diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/BabyAutoDiagnoseRiskController.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/BabyAutoDiagnoseRiskController.java
index 965fa70..37c33b5 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/BabyAutoDiagnoseRiskController.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/controller/BabyAutoDiagnoseRiskController.java
@@ -68,7 +68,24 @@ public class BabyAutoDiagnoseRiskController extends BaseController {
         }
         return new BaseResponse();
     }
-
+    /**
+     * 修改成确认状态 滦平版(通用)2021年
+     *
+     * @param autoBabyRiskRecord
+     * @return
+     */
+    @RequestMapping(method = RequestMethod.POST, value = "/updateStatusLpPub")
+    @ResponseBody
+    @TokenRequired
+    public BaseResponse updateStatusLpPub(@Valid @RequestBody AutoBabyRiskRecord autoBabyRiskRecord, HttpServletRequest httpServletRequest) {
+        LoginContext loginState = (LoginContext) httpServletRequest.getAttribute("loginContext");
+        //更新
+        if (autoBabyRiskRecord != null && !StringUtils.isEmpty(autoBabyRiskRecord.getId())) {
+            BaseResponse baseResponse = autoDiagnoseRiskFacade.updateStatusLpPub(autoBabyRiskRecord, loginState.getId());
+            return baseResponse;
+        }
+        return new BaseResponse();
+    }
 
 
 
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyAutoDiagnoseRiskFacade.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyAutoDiagnoseRiskFacade.java
index c91914e..527d347 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyAutoDiagnoseRiskFacade.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/facade/BabyAutoDiagnoseRiskFacade.java
@@ -855,7 +855,7 @@ public class BabyAutoDiagnoseRiskFacade {
 
 
     /**
-     * 修改成确认状态
+     * 修改成确认状态 秦皇岛版2020年
      *
      * @param autoBabyRiskRecord
      * @param userId
@@ -912,6 +912,12 @@ public class BabyAutoDiagnoseRiskFacade {
         return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
     }
 
+    /**
+     * 修改成确认状态 秦皇岛版2021年
+     * @param autoBabyRiskRecord
+     * @param userId
+     * @return
+     */
     public BaseResponse updateStatus(AutoBabyRiskRecord autoBabyRiskRecord, Integer userId) {
         //当前登录人医院Id
         String hospitalId = autoMatchFacade.getHospitalId(userId);
@@ -970,6 +976,78 @@ public class BabyAutoDiagnoseRiskFacade {
 
 
     }
+    /**
+     * 修改成确认状态 滦平版(通用)2021年
+     * @param autoBabyRiskRecord
+     * @param userId
+     * @return
+     */
+    public BaseResponse updateStatusLpPub(AutoBabyRiskRecord autoBabyRiskRecord, Integer userId) {
+
+        AutoBabyRiskRecord autoBabyRiskRecord1 = queryById(autoBabyRiskRecord.getId());
+        if(autoBabyRiskRecord1 ==null){
+            return new BaseResponse().setErrorcode(ErrorCodeConstants.NO_DATA).setErrormsg("没有数据");
+        }
+        //修改成确认状态后，修改最后一条检查诊断，或修改儿童建档诊断
+        BabyCheckModelQuery query = new BabyCheckModelQuery();
+        query.setYn(YnEnums.YES.getId());
+        query.setBuildId(autoBabyRiskRecord1.getBabyId());
+        List<BabyCheckModel> babyCheckModels = babyCheckService.queryBabyCheckRecord(query);
+
+        //儿童自动诊断高危转换listmap转liststring格式
+        List<String> list = new ArrayList<>();
+        getDiagnosisId(autoBabyRiskRecord1, list);
+
+        List<String> stringList = new ArrayList<>();
+        boolean bb = false;
+        if (CollectionUtils.isNotEmpty(babyCheckModels)) {
+            Set<String> setbabyModel = new HashSet<>();
+            BabyCheckModel babyCheckModel = babyCheckModels.get(0);
+            if(CollectionUtils.isNotEmpty(babyCheckModel.getHighRiskInfo())){
+                setbabyModel.addAll(babyCheckModel.getHighRiskInfo());//以前的高危
+            }
+
+            if (CollectionUtils.isNotEmpty(list)) {
+                setbabyModel.addAll(list);
+                BabyCheckModel model = new BabyCheckModel();
+                model.setHighRiskInfo(new ArrayList<>(setbabyModel));
+                model.setHighRisk(1);
+                model.setModified(new Date());
+                babyCheckService.updateBabyCheck(model, babyCheckModel.getId());
+            }
+        } else if (CollectionUtils.isEmpty(babyCheckModels)) {
+            Set<String> setbabyModel = new HashSet<>();
+            BabyModelQuery babyQuery = new BabyModelQuery();
+            babyQuery.setId(autoBabyRiskRecord1.getBabyId());
+            babyQuery.setYn(YnEnums.YES.getId());
+            List<BabyModel> models = babyBookbuildingService.queryBabyBuildByCond(babyQuery);
+            if (CollectionUtils.isNotEmpty(models)) {
+                bb = true;
+                BabyModel babyModel = models.get(0);
+                if(CollectionUtils.isNotEmpty(babyModel.getHighRiskInfo())){
+                    setbabyModel.addAll(babyModel.getHighRiskInfo());//以前的高危
+                }
+
+                if (CollectionUtils.isNotEmpty(list)) {
+                    setbabyModel.addAll(list);
+                    BabyModel model = new BabyModel();
+                    model.setHighRiskInfo(new ArrayList<>(setbabyModel));
+                    model.setHighRisk(1);
+                    model.setModified(new Date());
+                    babyBookbuildingService.updateBabyBuild(model, babyModel.getId());
+                }
+            }
+        }
+
+        if (autoBabyRiskRecord1 != null && autoBabyRiskRecord1.getId() != null && bb) {
+            mongoTemplate.updateFirst(new Query(Criteria.where("id").is(autoBabyRiskRecord1.getId())), Update.update("status", 1), AutoBabyRiskRecord.class);
+            return new BaseResponse().setErrorcode(ErrorCodeConstants.SUCCESS).setErrormsg("成功");
+        }else {
+            return new BaseResponse().setErrorcode(ErrorCodeConstants.NO_DATA).setErrormsg("儿童未建档");
+        }
+
+
+    }
 
     public BaseResponse saveLisBabyData(List<LisResultModelRequest> lisResultModelRequests) {