diff --git a/platform-biz-service/src/main/java/com/lyms/platform/permission/model/PatientService.java b/platform-biz-service/src/main/java/com/lyms/platform/permission/model/PatientService.java
index 07984a0..3d2c129 100644
--- a/platform-biz-service/src/main/java/com/lyms/platform/permission/model/PatientService.java
+++ b/platform-biz-service/src/main/java/com/lyms/platform/permission/model/PatientService.java
@@ -1,6 +1,8 @@
 package com.lyms.platform.permission.model;
 
 import java.util.Date;
+import java.util.List;
+import java.util.Map;
 
 public class PatientService {
 
@@ -18,9 +20,9 @@ public class PatientService {
      */
     private Integer serType;
     /**
-     * 服务类型(1-孕期精准医疗、2-体重管理、3-血糖管理、4-血压管理、5-专家咨询、6-标准服务)
+     * 服务信息
      */
-    private String serTypes;
+    private List<Map<String,String>> serInfos;
     /**
      * 指定医生
      */
@@ -106,12 +108,12 @@ public class PatientService {
         this.orderId = orderId;
     }
 
-    public String getSerTypes() {
-        return serTypes;
+    public List<Map<String, String>> getSerInfos() {
+        return serInfos;
     }
 
-    public void setSerTypes(String serTypes) {
-        this.serTypes = serTypes;
+    public void setSerInfos(List<Map<String, String>> serInfos) {
+        this.serInfos = serInfos;
     }
 
     public Date getBackDate() {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientServiceController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientServiceController.java
index 422ef2a..f067468 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientServiceController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientServiceController.java
@@ -176,14 +176,8 @@ public class PatientServiceController extends BaseController {
             return baseResponse;
         }
         //serType服务类型(1-高危精准指导、2-体重、3-血糖、4-血压、5-专家咨询)
-        if(ps.getSerTypes()==null){
-            baseResponse.setErrormsg("请传入serTypes");
-            baseResponse.setErrorcode(ErrorCodeConstants.PARAMETER_ERROR);
-            return baseResponse;
-        }
-        //指定医生
-        if(ps.getSerDoct()==null){
-            baseResponse.setErrormsg("请传入serDoct");
+        if(ps.getSerInfos()==null){
+            baseResponse.setErrormsg("请传入serInfos");
             baseResponse.setErrorcode(ErrorCodeConstants.PARAMETER_ERROR);
             return baseResponse;
         }
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
index 8c83026..eaa931b 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientMarkHospServiceFacade.java
@@ -1048,6 +1048,7 @@ public class PatientMarkHospServiceFacade {
         } else if (patientMarkRequest.getType() == 3) {//3-住院提醒
             //回院提醒状态为已提醒
             patientMarkHospQuery.setBackStatus(2);
+            patientMarkHospQuery.setIsReality(patientMarkRequest.getIsReality());
             patientMarkHospQuery.setBackResult(1);
             patientMarkHospQuery.setInHospitResult(patientMarkRequest.getResult());
             if (patientMarkRequest.getFailure() != null) {
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
index 28a7db6..42b8e45 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientServiceFacade.java
@@ -128,15 +128,16 @@ public class PatientServiceFacade {
     public BaseResponse addPatientService(PatientService ps, Integer id) throws Exception {
         //根据用户id获取医院ID
         String hospitalId = autoMatchFacade.getHospitalId(id);
-        String[] serTypes = ps.getSerTypes().split(",");
+        List<Map<String,String>> serInfos = ps.getSerInfos();
+
         List<PatientService> patientServiceList = new ArrayList<>();
-        for (String psType : serTypes) {
+        for (Map<String,String> serInfo : serInfos) {
             //先根据孕妇id和开通服务类型、开通医生进行查询，如果已经开通过则开通失败
             PatientServiceQuery patientQuery = new PatientServiceQuery();
             patientQuery.setHospitalId(hospitalId);
             patientQuery.setParentid(ps.getParentid());
-            patientQuery.setSerType(Integer.parseInt(psType));
-            patientQuery.setSerDoct(ps.getSerDoct());
+            patientQuery.setSerType(Integer.parseInt(serInfo.get("serType")));
+
 
             List<PatientService> patientServices = patientServiceService.queryPatientService(patientQuery);
             if (CollectionUtils.isNotEmpty(patientServices)) {
@@ -153,7 +154,10 @@ public class PatientServiceFacade {
             //默认开通状态
             ps.setSerStatus(PatientSerEnums.SerStatusEnums.kt.getId());
             //服务类型
-            ps.setSerType(Integer.parseInt(psType));
+            ps.setSerType(Integer.parseInt(serInfo.get("serType")));
+            if(serInfo.containsKey(serInfo.get("serDoct"))){
+                ps.setSerDoct(serInfo.get("serDoct"));
+            }
             //默认已经领取
             ps.setStatus(2);
             //默认待同步
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientMarkRequest.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientMarkRequest.java
index cce910a..2b22788 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientMarkRequest.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/request/PatientMarkRequest.java
@@ -45,6 +45,18 @@ public class PatientMarkRequest extends BasePageQueryRequest {
      * 查询号
      */
     private String queryNo;
+    /**
+     * 是否实际住院 1-是，2-否
+     */
+    private Integer isReality;
+
+    public Integer getIsReality() {
+        return isReality;
+    }
+
+    public void setIsReality(Integer isReality) {
+        this.isReality = isReality;
+    }
 
     public String getQueryNo() {
         return queryNo;