diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/ApplyOrderService.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/ApplyOrderService.java
index 37af2a3..6b9af26 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/ApplyOrderService.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/ApplyOrderService.java
@@ -50,6 +50,7 @@ public class ApplyOrderService {
 //        return iReferralApplyOrderDao.queryList(babyQuery.convertToQuery());
     }
     public SieveApplyOrderModel addOneSieveApplyOrder(SieveApplyOrderModel obj){
+        obj.setStatus(0);
         return iSieveApplyOrderDao.addApplyOrder(obj);
     }
     public List<SieveApplyOrderModel> querySieveApplyOrderWithQuery(SieveApplyOrderQuery sieveApplyOrderQuery){
diff --git a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
index a3626e7..cc38750 100644
--- a/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
+++ b/platform-biz-patient-service/src/main/java/com/lyms/platform/biz/service/PatientsService.java
@@ -16,6 +16,7 @@ import com.lyms.platform.pojo.SieveModel;
 import com.lyms.platform.query.AntExQuery;
 import com.lyms.platform.query.PatientsQuery;
 import com.lyms.platform.query.SieveApplyOrderQuery;
+import com.lyms.platform.query.SieveQuery;
 import org.apache.commons.collections.CollectionUtils;
 import org.apache.commons.lang.StringUtils;
 import org.apache.commons.lang.math.NumberUtils;
@@ -126,19 +127,20 @@ public class PatientsService {
             List<String> idList = new ArrayList<>();
             for (SieveApplyOrderModel orderModel : list) {
                 if (null != orderModel.getParentId()) {
-                    Patients patients=   iPatientDao.getPatient(orderModel.getId());
-                    if(null!=patients){
+                    Patients patients = iPatientDao.getPatient(orderModel.getId());
+                    if (null != patients) {
                         SieveModel sieveModel = convertToModel(patients);
                         sieveDao.addChanQianSieve(sieveModel);
                     }
                     idList.add(orderModel.getId());
                 }
             }
-            SieveApplyOrderModel sieveApplyOrderModel=new SieveApplyOrderModel();
+            SieveApplyOrderModel sieveApplyOrderModel = new SieveApplyOrderModel();
             sieveApplyOrderModel.setStatus(1);
-            for(String str:idList){
+            for (String str : idList) {
                 sieveApplyOrderModel.setId(str);
                 sieveApplyOrderModel.setModified(new Date());
+                sieveApplyOrderModel.setStatus(1);
                 iSieveApplyOrderDao.updateSieve(sieveApplyOrderModel);
             }
         }
@@ -181,9 +183,15 @@ public class PatientsService {
         @Override
         public void run() {
             LogUtil.taskInfo("add sieve PatientWorker job :" + getName() + " start.");
+            SieveQuery sieveQuery = new SieveQuery();
+            sieveQuery.setYn(YnEnums.YES.getId());
             for (Patients patient : patientses) {
-                SieveModel sieveModel = convertToModel(patient);
-                sieveDao.addChanQianSieve(sieveModel);
+                sieveQuery.setParentId(patient.getId());
+                List<SieveModel> list = sieveDao.queryList(sieveQuery.convertToQuery());
+                if (CollectionUtils.isEmpty(list)) {
+                    SieveModel sieveModel = convertToModel(patient);
+                    sieveDao.addChanQianSieve(sieveModel);
+                }
             }
             LogUtil.taskInfo("add sieve PatientWorker job :" + getName() + " end.costTime :" + (System.currentTimeMillis() - startTime) + " ms.");
         }
diff --git a/platform-dal/src/main/java/com/lyms/platform/pojo/SieveApplyOrderModel.java b/platform-dal/src/main/java/com/lyms/platform/pojo/SieveApplyOrderModel.java
index a1d072a..2502305 100644
--- a/platform-dal/src/main/java/com/lyms/platform/pojo/SieveApplyOrderModel.java
+++ b/platform-dal/src/main/java/com/lyms/platform/pojo/SieveApplyOrderModel.java
@@ -22,7 +22,7 @@ public class SieveApplyOrderModel {
     private String checkDate;
     //申请医生
     private String applyDoctor;
-    //标识是否同步过数据
+    //标识是否同步过数据  0 表示未同步  1表示已同步
     private Integer status;
     private Integer yn;