diff --git a/app/Amqp/Consumer/AutoFinishInquiryDelayDirectConsumer.php b/app/Amqp/Consumer/AutoFinishInquiryDelayDirectConsumer.php
index 20f74f4..92e45de 100644
--- a/app/Amqp/Consumer/AutoFinishInquiryDelayDirectConsumer.php
+++ b/app/Amqp/Consumer/AutoFinishInquiryDelayDirectConsumer.php
@@ -12,6 +12,7 @@ use App\Model\OrderInquiryCase;
 use App\Model\OrderPrescription;
 use App\Model\PatientFamilyHealth;
 use App\Model\PatientFamilyPersonal;
+use App\Model\PatientPathography;
 use App\Model\UserDoctor;
 use App\Model\UserPatient;
 use App\Services\ImService;
@@ -121,6 +122,9 @@ class AutoFinishInquiryDelayDirectConsumer extends ConsumerMessage
             // 处理回写患者病例-回写失败不做处理
             $this->handleOrderInquiryCase($order_inquiry);
 
+            // 处理回写患者病情记录-回写失败不做处理
+            $this->handlePatientPathography($order_inquiry['order_inquiry_id']);
+
             // 处理医生服务患者数量
             $this->handleDoctorServedPatientsNum($order_inquiry['doctor_id']);
 
@@ -522,4 +526,77 @@ class AutoFinishInquiryDelayDirectConsumer extends ConsumerMessage
             }
         }
     }
+
+    /**
+     * 处理回写患者病情记录
+     * 回写失败不做处理
+     * @param array|object $order_inquiry
+     * @return bool
+     */
+    protected function handlePatientPathography(array|object $order_inquiry): bool
+    {
+        if ($order_inquiry['inquiry_type'] != 1 && $order_inquiry['inquiry_type'] != 2 && $order_inquiry['inquiry_type'] != 3 && $order_inquiry['inquiry_type'] != 4){
+            // 非问诊订单，不进行处理
+            return true;
+        }
+
+        // 获取患者家庭成员病情记录
+        $params = array();
+        $params['user_id'] = $order_inquiry['user_id'];
+        $params['patient_id'] = $order_inquiry['patient_id'];
+        $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
+        $patient_pathography = PatientPathography::getOne($params);
+        if (!empty($patient_pathography)){
+            return false;
+        }
+
+        // 获取订单-问诊病例表
+        $params = array();
+        $params['order_inquiry_id'] = $order_inquiry["order_inquiry_id"];
+        $order_inquiry_case = OrderInquiryCase::getOne($params);
+        if (empty($order_inquiry_case)){
+            Log::getInstance("queue-AutoFinishInquiry")->error("错误：缺少问诊病例表");
+            return false;
+        }
+
+        $data = array();
+        foreach ($order_inquiry_case as $key => $value) {
+            // 主键跳过
+            if ($key == "inquiry_case_id"){
+                continue;
+            }
+
+            if ($key == "created_at"){
+                continue;
+            }
+
+            if ($key == "updated_at"){
+                continue;
+            }
+
+            if ($value == null){
+                continue;
+            }
+
+            $data[$key] = $value;
+
+        }
+
+        // 获取处方数据
+        $params = array();
+        $params['order_inquiry_id'] = $order_inquiry['order_inquiry_id'];
+        $order_prescription = OrderPrescription::getOne($params);
+        if (!empty($order_prescription)){
+            $data['order_prescription_id'] = $order_prescription['order_prescription_id'];
+        }
+
+        // 新增病情记录
+        $patient_pathography = PatientPathography::addPatientPathography($data);
+        if (empty($patient_pathography)){
+            Log::getInstance("queue-AutoFinishInquiry")->error("错误：回写病情记录失败");
+            return false;
+        }
+
+        return true;
+    }
 }