diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
index e030f16..aff6b9a 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/ApplyOrderFacade.java
@@ -69,23 +69,19 @@ public class ApplyOrderFacade {
 
     //添加回执单
     public BaseResponse addReferralReceipt(ReferralReceiptRequest referralReceipt) {
-        ReferralApplyOrderModel referralApplyOrderModel = applyOrderService.findByIdReferralApplyOrder(referralReceipt.getId());
+        ReferralApplyOrderModel referralApplyOrderModel = new ReferralApplyOrderModel();
         referralReceipt.convertToDataModel(referralApplyOrderModel);
         referralApplyOrderModel.setrRisk(queryRiskName(referralReceipt.getrRisk()));
         referralApplyOrderModel.setRiskFactorId(referralReceipt.getrRisk());
         int score = antenatalExaminationFacade.queryRisk(referralReceipt.getrRisk(), false).getScore();
         //高危评分
         referralApplyOrderModel.setScore(score);
-        if (StringUtils.isNotEmpty(referralApplyOrderModel.getId())) {
-            updataReferral(referralReceipt.getPatientId(),referralApplyOrderModel);
-            return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
-        } else {
-            return new BaseResponse().setErrorcode(ErrorCodeConstants.PARAMETER_ERROR).setErrormsg("错误");
-        }
+        updataReferral(referralReceipt.getPatientId(), referralApplyOrderModel);
+        return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
     }
 
     //同步更新两条转诊记录信息
-    public void updataReferral(String patientId,ReferralApplyOrderModel referralApplyModel){
+    public void updataReferral(String patientId, ReferralApplyOrderModel referralApplyModel) {
         Patients patients = patientsService.findOnePatientById(patientId);
         ReferralApplyOrderQuery referralApplyOrderQuery = new ReferralApplyOrderQuery();
         referralApplyOrderQuery.setParentId(patientId);
@@ -102,13 +98,6 @@ public class ApplyOrderFacade {
             referralApplyOrderQuery1.setTransferredHospital(patients.getHospitalId());
             referralApplyOrderQuery1.setPid(patients.getPid());
             applyOrderService.updateByParentId(referralApplyOrderQuery1, referralApplyModel);
-
-            //查询转出申请单
-            ReferralApplyOrderQuery referralApplyOrderQuery2 = new ReferralApplyOrderQuery();
-            referralApplyOrderQuery2.setOutHospitalId(patients.getHospitalId());
-            referralApplyOrderQuery2.setTransferredHospital(outHospitalId);
-            referralApplyOrderQuery2.setPid(patients.getPid());
-            applyOrderService.updateByParentId(referralApplyOrderQuery2, referralApplyModel);
         }
     }
 
@@ -522,14 +511,14 @@ public class ApplyOrderFacade {
             referralApplyOrderResult.setScreenResult(screenList);
 
 
-            Map<String,Object> recDoctorMap = new HashMap<>();
+            Map<String, Object> recDoctorMap = new HashMap<>();
             //接诊医生
             if (NumberUtils.isNumber(referralApplyOrderModel.getRecDoctor())) {
-                recDoctorMap.put("id",referralApplyOrderModel.getRecDoctor());
+                recDoctorMap.put("id", referralApplyOrderModel.getRecDoctor());
                 Users users = usersService.getUsers(NumberUtils.toInt(referralApplyOrderModel.getRecDoctor()));
                 if (null != users) {
-                    recDoctorMap.put("id",users.getId());
-                    recDoctorMap.put("name",users.getName());
+                    recDoctorMap.put("id", users.getId());
+                    recDoctorMap.put("name", users.getName());
                     referralApplyOrderResult.setRecDoctor(recDoctorMap);
                 }
             }
@@ -908,7 +897,7 @@ public class ApplyOrderFacade {
                 }
                 applyOrderResult.setrLevel(rLevel);
                 Patients patients = patientsService.findOnePatientById(orderModel.getParentId());
-                if(patients!=null){
+                if (patients != null) {
                     //筛查结果数据
                     String screenStr = basicConfigService.getScreenResult(patients.getScreenResult());
                     applyOrderResult.setScreenResult(screenStr);
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/ReferralReceiptRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/ReferralReceiptRequest.java
index e22d61a..0917c1d 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/ReferralReceiptRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/ReferralReceiptRequest.java
@@ -77,7 +77,6 @@ public class ReferralReceiptRequest {
      * @return 转换后的model
      */
     public void convertToDataModel(ReferralApplyOrderModel referralApplyOrderModel) {
-        referralApplyOrderModel.setId(id);
         referralApplyOrderModel.setrRisk(rRisk);
         if (null != diagnosis) {
             referralApplyOrderModel.setDiagnosis(JsonUtil.array2JsonString(diagnosis));