diff --git a/components/custom-message/rx-open-fail-card.vue b/components/custom-message/rx-open-fail-card.vue
index 008657e..6b87ca9 100644
--- a/components/custom-message/rx-open-fail-card.vue
+++ b/components/custom-message/rx-open-fail-card.vue
@@ -2,7 +2,7 @@
   <view class="rx-fail-card border shadow-lg rounded" :style="elderVarStyle">
     <view class="fail-title-row">
       <view class="warning-icon">!</view>
-      <text class="fail-title">处方开具失败</text>
+      <text class="fail-title">{{ errorSource }}</text>
     </view>
     <view class="reason-row">
       <text class="reason-label">原因：</text>
@@ -48,6 +48,10 @@ const reason = computed(() => {
     : '未获取到失败原因，请稍后重试。';
 });
 
+const errorSource = computed(() => {
+  return ext.value && ext.value.source === 'HIS' ? '处方开具失败' : '服务暂未响应';
+});
+
 onMounted(() => {
   uni.$emit('autoRxFail');
 })
diff --git a/pages/consult/disease-description.vue b/pages/consult/disease-description.vue
index c97ed28..d671c27 100644
--- a/pages/consult/disease-description.vue
+++ b/pages/consult/disease-description.vue
@@ -1,5 +1,5 @@
 <template>
-	<full-page :animation="true" ref="pageRef" mainStyle="background:#f0f0f0" @reachBottom="onReachBottom()">
+	<full-page mainStyle="background:#f0f0f0">
 		<view class="container" :class="{ 'elder-mode-active': elderMode }">
 			<view class="user-header shadow-lg">
 				就诊人：{{ form.name }} {{ form.sex }} {{ form.age ? `${form.age}岁` : '' }}
@@ -94,7 +94,6 @@ const { init: initOrder, restoreForEdit } = orderStore();
 const visible = ref(false);
 const guessVisible = ref(false);
 const reachBottom = ref(false);
-const pageRef = ref(null);
 let guessCloseTimer = null;
 // 长辈模式状态
 const elderMode = ref(false);
@@ -157,11 +156,6 @@ function nextStep() {
 		toast('请填写病情描述');
 		return;
 	}
-	if (!reachBottom.value) {
-		pageRef.value?.scrollToBottom();
-		reachBottom.value = true;
-		return
-	}
 	for (let item of histories.value) {
 		if (!item.options.includes(form.value[item.prop])) {
 			toast(`请选择${item.label}`);
@@ -181,7 +175,6 @@ function onDiseaseSelected(disease) {
 	}
 }
 
-
 function removeImage(index) {
 	form.value.images.splice(index, 1);
 }
@@ -231,10 +224,6 @@ function upload(path) {
 	})
 }
 
-function onReachBottom() {
-	reachBottom.value = true;
-}
-
 onLoad((options) => {
 	if (options.reEdit === '1') {
 		const record = get('re-edit-consult-order');
diff --git a/pages/consult/history-drugs/history-drugs.vue b/pages/consult/history-drugs/history-drugs.vue
index 0339a00..f5f4bb9 100644
--- a/pages/consult/history-drugs/history-drugs.vue
+++ b/pages/consult/history-drugs/history-drugs.vue
@@ -167,7 +167,7 @@ async function getDrugsInfo(drugs) {
   visible.value = true;
 }
 
-async function getList(changeTabWhenEmpty = false) {
+async function getList() {
   if (loading.value) return;
   loading.value = true;
   showLoading()
@@ -190,9 +190,6 @@ async function getList(changeTabWhenEmpty = false) {
     toast(message || '未查询到历史处方')
   }
   loading.value = false;
-  if (changeTabWhenEmpty && list.value.length === 0) {
-    switchTab('purchase-record')
-  }
 }
 
 
@@ -218,7 +215,7 @@ async function getNinetyDaysDrugRecord() {
 }
 
 onLoad(() => {
-  getList(true)
+  getList()
 })
 
 </script>
diff --git a/pages/consult/index.vue b/pages/consult/index.vue
index 069b688..faf486d 100644
--- a/pages/consult/index.vue
+++ b/pages/consult/index.vue
@@ -31,10 +31,12 @@
 		<template v-if="logined" #footer>
 			<view class="footer">
 				<view class="button-group">
-					<button class="action-button add-button rounded" @click="toAddPatient">+ 新增就诊人</button>
+					<button v-if="feeType === 'ZF'" class="action-button add-button rounded" @click="toAddPatient">
+						+新增就诊人
+					</button>
 					<button class="action-button next-button rounded" @click="nextStep">下一步</button>
 				</view>
-				<view class="manage-link" @click="toPatientManagement">
+				<view v-if="feeType === 'ZF'" class="manage-link" @click="toPatientManagement">
 					<text>最多添加10位就诊人，点击就诊人管理</text>
 					<uni-icons type="right" :color="themeSecondary" :size="16" />
 				</view>
@@ -60,9 +62,7 @@ import fullPage from "@/components/full-page.vue";
 const {
 	logined,
 	getAuthCode,
-	myProfile,
-	familyProfile,
-	getProfileData,
+	userInfo,
 	storeId,
 	patientList: storePatientList,
 	loadPatientList,
@@ -161,6 +161,10 @@ async function scanInsuranceCode() {
 			toast("医保信息不完整，请重新读卡");
 			return;
 		}
+		if (userInfo.value.certNo === res.data.IDNum) {
+			toast("当前操作仅支持非本人医保码");
+			return;
+		}
 		set("current-scanned-card", res.data, 300);
 		uni.navigateTo({
 			url: `/pages/member/detail?type=ybQrcode&feeType=${feeType.value}`,
@@ -369,5 +373,4 @@ function toPatientManagement() {
 	font-size: 24rpx;
 	color: #344743;
 }
-
 </style>
diff --git a/pages/consult/info.vue b/pages/consult/info.vue
index 1719871..f4c9b8e 100644
--- a/pages/consult/info.vue
+++ b/pages/consult/info.vue
@@ -119,7 +119,7 @@
     @close="visible = false" @confirm="changeDrugs($event)" />
 </template>
 <script setup>
-import { ref, onMounted } from 'vue'
+import { ref, onMounted, nextTick } from 'vue'
 import { onLoad, onUnload } from '@dcloudio/uni-app';
 import { storeToRefs } from "pinia";
 import BigNumber from "bignumber.js";
@@ -127,7 +127,7 @@ import useElder from '@/hooks/useElder';
 import useUser from "@/hooks/useUser";
 import useDb from "@/store/db";
 import orderStore from '@/store/order';
-import { addConsultOrder, checkOnlineDrugInfoStock, getOnlineSimilarDrugInfo, startConsultOrder } from "@/utils/api";
+import { addConsultOrder, checkOnlineDrugInfoStock, getOnlineSimilarDrugInfo, getDrugs } from "@/utils/api";
 import { toast, loading, hideLoading } from "@/utils/widget";
 import { themeColor } from '@/utils/theme-config';
 import { useIMStore } from "@/store/tim";
@@ -177,8 +177,10 @@ function changeDrug(drug) {
   const index = order.value.drugs.findIndex(item => item._id === drug._id)
   if (index >= 0) {
     order.value.drugs.splice(index, 1, drug)
-    showEditPopup.value = false
+  } else if (drug && drug._id) {
+    order.value.drugs.push(drug)
   }
+  showEditPopup.value = false
 }
 
 function confirmDrug(drugs) {
@@ -214,6 +216,10 @@ function importHistory() {
   uni.navigateTo({ url: '/pages/consult/history-drugs/history-drugs' })
 }
 
+function toAddDrug(code ='') {
+  uni.navigateTo({ url: `/pages/consult/select-drug/select-drug?code=${code}` })
+}
+
 function onProofSaved(imagesMap) {
   order.value.drugs.forEach(drug => {
     if (imagesMap[drug._id]) {
@@ -241,14 +247,13 @@ function remove(idx) {
   customConfirmVisible.value = true;
 }
 
-function toAddDrug(code ='') {
-  uni.navigateTo({ url: `/pages/consult/select-drug/select-drug?code=${code}` })
-}
-
 function scanCode() {
   uni.scanCode({
     success: (res) => {
-      toAddDrug(res.result)
+      const code = res && typeof res.result === 'string' ? res.result.trim() : ''
+      if (code) {
+        getList(code)
+      }
     }
   })
 }
@@ -301,6 +306,22 @@ async function checkStock() {
   }
 }
 
+async function getList(barcode) {
+  const params = { page: 1, pageSize: 15, barcode };
+  const res = await getDrugs(params);
+  const [barcodeDrug] = res && Array.isArray(res.data) ? res.data : [];
+  if (!barcodeDrug) {
+    toast('未查询到该药品')
+    return
+  }
+  if (order.value.drugs.some(item => item._id === barcodeDrug._id)) {
+    toast('该药品已添加')
+    return
+  }
+  await nextTick()
+  edit(barcodeDrug)
+}
+
 async function submit(ignoreUnsuit = false, ignoreRepeat = false) {
   if (waiting.value) return;
   const hasDisease = Array.isArray(order.value.diseases)
diff --git a/pages/consult/select-drug/select-drug.vue b/pages/consult/select-drug/select-drug.vue
index f5eed7d..84ccc84 100644
--- a/pages/consult/select-drug/select-drug.vue
+++ b/pages/consult/select-drug/select-drug.vue
@@ -106,6 +106,7 @@ const list = ref([]);
 const loading = ref(false)
 const more = ref(false)
 const visible = ref(false)
+const barcode = ref('')
 
 // 自定义确认弹窗状态（仅用于本页面）
 const customConfirmVisible = ref(false);
@@ -123,6 +124,7 @@ const selectMap = computed(() => drugs.value.reduce((acc, cur) => {
   acc[cur._id] = true;
   return acc
 }, {}))
+
 useRefChange(keyword, search);
 
 onLoad((options) => {
@@ -233,8 +235,12 @@ function search() {
 async function getList() {
   if (loading.value) return;
   loading.value = true;
-  const apiName = order.value.consultType === 'onlineMedicinePurchase' ? getOnlineDrugList : getDrugs;
-  const res = await apiName({ page: page.value, pageSize: 15, keyword: keyword.value });
+  const params = { page: page.value, pageSize: 15, keyword: keyword.value };
+  if (barcode.value) {
+    params.barcode = barcode.value;
+    params.keyword = '';
+  }
+  const res = await getDrugs(params);
   const listData = res && Array.isArray(res.data) ? res.data : [];
   list.value = page.value === 1 ? res.data : [...list.value, ...listData];
   const message = res && typeof res.message === 'string' ? res.message : '获取药品失败';
@@ -243,12 +249,17 @@ async function getList() {
   }
   loading.value = false;
   more.value = res && res.pages > page.value;
+  if (barcode.value) {
+    barcode.value = ''
+  }
 }
 
 function scanCode() {
   uni.scanCode({
     success: (res) => {
-      keyword.value = res.result
+      barcode.value = res.result;
+      search()
+      // keyword.value = res.result
     }
   })
 }
diff --git a/pages/record/rx-paper.vue b/pages/record/rx-paper.vue
index 60c051d..9bb522a 100644
--- a/pages/record/rx-paper.vue
+++ b/pages/record/rx-paper.vue
@@ -18,7 +18,7 @@
         <view class="info-row">
           <view class="info-item" style="width: 28%">姓名：{{ data.name }}</view>
           <view class="info-item" style="width: 20%">性别：{{ data.sex }}</view>
-          <view class="info-item" style="width: 28%">费别：</view>
+          <view class="info-item" style="width: 28%">费别：{{ data.feeType === 'YB' ? '医保' : '自费' }}</view>
           <view class="info-item" style="width: 24%">年龄：{{ data.age }}</view>
         </view>
         <view class="info-row">