diff --git a/src/components/outpatient/Case.vue b/src/components/outpatient/Case.vue
index 34c3b62..6d5f54a 100644
--- a/src/components/outpatient/Case.vue
+++ b/src/components/outpatient/Case.vue
@@ -42,20 +42,20 @@
         <el-form-item label="体格检查:" v-if="!props.isShowFrom">
           <PhysiqueExamInuput :disabled="props.disabled" v-model="formDate.exam" :list="physiqueExamList"/>
         </el-form-item>
-        <el-form-item label="望闻问切:" v-if="modelType==1&&!props.isShowFrom">
+        <el-form-item label="望闻问切:" v-if="formDate.diagType==1&&!props.isShowFrom">
           <PopoverInput :disabled="props.disabled" v-model="formDate.chinaAdjunctCheck" :list="chinaAdjunctCheckList"/>
         </el-form-item>
-        <el-form-item label="治法:" v-if="modelType==1&&!props.isShowFrom">
+        <el-form-item label="治法:" v-if="formDate.diagType==1&&!props.isShowFrom">
           <el-input v-model="formDate.chinaDeal" :disabled="props.disabled"></el-input>
         </el-form-item>
-        <el-form-item label="口腔检查:" v-if="modelType==2&&!props.isShowFrom">
+        <el-form-item label="口腔检查:" v-if="formDate.diagType==2&&!props.isShowFrom">
           <el-input :disabled="props.disabled" v-model="formDate.mouthCheck"></el-input>
         </el-form-item>
-        <el-form-item label="辅助检查:" v-if="(modelType==2 || modelType ==0)&&!props.isShowFrom">
+        <el-form-item label="辅助检查:" v-if="(formDate.diagType==2 || formDate.diagType ==0)&&!props.isShowFrom">
           <el-input style="height: 100%;width: 100%" :disabled="props.disabled"
                     v-model="formDate.adjunctCheck"></el-input>
         </el-form-item>
-        <el-form-item label="处置:" v-if="(modelType==0 || modelType ==2)&&!props.isShowFrom">
+        <el-form-item label="处置:" v-if="(formDate.diagType==0 || formDate.diagType ==2)&&!props.isShowFrom">
           <el-input style="height: 100%;width: 100%" :disabled="props.disabled" v-model="formDate.deal"></el-input>
         </el-form-item>
       </el-form>
@@ -88,7 +88,6 @@ const props = defineProps({
   }
 })
 const formDate = defineModel<any>();
-const modelType = ref(0)
 
 interface ShowConfig {
   label: string;
diff --git a/src/components/outpatient/DiseaseDetails.vue b/src/components/outpatient/DiseaseDetails.vue
index 2b57f60..1ca335f 100644
--- a/src/components/outpatient/DiseaseDetails.vue
+++ b/src/components/outpatient/DiseaseDetails.vue
@@ -3,23 +3,23 @@
     <div class="content">
       <div class="content-title">
         <div class="name">病例</div>
-        <button class="btn" @click="copy">复制</button>
+        <button class="btn" @click="copy" v-if="status!=3">复制</button>
       </div>
       <div class="content-middle">
+        <p>诊断:{{ detailObj.diagnosisMedicalRecord.diagnosisSummary }}</p>
         <p>主诉:{{ detailObj.diagnosisMedicalRecord.mainAppeal }}</p>
         <p>现病:{{ detailObj.diagnosisMedicalRecord.nowMedicalHistory }}</p>
         <p>既往:{{ detailObj.diagnosisMedicalRecord.beforeMedicalHistory }}</p>
         <p>体查:{{ detailObj.diagnosisMedicalRecord.exam }}</p>
         <p>复查:{{ detailObj.diagnosisMedicalRecord.allergy }}</p>
         <p>过敏:{{ detailObj.diagnosisMedicalRecord.allergyHistory }}</p>
-        <p>诊断:{{ detailObj.diagnosisMedicalRecord.diagnosisSummary}}</p>
         <p>处置:{{ detailObj.diagnosisMedicalRecord.treatment }}</p>
       </div>
     </div>
     <div class="content">
       <div class="content-title">
         <div class="name">服务项目</div>
-        <button class="btn" @click="copyItem">复制</button>
+        <button class="btn" @click="copyItem" v-if="status!=3">复制</button>
       </div>
       <div class="content-middle">
         <div class="item" v-for="item in detailObj.itemDetail">
@@ -41,7 +41,7 @@
     <div class="content">
       <div class="content-title">
         <div class="name">药品耗材</div>
-        <button class="btn" @click="copyGoods">复制</button>
+        <button class="btn" @click="copyGoods" v-if="status!=3">复制</button>
       </div>
       <div class="content-middle">
         <div class="item" v-for="item in detailObj.goodsDetail">
@@ -75,7 +75,7 @@
 <script setup lang="ts">
 import {ref, defineProps, onMounted} from 'vue'
 
-const {detail} = defineProps(['detail']);
+const {detail, status} = defineProps(['detail', 'status']);
 const detailObj = ref<any>(detail)
 const sumPrice = ref(0)
 const emit = defineEmits(['copy', 'copyItem', 'copyGoods'])
@@ -160,7 +160,8 @@ onMounted(() => {
         display: flex;
         justify-content: space-between;
         margin-bottom: 8px;
-        .name{
+
+        .name {
           white-space: nowrap; /* 防止文本换行 */
           overflow: hidden; /* 隐藏溢出的文本 */
           text-overflow: ellipsis; /* 显示省略号 */
diff --git a/src/components/outpatient/MedicalHistory.vue b/src/components/outpatient/MedicalHistory.vue
index e0fb5c3..afd51a3 100644
--- a/src/components/outpatient/MedicalHistory.vue
+++ b/src/components/outpatient/MedicalHistory.vue
@@ -6,13 +6,14 @@
           <el-collapse-item :name="index" v-for="(item, index) in list" :key="index">
             <template #title>
               <div class="list-item-content">
-                  <span class="disease-name">{{ item.diagnosisMedicalRecord.diagnosisSummary }}</span>
+                <span class="disease-name">{{ item.diagnosisMedicalRecord.diagnosisSummary }}</span>
                 <span class="doctor">{{ item.registrationInfoVo.doctorName }}</span>
                 <span class="time">{{ formatListTime(item.createTime) }}</span>
               </div>
             </template>
             <div>
-              <DiseaseDetails :detail="item" :key="item.id" @copy="copy" @copyItem="copyItem" @copyGoods="copyGoods"></DiseaseDetails>
+              <DiseaseDetails :status="props.status" :detail="item" :key="item.id" @copy="copy" @copyItem="copyItem"
+                              @copyGoods="copyGoods"></DiseaseDetails>
             </div>
           </el-collapse-item>
         </el-collapse>
@@ -26,16 +27,24 @@ import DiseaseDetails from './DiseaseDetails.vue';
 import {post} from "@/utils/request.ts";
 import {ref} from "vue";
 import {formatListTime} from "@/utils/dateUtils.ts";
+
+const props = defineProps({
+  status: {
+    type: Number,
+    default: 0
+  }
+})
+console.log(props.status)
 const list = ref<any>([])
 const init = (patientId: any) => {
-  post("medical/record/listByPatient",{patientId:patientId}).then((res: any) => {
+  post("medical/record/listByPatient", {patientId: patientId}).then((res: any) => {
     list.value = res
   })
 }
 const clearList = () => {
   list.value = []
 }
-const emit = defineEmits(['copy','copyItem','copyGoods'])
+const emit = defineEmits(['copy', 'copyItem', 'copyGoods'])
 const copy = (item: any) => {
   emit('copy', item)
 }
@@ -45,7 +54,7 @@ const copyItem = (item: any) => {
 const copyGoods = (item: any) => {
   emit('copyGoods', item)
 }
-defineExpose({init,clearList})
+defineExpose({init, clearList})
 </script>
 <style scoped lang="scss">
 .list {
@@ -69,12 +78,14 @@ defineExpose({init,clearList})
     .doctor {
       width: 80px;
     }
-    .time{
+
+    .time {
       display: inline-block;
       overflow: hidden;
     }
   }
 }
+
 :deep .el-collapse-item__content {
   padding: 0;
 }
diff --git a/src/views/charge/index.vue b/src/views/charge/index.vue
index e51edf6..c151658 100644
--- a/src/views/charge/index.vue
+++ b/src/views/charge/index.vue
@@ -88,7 +88,7 @@
 
 import Panel from "@/components/common/Panel.vue";
 import ChargeQueue from "@/components/charge/ChargeQueue.vue";
-import {nextTick, onMounted, onUnmounted, ref} from "vue";
+import {nextTick, onMounted, onUnmounted, ref, watch} from "vue";
 import {post} from "@/utils/request.ts";
 import ServiceDetail from "@/components/common/service/ServiceDetail.vue";
 import GoodsDetail from "@/components/common/goods/GoodsDetail.vue";
@@ -366,6 +366,15 @@ const refund = async () => {
     chargeQueueRef.value?.init()
   })
 }
+watch(
+    [() => formData.value.goodsDetail, () => formData.value.itemDetail],
+    ([newGoodsDetail, newItemDetail]) => {
+      if (newGoodsDetail || newItemDetail) {
+        getOrderTotalPrice()
+      }
+    },
+    {deep: true}
+)
 </script>
 
 <style scoped lang="scss">
diff --git a/src/views/outpatient/index.vue b/src/views/outpatient/index.vue
index 047f37c..9be6da0 100644
--- a/src/views/outpatient/index.vue
+++ b/src/views/outpatient/index.vue
@@ -29,7 +29,8 @@
         <PatientCard ref="patientCardRef"></PatientCard>
       </div>
       <div class="bottom">
-        <MedicalHistory ref="medicalHistoryRef" @copy="copyForm" @copyItem="copyItemList"
+        <MedicalHistory :status="patientRegistration.status" ref="medicalHistoryRef" @copy="copyForm"
+                        @copyItem="copyItemList"
                         @copyGoods="copyGoodsList"></MedicalHistory>
       </div>
     </div>
@@ -54,13 +55,13 @@ const patientId = ref()
 const itemDetail = ref([])
 const goodsList = ref([])
 const formData = ref<any>({
-  diagType: 1,
+  diagType: 0,
   itemDetail: [],
   goodsDetail: [],
 })
 const initFormData = () => {
   formData.value = {
-    diagType: 1,
+    diagType: 0,
     itemDetail: [],
     goodsDetail: [],
   }
@@ -184,7 +185,7 @@ const getOrderTotalPrice = () => {
 }
 const caseRef = ref<any>("")
 const copyForm = (item: any) => {
-  formData.value = item.diagnosisMedicalRecord
+  formData.value.diagnosisMedicalRecord = item.diagnosisMedicalRecord
   formData.value.diagType = Number(item.diagnosisMedicalRecord.diagType)
   const diagnosisList = JSON.parse(item.diagnosisMedicalRecord.diagnosisDetail)
   const nList = item.diagnosisMedicalRecord.diagnosisSummary.split(',')