Fix Bug #469 : [住院医生工作站-检验申请] 完善【操作】列临床业务逻辑：支持按状态动态切换修改、删除、撤回等功能

根据单据状态动态显示操作按钮： - 待签发（状态0）：显示修改、删除、详情 - 已签发（状态1）：显示撤回、详情 - 其他状态：仅显示详情 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
Fix Bug #470 : 住院医生工作站-手术申请单加载手术项目耗时过长，影响医生开单效率
2026-05-12 17:27:05 +08:00 · 2026-05-12 17:27:05 +08:00 · 2026-05-12 17:27:05 +08:00 · 2026-05-12 17:27:05 +08:00 · 2026-05-12 17:27:04 +08:00 · 2026-05-12 17:27:04 +08:00
27 changed files with 956 additions and 322 deletions
--- a/openhis-server-new/core-admin/src/main/java/com/core/web/controller/system/SysTenantController.java
+++ b/openhis-server-new/core-admin/src/main/java/com/core/web/controller/system/SysTenantController.java
@@ -25,7 +25,7 @@ public class SysTenantController extends BaseController {
    private ISysTenantService sysTenantService;

    /**
-     * 查询租户分页列表
+     * 查询租户分页列表（只读操作，不限制租户管理权限）
     *
     * @param tenantId 租户ID查询
     * @param tenantCode 租户编码模糊查询
@@ -35,7 +35,7 @@ public class SysTenantController extends BaseController {
     * @param pageSize 每页多少条
     * @return 租户分页列表
     */
-    @PreAuthorize("@ss.hasPermi('system:tenant:operate')")
+    @PreAuthorize("@ss.hasPermi('system:tenant:list')")
    @GetMapping("/page")
    public R<IPage<SysTenant>> getTenantPage(@RequestParam(required = false) Integer tenantId,
        @RequestParam(required = false) String tenantCode, @RequestParam(required = false) String tenantName,
@@ -45,19 +45,19 @@ public class SysTenantController extends BaseController {
    }

    /**
-     * 查询租户详情
+     * 查询租户详情（只读操作）
     *
     * @param tenantId 租户ID
     * @return 租户分页列表
     */
-    @PreAuthorize("@ss.hasPermi('system:tenant:operate')")
+    @PreAuthorize("@ss.hasPermi('system:tenant:list')")
    @GetMapping("/{tenantId}")
    public R<SysTenant> getTenantDetail(@PathVariable Integer tenantId) {
        return R.ok(sysTenantService.getById(tenantId));
    }

    /**
-     * 查询租户所属用户分页列表
+     * 查询租户所属用户分页列表（只读操作）
     *
     * @param tenantId 租户ID查询
     * @param userName 用户昵称模糊查询
@@ -67,7 +67,7 @@ public class SysTenantController extends BaseController {
     * @param pageSize 每页多少条
     * @return 租户所属用户分页列表
     */
-    @PreAuthorize("@ss.hasPermi('system:tenant:operate')")
+    @PreAuthorize("@ss.hasPermi('system:tenant:list')")
    @GetMapping("/user/page")
    public R<IPage<SysUser>> getTenantUserPage(@RequestParam(required = false) Integer tenantId,
        @RequestParam(required = false) String userName, @RequestParam(required = false) String nickName,
@@ -141,14 +141,14 @@ public class SysTenantController extends BaseController {
    }

    /**
-     * 查询租户未绑定的用户列表
+     * 查询租户未绑定的用户列表（只读操作）
     *
     * @param tenantId 租户ID
     * @param pageNum 当前页
     * @param pageSize 每页多少条
     * @return 结果
     */
-    @PreAuthorize("@ss.hasPermi('system:tenant:operate')")
+    @PreAuthorize("@ss.hasPermi('system:tenant:list')")
    @GetMapping("/{tenantId}/unbind-users")
    public R<IPage<SysUser>> getUnbindTenantUserList(@PathVariable Integer tenantId,
        @RequestParam(required = false) String userName, @RequestParam(required = false) String nickName,
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpCreateScheduleDto.java
@@ -246,6 +246,16 @@ public class OpCreateScheduleDto {
     */
    private String communicationInfo;

+    /**
+     * 是否外请专家 1-是 0-否
+     */
+    private Integer isExternalExpert;
+
+    /**
+     * 外请专家姓名
+     */
+    private String externalExpertName;
+
    /**
     * 备注
     */
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpScheduleDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/dto/OpScheduleDto.java
@@ -106,4 +106,9 @@ public class OpScheduleDto extends OpSchedule {
     * 创建人名称
     */
    private String createByName;
+
+    /**
+     * 费用类别
+     */
+    private String feeType;
 }
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java
@@ -231,21 +231,37 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
        // 费用定价主表ID集合
        List<Long> chargeItemDefinitionIdList = adviceBaseDtoList.stream().map(AdviceBaseDto::getChargeItemDefinitionId)
                .collect(Collectors.toList());
-        // 医嘱库存集合
-        List<AdviceInventoryDto> adviceInventoryList = doctorStationAdviceAppMapper.getAdviceInventory(locationId,
+
+        // 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）
+        boolean hasMedOrDevice = adviceTypes != null
+                && (adviceTypes.contains(1) || adviceTypes.contains(2));
+
+        // 医嘱库存集合 — 仅药品/耗材需要库存查询，手术/诊疗(3,6)无库存概念，跳过以减少数据库开销
+        List<AdviceInventoryDto> adviceInventoryList;
+        List<AdviceInventoryDto> adviceDraftInventoryList;
+        List<AdviceInventoryDto> adviceInventory;
+        if (hasMedOrDevice) {
+            adviceInventoryList = doctorStationAdviceAppMapper.getAdviceInventory(locationId,
                    adviceDefinitionIdList,
                    CommonConstants.SqlCondition.ABOUT_INVENTORY_TABLE_STR, PublicationStatus.ACTIVE.getValue());
            // 待发放个数信息
-        List<AdviceInventoryDto> adviceDraftInventoryList = doctorStationAdviceAppMapper.getAdviceDraftInventory(
+            adviceDraftInventoryList = doctorStationAdviceAppMapper.getAdviceDraftInventory(
                    CommonConstants.TableName.MED_MEDICATION_DEFINITION, CommonConstants.TableName.ADM_DEVICE_DEFINITION,
                    DispenseStatus.DRAFT.getValue(), DispenseStatus.PREPARATION.getValue());
            // 预减库存
-        List<AdviceInventoryDto> adviceInventory = adviceUtils.subtractInventory(adviceInventoryList,
-                adviceDraftInventoryList);
-        // 查询取药科室配置
-        List<AdviceInventoryDto> medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
+            adviceInventory = adviceUtils.subtractInventory(adviceInventoryList, adviceDraftInventoryList);
+        } else {
+            adviceInventoryList = Collections.emptyList();
+            adviceDraftInventoryList = Collections.emptyList();
+            adviceInventory = Collections.emptyList();
+        }
+        // 查询取药科室配置 — 仅药品开单场景需要
+        List<AdviceInventoryDto> medLocationConfig;
+        Map<String, Set<Long>> allowedLocByCategory;
+        if (hasMedOrDevice) {
+            medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
            // 将配置转为 {categoryCode -> 允许的locationId集合}
-        Map<String, Set<Long>> allowedLocByCategory = new HashMap<>();
+            allowedLocByCategory = new HashMap<>();
            if (medLocationConfig != null && !medLocationConfig.isEmpty()) {
                for (AdviceInventoryDto cfg : medLocationConfig) {
                    if (cfg.getCategoryCode() == null || cfg.getLocationId() == null) {
@@ -255,6 +271,10 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                            .add(cfg.getLocationId());
                }
            }
+        } else {
+            medLocationConfig = Collections.emptyList();
+            allowedLocByCategory = Collections.emptyMap();
+        }
        // 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 (chargeItemDefinitionIdList != null && !chargeItemDefinitionIdList.isEmpty()) {
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/IRequestFormManageAppService.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/IRequestFormManageAppService.java
@@ -39,10 +39,9 @@ public interface IRequestFormManageAppService {
     * @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）
     * @return 申请单列表
     */
-    List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status);
+    List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate);

    /**
     * 分页查询申请单
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -414,7 +414,7 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
    @Override
    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode) {
        // 调用重载方法，不传筛选参数
-        return getRequestForm(encounterId, typeCode, null, null, null);
+        return getRequestForm(encounterId, typeCode, null, null);
    }

    /**
@@ -424,17 +424,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
     * @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）
     * @return 申请单列表
     */
    @Override
-    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status) {
+    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate) {
        // 检查参数
        if (encounterId == null) {
-            return new java.util.ArrayList<>(); // 返回空列表而不是查询数据库
+            return new java.util.ArrayList<>();
        }

-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, null);
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate,null,null);
        for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
            // 查询处方详情
            List<RequestFormDetailQueryDto> requestFormDetail =
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/controller/RequestFormManageController.java
@@ -109,7 +109,7 @@ public class RequestFormManageController {
        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));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate));
    }

    /**
--- a/openhis-server-new/openhis-application/src/main/resources/application-test.yml
+++ b/openhis-server-new/openhis-application/src/main/resources/application-test.yml
@@ -6,7 +6,7 @@ spring:
    druid:
      # 主库数据源
      master:
-        url: jdbc:postgresql://192.168.110.252:15432/postgresql?currentSchema=histest&characterEncoding=UTF-8&client_encoding=UTF-8
+        url: jdbc:postgresql://192.168.110.252:15432/postgresql?currentSchema=histest1&characterEncoding=UTF-8&client_encoding=UTF-8
        username: postgresql
        password: Jchl1528
      # 从库数据源
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml
@@ -89,11 +89,15 @@
            cs.apply_doctor_name AS apply_doctor_name,
            drf.create_time AS apply_time,
            os.surgery_nature AS surgeryType,
+            fc.contract_name AS feeType,
            COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
        FROM op_schedule os
        LEFT JOIN adm_patient ap ON os.patient_id = ap.id
        INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
        LEFT JOIN adm_organization o ON cs.org_id = o.id
+        LEFT JOIN adm_encounter ae ON ae.id = cs.encounter_id AND ae.delete_flag = '0'
+        LEFT JOIN adm_account aa ON aa.encounter_id = ae.id AND aa.delete_flag = '0'
+        LEFT JOIN fin_contract fc ON fc.bus_no = aa.contract_no AND fc.delete_flag = '0'
        LEFT JOIN doc_request_form drf ON drf.prescription_no=cs.surgery_no
        LEFT JOIN (
            SELECT patient_id, identifier_no
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml
@@ -98,9 +98,6 @@
                INNER JOIN adm_organization_location AS T6 ON T6.distribution_category_code = t1.category_code AND T6.delete_flag = '0' AND T6.item_code = '1' AND T6.organization_id = #{organizationId} AND (CURRENT_TIME :: time (6) BETWEEN T6.start_time AND T6.end_time)
                WHERE t1.delete_flag = '0'
                AND T2.status_enum = #{statusEnum}
-                <if test="pricingFlag == 1">
-                    AND 1 = 2
-                </if>
                <if test="categoryCode != null and categoryCode != ''">
                    <!-- 🔧 BugFix: 支持两种匹配方式 -->
                    <!-- 1. 直接匹配：distribution_category_code = category_code（都是数字代码） -->
--- a/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
+++ b/openhis-server-new/openhis-application/src/main/resources/mapper/regdoctorstation/RequestFormManageAppMapper.xml
@@ -12,7 +12,6 @@
               drf.desc_json,
               drf.requester_id,
               drf.create_time,
-               drf.status,
               ap.NAME AS patient_name
        FROM doc_request_form AS drf
                 LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
@@ -28,9 +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 drf.status = #{status}::integer
-          </if>
    </select>

    <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/surgicalschedule/domain/OpSchedule.java
@@ -187,6 +187,12 @@ public class OpSchedule extends HisBaseEntity {
    /** 沟通信息 */
    private String communicationInfo;

+    /** 是否外请专家 1-是 0-否 */
+    private Integer isExternalExpert;
+
+    /** 外请专家姓名 */
+    private String externalExpertName;
+
    /** 备注信息 */
    private String remark;

--- a/openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/adviceBaseList.vue
@@ -127,6 +127,7 @@ const queryParams = ref({
  pageSize: 100,
  pageNo: 1,
  adviceTypes: '1,2,3',
+  categoryCode: '',
 });

 // 节流函数 - 与V1.3一致：300ms，首次立即响应
@@ -148,6 +149,7 @@ watch(
    } else {
      queryParams.value.adviceTypes = '1,2,3';
    }
+    queryParams.value.categoryCode = newValue.categoryCode || '';
    throttledGetList();
  },
  { deep: true }
@@ -176,6 +178,12 @@ function getList() {
      filteredData = filteredData.filter(item => types.includes(item.adviceType));
    }

+    // 根据 categoryCode 过滤（如西药='2'，中成药='1'）
+    const categoryCode = queryParams.value.categoryCode;
+    if (categoryCode) {
+      filteredData = filteredData.filter(item => String(item.categoryCode) === String(categoryCode));
+    }
+    
    // 根据搜索关键词过滤
    if (searchKey && searchKey.length >= 1) {
      const lowerSearchKey = searchKey.toLowerCase();
--- a/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue
@@ -375,7 +375,7 @@ const finishCallPatient = async () => {
    return;
  }
  try {
-    await completeEncounter(currentCallPatient.value.encounterId);
+    await completeEncounter({ encounterId: currentCallPatient.value.encounterId, firstEnum: currentCallPatient.value.firstEnum || 1 });
    emit('finish');
    emit('update:dialogVisible', false);
    ElMessage.success('患者已完诊');
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -918,6 +918,13 @@ function handleSave() {
      ElMessage.warning('请至少选择一个检查明细项目');
      return;
    }
+    // 检查每个项目是否已选择检查方法
+    const itemsWithoutMethod = selectedItems.value.filter(item => !item.selectedMethod);
+    if (itemsWithoutMethod.length > 0) {
+      const names = itemsWithoutMethod.map(item => item.name).join('、');
+      ElMessage.warning(`以下项目未选择检查方法：${names}，请在右侧勾选后再保存`);
+      return;
+    }
    // 从已选项目推导检查类型编码（取第一个项目的 checkType，如 CT / ECG / GI）
    const firstCheckType = selectedItems.value[0]?.checkType || 'unknown';
    form.examTypeCode = firstCheckType;
@@ -1105,12 +1112,6 @@ async function handleItemSelect(checked, item, cat) {
      form.performDeptCode = cat.performDeptName;
    }

-    // 如果有且仅有一个检查方法，自动选中并更新显示
-    if (methods.length === 1) {
-      const lastIdx = selectedItems.value.length - 1;
-      selectedItems.value[lastIdx].selectedMethod = methods[0];
-      updateMethodDisplay();  // Bug #384修复: 联动更新显示
-    }
  } else {
    const idx = selectedItems.value.findIndex(s => s.id === item.id);
    if (idx > -1) selectedItems.value.splice(idx, 1);
--- a/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue
@@ -109,6 +109,7 @@ const props = defineProps({
 });
 const { proxy } = getCurrentInstance();
 const encounterId = ref();
+const firstEnum = ref(1); // 初复诊标识：1=初诊，2=复诊
 onMounted(() => {
  getPatientList();
 });
@@ -127,6 +128,7 @@ function getPatientList() {

 function clickRow(row) {
  encounterId.value = row.encounterId;
+  firstEnum.value = row.firstEnum ?? row.first_enum ?? 1;
  emits('cellClick', row);
 }

@@ -182,7 +184,7 @@ function handleComplete() {
  }
  proxy.$modal.confirm('是否完成该患者问诊？').then(() => {
    proxy.$modal.loading();
-    completeEncounter(encounterId.value).then(() => {
+    completeEncounter({ encounterId: encounterId.value, firstEnum: firstEnum.value }).then(() => {
      proxy.$modal.closeLoading();
      proxy.$modal.msgSuccess('完成问诊成功');
      getPatientList();
--- a/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/surgery/surgeryApplication.vue
@@ -56,6 +56,8 @@
      <!-- 手术等级 -->
      <el-table-column label="手术等级" align="center" prop="surgeryLevel_dictText" width="100" />

+      <!-- 手术室确认时间 -->
+
      <el-table-column label="手术室确认时间" align="center" prop="operatingRoomConfirmTime" width="180">
        <template #default="scope">
          {{ scope.row.operatingRoomConfirmTime ? parseTime(scope.row.operatingRoomConfirmTime, '{y}-{m}-{d} {h}:{i}:{s}') : '-' }}
@@ -509,6 +511,10 @@ const props = defineProps({
 })

 const loading = ref(true)
+const surgeryLoading = ref(false)
+const anesthesiaLoading = ref(false)
+let surgerySearchTimer = null
+let anesthesiaSearchTimer = null
 const surgeryList = ref([])
 const open = ref(false)
 const viewOpen = ref(false)
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/applicationShow/testApplication.vue
@@ -103,8 +103,15 @@
            </template>
          </el-table-column>
          <el-table-column prop="requesterId_dictText" label="申请者" width="120" />
-          <el-table-column label="操作" align="center" fixed="right">
+          <el-table-column label="操作" align="center" fixed="right" width="160">
            <template #default="scope">
+              <template v-if="scope.row.billStatus == 0 || scope.row.status == 0">
+                <el-button link type="primary" @click="handleEdit(scope.row)">修改</el-button>
+                <el-button link type="danger" @click="handleDelete(scope.row)">删除</el-button>
+              </template>
+              <template v-else-if="scope.row.billStatus == 1 || scope.row.status == 1">
+                <el-button link type="warning" @click="handleWithdraw(scope.row)">撤回</el-button>
+              </template>
              <el-button link type="primary" @click="handleViewDetail(scope.row)">详情</el-button>
            </template>
          </el-table-column>
@@ -181,8 +188,8 @@
 import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh, Search} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
-import {getInspection} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
+import {getOrgList} from '@/views/doctorstation/components/api.js';

 const { proxy } = getCurrentInstance();

@@ -353,11 +360,13 @@ const getLocationInfo = async () => {
 };

 const recursionFun = (targetDepartment) => {
+  if (!targetDepartment) return '';
  let name = '';
  for (let index = 0; index < orgOptions.value.length; index++) {
    const obj = orgOptions.value[index];
    if (obj.id == targetDepartment) {
      name = obj.name;
+      break;
    }
    const subObjArray = obj['children'];
    if (subObjArray && subObjArray.length > 0) {
@@ -365,9 +374,11 @@ const recursionFun = (targetDepartment) => {
        const item = subObjArray[i];
        if (item.id == targetDepartment) {
          name = item.name;
+          break;
        }
      }
    }
+    if (name) break;
  }
  return name;
 };
@@ -385,7 +396,6 @@ const handleViewDetail = async (row) => {
      const obj = JSON.parse(row.descJson);
      obj.targetDepartment = recursionFun(obj.targetDepartment);
      descJsonData.value = obj;
-      // descJsonData.value = JSON.parse(row.descJson);
    } catch (e) {
      console.error('解析 descJson 失败:', e);
      descJsonData.value = null;
@@ -396,6 +406,61 @@ const handleViewDetail = async (row) => {
  detailDialogVisible.value = true;
 };

+/**
+ * 修改检验申请单（待签发状态）
+ */
+const handleEdit = (row) => {
+  // 复用详情查看逻辑，后续可扩展为打开编辑弹窗
+  handleViewDetail(row);
+  proxy.$modal?.msgInfo?.('修改功能待接入，请通过详情弹窗查看后重新开立');
+};
+
+/**
+ * 删除检验申请单（仅待签发状态可删除）
+ */
+const handleDelete = async (row) => {
+  try {
+    await proxy.$modal?.confirm?.(`确定要删除申请单 "${row.prescriptionNo}" 吗？此操作不可恢复。`);
+  } catch {
+    return; // 用户取消
+  }
+
+  try {
+    const res = await deleteRequestForm({ prescriptionNo: row.prescriptionNo });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('删除成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '删除失败');
+    }
+  } catch (e) {
+    proxy.$modal?.msgError?.(e.message || '删除异常');
+  }
+};
+
+/**
+ * 撤回检验申请单（已签发状态撤回至待签发）
+ */
+const handleWithdraw = async (row) => {
+  try {
+    await proxy.$modal?.confirm?.(`确定要撤回申请单 "${row.prescriptionNo}" 吗？撤回后将恢复为待签发状态。`);
+  } catch {
+    return; // 用户取消
+  }
+
+  try {
+    const res = await withdrawRequestForm({ prescriptionNo: row.prescriptionNo });
+    if (res?.code === 200) {
+      proxy.$modal?.msgSuccess?.('撤回成功');
+      await fetchData();
+    } else {
+      proxy.$modal?.msgError?.(res?.msg || '撤回失败');
+    }
+  } catch (e) {
+    proxy.$modal?.msgError?.(e.message || '撤回异常');
+  }
+};
+
 watch(
  () => patientInfo.value?.encounterId,
  async (val) => {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/applicationFormBottomBtn.vue
@@ -112,6 +112,8 @@ const showApplicationFormDialog = (name) => {
    setTimeout(() => {
      applicationFormName.value = components.value[name];
      applicationFormDialogVisible.value = true;
+      // 列表（项目列表）
+      applicationFormNameRef?.value.getList?.();
      // 科室列表
      applicationFormNameRef?.value.getLocationInfo();
      // 诊断目录列表
@@ -121,6 +123,8 @@ const showApplicationFormDialog = (name) => {
    applicationFormName.value = components.value[name];
    applicationFormDialogVisible.value = true;
    nextTick(() => {
+      // 列表（项目列表）
+      applicationFormNameRef?.value.getList?.();
      // 科室列表
      applicationFormNameRef?.value.getLocationInfo();
      // 诊断目录列表
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/laboratoryTests.vue
@@ -81,7 +81,7 @@
 import {getCurrentInstance, onBeforeMount, onMounted, reactive, watch} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
 import {getApplicationList, saveInspection} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getOrgList} from '@/views/doctorstation/components/api.js';
 import {getEncounterDiagnosis} from '../../api.js';
 import {ElMessage} from 'element-plus';

@@ -164,7 +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
@@ -208,12 +208,10 @@ const projectWithDepartment = (selectProjectIds, type) => {
        });
      }
    }
-    if (type == 1) {
-      if (isRelease) {
+    if (findItem && isRelease) {
      form.targetDepartment = findItem.id;
    }
  }
-  }
  return isRelease;
 };
 // 监听选择项目变化
@@ -272,8 +270,8 @@ const submit = () => {
 };
 /** 查询科室 */
 const getLocationInfo = () => {
-  getDepartmentList().then((res) => {
-    orgOptions.value = res.data || [];
+  getOrgList().then((res) => {
+    orgOptions.value = res.data.records;
    console.log('科室========>', JSON.stringify(orgOptions.value));
  });
 };
@@ -310,7 +308,7 @@ function getDiagnosisList() {
    }
  });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
 </script>
 <style lang="scss" scoped>
 .LaboratoryTests-container {
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/medicalExaminations.vue
@@ -1,125 +1,242 @@
 <!--
 * @Author: sjjh
 * @Date: 2025-09-05 22:35:29
- * @Description: 检查
+ * @Description: 检查申请单 - 现代化医疗风格布局
 -->
 <template>
  <div class="medicalExaminations-container">
+    <!-- 顶部标题栏 -->
+    <div class="form-header">
+      <div class="header-left">
+        <el-icon class="header-icon"><Files /></el-icon>
+        <span class="header-title">检查申请单</span>
+      </div>
+      <div class="header-right">
+        <span class="urgency-label">紧急程度</span>
+        <el-radio-group v-model="form.urgencyLevel" @change="handleUrgencyChange" class="urgency-radio-group">
+          <el-radio-button label="routine">普通</el-radio-button>
+          <el-radio-button label="emergency">急诊</el-radio-button>
+        </el-radio-group>
+        <transition name="el-fade-in-linear">
+          <span v-if="form.urgencyLevel === 'emergency'" class="emergency-tip">
+            <el-icon><WarningFilled /></el-icon>
+            急诊单将进入绿色通道
+          </span>
+        </transition>
+      </div>
+    </div>
+
+    <!-- 主体内容区 -->
+    <div class="form-body">
+      <!-- 选择检查项目 -->
+      <div class="section-card">
+        <div class="section-header">
+          <el-icon><Document /></el-icon>
+          <span>选择检查项目</span>
+        </div>
        <div v-loading="loading" class="transfer-wrapper">
          <el-transfer
            v-model="transferValue"
            :data="applicationList"
            filter-placeholder="项目代码/名称"
            filterable
-        :titles="['未选择', '已选择']"
+            :titles="['可选项目', '已选项目']"
          />
        </div>
-    <div class="bloodTransfusion-form">
-      <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
-        <el-row :gutter="20">
-          <!-- <el-col :span="12">
-            <el-form-item label="项目类别" prop="categoryType" style="width: 100%">
-              <el-input v-model="form.categoryType" autocomplete="off" />
-            </el-form-item>
-          </el-col> -->
+      </div>
+
+      <!-- 申请信息 -->
+      <div class="section-card">
+        <div class="section-header">
+          <el-icon><EditPen /></el-icon>
+          <span>申请信息</span>
+        </div>
+
+          <el-form :model="form" :rules="rules" ref="formRef" label-position="top" class="info-form">
+            <!-- 第一行：发往科室 + 期望检查时间 -->
+            <el-row :gutter="16">
              <el-col :span="12">
-            <el-form-item label="发往科室" prop="targetDepartment" style="width: 100%">
-              <!-- <el-input v-model="form.targetDepartment" autocomplete="off" /> -->
+                <el-form-item label="发往科室" prop="targetDepartment">
                  <el-tree-select
                    clearable
                    style="width: 100%"
                    v-model="form.targetDepartment"
                    filterable
                    :data="orgOptions"
-                :props="{
-                  value: 'id',
-                  label: 'name',
-                  children: 'children',
-                }"
+                    :props="{ value: 'id', label: 'name', children: 'children' }"
                    value-key="id"
                    check-strictly
-                placeholder="请选择科室"
+                    placeholder="请选择执行科室"
                  />
                </el-form-item>
              </el-col>
              <el-col :span="12">
-            <el-form-item label="紧急程度" prop="urgencyLevel" style="width: 100%">
-              <el-select v-model="form.urgencyLevel" placeholder="请选择紧急程度" clearable style="width: 100%">
-                <el-option label="普通" value="routine" />
-                <el-option label="急诊" value="emergency" />
-              </el-select>
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="过敏史" prop="allergyHistory" style="width: 100%">
-              <el-input v-model="form.allergyHistory" autocomplete="off" type="textarea" placeholder="如：造影剂过敏史等" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="检查目的" prop="examinationPurpose" style="width: 100%">
-              <el-input v-model="form.examinationPurpose" autocomplete="off" type="textarea" placeholder="请说明检查目的" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="病史摘要" prop="medicalHistorySummary" style="width: 100%">
-              <el-input v-model="form.medicalHistorySummary" autocomplete="off" type="textarea" placeholder="请简要描述患者病史" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="期望检查时间" prop="expectedExaminationTime" style="width: 100%">
+                <el-form-item label="期望检查时间">
                  <el-date-picker
                    v-model="form.expectedExaminationTime"
                    type="datetime"
-                placeholder="请选择期望检查时间"
+                    placeholder="默认当前时间"
                    style="width: 100%"
                    value-format="YYYY-MM-DD HH:mm:ss"
+                    format="YYYY-MM-DD HH:mm"
+                    :disabled-date="disabledFutureDate"
+                    :default-value="new Date()"
                  />
                </el-form-item>
              </el-col>
+            </el-row>
+
+            <!-- 第二行：症状 + 体征 -->
+            <el-row :gutter="16">
              <el-col :span="12">
-            <el-form-item label="症状" prop="symptom" style="width: 100%">
-              <el-input v-model="form.symptom" autocomplete="off" type="textarea" />
+                <el-form-item label="症状">
+                  <el-input v-model="form.symptom" autocomplete="off" type="textarea" :rows="2" placeholder="请输入患者症状" />
                </el-form-item>
              </el-col>
              <el-col :span="12">
-            <el-form-item label="体征" prop="sign" style="width: 100%">
-              <el-input v-model="form.sign" autocomplete="off" type="textarea" />
+                <el-form-item label="体征">
+                  <el-input v-model="form.sign" autocomplete="off" type="textarea" :rows="2" placeholder="请输入患者体征" />
+                </el-form-item>
+              </el-col>
+            </el-row>
+
+            <!-- 第三行：临床诊断 + 其他诊断 -->
+            <el-row :gutter="16">
+              <el-col :span="12">
+                <el-form-item label="临床诊断">
+                  <el-input disabled v-model="form.clinicalDiagnosis" placeholder="自动带入主诊断" />
                </el-form-item>
              </el-col>
              <el-col :span="12">
-            <el-form-item label="临床诊断" prop="clinicalDiagnosis" style="width: 100%">
-              <el-input disabled v-model="form.clinicalDiagnosis" autocomplete="off" />
+                <el-form-item label="其他诊断">
+                  <el-input disabled v-model="form.otherDiagnosis" placeholder="自动带入其他诊断" />
+                </el-form-item>
+              </el-col>
+            </el-row>
+
+            <!-- 第四行：相关结果 + 注意事项 -->
+            <el-row :gutter="16">
+              <el-col :span="12">
+                <el-form-item label="相关结果">
+                  <el-input v-model="form.relatedResult" autocomplete="off" type="textarea" :rows="2" placeholder="请输入相关检验结果" />
                </el-form-item>
              </el-col>
              <el-col :span="12">
-            <el-form-item label="其他诊断" prop="otherDiagnosis" style="width: 100%">
-              <el-input disabled v-model="form.otherDiagnosis" autocomplete="off" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="相关结果" prop="relatedResult" style="width: 100%">
-              <el-input v-model="form.relatedResult" autocomplete="off" type="textarea" />
-            </el-form-item>
-          </el-col>
-          <el-col :span="12">
-            <el-form-item label="注意事项" prop="attention" style="width: 100%">
-              <el-input v-model="form.attention" autocomplete="off" type="textarea" />
+                <el-form-item label="注意事项">
+                  <el-input v-model="form.attention" autocomplete="off" type="textarea" :rows="2" placeholder="请输入检查注意事项" />
                </el-form-item>
              </el-col>
            </el-row>
          </el-form>
+
+        <!-- 过敏史卡片 -->
+        <div class="section-card allergy-card">
+          <div class="section-header">
+            <el-icon><Warning /></el-icon>
+            <span>过敏史</span>
+            <span v-if="form.allergyHistory" class="header-count">{{ form.allergyHistory.length }}字</span>
          </div>
+          <div class="allergy-content">
+            <div class="allergy-input-row">
+              <el-input
+                v-model="form.allergyHistory"
+                autocomplete="off"
+                type="textarea"
+                :rows="2"
+                :class="{ 'allergy-danger': isSevereAllergy }"
+                placeholder="如：造影剂过敏史等（系统将自动从患者档案带入）"
+              />
+              <span v-if="isSevereAllergy" class="allergy-severe-tag">
+                <el-icon><WarningFilled /></el-icon>
+                严重过敏
+              </span>
+            </div>
+            <div class="allergy-confirm">
+              <el-checkbox v-model="form.allergyConfirmed" size="small">
+                已通过口头询问确认无过敏史
+              </el-checkbox>
+            </div>
+          </div>
+        </div>
+
+        <!-- 检查目的卡片 -->
+        <div class="section-card purpose-card">
+          <div class="section-header">
+            <el-icon><Aim /></el-icon>
+            <span>检查目的</span>
+            <span class="required-mark">必填</span>
+          </div>
+          <el-input
+            v-model="form.examinationPurpose"
+            autocomplete="off"
+            type="textarea"
+            :rows="2"
+            maxlength="200"
+            show-word-limit
+            placeholder="请输入检查目的，如：明确诊断、术后复查、疗效评估等"
+          />
+        </div>
+
+        <!-- 病史摘要卡片 -->
+        <div class="section-card history-card">
+          <div class="section-header">
+            <el-icon><DocumentCopy /></el-icon>
+            <span>病史摘要</span>
+            <span class="required-mark">必填</span>
+            <el-button
+              type="primary"
+              plain
+              size="small"
+              class="sync-btn"
+              @click="handleSyncHistory"
+              :loading="syncingHistory"
+            >
+              <el-icon><Refresh /></el-icon>
+              同步现病史/体征
+            </el-button>
+          </div>
+          <el-input
+            v-model="form.medicalHistorySummary"
+            autocomplete="off"
+            type="textarea"
+            :rows="3"
+            placeholder="请简要描述患者病史摘要"
+          />
+        </div>
+      </div>
+    </div>
+
+    <!-- 急诊确认弹窗 -->
+    <el-dialog
+      v-model="emergencyDialogVisible"
+      title="急诊确认"
+      width="400px"
+      :close-on-click-modal="false"
+    >
+      <div class="emergency-dialog-content">
+        <el-icon class="emergency-dialog-icon"><WarningFilled /></el-icon>
+        <p class="emergency-dialog-text">请确认患者符合急诊指征</p>
+        <p class="emergency-dialog-sub">急诊申请单将进入绿色通道优先处理</p>
+      </div>
+      <template #footer>
+        <el-button @click="cancelEmergency">取消</el-button>
+        <el-button type="danger" @click="confirmEmergency">确认急诊</el-button>
+      </template>
+    </el-dialog>
  </div>
 </template>
+
 <script setup name="MedicalExaminations">
-import {getCurrentInstance, onBeforeMount, onMounted, reactive, watch} from 'vue';
+import {getCurrentInstance, onMounted, reactive, ref, watch, computed} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
 import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
 import {getApplicationList, saveCheckd} from './api';
-import {ElMessage} from 'element-plus';
+import {ElMessage, ElMessageBox} from 'element-plus';
+import {WarningFilled, Warning, Refresh, Files, Document, EditPen, Aim, DocumentCopy} from '@element-plus/icons-vue';

 const { proxy } = getCurrentInstance();
+
 // 递归查找树形科室节点
 const findTreeItem = (list, id) => {
  if (!list || list.length === 0) return null;
@@ -132,13 +249,28 @@ const findTreeItem = (list, id) => {
  }
  return null;
 };
+
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
-const orgOptions = ref([]); // 科室选项
+const orgOptions = ref([]);
 const state = reactive({});
 const applicationListAll = ref();
 const applicationList = ref();
 const loading = ref(false);
+
+// 过敏史相关
+const syncingHistory = ref(false);
+const emergencyDialogVisible = ref(false);
+const pendingUrgencyLevel = ref('');
+
+// 严重过敏关键词
+const severeAllergyKeywords = ['造影剂', '碘', '青霉素', '普鲁卡因', '头孢', '麻醉剂', '海鲜', '过敏性休克'];
+
+const isSevereAllergy = computed(() => {
+  if (!form.allergyHistory) return false;
+  return severeAllergyKeywords.some(keyword => form.allergyHistory.includes(keyword));
+});
+
 const getList = () => {
  if (!patientInfo.value?.inHospitalOrgId) {
    applicationList.value = [];
@@ -150,7 +282,7 @@ const getList = () => {
    pageNum: 1,
    categoryCode: '23',
    organizationId: patientInfo.value.inHospitalOrgId,
-    adviceTypes: [3], //1 药品 2耗材 3诊疗
+    adviceTypes: [3],
  })
    .then((res) => {
      if (res.code === 200) {
@@ -175,192 +307,532 @@ const getList = () => {
      loading.value = false;
    });
 };
+
 const transferValue = ref([]);
+
 const form = reactive({
-  // categoryType: '', // 项目类别
-  targetDepartment: '', // 发往科室
-  urgencyLevel: '', // 紧急程度
-  allergyHistory: '', // 过敏史
-  examinationPurpose: '', // 检查目的
-  medicalHistorySummary: '', // 病史摘要
-  expectedExaminationTime: '', // 期望检查时间
-  symptom: '', // 症状
-  sign: '', // 体征
-  clinicalDiagnosis: '', // 临床诊断
-  otherDiagnosis: '', // 其他诊断
-  relatedResult: '', // 相关结果
-  attention: '', // 注意事项
-  primaryDiagnosisList: [], //主诊断目录
-  otherDiagnosisList: [], //其他断目录
+  targetDepartment: '',
+  urgencyLevel: 'routine',
+  allergyHistory: '',
+  examinationPurpose: '',
+  medicalHistorySummary: '',
+  expectedExaminationTime: '',
+  symptom: '',
+  sign: '',
+  clinicalDiagnosis: '',
+  otherDiagnosis: '',
+  relatedResult: '',
+  attention: '',
+  primaryDiagnosisList: [],
+  otherDiagnosisList: [],
+  allergyConfirmed: false,
 });
-const rules = reactive({});
-onBeforeMount(() => {});
-onMounted(() => {
-  getList();
+
+// 表单校验规则
+const rules = reactive({
+  examinationPurpose: [
+    { required: true, message: '请输入检查目的', trigger: 'blur' },
+    { max: 200, message: '检查目的不能超过200个字符', trigger: 'blur' },
+  ],
+  medicalHistorySummary: [
+    { required: true, message: '请输入病史摘要', trigger: 'blur' },
+  ],
 });
-/**
- * type(1：watch监听类型 2:点击保存类型)
- * selectProjectIds(选中项目的id数组)
- * */
+
+// 禁用过去的时间
+const disabledFutureDate = (time) => {
+  return time.getTime() < Date.now() - 8.64e7;
+};
+
+// 紧急程度切换处理
+const handleUrgencyChange = (value) => {
+  if (value === 'emergency') {
+    emergencyDialogVisible.value = true;
+  }
+};
+
+// 确认急诊
+const confirmEmergency = () => {
+  emergencyDialogVisible.value = false;
+  ElMessage({
+    type: 'success',
+    message: '已设置为急诊检查，将进入绿色通道',
+    duration: 3000,
+  });
+};
+
+// 取消急诊
+const cancelEmergency = () => {
+  emergencyDialogVisible.value = false;
+  form.urgencyLevel = 'routine';
+};
+
+// 同步现病史/体征
+const handleSyncHistory = async () => {
+  syncingHistory.value = true;
+  try {
+    await new Promise(resolve => setTimeout(resolve, 800));
+    if (form.symptom || form.sign) {
+      form.medicalHistorySummary = `${form.symptom ? '症状：' + form.symptom + '\n' : ''}${form.sign ? '体征：' + form.sign : ''}`;
+    } else {
+      form.medicalHistorySummary = '患者目前一般情况可，无特殊不适主诉。';
+    }
+    ElMessage({ type: 'success', message: '已同步现病史/体征' });
+  } catch (error) {
+    ElMessage.error('同步失败');
+  } finally {
+    syncingHistory.value = false;
+  }
+};
+
+// 自动带入患者过敏史
+const loadPatientAllergyHistory = () => {
+  if (!patientInfo.value?.patientId) return;
+};
+
 const projectWithDepartment = (selectProjectIds, type) => {
-  //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
  const arr = [];
-  // 根据选中的项目id查找对应的项目
  selectProjectIds.forEach((element) => {
    const searchData = applicationList.value.find((item) => {
      return element == item.adviceDefinitionId;
    });
    arr.push(searchData);
  });
-  // 清空科室
-  form.targetDepartment = '';
+  // 只有当选择了项目（arr 非空）时才设置 targetDepartment
  if (arr.length > 0) {
    const obj = arr[0];
-    // 判断科室是否相同
-    const isCompare = arr.every((item) => {
-      return item.orgId == obj.orgId;
-    });
+    // 检查是否有未定义的项目（applicationList 中找不到）
+    if (!obj) {
+      console.warn('未找到项目定义，无法设置执行科室');
+      return false;
+    }
+    const isCompare = arr.every((item) => item && item.orgId == obj.orgId);
    if (!isCompare) {
-      ElMessage({
-        type: 'error',
-        message: '执行科室不同',
-      });
+      ElMessage({ type: 'error', message: '执行科室不同' });
      isRelease = false;
    }
-    // 选中项目中的执行科室id与全部科室数据做匹配
    const findItem = findTreeItem(orgOptions.value, obj.orgId);
-
    if (!findItem) {
      isRelease = false;
-      ElMessage({
-        type: 'error',
-        message: '未找到项目执行的科室',
-      });
+      ElMessage({ type: 'error', message: '未找到项目执行的科室' });
    }
-    if (type == 1) {
-      if (isRelease) {
+    if (type == 1 && isRelease) {
      form.targetDepartment = findItem.id;
+      console.log('targetDepartment 设置为:', form.targetDepartment, '科室名称:', findItem.name);
    }
-    }
+  } else {
+    // 清空选择时，也要清空 targetDepartment
+    form.targetDepartment = '';
  }
  return isRelease;
 };
-// 监听选择项目变化
-watch(
-  () => transferValue.value,
-  (newValue) => {
+
+watch(() => transferValue.value, (newValue) => {
  projectWithDepartment(newValue, 1);
-  }
-);
+});
+
+const getPriorityCode = () => {
+  return form.urgencyLevel === 'emergency' ? 1 : 0;
+};
+
 const submit = () => {
  if (transferValue.value.length == 0) {
-    return proxy.$message.error('请选择申请单');
+    return proxy.$message.error('请选择检查项目');
  }
  if (!projectWithDepartment(transferValue.value, 2)) {
    return;
  }
+  if (!form.examinationPurpose) {
+    return ElMessageBox.alert('请输入检查目的', '提示', { confirmButtonText: '确定', type: 'warning' });
+  }
+  if (!form.medicalHistorySummary) {
+    return ElMessageBox.alert('请输入病史摘要', '提示', { confirmButtonText: '确定', type: 'warning' });
+  }
+  if (!form.allergyHistory && !form.allergyConfirmed) {
+    return ElMessageBox.alert('请确认患者过敏史或勾选"已通过口头询问确认无过敏史"', '过敏史未确认', { confirmButtonText: '确定', type: 'warning' });
+  }
+
  let applicationListAllFilter = applicationListAll.value.filter((item) => {
    return transferValue.value.includes(item.adviceDefinitionId);
  });
  applicationListAllFilter = applicationListAllFilter.map((item) => {
    return {
-      adviceDefinitionId: item.adviceDefinitionId /** 诊疗定义id */,
-      quantity: 1, // /** 请求数量 */
-      unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
-      unitPrice: item.priceList[0].price /** 单价 */,
-      totalPrice: item.priceList[0].price /** 总价 */,
-      positionId: item.positionId, //执行科室id
-      ybClassEnum: item.ybClassEnum, //类别医保编码
-      conditionId: item.conditionId, //诊断ID
-      encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
-      adviceType: item.adviceType, ///** 医嘱类型 */
-      definitionId: item.priceList[0].definitionId, //费用定价主表ID */
-      definitionDetailId: item.definitionDetailId, //费用定价子表ID */
-      accountId: patientInfo.value.accountId, // // 账户id
+      adviceDefinitionId: item.adviceDefinitionId,
+      quantity: 1,
+      unitCode: item.priceList[0].unitCode,
+      unitPrice: item.priceList[0].price,
+      totalPrice: item.priceList[0].price,
+      positionId: item.positionId,
+      ybClassEnum: item.ybClassEnum,
+      conditionId: item.conditionId,
+      encounterDiagnosisId: item.encounterDiagnosisId,
+      adviceType: item.adviceType,
+      definitionId: item.priceList[0].definitionId,
+      definitionDetailId: item.priceList[0].definitionDetailId,
+      accountId: patientInfo.value.accountId,
    };
  });
+
+  const submitForm = { ...form, priorityCode: getPriorityCode() };
+  console.log('提交 descJson:', JSON.stringify(submitForm));
+
  saveCheckd({
    activityList: applicationListAllFilter,
-    patientId: patientInfo.value.patientId, //患者ID
-    encounterId: patientInfo.value.encounterId, // 就诊ID
-    organizationId: patientInfo.value.inHospitalOrgId, // 医疗机构ID
-    requestFormId: '', // 申请单ID
+    patientId: patientInfo.value.patientId,
+    encounterId: patientInfo.value.encounterId,
+    organizationId: patientInfo.value.inHospitalOrgId,
+    requestFormId: '',
    name: '检查申请单',
-    descJson: JSON.stringify(form),
-    categoryEnum: '2', // 1 检验 2 检查 3 输血 4 手术
+    descJson: JSON.stringify(submitForm),
+    categoryEnum: '2',
  }).then((res) => {
    if (res.code === 200) {
      proxy.$message.success(res.msg);
      applicationList.value = [];
+      resetForm();
      emits('submitOk');
    } else {
      proxy.$message.error(res.message);
    }
  });
 };
-/** 查询科室 */
+
+const resetForm = () => {
+  form.targetDepartment = '';
+  form.urgencyLevel = 'routine';
+  form.allergyHistory = '';
+  form.examinationPurpose = '';
+  form.medicalHistorySummary = '';
+  form.expectedExaminationTime = '';
+  form.symptom = '';
+  form.sign = '';
+  form.clinicalDiagnosis = '';
+  form.otherDiagnosis = '';
+  form.relatedResult = '';
+  form.attention = '';
+  form.primaryDiagnosisList = [];
+  form.otherDiagnosisList = [];
+  form.allergyConfirmed = false;
+  transferValue.value = [];
+};
+
 const getLocationInfo = () => {
  getDepartmentList().then((res) => {
    orgOptions.value = res.data || [];
  });
 };
-// 获取诊断目录
+
 function getDiagnosisList() {
  getEncounterDiagnosis(patientInfo.value.encounterId).then((res) => {
-    console.log('诊断目录========>', JSON.stringify(res.data));
    if (res.code == 200) {
      const datas = (res.data || []).map((item) => {
-        let obj = {
-          ...item,
-        };
-        if (obj.diagSrtNo == null) {
-          obj.diagSrtNo = '1';
-        }
+        let obj = { ...item };
+        if (obj.diagSrtNo == null) obj.diagSrtNo = '1';
        return obj;
      });
-      // 主诊断
-      form.primaryDiagnosisList = datas.filter((item) => {
-        return item?.maindiseFlag == 1;
-      });
-      console.log('@@@@@@========>', form.primaryDiagnosisList);
+      form.primaryDiagnosisList = datas.filter((item) => item?.maindiseFlag == 1);
      if (form.primaryDiagnosisList.length == 1) {
-        const obj = form.primaryDiagnosisList[0];
-        form.clinicalDiagnosis = obj.name;
+        form.clinicalDiagnosis = form.primaryDiagnosisList[0].name;
      }
-      //其他诊断
-      form.otherDiagnosisList = datas.filter((item) => {
-        return item?.maindiseFlag !== 1;
-      });
-      const otherDiagnosisNameList = form.otherDiagnosisList.map((item) => {
-        return item.name;
-      });
-      form.otherDiagnosis = otherDiagnosisNameList.join(',');
+      form.otherDiagnosisList = datas.filter((item) => item?.maindiseFlag !== 1);
+      form.otherDiagnosis = form.otherDiagnosisList.map((item) => item.name).join(',');
    }
  });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
+
+onMounted(() => {
+  getList();
+  getLocationInfo();
+  loadPatientAllergyHistory();
+});
+
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, resetForm });
 </script>
+
 <style lang="scss" scoped>
+// 医疗主题色
+$primary-color: #409eff;
+$success-color: #67c23a;
+$warning-color: #e6a23c;
+$danger-color: #f56c6c;
+$info-color: #909399;
+
+$text-primary: #303133;
+$text-regular: #606266;
+$text-secondary: #909399;
+$border-color: #dcdfe6;
+$bg-color: #f5f7fa;
+
 .medicalExaminations-container {
  height: 100%;
  width: 100%;
+  display: flex;
+  flex-direction: column;
+  background: $bg-color;
+  font-family: -apple-system, BlinkMacSystemFont, 'PingFang SC', 'Hiragino Sans GB', 'Microsoft YaHei', sans-serif;
+
+  // 顶部标题栏
+  .form-header {
+    display: flex;
+    justify-content: space-between;
+    align-items: center;
+    padding: 14px 20px;
+    background: linear-gradient(135deg, #fff 0%, #f0f7ff 100%);
+    border-bottom: 1px solid $border-color;
+
+    .header-left {
+      display: flex;
+      align-items: center;
+      gap: 10px;
+
+      .header-icon {
+        font-size: 24px;
+        color: $primary-color;
+      }
+
+      .header-title {
+        font-size: 18px;
+        font-weight: 600;
+        color: $text-primary;
+        letter-spacing: 1px;
+      }
+    }
+
+    .header-right {
+      display: flex;
+      align-items: center;
+      gap: 12px;
+
+      .urgency-label {
+        font-size: 13px;
+        color: $text-secondary;
+        font-weight: 500;
+      }
+
+      .urgency-radio-group {
+        :deep(.el-radio-button__inner) {
+          border-radius: 4px;
+          margin: 0;
+        }
+
+        :deep(.el-radio-button:first-child .el-radio-button__inner) {
+          border-radius: 4px;
+        }
+
+        :deep(.el-radio-button:last-child .el-radio-button__inner) {
+          border-radius: 4px;
+        }
+      }
+
+      .emergency-tip {
+        display: flex;
+        align-items: center;
+        gap: 4px;
+        color: $danger-color;
+        font-size: 13px;
+        font-weight: 500;
+        background: #fef0f0;
+        padding: 4px 10px;
+        border-radius: 4px;
+        border: 1px solid #fde2e2;
+      }
+    }
+  }
+
+  // 主体内容区
+  .form-body {
+    flex: 1;
+    display: flex;
+    flex-direction: column;
+    gap: 12px;
+    padding: 16px;
+    overflow-y: auto;
+
+    &::-webkit-scrollbar {
+      width: 6px;
+    }
+
+    &::-webkit-scrollbar-thumb {
+      background: #d0d3da;
+      border-radius: 3px;
+    }
+
+    &::-webkit-scrollbar-track {
+      background: transparent;
+    }
+  }
+
+  // 卡片通用样式
+  .section-card {
+    background: #fff;
+    border-radius: 8px;
+    padding: 16px;
+    box-shadow: 0 2px 8px rgba(0, 0, 0, 0.06);
+    border: 1px solid rgba(0, 0, 0, 0.04);
+
+    .section-header {
+      display: flex;
+      align-items: center;
+      gap: 8px;
+      padding-bottom: 12px;
+      margin-bottom: 12px;
+      border-bottom: 1px dashed $border-color;
+      font-size: 14px;
+      font-weight: 600;
+      color: $text-primary;
+
+      > i {
+        font-size: 16px;
+        color: $primary-color;
+      }
+
+      .header-count {
+        margin-left: auto;
+        font-size: 12px;
+        font-weight: 400;
+        color: $text-secondary;
+      }
+
+      .required-mark {
+        font-size: 12px;
+        font-weight: 500;
+        color: #fff;
+        background: $danger-color;
+        padding: 2px 8px;
+        border-radius: 10px;
+        margin-left: 4px;
+      }
+    }
+  }

  .transfer-wrapper {
    position: relative;
    min-height: 300px;
-  }
-
-  .el-transfer {
-    --el-transfer-panel-width: 480px !important;
-  }
-
-  .bloodTransfusion-form {
-    padding: 8px 8px 0 8px;
-    height: 100%;
    width: 100%;
+  }
+
+  :deep(.el-transfer) {
+    --el-transfer-panel-width: 480px !important;
+    display: flex !important;
+    flex-direction: row !important;
+  }
+  // 信息表单
+  .info-form {
+    :deep(.el-form-item) {
+      margin-bottom: 14px;
+
+      .el-form-item__label {
+        font-size: 13px;
+        font-weight: 500;
+        color: $text-regular;
+        padding-bottom: 6px;
+      }
+
+      .el-input__wrapper,
+      .el-textarea__inner {
+        border-radius: 6px;
+        transition: all 0.2s;
+
+        &:hover {
+          box-shadow: 0 0 0 1px $primary-color;
+        }
+
+        &:focus {
+          box-shadow: 0 0 0 2px rgba($primary-color, 0.2);
+        }
+      }
+
+      .el-input.is-disabled .el-input__wrapper {
+        background: #f5f7fa;
+        cursor: not-allowed;
+      }
+    }
+  }
+
+  // 过敏史卡片
+  .allergy-card {
+    .allergy-content {
+      .allergy-input-row {
+        position: relative;
+
+        :deep(.el-textarea) {
+          .el-textarea__inner.allergy-danger {
+            border-color: $danger-color !important;
+            background-color: #fef0f0;
+          }
+        }
+      }
+
+      .allergy-severe-tag {
+        position: absolute;
+        right: 12px;
+        top: 8px;
        display: flex;
+        align-items: center;
+        gap: 4px;
+        color: $danger-color;
+        font-size: 13px;
+        font-weight: 600;
+        background: #fef0f0;
+        padding: 3px 10px;
+        border-radius: 12px;
+        border: 1px solid #fde2e2;
+      }
+
+      .allergy-confirm {
+        margin-top: 10px;
+        padding-left: 4px;
+      }
+    }
+  }
+
+  // 病史摘要卡片
+  .history-card {
+    .section-header {
+      .sync-btn {
+        margin-left: auto;
+        font-size: 12px;
+        padding: 6px 12px;
+        border-radius: 16px;
+      }
+    }
+  }
+
+  // 急诊确认弹窗
+  .emergency-dialog-content {
+    text-align: center;
+    padding: 24px 0;
+
+    .emergency-dialog-icon {
+      font-size: 52px;
+      color: $danger-color;
+      margin-bottom: 18px;
+    }
+
+    .emergency-dialog-text {
+      font-size: 18px;
+      font-weight: 600;
+      color: $text-primary;
+      margin: 0 0 10px;
+    }
+
+    .emergency-dialog-sub {
+      font-size: 14px;
+      color: $text-secondary;
+      margin: 0;
+    }
  }
 }
+
+// 过渡动画
+.fade-in-linear-enter-active,
+.fade-in-linear-leave-active {
+  transition: opacity 0.2s linear;
+}
+
+.fade-in-linear-enter-from,
+.fade-in-linear-leave-to {
+  opacity: 0;
+}
 </style>
--- a/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue
@@ -197,7 +197,6 @@
                    style="width: 62%"
                    v-model="scope.row.adviceName"
                    placeholder="请选择项目"
-                    @input="handleChange"
                    @click="handleFocus(scope.row, scope.$index)"
                    @keyup.enter.stop="handleFocus(scope.row, scope.$index)"
                    @keydown="
@@ -380,7 +379,7 @@ const form = ref({
  prescriptionList: prescriptionList.value,
 });
 const adviceQueryParams = ref({
-  adviceType: 1,
+  adviceType: '',
  categoryCode: '', // 初始为空，等待加载配置后动态设置
  searchKey: '',
 });
@@ -686,7 +685,7 @@ function loadConfiguredCategories() {
        nextTick(() => {
          // 创建新对象触发响应式更新
          adviceQueryParams.value = {
-            adviceType: 1,
+            adviceType: '',
            categoryCode: defaultCategoryCode,
            searchKey: '',
          };
@@ -802,8 +801,10 @@ function clickRowDb(row, column, event) {
    return;
  }
  row.showPopover = false;
-  // “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) {
+  // 允许所有 statusEnum==1 的医嘱进入编辑：
+  // 1. 新医嘱（无 requestId）：待保存
+  // 2. 护士退回医嘱（有 requestId）：退回后状态重置为 DRAFT(1)，需允许医生编辑修改后重新签发
+  if (row.statusEnum == 1) {
    // 确保治疗类型为字符串，方便与单选框 label 对齐，默认为长期医嘱('1')
    row.therapyEnum = String(row.therapyEnum ?? '1');
    row.isEdit = true;
--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/components/prescriptionList.vue
@@ -174,7 +174,6 @@ const activeNames = ref([]);
 const userStore = useUserStore();
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
-const therapyEnum = ref(undefined);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
@@ -190,6 +189,10 @@ const props = defineProps({
  deadline: {
    type: String,
  },
+  therapyEnum: {
+    type: Number,
+    default: undefined,
+  },
 });

 function handleGetPrescription() {
@@ -200,7 +203,7 @@ function handleGetPrescription() {
      encounterIds: encounterIds,
      pageSize: 10000,
      pageNo: 1,
-      therapyEnum: therapyEnum.value,
+      therapyEnum: props.therapyEnum,
      exeStatus: props.exeStatus,
      requestStatus: props.requestStatus,
    })
--- a/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/drugDistribution/index.vue
@@ -58,7 +58,7 @@
            :clearable="false"
            @change="handleGetPrescription"
          />
-          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleRadioChange">
+          <el-radio-group v-model="therapyEnum" class="ml20" @change="handleTherapyChange">
            <el-radio :value="undefined">全部</el-radio>
            <el-radio :value="1">长期</el-radio>
            <el-radio :value="2">临时</el-radio>
@@ -79,6 +79,7 @@
        :exeStatus="exeStatus"
        :requestStatus="requestStatus"
        :deadline="deadline"
+        :therapyEnum="therapyEnum"
      />
      <SummaryMedicineList v-else />
      <!-- <el-tabs v-model="activeName" class="demo-tabs centered-tabs" @tab-change="handleClick">
@@ -120,6 +121,7 @@ const requestStatus = ref(RequestStatus.COMPLETED);
 const chooseAll = ref(false);
 const drugType = ref('1');
 const isDetails = ref('1');
+const therapyEnum = ref(undefined);

 // 存储子组件引用的对象
 const prescriptionRefs = ref();
@@ -175,6 +177,10 @@ function handleRadioChange(value) {
  }
 }

+function handleTherapyChange() {
+  handleGetPrescription();
+}
+
 function handleExecute() {
  proxy.$refs['prescriptionRefs'].handleMedicineSummary();
 }
--- a/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderExecution/components/prescriptionList.vue
@@ -270,7 +270,7 @@ function normalizeDayTimeHm(part) {
  return `${h}:${m}`;
 }

-function handleGetPrescription() {
+function handleGetPrescription(skipAutoSelectAll = false) {
  if (patientInfoList.value.length > 0) {
    loading.value = true;
    let encounterIds = patientInfoList.value.map((i) => i.encounterId).join(',');
@@ -430,10 +430,12 @@ function handleGetPrescription() {

      // 将分组结果转换为数组形式
      prescriptionList.value = Object.values(groupedPrescriptions);
-      // 默认选中全部行
+      // 默认选中全部行（执行后刷新时不自动全选，保持用户操作状态）
+      if (!skipAutoSelectAll) {
        nextTick(() => {
          defaultSelectAllRows();
        });
+      }
      } catch (error) {
        console.error('医嘱执行-获取处方列表数据处理失败:', error);
        prescriptionList.value = [];
@@ -469,18 +471,17 @@ function handleExecute() {
  console.log(list, 'list');
  adviceExecute({ exeDate: exeDate.value, adviceExecuteDetailList: list }).then((res) => {
    if (res.code == 200) {
-      handleGetPrescription();
-      // 仅当选中医嘱中包含药品/耗材类医嘱时，才调用耗材批号匹配
-      const hasMedOrDevice = list.some(
-        (item) =>
-          item.adviceTable === 'med_medication_request' ||
+      // 仅当选中医嘱中包含耗材类医嘱时，才调用耗材批号匹配（排除纯药品医嘱场景）
+      const hasDevice = list.some((item) =>
        String(item.adviceTable || '').includes('device'),
      );
-      if (hasMedOrDevice) {
+      if (hasDevice) {
        lotNumberMatch({ encounterIdList: encounterIds }, { skipErrorMsg: true }).catch((error) => {
          console.warn('lotNumberMatch failed after adviceExecute:', error);
        });
      }
+      // 刷新列表（不自动全选，保持用户操作前的选择状态）
+      handleGetPrescription(true);
      proxy.$modal.msgSuccess(res.msg || '医嘱执行成功');
    } else {
      proxy.$modal.msgError(res.msg || '医嘱执行失败');
@@ -504,7 +505,7 @@ function handleNoExecute() {
  adviceNoExecute({ adviceExecuteDetailList: list }).then((res) => {
    if (res.code == 200) {
      proxy.$modal.msgSuccess(res.msg || '操作成功');
-      handleGetPrescription();
+      handleGetPrescription(true);
    } else {
      proxy.$modal.msgError(res.msg || '操作失败');
    }
@@ -543,7 +544,7 @@ function handleCancel() {
  adviceCancel({ adviceExecuteDetailList: producerIds }).then((res) => {
    if (res.code == 200) {
      proxy.$modal.msgSuccess(res.msg || '取消执行成功');
-      handleGetPrescription();
+      handleGetPrescription(true);
    } else {
      proxy.$modal.msgError(res.msg || '取消执行失败');
    }
--- a/openhis-ui-vue3/src/views/surgicalschedule/index.vue
+++ b/openhis-ui-vue3/src/views/surgicalschedule/index.vue
@@ -829,7 +829,7 @@
            </el-descriptions>
          </div>
          <div style="padding: 10px">
-            <prescriptionlist :patientInfo="chargePatientInfo" ref="prescriptionRef" />
+            <prescriptionlist v-if="showChargeDialog" :patientInfo="chargePatientInfo" ref="prescriptionRef" />
            <div class="overlay" v-if="disabled"></div>
          </div>
        </div>
@@ -1136,12 +1136,14 @@ function loadDeptList() {
        const tree = res.data?.records || res.data || []
        deptList.value = flattenOrgTree(tree)
      } else {
-        proxy.$modal.msgError('获取科室列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('科室列表加载失败（可能无权限）:', res.message || res.code)
        deptList.value = []
      }
    })
    .catch(error => {
-      proxy.$modal.msgError('获取科室列表失败')
+      // 网络错误或权限拒绝：静默降级
+      console.warn('科室列表加载失败:', error?.message || error)
      deptList.value = []
    })
 }
@@ -1154,12 +1156,14 @@ function loadDoctorList() {
        const records = res.data?.records || []
        doctorList.value = records.map(mapPractitionerToOption).filter(it => it.code && it.name)
      } else {
-        proxy.$modal.msgError('获取医生列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('医生列表加载失败（可能无权限）:', res.message || res.code)
        doctorList.value = []
      }
    })
    .catch(error => {
-      proxy.$modal.msgError('获取医生列表失败')
+      // 网络错误或权限拒绝：静默降级
+      console.warn('医生列表加载失败:', error?.message || error)
      doctorList.value = []
    })
 }
@@ -1172,12 +1176,14 @@ function loadNurseList() {
        const records = res.data?.records || []
        nurseList.value = records.map(mapPractitionerToOption).filter(it => it.code && it.name)
      } else {
-        proxy.$modal.msgError('获取护士列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('护士列表加载失败（可能无权限）:', res.message || res.code)
        nurseList.value = []
      }
    })
    .catch(error => {
-      proxy.$modal.msgError('获取护士列表失败')
+      // 网络错误或权限拒绝：静默降级
+      console.warn('护士列表加载失败:', error?.message || error)
      nurseList.value = []
    })
 }
@@ -1190,12 +1196,14 @@ function loadOperatingRoomList() {
        const records = res.data?.records || []
        operatingRoomList.value = records.map(mapOperatingRoomToOption).filter(it => it.roomCode)
      } else {
-        proxy.$modal.msgError('获取手术室列表失败')
+        // 权限不足时静默降级，不弹窗阻断（Bug #441）
+        console.warn('手术室列表加载失败（可能无权限）:', res.message || res.code)
        operatingRoomList.value = []
      }
    })
    .catch(error => {
-      proxy.$modal.msgError('获取手术室列表失败')
+      // 网络错误或权限拒绝：静默降级
+      console.warn('手术室列表加载失败:', error?.message || error)
      operatingRoomList.value = []
    })
 }
@@ -1404,6 +1412,10 @@ async function handleChargeCharge(row) {

 // 关闭计费弹窗
 function closeChargeDialog() {
+  // 先关闭 prescriptionlist 内所有已打开的项目字典 popover
+  if (prescriptionRef.value && prescriptionRef.value.closeAllPopovers) {
+    prescriptionRef.value.closeAllPopovers()
+  }
  showChargeDialog.value = false
  chargePatientInfo.value = {}
  chargeSurgeryInfo.value = {}
@@ -1910,6 +1922,7 @@ function resetForm() {
    allergyRemark: undefined,
    surgeryNature: undefined,
    surgerySite: undefined,
+    incisionType: undefined,
    admissionTime: undefined,
    entryTime: undefined,
    roomCode: undefined,
--- a/sql/bug_462_add_specimen_code_dict.sql
+++ b/sql/bug_462_add_specimen_code_dict.sql
@@ -0,0 +1,18 @@
+-- Bug #462: 诊疗目录编辑弹窗中"所需标本"下拉框数据加载失败
+-- 根因: sys_dict_type 表中缺少 specimen_code 字典类型，sys_dict_data 表中缺少对应数据
+-- 修复: 插入字典类型及7条标本数据
+
+-- 插入字典类型
+INSERT INTO sys_dict_type (dict_name, dict_type, status, create_by, create_time, remark)
+VALUES ('标本类型', 'specimen_code', '0', 'admin', NOW(), '诊疗项目所需标本类型字典');
+
+-- 插入标本数据
+INSERT INTO sys_dict_data (dict_sort, dict_label, dict_value, dict_type, status, create_by, create_time, remark)
+VALUES
+  (1, '血液', '1', 'specimen_code', '0', 'admin', NOW(), '血液标本'),
+  (2, '尿液', '2', 'specimen_code', '0', 'admin', NOW(), '尿液标本'),
+  (3, '粪便', '3', 'specimen_code', '0', 'admin', NOW(), '粪便标本'),
+  (4, '呼吸道', '4', 'specimen_code', '0', 'admin', NOW(), '呼吸道标本'),
+  (5, '无菌体液', '5', 'specimen_code', '0', 'admin', NOW(), '无菌体液标本'),
+  (6, '生殖道', '6', 'specimen_code', '0', 'admin', NOW(), '生殖道标本'),
+  (7, '其他', '7', 'specimen_code', '0', 'admin', NOW(), '其他标本');
Author	SHA1	Message	Date
华佗	c424a37ebd	Fix Bug #469 : [住院医生工作站-检验申请] 完善【操作】列临床业务逻辑：支持按状态动态切换修改、删除、撤回等功能根据单据状态动态显示操作按钮： - 待签发（状态0）：显示修改、删除、详情 - 已签发（状态1）：显示撤回、详情 - 其他状态：仅显示详情 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:05 +08:00
赵云	93fc43715f	Fix Bug #470 : 住院医生工作站-手术申请单加载手术项目耗时过长，影响医生开单效率根因：getAdviceBaseInfo 后端接口在查询手术项目时，仍会执行与手术无关的库存查询（getAdviceInventory）、全表扫描待发放记录（getAdviceDraftInventory）以及药房科室配置查询（getMedLocationConfig），其中 getAdviceDraftInventory 对 med_medication_dispense 和 wor_device_dispense 做全表扫描，无任何过滤条件，导致手术/诊疗场景下的额外数据库开销。修复：在 DoctorStationAdviceAppServiceImpl.getAdviceBaseInfo() 中增加类型判断，当 adviceTypes 不包含药品(1)或耗材(2)时跳过所有库存相关查询，因为这些查询对手术/ 诊疗(3,6)项目无意义，且下游代码仅在药品/耗材处理分支中使用这些变量。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:05 +08:00
赵云	1459bae9d0	Fix Bug #400 : 门诊医生站点击【完诊】后，triage_queue_item 表 status 字段未按规范更新为 30 完诊API后端要求同时传递 encounterId 和 firstEnum 两个参数： 1. DoctorCallDialog.vue：已有修复只传了 encounterId，缺少 firstEnum，导致后端校验失败 2. patientList.vue：仍传递原始值而非对象，且同样缺少 firstEnum 修复：两处调用均改为传递 { encounterId, firstEnum } 对象，firstEnum 默认值为1 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:05 +08:00
赵云	40a7e0c231	Fix Bug #400 : 门诊医生站点击【完诊】后，triage_queue_item 表 status 字段未按规范更新为 30 队列弹窗【完成】按钮调用完诊API时，传递了原始 Long 值而非对象参数，导致后端 @RequestBody 反序列化时 encounterId 为 null，队列项状态无法更新。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:05 +08:00
赵云	4263cbbd9d	Fix Bug #492 : 【门诊手术安排】关闭"手术计费"主弹窗后，项目字典选择列表依然残留悬浮在界面上 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
关羽	6100d585c0	Fix Bug #480 : [住院护士站-医嘱执行] 非耗材类医嘱执行报"耗材库存"错误且全选逻辑联动异常 Root cause analysis: 1. 非耗材类医嘱(如口服药"荆防颗粒")执行后，前端调用lotNumberMatch时传入所有患者 encounterId。该后端函数会查询所有DeviceDispense记录并校验耗材库存，若任一患者存在耗材记录但无库存则报错"发耗材单生成失败，请检查耗材库存"。原代码的hasMedOrDevice检查包含了med_medication_request(药品医嘱)，导致纯药品执行也触发耗材校验。 2. 执行成功后调用handleGetPrescription()刷新列表，触发defaultSelectAllRows()自动全选所有行，导致用户看到复选框全部选中的联动异常。 Fix: 1. hasMedOrDevice改为hasDevice，仅当选中医嘱包含device类型时才调用lotNumberMatch 2. handleGetPrescription新增skipAutoSelectAll参数，执行/不执行/取消执行后刷新时不自动全选 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
赵云	7df3999917	Fix Bug #492 : 【门诊手术安排】关闭"手术计费"主弹窗后，项目字典选择列表依然残留悬浮在界面上根因：关闭计费弹窗时未调用 prescriptionlist 子组件的 closeAllPopovers 方法，导致 el-popover（项目字典悬浮列表）在父弹窗销毁后仍残留显示。修复：在 closeChargeDialog 中先调用 prescriptionRef.value.closeAllPopovers() 关闭所有子 popover。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
Ranyunqiao	b21d499f66	429 433 438 476 477 478	2026-05-12 17:27:04 +08:00
赵云	1476c406cf	Fix Bug #462 : [目录管理-诊疗目录] 编辑弹窗中"所需标本"下拉框数据加载失败根因：sys_dict_type 表中缺少 specimen_code 字典类型定义，sys_dict_data 表中缺少对应标本数据记录，导致前端 useDict('specimen_code') 请求返回空数组。修复：新增 SQL 迁移脚本，插入 specimen_code 字典类型及7条标本数据（血液、尿液、粪便、呼吸道、无菌体液、生殖道、其他）。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
赵云	9843ff9c05	fix: 修复 Bug #441 — 护士角色无权访问卫生机构列表将租户Controller中4个只读端点的权限从 system:tenant:operate 降级为 system:tenant:list： - getTenantPage (下拉列表数据源) - getTenantDetail - getTenantUserPage - getUnbindTenantUserList 增删改操作保持 system:tenant:operate 不变。同步更新 sys_menu 表：menu_id=2048 perms='system:tenant:list' Root cause: 护士角色进入门诊手术安排页时 onMounted 调用 /system/tenant/page，该接口要求 system:tenant:operate 权限，护士角色无此权限导致卫生机构下拉列表为空，后续所有查询均失败。	2026-05-12 17:27:04 +08:00
玉狻猊	a620f8da22	调优：测试环境数据库改为 test1	2026-05-12 17:27:04 +08:00
赵云	374658923d	Fix Bug #441 : 门诊手术安排：手术室护士角色进入页面提示"无权限"且"获取卫生机构列表失败" 策略B（优雅降级）：将 loadDeptList、loadDoctorList、loadNurseList、loadOperatingRoomList 四个初始化接口中的 proxy.$modal.msgError 改为 console.warn 静默降级，避免权限不足时弹窗阻断页面。配合已有的 loadOrgList 修复，确保手术室护士等角色进入页面时不会因个别字典接口权限拒绝而弹窗报错。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
赵云	a81e7ec980	Fix Bug #435 : 门诊手术安排：编辑弹窗中"费用类别"字段数据未回显根因：getSurgeryScheduleDetail 查询未关联 fin_contract 表，导致 feeType 始终为 null 修复：SQL 中添加 adm_encounter → adm_account → fin_contract 三表关联，取 fc.contract_name AS feeType； OpScheduleDto 新增 feeType 字段用于接收映射 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 17:27:04 +08:00
xiaoming	39fefe9e80	bug 486 [住院医生工作站-临床医嘱] 医嘱检索框不支持全局模糊搜索，未选“医嘱类型”时检索结果为空删去了搜索条件的默认值	2026-05-12 17:27:04 +08:00
华佗	5a4c2b6354	Fix Bug #511 : [住院医生工作站-临床医嘱] 护士退回的医嘱在医生站双击无法进入编辑模式，导致无法修改重发策略A：修改 clickRowDb 双击处理函数的编辑准入条件 - 原条件：row.statusEnum == 1 && !row.requestId（只允许从未保存的新医嘱编辑） - 新条件：row.statusEnum == 1（允许所有待签发状态的医嘱编辑，包括护士退回的） - 原因：护士退回医嘱时后端将状态重置为 DRAFT(1)，但 requestId 仍存在，原条件因此拦截了退回医嘱，导致双击无响应 - 保存逻辑已支持有 requestId 的场景（dbOpType='2' 更新模式），无需额外修改 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-11 17:09:54 +08:00
赵云	6626c8f1cd	Fix Bug #502 : 【住院护士站-汇总发药申请】顶部医嘱类型（长期/临时）过滤按钮点击无响应根因：父组件 index.vue 中 therapyEnum 变量未声明为 ref，且未通过 props 传递给子组件 prescriptionList.vue，导致点击"长期/临时"按钮时数据流断裂，子组件 API 调用始终使用本地未变化的 therapyEnum 值。修复： 1. index.vue 新增 const therapyEnum = ref(undefined) 2. index.vue 新增 handleTherapyChange() 调用 handleGetPrescription() 刷新列表 3. index.vue 将 therapyEnum 作为 prop 传入 PrescriptionList 4. prescriptionList.vue 将本地 therapyEnum ref 改为 props 接收	2026-05-11 17:08:56 +08:00
赵云	e2f4996f47	Merge remote-tracking branch 'origin/华佗' into 华佗 # Conflicts: # openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue	2026-05-11 15:27:40 +08:00
赵云	37b57e8b12	Fix Bug #511 : [住院医生工作站-临床医嘱] 护士退回的医嘱在医生站双击无法进入编辑模式，导致无法修改重发根因: clickRowDb 双击编辑条件为 row.statusEnum == 1 && !row.requestId，护士退回的医嘱 statusEnum 被重置为 1(DRAFT)，但 requestId 仍存在(之前已保存过)，导致不满足 !row.requestId 条件，无法进入编辑模式。修复: 移除 !row.requestId 限制，仅保留 statusEnum == 1 条件。保存流程已支持两种场景： - 新建医嘱(无requestId): dbOpType = '1' 创建 - 退回医嘱(有requestId): dbOpType = '2' 更新	2026-05-11 15:26:39 +08:00
关羽	4bd0d2dcc8	Fix Bug #486 : [住院医生工作站-临床医嘱] 医嘱检索框不支持全局模糊搜索，未选"医嘱类型"时检索结果为空 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-10 16:02:20 +08:00