diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index 32e5925..33bc383 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -384,8 +384,6 @@ public class PatientFacade {
             hospitalList = new ArrayList<>();
             fmHospitalList = new ArrayList<>();
 
-            fmHospitalList.add(riskPatientsQueryRequest.getFmHospital());
-
             String hospital = autoMatchFacade.getHospitalId(userId);
             if (null != hospital) {
                 hospitalList.add(hospital);
@@ -454,12 +452,20 @@ public class PatientFacade {
                 }
                 fmHospitalList.retainAll(orgId);
             }
-            if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(riskPatientsQueryRequest.getFprovinceId()))
+            if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(riskPatientsQueryRequest.getFmHospital()))
+            {
+                fmHospitalList.add(riskPatientsQueryRequest.getFmHospital());
+            }
+            else
             {
-                patientsQuery.setFmHospitalList(fmHospitalList);
+                if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(riskPatientsQueryRequest.getFprovinceId()))
+                {
+                    patientsQuery.setFmHospitalList(fmHospitalList);
+                }
             }
 
 
+
         } else {
 
             patientsQuery.setFmHospital(riskPatientsQueryRequest.getFmHospital());