diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientMarkHospitalController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientMarkHospitalController.java
index 17b9321..3032863 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientMarkHospitalController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/PatientMarkHospitalController.java
@@ -4,15 +4,13 @@ import com.lyms.platform.common.annotation.TokenRequired;
 import com.lyms.platform.common.base.BaseController;
 import com.lyms.platform.common.base.LoginContext;
 import com.lyms.platform.common.result.BaseResponse;
+import com.lyms.platform.common.utils.StringUtils;
 import com.lyms.platform.operate.web.facade.PatientMarkHospServiceFacade;
 import com.lyms.platform.operate.web.request.PatientMarkRequest;
 import com.lyms.platform.permission.model.PatientMarkHospital;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Controller;
-import org.springframework.web.bind.annotation.PathVariable;
-import org.springframework.web.bind.annotation.RequestMapping;
-import org.springframework.web.bind.annotation.RequestMethod;
-import org.springframework.web.bind.annotation.ResponseBody;
+import org.springframework.web.bind.annotation.*;
 
 import javax.servlet.http.HttpServletRequest;
 
@@ -69,7 +67,11 @@ public class PatientMarkHospitalController extends BaseController {
     @TokenRequired
     public BaseResponse create(PatientMarkHospital patientMarkHospital, HttpServletRequest request) {
         LoginContext loginState = (LoginContext) request.getAttribute("loginContext");
-        return patientMarkHospFacade.addPatientMarkHospital(patientMarkHospital, loginState.getId());
+        if(StringUtils.isNotEmpty(patientMarkHospital.getId())){
+            return patientMarkHospFacade.updatePatientMarkHospital(patientMarkHospital, 1, loginState.getId());
+        }else{
+            return patientMarkHospFacade.addPatientMarkHospital(patientMarkHospital, loginState.getId());
+        }
     }
 
     /**
@@ -100,4 +102,17 @@ public class PatientMarkHospitalController extends BaseController {
     public BaseResponse findOnePatientMarkHospital(@PathVariable String id) {
         return patientMarkHospFacade.findOnePatientMarkHospital(id);
     }
+
+    /**
+     * 根据Id获取开通记录信息
+     *
+     * @param patientId 开通服务id
+     * @return
+     */
+    @ResponseBody
+    @TokenRequired
+    @RequestMapping(value = "/get", method = RequestMethod.GET)
+    public BaseResponse findOneMarkHospByPatientId(String patientId) {
+        return patientMarkHospFacade.findOneMarkHospByPatientId(patientId);
+    }
 }
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 0e6d016..15bfe8d 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
@@ -510,4 +510,18 @@ public class PatientMarkHospServiceFacade {
         }
     }
 
+    public BaseResponse findOneMarkHospByPatientId(String patientId) {
+        BaseResponse baseResponse = new BaseResponse();
+        PatientMarkHospitalQuery patientMarkHospQuery = new PatientMarkHospitalQuery();
+        patientMarkHospQuery.setPatientId(patientId);
+
+        List<PatientMarkHospital> patientMarkHospitals = patientMarkHospitalService.queryPatientMarkHospital(patientMarkHospQuery);
+        if (CollectionUtils.isNotEmpty(patientMarkHospitals)) {
+            PatienMarkHospResult PatienMarkHospResult = convertToResult(patientMarkHospitals.get(0));
+            baseResponse.setObject(PatienMarkHospResult);
+        }
+        baseResponse.setErrorcode(ErrorCodeConstants.SUCCESS);
+        baseResponse.setErrormsg("成功");
+        return baseResponse;
+    }
 }