diff --git a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordDetailVO.java b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordDetailVO.java
index 90d7df5..04600e5 100644
--- a/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordDetailVO.java
+++ b/sa-admin/src/main/java/net/lab1024/sa/admin/module/app/medicalrecord/domain/MedicalRecordDetailVO.java
@@ -8,6 +8,7 @@ import net.lab1024.sa.common.common.enumeration.GenderEnum;
 import net.lab1024.sa.common.common.swagger.ApiModelPropertyEnum;
 import net.lab1024.sa.common.common.validator.enumeration.CheckEnum;
 
+import javax.validation.constraints.NotBlank;
 import javax.validation.constraints.NotNull;
 import java.time.LocalDateTime;
 import java.util.List;
@@ -127,24 +128,6 @@ public class MedicalRecordDetailVO {
     @ApiModelProperty(value = "最后一次治疗后 直接胆红素 ", required = true)
     private String lastDb;
 
-    /**
-     * 治疗前 间接胆红素(umol/L)
-     */
-    @ApiModelProperty(value = "治疗前 间接胆红素", required = true)
-    private String headIb;
-
-    /**
-     * 治疗后 间接胆红素(umol/L)
-     */
-    @ApiModelProperty(value = "治疗后 间接胆红素 ", required = true)
-    private String afterIb;
-
-    /**
-     * 最后一次治疗后 间接胆红素(umol/L)
-     */
-    @ApiModelProperty(value = "最后一次治疗后 间接胆红素 ", required = true)
-    private String lastIb;
-
     /**
      * 治疗前 丙氨酸氨基转移酶(U/L)
      */
@@ -307,9 +290,22 @@ public class MedicalRecordDetailVO {
     @ApiModelProperty(value = "最后一次治疗后 肿瘤坏死因子α ", required = true)
     private String lastTnf;
 
-    @ApiModelProperty(value = "报告单 图片", required = true)
-    @NotNull(message = "报告单 图片 不能为空")
-    private String checkImg;
+    /**
+     * 肿瘤坏死因子α单位
+     */
+    @ApiModelProperty(value = "肿瘤坏死因子α单位")
+    private String tnfUnit;
+
+    @ApiModelProperty(value = "生化指标 图片", required = true)
+    @NotNull(message = "报告单 生化指标 不能为空")
+    private String bioImg;
+
+    @ApiModelProperty(value = "凝血功能指标 图片", required = true)
+    @NotNull(message = "报告单 凝血功能指标 不能为空")
+    private String coaImg;
+
+    @ApiModelProperty(value = "炎症因子指标 图片")
+    private String infImg;
 
     /*************************疾病转归***************************/
     @ApiModelProperty(value = "疾病转归 出院时间", required = true)