diff --git a/platform-common/src/main/java/com/lyms/platform/common/result/ResponseCode.java b/platform-common/src/main/java/com/lyms/platform/common/result/ResponseCode.java
index 60885a7..0e1c5bc 100644
--- a/platform-common/src/main/java/com/lyms/platform/common/result/ResponseCode.java
+++ b/platform-common/src/main/java/com/lyms/platform/common/result/ResponseCode.java
@@ -32,6 +32,7 @@ public enum ResponseCode {
     COUPON_IS_NOT_SELF(1007, "当前优惠劵不属于本人"),
 
     NEED_ADD_PATIENT_WEIGHT(4001, "该用户还未开通体重管理服务，请先开通！"),
+    PATIENT_WEIGHT_IS_EXIST(4002, "该用户已开通体重管理服务！"),
 
     NEED_BUILD(1101, "未找到建档信息");
 
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientWeightController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientWeightController.java
index 9da92d1..6a57ee2 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientWeightController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientWeightController.java
@@ -94,9 +94,9 @@ public class PatientWeightController extends BaseController {
      * 体重报告(小程序和app使用)
      */
     @ResponseBody
-    @RequestMapping(value = "/report/wx/{patientId}/{hospitalId}", method = RequestMethod.GET)
-    public BaseResponse wxReport(@PathVariable String patientId, @PathVariable String hospitalId) {
-        return patientWeightService.wxReport(patientId, hospitalId);
+    @RequestMapping(value = "/report/wx/{patientId}", method = RequestMethod.GET)
+    public BaseResponse wxReport(@PathVariable String patientId) {
+        return patientWeightService.wxReport(patientId);
     }
 
     /**
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/PatientWeightService.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/PatientWeightService.java
index 830a310..bcee834 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/PatientWeightService.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/PatientWeightService.java
@@ -21,7 +21,7 @@ public interface PatientWeightService extends IBaseService  {
 
     BaseResponse report(String id);
 
-    BaseResponse wxReport(String patientId, String hospitalId);
+    BaseResponse wxReport(String patientId);
 
     BaseResponse wxAddOrUpdate(PatientWeight patientWeight);
 }
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/PatientWeightServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/PatientWeightServiceImpl.java
index 3ba4025..d112207 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/PatientWeightServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/PatientWeightServiceImpl.java
@@ -245,8 +245,8 @@ public class PatientWeightServiceImpl extends BaseServiceImpl implements Patient
     }
 
     @Override
-    public BaseResponse wxReport(String patientId, String hospitalId) {
-        PatientWeight patientWeight = mongoTemplate.findOne(Query.query(Criteria.where("patientId").is(patientId).and("hospitalId").is(hospitalId)), PatientWeight.class);
+    public BaseResponse wxReport(String patientId) {
+        PatientWeight patientWeight = mongoTemplate.findOne(Query.query(Criteria.where("patientId").is(patientId).and("yn").ne("0")), PatientWeight.class);
         if(patientWeight != null) {
             Map<String, Object> map = new HashMap<>();
             map.put("beforeWeight", patientWeight.getBeforeWeight());
@@ -262,6 +262,12 @@ public class PatientWeightServiceImpl extends BaseServiceImpl implements Patient
         Patients patients = mongoTemplate.findById(patientWeight.getPatientId(), Patients.class);
         PatientWeight pw = mongoTemplate.findOne(Query.query(Criteria.where("patientId").is(patientWeight.getPatientId())), PatientWeight.class);
         Map<Integer, String> weights = new HashMap<>();
+        if(pw == null && StringUtils.isEmpty(patientWeight.getBeforeWeight())) {
+            return RespBuilder.buildErro(ResponseCode.NEED_ADD_PATIENT_WEIGHT);
+        }
+        if(pw != null && StringUtils.isNotEmpty(patientWeight.getBeforeWeight())) {
+            return RespBuilder.buildErro(ResponseCode.PATIENT_WEIGHT_IS_EXIST);
+        }
         if(pw != null) {
             if(MapUtils.isNotEmpty(pw.getWeights())) {
                 weights = pw.getWeights();