diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
index ccea6e3..4869e51 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BookbuildingFacade.java
@@ -1561,11 +1561,13 @@ public class BookbuildingFacade {
      */
     public BaseResponse updatePregnantById(String id, YunBookbuildingAddRequest yunRequest, Integer userId, boolean isSync) {
 
+        String hospitalId = autoMatchFacade.getHospitalId(userId);
+
         BaseResponse br = new BaseResponse();
         PatientsQuery patientsQuery = new PatientsQuery();
         patientsQuery.setYn(YnEnums.YES.getId());
         patientsQuery.setType(1);
-        patientsQuery.setHospitalId(yunRequest.getHospitalId());
+        patientsQuery.setHospitalId(hospitalId);
         patientsQuery.setBuildTypeEq(0);
         patientsQuery.setDueStatus(0);
 
@@ -1685,7 +1687,7 @@ public class BookbuildingFacade {
         //如果建档医生是空则创建医生
         if (StringUtils.isEmpty(patient.getLastCheckEmployeeId())){
 
-            Integer dockerId= usersService.getUserId(patient.getHospitalId(),yunRequest.getLastCheckEmployeeName());
+            Integer dockerId= usersService.getUserId(hospitalId,yunRequest.getLastCheckEmployeeName());
             if (dockerId!=null){
                 patient.setLastCheckEmployeeId(String.valueOf(dockerId));
             }else {
@@ -1694,7 +1696,7 @@ public class BookbuildingFacade {
                     Users users = new Users();
                     users.setType(UserTypeEnum.NORMAL_USER.getId());       //1普通用户
                     //users.setDeptId(deptId);
-                    users.setOrgId(Integer.valueOf(patient.getHospitalId()));
+                    users.setOrgId(Integer.valueOf(StringUtils.isNotEmpty(patient.getHospitalId())?patient.getHospitalId():hospitalId));
                     users.setName(yunRequest.getLastCheckEmployeeName());
                     users.setAccount(yunRequest.getLastCheckEmployeeName());
                     //users.setPhone(phone);