diff --git a/src/components/doctorModal.vue b/src/components/doctorModal.vue
index 14e559e..1004c81 100644
--- a/src/components/doctorModal.vue
+++ b/src/components/doctorModal.vue
@@ -373,11 +373,11 @@
     </a-col>
   </a-row>
   <a-divider v-if="Object.keys(modalForm.user_doctor_info).length != 0" />
-  <div class="titlebox" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && modalForm.multi_point_status==1">
+  <div class="titlebox" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && !modalForm.user_ca_cert">
           <div class="bar"></div>
           <div class="name">CA证书配置</div>
         </div>
-        <a-row :gutter="24" style="margin-top: 35px;" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && modalForm.multi_point_status==1">
+        <a-row :gutter="24" style="margin-top: 35px;" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && !modalForm.user_ca_cert">
         <a-col :span="24">
           <a-form-item field="" label="" no-style>
             <div v-if="modalForm.user_ca_cert">证书有效期:{{parseTime(modalForm.user_ca_cert.cert_application_time,'{y}-{m}-{d}')}}-{{parseTime(modalForm.user_ca_cert.cert_expire_time,'{y}-{m}-{d}')}}</div>
diff --git a/src/views/doctor/doctor-examine/index.vue b/src/views/doctor/doctor-examine/index.vue
index 1fa83ba..b9b7a43 100644
--- a/src/views/doctor/doctor-examine/index.vue
+++ b/src/views/doctor/doctor-examine/index.vue
@@ -367,7 +367,22 @@
             </a-col>
           </a-row>
           <a-divider />
+         
         </a-form>
+        <div class="titlebox" v-if="!modalForm.user_ca_cert">
+          <div class="bar"></div>
+          <div class="name">CA证书配置</div>
+        </div>
+        <a-row :gutter="24" style="margin-top: 35px;" v-if="!modalForm.user_ca_cert">
+        <a-col :span="24">
+          <a-form-item field="" label="" no-style>
+            <a-space style="margin-top: 15px;">
+              <a-button type="primary" @click="()=>{checkokVisible=true;checkokStatus=2;}" v-has="'admin:sysDoctorList:applyCA'" v-if="!modalForm.user_ca_cert">证书申请</a-button> 
+            </a-space>
+            <a-divider />
+          </a-form-item>
+        </a-col>
+      </a-row>
         <div class="titlebox" >
             <div class="bar"></div>
             <div class="name">操作</div>
@@ -376,7 +391,7 @@
             <a-col :span="24">
               <a-form-item field="" label="" no-style>
                 <a-space >
-                  <a-button type="primary" v-has="'admin:sysDoctorExamine:ok'" @click="handleCheck('ok')">审核通过</a-button>
+                  <a-button type="primary" v-has="'admin:sysDoctorExamine:ok'" @click="handleCheck('ok')" v-if="modalForm.user_ca_cert">审核通过</a-button>
                   <a-button type="primary" status="danger" v-has="'admin:sysDoctorExamine:deny'"  @click="handleCheck(deny)">审核拒绝</a-button>
                 </a-space>
                 <!-- <a-space v-if="modalSatus=='edit'">
@@ -403,12 +418,23 @@
           </a-form-item>
         </a-form>
     </a-modal>
+    <!-- 审核通过弹框 -->
+    <a-modal v-model:visible="checkokVisible" :modal-style="{width:'320px'}" body-class="okmodal" @ok="checkokhandleSubmit"
+      @cancel="()=>checkokokVisible=false">
+      <template #title>
+        提示
+      </template>
+      <div v-if="checkokStatus==1">必须先在[四川省互联网医疗服务监管平台] 对医师备案通过后，才可点击[医师身份审核通过] 按钮</div>
+      <div v-if="checkokStatus==2">确定申请CA证书？</div>
+     
+    </a-modal>
     </div>
   </template>
   <script setup>
     import { reactive, ref, getCurrentInstance, onMounted, nextTick, watch, computed } from 'vue';
     import { getDoctorList,getDoctorDetail,checkDoctor} from '@/api/doctor/examine';
     import {departmentList, decryptCard, hospitalList, expertiseList } from '@/api/doctor/list';
+    import { applyCA} from '@/api/doctor/ca';
     import dayjs from 'dayjs'
     import { parseTime } from '@/utils/parseTime';
     // Akiraka 20230210 删除数据
@@ -416,6 +442,9 @@
     // Akiraka 20230210 删除对话框
     const deleteVisible = ref(false)
     const modalCheckVisible = ref(false)
+
+    const checkokVisible=ref(false);
+    const checkokStatus=ref(1); // 1 ca审核 //2 申请证书
     // Akiraka 20230210 监听删除事件
     watch(() => deleteVisible.value, (value) => {
       if (value == false) {
@@ -680,7 +709,15 @@
     };
 
 
-
+ //申请证书
+  
+ const handleApplyCA=()=>{
+    applyCA(modalForm.user_doctor_info.user_id).then(data=>{
+      if(data.code==200){
+       Message.success('证书申请成功');
+      }
+    })
+  }
   
     // 查询医生信息
     const handleQuery = async () => {
@@ -770,6 +807,16 @@
 
   return elemTop;
 }
+
+
+
+  const checkokhandleSubmit=()=>{
+     if(checkokStatus.value==1){
+      checkok();
+     }else if(checkokStatus.value==2){
+      handleApplyCA();
+     }
+  };
     //审核
     const handleCheck= async(type)=>{
       if(type=="ok"){
@@ -780,10 +827,20 @@
             document.querySelector(".myModal").scrollTo(0,top)
             return false
         }
+        checkokVisible.value=true;
+        checkokStatus.value=1;
+      }else{
+        modalCheckForm.iden_auth_status=3;
+        modalCheckVisible.value=true;
+      }
+      
+    }
+
+   const checkok=async()=>{
         proxy.$loading.show();
         const {code,message,data}= await checkDoctor({
           iden_auth_status:1,
-          qualification_cert_num:id
+          qualification_cert_num:modalForm.user_doctor_info.qualification_cert_num
         },modalForm.doctor_id);
         if (code == 200) {
             proxy.$notification.success("审核通过");
@@ -791,13 +848,7 @@
             proxy.$loading.hide();
             modalVisible.value=false;
         }
-        
-      }else{
-        modalCheckForm.iden_auth_status=3;
-        modalCheckVisible.value=true;
-      }
-      
-    }
+   }
     // 重置搜索
     const handleResetQuery = () => {
       proxy.$refs.queryFormRef.resetFields();
diff --git a/src/views/doctor/doctor-list/index.vue b/src/views/doctor/doctor-list/index.vue
index 1f93710..2f020cf 100644
--- a/src/views/doctor/doctor-list/index.vue
+++ b/src/views/doctor/doctor-list/index.vue
@@ -282,7 +282,7 @@
         <a-row :gutter="24">
           <a-col :span="12">
             <a-form-item field="doctor_title" label="职     称 ：">
-              <a-select placeholder="请选择所在职称" v-model="modalForm.doctor_title">
+              <a-select placeholder="请选择所在职称" v-model="modalForm.doctor_title" >
                 <a-option v-for="item in doctor_title_data" :key="item.doctor_title" :value="item.doctor_title"
                   :label="item.doctor_title_name">{{item.doctor_title_name}}</a-option>
               </a-select>
@@ -566,11 +566,11 @@
           </a-col>
         </a-row>
         <a-divider v-if="Object.keys(modalForm.user_doctor_info).length != 0"/>
-        <div class="titlebox" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && modalForm.multi_point_status==1">
+        <div class="titlebox" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && !modalForm.user_ca_cert">
           <div class="bar"></div>
           <div class="name">CA证书配置</div>
         </div>
-        <a-row :gutter="24" style="margin-top: 35px;" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && modalForm.multi_point_status==1">
+        <a-row :gutter="24" style="margin-top: 35px;" v-if="modalForm.department_custom_name && modalForm.iden_auth_status==1 && modalForm.user_doctor_info.sign_image && !modalForm.user_ca_cert">
         <a-col :span="24">
           <a-form-item field="" label="" no-style>
             <div v-if="modalForm.user_ca_cert">证书有效期:{{parseTime(modalForm.user_ca_cert.cert_application_time,'{y}-{m}-{d}')}}-{{parseTime(modalForm.user_ca_cert.cert_expire_time,'{y}-{m}-{d}')}}</div>
@@ -599,7 +599,7 @@
         <a-col :span="24">
           <a-form-item field="" label="" no-style>
             <a-space v-if="modalSatus!='detail'" style="margin-right: 8px;">
-              <a-button type="primary" @click="()=>{okVisible=true,okStatus=1}" v-has="'admin:sysDoctorList:save'">保存</a-button>
+              <a-button type="primary" @click="saveBefore" v-has="'admin:sysDoctorList:save'">保存</a-button>
             </a-space>
             <!-- <a-space v-if="modalSatus=='edit'">
               <a-button type="primary" status="warning">拉黑</a-button>
@@ -612,7 +612,7 @@
 
     <!-- Akiraka 20230223 删除与批量删除 开始 -->
     <DeleteModal :data="deleteData" :visible="deleteVisible" :apiDelete="removeDoctor"
-      @deleteVisibleChange="() => deleteVisible = false" />
+      @deleteVisibleChange="() => deleteVisible = false" :cancelText="okStatus==7?'未修改备案':'取消'"/>
     <!-- Akiraka 20230223 删除与批量删除 结束 -->
     <a-modal v-model:visible="okVisible" :modal-style="{width:'320px'}" body-class="okmodal" @ok="handleSubmit"
       @cancel="()=>okVisible=false">
@@ -625,6 +625,7 @@
       <div v-else-if="okStatus==4">确定申请签章？</div>
       <div v-else-if="okStatus==5">确定更新签章？</div>
       <div v-else-if="okStatus==6">确定申请CA证书？</div>
+      <div v-else-if="okStatus==7">修改职称或者执业证/资格证，需要先在【四川省互联网医疗服务监管平台】修改备案信息成功后，才可保存 (谨慎操作) 。</div>
     </a-modal>
   </div>
 </template>
@@ -644,12 +645,15 @@
   const deleteVisible = ref(false)
   // Akiraka 20230210 监听删除事件
   const okVisible = ref(false);
-   const okStatus=ref(1); //1保存 2证书续期 3//证书注销 //4申请签章 //5更新签章
+   const okStatus=ref(1); //1保isChange_license存 2证书续期 3//证书注销 //4申请签章 //5更新签章  //7 更改科室职称执业证/资格证
   watch(() => deleteVisible.value, (value) => {
     if (value == false) {
       getDoctorInfo(pager);
     }
   })
+  const oldTitle=ref('');//旧职称
+  const isChange_license=ref(false);
+  const isChange_qualification=ref(false);
   const tableRef=ref();
 const showCheckedAll=ref(true);
   const file = ref();
@@ -733,7 +737,10 @@ const showCheckedAll=ref(true);
         if (value.dealType == "add") {
           license_cert_list.value.push({
             url: value.url
-          })
+          });
+          if(modalForm.doctor_id){
+            isChange_license.value=true;
+          }
         } else {
           license_cert_list.value.splice(license_cert_list.value.findIndex(item => item.url === value.url), 1)
         }
@@ -743,6 +750,9 @@ const showCheckedAll=ref(true);
           qualification_cert_list.value.push({
             url: value.url
           })
+          if(modalForm.doctor_id){
+            isChange_qualification.value=true;
+          }
         } else {
           qualification_cert_list.value.splice(qualification_cert_list.value.findIndex(item => item.url === value.url), 1)
         }
@@ -1057,6 +1067,7 @@ const showCheckedAll=ref(true);
         if(data.doctor_title==0){
           modalForm.doctor_title='';
         }
+        oldTitle.value=data.doctor_title;
         if(data.hospital_id==0){
           modalForm.hospital_id='';
         }
@@ -1210,6 +1221,8 @@ const showCheckedAll=ref(true);
       }
     })
   }
+
+
   //开启服务处理
   // const filterService = (record) => {
   //   let arr = [];
@@ -1237,8 +1250,18 @@ const showCheckedAll=ref(true);
   // }
   // Modal ok
   // 异步关闭Modal需要调用 done()
+
+  const saveBefore=()=>{
+    if(oldTitle.value!=modalForm.doctor_title || isChange_license.value || isChange_qualification.value){
+      okStatus=7
+    }else{
+      okStatus=1
+    }
+    okVisible.value=true;
+
+  }
   const handleSubmit = (done) => {
-    if(okStatus.value==1){
+    if(okStatus.value==1 || okStatus==7){
       proxy.$refs.modalFormRef.validate(async (valid) => {
       if (!valid) {
         let res;
@@ -1348,6 +1371,8 @@ const showCheckedAll=ref(true);
           if (code == 200) {
             proxy.$notification.success('更新成功');
             modalVisible.value = false;
+            isChange_license.value=false;
+            isChange_qualification.value=false;
           }
           proxy.$loading.hide();
         }