diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MatDeliverFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MatDeliverFacade.java
index 02f2ea4..47510e3 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MatDeliverFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/MatDeliverFacade.java
@@ -1735,7 +1735,7 @@ public class MatDeliverFacade {
             //默认添加当前医院
             hospitalList.add(hospitalId);
 
-            DataPermissionsModelQuery dataPermissionsModelQuery = new DataPermissionsModelQuery();
+            /*DataPermissionsModelQuery dataPermissionsModelQuery = new DataPermissionsModelQuery();
             dataPermissionsModelQuery.setUserId(matdeliverFollowRequest.getOperatorId());
             List<DataPermissionsModel> dataPermissionsModelList = dataPermissionService.queryPermission(dataPermissionsModelQuery);
             if (CollectionUtils.isNotEmpty(dataPermissionsModelList)) {
@@ -1745,7 +1745,7 @@ public class MatDeliverFacade {
                         hospitalList.add(hosId.toString());
                     }
                 }
-            }
+            }*/
             // 未传入查询条件,进行院内系统进行查询
             if (StringUtils.isNotEmpty(matdeliverFollowRequest.getHospitalProvinceId()) || StringUtils.isNotEmpty(matdeliverFollowRequest.getHospitalCityId()) || StringUtils.isNotEmpty(matdeliverFollowRequest.getHospitalAreaId())) {
                 // 传入了查询条件
@@ -1925,6 +1925,22 @@ public class MatDeliverFacade {
         }
 
 
+        List<String> currentParentIdList = matDeliverQuery.getParentIdList();
+
+        List<String> townOrgIds = new ArrayList<>();
+
+        List<Patients> patients1 = mongoTemplate.find(Query.query(Criteria.where("yn").is(YnEnums.YES.getId()).and("fmHospital").exists(true).
+                orOperator(Criteria.where("townOrgId").is(hospitalId), Criteria.where("townOrgId").exists(false))), Patients.class);
+        for (Patients p : patients1) {
+            townOrgIds.add(p.getId());
+        }
+
+        if (CollectionUtils.isEmpty(currentParentIdList)) {
+            currentParentIdList = townOrgIds;
+        } else {
+            currentParentIdList.retainAll(townOrgIds);
+        }
+        matDeliverQuery.setParentIdList(currentParentIdList);
         if (StringUtils.isNotEmpty(matdeliverFollowRequest.getNeed())) {//是否分页
             matDeliverQuery.setNeed("need");
             matDeliverQuery.setLimit(matdeliverFollowRequest.getLimit());