diff --git a/admin/src/views/consumer/prescription/order_list.vue b/admin/src/views/consumer/prescription/order_list.vue
index 843115d2..122ce60b 100644
--- a/admin/src/views/consumer/prescription/order_list.vue
+++ b/admin/src/views/consumer/prescription/order_list.vue
@@ -252,7 +252,7 @@
                         v-model="queryParams.assistant_id"
                         clearable
                         filterable
-                        placeholder="诊单医助"
+                        placeholder="订单创建人"
                         class="!w-full"
                     >
                         <el-option
@@ -2682,6 +2682,8 @@ const prescriptionOrderDetailButtonText = computed(() =>
 
 /** 与 server/config/project.php prescription_order_finance_roles 保持一致 */
 const FINANCE_ROLE_IDS = [0, 3, 6]
+/** 与 server/config/project.php order_edit_all_roles 一致：可绕过「双审通过后创建人禁编」 */
+const ORDER_EDIT_ALL_ROLE_IDS = [0, 3]
 
 /** 判断当前用户是否有查看财务字段（内部成本）的权限 */
 const canViewFinanceFields = () => {
@@ -2887,9 +2889,9 @@ const queryParams = reactive({
     express_company: '' as '' | 'sf' | 'jd',
     /** 开方医生（后台：关联处方 creator_id） */
     doctor_id: '' as number | '',
-    /** 诊单医助（后台：关联诊单 assistant_id） */
+    /** 订单创建人（后台：业务订单 creator_id） */
     assistant_id: '' as number | '',
-    /** 诊单医助所属部门（后台：assistant_dept_id，la_admin_dept） */
+    /** 创建人所属部门（后台：assistant_dept_id，la_admin_dept） */
     assistant_dept_id: '' as number | '',
     fulfillment_status: '' as number | '',
     prescription_audit_status: '' as number | '',
@@ -3336,8 +3338,32 @@ function formatTime(v: unknown) {
     return String(v)
 }
 
+function canBypassCreatorDualAuditEditLock(): boolean {
+    const u = userStore.userInfo
+    if (!u) return false
+    if (Number(u.root) === 1) return true
+    const ids = Array.isArray(u.role_ids) ? u.role_ids.map((n: unknown) => Number(n)) : []
+    return ids.some((id) => ORDER_EDIT_ALL_ROLE_IDS.includes(id))
+}
+
+function isCurrentUserOrderCreator(row: { creator_id?: number }) {
+    const uid = Number(userStore.userInfo?.id)
+    return uid > 0 && Number(row.creator_id) === uid
+}
+
+/** 处方审核 + 支付单审核均已通过 */
+function isDualAuditPassed(row: {
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    return Number(row.prescription_audit_status) === 1 && Number(row.payment_slip_audit_status) === 1
+}
+
 function canEditRow(row: {
+    creator_id?: number
     fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
     gancao_reciperl_order_no?: string | null
     gancao_submit_time?: number | null
 }) {
@@ -3345,6 +3371,15 @@ function canEditRow(row: {
     // 已完成(3)、已取消(4) 不可编辑
     if (fs === 3 || fs === 4) return false
 
+    // 双审均已通过：仅订单创建人不可再编辑（超管/全量编辑角色仍可改）
+    if (
+        isCurrentUserOrderCreator(row) &&
+        isDualAuditPassed(row) &&
+        !canBypassCreatorDualAuditEditLock()
+    ) {
+        return false
+    }
+
     const gcNo = String(row.gancao_reciperl_order_no || '').trim()
     const gcTime = Number(row.gancao_submit_time || 0)
     const gcLocked = gcNo !== '' || gcTime > 0
@@ -4337,7 +4372,25 @@ async function goEditOrderNextStep() {
     }
 }
 
-async function openEdit(row: { id: number }) {
+async function openEdit(row: {
+    id: number
+    creator_id?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+    fulfillment_status?: number
+    gancao_reciperl_order_no?: string | null
+    gancao_submit_time?: number | null
+}) {
+    if (!canEditRow(row)) {
+        if (
+            isCurrentUserOrderCreator(row) &&
+            isDualAuditPassed(row) &&
+            !canBypassCreatorDualAuditEditLock()
+        ) {
+            feedback.msgWarning('处方与支付单均已审核通过，创建人不可再编辑')
+        }
+        return
+    }
     editOrderStep.value = 0
     editOrderPrescription.value = null
     editVisible.value = true
diff --git a/admin/src/views/consumer/prescription/order_list_h5.vue b/admin/src/views/consumer/prescription/order_list_h5.vue
index f071c6de..c9e675c1 100644
--- a/admin/src/views/consumer/prescription/order_list_h5.vue
+++ b/admin/src/views/consumer/prescription/order_list_h5.vue
@@ -3047,14 +3047,48 @@ function formatTime(v: unknown) {
     return String(v)
 }
 
+/** 与 server/config/project.php order_edit_all_roles 一致 */
+const ORDER_EDIT_ALL_ROLE_IDS = [0, 3]
+
+function canBypassCreatorDualAuditEditLock(): boolean {
+    const u = userStore.userInfo
+    if (!u) return false
+    if (Number(u.root) === 1) return true
+    const ids = Array.isArray(u.role_ids) ? u.role_ids.map((n: unknown) => Number(n)) : []
+    return ids.some((id) => ORDER_EDIT_ALL_ROLE_IDS.includes(id))
+}
+
+function isCurrentUserOrderCreator(row: { creator_id?: number }) {
+    const uid = Number(userStore.userInfo?.id)
+    return uid > 0 && Number(row.creator_id) === uid
+}
+
+function isDualAuditPassed(row: {
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+}) {
+    return Number(row.prescription_audit_status) === 1 && Number(row.payment_slip_audit_status) === 1
+}
+
 function canEditRow(row: {
+    creator_id?: number
     fulfillment_status?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
     gancao_reciperl_order_no?: string | null
     gancao_submit_time?: number | null
 }) {
     const fs = Number(row.fulfillment_status)
     if (fs === 3 || fs === 4) return false
 
+    if (
+        isCurrentUserOrderCreator(row) &&
+        isDualAuditPassed(row) &&
+        !canBypassCreatorDualAuditEditLock()
+    ) {
+        return false
+    }
+
     const gcNo = String(row.gancao_reciperl_order_no || '').trim()
     const gcTime = Number(row.gancao_submit_time || 0)
     const gcLocked = gcNo !== '' || gcTime > 0
@@ -3889,7 +3923,25 @@ async function goEditOrderNextStep() {
     }
 }
 
-async function openEdit(row: { id: number }) {
+async function openEdit(row: {
+    id: number
+    creator_id?: number
+    prescription_audit_status?: number
+    payment_slip_audit_status?: number
+    fulfillment_status?: number
+    gancao_reciperl_order_no?: string | null
+    gancao_submit_time?: number | null
+}) {
+    if (!canEditRow(row)) {
+        if (
+            isCurrentUserOrderCreator(row) &&
+            isDualAuditPassed(row) &&
+            !canBypassCreatorDualAuditEditLock()
+        ) {
+            feedback.msgWarning('处方与支付单均已审核通过，创建人不可再编辑')
+        }
+        return
+    }
     editOrderStep.value = 0
     editOrderPrescription.value = null
     editVisible.value = true
diff --git a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
index 8acbadbe..96949497 100755
--- a/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
+++ b/server/app/adminapi/lists/tcm/PrescriptionOrderLists.php
@@ -243,9 +243,8 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
     }
 
     /**
-     * 非「业务订单全量」角色：默认仅本人创建；若持有 viewOrdersForOwnPrescription 则包含关联处方开方人为本人的订单；
-     * 另含「关联诊单医助为本人」以便医助跟进出单与履约。
-     * 显式筛选 assistant_id 时：若该医助落在当前账号数据域内，则允许按「诊单医助 / 订单创建人」命中（与 applyDoctorAssistantFilters 一致）。
+     * 非「业务订单全量」角色：默认仅本人创建；若持有 viewOrdersForOwnPrescription 则额外包含关联处方开方人为本人的订单。
+     * 显式筛选 assistant_id 时：若该医助落在当前账号数据域内，则允许按订单创建人命中（与 applyDoctorAssistantFilters 一致）。
      */
     private function applyCreatorOrOwnPrescriptionVisibility($query): void
     {
@@ -255,7 +254,6 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
         $adminId = (int) $this->adminId;
         $poTbl = (new PrescriptionOrder())->getTable();
         $rxTbl = (new Prescription())->getTable();
-        $diagTbl = (new Diagnosis())->getTable();
 
         $explicitAssistant = (int) ($this->params['assistant_id'] ?? 0);
         $allowExplicitAssistantVisibility = false;
@@ -273,69 +271,33 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
         $query->where(function ($q) use (
             $poTbl,
             $rxTbl,
-            $diagTbl,
             $adminId,
             $explicitAssistant,
             $allowExplicitAssistantVisibility
         ) {
             if (PrescriptionOrderLogic::canViewOrdersForOwnPrescription($this->adminInfo)) {
-                $q->where(function ($qq) use ($poTbl, $rxTbl, $diagTbl, $adminId) {
+                $q->where(function ($qq) use ($poTbl, $rxTbl, $adminId) {
                     $qq->where('creator_id', $adminId);
                     $qq->whereOrRaw(
                         "EXISTS (SELECT 1 FROM `{$rxTbl}` rx WHERE rx.`id` = `{$poTbl}`.`prescription_id`"
                         . " AND rx.`delete_time` IS NULL AND rx.`creator_id` = {$adminId})"
                     );
-                    $qq->whereOrRaw(
-                        "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id`"
-                        . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$adminId})"
-                    );
                 });
             } else {
-                $q->where(function ($qq) use ($poTbl, $diagTbl, $adminId) {
-                    $qq->where('creator_id', $adminId);
-                    $qq->whereOrRaw(
-                        "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id`"
-                        . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$adminId})"
-                    );
-                });
+                $q->where('creator_id', $adminId);
             }
             if ($allowExplicitAssistantVisibility) {
                 $q->whereOr('creator_id', $explicitAssistant);
-                $q->whereOrRaw(
-                    "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id`"
-                    . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$explicitAssistant})"
-                );
             }
         });
     }
 
     /**
-     * 数据隔离：创建者 ∈ 可见 admin，或 关联诊单医助 ∈ 可见 admin
+     * 数据隔离：订单创建人 ∈ 可见 admin
      */
     private function applyDataScopeForPrescriptionOrder($query): void
     {
-        if (!$this->dataScopeShouldApply()) {
-            return;
-        }
-        $ids = $this->getDataScopeVisibleAdminIds();
-        if ($ids === null) {
-            return;
-        }
-        if ($ids === []) {
-            $query->whereRaw('0 = 1');
-
-            return;
-        }
-        $poTbl = (new PrescriptionOrder())->getTable();
-        $diagTbl = (new Diagnosis())->getTable();
-        $inList = implode(',', $ids);
-        $query->where(function ($q) use ($poTbl, $diagTbl, $inList) {
-            $q->whereIn('creator_id', explode(',', $inList));
-            $q->whereOrRaw(
-                "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id` "
-                . "AND dg.`delete_time` IS NULL AND dg.`assistant_id` IN ({$inList}))"
-            );
-        });
+        $this->applyDataScopeByOwner($query, 'creator_id');
     }
 
     /**
@@ -362,16 +324,11 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
     }
 
     /**
-     * 医助：仅「诊单医助=本人」的订单计业绩
+     * 医助角色统计：仅「订单创建人=本人」计入
      */
-    private function applyAssistantDiagnosisOnlyFilter($query): void
+    private function applyCreatorOnlyFilter($query): void
     {
-        $poTbl = (new PrescriptionOrder())->getTable();
-        $diagTbl = (new Diagnosis())->getTable();
-        $aid = (int) $this->adminId;
-        $query->whereExists(
-            "SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id` AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$aid}"
-        );
+        $query->where('creator_id', (int) $this->adminId);
     }
 
     /**
@@ -390,7 +347,7 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
             $assistantRid = (int) Config::get('project.prescription_order_stats_assistant_role_id', 2);
             $myRoles      = array_map('intval', $this->adminInfo['role_id'] ?? []);
             if ($assistantRid > 0 && in_array($assistantRid, $myRoles, true)) {
-                $this->applyAssistantDiagnosisOnlyFilter($query);
+                $this->applyCreatorOnlyFilter($query);
                 $this->applyDataScopeForPrescriptionOrder($query);
             } else {
                 if (!PrescriptionOrderLogic::canSeeAllPrescriptionOrders($this->adminInfo)) {
@@ -959,9 +916,7 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
     }
 
     /**
-     * 按开方医生（关联处方 creator_id）/ 诊单医助筛选
-     *
-     * 医助：诊单 assistant_id 与业务订单 creator_id 并举——医助常代建单但诊单未写 assistant_id。
+     * 按开方医生（关联处方 creator_id）/ 医助（订单 creator_id）筛选
      */
     private function applyDoctorAssistantFilters($query): void
     {
@@ -973,23 +928,8 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
             $query->whereExists("SELECT 1 FROM {$rxTbl} rx WHERE rx.id = {$poTbl}.prescription_id AND rx.delete_time IS NULL AND rx.creator_id = {$doctorId}");
         }
 
-        /** 业绩看板入口（yeji_order_drawer=1）所有筛选统一按订单创建人；其它入口（处方订单列表 / 患者跟进等）保留旧口径（创建人 ∪ 诊单医助） */
-        $yejiPanel = (int) ($this->params['yeji_order_drawer'] ?? 0) === 1;
-
         if (isset($this->params['assistant_id']) && (int) $this->params['assistant_id'] > 0) {
-            $assistantId = (int) $this->params['assistant_id'];
-            if ($yejiPanel) {
-                $query->where('creator_id', $assistantId);
-            } else {
-                $diagTbl = (new Diagnosis())->getTable();
-                $query->where(function ($q) use ($poTbl, $diagTbl, $assistantId) {
-                    $q->where('creator_id', $assistantId);
-                    $q->whereOrRaw(
-                        "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$poTbl}`.`diagnosis_id`"
-                        . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$assistantId})"
-                    );
-                });
-            }
+            $query->where('creator_id', (int) $this->params['assistant_id']);
         }
 
         if (isset($this->params['assistant_dept_id']) && $this->params['assistant_dept_id'] !== '' && (int) $this->params['assistant_dept_id'] > 0) {
@@ -1039,24 +979,10 @@ class PrescriptionOrderLists extends BaseAdminDataLists implements ListsSearchIn
             }
             $inList  = implode(',', $deptIds);
             $adTbl   = (new AdminDept())->getTable();
-            if ($yejiPanel) {
-                /** 业绩看板部门侧栏：仅订单创建人人事部门 ∈ 子树（与「合计业绩」/「接诊诊单」/「复诊」聚合同口径） */
-                $query->whereExists(
-                    "SELECT 1 FROM `{$adTbl}` adc WHERE adc.`admin_id` = `{$poTbl}`.`creator_id` AND adc.`dept_id` IN ({$inList})"
-                );
-            } else {
-                $diagTbl = (new Diagnosis())->getTable();
-                $query->where(function ($q) use ($poTbl, $diagTbl, $adTbl, $inList) {
-                    $q->whereExists(
-                        "SELECT 1 FROM `{$adTbl}` ad INNER JOIN `{$diagTbl}` dg ON ad.admin_id = dg.assistant_id AND dg.delete_time IS NULL "
-                        . "WHERE dg.`id` = `{$poTbl}`.`diagnosis_id` AND ad.dept_id IN ({$inList})"
-                    );
-                    $q->whereExists(
-                        "SELECT 1 FROM `{$adTbl}` adc WHERE adc.`admin_id` = `{$poTbl}`.`creator_id` AND adc.`dept_id` IN ({$inList})",
-                        'OR'
-                    );
-                });
-            }
+            /** 按订单创建人人事部门 ∈ 子树（与业绩看板「合计业绩」/「接诊诊单」同口径） */
+            $query->whereExists(
+                "SELECT 1 FROM `{$adTbl}` adc WHERE adc.`admin_id` = `{$poTbl}`.`creator_id` AND adc.`dept_id` IN ({$inList})"
+            );
         }
     }
 
diff --git a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
index 59c34e3f..67e796c3 100755
--- a/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
+++ b/server/app/adminapi/logic/tcm/PrescriptionOrderLogic.php
@@ -141,7 +141,7 @@ class PrescriptionOrderLogic
     }
 
     /**
-     * 与 PrescriptionOrderLists 数据域一致：创建人或关联诊单医助属于当前账号可见 admin 集合
+     * 与 PrescriptionOrderLists 数据域一致：订单创建人属于当前账号可见 admin 集合
      */
     private static function orderWithinDataScopeOwners(PrescriptionOrder $row, int $adminId, array $adminInfo): bool
     {
@@ -152,16 +152,8 @@ class PrescriptionOrderLogic
         if ($ids === null || $ids === []) {
             return false;
         }
-        if (in_array((int) $row->creator_id, $ids, true)) {
-            return true;
-        }
-        $did = (int) $row->diagnosis_id;
-        if ($did <= 0) {
-            return false;
-        }
-        $da = (int) Diagnosis::where('id', $did)->whereNull('delete_time')->value('assistant_id');
 
-        return $da > 0 && in_array($da, $ids, true);
+        return in_array((int) $row->creator_id, $ids, true);
     }
 
     /**
@@ -175,13 +167,6 @@ class PrescriptionOrderLogic
         if ((int) $row->creator_id === $adminId) {
             return true;
         }
-        $did = (int) $row->diagnosis_id;
-        if ($did > 0) {
-            $da = (int) Diagnosis::where('id', $did)->whereNull('delete_time')->value('assistant_id');
-            if ($da === $adminId) {
-                return true;
-            }
-        }
         if (self::canViewOrdersForOwnPrescription($adminInfo)) {
             if (self::isPrescriptionOrderPrescriber((int) $row->prescription_id, $adminId)) {
                 return true;
@@ -288,7 +273,7 @@ class PrescriptionOrderLogic
     }
 
     /**
-     * 提成结算等与列表对齐：按开方医生 / 诊单医助 ∪ 订单创建人 筛选（与 PrescriptionOrderLists::applyDoctorAssistantFilters 在非业绩抽屉场景一致）。
+     * 提成结算等与列表对齐：按开方医生 / 订单创建人 筛选。
      *
      * @param array<string, mixed> $params
      */
@@ -304,15 +289,7 @@ class PrescriptionOrderLogic
         }
 
         if (isset($params['assistant_id']) && (int) $params['assistant_id'] > 0) {
-            $assistantId = (int) $params['assistant_id'];
-            $diagTbl = (new Diagnosis())->getTable();
-            $query->where(function ($q) use ($alias, $diagTbl, $assistantId): void {
-                $q->where("{$alias}.creator_id", $assistantId);
-                $q->whereOrRaw(
-                    "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$alias}`.`diagnosis_id`"
-                    . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$assistantId})"
-                );
-            });
+            $query->where("{$alias}.creator_id", (int) $params['assistant_id']);
         }
     }
 
@@ -341,7 +318,6 @@ class PrescriptionOrderLogic
         }
 
         $rxTbl = (new Prescription())->getTable();
-        $diagTbl = (new Diagnosis())->getTable();
 
         $explicitAssistant = (int) ($params['assistant_id'] ?? 0);
         $allowExplicitAssistantVisibility = false;
@@ -359,39 +335,24 @@ class PrescriptionOrderLogic
         $query->where(function ($q) use (
             $alias,
             $rxTbl,
-            $diagTbl,
             $viewerAdminId,
             $explicitAssistant,
             $allowExplicitAssistantVisibility,
             $viewerAdminInfo
         ): void {
             if (self::canViewOrdersForOwnPrescription($viewerAdminInfo)) {
-                $q->where(function ($qq) use ($alias, $rxTbl, $diagTbl, $viewerAdminId): void {
+                $q->where(function ($qq) use ($alias, $rxTbl, $viewerAdminId): void {
                     $qq->where("{$alias}.creator_id", $viewerAdminId);
                     $qq->whereOrRaw(
                         "EXISTS (SELECT 1 FROM `{$rxTbl}` rx WHERE rx.`id` = `{$alias}`.`prescription_id`"
                         . " AND rx.`delete_time` IS NULL AND rx.`creator_id` = {$viewerAdminId})"
                     );
-                    $qq->whereOrRaw(
-                        "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$alias}`.`diagnosis_id`"
-                        . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$viewerAdminId})"
-                    );
                 });
             } else {
-                $q->where(function ($qq) use ($alias, $diagTbl, $viewerAdminId): void {
-                    $qq->where("{$alias}.creator_id", $viewerAdminId);
-                    $qq->whereOrRaw(
-                        "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$alias}`.`diagnosis_id`"
-                        . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$viewerAdminId})"
-                    );
-                });
+                $q->where("{$alias}.creator_id", $viewerAdminId);
             }
             if ($allowExplicitAssistantVisibility) {
                 $q->whereOr("{$alias}.creator_id", $explicitAssistant);
-                $q->whereOrRaw(
-                    "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$alias}`.`diagnosis_id`"
-                    . " AND dg.`delete_time` IS NULL AND dg.`assistant_id` = {$explicitAssistant})"
-                );
             }
         });
 
@@ -399,7 +360,7 @@ class PrescriptionOrderLogic
     }
 
     /**
-     * 列表数据域：创建人 ∈ 可见 或 诊单医助 ∈ 可见。
+     * 列表数据域：订单创建人 ∈ 可见 admin。
      */
     private static function applyCommissionOrderDataScope(
         Query $query,
@@ -419,15 +380,7 @@ class PrescriptionOrderLogic
 
             return;
         }
-        $diagTbl = (new Diagnosis())->getTable();
-        $inList = implode(',', array_map('intval', $ids));
-        $query->where(function ($q) use ($alias, $diagTbl, $inList): void {
-            $q->whereIn("{$alias}.creator_id", explode(',', $inList));
-            $q->whereOrRaw(
-                "EXISTS (SELECT 1 FROM `{$diagTbl}` dg WHERE dg.`id` = `{$alias}`.`diagnosis_id` "
-                . "AND dg.`delete_time` IS NULL AND dg.`assistant_id` IN ({$inList}))"
-            );
-        });
+        $query->whereIn("{$alias}.creator_id", $ids);
     }
 
     /**
@@ -1437,6 +1390,16 @@ class PrescriptionOrderLogic
 
             return false;
         }
+        if (
+            (int) $order->creator_id === $adminId
+            && (int) $order->prescription_audit_status === 1
+            && (int) $order->payment_slip_audit_status === 1
+            && !self::canSeeAllPrescriptionOrders($adminInfo)
+        ) {
+            self::$error = '处方与支付单均已审核通过，创建人不可再编辑';
+
+            return false;
+        }
         $fs = (int) $order->fulfillment_status;
         if ($fs === 3 || $fs === 4) {
             self::$error = '已完成或已取消的订单不可编辑';