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 c5a6e12..98fab86 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
@@ -560,33 +560,44 @@ public class BookbuildingFacade {
         else if (!StringUtils.isEmpty(bookbuildingQueryRequest.getVcCardNo())) {
 
             patientsQuery.setVcCardNo(bookbuildingQueryRequest.getVcCardNo());
-
-            //区域模式
-            patientsQuery.setHospitalList(groupsFacade.findGroupHospital(userId, false));
-
-            List<Patients> patientsVc = yunBookbuildingService.queryPregnantWithQuery(patientsQuery);
-            if (CollectionUtils.isNotEmpty(patientsVc)) {
-                if (patientsVc.get(0) == null || StringUtils.isEmpty(patientsVc.get(0).getCardNo())) {
-                    patients = patientsVc;
-                } else {
-                    patientsQuery.setHospitalId(null);
-                    patientsQuery.setVcCardNo(null);
-                    patientsQuery.setCardNo(patientsVc.get(0).getCardNo());
-                    patients = yunBookbuildingService.queryPregnantWithQuery(patientsQuery, "bookbuildingDate", Sort.Direction.DESC);
-                }
+            patientsQuery.setHospitalId(autoMatchFacade.getHospitalId(userId));
+            //优先查询本院通过就诊卡
+            List<Patients> localPatients = yunBookbuildingService.queryPregnantWithQuery(patientsQuery);
+            patientsQuery.setHospitalId(null);
+            if (CollectionUtils.isNotEmpty(localPatients))
+            {
+                patients = localPatients;
             }
-            // 如果为空，初次建档，根据就诊卡号从HIS库取患者信息
-            else {
-                if ("2".equals(HIS_VERSION)) {
-                    typeMap.put("hisPatient", hisServiceV2.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
-                } else if ("3".equals(HIS_VERSION)) {
-                    typeMap.put("hisPatient", qingLongXianHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
-                } else if ("5".equals(HIS_VERSION)) {
-                    typeMap.put("hisPatient", fnfyHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
-                } else if ("4".equals(HIS_VERSION)) {
-                    typeMap.put("hisPatient", qhdfyHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
+            else
+            {
+                //区域模式
+                patientsQuery.setHospitalList(groupsFacade.findGroupHospital(userId, false));
+
+                List<Patients> patientsVc = yunBookbuildingService.queryPregnantWithQuery(patientsQuery);
+                if (CollectionUtils.isNotEmpty(patientsVc)) {
+                    if (patientsVc.get(0) == null || StringUtils.isEmpty(patientsVc.get(0).getCardNo())) {
+                        patients = patientsVc;
+                    } else {
+                        patientsQuery.setHospitalId(null);
+                        patientsQuery.setVcCardNo(null);
+                        patientsQuery.setCardNo(patientsVc.get(0).getCardNo());
+                        patients = yunBookbuildingService.queryPregnantWithQuery(patientsQuery, "bookbuildingDate", Sort.Direction.DESC);
+                    }
+                }
+                // 如果为空，初次建档，根据就诊卡号从HIS库取患者信息
+                else {
+                    if ("2".equals(HIS_VERSION)) {
+                        typeMap.put("hisPatient", hisServiceV2.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
+                    } else if ("3".equals(HIS_VERSION)) {
+                        typeMap.put("hisPatient", qingLongXianHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
+                    } else if ("5".equals(HIS_VERSION)) {
+                        typeMap.put("hisPatient", fnfyHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
+                    } else if ("4".equals(HIS_VERSION)) {
+                        typeMap.put("hisPatient", qhdfyHisService.getPatientInfoList(bookbuildingQueryRequest.getVcCardNo()));
+                    }
                 }
             }
+
         } else if (!StringUtils.isEmpty(bookbuildingQueryRequest.getId())) {
             // id，HuJiaqi添加，为了建档管理里面的查看单条使用
             patients.add(yunBookbuildingService.findOneById(bookbuildingQueryRequest.getId()));