diff --git a/pages/chat/index.vue b/pages/chat/index.vue
index e53979f..18babcb 100644
--- a/pages/chat/index.vue
+++ b/pages/chat/index.vue
@@ -118,6 +118,7 @@ const reconnectAttempts = ref(0); // 重连尝试次数
 const MAX_RECONNECT_ATTEMPTS = 5; // 最大重连次数
 const POLLING_INTERVAL = 10000; // 轮询间隔 10 秒
 const infoVisible = ref(false);
+const prePage = ref('');
 
 // 消息接收超时检测相关变量
 const lastMessageTime = ref(Date.now()); // 最后一次收到消息的时间
@@ -555,6 +556,7 @@ function endRtcSession() {
 
 // 页面加载
 onLoad(async (options) => {
+  prePage.value = options.prePage || '';
   uni.$on('autoRxFail', () => {
     footerBtnMode.value = 'reEdit';
     canReEdit.value = true;
@@ -638,6 +640,13 @@ onUnload(() => {
   // 结束可能存在的视频问诊：交由插件自身的 onHangup/onError 事件处理，不在页面卸载时强制挂断，
   // 避免与插件的接听/通话流程冲突导致刚接通就被立即挂断。
   endRtcSession();
+  if (prePage.value === 'createOrder') {
+    setTimeout(() => {
+      uni.redirectTo({
+        url: `/pages/record/order-detail?orderId=${consult.value?.orderId || orderId.value}&prePage=createOrder`
+      })
+    }, 750)
+  }
 });
 
 // 页面隐藏或返回上一页时，也确保挂断并清理通话状态
diff --git a/pages/consult/history-drugs/history-drugs.vue b/pages/consult/history-drugs/history-drugs.vue
index f5f4bb9..337c026 100644
--- a/pages/consult/history-drugs/history-drugs.vue
+++ b/pages/consult/history-drugs/history-drugs.vue
@@ -66,6 +66,7 @@ import ConfirmPopup from './confirm-popup.vue';
 import EmptyComponent from '@/components/empty.vue';
 
 const { order } = storeToRefs(orderStore());
+const { autoFillDisease } = orderStore();
 const { elderClass, elderVarStyle } = useElder();
 const tabs = [{ label: '本院历史处方', value: 'history-prescription' }, { label: '医保购药记录', value: 'purchase-record' }];
 const activeTab = ref('history-prescription');
@@ -81,6 +82,9 @@ function cancel() {
 
 function changeDrugs(list) {
   visible.value = false;
+  const preDrugIds = order.value.drugs.map(i => i._id);
+  const drugIds = list.map(i => i._id);
+  const newDrugIds = drugIds.filter(i => !preDrugIds.includes(i));
   list.forEach(i => {
     const index = order.value.drugs.findIndex(j => j.insurance_code === i.insurance_code);
     if (index >= 0) {
@@ -89,6 +93,7 @@ function changeDrugs(list) {
       order.value.drugs.push(i);
     }
   })
+  autoFillDisease(newDrugIds);
   uni.navigateBack()
 }
 
diff --git a/pages/consult/info.vue b/pages/consult/info.vue
index 11341ff..8e1f284 100644
--- a/pages/consult/info.vue
+++ b/pages/consult/info.vue
@@ -435,7 +435,7 @@ async function enterRoom() {
     await imStore.enterConversation(conversationID);
     hideLoading();
     uni.redirectTo({
-      url: `/pages/chat/index?conversationID=${conversationID}&orderId=${orderId.value}`,
+      url: `/pages/chat/index?conversationID=${conversationID}&orderId=${orderId.value}&prePage=createOrder`,
     });
   } catch (error) {
     hideLoading();
diff --git a/pages/home/home.vue b/pages/home/home.vue
index 5397e94..27ee0d9 100644
--- a/pages/home/home.vue
+++ b/pages/home/home.vue
@@ -66,6 +66,7 @@ import { ref, onUnmounted } from "vue";
 import { onLoad, onHide } from "@dcloudio/uni-app";
 import useUser from "@/hooks/useUser";
 import { autoAddHlwPatient, isDoctorOnline } from '@/utils/api'
+import { toast } from "@/utils/widget";
 import fullPage from "@/components/full-page.vue";
 import confirmPopup from "./confirm-popup.vue";
 import storePopup from "./store-popup.vue";
diff --git a/pages/member/list.vue b/pages/member/list.vue
index 4c7fa02..20bf43b 100644
--- a/pages/member/list.vue
+++ b/pages/member/list.vue
@@ -25,10 +25,6 @@
             <view class="text-info">
               <view class="name-bar" :class="{ 'name-bar--elder': elderMode }">
                 <view class="name">{{ item.maskName }}</view>
-                <!-- <view class="tag-group" :class="{ 'tag-group--elder': elderMode }">
-                  <view class="user-tag user-tag--warning">已实名</view>
-                </view> -->
-
               </view>
               <view class="mobile">{{ item.maskMobile }}</view>
             </view>
@@ -59,7 +55,7 @@ const { userInfo, logined, patientList, loadPatientList } = useUser();
 // 适老化模式状态
 const elderMode = ref(false);
 const selfPatient = computed(() => patientList.value.find(item => item.isSelf) || null);
-const otherPatients = computed(() => patientList.value.filter(item => !item.isSelf));
+const otherPatients = computed(() => patientList.value.filter(item => !item.isSelf && !item.isTemporary));
 
 onMounted(() => {
   // 从本地存储读取适老化模式状态
diff --git a/pages/record/order-detail.vue b/pages/record/order-detail.vue
index 3cf356b..ce03eb4 100644
--- a/pages/record/order-detail.vue
+++ b/pages/record/order-detail.vue
@@ -20,7 +20,7 @@
       <view v-if="diagnosis" class="order-form" :class="{ 'order-form--elder': elderMode }">
         <view class="order-form-row" :class="{ 'order-form-row--elder': elderMode }" @click="viewSumarry()">
           <text class="order-form-label" :class="{ 'order-form-label--elder': elderMode }">病历概要：</text>
-          <text style="color:$theme-brown-primary" :class="{ 'link-text--elder': elderMode }">点击查看</text>
+          <text style="link-text" :class="{ 'link-text--elder': elderMode }">点击查看</text>
         </view>
       </view>
       <view class="order-form" :class="{ 'order-form--elder': elderMode }">
@@ -104,13 +104,14 @@ const msg = ref("");
 const pay = useYbPay(null, reload);
 const diagnosis = ref(null)
 const timer = ref(null)
+const prePage = ref('');
 
 // 适老化模式状态
 const elderMode = ref(false);
 
 onMounted(() => {
   // 从本地存储读取适老化模式状态
-  const savedElderMode = uni.getStorageSync('elderMode')||false;
+  const savedElderMode = uni.getStorageSync('elderMode') || false;
 
   if (savedElderMode !== null && savedElderMode !== undefined) {
     elderMode.value = !!savedElderMode
@@ -118,12 +119,18 @@ onMounted(() => {
 });
 
 onLoad((e) => {
+  prePage.value = e.prePage;
   if (e.orderId) {
     getOrderDetail(e.orderId);
   }
 });
 onUnload(() => {
   timer.value && clearInterval(timer.value)
+  if (prePage.value === 'createOrder') {
+    uni.redirectTo({
+      url: `/pages/record/consult-record`
+    })
+  }
 })
 
 function reload() {
@@ -396,6 +403,10 @@ text {
   font-weight: 500;
 }
 
+.link-text {
+  color: $theme-brown-primary;
+}
+
 .link-text--elder {
   font-size: 39rpx !important; // 28 * 1.4
   font-weight: bold;