diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
index d169871..4725254 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/AntenatalExaminationFacade.java
@@ -332,6 +332,32 @@ public class AntenatalExaminationFacade {
         model.setDoctorSign(antExAddRequest.getDoctorSign());
         model.setPatientSign(antExAddRequest.getPatientSign());
 
+        //大同特殊处理
+        if (antExAddRequest.getDoctorType()!=null && antExAddRequest.getDoctorType()==0){
+            //准备添加数据
+            Users users = new Users();
+            users.setType(UserTypeEnum.NORMAL_USER.getId());       //1普通用户
+            //users.setDeptId(deptId);
+            users.setOrgId(Integer.valueOf(hospitalId));
+            users.setName(antExAddRequest.getCheckDoctor());
+            users.setAccount(antExAddRequest.getCheckDoctor());
+            //users.setPhone(phone);
+            users.setEnable(1);
+            // users.setZhiChenId(zhiCId);
+            users.setPwd(MD5Utils.md5("123456").toUpperCase());
+            //users.setRemarks(remarks);
+            // users.setKsId(ksId);
+            // users.setPublishId(user.getId());
+            // users.setPublishName(user.getName());
+            users.setYn(YnEnums.YES.getId());
+            users.setModified(new Date());
+            users.setCreated(new Date());
+            // users.setZhiChen(ZhiChenEnums.getById(zhiCId));
+            // user.setDefaultPage(defaultPage);
+            usersService.addUsers(users);
+            model.setCheckDoctor(String.valueOf(users.getId()));
+        }
+
         //表示区域的
         if (StringUtils.isNotEmpty(groupsFacade.findByCurrentUserId(hospitalId))) {
             //建立隐藏档案
@@ -766,6 +792,31 @@ public class AntenatalExaminationFacade {
         }
         antExChuModel.setOperator(userId);
         antExChuModel.setHospitalId(hospitalId);
+        //大同特殊处理
+        if (excAddRequest.getDoctorType()!=null && excAddRequest.getDoctorType()==0){
+            //准备添加数据
+            Users users = new Users();
+            users.setType(UserTypeEnum.NORMAL_USER.getId());       //1普通用户
+            //users.setDeptId(deptId);
+            users.setOrgId(Integer.valueOf(hospitalId));
+            users.setName(excAddRequest.getProdDoctor());
+            users.setAccount(excAddRequest.getProdDoctor());
+            //users.setPhone(phone);
+            users.setEnable(1);
+            // users.setZhiChenId(zhiCId);
+            users.setPwd(MD5Utils.md5("123456").toUpperCase());
+            //users.setRemarks(remarks);
+            // users.setKsId(ksId);
+            // users.setPublishId(user.getId());
+            // users.setPublishName(user.getName());
+            users.setYn(YnEnums.YES.getId());
+            users.setModified(new Date());
+            users.setCreated(new Date());
+            // users.setZhiChen(ZhiChenEnums.getById(zhiCId));
+            // user.setDefaultPage(defaultPage);
+            usersService.addUsers(users);
+            antExChuModel.setProdDoctor(String.valueOf(users.getId()));
+        }
         if (StringUtils.isNotEmpty(antExChuModel.getId()) && StringUtils.isNotEmpty(antExChuModel.getParentId())) {
             antenatalExaminationService.updateAntExChu(antExChuModel, antExChuModel.getId());
             antenatalExaminationService.updatePatientAbortion(antExChuModel.getId(), antExChuModel.getAbortionZR(), antExChuModel.getAbortionRG());
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 493791b..44b19d2 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
@@ -1279,7 +1279,7 @@ public class PatientServiceFacade {
                 //指定医生
                 jsonObject.put("serDoct", ps.getSerDoct() == null ? "" : ps.getSerDoct());
                 //开通医生
-                jsonObject.put("createUser", ps.getCreateUser() == null ? "" : ps.getCreateUser());
+                jsonObject.put("createUser", StringUtils.isNotEmpty(ps.getCreateUser())?  ps.getCreateUser():"");
                 //服务状态
                 jsonObject.put("serStatus", ps.getSerStatus());
                 jsonObject.put("hospitalId", ps.getHospitalId());
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExAddRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExAddRequest.java
index 65f9225..b3d3c35 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExAddRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExAddRequest.java
@@ -196,6 +196,9 @@ public class AntExAddRequest implements IBasicRequestConvert<AntenatalExaminatio
     private String treatmentOpinion;
     //指导
     private String guide;
+    //产检医生类型 0为没有 1为正常
+    private Integer doctorType;
+
     //产检医生
     @NotEmpty(message = "产检医生不能为空")
     private String checkDoctor;
@@ -433,6 +436,14 @@ public class AntExAddRequest implements IBasicRequestConvert<AntenatalExaminatio
     private String height;
     private String yqWeight;
 
+    public Integer getDoctorType() {
+        return doctorType;
+    }
+
+    public void setDoctorType(Integer doctorType) {
+        this.doctorType = doctorType;
+    }
+
     public String getYqWeight() {
         return yqWeight;
     }
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExcAddRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExcAddRequest.java
index 07cb45b..7642a90 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExcAddRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/AntExcAddRequest.java
@@ -238,6 +238,8 @@ public class AntExcAddRequest implements IBasicRequestConvert<AntExChuModel> {
     private String treatOpinion;
     //指导意见
     private String guide;
+    //产检医生类型 0为没有 1为正常
+    private Integer doctorType;
     //产检 医生
     @NotEmpty(message = "产检医生不能为空")
     private String prodDoctor;
@@ -559,6 +561,13 @@ public class AntExcAddRequest implements IBasicRequestConvert<AntExChuModel> {
     private Integer fuzhurenshen;//是否辅助妊娠 1是 0否
     private String fuzhufangshi;//辅助方式
 
+    public Integer getDoctorType() {
+        return doctorType;
+    }
+
+    public void setDoctorType(Integer doctorType) {
+        this.doctorType = doctorType;
+    }
 
     public String getYongyaoshi() {
         return yongyaoshi;