diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
index 6a18825..a28f993 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
@@ -250,12 +250,14 @@ public class ApplyOrderFacade {
         referralApplyOrderModel.setType(type);
         referralApplyOrderModel.setOutHospitalId(hospital);
         applyOrderService.addOneReferralApplyOrder(referralApplyOrderModel);
+        //如果同一个医院只增加一次
+        if(!hospital.equals(referralApplyOrderModel.getTransferredHospital())){
+            referralApplyOrderModel.setId(null);
+            referralApplyOrderModel.setParentId(id);
+            referralApplyOrderModel.setHospitalId(referralApplyOrderModel.getTransferredHospital());
 
-        referralApplyOrderModel.setId(null);
-        referralApplyOrderModel.setParentId(id);
-        referralApplyOrderModel.setHospitalId(referralApplyOrderModel.getTransferredHospital());
-
-        applyOrderService.addOneReferralApplyOrder(referralApplyOrderModel);
+            applyOrderService.addOneReferralApplyOrder(referralApplyOrderModel);
+        }
 
         return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
     }