diff --git a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
index 1abbbed..cf23b0e 100644
--- a/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
+++ b/talkonlineweb/src/main/java/com/lyms/talkonlineweb/controller/PatientController.java
@@ -1227,12 +1227,27 @@ public class PatientController {
     public BaseResponse bookbuildingPatient(@RequestBody LymsPatient patient) {
         BaseResponse baseResponse = new BaseResponse();
         try {
+            QueryWrapper<LymsPatient> queryWrapper=new QueryWrapper<>();
+            queryWrapper.lambda().eq(LymsPatient::getIdno, patient.getIdno());
+            List<LymsPatient> patientList = lymsPatientService.list(queryWrapper);
             if(null==patient.getId()) {
+                if (0<patientList.size()) {
+                    baseResponse.setErrorcode(1);
+                    baseResponse.setErrormsg("身份证已注册，请查询档案信息。");
+                    return baseResponse;
+                }
                 patient.setPpasswd(DigestUtils.md5DigestAsHex("123456".getBytes()));
+            }else {
+                LymsPatient lymsPatient = lymsPatientService.getById(patient.getId());
+                if(0<patientList.size() && ! patientList.get(0).getIdno().equals(lymsPatient.getIdno())){
+                    baseResponse.setErrorcode(1);
+                    baseResponse.setErrormsg("身份证已注册，请查询档案信息。");
+                    return baseResponse;
+                }
             }
             boolean f = lymsPatientService.saveOrUpdate(patient);
             baseResponse.setErrorcode(f?0:1);
-            baseResponse.setErrormsg(f?"注册成功！":"注册失败！");
+            baseResponse.setErrormsg(f?(null==patient.getId()?"注册成功！":"修改成功"):(null==patient.getId()?"注册成功！":"修改成功"));
         } catch (Exception e) {
             e.printStackTrace();
         }