diff --git a/Laravel/app/Services/Admin/YeWu/PlanListService.php b/Laravel/app/Services/Admin/YeWu/PlanListService.php
index 7d6db00..010d881 100644
--- a/Laravel/app/Services/Admin/YeWu/PlanListService.php
+++ b/Laravel/app/Services/Admin/YeWu/PlanListService.php
@@ -3060,6 +3060,10 @@ public function PreCheckYuYue($groups, $appointment_type, $do_type, $is_emergenc
         date_default_timezone_set('PRC');
         $nowdatetime = date("Y-m-d H:i:s");
 
+        // 读取执行科室提示配置
+        $deptCheckConfig = DB::table('configs')->where('label', '执行科室提示')->first();
+        $deptCheckEnabled = $deptCheckConfig ? $deptCheckConfig->value : '0';
+
         $allList = [];
         $hasMismatch = false;
         $hasFail = false;
@@ -3296,6 +3300,7 @@ public function PreCheckYuYue($groups, $appointment_type, $do_type, $is_emergenc
         }
 
         return \Yz::Return(true, '检查完成', [
+            'dept_check_enabled' => $deptCheckEnabled,
             'has_mismatch' => $hasMismatch,
             'has_fail' => $hasFail,
             'list' => $allList,
diff --git a/YiJi-admin/src/components/Yewu/YuYue202506.vue b/YiJi-admin/src/components/Yewu/YuYue202506.vue
index 052c8f8..a063c78 100644
--- a/YiJi-admin/src/components/Yewu/YuYue202506.vue
+++ b/YiJi-admin/src/components/Yewu/YuYue202506.vue
@@ -244,12 +244,7 @@
 						<div v-if="scope.row.check_status === 'fail'" style="color: #f56c6c; font-size: 12px; margin-top: 2px;">{{ scope.row.check_msg }}</div>
 					</template>
 				</el-table-column>
-				<el-table-column label="校验结果" width="80">
-					<template #default="scope">
-						<el-tag v-if="scope.row.check_status === 'pass'" type="success">通过</el-tag>
-						<el-tag v-else type="danger">失败</el-tag>
-					</template>
-				</el-table-column>
+
 			</el-table>
 			<template #footer>
 				<el-button v-if="!preCheckHasFail" @click="preCheckDialogVisible = false">取消</el-button>
@@ -1537,11 +1532,50 @@ let TanChuangMsgDialogVisible=ref(false)
 			return
 		}
 
-		preCheckList.value = res.data.list || []
-		preCheckHasMismatch.value = res.data.has_mismatch || false
-		preCheckHasFail.value = res.data.has_fail || false
-		preCheckDotype.value = type
-		preCheckDialogVisible.value = true
+		// 第一层：判断执行科室提示配置
+		if (res.data.dept_check_enabled !== '1') {
+			// 配置未开启 → 直接弹简单确认框
+			const msg = type === 2 ? '确定改约至此时间吗?' : '确定预约此时间吗?'
+			ElMessageBox.confirm(msg, '提示', {
+				confirmButtonText: '确定',
+				cancelButtonText: '取消',
+				type: 'warning',
+			}).then(() => {
+				startYuYue(type)
+			}).catch(() => {})
+			return
+		}
+
+		// 第二层：配置开启，走完整预检判断
+		if (res.data.has_fail) {
+			// 有校验失败 → 列表 dialog，仅展示失败信息，不可预约
+			preCheckList.value = res.data.list || []
+			preCheckHasMismatch.value = res.data.has_mismatch || false
+			preCheckHasFail.value = true
+			preCheckDotype.value = type
+			preCheckDialogVisible.value = true
+			return
+		}
+
+		if (res.data.has_mismatch) {
+			// 校验通过，但执行科室有变化 → 列表 dialog，让用户确认
+			preCheckList.value = res.data.list || []
+			preCheckHasMismatch.value = true
+			preCheckHasFail.value = false
+			preCheckDotype.value = type
+			preCheckDialogVisible.value = true
+			return
+		}
+
+		// 校验全通过，执行科室无变化 → 简单确认弹窗
+		const msg = type === 2 ? '确定改约至此时间吗?' : '确定预约此时间吗?'
+		ElMessageBox.confirm(msg, '提示', {
+			confirmButtonText: '确定',
+			cancelButtonText: '取消',
+			type: 'warning',
+		}).then(() => {
+			startYuYue(type)
+		}).catch(() => {})
 	}
 	const startYuYue = async (type) => {
 		planLoading.value = true