diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
index c6ff6da..edf3c4b 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PatientFacade.java
@@ -429,35 +429,6 @@ public class PatientFacade {
             }
             patientsQuery.setHospitalList(hospitalList);
 
-            //根据疾病进行查询
-            if (StringUtils.isNotEmpty(riskPatientsQueryRequest.getDiseaseType())) {
-                MongoCondition criteria = new MongoCondition("hospitalId", hospitalList, MongoOper.IN);
-                //乙肝查询
-                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.YIGAN.getId())) {
-                    criteria = criteria.and("ygbmky", true, MongoOper.EXISTS).orCondition(
-                            new MongoCondition[]{new MongoCondition("ygbmkt", true, MongoOper.EXISTS),
-                                    new MongoCondition("ygeky", true, MongoOper.EXISTS),
-                                    new MongoCondition("ygekt", true, MongoOper.EXISTS),
-                                    new MongoCondition("yghxkt", true, MongoOper.EXISTS)
-                            });
-                }
-                //丙肝查询
-                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.BINGGAN.getId())) {
-                    criteria = criteria.and("bg", true, MongoOper.EXISTS);
-                }
-                //梅毒查询
-                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.MEIDU.getId())) {
-                    criteria = criteria.andCondition(new MongoCondition("syjg", true, MongoOper.EXISTS)
-                            .orCondition(new MongoCondition("hivkt", true, MongoOper.EXISTS)));
-                }
-                List<AntExChuModel> antExChuModels = antExService.queryAntExChu(criteria.toMongoQuery());
-                List<String> pIds = new ArrayList<>();
-                for (AntExChuModel antChu : antExChuModels) {
-                    pIds.add(antChu.getPid());
-                }
-                patientsQuery.setpIds(pIds);
-            }
-
             fmHospitalList.addAll(hospitalList);
 
             if (com.lyms.platform.common.utils.StringUtils.isNotEmpty(riskPatientsQueryRequest.getFprovinceId())) {
@@ -488,16 +459,47 @@ public class PatientFacade {
                     patientsQuery.setFmHospitalList(fmHospitalList);
                 }
             }
-
-
         } else {
 
             patientsQuery.setFmHospital(riskPatientsQueryRequest.getFmHospital());
-
             String hospital = autoMatchFacade.getHospitalId(userId);
             if (null != hospital) {
                 patientsQuery.setHospitalId(hospital);
             }
+
+
+            //根据疾病进行查询
+            if (StringUtils.isNotEmpty(riskPatientsQueryRequest.getDiseaseType())) {
+                MongoCondition criteria = new MongoCondition("hospitalId", hospital, MongoOper.IS);
+
+                List<MongoCondition> mongoCondits = new ArrayList<>();
+                //乙肝查询
+                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.YIGAN.getId())) {
+                    mongoCondits.add(new MongoCondition("ygbmky", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("ygbmkt", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("ygeky", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("ygekt", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("yghxkt", true, MongoOper.EXISTS));
+                }
+                //丙肝查询
+                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.BINGGAN.getId())) {
+                    mongoCondits.add(new MongoCondition("bg", true, MongoOper.EXISTS));
+                }
+                //梅毒查询
+                if (StringUtils.contains(riskPatientsQueryRequest.getDiseaseType(), DiseaseTypeEnums.MEIDU.getId())) {
+                    mongoCondits.add(new MongoCondition("syjg", true, MongoOper.EXISTS));
+                    mongoCondits.add(new MongoCondition("hivkt", true, MongoOper.EXISTS));
+                }
+
+                criteria = criteria.orCondition(mongoCondits.toArray(new MongoCondition[mongoCondits.size()]));
+
+                List<AntExChuModel> antExChuModels = antExService.queryAntExChu(criteria.toMongoQuery());
+                List<String> pIds = new ArrayList<>();
+                for (AntExChuModel antChu : antExChuModels) {
+                    pIds.add(antChu.getPid());
+                }
+                patientsQuery.setpIds(pIds);
+            }
            /* boolean result  = autoMatchFacade.checkBStatus(userId);
             if(!result){
                 patientsQuery.setEnable("0");