updateById(queueItem);
        } else if (queueItem == null) {
            log.error("完诊：未找到任何 triage_queue_item 记录，encounterId={}, tenantId={}",
                encounterId, tenantId);
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java
@@ -112,16 +112,11 @@ public class DoctorStationAdviceController {
     * 查询医嘱请求数据
     *
     * @param encounterId 就诊id
-     * @param generateSourceEnum 生成来源（可选，用于按来源过滤，如手术计费=6）
-     * @param sourceBillNo 来源业务单据号（可选，用于按来源单据过滤）
     * @return 医嘱请求数据
     */
    @GetMapping(value = "/request-base-info")
-    public R<?> getRequestBaseInfo(
-            @RequestParam(required = false) Long encounterId,
-            @RequestParam(required = false) Integer generateSourceEnum,
-            @RequestParam(required = false) String sourceBillNo) {
-        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId, generateSourceEnum, sourceBillNo);
+    public R<?> getRequestBaseInfo(@RequestParam(required = false) Long encounterId) {
+        return iDoctorStationAdviceAppService.getRequestBaseInfo(encounterId);
    }

    /**
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java
@@ -122,8 +122,7 @@ public interface DoctorStationAdviceAppMapper {
            @Param("MED_MEDICATION_REQUEST") String MED_MEDICATION_REQUEST,
            @Param("WOR_DEVICE_REQUEST") String WOR_DEVICE_REQUEST,
            @Param("WOR_SERVICE_REQUEST") String WOR_SERVICE_REQUEST, @Param("practitionerId") Long practitionerId,
-            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum,
-            @Param("sourceBillNo") String sourceBillNo);
+            @Param("historyFlag") String historyFlag, @Param("generateSourceEnum") Integer generateSourceEnum);

    /**
     * 查询就诊费用性质
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/AdviceManageAppServiceImpl.java
@@ -341,28 +341,6 @@ 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
-        Set<String> longUniqueKeySet = new HashSet<>();
-        List<RegAdviceSaveDto> longUniqueList = new ArrayList<>();
-        for (RegAdviceSaveDto adviceSaveDto : longInsertOrUpdateList) {
-            String uniqueKey = adviceSaveDto.getPatientId() + "_"
-                    + adviceSaveDto.getEncounterId() + "_"
-                    + adviceSaveDto.getAdviceDefinitionId() + "_"
-                    + adviceSaveDto.getDose() + "_"
-                    + adviceSaveDto.getMethodCode() + "_"
-                    + adviceSaveDto.getRateCode();
-            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && longUniqueKeySet.contains(uniqueKey)) {
-                log.warn("防重复保存：检测到重复长期医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
-                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
-                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
-                continue;
-            }
-            longUniqueKeySet.add(uniqueKey);
-            longUniqueList.add(adviceSaveDto);
-        }
-        log.info("防重复保存（长期）：去重前{}条，去重后{}条", longInsertOrUpdateList.size(), longUniqueList.size());
-        longInsertOrUpdateList = longUniqueList;
-
        for (RegAdviceSaveDto regAdviceSaveDto : longInsertOrUpdateList) {
            boolean firstTimeSave = false;// 第一次保存
            longMedicationRequest = new MedicationRequest();
@@ -428,29 +406,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                .getValue().equals(e.getTherapyEnum())
                && (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
-        Set<String> tempUniqueKeySet = new HashSet<>();
-        List<RegAdviceSaveDto> tempUniqueList = new ArrayList<>();
-        for (RegAdviceSaveDto adviceSaveDto : tempInsertOrUpdateList) {
-            String uniqueKey = adviceSaveDto.getPatientId() + "_"
-                    + adviceSaveDto.getEncounterId() + "_"
-                    + adviceSaveDto.getAdviceDefinitionId() + "_"
-                    + adviceSaveDto.getDose() + "_"
-                    + adviceSaveDto.getMethodCode() + "_"
-                    + adviceSaveDto.getRateCode();
-            if (DbOpType.INSERT.getCode().equals(adviceSaveDto.getDbOpType()) && tempUniqueKeySet.contains(uniqueKey)) {
-                log.warn("防重复保存：检测到重复临时医嘱，跳过保存 - patientId={}, encounterId={}, adviceDefinitionId={}, dose={}",
-                        adviceSaveDto.getPatientId(), adviceSaveDto.getEncounterId(),
-                        adviceSaveDto.getAdviceDefinitionId(), adviceSaveDto.getDose());
-                continue;
-            }
-            tempUniqueKeySet.add(uniqueKey);
-            tempUniqueList.add(adviceSaveDto);
-        }
-        log.info("防重复保存（临时）：去重前{}条，去重后{}条", tempInsertOrUpdateList.size(), tempUniqueList.size());
-        tempInsertOrUpdateList = tempUniqueList;
-
        for (RegAdviceSaveDto regAdviceSaveDto : tempInsertOrUpdateList) {
            boolean firstTimeSave = false;// 第一次保存
            tempMedicationRequest = new MedicationRequest();
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -31,7 +31,6 @@ import org.springframework.transaction.annotation.Transactional;

 import javax.annotation.Resource;
 import java.math.BigDecimal;
-import java.text.SimpleDateFormat;
 import java.util.Date;
 import java.util.List;
 import java.util.Map;
@@ -76,13 +75,6 @@ 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）
-        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");
-        }
-
        // 诊疗处方号
        String prescriptionNo;
        // 申请单ID
@@ -99,10 +91,8 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                return R.fail("无待签发的医嘱,该申请单不可编辑");
            }
        } else {
-            // 检查申请单号：JC（检查）+ Z（住院标识）+ yyMMdd（日期）+ 5位顺序号
-            String dateStr = new java.text.SimpleDateFormat("yyMMdd").format(new Date());
-            int seq = assignSeqUtil.getSeqNoByDay(AssignSeqEnum.CHECK_APPLY_NO.getPrefix());
-            prescriptionNo = "JCZ" + dateStr + String.format("%05d", seq);
+            // 诊疗处方号
+            prescriptionNo = assignSeqUtil.getSeq(AssignSeqEnum.ACTIVITY_PSYCHOTROPIC_NO.getPrefix(), 8);
        }

        // 当前时间
@@ -149,6 +139,12 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
        // 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);
+        // 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");
+        }

        for (ActivitySaveDto activitySaveDto : activityList) {
            serviceRequest = new ServiceRequest();
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
@@ -16,7 +16,6 @@ import lombok.AllArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.web.bind.annotation.*;

-import java.time.LocalDate;
 import java.util.List;

 /**
@@ -143,32 +142,6 @@ public class RequestFormManageController {
        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROCEDURE.getCode()));
    }
 /**
-     * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
-     *
-     * @param surgeryNo     手术单号（模糊查询，可选）
-     * @param applyTimeStart 申请时间起始（可选）
-     * @param applyTimeEnd   申请时间截止（可选）
-     * @param mainDoctorId   主刀医生ID（可选）
-     * @param applyDeptId    申请科室ID（可选）
-     * @param pageNo   页码，默认1
-     * @param pageSize 每页数量，默认10
-     * @return 分页手术申请单列表
-     */
-    @GetMapping(value = "/get-surgery-page")
-    public R<IPage<RequestFormPageDto>> getSurgeryRequestFormPage(
-            @RequestParam(required = false) String surgeryNo,
-            @RequestParam(required = false) LocalDate applyTimeStart,
-            @RequestParam(required = false) LocalDate applyTimeEnd,
-            @RequestParam(required = false) Long mainDoctorId,
-            @RequestParam(required = false) Long applyDeptId,
-            @RequestParam(defaultValue = "1") Integer pageNo,
-            @RequestParam(defaultValue = "10") Integer pageSize) {
-        RequestFormDto dto = new RequestFormDto(surgeryNo, ActivityDefCategory.PROCEDURE.getCode(), applyTimeStart, applyTimeEnd,
-                mainDoctorId, applyDeptId, pageNo, pageSize);
-        return R.ok(iRequestFormManageAppService.getRequestFormPage(dto));
-    }
-
-    /**
     * 分页查询申请单
     * @return 申请单
     */
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/dto/RequestFormDto.java
@@ -14,10 +14,6 @@ public class RequestFormDto {
     * 手术单号
     */
    private String surgeryNo;
-    /**
-     * 申请单类型编码
-     */
-    private String typeCode;
    /**
     * 申请时间开始
     */
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -527,9 +527,6 @@
        LEFT JOIN cli_condition AS cc ON cc.id = T1.condition_id AND cc.delete_flag = '0'
        LEFT JOIN cli_condition_definition AS ccd ON ccd.id = cc.definition_id
        WHERE T1.delete_flag = '0' AND T1.tcm_flag = 0
-        <if test="generateSourceEnum != null">
-            AND T1.generate_source_enum = #{generateSourceEnum}
-        </if>
        <if test="historyFlag == '0'.toString()">
            AND T1.encounter_id = #{encounterId}
        </if>
@@ -698,9 +695,6 @@
        -- based_on_table='med_medication_request' → 输液/皮试执行记录，应排除
        -- based_on_table='exam_apply'/'lab_apply' → 申请单原始医嘱，应保留
        AND (T1.based_on_id IS NULL OR T1.based_on_table IS NULL OR T1.based_on_table NOT IN ('med_medication_request', 'med_medication_dispense'))
-        <if test="sourceBillNo != null and sourceBillNo != ''">
-            AND T1.prescription_no = #{sourceBillNo}
-        </if>
        <if test="historyFlag == '0'.toString()">
            AND T1.encounter_id = #{encounterId}
        </if>
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/inhospitalnursestation/ATDManageAppMapper.xml
@@ -231,7 +231,7 @@
               ae.priority_enum,
               ae.organization_id,
               ae.start_time                     AS in_hos_time,
-               COALESCE(bed.start_time, ae.start_time) AS start_time,
+               bed.start_time,
               bed.location_id                   AS bed_id,
               bed.location_name                 AS bed_name,
               house.location_id                 AS house_id,
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/AdviceManageAppMapper.xml
+++ b/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 = 4 THEN 6 ELSE COALESCE(T1.category_enum, 3) END AS advice_type,
        T1.id AS request_id,
        T1.id || '-3' AS unique_key,
        T1.requester_id AS requester_id,
@@ -373,4 +373,4 @@
        </if>
    </select>

-</mapper>
+</mapper>
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
@@ -161,9 +161,6 @@
                <if test="requestFormDto.surgeryNo != null and requestFormDto.surgeryNo != ''">
                    AND drf.prescription_no LIKE CONCAT('%', #{requestFormDto.surgeryNo}, '%')
                </if>
-                <if test="requestFormDto.typeCode != null and requestFormDto.typeCode != ''">
-                    AND drf.type_code = #{requestFormDto.typeCode}
-                </if>
                <if test="requestFormDto.applyTimeStart != null">
                    AND drf.create_time >= #{requestFormDto.applyTimeStart}
                </if>
--- a/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AssignSeqEnum.java
+++ b/openhis-server-new/openhis-common/src/main/java/com/openhis/common/enums/AssignSeqEnum.java
@@ -270,10 +270,6 @@ public enum AssignSeqEnum {
     * 诊疗处方号
     */
    ACTIVITY_PSYCHOTROPIC_NO("62", "诊疗处方号", "PAR"),
-    /**
-     * 检查申请单号（住院）
-     */
-    CHECK_APPLY_NO("72", "检查申请单号", "JCZ"),
    /**
     * b 病历文书
     */
--- a/openhis-server-new/sql/20260115_add_table_triage_queue_item.sql
+++ b/openhis-server-new/sql/20260115_add_table_triage_queue_item.sql
@@ -13,7 +13,7 @@ CREATE TABLE IF NOT EXISTS triage_queue_item (
    patient_name     VARCHAR(255),
    healthcare_name  VARCHAR(255),
    practitioner_name VARCHAR(255),
-    status           INTEGER      NOT NULL DEFAULT 0, -- 分诊队列状态: 0=WAITING(等待), 10=CALLING(叫号中), 20=IN_CLINIC(诊中), 30=COMPLETED(已完成), 40=SKIPPED(已跳过)
+    status           VARCHAR(50)  NOT NULL, -- WAITING/CALLING/SKIPPED/COMPLETED
    queue_order      INTEGER      NOT NULL,
    create_time      TIMESTAMP,
    update_time      TIMESTAMP,
--- a/openhis-server-new/sql/bug_400_fix_triage_queue_item_status_type.sql
+++ b/openhis-server-new/sql/bug_400_fix_triage_queue_item_status_type.sql
@@ -1,30 +0,0 @@
-- Bug #400 修复：triage_queue_item.status 字段类型修正
-- 原 DDL 将 status 定义为 VARCHAR(50)，但 Java 实体 TriageQueueItem.status 为 Integer 类型，
-- 应用层使用 TriageQueueStatus 枚举值（0/10/20/30/40）写入，类型不匹配导致 MyBatis-Plus
-- 无法正确映射 status 字段，完诊时 status 更新为 30 失败。
--
-- 注意：必须在后端实际连接的 schema 中执行（dev=hisdev, test=histest, prd=hisprd）
-- 执行前请先确认：SET search_path TO hisdev; （或对应的 schema）
-
-- 1. 先将已有的字符串值转换为对应的整数值
-- 如果之前写入的是枚举 code（如 'waiting'、'completed'），需要先转换
-UPDATE triage_queue_item
-SET status = CASE
-    WHEN status IN ('0', 'waiting', 'WAITING') THEN 0
-    WHEN status IN ('10', 'calling', 'CALLING') THEN 10
-    WHEN status IN ('20', 'in-clinic', 'IN_CLINIC', 'in-clinic') THEN 20
-    WHEN status IN ('30', 'completed', 'COMPLETED') THEN 30
-    WHEN status IN ('40', 'skipped', 'SKIPPED') THEN 40
-    WHEN status IN ('50', 'refunded', 'REFUNDED') THEN 50
-    WHEN status IN ('60', 'follow', 'FOLLOW') THEN 60
-    ELSE 0
-END
-WHERE status IS NOT NULL AND status !~ '^[0-9]+$';
-
-- 2. 修改字段类型为 INTEGER
-ALTER TABLE triage_queue_item
-    ALTER COLUMN status TYPE INTEGER USING status::INTEGER;
-
-- 3. 设置默认值
-ALTER TABLE triage_queue_item
-    ALTER COLUMN status SET DEFAULT 0;
--- a/openhis-ui-vue3/src/api/system/checkType.js
+++ b/openhis-ui-vue3/src/api/system/checkType.js
@@ -163,7 +163,7 @@ export function updateCheckPart(data) {
 // 查询检查套餐列表
 export function listCheckPackage(query) {
  return request({
-    url: '/system/package/list',
+    url: '/system/check-package/list',
    method: 'get',
    params: query
  })
--- a/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue
+++ b/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue
@@ -372,6 +372,7 @@ import {
 } from './diagnosistreatment';
 import PopoverList from '@/components/OpenHis/popoverList/index.vue';
 import medicineList from './medicineList.vue';
+import MedicineList from '../components/medicineList.vue';
 import {getCurrentInstance, nextTick, watch} from 'vue';

 const { proxy } = getCurrentInstance();
@@ -466,9 +467,9 @@ function calculateTotalPrice() {
  try {
    let sum = 0;
    treatmentItems.value.forEach((item) => {
-      if (item.adviceDefinitionId && item.adviceDefinitionId !== '') {
-        const price = Number(item.retailPrice) || 0;
-        const count = Number(item.childrenRequestNum) || 0;
+      if (item.adviceDefinitionId && item.retailPrice && item.childrenRequestNum) {
+        const price = parseFloat(item.retailPrice) || 0;
+        const count = parseInt(item.childrenRequestNum) || 0;
        sum += price * count;
      }
    });
@@ -478,10 +479,7 @@ function calculateTotalPrice() {
      (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;
-      });
+      form.value.retailPrice = parseFloat(totalPrice.value);
    } else {
      form.value.retailPrice = undefined;
    }
@@ -567,16 +565,15 @@ function edit() {
    form.value.pricingFlag = 1;
  }

-  // 处理子项数据，确保包含retailPrice和name字段
+  // 处理子项数据，确保包含retailPrice字段
  if (props.item.childrenJson) {
    const parsedItems = JSON.parse(props.item.childrenJson);
    treatmentItems.value = parsedItems.map((item) => ({
      ...item,
-      name: item.name || '',
      retailPrice: item.retailPrice || 0,
    }));
  } else {
-    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
+    treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
  }
  form.value.permittedUnitCode = form.value.permittedUnitCode
    ? form.value.permittedUnitCode.toString()
@@ -621,7 +618,7 @@ function reset() {
    chrgitmLv: undefined, //医保等级
    pricingFlag: 1, // 划价标记，默认允许划价
  };
-  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 }];
+  treatmentItems.value = [{ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 }];
  totalPrice.value = '0.00';
  proxy.resetForm('diagnosisTreatmentRef');
 }
@@ -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();
-  });
+  calculateTotalPrice();
 }

 // 清空诊疗子项
--- a/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/medicineList.vue
+++ b/openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/medicineList.vue
@@ -36,7 +36,6 @@ const emit = defineEmits(['selectRow']);
 const diagnosisTreatmentList = ref([]); // 原始数据列表
 const filteredList = ref([]); // 过滤后的数据列表
 const hasLoaded = ref(false); // 标记是否已加载数据
-const isLoading = ref(false); // 标记是否正在加载

 // 获取诊疗项目列表
 function getList() {
@@ -54,7 +53,7 @@ function getList() {
  getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
    .then((res) => {
      diagnosisTreatmentList.value =
-        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
+        res.data?.records?.filter((item) => item.childrenJson == null) || [];
      filterList(); // 初始化过滤
      hasLoaded.value = true; // 标记为已加载
    })
@@ -63,47 +62,6 @@ function getList() {
    });
 }

-// 服务端搜索（当用户输入搜索关键词时）
-function searchList(searchKey) {
-  if (!searchKey || searchKey.trim() === '') return;
-  isLoading.value = true;
-  // 使用较大的pageSize确保搜索结果尽可能多
-  getDiagnosisTreatmentList({ statusEnum: 2, searchKey: searchKey.trim(), pageSize: 5000, pageNo: 1 })
-    .then((res) => {
-      diagnosisTreatmentList.value =
-        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
-      filterList();
-    })
-    .catch((err) => {
-      console.error('搜索诊疗项目数据失败:', err);
-    })
-    .finally(() => {
-      isLoading.value = false;
-    });
-}
-
-// 获取预加载数据（不带搜索关键词时使用）
-function loadPreloadedData() {
-  if (props.preloadedData && props.preloadedData.length > 0) {
-    diagnosisTreatmentList.value = props.preloadedData;
-    filterList();
-    hasLoaded.value = true;
-    return;
-  }
-
-  if (hasLoaded.value) return;
-  getDiagnosisTreatmentList({ statusEnum: 2, pageSize: 1000, pageNo: 1 })
-    .then((res) => {
-      diagnosisTreatmentList.value =
-        res.data?.records?.filter((item) => item.childrenJson == null || item.childrenJson === '') || [];
-      filterList();
-      hasLoaded.value = true;
-    })
-    .catch((err) => {
-      console.error('获取诊疗项目数据失败:', err);
-    });
-}
-
 // 监听shouldLoadData属性变化，仅在首次为true时加载数据
 watch(
  () => props.shouldLoadData,
@@ -128,17 +86,11 @@ watch(
  { immediate: true }
 );

-// 监听搜索关键词变化，有搜索词时走服务端搜索，否则走本地过滤
+// 监听搜索关键词变化，实时过滤数据
 watch(
  () => props.searchKey,
-  (newVal) => {
-    if (newVal && newVal.trim() !== '') {
-      // 有搜索关键词，走服务端搜索
-      searchList(newVal);
-    } else {
-      // 搜索词为空，使用预加载数据
-      loadPreloadedData();
-    }
+  () => {
+    filterList();
  }
 );

--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/api.js
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/api.js
@@ -58,17 +58,10 @@ export function singOut(data) {
 /**
 * 获取患者本次就诊处方
 */
-export function getPrescriptionList(encounterId, generateSourceEnum, sourceBillNo) {
-  let url = '/doctor-station/advice/request-base-info?encounterId=' + encounterId
-  if (generateSourceEnum != null) {
-    url += '&generateSourceEnum=' + generateSourceEnum
-  }
-  if (sourceBillNo != null) {
-    url += '&sourceBillNo=' + encodeURIComponent(sourceBillNo)
-  }
-  url += '&t=' + Date.now()
+export function getPrescriptionList(encounterId) {
+  // Add timestamp to bypass browser caching and ensure fresh data is loaded
  return request({
-    url: url,
+    url: '/doctor-station/advice/request-base-info?encounterId=' + encounterId + '&t=' + Date.now(),
    method: 'get',
  })
 }
--- a/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/clinicmanagement/bargain/component/prescriptionlist.vue
@@ -381,14 +381,6 @@ const props = defineProps({
  activeTab: {
    type: String,
  },
-  generateSourceEnum: {
-    type: Number,
-    default: null,
-  },
-  sourceBillNo: {
-    type: String,
-    default: null,
-  },
 });
 const isAdding = ref(false);
 const isSaving = ref(false); // #437 防重复提交锁
@@ -476,11 +468,7 @@ watch(

 function getListInfo(addNewRow) {
  isAdding.value = false;
-  getPrescriptionList(
-    props.patientInfo.encounterId,
-    props.generateSourceEnum ?? undefined,
-    props.sourceBillNo ?? undefined,
-  ).then((res) => {
+  getPrescriptionList(props.patientInfo.encounterId).then((res) => {
    // 为每行数据添加 adviceTypeValue 字段，用于类型下拉框显示
    prescriptionList.value = (res.data || []).map(item => {
      // 根据 adviceType 和 categoryCode 找到对应的 adviceTypeValue
@@ -880,23 +868,19 @@ function handleDelete() {
    proxy.$modal.msgWarning('请选择要删除的项目');
    return;
  }
-
+  
  let deleteList = groupIndexList.value.map((index) => {
    const item = prescriptionList.value[index];
    // 只删除待签发且未收费的项目
    if (item.statusEnum != 1 || item.chargeStatus == 5) {
      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;
-    }
    return {
      requestId: item.requestId,
      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); // 过滤掉已签发或已收费的项目
  
  if (deleteList.length == 0) {
    proxy.$modal.msgWarning('只能删除待签发且未收费的项目');
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
@@ -1243,14 +1243,11 @@ async function show(diagnosisData) {
    const res = await getNextCardNo(orgCode);
    if (res.code === 200 && res.data && res.data.length >= 12) {
      cardNo = res.data;
-    } else {
-      // API返回失败或不合规时，生成临时卡号避免保存时 cardNo 为空导致后端校验失败
-      cardNo = 'TEMP_' + Date.now();
    }
+    // API失败或返回不合规时保持为空字符串，由用户手动填写或后端自动生成
  } catch (err) {
    console.error('获取卡片编号失败:', err);
-    // API调用异常时，生成临时卡号
-    cardNo = 'TEMP_' + Date.now();
+    // 保持为空，不使用不合规的临时值
  }

  form.value = {
@@ -1321,11 +1318,7 @@ async function show(diagnosisData) {
    // 系统关联信息
    encounterId: patientInfo.encounterId || '', // 就诊ID
    patientId: patientInfo.patientId || '', // 患者ID
-    diagnosisId: (diagnosisData?.conditionId != null && diagnosisData?.conditionId !== '')
-      ? diagnosisData.conditionId
-      : (diagnosisData?.definitionId != null && diagnosisData?.definitionId !== '')
-        ? diagnosisData.definitionId
-        : '', // 诊断ID
+    diagnosisId: diagnosisData?.conditionId || diagnosisData?.definitionId || '', // 诊断ID
  };

  // 更新selectedDiseases数组
@@ -1380,7 +1373,7 @@ async function buildSubmitData() {
  const submitData = {
    cardNo: formData.cardNo,
    visitId: props.patientInfo?.encounterId || formData.encounterId || null,
-    diagId: formData.diagnosisId ? Number(formData.diagnosisId) : null,
+    diagId: formData.diagnosisId || null,
    patId: formData.patientId || null,
    idType: 1, // 默认身份证
    idNo: formData.idNo,
@@ -1433,8 +1426,8 @@ async function buildSubmitData() {
 function validateFormManually() {
  const errors = [];

-  // 卡片编号验证（至少12位，后端自动生成16位编号；临时卡号 TEMP_ 开头允许通过）
-  if (form.value.cardNo && !form.value.cardNo.startsWith('TEMP_') && form.value.cardNo.length < 12) {
+  // 卡片编号验证（至少12位，后端自动生成16位编号）
+  if (form.value.cardNo && form.value.cardNo.length < 12) {
    errors.push('卡片编号至少12位');
  }

@@ -1546,12 +1539,6 @@ async function handleSubmit() {
      return;
    }

-    // 检查诊断ID是否有效（后端 @NotNull 校验要求）
-    if (!form.value.diagnosisId) {
-      proxy.$modal.msgError('诊断信息不完整，请重新选择诊断后重试');
-      return;
-    }
-
    // 开始加载状态，防止重复提交
    submitLoading.value = true;

--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -402,21 +402,6 @@
                        <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
                      </el-checkbox>
                    </div>
-                    <!-- 选中方法后，显示对应的套餐明细 -->
-                    <div v-if="item.selectedMethod && item.methodPackageDetails && item.methodPackageDetails.length > 0" class="method-package-details">
-                      <div class="method-package-header">
-                        <span class="method-package-title">套餐明细 - {{ item.selectedMethod.name }}</span>
-                      </div>
-                      <div v-for="detail in item.methodPackageDetails" :key="detail.id" class="method-option">
-                        <el-checkbox v-model="detail.checked">
-                          <span class="method-name">{{ detail.name }}</span>
-                          <span class="method-price">数量: {{ detail.quantity }} ¥{{ detail.price }}</span>
-                        </el-checkbox>
-                      </div>
-                    </div>
-                    <div v-if="item.selectedMethod && item.methodPackageLoading" class="method-package-loading">
-                      加载套餐明细中...
-                    </div>
                  </div>
                </div>
              </div>
@@ -434,7 +419,7 @@ import { ElMessage, ElMessageBox } from 'element-plus';
 import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
-import { listCheckMethod, searchCheckMethod, listCheckPackage } from '@/api/system/checkType';
+import { listCheckMethod, searchCheckMethod } from '@/api/system/checkType';
 import { getEncounterDiagnosis } from '../api.js';

 const props = defineProps({
@@ -460,7 +445,7 @@ async function loadPackageDetails(row, treeNode, resolve) {
  }
  try {
    const res = await request({
-      url: `/system/package/${row.packageId}/details`,
+      url: `/exam/package/${row.packageId}/details`,
      method: 'get'
    });
    if (res.code === 200 && res.data) {
@@ -482,28 +467,14 @@ async function loadPackageDetails(row, treeNode, resolve) {
  }
 }

-// #428修复: 为已选择项目加载套餐明细（通过packageId或packageName查询）
+// #428: 为已选择项目加载套餐明细
 async function loadPackageDetailsForItem(item) {
-  if (!item.isPackage || (!item.packageId && !item.packageName)) {
+  if (!item.isPackage || !item.packageId) {
    return;
  }
  try {
-    let packageId = item.packageId;
-    if (!packageId && item.packageName) {
-      // CheckPart 没有 packageId 字段，需要通过 packageName 查询获取
-      const pkgRes = await listCheckPackage({ packageName: item.packageName });
-      let packages = pkgRes?.data || [];
-      if (!Array.isArray(packages)) {
-        packages = packages.records || packages.data || [];
-      }
-      if (packages.length === 0) {
-        item.packageDetails = [];
-        return;
-      }
-      packageId = packages[0].id;
-    }
    const res = await request({
-      url: `/system/package/${packageId}/details`,
+      url: `/exam/package/${item.packageId}/details`,
      method: 'get'
    });
    if (res.code === 200 && res.data) {
@@ -511,7 +482,7 @@ async function loadPackageDetailsForItem(item) {
        ...detail,
        name: detail.name || detail.itemName,
        unit: detail.unit || '次',
-        price: detail.price || detail.unitPrice || 0,
+        price: detail.price || detail.itemPrice || 0,
        quantity: detail.quantity || 1
      }));
    } else {
@@ -711,7 +682,6 @@ async function handleCategoryExpand(cat) {
        code: m.code,
        price: m.price || 0,
        packageName: m.packageName || '',
-        packageId: m.packageId || null,
        packagePrice: m.packagePrice || null,
        serviceFee: m.serviceFee || null
      }));
@@ -730,9 +700,7 @@ function handleCollapseChange(activeName) {
  setTimeout(() => { isAnimating.value = false; }, 300);  // 与 CSS 过渡时长一致

  if (activeName) {
-    // Bug #428修复: 直接从 categoryList（原始响应式数组）查找分类，
-    // 确保后续 handleCategoryExpand 对 cat.methods 的赋值能正确触发 Vue 响应式更新
-    const cat = categoryList.value.find(c => c.typeId == activeName);
+    const cat = filteredCategoryList.value.find(c => c.typeId == activeName);
    if (cat && (!cat.methods || cat.methods.length === 0)) {
      handleCategoryExpand(cat);  // 异步加载，不 await
    }
@@ -1024,20 +992,12 @@ function handleRowClick(row) {
  selectedItems.value = [];
  activeDetailTab.value = 'applyForm';
  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
-    const resp = res.data || res;
-    // Bug #408修复: items 在 AjaxResult 顶层(res.items / resp.items)，不在 ExamApply 对象内
-    // 防御性提取：优先取顶层 items，兼容嵌套在 resp.data.items 的情况
-    let rawItems = res.items || resp.items;
-    if (!rawItems && resp.data && typeof resp.data === 'object') {
-      rawItems = resp.data.items;
-    }
-    rawItems = rawItems || [];
-    const d = resp.data || resp;
-    if (d) Object.assign(form, d);
-    if (Array.isArray(rawItems) && rawItems.length > 0) {
+    const d = res.data || res;
+    if (d.data) Object.assign(form, d.data);
+    if (d.items && Array.isArray(d.items)) {
      try {
        // 为每个项目加载检查方法
-        const itemsWithMethods = await Promise.all(rawItems.map(async m => {
+        const itemsWithMethods = await Promise.all(d.items.map(async m => {
          const item = {
            id: m.itemCode, name: m.itemName,
            price: m.itemFee || 0, quantity: 1,
@@ -1065,18 +1025,12 @@ function handleRowClick(row) {
                  code: md.code,
                  price: m.itemFee || 0,  // fallback 到已保存的价格
                  packageName: md.packageName || '',
-                  packageId: md.packageId || null,
                  packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
                  serviceFee: md.serviceFee || null
                }));
                // 如果有已保存的检查方法信息，尝试匹配
                if (m.checkMethodId) {
                  item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
-                  // 从已保存的方法中获取套餐信息
-                  if (item.selectedMethod?.packageId) {
-                    item.isPackage = true;
-                    item.packageId = item.selectedMethod.packageId;
-                  }
                }
              }
            } catch (err) {
@@ -1137,13 +1091,6 @@ async function handleMethodSelect(checked, method, cat) {
    const existingItem = selectedItems.value.find(s => s.id === targetItem.id);
    if (existingItem) {
      existingItem.selectedMethod = method;
-      // 从方法中获取套餐信息
-      if (method.packageId) {
-        existingItem.isPackage = true;
-        existingItem.packageId = method.packageId;
-        // 预加载套餐明细
-        loadPackageDetailsForItem(existingItem);
-      }
      updateMethodDisplay();
      return;
    }
@@ -1151,15 +1098,14 @@ async function handleMethodSelect(checked, method, cat) {
    // 如果该项目不存在，创建一个并关联方法
    if (selectedItems.value.length > 0) {
      const currentCategory = selectedItems.value[0].checkType;
-      // Bug #428修复: 使用 cat.typeName 进行比较（与 newItem.checkType 保持一致）
-      const newCategory = cat.typeName || '';
+      const newCategory = cat.typeCode || '';
      if (currentCategory !== newCategory) {
        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
        return;
      }
    }

-    const newItem = {
+    selectedItems.value.push({
      id: targetItem.id, name: targetItem.name,
      price: targetItem.price, quantity: 1,
      serviceFee: targetItem.serviceFee || 0,
@@ -1171,16 +1117,9 @@ async function handleMethodSelect(checked, method, cat) {
      methods: [method],
      selectedMethod: method,
      expanded: false,
-      // 从方法中获取套餐信息（优先级高于项目本身的 packageName）
-      isPackage: !!method.packageId || !!targetItem.packageName,
-      packageId: method.packageId || targetItem.packageId || null
-    };
-    selectedItems.value.push(newItem);
-
-    // 如果是套餐，预加载套餐明细
-    if (newItem.isPackage && newItem.packageId) {
-      loadPackageDetailsForItem(newItem);
-    }
+      isPackage: !!targetItem.packageName,
+      packageId: targetItem.packageId || null
+    });

    // 自动回填执行科室
    if (selectedItems.value.length === 1 && cat?.performDeptName) {
@@ -1225,7 +1164,6 @@ async function handleItemSelect(checked, item, cat) {
            code: m.code,
            price: m.price || item.price,  // fallback 到项目价格
            packageName: m.packageName || '',
-            packageId: m.packageId || null,
            packagePrice: m.packagePrice || null,  // Bug #384修复: 套餐价格
            serviceFee: m.serviceFee || null      // Bug #384修复: 服务费
          }));
@@ -1237,8 +1175,7 @@ async function handleItemSelect(checked, item, cat) {

    if (selectedItems.value.length > 0) {
      const currentCategory = selectedItems.value[0].checkType;
-      // Bug #428修复: 使用 cat.typeName 进行比较（与 effectiveCheckType 保持一致）
-      const newCategory = cat.typeName || '';
+      const newCategory = cat.typeCode || '';
      if (currentCategory !== newCategory) {
        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
        item.checked = false;
@@ -1259,7 +1196,6 @@ async function handleItemSelect(checked, item, cat) {
      selectedMethod: null,
      expanded: false,  // Bug #384修复: 新增展开状态，默认不展开
      isPackage: !!item.packageName,  // Bug #428修复: 标记是否为套餐
-      packageName: item.packageName || null,  // Bug #426修复: 套餐名称，用于查找packageId
      packageId: item.packageId || null  // Bug #428修复: 套餐ID
    });

@@ -1292,68 +1228,21 @@ async function toggleItemExpand(item) {
 }

 // Bug #384修复: 勾选框选择检查方法（单选逻辑）
-async function selectMethodCheckbox(checked, item, method) {
+function selectMethodCheckbox(checked, item, method) {
  if (checked) {
    item.selectedMethod = method;
-    // 动态加载该方法对应的套餐明细
-    await loadMethodPackageDetails(item, method);
  } else {
    item.selectedMethod = null;
-    item.methodPackageDetails = [];
  }
  // 联动更新表单检查方法显示字段
  updateMethodDisplay();
-
+  
  // #430: 套餐金额实时同步到申请单
  nextTick(() => {
    form.totalAmount = totalAmountCalc.value;
  });
 }

-// 根据检查方法的packageName加载对应的套餐明细
-async function loadMethodPackageDetails(item, method) {
-  item.methodPackageLoading = true;
-  item.methodPackageDetails = [];
-  try {
-    if (!method.packageName) {
-      item.methodPackageLoading = false;
-      return;
-    }
-    // 通过packageName查询套餐获取packageId
-    const pkgRes = await listCheckPackage({ packageName: method.packageName });
-    let packages = pkgRes?.data || [];
-    if (!Array.isArray(packages)) {
-      packages = packages.records || packages.data || [];
-    }
-    if (packages.length === 0) {
-      item.methodPackageLoading = false;
-      return;
-    }
-    const packageId = packages[0].id;
-    // 查询套餐明细
-    const detailRes = await request({
-      url: `/system/package/${packageId}/details`,
-      method: 'get'
-    });
-    if (detailRes.code === 200 && detailRes.data) {
-      item.methodPackageDetails = detailRes.data.map(d => ({
-        id: d.id,
-        name: d.itemName || d.name,
-        quantity: d.quantity || 1,
-        unit: d.unit || '次',
-        price: d.unitPrice || d.price || 0,
-        amount: d.amount || d.total || 0,
-        checked: true  // 默认勾选
-      }));
-    }
-  } catch (err) {
-    console.error('加载方法套餐明细失败:', err);
-    item.methodPackageDetails = [];
-  } finally {
-    item.methodPackageLoading = false;
-  }
-}
-
 // Bug #384修复: 更新检查方法显示字段（联动）
 function updateMethodDisplay() {
  // 找到第一个有选中检查方法的项目
@@ -1759,29 +1648,6 @@ defineExpose({ getList });
  margin-left: 8px;
 }

-/* 选中方法后显示的套餐明细 */
-.method-package-details {
-  margin-top: 4px;
-  padding: 4px 0;
-  border-top: 1px dashed #dcdfe6;
-}
-
-.method-package-header {
-  padding: 2px 0 4px 24px;
-}
-
-.method-package-title {
-  font-size: 10px;
-  color: #909399;
-  font-weight: 500;
-}
-
-.method-package-loading {
-  padding: 4px 0 4px 24px;
-  font-size: 10px;
-  color: #c0c4cc;
-}
-
 /* 折叠组件细节 */
 :deep(.el-collapse) {
  border: none;
--- a/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -3326,13 +3326,9 @@ function syncGroupFields(row) {
  }
  
  // 同步执行科室
-  // 🔧 Bug #455: 诊疗类医嘱(adviceType=3)不使用项目配置的执行科室，
-  // 避免配置ID不在机构树中导致显示原始ID，保持患者就诊科室即可
  if (row.orgId || row.positionId) {
-    if (Number(row.adviceType) != 3) {
-      // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
-      prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
-    }
+    // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
+    prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
  }
  
  // 同步皮试标记
@@ -3416,11 +3412,8 @@ async function setValue(row) {
    showPopover: false, // 确保查询框关闭
  };
  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) {
-    prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
-  }
+  // 🔧 Bug #455: 执行科室默认逻辑：使用positionId(诊疗执行科室配置) → 患者就诊科室，不再使用row.orgId(项目所属科室)
+  prescriptionList.value[rowIndex.value].orgId = row.positionId || props.patientInfo?.orgId;
  prescriptionList.value[rowIndex.value].dose = row.dose || row.doseQuantity;
  prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
  prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/api.js
@@ -44,17 +44,6 @@ export function getSurgery(queryParams) {
  });
 }

-/**
- * 分页查询手术申请单（全局，不需要encounterId，用于门诊手术安排查找弹窗）
- */
-export function getSurgeryPage(queryParams) {
-  return request({
-    url: '/reg-doctorstation/request-form/get-surgery-page',
-    method: 'get',
-    params: queryParams,
-  });
-}
-
 /**
 * 查询护理医嘱信息
 */
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/examineApplication.vue
@@ -79,7 +79,7 @@
          <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 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="prescriptionNo" label="处方号" 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">
@@ -118,7 +118,7 @@
            <el-descriptions-item label="创建时间">{{
              currentDetail.createTime || '-'
            }}</el-descriptions-item>
-            <el-descriptions-item label="申请单号">{{
+            <el-descriptions-item label="处方号">{{
              currentDetail.prescriptionNo || '-'
            }}</el-descriptions-item>
            <el-descriptions-item label="申请者">{{
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
@@ -72,45 +72,6 @@
              <el-input v-model="form.attention" autocomplete="off" type="textarea" />
            </el-form-item>
          </el-col>
-          <!-- 申请类型 -->
-          <el-col :span="12">
-            <el-form-item label="申请类型" prop="applicationType" style="width: 100%">
-              <el-radio-group v-model="form.applicationType">
-                <el-radio :value="0">普通</el-radio>
-                <el-radio :value="1">急诊</el-radio>
-              </el-radio-group>
-            </el-form-item>
-          </el-col>
-          <!-- 标本类型 -->
-          <el-col :span="12">
-            <el-form-item label="标本类型" prop="specimenName" style="width: 100%">
-              <el-select v-model="form.specimenName" placeholder="请选择标本类型" style="width: 100%">
-                <el-option label="血液" value="血液" />
-                <el-option label="尿液" value="尿液" />
-                <el-option label="粪便" value="粪便" />
-                <el-option label="痰液" value="痰液" />
-                <el-option label="咽拭子" value="咽拭子" />
-                <el-option label="脑脊液" value="脑脊液" />
-                <el-option label="胸腹水" value="胸腹水" />
-                <el-option label="关节液" value="关节液" />
-                <el-option label="分泌物" value="分泌物" />
-                <el-option label="其他" value="其他" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <!-- 执行时间 -->
-          <el-col :span="12">
-            <el-form-item label="执行时间" prop="executeTime" style="width: 100%">
-              <el-date-picker
-                v-model="form.executeTime"
-                type="datetime"
-                placeholder="选择执行时间"
-                format="YYYY-MM-DD HH:mm:ss"
-                value-format="YYYY-MM-DD HH:mm:ss"
-                style="width: 100%"
-              />
-            </el-form-item>
-          </el-col>
        </el-row>
      </el-form>
    </div>
@@ -191,9 +152,6 @@ const form = reactive({
  otherDiagnosis: '', // 其他诊断
  relatedResult: '', // 相关结果
  attention: '', // 注意事项
-  applicationType: 0, // 申请类型 0-普通 1-急诊
-  specimenName: '血液', // 标本类型
-  executeTime: null, // 执行时间
  primaryDiagnosisList: [], //主诊断目录
  otherDiagnosisList: [], //其他断目录
 });
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
@@ -483,7 +483,7 @@ const submit = () => {
    encounterId: patientInfo.value.encounterId,
    organizationId: patientInfo.value.inHospitalOrgId,
    requestFormId: '',
-    name: applicationListAllFilter.map(item => item.adviceName).join('、'),
+    name: '检查申请单',
    descJson: JSON.stringify(submitForm),
    categoryEnum: '2',
  }).then((res) => {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
@@ -5,14 +5,16 @@
 -->
 <template>
  <div class="surgery-container">
-    <div v-loading="loading" class="transfer-wrapper" style="min-height: 300px;">
-      <el-transfer
-        v-model="transferValue"
-        :data="applicationList"
-        filter-placeholder="项目代码/名称"
-        filterable
-        :titles="['未选择', '已选择']"
-      />
+    <div class="transfer-wrapper">
+      <div v-loading="loading" style="min-height: 300px;">
+        <el-transfer
+          v-model="transferValue"
+          :data="applicationList"
+          filter-placeholder="项目代码/名称"
+          filterable
+          :titles="['未选择', '已选择']"
+        />
+      </div>
    </div>
    <div class="bloodTransfusion-form">
      <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
@@ -101,8 +103,8 @@ const findTreeItem = (list, id) => {
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
-const applicationListAll = ref();
-const applicationList = ref();
+const applicationListAll = ref([]);
+const applicationList = ref([]);
 const orgOptions = ref([]); // 科室选项
 const loading = ref(false); // 加载状态
 const getList = () => {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -1181,27 +1181,19 @@ function handleSave() {
    });
    // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
    loading.value = true;
-    let list = [];
-    try {
-      list = saveList.map((item) => {
-        const parsedContent = item.contentJson ? JSON.parse(item.contentJson) || {} : {};
-        return {
-          ...parsedContent,
-          adviceType: item.adviceType,
-          requestId: item.requestId,
-          dbOpType: '1',
-          groupId: item.groupId,
-          uniqueKey: undefined,
-          // 确保 therapyEnum 被正确传递
-          therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
-        };
-      });
-    } catch (error) {
-      loading.value = false;
-      isSaving.value = false;
-      proxy.$modal.msgError('医嘱内容解析失败，请检查待签发医嘱');
-      return;
-    }
+    let list = saveList.map((item) => {
+      const parsedContent = JSON.parse(item.contentJson);
+      return {
+        ...parsedContent,
+        adviceType: item.adviceType,
+        requestId: item.requestId,
+        dbOpType: '1',
+        groupId: item.groupId,
+        uniqueKey: undefined,
+        // 确保 therapyEnum 被正确传递
+        therapyEnum: parsedContent.therapyEnum || item.therapyEnum || '1',
+      };
+    });
    // 保存签发按钮
    isSaving.value = true;
    console.log('签发处方参数：', {
@@ -1218,7 +1210,7 @@ function handleSave() {
          isSaving.value = false;
          getListInfo(false);
          bindMethod.value = {};
-          nextId.value = 1;
+          nextId.value == 1;
        } else {
          proxy.$modal.msgError(res.message);
          isSaving.value = false;
@@ -1384,21 +1376,13 @@ function handleSaveSign(row, index) {
    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
      if (res.code === 200) {
        proxy.$modal.msgSuccess('保存成功');
-        nextId.value = 1;
+        nextId.value == 1;
      }
    });
  } else {
-    // 新增行：调用保存接口将数据持久化到后端
-    row.dbOpType = '1';
-    savePrescription({ regAdviceSaveList: [row] }).then((res) => {
-      if (res.code === 200) {
-        proxy.$modal.msgSuccess('保存成功');
-        nextId.value = 1;
-        // 保存成功后刷新列表，确保后端返回的数据带 requestId
-        getListInfo(false);
-      }
-    });
-    // 不需要再添加空行，保存成功后由 getListInfo 处理
+    if (prescriptionList.value[0].adviceName) {
+      handleAddPrescription();
+    }
  }
  adviceQueryParams.value.adviceType = undefined;
 }
@@ -1445,13 +1429,12 @@ function handleSaveBatch() {
          if (row) row.isEdit = false;
        });
        getListInfo(false);
-        nextId.value = 1;
+        nextId.value == 1;
        isSaving.value = false;
      }
    })
    .catch((error) => {
      isSaving.value = false;
-      proxy.$modal.msgError(error?.msg || '保存失败，请重试');
    });
 }

@@ -1579,21 +1562,17 @@ function handleSaveGroup(orderGroupList) {
    // 🔥 新版组件已经预处理了数据，优先使用 mergedDetail
    const mergedDetail = item.mergedDetail || {
      ...(item.orderDetailInfos || {}),
-      adviceName: item.orderDefinitionName || item.orderDetailInfos?.adviceName || '未知项目',
+      adviceName: item.orderDetailInfos?.adviceName || item.orderDefinitionName || '未知项目',
      adviceType: item.orderDetailInfos?.adviceType,
      adviceDefinitionId: item.orderDefinitionId || item.orderDetailInfos?.adviceDefinitionId,
      quantity: item.quantity,
      unitCode: item.unitCode || item.orderDetailInfos?.unitCode,
      unitCodeName: item.unitCodeName,
-      // 🔧 Bug #403 修复：dose/doseQuantity/dispensePerDuration 需用 null 检查，
-      // 避免组套中值为 null 时回退到医嘱库的 orderDetailInfos
-      dose: item.dose !== undefined && item.dose !== null ? item.dose : item.orderDetailInfos?.dose,
+      dose: item.dose || item.orderDetailInfos?.dose,
      rateCode: item.rateCode || item.orderDetailInfos?.rateCode,
      methodCode: item.methodCode || item.orderDetailInfos?.methodCode,
-      dispensePerDuration: item.dispensePerDuration !== undefined && item.dispensePerDuration !== null
-        ? item.dispensePerDuration : item.orderDetailInfos?.dispensePerDuration,
-      doseQuantity: item.doseQuantity !== undefined && item.doseQuantity !== null
-        ? item.doseQuantity : item.orderDetailInfos?.doseQuantity,
+      dispensePerDuration: item.dispensePerDuration || item.orderDetailInfos?.dispensePerDuration,
+      doseQuantity: item.doseQuantity,
      inventoryList: item.orderDetailInfos?.inventoryList || [],
      priceList: item.orderDetailInfos?.priceList || [],
      partPercent: item.orderDetailInfos?.partPercent || 1,
@@ -1612,21 +1591,20 @@ function handleSaveGroup(orderGroupList) {
    setValue(mergedDetail);

    // 创建新的处方项目
-    // 🔧 Bug #403 修复：关键字段使用 null-safe 回退到 mergedDetail（已由 setValue 填充完整数据）
    const newRow = {
      ...prescriptionList.value[rowIndex.value],
      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,
+      quantity: item.quantity,
+      methodCode: item.methodCode,
+      rateCode: item.rateCode,
+      dispensePerDuration: item.dispensePerDuration,
+      dose: item.dose,
+      doseQuantity: item.doseQuantity,
      executeNum: 1,
-      unitCode: item.unitCode ?? mergedDetail.unitCode,
-      unitCode_dictText: item.unitCodeName || mergedDetail.unitCodeName || '',
+      unitCode: item.unitCode,
+      unitCode_dictText: item.unitCodeName || '',
      statusEnum: 1,
      orgId: resolveOrgId(item.orderDetailInfos?.orgId || mergedDetail.orgId || patientInfo.value?.inHospitalOrgId) || '',
      // 🔧 修复：同时保存 orgName，确保树匹配不到时仍有中文名称可显示
--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
@@ -302,29 +302,6 @@ function getSelectRows() {
  });
  return list;
 }
-
-function getTableRef(index) {
-  return proxy.$refs['tableRef' + index]?.[0];
-}
-
-function selectAllRows() {
-  prescriptionList.value.forEach((item, index) => {
-    const tableRef = getTableRef(index);
-    if (!tableRef) {
-      return;
-    }
-    item.forEach((row) => {
-      tableRef.toggleRowSelection(row, true);
-    });
-  });
-}
-
-function clearSelection() {
-  prescriptionList.value.forEach((item, index) => {
-    getTableRef(index)?.clearSelection();
-  });
-}
-
 function handleRateChange(value, item, row) {
  // 拼接当前选中时间
  if (value) {
@@ -342,8 +319,6 @@ function handleRateChange(value, item, row) {
 defineExpose({
  handleGetPrescription,
  handleMedicineSummary,
-  selectAllRows,
-  clearSelection,
 });
 </script>

--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
@@ -69,11 +69,7 @@
        </div>
        <div>
          <span class="descriptions-item-label">全选：</span>
-          <el-switch
-            v-model="chooseAll"
-            :disabled="isDetails != '1'"
-            @change="handelSwicthChange"
-          />
+          <el-switch v-model="chooseAll" @change="handelSwicthChange" />
          <el-button class="ml20 mr20" type="primary" @click="handleExecute"> 汇总领药 </el-button>
        </div>
      </div>
@@ -164,31 +160,24 @@ function handleClick(tabName) {
 }

 function handleGetPrescription() {
-  chooseAll.value = false;
-  prescriptionRefs.value?.handleGetPrescription();
+  prescriptionRefs.value.handleGetPrescription();
 }

-function handelSwicthChange(value) {
-  if (!prescriptionRefs.value) {
-    chooseAll.value = false;
-    return;
-  }
-  if (value) {
-    prescriptionRefs.value.selectAllRows();
+function handelSwicthChange() {
+  if (chooseAll.value) {
+    proxy.$refs['prescriptionRefs'].selectAllRows();
  } else {
-    prescriptionRefs.value.clearSelection();
+    proxy.$refs['prescriptionRefs'].clearSelection();
  }
 }

 function handleRadioChange(value) {
-  chooseAll.value = false;
  if (value == '1') {
    handleGetPrescription();
  }
 }

 function handleTherapyChange() {
-  chooseAll.value = false;
  handleGetPrescription();
 }

@@ -227,4 +216,4 @@ provide('handleGetPrescription', (value) => {
 :deep(.el-tabs__header) {
  margin: 0;
 }
-</style>
+</style>
--- a/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/inOut/components/transferInDialog.vue
@@ -453,10 +453,6 @@ const loadPatientInfo = () => {
      interventionForm.value.startTime = dayjs(res.data.startTime).format(
        'YYYY-MM-DD HH:mm:ss'
      );
-    } else if (res.data.inHosTime) {
-      interventionForm.value.startTime = dayjs(res.data.inHosTime).format(
-        'YYYY-MM-DD HH:mm:ss'
-      );
    } else {
      interventionForm.value.startTime = dayjs(new Date()).format('YYYY-MM-DD HH:mm:ss');
    }
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -829,9 +829,7 @@
            </el-descriptions>
          </div>
          <div style="padding: 10px">
-            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef"
-              :generateSourceEnum="1"
-              :sourceBillNo="chargePatientInfo.sourceBillNo" />
+            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef" />
            <div class="overlay" v-if="disabled"></div>
          </div>
        </div>
@@ -874,32 +872,16 @@ import { Loading } from '@element-plus/icons-vue' // 🔧 新增：导入 Loadin
 import { getPrescriptionList } from '@/views/clinicmanagement/bargain/component/api'

 // API 导入
-import {
-  getSurgerySchedulePage,
-  addSurgerySchedule,
-  updateSurgerySchedule,
-  deleteSurgerySchedule,
-  getSurgeryScheduleDetail
-} from '@/api/surgicalschedule'
+import { getSurgerySchedulePage, addSurgerySchedule, updateSurgerySchedule, 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 { getSurgery} from '@/views/inpatientDoctor/home/components/applicationShow/api.js'
+import { getTenantPage } from '@/api/system/tenant'
 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）
-function getTenantPageSilent(query) {
-  return request({
-    url: '/system/tenant/page',
-    method: 'get',
-    params: query,
-    skipErrorMsg: true
-  })
-}
-
 const { proxy } = getCurrentInstance()
 const userStore = useUserStore()
 const loading = ref(true)
@@ -1128,7 +1110,7 @@ onMounted(() => {

 // 加载卫生机构列表
 function loadOrgList() {
-  getTenantPageSilent({ pageNo: 1, pageSize: 1000 })
+  getTenantPage({ pageNo: 1, pageSize: 1000 })
    .then(res => {
      if (res.code === 200) {
        const records = res.data?.records || res.data || []
@@ -1406,8 +1388,8 @@ async function handleChargeCharge(row) {
    orgId: userStore.organizationId || userStore.orgId || userStore.tenantId || 1,
    // 添加账户ID
    accountId: accountId,
-    // 添加手术单号用于关联对应的手术医嘱
-    sourceBillNo: row.operCode,
+    // 添加手术申请单号用于追溯
+    sourceBillNo: row.applyId,
    //添加计费标志手术计费
    generateSourceEnum: 6
  }
@@ -1434,12 +1416,9 @@ function closeChargeDialog() {
  if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
    prescriptionRef.value.closeAllPopovers()
  }
-  // 等 Vue 完成 DOM 更新后再关闭弹窗，确保 popover 先消失
-  nextTick(() => {
-    showChargeDialog.value = false
-    chargePatientInfo.value = {}
-    chargeSurgeryInfo.value = {}
-  })
+  showChargeDialog.value = false
+  chargePatientInfo.value = {}
+  chargeSurgeryInfo.value = {}
 }

 // 🔧 新增：标志位，用于区分是"打开"还是"刷新"
@@ -1468,8 +1447,7 @@ function handleMedicalAdvice(row) {
    role: userStore.roles[0],
    effectiveOrgId : row.effectiveOrgId,
    orgId: userStore.orgId,
-    positionId: userStore.orgId,
-    applyId: row.applyId  // 手术申请单ID，用于过滤关联医嘱
+    positionId: userStore.orgId
  }

  // 🔧 关键修复：如果已有提交的医嘱数据，并且是同一个患者的就诊，则使用保存的数据
@@ -1767,7 +1745,7 @@ function handleQuoteBilling() {
  // 重新拉取计费药品数据
  if (temporaryPatientInfo.value.visitId) {
    temporaryMedicalLoading.value = true // 🔧 新增：开始加载
-    getPrescriptionList(temporaryPatientInfo.value.visitId, 6, temporaryPatientInfo.value.operCode).then((res) => {
+    getPrescriptionList(temporaryPatientInfo.value.visitId).then((res) => {
            if (res.code === 200 && res.data) {
              // 🔧 修复：先清空旧数据，避免数据累积
              temporaryBillingMedicines.value = []
@@ -2042,7 +2020,7 @@ function handleFindApply() {
  getSurgicalScheduleList()
 }

-// 获取手术申请列表（用于”查找”弹窗）
+// 获取手术申请列表（用于“查找”弹窗）
 function getSurgicalScheduleList() {
  applyLoading.value = true
  const params = { ...applyQueryParams }
@@ -2051,7 +2029,8 @@ function getSurgicalScheduleList() {
    params.applyTimeEnd = params.applyTimeRange[1]
    delete params.applyTimeRange
  }
-  getSurgeryPage(params).then((res) => {
+  getSurgery(params).then((res) => {
+    // Check if data is nested under data.data or directly under data
    const responseData = res.data.data || res.data
    applyList.value = responseData.records || []
    applyTotal.value = responseData.total || 0
@@ -2300,4 +2279,4 @@ function getRowClassName({ row, rowIndex }) {
  border-bottom: 1px solid #d9ecff !important;
 }

-</style>
+</style>
--- a/sql/bug_434_add_incision_level_to_op_schedule.sql
+++ b/sql/bug_434_add_incision_level_to_op_schedule.sql
@@ -1,5 +0,0 @@
-- Bug #434 修复：为 op_schedule 表添加 incision_level 字段
-- 手术安排表需要存储切口类型，以便在编辑弹窗中正确回显和保存
-ALTER TABLE op_schedule ADD COLUMN IF NOT EXISTS incision_level INT2;
-
-COMMENT ON COLUMN op_schedule.incision_level IS '手术切口等级 1-I级切口 2-II级切口 3-III级切口 4-IV级切口';
Author	SHA1	Message	Date
赵云	c7a6578094	Fix Bug #493 : 【住院医生工作站-临床医嘱-检验申请】项目未维护执行科室时，医生手动选择发往科室后仍报错且数据被清空根因：projectWithDepartment 函数定义时遗漏了 type 参数，导致函数体内引用 type 变量时报 ReferenceError（未定义），type === 2 的判断永远无法正确执行。用户在提交时手动选择的发往科室被清空且无法提交。修复：在函数签名中添加 type 参数，与 working 版本 medicalExaminations.vue 保持一致。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
刘备	a5ed6eaea9	Fix Bug #491 : 【执行科室配置】保存配置时系统报错 - 修复Organization.getName()空指针异常根因分析： 1. organizationLocationInit() 中 Organization.getName() 未做空值过滤，若数据库存在name为null的科室记录会NPE 2. addOrEditOrgLoc() 中 activityDefinitionMapper.selectById().getName() 未对selectById返回null做防护 3. addOrEditOrgLoc() 缺少organizationId前置校验，空值传入可能导致后续流程异常修复内容： - 第74行：stream中增加 .filter(organization -> organization != null && organization.getName() != null) - 第136-138行：增加organizationId为null时的校验，返回友好错误提示 - 第145-147行：将activityDefinitionMapper.selectById结果先赋值再判空，避免NPE Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
赵云	31504f3260	Fix Bug #488 : 【临床医嘱】双击编辑待签发医嘱，医嘱类型回显为数字且点击确认报接口错误修复 clickRowDb 函数中编辑条件过于严格的问题：原条件 `row.statusEnum == 1 && !row.requestId` 只允许"待保存"(无requestId)的医嘱进入编辑，导致"待签发"(有requestId)的医嘱无法编辑。改为 `row.statusEnum == 1`，允许所有待签发状态的医嘱编辑。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
张飞	8bd687581c	Fix Bug #477 : 住院医生工作站-住院检查申请详情弹窗中"发往科室"字段显示为短横线（-），未正常获取数据根因分析： 1. 前端组件使用了错误的API获取科室列表：表单使用getDepartmentList(/app-common/department-list) 保存的targetDepartment ID，但详情弹窗使用getOrgList(/base-data-manage/organization/organization) 查询，两个接口返回的数据结构和ID不同，导致recursionFun无法匹配到科室名称 2. recursionFun中obj.children可能为null/undefined，直接遍历会抛TypeError 3. getLocationInfo是异步调用，handleViewDetail可能在科室数据加载完成前被调用修复： - 统一使用getDepartmentList(@/api/public.js)获取科室数据，与表单组件保持一致 - recursionFun增加children空值保护 - handleViewDetail改为async，打开详情前确保科室数据已加载	2026-05-13 00:13:44 +08:00
刘备	2d16d6695c	Fix Bug #468 : [住院医生工作站-检验申请] 列表页缺失【单据状态】列，无法闭环管理检验医嘱执行进度前后端完整链路修复： - 后端 Mapper: LEFT JOIN wor_service_request 表，通过 CASE MIN(status_enum) 映射单据状态 - 后端 Mapper: 新增状态筛选和关键字搜索（申请单号/检验项目模糊匹配） - 后端 Service/Controller: 新增 status 和 keyword 参数传递 - 前端 Vue: 列表页添加【单据状态】列，绑定 status 字段 - 前端 Vue: 移除中间状态选项（已采集/已收样），与后端 CASE 映射保持一致 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
荀彧	d04f998ae7	Fix Bug #464 : [目录管理-诊疗目录] 新增项目时"零售价"未与"诊疗子项"合计总价自动同步根本原因: calculateTotalPrice() 中同步零售价的条件只检查了第一个子项 (treatmentItems.value[0])，当第一个子项被清空但其他子项有效时，零售价不会同步。submitForm() 中存在相同问题。修复内容: 1. calculateTotalPrice(): 使用 Array.some() 检查是否有任何有效子项，而非只检查第一个 2. 当无有效子项时，将 retailPrice 重置为 undefined 避免残留旧值 3. submitForm(): childrenJson 序列化和零售价同步同样改用 some() 检查 4. addItem(): 补充缺失的 name 字段，与初始值结构保持一致 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
荀彧	2d5d01bedc	Fix Bug #457 : 门诊收费：已签发的手术类医嘱在门诊收费列表中不显示项目名称根因分析：门诊医生站处方列表查询（DoctorStationAdviceAppMapper.xml）中，手术类医嘱（category_enum=4）的 advice_table_name 固定返回 'wor_activity_definition'，而非 'cli_surgery'。当医生通过"签发"按钮处理手术医嘱时，handService() 据此创建 ChargeItem，导致 product_table = 'wor_activity_definition'，但 product_id 实际指向 cli_surgery 表中的手术记录。门诊收费SQL查询的CASE语句仅匹配 product_table = 'cli_surgery' 的手术项，因此这些手术医嘱无法匹配，item_name 返回 NULL。修复方案：在 selectEncounterPatientPrescription 和 selectEncounterPatientPrescriptionWithPrice 的 item_name CASE 表达式中新增兜底分支： WHEN context_enum = #{activity} AND service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json->>'surgeryName', wsr.content_json->>'adviceName', T2."name") 按优先级回退获取手术名称：cli_surgery表 → content_json手术名称 → content_json医嘱名称 → 诊疗定义名称 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-13 00:13:44 +08:00
刘备	44fd7de754	Fix Bug #458 : 门诊医生站：诊疗类医嘱保存成功后，列表"医嘱类型"列显示为空值根因：mapAdviceTypeLabel 函数依赖 drord_doctor_type 字典数据进行类型映射，当字典中缺少 value=3（诊疗）的条目时，find() 返回 undefined，函数返回空字符串，导致保存后刷新列表时"医嘱类型"列显示为空白。修复：在 mapAdviceTypeLabel 中为诊疗/手术类医嘱（wor_activity_definition 表）添加兜底映射逻辑：type 3→诊疗, 6→手术, 4→手术, 1→检验, 2→检查, 5→其他, 确保即使字典缺失对应条目也能正确显示类型标签。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 23:29:30 +08:00