diff --git a/admin/src/views/consumer/prescription/order_list.vue b/admin/src/views/consumer/prescription/order_list.vue
index 76e2ea4d..a408d6ea 100644
--- a/admin/src/views/consumer/prescription/order_list.vue
+++ b/admin/src/views/consumer/prescription/order_list.vue
@@ -426,7 +426,37 @@
                 </el-table-column>
                   <el-table-column label="开方人" prop="doctor_name" width="90" show-overflow-tooltip />
                 <el-table-column label="创建人" prop="creator_name" width="90" show-overflow-tooltip />
-              
+                <el-table-column min-width="128" show-overflow-tooltip>
+                    <template #header>
+                        <span>二中心·指派</span>
+                        <el-tooltip
+                            placement="top"
+                            max-width="320"
+                            content="与诊单「指派记录」快照一致：仅当本条业务单在操作瞬间为快照中的「关联业务单」（创建人+创建时间命中）时显示。绿色=新医助在名称含「二中心」的部门及其下级；灰色=系统自动释放诊单医助。"
+                        >
+                            <el-icon class="ml-0.5 align-middle text-gray-400 cursor-help"><QuestionFilled /></el-icon>
+                        </el-tooltip>
+                    </template>
+                    <template #default="{ row }">
+                        <template v-if="!Number(row.po_assign_snapshot_hit)">
+                            <span class="text-gray-400">—</span>
+                        </template>
+                        <template v-else-if="Number(row.po_assign_is_release)">
+                            <el-tag type="info" size="small">已释放</el-tag>
+                        </template>
+                        <template v-else-if="Number(row.po_assign_to_er_center)">
+                            <el-tag type="success" size="small">
+                                {{ row.po_assign_to_assistant_name || ('医助#' + row.po_assign_to_assistant_id) }}
+                            </el-tag>
+                        </template>
+                        <template v-else>
+                            <el-tag type="warning" size="small" effect="plain">
+                                非二中心 {{ row.po_assign_to_assistant_name || ('医助#' + row.po_assign_to_assistant_id) }}
+                            </el-tag>
+                        </template>
+                    </template>
+                </el-table-column>
+
                 <el-table-column label="操作" width="310" fixed="right">
                     <template #default="{ row }">
                         <div class="flex items-center gap-1 flex-wrap">
@@ -2467,7 +2497,7 @@
 <script lang="ts" setup name="prescriptionOrderList">
 import { computed, onMounted, reactive, ref, nextTick, watch, defineAsyncComponent } from 'vue'
 import { useRoute } from 'vue-router'
-import { Refresh, Loading, ArrowDown, InfoFilled, Search, Calendar, Document, Link as LinkIcon, Wallet } from '@element-plus/icons-vue'
+import { Refresh, Loading, ArrowDown, InfoFilled, QuestionFilled, Search, Calendar, Document, Link as LinkIcon, Wallet } from '@element-plus/icons-vue'
 import DaterangePicker from '@/components/daterange-picker/index.vue'
 import {
     prescriptionOrderAuditPayment,
diff --git a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
index 1cd39e74..f340764f 100644
--- a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
+++ b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
@@ -552,6 +552,8 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
         }
         unset($item);
 
+        $this->appendPrescriptionOrderAssignSnapshotErCenterFlags($lists);
+
         if ((int) ($this->params['yeji_order_drawer'] ?? 0) === 1) {
             PrescriptionOrderLogic::appendLinkedAppointmentsToListRows($lists, $this->params);
         }
@@ -1069,4 +1071,118 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
             . ")"
         );
     }
+
+    /**
+     * 列表行标注：指派日志快照（related_po_creator_id + related_po_create_time）是否指向本业务单，
+     * 以及该次操作的新医助（to_assistant_id）是否归属「二中心」部门子树（与 DeptLogic / 业绩看板一致）。
+     *
+     * @param array<int, array<string, mixed>> $lists
+     */
+    private function appendPrescriptionOrderAssignSnapshotErCenterFlags(array &$lists): void
+    {
+        if ($lists === []) {
+            return;
+        }
+
+        $diagIds = [];
+        foreach ($lists as $row) {
+            $d = (int) ($row['diagnosis_id'] ?? 0);
+            if ($d > 0) {
+                $diagIds[$d] = true;
+            }
+        }
+        $diagIdList            = array_keys($diagIds);
+        $latestSnapLogByTriple = [];
+        if ($diagIdList !== []) {
+            $logRows = Db::name('tcm_diagnosis_assign_log')
+                ->whereIn('diagnosis_id', $diagIdList)
+                ->field(['id', 'diagnosis_id', 'to_assistant_id', 'related_po_creator_id', 'related_po_create_time'])
+                ->order('id', 'desc')
+                ->select()
+                ->toArray();
+
+            foreach ($logRows as $log) {
+                $d    = (int) ($log['diagnosis_id'] ?? 0);
+                $rcp  = (int) ($log['related_po_creator_id'] ?? 0);
+                $rpct = (int) ($log['related_po_create_time'] ?? 0);
+                if ($d <= 0 || $rcp <= 0 || $rpct <= 0) {
+                    continue;
+                }
+                $tripleKey = $d . ':' . $rcp . ':' . $rpct;
+                if (!isset($latestSnapLogByTriple[$tripleKey])) {
+                    $latestSnapLogByTriple[$tripleKey] = $log;
+                }
+            }
+        }
+
+        $toAssistantIdsHit = [];
+        foreach ($lists as $item) {
+            $diagId    = (int) ($item['diagnosis_id'] ?? 0);
+            $creatorId = (int) ($item['creator_id'] ?? 0);
+            $poCt      = (int) ($item['create_time'] ?? 0);
+            $tripleKey = $diagId . ':' . $creatorId . ':' . $poCt;
+            $log       = $latestSnapLogByTriple[$tripleKey] ?? null;
+            if (\is_array($log)) {
+                $tid = (int) ($log['to_assistant_id'] ?? 0);
+                if ($tid > 0) {
+                    $toAssistantIdsHit[$tid] = true;
+                }
+            }
+        }
+        $toAssistantIdList = array_keys($toAssistantIdsHit);
+
+        $erDeptSet     = DeptLogic::getErCenterSubtreeDeptIdSet();
+        $adminErCenter = [];
+        if ($toAssistantIdList !== [] && $erDeptSet !== []) {
+            $adRows = AdminDept::whereIn('admin_id', $toAssistantIdList)
+                ->field(['admin_id', 'dept_id'])
+                ->select()
+                ->toArray();
+            foreach ($adRows as $ad) {
+                $aid = (int) ($ad['admin_id'] ?? 0);
+                $did = (int) ($ad['dept_id'] ?? 0);
+                if ($aid > 0 && $did > 0 && isset($erDeptSet[$did])) {
+                    $adminErCenter[$aid] = true;
+                }
+            }
+        }
+
+        $nameMap = [];
+        if ($toAssistantIdList !== []) {
+            $nameMap = \app\common\model\auth\Admin::whereIn('id', $toAssistantIdList)->column('name', 'id');
+        }
+
+        foreach ($lists as &$item) {
+            $diagId    = (int) ($item['diagnosis_id'] ?? 0);
+            $creatorId = (int) ($item['creator_id'] ?? 0);
+            $poCt      = (int) ($item['create_time'] ?? 0);
+
+            $item['po_assign_snapshot_hit']      = 0;
+            $item['po_assign_to_assistant_id']   = 0;
+            $item['po_assign_to_assistant_name'] = '';
+            $item['po_assign_to_er_center']      = 0;
+            $item['po_assign_is_release']        = 0;
+
+            if ($diagId <= 0 || $creatorId <= 0 || $poCt <= 0) {
+                continue;
+            }
+
+            $tripleKey = $diagId . ':' . $creatorId . ':' . $poCt;
+            $log       = $latestSnapLogByTriple[$tripleKey] ?? null;
+            if (!\is_array($log)) {
+                continue;
+            }
+
+            $item['po_assign_snapshot_hit'] = 1;
+            $toId                           = (int) ($log['to_assistant_id'] ?? 0);
+            $item['po_assign_to_assistant_id'] = $toId;
+            if ($toId <= 0) {
+                $item['po_assign_is_release'] = 1;
+                continue;
+            }
+            $item['po_assign_to_assistant_name'] = (string) ($nameMap[$toId] ?? '');
+            $item['po_assign_to_er_center']      = isset($adminErCenter[$toId]) ? 1 : 0;
+        }
+        unset($item);
+    }
 }
diff --git a/server/app/command/ExpressAutoUpdate.php b/server/app/command/ExpressAutoUpdate.php
index 90a50f92..2f9f20b9 100644
--- a/server/app/command/ExpressAutoUpdate.php
+++ b/server/app/command/ExpressAutoUpdate.php
@@ -18,7 +18,7 @@ use think\console\Output;
  * 配置 crontab（每 10 分钟）：拉快递 100 + 按履约「已发货/已签收」核对释放诊单医助（与是否甘草单无关）
  * 0,10,20,30,40,50 * * * * cd /path/to/server && php think express:auto-update >> /dev/null 2>&1
  *
- * 已对非二中心医助执行发货/签收自动释放的诊单会写入 tcm_diagnosis.shipped_non_er_assistant_cleared_at，
+ * 已对「业务订单创建人非二中心」（或创建人为开方医生时按待释放身份判定）执行发货/签收自动释放的诊单会写入 tcm_diagnosis.shipped_non_er_assistant_cleared_at，
  * 后续履约核对不再重复扫描（需先执行 sql/1.9.20260507/add_diagnosis_shipped_non_er_assistant_cleared_at.sql）。
  */
 class ExpressAutoUpdate extends Command
diff --git a/server/app/command/GancaoSyncLogisticsRoute.php b/server/app/command/GancaoSyncLogisticsRoute.php
index 2ef043f6..a365ff0d 100644
--- a/server/app/command/GancaoSyncLogisticsRoute.php
+++ b/server/app/command/GancaoSyncLogisticsRoute.php
@@ -29,7 +29,7 @@ use think\console\Output;
  * 建议 crontab（每 30 分钟执行一次）：
  *   0,30 * * * * cd /path/to/server && php think gancao:sync-logistics --limit=200 >> runtime/log/gancao_sync.log 2>&1
  *
- * 已对非二中心医助执行发货/签收自动释放的诊单会写入 tcm_diagnosis.shipped_non_er_assistant_cleared_at，
+ * 已对「业务订单创建人非二中心」（发货/签收自动释放规则见 ExpressTrackingService）的诊单会写入 tcm_diagnosis.shipped_non_er_assistant_cleared_at，
  * 后续履约核对不再重复扫描（需先执行 sql/1.9.20260507/add_diagnosis_shipped_non_er_assistant_cleared_at.sql）。
  */
 class GancaoSyncLogisticsRoute extends Command
diff --git a/server/app/common/service/ExpressTrackingService.php b/server/app/common/service/ExpressTrackingService.php
index 68068a22..c91b0203 100644
--- a/server/app/common/service/ExpressTrackingService.php
+++ b/server/app/common/service/ExpressTrackingService.php
@@ -249,7 +249,7 @@ class ExpressTrackingService
     /**
      * 处方业务订单履约「已发货(5) / 已签收(6)」时：清空关联诊单（患者）医助，并写入 tcm_diagnosis_assign_log（含关联业务订单 creator_id / create_time 快照，便于核对医助创建订单时间）。
      * 快递 100 定时拉轨迹、甘草路由、甘草回调与履约核对共用同一规则。
-     * 不自动清空的情形仅两种：（1）患者当前医助在「二中心」及其全部子部门（与后台部门树一致）下任职；（2）诊单已有 shipped_non_er_assistant_cleared_at 且 assistant_id 已为 0（视为已处理过，重新指派医助后可再次处理）。
+     * 不自动清空的情形：（1）按业务订单 creator_id（代建场景）或回退身份判断是否在「二中心」部门子树；（2）诊单已有 shipped_non_er_assistant_cleared_at 且 assistant_id 已为 0（视为已处理）；（3）指派日志存在后台人工指派：`operator_admin_id>0` 且 `to_assistant_id>0`（系统任务为 operator_admin_id=0）；或 related_po_creator_id=from_assistant_id 且 to>0 的旧数据兼容。避免「系统·已发货履约核对」覆盖人工指派链。
      *
      * @param array{tracking_id?:int,tracking_number?:string,source?:string} $meta
      * @return array{
@@ -288,36 +288,55 @@ class ExpressTrackingService
             if (!$diag) {
                 return null;
             }
+
+            // 后台曾人工指派到新医助（operator_admin_id>0 且 to>0，与系统写入的 operator=0 区分）时不再自动清空；另保留快照 related_po=from 的旧数据兼容
+            if (self::diagnosisShouldSkipAutoAssistantReleaseDueToManualAssignLog($diagnosisId)) {
+                Log::info('Skipped auto assistant release (shipped/signed): manual assign history exists (human operator + to_assistant_id>0, or snapshot-tied pattern)', [
+                    'diagnosis_id'          => $diagnosisId,
+                    'prescription_order_id' => $orderId,
+                    'source'                => $source,
+                ]);
+
+                return null;
+            }
+
             $shippedClearedAt = (int) ($diag->getAttr('shipped_non_er_assistant_cleared_at') ?? 0);
             $diagAssistantIdNow = (int) ($diag->getAttr('assistant_id') ?? 0);
             if ($shippedClearedAt > 0 && $diagAssistantIdNow === 0) {
                 return null;
             }
+
+            $poCreatorId = (int) ($order->getAttr('creator_id') ?? 0);
+            $rxId        = (int) ($order->getAttr('prescription_id') ?? 0);
+            $rxCreator   = 0;
+            if ($rxId > 0) {
+                $rxCreator = (int) Prescription::where('id', $rxId)->whereNull('delete_time')->value('creator_id');
+            }
+
             // 诊单 assistant_id 与列表「医助」筛选一致：医助常代建单但诊单未写 assistant_id，此时用创建人作为待释放身份（创建人即开方医生时不采用，避免误记指派日志）
             $fromAssistantId = (int) ($diag->getAttr('assistant_id') ?? 0);
             if ($fromAssistantId <= 0) {
-                $creatorId = (int) ($order->getAttr('creator_id') ?? 0);
-                if ($creatorId > 0) {
-                    $rxId = (int) ($order->getAttr('prescription_id') ?? 0);
-                    $rxCreator = 0;
-                    if ($rxId > 0) {
-                        $rxCreator = (int) Prescription::where('id', $rxId)->whereNull('delete_time')->value('creator_id');
-                    }
-                    if ($rxId <= 0 || $creatorId !== $rxCreator) {
-                        $fromAssistantId = $creatorId;
-                    }
+                if ($poCreatorId > 0 && ($rxId <= 0 || $poCreatorId !== $rxCreator)) {
+                    $fromAssistantId = $poCreatorId;
                 }
             }
             if ($fromAssistantId <= 0) {
                 return null;
             }
 
-            if (self::currentAssistantBelongsToErzhongxinDeptTree($fromAssistantId)) {
-                Log::info('Skipped auto assistant release (shipped/signed): assistant under 二中心 dept tree', [
-                    'diagnosis_id'          => $diagnosisId,
-                    'prescription_order_id' => $orderId,
-                    'source'                => $source,
-                    'current_assistant_id'  => $fromAssistantId,
+            /** 是否因「二中心」跳过释放：优先看业务订单创建人 creator_id（代建场景）；创建人即开方医生时用 fromAssistantId */
+            $erZhongxinCheckAdminId = ($poCreatorId > 0 && ($rxId <= 0 || $poCreatorId !== $rxCreator))
+                ? $poCreatorId
+                : $fromAssistantId;
+
+            if ($erZhongxinCheckAdminId > 0 && self::currentAssistantBelongsToErzhongxinDeptTree($erZhongxinCheckAdminId)) {
+                Log::info('Skipped auto assistant release (shipped/signed): order creator (or fallback from-id) under 二中心 dept tree', [
+                    'diagnosis_id'                   => $diagnosisId,
+                    'prescription_order_id'          => $orderId,
+                    'source'                         => $source,
+                    'er_zhongxin_check_admin_id'     => $erZhongxinCheckAdminId,
+                    'prescription_order_creator_id' => $poCreatorId,
+                    'from_assistant_id_for_log'     => $fromAssistantId,
                 ]);
 
                 return null;
@@ -440,6 +459,39 @@ class ExpressTrackingService
         return false;
     }
 
+    /**
+     * 若诊单曾被后台人工指派到具体医助，则不再执行发运/签收自动清空（避免「系统·已发货履约核对」覆盖人工链）。
+     * 判定：operator_admin_id>0 且 to_assistant_id>0（人工）；系统写入的释放/同步为 operator_admin_id=0。
+     * 另保留 related_po_creator_id=from_assistant_id 且 to>0 的窄条件，兼容早期数据。
+     */
+    private static function diagnosisShouldSkipAutoAssistantReleaseDueToManualAssignLog(int $diagnosisId): bool
+    {
+        if ($diagnosisId <= 0) {
+            return false;
+        }
+
+        $tbl = 'tcm_diagnosis_assign_log';
+
+        $humanReassign = (int) Db::name($tbl)
+            ->where('diagnosis_id', $diagnosisId)
+            ->where('to_assistant_id', '>', 0)
+            ->where('operator_admin_id', '>', 0)
+            ->count();
+        if ($humanReassign > 0) {
+            return true;
+        }
+
+        $snapshotTied = (int) Db::name($tbl)
+            ->where('diagnosis_id', $diagnosisId)
+            ->where('to_assistant_id', '>', 0)
+            ->where('from_assistant_id', '>', 0)
+            ->where('related_po_creator_id', '>', 0)
+            ->whereRaw('`related_po_creator_id` = `from_assistant_id`')
+            ->count();
+
+        return $snapshotTied > 0;
+    }
+
     private static function maybeClearDiagnosisAssistantWhenShippedPrescription(ExpressTracking $tracking): ?array
     {
         if ((string) $tracking->order_type !== 'prescription') {
@@ -619,7 +671,7 @@ class ExpressTrackingService
 
     /**
      * 按处方订单履约核对：已发货(5)/已签收(6) 时符合条件的订单调用 applyAssistantReleaseForShippedPrescriptionOrder。
-     * 与快递 100 / 甘草来自哪个物流渠道无关；是否清空医助以该方法为准（仅二中心不释放；已 shipped 释放且 assistant_id=0 视为已处理）。
+     * 与快递 100 / 甘草来自哪个物流渠道无关；是否清空医助以该方法为准（**二中心豁免看业务单创建人**参见 apply；已 shipped 释放且 assistant_id=0 视为已处理）。
      *
      * @return array{scanned: int, cleared: int, lines: list<string>}
      */