diff --git a/app/Controller/PatientPathographyController.php b/app/Controller/PatientPathographyController.php
new file mode 100644
index 0000000..d60c722
--- /dev/null
+++ b/app/Controller/PatientPathographyController.php
@@ -0,0 +1,23 @@
+<?php
+
+namespace App\Controller;
+
+use App\Services\PatientPathographyService;
+use Psr\Http\Message\ResponseInterface;
+
+/**
+ * 病情记录
+ */
+class PatientPathographyController extends AbstractController
+{
+    /**
+     * 检测家庭成员是否存在病情记录
+     * @return ResponseInterface
+     */
+    public function existFamilyPathography(): ResponseInterface
+    {
+        $PatientPathographyService = new PatientPathographyService();
+        $data = $PatientPathographyService->existFamilyPathography();
+        return $this->response->json($data);
+    }
+}
\ No newline at end of file
diff --git a/app/Request/PatientPathographyRequest.php b/app/Request/PatientPathographyRequest.php
new file mode 100644
index 0000000..8433af7
--- /dev/null
+++ b/app/Request/PatientPathographyRequest.php
@@ -0,0 +1,54 @@
+<?php
+
+namespace App\Request;
+
+use App\Constants\HttpEnumCode;
+use Hyperf\Validation\Request\FormRequest;
+
+class PatientPathographyRequest extends FormRequest
+{
+    protected array $scenes = [
+//        'existFamilyPathography' => [ // 获取患者优惠卷列表
+//            'user_coupon_status',
+//        ],
+    ];
+
+    /**
+     * Determine if the user is authorized to make this request.
+     */
+    public function authorize(): bool
+    {
+        return true;
+    }
+
+    /**
+     * Get the validation rules that apply to the request.
+     */
+    public function rules(): array
+    {
+        return [
+//            'user_coupon_status' => 'required|numeric|min:0|max:3',
+//            'product_id' => 'required',
+//            'shopping_cart_num' => 'required|numeric|min:0|max:999',
+        ];
+    }
+
+    /**
+     * 获取已定义验证规则的错误消息.
+     */
+    public function messages(): array
+    {
+        return [
+//            'user_coupon_status.required' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'user_coupon_status.numeric' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'user_coupon_status.min' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'user_coupon_status.max' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'product_id.required' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//
+//            'shopping_cart_num.required' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'shopping_cart_num.numeric' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'shopping_cart_num.min' => HttpEnumCode::getMessage(HttpEnumCode::CLIENT_HTTP_ERROR),
+//            'shopping_cart_num.max' => "请勿超出最大添加数量",
+        ];
+    }
+}
\ No newline at end of file
diff --git a/app/Services/PatientPathographyService.php b/app/Services/PatientPathographyService.php
new file mode 100644
index 0000000..3afd002
--- /dev/null
+++ b/app/Services/PatientPathographyService.php
@@ -0,0 +1,36 @@
+<?php
+
+namespace App\Services;
+
+use App\Model\PatientPathography;
+
+/**
+ * 病情记录
+ */
+class PatientPathographyService extends BaseService
+{
+    /**
+     * 检测家庭成员是否存在病情记录
+     * @return array
+     */
+    public function existFamilyPathography(): array
+    {
+        $user_info = $this->request->getAttribute("userInfo") ?? [];
+        $family_id = $this->request->route('family_id');
+
+        $result = array();
+        $result['is_exist'] = 0;
+
+        // 获取病情记录
+        $params = array();
+        $params['user_id'] = $user_info['user_id'];
+        $params['patient_id'] = $user_info['client_user_id'];
+        $params['family_id'] = $family_id;
+        $patient_pathography = PatientPathography::getLastOne($params);
+        if (!empty($patient_pathography)){
+            $result['is_exist'] = 1;
+        }
+
+        return success($result);
+    }
+}
\ No newline at end of file
diff --git a/config/routes.php b/config/routes.php
index 6be0c8f..2ee36e4 100644
--- a/config/routes.php
+++ b/config/routes.php
@@ -25,6 +25,7 @@ use App\Controller\PatientCenterController;
 use App\Controller\PatientDoctorController;
 use App\Controller\PatientFamilyController;
 use App\Controller\PatientOrderController;
+use App\Controller\PatientPathographyController;
 use App\Controller\SafeController;
 use App\Controller\SystemController;
 use App\Controller\TestController;
@@ -375,7 +376,7 @@ Router::addGroup('/patient', function () {
             Router::post('', [PatientFamilyController::class, 'addFamilyHealth']);
         });
 
-        // 药品
+        // 用药记录
         Router::addGroup('/product', function () {
             // 获取家庭成员用药记录列表
             Router::get('/record', [PatientFamilyController::class, 'getFamilyProductRecord']);
@@ -485,6 +486,12 @@ Router::addGroup('/patient', function () {
         // 获取患者系统消息通知最后一条消息
         Router::get('/system/last', [MessageNoticeController::class, 'getPatientMessageServiceLast']);
     });
+
+    // 病情记录
+    Router::addGroup('/pathography', function () {
+        // 检测家庭成员是否存在病情记录
+        Router::get('/exist/{family_id:\d+}', [PatientPathographyController::class, 'existFamilyPathography']);
+    });
 });
 
 // 药师端api