diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientDtController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientDtController.java
index 318cd26..65f4891 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientDtController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientDtController.java
@@ -622,7 +622,7 @@ public class PatientDtController extends BaseController {
         return antenatalExaminationFacade.addPatientNipt(patientNiptDTO,userId);
     }
     //大同需要特殊处理的护士名称
-    private static final String doctors="孙慧洁,曹琴,温燕芳,牛冬燕,王改然,杜文瑞,习亚美,卫娜,施春花,胡雪娇,田保来";
+    private static final String doctors="孙慧洁,曹琴,温燕芳,牛冬燕,王改然,杜文瑞,习亚美,卫娜,施春花,胡雪娇,田保来,石海燕";
 
     /**
      * 预约挂号列表查询
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MedicalRecordFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MedicalRecordFacade.java
index eeb3b66..83df007 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MedicalRecordFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MedicalRecordFacade.java
@@ -128,6 +128,7 @@ public class MedicalRecordFacade {
             patient.setPid(personModel.getId());
         }
         patient.setOperator(userId);
+        patient.setDtFm(0);
         patient.setBirth(DateUtil.parseYMD(DateUtil.getBirthFromIdCard(medicalRecordVo.getCardNo())));
         patient.setCreated(new Date());
         patient.setModified(new Date());