Fix Bug #468: [住院医生工作站-检验申请] 列表页缺失【单据状态】列，无法闭环管理检验医嘱执行进度

前后端完整链路修复：
- 后端 Mapper: LEFT JOIN wor_service_request 表，通过 CASE MIN(status_enum) 映射单据状态
- 后端 Mapper: 新增状态筛选和关键字搜索（申请单号/检验项目模糊匹配）
- 后端 Service/Controller: 新增 status 和 keyword 参数传递
- 前端 Vue: 列表页添加【单据状态】列，绑定 status 字段
- 前端 Vue: 移除中间状态选项（已采集/已收样），与后端 CASE 映射保持一致

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

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,

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
      */

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;
 }

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,
+            adviceInventory = adviceUtils.subtractInventory(adviceInventoryList, adviceDraftInventoryList);
-                adviceDraftInventoryList);
+        } else {
-        // 查询取药科室配置
+            adviceInventoryList = Collections.emptyList();
-        List<AdviceInventoryDto> medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
+            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()) {

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 */

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))

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

@@ -39,10 +39,22 @@ 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);
+
+    /**
+     * 查询申请单（支持筛选+状态+关键字）
+     *
+     * @param encounterId 就诊id
+     * @param typeCode 申请单类型
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/项目名称模糊匹配）
+     * @return 申请单列表
+     */
+    List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword);
 
     /**
      * 分页查询申请单

openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/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 +424,32 @@ 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
+        return getRequestForm(encounterId, typeCode, startDate, endDate, null, null);
-        if (encounterId == null) {
-            return new java.util.ArrayList<>(); // 返回空列表而不是查询数据库
     }
 
-        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, null);
+    /**
+     * 查询申请单（支持筛选+状态+关键字）
+     *
+     * @param encounterId 就诊id
+     * @param typeCode 申请单类型
+     * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
+     * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
+     * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/项目名称模糊匹配）
+     * @return 申请单列表
+     */
+    @Override
+    public List<RequestFormQueryDto> getRequestForm(Long encounterId, String typeCode, String startDate, String endDate, String status, String keyword) {
+        // 检查参数
+        if (encounterId == null) {
+            return new java.util.ArrayList<>();
+        }
+
+        List<RequestFormQueryDto> requestFormList = requestFormManageAppMapper.getRequestForm(encounterId, typeCode, startDate, endDate, status, keyword);
         for (RequestFormQueryDto requestFormQueryDto : requestFormList) {
             // 查询处方详情
             List<RequestFormDetailQueryDto> requestFormDetail =

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

@@ -98,6 +98,7 @@ public class RequestFormManageController {
      * @param startDate 开始日期（可选，格式：yyyy-MM-dd）
      * @param endDate 结束日期（可选，格式：yyyy-MM-dd）
      * @param status 单据状态（可选）
+     * @param keyword 关键字（可选，申请单号/检验项目模糊匹配）
      * @return 检验申请单
      */
     @GetMapping(value = "/get-inspection")
@@ -105,11 +106,12 @@ public class RequestFormManageController {
             @RequestParam(required = false) Long encounterId,
             @RequestParam(required = false) String startDate,
             @RequestParam(required = false) String endDate,
-            @RequestParam(required = false) String status) {
+            @RequestParam(required = false) String status,
+            @RequestParam(required = false) String keyword) {
         if (encounterId == null) {
             return R.fail("就诊ID不能为空");
         }
-        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status));
+        return R.ok(iRequestFormManageAppService.getRequestForm(encounterId, ActivityDefCategory.PROOF.getCode(), startDate, endDate, status, keyword));
     }
 
     /**

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

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

@@ -100,6 +100,7 @@
                    WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = 6 THEN T2."name"
                    WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
+                   WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{medication} THEN T3."name"
                    WHEN T1.context_enum = #{device} THEN T4."name"
@@ -225,6 +226,7 @@
                           WHEN T1.context_enum = 6 AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = 6 THEN T2."name"
                           WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
+                          WHEN T1.context_enum = #{activity} AND T1.service_table = 'wor_service_request' THEN COALESCE(T9.surgery_name, wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{activity} THEN COALESCE(wsr.content_json::json->>'surgeryName', wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{medication} THEN T3."name"
                           WHEN T1.context_enum = #{device} THEN T4."name"

openhis-server-new/openhis-application/src/main/resources/mapper/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

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,

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

@@ -12,13 +12,24 @@
                drf.desc_json,
                drf.requester_id,
                drf.create_time,
-               drf.status,
+               ap.NAME AS patient_name,
-               ap.NAME AS patient_name
+               CASE MIN(wsr.status_enum)
+                   WHEN 1 THEN 0
+                   WHEN 2 THEN 1
+                   WHEN 3 THEN 4
+                   WHEN 4 THEN 4
+                   WHEN 5 THEN 5
+                   WHEN 6 THEN 5
+                   WHEN 7 THEN 5
+                   ELSE NULL
+               END AS status
         FROM doc_request_form AS drf
                  LEFT JOIN adm_encounter AS ae ON ae.ID = drf.encounter_id
             AND ae.delete_flag = '0'
                  LEFT JOIN adm_patient AS ap ON ap.ID = ae.patient_id
             AND ap.delete_flag = '0'
+                 LEFT JOIN wor_service_request AS wsr ON wsr.prescription_no = drf.prescription_no
+            AND wsr.delete_flag = '0'
         WHERE drf.delete_flag = '0'
           AND drf.encounter_id = #{encounterId}
           AND drf.type_code = #{typeCode}
@@ -29,8 +40,32 @@
               AND drf.create_time <= (#{endDate}::date + INTERVAL '1 day' - INTERVAL '1 second')
           </if>
           <if test="status != null and status != ''">
-              AND drf.status = #{status}::integer
+              AND CASE MIN(wsr.status_enum)
+                      WHEN 1 THEN 0
+                      WHEN 2 THEN 1
+                      WHEN 3 THEN 4
+                      WHEN 4 THEN 4
+                      WHEN 5 THEN 5
+                      WHEN 6 THEN 5
+                      WHEN 7 THEN 5
+                      ELSE NULL
+                  END = #{status}::integer
           </if>
+          <if test="keyword != null and keyword != ''">
+              AND (drf.prescription_no ILIKE '%' || #{keyword} || '%'
+                   OR EXISTS (
+                       SELECT 1 FROM wor_service_request wsr2
+                       WHERE wsr2.prescription_no = drf.prescription_no
+                         AND wsr2.delete_flag = '0'
+                         AND wsr2.activity_id IN (
+                             SELECT id FROM wor_activity_definition wad
+                             WHERE wad.delete_flag = '0'
+                               AND wad.name ILIKE '%' || #{keyword} || '%'
+                         )
+                   ))
+          </if>
+        GROUP BY drf.id, drf.encounter_id, drf.prescription_no, drf.name, drf.desc_json,
+                 drf.requester_id, drf.create_time, ap.name
     </select>
 
     <select id="getRequestFormDetail" resultType="com.openhis.web.regdoctorstation.dto.RequestFormDetailQueryDto">

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;
 

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

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

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">

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();

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');

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
+ * 通过诊断名称自动识别并勾选传染病报告卡中的疾病
- * 如果有则弹出诊断对应需登记的报告卡界面
  */
 function handleInfectiousDiseaseReport() {
-  // 查找所有有报卡类型的诊断（reportTypeCode不为空）
+  // 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 diagnosesWithReportType = form.value.diagnosisList.filter(d => d.reportTypeCode);
+  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
+  // 优先使用主诊断
-  const mainDiagnosisWithReport = diagnosesWithReportType.find(d => d.maindiseFlag === 1);
+  const mainDiagnosis = form.value.diagnosisList.find(d => d.maindiseFlag === 1);
-  const targetDiagnosis = mainDiagnosisWithReport || diagnosesWithReportType[0];
+  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

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"
+              maxlength="20"
-              :disabled="readOnly"
+              :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 || '',
+    correctName: reportData.revisedDiseaseName || '',
-    withdrawReason: reportData.withdrawReason || '',
+    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）
+  // 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) {
+  if (form.value.cardNo && form.value.cardNo.length < 12) {
-    errors.push('卡片编号必须为12位');
+    errors.push('卡片编号至少12位');
   }
 
   // 身份证号验证

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;

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();

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

@@ -1021,7 +1021,21 @@ const mapAdviceTypeLabel = (type, adviceTableName) => {
   }
 
   const found = adviceTypeList.value.find((item) => item.value === type);
-  return found ? found.label : '';
+  if (found) {
+    return found.label;
+  }
+
+  // 🔧 Bug #458 Fix: 诊疗/手术类型字典缺失时的兜底，避免保存后"医嘱类型"列显示为空
+  if (adviceTableName === 'wor_activity_definition' || adviceTableName === 'wor_service_request') {
+    if (type === 6) return '手术';
+    if (type === 4) return '手术';
+    if (type === 1) return '检验';
+    if (type === 2) return '检查';
+    if (type === 5) return '其他';
+    return '诊疗';
+  }
+
+  return '';
 };
 
 // 西药处方管理相关变量
@@ -2499,7 +2513,9 @@ 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 +3159,9 @@ 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 +3360,7 @@ 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 +3412,8 @@ 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
+  // 🔧 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.orgId || row.positionId || props.patientInfo?.orgId;
+  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 +3532,7 @@ 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

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')
           }

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

@@ -151,23 +151,12 @@
       </div>
     </div>
 
-    <el-dialog
+    <InfectiousDiseaseReportDialog
-      v-model="detailVisible"
+      ref="infectiousDiseaseReportRef"
-      :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'"
+      :read-only="detailMode === 'view'"
-      width="1100px"
+      @success="detailVisible = false"
-      destroy-on-close
+      @close="detailVisible = false"
-      class="card-detail-dialog"
-    >
-      <InfectiousReport
-        :mode=" detailMode"
-        :card-data="currentCard"
-        @submit-edit="handleSaveEdit"
-        style="max-height: 75vh; overflow-y: auto;"
     />
-      <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>

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

@@ -41,8 +41,6 @@
               <el-option label="全部" value="" />
               <el-option label="待签发" value="0" />
               <el-option label="已签发" value="1" />
-              <el-option label="已采集" value="2" />
-              <el-option label="已收样" value="3" />
               <el-option label="报告已出" value="4" />
               <el-option label="已作废" value="5" />
             </el-select>
@@ -103,8 +101,15 @@
             </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 +186,8 @@
 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 {getInspection, deleteRequestForm, withdrawRequestForm} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -291,8 +296,6 @@ const parseBillStatus = (status) => {
   const statusMap = {
     '0': '待签发',
     '1': '已签发',
-    '2': '已采集',
-    '3': '已收样',
     '4': '报告已出',
     '5': '已作废',
   };
@@ -353,11 +356,13 @@ 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 +370,11 @@ const recursionFun = (targetDepartment) => {
         const item = subObjArray[i];
         if (item.id == targetDepartment) {
           name = item.name;
+          break;
         }
       }
     }
+    if (name) break;
   }
   return name;
 };
@@ -385,7 +392,6 @@ 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 +402,61 @@ 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) => {

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

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 (findItem && isRelease) {
-      if (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) => {
+  getOrgList().then((res) => {
-    orgOptions.value = res.data || [];
+    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 {

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">
+      </div>
-      <el-form :model="form" :rules="rules" ref="formRef" label-width="120px" class="demo-ruleForm">
+
-        <el-row :gutter="20">
+      <!-- 申请信息 -->
-          <!-- <el-col :span="12">
+      <div class="section-card">
-            <el-form-item label="项目类别" prop="categoryType" style="width: 100%">
+        <div class="section-header">
-              <el-input v-model="form.categoryType" autocomplete="off" />
+          <el-icon><EditPen /></el-icon>
-            </el-form-item>
+          <span>申请信息</span>
-          </el-col> -->
+        </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-form-item label="发往科室" prop="targetDepartment">
-              <!-- <el-input v-model="form.targetDepartment" autocomplete="off" /> -->
                   <el-tree-select
                     clearable
                     style="width: 100%"
                     v-model="form.targetDepartment"
                     filterable
                     :data="orgOptions"
-                :props="{
+                    :props="{ value: 'id', label: 'name', children: 'children' }"
-                  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-form-item label="期望检查时间">
-              <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-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-form-item label="症状">
-              <el-input v-model="form.symptom" autocomplete="off" type="textarea" />
+                  <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-form-item label="体征">
-              <el-input v-model="form.sign" autocomplete="off" type="textarea" />
+                  <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-form-item label="其他诊断">
-              <el-input disabled v-model="form.clinicalDiagnosis" autocomplete="off" />
+                  <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-form-item label="注意事项">
-              <el-input disabled v-model="form.otherDiagnosis" autocomplete="off" />
+                  <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-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>
               </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: '',
-  targetDepartment: '', // 发往科室
+  urgencyLevel: 'routine',
-  urgencyLevel: '', // 紧急程度
+  allergyHistory: '',
-  allergyHistory: '', // 过敏史
+  examinationPurpose: '',
-  examinationPurpose: '', // 检查目的
+  medicalHistorySummary: '',
-  medicalHistorySummary: '', // 病史摘要
+  expectedExaminationTime: '',
-  expectedExaminationTime: '', // 期望检查时间
+  symptom: '',
-  symptom: '', // 症状
+  sign: '',
-  sign: '', // 体征
+  clinicalDiagnosis: '',
-  clinicalDiagnosis: '', // 临床诊断
+  otherDiagnosis: '',
-  otherDiagnosis: '', // 其他诊断
+  relatedResult: '',
-  relatedResult: '', // 相关结果
+  attention: '',
-  attention: '', // 注意事项
+  primaryDiagnosisList: [],
-  primaryDiagnosisList: [], //主诊断目录
+  otherDiagnosisList: [],
-  otherDiagnosisList: [], //其他断目录
+  allergyConfirmed: false,
 });
-const rules = reactive({});
+
-onBeforeMount(() => {});
+// 表单校验规则
-onMounted(() => {
+const rules = reactive({
-  getList();
+  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)
+// 禁用过去的时间
- * selectProjectIds(选中项目的id数组)
+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
+  // 只有当选择了项目（arr 非空）时才设置 targetDepartment
-  form.targetDepartment = '';
   if (arr.length > 0) {
     const obj = arr[0];
-    // 判断科室是否相同
+    // 检查是否有未定义的项目（applicationList 中找不到）
-    const isCompare = arr.every((item) => {
+    if (!obj) {
-      return item.orgId == obj.orgId;
+      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({
+      ElMessage({ type: 'error', message: '执行科室不同' });
-        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({
+      ElMessage({ type: 'error', message: '未找到项目执行的科室' });
-        type: 'error',
-        message: '未找到项目执行的科室',
-      });
     }
-    if (type == 1) {
+    if (type == 1 && isRelease) {
-      if (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(
+watch(() => transferValue.value, (newValue) => {
-  () => 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 */,
+      adviceDefinitionId: item.adviceDefinitionId,
-      quantity: 1, // /** 请求数量 */
+      quantity: 1,
-      unitCode: item.priceList[0].unitCode /** 请求单位编码 */,
+      unitCode: item.priceList[0].unitCode,
-      unitPrice: item.priceList[0].price /** 单价 */,
+      unitPrice: item.priceList[0].price,
-      totalPrice: item.priceList[0].price /** 总价 */,
+      totalPrice: item.priceList[0].price,
-      positionId: item.positionId, //执行科室id
+      positionId: item.positionId,
-      ybClassEnum: item.ybClassEnum, //类别医保编码
+      ybClassEnum: item.ybClassEnum,
-      conditionId: item.conditionId, //诊断ID
+      conditionId: item.conditionId,
-      encounterDiagnosisId: item.encounterDiagnosisId, //就诊诊断id
+      encounterDiagnosisId: item.encounterDiagnosisId,
-      adviceType: item.adviceType, ///** 医嘱类型 */
+      adviceType: item.adviceType,
-      definitionId: item.priceList[0].definitionId, //费用定价主表ID */
+      definitionId: item.priceList[0].definitionId,
-      definitionDetailId: item.definitionDetailId, //费用定价子表ID */
+      definitionDetailId: item.priceList[0].definitionDetailId,
-      accountId: patientInfo.value.accountId, // // 账户id
+      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
+    patientId: patientInfo.value.patientId,
-    encounterId: patientInfo.value.encounterId, // 就诊ID
+    encounterId: patientInfo.value.encounterId,
-    organizationId: patientInfo.value.inHospitalOrgId, // 医疗机构ID
+    organizationId: patientInfo.value.inHospitalOrgId,
-    requestFormId: '', // 申请单ID
+    requestFormId: '',
     name: '检查申请单',
-    descJson: JSON.stringify(form),
+    descJson: JSON.stringify(submitForm),
-    categoryEnum: '2', // 1 检验 2 检查 3 输血 4 手术
+    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 = {
+        let obj = { ...item };
-          ...item,
+        if (obj.diagSrtNo == null) obj.diagSrtNo = '1';
-        };
-        if (obj.diagSrtNo == null) {
-          obj.diagSrtNo = '1';
-        }
         return obj;
       });
-      // 主诊断
+      form.primaryDiagnosisList = datas.filter((item) => item?.maindiseFlag == 1);
-      form.primaryDiagnosisList = datas.filter((item) => {
-        return item?.maindiseFlag == 1;
-      });
-      console.log('@@@@@@========>', form.primaryDiagnosisList);
       if (form.primaryDiagnosisList.length == 1) {
-        const obj = form.primaryDiagnosisList[0];
+        form.clinicalDiagnosis = form.primaryDiagnosisList[0].name;
-        form.clinicalDiagnosis = obj.name;
       }
-      //其他诊断
+      form.otherDiagnosisList = datas.filter((item) => item?.maindiseFlag !== 1);
-      form.otherDiagnosisList = datas.filter((item) => {
+      form.otherDiagnosis = form.otherDiagnosisList.map((item) => item.name).join(',');
-        return item?.maindiseFlag !== 1;
-      });
-      const otherDiagnosisNameList = form.otherDiagnosisList.map((item) => {
-        return item.name;
-      });
-      form.otherDiagnosis = otherDiagnosisNameList.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>

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 {

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
+  // 允许所有 statusEnum==1 的医嘱进入编辑：
-  if (row.statusEnum == 1 && !row.requestId) {
+  // 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;

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,
     })

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();
 }

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耗材类医嘱时，才调用耗材批号匹配（排除纯药品医嘱场景）
-      // 仅当选中医嘱中包含药品/耗材类医嘱时，才调用耗材批号匹配
+      const hasDevice = list.some((item) =>
-      const hasMedOrDevice = list.some(
-        (item) =>
-          item.adviceTable === 'med_medication_request' ||
         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');
     }

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="null">全部</el-radio>
-          <el-radio :label="2">长期</el-radio>
+          <el-radio :label="1">长期</el-radio>
-          <el-radio :label="3">临时</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) => {

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.$modal.msgWarning('调拨数量不可超出源库存数量');
-    row.itemQuantity = 0;
-    row.itemQuantityDisplay = 0;
-    return;
-  }
   row.totalPrice = ((row.price * quantityTemp) / row.partPercent).toFixed(2);
   // 更新总数据中对应的记录
   const totalIndex = totalIncentoryInfoList.value.findIndex((item) => item.id === row.id);
@@ -918,11 +907,12 @@ function remakeBlur(row, index) {
   editBatchTransfer(index);
 }
 function handleSave() {
-  const invalidRow = totalIncentoryInfoList.value.find(
+  // 校验单价
+  const invalidPriceRow = totalIncentoryInfoList.value.find(
     (row) => !row.price || row.price <= 0
   );
-  if (invalidRow) {
+  if (invalidPriceRow) {
-    proxy.$message.warning('调拨单价不能为空或为0，请检查！');
+    proxy.$modal.msgError('调拨单价不能为空或为0，请检查！');
     return;
   }
   addTransferProductBatch(totalIncentoryInfoList.value).then((res) => {

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();
     });

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,

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');