diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
index 082f5ee..9e96862 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/ReportServiceImpl.java
@@ -1104,7 +1104,7 @@ public class ReportServiceImpl extends BaseServiceImpl implements IReportService
 
         /** 出院小结:	lyms_discharge_abstract_mother 医院需要确定下  */
         Criteria disCriteria = Criteria.where("createDate").gte(DateUtil.getYearDate(year))
-                                            .lt(DateUtil.getNextYearDate(year));
+                                            .lt(DateUtil.getNextYearDate(year)).and("yn").nin(0);
         List<DischargeAbstractMotherModel> dischargeAbstractMotherModels = mongoUtil.findField(DischargeAbstractMotherModel.class, disCriteria, "patientId");
         for (DischargeAbstractMotherModel dischargeAbstractMotherModel : dischargeAbstractMotherModels) {
             patientIds.add(dischargeAbstractMotherModel.getPatientId());