diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/LisServiceImpl.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/LisServiceImpl.java
index 1ece7ec..d4de1df 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/LisServiceImpl.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/service/impl/LisServiceImpl.java
@@ -1,6 +1,9 @@
 package com.lyms.platform.permission.service.impl;
 
+import com.lyms.platform.biz.service.AntenatalExaminationService;
+import com.lyms.platform.biz.service.PatientsService;
 import com.lyms.platform.common.constants.ErrorCodeConstants;
+import com.lyms.platform.common.enums.YnEnums;
 import com.lyms.platform.common.result.BaseResponse;
 import com.lyms.platform.common.utils.JsonUtil;
 import com.lyms.platform.permission.DataAccessLayerService;
@@ -9,7 +12,16 @@ import com.lyms.platform.permission.model.LisReportItemModel;
 import com.lyms.platform.permission.model.LisReportModel;
 import com.lyms.platform.permission.model.LisReportQuery;
 import com.lyms.platform.permission.service.LisService;
+import com.lyms.platform.permission.service.OrganizationService;
+import com.lyms.platform.pojo.AntExChuModel;
+import com.lyms.platform.pojo.AntenatalExaminationModel;
 import com.lyms.platform.pojo.BasicConfig;
+import com.lyms.platform.pojo.Patients;
+import com.lyms.platform.query.AntExChuQuery;
+import com.lyms.platform.query.AntExQuery;
+import com.lyms.platform.query.PatientsQuery;
+import net.sf.json.JSONArray;
+import net.sf.json.JSONObject;
 import org.apache.commons.collections.CollectionUtils;
 import org.codehaus.jackson.type.TypeReference;
 import org.springframework.beans.factory.annotation.Autowired;
@@ -28,7 +40,12 @@ public class LisServiceImpl  implements LisService {
 
     @Autowired
     private MasterLisMapper masterLisMapper;
-
+    @Autowired
+    private AntenatalExaminationService antExService;
+    @Autowired
+    private PatientsService patientsService;
+    @Autowired
+    private OrganizationService organizationService;
     @Override
     public BaseResponse saveLisData(final  List<LisReportModel> lisList,ThreadPoolTaskExecutor commonThreadPool) {
         try {
@@ -129,6 +146,16 @@ public class LisServiceImpl  implements LisService {
                 try {
                     masterLisMapper.deleteLisData(model);
                     masterLisMapper.saveLisData(model);
+
+                   //临时用一下，未确定使用查询方式
+                    LisReportQuery lisReportQuery = new LisReportQuery();
+                    lisReportQuery.setLisId(model.getLisId());
+                    lisReportQuery.setVcCardNo(model.getVcCardNo());
+                    lisReportQuery.setHospitalId(model.getHospitalId());
+
+                    List<LisReportModel> lisReportModels = masterLisMapper.queryLisDataByModel(lisReportQuery);
+                    saveLisUpdateData(lisReportModels.get(0));
+
                 } catch (Exception e)
                 {
                     continue;
@@ -138,4 +165,246 @@ public class LisServiceImpl  implements LisService {
             countDownLatch.countDown();
         }
     }
+
+    /**
+     * 根据孕妇，修改检查项为空，检查项结果
+     * @param model
+     */
+    private void saveLisUpdateData(LisReportModel model) {
+
+        //1获取孕妇pid
+        PatientsQuery patientsQuery = new PatientsQuery();
+        patientsQuery.setHospitalId(model.getHospitalId());
+        patientsQuery.setVcCardNo(model.getVcCardNo());
+        patientsQuery.setName(model.getName());
+        patientsQuery.setSort("created");
+        List<Patients> list = patientsService.queryPatient(patientsQuery);
+        Patients patients = list.get(list.size()-1);
+
+        //2 判断更新初诊还是复诊
+        AntExQuery antExQuery = new AntExQuery();
+        antExQuery.setYn(YnEnums.YES.getId());
+        antExQuery.setParentId(patients.getId());
+        List<AntenatalExaminationModel> AntenatalExaminationModels = antExService.queryAntenatalExamination(antExQuery.convertToQuery()); //复诊记录
+        if (CollectionUtils.isEmpty(AntenatalExaminationModels)){
+            AntExChuQuery antExChuQuery = new AntExChuQuery();
+            antExChuQuery.setYn(YnEnums.YES.getId());
+            antExChuQuery.setParentId(patients.getId());
+            List<AntExChuModel> antExChuModels = antExService.queryAntExChu(antExChuQuery);//初诊记录
+            if (CollectionUtils.isNotEmpty(antExChuModels)) {
+                AntExChuModel antExChuModel = antExChuModels.get(antExChuModels.size() - 1);
+                AntExChuModel antExChuModel1 = new AntExChuModel();
+                //3 更新初诊记录
+                antExChuModelUpadte(model, antExChuModel, antExChuModel1);
+                antExService.updateAntExChu(antExChuModel1,antExChuModel.getId());
+            }
+        }else {
+            AntenatalExaminationModel antenatalExaminationModel= AntenatalExaminationModels.get(AntenatalExaminationModels.size() - 1);
+            AntenatalExaminationModel antenatalExaminationModel1 = new AntenatalExaminationModel();
+            //3 更新复诊记录
+            fuZhenUpdate(model, antenatalExaminationModel, antenatalExaminationModel1);
+            antExService.updateOneAnt(antenatalExaminationModel1,antenatalExaminationModel.getId());
+        }
+    }
+
+    /**
+     * 更新复诊记录
+     * @param model
+     * @param antenatalExaminationModel
+     * @param antenatalExaminationModel1
+     */
+    private void fuZhenUpdate(LisReportModel model, AntenatalExaminationModel antenatalExaminationModel, AntenatalExaminationModel antenatalExaminationModel1) {
+        if("".equals(antenatalExaminationModel.getHemoglobin()) || antenatalExaminationModel.getHemoglobin()==null){
+            antenatalExaminationModel1.setHemoglobin(getCodeValue(model, "HGB")); //血红蛋白
+        }
+        if("".equals(antenatalExaminationModel.getUrineProtein()) || antenatalExaminationModel.getUrineProtein()==null){
+            antenatalExaminationModel1.setUrineProtein(getCodeValue(model, "PRO")); //尿蛋白
+        }
+
+        if("".equals(antenatalExaminationModel.getTtita()) || antenatalExaminationModel.getTtita()==null){
+            antenatalExaminationModel1.setTtita(getCodeValue(model, "T3")); // 总三碘甲状腺原氨酸（TT3）
+        }
+        if("".equals(antenatalExaminationModel.getTotalThy()) || antenatalExaminationModel.getTotalThy()==null){
+            antenatalExaminationModel1.setTotalThy(getCodeValue(model, "T4")); // //总甲状腺素(TT4)
+        }
+        if("".equals(antenatalExaminationModel.getFtita()) || antenatalExaminationModel.getFtita()==null){
+            antenatalExaminationModel1.setFtita(getCodeValue(model, "FT3")); // //游离三碘甲状腺原氨酸（FT3）
+        }
+        if("".equals(antenatalExaminationModel.getFreeThy()) || antenatalExaminationModel.getFreeThy()==null){
+            antenatalExaminationModel1.setFreeThy(getCodeValue(model, "FT4")); //游离甲状腺素（FT4）
+        }
+        if("".equals(antenatalExaminationModel.getPta()) || antenatalExaminationModel.getPta()==null){
+            antenatalExaminationModel1.setPta(getCodeValue(model, "PT")); //凝血酶原活动度（PT%）
+        }
+        if("".equals(antenatalExaminationModel.getActPar()) || antenatalExaminationModel.getActPar()==null){
+            antenatalExaminationModel1.setActPar(getCodeValue(model, "APTT")); //活化部分凝血活酶时间（APTT）
+        }
+        if("".equals(antenatalExaminationModel.getThrTime()) || antenatalExaminationModel.getThrTime()==null){
+            antenatalExaminationModel1.setThrTime(getCodeValue(model, "TT")); //凝血酶时间（TT）
+        }
+        if("".equals(antenatalExaminationModel.getFibrin()) || antenatalExaminationModel.getFibrin()==null){
+            antenatalExaminationModel1.setFibrin(getCodeValue(model, "FIB")); //纤维蛋白原（FIB）
+        }
+
+        if("".equals(antenatalExaminationModel.getDimer()) || antenatalExaminationModel.getDimer()==null){
+            antenatalExaminationModel1.setDimer(getCodeValue(model, "D-Dimer")); //D-二聚体（D-Dimer）
+        }
+
+        if("".equals(antenatalExaminationModel.getTotalChol()) || antenatalExaminationModel.getTotalChol()==null){
+            antenatalExaminationModel1.setTotalChol(getCodeValue(model, "TC")); //总胆固醇（TC）
+        }
+        if("".equals(antenatalExaminationModel.getTricer()) || antenatalExaminationModel.getTricer()==null){
+            antenatalExaminationModel1.setTricer(getCodeValue(model, "TG")); //甘油三酯（TG）
+        }
+        if("".equals(antenatalExaminationModel.getHighDens()) || antenatalExaminationModel.getHighDens()==null){
+            antenatalExaminationModel1.setHighDens(getCodeValue(model, "HDL-C")); //高密度脂蛋白胆固醇（HDL-C）
+        }
+        if("".equals(antenatalExaminationModel.getLowDens()) || antenatalExaminationModel.getLowDens()==null){
+            antenatalExaminationModel1.setLowDens(getCodeValue(model, "LDL-C")); //低密度脂蛋白胆固醇（LDL-C）
+        }
+
+    }
+
+    /**
+     * 更新初诊记录
+     * @param model
+     * @param antExChuModel
+     * @param antExChuModel1
+     */
+    private void antExChuModelUpadte(LisReportModel model, AntExChuModel antExChuModel, AntExChuModel antExChuModel1) {
+        if("".equals(antExChuModel.getXhdb()) || antExChuModel.getXhdb()==null){//血红蛋白
+            antExChuModel1.setXhdb(getCodeValue(model, "HGB"));
+        }
+        if("".equals(antExChuModel.getBxbjs()) || antExChuModel.getBxbjs()==null){//白细胞计数
+            antExChuModel1.setBxbjs(getCodeValue(model, "WBC"));
+        }
+        if("".equals(antExChuModel.getPlatelet()) || antExChuModel.getPlatelet()==null){//血小板
+            antExChuModel1.setPlatelet(getCodeValue(model, "PLT"));
+        }
+        if("".equals(antExChuModel.getNdb()) || antExChuModel.getNdb()==null){//尿蛋白
+            antExChuModel1.setNdb(getCodeValue(model, "PRO"));
+        }
+
+        if("".equals(antExChuModel.getUrineKetone()) || antExChuModel.getUrineKetone()==null){//尿酮体
+            antExChuModel1.setUrineKetone(getCodeValue(model, "KET"));
+        }
+        if("".equals(antExChuModel.getBld()) || antExChuModel.getBld()==null){//尿潜血
+            antExChuModel1.setBld(getCodeValue(model, "BLD"));
+        }
+        if("".equals(antExChuModel.getAbo()) || antExChuModel.getAbo()==null){//血型
+            antExChuModel1.setAbo(getCodeValue(model, "ABO"));
+        }
+        if("".equals(antExChuModel.getRh()) || antExChuModel.getRh()==null){//RH血型
+            antExChuModel1.setRh(getCodeValue(model, "RH"));
+        }
+        if("".equals(antExChuModel.getBloodSugar()) || antExChuModel.getBloodSugar()==null){//血糖
+            antExChuModel1.setBloodSugar(getCodeValue(model, "GLU"));
+        }
+        if("".equals(antExChuModel.getXqgbzam()) || antExChuModel.getXqgbzam()==null){//血清谷丙转氨酶
+            antExChuModel1.setXqgbzam(getCodeValue(model, "ALT"));
+        }
+        if("".equals(antExChuModel.getXqgczam()) || antExChuModel.getXqgczam()==null){//血清谷草转氨酶
+            antExChuModel1.setXqgczam(getCodeValue(model, "AST"));
+        }
+
+        if("".equals(antExChuModel.getAlbumin()) || antExChuModel.getAlbumin()==null){//白蛋白
+            antExChuModel1.setAlbumin(getCodeValue(model, "ALB"));
+        }
+        if("".equals(antExChuModel.getTotalBilirubin()) || antExChuModel.getTotalBilirubin()==null){//总胆红素
+            antExChuModel1.setTotalBilirubin(getCodeValue(model, "TBIL"));
+        }
+        if("".equals(antExChuModel.getJhBilirubin()) || antExChuModel.getJhBilirubin()==null){//结合胆红素
+            antExChuModel1.setJhBilirubin(getCodeValue(model, "DBIL"));
+        }
+        if("".equals(antExChuModel.getBg()) || antExChuModel.getBg()==null){//丙肝
+            antExChuModel1.setBg(getCodeValue(model, "HCV"));
+        }
+        if("".equals(antExChuModel.getYgbmky()) || antExChuModel.getYgbmky()==null){//乙肝表面抗原
+            antExChuModel1.setYgbmky(getCodeValue(model, "HBsAg"));
+        }
+        if("".equals(antExChuModel.getYgbmkt()) || antExChuModel.getYgbmkt()==null){//乙肝表面抗体
+            antExChuModel1.setYgbmkt(getCodeValue(model, "HBsAb"));
+        }
+        if("".equals(antExChuModel.getYgeky()) || antExChuModel.getYgeky()==null){//乙肝e抗原
+            antExChuModel1.setYgeky(getCodeValue(model, "HBeAg"));
+        }
+        if("".equals(antExChuModel.getYgekt()) || antExChuModel.getYgekt()==null){//乙肝e抗体
+            antExChuModel1.setYgekt(getCodeValue(model, "HBeAb"));
+        }
+        if("".equals(antExChuModel.getYghxkt()) || antExChuModel.getYghxkt()==null){//乙肝核心抗体
+            antExChuModel1.setYghxkt(getCodeValue(model, "HBcAb"));
+        }
+        if("".equals(antExChuModel.getXqjq()) || antExChuModel.getXqjq()==null){//血清肌
+            antExChuModel1.setXqjq(getCodeValue(model, "CRE"));
+        }
+        if("".equals(antExChuModel.getXnsd()) || antExChuModel.getXnsd()==null){//血尿素氮
+            antExChuModel1.setXnsd(getCodeValue(model, "UREA"));
+        }
+        if("".equals(antExChuModel.getSyjg()) || antExChuModel.getSyjg()==null){//实验结果
+            antExChuModel1.setSyjg(getCodeValue(model, "TP1"));
+        }
+        if("".equals(antExChuModel.getHivkt()) || antExChuModel.getHivkt()==null){//hit抗体检测
+            antExChuModel1.setHivkt(getCodeValue(model, "HIV1"));
+        }
+
+        if("".equals(antExChuModel.getYdqjd()) || antExChuModel.getYdqjd()==null){//阴道清洁度
+            antExChuModel1.setYdqjd(getCodeValue(model, "QJD"));
+        }
+        if("".equals(antExChuModel.getTtita()) || antExChuModel.getTtita()==null){
+            antExChuModel1.setTtita(getCodeValue(model, "T3")); // 总三碘甲状腺原氨酸（TT3）
+        }
+        if("".equals(antExChuModel.getTotalThy()) || antExChuModel.getTotalThy()==null){
+            antExChuModel1.setTotalThy(getCodeValue(model, "T4")); //总甲状腺素(TT4)
+        }
+        if("".equals(antExChuModel.getFtita()) || antExChuModel.getFtita()==null){
+            antExChuModel1.setFtita(getCodeValue(model, "FT3")); // //游离三碘甲状腺原氨酸（FT3）
+        }
+        if("".equals(antExChuModel.getFreeThy()) || antExChuModel.getFreeThy()==null){
+            antExChuModel1.setFreeThy(getCodeValue(model, "FT4")); //游离甲状腺素（FT4）
+        }
+        if("".equals(antExChuModel.getPta()) || antExChuModel.getPta()==null){
+            antExChuModel1.setPta(getCodeValue(model, "PT")); //凝血酶原活动度（PT%）
+        }
+        if("".equals(antExChuModel.getActPar()) || antExChuModel.getActPar()==null){
+            antExChuModel1.setActPar(getCodeValue(model, "APTT")); //活化部分凝血活酶时间（APTT）
+        }
+        if("".equals(antExChuModel.getThrTime()) || antExChuModel.getThrTime()==null){
+            antExChuModel1.setThrTime(getCodeValue(model, "TT")); //凝血酶时间（TT）
+        }
+        if("".equals(antExChuModel.getFibrin()) || antExChuModel.getFibrin()==null){
+            antExChuModel1.setFibrin(getCodeValue(model, "FIB")); //纤维蛋白原（FIB）
+        }
+
+        if("".equals(antExChuModel.getDimer()) || antExChuModel.getDimer()==null){
+            antExChuModel1.setDimer(getCodeValue(model, "D-Dimer")); //D-二聚体（D-Dimer）
+        }
+
+        if("".equals(antExChuModel.getTotalChol()) || antExChuModel.getTotalChol()==null){
+            antExChuModel1.setTotalChol(getCodeValue(model, "TC")); //总胆固醇（TC）
+        }
+        if("".equals(antExChuModel.getTricer()) || antExChuModel.getTricer()==null){
+            antExChuModel1.setTricer(getCodeValue(model, "TG")); //甘油三酯（TG）
+        }
+        if("".equals(antExChuModel.getHighDens()) || antExChuModel.getHighDens()==null){
+            antExChuModel1.setHighDens(getCodeValue(model, "HDL-C")); //高密度脂蛋白胆固醇（HDL-C）
+        }
+        if("".equals(antExChuModel.getLowDens()) || antExChuModel.getLowDens()==null){
+            antExChuModel1.setLowDens(getCodeValue(model, "LDL-C")); //低密度脂蛋白胆固醇（LDL-C）
+        }
+
+    }
+
+
+    private String getCodeValue(LisReportModel model, String codeStr) {
+        JSONArray jsonArray=JSONArray.fromObject(model.getItemJson());
+        for (int i = 0; i < jsonArray.size(); i++) {
+            Object o=jsonArray.get(i);
+            JSONObject jsonObject2=JSONObject.fromObject(o);
+            String code = (String)jsonObject2.get("code");
+            if (code.equals(codeStr)){
+                return (String)jsonObject2.get("result");
+            }
+        }
+        return null;
+    }
 }
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