Fix Bug #442 : 手术计费：点击"删除"待签发耗材时异常报错，导致操作失败

根因：DoctorStationAdviceAppMapper.xml 中 getRequestBaseInfo SQL 的第二个 UNION 查询（手术计费耗材从 adm_charge_item 关联 wor_device_request）中，biz_request_flag 和 requester_id 使用了 CI.enterer_id（计费录入人），而非 DR.requester_id（设备申请创建人）。当录入人与当前操作人不一致时，biz_request_flag 为 '0'，导致删除操作被后端拒绝。修复：将 CI.enterer_id 改为 COALESCE(DR.requester_id, CI.enterer_id)，优先使用 DeviceRequest 的 requester_id，确保 biz_request_flag 基于正确的创建人计算。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>
Fix Bug #428 : 门诊医生站-检查申请：未实现分类联动检查方法及套餐明细展示与勾选逻辑
2026-05-12 23:07:54 +08:00 · 2026-05-12 23:07:54 +08:00 · 2026-05-12 23:07:54 +08:00 · 2026-05-12 23:07:53 +08:00 · 2026-05-12 23:07:53 +08:00 · 2026-05-12 23:07:53 +08:00
38 changed files with 1346 additions and 481 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/doctorstation/dto/InfectiousDiseaseReportDto.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/InfectiousDiseaseReportDto.java
@@ -1,5 +1,6 @@
 package com.openhis.web.doctorstation.dto;

+import com.fasterxml.jackson.annotation.JsonFormat;
 import com.fasterxml.jackson.databind.annotation.JsonSerialize;
 import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
 import lombok.Data;
@@ -55,6 +56,7 @@ public class InfectiousDiseaseReportDto {
    private String sex;

    /** 出生日期 */
+    @JsonFormat(pattern = "yyyy-MM-dd")
    private Date birthday;

    /** 实足年龄 */
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inventorymanage/appservice/impl/ProductTransferAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/inventorymanage/appservice/impl/ProductTransferAppServiceImpl.java
@@ -17,6 +17,9 @@ import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.core.common.utils.SecurityUtils;
+import com.openhis.workflow.domain.InventoryItem;
+import com.openhis.workflow.service.IInventoryItemService;
 import com.openhis.web.basedatamanage.dto.LocationDto;
 import com.openhis.web.common.dto.UnitDto;
 import com.openhis.web.inventorymanage.appservice.IProductTransferAppService;
@@ -57,6 +60,9 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
    @Autowired
    private IPractitionerService practitionerService;

+    @Autowired
+    private IInventoryItemService inventoryItemService;
+
    /**
     * 商品调拨页面初始化
     *
@@ -196,6 +202,23 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
    @Override
    public R<?> addOrEditBatchTransferReceipt(List<ProductTransferDto> productTransferDtoList, Boolean flag) {

+        // 校验调拨数量：必须 > 0 且不超过源库存数量（从数据库查实时库存）
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        for (ProductTransferDto dto : productTransferDtoList) {
+            if (dto.getItemQuantity() == null || dto.getItemQuantity().compareTo(java.math.BigDecimal.ZERO) <= 0) {
+                return R.fail("调拨数量必须大于0");
+            }
+            // 查询该药品在源仓库的实时库存总量
+            List<InventoryItem> inventoryList = inventoryItemService.selectInventoryByItemId(
+                dto.getItemId(), dto.getLotNumber(), dto.getSourceLocationId(), tenantId);
+            java.math.BigDecimal actualStock = inventoryList.stream()
+                .map(InventoryItem::getQuantity)
+                .reduce(java.math.BigDecimal.ZERO, java.math.BigDecimal::add);
+            if (dto.getItemQuantity().compareTo(actualStock) > 0) {
+                return R.fail("调拨数量不可超出源库存数量（当前库存：" + actualStock + "）");
+            }
+        }
+
        List<String> idList = new ArrayList<>();
        if (flag) {
            // 批量保存按钮
@@ -309,6 +332,22 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
    @Override
    public R<?> addOrEditTransferReceipt(List<ProductTransferDto> productTransferDtoList) {

+        // 校验调拨数量：必须 > 0 且不超过源库存数量（从数据库查实时库存）
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        for (ProductTransferDto dto : productTransferDtoList) {
+            if (dto.getItemQuantity() == null || dto.getItemQuantity().compareTo(java.math.BigDecimal.ZERO) <= 0) {
+                return R.fail("调拨数量必须大于0");
+            }
+            List<InventoryItem> inventoryList = inventoryItemService.selectInventoryByItemId(
+                dto.getItemId(), dto.getLotNumber(), dto.getSourceLocationId(), tenantId);
+            java.math.BigDecimal actualStock = inventoryList.stream()
+                .map(InventoryItem::getQuantity)
+                .reduce(java.math.BigDecimal.ZERO, java.math.BigDecimal::add);
+            if (dto.getItemQuantity().compareTo(actualStock) > 0) {
+                return R.fail("调拨数量不可超出源库存数量（当前库存：" + actualStock + "）");
+            }
+        }
+
        List<String> idList = new ArrayList<>();

        // 单据号取得
@@ -380,6 +419,25 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
     */
    @Override
    public R<?> submitApproval(String busNo) {
+        // 提交前再次校验调拨数量（从数据库查实时库存）
+        List<SupplyRequest> requestList = supplyRequestService.getSupplyByBusNo(busNo);
+        if (requestList != null && !requestList.isEmpty()) {
+            Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+            for (SupplyRequest request : requestList) {
+                if (request.getItemQuantity() == null || request.getItemQuantity().compareTo(java.math.BigDecimal.ZERO) <= 0) {
+                    return R.fail("调拨数量必须大于0，请检查后重新保存");
+                }
+                // 查询该药品在源仓库的实时库存总量
+                List<InventoryItem> inventoryList = inventoryItemService.selectInventoryByItemId(
+                    request.getItemId(), request.getLotNumber(), request.getSourceLocationId(), tenantId);
+                java.math.BigDecimal actualStock = inventoryList.stream()
+                    .map(InventoryItem::getQuantity)
+                    .reduce(java.math.BigDecimal.ZERO, java.math.BigDecimal::add);
+                if (request.getItemQuantity().compareTo(actualStock) > 0) {
+                    return R.fail("调拨数量不可超出源库存数量（当前库存：" + actualStock + "），请检查后重新保存");
+                }
+            }
+        }
        // 单据提交审核
        boolean result = supplyRequestService.submitApproval(busNo);
        return result ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, null))
--- 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） -->
@@ -544,9 +541,9 @@
        CI.service_id AS request_id,
        CI.service_id || '-ci-dev' AS unique_key,
        '' AS prescription_no,
-        CI.enterer_id AS requester_id,
+        COALESCE(DR.requester_id, CI.enterer_id) AS requester_id,
        CI.entered_date AS request_time,
-        CASE WHEN CI.enterer_id = #{practitionerId} THEN '1' ELSE '0' END AS biz_request_flag,
+        CASE WHEN COALESCE(DR.requester_id, 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,
--- 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/diseaseReportManagement/ReportManagement/index.vue
+++ b/openhis-ui-vue3/src/views/diseaseReportManagement/ReportManagement/index.vue
@@ -519,9 +519,10 @@
    >
      <template #append>
        <!-- 审核记录：查看/审核都展示，保证留痕可追溯 -->
+        <!-- 修复：查看模式始终显示区块；审核模式始终显示区块（header + 空状态 或 timeline） -->
        <div
          class="audit-records-section"
-          v-if="drawerMode === 'view' || (drawerMode === 'audit' && auditRecords.length > 0)"
+          v-if="drawerMode === 'view' || drawerMode === 'audit'"
        >
          <h3 class="section-title">审核记录</h3>
          <el-timeline v-if="auditRecords.length > 0">
--- 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/diagnosis/diagnosis.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/diagnosis.vue
@@ -349,11 +349,17 @@ async function getList() {
    if (res.code == 200) {
      // 过滤掉中医诊断，只保留西医诊断
      form.value.diagnosisList = res.data.filter(item => item.typeName !== '中医诊断');
-      // 为旧数据添加默认分类
+      // 为旧数据添加默认分类和selectedDiseases
      form.value.diagnosisList.forEach(item => {
        if (!item.classification) {
          item.classification = '西医';
        }
+        // 如果ybNo（诊断编码）符合传染病编码格式，添加到selectedDiseases
+        if (item.ybNo && /^(01|02|03)/.test(item.ybNo)) {
+          item.selectedDiseases = [item.ybNo];
+        } else {
+          item.selectedDiseases = item.selectedDiseases || [];
+        }
      });
      emits('diagnosisSave', false);
    }
@@ -685,23 +691,78 @@ async function handleFoodDiseasesCheck() {

 /**
 * 传染病报告卡处理
- * 通过诊断目录维护的'报卡类型'字段自动识别是否有需要填写的传染病报告卡
- * 如果有则弹出诊断对应需登记的报告卡界面
+ * 通过诊断名称自动识别并勾选传染病报告卡中的疾病
 */
 function handleInfectiousDiseaseReport() {
-  // 查找所有有报卡类型的诊断（reportTypeCode不为空）
-  const diagnosesWithReportType = form.value.diagnosisList.filter(d => d.reportTypeCode);
+  // 疾病名称到报卡编码的映射（根据传染病报告卡弹窗中的疾病列表）
+  const diseaseNameToCode = {
+    // 甲类
+    '鼠疫': '0101',
+    '霍乱': '0102',
+    // 乙类
+    '传染性非典型肺炎': '0201',
+    '艾滋病': '0202',
+    '病毒性肝炎': '0203',
+    '脊髓灰质炎': '0204',
+    '人感染高致病性禽流感': '0205',
+    '麻疹': '0206',
+    '流行性出血热': '0207',
+    '狂犬病': '0208',
+    '流行性乙型脑炎': '0209',
+    '登革热': '0210',
+    '炭疽': '0211',
+    '细菌性和阿米巴性痢疾': '0212',
+    '肺结核': '0213',
+    '伤寒和副伤寒': '0214',
+    '流行性脑脊髓膜炎': '0215',
+    '百日咳': '0216',
+    '白喉': '0217',
+    '新生儿破伤风': '0218',
+    '猩红热': '0219',
+    '布鲁氏菌病': '0220',
+    '淋病': '0221',
+    '梅毒': '0222',
+    '钩端螺旋体病': '0223',
+    '血吸虫病': '0224',
+    '疟疾': '0225',
+    '新型冠状病毒肺炎': '0226',
+    '甲型H1N1流感': '0227',
+    '人感染H7N9禽流感': '0228',
+    // 丙类
+    '流行性感冒': '0301',
+    '流行性腮腺炎': '0302',
+    '风疹': '0303',
+    '急性出血性结膜炎': '0304',
+    '麻风病': '0305',
+    '流行性和地方性斑疹伤寒': '0306',
+    '黑热病': '0307',
+    '包虫病': '0308',
+    '丝虫病': '0309',
+    '除霍乱/菌痢/伤寒副伤寒以外的感染性腹泻病': '0310',
+    '其它感染性腹泻病': '0310',
+    '手足口病': '0311',
+  };

-  if (diagnosesWithReportType.length === 0) {
+  // 获取所有诊断名称对应的报卡编码
+  const allSelectedDiseases = form.value.diagnosisList
+    .map(d => diseaseNameToCode[d.name] || null)
+    .filter(code => code);
+
+  if (allSelectedDiseases.length === 0) {
    return;
  }

-  // 优先使用主诊断，如果没有主诊断有报卡类型则使用第一个有报卡类型的诊断
-  const mainDiagnosisWithReport = diagnosesWithReportType.find(d => d.maindiseFlag === 1);
-  const targetDiagnosis = mainDiagnosisWithReport || diagnosesWithReportType[0];
+  // 优先使用主诊断
+  const mainDiagnosis = form.value.diagnosisList.find(d => d.maindiseFlag === 1);
+  const firstDiagnosis = form.value.diagnosisList[0];
+
+  const diagnosisToShow = {
+    ...(mainDiagnosis || firstDiagnosis),
+    selectedDiseases: allSelectedDiseases
+  };

  // 弹出传染病报告卡弹窗
-  proxy.$refs.infectiousDiseaseReportRef?.show(targetDiagnosis);
+  proxy.$refs.infectiousDiseaseReportRef?.show(diagnosisToShow);
 }

 /**
@@ -814,7 +875,8 @@ form.value.diagnosisList.push({
    classification: '西医', // 默认为西医
    onsetDate: getCurrentDate(),
    diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
-    diagnosisTime: getCurrentDate()
+    diagnosisTime: getCurrentDate(),
+    selectedDiseases: data.ybNo ? [data.ybNo] : [],  // 用于传染病报告卡自动勾选
  });
  
  // 添加后按排序号排序
--- a/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/diagnosis/infectiousDiseaseReportDialog.vue
@@ -16,15 +16,15 @@
              v-model="form.cardNo"
              class="card-number-input"
              placeholder="单位自编，与网络直报一致"
-              maxlength="12"
-              :disabled="readOnly"
+              maxlength="20"
+              :disabled="readOnly || dialogReadOnly"
          />
        </el-space>
      </el-card>
    </template>

    <el-card class="report-form" shadow="never">
-      <el-form ref="formRef" :model="form" :rules="rules" label-position="top" :disabled="readOnly">
+      <el-form ref="formRef" :model="form" :rules="rules" label-position="top" :disabled="readOnly || dialogReadOnly">
        <!-- 患者姓名、家长姓名、身份证号 -->
        <el-row :gutter="16" class="form-row">
          <el-col :span="8" class="form-item">
@@ -476,9 +476,9 @@
    <template #footer>
      <slot name="footer" :close="handleClose" :submit-loading="submitLoading">
        <el-space :size="16" justify="center" class="dialog-footer-space" style="display: flex; justify-content: center; width: 100%;">
-          <el-button v-if="!readOnly" type="primary" @click="handleSubmit" :loading="submitLoading" class="blue-button">保 存</el-button>
+          <el-button v-if="!(readOnly || dialogReadOnly)" type="primary" @click="handleSubmit" :loading="submitLoading" class="blue-button">保 存</el-button>
          <el-button type="info" @click="handleClose">关 闭</el-button>
-          <el-button v-if="!readOnly" type="danger" @click="handleReset">重 置</el-button>
+          <el-button v-if="!(readOnly || dialogReadOnly)" type="danger" @click="handleReset">重 置</el-button>
        </el-space>
      </slot>
    </template>
@@ -510,6 +510,7 @@ const DISEASE_NAMES = {
 };

 const dialogVisible = ref(false);
+const dialogReadOnly = ref(false);
 const formRef = ref(null);
 // 保存按钮加载状态，防止重复提交
 const submitLoading = ref(false);
@@ -1037,8 +1038,9 @@ function resetAddressSelector() {
 * 以只读详情方式打开报卡弹窗，供报卡管理等页面复用医生站报卡样式。
 * @param {Object} reportData - 报卡详情数据
 */
-function showReport(reportData = {}) {
+function showReport(reportData = {}, readOnly = true) {
  dialogVisible.value = true;
+  dialogReadOnly.value = readOnly;

  resetAddressSelector();
  initProvinceOptions();
@@ -1069,7 +1071,7 @@ function showReport(reportData = {}) {
    addressHouse: reportData.addressHouse || '',
    patientBelong: reportData.patientBelong || 1,
    occupation: reportData.occupation || '',
-    caseClass: reportData.caseClass != null ? String(reportData.caseClass) : '',
+    caseClass: reportData.diseaseType != null ? String(reportData.diseaseType) : '',
    onsetDate: normalizeDate(reportData.onsetDate),
    diagDate: normalizeDate(reportData.diagDate),
    deathDate: normalizeDate(reportData.deathDate),
@@ -1078,13 +1080,13 @@ function showReport(reportData = {}) {
    selectedClassB: diseaseSelection.selectedClassB,
    selectedClassC: diseaseSelection.selectedClassC,
    otherDisease: reportData.otherDisease || (diseaseCode === 'OTHER' ? reportData.diseaseName || '' : ''),
-    diseaseType: reportData.diseaseType || '',
+    diseaseType: reportData.diseaseSubtype || '',
    reportOrg: reportData.reportOrg || '',
    reportOrgPhone: reportData.reportOrgPhone || '',
    reportDoc: reportData.reportDoc || '',
    reportDate: normalizeDate(reportData.reportDate || reportData.createdAt),
-    correctName: reportData.correctName || '',
-    withdrawReason: reportData.withdrawReason || '',
+    correctName: reportData.revisedDiseaseName || '',
+    withdrawReason: reportData.returnReason || '',
    remark: reportData.remark || '',
    encounterId: reportData.encounterId || reportData.visitId || '',
    patientId: reportData.patientId || reportData.patId || '',
@@ -1205,6 +1207,7 @@ function calculateAge() {
 */
 async function show(diagnosisData) {
  dialogVisible.value = true;
+  dialogReadOnly.value = false;

  // 重置地址选择器状态
  resetAddressSelector();
@@ -1238,14 +1241,13 @@ async function show(diagnosisData) {
  let cardNo = '';
  try {
    const res = await getNextCardNo(orgCode);
-    if (res.code === 200 && res.data) {
+    if (res.code === 200 && res.data && res.data.length >= 12) {
      cardNo = res.data;
-    } else {
-      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);
-    cardNo = 'TEMP_' + Date.now();
+    // 保持为空，不使用不合规的临时值
  }

  form.value = {
@@ -1424,9 +1426,9 @@ async function buildSubmitData() {
 function validateFormManually() {
  const errors = [];

-  // 卡片编号验证（可选，但如果填写了必须是12位）
-  if (form.value.cardNo && form.value.cardNo.length !== 12) {
-    errors.push('卡片编号必须为12位');
+  // 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');
  }

  // 身份证号验证
--- a/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue
@@ -316,6 +316,7 @@
                    <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"
@@ -333,6 +334,27 @@
                  <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>
@@ -918,6 +940,13 @@ 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;
@@ -1040,6 +1069,78 @@ 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;
+      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;
+      const newCategory = cat.typeCode || '';
+      if (currentCategory !== newCategory) {
+        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
+        return;
+      }
+    }
+
+    selectedItems.value.push({
+      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,
+      isPackage: !!targetItem.packageName,
+      packageId: targetItem.packageId || null
+    });
+
+    // 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) {
@@ -1105,12 +1206,6 @@ 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);
@@ -1366,6 +1461,53 @@ 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 */
@@ -1437,6 +1579,41 @@ 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;
--- 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/prescription/prescriptionlist.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/prescription/prescriptionlist.vue
@@ -2499,7 +2499,9 @@ function handleSave(prescriptionId) {
        'contentJson', 'definitionDetailId', 'definitionId', 'diagnosisName',
        'dosageInstruction', 'effectiveOrgId', 'encounterDiagnosisId',
        'encounterId', 'lotNumber', 'patientId', 'practitionerId',
-        'prescriptionNo', 'skinTestFlag', 'unitPrice', 'volume', 'ybClassEnum'
+        'prescriptionNo', 'skinTestFlag', 'unitPrice', 'volume', 'ybClassEnum',
+        // 🔧 Bug Fix: 添加 therapyEnum 字段（医嘱类型：1=长期, 2=临时）
+        'therapyEnum'
      ];
      let filteredContent = {};
      standardFields.forEach(field => {
@@ -3143,7 +3145,9 @@ function handleSaveBatch(prescriptionId) {
          // 🔧 Bug Fix: 添加 definitionId 和 definitionDetailId 字段
          'definitionId', 'definitionDetailId',
          // 🔧 Bug Fix: 添加 categoryEnum 字段（耗材必填）
-          'categoryEnum'
+          'categoryEnum',
+          // 🔧 Bug Fix: 添加 therapyEnum 字段（医嘱类型：1=长期, 2=临时）
+          'therapyEnum'
        ];
        let filteredItem = {};
        standardItemFields.forEach(field => {
@@ -3342,7 +3346,7 @@ function syncGroupFields(row) {
  }
 }

-function setValue(row) {
+async function setValue(row) {
  unitCodeList.value = [];
  unitCodeList.value.push({ value: row.unitCode, label: row.unitCode_dictText, type: 'unit' });
  
@@ -3394,8 +3398,8 @@ 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);
-  // 🔧 修复执行科室逻辑：优先使用项目维护的所属科室(row.orgId)，其次使用positionId，最后回退到患者科室
-  prescriptionList.value[rowIndex.value].orgId = row.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;
@@ -3514,7 +3518,7 @@ function setValue(row) {
      prescriptionList.value[rowIndex.value].positionId = finalLocationId;
    }
  } else {
-      getOrgList();
+      await getOrgList();
      // 会诊类型（adviceType == 5）和诊疗类型（adviceType == 3）的处理
      if (row.adviceType == 5) {
        // 会诊类型：设置默认值
--- 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)
@@ -1127,12 +1133,13 @@ function submitForm() {
        // 新增手术
        addSurgery(form.value).then((res) => {
          if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '新增成功')
+            proxy.$modal.msgSuccess(res.msg || '手术申请提交成功！')
            // 保存麻醉方式
            sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
            open.value = false
+            emit('saved') // 通知父组件刷新医嘱列表
+            // 刷新手术申请列表
            getList()
-            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
          } else {
            proxy.$modal.msgError(res.msg || '新增手术失败，请检查表单信息')
          }
@@ -1144,12 +1151,13 @@ function submitForm() {
        // 修改手术
        updateSurgery(form.value).then((res) => {
          if (res.code === 200) {
-            proxy.$modal.msgSuccess(res.msg || '修改成功')
+            proxy.$modal.msgSuccess(res.msg || '手术申请修改成功！')
            // 保存麻醉方式
            sessionStorage.setItem('anesthesiaType', form.value.anesthesiaTypeEnum)
            open.value = false
+            emit('saved') // 通知父组件刷新医嘱列表
+            // 刷新手术申请列表
            getList()
-            emit('saved') // 🔧 触发保存事件，通知父组件刷新医嘱列表
          } else {
            proxy.$modal.msgError(res.msg || '更新手术失败，请检查表单信息')
          }
--- a/openhis-ui-vue3/src/views/doctorstation/mycardmanagement/index.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/mycardmanagement/index.vue
@@ -151,23 +151,12 @@
      </div>
    </div>

-    <el-dialog
-      v-model="detailVisible"
-      :title="detailMode === 'view' ? '报卡详情 - 中华人民共和国传染病报告卡' : '编辑报卡 - 中华人民共和国传染病报告卡'"
-      width="1100px"
-      destroy-on-close
-      class="card-detail-dialog"
-    >
-      <InfectiousReport
-        :mode=" detailMode"
-        :card-data="currentCard"
-        @submit-edit="handleSaveEdit"
-        style="max-height: 75vh; overflow-y: auto;"
+    <InfectiousDiseaseReportDialog
+      ref="infectiousDiseaseReportRef"
+      :read-only="detailMode === 'view'"
+      @success="detailVisible = false"
+      @close="detailVisible = false"
    />
-      <template #footer>
-        <el-button @click="detailVisible = false">关闭</el-button>
-      </template>
-    </el-dialog>
  </div>
 </template>

@@ -175,7 +164,7 @@
 import { ref, reactive, onMounted, onActivated, onBeforeUnmount, nextTick, computed } from 'vue';
 import { ElMessage, ElMessageBox } from 'element-plus';
 import { DataAnalysis, Warning, CircleCheck, Check, RefreshRight } from '@element-plus/icons-vue';
-import InfectiousReport from '../components/infectiousReport/index.vue';
+import InfectiousDiseaseReportDialog from '../components/diagnosis/infectiousDiseaseReportDialog.vue';
 import {
  getDoctorCardStatistics,
  getDoctorCardList,
@@ -185,7 +174,6 @@ import {
  batchDeleteCards,
  exportCardToWord,
  getCardDetail,
-  updateDoctorCard,
 } from './api';

 const loading = ref(false);
@@ -211,7 +199,7 @@ const queryParams = reactive({

 const detailVisible = ref(false);
 const detailMode = ref('view');
-const currentCard = ref({});
+const infectiousDiseaseReportRef = ref(null);

 // 计算表格高度：根据视口高度动态调整
 const tableHeight = computed(() => {
@@ -327,9 +315,11 @@ async function handleView(row) {
  try {
    const res = await getCardDetail(row.cardNo);
    if (res.code === 200) {
-      currentCard.value = res.data || {};
      detailMode.value = 'view';
      detailVisible.value = true;
+      nextTick(() => {
+        infectiousDiseaseReportRef.value?.showReport(res.data || {});
+      });
    }
  } catch (error) {
    ElMessage.error('获取详情失败');
@@ -340,57 +330,17 @@ async function handleEdit(row) {
  try {
    const res = await getCardDetail(row.cardNo);
    if (res.code === 200) {
-      currentCard.value = res.data || {};
      detailMode.value = 'edit';
      detailVisible.value = true;
+      nextTick(() => {
+        infectiousDiseaseReportRef.value?.showReport(res.data || {}, false);
+      });
    }
  } catch (error) {
    ElMessage.error('获取详情失败');
  }
 }

-async function handleSaveEdit(submitData) {
-  // submitData 来自 InfectiousReport 组件的 submit-edit 事件
-  try {
-    const updateData = {
-      cardNo: submitData.cardNo,
-      phone: submitData.phone,
-      contactPhone: submitData.contactPhone,
-      onsetDate: submitData.onsetDate,
-      diagDate: submitData.diagDate,
-      diseaseCode: submitData.diseaseCode,
-      diseaseType: submitData.diseaseType,
-      otherDisease: submitData.otherDisease,
-      caseClass: submitData.caseClass,
-      occupation: submitData.occupation,
-      patientBelong: submitData.patientBelong,
-      addressProv: submitData.addressProv,
-      addressCity: submitData.addressCity,
-      addressCounty: submitData.addressCounty,
-      addressTown: submitData.addressTown,
-      addressVillage: submitData.addressVillage,
-      addressHouse: submitData.addressHouse,
-      workplace: submitData.workplace,
-      parentName: submitData.parentName,
-      deathDate: submitData.deathDate,
-      correctName: submitData.correctName,
-      withdrawReason: submitData.withdrawReason,
-      remark: submitData.remark,
-    };
-    
-    const res = await updateDoctorCard(updateData);
-    if (res.code === 200) {
-      ElMessage.success('保存成功');
-      detailVisible.value = false;
-      getList();
-    } else {
-      ElMessage.error(res.msg || '保存失败');
-    }
-  } catch (error) {
-    ElMessage.error('保存失败：' + (error.message || '网络错误'));
-  }
-}
-
 async function handleSubmit(row) {
  try {
    await ElMessageBox.confirm('确认提交该报卡？', '提示', {
@@ -800,17 +750,4 @@ function handleResize() {
    margin-left: 0;
  }
 }
-
-/* 报卡详情弹窗 */
-:deep(.card-detail-dialog .el-dialog__body) {
-  padding: 0;
-  overflow: hidden;
-}
-
-:deep(.card-detail-dialog .infectious-report-container) {
-  padding: 16px;
-  height: auto;
-  max-height: 70vh;
-  overflow-y: auto;
-}
 </style>
--- 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%;
-    display: flex;
  }
+
+  :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/applicationForm/surgery.vue
+++ b/openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/applicationForm/surgery.vue
@@ -6,6 +6,7 @@
 <template>
  <div class="surgery-container">
    <div class="transfer-wrapper">
+      <div v-loading="loading" style="min-height: 300px;">
        <el-transfer
          v-model="transferValue"
          :data="applicationList"
@@ -14,6 +15,7 @@
          :titles="['未选择', '已选择']"
        />
      </div>
+    </div>
    <div class="bloodTransfusion-form">
      <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
        <el-row :gutter="20">
@@ -104,11 +106,13 @@ const state = reactive({});
 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,
@@ -138,6 +142,9 @@ 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([]);
@@ -301,7 +308,7 @@ function getDiagnosisList() {
    }
  });
 }
-defineExpose({ state, submit, getLocationInfo, getDiagnosisList });
+defineExpose({ state, submit, getLocationInfo, getDiagnosisList, getList });
 </script>
 <style lang="scss" scoped>
 .surgery-container {
--- 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/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
+++ b/openhis-ui-vue3/src/views/inpatientNurse/medicalOrderProofread/components/prescriptionList.vue
@@ -11,9 +11,9 @@
    >
      <div>
        <el-radio-group v-model="type" class="ml20" @change="handleRadioChange">
-          <el-radio :label="1">全部</el-radio>
-          <el-radio :label="2">长期</el-radio>
-          <el-radio :label="3">临时</el-radio>
+          <el-radio :label="null">全部</el-radio>
+          <el-radio :label="1">长期</el-radio>
+          <el-radio :label="2">临时</el-radio>
        </el-radio-group>
        <el-button class="ml20" type="primary" plain @click="handleGetPrescription">
          查询
@@ -159,7 +159,7 @@ import {formatDateStr} from '@/utils/index';
 const activeNames = ref([]);
 const prescriptionList = ref([]);
 const deadline = ref(formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59');
-const type = ref(1);
+const type = ref(null);
 const { proxy } = getCurrentInstance();
 const loading = ref(false);
 const chooseAll = ref(false);
@@ -181,7 +181,7 @@ function handleGetPrescription() {
    getPrescriptionList({
      encounterIds: encounterIds,
      requestStatus: props.requestStatus,
-      ...(type.value !== undefined ? { therapyEnum: type.value } : {}),
+      ...(type.value != null ? { therapyEnum: type.value } : {}),
      pageSize: 10000,
      pageNo: 1,
    }).then((res) => {
--- a/openhis-ui-vue3/src/views/medicationmanagement/transferManagent/batchTransfer/index.vue
+++ b/openhis-ui-vue3/src/views/medicationmanagement/transferManagent/batchTransfer/index.vue
@@ -744,11 +744,7 @@ function handleSubmitApproval() {
  } else {
    submitApproval(receiptHeaderForm.busNo).then((response) => {
      proxy.$modal.msgSuccess('提交审批成功');
-      // proxy.$tab.closePage(route).then(({ visitedViews }) => {  // 关闭当前页
-      //   toLastView(visitedViews, route)
-      // })
      tagsViewStore.delView(router.currentRoute.value);
-      // 跳转到调拨管理页面
      router.replace({ path: 'transferManagentList' });
    });
  }
@@ -871,7 +867,6 @@ function handleUnitCodeChange(row, index, value) {
 }

 function handleItemQuantityChange(row, value) {
-  debugger;
  let quantityTemp = ''; // 转换成小单位的临时变量 做校验
  // 大单位情况
  if (row.unitCodeMap[row.unitCode] == 'unit') {
@@ -882,12 +877,6 @@ function handleItemQuantityChange(row, value) {
    row.itemQuantity = value;
    quantityTemp = value;
  }
-  if (row.totalSourceQuantity < quantityTemp) {
-    proxy.$modal.msgWarning('调拨数量不可超出源库存数量');
-    row.itemQuantity = 0;
-    row.itemQuantityDisplay = 0;
-    return;
-  }
  row.totalPrice = ((row.price * quantityTemp) / row.partPercent).toFixed(2);
  // 更新总数据中对应的记录
  const totalIndex = totalIncentoryInfoList.value.findIndex((item) => item.id === row.id);
@@ -918,11 +907,12 @@ function remakeBlur(row, index) {
  editBatchTransfer(index);
 }
 function handleSave() {
-  const invalidRow = totalIncentoryInfoList.value.find(
+  // 校验单价
+  const invalidPriceRow = totalIncentoryInfoList.value.find(
    (row) => !row.price || row.price <= 0
  );
-  if (invalidRow) {
-    proxy.$message.warning('调拨单价不能为空或为0，请检查！');
+  if (invalidPriceRow) {
+    proxy.$modal.msgError('调拨单价不能为空或为0，请检查！');
    return;
  }
  addTransferProductBatch(totalIncentoryInfoList.value).then((res) => {
--- a/openhis-ui-vue3/src/views/medicationmanagement/transferManagent/transferManagent/index.vue
+++ b/openhis-ui-vue3/src/views/medicationmanagement/transferManagent/transferManagent/index.vue
@@ -970,12 +970,6 @@ function handleItemQuantityChange(row, value) {
    row.itemQuantity = value;
    quantityTemp = value;
  }
-  if (row.totalSourceQuantity < quantityTemp) {
-    proxy.$modal.msgWarning('调拨数量不可超出源库存数量');
-    row.itemQuantity = 0;
-    row.itemQuantityDisplay = 0;
-    return;
-  }
  row.totalPrice = ((row.price * quantityTemp) / row.partPercent).toFixed(2);
 }

@@ -1022,11 +1016,7 @@ function handleSubmitApproval() {
  } else {
    submitApproval(receiptHeaderForm.busNo).then((response) => {
      proxy.$modal.msgSuccess('提交审批成功');
-      // proxy.$tab.closePage(route).then(({ visitedViews }) => {  // 关闭当前页
-      //   toLastView(visitedViews, route)
-      // })
      tagsViewStore.delView(router.currentRoute.value);
-      // 跳转到调拨管理页面
      router.replace({ path: 'transferManagentList' });
      store.clearCurrentDataDB();
    });
--- 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	1508fd77c6	Fix Bug #442 : 手术计费：点击"删除"待签发耗材时异常报错，导致操作失败根因：DoctorStationAdviceAppMapper.xml 中 getRequestBaseInfo SQL 的第二个 UNION 查询（手术计费耗材从 adm_charge_item 关联 wor_device_request）中，biz_request_flag 和 requester_id 使用了 CI.enterer_id（计费录入人），而非 DR.requester_id（设备申请创建人）。当录入人与当前操作人不一致时，biz_request_flag 为 '0'，导致删除操作被后端拒绝。修复：将 CI.enterer_id 改为 COALESCE(DR.requester_id, CI.enterer_id)，优先使用 DeviceRequest 的 requester_id，确保 biz_request_flag 基于正确的创建人计算。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 23:07:54 +08:00
陈琳	2d6540bce5	Fix Bug #428 : 门诊医生站-检查申请：未实现分类联动检查方法及套餐明细展示与勾选逻辑根因分析: 1. handleCategoryExpand 加载了 cat.methods 但模板从未渲染，用户展开分类后看不到检查方法 2. 缺少 isMethodSelected/handleMethodSelect 函数，无法通过勾选检查方法来联动添加到已选择列表 3. 套餐明细展示缺少 CSS 样式（package-details-list/detail-row/detail-name/detail-info）修复内容: - 模板: 在分类折叠区域添加 cat.methods 的渲染（检查方法列表 + 勾选框 + 价格） - 逻辑: 新增 isMethodSelected 和 handleMethodSelect 函数，支持直接勾选检查方法添加到已选择列表 - 样式: 添加套餐明细列表样式 + 检查方法区域样式 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 23:07:54 +08:00
刘备	533bd03a43	Fix Bug #413 : 医生个人报卡编辑/查看界面字段映射与后端DTO不一致导致数据不显示后端 InfectiousCardDto 字段名与前端 showReport 映射不匹配: - caseClass 应从 diseaseType 映射 (后端 diseaseType=病例分类) - diseaseType 应从 diseaseSubtype 映射 (后端 diseaseSubtype=疾病分型) - correctName 应从 revisedDiseaseName 映射 - withdrawReason 应从 returnReason 映射 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 23:07:54 +08:00
赵云	b4458bd395	Fix Bug #509 : [门诊医生站-手术申请] 提交申请后列表未实时刷新展示数据，且提示语需优化 1. 优化提示语：将"新增成功"/"修改成功"改为"手术申请提交成功！"/"手术申请修改成功！" 2. 优化执行顺序：先emit('saved')通知父组件刷新医嘱列表，再调用getList()刷新手术申请列表，确保数据刷新时序正确 Co-Authored-By: Claude Opus 4.6 <noreply@anthropic.com>	2026-05-12 23:07:53 +08:00
赵云	c6b6eff2a2	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，影响医生开单效率策略A-前端优化：为手术项目穿梭框添加 v-loading 加载状态指示器，解决API查询期间用户看到空白/卡住界面的问题。同时暴露 getList 方法供父组件调用（之前未暴露但已被父组件调用）。 Co-Authored-By: Claude Opus 4.7 <noreply@anthropic.com>	2026-05-12 23:07:53 +08:00
赵云	d7e53965cf	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>	2026-05-12 23:07:53 +08:00
Ranyunqiao	081856494e	413 460 513 514	2026-05-12 23:07:53 +08:00
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