diff --git a/platform-dal/src/main/java/com/lyms/platform/query/PatientsQuery.java b/platform-dal/src/main/java/com/lyms/platform/query/PatientsQuery.java
index f7fad35..7292124 100644
--- a/platform-dal/src/main/java/com/lyms/platform/query/PatientsQuery.java
+++ b/platform-dal/src/main/java/com/lyms/platform/query/PatientsQuery.java
@@ -122,6 +122,8 @@ public class PatientsQuery extends BaseQuery implements IConvertToNativeQuery {
     private String cityId;
     private String areaId;
     private String streetId;
+
+
     //医院id
     private List<String> hospitalList;
 
@@ -406,6 +408,28 @@ public class PatientsQuery extends BaseQuery implements IConvertToNativeQuery {
     //秦皇岛定制字段：是否产筛 0：未产筛   1：已产筛
     public Integer productionSieveType;
 
+    //1 本县嫁外县  2 外县嫁本县
+    private Integer wqxType;
+
+
+    private String currentAreaId;
+
+    public String getCurrentAreaId() {
+        return currentAreaId;
+    }
+
+    public void setCurrentAreaId(String currentAreaId) {
+        this.currentAreaId = currentAreaId;
+    }
+
+    public Integer getWqxType() {
+        return wqxType;
+    }
+
+    public void setWqxType(Integer wqxType) {
+        this.wqxType = wqxType;
+    }
+
     public Integer getProductionSieveType() {
         return productionSieveType;
     }
@@ -590,6 +614,19 @@ public class PatientsQuery extends BaseQuery implements IConvertToNativeQuery {
             condition = condition.orCondition(new MongoCondition[]{con1, con});
         }
 
+        //1 本县嫁外县  2 外县嫁本县
+//        private Integer wqxType;
+        if (null != wqxType && wqxType == 1) {
+            hospitalId = null;
+            condition = condition.and("areaId", currentAreaId, MongoOper.IS);
+            condition = condition.and("areaRegisterId", currentAreaId, MongoOper.NE);
+        }
+
+        if (null != wqxType && wqxType == 2) {
+            hospitalId = null;
+            condition = condition.and("areaId", currentAreaId, MongoOper.NE);
+            condition = condition.and("areaRegisterId", currentAreaId, MongoOper.IS);
+        }
 
         if (null != pcensusTypeId) {
             condition = condition.and("pcensusTypeId", pcensusTypeId, MongoOper.IS);
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index 5dda91a..aa390f8 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -2614,7 +2614,12 @@ public class PatientFacade extends BaseServiceImpl {
     public PatientManagerResult patientManager(PatientManagerRequest patientManagerRequest) {
         PatientManagerResult patientManagerResult = new PatientManagerResult();
         String hospitalId = autoMatchFacade.getHospitalId(patientManagerRequest.getOperatorId());
+
+        Organization organization = organizationService.getOrganization(Integer.parseInt(hospitalId));
+
         PatientsQuery patientsQuery = new PatientsQuery();
+        patientsQuery.setCurrentAreaId(organization.getAreaId());
+        patientsQuery.setWqxType(patientManagerRequest.getWqxType());
 
         //孕产建档管理-初诊医生 是否 条件查询
         if(StringUtils.isNotEmpty(patientManagerRequest.getProdDoctor())){
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientManagerRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientManagerRequest.java
index 9e79ed4..1abefb2 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientManagerRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientManagerRequest.java
@@ -139,6 +139,18 @@ public class PatientManagerRequest extends BasePageQueryRequest {
     //预约下次检查时间
     private String nextCheckTime;
 
+    //1 本县嫁外县  2 外县嫁本县
+    private Integer wqxType;
+
+
+    public Integer getWqxType() {
+        return wqxType;
+    }
+
+    public void setWqxType(Integer wqxType) {
+        this.wqxType = wqxType;
+    }
+
     public Integer getDueStatus() {
         return dueStatus;
     }