diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/domain/LymsHisInfo.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/domain/LymsHisInfo.java
index fb1fb9c..9279c3f 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/domain/LymsHisInfo.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/domain/LymsHisInfo.java
@@ -113,6 +113,14 @@ public class LymsHisInfo implements Serializable {
     @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
     @NotNull(message = "createdtime不能为空")
     private Date createdtime;
+
+    /**
+     * his系统时间
+     */
+    @TableField(value = "created")
+    @DateTimeFormat(pattern = "yyyy-MM-dd HH:mm:ss")
+    private Date created;
+
     /**
      * 筛选开始时间
      */
diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/task/GetPatientInfoTask.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/task/GetPatientInfoTask.java
index 9ca5d12..d1b3c5a 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/task/GetPatientInfoTask.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/task/GetPatientInfoTask.java
@@ -154,17 +154,30 @@ public class GetPatientInfoTask {
                 //添加到数据后续页面处理
                 LymsHisInfo hisInfoMap = (LymsHisInfo) BeanUtils.mapToObject(map, LymsHisInfo.class);//map转对象
                 if (null != hisInfoMap) {
-                    //今天添加过不需要重复添加
+                    //his系统时间同一天添加过不需要重复添加
                     QueryWrapper qurey = new QueryWrapper();
-                    qurey.eq("idCard", hisInfoMap.getIdcard());
-                    qurey.eq("diagnose", hisInfoMap.getDiagnose());
-                    qurey.eq("hospitalId", hisInfoMap.getHospitalId());
-                    Calendar calendar = Calendar.getInstance();
-                    calendar.setTime(new Date());
-                    calendar.set(Calendar.HOUR_OF_DAY, 00);//时
-                    calendar.set(Calendar.MINUTE, 00);//分
-                    calendar.set(Calendar.SECOND, 00);//秒
-                    qurey.gt("createdtime", calendar.getTime());
+                    if(StringUtil.isNotEmpty(hisInfoMap.getIdcard())){
+                        qurey.eq("idCard", hisInfoMap.getIdcard());
+                        qurey.eq("diagnose", hisInfoMap.getDiagnose());
+                        qurey.eq("hospitalId", hisInfoMap.getHospitalId());
+                        Calendar calendar = Calendar.getInstance();
+                        calendar.setTime(hisInfoMap.getCreated());//接收到的his系统时间判断
+                        calendar.set(Calendar.HOUR_OF_DAY, 00);//时
+                        calendar.set(Calendar.MINUTE, 00);//分
+                        calendar.set(Calendar.SECOND, 00);//秒
+                        qurey.gt("created", calendar.getTime());
+                    }else {//没有身份证用姓名电话判断
+                        qurey.eq("name", hisInfoMap.getName());
+                        qurey.eq("phone", hisInfoMap.getPhone());
+                        qurey.eq("diagnose", hisInfoMap.getDiagnose());
+                        qurey.eq("hospitalId", hisInfoMap.getHospitalId());
+                        Calendar calendar = Calendar.getInstance();
+                        calendar.setTime(hisInfoMap.getCreated());//接收到的his系统时间判断
+                        calendar.set(Calendar.HOUR_OF_DAY, 00);//时
+                        calendar.set(Calendar.MINUTE, 00);//分
+                        calendar.set(Calendar.SECOND, 00);//秒
+                        qurey.gt("created", calendar.getTime());
+                    }
                     List<LymsHisInfo> list = lymsHisInfoService.list(qurey);
                     if (CollectionUtils.isEmpty(list)) {
                         hisInfoMap.setBirthday(StringUtil.isNotEmpty(hisInfoMap.getBirthday()) ? StringUtil.leftTruncate(hisInfoMap.getBirthday(), ' ') : null);
diff --git a/talkonlineweb/src/main/resources/mapper/LymsHisInfoMapper.xml b/talkonlineweb/src/main/resources/mapper/LymsHisInfoMapper.xml
index e99c856..b526667 100644
--- a/talkonlineweb/src/main/resources/mapper/LymsHisInfoMapper.xml
+++ b/talkonlineweb/src/main/resources/mapper/LymsHisInfoMapper.xml
@@ -18,6 +18,7 @@
             <result property="doctor" column="doctor" jdbcType="VARCHAR"/>
             <result property="upType" column="up_type" jdbcType="INTEGER"/>
             <result property="upTime" column="up_time" jdbcType="TIMESTAMP"/>
+            <result property="created" column="created" jdbcType="TIMESTAMP"/>
             <result property="createdtime" column="createdtime" jdbcType="TIMESTAMP"/>
     </resultMap>
 
@@ -25,7 +26,7 @@
         id,vcCardNo,name,
         sex,birthday,phone,
         idCard,dept,hospitalId,diagnose,
-        doctor,up_type,up_time,
+        doctor,up_type,up_time,created,
         createdtime
     </sql>
 </mapper>