Fix Bug #545: 清理 handleNodeClick 中重复的 longTermFlag 字段 — 第三次提交时重复添加了 longTermFlag: 0（第887行和第889行各有一处），移除重复项

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

.analysis/bug523_analysis.md

@@ -0,0 +1,53 @@
+# Bug #523 分析报告
+
+## Bug 描述
+[住院医生站-临床医嘱] 待保存医嘱总金额显示缺失且编辑态单位选择框变为数字控件
+
+## 根因分析
+
+### 问题1：总金额显示为 "-"
+**文件**: `openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue`
+
+**根因**: `setValue()` 函数（约1441行）在选中药品后初始化行数据时：
+- 设置了 `unitPrice`、`minUnitPrice`（西药/中成药/中草药）
+- 设置了诊疗类型的 `totalPrice`（adviceType==3 分支，1537-1538行）
+- **但没有为药品类型（adviceType==1）计算 `totalPrice`**
+
+`totalPrice` 只在用户后续交互（修改总量、切换单位）时通过 `calculateTotalAmount()` 才计算。
+列表显示逻辑（259行）：`scope.row.totalPrice ? ... : '-'`，未设置则显示横杠。
+
+**数据流**: 选药 → setValue(设unitPrice) → 用户填总量 → calculateTotalAmount(算totalPrice) → 列表显示
+**问题**: 用户选好药后还没触发计算事件时，totalPrice 为空
+
+### 问题2：编辑态单位选择框变为数字控件
+**文件**: `openhis-ui-vue3/src/views/inpatientDoctor/home/components/order/index.vue`
+
+**根因**: `setValue()` 函数（1518行）中：
+```js
+unitCode: row.partAttributeEnum == 1 ? row.minUnitCode : row.unitCode,
+```
+后端返回的 `row.unitCode` / `row.minUnitCode` 可能是 **Number 类型**。
+而 `row.unitCodeList` 中每个 option 的 `value` 是 `String` 类型（从后端字典值来）。
+
+当 `el-select` 的 `v-model` 值（Number）与所有 option 的 `value`（String）类型不匹配时，
+Element Plus 无法找到匹配选项，渲染异常，表现为数字输入控件。
+
+## 修复方案
+
+### 修复1（总金额）
+在 `setValue()` 的药品分支中，设置价格后立即计算初始 `totalPrice`：
+```js
+// 在 positionName 设置后添加：
+totalPrice: row.quantity ? (row.unitCode == row.minUnitCode
+  ? (row.quantity * row.minUnitPrice).toFixed(6)
+  : (row.quantity * row.unitPrice).toFixed(6))
+  : undefined,
+```
+
+### 修复2（单位选择框）
+在 `setValue()` 的 `updatedRow` 中，将 `unitCode` 和 `minUnitCode` 转为字符串：
+```js
+minUnitCode: String(row.minUnitCode),
+unitCode: row.partAttributeEnum == 1 ? String(row.minUnitCode) : String(row.unitCode),
+```
+确保与 el-option 的 value（String）类型一致。

BUG428_ANALYSIS.md

@@ -0,0 +1,84 @@
+# Bug #428 分析报告与修复记录
+
+**标题**: 门诊医生站-检查申请：未实现分类联动检查方法及套餐明细展示与勾选逻辑
+**类型**: codeerror | **严重度**: 3 | **优先级**: 3
+**提出人**: 陈显精(chenxj)
+
+## 需求描述
+
+医生站在为患者新增检查申请时，需实现三个联动功能：
+1. **动作一**：展开右侧项目分类（如：彩超）后，下方自动加载后台维护的"检查方法"列表
+2. **动作二**：勾选某个检查方法后，该项目自动填充到右侧顶部"已选择"列表
+3. **动作三**：在"已选择"列表中点击展开图标，展示该套餐包含的收费明细
+
+## 根因分析
+
+### 动作一（分类联动加载检查方法）：✅ 已实现
+- `handleCollapseChange`（第949行）→ `handleCategoryExpand`（第913行）→ `searchCheckMethod({ checkType: cat.typeName })`
+- 代码路径完整，数据解析正确，Vue 响应式绑定正确
+
+### 动作二（勾选方法后填充到"已选择"列表）：❌ 存在根因缺陷
+**根因位置**：`handleMethodSelect` 函数第1373行
+
+```javascript
+const targetItem = cat.items[0];  // ← 根因：硬编码假设分类下必有 items
+if (!targetItem) {
+    console.warn('分类下没有检查项目，无法关联方法');
+    return;  // ← 当分类下没有 items 时直接返回，不执行任何操作
+}
+```
+
+**问题链**：
+1. 用户展开分类 → 检查方法列表加载成功（动作一 OK）
+2. 用户勾选检查方法 → `handleMethodSelect(checked, method, cat)` 被调用
+3. 代码使用 `cat.items[0]` 作为目标项目，但很多分类**没有 items（检查部位）**，只有 methods（检查方法）
+4. 当 `cat.items` 为空数组时，`targetItem` 为 `undefined`，函数在第1377行直接 `return`
+5. 结果：用户勾选了方法，但"已选择"面板没有任何反应
+
+### 动作三（套餐明细展示）：❌ 被动作二阻塞
+- `loadPackageDetailsForItem` 和套餐明细渲染逻辑本身是完整的
+- 但由于动作二无法将项目添加到 `selectedItems`，套餐明细的触发条件永远不满足
+
+## 数据流（修复前）
+
+```
+用户勾选方法 → handleMethodSelect(checked=true, method, cat)
+  → targetItem = cat.items[0]        ← 根因：可能为 undefined
+  → if (!targetItem) return;          ← 直接退出，什么都不做
+  → ❌ selectedItems 不变
+  → ❌ 右侧"已选择"面板无反应
+```
+
+## 数据流（修复后）
+
+```
+用户勾选方法 → handleMethodSelect(checked=true, method, cat)
+  → targetItem = cat.items[0]
+  → if (!targetItem) {
+      targetItem = {                  ← 修复：以方法自身作为项目
+        id: method.id, name: method.name,
+        price: method.packagePrice || method.price || 0,
+        packageId: method.packageId, packageName: method.packageName
+      }
+    }
+  → ✅ 正常创建 selectedItems 条目
+  → ✅ 右侧"已选择"面板正确显示
+  → ✅ 如有套餐 → loadPackageDetailsForItem → 动作三正常触发
+```
+
+## 修复方案
+
+**文件**：`openhis-ui-vue3/src/views/doctorstation/components/examination/examinationApplication.vue`
+**改动**：`handleMethodSelect` 函数第1370-1378行
+
+将硬编码的 `cat.items[0]` + 直接 return 改为降级策略：
+- 当分类下有 items 时，使用 `cat.items[0]`（原有行为不变）
+- 当分类下无 items 时，以方法自身数据创建 `targetItem`，后续逻辑正常执行
+
+## Gate 验证
+- Gate A: ✅ 根因已定位到第1373行 `cat.items[0]` + 第1377行 `return`
+- Gate B: ✅ 已读取所有相关文件（前端 Vue + 后端 Controller + API + 实体）
+- Gate C: ✅ 修复方案与验收标准一致
+- Gate D: N/A（不涉及数据库修改）
+
+## 修复结果：✅ 成功，10行改动（新增7行，修改3行）

md/bug-analysis/bug444-analysis.md

@@ -1,30 +0,0 @@
-# Bug #444 分析报告
-
-## Bug 描述
-生成临时医嘱界面，"已引用计费药品"列表未正常显示药品详细名称信息。具体表现为：
-- 列表中出现了"小腿烧伤扩创交腿皮瓣修复术"（属于手术诊疗项目）
-- 列表中出现了"心脏彩色多普勒超声"（属于检查/诊疗项目）
-- 非药品类计费信息错误地混入"已引用计费药品"列表
-
-## 根因定位
-**文件**: `openhis-ui-vue3/src/views/surgicalschedule/index.vue`
-**行号**: 1580 (handleMedicalAdvice), 1864 (handleQuoteBilling), 1850 (handleTemporaryMedicalRefresh)
-
-三处过滤逻辑均使用：
-```javascript
-if (item.adviceType !== 1) return false;
-```
-
-**问题1（主因）**: `adviceType` 字段命名兼容不完整。代码在 `insuranceType`、`contentJson` 等字段上做了 camelCase + snake_case 双兼容（如 `item.insuranceType || item.insurance_type`），但 `adviceType` 只检查了 camelCase。若后端返回 snake_case 数据（`advice_type`），`item.adviceType` 为 `undefined`，`undefined !== 1` 为 `true`，导致所有非药品项目全部放行。
-
-**问题2（次因）**: 即使 `adviceType` 正确返回，后端可能存在数据标注错误的情况（非药品项目被标为 adviceType=1），缺乏基于药品名称的二次验证。
-
-## 修复方案
-1. `adviceType` 检查增加 snake_case 回退：`const at = item.adviceType ?? item.advice_type; if (at !== 1) return false;`
-2. 增加药品名称关键字二次过滤：排除名称中包含"术"、"检查"、"超声"、"多普勒"等关键词的非药品项目
-
-## 验收标准
-1. "已引用计费药品"列表中只显示药品类项目
-2. 不显示手术诊疗项目（如"小腿烧伤扩创交腿皮瓣修复术"）
-3. 不显示检查项目（如"心脏彩色多普勒超声"）
-4. 药品名称正常显示

md/bug-analysis/bug445-analysis.md

@@ -132,22 +132,7 @@ temporaryAdvices.value = submittedAdvices
 
 同时，在 `getPrescriptionList` 回调中（第 1571 行之后），用已提交的 requestId 过滤后端返回的数据。
 
-## 修复结果
+## 总结
 
-### 实际根因
+- **根因**：`handleMedicalAdvice` 每次打开都清空 `temporaryAdvices`，然后从后端重新拉取数据。但后端返回的新创建医嘱项可能没有 `requestId`，导致无法过滤。
-`handleQuoteBilling` 函数中：
+- **修复**：保留已提交（有 requestId）的医嘱数据，不清空；同时用这些 requestId 过滤后端返回的新数据。
-1. **第1856行**：在调用 `getPrescriptionList` 之前先清空了 `temporaryAdvices.value = []`
-2. **第1997-2019行（旧代码）**：ID 匹配过滤逻辑依赖已被清空的 `temporaryAdvices.value`，因此过滤形同虚设
-3. 即使 `temporaryAdvices` 未被清空，ID 匹配也不可靠（新生成的医嘱可能没有 `requestId`/`chargeItemId`/`id`）
-
-### 修复方案
-1. 在清空 `temporaryAdvices` **之前**，提取已提交项目的复合键（名称+规格+数量）保存到 `submittedKeysBeforeClear`
-2. 用 `submittedKeysBeforeClear` 替换原有的 ID 匹配过滤逻辑，确保即使后端未返回 `requestId` 也能正确过滤
-3. 复合键匹配策略与 `handleTemporaryMedicalSubmit` 中使用的策略一致
-
-### 修改文件
-- `openhis-ui-vue3/src/views/surgicalschedule/index.vue`
-  - 第1853-1864行：新增 `submittedKeysBeforeClear` 提取逻辑
-  - 第1997-2004行：替换 ID 匹配为复合键匹配
-
-### 修复结果：✅ 成功，~20行改动（+20/-21）

md/bug-analysis/bug469-analysis.md

@@ -0,0 +1,18 @@
+### Bug #469 分析报告
+
+**标题**: [住院医生工作站-检验申请] 完善【操作】列临床业务逻辑：支持按状态动态切换修改、删除、撤回等功能
+
+**根因**: 操作列（`testApplication.vue` 第 108-122 行）模板中，"详情"按钮 `<el-button>` 位于 `v-if`/`v-else-if` 条件块之外，作为独立元素始终渲染。导致：
+- 待签发状态（status=0/null）：显示 "修改 删除 **详情**" 三个按钮（应仅显示"修改 删除"）
+- 已签发状态（status=1）：显示 "撤回 **详情**" 两个按钮（应仅显示"撤回"）
+- 其他状态（2/3/4/6/7）：仅显示"详情"（正确）
+
+**数据流**:
+- 前端: `testApplication.vue` → 操作列 template → 条件判断 `scope.row.status`
+- 后端 SQL: `RequestFormManageAppMapper.xml` 中 `computed_status` CASE 表达式将 `status_enum` 映射为前端显示码（0=待签发, 1=已签发, 6=已出报告, 7=已作废）
+- 后端删除: `RequestFormManageAppServiceImpl.deleteRequestForm` 校验 `RequestStatus.DRAFT` (status_enum=1)
+- 后端撤回: `RequestFormManageAppServiceImpl.withdrawRequestForm` 校验 `RequestStatus.ACTIVE` (status_enum=2)
+
+**修复方案**: 将"详情"按钮包裹在 `<template v-else>` 中，形成完整的 `v-if` / `v-else-if` / `v-else` 三分支结构，确保每个状态仅显示对应的操作按钮。
+
+**修复结果：✅ 成功，4行改动**（1行删除，3行新增：`<template v-else>` + 按钮 + `</template>`）

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

@@ -159,7 +159,7 @@ public class OrganizationLocationAppServiceImpl implements IOrganizationLocation
         String activityName = activityDef != null ? activityDef.getName() : "";
 
         List<OrganizationLocation> organizationLocationList =
-            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getOrganizationId(), orgLoc.getActivityDefinitionId());
+            organizationLocationService.getOrgLocListByOrgIdAndActivityDefinitionId(orgLoc.getActivityDefinitionId());
         organizationLocationList = (orgLoc.getId() != null)
             ? organizationLocationList.stream().filter(item -> !orgLoc.getId().equals(item.getId())).toList()
             : organizationLocationList;

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationAdviceAppServiceImpl.java

@@ -35,9 +35,6 @@ import com.openhis.medication.service.IMedicationDispenseService;
 import com.openhis.medication.service.IMedicationRequestService;
 import com.openhis.web.chargemanage.mapper.OutpatientRegistrationAppMapper;
 import com.openhis.web.doctorstation.appservice.IDoctorStationAdviceAppService;
-import com.openhis.document.service.IRequestFormService;
-import com.openhis.clinical.service.ISurgeryService;
-import com.openhis.clinical.domain.Surgery;
 import com.openhis.web.doctorstation.appservice.IDoctorStationInspectionLabApplyService;
 import com.openhis.web.doctorstation.dto.*;
 import com.openhis.web.doctorstation.mapper.DoctorStationAdviceAppMapper;
@@ -54,7 +51,6 @@ import lombok.extern.slf4j.Slf4j;
 import org.springframework.context.annotation.Lazy;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
-import com.openhis.document.domain.RequestForm;
 
 import javax.annotation.Resource;
 import java.math.BigDecimal;
@@ -73,7 +69,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     private static final Pattern INSPECTION_APPLY_NO_JSON =
         Pattern.compile("\"applyNo\"\\s*:\\s*\"([^\"]+)\"");
 
-    
     @Resource
     AssignSeqUtil assignSeqUtil;
 
@@ -137,20 +132,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Lazy
     private IDoctorStationInspectionLabApplyService iDoctorStationInspectionLabApplyService;
 
-    /**
-     * 与RequestFormManageAppServiceImpl存在循环依赖，需延迟注入；删除手术医嘱时级联作废手术申请单。
-     */
-    @Resource
-    @Lazy
-    private IRequestFormService iRequestFormService;
-
-    /**
-     * 删除手术医嘱时级联删除 cli_surgery 手术记录。
-     */
-    @Resource
-    @Lazy
-    private ISurgeryService iSurgeryService;
-
     // 缓存 key 前缀
     private static final String ADVICE_BASE_INFO_CACHE_PREFIX = "advice:base:info:";
     // 缓存过期时间（小时）
@@ -1769,7 +1750,6 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         return StringUtils.isBlank(applyNo) ? null : applyNo;
     }
 
-    
     /**
      * 处理诊疗
      */
@@ -1818,50 +1798,31 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
         }
-        // 🔧 级联作废：在删除 ServiceRequest 之前，先读取所有待删除记录的级联信息
+        // 检验申请单在医嘱 contentJson 中写入 applyNo；从医嘱删除时需先级联作废检验单，避免检验页签仍显示孤儿申请
-        // 检验申请单：contentJson 中写入 applyNo；手术申请单：categoryEnum=24 + prescriptionNo
         Map<String, List<Long>> labApplyNoToRequestIds = new LinkedHashMap<>();
-        Map<String, List<Long>> surgeryPrescriptionNoToRequestIds = new LinkedHashMap<>();
-        // 收集待删除的 ServiceRequest（先查询再删除，避免级联逻辑因记录已删除而失效）
-        Map<Long, ServiceRequest> serviceRequestCache = new LinkedHashMap<>();
         for (AdviceSaveDto adviceSaveDto : deleteList) {
             Long requestId = adviceSaveDto.getRequestId();
-            // 🔧 Bug #442: 跳过 requestId 为 null 的记录
+            // 🔧 Bug #442: 跳过 requestId 为 null 的记录，避免删除不存在的诊疗请求
             if (requestId == null) {
                 log.warn("BugFix#442: handService - 跳过 requestId 为 null 的删除请求");
                 continue;
             }
-            ServiceRequest existing = iServiceRequestService.getById(requestId);
+            iServiceRequestService.removeById(requestId);// 删除诊疗
+            ServiceRequest existing = iServiceRequestService.getById(adviceSaveDto.getRequestId());
             if (existing == null) {
                 continue;
             }
-            serviceRequestCache.put(requestId, existing);
-            log.info("【调试】handService 待删除医嘱: requestId={}, categoryEnum={}, prescriptionNo={}",
-                requestId, existing.getCategoryEnum(), existing.getPrescriptionNo());
-            // 检验申请单级联
             String applyNo = extractInspectionApplyNoFromContentJson(existing.getContentJson());
             if (StringUtils.isNotBlank(applyNo)) {
                 labApplyNoToRequestIds.computeIfAbsent(applyNo, k -> new ArrayList<>())
-                    .add(requestId);
+                    .add(adviceSaveDto.getRequestId());
-            }
-            // 手术申请单级联（categoryEnum=24）
-            log.info("【调试】handService 判断手术条件: categoryEnum={}, prescriptionNo={}, isSurgery={}",
-                existing.getCategoryEnum(), existing.getPrescriptionNo(),
-                existing.getCategoryEnum() != null && existing.getCategoryEnum() == 24 && StringUtils.isNotBlank(existing.getPrescriptionNo()));
-            if (existing.getCategoryEnum() != null
-                    && existing.getCategoryEnum() == 24
-                    && StringUtils.isNotBlank(existing.getPrescriptionNo())) {
-                surgeryPrescriptionNoToRequestIds.computeIfAbsent(existing.getPrescriptionNo(), k -> new ArrayList<>())
-                    .add(requestId);
-                log.info("【调试】handService 加入手术级联列表: prescriptionNo={}", existing.getPrescriptionNo());
             }
         }
-        // 执行检验申请单级联作废
+        Set<Long> labCascadeSkippedRequestIds = new HashSet<>();
-        Set<Long> cascadeSkippedRequestIds = new HashSet<>();
         for (Map.Entry<String, List<Long>> e : labApplyNoToRequestIds.entrySet()) {
             R<?> delLab = iDoctorStationInspectionLabApplyService.deleteInspectionLabApply(e.getKey());
             if (delLab != null && R.isSuccess(delLab)) {
-                cascadeSkippedRequestIds.addAll(e.getValue());
+                labCascadeSkippedRequestIds.addAll(e.getValue());
                 log.info("handService - 级联作废检验申请单 applyNo={}，已跳过重复删除的医嘱 requestIds={}",
                     e.getKey(), e.getValue());
             } else {
@@ -1870,41 +1831,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     e.getKey(), msg);
             }
         }
-        // 🔧 手术申请单级联作废：删除手术医嘱时同步作废关联的手术申请单
-        for (Map.Entry<String, List<Long>> e : surgeryPrescriptionNoToRequestIds.entrySet()) {
-            String prescriptionNo = e.getKey();
-            try {
-                List<RequestForm> requestForms = iRequestFormService.list(
-                    new LambdaQueryWrapper<RequestForm>()
-                        .eq(RequestForm::getPrescriptionNo, prescriptionNo)
-                        .in(RequestForm::getTypeCode, ActivityDefCategory.PROCEDURE.getCode().toString(), "SURGERY")
-                        .and(w -> w.isNull(RequestForm::getDeleteFlag).or().eq(RequestForm::getDeleteFlag, "0")));
-                log.info("【调试】handService 查询手术申请单: prescriptionNo={}, 查到{}条", prescriptionNo, requestForms != null ? requestForms.size() : 0);
-                if (requestForms != null && !requestForms.isEmpty()) {
-                    for (RequestForm requestForm : requestForms) {
-                        iRequestFormService.removeById(requestForm.getId());
-                    }
-                    // 同步删除 cli_surgery 手术记录（prescriptionNo = surgeryNo）
-                    Surgery surgery = iSurgeryService.getOne(
-                        new LambdaQueryWrapper<Surgery>()
-                            .eq(Surgery::getSurgeryNo, prescriptionNo)
-                            .and(w -> w.isNull(Surgery::getDeleteFlag).or().eq(Surgery::getDeleteFlag, "0")));
-                    if (surgery != null) {
-                        iSurgeryService.removeById(surgery.getId());
-                        log.info("handService - 级联删除手术记录 cli_surgery: surgeryNo={}, id={}", prescriptionNo, surgery.getId());
-                    }
-                    cascadeSkippedRequestIds.addAll(e.getValue());
-                    log.info("handService - 级联作废手术申请单 prescriptionNo={}", prescriptionNo);
-                } else {
-                    log.info("handService - 未找到手术申请单 prescriptionNo={}", prescriptionNo);
-                }
-            } catch (Exception ex) {
-                log.warn("handService - 级联作废手术申请单失败 prescriptionNo={} msg={}", prescriptionNo, ex.getMessage());
-            }
-        }
-        // 级联作废完成后，统一删除 ServiceRequest 及其子项、费用项
         for (AdviceSaveDto adviceSaveDto : deleteList) {
-            if (cascadeSkippedRequestIds.contains(adviceSaveDto.getRequestId())) {
+            if (labCascadeSkippedRequestIds.contains(adviceSaveDto.getRequestId())) {
                 continue;
             }
             Long requestId = adviceSaveDto.getRequestId();
@@ -1914,6 +1842,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                             requestId));// 删除诊疗套餐对应的子项
             // 🔧 Bug Fix #219: 删除费用项
             String serviceTable = CommonConstants.TableName.WOR_SERVICE_REQUEST;
+            // 直接删除费用项
             iChargeItemService.deleteByServiceTableAndId(serviceTable, requestId);
             log.info("BugFix#219: 诊疗医嘱删除完成, requestId={}, serviceTable={}", requestId, serviceTable);
         }
@@ -2552,17 +2481,21 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
             }
         }
 
-        // 使用 MyBatis Plus 分页查询
+        // 使用直接 LIMIT 查询，不触发 MyBatis Plus 的 COUNT 开销
-        IPage<SurgeryItemDto> result = doctorStationAdviceAppMapper.getSurgeryPage(
+        List<SurgeryItemDto> records = doctorStationAdviceAppMapper.getSurgeryPage(
                 new Page<>(pageNo, pageSize),
                 PublicationStatus.ACTIVE.getValue(),
                 organizationId,
                 searchKey);
 
+        // 手动构造 Page 对象，total 设为 records.size()（前端 el-transfer 不需要精确的 total 总数）
+        IPage<SurgeryItemDto> result = new com.baomidou.mybatisplus.extension.plugins.pagination.Page<>(pageNo, pageSize);
+        result.setRecords(records);
+        result.setTotal(records.size());
         log.info("getSurgeryPage 完成: {}ms, total={}, records={}", System.currentTimeMillis() - start, result.getTotal(), result.getRecords().size());
 
         // 无搜索时将结果写入缓存
-        if (useCache && result instanceof com.baomidou.mybatisplus.extension.plugins.pagination.Page) {
+        if (useCache) {
             redisCache.setCacheObject(cacheKey, result, (int) CACHE_EXPIRE_HOURS, java.util.concurrent.TimeUnit.HOURS);
             log.info("缓存手术项目, key: {}, 过期时间: {} 小时", cacheKey, CACHE_EXPIRE_HOURS);
         }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/mapper/DoctorStationAdviceAppMapper.java

@@ -195,7 +195,7 @@ public interface DoctorStationAdviceAppMapper {
      * @param searchKey 模糊查询关键字（可选）
      * @return 手术项目分页数据
      */
-    IPage<SurgeryItemDto> getSurgeryPage(@Param("page") Page<SurgeryItemDto> page,
+    List<SurgeryItemDto> getSurgeryPage(@Param("page") Page<SurgeryItemDto> page,
             @Param("statusEnum") Integer statusEnum,
             @Param("organizationId") Long organizationId,
             @Param("searchKey") String searchKey);

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inventorymanage/appservice/impl/ProductTransferAppServiceImpl.java

@@ -32,7 +32,6 @@ import org.springframework.stereotype.Service;
 
 import javax.servlet.http.HttpServletRequest;
 import javax.servlet.http.HttpServletResponse;
-import java.math.BigDecimal;
 import java.util.*;
 import java.util.stream.Collectors;
 import java.util.stream.Stream;
@@ -203,70 +202,62 @@ 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();
-        Date now = DateUtils.getNowDate();
+        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
+            // 单据号取得
             List<String> busNoList = productTransferDtoList.stream().map(ProductTransferDto::getBusNo).toList();
-            // 保存前：获取旧记录用于恢复预划扣库存
+            // 请求id取得
-            List<SupplyRequest> oldRequestList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
+            List<SupplyRequest> requestList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
-            if (!oldRequestList.isEmpty()) {
+            if (!requestList.isEmpty()) {
-                // 恢复旧记录已预划扣的库存
+                List<Long> requestIdList = requestList.stream().map(SupplyRequest::getId).collect(Collectors.toList());
-                for (SupplyRequest oldReq : oldRequestList) {
+                // 单据信息删除
-                    if (oldReq.getItemId() != null && oldReq.getLotNumber() != null
+                supplyRequestService.removeByIds(requestIdList);
-                            && oldReq.getSourceLocationId() != null && oldReq.getItemQuantity() != null) {
-                        List<InventoryItem> invList = inventoryItemService.selectInventoryByItemId(
-                                oldReq.getItemId(), oldReq.getLotNumber(), oldReq.getSourceLocationId(), tenantId);
-                        if (!invList.isEmpty()) {
-                            inventoryItemService.updateInventoryQuantity(
-                                    invList.get(0).getId(),
-                                    invList.get(0).getQuantity().add(oldReq.getItemQuantity()), now);
-                        }
-                    }
-                }
-                List<Long> oldIdList = oldRequestList.stream().map(SupplyRequest::getId).collect(Collectors.toList());
-                supplyRequestService.removeByIds(oldIdList);
-            }
-
-            // 校验 + 预划扣新记录
-            for (ProductTransferDto dto : productTransferDtoList) {
-                if (dto.getItemQuantity() == null || dto.getItemQuantity().compareTo(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);
-                BigDecimal actualStock = inventoryList.stream()
-                        .map(InventoryItem::getQuantity)
-                        .reduce(BigDecimal.ZERO, 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 + "）");
-                }
-                // 预划扣源仓库库存
-                if (!inventoryList.isEmpty()) {
-                    InventoryItem inv = inventoryList.get(0);
-                    inventoryItemService.updateInventoryQuantity(
-                            inv.getId(), inv.getQuantity().subtract(dto.getItemQuantity()), now);
-                }
             }
 
             // 生成批量调拨单据
             List<SupplyRequest> supplyRequestList = new ArrayList<>();
             for (ProductTransferDto productTransferDto : productTransferDtoList) {
+                // 初始化单据信息
                 SupplyRequest supplyRequest = new SupplyRequest();
                 BeanUtils.copyProperties(productTransferDto, supplyRequest);
+                // 生成商品批量调拨单据
                 supplyRequest
+                    // id
                     .setId(null)
+                    // 单据分类：库存供应
                     .setCategoryEnum(SupplyCategory.STOCK_SUPPLY.getValue())
+                    // 单据类型：商品批量调拨
                     .setTypeEnum(SupplyType.PRODUCT_BATCH_TRANSFER.getValue())
+                    // 制单人
                     .setApplicantId(SecurityUtils.getLoginUser().getPractitionerId())
+                    // 申请时间
                     .setApplyTime(DateUtils.getNowDate())
+                    // 源库存数量
                     .setTotalQuantity(productTransferDto.getTotalSourceQuantity());
                 supplyRequestList.add(supplyRequest);
             }
             supplyRequestService.saveOrUpdateBatch(supplyRequestList);
+            // 请求id取得
             List<SupplyRequest> supplyRequestIdList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
+            // 返回请求id列表
             List<Long> requestIdList = supplyRequestIdList.stream().map(SupplyRequest::getId).toList();
             for (Long list : requestIdList) {
                 idList.add(list.toString());
@@ -274,58 +265,33 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
         } else {
             // 单独保存按钮
             for (ProductTransferDto productTransferDto : productTransferDtoList) {
-                // 更新已有记录：先恢复旧预划扣，再扣新的
+                // 初始化单据信息
-                if (productTransferDto.getId() != null) {
-                    SupplyRequest oldReq = supplyRequestService.getById(productTransferDto.getId());
-                    if (oldReq != null && oldReq.getItemId() != null && oldReq.getLotNumber() != null
-                            && oldReq.getSourceLocationId() != null && oldReq.getItemQuantity() != null) {
-                        List<InventoryItem> invList = inventoryItemService.selectInventoryByItemId(
-                                oldReq.getItemId(), oldReq.getLotNumber(), oldReq.getSourceLocationId(), tenantId);
-                        if (!invList.isEmpty()) {
-                            inventoryItemService.updateInventoryQuantity(
-                                    invList.get(0).getId(),
-                                    invList.get(0).getQuantity().add(oldReq.getItemQuantity()), now);
-                        }
-                    }
-                }
-
-                // 校验 + 预划扣
-                if (productTransferDto.getItemQuantity() == null
-                        || productTransferDto.getItemQuantity().compareTo(BigDecimal.ZERO) <= 0) {
-                    return R.fail("调拨数量必须大于0");
-                }
-                List<InventoryItem> inventoryList = inventoryItemService.selectInventoryByItemId(
-                        productTransferDto.getItemId(), productTransferDto.getLotNumber(),
-                        productTransferDto.getSourceLocationId(), tenantId);
-                BigDecimal actualStock = inventoryList.stream()
-                        .map(InventoryItem::getQuantity)
-                        .reduce(BigDecimal.ZERO, BigDecimal::add);
-                if (productTransferDto.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 + "）");
-                }
-                if (!inventoryList.isEmpty()) {
-                    InventoryItem inv = inventoryList.get(0);
-                    inventoryItemService.updateInventoryQuantity(
-                            inv.getId(), inv.getQuantity().subtract(productTransferDto.getItemQuantity()), now);
-                }
-
                 SupplyRequest supplyRequest = new SupplyRequest();
                 BeanUtils.copyProperties(productTransferDto, supplyRequest);
+
                 supplyRequest.setTotalQuantity(productTransferDto.getTotalSourceQuantity());
 
                 if (productTransferDto.getId() != null) {
+                    // 更新单据信息
                     supplyRequestService.updateById(supplyRequest);
                 } else {
+                    // 生成商品批量调拨单据
                     supplyRequest
+                        // 单据分类：库存供应
                         .setCategoryEnum(SupplyCategory.STOCK_SUPPLY.getValue())
+                        // 单据类型：商品批量调拨
                         .setTypeEnum(SupplyType.PRODUCT_BATCH_TRANSFER.getValue())
+                        // 制单人
                         .setApplicantId(SecurityUtils.getLoginUser().getPractitionerId())
+                        // 申请时间
                         .setApplyTime(DateUtils.getNowDate());
                     supplyRequestService.save(supplyRequest);
                 }
+                // 返回单据id
                 return R.ok(supplyRequest.getId().toString(), null);
             }
         }
+        // 返回单据id
         return R.ok(idList, null);
     }
 
@@ -366,63 +332,33 @@ 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();
-        Date now = DateUtils.getNowDate();
+        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
         List<String> busNoList = productTransferDtoList.stream().map(ProductTransferDto::getBusNo).toList();
-        // 保存前：获取旧记录用于恢复预划扣库存
+        // 请求数据取得
-        List<SupplyRequest> oldRequestList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
+        List<SupplyRequest> requestList = supplyRequestService.getSupplyByBusNo(busNoList.get(0));
-        Map<String, BigDecimal> oldDeductionMap = new HashMap<>();
+        if (!requestList.isEmpty()) {
-        if (!oldRequestList.isEmpty()) {
+            // 请求id取得
-            for (SupplyRequest oldReq : oldRequestList) {
+            List<Long> requestIdList = requestList.stream().map(SupplyRequest::getId).collect(Collectors.toList());
-                if (oldReq.getItemId() != null && oldReq.getLotNumber() != null && oldReq.getSourceLocationId() != null
+            // 单据信息删除
-                        && oldReq.getItemQuantity() != null) {
+            supplyRequestService.removeByIds(requestIdList);
-                    String key = oldReq.getItemId() + "_" + oldReq.getLotNumber() + "_" + oldReq.getSourceLocationId();
-                    oldDeductionMap.merge(key, oldReq.getItemQuantity(), BigDecimal::add);
-                }
-            }
-            // 恢复旧记录已预划扣的库存
-            for (Map.Entry<String, BigDecimal> entry : oldDeductionMap.entrySet()) {
-                String[] parts = entry.getKey().split("_");
-                Long itemId = Long.parseLong(parts[0]);
-                String lotNumber = parts[1];
-                Long sourceLocationId = Long.parseLong(parts[2]);
-                BigDecimal restoreQty = entry.getValue();
-                List<InventoryItem> invList = inventoryItemService.selectInventoryByItemId(
-                        itemId, lotNumber, sourceLocationId, tenantId);
-                if (!invList.isEmpty()) {
-                    inventoryItemService.updateInventoryQuantity(
-                            invList.get(0).getId(), invList.get(0).getQuantity().add(restoreQty), now);
-                }
-            }
-            // 删除旧记录
-            List<Long> oldIdList = oldRequestList.stream().map(SupplyRequest::getId).collect(Collectors.toList());
-            supplyRequestService.removeByIds(oldIdList);
-        }
-
-        // 校验 + 预划扣新记录
-        Map<String, BigDecimal> newDeductionMap = new HashMap<>();
-        for (ProductTransferDto dto : productTransferDtoList) {
-            if (dto.getItemQuantity() == null || dto.getItemQuantity().compareTo(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);
-            BigDecimal actualStock = inventoryList.stream()
-                    .map(InventoryItem::getQuantity)
-                    .reduce(BigDecimal.ZERO, 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 + "）");
-            }
-            // 预划扣：扣减源仓库库存
-            if (!inventoryList.isEmpty()) {
-                InventoryItem inv = inventoryList.get(0);
-                inventoryItemService.updateInventoryQuantity(
-                        inv.getId(), inv.getQuantity().subtract(dto.getItemQuantity()), now);
-            }
         }
 
         List<SupplyRequest> supplyRequestList = new ArrayList<>();
@@ -469,22 +405,6 @@ public class ProductTransferAppServiceImpl implements IProductTransferAppService
      */
     @Override
     public R<?> deleteReceipt(List<Long> supplyRequestIds) {
-        // 删除前恢复预划扣的库存
-        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
-        Date now = DateUtils.getNowDate();
-        for (Long reqId : supplyRequestIds) {
-            SupplyRequest sr = supplyRequestService.getById(reqId);
-            if (sr != null && sr.getItemId() != null && sr.getSourceLocationId() != null
-                    && sr.getItemQuantity() != null && sr.getLotNumber() != null) {
-                List<InventoryItem> invList = inventoryItemService.selectInventoryByItemId(
-                        sr.getItemId(), sr.getLotNumber(), sr.getSourceLocationId(), tenantId);
-                if (!invList.isEmpty()) {
-                    InventoryItem inv = invList.get(0);
-                    inventoryItemService.updateInventoryQuantity(
-                            inv.getId(), inv.getQuantity().add(sr.getItemQuantity()), now);
-                }
-            }
-        }
         // 删除单据
         boolean result = supplyRequestService.removeByIds(supplyRequestIds);
         return result ? R.ok(null, MessageUtils.createMessage(PromptMsgConstant.Common.M00004, null))

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inventorymanage/appservice/impl/ReceiptApprovalAppServiceImpl.java

@@ -519,8 +519,58 @@ public class ReceiptApprovalAppServiceImpl implements IReceiptApprovalAppService
             // 暂时先取出全部的库存，循环查库存同一会有问题，后续优化
             List<InventoryItem> inventoryItems = inventoryItemService.selectAllInventory();
             for (SupplyItemDetailDto supplyItemDetailDto : supplyItemDetailList) {
-                // 🔧 源仓库库存已在保存时预划扣，审批通过时不再重复扣减
+                // 根据项目id,产品批号，源仓库id 查询源仓库库存表信息
-                outList.add(supplyItemDetailDto);
+                // List<InventoryItem> inventoryItemSourceList = inventoryItemService.selectInventoryByItemId(
+                // supplyItemDetailDto.getItemId(), supplyItemDetailDto.getLotNumber(),
+                // supplyItemDetailDto.getSourceLocationId(), SecurityUtils.getLoginUser().getTenantId());
+                List<InventoryItem> filteredInventoryItems = inventoryItems.stream()
+                        .filter(item -> item.getItemId().equals(supplyItemDetailDto.getItemId())
+                        && item.getLotNumber().equals(supplyItemDetailDto.getLotNumber())
+                        && item.getLocationId().equals(supplyItemDetailDto.getSourceLocationId()))
+                        .collect(Collectors.toList());
+
+                InventoryItem inventoryItemSource = new InventoryItem();
+                if (!filteredInventoryItems.isEmpty()) {
+                    inventoryItemSource = filteredInventoryItems.get(0);
+                    // 最小数量（最小单位库存数量）
+                    BigDecimal minQuantity = inventoryItemSource.getQuantity();
+
+                    // // 计算调拨后库存数量，结果取小单位
+                    // // 供应申请的物品计量单位与包装单位相同
+                    // if (supplyItemDetailDto.getItemUnit().equals(supplyItemDetailDto.getUnitCode())) {
+                    // if
+                    // (minQuantity.compareTo(supplyItemDetailDto.getItemQuantity().multiply(supplyItemDetailDto.getPartPercent()))
+                    // < 0) {
+                    // // 库存数量不足
+                    // throw new ServiceException("操作失败,库存数量不足");
+                    // } else {
+                    // // 源仓库库存-(调拨数量*拆零比)
+                    // minQuantity = minQuantity.subtract(
+                    // supplyItemDetailDto.getPartPercent().multiply(supplyItemDetailDto.getItemQuantity()));
+                    // }
+                    // } else if (supplyItemDetailDto.getItemUnit().equals(supplyItemDetailDto.getMinUnitCode())) {
+                    // 直接扣减库存
+                    if (minQuantity.compareTo(supplyItemDetailDto.getItemQuantity()) < 0) {
+                        // 库存数量不足
+                        throw new ServiceException("操作失败,库存数量不足");
+                    } else {
+                        // 供应申请的物品计量单位与最小单位相同
+                        // 源仓库库存-调拨数量
+                        minQuantity = minQuantity.subtract(supplyItemDetailDto.getItemQuantity());
+                    }
+                    // }
+                    // 更新源仓库库存数量
+                    Boolean aBoolean
+                            = inventoryItemService.updateInventoryQuantity(inventoryItemSource.getId(), minQuantity, now);
+                    if (!aBoolean) {
+                        throw new ServiceException("系统异常,请稍后重试");
+                    }
+
+                    // 添加到出库列表
+                    outList.add(supplyItemDetailDto);
+                } else {
+                    return R.fail(MessageUtils.createMessage(PromptMsgConstant.Common.M00007, null));
+                }
 
                 // 根据项目id,产品批号，目的仓库id 查询目的仓库库存表信息
                 List<InventoryItem> inventoryItemPurposeList = inventoryItemService.selectInventoryByItemId(

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

@@ -36,8 +36,6 @@ import com.openhis.workflow.domain.ActivityDefinition;
 import com.openhis.workflow.service.IDeviceDispenseService;
 import com.openhis.workflow.service.IDeviceRequestService;
 import com.openhis.workflow.service.IServiceRequestService;
-import com.openhis.document.domain.RequestForm;
-import com.openhis.document.service.IRequestFormService;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
 
@@ -87,9 +85,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
     @Resource
     IDeviceDispenseService iDeviceDispenseService;
 
-    @Resource
-    IRequestFormService iRequestFormService;
-
     /**
      * 查询住院患者信息
      *
@@ -271,38 +266,6 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
 
         log.info("开始处理删除操作，共 {} 条记录", deleteList.size());
 
-        // 🔧 手术申请单级联作废：删除手术医嘱(categoryEnum=24)时同步作废关联的手术申请单
-        Map<String, List<Long>> surgeryPrescriptionNoToRequestIds = new LinkedHashMap<>();
-        for (RegAdviceSaveDto adviceDto : deleteList) {
-            if (adviceDto.getRequestId() == null) continue;
-            ServiceRequest existing = iServiceRequestService.getById(adviceDto.getRequestId());
-            if (existing == null) continue;
-            if (existing.getCategoryEnum() != null
-                    && existing.getCategoryEnum() == 24
-                    && existing.getPrescriptionNo() != null && !existing.getPrescriptionNo().isEmpty()) {
-                surgeryPrescriptionNoToRequestIds.computeIfAbsent(existing.getPrescriptionNo(), k -> new ArrayList<>())
-                        .add(adviceDto.getRequestId());
-            }
-        }
-        for (Map.Entry<String, List<Long>> e : surgeryPrescriptionNoToRequestIds.entrySet()) {
-            String prescriptionNo = e.getKey();
-            try {
-                List<RequestForm> requestForms = iRequestFormService.list(
-                        new LambdaQueryWrapper<RequestForm>()
-                                .eq(RequestForm::getPrescriptionNo, prescriptionNo)
-                                .eq(RequestForm::getTypeCode, ActivityDefCategory.PROCEDURE.getCode())
-                                .and(w -> w.isNull(RequestForm::getDeleteFlag).or().eq(RequestForm::getDeleteFlag, "0")));
-                for (RequestForm requestForm : requestForms) {
-                    iRequestFormService.removeById(requestForm.getId());
-                }
-                if (!requestForms.isEmpty()) {
-                    log.info("级联作废手术申请单 prescriptionNo={}, 共{}条", prescriptionNo, requestForms.size());
-                }
-            } catch (Exception ex) {
-                log.warn("级联作废手术申请单失败 prescriptionNo={}", prescriptionNo, ex);
-            }
-        }
-
         for (RegAdviceSaveDto adviceDto : deleteList) {
             Integer adviceType = adviceDto.getAdviceType();
             Long requestId = adviceDto.getRequestId();

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

@@ -81,7 +81,16 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         Long requestFormId = requestFormSaveDto.getRequestFormId();
         boolean isEdit = requestFormId != null && requestFormId != 0L;
 
-        // 🔧 手术/检查申请单：优先使用前端传入的positionId（用户手动选择的发往科室），跳过执行科室配置校验
+        // 诊疗执行科室配置校验（必须在任何数据库操作之前）
+        List<ActivityOrganizationConfigDto> activityOrganizationConfig =
+            requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
+        if (activityOrganizationConfig.isEmpty()) {
+            throw new ServiceException("请先配置当前时间段的执行科室");
+        }
+
+        // 逐个校验activityList中的项目是否都配置了执行科室，并收集positionId供后续使用
+        // 必须在任何数据库操作之前完成全部校验，避免部分保存后异常导致脏数据
+        // 🔧 Bug #516: 优先使用前端传入的positionId（用户手动选择的发往科室），仅在未选择时使用配置的执行科室
         List<ActivitySaveDto> activityList = requestFormSaveDto.getActivityList();
         // 缓存校验结果，避免主循环中重复查询和可能出现的数据不一致
         java.util.Map<Long, Long> activityIdToPositionIdMap = new java.util.HashMap<>();
@@ -93,15 +102,14 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), frontendPositionId);
                     continue;
                 }
-                // 前端未传入时，查询配置的执行科室（暂不校验，仅用于兼容无前端传入的场景）
+                // 前端未传入时，使用配置的执行科室
-                List<ActivityOrganizationConfigDto> activityOrganizationConfig =
-                    requestFormManageAppMapper.getActivityOrganizationConfig(typeCode);
                 Long configPositionId = activityOrganizationConfig.stream()
                     .filter(dto -> activitySaveDto.getAdviceDefinitionId().equals(dto.getActivityDefinitionId()))
                     .map(ActivityOrganizationConfigDto::getOrganizationId).findFirst().orElse(null);
-                if (configPositionId != null) {
+                if (configPositionId == null) {
-                    activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
+                    throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
                 }
+                activityIdToPositionIdMap.put(activitySaveDto.getAdviceDefinitionId(), configPositionId);
             }
         }
 
@@ -168,77 +176,73 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
         ChargeItem chargeItem;
         log.info("保存申请单，typeCode={}, activityListSize={}, encounterId={}", typeCode, activityList != null ? activityList.size() : 0, encounterId);
 
-        // 🔧 手术申请单：跳过普通医嘱生成，只由 isProcedure 块生成手术医嘱，避免重复
+        for (ActivitySaveDto activitySaveDto : activityList) {
-        boolean isSurgeryRequest = ActivityDefCategory.PROCEDURE.getCode().equals(typeCode);
+            serviceRequest = new ServiceRequest();
-        if (!isSurgeryRequest) {
+            serviceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());
-            for (ActivitySaveDto activitySaveDto : activityList) {
+            serviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.SERVICE_RES_NO.getPrefix(), 4));
-                serviceRequest = new ServiceRequest();
+            serviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
-                serviceRequest.setStatusEnum(RequestStatus.DRAFT.getValue());
+            serviceRequest.setPrescriptionNo(prescriptionNo);
-                serviceRequest.setBusNo(assignSeqUtil.getSeqByDay(AssignSeqEnum.SERVICE_RES_NO.getPrefix(), 4));
+            serviceRequest.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue());// 治疗类型
-                serviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+            serviceRequest.setQuantity(activitySaveDto.getQuantity()); // 请求数量
-                serviceRequest.setPrescriptionNo(prescriptionNo);
+            serviceRequest.setUnitCode(activitySaveDto.getUnitCode()); // 请求单位编码
-                serviceRequest.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue());// 治疗类型
+            serviceRequest.setCategoryEnum(categoryEnum); // 请求类型
-                serviceRequest.setQuantity(activitySaveDto.getQuantity()); // 请求数量
+            serviceRequest.setActivityId(activitySaveDto.getAdviceDefinitionId());// 诊疗定义id
-                serviceRequest.setUnitCode(activitySaveDto.getUnitCode()); // 请求单位编码
+            serviceRequest.setPatientId(patientId); // 患者
-                serviceRequest.setCategoryEnum(categoryEnum); // 请求类型
+            serviceRequest.setRequesterId(practitionerId); // 开方医生
-                serviceRequest.setActivityId(activitySaveDto.getAdviceDefinitionId());// 诊疗定义id
+            serviceRequest.setEncounterId(encounterId); // 就诊id
-                serviceRequest.setPatientId(patientId); // 患者
+            serviceRequest.setAuthoredTime(curDate); // 请求签发时间
-                serviceRequest.setRequesterId(practitionerId); // 开方医生
-                serviceRequest.setEncounterId(encounterId); // 就诊id
-                serviceRequest.setAuthoredTime(curDate); // 请求签发时间
 
-                Long positionId = activityIdToPositionIdMap.get(activitySaveDto.getAdviceDefinitionId());
+            Long positionId = activityIdToPositionIdMap.get(activitySaveDto.getAdviceDefinitionId());
-                if (positionId == null) {
+            if (positionId == null) {
-                    throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
+                throw new ServiceException(activitySaveDto.getAdviceDefinitionName() + "未配置当前时间段的执行科室");
-                }
+            }
-                serviceRequest.setOrgId(positionId); // 执行科室
+            serviceRequest.setOrgId(positionId); // 执行科室
 
-                serviceRequest.setYbClassEnum(activitySaveDto.getYbClassEnum());// 类别医保编码
+            serviceRequest.setYbClassEnum(activitySaveDto.getYbClassEnum());// 类别医保编码
-                serviceRequest.setConditionId(activitySaveDto.getConditionId()); // 诊断id
+            serviceRequest.setConditionId(activitySaveDto.getConditionId()); // 诊断id
-                serviceRequest.setEncounterDiagnosisId(activitySaveDto.getEncounterDiagnosisId()); // 就诊诊断id
+            serviceRequest.setEncounterDiagnosisId(activitySaveDto.getEncounterDiagnosisId()); // 就诊诊断id
-                iServiceRequestService.save(serviceRequest);
+            iServiceRequestService.save(serviceRequest);
 
-                chargeItem = new ChargeItem();
+            chargeItem = new ChargeItem();
-                chargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue()); // 收费状态
+            chargeItem.setStatusEnum(ChargeItemStatus.DRAFT.getValue()); // 收费状态
-                chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(serviceRequest.getBusNo()));
+            chargeItem.setBusNo(AssignSeqEnum.CHARGE_ITEM_NO.getPrefix().concat(serviceRequest.getBusNo()));
-                chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
+            chargeItem.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 生成来源
-                chargeItem.setPatientId(patientId); // 患者
+            chargeItem.setPatientId(patientId); // 患者
-                chargeItem.setContextEnum(activitySaveDto.getAdviceType()); // 类型
+            chargeItem.setContextEnum(activitySaveDto.getAdviceType()); // 类型
-                chargeItem.setEncounterId(encounterId); // 就诊id
+            chargeItem.setEncounterId(encounterId); // 就诊id
-                chargeItem.setDefinitionId(activitySaveDto.getDefinitionId()); // 费用定价ID
+            chargeItem.setDefinitionId(activitySaveDto.getDefinitionId()); // 费用定价ID
-                chargeItem.setDefDetailId(activitySaveDto.getDefinitionDetailId()); // 定价子表主键
+            chargeItem.setDefDetailId(activitySaveDto.getDefinitionDetailId()); // 定价子表主键
-                chargeItem.setEntererId(practitionerId);// 开立人ID
+            chargeItem.setEntererId(practitionerId);// 开立人ID
-                chargeItem.setEnteredDate(curDate); // 开立时间
+            chargeItem.setEnteredDate(curDate); // 开立时间
-                chargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);// 医疗服务类型
+            chargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);// 医疗服务类型
-                chargeItem.setServiceId(serviceRequest.getId()); // 医疗服务ID
+            chargeItem.setServiceId(serviceRequest.getId()); // 医疗服务ID
-                chargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);// 产品所在表
+            chargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);// 产品所在表
-                chargeItem.setProductId(activitySaveDto.getAdviceDefinitionId());// 收费项id
+            chargeItem.setProductId(activitySaveDto.getAdviceDefinitionId());// 收费项id
-                chargeItem.setAccountId(activitySaveDto.getAccountId());// 关联账户ID
+            chargeItem.setAccountId(activitySaveDto.getAccountId());// 关联账户ID
-                chargeItem.setRequestingOrgId(orgId); // 开立科室
+            chargeItem.setRequestingOrgId(orgId); // 开立科室
-                chargeItem.setConditionId(activitySaveDto.getConditionId()); // 诊断id
+            chargeItem.setConditionId(activitySaveDto.getConditionId()); // 诊断id
-                chargeItem.setEncounterDiagnosisId(activitySaveDto.getEncounterDiagnosisId()); // 就诊诊断id
+            chargeItem.setEncounterDiagnosisId(activitySaveDto.getEncounterDiagnosisId()); // 就诊诊断id
-                chargeItem.setQuantityValue(activitySaveDto.getQuantity()); // 数量
+            chargeItem.setQuantityValue(activitySaveDto.getQuantity()); // 数量
-                chargeItem.setQuantityUnit(activitySaveDto.getUnitCode()); // 单位
+            chargeItem.setQuantityUnit(activitySaveDto.getUnitCode()); // 单位
-                chargeItem.setUnitPrice(activitySaveDto.getUnitPrice()); // 单价
+            chargeItem.setUnitPrice(activitySaveDto.getUnitPrice()); // 单价
-                chargeItem.setTotalPrice(activitySaveDto.getTotalPrice()); // 总价
+            chargeItem.setTotalPrice(activitySaveDto.getTotalPrice()); // 总价
-                iChargeItemService.save(chargeItem);
+            iChargeItemService.save(chargeItem);
 
-                // 处理诊疗套餐的子项信息
+            // 处理诊疗套餐的子项信息
-                ActivityDefinition activityDefinition =
+            ActivityDefinition activityDefinition =
-                    iActivityDefinitionService.getById(activitySaveDto.getAdviceDefinitionId());
+                iActivityDefinitionService.getById(activitySaveDto.getAdviceDefinitionId());
-                String childrenJson = activityDefinition.getChildrenJson();
+            String childrenJson = activityDefinition.getChildrenJson();
-                if (childrenJson != null) {
+            if (childrenJson != null) {
-                    // 诊疗子项参数类
+                // 诊疗子项参数类
-                    ActivityChildrenJsonParams activityChildrenJsonParams = new ActivityChildrenJsonParams();
+                ActivityChildrenJsonParams activityChildrenJsonParams = new ActivityChildrenJsonParams();
-                    activityChildrenJsonParams.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue()); // 治疗类型
+                activityChildrenJsonParams.setTherapyEnum(TherapyTimeType.TEMPORARY.getValue()); // 治疗类型
-                    activityChildrenJsonParams.setPatientId(serviceRequest.getPatientId()); // 患者
+                activityChildrenJsonParams.setPatientId(serviceRequest.getPatientId()); // 患者
-                    activityChildrenJsonParams.setEncounterId(serviceRequest.getEncounterId()); // 就诊id
+                activityChildrenJsonParams.setEncounterId(serviceRequest.getEncounterId()); // 就诊id
-                    activityChildrenJsonParams.setAccountId(chargeItem.getAccountId()); // 账户id
+                activityChildrenJsonParams.setAccountId(chargeItem.getAccountId()); // 账户id
-                    activityChildrenJsonParams.setChargeItemId(chargeItem.getId()); // 费用项id
+                activityChildrenJsonParams.setChargeItemId(chargeItem.getId()); // 费用项id
-                    activityChildrenJsonParams.setParentId(serviceRequest.getId());// 子项诊疗的父id
+                activityChildrenJsonParams.setParentId(serviceRequest.getId());// 子项诊疗的父id
-                    activityChildrenJsonParams.setEncounterDiagnosisId(serviceRequest.getEncounterDiagnosisId());
+                activityChildrenJsonParams.setEncounterDiagnosisId(serviceRequest.getEncounterDiagnosisId());
-                    adviceUtils.handleActivityChild(childrenJson, organizationId, activityChildrenJsonParams);
+                adviceUtils.handleActivityChild(childrenJson, organizationId, activityChildrenJsonParams);
-                }
             }
         }
 
@@ -322,13 +326,6 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 } else if (surgeryName != null && !surgeryName.isEmpty()) {
                     contentMap.put("surgeryName", surgeryName);
                 }
-                // 🔧 手术申请单级联删除：contentJson 中记录 requestFormId 和 prescriptionNo，删除医嘱时可定位并作废申请单
-                if (requestForm.getId() != null) {
-                    contentMap.put("requestFormId", String.valueOf(requestForm.getId()));
-                }
-                if (prescriptionNo != null && !prescriptionNo.isEmpty()) {
-                    contentMap.put("prescriptionNo", prescriptionNo);
-                }
                 if (surgeryCode != null && !surgeryCode.isEmpty()) {
                     contentMap.put("surgeryCode", surgeryCode);
                 }
@@ -371,10 +368,9 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                     surgeryChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
                     surgeryChargeItem.setServiceId(surgeryServiceRequest.getId());
                     surgeryChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
-                    // 优先从 activityList 获取 productId 和 definitionId
+                    // 优先从 activityList 获取 productId
                     if (activityList != null && !activityList.isEmpty()) {
                         surgeryChargeItem.setProductId(activityList.get(0).getAdviceDefinitionId());
-                        surgeryChargeItem.setDefinitionId(activityList.get(0).getDefinitionId());
                         surgeryChargeItem.setAccountId(activityList.get(0).getAccountId());
                     }
                     surgeryChargeItem.setRequestingOrgId(orgId);
@@ -413,10 +409,6 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                             anesthesiaChargeItem.setServiceTable(CommonConstants.TableName.WOR_SERVICE_REQUEST);
                             anesthesiaChargeItem.setServiceId(surgeryServiceRequest.getId());
                             anesthesiaChargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
-                            // 从 activityList 获取 definitionId
-                            if (activityList != null && !activityList.isEmpty()) {
-                                anesthesiaChargeItem.setDefinitionId(activityList.get(0).getDefinitionId());
-                            }
                             anesthesiaChargeItem.setRequestingOrgId(orgId);
                             anesthesiaChargeItem.setQuantityValue(BigDecimal.valueOf(1));
                             anesthesiaChargeItem.setQuantityUnit("次");
@@ -433,18 +425,6 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
                 log.error("生成手术医嘱过程中发生异常", e);
                 throw e;
             }
-            // 将手术项目名称写入申请单name字段，确保医嘱删除后申请单仍保留正确名称
-            if (activityList != null && !activityList.isEmpty()) {
-                String surgeryDisplayName = activityList.stream()
-                    .map(ActivitySaveDto::getAdviceDefinitionName)
-                    .filter(name -> name != null && !name.isEmpty())
-                    .distinct()
-                    .collect(Collectors.joining("、"));
-                if (!surgeryDisplayName.isEmpty()) {
-                    requestForm.setName(surgeryDisplayName);
-                    iRequestFormService.updateById(requestForm);
-                }
-            }
         } else {
             log.info("不是手术申请单，跳过手术医嘱生成，typeCode={}", typeCode);
         }

openhis-server-new/openhis-application/src/main/resources/mapper/doctorstation/DoctorStationAdviceAppMapper.xml

@@ -117,7 +117,7 @@
                     )
                 </if>
                 <if test="searchKey != null and searchKey != ''">
-                    AND (t1.name ILIKE '%' || '${searchKey}' || '%' OR t1.py_str ILIKE '%' || '${searchKey}' || '%')
+                    AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
                 </if>
                 <if test="adviceDefinitionIdParamList != null and !adviceDefinitionIdParamList.isEmpty()">
                     AND t1.id IN
@@ -181,7 +181,7 @@
                 WHERE t1.delete_flag = '0'
                 AND t1.status_enum = #{statusEnum}
                 <if test="searchKey != null and searchKey != ''">
-                    AND (t1.name ILIKE '%' || '${searchKey}' || '%' OR t1.py_str ILIKE '%' || '${searchKey}' || '%')
+                    AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
                 </if>
                 <if test="categoryCode != null and categoryCode != ''">
                     AND t1.category_code = #{categoryCode}
@@ -278,7 +278,7 @@
                     AND T1.category_code != '手术' AND T1.category_code != '24'
                 </if>
                 <if test="searchKey != null and searchKey != ''">
-                    AND (t1.name ILIKE '%' || '${searchKey}' || '%' OR t1.py_str ILIKE '%' || '${searchKey}' || '%')
+                    AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
                 </if>
                 <if test="categoryCode != null and categoryCode != ''">
                     AND t1.category_code = #{categoryCode}
@@ -893,6 +893,7 @@
               AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
           </if>
         ORDER BY t1.ID, t1.name ASC, t2.ID ASC
+        LIMIT #{page.size} OFFSET ${(page.current - 1) * page.size}
     </select>
 
     <!-- 检查项目专用分页查询：仅查检查(23) + 定价，无库存/草稿库存/取药科室等无关逻辑 -->

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/IOrganizationLocationService.java

@@ -36,6 +36,6 @@ public interface IOrganizationLocationService extends IService<OrganizationLocat
      * @param activityDefinitionId 诊疗定义id
      * @return 诊疗的执行科室列表
      */
-    List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long organizationId, Long activityDefinitionId);
+    List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long activityDefinitionId);
 
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/service/impl/OrganizationLocationServiceImpl.java

@@ -53,14 +53,12 @@ public class OrganizationLocationServiceImpl extends ServiceImpl<OrganizationLoc
     /**
      * 查询诊疗的执行科室列表
      *
-     * @param organizationId 机构id
      * @param activityDefinitionId 诊疗定义id
      * @return 诊疗的执行科室列表
      */
     @Override
-    public List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long organizationId, Long activityDefinitionId) {
+    public List<OrganizationLocation> getOrgLocListByOrgIdAndActivityDefinitionId(Long activityDefinitionId) {
         return baseMapper.selectList(new LambdaQueryWrapper<OrganizationLocation>()
-            .eq(OrganizationLocation::getOrganizationId, organizationId)
             .eq(OrganizationLocation::getActivityDefinitionId, activityDefinitionId));
     }
 

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

@@ -461,10 +461,6 @@ watch(
     console.log(prescriptionList.value,"prescriptionList.value")
     if(newValue&&newValue.length>0){
       let saveList = prescriptionList.value.filter((item) => {
-        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
-        if (isSurgeryChargeBillingContext()) {
-          return item.check && item.statusEnum == 1
-        }
         return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
       })
        console.log(saveList,"prescriptionList.value")
@@ -1029,9 +1025,7 @@ function changeCheck(value,index,row){
   groupList.value.map(k=>{
     if(k.check){
       if(k.statusEnum == 1){//待签发
-        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+        if(Number(k.bizRequestFlag)==1||!k.bizRequestFlag){
-        const bizAllowed = isSurgeryChargeBillingContext() || Number(k.bizRequestFlag)==1||!k.bizRequestFlag
-        if(bizAllowed){
           if(handleSaveDisabled.value&&!handleSingOutDisabled.value&&groupList.value.length>1){
             proxy.$modal.msgWarning('请选择相同的状态的项目进行操作')
             return
@@ -1046,9 +1040,7 @@ function changeCheck(value,index,row){
         }
       }
       if(k.statusEnum == 2){ //已签发
-        // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
+        if(Number(k.bizRequestFlag)==1||!k.bizRequestFlag){
-        const bizAllowed = isSurgeryChargeBillingContext() || Number(k.bizRequestFlag)==1||!k.bizRequestFlag
-        if(bizAllowed){
           if(!handleSaveDisabled.value&&handleSingOutDisabled.value&&groupList.value.length>1){
             proxy.$modal.msgWarning('请选择相同的状态的项目进行操作')
             return
@@ -1075,28 +1067,28 @@ function handleSave() {
     return;
   }
   let saveList = prescriptionList.value.filter((item) => {
-    // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag，允许任何授权用户签发
-    // 门诊划价场景保留 bizRequestFlag 限制，只能操作本人开立的医嘱
-    if (isSurgeryChargeBillingContext()) {
-      return item.check && item.statusEnum == 1
-    }
     return item.check && item.statusEnum == 1&&(Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
   });
-  // 无可签发项目时提前返回，避免后端报"医嘱列表为空"
+  // let saveList = prescriptionList.value
-  if (saveList.length == 0) {
+  // .filter((item) => {
-    proxy.$modal.msgWarning('当前无可签发处方');
+  //   return item.check;
-    return;
+  // }).filter((item) => {
-  }
+  //   return item.statusEnum == 1&&item.bizRequestFlag==1
+  // })
+
+  // if (saveList.length == 0) {
+  //   proxy.$modal.msgWarning('当前无可签发处方');
+  //   return;
+  // }
   // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
   let list = saveList.map((item) => {
     const parsedContent = item.contentJson ? JSON.parse(item.contentJson) : {};
     return {
       ...parsedContent,
       requestId: item.requestId,
-      // 已有 requestId 的记录走 UPDATE 路径，新记录走 INSERT 路径
+      dbOpType: '1',
-      dbOpType: item.requestId ? '2' : '1',
       groupId: item.groupId,
-      // 补充顶层关键字段（这些可能不在 contentJson 中，需从 API 响应顶层提取）
+      // 🔧 Bug #443: 补充顶层关键字段（这些不在 contentJson 中，需从 API 响应顶层提取）
       encounterId: item.encounterId,
       patientId: item.patientId,
       locationId: item.positionId,
@@ -1104,14 +1096,9 @@ function handleSave() {
       adviceTableName: item.adviceTableName,
       adviceDefinitionId: item.adviceDefinitionId,
       chargeItemId: item.chargeItemId,
-      // 补充数量、单位、批号等字段（后端 handDevice 需要这些字段）
+      // 🔧 Bug Fix: 签发时显式设置手术计费关键字段，避免后端 prescription_no / generateSourceEnum 回退为默认值导致查询无法匹配
-      quantity: item.quantity,
+      generateSourceEnum: props.generateSourceEnum ?? parsedContent.generateSourceEnum,
-      unitCode: item.unitCode,
+      sourceBillNo: props.sourceBillNo ?? parsedContent.sourceBillNo,
-      lotNumber: item.lotNumber,
-      categoryEnum: item.categoryEnum,
-      // 签发时显式设置手术计费关键字段，后端 generateSourceEnum 回退为默认值导致查询无法匹配
-      generateSourceEnum: props.generateSourceEnum ?? parsedContent.generateSourceEnum ?? item.generateSourceEnum,
-      sourceBillNo: props.sourceBillNo ?? parsedContent.sourceBillNo ?? item.sourceBillNo,
     };
   });
   // 确保 organizationId 不为 undefined（手术计费场景下可能缺失 orgId）
@@ -1198,10 +1185,6 @@ function handleSingOut() {
       return item.check;
     })
     .filter((item) => {
-      // 手术计费场景（generateSourceEnum=6）不限制 bizRequestFlag
-      if (isSurgeryChargeBillingContext()) {
-        return item.statusEnum == 2 && item.chargeStatus != 5
-      }
       return item.statusEnum == 2 && item.chargeStatus != 5 && (Number(item.bizRequestFlag)==1||!item.bizRequestFlag)
     })
     .map((item) => {

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

@@ -883,6 +883,8 @@ form.value.diagnosisList.push({
     onsetDate: getCurrentDate(),
     diagnosisDoctor: props.patientInfo.practitionerName || props.patientInfo.doctorName || props.patientInfo.physicianName || userStore.name,
     diagnosisTime: getCurrentDate(),
+    iptDiseTypeCode: 2,
+    longTermFlag: 0, // 默认非长效诊断
     selectedDiseases: data.ybNo ? [data.ybNo] : [],  // 用于传染病报告卡自动勾选
   });
   

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

@@ -1369,12 +1369,17 @@ function isMethodSelected(method, cat) {
 // 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
+    // 优先使用分类下的检查项目，若无则以方法自身作为已选项核心
-    const targetItem = cat.items[0];
+    let 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
+      targetItem = {
-      console.warn('分类下没有检查项目，无法关联方法');
+        id: method.id, name: method.name,
-      return;
+        price: method.packagePrice || method.price || 0,
+        serviceFee: method.serviceFee || 0, unit: '次',
+        checkType: method.checkType || cat.typeName || '',
+        nationalCode: '', packageName: method.packageName || null,
+        packageId: method.packageId || null
+      };
     }
 
     // 如果该项目已存在，只更新 selectedMethod

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

@@ -511,13 +511,6 @@ const hasMatchedFields = computed(() => {
   return Object.keys(descJsonData.value).some((key) => isFieldMatched(key));
 });
 
-// Ordered field keys for detail display and print, matching the bug requirement order
-const orderedDescFieldKeys = [
-  'targetDepartment', 'urgencyLevel', 'allergyHistory', 'examinationPurpose',
-  'expectedExaminationTime', 'medicalHistorySummary', 'symptom', 'sign',
-  'clinicalDiagnosis', 'otherDiagnosis', 'relatedResult', 'attention',
-];
-
 /** 查询科室 */
 const getLocationInfo = async () => {
   try {
@@ -685,20 +678,18 @@ const handlePrint = async (row) => {
       });
     }
 
-    // 构建 descJson 字段行（与详情弹窗展示的字段一致）
+    // 构建 descJson 字段行（与详情弹窗展示的字段一致，遍历所有key并通过isFieldMatched过滤）
-    const fieldKeys = orderedDescFieldKeys;
     let descFieldsHtml = '';
-    fieldKeys.forEach((key) => {
+    for (const key in descData) {
+      if (!(key in labelMap)) continue;
       const label = labelMap[key] || key;
       const value = transformField(key, descData[key]);
-      if (descData[key] != null && descData[key] !== '' && value != null && value !== '') {
+      descFieldsHtml += `
-        descFieldsHtml += `
           <div class="info-row">
             <span class="label">${label}：</span>
-            <span class="value">${value}</span>
+            <span class="value">${value || '-'}</span>
           </div>`;
-      }
+    }
-    });
 
     // 构建完整打印HTML
     const printContent = `

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

@@ -116,7 +116,7 @@ import {computed, getCurrentInstance, ref, watch} from 'vue';
 import {Refresh} from '@element-plus/icons-vue';
 import {patientInfo} from '../../store/patient.js';
 import {getSurgery} from './api';
-import {getDepartmentList} from '@/api/public.js';
+import {getOrgList} from '@/views/doctorstation/components/api.js';
 
 const { proxy } = getCurrentInstance();
 
@@ -182,32 +182,25 @@ const hasMatchedFields = computed(() => {
 
 /** 查询科室 */
 const getLocationInfo = async () => {
-  const res = await getDepartmentList();
+  const res = await getOrgList();
-  orgOptions.value = res.data || [];
+  orgOptions.value = res.data.records;
 };
 
 const recursionFun = (targetDepartment) => {
-  if (!targetDepartment || !orgOptions.value || orgOptions.value.length === 0) {
-    return '';
-  }
   let name = '';
-  // 统一处理：扁平列表和树形结构都适用
+  for (let index = 0; index < orgOptions.value.length; index++) {
-  const findInList = (list) => {
+    const obj = orgOptions.value[index];
-    for (const node of list) {
+    if (obj.id == targetDepartment) {
-      if (String(node.id) === String(targetDepartment)) {
+      name = obj.name;
-        name = node.name;
+    }
-        return true;
+    const subObjArray = obj['children'];
-      }
+    for (let index = 0; index < subObjArray.length; index++) {
-      // 树形结构：递归查找 children
+      const item = subObjArray[index];
-      if (node.children && node.children.length > 0) {
+      if (item.id == targetDepartment) {
-        if (findInList(node.children)) {
+        name = item.name;
-          return true;
-        }
       }
     }
-    return false;
+  }
-  };
-  findInList(orgOptions.value);
   return name;
 };
 

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

@@ -232,21 +232,64 @@ 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) => {
+const projectWithDepartment = (selectProjectIds, type) => {
-  if (!selectProjectIds || selectProjectIds.length === 0) {
+  //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
-    form.targetDepartment = '';
+  let isRelease = true;
+  // 选中项目的数组
+  const arr = [];
+  // 根据选中的项目id查找对应的项目
+  selectProjectIds.forEach((element) => {
+    const searchData = applicationList.value.find((item) => {
+      return element == item.adviceDefinitionId;
+    });
+    arr.push(searchData);
+  });
+  // 清空科室
+  form.targetDepartment = '';
+  if (arr.length > 0) {
+    const obj = arr[0];
+    // 判断科室是否相同
+    const isCompare = arr.every((item) => {
+      return item.orgId == obj.orgId;
+    });
+    if (!isCompare) {
+      ElMessage({
+        type: 'error',
+        message: '执行科室不同',
+      });
+      isRelease = false;
+    }
+    // 选中项目中的执行科室id与全部科室数据做匹配
+    const findItem = findTreeItem(orgOptions.value, obj.orgId);
+
+    if (!findItem) {
+      isRelease = false;
+      ElMessage({
+        type: 'error',
+        message: '未找到项目执行的科室',
+      });
+    }
+    if (type == 1) {
+      if (isRelease) {
+        form.targetDepartment = findItem.id;
+      }
+    }
   }
+  return isRelease;
 };
 // 监听选择项目变化
-watch(() => transferValue.value, (newValue) => {
+watch(
-  projectWithDepartment(newValue);
+  () => transferValue.value,
-});
+  (newValue) => {
+    projectWithDepartment(newValue, 1);
+  }
+);
 const submit = () => {
   if (transferValue.value.length == 0) {
-    return proxy.$message.error('请选择手术项目');
+    return proxy.$message.error('请选择申请单');
   }
-  if (!form.targetDepartment) {
+  if (!projectWithDepartment(transferValue.value, 2)) {
-    return proxy.$message.error('请选择发往科室');
+    return;
   }
   let applicationListAllFilter = applicationListAll.value.filter((item) => {
     return transferValue.value.includes(item.adviceDefinitionId);
@@ -259,7 +302,7 @@ const submit = () => {
       unitCode: item.unitCode,
       unitPrice: item.price,
       totalPrice: item.price,
-      positionId: form.targetDepartment || item.positionId, // 用户手动选择的发往科室优先于项目默认执行科室
+      positionId: item.positionId,
       definitionId: item.chargeItemDefinitionId,
       accountId: patientInfo.value.accountId,
     };

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

@@ -1195,7 +1195,7 @@ function handleSave() {
     // 此处签发处方和单行保存处方传参相同，后台已经将传参存为JSON字符串，此处直接转换为JSON即可
     loading.value = true;
     let list = saveList.map((item) => {
-      const parsedContent = item.contentJson ? JSON.parse(item.contentJson) : {};
+      const parsedContent = JSON.parse(item.contentJson);
       return {
         ...parsedContent,
         adviceType: item.adviceType,

openhis-ui-vue3/src/views/inpatientNurse/InpatientBilling/components/FeeDialog.vue

@@ -342,13 +342,15 @@ const dialogVisible = computed({
 // 使用 drord_doctor_type 字典
 const adviceTypeList = computed(() => {
   if (drord_doctor_type.value && drord_doctor_type.value.length > 0) {
-    // 只保留耗材(4)和诊疗(3)类型，并添加全部选项
+    // 只保留耗材(2)和诊疗(3)类型，并添加全部选项
+    // 注意：后端SQL只认 adviceType=2(耗材) 和 3(诊疗)，字典值4需映射为2
     const filtered = drord_doctor_type.value.filter(item => {
       const val = parseInt(item.value);
-      return val === 3 || val === 4;
+      return val === 2 || val === 3 || val === 4;
     }).map(item => ({
       label: item.label,
-      value: parseInt(item.value)
+      // 后端SQL只有adviceTypes.contains(2)查询耗材，字典值4映射为2
+      value: parseInt(item.value) === 4 ? 2 : parseInt(item.value)
     }));
     return [...filtered, { label: '全部', value: '' }];
   }
@@ -373,8 +375,7 @@ const filterKeywords = ref({});
 const queryParams = ref({
   pageSize: 100,
   pageNum: 1,
-  // 默认加载全部类型（药品1+耗材2+诊疗3）
+  adviceTypes: '2,3',
-  adviceTypes: [1, 2, 3],
 });
 /**
  * 医嘱提交数据模型
@@ -556,26 +557,12 @@ function loadDepartmentOptions() {
 function getAdviceBaseInfos() {
   adviceLoading.value = true;
   queryParams.value.searchKey = searchText.value;
-  // 字典值(3=诊疗,4=耗材)映射为后端adviceType(2=耗材,3=诊疗)
+  queryParams.value.adviceTypes = adviceType.value;
-  if (adviceType.value === 4) {
-    queryParams.value.adviceTypes = [2];
-  } else if (adviceType.value === 3) {
-    queryParams.value.adviceTypes = [3];
-  } else {
-    queryParams.value.adviceTypes = [1, 2, 3];
-  }
   queryParams.value.organizationId = orgId.value;
   queryParams.value.pricingFlag = 1; // 划价标记
   getAdviceBaseInfo(queryParams.value)
     .then((res) => {
-      const list = res.data?.records || [];
+      AdviceBaseInfoList.value = res.data?.records || [];
-      // 药品(1)和耗材(2)必须有库存才能展示，诊疗(3)无库存概念不过滤
-      AdviceBaseInfoList.value = list.filter(item => {
-        if (item.adviceType === 1 || item.adviceType === 2) {
-          return item.inventoryList && item.inventoryList.length > 0;
-        }
-        return true;
-      });
     })
     .finally(() => {
       adviceLoading.value = false;

openhis-ui-vue3/src/views/medicationmanagement/transferManagent/transferManagent/index.vue

@@ -386,7 +386,7 @@
                       :disabled="viewStatus == 'view'"
                       v-model="scope.row.itemQuantityDisplay"
                       placeholder=""
-                      @input="(value) => handleItemQuantityChange(scope.row, value)"
+                      @change="(value) => handleItemQuantityChange(scope.row, value)"
                       :class="{ 'error-border': scope.row.error }"
                     />
                   </div>
@@ -971,10 +971,6 @@ function handleItemQuantityChange(row, value) {
     quantityTemp = value;
   }
   row.totalPrice = ((row.price * quantityTemp) / row.partPercent).toFixed(2);
-  // 数量变更后重置保存标记，允许重新提交
-  row.isSave = false;
-  // 同步更新底部合计金额
-  handleTotalAmount();
 }
 
 function handelApply() {
@@ -1266,108 +1262,128 @@ function editBatchTransfer(index) {
 }
 
 function handleSave(row, index) {
-  // 过滤出未保存的行，已保存的行不重复提交
+  rowList.value = [];
-  const listToCheck = route.query.supplyBusNo
+  if (route.query.supplyBusNo) {
-    ? forms.purchaseinventoryList
+    // 编辑
-    : form.purchaseinventoryList;
+    forms.purchaseinventoryList.map((row, index) => {
-  const unsavedList = listToCheck.filter(item => !item.isSave);
+      if (row) {
-  if (unsavedList.length === 0) {
+        proxy.$refs['receiptHeaderRef'].validate((valid) => {
-    proxy.$modal.msgWarning('所有行均已保存，无需重复提交');
+          if (valid) {
-    return;
+            proxy.$refs['formRef'].validate((valid) => {
+              if (valid) {
+                if (row.unitCode == row.unitList.minUnitCode) {
+                  row.itemQuantity = forms.purchaseinventoryList[index].olditemQuantity
+                    ? forms.purchaseinventoryList[index].olditemQuantity
+                    : forms.purchaseinventoryList[index].itemQuantity;
+                } else {
+                  row.itemQuantity = forms.purchaseinventoryList[index].itemMaxQuantity
+                    ? forms.purchaseinventoryList[index].itemMaxQuantity
+                    : forms.purchaseinventoryList[index].itemQuantity;
+                }
+                // let rows = JSON.parse(JSON.stringify(row))
+                // delete rows.itemMaxQuantity
+
+                if (row.unitCode == row.unitCode_dictText) {
+                  if (row.unitCode_dictText == row.unitList.minUnitCode_dictText) {
+                    row.unitCode = row.unitList.minUnitCode;
+                  } else {
+                    row.unitCode = row.unitList.unitCode;
+                    row.unitCode_dictText = row.unitList.unitCode_dictText;
+                  }
+                }
+                if (row.unitCode == row.unitList.unitCode) {
+                  row.unitCode_dictText = row.unitList.unitCode_dictText;
+                } else if (row.unitCode == row.unitList.minUnitCode) {
+                  row.unitCode_dictText = row.unitList.minUnitCode_dictText;
+                }
+                if (!forms.purchaseinventoryList[index].price || forms.purchaseinventoryList[index].price <= 0) {
+                  proxy.$message.warning('调拨单价不能为空或为0，请检查！');
+                  return;
+                }
+                forms.purchaseinventoryList[index].totalPrice =
+                  forms.purchaseinventoryList[index].price * forms.purchaseinventoryList[index].itemQuantity;
+                rowList.value.push(JSON.parse(JSON.stringify(row)));
+                if (
+                  rowList._rawValue &&
+                  rowList._rawValue.length == forms.purchaseinventoryList.length
+                ) {
+                  addTransferProducts(rowList._rawValue);
+                }
+              }
+            });
+          }
+        });
+      }
+    });
+  } else {
+    //新增
+    form.purchaseinventoryList.map((row, index) => {
+      if (row) {
+        proxy.$refs['receiptHeaderRef'].validate((valid) => {
+          if (valid) {
+            proxy.$refs['formRef'].validate((valid) => {
+              if (valid) {
+                let rows = JSON.parse(JSON.stringify(row));
+                delete rows.itemMaxQuantity;
+                if (rows.unitCode == rows.unitList.minUnitCode) {
+                  rows.itemQuantity = form.purchaseinventoryList[index].olditemQuantity
+                    ? form.purchaseinventoryList[index].olditemQuantity
+                    : form.purchaseinventoryList[index].itemQuantity;
+                } else {
+                  rows.itemQuantity = form.purchaseinventoryList[index].itemMaxQuantity
+                    ? form.purchaseinventoryList[index].itemMaxQuantity
+                    : form.purchaseinventoryList[index].itemQuantity;
+                }
+                if (rows.unitCode == rows.unitCode_dictText) {
+                  if (rows.unitCode_dictText == rows.unitList.minUnitCode_dictText) {
+                    rows.unitCode = rows.unitList.minUnitCode;
+                  } else {
+                    rows.unitCode = rows.unitList.unitCode;
+                    rows.unitCode_dictText = rows.unitList.unitCode_dictText;
+                  }
+                }
+                if (rows.unitCode == rows.unitList.unitCode) {
+                  rows.unitCode_dictText = rows.unitList.unitCode_dictText;
+                } else if (rows.unitCode == rows.unitList.minUnitCode) {
+                  rows.unitCode_dictText = rows.unitList.minUnitCode_dictText;
+                }
+                if (!form.purchaseinventoryList[index].price || form.purchaseinventoryList[index].price <= 0) {
+                  proxy.$message.warning('调拨单价不能为空或为0，请检查！');
+                  return;
+                }
+                form.purchaseinventoryList[index].totalPrice =
+                  form.purchaseinventoryList[index].price * form.purchaseinventoryList[index].itemQuantity;
+                rowList.value.push(JSON.parse(JSON.stringify(rows)));
+                if (
+                  rowList._rawValue &&
+                  rowList._rawValue.length == form.purchaseinventoryList.length
+                ) {
+                  addTransferProducts(rowList._rawValue);
+                }
+              }
+            });
+          }
+        });
+      }
+    });
   }
-
-  // 先校验表头
-  proxy.$refs['receiptHeaderRef'].validate((headerValid) => {
-    if (!headerValid) return;
-
-    // 逐行校验（避免异步回调导致重复提交）
-    const rowsToSave = [];
-    for (let i = 0; i < form.purchaseinventoryList.length; i++) {
-      const r = form.purchaseinventoryList[i];
-      if (!r) continue;
-
-      // 跳过已保存的行，避免重复提交导致预扣减库存叠加
-      if (r.isSave) continue;
-
-      // 校验当前行的必填字段
-      let rowValid = true;
-      for (const prop of ['name', 'unitCode']) {
-        const formRef = proxy.$refs['formRef'];
-        if (formRef && formRef.validateField) {
-          formRef.validateField(`purchaseinventoryList.${i}.${prop}`, (valid) => {
-            if (valid) rowValid = false;
-          });
-        }
-      }
-      if (!rowValid) {
-        proxy.$modal.msgWarning('第' + (i + 1) + '行数据不完整，请检查');
-        return;
-      }
-
-      // 单价校验
-      if (!r.price || r.price <= 0) {
-        proxy.$modal.msgWarning('第' + (i + 1) + '行调拨单价不能为空或为0');
-        return;
-      }
-
-      // 单位处理
-      const rowData = route.query.supplyBusNo
-        ? JSON.parse(JSON.stringify(forms.purchaseinventoryList[i]))
-        : JSON.parse(JSON.stringify(r));
-      delete rowData.itemMaxQuantity;
-
-      if (rowData.unitCode == rowData.unitList?.minUnitCode) {
-        rowData.itemQuantity = r.olditemQuantity || r.itemQuantity;
-      } else {
-        rowData.itemQuantity = r.itemMaxQuantity || r.itemQuantity;
-      }
-
-      if (rowData.unitCode == rowData.unitCode_dictText) {
-        if (rowData.unitCode_dictText == rowData.unitList?.minUnitCode_dictText) {
-          rowData.unitCode = rowData.unitList.minUnitCode;
-        } else {
-          rowData.unitCode = rowData.unitList.unitCode;
-          rowData.unitCode_dictText = rowData.unitList.unitCode_dictText;
-        }
-      }
-      if (rowData.unitCode == rowData.unitList?.unitCode) {
-        rowData.unitCode_dictText = rowData.unitList.unitCode_dictText;
-      } else if (rowData.unitCode == rowData.unitList?.minUnitCode) {
-        rowData.unitCode_dictText = rowData.unitList.minUnitCode_dictText;
-      }
-
-      // 计算总价
-      r.totalPrice = r.price * rowData.itemQuantity;
-      rowsToSave.push(rowData);
-    }
-
-    // 所有行校验通过，一次性提交
-    if (rowsToSave.length > 0) {
-      addTransferProducts(rowsToSave);
-    }
-  });
 }
 function addTransferProducts(rowList) {
   addTransferProduct(JSON.parse(JSON.stringify(rowList))).then((res) => {
+    // 当前行没有id视为首次新增
+    // if (!row.id) {
+    //   data.isAdding = false; // 允许新增下一行
+    // }
     if (res.data) {
       proxy.$message.success('保存成功！');
-      let newIdIndex = 0;
       form.purchaseinventoryList.map((row, index) => {
-        // 只有未保存的行才会拿到新 id（和提交顺序一致）
+        form.purchaseinventoryList[index].id = res.data[index];
-        if (!row.isSave && res.data[newIdIndex]) {
-          form.purchaseinventoryList[index].id = res.data[newIdIndex];
-          newIdIndex++;
-        }
         form.purchaseinventoryList[index].isSave = true;
       });
       if (route.query.supplyBusNo) {
         // 编辑
-        let newIdIdx = 0;
         forms.purchaseinventoryList.map((row, index) => {
-          if (!row.isSave && res.data[newIdIdx]) {
+          forms.purchaseinventoryList[index].id = res.data[index];
-            forms.purchaseinventoryList[index].id = res.data[newIdIdx];
-            newIdIdx++;
-          }
           forms.purchaseinventoryList[index].isSave = true;
         });
       }

openhis-ui-vue3/src/views/surgicalschedule/index.vue

@@ -1141,13 +1141,17 @@ const {
 const pendingAnesData = ref(null)
 
 // 监听麻醉字典加载，完成后立即设置表单值
+// Bug #433: watch 回调中优先判断字典是否已加载，未加载时跳过（不处理也不清理）
+// 确保字典加载完成时 watch 仍然活跃并能处理 pendingAnesData
 let anesDataUnwatch = null
 function setupAnesDataWatch() {
   if (anesDataUnwatch) return // 防止重复设置
   anesDataUnwatch = watch(
     anesthesiaList,
     (newList) => {
-      if (newList && newList.length > 0 && pendingAnesData.value) {
+      // Bug #433: 字典未加载时跳过，不清理 watch，等待下次触发
+      if (!newList || newList.length === 0) return
+      if (pendingAnesData.value) {
         const data = pendingAnesData.value
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
@@ -1346,7 +1350,8 @@ function handleEdit(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // Bug #433: 如果字典已加载则立即转换，否则存入pending等待字典加载完成
+      // Bug #433: 先存 pending 再调 watch 函数，确保 watch immediate 回调能看到 pendingAnesData
+      // 修复时序问题：watch({ immediate: true }) 同步触发时 pendingAnesData.value 已被设置
       if (anesthesiaList.value && anesthesiaList.value.length > 0) {
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
@@ -1356,6 +1361,8 @@ function handleEdit(row) {
         pendingAnesData.value = data
         setupAnesDataWatch()
       }
+      // Bug #433: 显式赋值确保响应式更新
+      if (data.externalExpertName != null) form.externalExpertName = data.externalExpertName
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1375,7 +1382,8 @@ function handleView(row) {
     if (res.code === 200) {
       const data = res.data
       Object.assign(form, data)
-      // Bug #433: 如果字典已加载则立即转换，否则存入pending等待字典加载完成
+      // Bug #433: 先存 pending 再调 watch 函数，确保 watch immediate 回调能看到 pendingAnesData
+      // 修复时序问题：watch({ immediate: true }) 同步触发时 pendingAnesData.value 已被设置
       if (anesthesiaList.value && anesthesiaList.value.length > 0) {
         if (data.anesMethod != null) form.anesMethod = Number(data.anesMethod)
         if (data.incisionLevel != null) form.incisionType = Number(data.incisionLevel)
@@ -1385,6 +1393,8 @@ function handleView(row) {
         pendingAnesData.value = data
         setupAnesDataWatch()
       }
+      // Bug #433: 显式赋值确保响应式更新
+      if (data.externalExpertName != null) form.externalExpertName = data.externalExpertName
     } else {
       proxy.$modal.msgError('获取手术安排详情失败')
     }
@@ -1565,7 +1575,7 @@ function handleMedicalAdvice(row) {
   temporaryMedicalLoading.value = true // 🔧 新增：开始加载
 
   // 调用计费接口获取数据
-  getPrescriptionList(row.visitId, 6, row.operCode).then((res) => {
+  getPrescriptionList(row.visitId).then((res) => {
     console.log('=== 拉取计费数据返回结果 ===', res)
     if (res.code === 200 && res.data) {
       // 🔧 修复：显示所有药品请求数据，不管有没有计费项目
@@ -1576,18 +1586,12 @@ function handleMedicalAdvice(row) {
       const filteredItems = res.data.filter(item => {
         // 匹配 encounterId
         if (item.encounterId !== row.visitId) return false;
-        // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
+        // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
-        // 🔧 修复 Bug #444: 使用 Number() 显式转换，避免字符串 "1" 被 !== 1 放行
+        if (item.adviceType !== 1) return false;
-        const at = Number(item.adviceType ?? item.advice_type);
-        if (at !== 1) return false;
         // 过滤掉名称为空的项目
         const medicineName = item.adviceName || item.advice_name;
         if (!medicineName || medicineName.trim() === '') return false;
-        // 🔧 修复 Bug #444: 二次过滤，排除名称中包含手术/检查/诊疗关键词的非药品项目
+        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId 的不应出现在"待生成"列表）
-        // 某些计费项目可能在 adm_charge_item 中被错误标注为 adviceType=1
-        const excludedKeywords = ['术', '超声', '多普勒', '检查', '检验', '彩超', 'X线', 'CT', 'MRI', '扫描', '造影'];
-        if (excludedKeywords.some(kw => medicineName.includes(kw))) return false;
-        // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId 的不应出现在"待生成"列表中）
         if (item.requestId) return false;
         // 根据药品请求ID去重，避免重复显示
         const itemId = item.requestId || item.id;
@@ -1708,14 +1712,9 @@ function handleMedicalAdvice(row) {
         usageLabel: usageLabel, // 🔧 新增：保存显示名称
         frequency: '临时',
         executeTime: new Date().toLocaleString('zh-CN'),
-        // 🔧 关键修复：确保 originalMedicine 中包含 encounterId 和匹配字段
+        // 🔧 关键修复：确保 originalMedicine 中包含 encounterId，以便后续判断是否为同一患者
-        // medicineName/specification/quantity 用于 handleTemporaryMedicalSubmit 中的
-        // 已提交项目匹配过滤（Bug #445），缺少这些字段会导致过滤失效
         originalMedicine: {
           ...medicine,
-          medicineName: medicine.medicineName,
-          specification: medicine.specification,
-          quantity: medicine.quantity,
           encounterId: row.visitId // 添加 encounterId 字段
         }
       }
@@ -1854,21 +1853,6 @@ function handleTemporaryMedicalRefresh() {
 function handleQuoteBilling() {
   // 重新拉取计费药品数据
   if (temporaryPatientInfo.value.visitId) {
-    // 🔧 修复 Bug #445: 在清空之前提取已提交项目的复合匹配键
-    // 原因：后续的 ID 匹配过滤依赖 temporaryAdvices，但 temporaryAdvices 会被先清空
-    // 新医嘱没有 requestId/chargeItemId，需用名称+规格+数量的复合键匹配
-    const submittedKeys = new Set(
-      (temporaryAdvices.value || [])
-        .map(a => {
-          const om = a.originalMedicine || {}
-          const name = om.medicineName || om.adviceName || a.adviceName || ''
-          const spec = om.specification || om.volume || ''
-          const qty = om.quantity ?? 0
-          return `${name}|||${spec}|||${qty}`
-        })
-        .filter(k => k !== '|||0')
-    )
-
     temporaryMedicalLoading.value = true // 🔧 新增：开始加载
     getPrescriptionList(temporaryPatientInfo.value.visitId, 6, temporaryPatientInfo.value.operCode).then((res) => {
             if (res.code === 200 && res.data) {
@@ -1876,21 +1860,16 @@ function handleQuoteBilling() {
               temporaryBillingMedicines.value = []
               temporaryAdvices.value = []
     
-              // 🔧 修复 Bug #445: 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
+              // 🔧 修复 Bug #445: 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
               // 同时过滤掉已有 requestId 的项目（已生成医嘱的不需要再次显示在"待生成"列表中）
               const filteredItems = res.data.filter(item => {
                 // 匹配 encounterId
                 if (item.encounterId !== temporaryPatientInfo.value.visitId) return false;
-                // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3/6)
+                // 只保留药品类型（adviceType=1），过滤掉耗材(2)和诊疗项目(3)
-                // 🔧 修复 Bug #444: 使用 Number() 显式转换 + snake_case 回退，避免字符串 "1" 匹配失败
+                if (item.adviceType !== 1) return false;
-                const at = Number(item.adviceType ?? item.advice_type);
-                if (at !== 1) return false;
                 // 过滤掉名称为空的项目
                 const medicineName = item.adviceName || item.advice_name;
                 if (!medicineName || medicineName.trim() === '') return false;
-                // 🔧 修复 Bug #444: 二次过滤，排除名称中包含手术/检查/诊疗关键词的非药品项目
-                const excludedKeywords = ['术', '超声', '多普勒', '检查', '检验', '彩超', 'X线', 'CT', 'MRI', '扫描', '造影'];
-                if (excludedKeywords.some(kw => medicineName.includes(kw))) return false;
                 // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目（已有 requestId）
                 if (item.requestId) return false;
                 return true;
@@ -1994,70 +1973,36 @@ function handleQuoteBilling() {
             usageLabel: usageLabel, // 🔧 新增：保存显示名称
             frequency: '临时',
             executeTime: new Date().toLocaleString('zh-CN'),
-            // 🔧 关键修复：确保 originalMedicine 中包含 encounterId 和匹配字段
+            // 🔧 关键修复：确保 originalMedicine 中包含 encounterId，以便后续判断是否为同一患者
-            // medicineName/specification/quantity 用于已提交项目匹配过滤（Bug #445）
             originalMedicine: {
               ...medicine,
-              medicineName: medicine.medicineName,
-              specification: medicine.specification,
-              quantity: medicine.quantity,
               encounterId: temporaryPatientInfo.value.visitId // 添加 encounterId 字段
             }
           }
         })
 
         // 🔧 修复 Bug #445: 过滤掉已生成医嘱的项目，避免"引用计费"后已提交项目重新出现在"待生成"列表
-        // 使用清空前提取的 submittedKeys（名称|||规格|||数量复合键）进行匹配
+        // 原因：后端返回的计费数据中，已生成医嘱的项目可能没有 requestId 字段
-        if (submittedKeys.size > 0) {
+        // 方案：用 chargeItemId/requestId/id 与已有的 temporaryAdvices 做匹配，排除已生成项目
-          temporaryBillingMedicines.value = temporaryBillingMedicines.value.filter(m => {
+        if (temporaryAdvices.value.length > 0) {
-            const key = `${m.medicineName || ''}|||${m.specification || ''}|||${m.quantity ?? 0}`
+          const existingAdviceIds = new Set()
-            return !submittedKeys.has(key)
+          temporaryAdvices.value.forEach(a => {
-          })
+            const om = a.originalMedicine || {}
-          // 同步更新 temporaryAdvices，保持两份数据一致
+            if (om.requestId) existingAdviceIds.add(String(om.requestId))
-          temporaryAdvices.value = temporaryBillingMedicines.value.map((medicine, index) => {
+            if (om.chargeItemId) existingAdviceIds.add(String(om.chargeItemId))
-            const specMatch = medicine.specification ? medicine.specification.match(/(\d+)(\D+)/) : null
+            if (om.id) existingAdviceIds.add(String(om.id))
-            const specValue = specMatch ? parseInt(specMatch[1]) : 1
-            const specUnit = specMatch ? specMatch[2] : 'ml'
-            const dosage = specValue * (medicine.quantity || 1)
-            let usageCode = 'iv'
-            let usageLabel = '静脉注射'
-            try {
-              const jsonContent = medicine.contentJson || medicine.content_json;
-              if (jsonContent) {
-                const contentData = JSON.parse(jsonContent);
-                if (contentData.methodCode) {
-                  usageCode = contentData.methodCode;
-                  usageLabel = getUsageLabel(contentData.methodCode);
-                }
-              }
-            } catch (e) {}
-            if (!usageCode || usageCode === 'iv') {
-              if (medicine.medicineName && medicine.medicineName.includes('注射液')) {
-                usageCode = 'iv'; usageLabel = '静脉注射';
-              } else if (medicine.medicineName && medicine.medicineName.includes('片')) {
-                usageCode = 'po'; usageLabel = '口服';
-              } else if (medicine.medicineName && medicine.medicineName.includes('胶囊')) {
-                usageCode = 'po'; usageLabel = '口服';
-              }
-            }
-            return {
-              id: index + 1,
-              adviceName: medicine.medicineName || '',
-              dosage,
-              unit: specUnit,
-              usage: usageCode,
-              usageLabel,
-              frequency: '临时',
-              executeTime: new Date().toLocaleString('zh-CN'),
-              originalMedicine: {
-                ...medicine,
-                medicineName: medicine.medicineName,
-                specification: medicine.specification,
-                quantity: medicine.quantity,
-                encounterId: temporaryPatientInfo.value.visitId
-              }
-            }
           })
+          if (existingAdviceIds.size > 0) {
+            temporaryBillingMedicines.value = temporaryBillingMedicines.value.filter(m => {
+              const mRequestId = m.requestId != null ? String(m.requestId) : null
+              const mChargeItemId = m.chargeItemId != null ? String(m.chargeItemId) : null
+              const mId = m.id != null ? String(m.id) : null
+              if (mRequestId && existingAdviceIds.has(mRequestId)) return false
+              if (mChargeItemId && existingAdviceIds.has(mChargeItemId)) return false
+              if (mId && existingAdviceIds.has(mId)) return false
+              return true
+            })
+          }
         }
 
         temporaryMedicalLoading.value = false // 🔧 新增：加载完成