diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
index 9b46f9a..88ea678 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/PostReviewFacade.java
@@ -89,31 +89,12 @@ public class PostReviewFacade {
                 postReviewRequest.setParentId(parentId);
             }
         }
-
-        //获取数据
+        postReviewModel.setOperator(userId);
         Patients patients1 = patientsService.findOnePatientById(postReviewRequest.getParentId());
 
-        postReviewModel.setOperator(userId);
-        //判断是否是同一个医院
-        if (!patients1.getHospitalId().equals(hospital)) {
+        autoCreatedPatient(postReviewRequest,hospital,groupId);
 
-            if(StringUtils.isNotEmpty(groupId)){
-                patients1.setEnable("2");
-            }
-            patients1.setId(null);
-            patients1.setHospitalId(hospital);
-            patients1.setBuildType(0);
-            patients1.setBookbuildingDoctor(postReviewModel.getProdDoctor());
-            patients1.setBookbuildingDate(DateUtil.parseYMD(postReviewRequest.getCheckTime()));
-            patients1.setVcCardNo(null);
-            patients1.setMremark(null);
-            patients1.setFileCode(null);
-            patients1.setServiceType(ServiceTypeEnums.STANDARD_SERVICE.getId());
-            patients1.setServiceStatus(ServiceStatusEnums.STANDARD_OPEN.getId());
-            patientsService.addPatient(patients1);
-        }
         if (StringUtils.isEmpty(postReviewRequest.getId())) {
-
             postReviewModel.setYn(YnEnums.YES.getId());
             postReviewModel.setHospitalId(hospital);
             Patients patients = patientsService.findOnePatientById(postReviewRequest.getParentId());
@@ -122,8 +103,6 @@ public class PostReviewFacade {
             if (StringUtils.isNotEmpty(postReviewRequest.getDueDate())) {
                 patients.setFmDate(DateUtil.parseYMD(postReviewRequest.getDueDate()));
                 patients.setType(3);
-//                patients.setEnable("1");
-
                 patients.setBuildType(0);
                 patientsService.updatePatient(patients);
             }
@@ -142,37 +121,10 @@ public class PostReviewFacade {
                 patients2.setId(patients1.getId());
                 patientsService.updatePatient(patients2);
             }
-
+            syncMaster(patients.getId());
             patientsService.updateNextCheckTime(patients.getId(), postReviewRequest.getNextCheckTime());
 
-            if (null != patients.getBuildType() && patients.getBuildType() == 3) {
-                ReferralApplyOrderQuery referralApplyOrderQuery = new ReferralApplyOrderQuery();
-                referralApplyOrderQuery.setParentId(patients.getId());
-                referralApplyOrderQuery.setHospitalId(hospital);
-                referralApplyOrderQuery.setStatus(1);
-                List<ReferralApplyOrderModel> orderModelList = applyOrderService.queryReferralApplyOrderWithQuery(referralApplyOrderQuery);
-                if (CollectionUtils.isNotEmpty(orderModelList)) {
-                    String outHospitalId = orderModelList.get(0).getOutHospitalId();
-                    ReferralApplyOrderQuery referralApplyOrderQuery1 = new ReferralApplyOrderQuery();
-                    referralApplyOrderQuery1.setOutHospitalId(outHospitalId);
-                    referralApplyOrderQuery1.setTransferredHospital(hospital);
-                    referralApplyOrderQuery1.setPid(patients.getPid());
-
-                    ReferralApplyOrderModel model = new ReferralApplyOrderModel();
-                    //设置接收时间
-                    model.setReceived(DateUtil.parseYMD(postReviewRequest.getCheckTime()));
-                    model.setRecDoctor(postReviewRequest.getProdDoctor());
-                    model.setModified(new Date());
-                    model.setStatus(2);
-                    applyOrderService.updateByParentId(referralApplyOrderQuery1, model);
-
-                    ReferralApplyOrderQuery referralApplyOrderQuery2 = new ReferralApplyOrderQuery();
-                    referralApplyOrderQuery2.setOutHospitalId(hospital);
-                    referralApplyOrderQuery2.setTransferredHospital(outHospitalId);
-                    referralApplyOrderQuery2.setPid(patients.getPid());
-                    applyOrderService.updateByParentId(referralApplyOrderQuery2, model);
-                }
-            }
+            handlApplyOrder(patients,hospital,postReviewRequest);
 
         } else {
             Patients patients = patientsService.findOnePatientById(postReviewRequest.getParentId());
@@ -186,6 +138,86 @@ public class PostReviewFacade {
         return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
     }
 
+    private void autoCreatedPatient(PostReviewRequest postReviewRequest,String hospital,String groupId){
+        //获取数据
+        Patients patients1 = patientsService.findOnePatientById(postReviewRequest.getParentId());
+
+        //判断是否是同一个医院
+        if (!patients1.getHospitalId().equals(hospital)) {
+
+            if(StringUtils.isNotEmpty(groupId)){
+                patients1.setEnable("2");
+            }
+            patients1.setId(null);
+            patients1.setHospitalId(hospital);
+            patients1.setBuildType(0);
+            patients1.setBookbuildingDoctor(postReviewRequest.getProdDoctor());
+            patients1.setBookbuildingDate(DateUtil.parseYMD(postReviewRequest.getCheckTime()));
+            patients1.setVcCardNo(null);
+            patients1.setMremark(null);
+            patients1.setFileCode(null);
+            patients1.setServiceType(ServiceTypeEnums.STANDARD_SERVICE.getId());
+            patients1.setServiceStatus(ServiceStatusEnums.STANDARD_OPEN.getId());
+            patientsService.addPatient(patients1);
+        }
+    }
+
+
+    /**
+     * 修改转诊申请
+     *
+     * @param patients
+     * @param hospital
+     * @param postReviewRequest
+     */
+    private void handlApplyOrder(Patients patients,String hospital,PostReviewRequest postReviewRequest){
+        if (null != patients.getBuildType() && patients.getBuildType() == 3) {
+            ReferralApplyOrderQuery referralApplyOrderQuery = new ReferralApplyOrderQuery();
+            referralApplyOrderQuery.setParentId(patients.getId());
+            referralApplyOrderQuery.setHospitalId(hospital);
+            referralApplyOrderQuery.setStatus(1);
+            List<ReferralApplyOrderModel> orderModelList = applyOrderService.queryReferralApplyOrderWithQuery(referralApplyOrderQuery);
+            if (CollectionUtils.isNotEmpty(orderModelList)) {
+                String outHospitalId = orderModelList.get(0).getOutHospitalId();
+                ReferralApplyOrderQuery referralApplyOrderQuery1 = new ReferralApplyOrderQuery();
+                referralApplyOrderQuery1.setOutHospitalId(outHospitalId);
+                referralApplyOrderQuery1.setTransferredHospital(hospital);
+                referralApplyOrderQuery1.setPid(patients.getPid());
+
+                ReferralApplyOrderModel model = new ReferralApplyOrderModel();
+                //设置接收时间
+                model.setReceived(DateUtil.parseYMD(postReviewRequest.getCheckTime()));
+                model.setRecDoctor(postReviewRequest.getProdDoctor());
+                model.setModified(new Date());
+                model.setStatus(2);
+                applyOrderService.updateByParentId(referralApplyOrderQuery1, model);
+
+                ReferralApplyOrderQuery referralApplyOrderQuery2 = new ReferralApplyOrderQuery();
+                referralApplyOrderQuery2.setOutHospitalId(hospital);
+                referralApplyOrderQuery2.setTransferredHospital(outHospitalId);
+                referralApplyOrderQuery2.setPid(patients.getPid());
+                applyOrderService.updateByParentId(referralApplyOrderQuery2, model);
+            }
+        }
+    }
+
+    //当非建档医院修改初诊信息时,需要同步给建档医院
+    private void syncMaster(String parentId) {
+
+        //当前非建档医院最新的状态
+        Patients patients = patientsService.findOnePatientById(parentId);
+
+        if (StringUtils.isNotEmpty(patients.getSource())) {
+            Patients masterPatients = patientsService.findOnePatientById(patients.getSource());
+
+            masterPatients.setNextCheckTime(patients.getNextCheckTime());
+            masterPatients.setFmDate(patients.getFmDate());
+            masterPatients.setLastCheckEmployeeId(patients.getLastCheckEmployeeId());
+            patientsService.updatePatient(masterPatients);
+        }
+    }
+
+
     /**
      * 1、当前孕妇在系统中的本次妊娠期处于未分娩/已终止妊娠或在结束上次妊娠期后再次新增了建档，不管该孕妇在本院是否建档，点击查询时提示当前用户未分娩，不能进行复查
      * <p/>