Fix Bug #455: 门诊医生站-医嘱：开立诊疗医嘱时执行科室默认获取逻辑有误且显示为原始ID

根因修复：
1. 默认科室逻辑错误：row.orgId来自wor_activity_definition.org_id(项目所属科室)，不是执行科室。
   改为优先使用positionId(adm_organization_location配置的执行科室)，回退到患者就诊科室。
2. 显示为原始ID：getOrgList()为异步调用但未await，导致findOrgNameById执行时organization树未加载。
   将setValue改为async函数并await getOrgList()，确保科室名称解析时数据已就绪。

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

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

@@ -7,7 +7,6 @@ import com.core.common.utils.MessageUtils;
 import com.openhis.administration.domain.Location;
 import com.openhis.administration.domain.Organization;
 import com.openhis.administration.domain.OrganizationLocation;
-import com.openhis.workflow.domain.ActivityDefinition;
 import com.openhis.administration.mapper.OrganizationLocationMapper;
 import com.openhis.administration.service.ILocationService;
 import com.openhis.administration.service.IOrganizationLocationService;
@@ -71,7 +70,6 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         // 获取科室下拉选列表
         List<Organization> organizationList = organizationService.getList(OrganizationType.DEPARTMENT.getValue(), null);
         List<OrgLocInitDto.departmentOption> organizationOptions = organizationList.stream()
-            .filter(organization -> organization != null && organization.getName() != null)
             .map(organization -> new OrgLocInitDto.departmentOption(organization.getId(), organization.getName()))
             .collect(Collectors.toList());
         initDto.setLocationFormOptions(chargeItemStatusOptions).setDepartmentOptions(organizationOptions);
@@ -133,18 +131,12 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
     @Override
     public R<?> addOrEditOrgLoc(OrgLocQueryDto orgLocQueryDto) {
 
-        // Validate required fields before processing
-        if (orgLocQueryDto.getOrganizationId() == null) {
-            return R.fail("请选择执行科室");
-        }
-
         OrganizationLocation orgLoc = new OrganizationLocation();
         BeanUtils.copyProperties(orgLocQueryDto, orgLoc);
 
         Long activityDefinitionId = orgLoc.getActivityDefinitionId();
-        ActivityDefinition activityDef = activityDefinitionId != null
-            ? activityDefinitionMapper.selectById(activityDefinitionId) : null;
-        String activityName = activityDef != null ? activityDef.getName() : "";
+        String activityName = activityDefinitionId != null
+            ? activityDefinitionMapper.selectById(activityDefinitionId).getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
             organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());

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
      *

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
      *

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

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);

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);
     }
 
     /**

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

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

@@ -43,19 +43,6 @@ public interface IRequestFormManageAppService {
      */
     List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate);
 
-    /**
-     * 查询申请单（支持筛选+状态+关键字）
-     *
-     * @param encounterId 就诊id
-     * @param typeCode 申请单类型
-     * @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/项目名称模糊匹配）
-     * @return 申请单列表
-     */
-    List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword);
-
     /**
      * 分页查询申请单
      *

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();

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();
@@ -432,28 +428,12 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
      */
     @Override
     public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate) {
-        return getRequestForm(encounterId, typeCode, startDate, endDate, null, null);
-    }
-
-    /**
-     * 查询申请单（支持筛选+状态+关键字）
-     *
-     * @param encounterId 就诊id
-     * @param typeCode 申请单类型
-     * @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/项目名称模糊匹配）
-     * @return 申请单列表
-     */
-    @Override
-    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword) {
         // 检查参数
         if (encounterId == null) {
             return new java.util.ArrayList<>();
         }
 
-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, keyword);
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate,null,null);
         for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
             // 查询处方详情
             List<RequestFormDetailQueryDto> requestFormDetail =

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;
 
 /**
@@ -99,7 +98,6 @@ public class RequestFormManageController {
      * @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/检验项目模糊匹配）
      * @return 检验申请单
      */
     @GetMapping(value = "/get-inspection")
@@ -107,12 +105,11 @@ public class RequestFormManageController {
             @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) {
+            @RequestParam(required = false) String status) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status, keyword));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate));
     }
 
     /**
@@ -143,32 +140,6 @@ 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
      */

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
      */

openhis-server-new/openhis-application/src/main/resources/mapper/chargemanage/OutpatientChargeAppMapper.xml

@@ -100,7 +100,6 @@
                    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")
-                   WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{medication} THEN T3."name"
                    WHEN T1.context_enum = #{device} THEN T4."name"
@@ -226,7 +225,6 @@
                           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")
-                          WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{medication} THEN T3."name"
                           WHEN T1.context_enum = #{device} THEN T4."name"

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>
@@ -544,9 +541,9 @@
         CI.service_id AS request_id,
         CI.service_id || '-ci-dev' AS unique_key,
         '' AS prescription_no,
-        COALESCE(DR.requester_id, CI.enterer_id) AS requester_id,
+        CI.enterer_id AS requester_id,
         CI.entered_date AS request_time,
-        CASE WHEN COALESCE(DR.requester_id, CI.enterer_id) = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
+        CASE WHEN CI.enterer_id = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
         DR.content_json AS content_json,
         NULL AS skin_test_flag,
         NULL AS inject_flag,
@@ -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>

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,

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>

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

@@ -12,24 +12,12 @@
                drf.desc_json,
                drf.requester_id,
                drf.create_time,
-               ap.NAME AS patient_name,
-               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 AS status
+               ap.NAME AS patient_name
         FROM doc_request_form AS drf
                  LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
             AND ae.delete_flag = '0'
                  LEFT JOIN adm_patient AS ap ON ap.ID = ae.patient_id
             AND ap.delete_flag = '0'
-                 LEFT JOIN wor_service_request AS wsr ON wsr.prescription_no = drf.prescription_no
-            AND wsr.delete_flag = '0'
         WHERE drf.delete_flag = '0'
           AND drf.encounter_id = #{encounterId}
           AND drf.type_code = #{typeCode}
@@ -39,33 +27,6 @@
           <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 (
-                       SELECT 1 FROM wor_service_request wsr2
-                       WHERE wsr2.prescription_no = drf.prescription_no
-                         AND wsr2.delete_flag = '0'
-                         AND wsr2.activity_id IN (
-                             SELECT id FROM wor_activity_definition wad
-                             WHERE wad.delete_flag = '0'
-                               AND wad.name ILIKE '%' || #{keyword} || '%'
-                         )
-                   ))
-          </if>
-        GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
-                 drf.requester_id, drf.create_time, ap.name
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
@@ -161,9 +122,6 @@
                 <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>

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
      */

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,

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;

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
   })

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();
@@ -466,24 +467,16 @@ 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;
       }
     });
     totalPrice.value = sum.toFixed(2);
     // Bug #464: 零售价与诊疗子项合计总价实时同步
-    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;
+    if (treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId !== '') {
+      form.value.retailPrice = parseFloat(totalPrice.value);
     }
   } catch (error) {
     totalPrice.value = '0.00';
@@ -493,7 +486,7 @@ function calculateTotalPrice() {
 
 // 添加表单项
 function addItem() {
-  treatmentItems.value.push({ adviceDefinitionId: '', childrenRequestNum: 1, name: '', retailPrice: 0 });
+  treatmentItems.value.push({ adviceDefinitionId: '', childrenRequestNum: 1, retailPrice: 0 });
   // 使用nextTick确保DOM更新后再计算
   nextTick(() => {
     calculateTotalPrice();
@@ -567,16 +560,15 @@ 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 +613,7 @@ 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');
 }
@@ -655,15 +647,12 @@ async function submitForm() {
   form.value.ybMatchFlag ? (form.value.ybMatchFlag = 1) : (form.value.ybMatchFlag = 0);
   form.value.ruleId ? (form.value.ruleId = 1) : (form.value.ruleId = 0);
   form.value.childrenJson =
-    treatmentItems.value.some((item) => item.adviceDefinitionId != '' && item.adviceDefinitionId)
+    treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId != ''
       ? JSON.stringify(treatmentItems.value)
       : undefined;
   // Bug #464 修复：零售价自动与诊疗子项合计总价同步
   // 当有子项时，零售价自动设置为子项合计总价
-  const hasValidItem = treatmentItems.value.some(
-    (item) => item.adviceDefinitionId && item.adviceDefinitionId !== ''
-  );
-  if (hasValidItem) {
+  if (treatmentItems.value.length > 0 && treatmentItems.value[0].adviceDefinitionId != '') {
     form.value.retailPrice = parseFloat(totalPrice.value) || 0;
   }
   proxy.$refs['diagnosisTreatmentRef'].validate(async (valid) => {
@@ -763,10 +752,7 @@ 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

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();
   }
 );
 

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

@@ -69,14 +69,13 @@ const throttledGetList = throttle(
   watch(
   () => props.adviceQueryParams,
   (newValue) => {
-    // 始终同步参数到 queryParams，避免弹窗打开时使用旧参数
-    queryParams.value.searchKey = newValue?.searchKey;
-    queryParams.value.adviceType = newValue?.adviceType;
-    queryParams.value.categoryCode = newValue?.categoryCode;
-    // 只有在弹窗打开时才触发 API 请求
+    // 只有在弹窗打开时才响应 adviceQueryParams 的变化，避免选择项目后弹窗关闭时触发不必要的请求
     if (!props.popoverVisible) {
       return;
     }
+    queryParams.value.searchKey = newValue?.searchKey;
+    queryParams.value.adviceType = newValue?.adviceType;
+    queryParams.value.categoryCode = newValue?.categoryCode;
     throttledGetList();
   },
   { deep: true }

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',
   })
 }

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');

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

@@ -1071,7 +1071,7 @@ function showReport(reportData = {}, readOnly = true) {
     addressHouse: reportData.addressHouse || '',
     patientBelong: reportData.patientBelong || 1,
     occupation: reportData.occupation || '',
-    caseClass: reportData.diseaseType != null ? String(reportData.diseaseType) : '',
+    caseClass: reportData.caseClass != null ? String(reportData.caseClass) : '',
     onsetDate: normalizeDate(reportData.onsetDate),
     diagDate: normalizeDate(reportData.diagDate),
     deathDate: normalizeDate(reportData.deathDate),
@@ -1080,13 +1080,13 @@ function showReport(reportData = {}, readOnly = true) {
     selectedClassB: diseaseSelection.selectedClassB,
     selectedClassC: diseaseSelection.selectedClassC,
     otherDisease: reportData.otherDisease || (diseaseCode === 'OTHER' ? reportData.diseaseName || '' : ''),
-    diseaseType: reportData.diseaseSubtype || '',
+    diseaseType: reportData.diseaseType || '',
     reportOrg: reportData.reportOrg || '',
     reportOrgPhone: reportData.reportOrgPhone || '',
     reportDoc: reportData.reportDoc || '',
     reportDate: normalizeDate(reportData.reportDate || reportData.createdAt),
-    correctName: reportData.revisedDiseaseName || '',
-    withdrawReason: reportData.returnReason || '',
+    correctName: reportData.correctName || '',
+    withdrawReason: reportData.withdrawReason || '',
     remark: reportData.remark || '',
     encounterId: reportData.encounterId || reportData.visitId || '',
     patientId: reportData.patientId || reportData.patId || '',
@@ -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;
 

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

@@ -316,7 +316,6 @@
                     <span class="cat-title">{{ cat.categoryName }}</span>
                     <span v-if="categoryLoadingSet.has(cat.typeId)" class="loading-dot"></span>
                   </template>
-                  <!-- 检查项目（部位/项目列表） -->
                   <div
                     v-for="item in cat.items"
                     :key="item.id"
@@ -334,27 +333,6 @@
                   <div v-if="categoryLoadingSet.has(cat.typeId)" class="category-loading-hint">
                     加载中...
                   </div>
-                  <!-- Bug #428修复: 渲染分类联动加载的检查方法列表 -->
-                  <div
-                    v-if="cat.methods && cat.methods.length > 0"
-                    class="method-section"
-                  >
-                    <div class="method-section-title">检查方法</div>
-                    <div
-                      v-for="method in cat.methods"
-                      :key="method.id"
-                      class="method-row"
-                    >
-                      <el-checkbox
-                        :model-value="isMethodSelected(method, cat)"
-                        @change="(val) => handleMethodSelect(val, method, cat)"
-                        class="method-checkbox"
-                      >
-                        {{ method.name }}
-                      </el-checkbox>
-                      <span class="method-price-tag">¥{{ method.packagePrice || method.price || 0 }}</span>
-                    </div>
-                  </div>
                 </el-collapse-item>
               </el-collapse>
             </div>
@@ -402,21 +380,6 @@
                         <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 +397,7 @@ 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 +423,7 @@ 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 +445,14 @@ 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 +460,7 @@ 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 +660,6 @@ 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 +678,7 @@ 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 +970,12 @@ 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 +1003,12 @@ 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) {
@@ -1115,93 +1047,6 @@ function handleDelete(row) {
   });
 }
 
-// Bug #428修复: 判断某个检查方法是否已被选中（任意项目关联了该方法）
-function isMethodSelected(method, cat) {
-  return selectedItems.value.some(item =>
-    item.selectedMethod?.id === method.id && item.checkType === cat.typeName
-  );
-}
-
-// Bug #428修复: 勾选检查方法
-async function handleMethodSelect(checked, method, cat) {
-  if (checked) {
-    // 找到该方法所属的第一个检查项目
-    const targetItem = cat.items[0];
-    if (!targetItem) {
-      // 如果分类下没有项目，尝试从其他分类找同名项目或创建
-      console.warn('分类下没有检查项目，无法关联方法');
-      return;
-    }
-
-    // 如果该项目已存在，只更新 selectedMethod
-    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;
-    }
-
-    // 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 || '';
-      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 = {
-      id: targetItem.id, name: targetItem.name,
-      price: targetItem.price, quantity: 1,
-      serviceFee: targetItem.serviceFee || 0,
-      unit: targetItem.unit || '次',
-      applyPart: targetItem.name,
-      checkType: cat.typeName,
-      nationalCode: targetItem.nationalCode || '',
-      checked: true,
-      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);
-    }
-
-    // 自动回填执行科室
-    if (selectedItems.value.length === 1 && cat?.performDeptName) {
-      form.performDeptCode = cat.performDeptName;
-    }
-
-    // 同时勾选左侧项目的 checkbox
-    targetItem.checked = true;
-
-  } else {
-    // 取消选择方法：将 selectedItems 中关联该方法的项的 selectedMethod 清空
-    const itemsWithMethod = selectedItems.value.filter(
-      item => item.selectedMethod?.id === method.id
-    );
-    for (const item of itemsWithMethod) {
-      item.selectedMethod = null;
-    }
-  }
-  updateMethodDisplay();
-}
-
 // ====== 勾选逻辑 ======
 async function handleItemSelect(checked, item, cat) {
   if (checked) {
@@ -1225,7 +1070,6 @@ 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 +1081,7 @@ 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 +1102,6 @@ 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 +1134,21 @@ 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
@@ -1572,53 +1367,6 @@ defineExpose({ getList });
   margin-left: 6px;
 }
 
-/* Bug #428修复: 分类下检查方法区域样式 */
-.method-section {
-  padding: 6px 8px;
-  background: #f0f7ff;
-  border-radius: 4px;
-  margin-top: 6px;
-}
-
-.method-section-title {
-  font-size: 12px;
-  font-weight: 600;
-  color: #409eff;
-  margin-bottom: 4px;
-  padding-bottom: 3px;
-  border-bottom: 1px dashed #d9ecff;
-}
-
-.method-row {
-  display: flex;
-  align-items: center;
-  justify-content: space-between;
-  padding: 3px 4px;
-  border-radius: 3px;
-}
-
-.method-row:hover {
-  background: #e8f4ff;
-}
-
-.method-checkbox {
-  flex: 1;
-  overflow: hidden;
-}
-
-.method-checkbox :deep(.el-checkbox__label) {
-  font-size: 12px;
-  color: #303133;
-}
-
-.method-price-tag {
-  font-size: 11px;
-  color: #e6a23c;
-  font-weight: 500;
-  flex-shrink: 0;
-  margin-left: 6px;
-}
-
 /* 已选择 tags */
 .selected-panel {
   width: 140px;  /* Bug #384修复: 加宽以适应展开内容 */
@@ -1690,41 +1438,6 @@ defineExpose({ getList });
   transform: rotate(180deg);
 }
 
-/* Bug #428修复: 套餐明细列表样式 */
-.package-details-list {
-  padding: 6px 10px;
-  background: #fffbe6;
-  border-top: 1px solid #ffe58f;
-  display: flex;
-  flex-direction: column;
-  gap: 4px;
-}
-
-.detail-row {
-  display: flex;
-  align-items: center;
-  justify-content: space-between;
-  padding: 2px 6px;
-  border-radius: 3px;
-  font-size: 11px;
-  background: #fff;
-}
-
-.detail-row:hover {
-  background: #fff9e6;
-}
-
-.detail-name {
-  color: #303133;
-  font-weight: 500;
-}
-
-.detail-info {
-  color: #909399;
-  font-size: 10px;
-  white-space: nowrap;
-}
-
 /* Bug #384修复: 检查方法勾选框列表 */
 .method-list {
   padding: 6px 10px;
@@ -1759,29 +1472,6 @@ 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;

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

@@ -1013,29 +1013,15 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
   if (type === 2 && adviceTableName === 'adm_device_definition') {
     return '耗材';
   }
-
+  
   // 🔧 Bug Fix: 处理检查类型(adviceType=23)
   // 检查类型属于诊疗类，应该显示为"检查"
   if (type === 23) {
     return '检查';
   }
-
+  
   const found = adviceTypeList.value.find((item) => item.value === type);
-  if (found) {
-    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
-  if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
-    if (type === 6) return '手术';
-    if (type === 4) return '手术';
-    if (type === 1) return '检验';
-    if (type === 2) return '检查';
-    if (type === 5) return '其他';
-    return '诊疗';
-  }
-
-  return '';
+  return found ? found.label : '';
 };
 
 // 西药处方管理相关变量
@@ -3326,13 +3312,9 @@ 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 +3398,8 @@ 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;

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

@@ -1133,13 +1133,12 @@ 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(res.msg || '新增成功')
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            emit('saved') // 通知父组件刷新医嘱列表
-            // 刷新手术申请列表
             getList()
+            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
           }
@@ -1151,13 +1150,12 @@ function submitForm() {
         // 修改手术
         updateSurgery(form.value).then((res) => {
           if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '手术申请修改成功！')
+            proxy.$modal.msgSuccess(res.msg || '修改成功')
             // 保存麻醉方式
             sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
             open.value = false
-            emit('saved') // 通知父组件刷新医嘱列表
-            // 刷新手术申请列表
             getList()
+            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
           } else {
             proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
           }

openhis-ui-vue3/src/views/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
  */

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">{{
@@ -168,7 +168,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getCheck} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -293,8 +293,8 @@ const hasMatchedFields = computed(() => {
 
 /** 查询科室 */
 const getLocationInfo = () => {
-  getDepartmentList().then((res) => {
-    orgOptions.value = res.data || [];
+  getOrgList().then((res) => {
+    orgOptions.value = res.data.records;
   });
 };
 
@@ -306,19 +306,17 @@ const recursionFun = (targetDepartment) => {
       name = obj.name;
     }
     const subObjArray = obj['children'];
-    if (subObjArray && subObjArray.length > 0) {
-      for (let index = 0; index < subObjArray.length; index++) {
-        const item = subObjArray[index];
-        if (item.id == targetDepartment) {
-          name = item.name;
-        }
+    for (let index = 0; index < subObjArray.length; index++) {
+      const item = subObjArray[index];
+      if (item.id == targetDepartment) {
+        name = item.name;
       }
     }
   }
   return name;
 };
 
-const handleViewDetail = async (row) => {
+const handleViewDetail = (row) => {
   console.log('targetDepartment========>', JSON.stringify(row));
 
   currentDetail.value = row;
@@ -326,15 +324,6 @@ const handleViewDetail = async (row) => {
   if (row.descJson) {
     try {
       const obj = JSON.parse(row.descJson);
-      // 确保科室数据已加载
-      if (!orgOptions.value || orgOptions.value.length === 0) {
-        await new Promise((resolve) => {
-          getDepartmentList().then((res) => {
-            orgOptions.value = res.data || [];
-            resolve();
-          });
-        });
-      }
       obj.targetDepartment = recursionFun(obj.targetDepartment);
       descJsonData.value = obj;
     } catch (e) {

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

@@ -41,6 +41,8 @@
               <el-option label="全部" value="" />
               <el-option label="待签发" value="0" />
               <el-option label="已签发" value="1" />
+              <el-option label="已采集" value="2" />
+              <el-option label="已收样" value="3" />
               <el-option label="报告已出" value="4" />
               <el-option label="已作废" value="5" />
             </el-select>
@@ -296,6 +298,8 @@ const parseBillStatus = (status) => {
   const statusMap = {
     '0': '待签发',
     '1': '已签发',
+    '2': '已采集',
+    '3': '已收样',
     '4': '报告已出',
     '5': '已作废',
   };

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
 });
@@ -206,7 +164,7 @@ onMounted(() => {
  * type(1：watch监听类型 2:点击保存类型)
  * selectProjectIds(选中项目的id数组)
  * */
-const projectWithDepartment = (selectProjectIds, type) => {
+const projectWithDepartment = (selectProjectIds) => {
   //1.获取选中的项目 2.判断项目的执行科室是否相同 3.判断执行科室是否配置 4.将项目的执行科室复值到执行科室下拉选位置
   let isRelease = true;
   // 选中项目的数组

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) => {

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

@@ -5,7 +5,7 @@
 -->
 <template>
   <div class="surgery-container">
-    <div v-loading="loading" class="transfer-wrapper" style="min-height: 300px;">
+    <div class="transfer-wrapper">
       <el-transfer
         v-model="transferValue"
         :data="applicationList"
@@ -101,16 +101,14 @@ 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 = () => {
   if (!patientInfo.value?.inHospitalOrgId) {
     applicationList.value = [];
     return;
   }
-  loading.value = true;
   getApplicationList({
     pageSize: 500,
     pageNum: 1,
@@ -140,9 +138,6 @@ const getList = () => {
     .catch((e) => {
       console.warn('手术项目列表加载失败（可能无权限）:', e?.message || e);
       applicationList.value = [];
-    })
-    .finally(() => {
-      loading.value = false;
     });
 };
 const transferValue = ref([]);
@@ -306,7 +301,7 @@ function getDiagnosisList() {
     }
   });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
 </script>
 <style lang="scss" scoped>
 .surgery-container {

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

@@ -801,8 +801,8 @@ function clickRowDb(row, column, event) {
     return;
   }
   row.showPopover = false;
-  // 仅”待签发(statusEnum==1)”允许编辑；”已签发(statusEnum==2)”及之后状态不允许编辑
-  if (row.statusEnum == 1) {
+  // “待签发(已保存 requestId存在)”不允许再编辑；仅“待保存(无requestId)”允许编辑
+  if (row.statusEnum == 1 && !row.requestId) {
     // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
     row.therapyEnum = String(row.therapyEnum ?? '1');
     row.isEdit = true;
@@ -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

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>
 

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>

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');
     }

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>

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';