diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
index 270da23..9a41ccc 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
@@ -14,6 +14,7 @@ import com.lyms.platform.permission.model.Users;
 import com.lyms.platform.permission.service.OrganizationService;
 import com.lyms.platform.permission.service.PatientServiceService;
 import com.lyms.platform.permission.service.UsersService;
+import org.apache.commons.collections.CollectionUtils;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Component;
 
@@ -47,6 +48,7 @@ public class PatientServiceFacade {
 
     /**
      * 根据孕妇id查询服务记录
+     *
      * @param pid
      * @param id
      * @return
@@ -61,7 +63,7 @@ public class PatientServiceFacade {
         List<PatientService> patientServices = patientServiceService.queryPatientService(patientQuery);
 
         List<PatientSerResult> patientSerResults = new ArrayList<>();
-        for(PatientService ps : patientServices){
+        for (PatientService ps : patientServices) {
             PatientSerResult patientSerResult = convertToResult(ps);
             patientSerResults.add(patientSerResult);
         }
@@ -75,6 +77,7 @@ public class PatientServiceFacade {
 
     /**
      * 根据id查询一条服务开通记录
+     *
      * @param id
      * @return
      */
@@ -91,14 +94,37 @@ public class PatientServiceFacade {
 
     /**
      * 新增服务开通记录
+     *
      * @param ps
      * @param id
      * @return
      */
-    public BaseResponse addPatientService(PatientService ps, Integer id){
+    public BaseResponse addPatientService(PatientService ps, Integer id) {
         //根据用户id获取医院ID
         String hospitalId = autoMatchFacade.getHospitalId(id);
-        ps.setId(UUID.randomUUID().toString().replace("-",""));
+
+        //先根据孕妇id和开通服务类型、开通医生进行查询，如果已经开通过则开通失败
+        PatientServiceQuery patientQuery = new PatientServiceQuery();
+        patientQuery.setHospitalId(hospitalId);
+        patientQuery.setParentid(ps.getParentid());
+        patientQuery.setSerType(ps.getSerType());
+        patientQuery.setSerDoct(ps.getSerDoct());
+
+        List<PatientService> patientServices = patientServiceService.queryPatientService(patientQuery);
+        if (CollectionUtils.isNotEmpty(patientServices)) {
+            BaseResponse baseResponse = new BaseResponse();
+            baseResponse.setErrorcode(ErrorCodeConstants.DATA_EXIST);
+            String serType = PatientSerEnums.SerTypeEnums.getTitle(ps.getSerType());
+            String serDoct = "产检医生";
+            Users users = usersService.getUsers(Integer.parseInt(ps.getSerDoct()));
+            if (users != null) {
+                serDoct = users.getName();
+            }
+            baseResponse.setErrormsg("该孕妇已开通"+serDoct+"医生的" + serType + "服务，请勿重复开通");
+            return baseResponse;
+        }
+
+        ps.setId(UUID.randomUUID().toString().replace("-", ""));
         ps.setHospitalId(hospitalId);
         ps.setCreateDate(new Date());
         ps.setCreateUser(String.valueOf(id));
@@ -113,11 +139,12 @@ public class PatientServiceFacade {
 
     /**
      * 修改服务开通记录
+     *
      * @param ps 服务对象
      * @param id 用户id
      * @return
      */
-    public BaseResponse updatePatientService(PatientService ps,Integer id){
+    public BaseResponse updatePatientService(PatientService ps, Integer id) {
         //根据用户id获取医院ID
         ps.setUpdateDate(new Date());
         ps.setUpdateUser(String.valueOf(id));
@@ -131,11 +158,12 @@ public class PatientServiceFacade {
 
     /**
      * 数据转换
+     *
      * @param ps
      * @return
      */
-    public PatientSerResult convertToResult(PatientService ps){
-        if(ps==null){
+    public PatientSerResult convertToResult(PatientService ps) {
+        if (ps == null) {
             return null;
         }
         PatientSerResult result = new PatientSerResult();
@@ -163,15 +191,16 @@ public class PatientServiceFacade {
 
     /**
      * 根据条件查询开通服务记录
-     * @param serType 服务类型(1-高危精准指导、2-体重、3-血糖、4-血压、5-专家咨询)
-     * @param serDoct 服务医生
+     *
+     * @param serType         服务类型(1-高危精准指导、2-体重、3-血糖、4-血压、5-专家咨询)
+     * @param serDoct         服务医生
      * @param createStartDate 开通开始时间
-     * @param createEndDate 开通结束时间
-     * @param pageInfo 分页信息
-     * @param serStatus 开通状态(1-开通、2-退订、3-过期、4-暂停)
+     * @param createEndDate   开通结束时间
+     * @param pageInfo        分页信息
+     * @param serStatus       开通状态(1-开通、2-退订、3-过期、4-暂停)
      * @return
      */
-    public BaseListResponse getPatientService(Integer serType, String serDoct, Date createStartDate, Date createEndDate, Integer serStatus, BasePageQueryRequest pageInfo,Integer id) {
+    public BaseListResponse getPatientService(Integer serType, String serDoct, Date createStartDate, Date createEndDate, Integer serStatus, BasePageQueryRequest pageInfo, Integer id) {
 //根据用户id获取医院ID
         String hospitalId = autoMatchFacade.getHospitalId(id);
         PatientServiceQuery patientQuery = new PatientServiceQuery();
@@ -183,13 +212,13 @@ public class PatientServiceFacade {
         patientQuery.setSerStatus(serStatus);
         patientQuery.setSort("create_date");
         patientQuery.setNeed("y");
-        patientQuery.setOffset((pageInfo.getPage()-1)*pageInfo.getLimit());
+        patientQuery.setOffset((pageInfo.getPage() - 1) * pageInfo.getLimit());
         patientQuery.setLimit(pageInfo.getLimit());
         patientQuery.setPage(pageInfo.getPage());
         List<PatientService> patientServices = patientServiceService.queryPatientService(patientQuery);
 
         List<PatientSerResult> patientSerResults = new ArrayList<>();
-        for(PatientService ps : patientServices){
+        for (PatientService ps : patientServices) {
             PatientSerResult patientSerResult = convertToResult(ps);
             patientSerResults.add(patientSerResult);
         }