diff --git a/platform-dal/src/main/java/com/lyms/platform/pojo/AntExChuModel.java b/platform-dal/src/main/java/com/lyms/platform/pojo/AntExChuModel.java
index acf99f0..733a081 100644
--- a/platform-dal/src/main/java/com/lyms/platform/pojo/AntExChuModel.java
+++ b/platform-dal/src/main/java/com/lyms/platform/pojo/AntExChuModel.java
@@ -18,6 +18,8 @@ public class AntExChuModel extends BaseModel {
 
     private static final long serialVersionUID = SerialIdEnum.AntExChuModel.getCid();
 
+    //预约住院分娩医院
+    private String yyzyfmHospitalId;
     /**
      * start
      * 遵化需求新增字段
@@ -1366,6 +1368,14 @@ public class AntExChuModel extends BaseModel {
         return dirOpinion;
     }
 
+    public String getYyzyfmHospitalId() {
+        return yyzyfmHospitalId;
+    }
+
+    public void setYyzyfmHospitalId(String yyzyfmHospitalId) {
+        this.yyzyfmHospitalId = yyzyfmHospitalId;
+    }
+
     public void setDirOpinion(String dirOpinion) {
         this.dirOpinion = dirOpinion;
     }
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 89439ff..aa9d214 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
@@ -784,6 +784,21 @@ public class AntenatalExaminationFacade {
                     trackDownRecordService.updateTrackDownParent(trackDownRecord, excAddRequest.getParentId());
                 }*/
                 antenatalExaminationService.addOneAntEx(antExChuModel);
+                /**
+                 *  秦皇岛区域定制：初诊选择预约住院分娩医院同时，修改档案的预约住院分娩医院
+                 * @Author: 武涛涛
+                 * @Date: 2021/4/21 15:56
+                 */
+
+                Organization og = organizationService.getOrganization(Integer.valueOf(hospitalId));
+                //秦皇岛区域
+                if(og!=null && "2".equals(og.getCityId()) && StringUtils.isNotEmpty(excAddRequest.getYyzyfmHospitalId()) && StringUtils.isNotEmpty(antExChuModel.getParentId())){
+                    Patients patients1 = new Patients();
+                    patients1.setId(antExChuModel.getParentId());
+                    patients1.setYyzyfmHospitalId(excAddRequest.getYyzyfmHospitalId());
+                    patientsService.updatePatient(patients1);
+                }
+
                 excAddRequest.setId(antExChuModel.getId());
 
 
@@ -3925,6 +3940,8 @@ public class AntenatalExaminationFacade {
         }
 
         if (patients != null) {
+            antexListResult.setYyzyfmHospitalId(patients.getYyzyfmHospitalId());
+
             //测量数据
             antexListResult.setMeasureData(measureInfoFacade.getMeasureInfo(patients.getPcerteTypeId(), patients.getCardNo(), hospitalId));
             //产筛状态
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyHighRiskBabyFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyHighRiskBabyFacade.java
index 4ec0c61..64c94e8 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyHighRiskBabyFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyHighRiskBabyFacade.java
@@ -383,6 +383,11 @@ public class BabyHighRiskBabyFacade extends BaseServiceImpl {
         //babyQuery.setCzOrfzProject("cz");
         List <BabyHighRiskBabyModel> babyHighRiskBabyModelList = babyHighRiskBabyService.queryAll(babyQuery);
         if (CollectionUtils.isNotEmpty(babyHighRiskBabyModelList)) {
+            BabyHighRiskBabyModel babyHighRiskBabyModel = babyHighRiskBabyModelList.get(0);
+            if(babyHighRiskBabyModel.getNumber().equals(request.getNumber()) && babyHighRiskBabyModel.getBuildId().equals(request.getBuildId())){
+                return false;
+            }
+
             br.setErrorcode(ErrorCodeConstants.DATA_EXIST);
             br.setErrormsg("编号已存在");
             return true;
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 8fff1cc..d62b3c9 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
@@ -21,7 +21,8 @@ import java.util.Map;
 @Form
 public class AntExcAddRequest implements IBasicRequestConvert<AntExChuModel> {
 
-
+    //预约住院分娩医院(初证预约住院分娩医院同时，修改档案的预约住院分娩医院)
+    private String yyzyfmHospitalId;
     /**
      * start
      * 遵化需求新增字段
@@ -1003,6 +1004,14 @@ public class AntExcAddRequest implements IBasicRequestConvert<AntExChuModel> {
         return antil;
     }
 
+    public String getYyzyfmHospitalId() {
+        return yyzyfmHospitalId;
+    }
+
+    public void setYyzyfmHospitalId(String yyzyfmHospitalId) {
+        this.yyzyfmHospitalId = yyzyfmHospitalId;
+    }
+
     public void setAntil(String antil) {
         this.antil = antil;
     }
@@ -2109,6 +2118,7 @@ public class AntExcAddRequest implements IBasicRequestConvert<AntExChuModel> {
         antExChuModel.setZywzzlContent(zywzzlContent);
         antExChuModel.setZyatzlState(zyatzlState);
         antExChuModel.setZyatzlContent(zyatzlContent);
+        antExChuModel.setYyzyfmHospitalId(yyzyfmHospitalId);
 
 
         //次要诊断
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexListResult.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexListResult.java
index 3fe0714..52e35d6 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexListResult.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/result/AntexListResult.java
@@ -19,7 +19,8 @@ import java.util.Map;
 public class AntexListResult {
 
     private String id;
-
+    //预约住院分娩医院
+    private String yyzyfmHospitalId;
     private Integer pregnancyTimes;
     private Integer prodTime;
     private Integer abortion;
@@ -236,6 +237,14 @@ public class AntexListResult {
         this.cardNo = cardNo;
     }
 
+    public String getYyzyfmHospitalId() {
+        return yyzyfmHospitalId;
+    }
+
+    public void setYyzyfmHospitalId(String yyzyfmHospitalId) {
+        this.yyzyfmHospitalId = yyzyfmHospitalId;
+    }
+
     public String getVcCardNo() {
         return vcCardNo;
     }