diff --git a/src/views/hlw-drug-manage/drug-dict.js b/src/views/hlw-drug-manage/drug-dict.js
index ac82209..0b78c52 100644
--- a/src/views/hlw-drug-manage/drug-dict.js
+++ b/src/views/hlw-drug-manage/drug-dict.js
@@ -24,6 +24,7 @@ export const drugFieldDict = [
   { name: '抗生素级别', field: 'antibiotic_level', verify: (val, label) => verifyListItem(val, [0, 1, 2, 3], false, label, 0) },
   { name: '肿瘤使用', field: 'tumor_use', verify: (val, label) => verifyListItem(val, [0, 1, 2, 3], false, label, 0) },
   { name: '风险等级', field: 'riskLevel', verify: (val, label) => verifyListItem(val, ['低风险', '高风险'], false, label) },
+  { name: '默认医保自费', field: 'forceSelfPay', verify: (val, label) => verifyListItem(val, ['Y', 'N'], false, label) },
   // 仅在线药品库使用：管理分类（处方药 / OTC）与剂型
   { name: '管理分类', field: 'manage_category', verify: (val, label) => verifyString(val, label) },
   { name: '剂型', field: 'dosage_form', required: true, verify: (val, label) => verifyString(val, label, 1) },
diff --git a/src/views/hlw-drug-manage/drug-drawer.vue b/src/views/hlw-drug-manage/drug-drawer.vue
index fef9e6e..cb21886 100644
--- a/src/views/hlw-drug-manage/drug-drawer.vue
+++ b/src/views/hlw-drug-manage/drug-drawer.vue
@@ -46,6 +46,15 @@
                 </el-select>
               </el-form-item>
             </el-col>
+            <el-col :span="24">
+              <el-form-item label="默认医保自费" prop="forceSelfPay">
+                <el-radio-group :model-value="form.forceSelfPay || 'N'"
+                  @update:model-value="changeValue($event, 'forceSelfPay')">
+                  <el-radio label="Y">是</el-radio>
+                  <el-radio label="N">否</el-radio>
+                </el-radio-group>
+              </el-form-item>
+            </el-col>
             <el-col :span="24">
               <el-form-item label="适应诊断" prop="applicableDiagnosisCodes">
                 <div class="w-full">
@@ -68,6 +77,7 @@
                   </el-popover>
                   <div v-if="selectedDiagnosisOptions.length" class="selected-diagnoses">
                     <el-tag v-for="item in selectedDiagnosisOptions" :key="item.code" closable
+                      :type="item.invalid ? 'info' : 'primary'"
                       @close="toggleDiagnosis(item)">
                       {{ diagnosisLabel(item) }}
                     </el-tag>
@@ -230,8 +240,14 @@ const selectedDiagnosisOptions = computed(() => {
   const optionMap = new Map(diagnosisOptions.value.map(item => [String(item.code), item]));
   const defaultOptionMap = new Map(diagnosisDefaultOptions.value.map(item => [String(item.code), item]));
   return (form.value.applicableDiagnosisCodes || [])
-    .map(code => optionMap.get(String(code)) || defaultOptionMap.get(String(code)))
-    .filter(Boolean);
+    .map(code => {
+      const normalizedCode = String(code);
+      return optionMap.get(normalizedCode)
+        || defaultOptionMap.get(normalizedCode)
+        // Historical diagnosis codes may no longer exist in the diagnosis library.
+        // Keep them visible so the user can remove them and pass server validation.
+        || { code: normalizedCode, name: '已失效诊断', invalid: true };
+    });
 })
 
 function isDiagnosisSelected(code) {
@@ -371,7 +387,7 @@ async function getRepeatTags() {
 watch(() => props.visible, async (val) => {
   if (val) {
     // reset local editForm when opening drawer
-    editForm.value = props.data._id ? {} : { antibiotic_level: 0, tumor_use: 0 }
+    editForm.value = props.data._id ? {} : { antibiotic_level: 0, tumor_use: 0, forceSelfPay: 'N' }
     diagnosisKeyword.value = ''
     await Promise.all([attachMedicineConfig(), initializeDiagnoses()])
     if (props.libType === 'online') {
diff --git a/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue b/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
index 0493975..851a96f 100644
--- a/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
+++ b/src/views/hlw-hospital/chat-home/diagnosis-drawer/diagnosis-drawer.vue
@@ -6,10 +6,10 @@
           <div class="px-15px py-12px bg-[#ecf4ff] bg-opacity-30">
             <div class="pb-10px">
               <span class="text-16px font-semibold">{{ consultInfo.name }}</span>
-              <span class="text-14px ml-5px">{{ consultInfo.sex }} {{ consultInfo.age ? consultInfo.age + '岁' : ''
-              }}</span>
-              <img v-if="consultInfo.signature" :src="consultInfo.signature" class="w-80px h-40px inline-block"
-                alt="客户签名" @click="previewImage(consultInfo.signature)">
+              <span class="text-14px ml-5px">
+                {{ consultInfo.sex }} {{ consultInfo.age ? consultInfo.age + '岁' : '' }}
+              </span>
+
             </div>
             <el-form class="mt-5px" label-suffix="：">
               <el-row>
@@ -143,12 +143,12 @@
             <el-table-column label="序号" prop="index" :width="60">
               <template #default="{ $index }">{{ $index + 1 }}</template>
             </el-table-column>
-            <!-- <el-table-column align="center" label="强制自费" prop="index" :width="80">
+            <el-table-column align="center" label="强制自费" prop="index" :width="80">
               <template #default="{ row, $index }">
                 <el-checkbox :class="readonly ? 'pointer-events-none' : ''" :model-value="row.forceSelfPay === 'Y'"
                   @update:model-value="changeForcePay($index)" />
               </template>
-            </el-table-column> -->
+            </el-table-column>
             <el-table-column label="药品" prop="drugName" :min-width="220">
               <template #default="{ row: item, $index }">
                 <el-select v-model="item.insurance_code" filterable remote reserve-keyword class="w-full"
@@ -582,6 +582,7 @@ function changeDrug(val, idx) {
   item.suitableChild = d.suitableChild;
   item.suitableGender = d.suitableGender;
   item.repeatTag = d.repeatTag;
+  item.forceSelfPay = d.forceSelfPay === 'Y' ? 'Y' : 'N'
 }
 
 function changeUsage(val, idx) {
@@ -662,10 +663,10 @@ async function verify(ignoreRepeat = false) {
       ElMessage.info(`${i.drugName}: 给药方式无效`);
       return;
     }
-    if (!useTimeList.value.some(item => item.name === i.dose_time_name)) {
-      ElMessage.info(`${i.drugName}: 用药时机无效`);
-      return;
-    }
+    // if (!useTimeList.value.some(item => item.name === i.dose_time_name)) {
+    //   ElMessage.info(`${i.drugName}: 用药时机无效`);
+    //   return;
+    // }
   }
   if (inappropriateDrugs.value.length) {
     return showUnsuitDrug()
@@ -912,6 +913,7 @@ async function initWithOrder() {
         row.suitableChild = drug.suitableChild
         row.suitableGender = drug.suitableGender
         row.repeatTag = drug.repeatTag
+        row.forceSelfPay = drug.forceSelfPay === 'Y' ? 'Y' : 'N'
         acc.push(row)
       } else {
         errorDrugs.push(`患者申请的${cur.name}药品信息不存在或者已下架`);
diff --git a/src/views/hlw-hospital/chat-home/index.vue b/src/views/hlw-hospital/chat-home/index.vue
index 4024de9..574164c 100644
--- a/src/views/hlw-hospital/chat-home/index.vue
+++ b/src/views/hlw-hospital/chat-home/index.vue
@@ -397,10 +397,15 @@ function handleGlobalVideoMessageListUpdated(list) {
 
 
 async function getConsultOrderList(orderId) {
+  const doctorCode = sessionStorage.getItem("doctorNo");
+  if (!doctorCode) {
+    orderList.value = [];
+    return;
+  }
   const res = await getConsultOrder({
     page: 1,
     pageSize: 1000,
-    doctorCode: sessionStorage.getItem("doctorNo"),
+    doctorCode,
     mergeStatus: mergeStatus.value,
   });
   orderList.value = res.data.data.map((item) => {
diff --git a/src/views/hlw-hospital/components/history-conversation-list.vue b/src/views/hlw-hospital/components/history-conversation-list.vue
index 2a79ce8..996deab 100644
--- a/src/views/hlw-hospital/components/history-conversation-list.vue
+++ b/src/views/hlw-hospital/components/history-conversation-list.vue
@@ -52,12 +52,19 @@ const total = ref(0);
 
 const fetchUserList = async (currentPage = 1, append = false) => {
   if (loading.value) return;
+  const doctorCode = sessionStorage.getItem("doctorNo");
+  if (!doctorCode) {
+    userList.value = [];
+    total.value = 0;
+    noMoreData.value = true;
+    return;
+  }
   loading.value = true;
   try {
     const res = await getConsultOrder({
       page: currentPage,
       pageSize: pageSize.value,
-      doctorCode: sessionStorage.getItem("doctorNo"),
+      doctorCode,
       mergeStatus: "已处理",
     });
     // 获取接口返回的总数
@@ -328,4 +335,4 @@ watch(
   color: white;
   font-size: 12px;
 }
-</style>
\ No newline at end of file
+</style>
diff --git a/src/views/hlw-reg/hlw-reg.vue b/src/views/hlw-reg/hlw-reg.vue
index 9d6b29f..94ff7fb 100644
--- a/src/views/hlw-reg/hlw-reg.vue
+++ b/src/views/hlw-reg/hlw-reg.vue
@@ -161,6 +161,7 @@ const { close: closeBuildModal, show: showBuildModal, visible: buildVisible, wid
 const { memberInfo } = storeToRefs(memberStore());
 const tab = ref('reg')
 const recordTableRef = ref(null);
+const cardReaderDownloadUrl = "https://hlwyy.hnkhhospital.com/hlwyy/readcard";
 
 async function scan() {
   scanCodeApi()
@@ -220,15 +221,25 @@ async function readCard() {
     const objMsg = readRes && typeof readRes.Message ? readRes.Message : '';
     close()
     if (!IDNum) {
-      ElMessage.info(objMsg || msg || '读取卡信息失败')
+      showCardReaderDownload(objMsg || msg || '读取卡信息失败');
       return false
     }
     return readRes
   } catch (e) {
-    ElMessage.info(e)
+    showCardReaderDownload('读卡器服务异常，请确认本地读卡器服务是否已开启');
   }
 }
 
+function showCardReaderDownload(message) {
+  ElMessageBox.confirm(`${message}，是否下载海宁读卡助手？`, '读卡失败', {
+    confirmButtonText: '下载读卡助手',
+    cancelButtonText: '取消',
+    type: 'warning',
+  }).then(() => {
+    window.open(cardReaderDownloadUrl, '_blank', 'noopener,noreferrer');
+  }).catch(() => {});
+}
+
 /**
  * 根据证件号 查询建档信息
  * @param IDNum 
diff --git a/src/views/home/header.vue b/src/views/home/header.vue
index 8348662..44cb9eb 100644
--- a/src/views/home/header.vue
+++ b/src/views/home/header.vue
@@ -7,6 +7,11 @@
       </div>
     </div>
     <div class="flex-shrink-0 flex items-center">
+      <a class="card-reader-download" href="https://hlwyy.hnkhhospital.com/hlwyy/readcard" target="_blank"
+        rel="noopener noreferrer">
+        <el-icon><Download /></el-icon>
+        <span>下载读卡助手</span>
+      </a>
       <div flex items-center class="pr-30px">
         <el-dropdown v-if="needLogin">
           <user-avatar flex-shrink-0 useDefault class="rounded-full mr-15px pointer" size="40"
@@ -100,6 +105,7 @@ import { useImStore } from "@/store/im";
 import { doctorHasPendingOrder } from "@/api/hlw";
 import { caStore } from "@/components/ca-sign/store";
 import ModifyPasswordDialog from "@/components/modify-password-dialog/modify-password-dialog.vue";
+import { Download } from "@element-plus/icons-vue";
 const logoPic = new URL("@/assets/logo.png", import.meta.url).href; // 默认logo
 
 const qrCodeText = ref("");
@@ -286,4 +292,19 @@ async function handleOpenAutoSign() {
     }
   }
 }
+
+.card-reader-download {
+  display: inline-flex;
+  align-items: center;
+  gap: 5px;
+  margin-right: 20px;
+  color: var(--el-color-primary);
+  font-size: 14px;
+  text-decoration: none;
+  white-space: nowrap;
+}
+
+.card-reader-download:hover {
+  text-decoration: underline;
+}
 </style>