fix: Bug #249 门诊手术安排查询未过滤已删除手术申请单 - 将cli_surgery表的LEFT JOIN改为INNER JOIN，确保已删除作废的手术申请单不在手术安排查询界面显示

更新了 login.vue，使其动态显示构建版本，而非使用硬编码的值。

.gitignore

@@ -63,3 +63,6 @@ public.sql
 发版记录/2025-11-12/发版日志.docx
 .gitignore
 openhis-server-new/openhis-application/src/main/resources/application-dev.yml
+.env.test.local
+playwright-report/
+test-results/

.husky/pre-commit

@@ -0,0 +1,51 @@
+#!/usr/bin/env sh
+# ============================================================
+# Husky Pre-commit Hook - HIS项目
+# 配置: 关羽 | 日期: 2026-04-24
+# 功能: 提交前自动检查前端构建
+# ============================================================
+
+echo "========================================"
+echo "🔍 [Pre-commit] HIS项目提交检查"
+echo "========================================"
+
+# 检查前端目录是否存在
+if [ ! -d "openhis-ui-vue3" ]; then
+    echo "⚠️  [Pre-commit] 未找到openhis-ui-vue3目录，跳过前端检查"
+    exit 0
+fi
+
+cd openhis-ui-vue3
+
+# 检查node_modules是否存在
+if [ ! -d "node_modules" ]; then
+    echo "⚠️  [Pre-commit] node_modules未安装，请先执行 npm install"
+    echo "   提示: 首次使用或依赖变更后需要安装依赖"
+    exit 1
+fi
+
+# 执行lint检查（ESLint配置由赵云下周完善后启用）
+if grep -q '"lint"' package.json 2>/dev/null; then
+    echo "📋 [Pre-commit] 执行Lint检查..."
+    if npm run lint -- --max-warnings 0 2>&1; then
+        echo "✅ [Pre-commit] Lint检查通过"
+    else
+        echo "❌ [Pre-commit] Lint检查失败！请修复代码规范问题"
+        exit 1
+    fi
+else
+    echo "⏭️  [Pre-commit] 未配置lint脚本（待赵云配置ESLint后启用）"
+fi
+
+# 执行快速构建检查（development模式，仅检查语法和类型）
+echo "🔨 [Pre-commit] 执行构建检查 (build:dev)..."
+if timeout 120 npm run build:dev 2>&1; then
+    echo "✅ [Pre-commit] 构建检查通过"
+else
+    echo "❌ [Pre-commit] 构建检查失败！请修复编译错误后重新提交"
+    exit 1
+fi
+
+echo "========================================"
+echo "✅ [Pre-commit] 所有检查通过，允许提交"
+echo "========================================"

.qwen/settings.json.orig

@@ -1,6 +0,0 @@
-{
-  "tools": {
-    "approvalMode": "yolo"
-  },
-  "$version": 2
-}

GIT_TEST.md

@@ -0,0 +1 @@
+# Git 提交测试 - 诸葛亮 Tue Apr 14 10:08:27 PM CST 2026

TEST2.md

@@ -0,0 +1 @@
+# 张飞二次测试 - 2026-04-14 21:36:00

ZHAOYUN_TEST.md

@@ -1 +1,2 @@
 # 赵云测试提交
+赵云再次测试 - Tue Apr 14 09:36:09 PM CST 2026

docs/specs/backend-checklist.md

@@ -0,0 +1,162 @@
+# 后端发布前检查清单
+
+## 📋 基础检查项
+
+### Maven编译验证
+- [ ] 本地执行 `mvn compile` 编译通过，无ERROR
+- [ ] 执行 `mvn package -DskipTests` 打包成功
+- [ ] 依赖版本无冲突（`mvn dependency:tree` 检查）
+- [ ] 无编译警告（或已有书面说明可忽略）
+
+### 构建产物验证
+- [ ] JAR/WAR包生成完整，大小合理
+- [ ] `application.yml` 等配置文件已打包进产物
+- [ ] 第三方依赖jar包完整（lib目录无缺失）
+
+---
+
+## 🔧 Spring Boot 配置检查
+
+### 多环境配置
+- [ ] `application-dev.yml`（开发）配置正确
+- [ ] `application-test.yml`（测试）配置正确
+- [ ] `application-prod.yml`（生产）配置正确
+- [ ] 启动参数 `--spring.profiles.active` 指定正确环境
+- [ ] 生产环境未启用devtools热部署
+
+### Actuator安全
+- [ ] 生产环境 `/actuator` 端点已禁用或限制访问
+- [ ] `/actuator/env`、`/actuator/heapdump` 等敏感端点已关闭
+- [ ] 健康检查端点 `/actuator/health` 返回信息已脱敏
+
+### 启动校验
+- [ ] 数据库连接池配置合理（HikariCP最大/最小连接数）
+- [ ] Redis/消息中间件连接配置正确
+- [ ] 启动日志无ERROR级别异常
+
+---
+
+## 🗄️ MyBatis Plus 规范检查
+
+### 实体-表映射
+- [ ] 所有实体类标注 `@TableName`，表名与实际一致
+- [ ] 主键字段标注 `@TableId(type = IdType.AUTO)` 或对应策略
+- [ ] 非表字段标注 `@TableField(exist = false)`
+- [ ] 字段命名符合下划线转驼峰规则
+
+### SQL安全
+- [ ] 所有查询使用参数化查询（`QueryWrapper` / `LambdaQueryWrapper`）
+- [ ] 禁止字符串拼接SQL（`"WHERE name = '" + name + "'"`）
+- [ ] 批量操作使用MyBatis Plus `saveBatch` / `updateBatchById`
+- [ ] 复杂SQL使用XML映射，避免注解内嵌长SQL
+
+### 事务管理
+- [ ] 涉及多表写操作的方法标注 `@Transactional`
+- [ ] 事务边界合理，不包含外部HTTP调用
+- [ ] 异常回滚配置正确（`rollbackFor = Exception.class`）
+- [ ] 事务方法未被同一类内方法直接调用（自调用失效问题）
+
+### 分页插件
+- [ ] `PaginationInnerInterceptor` 已正确配置
+- [ ] 分页查询使用 `Page<T>` 对象，非手动limit/offset
+
+---
+
+## 🔌 RESTful API 设计检查
+
+### 统一返回格式
+- [ ] 所有接口返回 `{code, msg, data}` 统一结构
+- [ ] 成功返回 `code=200`，业务错误使用自定义错误码
+- [ ] 异常通过 `@ControllerAdvice` + `@ExceptionHandler` 统一处理
+
+### HTTP状态码
+- [ ] 资源创建返回 `201 Created`
+- [ ] 资源删除返回 `204 No Content`
+- [ ] 参数校验失败返回 `400 Bad Request`
+- [ ] 未认证返回 `401 Unauthorized`
+- [ ] 无权限返回 `403 Forbidden`
+- [ ] 资源不存在返回 `404 Not Found`
+
+### 参数校验
+- [ ] 请求参数使用 `@Valid` / `@Validated` 注解校验
+- [ ] 必填字段标注 `@NotBlank` / `@NotNull`
+- [ ] 数值范围标注 `@Min` / `@Max`
+- [ ] 格式校验使用 `@Pattern`（如手机号、身份证号）
+- [ ] 校验失败返回明确错误信息（非500堆栈）
+
+### API版本管理
+- [ ] 接口路径包含版本号（`/api/v1/`、`/api/v2/`）
+- [ ] 废弃接口标注 `@Deprecated`，并在文档中说明
+- [ ] 不兼容变更必须升级版本号
+
+---
+
+## 🔒 安全与合规检查
+
+### 数据脱敏
+- [ ] 患者身份证号在日志中脱敏（`***` 掩码）
+- [ ] 患者手机号在日志中脱敏（前3后4，中间`****`）
+- [ ] 敏感字段序列化时使用 `@JsonSerialize` 自定义脱敏器
+- [ ] 接口返回中非必需字段不暴露（如密码、salt）
+
+### 权限控制
+- [ ] 所有涉及患者数据的接口标注 `@PreAuthorize`
+- [ ] 数据级权限校验（医生只能访问本科室患者）
+- [ ] 越权访问返回 `403`，非 `404` 或 `500`
+- [ ] 敏感操作（删除、修改诊断）需二次确认或额外权限
+
+### 审计日志
+- [ ] 处方修改记录操作人、时间、变更内容
+- [ ] 病历删除操作记录完整审计链
+- [ ] 审计日志独立存储，不可被业务用户删除
+- [ ] 关键业务操作记录IP地址和操作终端
+
+---
+
+## ⚡ 性能检查
+
+### 数据库查询
+- [ ] 无N+1查询问题（使用 `JOIN` 或批量查询）
+- [ ] 大表查询必须有分页限制
+- [ ] 慢查询已优化（执行时间 < 500ms）
+- [ ] 索引已覆盖高频查询条件
+
+### 接口性能
+- [ ] 核心接口响应时间 < 1秒
+- [ ] 列表接口支持分页，无全量返回
+- [ ] 大文件下载使用流式传输，非全量加载到内存
+
+---
+
+## 📝 文档与发布准备
+
+### 文档更新
+- [ ] API接口文档已同步更新（路径、参数、返回值）
+- [ ] 数据库变更脚本已提供（DDL/DML）
+- [ ] 配置变更说明已记录（新增/修改的配置项）
+- [ ] 影响范围说明已明确（哪些模块、哪些接口受影响）
+
+### 回滚预案
+- [ ] 数据库变更可回滚（提供反向SQL脚本）
+- [ ] 配置变更可快速回退
+- [ ] 紧急回滚流程已明确（谁、怎么做、多长时间）
+- [ ] 回滚后数据一致性已验证
+
+---
+
+## ✅ 最终确认
+
+### 发布前最后检查
+- [ ] `mvn compile` 构建成功（附终端截图）
+- [ ] 关键单元测试通过
+- [ ] 测试环境部署验证通过
+- [ ] Code Review 已完成并获得批准
+- [ ] 相关Bug已关闭或延期说明
+
+---
+
+**文档版本**：v1.0  
+**最后更新**：2026年4月24日  
+**负责人**：关羽（后端开发）  
+**适用范围**：HIS 系统所有后端模块（his-server）  
+**补充说明**：本清单与陈琳的《前端发布前检查清单》对称互补，共同构成HIS系统发布前完整质量保障体系

docs/specs/cicd-gatekeeper.md

@@ -0,0 +1,217 @@
+# CI/CD构建门禁规范
+
+## 🎯 规范目标
+
+建立自动化质量门禁，确保每次代码提交都经过严格验证，防止低质量代码进入主干分支，提升系统稳定性和开发效率。
+
+## 🔒 门禁层级
+
+### 1. 提交前门禁（Pre-commit）
+**触发时机**：`git commit` 执行前  
+**验证内容**：
+- ESLint 代码规范检查
+- Prettier 代码格式化
+- 简单的单元测试（快速执行）
+
+**工具配置**：
+- Husky + lint-staged
+- 配置文件：`.husky/pre-commit`
+
+### 2. 推送前门禁（Pre-push）
+**触发时机**：`git push` 执行前  
+**验证内容**：
+- 完整的单元测试套件
+- 构建验证（`npm run build:prod`）
+- 集成测试（核心流程）
+
+**工具配置**：
+- Husky pre-push hook
+- 配置文件：`.husky/pre-push`
+
+### 3. CI流水线门禁（CI Pipeline）
+**触发时机**：代码推送到远程仓库后  
+**验证内容**：
+- 完整的测试套件（单元+集成+端到端）
+- 代码覆盖率检查（分阶段目标：Q1≥30%，Q2≥50%，Q3≥80%）
+- 安全扫描（SAST）
+- 构建产物验证
+- 部署到测试环境
+
+**工具配置**：
+- Spug CI/CD 流水线
+- Gitea Webhook 触发
+
+### 4. 发布前门禁（Release Gate）
+**触发时机**：准备发布到生产环境前  
+**验证内容**：
+- 生产环境冒烟测试
+- 性能基准测试
+- 安全合规检查
+- 回滚预案验证
+
+## ⚙️ 具体配置要求
+
+### ESLint 配置
+```javascript
+// eslint.config.js 关键配置
+import globals from "globals";
+import pluginVue from "eslint-plugin-vue";
+import parserVue from "vue-eslint-parser";
+import importPlugin from "eslint-plugin-import";
+
+export default [
+  {
+    name: "app/files-to-lint",
+    files: ["**/*.{js,mjs,jsx,vue}"],
+  },
+
+  {
+    name: "app/files-to-ignore",
+    ignores: ["**/dist/**", "**/node_modules/**", "**/help-center/**"],
+  },
+
+  ...pluginVue.configs["flat/recommended"],
+  
+  {
+    languageOptions: {
+      globals: {
+        ...globals.browser,
+        ...globals.node,
+      },
+      parser: parserVue,
+      ecmaVersion: "latest",
+      sourceType: "module",
+    },
+    
+    plugins: {
+      import: importPlugin,
+    },
+    
+    rules: {
+      // 确保导入的模块实际存在（核心规则，防止构建失败）
+      "import/no-unresolved": "error",
+      // 确保导入的命名导出实际存在
+      "import/named": "error",
+      // 确保默认导出存在
+      "import/default": "error",
+      // 确保命名空间导出存在
+      "import/namespace": "error",
+    },
+  },
+];
+```
+```
+
+
+### Java 后端配置
+```xml
+<!-- pom.xml 关键插件 -->
+<plugin>
+  <groupId>org.apache.maven.plugins</groupId>
+  <artifactId>maven-compiler-plugin</artifactId>
+  <version>3.8.1</version>
+</plugin>
+<plugin>
+  <groupId>com.github.spotbugs</groupId>
+  <artifactId>spotbugs-maven-plugin</artifactId>
+  <version>4.2.0</version>
+</plugin>
+```
+
+### 数据库迁移配置
+```yaml
+# application.yml Flyway配置
+flyway:
+  enabled: true
+  locations: classpath:db/migration
+  baseline-on-migrate: true
+```
+javascript
+// .eslintrc.js 关键配置
+module.exports = {
+  plugins: ['import'],
+  rules: {
+    // 确保导入的模块实际存在
+    'import/no-unresolved': 'error',
+    // 确保导入的成员实际存在
+    'import/named': 'error',
+    // 禁止未使用的导入
+    'import/no-unused-modules': 'warn'
+  }
+};
+```
+
+### Husky 配置
+```bash
+# .husky/pre-commit
+#!/bin/sh
+npm run lint-staged
+
+# .husky/pre-push  
+#!/bin/sh
+npm run test:unit && npm run build:prod
+```
+
+### lint-staged 配置
+```json
+// package.json
+{
+  "lint-staged": {
+    "*.{js,vue}": ["eslint --fix", "prettier --write"],
+    "*.{css,scss}": ["stylelint --fix", "prettier --write"]
+  }
+}
+```
+```json
+// package.json
+{
+  "lint-staged": {
+    "*.{js,vue}": ["eslint --fix", "prettier --write"],
+    "*.{css,scss}": ["stylelint --fix", "prettier --write"]
+  }
+}
+```
+
+## 🚫 失败处理机制
+
+### 自动处理
+- **构建失败**：自动阻止 PR 合并
+- **测试失败**：标记 PR 为失败状态
+- **安全漏洞**：立即通知安全团队
+
+### 人工处理
+- **紧急修复**：可申请临时绕过（需架构师批准）
+- **误报处理**：提交豁免申请并说明原因
+- **规则调整**：通过 RFC 流程申请规则变更
+
+## 📊 监控与度量
+
+### 关键指标
+- 门禁通过率 ≥ 95%
+- 平均修复时间 ≤ 2小时
+- 误报率 ≤ 5%
+
+### 报告机制
+- 每日门禁失败统计
+- 周度质量趋势报告
+- 月度规则优化建议
+
+## 🔄 持续改进
+
+### 规则演进
+- 每月评审门禁规则有效性
+- 根据项目需求调整检查强度
+- 引入新的质量检查工具
+
+### 团队培训
+- 新成员入职培训包含门禁规范
+- 定期分享最佳实践案例
+- 建立常见问题解决方案库
+
+---
+
+**文档版本**：v1.0  
+**最后更新**：2026年4月24日  
+**负责人**：陈琳（文档专家）  
+**技术方案**：诸葛亮（架构师）  
+**适用范围**：HIS 系统所有项目

docs/specs/commit-template.md

@@ -0,0 +1,135 @@
+# 代码提交变更说明模板
+
+## 📝 PR/Commit 模板
+
+### 标题格式
+```
+<类型>(<模块>): <简短描述>
+
+示例：
+feat(patient): 添加患者基本信息编辑功能
+fix(doctor): 修复医生排班显示异常问题
+docs(api): 更新预约挂号接口文档
+refactor(nurse): 重构护士站护理记录组件
+```
+
+### 正文模板
+```markdown
+## 🔍 变更背景
+- **问题描述**：详细说明要解决的问题或实现的需求
+- **影响范围**：列出受影响的模块、页面、功能
+- **相关链接**：禅道任务ID、需求文档链接等
+
+## 🛠️ 变更内容
+- **主要修改**：核心代码变更点
+- **技术方案**：采用的技术方案和设计思路
+- **兼容性**：是否涉及API或数据结构变更
+
+
+## 🗄️ 数据库变更
+- **表结构变更**：列出新增/修改的表和字段
+- **数据迁移**：是否需要数据迁移脚本
+- **回滚方案**：数据库变更的回滚策略
+
+## ✅ 验证情况
+- **测试覆盖**：单元测试、集成测试覆盖情况
+- **手动验证**：手动测试的场景和结果
+- **构建验证**：本地构建截图（必填）
+
+## 📋 检查清单
+- [ ] 代码已通过 ESLint 检查
+- [ ] 本地构建成功（附截图）
+- [ ] 核心功能已测试验证
+- [ ] 文档已同步更新
+- [ ] Code Review 已完成
+
+## 👥 相关人员
+- **开发者**：@开发者姓名
+- **测试者**：@测试者姓名  
+- **审核人**：@架构师姓名
+```
+
+## 🏷️ 提交类型说明
+
+| 类型 | 说明 | 示例 |
+|------|------|------|
+| feat | 新功能 | `feat: 添加用户登录功能` |
+| fix | Bug修复 | `fix: 修复表单验证错误` |
+| docs | 文档更新 | `docs: 更新API文档` |
+| style | 代码格式调整 | `style: 格式化代码` |
+| refactor | 代码重构 | `refactor: 重构组件结构` |
+| test | 测试相关 | `test: 添加单元测试` |
+| chore | 构建/依赖等 | `chore: 升级依赖版本` |
+| perf | 性能优化 | `perf: 优化列表加载速度` |
+
+## 📁 模块命名规范
+
+| 模块 | 说明 |
+|------|------|
+| patient | 患者管理相关 |
+| doctor | 医生工作站相关 |
+| nurse | 护士站相关 |
+| admin | 后台管理相关 |
+| common | 公共组件/工具 |
+| api | API接口相关 |
+| auth | 认证授权相关 |
+| payment | 支付相关 |
+
+## 🖼️ 构建验证截图要求
+
+### 必须包含的信息
+1. **终端窗口**：显示 `npm run build:prod` 命令执行过程
+2. **成功标识**：明确显示构建成功的提示信息
+3. **时间戳**：截图包含当前时间，证明是最新构建
+4. **分支信息**：显示当前工作分支名称
+
+### 截图示例
+```
+$ git checkout feature/patient-edit
+$ npm run build:prod
+
+> his-system@1.0.0 build
+> vue-cli-service build
+
+⠇  Building for production...
+
+ DONE  Build complete. The dist directory is ready to be deployed.
+ INFO  Check out deployment instructions at https://cli.vuejs.org/guide/deployment.html
+                                  
+✨  Done in 45.23s.
+```
+
+## ⚠️ 禁止行为
+
+### 严重违规（直接拒绝合并）
+- 无构建验证截图
+- 代码存在 ESLint 错误
+- 未填写变更说明
+- 修改无关代码文件
+
+### 轻微违规（要求修正后重新提交）
+- 描述过于简单
+- 测试覆盖不完整
+- 文档更新滞后
+- 格式不符合规范
+
+## 💡 最佳实践
+
+### 高质量提交特征
+- **原子性**：每次提交只解决一个问题
+- **可追溯**：关联具体的需求或Bug ID
+- **可验证**：提供完整的验证证据
+- **可理解**：描述清晰，他人能快速理解
+
+### 团队协作建议
+- 提交前先在本地完整测试
+- 复杂变更提前与团队沟通
+- 及时更新相关文档
+- 主动帮助新人熟悉规范
+
+---
+
+**文档版本**：v1.0  
+**最后更新**：2026年4月24日  
+**负责人**：陈琳（文档专家）  
+**适用范围**：HIS 系统所有开发人员

docs/specs/frontend-checklist.md

@@ -0,0 +1,102 @@
+# 前端发布前检查清单
+
+## 📋 基础检查项
+
+### 代码质量
+- [ ] 代码已通过 ESLint 检查，无警告和错误
+- [ ] 代码已通过 Prettier 格式化
+- [ ] 无 console.log() 等调试代码残留
+- [ ] 变量命名符合规范，语义清晰
+- [ ] 函数职责单一，复杂度适中
+
+### 构建验证
+- [ ] 本地执行 `npm run build:prod` 成功完成
+- [ ] 构建产物无报错，体积合理
+- [ ] 静态资源路径正确，无404错误
+- [ ] 环境变量配置正确（开发/测试/生产）
+
+### 功能验证
+- [ ] 核心功能流程完整测试通过
+- [ ] 边界条件和异常场景已覆盖
+- [ ] 表单验证逻辑正确
+- [ ] API 接口调用正常，错误处理完善
+- [ ] 路由跳转逻辑正确
+
+## 🔧 技术检查项
+
+### 模块导入检查
+- [ ] 所有 import 语句引用的模块实际存在
+- [ ] 无未使用的 import 导入
+- [ ] 路径别名（@/）配置正确
+- [ ] 第三方库版本兼容性确认
+
+### 性能优化
+- [ ] 组件按需加载（懒加载）已配置
+- [ ] 大数据列表已实现虚拟滚动或分页
+- [ ] 图片资源已压缩，格式合适
+- [ ] 无内存泄漏风险（事件监听器、定时器等）
+
+### 安全检查
+- [ ] 用户输入已做 XSS 防护
+- [ ] 敏感信息不在前端硬编码
+- [ ] API 请求已做 CSRF 防护
+- [ ] 权限控制逻辑正确
+
+## 🌐 兼容性检查
+
+### 浏览器兼容
+- [ ] 主流浏览器（Chrome、Firefox、Safari、Edge）显示正常
+- [ ] 移动端适配良好（如适用）
+- [ ] 分辨率适配（1366x768、1920x1080等）
+
+### 设备兼容
+- [ ] 触摸设备操作体验良好
+- [ ] 键盘导航支持完整
+- [ ] 屏幕阅读器兼容性（无障碍）
+
+## 📱 发布准备
+
+### 文档更新
+- [ ] 相关 API 文档已同步更新
+- [ ] 用户操作手册已更新（如适用）
+- [ ] 变更日志已记录
+
+### 回滚预案
+- [ ] 回滚方案已准备
+- [ ] 数据兼容性已确认
+- [ ] 紧急联系人已明确
+
+
+## 🔧 后端检查项
+
+### 编译验证
+- [ ] Maven编译成功（`mvn clean package -DskipTests`）
+- [ ] 无编译错误，仅有可接受的警告
+- [ ] 依赖版本兼容性确认
+
+### 数据库脚本
+- [ ] DDL/DML脚本语法正确
+- [ ] 回滚脚本已准备
+- [ ] 数据迁移脚本已测试
+
+## 🔄 前后端协同
+
+### 接口兼容性
+- [ ] API接口契约变更已双方确认
+- [ ] 前端调用后端接口正常
+- [ ] 错误码处理逻辑一致
+
+## ✅ 最终确认
+
+### 发布前最后检查
+- [ ] 本地构建截图已附在 PR 中
+- [ ] 测试环境部署验证通过
+- [ ] Code Review 已完成并获得批准
+- [ ] 相关 Bug 已关闭或延期说明
+
+---
+
+**文档版本**：v1.0  
+**最后更新**：2026年4月24日  
+**负责人**：陈琳（文档专家）  
+**适用范围**：HIS 系统所有前端项目

docs/specs/his-release-checklist-v1.0.md

@@ -0,0 +1,575 @@
+# HIS项目发布检查清单 v1.0
+
+> **文档说明**：本清单整合了提交规范、前端检查、后端检查、CI/CD门禁四个部分，作为HIS项目发布的标准化检查依据。每次发布前必须逐项确认。
+
+## 目录
+- [1. 提交规范（commit-template）](#1-提交规范commit-template)
+- [2. 前端检查（frontend-checklist）](#2-前端检查frontend-checklist)
+- [3. 后端检查（backend-checklist）](#3-后端检查backend-checklist)
+- [4. CI/CD门禁（cicd-gatekeeper）](#4-cicd门禁cicd-gatekeeper)
+- [5. 发布确认与回滚预案](#5-发布确认与回滚预案)
+
+---
+
+## 1. 提交规范（commit-template）
+
+### 📝 PR/Commit 模板
+
+#### 标题格式
+```
+<类型>(<模块>): <简短描述>
+
+示例：
+feat(patient): 添加患者基本信息编辑功能
+fix(doctor): 修复医生排班显示异常问题
+docs(api): 更新预约挂号接口文档
+refactor(nurse): 重构护士站护理记录组件
+```
+
+#### 正文模板
+```markdown
+## 🔍 变更背景
+- **问题描述**：详细说明要解决的问题或实现的需求
+- **影响范围**：列出受影响的模块、页面、功能
+- **相关链接**：禅道任务ID、需求文档链接等
+
+## 🛠️ 变更内容
+- **主要修改**：核心代码变更点
+- **技术方案**：采用的技术方案和设计思路
+- **兼容性**：是否涉及API或数据结构变更
+
+## 🗄️ 数据库变更
+- **表结构变更**：列出新增/修改的表和字段
+- **数据迁移**：是否需要数据迁移脚本
+- **回滚方案**：数据库变更的回滚策略
+
+## ✅ 验证情况
+- **测试覆盖**：单元测试、集成测试覆盖情况
+- **手动验证**：手动测试的场景和结果
+- **构建验证**：本地构建截图（必填）
+
+## 📋 检查清单
+- [ ] 代码已通过 ESLint 检查
+- [ ] 本地构建成功（附截图）
+- [ ] 核心功能已测试验证
+- [ ] 文档已同步更新
+- [ ] Code Review 已完成
+
+## 👥 相关人员
+- **开发者**：@开发者姓名
+- **测试者**：@测试者姓名  
+- **审核人**：@架构师姓名
+```
+
+### 🏷️ 提交类型说明
+
+| 类型 | 说明 | 示例 |
+|------|------|------|
+| feat | 新功能 | `feat: 添加用户登录功能` |
+| fix | Bug修复 | `fix: 修复表单验证错误` |
+| docs | 文档更新 | `docs: 更新API文档` |
+| style | 代码格式调整 | `style: 格式化代码` |
+| refactor | 代码重构 | `refactor: 重构组件结构` |
+| test | 测试相关 | `test: 添加单元测试` |
+| chore | 构建/依赖等 | `chore: 升级依赖版本` |
+| perf | 性能优化 | `perf: 优化列表加载速度` |
+
+### 📁 模块命名规范
+
+| 模块 | 说明 |
+|------|------|
+| patient | 患者管理相关 |
+| doctor | 医生工作站相关 |
+| nurse | 护士站相关 |
+| admin | 后台管理相关 |
+| common | 公共组件/工具 |
+| api | API接口相关 |
+| auth | 认证授权相关 |
+| payment | 支付相关 |
+
+### 🖼️ 构建验证截图要求
+
+#### 必须包含的信息
+1. **终端窗口**：显示 `npm run build:prod` 命令执行过程
+2. **成功标识**：明确显示构建成功的提示信息
+3. **时间戳**：截图包含当前时间，证明是最新构建
+4. **分支信息**：显示当前工作分支名称
+
+### ⚠️ 禁止行为
+
+#### 严重违规（直接拒绝合并）
+- 无构建验证截图
+- 代码存在 ESLint 错误
+- 未填写变更说明
+- 修改无关代码文件
+
+---
+
+## 2. 前端检查（frontend-checklist）
+
+### 📋 基础检查项
+
+#### 代码质量
+- [ ] 代码已通过 ESLint 检查，无警告和错误
+- [ ] 代码已通过 Prettier 格式化
+- [ ] 无 console.log() 等调试代码残留
+- [ ] 变量命名符合规范，语义清晰
+- [ ] 函数职责单一，复杂度适中
+
+#### 构建验证
+- [ ] 本地执行 `npm run build:prod` 成功完成
+- [ ] 构建产物无报错，体积合理
+- [ ] 静态资源路径正确，无404错误
+- [ ] 环境变量配置正确（开发/测试/生产）
+
+#### 功能验证
+- [ ] 核心功能流程完整测试通过
+- [ ] 边界条件和异常场景已覆盖
+- [ ] 表单验证逻辑正确
+- [ ] API 接口调用正常，错误处理完善
+- [ ] 路由跳转逻辑正确
+
+### 🔧 技术检查项
+
+#### 模块导入检查
+- [ ] 所有 import 语句引用的模块实际存在
+- [ ] 无未使用的 import 导入
+- [ ] 路径别名（@/）配置正确
+- [ ] 第三方库版本兼容性确认
+
+#### 性能优化
+- [ ] 组件按需加载（懒加载）已配置
+- [ ] 大数据列表已实现虚拟滚动或分页
+- [ ] 图片资源已压缩，格式合适
+- [ ] 无内存泄漏风险（事件监听器、定时器等）
+
+#### 安全检查
+- [ ] 用户输入已做 XSS 防护
+- [ ] 敏感信息不在前端硬编码
+- [ ] API 请求已做 CSRF 防护
+- [ ] 权限控制逻辑正确
+
+### 🌐 兼容性检查
+
+#### 浏览器兼容
+- [ ] 主流浏览器（Chrome、Firefox、Safari、Edge）显示正常
+- [ ] 移动端适配良好（如适用）
+- [ ] 分辨率适配（1366x768、1920x1080等）
+
+#### 设备兼容
+- [ ] 触摸设备操作体验良好
+- [ ] 键盘导航支持完整
+- [ ] 屏幕阅读器兼容性（无障碍）
+
+### 📱 发布准备
+
+#### 文档更新
+- [ ] 相关 API 文档已同步更新
+- [ ] 用户操作手册已更新（如适用）
+- [ ] 变更日志已记录
+
+#### 回滚预案
+- [ ] 回滚方案已准备
+- [ ] 数据兼容性已确认
+- [ ] 紧急联系人已明确
+
+### ✅ 最终确认
+
+#### 发布前最后检查
+- [ ] 本地构建截图已附在 PR 中
+- [ ] 测试环境部署验证通过
+- [ ] Code Review 已完成并获得批准
+- [ ] 相关 Bug 已关闭或延期说明
+
+---
+
+## 3. 后端检查（backend-checklist）
+
+### 📋 基础检查项
+
+#### Maven编译验证
+- [ ] 本地执行 `mvn compile` 编译通过，无ERROR
+- [ ] 执行 `mvn package -DskipTests` 打包成功
+- [ ] 依赖版本无冲突（`mvn dependency:tree` 检查）
+- [ ] 无编译警告（或已有书面说明可忽略）
+
+#### 构建产物验证
+- [ ] JAR/WAR包生成完整，大小合理
+- [ ] `application.yml` 等配置文件已打包进产物
+- [ ] 第三方依赖jar包完整（lib目录无缺失）
+
+### 🔧 Spring Boot 配置检查
+
+#### 多环境配置
+- [ ] `application-dev.yml`（开发）配置正确
+- [ ] `application-test.yml`（测试）配置正确
+- [ ] `application-prod.yml`（生产）配置正确
+- [ ] 启动参数 `--spring.profiles.active` 指定正确环境
+- [ ] 生产环境未启用devtools热部署
+
+#### Actuator安全
+- [ ] 生产环境 `/actuator` 端点已禁用或限制访问
+- [ ] `/actuator/env`、`/actuator/heapdump` 等敏感端点已关闭
+- [ ] 健康检查端点 `/actuator/health` 返回信息已脱敏
+
+#### 启动校验
+- [ ] 数据库连接池配置合理（HikariCP最大/最小连接数）
+- [ ] Redis/消息中间件连接配置正确
+- [ ] 启动日志无ERROR级别异常
+
+### 🗄️ MyBatis Plus 规范检查
+
+#### 实体-表映射
+- [ ] 所有实体类标注 `@TableName`，表名与实际一致
+- [ ] 主键字段标注 `@TableId(type = IdType.AUTO)` 或对应策略
+- [ ] 非表字段标注 `@TableField(exist = false)`
+- [ ] 字段命名符合下划线转驼峰规则
+
+#### SQL安全
+- [ ] 所有查询使用参数化查询（`QueryWrapper` / `LambdaQueryWrapper`）
+- [ ] 禁止字符串拼接SQL（`"WHERE name = '" + name + "'"`）
+- [ ] 批量操作使用MyBatis Plus `saveBatch` / `updateBatchById`
+- [ ] 复杂SQL使用XML映射，避免注解内嵌长SQL
+
+#### 事务管理
+- [ ] 涉及多表写操作的方法标注 `@Transactional`
+- [ ] 事务边界合理，不包含外部HTTP调用
+- [ ] 异常回滚配置正确（`rollbackFor = Exception.class`）
+- [ ] 事务方法未被同一类内方法直接调用（自调用失效问题）
+
+#### 分页插件
+- [ ] `PaginationInnerInterceptor` 已正确配置
+- [ ] 分页查询使用 `Page<T>` 对象，非手动limit/offset
+
+### 🔌 RESTful API 设计检查
+
+#### 统一返回格式
+- [ ] 所有接口返回 `{code, msg, data}` 统一结构
+- [ ] 成功返回 `code=200`，业务错误使用自定义错误码
+- [ ] 异常通过 `@ControllerAdvice` + `@ExceptionHandler` 统一处理
+
+#### HTTP状态码
+- [ ] 资源创建返回 `201 Created`
+- [ ] 资源删除返回 `204 No Content`
+- [ ] 参数校验失败返回 `400 Bad Request`
+- [ ] 未认证返回 `401 Unauthorized`
+- [ ] 无权限返回 `403 Forbidden`
+- [ ] 资源不存在返回 `404 Not Found`
+
+#### 参数校验
+- [ ] 请求参数使用 `@Valid` / `@Validated` 注解校验
+- [ ] 必填字段标注 `@NotBlank` / `@NotNull`
+- [ ] 数值范围标注 `@Min` / `@Max`
+- [ ] 格式校验使用 `@Pattern`（如手机号、身份证号）
+- [ ] 校验失败返回明确错误信息（非500堆栈）
+
+#### API版本管理
+- [ ] 接口路径包含版本号（`/api/v1/`、`/api/v2/`）
+- [ ] 废弃接口标注 `@Deprecated`，并在文档中说明
+- [ ] 不兼容变更必须升级版本号
+
+### 🔒 安全与合规检查
+
+#### 数据脱敏
+- [ ] 患者身份证号在日志中脱敏（`***` 掩码）
+- [ ] 患者手机号在日志中脱敏（前3后4，中间`****`）
+- [ ] 敏感字段序列化时使用 `@JsonSerialize` 自定义脱敏器
+- [ ] 接口返回中非必需字段不暴露（如密码、salt）
+
+#### 权限控制
+- [ ] 所有涉及患者数据的接口标注 `@PreAuthorize`
+- [ ] 数据级权限校验（医生只能访问本科室患者）
+- [ ] 越权访问返回 `403`，非 `404` 或 `500`
+- [ ] 敏感操作（删除、修改诊断）需二次确认或额外权限
+
+#### 审计日志
+- [ ] 处方修改记录操作人、时间、变更内容
+- [ ] 病历删除操作记录完整审计链
+- [ ] 审计日志独立存储，不可被业务用户删除
+- [ ] 关键业务操作记录IP地址和操作终端
+
+### ⚡ 性能检查
+
+#### 数据库查询
+- [ ] 无N+1查询问题（使用 `JOIN` 或批量查询）
+- [ ] 大表查询必须有分页限制
+- [ ] 慢查询已优化（执行时间 < 500ms）
+- [ ] 索引已覆盖高频查询条件
+
+#### 接口性能
+- [ ] 核心接口响应时间 < 1秒
+- [ ] 列表接口支持分页，无全量返回
+- [ ] 大文件下载使用流式传输，非全量加载到内存
+
+### 📝 文档与发布准备
+
+#### 文档更新
+- [ ] API接口文档已同步更新（路径、参数、返回值）
+- [ ] 数据库变更脚本已提供（DDL/DML）
+- [ ] 配置变更说明已记录（新增/修改的配置项）
+- [ ] 影响范围说明已明确（哪些模块、哪些接口受影响）
+
+#### 回滚预案
+- [ ] 数据库变更可回滚（提供反向SQL脚本）
+- [ ] 配置变更可快速回退
+- [ ] 紧急回滚流程已明确（谁、怎么做、多长时间）
+- [ ] 回滚后数据一致性已验证
+
+### ✅ 最终确认
+
+#### 发布前最后检查
+- [ ] `mvn compile` 构建成功（附终端截图）
+- [ ] 关键单元测试通过
+- [ ] 测试环境部署验证通过
+- [ ] Code Review 已完成并获得批准
+- [ ] 相关Bug已关闭或延期说明
+
+---
+
+## 4. CI/CD门禁（cicd-gatekeeper）
+
+### 🎯 规范目标
+
+建立自动化质量门禁，确保每次代码提交都经过严格验证，防止低质量代码进入主干分支，提升系统稳定性和开发效率。
+
+### 🔒 门禁层级
+
+#### 1. 提交前门禁（Pre-commit）
+**触发时机**：`git commit` 执行前  
+**验证内容**：
+- ESLint 代码规范检查
+- Prettier 代码格式化
+- 简单的单元测试（快速执行）
+
+**工具配置**：
+- Husky + lint-staged
+- 配置文件：`.husky/pre-commit`
+
+#### 2. 推送前门禁（Pre-push）
+**触发时机**：`git push` 执行前  
+**验证内容**：
+- 完整的单元测试套件
+- 构建验证（`npm run build:prod`）
+- 集成测试（核心流程）
+
+**工具配置**：
+- Husky pre-push hook
+- 配置文件：`.husky/pre-push`
+
+#### 3. CI流水线门禁（CI Pipeline）
+**触发时机**：代码推送到远程仓库后  
+**验证内容**：
+- 完整的测试套件（单元+集成+端到端）
+- 代码覆盖率检查（分阶段目标：Q1≥30%，Q2≥50%，Q3≥80%）
+- 安全扫描（SAST）
+- 构建产物验证
+- 部署到测试环境
+
+**工具配置**：
+- Spug CI/CD 流水线
+- Gitea Webhook 触发
+
+#### 4. 发布前门禁（Release Gate）
+**触发时机**：准备发布到生产环境前  
+**验证内容**：
+- 生产环境冒烟测试
+- 性能基准测试
+- 安全合规检查
+- 回滚预案验证
+
+### ⚙️ 具体配置要求
+
+#### ESLint 配置
+```javascript
+// eslint.config.js 关键配置
+import globals from "globals";
+import pluginVue from "eslint-plugin-vue";
+import parserVue from "vue-eslint-parser";
+import importPlugin from "eslint-plugin-import";
+
+export default [
+  {
+    name: "app/files-to-lint",
+    files: ["**/*.{js,mjs,jsx,vue}"],
+  },
+
+  {
+    name: "app/files-to-ignore",
+    ignores: ["**/dist/**", "**/node_modules/**", "**/help-center/**"],
+  },
+
+  ...pluginVue.configs["flat/recommended"],
+  
+  {
+    languageOptions: {
+      globals: {
+        ...globals.browser,
+        ...globals.node,
+      },
+      parser: parserVue,
+      ecmaVersion: "latest",
+      sourceType: "module",
+    },
+    
+    plugins: {
+      import: importPlugin,
+    },
+    
+    rules: {
+      // 确保导入的模块实际存在（核心规则，防止构建失败）
+      "import/no-unresolved": "error",
+      // 确保导入的命名导出实际存在
+      "import/named": "error",
+      // 确保默认导出存在
+      "import/default": "error",
+      // 确保命名空间导出存在
+      "import/namespace": "error",
+    },
+  },
+];
+```
+
+#### Java 后端配置
+```xml
+<!-- pom.xml 关键插件 -->
+<plugin>
+  <groupId>org.apache.maven.plugins</groupId>
+  <artifactId>maven-compiler-plugin</artifactId>
+  <version>3.8.1</version>
+</plugin>
+<plugin>
+  <groupId>com.github.spotbugs</groupId>
+  <artifactId>spotbugs-maven-plugin</artifactId>
+  <version>4.2.0</version>
+</plugin>
+```
+
+#### 数据库迁移配置
+```yaml
+# application.yml Flyway配置
+flyway:
+  enabled: true
+  locations: classpath:db/migration
+  baseline-on-migrate: true
+```
+
+#### Husky 配置
+```bash
+# .husky/pre-commit
+#!/bin/sh
+npm run lint-staged
+
+# .husky/pre-push  
+#!/bin/sh
+npm run test:unit && npm run build:prod
+```
+
+#### lint-staged 配置
+```json
+// package.json
+{
+  "lint-staged": {
+    "*.{js,vue}": ["eslint --fix", "prettier --write"],
+    "*.{css,scss}": ["stylelint --fix", "prettier --write"]
+  }
+}
+```
+
+### 🚫 失败处理机制
+
+#### 自动处理
+- **构建失败**：自动阻止 PR 合并
+- **测试失败**：标记 PR 为失败状态
+- **安全漏洞**：立即通知安全团队
+
+#### 人工处理
+- **紧急修复**：可申请临时绕过（需架构师批准）
+- **误报处理**：提交豁免申请并说明原因
+- **规则调整**：通过 RFC 流程申请规则变更
+
+### 📊 监控与度量
+
+#### 关键指标
+- 门禁通过率 ≥ 95%
+- 平均修复时间 ≤ 2小时
+- 误报率 ≤ 5%
+
+#### 报告机制
+- 每日门禁失败统计
+- 周度质量趋势报告
+- 月度规则优化建议
+
+### 🔄 持续改进
+
+#### 规则演进
+- 每月评审门禁规则有效性
+- 根据项目需求调整检查强度
+- 引入新的质量检查工具
+
+#### 团队培训
+- 新成员入职培训包含门禁规范
+- 定期分享最佳实践案例
+- 建立常见问题解决方案库
+
+---
+
+## 5. 发布确认与回滚预案
+
+### 📋 发布前最终确认清单
+
+#### 前端确认
+- [ ] 本地构建成功（`npm run build:prod`）
+- [ ] 核心功能流程测试通过
+- [ ] 模块导入检查通过（无import错误）
+- [ ] 兼容性测试完成
+
+#### 后端确认
+- [ ] Maven编译成功（`mvn compile`）
+- [ ] 单元测试通过
+- [ ] 数据库脚本验证通过
+- [ ] API接口测试通过
+
+#### 协同确认
+- [ ] 前后端接口契约一致
+- [ ] 联调测试通过
+- [ ] Code Review 已完成
+- [ ] 测试环境部署验证通过
+
+### 🚨 回滚预案
+
+#### 触发条件
+- [ ] 生产环境出现严重Bug
+- [ ] 性能严重下降
+- [ ] 数据一致性问题
+- [ ] 安全漏洞暴露
+
+#### 回滚步骤
+1. **立即停止**：暂停新流量进入
+2. **版本回退**：部署上一个稳定版本
+3. **数据回滚**：执行数据库回滚脚本（如有）
+4. **验证恢复**：确认系统功能正常
+5. **问题分析**：记录根本原因和改进措施
+
+#### 责任分工
+- **技术负责人**：执行回滚操作
+- **测试负责人**：验证回滚后功能
+- **项目经理**：协调沟通和进度同步
+- **运维团队**：监控系统状态
+
+### 📞 紧急联系人
+
+| 角色 | 姓名 | 联系方式 | 职责 |
+|------|------|----------|------|
+| 技术负责人 | 诸葛亮 | @诸葛亮 | 架构决策和技术指导 |
+| 前端负责人 | 赵云 | @赵云 | 前端问题处理 |
+| 后端负责人 | 关羽 | @关羽 | 后端问题处理 |
+| 测试负责人 | 张飞 | @张飞 | 质量验证和问题复现 |
+| 项目经理 | 刘备 | @刘备 | 项目协调和进度管理 |
+| 文档负责人 | 陈琳 | @陈琳 | 文档维护和知识沉淀 |
+
+---
+
+**文档版本**：v1.0  
+**最后更新**：2026年4月25日  
+**负责人**：陈琳（文档专家）  
+**适用范围**：HIS 系统所有开发人员

docs/specs/playwright-e2e-testing-plan.md

@@ -0,0 +1,214 @@
+# HIS项目 Playwright E2E 自动化测试方案 v1.0
+
+## 一、方案概述
+
+### 1.1 选型理由
+- **Playwright** 是微软开源的端到端测试框架，完美适配 Vue 3 + Vite 技术栈
+- 自动等待机制适合HIS系统复杂交互场景（异步加载、动态渲染）
+- 支持多浏览器（Chromium/Firefox/WebKit），CI/CD集成成熟
+- 已有 `@playwright/test ^1.58.2` 依赖 installed
+
+### 1.2 目标
+1. 核心业务流程自动化覆盖率达到 80%+
+2. 已修复Bug 100% 回归测试覆盖
+3. 每次代码推送自动触发测试，失败阻断发布
+
+## 二、项目结构
+
+```
+openhis-ui-vue3/
+├── tests/
+│   ├── e2e/
+│   │   ├── fixtures/          # 测试夹具
+│   │   │   └── auth.ts        # 登录认证fixture
+│   │   ├── pages/             # 页面对象模型（POM）
+│   │   │   ├── LoginPage.ts
+│   │   │   ├── DoctorStationPage.ts
+│   │   │   └── SurgeryBillingPage.ts
+│   │   ├── specs/             # 测试用例
+│   │   │   ├── login.spec.ts
+│   │   │   ├── doctor-station.spec.ts
+│   │   │   ├── surgery-billing.spec.ts
+│   │   │   └── bug-regression.spec.ts  # Bug回归测试
+│   │   └── utils/
+│   │       └── test-data.ts   # 测试数据
+│   └── playwright.config.ts   # Playwright配置
+├── .env.test                  # 测试环境变量
+└── package.json               # 已有playwright依赖
+```
+
+## 三、环境配置
+
+### 3.1 环境变量（.env.test）
+```bash
+# 测试环境配置
+VITE_APP_BASE_API=http://192.168.110.253:8080
+TEST_USERNAME=test_admin
+TEST_PASSWORD=test123456
+TEST_BASE_URL=http://localhost:80
+```
+
+### 3.2 Playwright配置（playwright.config.ts）
+```typescript
+import { defineConfig, devices } from '@playwright/test';
+
+export default defineConfig({
+  testDir: './tests/e2e/specs',
+  timeout: 60 * 1000,
+  expect: { timeout: 10000 },
+  fullyParallel: false,
+  forbidOnly: !!process.env.CI,
+  retries: process.env.CI ? 2 : 0,
+  workers: 1,
+  reporter: [['html', { outputFolder: 'playwright-report' }], ['list']],
+  use: {
+    baseURL: process.env.TEST_BASE_URL || 'http://localhost:80',
+    trace: 'on-first-retry',
+    screenshot: 'only-on-failure',
+    video: 'retain-on-failure',
+  },
+  projects: [
+    { name: 'chromium', use: { ...devices['Desktop Chrome'] } },
+  ],
+});
+```
+
+## 四、核心测试用例
+
+### 4.1 登录测试（login.spec.ts）
+```typescript
+import { test, expect } from '@playwright/test';
+
+test('用户登录成功', async ({ page }) => {
+  await page.goto('/');
+  await page.fill('input[placeholder="请输入用户名"]', process.env.TEST_USERNAME || 'admin');
+  await page.fill('input[placeholder="请输入密码"]', process.env.TEST_PASSWORD || '123456');
+  await page.click('button:has-text("登录")');
+  await expect(page).toHaveURL(/.*dashboard.*/);
+  await expect(page.locator('.user-avatar')).toBeVisible();
+});
+
+test('登录失败-错误密码', async ({ page }) => {
+  await page.goto('/');
+  await page.fill('input[placeholder="请输入用户名"]', 'admin');
+  await page.fill('input[placeholder="请输入密码"]', 'wrongpassword');
+  await page.click('button:has-text("登录")');
+  await expect(page.locator('.el-message--error')).toBeVisible();
+});
+```
+
+### 4.2 门诊医生站测试（doctor-station.spec.ts）
+```typescript
+import { test, expect } from '@playwright/test';
+
+test.describe('门诊医生站', () => {
+  test.beforeEach(async ({ page }) => {
+    // 登录
+    await page.goto('/');
+    await page.fill('input[placeholder="请输入用户名"]', process.env.TEST_USERNAME || 'admin');
+    await page.fill('input[placeholder="请输入密码"]', process.env.TEST_PASSWORD || '123456');
+    await page.click('button:has-text("登录")');
+    await page.waitForURL(/.*dashboard.*/);
+  });
+
+  test('#427 检查项目分类手风琴展开', async ({ page }) => {
+    await page.goto('/doctorstation');
+    // 点击第一个分类
+    await page.click('.category-item >> nth=0');
+    await expect(page.locator('.category-content >> nth=0')).toBeVisible();
+    // 点击第二个分类，第一个应收起
+    await page.click('.category-item >> nth=1');
+    await expect(page.locator('.category-content >> nth=0')).not.toBeVisible();
+    await expect(page.locator('.category-content >> nth=1')).toBeVisible();
+  });
+});
+```
+
+### 4.3 手术计费回归测试（bug-regression.spec.ts）
+```typescript
+import { test, expect } from '@playwright/test';
+
+test.describe('Bug回归测试', () => {
+  test('#437 手术计费防重复提交', async ({ page }) => {
+    // 登录并导航到手术计费
+    await page.goto('/');
+    await page.fill('input[placeholder="请输入用户名"]', process.env.TEST_USERNAME || 'admin');
+    await page.fill('input[placeholder="请输入密码"]', process.env.TEST_PASSWORD || '123456');
+    await page.click('button:has-text("登录")');
+    await page.waitForURL(/.*dashboard.*/);
+    await page.goto('/surgery-billing');
+
+    // 快速连续点击新增按钮（测试防重复锁）
+    const addBtn = page.locator('button:has-text("新增")');
+    await addBtn.click();
+    await addBtn.click(); // 第二次应被阻止
+    await addBtn.click(); // 第三次应被阻止
+
+    // 验证只弹出一个表单
+    await expect(page.locator('.el-dialog')).toHaveCount(1);
+  });
+});
+```
+
+## 五、执行命令
+
+```bash
+# 安装浏览器
+npx playwright install chromium
+
+# 运行所有测试
+npm run test:e2e
+
+# 运行单个测试文件
+npx playwright test login.spec.ts
+
+# 生成HTML报告
+npx playwright show-report
+
+# UI模式（调试用）
+npx playwright test --ui
+```
+
+## 六、CI/CD集成
+
+### 6.1 package.json脚本
+```json
+{
+  "scripts": {
+    "test:e2e": "playwright test",
+    "test:e2e:ui": "playwright test --ui",
+    "test:e2e:report": "playwright show-report"
+  }
+}
+```
+
+### 6.2 Spug流水线集成
+```yaml
+# Spug 构建后阶段添加
+- name: E2E Testing
+  script: |
+    cd openhis-ui-vue3
+    npx playwright install --with-deps chromium
+    npm run test:e2e -- --reporter=html
+    # 测试失败则阻断发布
+    if [ $? -ne 0 ]; then
+      echo "E2E测试失败，阻断发布！"
+      exit 1
+    fi
+```
+
+## 七、实施计划
+
+| 阶段 | 时间 | 内容 | 负责人 |
+|------|------|------|--------|
+| Phase 1 | 第1周 | 登录+核心页面冒烟测试 | 张飞+赵云 |
+| Phase 2 | 第2-3周 | 门诊医生站+手术计费全流程 | 张飞 |
+| Phase 3 | 第4周 | Bug回归测试全覆盖 | 张飞 |
+| Phase 4 | 第5周 | CI/CD流水线集成 | 赵云+运维 |
+
+## 八、注意事项
+
+1. **测试数据隔离**：使用独立的测试数据库，不污染生产数据
+2. **环境变量**：敏感信息通过 `.env.test` 管理，不提交到git
+3. **截图留痕**：失败时自动截图，便于排查
+4. **测试优先**：新功能开发时同步编写测试用例

gitea_test_huatuo.txt

@@ -0,0 +1 @@
+华佗 Gitea 提交测试成功 - Wed Apr 15 10:21:10 AM CST 2026

gitea_test_xunyu.txt

@@ -0,0 +1 @@
+荀彧 Gitea 提交测试成功 - Tue Apr 14 11:06:47 PM CST 2026

openhis-server-new/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/CurrentDayEncounterDto.java

@@ -153,4 +153,21 @@ public class CurrentDayEncounterDto {
      */
     private Boolean isFromAppointment;
 
+    /**
+     * 号源槽位ID（关联 adm_schedule_slot.id）
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long slotId;
+
+    /**
+     * 号源池ID（关联 adm_schedule_pool.id）
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long poolId;
+
+    /**
+     * 诊室名称（Bug #410：分诊队列需显示诊室而非科室）
+     */
+    private String clinicRoom;
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/appservice/impl/CheckMethodAppServiceImpl.java

@@ -4,8 +4,11 @@ import cn.hutool.core.util.ObjectUtil;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.domain.R;
 import com.openhis.check.domain.CheckMethod;
+import com.openhis.check.domain.CheckPackage;
 import com.openhis.check.service.ICheckMethodService;
+import com.openhis.check.service.ICheckPackageService;
 import com.openhis.web.check.appservice.ICheckMethodAppService;
+import com.openhis.web.check.dto.CheckMethodDto;
 import com.openhis.web.reportmanage.utils.ExcelFillerUtil;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
@@ -16,6 +19,7 @@ import java.io.IOException;
 import java.util.LinkedHashMap;
 import java.util.List;
 import java.util.Map;
+import java.util.stream.Collectors;
 
 @Service
 @Slf4j
@@ -24,10 +28,15 @@ public class CheckMethodAppServiceImpl implements ICheckMethodAppService {
     @Resource
     private ICheckMethodService checkMethodService;
 
+    @Resource
+    private ICheckPackageService checkPackageService;  // Bug #384修复：注入套餐服务
+
     @Override
     public R<?> getCheckMethodList() {
         List<CheckMethod> list = checkMethodService.list();
-        return R.ok(list);
+        // Bug #384修复：转换为DTO并关联套餐价格
+        List<CheckMethodDto> dtoList = convertToDtoWithPackagePrice(list);
+        return R.ok(dtoList);
     }
 
     @Override
@@ -43,7 +52,67 @@ public class CheckMethodAppServiceImpl implements ICheckMethodAppService {
             wrapper.eq(CheckMethod::getPackageName, packageName);
         }
         List<CheckMethod> list = checkMethodService.list(wrapper);
-        return R.ok(list);
+        // Bug #384修复：转换为DTO并关联套餐价格
+        List<CheckMethodDto> dtoList = convertToDtoWithPackagePrice(list);
+        return R.ok(dtoList);
+    }
+
+    /**
+     * Bug #384修复：转换CheckMethod为DTO，并通过packageName关联查询套餐价格
+     * @param methods 检查方法列表
+     * @return 包含套餐价格的DTO列表
+     */
+    private List<CheckMethodDto> convertToDtoWithPackagePrice(List<CheckMethod> methods) {
+        if (methods == null || methods.isEmpty()) {
+            return List.of();
+        }
+
+        // 获取所有packageName，批量查询套餐
+        List<String> packageNames = methods.stream()
+                .map(CheckMethod::getPackageName)
+                .filter(ObjectUtil::isNotEmpty)
+                .distinct()
+                .collect(Collectors.toList());
+
+        // Bug #384修复: 批量查询套餐信息，使用final变量
+        final Map<String, CheckPackage> packageMap;
+        if (!packageNames.isEmpty()) {
+            List<CheckPackage> packages = checkPackageService.list(
+                    new LambdaQueryWrapper<CheckPackage>()
+                            .in(CheckPackage::getPackageName, packageNames)
+                            .eq(CheckPackage::getIsDisabled, 0)  // 只查未停用的套餐
+            );
+            packageMap = packages.stream()
+                    .collect(Collectors.toMap(CheckPackage::getPackageName, p -> p, (p1, p2) -> p1));
+        } else {
+            packageMap = Map.of();
+        }
+
+        // 转换为DTO并填充价格
+        return methods.stream().map(m -> {
+            CheckMethodDto dto = new CheckMethodDto();
+            dto.setId(m.getId() != null ? m.getId().longValue() : null);
+            dto.setCheckType(m.getCheckType());
+            dto.setCode(m.getCode());
+            dto.setName(m.getName());
+            dto.setPackageName(m.getPackageName());
+            dto.setExposureNum(m.getExposureNum());
+            dto.setOrderNum(m.getOrderNum());
+            dto.setRemark(m.getRemark());
+            dto.setCreateTime(m.getCreateTime());
+            dto.setUpdateTime(m.getUpdateTime());
+
+            // 通过packageName匹配套餐价格
+            if (ObjectUtil.isNotEmpty(m.getPackageName())) {
+                CheckPackage pkg = packageMap.get(m.getPackageName());
+                if (pkg != null) {
+                    dto.setPackagePrice(pkg.getPackagePrice());
+                    dto.setServiceFee(pkg.getServiceFee());
+                }
+            }
+
+            return dto;
+        }).collect(Collectors.toList());
     }
 
     @Override

openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/controller/ExamApplyController.java

@@ -5,9 +5,12 @@ import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.controller.BaseController;
 import com.core.common.core.domain.AjaxResult;
 import com.core.common.core.page.TableDataInfo;
+import com.core.common.exception.ServiceException;
 import com.core.common.utils.AssignSeqUtil;
 import com.core.common.utils.SecurityUtils;
+import com.openhis.administration.domain.Account;
 import com.openhis.administration.domain.ChargeItem;
+import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.service.IChargeItemService;
 import com.openhis.check.domain.ExamApply;
 import com.openhis.check.domain.ExamApplyItem;
@@ -17,7 +20,10 @@ import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.enums.AssignSeqEnum;
 import com.openhis.common.enums.ChargeItemStatus;
 import com.openhis.common.enums.GenerateSource;
+import com.openhis.common.enums.ItemType;
 import com.openhis.common.enums.RequestStatus;
+import com.openhis.administration.domain.Organization;
+import com.openhis.administration.service.IOrganizationService;
 import com.openhis.web.check.dto.ExamApplyDto;
 import com.openhis.web.check.dto.ExamApplyItemDto;
 import com.openhis.workflow.domain.ServiceRequest;
@@ -57,17 +63,41 @@ public class ExamApplyController extends BaseController {
     @Autowired
     private IChargeItemService chargeItemService;
 
+    @Autowired
+    private IAccountService accountService;
+
     @Autowired
     private AssignSeqUtil assignSeqUtil;
+    @Autowired
+    private IOrganizationService organizationService;
 
     /**
      * 查询检查申请单列表
      */
     @GetMapping("/list")
-    public TableDataInfo list(ExamApply examApply) {
+    public TableDataInfo list(ExamApply examApply, @RequestParam(value = "encounterId", required = false) Long encounterId) {
         startPage();
         LambdaQueryWrapper<ExamApply> wrapper = new LambdaQueryWrapper<>();
-        if (examApply.getVisitNo() != null) {
+
+        // 优先按本次就诊 encounterId 过滤（通过 wor_service_request 关联）
+        if (encounterId != null) {
+            List<ServiceRequest> reqList = serviceRequestService.list(new LambdaQueryWrapper<ServiceRequest>()
+                .eq(ServiceRequest::getEncounterId, encounterId)
+                .eq(ServiceRequest::getBasedOnTable, "exam_apply")
+                .isNotNull(ServiceRequest::getBasedOnId)
+            );
+            List<Long> basedOnIds = reqList.stream()
+                .map(ServiceRequest::getBasedOnId)
+                .filter(java.util.Objects::nonNull)
+                .distinct()
+                .toList();
+            // 没有本次就诊的检查申请单时，直接返回空列表
+            if (basedOnIds.isEmpty()) {
+                return getDataTable(java.util.Collections.emptyList());
+            }
+            wrapper.in(ExamApply::getId, basedOnIds);
+        } else if (examApply.getVisitNo() != null) {
+            // 兼容旧逻辑：按 visitNo 查询（可能包含历史记录）
             wrapper.eq(ExamApply::getVisitNo, examApply.getVisitNo());
         }
         wrapper.orderByDesc(ExamApply::getApplyTime);
@@ -147,6 +177,8 @@ public class ExamApplyController extends BaseController {
             examApply.setOperatorId("system");
         }
         examApplyService.save(examApply);
+        // 业务主键为 apply_no，自增 id 不会随 save 回填；列表接口依赖 wor_service_request.based_on_id=exam_apply.id 关联本次就诊，此处必须回读 id
+        examApply = examApplyService.getById(applyNo);
 
         // ========== 2. 批量保存明细 + 写入门诊医嘱 + 写入费用项 ==========
         if (dto.getItems() != null && !dto.getItems().isEmpty()) {
@@ -191,6 +223,9 @@ public class ExamApplyController extends BaseController {
 
                 // 检查申请不走诊疗定义，设置为0占位（数据库有NOT NULL约束）
                 serviceRequest.setActivityId(0L);
+                // 🔧 Bug Fix: 设置医嘱类型为诊疗(3)，与检验申请保持一致
+                // categoryEnum=3 → SQL查询返回 adviceType=3（诊疗），避免被错误归类为药品
+                serviceRequest.setCategoryEnum(ItemType.ACTIVITY.getValue());
 
                 // 患者和就诊信息 —— 使用前端传递的数字型ID
                 if (dto.getPatientIdNum() != null) {
@@ -201,8 +236,19 @@ public class ExamApplyController extends BaseController {
                 }
 
                 serviceRequest.setRequesterId(currentUserId); // 开单医生
-                serviceRequest.setOrgId(currentOrgId); // 执行科室
+                // 53d15f8079d15ba4Ff1a4f1851484f7f7528524d7aef4f20516576846267884c79d15ba44ee37801Ff0c542652194f7f75285f53524d7528623779d15ba4
+                Long performDeptId = currentOrgId;
+                if (dto.getPerformDeptCode() != null && !dto.getPerformDeptCode().isEmpty()) {
+                    Organization performDept = organizationService.getOne(
+                        new LambdaQueryWrapper<Organization>().eq(Organization::getBusNo, dto.getPerformDeptCode()).last("limit 1"));
+                    if (performDept != null) {
+                        performDeptId = performDept.getId();
+                    }
+                }
+                serviceRequest.setOrgId(performDeptId); // 6267884c79d15ba4
                 serviceRequest.setAuthoredTime(now); // 签发时间
+                // 🔧 Bug Fix: 不设置门诊类型，保留上面已设置的 categoryEnum=3（诊疗类型）
+                // EncounterClass.AMB.getValue()=2 表示门诊类型，会覆盖诊疗类型导致医嘱被错误归类
                 serviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue()); // 来源=医生开立
 
                 // 将项目名称存入 contentJson，使医嘱列表能通过 JSON 字段回显 adviceName
@@ -243,10 +289,17 @@ public class ExamApplyController extends BaseController {
                 chargeItem.setRequestingOrgId(currentOrgId); // 开立科室
                 chargeItem.setEnteredDate(now); // 开立时间
 
-                // 以下字段均有 NOT NULL 约束，检查申请不走定价/账户体系，用0占位
+                // 以下字段均有 NOT NULL 约束，检查申请不走定价体系，用0占位
                 chargeItem.setDefinitionId(0L); // 费用定价ID
-                chargeItem.setAccountId(0L); // 关联账户ID
+                // 🔧 BugFix#385: 获取患者真实的自费账户，预结算验证要求accountId必须真实存在
-                chargeItem.setContextEnum(2); // 类型：2=诊疗
+                Account selfAccount = accountService.getSelfAccount(dto.getEncounterId());
+                if (selfAccount == null) {
+                    throw new ServiceException("患者自费账户不存在，无法创建检查收费项，encounterId=" + dto.getEncounterId());
+                }
+                chargeItem.setAccountId(selfAccount.getId());
+                // 🔧 BugFix#385: 使用 ItemType.ACTIVITY.getValue()=3 表示诊疗，而不是硬编码的2
+                // ItemType 枚举定义：MEDICINE=1, DEVICE=2(耗材), ACTIVITY=3(诊疗)
+                chargeItem.setContextEnum(ItemType.ACTIVITY.getValue()); // 类型：3=诊疗
                 chargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION); // 产品来源表
                 chargeItem.setProductId(0L); // 产品ID
 
@@ -368,6 +421,9 @@ public class ExamApplyController extends BaseController {
                 serviceRequest.setBasedOnTable("exam_apply");
                 serviceRequest.setBasedOnId(examApply.getId());
                 serviceRequest.setActivityId(0L);
+                // 🔧 Bug Fix: 设置医嘱类型为诊疗(3)，与检验申请保持一致
+                // categoryEnum=3 → SQL查询返回 adviceType=3（诊疗），避免被错误归类为药品
+                serviceRequest.setCategoryEnum(ItemType.ACTIVITY.getValue());
 
                 if (dto.getPatientIdNum() != null) {
                     serviceRequest.setPatientId(dto.getPatientIdNum());
@@ -376,8 +432,19 @@ public class ExamApplyController extends BaseController {
                     serviceRequest.setEncounterId(dto.getEncounterId());
                 }
                 serviceRequest.setRequesterId(currentUserId);
-                serviceRequest.setOrgId(currentOrgId);
+                // 53d15f8079d15ba4Ff1a4f1851484f7f7528524d7aef4f20516576846267884c79d15ba44ee37801Ff0c542652194f7f75285f53524d7528623779d15ba4
+                Long performDeptId2 = currentOrgId;
+                if (dto.getPerformDeptCode() != null && !dto.getPerformDeptCode().isEmpty()) {
+                    Organization performDept2 = organizationService.getOne(
+                        new LambdaQueryWrapper<Organization>().eq(Organization::getBusNo, dto.getPerformDeptCode()).last("limit 1"));
+                    if (performDept2 != null) {
+                        performDeptId2 = performDept2.getId();
+                    }
+                }
+                serviceRequest.setOrgId(performDeptId2); // 6267884c79d15ba4
                 serviceRequest.setAuthoredTime(now);
+                // 🔧 Bug Fix: 不设置门诊类型，保留上面已设置的 categoryEnum=3（诊疗类型）
+                // EncounterClass.AMB.getValue()=2 表示门诊类型，会覆盖诊疗类型导致医嘱被错误归类
                 serviceRequest.setGenerateSourceEnum(GenerateSource.DOCTOR_PRESCRIPTION.getValue());
 
                 // 将项目名称存入 contentJson，使医嘱列表能通过 JSON 字段回显 adviceName
@@ -412,8 +479,14 @@ public class ExamApplyController extends BaseController {
                 chargeItem.setRequestingOrgId(currentOrgId);
                 chargeItem.setEnteredDate(now);
                 chargeItem.setDefinitionId(0L);
-                chargeItem.setAccountId(0L);
+                // 🔧 BugFix#385: 获取患者真实的自费账户，预结算验证要求accountId必须真实存在
-                chargeItem.setContextEnum(2);
+                Account selfAccount = accountService.getSelfAccount(dto.getEncounterId());
+                if (selfAccount == null) {
+                    throw new ServiceException("患者自费账户不存在，无法创建检查收费项，encounterId=" + dto.getEncounterId());
+                }
+                chargeItem.setAccountId(selfAccount.getId());
+                // 🔧 BugFix#385: 使用 ItemType.ACTIVITY.getValue()=3 表示诊疗
+                chargeItem.setContextEnum(ItemType.ACTIVITY.getValue());
                 chargeItem.setProductTable(CommonConstants.TableName.WOR_ACTIVITY_DEFINITION);
                 chargeItem.setProductId(0L);
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/check/dto/CheckMethodDto.java

@@ -1,12 +1,15 @@
 package com.openhis.web.check.dto;
 
-import com.baomidou.mybatisplus.annotation.IdType;
-import com.baomidou.mybatisplus.annotation.TableId;
 import lombok.Data;
 import lombok.experimental.Accessors;
 
+import java.math.BigDecimal;
 import java.time.LocalDateTime;
 
+/**
+ * 检查方法DTO - Bug #384修复：增加套餐价格字段
+ * 用于API返回数据传输，不含数据库注解
+ */
 @Data
 @Accessors(chain = true)
 public class CheckMethodDto {
@@ -14,7 +17,6 @@ public class CheckMethodDto {
     /**
      * 检查方法ID
      */
-    @TableId(type = IdType.AUTO)
     private Long id;
 
     /* 检查类型 */
@@ -29,6 +31,12 @@ public class CheckMethodDto {
     /* 套餐名称 */
     private String packageName;
 
+    /* 套餐价格 - Bug #384修复：通过packageName匹配CheckPackage获取 */
+    private BigDecimal packagePrice;
+
+    /* 服务费 - Bug #384修复：通过packageName匹配CheckPackage获取 */
+    private BigDecimal serviceFee;
+
     /* 曝光次数 */
     private Integer exposureNum;
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/clinicalmanage/appservice/impl/SurgicalScheduleAppServiceImpl.java

@@ -136,9 +136,11 @@ public class SurgicalScheduleAppServiceImpl implements ISurgicalScheduleAppServi
             }
         }
 
-        LoginUser loginUser = new LoginUser();
+        // Bug #432 修复：获取当前登录用户信息，增加null校验防止NPE
-        //获取当前登录用户信息
+        LoginUser loginUser = SecurityUtils.getLoginUser();
-        loginUser = SecurityUtils.getLoginUser();
+        if (loginUser == null) {
+            return R.fail("用户未登录或登录已过期");
+        }
         // 当前登录用户ID
         Long userId = loginUser.getUserId();
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/consultation/appservice/impl/ConsultationAppServiceImpl.java

@@ -1395,9 +1395,17 @@ public class ConsultationAppServiceImpl implements IConsultationAppService {
             }
 
             // 4. 更新邀请记录（存储会诊意见）
-            // 直接存储用户输入的原始意见内容，不添加医师姓名前缀
+            // Bug #388：格式化存储，确保回显时参加医师和意见完整
-            invited.setInvitedStatus(ConsultationStatusEnum.CONFIRMED.getCode()); // 已确认
+            invited.setInvitedStatus(ConsultationStatusEnum.CONFIRMED.getCode());
-            invited.setConfirmOpinion(dto.getConsultationOpinion());  // 直接存储原始意见，不添加前缀
+
+            String deptName = StringUtils.hasText(dto.getConfirmingDeptName())
+                ? dto.getConfirmingDeptName() : invited.getInvitedDepartmentName();
+            String physician = StringUtils.hasText(dto.getConfirmingPhysician())
+                ? dto.getConfirmingPhysician() : currentPhysicianName;
+
+            // 格式：科室-参加医师：意见内容
+            String formattedOpinion = String.format("%s-%s：%s", deptName, physician, dto.getConsultationOpinion());
+            invited.setConfirmOpinion(formattedOpinion);
             invited.setConfirmTime(new Date());
             consultationInvitedMapper.updateById(invited);
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/datadictionary/controller/DeviceManageController.java

@@ -19,7 +19,7 @@ import java.util.List;
  * TODO:器材目录
  *
  * @author lpt
- * @date 2025-02-20
+ * @date 2025-02-20。
  */
 @RestController
 @RequestMapping("/data-dictionary/device")

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

@@ -116,4 +116,12 @@ public interface IDoctorStationAdviceAppService {
      * @return 检查url相关参数
      */
     R<?> getTestResult(Long encounterId);
+
+    /**
+     * 获取当前科室已配置的药品类别列表
+     *
+     * @param organizationId 科室id
+     * @return 已配置的药品类别编码列表
+     */
+    R<?> getConfiguredCategories(Long organizationId);
 }

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

@@ -22,6 +22,8 @@ import com.openhis.administration.domain.Encounter;
 import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.service.IChargeItemService;
 import com.openhis.administration.service.IEncounterService;
+import com.openhis.administration.service.IEncounterDiagnosisService;
+import com.openhis.administration.domain.EncounterDiagnosis;
 import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.constant.PromptMsgConstant;
 import com.openhis.common.enums.*;
@@ -115,6 +117,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
     @Resource
     IEncounterService iEncounterService;
 
+    @Resource
+    IEncounterDiagnosisService iEncounterDiagnosisService;
+
     @Resource
     IInventoryItemService inventoryItemService;
 
@@ -155,6 +160,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         String safePricingFlag = pricingFlag != null ? pricingFlag.toString() : "";
         String safePageNo = pageNo != null ? pageNo.toString() : "";
         String safePageSize = pageSize != null ? pageSize.toString() : "";
+        String safeCategoryCode = categoryCode != null ? categoryCode : "";
 
         // 设置默认科室：仅当前端/调用方未传 organizationId 时才回退到登录人科室
         // 否则会导致门诊划价等场景（按患者挂号科室查询）返回空
@@ -169,7 +175,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         String cacheKey = null;
         if (useCache) {
             // 生成缓存 key：无搜索关键字时按科室缓存
-            cacheKey = ADVICE_BASE_INFO_CACHE_PREFIX + organizationId + ":" + safeAdviceTypesStr + ":" + safePageNo + ":" + safePageSize;
+            cacheKey = ADVICE_BASE_INFO_CACHE_PREFIX + organizationId + ":" + safeAdviceTypesStr + ":" + safeCategoryCode + ":" + safePageNo + ":" + safePageSize;
             
             // 先清除可能存在的无效缓存（JSONObject类型）
             if (redisCache.hasKey(cacheKey)) {
@@ -281,6 +287,8 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         }
         String unitCode = ""; // 包装单位
         Long chargeItemDefinitionId; // 费用定价主表ID
+        // 检查是否有取药科室配置（用于药品类型）
+        boolean hasPharmacyConfig = medLocationConfig != null && !medLocationConfig.isEmpty();
         for (AdviceBaseDto baseDto : adviceBaseDtoList) {
             String tableName = baseDto.getAdviceTableName();
             if (CommonConstants.TableName.MED_MEDICATION_DEFINITION.equals(tableName)) { // 药品
@@ -290,6 +298,9 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 // 是否为注射药物
                 baseDto.setInjectFlag_enumText(EnumUtils.getInfoByValue(Whether.class, baseDto.getInjectFlag()));
                 
+                // 设置是否缺少取药科室配置标志
+                baseDto.setPharmacyConfigMissing(!hasPharmacyConfig);
+
                 // fallthrough to 耗材处理逻辑（保持原有逻辑）
                 // 每一条医嘱的库存集合信息 , 包装单位库存前端计算
                 List<AdviceInventoryDto> inventoryList = adviceInventory
@@ -600,26 +611,24 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 }
             }
             
-            // 药品（前端adviceType=1=西药, 2=中成药 → 都属于药品后端分类）
+            // 按后端 ItemType 枚举标准分类：
+            // MEDICINE=1（药品）、DEVICE=2（耗材）、ACTIVITY=3（诊疗）、SURGERY=6（手术）
+
+            // 药品分类：adviceType == 1
             List<AdviceSaveDto> medicineList = adviceSaveList.stream()
-                    .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())
+                    .filter(e -> e.getAdviceType() != null && e.getAdviceType() == ItemType.MEDICINE.getValue())
-                            || e.getAdviceType() == 1
-                            || e.getAdviceType() == 2) // 前端中成药类型值为2 → 也属于药品分类
-                    .collect(Collectors.toList());
-            // 耗材（前端adviceType=4，后端ItemType.DEVICE=2）
-            List<AdviceSaveDto> deviceList = adviceSaveList.stream()
-                    .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType())
-                            || e.getAdviceType() == 4) // 前端耗材类型值为4
                     .collect(Collectors.toList());
 
-            // 诊疗活动（前端adviceType=3诊疗、adviceType=5会诊、adviceType=6手术、adviceType=23检查 → 都属于诊疗后端分类）
+            // 耗材分类：adviceType == 2
+            List<AdviceSaveDto> deviceList = adviceSaveList.stream()
+                    .filter(e -> e.getAdviceType() != null && e.getAdviceType() == ItemType.DEVICE.getValue())
+                    .collect(Collectors.toList());
+
+            // 诊疗分类：adviceType == 3
             List<AdviceSaveDto> activityList = adviceSaveList.stream()
-                    .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
+                    .filter(e -> e.getAdviceType() != null
-                            || e.getAdviceType() == 3  // 前端诊疗类型值为3
+                            && (e.getAdviceType() == ItemType.ACTIVITY.getValue()
-                            || e.getAdviceType() == 5   // 前端会诊类型值为5
+                                || e.getAdviceType() == ItemType.SURGERY.getValue()))  // 手术(6)也走诊疗流程
-                            || e.getAdviceType() == 6   // 前端手术类型值为6
-                            || e.getAdviceType() == 23  // 前端检查类型值为23
-                            || ItemType.SURGERY.getValue().equals(e.getAdviceType())) // 后端手术类型值为6
                     .collect(Collectors.toList());
             
             // 🔍 Debug日志日志: 记录分类结果
@@ -796,12 +805,71 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 // 就诊id
                 Long encounterId = adviceSaveList.get(0).getEncounterId();
 
-                // 使用安全的更新方法，避免并发冲突 - 更新费用项状态
+                // 🔧 BugFix#385: 签发时更新诊疗医嘱关联的费用项诊断信息
+                // 检查申请创建的费用项没有诊断关联，需要在签发时补充
+                if (!activityList.isEmpty()) {
+                    // 先从就诊中获取主诊断，用于补充没有诊断关联的费用项
+                    List<EncounterDiagnosis> encounterDiagList = iEncounterDiagnosisService.getDiagnosisList(encounterId);
+                    EncounterDiagnosis mainDiagnosis = iEncounterDiagnosisService.getMainDiagnosis(encounterDiagList);
+                    Long mainConditionId = mainDiagnosis != null ? mainDiagnosis.getConditionId() : null;
+                    Long mainEncounterDiagId = mainDiagnosis != null ? mainDiagnosis.getId() : null;
+
+                    log.info("BugFix#385: 签发时获取就诊主诊断, encounterId={}, mainConditionId={}, mainEncounterDiagId={}",
+                            encounterId, mainConditionId, mainEncounterDiagId);
+
+                    for (AdviceSaveDto adviceDto : activityList) {
+                        if (adviceDto.getRequestId() != null) {
+                            // 查询诊疗医嘱关联的费用项
+                            List<ChargeItem> chargeItems = iChargeItemService.getChargeItemInfoByReqId(
+                                    Arrays.asList(adviceDto.getRequestId()));
+                            if (chargeItems != null && !chargeItems.isEmpty()) {
+                                // 过滤只保留诊疗类型的费用项
+                                ChargeItem chargeItem = chargeItems.stream()
+                                        .filter(ci -> CommonConstants.TableName.WOR_SERVICE_REQUEST.equals(ci.getServiceTable()))
+                                        .findFirst().orElse(null);
+                                if (chargeItem != null) {
+                                    // 🔧 BugFix#385: 如果费用项没有诊断关联，使用主诊断补充
+                                    Long conditionId = adviceDto.getConditionId();
+                                    Long encounterDiagId = adviceDto.getEncounterDiagnosisId();
+
+                                    // 如果传入的诊断为空，使用主诊断
+                                    if (conditionId == null) {
+                                        conditionId = mainConditionId;
+                                    }
+                                    if (encounterDiagId == null) {
+                                        encounterDiagId = mainEncounterDiagId;
+                                    }
+
+                                    // 更新诊断关联
+                                    if (conditionId != null || encounterDiagId != null) {
+                                        chargeItem.setConditionId(conditionId);
+                                        chargeItem.setEncounterDiagnosisId(encounterDiagId);
+                                        iChargeItemService.updateById(chargeItem);
+                                        log.info("BugFix#385: 签发时更新诊疗费用项诊断关联, chargeItemId={}, conditionId={}, encounterDiagnosisId={}",
+                                                chargeItem.getId(), conditionId, encounterDiagId);
+                                    }
+                                }
+                            }
+                        }
+                    }
+                }
+
+                // 🔧 BugFix#385: 使用安全的更新方法，避免并发冲突 - 更新费用项状态
+                // 需要处理两种情况：
+                // 1. 从 DRAFT (0) → PLANNED (1)：新创建的收费项目
+                // 2. 从 BILLABLE (2) → PLANNED (1)：保存时已设为待结算的项目
                 iChargeItemService.updateChargeStatusByConditionSafe(
                     encounterId,
                     ChargeItemStatus.DRAFT.getValue(),
                     ChargeItemStatus.PLANNED.getValue(),
                     requestIds);
+
+                // 🔧 BugFix#385: 同时处理 BILLABLE 状态的收费项目
+                iChargeItemService.updateChargeStatusByConditionSafe(
+                    encounterId,
+                    ChargeItemStatus.BILLABLE.getValue(),
+                    ChargeItemStatus.PLANNED.getValue(),
+                    requestIds);
             }
 
             // 数据变更后清理相关缓存
@@ -935,12 +1003,26 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         insertOrUpdateList = uniqueInsertOrUpdateList;
 
         for (AdviceSaveDto adviceSaveDto : insertOrUpdateList) {
-            // 🔧 Bug Fix: 确保accountId不为null，与handleBoundDevices保持一致
+            // 🔧 Bug Fix: 确保accountId有效（不为null且账户存在）
+            boolean needNewAccount = false;
             if (adviceSaveDto.getAccountId() == null) {
+                needNewAccount = true;
+            } else {
+                // 验证账户是否存在且有效（未被删除，租户匹配）
+                Account existingAccount = iAccountService.getById(adviceSaveDto.getAccountId());
+                if (existingAccount == null) {
+                    log.warn("handMedication - 前端传入的accountId无效（账户不存在），accountId={}，将重新获取或创建账户",
+                            adviceSaveDto.getAccountId());
+                    needNewAccount = true;
+                }
+            }
+
+            if (needNewAccount) {
                 // 尝试从患者就诊中获取默认账户ID（自费账户）
                 Account selfAccount = iAccountService.getSelfAccount(adviceSaveDto.getEncounterId());
                 if (selfAccount != null) {
                     adviceSaveDto.setAccountId(selfAccount.getId());
+                    log.info("handMedication - 使用现有自费账户，accountId={}", selfAccount.getId());
                 } else {
                     // 自动创建自费账户
                     Account newAccount = new Account();
@@ -954,6 +1036,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     newAccount.setName(AccountType.PERSONAL_CASH_ACCOUNT.getInfo());
                     Long newAccountId = iAccountService.saveAccountByRegister(newAccount);
                     adviceSaveDto.setAccountId(newAccountId);
+                    log.info("handMedication - 自动创建自费账户，newAccountId={}", newAccountId);
                 }
             }
             
@@ -1061,7 +1144,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
                 chargeItem.setQuantityValue(adviceSaveDto.getQuantity()); // 数量
                 chargeItem.setQuantityUnit(adviceSaveDto.getUnitCode()); // 单位
-                chargeItem.setUnitPrice(adviceSaveDto.getUnitPrice()); // 单价
+                // #415 价格非负验证
+                BigDecimal unitPrice = adviceSaveDto.getUnitPrice();
+                if (unitPrice != null && unitPrice.compareTo(BigDecimal.ZERO) < 0) {
+                    unitPrice = unitPrice.abs(); // 负数取绝对值
+                }
+                chargeItem.setUnitPrice(unitPrice); // 单价
                 chargeItem.setTotalPrice(adviceSaveDto.getTotalPrice()); // 总价
 
                 // 显式设置tenantId、createBy和createTime字段，防止自动填充机制失效
@@ -1344,12 +1432,26 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         log.info("BugFix#219: ========== handDevice END ==========");
 
         for (AdviceSaveDto adviceSaveDto : insertOrUpdateList) {
-            // 🔧 Bug Fix: 确保accountId不为null
+            // 🔧 Bug Fix: 确保accountId有效（不为null且账户存在）
+            boolean needNewAccount = false;
             if (adviceSaveDto.getAccountId() == null) {
+                needNewAccount = true;
+            } else {
+                // 验证账户是否存在且有效（未被删除，租户匹配）
+                Account existingAccount = iAccountService.getById(adviceSaveDto.getAccountId());
+                if (existingAccount == null) {
+                    log.warn("handDevice - 前端传入的accountId无效（账户不存在），accountId={}，将重新获取或创建账户",
+                            adviceSaveDto.getAccountId());
+                    needNewAccount = true;
+                }
+            }
+
+            if (needNewAccount) {
                 // 尝试从患者就诊中获取默认账户ID（自费账户）
                 Account selfAccount = iAccountService.getSelfAccount(adviceSaveDto.getEncounterId());
                 if (selfAccount != null) {
                     adviceSaveDto.setAccountId(selfAccount.getId());
+                    log.info("handDevice - 使用现有自费账户，accountId={}", selfAccount.getId());
                 } else {
                     // 自动创建自费账户
                     Account newAccount = new Account();
@@ -1363,6 +1465,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     newAccount.setName(AccountType.PERSONAL_CASH_ACCOUNT.getInfo());
                     Long newAccountId = iAccountService.saveAccountByRegister(newAccount);
                     adviceSaveDto.setAccountId(newAccountId);
+                    log.info("handDevice - 自动创建自费账户，newAccountId={}", newAccountId);
                 }
             }
 
@@ -1518,7 +1621,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
 
                 chargeItem.setQuantityValue(adviceSaveDto.getQuantity()); // 数量
                 chargeItem.setQuantityUnit(adviceSaveDto.getUnitCode()); // 单位
-                chargeItem.setUnitPrice(adviceSaveDto.getUnitPrice()); // 单价
+                // #415 价格非负验证
+                BigDecimal unitPrice = adviceSaveDto.getUnitPrice();
+                if (unitPrice != null && unitPrice.compareTo(BigDecimal.ZERO) < 0) {
+                    unitPrice = unitPrice.abs(); // 负数取绝对值
+                }
+                chargeItem.setUnitPrice(unitPrice); // 单价
                 chargeItem.setTotalPrice(adviceSaveDto.getTotalPrice()); // 总价
 
                 // 显式设置审计字段，防止自动填充机制失效
@@ -1600,12 +1708,26 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         }
 
         for (AdviceSaveDto adviceSaveDto : insertOrUpdateList) {
-            // 🔧 Bug Fix: 确保accountId不为null
+            // 🔧 Bug Fix: 确保accountId有效（不为null且账户存在）
+            boolean needNewAccount = false;
             if (adviceSaveDto.getAccountId() == null) {
+                needNewAccount = true;
+            } else {
+                // 验证账户是否存在且有效（未被删除，租户匹配）
+                Account existingAccount = iAccountService.getById(adviceSaveDto.getAccountId());
+                if (existingAccount == null) {
+                    log.warn("handService - 前端传入的accountId无效（账户不存在），accountId={}，将重新获取或创建账户",
+                            adviceSaveDto.getAccountId());
+                    needNewAccount = true;
+                }
+            }
+
+            if (needNewAccount) {
                 // 尝试从患者就诊中获取默认账户ID（自费账户）
                 Account selfAccount = iAccountService.getSelfAccount(adviceSaveDto.getEncounterId());
                 if (selfAccount != null) {
                     adviceSaveDto.setAccountId(selfAccount.getId());
+                    log.info("handService - 使用现有自费账户，accountId={}", selfAccount.getId());
                 } else {
                     // 自动创建自费账户
                     Account newAccount = new Account();
@@ -1619,6 +1741,7 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                     newAccount.setName(AccountType.PERSONAL_CASH_ACCOUNT.getInfo());
                     Long newAccountId = iAccountService.saveAccountByRegister(newAccount);
                     adviceSaveDto.setAccountId(newAccountId);
+                    log.info("handService - 自动创建自费账户，newAccountId={}", newAccountId);
                 }
             }
 
@@ -1671,7 +1794,13 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 serviceRequest.setCategoryEnum(adviceSaveDto.getCategoryEnum());
             }
 
-            serviceRequest.setActivityId(adviceSaveDto.getAdviceDefinitionId());// 诊疗定义id
+            // 🔧 BugFix#385: 检查类型(adviceType=2)不走定价体系，activityId设置为0L占位
+            // 与ExamApplyController保持一致，数据库有NOT NULL约束
+            if (adviceSaveDto.getAdviceType() != null && adviceSaveDto.getAdviceType() == 2) {
+                serviceRequest.setActivityId(0L);
+            } else {
+                serviceRequest.setActivityId(adviceSaveDto.getAdviceDefinitionId());// 诊疗定义id
+            }
             serviceRequest.setPatientId(adviceSaveDto.getPatientId()); // 患者
             serviceRequest.setRequesterId(adviceSaveDto.getPractitionerId()); // 开方医生
             serviceRequest.setEncounterId(adviceSaveDto.getEncounterId()); // 就诊id
@@ -1723,7 +1852,12 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
                 chargeItem.setEncounterDiagnosisId(adviceSaveDto.getEncounterDiagnosisId()); // 就诊诊断id
                 chargeItem.setQuantityValue(adviceSaveDto.getQuantity()); // 数量
                 chargeItem.setQuantityUnit(adviceSaveDto.getUnitCode()); // 单位
-                chargeItem.setUnitPrice(adviceSaveDto.getUnitPrice()); // 单价
+                // #415 价格非负验证
+                BigDecimal unitPrice = adviceSaveDto.getUnitPrice();
+                if (unitPrice != null && unitPrice.compareTo(BigDecimal.ZERO) < 0) {
+                    unitPrice = unitPrice.abs(); // 负数取绝对值
+                }
+                chargeItem.setUnitPrice(unitPrice); // 单价
                 chargeItem.setTotalPrice(adviceSaveDto.getTotalPrice()); // 总价
 
                 iChargeItemService.saveOrUpdate(chargeItem);
@@ -2147,4 +2281,23 @@ public class DoctorStationAdviceAppServiceImpl implements IDoctorStationAdviceAp
         return searchKey.matches("[a-zA-Z]+");
     }
 
+    /**
+     * 获取当前科室已配置的药品类别列表
+     *
+     * @param organizationId 科室id
+     * @return 已配置的药品类别编码列表
+     */
+    @Override
+    public R<?> getConfiguredCategories(Long organizationId) {
+        // 查询取药科室配置
+        List<AdviceInventoryDto> medLocationConfig = doctorStationAdviceAppMapper.getMedLocationConfig(organizationId);
+        // 提取不重复的 categoryCode
+        List<String> categoryCodes = medLocationConfig.stream()
+                .map(AdviceInventoryDto::getCategoryCode)
+                .filter(code -> code != null && !code.isEmpty())
+                .distinct()
+                .collect(Collectors.toList());
+        return R.ok(categoryCodes);
+    }
+
 }

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

@@ -220,7 +220,7 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         // 诊断定义集合
         List<SaveDiagnosisChildParam> diagnosisChildList = saveDiagnosisParam.getDiagnosisChildList();
         // 先删除再保存
-        // iEncounterDiagnosisService.deleteEncounterDiagnosisInfos(encounterId);
+        iEncounterDiagnosisService.deleteEncounterDiagnosisInfos(encounterId);
         // 保存诊断管理
         Condition condition;
         for (SaveDiagnosisChildParam saveDiagnosisChildParam : diagnosisChildList) {
@@ -296,7 +296,7 @@ public class DoctorStationDiagnosisAppServiceImpl implements IDoctorStationDiagn
         }
         
         // 先删除再保存
-        // iEncounterDiagnosisService.deleteEncounterDiagnosisInfos(encounterId);
+        iEncounterDiagnosisService.deleteEncounterDiagnosisInfos(encounterId);
 
         // 如果本次保存中有设置主诊断，则先清空该就诊下所有的主诊断标记，确保唯一性
         boolean hasMain = diagnosisChildList.stream().anyMatch(d -> Integer.valueOf(1).equals(d.getMaindiseFlag()));

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

@@ -7,14 +7,17 @@ import com.core.common.utils.SecurityUtils;
 import com.openhis.common.enums.DbOpType;
 import com.openhis.administration.service.IAccountService;
 import com.openhis.administration.domain.Account;
+import com.openhis.administration.service.IChargeItemService;  // Bug #386修复: 添加 ChargeItemService
 import com.openhis.lab.domain.InspectionLabApply;
 import com.openhis.lab.domain.InspectionLabApplyItem;
 import com.openhis.lab.domain.BarCode;
 import com.openhis.lab.domain.InspectionPackage;
+import com.openhis.lab.domain.LabActivityDefinition;
 import com.openhis.lab.service.IInspectionLabApplyItemService;
 import com.openhis.lab.service.IInspectionLabApplyService;
 import com.openhis.lab.service.IInspectionLabBarCodeService;
 import com.openhis.lab.service.IInspectionPackageService;
+import com.openhis.lab.service.ILabActivityDefinitionService;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IServiceRequestService;
 import com.openhis.web.doctorstation.appservice.IDoctorStationAdviceAppService;
@@ -45,6 +48,9 @@ import java.util.Date;
 import java.util.HashMap;
 import java.util.List;
 import java.util.Map;
+import java.util.Set;
+import java.util.stream.Collectors;
+import java.util.function.Function;
 
 /**
  *  根据检验申请单开单信息系统自动插入门诊医嘱表（与检验申请主表申请单号进行关联），
@@ -88,6 +94,14 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
     @Autowired
     private IInspectionPackageService inspectionPackageService;
 
+    // Bug #326: 检验项目定义服务（用于回充时获取套餐信息）
+    @Autowired
+    private ILabActivityDefinitionService labActivityDefinitionService;
+
+    // Bug #386修复: ChargeItemService 用于删除收费项目
+    @Autowired
+    private IChargeItemService chargeItemService;
+
     /**
      * 保存检验申请单信息
      * @param doctorStationLabApplyDto
@@ -160,6 +174,28 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                 InspectionLabApplyItem inspectionLabApplyItem = new InspectionLabApplyItem();
                 BeanUtils.copyProperties(doctorStationLabApplyItemDto, inspectionLabApplyItem);
 
+                // 前端选择检验项目时已携带完整的关联信息（activityId、feePackageId、itemCode等）
+                // Bug #326修复: 只使用 activityId 直接查询，不使用名称反查
+                Long activityId = doctorStationLabApplyItemDto.getActivityId();
+                if (activityId != null) {
+                    // 使用 activityId 直接查询检验项目定义
+                    LabActivityDefinition labActivityDefinition = labActivityDefinitionService.getById(activityId);
+                    if (labActivityDefinition != null && DelFlag.NO.getCode().equals(labActivityDefinition.getDeleteFlag())) {
+                        // 补充编码（如果前端未传或为空）
+                        if (inspectionLabApplyItem.getItemCode() == null || inspectionLabApplyItem.getItemCode().isEmpty()) {
+                            inspectionLabApplyItem.setItemCode(labActivityDefinition.getBusNo());
+                        }
+                        // 补充套餐ID（如果前端未传）
+                        if (inspectionLabApplyItem.getFeePackageId() == null) {
+                            inspectionLabApplyItem.setFeePackageId(labActivityDefinition.getFeePackageId());
+                        }
+                    }
+                } else {
+                    // 没有 activityId 时记录警告，不使用名称反查
+                    log.warn("检验项目 [{}] 未传入 activityId，无法获取完整关联信息",
+                        doctorStationLabApplyItemDto.getItemName());
+                }
+
                 // 后端重新计算金额：金额 = 单价 × 数量
                 java.math.BigDecimal itemPrice = doctorStationLabApplyItemDto.getItemPrice();
                 java.math.BigDecimal itemQty = doctorStationLabApplyItemDto.getItemQty();
@@ -241,13 +277,16 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                 );
                 if (organization != null) {
                     positionId = organization.getId();
+                } else {
+                    // Bug #329: 执行科室代码无法匹配到科室，记录警告日志
+                    log.warn("执行科室代码 [{}] 在科室表中未找到对应记录", performDeptCode);
                 }
+            } else {
+                // Bug #329: 未指定执行科室，记录警告日志
+                log.warn("检验项目 [{}] 未指定执行科室", itemName);
             }
 
-            // 如果没有指定执行科室，使用当前医生所在的科室作为默认执行科室
+            // Bug #329: 移除默认执行科室逻辑，必须由前端明确指定执行科室
-            if (positionId == null) {
-                positionId = SecurityUtils.getDeptId();
-            }
 
             // 4. 创建医嘱保存对象
             AdviceSaveDto adviceSaveDto = new AdviceSaveDto();
@@ -324,7 +363,6 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
                     throw new RuntimeException("套餐项目 '" + itemName + "' 未设置有效价格，请先配置套餐金额");
                 }
                 unitPrice = packageInfo.getPackageAmount();
-                log.info("套餐项目 '{}' 使用套餐价格: {}", itemName, unitPrice);
             } else {
                 // 普通项目：使用前端传入的价格
                 unitPrice = labApplyItemDto.getItemPrice();
@@ -367,30 +405,84 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
      */
     @Override
     public Object getInspectionApplyByApplyNo(String applyNo) {
-        // 查询主表数据
+        // 使用MyBatis-Plus查询主表数据
-        DoctorStationLabApplyDto applyDto = (DoctorStationLabApplyDto) doctorStationLabApplyMapper.getInspectionApplyByApplyNo(applyNo);
+        InspectionLabApply mainEntity = inspectionLabApplyService.getOne(
-        if (applyDto == null) {
+            new QueryWrapper<InspectionLabApply>()
+                .eq("apply_no", applyNo)
+                .eq("delete_flag", DelFlag.NO.getCode())
+        );
+
+        if (mainEntity == null) {
             return null;
         }
 
+        // 使用BeanUtils进行基础字段映射
+        DoctorStationLabApplyDto applyDto = new DoctorStationLabApplyDto();
+        BeanUtils.copyProperties(mainEntity, applyDto);
+        // 由于字段名称映射关系（如 id -> applicationId），需要单独设置
+        applyDto.setApplicationId(mainEntity.getId());
+
         // 查询检验项目明细
         List<InspectionLabApplyItem> itemList = inspectionLabApplyItemService.list(
             new QueryWrapper<InspectionLabApplyItem>()
                 .eq("apply_no", applyNo)
-                .eq("delete_flag", "0")
+                .eq("delete_flag", DelFlag.NO.getCode())
                 .orderByAsc("item_seq")
         );
 
         // 转换为 DTO 列表
         List<DoctorStationLabApplyItemDto> itemDtoList = new ArrayList<>();
         if (itemList != null && !itemList.isEmpty()) {
+            // 提取所有不同的 itemCode，用于批量查询
+            Set<String> itemCodes = itemList.stream()
+                .filter(item -> item.getItemCode() != null && !item.getItemCode().isEmpty())
+                .map(InspectionLabApplyItem::getItemCode)
+                .collect(Collectors.toSet());
+
+            // 批量查询所有关联的检验项目定义（使用MyBatis-Plus）
+            Map<String, LabActivityDefinition> definitionMap = new HashMap<>();
+            if (!itemCodes.isEmpty()) {
+                List<LabActivityDefinition> labActivityDefinitions = labActivityDefinitionService.list(
+                    new QueryWrapper<LabActivityDefinition>()
+                        .in("bus_no", itemCodes)
+                        .eq("delete_flag", DelFlag.NO.getCode())
+                );
+                // 构建 itemCode 到定义的映射
+                definitionMap = labActivityDefinitions.stream()
+                    .collect(Collectors.toMap(LabActivityDefinition::getBusNo, Function.identity()));
+            }
+
+            // 处理每个明细项
             for (InspectionLabApplyItem item : itemList) {
                 DoctorStationLabApplyItemDto itemDto = new DoctorStationLabApplyItemDto();
+                // 使用BeanUtils进行基础字段映射
                 BeanUtils.copyProperties(item, itemDto);
+
+                // feePackageId 在保存时已存储，直接使用
+                itemDto.setFeePackageId(item.getFeePackageId());
+                // 判断是否是套餐项目（根据 feePackageId 是否存在）
+                itemDto.setIsPackage(item.getFeePackageId() != null);
+
+                // 从批量查询结果中获取关联信息
+                if (item.getItemCode() != null && !item.getItemCode().isEmpty()) {
+                    LabActivityDefinition labActivityDefinition = definitionMap.get(item.getItemCode());
+                    if (labActivityDefinition != null) {
+                        itemDto.setActivityId(labActivityDefinition.getId());
+                        itemDto.setSampleType(labActivityDefinition.getSpecimenCode());
+                        itemDto.setUnit(labActivityDefinition.getPermittedUnitCode());
+                        // 补充检验类型ID，用于前端自动设置执行科室
+                        itemDto.setInspectionTypeId(labActivityDefinition.getInspectionTypeId());
+                    }
+                } else {
+                    log.warn("检验项目 [{}] 未存储 itemCode，无法获取完整关联信息", item.getItemName());
+                }
+
                 itemDtoList.add(itemDto);
             }
             // 从第一个明细项获取执行科室代码
-            applyDto.setExecuteDepartment(itemList.get(0).getPerformDeptCode());
+            if (!itemList.isEmpty() && itemList.get(0).getPerformDeptCode() != null) {
+                applyDto.setExecuteDepartment(itemList.get(0).getPerformDeptCode());
+            }
         }
         applyDto.setLabApplyItemList(itemDtoList);
 
@@ -409,8 +501,9 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
         // 使用 PageHelper 进行分页查询
         PageHelper.startPage(pageNo, pageSize);
 
-        // 查询检验申请单列表
+        // 使用MyBatis-Plus查询检验申请单列表
-        log.debug("查询申请单数据前");
+        // 需要关联adm_encounter表，仍使用原Mapper方法或重构为MyBatis-Plus方式
+        // 为保持一致性和考虑到复杂的关联查询，暂时保留原有实现方式
         List<DoctorStationLabApplyDto> list = doctorStationLabApplyMapper.getInspectionApplyListPage(encounterId);
         log.debug("查询申请单数据后");
 
@@ -512,6 +605,12 @@ public class DoctorStationLabApplyServiceImpl implements IDoctorStationInspectio
             if (updateResult) {
                 log.debug("成功将申请单号 [{}] 关联的 {} 条门诊医嘱的删除状态更新为1，更新人：{}，更新时间：{}",
                     applyNo, requestIds.size(), currentUsername, currentTime);
+
+                // Bug #386修复: 同步删除关联的收费项目
+                for (Long requestId : requestIds) {
+                    chargeItemService.deleteByServiceTableAndId("wor_service_request", requestId);
+                }
+                log.debug("成功删除申请单号 [{}] 关联的 {} 条收费项目", applyNo, requestIds.size());
             } else {
                 log.warn("更新申请单号 [{}] 关联的门诊医嘱删除状态失败", applyNo);
             }

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

@@ -147,12 +147,19 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
             return R.fail("已接诊，请勿重复点击，已为您刷新");
         }
 
+        // 允许从「待诊/暂离/诊毕」重新接诊（用于队列弹窗的完诊患者重新进入在诊）
+        Date now = new Date();
         int update = encounterMapper.update(null,
             new LambdaUpdateWrapper<Encounter>().eq(Encounter::getId, encounterId)
-                .eq(Encounter::getStatusEnum, EncounterStatus.PLANNED.getValue()) // 只更新待诊状态的患者
+                .in(Encounter::getStatusEnum,
-                .set(Encounter::getReceptionTime, new Date())
+                    EncounterStatus.PLANNED.getValue(),
+                    EncounterStatus.ON_HOLD.getValue(),
+                    EncounterStatus.DISCHARGED.getValue())
+                .set(Encounter::getReceptionTime, now)
+                .set(Encounter::getEndTime, null)
                 .set(Encounter::getStatusEnum, EncounterStatus.IN_PROGRESS.getValue())
-                .set(Encounter::getSubjectStatusEnum, EncounterSubjectStatus.RECEIVING_CARE.getValue()));
+                .set(Encounter::getSubjectStatusEnum, EncounterSubjectStatus.RECEIVING_CARE.getValue())
+                .set(Encounter::getUpdateTime, now));
 
         // 如果更新失败，说明状态已被其他医生修改
         if (update <= 0) {
@@ -181,7 +188,7 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         encounterParticipant.setCreateTime(new Date());
         iEncounterParticipantService.save(encounterParticipant);
 
-        // 更新 triage_queue_item 队列记录状态为 CALLING
+        // 更新 triage_queue_item 队列记录状态为 IN_CLINIC(诊中)
         try {
             TriageQueueItem queueItem = triageQueueItemService.getOne(
                 new LambdaQueryWrapper<TriageQueueItem>()
@@ -190,10 +197,10 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                     .eq(TriageQueueItem::getDeleteFlag, "0")
             );
             if (queueItem != null) {
-                queueItem.setStatus("CALLING");
+                queueItem.setStatus(20); // 20=IN_CLINIC(诊中)，患者进入诊室接诊
                 queueItem.setUpdateTime(LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS));
                 triageQueueItemService.updateById(queueItem);
-                log.info("接诊时更新队列状态为CALLING，encounterId={}, queueItemId={}", encounterId, queueItem.getId());
+                log.info("接诊时更新队列状态为IN_CLINIC(诊中)，encounterId={}, queueItemId={}", encounterId, queueItem.getId());
             } else {
                 log.warn("接诊时未找到队列记录，encounterId={}", encounterId);
             }
@@ -256,10 +263,13 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         );
 
         // 如果队列项存在，检查状态并更新
-        if (queueItem != null && "CALLING".equals(queueItem.getStatus())) {
+        // 允许从 CALLING(10) 或 IN_CLINIC(20) 完成就诊
+        if (queueItem != null &&
+            (Integer.valueOf(10).equals(queueItem.getStatus()) ||
+             Integer.valueOf(20).equals(queueItem.getStatus()))) {
             // 更新队列状态为已完成
             java.time.LocalDateTime nowLocal = java.time.LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS);
-            queueItem.setStatus("COMPLETED");
+            queueItem.setStatus(30); // 30=COMPLETED(已完成)
             queueItem.setUpdateTime(nowLocal);
             triageQueueItemService.updateById(queueItem);
 
@@ -268,13 +278,15 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
                 Long userId = SecurityUtils.getLoginUser().getUserId();
                 String divLogSql = "INSERT INTO hisdev.div_log "
                         + "(pool_id, slot_id, queue_no, op_user_id, action, create_time) "
-                        + "VALUES (?, ?, ?, ?, 'COMPLETE', NOW()::timestamp(0))";
+                        + "VALUES (?, ?, ?, ?, 30, NOW()::timestamp(0))";
+                //  action=30 表示 COMPLETED(已完成)，与 triage_queue_item.status 数字编码保持一致
+                //  0=WAITING, 10=CALLING, 20=IN_CLINIC, 30=COMPLETED, 40=SKIPPED, 50=REFUNDED, 60=FOLLOW
 
                 jdbcTemplate.update(divLogSql,
-                        queueItem.getOrganizationId(),  // pool_id: 候选池ID（科室）
+                        queueItem.getPoolId(),        // pool_id: 号源池ID（来自 adm_schedule_pool.id）
-                        queueItem.getPractitionerId(),  // slot_id: 槽位ID（医生）
+                        queueItem.getSlotId(),        // slot_id: 号源槽位ID（来自 adm_schedule_slot.id）
-                        queueItem.getQueueOrder(),      // queue_no: 队列号
+                        queueItem.getQueueOrder(),    // queue_no: 队列序号
-                        userId);                        // op_user_id: 操作用户ID
+                        userId);                      // op_user_id: 操作用户ID
             } catch (Exception e) {
                 log.error("写入div_log审计日志失败", e);
                 // 审计日志失败不影响主流程

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

@@ -11,6 +11,7 @@ import com.openhis.common.constant.CommonConstants;
 import com.openhis.common.enums.*;
 import com.openhis.common.utils.EnumUtils;
 import com.openhis.common.utils.HisQueryUtils;
+import com.openhis.web.doctorstation.appservice.IDoctorStationMainAppService;
 import com.openhis.web.doctorstation.appservice.ITodayOutpatientService;
 import com.openhis.web.doctorstation.dto.TodayOutpatientPatientDto;
 import com.openhis.web.doctorstation.dto.TodayOutpatientQueryParam;
@@ -32,6 +33,9 @@ public class TodayOutpatientServiceImpl implements ITodayOutpatientService {
     @Resource
     private TodayOutpatientMapper todayOutpatientMapper;
     
+    @Resource
+    private IDoctorStationMainAppService doctorStationMainAppService;
+    
     @Override
     public TodayOutpatientStatsDto getTodayOutpatientStats(HttpServletRequest request) {
         Long doctorId = SecurityUtils.getLoginUser().getUserId();
@@ -259,22 +263,19 @@ public class TodayOutpatientServiceImpl implements ITodayOutpatientService {
     @Override
     public R<?> receivePatient(Long encounterId, HttpServletRequest request) {
         // 调用现有的接诊逻辑
-        // 这里可以复用 DoctorStationMainAppServiceImpl 中的 receiveEncounter 方法
+        return doctorStationMainAppService.receiveEncounter(encounterId);
-        // 或者直接调用相应的服务
-        
-        return R.ok("接诊成功");
     }
     
     @Override
     public R<?> completeVisit(Long encounterId, HttpServletRequest request) {
         // 调用现有的完诊逻辑
-        return R.ok("就诊完成");
+        return doctorStationMainAppService.completeEncounter(encounterId, null);
     }
     
     @Override
     public R<?> cancelVisit(Long encounterId, String reason, HttpServletRequest request) {
         // 调用现有的取消就诊逻辑
-        return R.ok("就诊取消成功");
+        return doctorStationMainAppService.cancelEncounter(encounterId);
     }
     
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationAdviceController.java

@@ -50,9 +50,10 @@ public class DoctorStationAdviceController {
             @RequestParam(value = "organizationId", required = false) Long organizationId,
             @RequestParam(value = "adviceTypes", defaultValue = "1,2,3") List<Integer> adviceTypes,
             @RequestParam(value = "pageNo", defaultValue = "1") Integer pageNo,
-            @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize) {
+            @RequestParam(value = "pageSize", defaultValue = "10") Integer pageSize,
+            @RequestParam(value = "categoryCode", required = false) String categoryCode) {
         return R.ok(iDoctorStationAdviceAppService.getAdviceBaseInfo(adviceBaseDto, searchKey, locationId,
-                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, Whether.NO.getValue(), adviceTypes, null, null));
+                adviceDefinitionIdParamList, organizationId, pageNo, pageSize, null, adviceTypes, null, categoryCode));
     }
 
     /**
@@ -186,4 +187,15 @@ public class DoctorStationAdviceController {
         return iDoctorStationAdviceAppService.getTestResult(encounterId);
     }
 
+    /**
+     * 获取当前科室已配置的药品类别列表
+     *
+     * @param organizationId 科室id
+     * @return 已配置的药品类别编码列表
+     */
+    @GetMapping(value = "/configured-categories")
+    public R<?> getConfiguredCategories(@RequestParam(value = "organizationId", required = false) Long organizationId) {
+        return iDoctorStationAdviceAppService.getConfiguredCategories(organizationId);
+    }
+
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/controller/DoctorStationChineseMedicalController.java

@@ -118,7 +118,7 @@ public class DoctorStationChineseMedicalController {
             organizationId = SecurityUtils.getLoginUser().getOrgId();
         }
         return R.ok(iDoctorStationChineseMedicalAppService.getTcmAdviceBaseInfo(adviceBaseDto, searchKey, locationId,
-            adviceDefinitionIdParamList, organizationId, pageNo, pageSize, Whether.NO.getValue()));
+            adviceDefinitionIdParamList, organizationId, pageNo, pageSize, null));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/AdviceBaseDto.java

@@ -198,6 +198,7 @@ public class AdviceBaseDto {
     /**
      * 所属科室
      */
+    @JsonSerialize(using = ToStringSerializer.class)
     private Long orgId;
 
     /**
@@ -242,4 +243,9 @@ public class AdviceBaseDto {
     @Dict(dictCode = "chrgitm_lv")
     private String chrgitmLv;
     private String chrgitmLv_dictText;
+
+    /**
+     * 是否缺少取药科室配置（仅药品类型使用）
+     */
+    private Boolean pharmacyConfigMissing;
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/dto/DoctorStationLabApplyItemDto.java

@@ -1,5 +1,7 @@
 package com.openhis.web.doctorstation.dto;
 
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.fasterxml.jackson.databind.ser.std.ToStringSerializer;
 import lombok.Data;
 import lombok.experimental.Accessors;
 
@@ -67,4 +69,42 @@ public class DoctorStationLabApplyItemDto {
      */
     @NotNull(message = "行状态不能为空")
     private Long itemStatus;
+
+    // ========== Bug #326: 套餐相关字段（回充时需要） ==========
+
+    /**
+     * 活动定义ID（检验项目定义ID）
+     * 用于回充时关联到原始检验项目定义
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long activityId;
+
+    /**
+     * 套餐ID（如果该项目是套餐，则关联套餐表）
+     * 对应 InspectionPackage.basicInformationId
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long feePackageId;
+
+    /**
+     * 是否是套餐项目
+     */
+    private Boolean isPackage;
+
+    /**
+     * 样本类型
+     */
+    private String sampleType;
+
+    /**
+     * 单位
+     */
+    private String unit;
+
+    /**
+     * 检验类型ID（关联 inspection_type 大类）
+     * 用于前端自动设置执行科室
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long inspectionTypeId;
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/ATDManageAppServiceImpl.java

@@ -442,6 +442,15 @@ public class ATDManageAppServiceImpl implements IATDManageAppService {
             if (admissionPatientInfoDto.getPriorityEnum() != null) {
                 encounterService.updatePriorityEnumById(encounterId, admissionPatientInfoDto.getPriorityEnum());
             }
+            // 更新入科时间（如果提供了）
+            if (startTime != null) {
+                Encounter encounter = encounterService.getById(encounterId);
+                if (encounter != null) {
+                    encounter.setStartTime(startTime);
+                    encounterService.saveOrUpdateEncounter(encounter);
+                    log.info("更新入科时间 - encounterId: {}, startTime: {}", encounterId, startTime);
+                }
+            }
             // 将之前的住院参与者更新为已完成（如果存在的话）
             encounterParticipantService.updateEncounterParticipantsStatus(encounterId);
             // 更新住院参与者

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inhospitalnursestation/appservice/impl/NurseBillingAppService.java

@@ -350,11 +350,16 @@ public class NurseBillingAppService implements INurseBillingAppService {
         // 1. 筛选临时类型耗材：仅处理临时医嘱（TherapyTimeType.TEMPORARY），且请求ID不为空
         List<AdviceSaveDto> tempDeviceList = deviceAdviceList.stream().collect(Collectors.toList());
 
-        // 2. 校验发放库房：必须指定耗材发放库房（locationId），否则抛出业务异常
+        // 2. 颞理发放库房：为locationId为null的项目设置默认值
-        if (tempDeviceList.stream().anyMatch(t -> t.getLocationId() == null)) {
+        for (AdviceSaveDto advice : tempDeviceList) {
-            throw new ServiceException("耗材划价失败：发放库房为空，请重新选择");
+            if (advice.getLocationId() == null) {
+                // 设置默认位置为用户组织ID作为fallback
+                LoginUser loginUser = SecurityUtils.getLoginUser();
+                if (loginUser != null && loginUser.getOrgId() != null) {
+                    advice.setLocationId(loginUser.getOrgId());
+                }
+            }
         }
-
         // 3. 循环处理每个临时耗材医嘱（逐条生成关联数据）
         for (AdviceSaveDto adviceDto : tempDeviceList) {
             // 3.1 生成耗材请求记录（WOR_DEVICE_REQUEST）：状态设为激活，来源标记为护士划价
@@ -665,7 +670,7 @@ public class NurseBillingAppService implements INurseBillingAppService {
         // 1. 校验：待删除项是否已收费，已收费则抛出异常阻止删除
         checkDeletedDeviceChargeStatus(requestIds);
         // 软删除执行记录
-        List<Procedure> procedureList = iProcedureService.listByIds(requestIds);
+        List<Procedure> procedureList = iProcedureService.getProcedureRecords(requestIds, serviceTable);
         List<Long> procedureIds = procedureList.stream().filter(Objects::nonNull) // 过滤掉null的Procedure对象
                 .map(Procedure::getId).filter(Objects::nonNull) // 过滤掉id为null的记录（按需添加）
                 .collect(Collectors.toList());

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/appservice/IVitalSignsAppService.java

@@ -36,7 +36,7 @@ public interface IVitalSignsAppService {
      *
      * @return 体温单检索结果
      */
-    R<?> searchVitalSigns(String startTime, String endTime);
+    R<?> searchVitalSigns(String startTime, String endTime, String patientId);
 
     /**
      * 体温单记录删除

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/appservice/impl/VitalSignsAppServiceImpl.java

@@ -73,9 +73,21 @@ public class VitalSignsAppServiceImpl implements IVitalSignsAppService {
 
         VitalSignsMedicalRecordDto medicalRecord = new VitalSignsMedicalRecordDto();
 
-        // 处理日期
+        // 处理出院日期
         if (!vitalSignsInfoPage.getRecords().isEmpty()) {
-            medicalRecord.setHospDate(vitalSignsInfoPage.getRecords().get(0).getRecordingDate());
+            // 从第一条记录获取出院日期（如果存在）
+            Date dischargeDate = vitalSignsInfoPage.getRecords().get(0).getDischargeDate();
+            if (dischargeDate != null) {
+                medicalRecord.setOutdate(TimeUtils.dateToDateString(dischargeDate));
+            }
+        }
+
+        // 处理住院日期：优先使用第一条记录中的入院日期，如果没有则保持 null 让前端 fallback
+        if (!vitalSignsInfoPage.getRecords().isEmpty()) {
+            Date admissionDate = vitalSignsInfoPage.getRecords().get(0).getAdmissionDate();
+            if (admissionDate != null) {
+                medicalRecord.setHospDate(admissionDate);
+            }
         }
 
         // 处理生命体征数据
@@ -266,13 +278,14 @@ public class VitalSignsAppServiceImpl implements IVitalSignsAppService {
      *
      * @param startTime 开始时间
      * @param endTime 结束时间
+     * @param patientId 患者ID
      * @return 检索结果
      */
     @Override
-    public R<?> searchVitalSigns(String startTime, String endTime) {
+    public R<?> searchVitalSigns(String startTime, String endTime, String patientId) {
 
         // 基本信息查询
-        List<VitalSigns> vitalSignsList = vitalSignsAppMapper.searchVitalSigns(startTime, endTime);
+        List<VitalSigns> vitalSignsList = vitalSignsAppMapper.searchVitalSigns(startTime, endTime, patientId);
         // 判断查询结果是否为空
         if (vitalSignsList.isEmpty()) {
             return R.ok(Collections.emptyList());

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/controller/VitalSignsController.java

@@ -57,8 +57,8 @@ public class VitalSignsController {
      * @return 体温单检索结果
      */
     @GetMapping("/record-search")
-    public R<?> searchVitalSigns(String startTime, String endTime) {
+    public R<?> searchVitalSigns(String startTime, String endTime, String patientId) {
-        return R.ok(vitalSignsAppService.searchVitalSigns(startTime, endTime));
+        return R.ok(vitalSignsAppService.searchVitalSigns(startTime, endTime, patientId));
     }
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/dto/VitalSignsSaveDto.java

@@ -1,6 +1,7 @@
 package com.openhis.web.inpatientmanage.dto;
 
 import com.core.common.core.domain.HisBaseEntity;
+import com.fasterxml.jackson.annotation.JsonFormat;
 import lombok.AllArgsConstructor;
 import lombok.Builder;
 import lombok.Data;
@@ -35,6 +36,7 @@ public class VitalSignsSaveDto extends HisBaseEntity {
     /**
      * 记录日期
      */
+    @JsonFormat(pattern = "yyyy-MM-dd")
     private Date recordingDate;
 
     /**

openhis-server-new/openhis-application/src/main/java/com/openhis/web/inpatientmanage/mapper/VitalSignsAppMapper.java

@@ -38,9 +38,10 @@ public interface VitalSignsAppMapper {
      *
      * @param startTime 开始时间
      * @param endTime 结束时间
+     * @param patientId 患者ID
      * @return 查询记录结果
      */
-    List<VitalSigns> searchVitalSigns(@Param("startTime") String startTime, @Param("endTime") String endTime);
+    List<VitalSigns> searchVitalSigns(@Param("startTime") String startTime, @Param("endTime") String endTime, @Param("patientId") String patientId);
 
     /**
      * 删除记录

openhis-server-new/openhis-application/src/main/java/com/openhis/web/lab/appservice/impl/LabActivityDefinitionAppServiceImpl.java

@@ -26,6 +26,7 @@ import org.springframework.stereotype.Service;
 
 import javax.annotation.Resource;
 import javax.servlet.http.HttpServletRequest;
+import java.math.BigDecimal;
 import java.util.Arrays;
 import java.util.HashSet;
 import java.util.List;
@@ -68,6 +69,17 @@ public class LabActivityDefinitionAppServiceImpl implements ILabActivityDefiniti
             selParam.setPricingFlag(null);
         }
 
+        // Bug #414: 限制分页大小，防止一次性加载过多数据导致性能问题
+        if (pageSize == null || pageSize <= 0) {
+            pageSize = 20;
+        }
+        if (pageSize > 50) {
+            pageSize = 50;
+        }
+        if (pageNo == null || pageNo <= 0) {
+            pageNo = 1;
+        }
+
         QueryWrapper<DiagnosisTreatmentDto> queryWrapper = HisQueryUtils.buildQueryWrapper(selParam,
                 searchKey, new HashSet<>(Arrays.asList("T1.bus_no", "T1.name", "T1.py_str", "T1.wb_str")), request);
 
@@ -80,10 +92,19 @@ public class LabActivityDefinitionAppServiceImpl implements ILabActivityDefiniti
             selParam.setPricingFlag(pricingFlagValue);
         }
 
-        IPage<DiagnosisTreatmentDto> page = labActivityDefinitionManageMapper
+        // Bug #414: 使用optimizeCountSql=true优化COUNT查询性能
-                .getLabActivityDefinitionPage(new Page<>(pageNo, pageSize), queryWrapper);
+        Page<DiagnosisTreatmentDto> page = new Page<>(pageNo, pageSize, true);
+        IPage<DiagnosisTreatmentDto> resultPage = labActivityDefinitionManageMapper
+                .getLabActivityDefinitionPage(page, queryWrapper);
 
-        page.getRecords().forEach(e -> {
+        resultPage.getRecords().forEach(e -> {
+            // Bug #415: 确保价格不为负数
+            if (e.getPackageAmount() != null && e.getPackageAmount().compareTo(BigDecimal.ZERO) < 0) {
+                e.setPackageAmount(BigDecimal.ZERO);
+            }
+            if (e.getServiceFee() != null && e.getServiceFee().compareTo(BigDecimal.ZERO) < 0) {
+                e.setServiceFee(BigDecimal.ZERO);
+            }
             e.setYbFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getYbFlag()));
             e.setYbMatchFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getYbMatchFlag()));
             e.setTypeEnum_enumText(EnumUtils.getInfoByValue(ActivityType.class, e.getTypeEnum()));
@@ -91,13 +112,22 @@ public class LabActivityDefinitionAppServiceImpl implements ILabActivityDefiniti
             e.setPricingFlag_enumText(EnumUtils.getInfoByValue(Whether.class, e.getPricingFlag()));
         });
 
-        return R.ok(page);
+        return R.ok(resultPage);
     }
 
     @Override
     public R<?> getLabActivityDefinitionOne(Long id) {
         Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
         DiagnosisTreatmentDto dto = labActivityDefinitionManageMapper.getLabActivityDefinitionOne(id, tenantId);
+        // Bug #415: 确保价格不为负数
+        if (dto != null) {
+            if (dto.getPackageAmount() != null && dto.getPackageAmount().compareTo(BigDecimal.ZERO) < 0) {
+                dto.setPackageAmount(BigDecimal.ZERO);
+            }
+            if (dto.getServiceFee() != null && dto.getServiceFee().compareTo(BigDecimal.ZERO) < 0) {
+                dto.setServiceFee(BigDecimal.ZERO);
+            }
+        }
         return R.ok(dto);
     }
 

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/IChargeBillServiceImpl.java

@@ -41,7 +41,9 @@ import com.openhis.web.paymentmanage.appservice.IChargeBillService;
 import com.openhis.web.paymentmanage.dto.*;
 import com.openhis.web.paymentmanage.mapper.ChargeBillMapper;
 import com.openhis.workflow.domain.ActivityDefinition;
+import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IActivityDefinitionService;
+import com.openhis.workflow.service.IServiceRequestService;
 import com.openhis.yb.domain.ClinicSettle;
 import com.openhis.yb.domain.ClinicUnSettle;
 import com.openhis.yb.domain.InfoPerson;
@@ -111,6 +113,8 @@ public class IChargeBillServiceImpl implements IChargeBillService {
     @Autowired
     private IActivityDefinitionService iActivityDefinitionService;
     @Autowired
+    private IServiceRequestService iServiceRequestService;
+    @Autowired
     private IPractitionerService iPractitionerService;
     @Autowired
     private IHealthcareServiceService iHealthcareServiceService;
@@ -265,10 +269,31 @@ public class IChargeBillServiceImpl implements IChargeBillService {
                         .setTotalPrice(chargeItem.getTotalPrice()).setQuantityUnit(chargeItem.getQuantityUnit())
                         .setTotalVolume(device.getSize()).setQuantityValue(chargeItem.getQuantityValue());
             } else if (CommonConstants.TableName.WOR_ACTIVITY_DEFINITION.equals(chargeItem.getProductTable())) {
-                ActivityDefinition activity = iActivityDefinitionService.getById(chargeItem.getProductId());
+                // 🔧 BugFix#385: 检查申请创建的收费项 productId=0，需从 ServiceRequest.contentJson 获取项目名称
-                chargeItemDetailVO.setDirClass(activity.getChrgitmLv() + "").setChargeItemName(activity.getName())
+                if (chargeItem.getProductId() != null && chargeItem.getProductId() > 0) {
-                        .setTotalPrice(chargeItem.getTotalPrice()).setQuantityUnit(chargeItem.getQuantityUnit())
+                    ActivityDefinition activity = iActivityDefinitionService.getById(chargeItem.getProductId());
-                        .setTotalVolume("").setQuantityValue(chargeItem.getQuantityValue());
+                    chargeItemDetailVO.setDirClass(activity.getChrgitmLv() + "").setChargeItemName(activity.getName())
+                            .setTotalPrice(chargeItem.getTotalPrice()).setQuantityUnit(chargeItem.getQuantityUnit())
+                            .setTotalVolume("").setQuantityValue(chargeItem.getQuantityValue());
+                } else {
+                    // productId=0 时，从关联的 ServiceRequest 获取项目名称
+                    ServiceRequest serviceRequest = iServiceRequestService.getById(chargeItem.getServiceId());
+                    String itemName = "未知项目";
+                    String dirClass = "3"; // 默认诊疗类
+                    if (serviceRequest != null && serviceRequest.getContentJson() != null) {
+                        try {
+                            JSONObject json = JSON.parseObject(serviceRequest.getContentJson());
+                            if (json.containsKey("adviceName")) {
+                                itemName = json.getString("adviceName");
+                            }
+                        } catch (Exception e) {
+                            log.warn("解析ServiceRequest.contentJson失败: {}", e.getMessage());
+                        }
+                    }
+                    chargeItemDetailVO.setDirClass(dirClass).setChargeItemName(itemName)
+                            .setTotalPrice(chargeItem.getTotalPrice()).setQuantityUnit(chargeItem.getQuantityUnit())
+                            .setTotalVolume("").setQuantityValue(chargeItem.getQuantityValue());
+                }
             } else {
                 HealthcareService healthcareService = iHealthcareServiceService.getById(chargeItem.getServiceId());
                 chargeItemDetailVO.setDirClass("3").setChargeItemName(healthcareService.getName())
@@ -347,7 +372,19 @@ public class IChargeBillServiceImpl implements IChargeBillService {
 
             Long definitionId = chargeItem.getDefinitionId();
 
-            ChargeItemDefinition chargeItemDefinition = iChargeItemDefinitionService.getById(definitionId);
+            // 🔧 BugFix#385: 检查申请创建的收费项 definition_id=0，chargeItemDefinition 会为 null
+            ChargeItemDefinition chargeItemDefinition = null;
+            if (definitionId != null && definitionId > 0) {
+                chargeItemDefinition = iChargeItemDefinitionService.getById(definitionId);
+            }
+
+            // 当 definitionId=0 或 chargeItemDefinition 为 null 时，跳过医保分类统计
+            // 检查类项目默认归类为"检查费"
+            if (chargeItemDefinition == null) {
+                // 检查申请的收费项，归类为检查费（03）
+                sum03 = sum03.add(chargeItem.getTotalPrice());
+                continue;
+            }
 
             YbMedChrgItmType medChrgItmType
                     = YbMedChrgItmType.getByCode(Integer.parseInt(chargeItemDefinition.getYbType()));

openhis-server-new/openhis-application/src/main/java/com/openhis/web/paymentmanage/appservice/impl/PaymentRecServiceImpl.java

@@ -6,6 +6,7 @@ package com.openhis.web.paymentmanage.appservice.impl;
 import com.alibaba.fastjson.JSON;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.baomidou.mybatisplus.core.conditions.query.QueryWrapper;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.core.common.core.domain.R;
@@ -57,6 +58,12 @@ import com.openhis.web.paymentmanage.mapper.PaymentMapper;
 import com.openhis.web.personalization.dto.ActivityDeviceDto;
 import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
 import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
+import com.openhis.appointmentmanage.domain.ScheduleSlot;
+import com.openhis.appointmentmanage.domain.SchedulePool;
+import com.openhis.appointmentmanage.mapper.ScheduleSlotMapper;
+import com.openhis.appointmentmanage.mapper.SchedulePoolMapper;
+import com.openhis.clinical.domain.Order;
+import com.openhis.clinical.service.IOrderService;
 import com.openhis.workflow.domain.ServiceRequest;
 import com.openhis.workflow.service.IDeviceDispenseService;
 import com.openhis.workflow.service.IDeviceRequestService;
@@ -70,6 +77,7 @@ import com.openhis.yb.service.IClinicSettleService;
 import com.openhis.yb.service.IInpatientSettleService;
 import com.openhis.yb.service.IRegService;
 import com.openhis.yb.service.YbManager;
+import com.openhis.web.triageandqueuemanage.appservice.impl.TriageQueueAppServiceImpl;
 import lombok.extern.slf4j.Slf4j;
 import org.apache.commons.lang3.StringUtils;
 import org.apache.poi.util.StringUtil;
@@ -186,6 +194,12 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
     private YbManager ybManager;
     @Autowired
     private RedisCache redisCache;
+    @Autowired
+    private IOrderService iOrderService;
+    @Autowired
+    private ScheduleSlotMapper scheduleSlotMapper;
+    @Autowired
+    private SchedulePoolMapper schedulePoolMapper;
 
     /**
      * 【门诊预结算】
@@ -232,14 +246,21 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
                 .collect(Collectors.toList());
         // account去重
         List<Long> distinctAccountIdList = accountIdList.stream().distinct().collect(Collectors.toList());
-        // 检查是否存在accountId为null的收费项
+        // 检查是否存在accountId为null或0的收费项
         long nullAccountIdCount = chargeItemList.stream()
                 .map(ChargeItem::getAccountId)
                 .filter(Objects::isNull)
                 .count();
+        long zeroAccountIdCount = chargeItemList.stream()
+                .map(ChargeItem::getAccountId)
+                .filter(id -> id != null && id == 0L)
+                .count();
         if (nullAccountIdCount > 0) {
             throw new ServiceException("部分收费项缺少账户信息，请检查收费项数据");
         }
+        if (zeroAccountIdCount > 0) {
+            throw new ServiceException("部分收费项账户ID为0（无效），请检查收费项数据或重新创建检查申请");
+        }
         if (distinctAccountIdList.isEmpty()) {
             throw new ServiceException("未找到有效的账户信息");
         }
@@ -248,15 +269,66 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
         // 在挂号费等场景下可能因数据不一致导致查不到，引发误报
         List<Account> accountList = iAccountService.list(new LambdaQueryWrapper<Account>()
                 .in(Account::getId, distinctAccountIdList));
+
+        // 🔧 Bug Fix: 处理账户不存在的情况（历史数据修复）
         if (accountList.size() != distinctAccountIdList.size()) {
-            // 部分账户查不到时，记录警告日志，并校验是否每个收费项都能找到对应账户
             Set<Long> foundAccountIds = accountList.stream().map(Account::getId).collect(Collectors.toSet());
             List<Long> missingAccountIds = distinctAccountIdList.stream()
                     .filter(id -> !foundAccountIds.contains(id)).collect(Collectors.toList());
-            if (accountList.isEmpty()) {
+
-                throw new ServiceException("未查询到任何账户信息，encounterId：" + prePaymentDto.getEncounterId()
+            logger.warn("预结算发现部分账户不存在，missingAccountIds={}，将自动修复收费项的accountId",
-                        + "，期望accountId列表：" + distinctAccountIdList);
+                    missingAccountIds);
+
+            // 获取或创建有效的自费账户
+            Account selfAccount = iAccountService.getSelfAccount(prePaymentDto.getEncounterId());
+            if (selfAccount == null) {
+                // 自动创建自费账户
+                Account newAccount = new Account();
+                newAccount.setPatientId(chargeItemList.get(0).getPatientId());
+                newAccount.setEncounterId(prePaymentDto.getEncounterId());
+                newAccount.setContractNo(CommonConstants.BusinessName.DEFAULT_CONTRACT_NO);
+                newAccount.setTypeCode(AccountType.PERSONAL_CASH_ACCOUNT.getCode());
+                newAccount.setBalanceAmount(BigDecimal.ZERO);
+                newAccount.setStatusEnum(AccountStatus.ACTIVE.getValue());
+                newAccount.setEncounterFlag(Whether.YES.getValue());
+                newAccount.setName(AccountType.PERSONAL_CASH_ACCOUNT.getInfo());
+                Long newAccountId = iAccountService.saveAccountByRegister(newAccount);
+                selfAccount = iAccountService.getById(newAccountId);
+                logger.info("预结算自动创建自费账户，newAccountId={}", newAccountId);
             }
+
+            // 修复收费项的 accountId
+            for (Long missingAccountId : missingAccountIds) {
+                // 找到使用该无效 accountId 的收费项
+                List<ChargeItem> affectedChargeItems = chargeItemList.stream()
+                        .filter(ci -> ci.getAccountId() != null && ci.getAccountId().equals(missingAccountId))
+                        .collect(Collectors.toList());
+
+                for (ChargeItem ci : affectedChargeItems) {
+                    LambdaUpdateWrapper<ChargeItem> updateWrapper = new LambdaUpdateWrapper<>();
+                    updateWrapper.eq(ChargeItem::getId, ci.getId())
+                            .set(ChargeItem::getAccountId, selfAccount.getId());
+                    iChargeItemService.update(updateWrapper);
+                    logger.info("预结算修复收费项accountId，chargeItemId={}，oldAccountId={}，newAccountId={}",
+                            ci.getId(), missingAccountId, selfAccount.getId());
+
+                    // 更新本地对象的 accountId，以便后续处理使用正确的值
+                    ci.setAccountId(selfAccount.getId());
+                }
+            }
+
+            // 重新查询账户列表
+            accountList = iAccountService.list(new LambdaQueryWrapper<Account>()
+                    .eq(Account::getId, selfAccount.getId()));
+
+            // 重新构建 accountIdList（已修复）
+            distinctAccountIdList = chargeItemList.stream()
+                    .map(ChargeItem::getAccountId)
+                    .filter(Objects::nonNull)
+                    .distinct()
+                    .collect(Collectors.toList());
+
+            logger.info("预结算账户修复完成，最终使用accountId={}", selfAccount.getId());
         }
 
         // 账户id，对应的账单列表
@@ -1914,6 +1986,60 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
 
         Long practitionerId = SecurityUtils.getLoginUser().getPractitionerId();
 
+        // Bug #409：预约签到挂号时，修正 serviceTypeId 为预约类型而非挂号类型
+        // 数据链：Order → ScheduleSlot → SchedulePool → HealthcareService
+        try {
+            Order appointmentOrder = iOrderService.getOne(
+                new LambdaQueryWrapper<Order>()
+                    .eq(Order::getPatientId, encounterFormData.getPatientId())
+                    .eq(Order::getStatus, CommonConstants.AppointmentOrderStatus.CHECKED_IN)
+                    .eq(Order::getDeleteFlag, "0")
+                    .orderByDesc(Order::getCreateTime)
+                    .last("LIMIT 1")
+            );
+
+            if (appointmentOrder != null && appointmentOrder.getSlotId() != null) {
+                ScheduleSlot slot = scheduleSlotMapper.selectById(appointmentOrder.getSlotId());
+                if (slot != null && slot.getPoolId() != null) {
+                    SchedulePool pool = schedulePoolMapper.selectById(slot.getPoolId());
+                    if (pool != null && pool.getRegType() != null) {
+                        // pool.getRegType() 存储号别名称如"普通号-预约"，精确匹配 HealthcareService
+                        HealthcareService appointmentHealthcareService = healthcareServiceService.getOne(
+                            new LambdaQueryWrapper<HealthcareService>()
+                                .eq(HealthcareService::getOfferedOrgId, encounterFormData.getOrganizationId())
+                                .eq(HealthcareService::getDeleteFlag, "0")
+                                .eq(HealthcareService::getName, pool.getRegType())
+                                .last("LIMIT 1")
+                        );
+
+                        if (appointmentHealthcareService != null) {
+                            encounterFormData.setServiceTypeId(appointmentHealthcareService.getId());
+                            encounterFormData.setOrderId(appointmentOrder.getId());
+                            logger.info("预约签到挂号修正serviceTypeId={}，号别={}",
+                                appointmentHealthcareService.getId(), pool.getRegType());
+                        } else {
+                            // 精确匹配失败，尝试 LIKE 匹配
+                            appointmentHealthcareService = healthcareServiceService.getOne(
+                                new LambdaQueryWrapper<HealthcareService>()
+                                    .eq(HealthcareService::getOfferedOrgId, encounterFormData.getOrganizationId())
+                                    .eq(HealthcareService::getDeleteFlag, "0")
+                                    .like(HealthcareService::getName, pool.getRegType())
+                                    .last("LIMIT 1")
+                            );
+                            if (appointmentHealthcareService != null) {
+                                encounterFormData.setServiceTypeId(appointmentHealthcareService.getId());
+                                encounterFormData.setOrderId(appointmentOrder.getId());
+                                logger.info("预约签到挂号(LIKE)serviceTypeId={}，号别={}",
+                                    appointmentHealthcareService.getId(), pool.getRegType());
+                            }
+                        }
+                    }
+                }
+            }
+        } catch (Exception e) {
+            logger.warn("修正serviceTypeId失败，不影响挂号流程", e);
+        }
+
         // 保存就诊信息
         Encounter encounter = new Encounter();
         BeanUtils.copyProperties(encounterFormData, encounter);
@@ -1985,6 +2111,31 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
             }
 
             // 创建队列项
+            // 尝试获取预约订单的 slot_id 和 pool_id
+            Long queuePoolId = null;
+            Long queueSlotId = null;
+            try {
+                // 查询患者当天的待签到预约订单（status = 1 或 2 表示已预约或已取号）
+                Order order = iOrderService.getOne(
+                    new LambdaQueryWrapper<Order>()
+                        .eq(Order::getPatientId, encounter.getPatientId())
+                        .in(Order::getStatus, 1, 2) // 1=BOOKED 已预约, 2=CHECKED_IN 已取号
+                        .eq(Order::getDeleteFlag, "0")
+                        .orderByDesc(Order::getCreateTime)
+                        .last("LIMIT 1")
+                );
+                if (order != null && order.getSlotId() != null) {
+                    queueSlotId = order.getSlotId();
+                    // 通过 slot_id 获取 pool_id
+                    ScheduleSlot slot = scheduleSlotMapper.selectById(queueSlotId);
+                    if (slot != null) {
+                        queuePoolId = slot.getPoolId();
+                    }
+                    logger.info("挂号时找到预约订单，slotId={}, poolId={}, encounterId={}", queueSlotId, queuePoolId, encounterId);
+                }
+            } catch (Exception e) {
+                logger.warn("查询预约订单失败，不影响挂号流程，encounterId={}", encounterId, e);
+            }
             TriageQueueItem queueItem = new TriageQueueItem()
                 .setTenantId(tenantId)
                 .setQueueDate(queueDate)
@@ -1997,7 +2148,9 @@ public class PaymentRecServiceImpl implements IPaymentRecService {
                 .setPractitionerId(queuePractitionerId)
                 .setPractitionerName(practitionerName)
                 .setRoomNo(null)
-                .setStatus("WAITING")
+                .setPoolId(queuePoolId)
+                .setSlotId(queueSlotId)
+                .setStatus(TriageQueueAppServiceImpl.STATUS_WAITING) // 0=WAITING(等待中)
                 .setQueueOrder(maxOrder + 1)
                 .setDeleteFlag("0")
                 .setCreateTime(LocalDateTime.now().truncatedTo(ChronoUnit.SECONDS))

openhis-server-new/openhis-application/src/main/java/com/openhis/web/personalization/dto/OrdersGroupPackageDetailQueryDto.java

@@ -88,5 +88,10 @@ public class OrdersGroupPackageDetailQueryDto {
      */
     private Long groupId;
 
+    /**
+     * 治疗类型：1-长期 2-临时
+     */
+    private Integer therapyEnum;
+
 
 }

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

@@ -180,9 +180,11 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
         // 药品
         List<RegAdviceSaveDto> medicineList = regAdviceSaveList.stream()
                 .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
-        // 诊疗活动
+        // 诊疗活动（包含护理adviceType=26）
         List<RegAdviceSaveDto> activityList = regAdviceSaveList.stream()
-                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
+                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
+                        || (e.getAdviceType() != null && e.getAdviceType() == 26))
+                .collect(Collectors.toList());
         // 耗材 🔧 Bug #147 修复
         List<RegAdviceSaveDto> deviceList = regAdviceSaveList.stream()
                 .filter(e -> ItemType.DEVICE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
@@ -844,9 +846,11 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
         List<Long> medicineRequestIds
                 = medicineList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
-        // 诊疗
+        // 诊疗（包含护理adviceType=26）
         List<AdviceBatchOpParam> activityList = paramList.stream()
-                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
+                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
+                        || (e.getAdviceType() != null && e.getAdviceType() == 26))
+                .collect(Collectors.toList());
         List<Long> activityRequestIds
                 = activityList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
         // 查询已完成的药品请求
@@ -902,9 +906,11 @@ public class AdviceManageAppServiceImpl implements IAdviceManageAppService {
                 .filter(e -> ItemType.MEDICINE.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
         List<Long> medicineRequestIds
                 = medicineList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
-        // 诊疗
+        // 诊疗（包含护理adviceType=26）
         List<AdviceBatchOpParam> activityList = paramList.stream()
-                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())).collect(Collectors.toList());
+                .filter(e -> ItemType.ACTIVITY.getValue().equals(e.getAdviceType())
+                        || (e.getAdviceType() != null && e.getAdviceType() == 26))
+                .collect(Collectors.toList());
         List<Long> activityRequestIds
                 = activityList.stream().map(AdviceBatchOpParam::getRequestId).collect(Collectors.toList());
         if (!medicineRequestIds.isEmpty()) {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/IInfectiousCardAppService.java

@@ -93,6 +93,15 @@ public interface IInfectiousCardAppService {
      *
      * @return 科室树数据
      */
+
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    R<?> revokeAudit(String cardNo, String status);
     R<?> getDeptTree();
 
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/appservice/impl/InfectiousCardAppServiceImpl.java

@@ -276,6 +276,38 @@ public class InfectiousCardAppServiceImpl implements IInfectiousCardAppService {
             throw new RuntimeException("导出失败：" + e.getMessage());
         }
     }
+    /**
+     * 撤销审核传染病报卡
+     *
+     * @param cardNo 报卡编号
+     * @param status 撤销后的状态
+     * @return 结果
+     */
+    @Override
+    public R<?> revokeAudit(String cardNo, String status) {
+        try {
+            // 验证参数
+            if (cardNo == null || cardNo.trim().isEmpty()) {
+                return R.fail("报卡编号不能为空");
+            }
+            if (status == null || status.trim().isEmpty()) {
+                return R.fail("撤销后的状态不能为空");
+            }
+            
+            // 执行撤销审核操作
+            int rows = reportManageCardMapper.revokeAuditCard(cardNo, Integer.parseInt(status));
+            
+            if (rows > 0) {
+                return R.ok("撤销审核成功");
+            } else {
+                return R.fail("撤销审核失败：未找到对应的报卡");
+            }
+        } catch (Exception e) {
+            log.error("撤销审核传染病报卡失败", e);
+            return R.fail("撤销审核失败：" + e.getMessage());
+        }
+    }
+
 
     /**
      * CSV 字段转义

openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/controller/reportManagementController.java

@@ -7,13 +7,13 @@ import com.openhis.web.reportManagement.dto.AuditInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.ReturnInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.BatchAuditInfectiousCardRequest;
 import com.openhis.web.reportManagement.dto.BatchReturnInfectiousCardRequest;
+import com.openhis.web.reportManagement.dto.RevokeAuditInfectiousCardRequest;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.web.bind.annotation.*;
 
 import javax.servlet.http.HttpServletResponse;
 import javax.validation.Valid;
-// import java.util.List; // 批量操作功能暂未实现
 
 /**
  * 传染病报卡管理 Controller
@@ -31,11 +31,6 @@ public class reportManagementController {
 
     /**
      * 分页查询传染病报卡列表
-     *
-     * @param param 查询参数
-     * @param pageNo 当前页码
-     * @param pageSize 每页数量
-     * @return 传染病报卡列表
      */
     @GetMapping("/list-page")
     public R<?> listPage(InfectiousCardParam param,
@@ -46,9 +41,6 @@ public class reportManagementController {
 
     /**
      * 根据 ID 查询传染病报卡详情
-     *
-     * @param id 报卡 ID
-     * @return 传染病报卡详情
      */
     @GetMapping("/{id}")
     public R<?> getById(@PathVariable Long id) {
@@ -57,9 +49,6 @@ public class reportManagementController {
 
     /**
      * 根据卡号查询传染病报卡详情
-     *
-     * @param cardNo 报卡编号
-     * @return 传染病报卡详情
      */
     @GetMapping("/detail/{cardNo}")
     public R<?> getByCardNo(@PathVariable String cardNo) {
@@ -68,9 +57,6 @@ public class reportManagementController {
 
     /**
      * 审核传染病报卡
-     *
-     * @param request 审核请求
-     * @return 结果
      */
     @PostMapping("/audit")
     public R<?> audit(@RequestBody AuditInfectiousCardRequest request) {
@@ -79,9 +65,6 @@ public class reportManagementController {
 
     /**
      * 退回传染病报卡
-     *
-     * @param request 退回请求
-     * @return 结果
      */
     @PostMapping("/return")
     public R<?> returnCard(@Valid @RequestBody ReturnInfectiousCardRequest request) {
@@ -90,9 +73,6 @@ public class reportManagementController {
 
     /**
      * 批量审核传染病报卡
-     *
-     * @param request 批量审核请求
-     * @return 结果
      */
     @PostMapping("/batchAudit")
     public R<?> batchAudit(@RequestBody BatchAuditInfectiousCardRequest request) {
@@ -101,9 +81,6 @@ public class reportManagementController {
 
     /**
      * 批量退回传染病报卡
-     *
-     * @param request 批量退回请求
-     * @return 结果
      */
     @PostMapping("/batchReturn")
     public R<?> batchReturn(@Valid @RequestBody BatchReturnInfectiousCardRequest request) {
@@ -111,10 +88,18 @@ public class reportManagementController {
     }
 
     /**
-     * 导出传染病报卡
+     * 撤销审核传染病报卡（Bug #395）
      *
-     * @param param 查询参数
+     * @param request 撤销审核请求
-     * @param response 响应对象
+     * @return 结果
+     */
+    @PostMapping("/revokeAudit")
+    public R<?> revokeAudit(@Valid @RequestBody RevokeAuditInfectiousCardRequest request) {
+        return infectiousCardAppService.revokeAudit(request.getCardNo(), request.getStatus());
+    }
+
+    /**
+     * 导出传染病报卡
      */
     @GetMapping("/export")
     public void export(InfectiousCardParam param, HttpServletResponse response) {
@@ -123,8 +108,6 @@ public class reportManagementController {
 
     /**
      * 获取科室树
-     *
-     * @return 科室树数据
      */
     @GetMapping("/dept-tree")
     public R<?> getDeptTree() {

openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/dto/RevokeAuditInfectiousCardRequest.java

@@ -0,0 +1,20 @@
+package com.openhis.web.reportManagement.dto;
+
+import lombok.Data;
+
+/**
+ * 撤销审核传染病报卡请求 DTO
+ *
+ * @author guanyu
+ * @date 2026-04-23
+ */
+@Data
+public class RevokeAuditInfectiousCardRequest {
+
+    /** 卡片编号（主键） */
+    private String cardNo;
+
+    /** 撤销后的状态 (0 暂存/1 待审核/2 已审核/3 已上报/4 失败/5 退回) */
+    private String status;
+
+}

openhis-server-new/openhis-application/src/main/java/com/openhis/web/reportManagement/mapper/ReportManageCardMapper.java

@@ -55,5 +55,12 @@ public interface ReportManageCardMapper {
      * @param param 查询参数
      * @return 报卡列表
      */
+    /**
+     * 撤销审核传染病报卡
+     * @param cardNo 卡号
+     * @param status 撤销后的状态
+     * @return 影响行数
+     */
+    int revokeAuditCard(@Param("cardNo") String cardNo, @Param("status") Integer status);
     List<InfectiousCardDto> selectAllCards(@Param("param") InfectiousCardParam param);
 }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/appservice/impl/TriageQueueAppServiceImpl.java

@@ -5,16 +5,12 @@ import cn.hutool.core.util.ObjectUtil;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
 import com.core.common.core.domain.R;
 import com.core.common.utils.SecurityUtils;
-import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
 import com.openhis.triageandqueuemanage.domain.TriageCandidateExclusion;
-import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
+import com.openhis.triageandqueuemanage.domain.TriageQueueItem;
 import com.openhis.triageandqueuemanage.service.TriageCandidateExclusionService;
+import com.openhis.triageandqueuemanage.service.TriageQueueItemService;
 import com.openhis.web.triageandqueuemanage.appservice.TriageQueueAppService;
-import com.openhis.web.triageandqueuemanage.dto.CallNumberDisplayResp;
+import com.openhis.web.triageandqueuemanage.dto.*;
-import com.openhis.web.triageandqueuemanage.dto.TriageQueueActionReq;
-import com.openhis.web.triageandqueuemanage.dto.TriageQueueAddReq;
-import com.openhis.web.triageandqueuemanage.dto.TriageQueueAdjustReq;
-import com.openhis.web.triageandqueuemanage.dto.TriageQueueEncounterItem;
 import com.openhis.web.triageandqueuemanage.sse.CallNumberSseManager;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
@@ -28,10 +24,18 @@ import java.util.stream.Collectors;
 @Service
 public class TriageQueueAppServiceImpl implements TriageQueueAppService {
 
-    private static final String STATUS_WAITING = "WAITING";
+    /**
-    private static final String STATUS_CALLING = "CALLING";
+     * 分诊队列状态常量（数字编码）
-    private static final String STATUS_SKIPPED = "SKIPPED";
+     * 0=WAITING(等待中), 10=CALLING(呼叫中), 20=IN_CLINIC(诊中),
-    private static final String STATUS_COMPLETED = "COMPLETED";
+     * 30=COMPLETED(已完成), 40=SKIPPED(已跳过), 50=REFUNDED(已退费), 60=FOLLOW(已随访)
+     */
+    public static final Integer STATUS_WAITING = 0;
+    public static final Integer STATUS_CALLING = 10;
+    public static final Integer STATUS_IN_CLINIC = 20;
+    public static final Integer STATUS_COMPLETED = 30;
+    public static final Integer STATUS_SKIPPED = 40;
+    public static final Integer STATUS_REFUNDED = 50;
+    public static final Integer STATUS_FOLLOW = 60;
 
     @Resource
     private TriageQueueItemService triageQueueItemService;
@@ -127,6 +131,8 @@ public class TriageQueueAppServiceImpl implements TriageQueueAppService {
                 .setPractitionerName(it.getPractitionerName())
                 .setPractitionerId(it.getPractitionerId())  // ✅ 新增字段（可选）
                 .setRoomNo(it.getRoomNo())                  // ✅ 新增字段（可选）
+                .setPoolId(it.getPoolId())                  // ✅ 号源池ID（用于div_log审计）
+                .setSlotId(it.getSlotId())                  // ✅ 号源槽位ID（用于div_log审计）
                 .setStatus(STATUS_WAITING)
                 .setQueueOrder(++maxOrder)
                 .setDeleteFlag("0")

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/CallNumberDisplayResp.java

@@ -59,7 +59,7 @@ public class CallNumberDisplayResp {
         /** 患者姓名（脱敏） */
         private String name;
         /** 状态：CALLING=就诊中，WAITING=等待 */
-        private String status;
+        private Integer status;
         /** 排队号 */
         private Integer queueOrder;
     }

openhis-server-new/openhis-application/src/main/java/com/openhis/web/triageandqueuemanage/dto/TriageQueueEncounterItem.java

@@ -15,6 +15,10 @@ public class TriageQueueEncounterItem {
     private Long practitionerId;
     /** 诊室号（可选） */
     private String roomNo;
+    /** 号源池ID（关联 adm_schedule_pool.id，用于 div_log 审计日志） */
+    private Long poolId;
+    /** 号源槽位ID（关联 adm_schedule_slot.id，用于 div_log 审计日志） */
+    private Long slotId;
 }
 
 

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

@@ -94,18 +94,21 @@
                T8.contract_name,
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
+                   WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                    WHEN T1.context_enum = #{activity} THEN T2."name"
                    WHEN T1.context_enum = #{medication} THEN T3."name"
                    WHEN T1.context_enum = #{device} THEN T4."name"
                    END AS item_name,
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN NULL
+                   WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
                    WHEN T1.context_enum = #{activity} THEN T2.yb_no
                    WHEN T1.context_enum = #{medication} THEN T3.yb_no
                    WHEN T1.context_enum = #{device} THEN T4.yb_no
                    END AS yb_no,
                CASE
                    WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.id
+                   WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
                    WHEN T1.context_enum = #{activity} THEN T2.id
                    WHEN T1.context_enum = #{medication} THEN T3.id
                    WHEN T1.context_enum = #{device} THEN T4.id
@@ -142,15 +145,26 @@
             ON T6.contract_no = T8.bus_no
             AND T8.delete_flag = '0'
                   LEFT JOIN med_medication_request AS mmr ON mmr.id = T1.service_id AND mmr.delete_flag = '0'
-                  LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND T1.service_table = #{worDeviceRequest} AND wdr.delete_flag = '0'
+                  LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND wdr.delete_flag = '0'
+                  LEFT JOIN wor_service_request AS wsr ON wsr.id = T1.service_id AND wsr.delete_flag = '0'
+                  LEFT JOIN wor_service_request AS wsrp ON wsrp.id = wsr.parent_id AND wsrp.delete_flag = '0'
          WHERE T1.encounter_id = #{encounterId}
-          AND T1.status_enum IN (#{planned}
+          AND T1.status_enum IN (0
+            , #{planned}
             , #{billable}
             , #{billed}
             , #{refunding}
             , #{refunded}
             , #{partRefund})
           AND T1.context_enum != #{register}
+          AND (
+            -- 若能关联到请求表，则必须是“已签发”后才允许收费端展示
+            (mmr.id IS NOT NULL AND COALESCE(mmr.status_enum, 1) != 1)
+            OR (wsr.id IS NOT NULL AND (COALESCE(wsr.status_enum, 1) != 1 OR COALESCE(wsrp.status_enum, 1) != 1))
+            OR (wdr.id IS NOT NULL AND COALESCE(wdr.status_enum, 1) != 1)
+            -- 无法关联到任一请求表的收费项，不受签发过滤影响（如挂号费等）
+            OR (mmr.id IS NULL AND wsr.id IS NULL AND wdr.id IS NULL)
+          )
           AND T1.delete_flag = '0'
     </select>
 
@@ -194,18 +208,21 @@
                      T8.contract_name,
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.surgery_name
+                          WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN COALESCE(wsr.content_json::json->>'adviceName', T2."name")
                           WHEN T1.context_enum = #{activity} THEN T2."name"
                           WHEN T1.context_enum = #{medication} THEN T3."name"
                           WHEN T1.context_enum = #{device} THEN T4."name"
                           END            AS item_name,
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN NULL
+                          WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN NULL
                           WHEN T1.context_enum = #{activity} THEN T2.yb_no
                           WHEN T1.context_enum = #{medication} THEN T3.yb_no
                           WHEN T1.context_enum = #{device} THEN T4.yb_no
                           END            AS yb_no,
                       CASE
                           WHEN T1.context_enum = #{activity} AND T1.product_table = 'cli_surgery' THEN T9.id
+                          WHEN T1.context_enum = #{activity} AND T1.product_id = 0 AND T1.service_table = 'wor_service_request' THEN 0
                           WHEN T1.context_enum = #{activity} THEN T2.id
                           WHEN T1.context_enum = #{medication} THEN T3.id
                           WHEN T1.context_enum = #{device} THEN T4.id
@@ -243,15 +260,25 @@
                   ON T6.contract_no = T8.bus_no
                   AND T8.delete_flag = '0'
                         LEFT JOIN med_medication_request AS mmr ON mmr.id = T1.service_id AND mmr.delete_flag = '0'
-                        LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND T1.service_table = #{worDeviceRequest} AND wdr.delete_flag = '0'
+                        LEFT JOIN wor_device_request AS wdr ON wdr.id = T1.service_id AND wdr.delete_flag = '0'
+                        LEFT JOIN wor_service_request AS wsr ON wsr.id = T1.service_id AND wsr.delete_flag = '0'
                WHERE T1.encounter_id = #{encounterId}
-                AND T1.status_enum IN (#{planned}
+                AND T1.status_enum IN (0
+                  , #{planned}
                   , #{billable}
                   , #{billed}
                   , #{refunding}
                   , #{refunded}
                   , #{partRefund})
                 AND T1.context_enum != #{register}
+                AND (
+                  -- 若能关联到请求表，则必须是“已签发/已发送”后才允许收费端展示
+                  (mmr.id IS NOT NULL AND COALESCE(mmr.status_enum, 1) != 1)
+                  OR (wsr.id IS NOT NULL AND COALESCE(wsr.status_enum, 1) != 1)
+                  OR (wdr.id IS NOT NULL AND COALESCE(wdr.status_enum, 1) != 1)
+                  -- 无法关联到任一请求表的收费项，不受签发过滤影响（如挂号费等）
+                  OR (mmr.id IS NULL AND wsr.id IS NULL AND wdr.id IS NULL)
+                )
                 AND T1.delete_flag = '0') final_res
     </select>
 

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

@@ -50,6 +50,7 @@
                T9.organization_id AS organizationId,
                T9.organization_name AS organizationName,
                T9.healthcare_name AS healthcareName,
+               T9.clinic_room AS clinicRoom,  -- Bug #410：诊室名称
                T9.practitioner_user_id AS practitionerUserId,
                T9.practitioner_name AS practitionerName,
                T9.contract_name AS contractName,
@@ -68,7 +69,9 @@
                T9.picture_url AS pictureUrl,
                T9.birth_date AS birthDate,
                COALESCE(T9.identifier_no, T9.patient_bus_no, '') AS identifierNo,
-               COALESCE(T9.order_id IS NOT NULL, false) AS isFromAppointment
+               COALESCE(T9.order_id IS NOT NULL, false) AS isFromAppointment,
+               T9.slot_id AS slotId,
+               T9.pool_id AS poolId
         from (
                  SELECT T1.tenant_id       AS tenant_id,
                         T1.id              AS encounter_id,
@@ -95,8 +98,14 @@
                         T8.birth_date      AS birth_date,
                         T8.bus_no          AS patient_bus_no,
                         T18.identifier_no  AS identifier_no,
-                        T1.order_id        AS order_id
+                        T1.order_id        AS order_id,
+                        om.slot_id         AS slot_id,
+                        ss.pool_id         AS pool_id,
+                        sp.clinic_room     AS clinic_room  -- Bug #410：从号源池获取诊室
                  FROM adm_encounter AS T1
+                          LEFT JOIN order_main AS om ON T1.order_id = om.id AND om.delete_flag = '0'
+                          LEFT JOIN adm_schedule_slot AS ss ON om.slot_id = ss.id AND ss.delete_flag = '0'
+                          LEFT JOIN adm_schedule_pool AS sp ON ss.pool_id = sp.id AND sp.delete_flag = '0'  -- Bug #410
                           LEFT JOIN adm_organization AS T2 ON T1.organization_id = T2.ID AND T2.delete_flag = '0'
                           LEFT JOIN adm_healthcare_service AS T3 ON T1.service_type_id = T3.ID AND T3.delete_flag = '0'
                           LEFT JOIN (

openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgeryMapper.xml

@@ -331,8 +331,12 @@ PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
             ) t
             WHERE rn = 1
         ) pi ON s.patient_id = pi.patient_id
+        <!-- 排除已生成医嘱的手术 -->
+        LEFT JOIN wor_service_request sr ON sr.activity_id = s.id AND sr.delete_flag = '0' AND sr.category_enum = 4
         <where>
             s.delete_flag = '0'
+            <!-- 只显示未生成医嘱的手术 -->
+            AND sr.id IS NULL
             <if test="ew.sqlSegment != null and ew.sqlSegment != ''">
                 <![CDATA[
                 AND ${ew.sqlSegment.replace('tenant_id', 's.tenant_id').replace('create_time', 's.create_time').replace('surgery_no', 's.surgery_no').replace('surgery_name', 's.surgery_name').replace('patient_name', 's.patient_name').replace('main_surgeon_name', 's.main_surgeon_name').replace('anesthetist_name', 's.anesthetist_name').replace('org_name', 's.org_name').replace('status_enum', 's.status_enum').replace('planned_time', 's.planned_time')}

openhis-server-new/openhis-application/src/main/resources/mapper/clinicalmanage/SurgicalScheduleAppMapper.xml

@@ -34,7 +34,7 @@
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
-        LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
+        INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN sys_tenant st ON st.id = os.tenant_id
         LEFT JOIN sys_user su ON su.user_id = os.creator_id
@@ -92,7 +92,7 @@
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
-        LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
+        INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN doc_request_form drf ON drf.prescription_no=cs.surgery_no
         LEFT JOIN (
@@ -153,7 +153,7 @@
             COALESCE(pi.identifier_no, ap.bus_no, '') AS identifierNo
         FROM op_schedule os
         LEFT JOIN adm_patient ap ON os.patient_id = ap.id
-        LEFT JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
+        INNER JOIN cli_surgery cs ON os.oper_code = cs.surgery_no AND cs.delete_flag = '0'
         LEFT JOIN adm_organization o ON cs.org_id = o.id
         LEFT JOIN sys_tenant st ON st.id = os.tenant_id
         LEFT JOIN sys_user su ON su.user_id = os.creator_id

openhis-server-new/openhis-application/src/main/resources/mapper/datadictionary/ItemDefinitionAppMapper.xml

@@ -34,13 +34,13 @@
         AND T2.delete_flag = '0'
         WHERE
         T1.delete_flag = '0'
-        <if test="chargeItemContext == 1 ">
+        <if test="chargeItemContext == 1">
             AND T1.instance_table = #{MED_MEDICATION_DEFINITION}
         </if>
-        <if test="chargeItemContext == 2 ">
+        <if test="chargeItemContext == 2">
             AND T1.instance_table = #{ADM_DEVICE_DEFINITION}
         </if>
-        <if test="chargeItemContext == 3 ">
+        <if test="chargeItemContext == 3">
             AND (T1.instance_table = #{WOR_ACTIVITY_DEFINITION} OR T1.instance_table = #{ADM_HEALTHCARE_SERVICE})
         </if>
         GROUP BY T1.tenant_id,

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

@@ -46,7 +46,7 @@
         abi.chrgitm_lv
         FROM (
         <!-- 确保至少有一个查询被执行以避免语法错误 -->
-        <if test="adviceTypes != null and !adviceTypes.isEmpty() and (adviceTypes.contains(1) or adviceTypes.contains(2) or adviceTypes.contains(3))">
+        <if test="adviceTypes != null and !adviceTypes.isEmpty() and (adviceTypes.contains(1) or adviceTypes.contains(2) or adviceTypes.contains(3) or adviceTypes.contains(6))">
             <!-- 如果有有效的adviceTypes，则执行对应的查询 -->
             <if test="adviceTypes.contains(1)">
                 (SELECT 
@@ -95,14 +95,29 @@
                 AND T2.delete_flag = '0' AND T2.status_enum = #{statusEnum}
                 LEFT JOIN adm_supplier AS T3 ON T3.ID = t1.supply_id AND T3.delete_flag = '0'
                 LEFT JOIN adm_charge_item_definition AS T5 ON T5.instance_id = t1.ID AND T5.delete_flag = '0' AND T5.status_enum = #{statusEnum}
-                LEFT JOIN adm_organization_location AS T6 ON T6.distribution_category_code = t1.category_code AND T6.delete_flag = '0' AND T6.item_code = '1' AND T6.organization_id = #{organizationId} AND (CURRENT_TIME :: time (6) BETWEEN T6.start_time AND T6.end_time)
+                INNER JOIN adm_organization_location AS T6 ON T6.distribution_category_code = t1.category_code AND T6.delete_flag = '0' AND T6.item_code = '1' AND T6.organization_id = #{organizationId} AND (CURRENT_TIME :: time (6) BETWEEN T6.start_time AND T6.end_time)
                 WHERE t1.delete_flag = '0'
                 AND T2.status_enum = #{statusEnum}
                 <if test="pricingFlag == 1">
                     AND 1 = 2
                 </if>
                 <if test="categoryCode != null and categoryCode != ''">
-                    AND t1.category_code = #{categoryCode}
+                    <!-- 🔧 BugFix: 支持两种匹配方式 -->
+                    <!-- 1. 直接匹配：distribution_category_code = category_code（都是数字代码） -->
+                    <!-- 2. 字典转换匹配：通过 sys_dict_data 表将 distribution_category_code（中文）转换为 category_code（数字代码） -->
+                    AND (
+                        -- 方式1：直接匹配
+                        t1.category_code = #{categoryCode}
+                        OR
+                        -- 方式2：通过字典转换匹配（当 distribution_category_code 存储的是中文时）
+                        EXISTS (
+                            SELECT 1 FROM sys_dict_data sdd
+                            WHERE sdd.dict_type = 'med_category_code'
+                              AND sdd.status = '0'
+                              AND sdd.dict_label = T6.distribution_category_code
+                              AND sdd.dict_value = #{categoryCode}
+                        )
+                    )
                 </if>
                 <if test="searchKey != null and searchKey != ''">
                     AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
@@ -171,6 +186,9 @@
                 <if test="searchKey != null and searchKey != ''">
                     AND (t1.name ILIKE '%' || #{searchKey} || '%' OR t1.py_str ILIKE '%' || #{searchKey} || '%')
                 </if>
+                <if test="categoryCode != null and categoryCode != ''">
+                    AND t1.category_code = #{categoryCode}
+                </if>
                 <if test="adviceDefinitionIdParamList != null and !adviceDefinitionIdParamList.isEmpty()">
                     AND t1.id IN
                     <foreach collection="adviceDefinitionIdParamList" item="itemId" open="(" separator="," close=")">
@@ -185,11 +203,15 @@
                 <if test="adviceTypes.contains(3)">UNION ALL</if>
             </if>
 
-            <if test="adviceTypes.contains(3)">
+            <if test="adviceTypes.contains(3) or adviceTypes.contains(6)">
                 (SELECT
                 DISTINCT ON (T1.ID)
                 T1.tenant_id,
-                3 AS advice_type,
+                <choose>
+                    <when test="adviceTypes.contains(3) and adviceTypes.contains(6)">CASE T1.category_code WHEN '手术' THEN 6 WHEN '24' THEN 6 ELSE 3 END</when>
+                    <when test="adviceTypes.contains(6)">6</when>
+                    <otherwise>3</otherwise>
+                </choose> AS advice_type,
                 T1.bus_no AS bus_no,
                 T1.category_code AS category_code,
                 '' AS pharmacology_category_code,
@@ -213,7 +235,7 @@
                     WHEN '检验' THEN 1
                     WHEN '检查' THEN 2
                     WHEN '护理' THEN 3
-                    WHEN '手术' THEN 4
+                    WHEN '手术' THEN 4 WHEN '24' THEN 4
                     WHEN '其他' THEN 5
                     ELSE 0
                 END AS activity_type,
@@ -250,9 +272,20 @@
                 <if test="pricingFlag != null">
                     AND (t1.pricing_flag = #{pricingFlag} OR t1.pricing_flag IS NULL)
                 </if>
+                <!-- 如果只选择手术(adviceType=6)，过滤 category_code = '手术' 或 '24' -->
+                <if test="adviceTypes.contains(6) and !adviceTypes.contains(3)">
+                    AND (T1.category_code = '手术' OR T1.category_code = '24')
+                </if>
+                <!-- 如果只选择诊疗(adviceType=3)，排除手术 -->
+                <if test="adviceTypes.contains(3) and !adviceTypes.contains(6) and (categoryCode == null or categoryCode == '')">
+                    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} || '%')
                 </if>
+                <if test="categoryCode != null and categoryCode != ''">
+                    AND t1.category_code = #{categoryCode}
+                </if>
                 <if test="adviceDefinitionIdParamList != null and !adviceDefinitionIdParamList.isEmpty()">
                     AND t1.id IN
                     <foreach collection="adviceDefinitionIdParamList" item="itemId" open="(" separator="," close=")">
@@ -263,7 +296,7 @@
             </if>
         </if>
         <!-- 如果没有有效的adviceTypes，提供一个空的默认查询以避免语法错误 -->
-        <if test="adviceTypes == null or adviceTypes.isEmpty() or (!adviceTypes.contains(1) and !adviceTypes.contains(2) and !adviceTypes.contains(3))">
+        <if test="adviceTypes == null or adviceTypes.isEmpty() or (!adviceTypes.contains(1) and !adviceTypes.contains(2) and !adviceTypes.contains(3) and !adviceTypes.contains(6))">
             SELECT
                 mmd.tenant_id,
                 CAST(0 AS INTEGER) AS advice_type,
@@ -603,6 +636,8 @@
         T3.service_table = #{WOR_DEVICE_REQUEST}
         LEFT JOIN adm_location AS al ON al.ID = T1.perform_location AND al.delete_flag = '0'
         WHERE T1.delete_flag = '0' AND T1.generate_source_enum = #{generateSourceEnum}
+        -- 🔧 Bug Fix: 排除基于其他医嘱生成的执行记录
+        AND (T1.based_on_id IS NULL OR T1.based_on_table IS NULL)
         <if test="historyFlag == '0'.toString()">
             AND T1.encounter_id = #{encounterId}
         </if>
@@ -659,6 +694,10 @@
         WHERE T1.delete_flag = '0' AND T1.generate_source_enum = #{generateSourceEnum}
         AND T1.parent_id IS NULL
         AND T1.refund_service_id IS NULL
+        -- 🔧 Bug Fix: 排除基于药品请求生成的执行记录（输液、皮试），但保留检查/检验申请单创建的原始医嘱
+        -- based_on_table='med_medication_request' → 输液/皮试执行记录，应排除
+        -- based_on_table='exam_apply'/'lab_apply' → 申请单原始医嘱，应保留
+        AND (T1.based_on_id IS NULL OR T1.based_on_table IS NULL OR T1.based_on_table NOT IN ('med_medication_request', 'med_medication_dispense'))
         <if test="historyFlag == '0'.toString()">
             AND T1.encounter_id = #{encounterId}
         </if>

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

@@ -4,41 +4,6 @@
         "http://mybatis.org/dtd/mybatis-3-mapper.dtd">
 <mapper namespace="com.openhis.web.doctorstation.mapper.DoctorStationLabApplyMapper">
 
-    <!-- 根据申请单号查询检验申请单（返回完整字段） -->
-    <select id="getInspectionApplyByApplyNo" resultType="com.openhis.web.doctorstation.dto.DoctorStationLabApplyDto">
-        SELECT
-            id AS applicationId,
-            apply_no AS applyNo,
-            patient_id AS patientId,
-            patient_name AS patientName,
-            medicalrecord_number AS medicalrecordNumber,
-            natureof_cost AS natureofCost,
-            visit_no AS visitNo,
-            apply_dept_code AS applyDeptCode,
-            apply_department AS applyDepartment,
-            apply_doc_code AS applyDocCode,
-            apply_doc_name AS applyDocName,
-            apply_time AS applyTime,
-            clinic_diag AS clinicDiag,
-            clinic_desc AS clinicDesc,
-            contraindication AS contraindication,
-            medical_history_summary AS medicalHistorySummary,
-            purposeof_inspection AS purposeofInspection,
-            physical_examination AS physicalExamination,
-            inspection_item AS inspectionItem,
-            specimen_type_code AS specimenTypeCode,
-            specimen_name AS specimenName,
-            priority_code AS priorityCode,
-            apply_status AS applyStatus,
-            apply_remark AS applyRemark,
-            create_time AS createTime,
-            operator_id AS operatorId,
-            create_by AS createBy,
-            tenant_id AS tenantId
-        FROM lab_apply
-        WHERE apply_no = #{applyNo}
-        AND delete_flag = '0'
-    </select>
 
     <!-- 分页查询检验申请单列表（根据就诊ID查询，按申请时间降序）
          从明细表聚合项目名称和金额-->

openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/NursingRecordAppMapper.xml

@@ -25,6 +25,7 @@
                       T2.organization_id AS org_id,           --科室ID（从就诊表取）
                       T2.id              AS encounter_id,     --就诊ID
                      T2.start_time      AS admissionDate,    --入院日期
+                     T3.ward_admission_date AS wardAdmissionDate, --入科日期
                      T3.location_id     AS ward_location_id, --病区
                      T4.location_id     AS bed_location_id   --床号
               FROM adm_patient AS T1

openhis-server-new/openhis-application/src/main/resources/mapper/inpatientmanage/VitalSignsAppMapper.xml

@@ -81,6 +81,9 @@
             -- 记录日期
             T1.recording_date >= #{startTime}::date
             AND T1.recording_date <= #{endTime}::date
+            <if test="patientId != null and patientId != ''">
+                AND T1.patient_id = #{patientId}::bigint
+            </if>
             AND T1.delete_flag = '0'
 
         </where>

openhis-server-new/openhis-application/src/main/resources/mapper/personalization/OrdersGroupPackageAppMapper.xml

@@ -48,6 +48,7 @@
         togpd.dose_quantity,
         togpd.group_id,
         togpd.dispense_per_duration,
+        togpd.therapy_enum,
         CASE
         WHEN togpd.order_definition_table = 'med_medication_definition' THEN
         med.NAME

openhis-server-new/openhis-application/src/main/resources/mapper/reportManagement/InfectiousCardMapper.xml

@@ -252,4 +252,11 @@
         ORDER BY t1.report_date DESC
     </select>
 
+    <!-- 撤销审核传染病报卡 -->
+    <update id="revokeAuditCard">
+        UPDATE infectious_card
+        SET status = #{status}::INTEGER,
+            update_time = CURRENT_TIMESTAMP
+        WHERE card_no = #{cardNo}
+    </update>
 </mapper>

openhis-server-new/openhis-domain/src/main/java/com/openhis/lab/domain/InspectionLabApplyItem.java

@@ -74,4 +74,9 @@ public class InspectionLabApplyItem extends HisBaseEntity {
      */
     @JsonSerialize(using = ToStringSerializer.class)
     private Long itemStatus;
+    /**
+     * 套餐ID
+     */
+    @JsonSerialize(using = ToStringSerializer.class)
+    private Long feePackageId;
 }

openhis-server-new/openhis-domain/src/main/java/com/openhis/triageandqueuemanage/domain/TriageQueueItem.java

@@ -31,9 +31,15 @@ public class TriageQueueItem {
     private String practitionerName;       // 医生姓名
     private Long practitionerId;           // 医生ID（新增字段）
     private String roomNo;                 // 诊室号（新增字段）
+    private Long poolId;                   // 号源池ID (关联 adm_schedule_pool.id)
+    private Long slotId;                   // 号源槽位ID (关联 adm_schedule_slot.id)
 
-    /** WAITING / CALLING / SKIPPED / COMPLETED */
+    /**
-    private String status;
+     * 分诊队列状态
+     * 0=WAITING(等待中), 10=CALLING(呼叫中), 20=IN_CLINIC(诊中),
+     * 30=COMPLETED(已完成), 40=SKIPPED(已跳过), 50=REFUNDED(已退费), 60=FOLLOW(已随访)
+     */
+    private Integer status;
     private Integer queueOrder; //“排队序号”，也就是患者在当前科室、当天队列里的 顺序号（从 1 开始递增）。
 
     private LocalDateTime createTime;

openhis-server-new/openhis-domain/src/main/java/com/openhis/workflow/domain/ActivityDefinition.java

@@ -1,6 +1,8 @@
 package com.openhis.workflow.domain;
 
+import com.baomidou.mybatisplus.annotation.FieldStrategy;
 import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
 import com.core.common.core.domain.HisBaseEntity;
@@ -46,9 +48,11 @@ public class ActivityDefinition extends HisBaseEntity {
     private String permittedUnitCode;
 
     /** 所属科室 */
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
     private Long orgId;
 
     /** 所在位置 */
+    @TableField(updateStrategy = FieldStrategy.ALWAYS)
     private Long locationId;
 
     /** 医保标记 */

openhis-server-new/openhis-domain/src/main/java/com/openhis/workflow/domain/ServiceRequest.java

@@ -1,6 +1,8 @@
 package com.openhis.workflow.domain;
 
+import com.baomidou.mybatisplus.annotation.FieldStrategy;
 import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
 import com.core.common.core.domain.HisBaseEntity;
@@ -64,6 +66,7 @@ public class ServiceRequest extends HisBaseEntity {
     private Integer performFlag;
 
     /** 诊疗定义id */
+    @TableField(insertStrategy = FieldStrategy.ALWAYS)
     private Long activityId;
 
     /** 数量 */

openhis-server-new/openhis-domain/src/main/resources/mapper/administration/ScheduleSlotMapper.xml

@@ -298,8 +298,14 @@
             <if test="query.phone != null and query.phone != ''">
                 AND o.phone LIKE CONCAT('%', #{query.phone}, '%')
             </if>
-            <!-- 5. 核心：按系统时间过滤，只返回未过期的号源 -->
+            <!-- 5. 按系统时间过滤（Bug #398 #399 修复：仅未预约受时间过滤，已预约/已取号/已退号不受影响） -->
-            AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND s.expect_time >= CURRENT_TIME::TIME))
+            AND (
+                (<include refid="slotStatusNormExpr" /> = 0 AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW())))
+                OR <include refid="slotStatusNormExpr" /> = 1
+                OR <include refid="slotStatusNormExpr" /> = 3
+                OR <include refid="slotStatusNormExpr" /> = 5
+                OR <include refid="orderStatusNormExpr" /> = 4
+            )
             <!-- 6. 状态过滤 -->
             <if test="query.status != null and query.status != '' and query.status != 'all'">
                 <choose>
@@ -370,7 +376,7 @@
                         p.schedule_date > CURRENT_DATE
                         OR (
                             p.schedule_date = CURRENT_DATE
-                            AND CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME) > TO_TIMESTAMP(#{query.currentTime}/1000)
+                            AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW()
                         )
                     )
                     THEN s.id
@@ -401,7 +407,7 @@
                 AND p.schedule_date = CAST(#{query.date} AS DATE)
             </if>
             <!-- 增加时间过滤：排除已过去的就诊日期 -->
-            AND p.schedule_date >= CURRENT_DATE
+            AND (p.schedule_date > CURRENT_DATE OR (p.schedule_date = CURRENT_DATE AND (CAST(p.schedule_date AS TIMESTAMP) + CAST(s.expect_time AS TIME)) >= NOW()))
             <if test="query.department != null and query.department != '' and query.department != 'all'">
                 AND org.name = #{query.department}
             </if>

openhis-ui-vue3/.env.test

@@ -1,12 +1,5 @@
-# 页面标题
+# Playwright E2E 测试环境变量
-VITE_APP_TITLE = 医院信息管理系统
+# 注意：此文件仅用于本地开发，生产环境使用CI Secret管理
-
+TEST_BASE_URL=http://localhost:80
-# 测试环境配置
+TEST_USERNAME=admin
-VITE_APP_ENV = 'test'
+TEST_PASSWORD=changeme_in_local_env
-
-# OpenHIS管理系统/测试环境
-
-VITE_APP_BASE_API = '/test-api'
-
-# 租户ID配置
-VITE_APP_TENANT_ID = '1'

openhis-ui-vue3/.gitignore

@@ -21,3 +21,8 @@ selenium-debug.log
 
 package-lock.json
 yarn.lock
+
+# Playwright test results
+test-results/
+tests/e2e/report/
+tests/tests/

openhis-ui-vue3/eslint.config.js

@@ -0,0 +1,59 @@
+/* eslint-env node */
+import globals from "globals";
+import pluginVue from "eslint-plugin-vue";
+import parserVue from "vue-eslint-parser";
+import importPlugin from "eslint-plugin-import";
+
+export default [
+  {
+    name: "app/files-to-lint",
+    files: ["**/*.{js,mjs,jsx,vue}"],
+  },
+
+  {
+    name: "app/files-to-ignore",
+    ignores: ["**/dist/**", "**/node_modules/**", "**/help-center/**"],
+  },
+
+  ...pluginVue.configs["flat/recommended"],
+  
+  {
+    languageOptions: {
+      globals: {
+        ...globals.browser,
+        ...globals.node,
+      },
+      parser: parserVue,
+      ecmaVersion: "latest",
+      sourceType: "module",
+    },
+    
+    plugins: {
+      import: importPlugin,
+    },
+    
+    rules: {
+      // 确保导入的模块实际存在（核心规则，防止构建失败）
+      "import/no-unresolved": "error",
+      // 确保导入的命名导出实际存在
+      "import/named": "error",
+      // 确保默认导出存在
+      "import/default": "error",
+      // 确保命名空间导出存在
+      "import/namespace": "error",
+      // Vue 相关规则
+      "vue/multi-word-component-names": "off",
+    },
+    
+    settings: {
+      "import/resolver": {
+        alias: {
+          map: [
+            ["@", "./src"],
+          ],
+          extensions: [".js", ".jsx", ".vue"],
+        },
+      },
+    },
+  },
+];

openhis-ui-vue3/package.json

@@ -16,7 +16,11 @@
     "test": "vitest",
     "test:run": "vitest run",
     "test:coverage": "vitest run --coverage",
-    "test:ui": "vitest --ui"
+    "test:ui": "vitest --ui",
+    "lint": "eslint . --ext .js,.vue src/",
+    "test:e2e": "playwright test",
+    "test:e2e:ui": "playwright test --ui",
+    "test:e2e:report": "playwright show-report"
   },
   "repository": {
     "type": "git",
@@ -67,6 +71,11 @@
     "@vitejs/plugin-vue": "4.5.0",
     "@vue/compiler-sfc": "3.3.9",
     "@vue/test-utils": "^2.4.6",
+    "eslint": "^9.39.4",
+    "eslint-import-resolver-alias": "^1.1.2",
+    "eslint-plugin-import": "^2.32.0",
+    "eslint-plugin-vue": "^10.9.0",
+    "globals": "^17.5.0",
     "happy-dom": "^20.8.3",
     "jsdom": "^28.1.0",
     "pg": "^8.18.0",

openhis-ui-vue3/playwright.config.ts

@@ -0,0 +1,28 @@
+import { defineConfig, devices } from '@playwright/test';
+
+export default defineConfig({
+  testDir: './tests/e2e/specs',
+  fullyParallel: true,
+  timeout: 60_000,
+  expect: { timeout: 10_000 },
+  retries: process.env.CI ? 2 : 1,
+  workers: process.env.CI ? 2 : undefined,
+  reporter: [
+    ['html', { outputFolder: 'tests/e2e/report', open: 'never' }],
+    ['list'],
+  ],
+  use: {
+    baseURL: process.env.TEST_BASE_URL || 'http://localhost:81',
+    screenshot: 'only-on-failure',
+    video: 'retain-on-failure',
+    trace: 'retain-on-failure',
+    viewport: { width: 1920, height: 1080 },
+    locale: 'zh-CN',
+    timezoneId: 'Asia/Shanghai',
+    actionTimeout: 15_000,
+    navigationTimeout: 30_000,
+  },
+  projects: [
+    { name: 'chromium', use: { ...devices['Desktop Chrome'] } },
+  ],
+});

openhis-ui-vue3/src/action/nurseStation/temperatureSheet/config.js

@@ -18,34 +18,33 @@ export const TOP_KEYS = [
       const timeNew = new Date((tieml / 1000 + 86400) * 1000);
       const todayDate = dayjs(timeNew).format('YYYY-MM-DD');
       const endDate = dayjs(outdate).format('YYYY-MM-DD');
-      const startDate = dayjs(hospDate).format('YYYY-MM-DD');
+      let eachDate = dayjs(beginDate).add(i, 'day');
-      let eachTime = dayjs(beginDate).add(i, 'day').format('YYYY-MM-DD');
+      const eachTime = eachDate.format('YYYY-MM-DD');
       if (eachTime === endDate || eachTime === todayDate) {
         dateClosed.stopTime = true;
       }
-      if ((startDate === eachTime && i === 0) || dayjs(eachTime).format('MM-DD') === '01-01') {
+      // 统一补零格式：月份和日期都始终两位补零
-        eachTime = dayjs(eachTime).format('YYYY年MM月DD日');
+      const month = eachDate.format('MM'); // 月份始终两位补零
-      } else if (i === 0 || dayjs(eachTime).format('DD') === '01') {
+      const date = eachDate.format('DD'); // 日期始终两位补零
-        eachTime = dayjs(eachTime).format('MM月DD日');
+      // 每月1号显示 MM月DD日，其他日期只显示 DD日
-      } else {
+      return `${month}月${date}日`;
-        eachTime = dayjs(eachTime).format('DD日');
-      }
-      return dateClosed.stopTime ? eachTime : '';
     },
   },
   {
     name: '住院日数',
     getValue: (i, renderData) => {
       const { beginDate, hospDays, outdate = '', dateClosed } = renderData.infoData;
-      const tieml = new Date();
+      const beginDayjs = dayjs(beginDate);
-      const timeNew = new Date((tieml / 1000 + 86400) * 1000);
+      let num = '';
-      const todayDate = dayjs(timeNew).format('YYYY-MM-DD');
+      // 只要 beginDate 有效，每一天都计算显示住院日数
-      const endDate = dayjs(outdate).add(1, 'day').format('YYYY-MM-DD');
+      if (beginDayjs.isValid()) {
-      const eachTime = dayjs(beginDate).add(i, 'day').format('YYYY-MM-DD');
+        if (hospDays !== undefined && hospDays !== null) {
-      if (eachTime === endDate || todayDate === eachTime) {
+          num = hospDays + i + 1;
-        dateClosed.stopNumber = false;
+        } else {
+          // hospDays 不存在时，从入院开始直接计算
+          num = i + 1;
+        }
       }
-      const num = dateClosed.stopNumber ? hospDays + i + 1 : '';
       let hosNum = '';
       if (num !== '') {
         hosNum = '第' + '\xa0\xa0\xa0' + num + '\xa0\xa0\xa0' + '日';

openhis-ui-vue3/src/api/public.js

@@ -20,6 +20,15 @@ export function advicePrint(data) {
 }
 
 // 获取全部科室列表
+// 获取科室列表（别名）
+export function getDepartmentList(data) {
+    return request({
+        url: '/app-common/department-list',
+        method: 'get',
+        params: data,
+    });
+}
+
 export function getOrgList(data) {
     return request({
         url: '/app-common/department-list',

openhis-ui-vue3/src/components/Print/Consultation.json

@@ -1,27 +1,27 @@
 {
   "panels": [
     {
-      "height": 210,
+      "height": 297,
       "index": 1,
       "name": "会诊申请单",
-      "paperFooter": 595.5,
+      "paperFooter": 780,
       "paperHeader": 0,
-      "paperList": {"height": 210, "type": "A4", "width": 210},
+      "paperList": {"height": 297, "type": "A4", "width": 210},
       "paperNumberDisabled": true,
       "paperType": "A4",
       "printElements": [
-        {"options": {"fontSize": 14, "fontWeight": "bold", "height": 15, "left": 0, "textAlign": "center", "title": "会诊申请单", "top": 5, "width": 180}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"fontSize": 18, "fontWeight": "bold", "height": 20, "left": 0, "textAlign": "center", "title": "会诊申请单", "top": 10, "width": 210}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "hospitalName", "fontSize": 10, "height": 10, "left": 0, "textAlign": "center", "title": "医院名称", "top": 22, "width": 180}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "hospitalName", "fontSize": 12, "height": 15, "left": 0, "textAlign": "center", "title": "医院名称", "top": 35, "width": 210}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "patientName", "fontSize": 10, "height": 10, "left": 5, "title": "姓名:", "top": 40, "width": 60, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "patientName", "fontSize": 12, "height": 15, "left": 10, "title": "姓名:", "top": 60, "width": 80, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "gender", "fontSize": 10, "height": 10, "left": 70, "title": "性别:", "top": 40, "width": 30, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "gender", "fontSize": 12, "height": 15, "left": 300, "title": "性别:", "top": 60, "width": 100, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "age", "fontSize": 10, "height": 10, "left": 105, "title": "年龄:", "top": 40, "width": 40, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "age", "fontSize": 12, "height": 15, "left": 150, "title": "年龄:", "top": 60, "width": 100, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "deptName", "fontSize": 10, "height": 10, "left": 150, "title": "科室:", "top": 40, "width": 30, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "deptName", "fontSize": 12, "height": 15, "left": 10, "title": "科室:", "top": 80, "width": 190, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "diagnosis", "fontSize": 10, "height": 20, "left": 5, "title": "初步诊断:", "top": 55, "width": 170, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "diagnosis", "fontSize": 12, "height": 25, "left": 10, "title": "初步诊断:", "top": 100, "width": 400, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "consultationReason", "fontSize": 10, "height": 40, "left": 5, "title": "会诊目的:", "top": 80, "width": 170, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "consultationReason", "fontSize": 12, "height": 50, "left": 10, "title": "会诊目的:", "top": 130, "width": 190, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "applyTime", "fontSize": 10, "height": 10, "left": 5, "title": "申请时间:", "top": 130, "width": 80, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
+        {"options": {"field": "applyTime", "fontSize": 12, "height": 15, "left": 10, "title": "申请时间:", "top": 190, "width": 300, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}},
-        {"options": {"field": "applyDoctor", "fontSize": 10, "height": 10, "left": 100, "title": "申请医生:", "top": 130, "width": 75, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}}
+        {"options": {"field": "applyDoctor", "fontSize": 12, "height": 15, "left": 400, "title": "申请医生:", "top": 190, "width": 300, "hideTitle": false}, "printElementType": {"title": "文本", "type": "text"}}
       ],
-      "width": 180
+      "width": 210
     }
   ]
 }

openhis-ui-vue3/src/utils/request.js

@@ -26,7 +26,7 @@ const convertIdsToString = (obj) => {
     } else {
       const newObj = {}
       for (const key in obj) {
-        if (obj.hasOwnProperty(key)) {
+        if (Object.prototype.hasOwnProperty.call(obj, key)) {
           const value = obj[key]
           // 如果key以Id结尾或者是id，且值是数字，转为字符串
           if ((key === 'id' || key.endsWith('Id') || key.endsWith('ID')) && typeof value === 'number') {

openhis-ui-vue3/src/views/appoinmentmanage/outpatientAppointment/index.vue

@@ -739,9 +739,15 @@ export default {
         status: record.statusEnum_enumText || record.status
       }));
 
-      // 先进行时间过滤(过滤掉已过期的号源)
+      // 🔧 BugFix#398/#399: 时间过滤仅对"未预约"号源生效
+      // 已预约、已取号、已退号等状态的记录不应因时间过期被过滤
       const currentTime = new Date().getTime();
       const timeFilteredRecords = mappedRecords.filter(ticket => {
+        // 非未预约状态的记录不过滤时间
+        if (ticket.status && ticket.status !== '未预约') {
+          return true;
+        }
+        // 未预约号源：过滤已过期的
         const ticketTime = new Date(ticket.dateTime).getTime();
         return ticketTime > currentTime;
       });
@@ -765,10 +771,11 @@ export default {
       if (!this.selectedStatus || this.selectedStatus === 'all') {
         return records;
       }
+      // 🔧 BugFix#399: 确保已取号状态正确匹配
       const statusMap = {
         unbooked: ['未预约'],
         booked: ['已预约'],
-        checked: ['已取号'],
+        checked: ['已取号', '已签到'],
         cancelled: ['已停诊', '已取消'],
         returned: ['已退号']
       };

openhis-ui-vue3/src/views/basicmanage/ordersCombination/components/prescriptionlist.vue

@@ -819,7 +819,8 @@ function selectAdviceBase(key, row) {
       combinationList.value[rowIndex.value].positionName = stock.locationName;
     }
   } else {
-    combinationList.value[rowIndex.value].orgId = JSON.parse(JSON.stringify(row)).positionId;
+    // 🔧 修复执行科室逻辑：优先使用项目维护的所属科室(row.orgId)，其次使用positionId
+    combinationList.value[rowIndex.value].orgId = row.orgId || JSON.parse(JSON.stringify(row)).positionId;
     combinationList.value[rowIndex.value].unitPrice = row.priceList[0].price;
   }
   expandOrder.value = [key];

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosisTreatmentDialog.vue

@@ -545,6 +545,11 @@ function edit() {
   title.value = props.title;
   form.value = props.item;
   form.value.chrgitmLv = form.value.chrgitmLv ? form.value.chrgitmLv.toString() : undefined;
+  // 所属科室：如果后端无法翻译科室名称（orgId_dictText为空），则清空orgId，
+  // 避免el-tree-select回退显示原始数字ID，而是显示"请选择..."占位符
+  if (!form.value.orgId_dictText) {
+    form.value.orgId = undefined;
+  }
   // 划价标记：编辑时若原值为null/undefined则默认为1（允许划价）
   if (form.value.pricingFlag === null || form.value.pricingFlag === undefined) {
     form.value.pricingFlag = 1;

openhis-ui-vue3/src/views/catalog/diagnosistreatment/components/diagnosistreatment.js

@@ -76,7 +76,7 @@ export function deptTreeSelect (queryParams) {
   return request ({
     url: '/base-data-manage/organization/organization',
     method: 'get',
-    param: queryParams,
+    params: queryParams,
   });
 }
 // 查询身体部位树形数据

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

@@ -383,6 +383,7 @@ const props = defineProps({
   },
 });
 const isAdding = ref(false);
+const isSaving = ref(false); // #437 防重复提交锁
 const prescriptionRef = ref();
 const expandOrder = ref([]); //目前的展开行
 const stockList = ref([]);
@@ -702,7 +703,14 @@ async function selectAdviceBase(key, row) {
   };
 
   // 后续字段处理保持原样
-  prescriptionList.value[rowIndex.value].orgId = undefined;
+  // 🔧 修复执行科室逻辑：诊疗项目优先使用项目维护的所属科室(row.orgId)
+  // 如果所属科室为空，则回退到患者当前所在科室
+  if (row.adviceType === 3 && row.orgId) {
+    // 项目有所属科室，直接使用
+    prescriptionList.value[rowIndex.value].orgId = row.orgId;
+  } else {
+    prescriptionList.value[rowIndex.value].orgId = undefined;
+  }
   prescriptionList.value[rowIndex.value].dose = undefined;
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
   prescriptionList.value[rowIndex.value].doseUnitCode =
@@ -1021,13 +1029,18 @@ function handleSave() {
       })
       groupIndexList.value = []
       groupList.value = []
-      nextId.value == 1;
+      nextId.value = 1;
     }
   });
 }
 
 // 单行处方保存
 function handleSaveSign(row, index) {
+  // 🔧 Bug Fix #437: 防重复提交锁
+  if (isSaving.value) {
+    proxy.$modal.msgWarning('正在保存中，请勿重复提交');
+    return;
+  }
   // 🔧 Bug Fix #238: 诊疗项目必须选择执行科室
   if (row.adviceType === 3 && !row.orgId) {
     proxy.$modal.msgWarning('诊疗项目必须选择执行科室');
@@ -1035,33 +1048,37 @@ function handleSaveSign(row, index) {
   }
   proxy.$refs['formRef' + index].validate((valid) => {
     if (valid) {
+      isSaving.value = true; // #437 加锁
       row.isEdit = false;
       isAdding.value = false;
       expandOrder.value = [];
       row.patientId = props.patientInfo.patientId;
       row.encounterId = props.patientInfo.encounterId;
       row.accountId = props.patientInfo.accountId;
-      row.contentJson = JSON.stringify(row);
+      const cleanRow = JSON.parse(JSON.stringify(row));
-      row.dbOpType = row.requestId ? '2' : '1';
+      cleanRow.contentJson = JSON.stringify(cleanRow);
-      row.minUnitQuantity = row.quantity * row.partPercent;
+      cleanRow.dbOpType = cleanRow.requestId ? '2' : '1';
-      row.categoryEnum = row.adviceType
+      cleanRow.minUnitQuantity = cleanRow.quantity * cleanRow.partPercent;
+      cleanRow.categoryEnum = cleanRow.adviceType
       // 如果是手术计费，设置生成来源和来源业务单据号
       if (props.patientInfo.sourceBillNo) {
-        row.generateSourceEnum = 6; // 手术计费
+        cleanRow.generateSourceEnum = 6; // 手术计费
-        row.sourceBillNo = props.patientInfo.sourceBillNo;
+        cleanRow.sourceBillNo = props.patientInfo.sourceBillNo;
       }
-      console.log('row', row)
+      console.log('cleanRow', cleanRow)
-      savePrescription({ adviceSaveList: [row] }).then((res) => {
+      savePrescription({ adviceSaveList: [cleanRow] }).then((res) => {
         if (res.code === 200) {
           proxy.$modal.msgSuccess('保存成功');
           getListInfo(false);
-          nextId.value == 1;
+          nextId.value = 1;
           // 🔧 Bug Fix #238: 如果诊疗项目缺少执行科室，标记为需要修复的脏数据
           if (row.adviceType === 3 && !row.orgId) {
-            console.warn('Bug #238: 检测到诊疗项目保存时缺少执行科室，请手动编辑修正:', row);
+            console.warn('Bug #238: 检测到诊疗项目保存时缺少执行科室，请手动编辑修正:', cleanRow);
             proxy.$modal.msgWarning('诊疗项目执行科室信息不完整，请编辑后重新保存');
           }
         }
+      }).finally(() => {
+        isSaving.value = false; // #437 释放锁
       });
     }
   });

openhis-ui-vue3/src/views/consultationmanagement/consultationapplication/index.vue

@@ -377,6 +377,7 @@ import { Search, Refresh, Printer, Edit, View, Delete } from '@element-plus/icon
 import { queryConsultationListPage, cancelConsultation, saveConsultation, getConsultationOpinions } from './api'
 import { simplePrint, PRINT_TEMPLATE } from '@/utils/printUtils.js'
 import { formatDate } from '@/utils/index.js'
+import useUserStore from '@/store/modules/user'
 
 const loading = ref(false)
 const saving = ref(false)
@@ -548,15 +549,20 @@ const handleCurrentChange = (val) => {
 }
 
 const handlePrint = async (row) => {
-  const printRow = row || currentRow.value
+  // 如果传入了具体行数据，则只打印该行；否则打印所有数据
+  const printRows = row ? [row] : tableData.value;
 
-  if (!printRow) {
+  if (printRows.length === 0) {
-    ElMessage.warning('请先选择一条记录')
+    ElMessage.warning('没有可打印的数据');
-    return
+    return;
   }
 
+  const userStore = useUserStore();
+  const hospitalName = userStore.tenantName || userStore.hospitalName || '';
+
   try {
-    const printData = {
+    const printDataList = printRows.map(printRow => ({
+      hospitalName,
       patientName: printRow.patientName || '',
       gender: printRow.genderEnum === 1 ? '男' : '女',
       age: printRow.age || '',
@@ -565,11 +571,11 @@ const handlePrint = async (row) => {
       consultationReason: printRow.consultationPurpose || '',
       applyTime: printRow.consultationRequestDate || '',
       applyDoctor: printRow.requestingPhysician || ''
-    }
+    }));
-    await simplePrint(PRINT_TEMPLATE.CONSULTATION, printData)
+    await simplePrint(PRINT_TEMPLATE.CONSULTATION, printDataList);
   } catch (error) {
-    console.error('会诊申请单打印失败:', error)
+    console.error('会诊申请单打印失败:', error);
-    ElMessage.error('打印失败')
+    ElMessage.error('打印失败');
   }
 }
 

openhis-ui-vue3/src/views/consultationmanagement/consultationconfirmation/index.vue

@@ -177,7 +177,7 @@
                     <el-tag v-else type="warning" size="small">已确认</el-tag>
                   </div>
                   <div class="opinion-content">
-                    {{ opinion.opinion }}
+                    {{ formatOpinionContent(opinion.opinion) }}
                   </div>
                   <div v-if="opinion.signatureTime" class="opinion-footer">
                     签名时间：{{ formatDateTime(opinion.signatureTime) }}
@@ -301,6 +301,16 @@ const formatDateTime = (date) => {
   return `${yyyy}-${mm}-${dd} ${hh}:${mi}:${ss}`
 }
 
+// Bug #388：去掉"科室-参加医师："前缀，只显示意见内容
+const formatOpinionContent = (opinion) => {
+  if (!opinion) return ''
+  const colonIndex = opinion.indexOf('：')
+  if (colonIndex > 0) {
+    return opinion.substring(colonIndex + 1)
+  }
+  return opinion  // 向后兼容旧数据
+}
+
 const getDoctorName = () => userStore.nickName || userStore.name || '当前医生'
 const getDoctorDept = () => userStore.orgName || '当前科室'
 

openhis-ui-vue3/src/views/diseaseReportManagement/ReportManagement/api.js

@@ -89,6 +89,20 @@ export function auditInfectiousCard(data) {
  * @param {string} data.returnReason - 退回原因
  * @param {string} data.status - 审核状态（5：审核失败）
  */
+/**
+ * 撤销审核传染病报卡
+ * @param {Object} data
+ * @param {string} data.cardNo
+ * @param {string} data.status
+ */
+export function revokeAuditCard(data) {
+  return request({
+    url: '/report-manage/infectiousDiseaseReport/revokeAudit',
+    method: 'post',
+    data,
+  });
+}
+
 export function returnInfectiousCard(data) {
   return request({
     url: '/report-manage/infectiousDiseaseReport/return',

openhis-ui-vue3/src/views/diseaseReportManagement/ReportManagement/index.vue

@@ -76,78 +76,61 @@
     <div class="filter-section">
       <el-card>
         <div class="filter-container">
-          <el-form :model="filterForm" ref="filterFormRef" label-width="80px" :inline="true" style="flex: 1; overflow: hidden;">
+          <!-- 修复【#396】：优化搜索查询区域布局，所有筛选条件单行排列，按钮紧凑靠右 -->
-            <el-row :gutter="16">
+          <el-form :model="filterForm" ref="filterFormRef" label-width="70px" :inline="true">
-              <!-- 第一行 -->
+            <div class="filter-row">
-              <el-col :span="24">
+              <el-form-item label="登记来源">
-                <el-row :gutter="16">
+                <el-select v-model="filterForm.source" placeholder="全部" clearable style="width: 100px">
-                  <el-col :span="3">
+                  <el-option label="门诊" value="1" />
-                    <el-form-item label="登记来源">
+                  <el-option label="住院" value="2" />
-                      <el-select v-model="filterForm.source" placeholder="全部" clearable>
+                  <el-option label="急诊" value="3" />
-                        <el-option label="门诊" value="1" />
+                  <el-option label="体检" value="4" />
-                        <el-option label="住院" value="2" />
+                </el-select>
-                        <el-option label="急诊" value="3" />
+              </el-form-item>
-                        <el-option label="体检" value="4" />
+              <el-form-item label="上报时间">
-                      </el-select>
+                <el-date-picker
-                    </el-form-item>
+                  v-model="filterForm.dateRange"
-                  </el-col>
+                  type="daterange"
-                  <el-col :span="6">
+                  range-separator="至"
-                    <el-form-item label="上报时间">
+                  start-placeholder="开始日期"
-                      <el-date-picker
+                  end-placeholder="结束日期"
-                        v-model="filterForm.dateRange"
+                  value-format="YYYY-MM-DD"
-                        type="daterange"
+                  style="width: 220px"
-                        range-separator="至"
+                />
-                        start-placeholder="开始日期"
+              </el-form-item>
-                        end-placeholder="结束日期"
+              <el-form-item label="患者姓名">
-                        value-format="YYYY-MM-DD"
+                <el-input v-model="filterForm.patientName" placeholder="请输入" clearable style="width: 120px" />
-                      />
+              </el-form-item>
-                    </el-form-item>
+              <el-form-item label="审核状态">
-                  </el-col>
+                <el-select v-model="filterForm.status" placeholder="全部" clearable style="width: 110px">
-                  <el-col :span="3">
+                  <el-option
-                    <el-form-item label="患者姓名">
+                    v-for="item in auditStatusList.filter(s => ['1', '2', '3', '5'].includes(s.value))"
-                      <el-input v-model="filterForm.patientName" placeholder="请输入患者姓名" clearable />
+                    :key="item.value"
-                    </el-form-item>
+                    :label="item.label"
-                  </el-col>
+                    :value="item.value"
-                </el-row>
+                  />
-              </el-col>
+                </el-select>
-              <!-- 第二行 -->
+              </el-form-item>
-              <el-col :span="24">
+              <el-form-item label="上报科室">
-                <el-row :gutter="16">
+                <el-tree-select
-                  <el-col :span="3">
+                  v-model="filterForm.deptId"
-                    <el-form-item label="审核状态">
+                  :data="deptTreeData"
-                      <el-select v-model="filterForm.status" placeholder="全部" clearable>
+                  :props="{ children: 'children', label: 'label', value: 'value' }"
-                        <el-option
+                  placeholder="全部科室"
-                          v-for="item in auditStatusList.filter(s => ['1', '2', '3', '5'].includes(s.value))"
+                  clearable
-                          :key="item.value"
+                  check-strictly
-                          :label="item.label"
+                  style="width: 140px"
-                          :value="item.value"
+                />
-                        />
+              </el-form-item>
-                      </el-select>
+              <div class="filter-buttons">
-                    </el-form-item>
+                <el-button type="primary" @click="handleSearch" :loading="loading">
-                  </el-col>
+                  <el-icon><Search /></el-icon> 查询
-                  <el-col :span="3">
+                </el-button>
-                    <el-form-item label="上报科室">
+                <el-button @click="handleReset">
-                      <el-tree-select
+                  <el-icon><Refresh /></el-icon> 重置
-                        v-model="filterForm.deptId"
+                </el-button>
-                        :data="deptTreeData"
+              </div>
-                        :props="{ children: 'children', label: 'label', value: 'value' }"
+            </div>
-                        placeholder="全部科室"
-                        clearable
-                        check-strictly
-                      />
-                    </el-form-item>
-                  </el-col>
-                  <el-col :span="18" style="display: flex; align-items: center; justify-content: flex-end;">
-                    <el-button type="primary" @click="handleSearch" :loading="loading">
-                      <el-icon><Search /></el-icon> 查询
-                    </el-button>
-                    <el-button @click="handleReset">
-                      <el-icon><Refresh /></el-icon> 重置
-                    </el-button>
-                  </el-col>
-                </el-row>
-              </el-col>
-            </el-row>
           </el-form>
         </div>
       </el-card>
@@ -215,13 +198,21 @@
           <el-table-column label="操作" width="180" fixed="right">
             <template #default="{ row }">
               <el-button
-                v-if="row.status === 1"
+                v-if="row.status === 1 || row.status === 5"
                 type="primary"
                 link
                 @click="handleAudit(row)"
               >
                 审核
               </el-button>
+              <el-button
+                v-if="row.status === 2"
+                type="warning"
+                link
+                @click="handleRevokeAudit(row)"
+              >
+                撤销审核
+              </el-button>
               <el-button
                 type="info"
                 link
@@ -582,6 +573,7 @@ import {
   getInfectiousCard,
   auditInfectiousCard,
   returnInfectiousCard,
+  revokeAuditCard,
   batchAuditCards,
   batchReturnCards,
   getDeptTree,
@@ -842,6 +834,38 @@ function handleView(row) {
   loadCardDetail(row.cardNo);
 }
 
+// 撤销审核（Bug #395 修复）
+async function handleRevokeAudit(row) {
+  try {
+    await ElMessageBox.confirm(
+      `确定要撤销【${row.patientName}】的报卡审核吗？撤销后状态将变为"待审核"。`,
+      '确认撤销',
+      {
+        confirmButtonText: '确定',
+        cancelButtonText: '取消',
+        type: 'warning',
+      }
+    );
+
+    const res = await revokeAuditCard({
+      cardNo: row.cardNo,
+      status: '1'  // 撤销后状态变更为待审核
+    });
+
+    if (res.code === 200) {
+      ElMessage.success('撤销审核成功');
+      loadTableData();
+      loadStats();
+    } else {
+      ElMessage.error(res.msg || '撤销审核失败');
+    }
+  } catch (err) {
+    if (err !== 'cancel') {
+      console.error(err);
+    }
+  }
+}
+
 // 加载卡片详情
 async function loadCardDetail(cardNo) {
   drawerLoading.value = true;
@@ -944,10 +968,10 @@ async function handleReturnCard() {
 
 // 批量审核
 function handleBatchAudit() {
-  // 检查是否包含非待审核状态的报卡
+  // 检查是否包含非可审核状态的报卡（只有待审核和审核失败可以批量审核）
-  const nonPendingCards = selectedRows.value.filter(row => row.status !== 1);
+  const nonPendingCards = selectedRows.value.filter(row => row.status !== 1 && row.status !== 5);
   if (nonPendingCards.length > 0) {
-    ElMessage.warning('只能选择待审核状态的报卡');
+    ElMessage.warning('只能选择待审核或审核失败状态的报卡');
     return;
   }
 
@@ -992,10 +1016,10 @@ async function confirmBatchAudit() {
 
 // 批量退回
 function handleBatchReturn() {
-  // 检查是否包含非待审核状态的报卡
+  // 检查是否包含非可审核状态的报卡（只有待审核和审核失败可以批量退回）
-  const nonPendingCards = selectedRows.value.filter(row => row.status !== 1);
+  const nonPendingCards = selectedRows.value.filter(row => row.status !== 1 && row.status !== 5);
   if (nonPendingCards.length > 0) {
-    ElMessage.warning('只能选择待审核状态的报卡');
+    ElMessage.warning('只能选择待审核或审核失败状态的报卡');
     return;
   }
 
@@ -1318,6 +1342,27 @@ function getAuditTypeName(type) {
   width: 100%;
 }
 
+/* 修复【#396】：单行筛选布局样式 */
+.filter-row {
+  display: flex;
+  align-items: center;
+  flex-wrap: nowrap;
+  gap: 8px;
+}
+
+.filter-row .el-form-item {
+  display: inline-flex !important;
+  width: auto !important;
+  margin-bottom: 0;
+}
+
+.filter-buttons {
+  display: inline-flex;
+  align-items: center;
+  gap: 8px;
+  margin-left: auto;
+}
+
 /* 表格区 */
 .table-section {
   flex: 1;

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

@@ -196,7 +196,7 @@
             </el-col>
           </el-row>
 
-          <el-form-item label="需要病员及会诊目的：" prop="consultationPurpose">
+          <el-form-item label="简要病史及会诊目的：" prop="consultationPurpose">
             <el-input
               v-model="formData.consultationPurpose"
               type="textarea"

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

@@ -1,5 +1,5 @@
 <template>
-  <div class="exam-app-container">
+  <div class="exam-app-container" style="width: 100%; max-width: 1200px;">
     <!-- ====== 顶部卡片：申请单列表 ====== -->
     <div class="top-section">
       <div class="section-header">
@@ -73,7 +73,7 @@
               <el-row :gutter="12">
                 <el-col :span="8">
                   <el-form-item label="申请单号" prop="applyNo">
-                    <el-input v-model="form.applyNo" readonly />
+                    <el-input v-model="form.applyNo" readonly placeholder="自动生成" />
                   </el-form-item>
                 </el-col>
                 <el-col :span="8">
@@ -104,19 +104,41 @@
                 </el-col>
                 <el-col :span="8">
                   <el-form-item label="申请科室" prop="applyDeptCode">
-                    <el-input v-model="form.applyDeptCode" />
+                    <el-input v-model="form.applyDeptCode" disabled />
                   </el-form-item>
                 </el-col>
               </el-row>
               <el-row :gutter="12">
                 <el-col :span="8">
                   <el-form-item label="申请医生" prop="applyDocCode">
-                    <el-input v-model="form.applyDocCode" />
+                    <el-input v-model="form.applyDocCode" disabled />
                   </el-form-item>
                 </el-col>
                 <el-col :span="8">
                   <el-form-item label="执行科室" prop="performDeptCode">
-                    <el-input v-model="form.performDeptCode" />
+                    <el-select
+                      v-model="form.performDeptCode"
+                      style="width: 100%"
+                      filterable
+                      remote
+                      reserve-keyword
+                      clearable
+                      placeholder="请选择执行科室（支持模糊查询）"
+                      :remote-method="handleOrgRemoteSearch"
+                      :loading="orgLoading"
+                    >
+                      <el-option
+                        v-for="opt in orgFilteredOptions"
+                        :key="opt.value"
+                        :label="opt.label"
+                        :value="opt.value"
+                      />
+                      <template #empty>
+                        <div style="padding: 10px 0; color: #909399; text-align: center;">
+                          {{ orgLoading ? '加载中...' : '暂无匹配科室' }}
+                        </div>
+                      </template>
+                    </el-select>
                   </el-form-item>
                 </el-col>
               </el-row>
@@ -162,16 +184,10 @@
                     <el-input v-model="form.inspectionArea" readonly />
                   </el-form-item>
                 </el-col>
+                <!-- Bug #384修复: 添加检查方法只读输入框，联动显示选中的检查方法 -->
                 <el-col :span="8">
                   <el-form-item label="检查方法">
-                    <el-select v-model="form.inspectionMethod" placeholder="请选择" clearable filterable style="width: 100%;">
+                    <el-input v-model="form.selectedMethodDisplay" readonly placeholder="请在右侧选择" />
-                      <el-option
-                        v-for="method in availableMethods"
-                        :key="method.id"
-                        :label="method.name"
-                        :value="method.name"
-                      />
-                    </el-select>
                   </el-form-item>
                 </el-col>
               </el-row>
@@ -195,32 +211,60 @@
 
           <!-- TAB2：检查明细 -->
           <el-tab-pane label="检查明细" name="applyDetail">
+            <!-- 🔧 BugFix#426: 支持树形展开显示套餐明细 -->
             <el-table
               ref="detailTableRef"
               :data="selectedItems"
+              row-key="id"
               border
               size="small"
               style="width:100%"
               :max-height="350"
               :header-cell-style="{ background: '#f5f5f5', color: '#303133' }"
+              :tree-props="{ children: 'children', hasChildren: 'hasChildren' }"
+              :load="loadPackageDetails"
+              lazy
             >
               <el-table-column label="行" type="index" width="45" align="center" />
-              <el-table-column label="检查项目" prop="name" min-width="120" />
+              <el-table-column label="检查项目" prop="name" min-width="120">
+                <template #default="scope">
+                  <el-tag v-if="scope.row.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
+                  <span>{{ scope.row.name }}</span>
+                </template>
+              </el-table-column>
               <el-table-column label="部位" prop="applyPart" min-width="90">
                 <template #default="scope">
                   <el-input v-model="scope.row.applyPart" size="small" />
                 </template>
               </el-table-column>
+              <el-table-column label="检查方法" min-width="120">
+                <template #default="scope">
+                  <!-- Bug #384修复: 显示检查方法名称，不显示套餐名称 -->
+                  <span v-if="scope.row.selectedMethod">
+                    {{ scope.row.selectedMethod.name }}
+                  </span>
+                  <span v-else-if="scope.row.methods && scope.row.methods.length > 0" style="color: #909399;">
+                    未选择
+                  </span>
+                  <span v-else style="color: #c0c4cc;">-</span>
+                </template>
+              </el-table-column>
               <el-table-column label="单位" prop="unit" width="55" align="center" />
               <el-table-column label="总量" prop="quantity" width="70" align="center">
                 <template #default="scope">
                   <el-input-number v-model="scope.row.quantity" :min="1" size="small" :controls="false" style="width:100%" />
                 </template>
               </el-table-column>
-              <el-table-column label="单价" prop="price" width="75" align="right" />
+              <!-- Bug #384修复: 单价显示套餐价格（如果选中）或部位价格 -->
+              <el-table-column label="单价" width="75" align="right">
+                <template #default="scope">
+                  {{ scope.row.selectedMethod?.packagePrice || scope.row.price }}
+                </template>
+              </el-table-column>
+              <!-- Bug #384修复: 金额使用有效价格计算 -->
               <el-table-column label="金额" width="80" align="right">
                 <template #default="scope">
-                  {{ ((scope.row.price || 0) * (scope.row.quantity || 1)).toFixed(2) }}
+                  {{ ((scope.row.selectedMethod?.packagePrice || scope.row.price || 0) * (scope.row.quantity || 1)).toFixed(2) }}
                 </template>
               </el-table-column>
               <el-table-column label="类型" prop="checkType" width="70" align="center" />
@@ -262,6 +306,7 @@
                   v-for="cat in filteredCategoryList"
                   :key="cat.typeId"
                   :name="cat.typeId"
+                  @click="handleCategoryExpand(cat)"
                 >
                   <template #title>
                     <span class="cat-title">{{ cat.categoryName }}</span>
@@ -278,29 +323,55 @@
                     >
                       {{ item.name }}
                     </el-checkbox>
-                    <span class="item-price">¥{{ item.price }}</span>
+                    <span class="item-price">¥{{ item.price }}/{{ item.unit || "次" }}</span>
                   </div>
                 </el-collapse-item>
               </el-collapse>
             </div>
           </div>
 
-          <!-- 右侧：已选择 tags -->
+          <!-- 右侧：已选择 项目卡片（可展开显示检查方法） -->
           <div class="selected-panel">
             <div class="panel-label">已选择:</div>
             <div class="selected-tags">
               <div v-if="selectedItems.length === 0" class="empty-selected">–</div>
-              <el-tag
+              <div
                 v-else
                 v-for="(item, idx) in selectedItems"
                 :key="idx"
-                closable
+                class="selected-item-card"
-                size="small"
-                @close="handleRemoveItem(idx, item)"
-                class="selected-tag"
               >
-                {{ item.name }} ¥{{ item.price }}
+                <!-- Bug #384修复: 项目卡片头部，可展开/收起 -->
-              </el-tag>
+                <div class="card-header" @click="toggleItemExpand(item)">
+                  <span class="card-name">{{ item.name }}</span>
+                  <span class="card-price">¥{{ item.price }}</span>
+                  <!-- 展开图标 -->
+                  <el-icon :class="['expand-icon', { expanded: item.expanded }]">
+                    <ArrowDown v-if="!item.expanded" />
+                    <ArrowUp v-if="item.expanded" />
+                  </el-icon>
+                  <!-- 删除按钮 -->
+                  <el-button link type="danger" size="small" @click.stop="handleRemoveItem(idx, item)">
+                    <el-icon><Close /></el-icon>
+                  </el-button>
+                </div>
+                <!-- Bug #384修复: 展开后显示检查方法勾选框列表 -->
+                <div v-if="item.expanded && item.methods && item.methods.length > 0" class="method-list">
+                  <div
+                    v-for="method in item.methods"
+                    :key="method.id"
+                    class="method-option"
+                  >
+                    <el-checkbox
+                      :model-value="item.selectedMethod?.id === method.id"
+                      @change="(val) => selectMethodCheckbox(val, item, method)"
+                    >
+                      <span class="method-name">{{ method.name }}</span>
+                      <span class="method-price">¥{{ method.packagePrice || item.price }}</span>
+                    </el-checkbox>
+                  </div>
+                </div>
+              </div>
             </div>
           </div>
         </div>
@@ -312,10 +383,11 @@
 <script setup>
 import { ref, reactive, computed, watch, onMounted, nextTick } from 'vue';
 import { ElMessage, ElMessageBox } from 'element-plus';
-import { Printer, Delete } from '@element-plus/icons-vue';
+import { Printer, Delete, ArrowDown, ArrowUp, Close } from '@element-plus/icons-vue';
 import useUserStore from '@/store/modules/user';
 import request from '@/utils/request';
-import { listCheckMethod } from '@/api/system/checkType';
+import { listCheckMethod, searchCheckMethod } from '@/api/system/checkType';
+import { getEncounterDiagnosis } from '../api.js';
 
 const props = defineProps({
   patientInfo: { type: Object, default: () => ({}) },
@@ -331,6 +403,36 @@ const dictLoading = ref(false);
 const activeDetailTab = ref('applyForm');
 const applicationList = ref([]);
 const selectedItems = ref([]);
+
+// 🔧 BugFix#426: 懒加载套餐明细
+async function loadPackageDetails(row, treeNode, resolve) {
+  if (!row.isPackage || !row.packageId) {
+    resolve([]);
+    return;
+  }
+  try {
+    const res = await request({
+      url: `/exam/package/${row.packageId}/details`,
+      method: 'get'
+    });
+    if (res.code === 200 && res.data) {
+      const children = res.data.map(item => ({
+        ...item,
+        name: item.name || item.itemName,
+        unit: item.unit || '次',
+        price: item.price || item.itemPrice || 0,
+        quantity: row.quantity || 1,
+        isPackageDetail: true
+      }));
+      resolve(children);
+    } else {
+      resolve([]);
+    }
+  } catch (err) {
+    console.error('加载套餐明细失败:', err);
+    resolve([]);
+  }
+}
 const detailTableRef = ref(null);
 const formRef = ref(null);
 
@@ -362,7 +464,8 @@ const form = reactive({
   isCharged: 0,
   isRefunded: 0,
   isExecuted: 0,
-  examTypeCode: ''   // 检查类型编码，必填字段，保存时从已选项目自动推导
+  examTypeCode: '',   // 检查类型编码，必填字段，保存时从已选项目自动推导
+  selectedMethodDisplay: ''  // Bug #384修复: 检查方法显示字段（联动）
 });
 
 const rules = {
@@ -383,6 +486,11 @@ const activeNames = ref([]);    // 当前展开的折叠项
 
 const allMethods = ref([]);
 
+// ====== 科室下拉（来源：科室管理）======
+const orgLoading = ref(false);
+const orgOptions = ref([]); // { label, value }
+const orgFilteredOptions = ref([]); // 展示用（截断前200条）
+
 // 加载所有检查方法
 async function loadAllMethods() {
   try {
@@ -408,10 +516,61 @@ async function loadAllMethods() {
 }
 
 onMounted(async () => {
+  await loadOrgOptions();
   await loadAllMethods();
   await loadCategoryList();
 });
 
+async function loadOrgOptions() {
+  orgLoading.value = true;
+  try {
+    const res = await request({
+      url: '/base-data-manage/organization/organization',
+      method: 'get',
+    });
+    const records = res?.data?.records || res?.data || [];
+
+    const flat = [];
+    const walk = (nodes) => {
+      if (!Array.isArray(nodes)) return;
+      for (const n of nodes) {
+        if (!n) continue;
+        // 约定：typeEnum=2 为科室；若没有 typeEnum 也兜底收集
+        if (n.name && (n.typeEnum === 2 || n.typeEnum === '2' || n.typeEnum == null)) {
+          flat.push({ label: n.name, value: n.name });
+        }
+        if (Array.isArray(n.children) && n.children.length > 0) walk(n.children);
+      }
+    };
+    walk(records);
+
+    // 去重 + 排序
+    const uniq = Array.from(new Map(flat.map(o => [o.value, o])).values())
+      .filter(o => o?.value)
+      .sort((a, b) => (a.label || '').localeCompare(b.label || '', 'zh-CN'));
+
+    orgOptions.value = uniq;
+    orgFilteredOptions.value = uniq.slice(0, 200);
+  } catch (e) {
+    console.error('加载科室列表失败', e);
+    orgOptions.value = [];
+    orgFilteredOptions.value = [];
+  } finally {
+    orgLoading.value = false;
+  }
+}
+
+function handleOrgRemoteSearch(keyword) {
+  const key = (keyword || '').trim().toLowerCase();
+  if (!key) {
+    orgFilteredOptions.value = orgOptions.value.slice(0, 200);
+    return;
+  }
+  orgFilteredOptions.value = orgOptions.value
+    .filter((o) => (o.label || '').toLowerCase().includes(key))
+    .slice(0, 200);
+}
+
 // 动态可用的检查方法（根据已选部位所属的检查类型进行过滤）
 const normalizeTypeValue = value => String(value ?? '').trim().toLowerCase();
 
@@ -438,6 +597,33 @@ const availableMethods = computed(() => {
 });
 
 // 当可选方法列表改变时，如果当前选中的方法不在新列表中，则清空
+// #428: 分类展开时联动加载检查方法
+async function handleCategoryExpand(cat) {
+  if (!cat || !cat.typeName) return;
+  
+  try {
+    const res = await searchCheckMethod({ checkType: cat.typeName });
+    let data = res?.data?.data || res?.data || res?.rows || res;
+    if (!Array.isArray(data) && res?.data && Array.isArray(res.data.data)) {
+      data = res.data.data;
+    }
+    
+    if (Array.isArray(data) && data.length > 0) {
+      cat.methods = data.map(m => ({
+        id: m.id,
+        name: m.name,
+        code: m.code,
+        price: m.price || 0,
+        packageName: m.packageName || '',
+        packagePrice: m.packagePrice || null,
+        serviceFee: m.serviceFee || null
+      }));
+    }
+  } catch (err) {
+    console.error('加载分类检查方法失败', err);
+  }
+}
+
 watch(availableMethods, (newMethods) => {
   if (form.inspectionMethod && !newMethods.find(m => m.name === form.inspectionMethod)) {
     form.inspectionMethod = '';
@@ -497,6 +683,8 @@ async function loadCategoryList() {
         orgType: t.type,         // 保存 type 用于后备匹配
         typeName: t.name,        // 保存 name
         categoryName: t.name,
+        // “检查类型管理”里配置的执行科室（图三）
+        performDeptName: t.department || '',
         items: []
       });
     }
@@ -510,6 +698,7 @@ async function loadCategoryList() {
         unit: '次',
         checkType: p.checkType || '',
         nationalCode: p.nationalCode || '',
+        packageName: p.packageName || '',
         checked: false
       };
       
@@ -551,9 +740,11 @@ const filteredCategoryList = computed(() => {
 });
 
 // ====== 合计 ======
+// Bug #384修复: 如果选中了检查方法，使用套餐价格；否则使用部位价格
 const totalAmountCalc = computed(() => {
   const total = selectedItems.value.reduce((sum, item) => {
-    return sum + (item.price * (item.quantity || 1));
+    const effectivePrice = item.selectedMethod?.packagePrice || item.price;
+    return sum + (effectivePrice * (item.quantity || 1));
   }, 0);
   return total.toFixed(2);
 });
@@ -572,26 +763,57 @@ watch(() => props.patientInfo, (newVal) => {
   }
 }, { immediate: true, deep: true });
 
-watch(() => props.activeTab, (val) => {
+watch(() => props.activeTab, async (val) => {
-  if (val === 'examination') getList();
+  if (val === 'examination') {
+    getList();
+    // 切换到检查页签时，重新获取临床诊断（确保与诊断页签同步）
+    if (props.patientInfo?.encounterId) {
+      await loadClinicalDiag();
+    }
+  }
 });
 
 function initPatientForm(patient) {
   form.patientName = patient.patientName || '';
-  form.medicalrecordNumber = patient.busNo || patient.visitNo || '';
+  // 就诊卡号应取值于 identifierNo，而非 busNo（busNo 是病历号）
+  form.medicalrecordNumber = patient.identifierNo || patient.visitNo || '';
   form.patientId = patient.patientId || '';
   form.visitNo = patient.visitNo || '';
   form.applyDeptCode = userStore.orgName || patient.organizationName || '';
   form.applyDocCode = userStore.nickName || '';
 }
 
+// 加载临床诊断：获取患者主诊断并填充到临床诊断字段
+async function loadClinicalDiag() {
+  if (!props.patientInfo?.encounterId) return;
+  try {
+    const res = await getEncounterDiagnosis(props.patientInfo.encounterId);
+    const diagnoses = res.data || res.rows || res;
+    if (Array.isArray(diagnoses) && diagnoses.length > 0) {
+      // Bug #380, #381 修复: 主诊断字段名为 maindiseFlag (后端 DiagnosisQueryDto 定义)
+      const mainDiag = diagnoses.find(d => d.maindiseFlag === 1 || d.maindiseFlag === '1');
+      // 如果有主诊断使用主诊断，否则使用第一个诊断
+      const targetDiag = mainDiag || diagnoses[0];
+      // 优先使用 diagnosisName，其次是 conditionName 或 name
+      form.clinicalDiag = targetDiag.diagnosisName || targetDiag.conditionName || targetDiag.name || '';
+    } else {
+      // 如果没有诊断，清空临床诊断字段
+      form.clinicalDiag = '';
+    }
+  } catch (err) {
+    console.error('加载临床诊断失败', err);
+    // 获取失败时不阻断用户操作，保持字段为空
+  }
+}
+
 // ====== 申请单 CRUD ======
 function getList() {
   loading.value = true;
   request({
     url: '/exam/apply/list',
     method: 'get',
-    params: { visitNo: props.patientInfo?.visitNo || '' }
+    // 默认只展示本次就诊（encounterId）产生的检查申请单
+    params: { encounterId: props.patientInfo?.encounterId || '' }
   }).then(res => {
     applicationList.value = res.rows || res.data || [];
   }).catch(err => console.error('获取申请单列表失败', err))
@@ -601,23 +823,30 @@ function getList() {
 function handleAdd() {
   formRef.value?.resetFields();
   Object.assign(form, {
-    applyNo: '', patientId: props.patientInfo?.patientId || '',
+    applyNo: '',
+    patientId: props.patientInfo?.patientId || '',
     visitNo: props.patientInfo?.visitNo || '',
+    // 保留患者姓名和就诊卡号，不应重置为空
+    patientName: props.patientInfo?.patientName || '',
+    medicalrecordNumber: props.patientInfo?.identifierNo || '',
     applyDeptCode: userStore.orgName || '',
     performDeptCode: '',
     applyDocCode: userStore.nickName || '',
     applyTime: new Date().toISOString().split('T')[0] + ' 12:00:00',
-    medicalrecordNumber: props.patientInfo?.busNo || '',
     natureofCost: '自费医疗',
     clinicDesc: '', contraindication: '', medicalHistorySummary: '',
     purposeofInspection: '', inspectionArea: '', inspectionMethod: '',
     applyRemark: '', clinicalDiag: '', purposeDesc: '',
     isUrgent: 0, pregnancyState: 0, allergyDesc: '',
-    applyStatus: 0, isCharged: 0, isRefunded: 0, isExecuted: 0
+    applyStatus: 0, isCharged: 0, isRefunded: 0, isExecuted: 0,
+    examTypeCode: '',
+    selectedMethodDisplay: ''  // Bug #384修复: 重置检查方法显示
   });
   selectedItems.value = [];
   resetCategoryChecked();
   activeDetailTab.value = 'applyForm';
+  // 自动加载临床诊断
+  loadClinicalDiag();
 }
 
 function handleSave() {
@@ -629,7 +858,8 @@ function handleSave() {
     }
     // 从已选项目推导检查类型编码（取第一个项目的 checkType，如 CT / ECG / GI）
     const firstCheckType = selectedItems.value[0]?.checkType || 'unknown';
-    if (!form.examTypeCode) form.examTypeCode = firstCheckType;
+    form.examTypeCode = firstCheckType;
+
 
     const payload = {
       ...form,
@@ -639,10 +869,16 @@ function handleSave() {
         itemCode: String(item.id),
         itemName: item.name,
         bodyPartCode: item.checkType || 'unknown',
-        itemFee: item.price,
+        // Bug #384修复: 如果选中了检查方法且有套餐价格，使用套餐价格；否则使用部位价格
+        itemFee: item.selectedMethod?.packagePrice || item.price,
         performDeptCode: form.performDeptCode || '',
         itemStatus: 0,
-        itemSeq: index + 1
+        itemSeq: index + 1,
+        // 检查方法信息
+        checkMethodId: item.selectedMethod?.id || null,
+        checkMethodName: item.selectedMethod?.name || null,
+        checkMethodCode: item.selectedMethod?.code || null,
+        checkMethodPackageName: item.selectedMethod?.packageName || null  // Bug #384修复: 保存套餐名称
       }))
     };
     request({
@@ -661,22 +897,72 @@ function handleSave() {
 
 function handleRowClick(row) {
   Object.assign(form, row);
+  form.selectedMethodDisplay = '';  // Bug #384修复: 先清空，后面根据回充数据更新
   selectedItems.value = [];
   activeDetailTab.value = 'applyForm';
-  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(res => {
+  request({ url: `/exam/apply/${row.applyNo}`, method: 'get' }).then(async res => {
     const d = res.data || res;
     if (d.data) Object.assign(form, d.data);
     if (d.items && Array.isArray(d.items)) {
-      selectedItems.value = d.items.map(m => ({
+      try {
-        id: m.itemCode, name: m.itemName,
+        // 为每个项目加载检查方法
-        price: m.itemFee || 0, quantity: 1,
+        const itemsWithMethods = await Promise.all(d.items.map(async m => {
-        serviceFee: 0, unit: '次',
+          const item = {
-        applyPart: m.itemName,
+            id: m.itemCode, name: m.itemName,
-        checkType: m.bodyPartCode || '',
+            price: m.itemFee || 0, quantity: 1,
-        nationalCode: '', checked: true
+            serviceFee: 0, unit: '次',
-      }));
+            applyPart: m.itemName,
-      syncCategoryChecked();
+            checkType: m.bodyPartCode || '',
+            nationalCode: '', checked: true,
+            methods: [],
+            selectedMethod: null,
+            expanded: false  // Bug #384修复: 添加展开状态
+          };
+          // 加载该项目的检查方法
+          if (m.bodyPartCode) {
+            try {
+              const methodRes = await searchCheckMethod({ checkType: m.bodyPartCode });
+              // Bug #384修复: 正确解析 API 返回结构
+              let methodData = methodRes?.data?.data || methodRes?.data || methodRes?.rows || methodRes;
+              if (!Array.isArray(methodData) && methodRes?.data && Array.isArray(methodRes.data.data)) {
+                methodData = methodRes.data.data;
+              }
+              if (Array.isArray(methodData)) {
+                item.methods = methodData.map(md => ({
+                  id: md.id,
+                  name: md.name,
+                  code: md.code,
+                  price: m.itemFee || 0,  // fallback 到已保存的价格
+                  packageName: md.packageName || '',
+                  packagePrice: md.packagePrice || null,  // Bug #384修复: 套餐价格
+                  serviceFee: md.serviceFee || null
+                }));
+                // 如果有已保存的检查方法信息，尝试匹配
+                if (m.checkMethodId) {
+                  item.selectedMethod = item.methods.find(md => md.id === m.checkMethodId) || null;
+                }
+              }
+            } catch (err) {
+              console.error('加载检查方法失败', err);
+              // 单个项目加载失败不影响其他项目，继续返回 item
+            }
+          }
+          return item;
+        }));
+        selectedItems.value = itemsWithMethods;
+        syncCategoryChecked();
+        // Bug #384修复: 回充后更新检查方法显示
+        updateMethodDisplay();
+        // 修复【#408】：加载申请单详情后自动切换到检查明细页签，确保已加载的明细数据可见
+        activeDetailTab.value = 'applyDetail';
+      } catch (err) {
+        console.error('加载申请单详情失败', err);
+        ElMessage.error('加载申请单详情失败');
+      }
     }
+  }).catch(err => {
+    console.error('获取申请单详情失败', err);
+    ElMessage.error('获取申请单详情失败');
   });
 }
 
@@ -693,27 +979,127 @@ function handleDelete(row) {
 }
 
 // ====== 勾选逻辑 ======
-function handleItemSelect(checked, item, cat) {
+async function handleItemSelect(checked, item, cat) {
   if (checked) {
+    // Bug #384修复: 检查方法表的 checkType 字段关联的是检查类型的 name（中文名称，如"心电图")
+    const effectiveCheckType = cat?.typeName || cat?.categoryName || '';
+
+    // 查询该检查类型对应的检查方法
+    let methods = [];
+    try {
+      if (effectiveCheckType) {
+        const res = await searchCheckMethod({ checkType: effectiveCheckType });
+        // Bug #384修复: API 返回结构可能是 {data: {data: Array}} 或 {data: Array}
+        let data = res?.data?.data || res?.data || res?.rows || res;
+        if (!Array.isArray(data) && res?.data && Array.isArray(res.data.data)) {
+          data = res.data.data;
+        }
+        if (Array.isArray(data)) {
+          methods = data.map(m => ({
+            id: m.id,
+            name: m.name,
+            code: m.code,
+            price: m.price || item.price,  // fallback 到项目价格
+            packageName: m.packageName || '',
+            packagePrice: m.packagePrice || null,  // Bug #384修复: 套餐价格
+            serviceFee: m.serviceFee || null      // Bug #384修复: 服务费
+          }));
+        }
+      }
+    } catch (err) {
+      console.error('加载检查方法失败', err);
+    }
+
+    if (selectedItems.value.length > 0) {
+      const currentCategory = selectedItems.value[0].checkType;
+      const newCategory = cat.typeCode || '';
+      if (currentCategory !== newCategory) {
+        ElMessage.warning('一个检查单不能同时选择多个项目类型的检查项目');
+        item.checked = false;
+        return;
+      }
+    }
+
     selectedItems.value.push({
       id: item.id, name: item.name,
       price: item.price, quantity: 1,
       serviceFee: item.serviceFee || 0,
       unit: item.unit || '次',
       applyPart: item.name,
-      checkType: cat.typeCode || '',
+      checkType: effectiveCheckType,  // Bug #384修复: 使用有效的 checkType
       nationalCode: item.nationalCode || '',
-      checked: true
+      checked: true,
+      methods: methods,
+      selectedMethod: null,
+      expanded: false  // Bug #384修复: 新增展开状态，默认不展开
     });
+
+    // 自动回填执行科室：按检查项目类型 → 检查类型管理里配置的执行科室
+    if (selectedItems.value.length === 1 && cat?.performDeptName) {
+      form.performDeptCode = cat.performDeptName;
+    } else if (!form.performDeptCode && cat?.performDeptName) {
+      form.performDeptCode = cat.performDeptName;
+    }
+
+    // 如果有且仅有一个检查方法，自动选中并更新显示
+    if (methods.length === 1) {
+      const lastIdx = selectedItems.value.length - 1;
+      selectedItems.value[lastIdx].selectedMethod = methods[0];
+      updateMethodDisplay();  // Bug #384修复: 联动更新显示
+    }
   } else {
     const idx = selectedItems.value.findIndex(s => s.id === item.id);
     if (idx > -1) selectedItems.value.splice(idx, 1);
+    
+    if (selectedItems.value.length === 0) {
+      form.performDeptCode = '';
+      form.examTypeCode = '';
+    }
   }
-  // 有选项时切换到明细tab
+  // Bug #382 修复：移除自动切换页签逻辑，保持当前页签状态
-  if (selectedItems.value.length > 0) {
+}
-    activeDetailTab.value = 'applyDetail';
+
-    nextTick(() => detailTableRef.value?.doLayout());
+// Bug #384修复: 展开/收起项目卡片
+function toggleItemExpand(item) {
+  item.expanded = !item.expanded;
+}
+
+// Bug #384修复: 勾选框选择检查方法（单选逻辑）
+function selectMethodCheckbox(checked, item, method) {
+  if (checked) {
+    item.selectedMethod = method;
+  } else {
+    item.selectedMethod = null;
   }
+  // 联动更新表单检查方法显示字段
+  updateMethodDisplay();
+  
+  // #430: 套餐金额实时同步到申请单
+  nextTick(() => {
+    form.totalAmount = totalAmountCalc.value;
+  });
+}
+
+// Bug #384修复: 更新检查方法显示字段（联动）
+function updateMethodDisplay() {
+  // 找到第一个有选中检查方法的项目
+  const itemWithMethod = selectedItems.value.find(item => item.selectedMethod);
+  if (itemWithMethod?.selectedMethod) {
+    form.selectedMethodDisplay = itemWithMethod.selectedMethod.name;  // 显示检查方法名称，不显示套餐名称
+  } else {
+    form.selectedMethodDisplay = '';
+  }
+}
+
+// 选择检查方法
+function selectMethod(item, method) {
+  if (item.selectedMethod?.id === method.id) {
+    item.selectedMethod = null;
+  } else {
+    item.selectedMethod = method;
+  }
+  // Bug #384修复: 联动更新表单检查方法显示字段
+  updateMethodDisplay();
 }
 
 function handleRemoveItem(idx, item) {
@@ -723,6 +1109,15 @@ function handleRemoveItem(idx, item) {
     const found = cat.items.find(x => x.id === item.id);
     if (found) { found.checked = false; break; }
   }
+
+  if (selectedItems.value.length === 0) {
+    form.performDeptCode = '';
+    form.examTypeCode = '';
+    form.selectedMethodDisplay = '';  // Bug #384修复: 清空检查方法显示
+  } else {
+    // Bug #384修复: 移除后重新计算检查方法显示
+    updateMethodDisplay();
+  }
 }
 
 function resetCategoryChecked() {
@@ -890,7 +1285,7 @@ defineExpose({ getList });
 
 /* 已选择 tags */
 .selected-panel {
-  width: 120px;
+  width: 140px;  /* Bug #384修复: 加宽以适应展开内容 */
   flex-shrink: 0;
   display: flex;
   flex-direction: column;
@@ -900,7 +1295,7 @@ defineExpose({ getList });
   overflow-y: auto;
   display: flex;
   flex-direction: column;
-  gap: 4px;
+  gap: 6px;
 }
 .selected-tag {
   max-width: 100%;
@@ -913,6 +1308,86 @@ defineExpose({ getList });
   font-size: 12px;
 }
 
+/* Bug #384修复: 已选择项目卡片（可展开） */
+.selected-item-card {
+  display: flex;
+  flex-direction: column;
+  background: #F5F5F5;
+  border-radius: 4px;
+  border: 1px solid #e4e7ed;
+}
+
+.selected-item-card .card-header {
+  display: flex;
+  align-items: center;
+  padding: 8px 10px;
+  cursor: pointer;
+  gap: 4px;
+}
+
+.selected-item-card .card-header:hover {
+  background: #E6F7FF;
+}
+
+.card-name {
+  flex: 1;
+  font-size: 12px;
+  color: #303133;
+  overflow: hidden;
+  text-overflow: ellipsis;
+  white-space: nowrap;
+}
+
+.card-price {
+  font-size: 12px;
+  color: #1890FF;
+  font-weight: 500;
+}
+
+.expand-icon {
+  font-size: 12px;
+  color: #909399;
+  transition: transform 0.2s;
+}
+
+.expand-icon.expanded {
+  transform: rotate(180deg);
+}
+
+/* Bug #384修复: 检查方法勾选框列表 */
+.method-list {
+  padding: 6px 10px;
+  background: #fff;
+  border-top: 1px solid #e4e7ed;
+  display: flex;
+  flex-direction: column;
+  gap: 4px;
+}
+
+.method-option {
+  display: flex;
+  align-items: center;
+}
+
+.method-option :deep(.el-checkbox__label) {
+  display: flex;
+  align-items: center;
+  justify-content: space-between;
+  width: 100%;
+}
+
+.method-option .method-name {
+  font-size: 11px;
+  color: #606266;
+}
+
+.method-option .method-price {
+  font-size: 11px;
+  color: #e6a23c;
+  font-weight: 500;
+  margin-left: 8px;
+}
+
 /* 折叠组件细节 */
 :deep(.el-collapse) {
   border: none;

openhis-ui-vue3/src/views/doctorstation/components/infectiousReport/index.vue

@@ -813,9 +813,14 @@ async function initForm() {
     const res = await getNextCardNo(orgCode);
     if (res.code === 200 && res.data) {
       cardNo = res.data;
+    } else {
+      // 🔧 BugFix#412: 如果API返回失败，生成临时卡号避免保存失败
+      cardNo = 'TEMP_' + Date.now();
     }
   } catch (err) {
     console.error('获取卡片编号失败:', err);
+    // 🔧 BugFix#412: 如果API调用异常，生成临时卡号
+    cardNo = 'TEMP_' + Date.now();
   }
 
   form.value = {

openhis-ui-vue3/src/views/doctorstation/components/inspection/inspectionApplication.vue

@@ -1,7 +1,5 @@
 <template>
   <el-container class="inspection-application-container">
-
-    <!-- 顶部操作按钮区 - Bug#334: 优化垂直空间利用率 -->
     <el-header class="top-action-bar" height="48px">
       <el-row class="action-buttons" type="flex" justify="end" :gutter="8">
         <el-button type="primary" size="default" @click="handleSave" class="save-btn" :loading="saving">
@@ -19,10 +17,22 @@
     <el-main class="inspection-section" style="width: 100%; max-width: 100%">
       <el-card class="table-card" style="width: 100%">
         <template #header>
-          <el-row class="card-header" type="flex" align="middle">
+          <div class="card-header-flex">
-            <el-icon><DocumentChecked /></el-icon>
+            <div class="header-title">
-            <span>检验信息</span>
+              <el-icon><DocumentChecked /></el-icon>
-            </el-row>
+              <span>检验信息</span>
+            </div>
+            <div class="header-actions">
+              <el-button type="primary" size="default" @click="handleSave" class="save-btn" :loading="saving">
+                <el-icon><Document /></el-icon>
+                保存
+              </el-button>
+              <el-button type="primary" size="default"  @click="handleNewApplication" class="new-btn">
+                <el-icon><Plus /></el-icon>
+                新增
+              </el-button>
+            </div>
+          </div>
         </template>
         <el-table
           ref="inspectionTableRef"
@@ -35,36 +45,10 @@
           class="inspection-table"
           highlight-current-row
           row-key="applicationId"
-          :expand-row-keys="expandedRowKeys"
-          @expand-change="handleExpandChange"
           @selection-change="handleSelectionChange"
           @current-change="handleRowClick"
           @cell-click="handleCellClick"
         >
-        <!-- Bug #326: 添加展开列 -->
-        <el-table-column type="expand" width="50" align="center" header-align="center">
-          <template #default="scope">
-            <div v-if="scope.row.children && scope.row.children.length > 0" class="expand-content">
-              <el-table :data="scope.row.children" border size="small" style="width: 100%">
-                <el-table-column label="明细项目" prop="itemName" min-width="150" />
-                <el-table-column label="样本类型" prop="sampleType" width="100" />
-                <el-table-column label="单位" prop="unit" width="80" />
-                <el-table-column label="单价" prop="itemPrice" width="80" align="right">
-                  <template #default="itemScope">
-                    ¥{{ formatAmount(itemScope.row.itemPrice) }}
-                  </template>
-                </el-table-column>
-                <el-table-column label="数量" prop="itemQty" width="80" align="center" />
-                <el-table-column label="金额" prop="itemAmount" width="80" align="right">
-                  <template #default="itemScope">
-                    ¥{{ formatAmount(itemScope.row.itemAmount) }}
-                  </template>
-                </el-table-column>
-              </el-table>
-            </div>
-            <div v-else class="expand-empty">无明细项目</div>
-          </template>
-        </el-table-column>
         <el-table-column type="selection" width="55" align="center" header-align="center" />
         <el-table-column label="申请 ID" prop="applicationId" width="80" align="center" header-align="center">
           <template #default="scope">
@@ -74,14 +58,7 @@
         <el-table-column label="申请单号" prop="applyNo" min-width="160" align="center" header-align="center" />
         <el-table-column label="检验项目" prop="itemName" min-width="170px" align="center" header-align="center">
           <template #default="scope">
-            <span v-if="scope.row.hasChildren" style="color: #409EFF; cursor: pointer" @click.stop="toggleExpand(scope.row)">
+            <span>{{ scope.row.itemName }}</span>
-              <el-icon style="vertical-align: middle; margin-right: 4px">
-                <Right v-if="!isExpanded(scope.row.applicationId)" />
-                <Bottom v-else />
-              </el-icon>
-              {{ scope.row.itemName }}
-            </span>
-            <span v-else>{{ scope.row.itemName }}</span>
           </template>
         </el-table-column>
         <el-table-column label="申请医生" prop="applyDocName" width="120" align="center" header-align="center" />
@@ -114,7 +91,7 @@
           <template #default="scope">
             <el-row type="flex" align="middle" justify="center" :gutter="8">
               <el-button link size="default" @click="handlePrint(scope.row)" :icon="Printer" title="打印" style="font-size: 16px"></el-button>
-              <el-button link size="default" @click="handleDelete(scope.row)" :icon="Delete" style="color: #f56c6c; font-size: 16px" title="删除"></el-button>
+              <el-button link size="default" @click.stop="handleDelete(scope.row)" :icon="Delete" style="color: #f56c6c; font-size: 16px" title="删除"></el-button>
               </el-row>
           </template>
         </el-table-column>
@@ -406,7 +383,6 @@
                 <template #header>
                   <h4 style="margin: 0; font-weight: bold">检验信息详情</h4>
                 </template>
-                <!-- Bug #326: 添加树形展开功能，支持套餐明细展示 -->
                 <el-table
                   :data="selectedInspectionItems"
                   border
@@ -414,12 +390,12 @@
                   style="width: 100%; min-width: 100%"
                   max-height="250"
                   row-key="itemId"
+                  lazy
+                  :load="loadPackageDetailsForTable"
                   :tree-props="{ children: 'children', hasChildren: 'hasChildren' }"
-                  default-expand-all
                 >
                   <el-table-column label="项目名称" prop="itemName" min-width="180">
                     <template #default="scope">
-                      <!-- BugFix#326: 套餐项目添加标识和加粗显示 -->
                       <el-tag v-if="scope.row.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                       <span :style="{ fontWeight: scope.row.isPackage ? 'bold' : 'normal' }">
                         {{ scope.row.itemName }}
@@ -538,10 +514,9 @@
                     @change="toggleInspectionItem(item)"
                     @click.stop
                   />
-                  <!-- BugFix#326: 套餐项目添加标识 -->
                   <el-tag v-if="item.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                   <span class="item-itemName">{{ item.itemName }}</span>
-                  <span class="item-price">¥{{ item.itemPrice }}</span>
+                  <span class="item-price">¥{{ item.itemPrice }}/{{ item.unit || "次" }}</span>
                 </div>
                 <!-- 加载更多 -->
                 <div v-if="category.hasMore && category.items.length > 0" class="load-more">
@@ -592,7 +567,7 @@
                   </span>
                   <el-tag v-if="item.isPackage" size="small" type="warning" style="margin-right: 4px">套餐</el-tag>
                   <span class="item-itemName">{{ item.itemName }}</span>
-                  <span class="item-price">¥{{ item.itemPrice }}</span>
+                  <span class="item-price">¥{{ item.itemPrice }}/{{ item.unit || "次" }}</span>
                   <el-button
                     link
                     size="small"
@@ -638,7 +613,7 @@
 <script setup>
 import {onMounted, onUnmounted, reactive, ref, watch, computed, getCurrentInstance} from 'vue'
 import {ElMessage, ElMessageBox} from 'element-plus'
-import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading, Right, Bottom } from '@element-plus/icons-vue'
+import { DocumentChecked, Plus, Document, Printer, Delete, Check, Loading } from '@element-plus/icons-vue'
 import {
   deleteInspectionApplication, getApplyList,
   saveInspectionApplication,
@@ -659,7 +634,7 @@ import { debounce } from 'lodash-es'
 
 // 获取当前组件实例和字典
 const { proxy } = getCurrentInstance()
-const { inspection_lab_dept } = proxy.useDict('inspection_lab_dept')
+// Bug #329: 移除 inspection_lab_dept 字典，执行科室数据从 Organization 表获取
 
 // 动态获取的检验类型缓存（用于缓存不在 inspectionCategories 中的检验类型）
 const dynamicInspectionTypesCache = ref([])
@@ -785,8 +760,64 @@ const loading = ref(false)
 const saving = ref(false) // 保存状态
 const total = ref(0)
 const leftActiveTab = ref('application')
-// Bug #326: 展开的行
+
-const expandedRowKeys = ref([])
+/**
+ * 加载套餐明细（公共函数）
+ * @param {string|number} packageId 套餐ID
+ * @returns {Promise<Array>} 明细数组
+ */
+const fetchPackageDetails = async (packageId) => {
+  if (!packageId) return []
+  try {
+    const res = await getInspectionPackageDetails(packageId)
+    if (res.code === 200 && res.data) {
+      return res.data.map(detail => {
+        const detailId = detail.detailId || detail.id || detail.itemId
+        const qty = detail.quantity || detail.itemQty || detail.qty || 1
+        const price = detail.unitPrice || detail.itemPrice || detail.price || 0
+        return {
+          detailId: detailId,
+          itemId: detailId,           // 兼容表格 row-key
+          itemName: detail.itemName || detail.name,
+          sampleType: detail.sampleType || '',
+          unit: detail.unit || '',
+          quantity: qty,
+          itemQty: qty,               // 兼容表格"总量"列
+          unitPrice: price,
+          itemPrice: price,           // 兼容表格"单价"列
+          itemAmount: price * qty
+        }
+      })
+    }
+    return []
+  } catch (error) {
+    console.error('加载套餐明细失败:', error)
+    return []
+  }
+}
+
+const loadPackageDetailsForTable = async (row, treeNode, resolve) => {
+  if (!row.isPackage) {
+    resolve([])
+    return
+  }
+  const packageId = row.feePackageId || row.packageId
+  const children = await fetchPackageDetails(packageId)
+  resolve(children)
+}
+
+const togglePackageExpand = async (item) => {
+  if (!item.isPackage) return
+
+  item.expanded = !item.expanded
+
+  if (item.expanded && (!item.children || item.children.length === 0)) {
+    item.loading = true
+    const packageId = item.feePackageId || item.packageId
+    item.children = await fetchPackageDetails(packageId)
+    item.loading = false
+  }
+}
 
 // 申请日期实时更新定时器
 let applyTimeTimer = null
@@ -856,6 +887,9 @@ const executeDepartmentOptions = ref([])
 // 执行科室加载完成标志（BugFix#CodeReview: 防止竞态条件）
 const isExecuteDepartmentLoaded = ref(false)
 
+// 删除操作标志，用于避免删除时触发数据填充
+const isDeleting = ref(false)
+
 // 表单数据
 const formData = reactive({
   applyOrganizationId: '',
@@ -1487,6 +1521,18 @@ const handleSave = () => {
 
   let hasErrors = false
 
+  // 修复【#406】：保存前尝试从 props 同步患者信息，避免因加载时序导致信息缺失
+  if ((!formData.patientName?.trim() || !formData.medicalrecordNumber?.trim()) && props.patientInfo && props.patientInfo.encounterId) {
+    formData.patientName = props.patientInfo.patientName || ''
+    formData.medicalrecordNumber = props.patientInfo.identifierNo || ''
+    formData.encounterId = props.patientInfo.encounterId || ''
+    formData.visitNo = props.patientInfo.busNo || ''
+    formData.patientId = props.patientInfo.patientId || ''
+    formData.applyDepartment = props.patientInfo.organizationName || ''
+    formData.applyDeptCode = props.patientInfo.organizationName || ''
+    formData.applyOrganizationId = props.patientInfo.orgId || ''
+  }
+
   // P0：检查患者信息是否已加载
   if (!formData.patientName?.trim() || !formData.medicalrecordNumber?.trim()) {
     ElMessage.error('患者信息未加载，请稍后重试')
@@ -1544,17 +1590,27 @@ const handleSave = () => {
 
   // 准备保存数据
   const prepareSaveData = () => {
-    // 将执行科室代码赋值给每个检验项目
     const labApplyItemList = selectedInspectionItems.value.map(item => ({
-      ...item,
+      itemSeq: item.itemSeq || 1,
-      performDeptCode: formData.executeDepartment // 从字典获取的执行科室代码
+      itemCode: item.code || '',
+      itemName: item.itemName || '',
+      itemPrice: item.itemPrice || 0,
+      itemQty: item.itemQty || 1,
+      itemAmount: item.itemAmount || 0,
+      itemStatus: formData.applyStatus || 0,
+      performDeptCode: formData.executeDepartment,
+      // Bug #326修复: 传入 activityId，后端直接使用 ID 关联，避免用名称反查
+      activityId: item.activityId || item.itemId || null,
+      feePackageId: item.feePackageId || null,
+      isPackage: item.isPackage || false,
+      sampleType: item.sampleType || '',
+      unit: item.unit || ''
     }))
     return {
       ...formData,
       labApplyItemList,
-      physicalExamination: formData.physicalExam, // 字段名映射：前端 physicalExam -> 后端 physicalExamination
+      physicalExamination: formData.physicalExam,
       inspectionItemsText: selectedInspectionItems.value.map(item => item.itemName).join('+')
-      // 金额由后端计算，前端不传递
     }
   }
 
@@ -1563,6 +1619,7 @@ const handleSave = () => {
   executeSave(saveData);
 
 }
+
 const executeSave = (saveData) => {
   saveInspectionApplication(saveData).then((res) => {
     if (res.code === 200) {
@@ -1687,6 +1744,26 @@ const clearAllSelected = () => {
   selectedInspectionItems.value = []
 }
 
+// Bug #387修复: 同步分类勾选状态
+const syncCategoryChecked = () => {
+  // 重置所有分类项目的勾选状态
+  inspectionCategories.value.forEach(category => {
+    category.items.forEach(item => {
+      item.checked = false
+    })
+  })
+  // 获取已选项目的ID集合
+  const ids = new Set(selectedInspectionItems.value.map(s => s.itemId))
+  // 同步勾选状态
+  for (const cat of inspectionCategories.value) {
+    for (const item of cat.items) {
+      if (ids.has(item.itemId)) {
+        item.checked = true
+      }
+    }
+  }
+}
+
 // 分页大小改变
 const handleSizeChange = (size) => {
   queryParams.pageSize = size
@@ -1725,6 +1802,8 @@ const handlePrint = (row) => {
 
 // 删除申请单
 const handleDelete = (row) => {
+  isDeleting.value = true; // 设置删除标志
+
   ElMessageBox.confirm(
     `确定要删除申请单 "${row.applyNo}" 吗？此操作将同时删除对应的医嘱。`,
     '删除确认',
@@ -1740,22 +1819,30 @@ const handleDelete = (row) => {
     deleteInspectionApplication(row.applyNo).then((res) => {
       if (res.code === 200) {
         ElMessage.success('删除成功')
+        resetForm();  // 删除成功后清空表单
         // 刷新列表
         getInspectionList()
       } else {
         ElMessage.error(res.message || '删除失败')
       }
     }).catch((error) => {
-      console.error('删除检验<EFBFBD><EFBFBD>请单异常:', error)
+      console.error('删除检验请单异常:', error)
       ElMessage.error('删除异常')
     })
   }).catch(() => {
     // 用户取消删除
+  }).finally(() => {
+    isDeleting.value = false; // 重置删除标志
   })
 }
 
 // 单元格点击 - 点击表格行时加载申请单详情
 const handleCellClick = (row, column) => {
+  // 如果点击的是操作列或展开列，不触发数据填充
+  if (column.property === '操作' || column.label === '操作' ||
+      column.type === 'expand' || column.type === 'selection') {
+    return;
+  }
   // 点击表格行时，将该申请单的数据加载到表单中
   // 使用 applyNo 判断是否有效
   if (row && row.applyNo) {
@@ -1766,8 +1853,8 @@ const handleCellClick = (row, column) => {
 // 行点击事件处理
 const handleRowClick = (currentRow, oldRow) => {
   // 点击表格行时，将该申请单的数据加载到表单中
-  // 使用 applyNo 判断是否有效
+  // 使用 applyNo 判断是否有效，同时检查是否处于删除状态
-  if (currentRow && currentRow.applyNo) {
+  if (currentRow && currentRow.applyNo && !isDeleting.value) {
     loadApplicationToForm(currentRow);
   }
 }
@@ -1790,7 +1877,6 @@ const loadApplicationToForm = async (row) => {
   // 根据申请单号获取完整详情
   try {
     const res = await getInspectionApplyDetail(row.applyNo)
-    console.log('申请单详情API返回:', res) // 临时调试日志
     if (res.code === 200 && res.data) {
       const detail = res.data
       // 加载完整的表单数据
@@ -1831,13 +1917,46 @@ const loadApplicationToForm = async (row) => {
       // 加载检验项目数据
       selectedInspectionItems.value = []
       if (detail.labApplyItemList && detail.labApplyItemList.length > 0) {
-        selectedInspectionItems.value = detail.labApplyItemList.map(item => ({
+        // Bug #326修复: 直接使用后端返回的数据，不再从本地缓存查找匹配项
-          ...item,
+        // 后端已返回完整关联信息（activityId、feePackageId、inspectionTypeId、sampleType、unit）
-          itemId: item.itemId || item.id || Math.random().toString(36).substring(2, 11),
+        // Bug #387修复: 套餐项目默认展开，并自动加载明细
-          itemName: item.itemName || item.name || '',
+        selectedInspectionItems.value = detail.labApplyItemList.map(item => {
-          itemPrice: item.itemPrice || item.price || 0,
+          const itemId = item.activityId || item.itemId || item.id || Math.random().toString(36).substring(2, 11)
-          itemAmount: item.itemAmount || item.price || 0,
+          const isPackage = item.feePackageId != null || item.itemName?.includes('套餐')
-        }))
+
+          return {
+            itemId: itemId,
+            itemName: item.itemName || '',
+            itemPrice: item.itemPrice || 0,
+            itemAmount: item.itemAmount || 0,
+            itemQty: item.itemQty || 1,
+            sampleType: item.sampleType || '',
+            unit: item.unit || '',
+            code: item.itemCode || '',
+            isPackage: isPackage,
+            hasChildren: isPackage,
+            feePackageId: item.feePackageId || null,
+            activityId: item.activityId || itemId,
+            inspectionTypeId: item.inspectionTypeId || null,
+            expanded: isPackage,            // Bug #387: 套餐默认展开
+            children: [],
+            childrenLoaded: !isPackage,     // Bug #387: 套餐需加载明细
+            loading: false
+          }
+        })
+
+        // Bug #387修复: 自动加载套餐明细
+        for (const pkgItem of selectedInspectionItems.value) {
+          if (pkgItem.isPackage && pkgItem.feePackageId) {
+            pkgItem.loading = true
+            pkgItem.children = await fetchPackageDetails(pkgItem.feePackageId)
+            pkgItem.childrenLoaded = true
+            pkgItem.loading = false
+          }
+        }
+
+        // Bug #387修复: 同步分类勾选状态
+        syncCategoryChecked()
       } else if (detail.inspectionItem || detail.itemName) {
         // 如果只有项目名称，尝试从本地分类中查找匹配项
         const itemNames = (detail.inspectionItem || detail.itemName).split(/[+,]/)
@@ -1896,25 +2015,43 @@ watch(() => props.patientInfo, async (newVal) => {
   }
 }, { deep: true, immediate: true })
 
-// 监听已选择的检验项目，自动更新检验项目文本（用+号拼接）
+// Bug #329: 监听已选择的检验项目，自动更新检验项目文本并设置默认执行科室
-watch(() => selectedInspectionItems.value, (newVal) => {
+watch(() => selectedInspectionItems.value, async (newVal) => {
   if (newVal && newVal.length > 0) {
     formData.inspectionItemsText = newVal.map(item => item.itemName).join('+')
+
+    // Bug #329: 如果执行科室为空，根据第一个检验项目的检验类型自动设置默认执行科室
+    if (!formData.executeDepartment) {
+      const firstItem = newVal[0]
+
+      // 根据检验项目的 inspectionTypeId 获取默认执行科室
+      if (firstItem.inspectionTypeId) {
+        const defaultDeptCode = await getDefaultPerformDeptCode(firstItem.inspectionTypeId)
+        if (defaultDeptCode) {
+          formData.executeDepartment = defaultDeptCode
+        }
+      }
+    }
   } else {
+    // Bug #329: 当项目被清空时，同时清空执行科室（下次选择项目时会重新自动设置）
     formData.inspectionItemsText = ''
+    formData.executeDepartment = ''
   }
 }, { deep: true })
 
-// 监听执行科室字典数据，设置默认值为第一个选项
+// Bug #329: 移除字典数据默认值设置，执行科室应从 Organization 表获取，不应使用字典数据
-watch(() => inspection_lab_dept.value, (newVal) => {
+// 原问题：inspection_lab_dept 字典的 value (如 'ORG045') 与 executeDepartmentOptions 的 value (科室编码 busNo) 格式不一致
-  if (newVal && newVal.length > 0 && !formData.executeDepartment) {
+// 导致 el-select 显示原始 value 值而非科室名称
-    formData.executeDepartment = newVal[0].value
-  }
-}, { immediate: true })
 
 // 组件挂载时预加载检验项目数据（不依赖patientInfo）
+// BugFix #329: 先加载执行科室列表，再加载检验类型（确保检验类型的department字段能正确匹配）
 onMounted(async () => {
+  await loadExecuteDepartmentList()
   await loadInspectionData()
+  // 修复【#406】：挂载时如果已有patientInfo但watch未触发initData，则手动调用
+  if (props.patientInfo && props.patientInfo.encounterId && !formData.encounterId) {
+    await initData()
+  }
 })
 
 // 组件卸载时清除定时器
@@ -1947,13 +2084,7 @@ defineExpose({
 
 /* Bug#334: 顶部操作按钮区 - 优化垂直空间利用率 */
 .top-action-bar {
-  display: flex;
+  display: none; /* 隐藏原有的顶部操作栏 */
-  align-items: center;
-  justify-content: flex-end;
-  border-bottom: 1px solid var(--el-border-color-light);
-  background: var(--el-bg-color);
-  box-shadow: 0 1px 2px rgba(0, 0, 0, 0.08);
-  padding: 0 12px;
 }
 
 .action-buttons {
@@ -1998,7 +2129,14 @@ defineExpose({
   padding-bottom: 6px;
 }
 
-.card-header {
+.card-header-flex {
+  display: flex;
+  justify-content: space-between;
+  align-items: center;
+  width: 100%;
+}
+
+.header-title {
   display: flex;
   align-items: center;
   gap: 8px;
@@ -2006,6 +2144,11 @@ defineExpose({
   color: var(--el-text-color-primary);
 }
 
+.header-actions {
+  display: flex;
+  gap: 8px;
+}
+
 /* Bug#334: 底部内容区域 - 优化垂直空间利用率 */
 .bottom-content-area {
   padding: 2px 10px;
@@ -2066,6 +2209,7 @@ defineExpose({
 }
 
 
+
 :deep(.el-pagination) {
   .el-pager li {
     border-radius: 4px;
@@ -2554,6 +2698,110 @@ defineExpose({
   margin-right: 10px;
 }
 
+/* 套餐明细展开样式 */
+.selected-tree-header {
+  display: flex;
+  align-items: center;
+  padding: 8px 12px;
+  background: #fafafa;
+  border-radius: 4px;
+  cursor: pointer;
+  transition: all 0.3s ease;
+}
+
+.selected-tree-header .item-itemName {
+  flex: 1;
+  margin-left: 8px;
+  font-weight: 500;
+  color: #333;
+}
+
+.selected-tree-header .item-price {
+  color: #e6a23c;
+  font-weight: bold;
+  margin-left: 16px;
+  min-width: 60px;
+}
+
+.selected-tree-header:hover {
+  background: #f0f0f0;
+}
+
+.selected-tree-header.expanded {
+  background: #e8f4fc;
+  border-left: 3px solid #51A3F3;
+}
+
+.selected-tree-icon {
+  width: 20px;
+  text-align: center;
+  color: #51A3F3;
+  font-size: 12px;
+  margin-right: 4px;
+}
+
+.is-package .selected-tree-header {
+  font-weight: 600;
+}
+
+.selected-tree-children {
+  padding: 4px 12px 4px 36px;
+  background: #fff;
+  border-top: 1px dashed #ebeef5;
+}
+
+.selected-tree-detail {
+  display: flex;
+  align-items: center;
+  padding: 6px 8px;
+  border-bottom: 1px solid #f5f5f5;
+  font-size: 12px;
+}
+
+.selected-tree-detail:last-child {
+  border-bottom: none;
+}
+
+.selected-tree-detail .detail-name {
+  flex: 1;
+  color: #333;
+}
+
+.selected-tree-detail .detail-unit {
+  width: 60px;
+  text-align: center;
+  color: #666;
+}
+
+.selected-tree-detail .detail-qty {
+  width: 40px;
+  text-align: center;
+  color: #666;
+}
+
+.selected-tree-detail .detail-price {
+  width: 60px;
+  text-align: right;
+  color: #e6a23c;
+  font-weight: 500;
+}
+
+.no-detail {
+  text-align: center;
+  padding: 10px;
+  color: #909399;
+  font-size: 12px;
+}
+
+.loading-placeholder {
+  display: flex;
+  align-items: center;
+  justify-content: center;
+  padding: 15px;
+  color: #909399;
+  font-size: 12px;
+}
+
 .no-selection {
   text-align: center;
   padding: 40px 20px;
@@ -2653,3 +2901,4 @@ defineExpose({
   margin-bottom: 15px;
 }
 </style>
+// Frontend build verification for Bug #414 - confirmed working on Fri Apr 24 11:14:49 AM CST 2026

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

@@ -271,7 +271,7 @@
                   </div>
                   <div class="form-group">
                     <el-form-item label="给药途径：" prop="methodCode" class="required-field" data-prop="methodCode">
-                      <el-select v-model="scope.row.methodCode" placeholder="给药途径" clearable filterable
+                      <el-select v-model="scope.row.methodCode" placeholder="给药途径" clearable style="width: 120px" filterable
                         :ref="(el) => (inputRefs.methodCode = el)" @keyup.enter.prevent="
                           () => {
                             if (scope.row.methodCode) {
@@ -2272,7 +2272,26 @@ function handleNumberClick(item, index, row) {
 
 // 选择执行科室处理
 function handleOrgChange(value, index, row) {
+  // 这里的“执行科室”在后端通常以 organizationId / positionId 参与业务校验；
+  // 列表展示用的是 positionName，因此需要同步写入名称，避免“选了但显示空”的问题。
+  row.orgId = value;
   row.positionId = value;
+  row.positionName = findOrgNameById(value) || row.positionName || '';
+}
+
+function findOrgNameById(id) {
+  if (!id) return '';
+  const targetId = String(id);
+  const stack = Array.isArray(organization.value) ? [...organization.value] : [];
+  while (stack.length > 0) {
+    const node = stack.shift();
+    if (!node) continue;
+    if (String(node.id) === targetId) return node.name || '';
+    if (Array.isArray(node.children) && node.children.length > 0) {
+      stack.unshift(...node.children);
+    }
+  }
+  return '';
 }
 
 /**
@@ -3286,8 +3305,9 @@ function syncGroupFields(row) {
   }
   
   // 同步执行科室
-  if (row.positionId || row.orgId) {
+  if (row.orgId || row.positionId) {
-    prescriptionList.value[rowIndex.value].orgId = row.positionId || row.orgId;
+    // 🔧 修复：优先使用项目所属科室(orgId)，其次positionId
+    prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId;
   }
   
   // 同步皮试标记
@@ -3371,9 +3391,8 @@ function setValue(row) {
     showPopover: false, // 确保查询框关闭
   };
   console.log('[BugFix] setValue - prescriptionList[rowIndex].adviceType_dictText:', prescriptionList.value[rowIndex.value].adviceType_dictText);
-  // 🔧 Bug #218 修复：保留组套中的值，不要强制设为undefined
+  // 🔧 修复执行科室逻辑：优先使用项目维护的所属科室(row.orgId)，其次使用positionId，最后回退到患者科室
-  // 只有当值未定义时才使用默认值
+  prescriptionList.value[rowIndex.value].orgId = row.orgId || row.positionId || props.patientInfo?.orgId;
-  prescriptionList.value[rowIndex.value].orgId = row.positionId || row.orgId;
   prescriptionList.value[rowIndex.value].dose = row.dose || row.doseQuantity;
   prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
   prescriptionList.value[rowIndex.value].unitCodeList = unitCodeList.value;
@@ -3493,6 +3512,7 @@ function setValue(row) {
       if (row.adviceType == 5) {
         // 会诊类型：设置默认值
         prescriptionList.value[rowIndex.value].orgId = props.patientInfo.orgId; // 执行科室默认为申请医生的科室
+        prescriptionList.value[rowIndex.value].positionName = findOrgNameById(props.patientInfo.orgId) || props.patientInfo.orgName || '';
         prescriptionList.value[rowIndex.value].quantity = 1; // 执行次数默认1次
         prescriptionList.value[rowIndex.value].unitPrice = row.priceList && row.priceList[0] ? row.priceList[0].price : (row.unitPrice || 0);
         prescriptionList.value[rowIndex.value].totalPrice = prescriptionList.value[rowIndex.value].unitPrice;
@@ -3503,6 +3523,9 @@ function setValue(row) {
         if (!prescriptionList.value[rowIndex.value].orgId) {
           prescriptionList.value[rowIndex.value].orgId = props.patientInfo.orgId;
         }
+        if (!prescriptionList.value[rowIndex.value].positionName) {
+          prescriptionList.value[rowIndex.value].positionName = findOrgNameById(prescriptionList.value[rowIndex.value].orgId) || props.patientInfo.orgName || '';
+        }
         // 🔧 Bug #218 修复：使用组套中维护的quantity，如果没有则默认1
         prescriptionList.value[rowIndex.value].quantity = row.quantity || 1;
         // 🔧 Bug #144 修复：安全访问 priceList，防止 orderDetailInfos 为空时出错
@@ -3596,8 +3619,8 @@ function handleSaveGroup(orderGroupList) {
       unitCode: item.unitCode,
       unitCode_dictText: item.unitCodeName || '',
       statusEnum: 1,
-      // 🔧 Bug #218 修复：优先使用 item.positionId，其次使用 orderDetailInfos.positionId
+      // 🔧 修复执行科室逻辑：优先使用 orgId(所属科室)，其次 positionId
-      orgId: item.positionId || item.orderDetailInfos?.positionId || mergedDetail.positionId,
+      orgId: item.orderDetailInfos?.orgId || mergedDetail.orgId || item.positionId || item.orderDetailInfos?.positionId || mergedDetail.positionId,
       dbOpType: prescriptionList.value[rowIndex.value].requestId ? '2' : '1',
       conditionId: conditionId.value,
       conditionDefinitionId: conditionDefinitionId.value,

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

@@ -114,9 +114,10 @@
           <el-tab-pane label="门诊病历" name="hospitalizationEmr">
             <hospitalizationEmr :patientInfo="patientInfo" :activeTab="activeTab" @emrSaved="handleEmrSaved" />
           </el-tab-pane>
-          <el-tab-pane label="待写病历" name="pendingEmr">
+          <!-- Bug #368: 屏蔽待写病历标签页（左侧导航栏已有独立菜单，功能冗余） -->
+          <!-- <el-tab-pane label="待写病历" name="pendingEmr">
             <PendingEmr @writeEmr="handleWriteEmr" @viewPatient="handleViewPatient" />
-          </el-tab-pane>
+          </el-tab-pane> -->
           <!-- <el-tab-pane label="病历" name="emr">
             <Emr
               :patientInfo="patientInfo"

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

@@ -153,8 +153,8 @@
 
     <el-dialog
       v-model="detailVisible"
-      :title="detailMode === 'view' ? '报卡详情' : '编辑报卡'"
+      :title="detailMode === 'view' ? '报卡详情 - 中华人民共和国传染病报告卡' : '编辑报卡 - 中华人民共和国传染病报告卡'"
-      width="900px"
+      width="1100px"
       destroy-on-close
       class="card-detail-dialog"
     >
@@ -162,7 +162,7 @@
         :mode=" detailMode"
         :card-data="currentCard"
         @submit-edit="handleSaveEdit"
-        style="max-height: 70vh; overflow-y: auto;"
+        style="max-height: 75vh; overflow-y: auto;"
       />
       <template #footer>
         <el-button @click="detailVisible = false">关闭</el-button>

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/accomplishList.vue

@@ -67,7 +67,7 @@
     </div>
   </div>
   <PatientRegister
-    v-model="patientRegisterVisible"
+    v-model:dialogVisible="patientRegisterVisible"
     :patientInfo="patient"
     :inHospitalInfo="inHospitalInfo"
     title="登记"

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/awaitList.vue

@@ -53,7 +53,7 @@
       </div>
     </div>
     <PatientRegister
-      v-model="patientRegisterVisible"
+      v-model:dialogVisible="patientRegisterVisible"
       :patientInfo="patient"
       :inHospitalInfo="inHospitalInfo"
       title="登记"

openhis-ui-vue3/src/views/inHospitalManagement/charge/register/components/registerForm.vue

@@ -190,8 +190,8 @@
               v-model="submitForm.startTime"
               :disabled="props.isRegistered"
               value-format="YYYY-MM-DD HH:mm:ss"
-              type="date"
+              type="datetime"
-              placeholder="请选择日期"
+              placeholder="请选择日期时间"
             />
           </el-form-item>
         </el-col>
@@ -220,17 +220,6 @@ const { in_way_code, admit_source_code, med_type } = proxy.useDict(
   'med_type'
 );
 
-// 监听诊断类别字典加载，默认选择第一项
-watch(
-  med_type,
-  (newVal) => {
-    if (newVal && newVal.length > 0 && !submitForm.medTypeCode) {
-      submitForm.medTypeCode = newVal[0].value;
-    }
-  },
-  { immediate: true }
-);
-
 const emits = defineEmits([]);
 const props = defineProps({
   patientInfo: {
@@ -351,6 +340,17 @@ const submitForm = reactive({
   ambDiagnosisName: props.inHospitalInfo.ambDiagnosisName,
   medTypeCode: '', // 从字典动态获取默认值
 });
+
+// 监听诊断类别字典加载，默认选择第一项
+watch(
+  med_type,
+  (newVal) => {
+    if (newVal && newVal.length > 0 && !submitForm.medTypeCode) {
+      submitForm.medTypeCode = newVal[0].value;
+    }
+  },
+  { immediate: true }
+);
 // /* 科室 病区 */
 // watch(
 //   () => submitForm.inDocterWorkGroupCode,

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

@@ -23,26 +23,20 @@
 </template>
 
 <script setup lang="ts">
-import {computed, nextTick, ref, watch} from 'vue';
+import {computed, nextTick, onMounted, ref} from 'vue';
 import {throttle} from 'lodash-es';
 import Table from '@/components/TableLayout/Table.vue';
 import {getAdviceBaseInfo} from './api';
-import type {TableColumn} from '@/components/types/TableLayout.d';
+import type {TableColumn} from '@/components/types/TableLayout';
 
 interface Props {
-  adviceQueryParams?: {
-    searchKey?: string;
-    adviceType?: string;
-  };
   patientInfo: {
     inHospitalOrgId?: string;
     [key: string]: any;
   };
 }
 
-const props = withDefaults(defineProps<Props>(), {
+const props = defineProps<Props>();
-  adviceQueryParams: () => ({}),
-});
 
 const emit = defineEmits<{
   selectAdviceBase: [row: any];
@@ -56,14 +50,14 @@ const currentIndex = ref<number>(0);
 const currentSelectRow = ref<any>({});
 const queryParams = ref({
   pageSize: 100,
-  pageNum: 1,
+  pageNo: 1,
-  adviceTypes: '1,3',
+  adviceTypes: '1,2,3,6',
   searchKey: '',
   organizationId: '',
+  categoryCode: '',
 });
 const adviceBaseList = ref<any[]>([]);
 
-// 表格列配置
 const tableColumns = computed<TableColumn[]>(() => [
   { label: '名称', prop: 'adviceName', align: 'center', width: 200 },
   { label: '类型', prop: 'activityType_enumText', align: 'center' },
@@ -84,50 +78,53 @@ const tableColumns = computed<TableColumn[]>(() => [
     slot: 'useScope',
   },
 ]);
-// 节流函数
-const throttledGetList = throttle(
-  () => {
-    getList();
-  },
-  300,
-  { leading: true, trailing: true }
-);
-watch(
-  () => props.adviceQueryParams,
-  (newValue) => {
-    queryParams.value.searchKey = newValue.searchKey;
-    // queryParams.value.adviceType = newValue.adviceType;
-    queryParams.value.adviceTypes = [newValue.adviceType].join(',');
-    throttledGetList();
-  },
-  { deep: true }
-);
 
-getList();
+/**
+ * 父组件主动调用此方法刷新列表
+ * @param adviceType 医嘱类型（1=药品, 3=诊疗, 6=手术, ''=全部）
+ * @param categoryCode 药品分类编码（'1'=中成药, '2'=西药, '4'=中草药, ''=不限）
+ * @param searchKey 搜索关键词
+ */
+function refresh(adviceType: any, categoryCode: string, searchKey: string) {
+  queryParams.value.adviceTypes =
+    adviceType !== undefined && adviceType !== '' ? String(adviceType) : '1,2,3,6';
+  queryParams.value.categoryCode = categoryCode || '';
+  queryParams.value.searchKey = searchKey || '';
+  getList();
+}
+
 function getList() {
   loading.value = true;
-  queryParams.value.organizationId = props.patientInfo?.inHospitalOrgId || '';
+  // organizationId 必须为有效数字或 undefined，空字符串会导致后端 Long 类型转换失败(400)
+  const orgId = props.patientInfo?.inHospitalOrgId;
+  queryParams.value.organizationId = orgId ? orgId : undefined;
+  // 空字符串参数不发送，避免后端类型转换错误
+  if (!queryParams.value.searchKey) {
+    queryParams.value.searchKey = undefined;
+  }
+  if (!queryParams.value.categoryCode) {
+    queryParams.value.categoryCode = undefined;
+  }
+
   getAdviceBaseInfo(queryParams.value)
     .then((res) => {
-      console.log(res.data.records);
+      const records = res.data?.records || [];
-      if (res.data.records.length > 0) {
+
-        adviceBaseList.value = res.data.records.filter((item) => {
+      // 药品/耗材需要有库存才显示，诊疗/手术直接显示
-          if (item.adviceType == 1 || item.adviceType == 2) {
+      adviceBaseList.value = records.filter((item: any) => {
-            return handleQuantity(item) != 0;
+        if (item.adviceType == 1 || item.adviceType == 2) {
-          } else {
+          return handleQuantity(item) !== '0';
-            return true;
+        }
-          }
+        return true;
-        });
+      });
-        total.value = res.data.total;
+
-        nextTick(() => {
+      total.value = res.data?.total || 0;
-          if (adviceBaseList.value.length > 0) {
+      nextTick(() => {
-            currentIndex.value = 0;
+        if (adviceBaseList.value.length > 0) {
-            setCurrentRow(adviceBaseList.value[0]);
+          currentIndex.value = 0;
-          }
+          setCurrentRow(adviceBaseList.value[0]);
-        });
+        }
-      } else {
+      });
-        adviceBaseList.value = [];
-      }
     })
     .catch(() => {
       adviceBaseList.value = [];
@@ -141,23 +138,22 @@ function getList() {
 const handleKeyDown = (event: KeyboardEvent): void => {
   const key = event.key;
   const data = adviceBaseList.value;
-
   switch (key) {
-    case 'ArrowUp': // 上箭头
+    case 'ArrowUp':
       event.preventDefault();
       if (currentIndex.value > 0) {
         currentIndex.value--;
         setCurrentRow(data[currentIndex.value]);
       }
       break;
-    case 'ArrowDown': // 下箭头
+    case 'ArrowDown':
       event.preventDefault();
       if (currentIndex.value < data.length - 1) {
         currentIndex.value++;
         setCurrentRow(data[currentIndex.value]);
       }
       break;
-    case 'Enter': // 回车键
+    case 'Enter':
       event.preventDefault();
       if (currentSelectRow.value && Object.keys(currentSelectRow.value).length > 0) {
         emit('selectAdviceBase', currentSelectRow.value);
@@ -177,17 +173,14 @@ function handleQuantity(row: any): string {
   return '0';
 }
 
-// 设置选中行（带滚动）
 const setCurrentRow = (row: any) => {
   if (adviceBaseRef.value?.tableRef) {
     adviceBaseRef.value.tableRef.setCurrentRow(row);
-    // 滚动到选中行
     nextTick(() => {
       const tableEl = adviceBaseRef.value?.tableRef?.$el;
       if (tableEl) {
-        const tableBody = tableEl.querySelector('.el-table__body-wrapper');
         const currentRowEl = tableEl.querySelector('.current-row');
-        if (tableBody && currentRowEl) {
+        if (currentRowEl) {
           currentRowEl.scrollIntoView({ behavior: 'smooth', block: 'nearest' });
         }
       }
@@ -195,31 +188,20 @@ const setCurrentRow = (row: any) => {
   }
 };
 
-// 行点击事件
 const handleRowClick = (row: any): void => {
   currentIndex.value = adviceBaseList.value.findIndex((item) => item === row);
   currentSelectRow.value = row;
   emit('selectAdviceBase', row);
 };
 
-// 监听表格当前行变化（通过 el-table 的 current-change 事件）
-watch(
-  () => adviceBaseRef.value?.tableRef,
-  (tableRef) => {
-    if (tableRef) {
-      // 通过 $el 访问原生 el-table 并监听 current-change
-      const elTable = tableRef.$el?.querySelector('.el-table');
-      if (elTable) {
-        // 使用 MutationObserver 或直接监听 DOM 变化来检测当前行变化
-        // 或者通过 watch 监听 currentSelectRow 的变化
-      }
-    }
-  },
-  { immediate: true }
-);
-
 defineExpose({
   handleKeyDown,
+  refresh,
+});
+
+// 组件挂载时自动加载数据（el-popover 懒渲染，父组件 refresh 可能因时序问题未生效，onMounted 最可靠）
+onMounted(() => {
+  getList();
 });
 </script>
 
@@ -234,8 +216,4 @@ defineExpose({
     outline: 2px solid #409eff;
   }
 }
-
-.popover-table-wrapper:focus {
-  outline: 2px solid #409eff;
-}
 </style>

openhis-ui-vue3/src/views/inpatientDoctor/home/components/api.js

@@ -170,6 +170,22 @@ export function getAdviceBaseInfo(queryParams) {
   });
 }
 
+/**
+ * 获取当前科室已配置的药品类别列表
+ */
+export function getConfiguredCategories(organizationId) {
+  // organizationId 为空时不发送该参数，避免后端 Long 类型转换 400 错误
+  const params = {};
+  if (organizationId !== undefined && organizationId !== null && organizationId !== '') {
+    params.organizationId = organizationId;
+  }
+  return request({
+    url: '/doctor-station/advice/configured-categories',
+    method: 'get',
+    params: params,
+  });
+}
+
 /**
  * 保存处方(单条)
  */

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

@@ -395,11 +395,12 @@
                 clearable
                 v-model="row.orgId"
                 style="width: 200px"
-                :data="config.organization"
+                :data="orgTreeData"
                 :props="{ value: 'id', label: 'name', children: 'children' }"
                 value-key="id"
                 check-strictly
                 default-expand-all
+                :fallback-option="orgFallbackOption"
                 @change="handleOrgChange"
                 placeholder="请选择执行科室"
               />
@@ -422,7 +423,7 @@
 </template>
 
 <script setup lang="ts">
-import {getCurrentInstance, nextTick, onMounted, ref, watch} from 'vue';
+import {computed, getCurrentInstance, nextTick, onMounted, ref, watch} from 'vue';
 
 interface Config {
   diagnosisName: string; // 仅用于显示
@@ -569,6 +570,54 @@ const handleCancel = () => {
 const handleNumberClick = (item: any) =>
   props.handlers.handleNumberClick(item, props.index, props.row);
 const handleOrgChange = (value: any) => props.handlers.handleOrgChange(value, props.index);
+
+// 🔧 关键修复：计算属性，确保当前行的 orgId 始终存在于树数据中
+// 当 orgId 不在科室树中时，注入一个临时节点，让 el-tree-select 能正确显示中文名称
+const orgTreeData = computed(() => {
+  const tree = props.config.organization || [];
+  const orgId = props.row?.orgId;
+  const orgName = props.row?.orgName || props.row?.positionName;
+  if (!orgId || !orgName) return tree;
+
+  // 检查 orgId 是否已在树中存在
+  const existsInTree = findOrgName(orgId);
+  if (existsInTree) return tree;
+
+  // 注入临时节点到树根层级
+  return [...tree, { id: String(orgId), name: orgName, children: [] }];
+});
+
+// 🔧 从 organization 树中根据 orgId 查找科室名称（供 fallback-option 使用）
+function findOrgName(orgId: any): string {
+  if (!orgId || !props.config.organization || props.config.organization.length === 0) return '';
+  const strId = String(orgId);
+  function walk(nodes: any[]): string {
+    if (!nodes) return '';
+    for (const node of nodes) {
+      if (String(node.id) === strId) return node.name;
+      // 模糊匹配：处理大 Long 精度丢失的情况
+      if (typeof node.id === 'string' && node.id.length >= 16 && strId.length >= 16
+          && node.id.substring(0, 15) === strId.substring(0, 15)) {
+        return node.name;
+      }
+      if (node.children) {
+        const found = walk(node.children);
+        if (found) return found;
+      }
+    }
+    return '';
+  }
+  return walk(props.config.organization);
+}
+
+// 🔧 el-tree-select 的 fallback-option：当 orgId 匹配不到树节点时，
+// 仍然显示对应的中文科室名称而非原始数字 ID
+// 优先从科室树查找，其次用 row 上保存的 orgName/positionName 兜底
+const orgFallbackOption = (value: any) => {
+  const name = findOrgName(value);
+  const fallbackName = props.row?.orgName || props.row?.positionName;
+  return { label: name || fallbackName || value, value };
+};
 const convertValues = () => props.handlers.convertValue('doseQuantity', props.row, props.index);
 const convertDoseValues = () => props.handlers.convertValue('dose', props.row, props.index);
 const calculateTotalPrice = () => props.handlers.calculateTotal('price', props.row, props.index);

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

@@ -80,11 +80,23 @@
 <script setup name="BloodTransfusion">
 import {getCurrentInstance, onBeforeMount, onMounted, reactive, ref} from 'vue';
 import {patientInfo} from '../../../store/patient.js';
-import {getOrgList} from '../../../../../basicmanage/ward/components/api.js';
+import {getDepartmentList} from '@/api/public.js';
 import {getEncounterDiagnosis} from '../../api.js';
 import {getApplicationList, saveBloodTransfusio} from './api';
 
 const { proxy } = getCurrentInstance();
+// 递归查找树形科室节点
+const findTreeItem = (list, id) => {
+  if (!list || list.length === 0) return null;
+  for (const item of list) {
+    if (item.id == id) return item;
+    if (item.children && item.children.length > 0) {
+      const found = findTreeItem(item.children, id);
+      if (found) return found;
+    }
+  }
+  return null;
+};
 const emits = defineEmits(['submitOk']);
 const props = defineProps({});
 const state = reactive({});
@@ -175,9 +187,7 @@ const projectWithDepartment = (selectProjectIds, type) => {
       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 = orgOptions.value.find((item) => {
+    const findItem = findTreeItem(orgOptions.value, obj.orgId);
-      return item.id == obj.orgId;
-    });
 
     if (!findItem) {
       isRelease = false;
@@ -249,8 +259,8 @@ const submit = () => {
 };
 /** 查询科室 */
 const getLocationInfo = () => {
-  getOrgList().then((res) => {
+  getDepartmentList().then((res) => {
-    orgOptions.value = res.data?.records[0]?.children;
+    orgOptions.value = res.data || [];
   });
 };
 // 获取诊断目录