diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyBookbuildingFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyBookbuildingFacade.java
index 59b2301..65a220c 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyBookbuildingFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyBookbuildingFacade.java
@@ -268,6 +268,17 @@ public class BabyBookbuildingFacade {
                 br.setErrormsg("儿童就诊卡号在该医院已经建档");
                 return br;
             }
+
+            PatientsQuery patientsQuery = new PatientsQuery();
+            patientsQuery.setVcCardNo(request.getVcCardNo());
+            patientsQuery.setHospitalId(request.getHospitalId());
+            List<Patients> patients =  yunBookbuildingService.queryPregnantWithQuery(patientsQuery);
+            if (CollectionUtils.isNotEmpty(patients))
+            {
+                br.setErrorcode(ErrorCodeConstants.DATA_EXIST);
+                br.setErrormsg("该就诊卡号在该医院已经建档");
+                return br;
+            }
         }
 
         Patients patients = null;
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
index 5127e51..a16da33 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
@@ -117,8 +117,6 @@ public class BookbuildingFacade {
 		if (StringUtils.isNotEmpty(yunRequest.getVcCardNo()))
 		{
 			patientsQuery.setCardNo(null);
-			patientsQuery.setBuildTypeEq(null);
-			patientsQuery.setDueStatus(null);
 			patientsQuery.setPhone(null);
 			patientsQuery.setVcCardNo(yunRequest.getVcCardNo());
 			patientsQuery.setHospitalId(yunRequest.getHospitalId());
@@ -390,8 +388,6 @@ public class BookbuildingFacade {
 		if (StringUtils.isNotEmpty(yunRequest.getVcCardNo()))
 		{
 			patientsQuery.setCardNo(null);
-			patientsQuery.setBuildTypeEq(null);
-			patientsQuery.setDueStatus(null);
 			patientsQuery.setPhone(null);
 			patientsQuery.setVcCardNo(yunRequest.getVcCardNo());
 			patientsQuery.setHospitalId(yunRequest.getHospitalId());