diff --git a/app/Model/PatientPathography.php b/app/Model/PatientPathography.php
new file mode 100644
index 0000000..79f31a2
--- /dev/null
+++ b/app/Model/PatientPathography.php
@@ -0,0 +1,123 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Model;
+
+
+
+use Hyperf\Database\Model\Collection;
+use Hyperf\Snowflake\Concern\Snowflake;
+
+/**
+ * @property int $pathography_id 主键id
+ * @property int $user_id 用户id
+ * @property int $patient_id 患者id
+ * @property int $family_id 家庭成员id
+ * @property int $order_inquiry_id 关联问诊id
+ * @property int $order_prescription_id 关联处方id
+ * @property int $disease_class_id 疾病分类id-系统
+ * @property int $nation_id 民族id
+ * @property int $job_id 职业id
+ * @property int $relation 患者关系（1:本人 2:父母 3:爱人 4:子女 5:亲戚 6:其他 ）
+ * @property int $status 状态（1:正常 2:删除）
+ * @property string $name 患者名称
+ * @property int $sex 患者性别（0:未知 1:男 2:女）
+ * @property int $age 患者年龄
+ * @property string $height 身高（cm）
+ * @property string $weight 体重（kg）
+ * @property string $disease_class_name 疾病名称-系统
+ * @property string $diagnosis_date 确诊日期
+ * @property string $disease_desc 病情描述（主诉）
+ * @property string $diagnose_images 复诊凭证(多个使用逗号分隔)
+ * @property int $is_allergy_history 是否存在过敏史（0:否 1:是）
+ * @property string $allergy_history 过敏史描述
+ * @property int $is_family_history 是否存在家族病史（0:否 1:是）
+ * @property string $family_history 家族病史描述
+ * @property int $is_pregnant 是否备孕、妊娠、哺乳期（0:否 1:是）
+ * @property string $pregnant 备孕、妊娠、哺乳期描述
+ * @property int $is_taboo 是否服用过禁忌药物，且无相关禁忌（0:否 1:是）问诊购药时存在
+ * @property int $is_take_medicine 正在服药（0:否 1:是）
+ * @property string $drugs_name 正在服药名称
+ * @property string $nation_name 民族名称
+ * @property string $job_name 职业名称
+ * @property string $diagnosis_hospital 确诊医院
+ * @property int $is_operation 是否存在手术（0:否 1:是）
+ * @property string $operation 手术描述
+ * @property int $drink_wine_status 饮酒状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒酒）
+ * @property int $smoke_status 吸烟状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒烟）
+ * @property int $chemical_compound_status 化合物状态（1:从不 2:偶尔 3:经常 4:每天）
+ * @property string $chemical_compound_describe 化合物描述
+ * @property \Carbon\Carbon $created_at 创建时间
+ * @property \Carbon\Carbon $updated_at 修改时间
+ */
+class PatientPathography extends Model
+{
+    use Snowflake;
+
+    /**
+     * The table associated with the model.
+     */
+    protected ?string $table = 'patient_pathography';
+
+    /**
+     * The attributes that are mass assignable.
+     */
+    protected array $fillable = ['pathography_id', 'user_id', 'patient_id', 'family_id', 'order_inquiry_id', 'order_prescription_id', 'disease_class_id', 'nation_id', 'job_id', 'relation', 'status', 'name', 'sex', 'age', 'height', 'weight', 'disease_class_name', 'diagnosis_date', 'disease_desc', 'diagnose_images', 'is_allergy_history', 'allergy_history', 'is_family_history', 'family_history', 'is_pregnant', 'pregnant', 'is_taboo', 'is_take_medicine', 'drugs_name', 'nation_name', 'job_name', 'diagnosis_hospital', 'is_operation', 'operation', 'drink_wine_status', 'smoke_status', 'chemical_compound_status', 'chemical_compound_describe', 'created_at', 'updated_at'];
+
+    protected string $primaryKey = "pathography_id";
+
+    /**
+     * 获取信息-单条
+     * @param array $params
+     * @param array $fields
+     * @return object|null
+     */
+    public static function getOne(array $params, array $fields = ['*']): object|null
+    {
+        return self::where($params)->first($fields);
+    }
+
+    /**
+     * 获取信息-单条
+     * @param array $params
+     * @param array $fields
+     * @return object|null
+     */
+    public static function getLastOne(array $params, array $fields = ['*']): object|null
+    {
+        return self::where($params)->latest("created_at")->first($fields);
+    }
+
+    /**
+     * 获取数据-多
+     * @param array $params
+     * @param array $fields
+     * @return Collection|array
+     */
+    public static function getList(array $params = [], array $fields = ['*']): Collection|array
+    {
+        return self::where($params)->get($fields);
+    }
+
+    /**
+     * 新增
+     * @param array $data
+     * @return \Hyperf\Database\Model\Model|PatientPathography
+     */
+    public static function addPatientPathography(array $data): \Hyperf\Database\Model\Model|PatientPathography
+    {
+        return self::create($data);
+    }
+
+    /**
+     * 修改
+     * @param array $params
+     * @param array $data
+     * @return int
+     */
+    public static function edit(array $params = [], array $data = []): int
+    {
+        return self::where($params)->update($data);
+    }
+}
diff --git a/app/Model/PatientPathographyProduct.php b/app/Model/PatientPathographyProduct.php
new file mode 100644
index 0000000..e0cd5c5
--- /dev/null
+++ b/app/Model/PatientPathographyProduct.php
@@ -0,0 +1,79 @@
+<?php
+
+declare(strict_types=1);
+
+namespace App\Model;
+
+
+
+use Hyperf\Database\Model\Collection;
+use Hyperf\Snowflake\Concern\Snowflake;
+
+/**
+ * @property int $pathography_product_id 主键id
+ * @property int $pathography_id 病情记录id
+ * @property int $product_id 商品id
+ * @property int $case_product_num 药品数量
+ * @property \Carbon\Carbon $created_at 创建时间
+ * @property \Carbon\Carbon $updated_at 修改时间
+ */
+class PatientPathographyProduct extends Model
+{
+    use Snowflake;
+
+    /**
+     * The table associated with the model.
+     */
+    protected ?string $table = 'patient_pathography_product';
+
+    /**
+     * The attributes that are mass assignable.
+     */
+    protected array $fillable = ['pathography_product_id', 'pathography_id', 'product_id', 'case_product_num', 'created_at', 'updated_at'];
+
+    protected string $primaryKey = "pathography_product_id";
+
+    /**
+     * 获取信息-单条
+     * @param array $params
+     * @param array $fields
+     * @return object|null
+     */
+    public static function getOne(array $params, array $fields = ['*']): object|null
+    {
+        return self::where($params)->first($fields);
+    }
+
+    /**
+     * 获取数据-多
+     * @param array $params
+     * @param array $fields
+     * @return Collection|array
+     */
+    public static function getList(array $params = [], array $fields = ['*']): Collection|array
+    {
+        return self::where($params)->get($fields);
+    }
+
+    /**
+     * 新增
+     * @param array $data
+     * @return \Hyperf\Database\Model\Model|PatientPathographyProduct
+     */
+    public static function addPatientPathographyProduct(array $data): \Hyperf\Database\Model\Model|PatientPathographyProduct
+    {
+        return self::create($data);
+    }
+
+    /**
+     * 修改
+     * @param array $params
+     * @param array $data
+     * @return int
+     */
+    public static function edit(array $params = [], array $data = []): int
+    {
+        return self::where($params)->update($data);
+    }
+
+}
diff --git a/app/Services/PatientFamilyService.php b/app/Services/PatientFamilyService.php
index a67193d..29b0f2b 100644
--- a/app/Services/PatientFamilyService.php
+++ b/app/Services/PatientFamilyService.php
@@ -10,6 +10,7 @@ use App\Model\OrderProduct;
 use App\Model\PatientFamily as PatientFamilyModel;
 use App\Model\PatientFamilyHealth;
 use App\Model\PatientFamilyPersonal as PatientFamilyPersonalModel;
+use App\Model\PatientPathography;
 use App\Utils\Mask;
 use Extend\VerifyDun\IdCard;
 use GuzzleHttp\Exception\GuzzleException;
@@ -96,15 +97,15 @@ class PatientFamilyService extends BaseService
         }
 
         // 检测省市区
-        if (!empty($request_params['county_id']) ){
-            if (empty($request_params['city_id']) || empty($request_params['province_id'])){
+        if (!empty($request_params['county_id'])) {
+            if (empty($request_params['city_id']) || empty($request_params['province_id'])) {
                 // 区县存在时需和城市、省份在一块
                 return fail(HttpEnumCode::CLIENT_HTTP_ERROR);
             }
         }
 
-        if (!empty($request_params['city_id']) ){
-            if (empty($request_params['province_id'])){
+        if (!empty($request_params['city_id'])) {
+            if (empty($request_params['province_id'])) {
                 // 城市存在时需和省份在一块
                 return fail(HttpEnumCode::CLIENT_HTTP_ERROR);
             }
@@ -112,13 +113,13 @@ class PatientFamilyService extends BaseService
 
         $areaService = new AreaService();
 
-        if (!empty($request_params['province_id'])){
-            $req = $areaService->checkAreaById($request_params['province_id'],$request_params['city_id'],$request_params['county_id']);
-            if(empty($req)){
-                return fail(HttpEnumCode::HTTP_ERROR,"地区选择错误");
+        if (!empty($request_params['province_id'])) {
+            $req = $areaService->checkAreaById($request_params['province_id'], $request_params['city_id'], $request_params['county_id']);
+            if (empty($req)) {
+                return fail(HttpEnumCode::HTTP_ERROR, "地区选择错误");
             }
 
-            $area = $areaService->getAreaById($request_params['province_id'],$request_params['city_id'],$request_params['county_id']);
+            $area = $areaService->getAreaById($request_params['province_id'], $request_params['city_id'], $request_params['county_id']);
         }
 
         if ($request_params['type'] == 1) {
@@ -129,38 +130,38 @@ class PatientFamilyService extends BaseService
         }
 
         // 民族
-        if (!empty($request_params['nation_id'])){
+        if (!empty($request_params['nation_id'])) {
             $params = array();
             $params['nation_id'] = $request_params['nation_id'];
             $nation = BasicNation::getOne($params);
-            if (empty($nation)){
-                return fail(HttpEnumCode::HTTP_ERROR,"民族选择错误");
+            if (empty($nation)) {
+                return fail(HttpEnumCode::HTTP_ERROR, "民族选择错误");
             }
         }
 
         // 职业
-        if (!empty($request_params['job_id'])){
+        if (!empty($request_params['job_id'])) {
             $params = array();
             $params['job_id'] = $request_params['job_id'];
             $job = BasicJob::getOne($params);
-            if (empty($job)){
-                return fail(HttpEnumCode::HTTP_ERROR,"职位选择错误");
+            if (empty($job)) {
+                return fail(HttpEnumCode::HTTP_ERROR, "职位选择错误");
             }
         }
 
         // 实人认证-生产环境开启
 
 
-        $app_env = config('app_env','dev');
-        if ($app_env != "dev"){
+        $app_env = config('app_env', 'dev');
+        if ($app_env != "dev") {
             $IdCard = new IdCard();
 
-            $params =array();
+            $params = array();
             $params['name'] = $request_params['card_name'];
             $params['cardNo'] = $request_params['id_number'];
             $res = $IdCard->checkIdCard($params);
-            if (!empty($res)){
-                return fail(HttpEnumCode::HTTP_ERROR,$res);
+            if (!empty($res)) {
+                return fail(HttpEnumCode::HTTP_ERROR, $res);
             }
         }
 
@@ -185,8 +186,8 @@ class PatientFamilyService extends BaseService
             // 新增 患者家庭成员信息表-基本信息（patient_family）
             $data = array();
             $data['patient_id'] = $user_info['client_user_id'];
-            if (isset($request_params['relation'])){
-                if ($request_params['relation'] != null){
+            if (isset($request_params['relation'])) {
+                if ($request_params['relation'] != null) {
                     $data['relation'] = $request_params['relation'];
                 }
             }
@@ -214,26 +215,26 @@ class PatientFamilyService extends BaseService
                 $data['county'] = $area['county']['area_name'] ?? "";
             }
 
-            if (!empty($request_params['height'])){
+            if (!empty($request_params['height'])) {
                 $data['height'] = $request_params['height'];
             }
 
-            if (!empty($request_params['weight'])){
+            if (!empty($request_params['weight'])) {
                 $data['weight'] = $request_params['weight'];
             }
 
-            if (isset($request_params['marital_status'])){
-                if ($request_params['marital_status'] !== null){
+            if (isset($request_params['marital_status'])) {
+                if ($request_params['marital_status'] !== null) {
                     $data['marital_status'] = $request_params['marital_status'];
                 }
             }
 
-            if (!empty($request_params['nation_id'])){
+            if (!empty($request_params['nation_id'])) {
                 $data['nation_id'] = $request_params['nation_id'];
                 $data['nation_name'] = $nation['nation_name'];
             }
 
-            if (!empty($request_params['job_id'])){
+            if (!empty($request_params['job_id'])) {
                 $data['job_id'] = $request_params['job_id'];
                 $data['job_name'] = $job['job_name'];
             }
@@ -311,7 +312,7 @@ class PatientFamilyService extends BaseService
         $params['status'] = 1;
 
         $patient_family = PatientFamilyModel::getOne($params);
-        if (empty($patient_family)){
+        if (empty($patient_family)) {
             return success();
         }
 
@@ -349,7 +350,7 @@ class PatientFamilyService extends BaseService
         $patient_familys = PatientFamilyModel::getList($params);
         if (!empty($patient_familys)) {
             foreach ($patient_familys as $value) {
-                if ($value['family_id'] == $family_id){
+                if ($value['family_id'] == $family_id) {
                     continue;
                 }
 
@@ -382,21 +383,21 @@ class PatientFamilyService extends BaseService
         }
 
         // 检测省市区
-        if (isset($request_params['province_id']) && isset($request_params['city_id']) && isset($request_params['county_id'])){
-            if ($request_params['province_id'] != $patient_family['province_id'] || $request_params['city_id'] != $patient_family['city_id'] || $request_params['county_id'] != $patient_family['county_id']){
+        if (isset($request_params['province_id']) && isset($request_params['city_id']) && isset($request_params['county_id'])) {
+            if ($request_params['province_id'] != $patient_family['province_id'] || $request_params['city_id'] != $patient_family['city_id'] || $request_params['county_id'] != $patient_family['county_id']) {
                 $areaService = new AreaService();
 
-                $req = $areaService->checkAreaById($request_params['province_id'],$request_params['city_id'],$request_params['county_id']);
-                if(empty($req)){
-                    return fail(HttpEnumCode::HTTP_ERROR,"地区选择错误");
+                $req = $areaService->checkAreaById($request_params['province_id'], $request_params['city_id'], $request_params['county_id']);
+                if (empty($req)) {
+                    return fail(HttpEnumCode::HTTP_ERROR, "地区选择错误");
                 }
 
-                $area = $areaService->getAreaById($request_params['province_id'],$request_params['city_id'],$request_params['county_id']);
+                $area = $areaService->getAreaById($request_params['province_id'], $request_params['city_id'], $request_params['county_id']);
             }
         }
 
         // 检测证件号是否修改
-        if ($patient_family['id_number'] != $request_params['id_number'] || $patient_family['card_name'] != $request_params['card_name']){
+        if ($patient_family['id_number'] != $request_params['id_number'] || $patient_family['card_name'] != $request_params['card_name']) {
             // 解析年龄、性别字段
             $age = getIdCardAge($this->request->input('id_number'));
 
@@ -415,25 +416,25 @@ class PatientFamilyService extends BaseService
         }
 
         // 民族
-        if (!empty($request_params['nation_id'])){
-            if ($patient_family['nation_id'] != $request_params['nation_id']){
+        if (!empty($request_params['nation_id'])) {
+            if ($patient_family['nation_id'] != $request_params['nation_id']) {
                 $params = array();
                 $params['nation_id'] = $request_params['nation_id'];
                 $nation = BasicNation::getOne($params);
-                if (empty($nation)){
-                    return fail(HttpEnumCode::HTTP_ERROR,"民族选择错误");
+                if (empty($nation)) {
+                    return fail(HttpEnumCode::HTTP_ERROR, "民族选择错误");
                 }
             }
         }
 
         // 职业
-        if (!empty($request_params['job_id'])){
-            if ($patient_family['job_id'] != $request_params['job_id']){
+        if (!empty($request_params['job_id'])) {
+            if ($patient_family['job_id'] != $request_params['job_id']) {
                 $params = array();
                 $params['job_id'] = $request_params['job_id'];
                 $job = BasicJob::getOne($params);
-                if (empty($job)){
-                    return fail(HttpEnumCode::HTTP_ERROR,"职位选择错误");
+                if (empty($job)) {
+                    return fail(HttpEnumCode::HTTP_ERROR, "职位选择错误");
                 }
             }
         }
@@ -458,13 +459,13 @@ class PatientFamilyService extends BaseService
 
             $data = array();
             if (isset($request_params['relation'])) {
-                if ($request_params['relation'] != $patient_family['relation']){
+                if ($request_params['relation'] != $patient_family['relation']) {
                     $data['relation'] = $request_params['relation'];
                 }
             }
 
             if (isset($request_params['is_default'])) {
-                if ($request_params['is_default'] !== $patient_family['is_default']){
+                if ($request_params['is_default'] !== $patient_family['is_default']) {
                     $data['is_default'] = $request_params['is_default'];
                 }
             }
@@ -477,7 +478,7 @@ class PatientFamilyService extends BaseService
                 $data['id_number_mask'] = Mask::maskIdCard($request_params['id_number']);
             }
 
-            if(isset($request_params['mobile'])){
+            if (isset($request_params['mobile'])) {
                 if ($patient_family['mobile'] != $request_params['mobile']) {
                     $data['mobile'] = $request_params['mobile'];
                     $data['mobile_mask'] = Mask::maskPhoneStr($request_params['mobile']);
@@ -494,55 +495,55 @@ class PatientFamilyService extends BaseService
 
             if (isset($area)) {
                 // 如有改动，变量确定存在
-                if ($request_params['province_id'] != $patient_family['province_id']){
+                if ($request_params['province_id'] != $patient_family['province_id']) {
                     $data['province_id'] = $request_params['province_id'];
                     $data['province'] = $area['province']['area_name'] ?? "";
                 }
 
-                if ($request_params['city_id'] != $patient_family['city_id']){
+                if ($request_params['city_id'] != $patient_family['city_id']) {
                     $data['city_id'] = $request_params['city_id'];
                     $data['city'] = $area['city']['area_name'] ?? "";
                 }
 
-                if ($request_params['county_id'] != $patient_family['county_id']){
+                if ($request_params['county_id'] != $patient_family['county_id']) {
                     $data['county_id'] = $request_params['county_id'];
                     $data['county'] = $area['county']['area_name'] ?? "";
                 }
             }
 
-            if(isset($request_params['height'])){
-                if ($request_params['height'] != $patient_family['height']){
+            if (isset($request_params['height'])) {
+                if ($request_params['height'] != $patient_family['height']) {
                     $data['height'] = $request_params['height'];
                 }
             }
 
-            if(isset($request_params['weight'])){
-                if ($request_params['weight'] != $patient_family['weight']){
+            if (isset($request_params['weight'])) {
+                if ($request_params['weight'] != $patient_family['weight']) {
                     $data['weight'] = $request_params['weight'];
                 }
             }
 
-            if(isset($request_params['marital_status'])){
-                if ($request_params['marital_status'] !== $patient_family['marital_status']){
+            if (isset($request_params['marital_status'])) {
+                if ($request_params['marital_status'] !== $patient_family['marital_status']) {
                     $data['marital_status'] = $request_params['marital_status'];
                 }
             }
 
-            if(isset($request_params['nation_id'])){
-                if ($request_params['nation_id'] != $patient_family['nation_id']){
+            if (isset($request_params['nation_id'])) {
+                if ($request_params['nation_id'] != $patient_family['nation_id']) {
                     $data['nation_id'] = $request_params['nation_id'];
                     $data['nation_name'] = $nation['nation_name'];
                 }
             }
 
-            if(isset($request_params['job_id'])){
-                if ($request_params['job_id'] != $patient_family['job_id']){
+            if (isset($request_params['job_id'])) {
+                if ($request_params['job_id'] != $patient_family['job_id']) {
                     $data['job_id'] = $request_params['job_id'];
                     $data['job_name'] = $job['job_name'];
                 }
             }
 
-            if (!empty($data)){
+            if (!empty($data)) {
                 $data['updated_at'] = date('Y-m-d H:i:s', time());
                 PatientFamilyModel::edit($params, $data);
             }
@@ -572,7 +573,7 @@ class PatientFamilyService extends BaseService
         $params['patient_id'] = $user_info['client_user_id'];
         $patient_family_personal = PatientFamilyPersonalModel::getOne($params);
 
-        if (empty($patient_family_personal)){
+        if (empty($patient_family_personal)) {
             return success();
         }
 
@@ -600,76 +601,76 @@ class PatientFamilyService extends BaseService
 
         // 修改
         $data = array();
-        if (isset($request_params['is_allergy_history'])){
-            if ($request_params['is_allergy_history'] !== $patient_family_personal['is_allergy_history']){
+        if (isset($request_params['is_allergy_history'])) {
+            if ($request_params['is_allergy_history'] !== $patient_family_personal['is_allergy_history']) {
                 // 是否存在过敏史（0:否 1:是）
                 $data['is_allergy_history'] = $request_params['is_allergy_history'];
             }
 
-            if ($request_params['allergy_history'] != $patient_family_personal['allergy_history']){
+            if ($request_params['allergy_history'] != $patient_family_personal['allergy_history']) {
                 $data['allergy_history'] = $request_params['allergy_history'];
             }
         }
 
-        if (isset($request_params['is_family_history'])){
-            if ($request_params['is_family_history'] !== $patient_family_personal['is_family_history']){
+        if (isset($request_params['is_family_history'])) {
+            if ($request_params['is_family_history'] !== $patient_family_personal['is_family_history']) {
                 // 是否存在家族病史（0:否 1:是）
                 $data['is_family_history'] = $request_params['is_family_history'];
             }
 
-            if ($request_params['family_history'] != $patient_family_personal['family_history']){
+            if ($request_params['family_history'] != $patient_family_personal['family_history']) {
                 $data['family_history'] = $request_params['family_history'];
             }
         }
 
-        if (isset($request_params['is_pregnant'])){
-            if ($request_params['is_pregnant'] !== $patient_family_personal['is_pregnant']){
+        if (isset($request_params['is_pregnant'])) {
+            if ($request_params['is_pregnant'] !== $patient_family_personal['is_pregnant']) {
                 // 是否备孕、妊娠、哺乳期（0:否 1:是）
                 $data['is_pregnant'] = $request_params['is_pregnant'];
             }
 
-            if ($request_params['pregnant'] != $patient_family_personal['pregnant']){
+            if ($request_params['pregnant'] != $patient_family_personal['pregnant']) {
                 $data['pregnant'] = $request_params['pregnant'];
             }
         }
 
-        if (isset($request_params['is_operation'])){
-            if ($request_params['is_operation'] !== $patient_family_personal['is_operation']){
+        if (isset($request_params['is_operation'])) {
+            if ($request_params['is_operation'] !== $patient_family_personal['is_operation']) {
                 // 是否存在手术（0:否 1:是）
                 $data['is_operation'] = $request_params['is_operation'];
             }
 
-            if ($request_params['operation'] != $patient_family_personal['operation']){
+            if ($request_params['operation'] != $patient_family_personal['operation']) {
                 $data['operation'] = $request_params['operation'];
             }
         }
 
-        if (isset($request_params['drink_wine_status'])){
-            if ($request_params['drink_wine_status'] !== $patient_family_personal['drink_wine_status']){
+        if (isset($request_params['drink_wine_status'])) {
+            if ($request_params['drink_wine_status'] !== $patient_family_personal['drink_wine_status']) {
                 // 饮酒状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒酒）
                 $data['drink_wine_status'] = $request_params['drink_wine_status'];
             }
         }
 
-        if (isset($request_params['smoke_status'])){
-            if ($request_params['smoke_status'] !== $patient_family_personal['smoke_status']){
+        if (isset($request_params['smoke_status'])) {
+            if ($request_params['smoke_status'] !== $patient_family_personal['smoke_status']) {
                 // 吸烟状态（1:从不 2:偶尔 3:经常 4:每天 5:已戒烟）
                 $data['smoke_status'] = $request_params['smoke_status'];
             }
         }
 
-        if (isset($request_params['chemical_compound_status'])){
-            if ($request_params['chemical_compound_status'] !== $patient_family_personal['chemical_compound_status']){
+        if (isset($request_params['chemical_compound_status'])) {
+            if ($request_params['chemical_compound_status'] !== $patient_family_personal['chemical_compound_status']) {
                 // 化合物状态（1:从不 2:偶尔 3:经常 4:每天）
                 $data['chemical_compound_status'] = $request_params['chemical_compound_status'];
             }
 
-            if ($request_params['chemical_compound_describe'] != $patient_family_personal['chemical_compound_describe']){
+            if ($request_params['chemical_compound_describe'] != $patient_family_personal['chemical_compound_describe']) {
                 $data['chemical_compound_describe'] = $request_params['chemical_compound_describe'];
             }
         }
 
-        if (!empty($data)){
+        if (!empty($data)) {
             $data['updated_at'] = date('Y-m-d H:i:s', time());
             $params = array();
             $params['family_personal_id'] = $patient_family_personal['family_personal_id'];
@@ -710,50 +711,50 @@ class PatientFamilyService extends BaseService
         $data = array();
         $data['family_id'] = $request_params['family_id'];
         $data['patient_id'] = $user_info['client_user_id'];
-        if (isset($request_params['is_allergy_history'])){
-            if ($request_params['is_allergy_history'] !== null){
+        if (isset($request_params['is_allergy_history'])) {
+            if ($request_params['is_allergy_history'] !== null) {
                 $data['is_allergy_history'] = $request_params['is_allergy_history'];
                 $data['allergy_history'] = $request_params['allergy_history'] ?? "";
             }
         }
 
-        if (isset($request_params['is_family_history'])){
-            if ($request_params['is_family_history'] !== null){
+        if (isset($request_params['is_family_history'])) {
+            if ($request_params['is_family_history'] !== null) {
                 $data['is_family_history'] = $request_params['is_family_history'];
                 $data['family_history'] = $request_params['family_history'] ?? "";
             }
         }
 
-        if (isset($request_params['is_pregnant'])){
-            if ($request_params['is_pregnant'] !== null){
+        if (isset($request_params['is_pregnant'])) {
+            if ($request_params['is_pregnant'] !== null) {
                 $data['is_pregnant'] = $request_params['is_pregnant'];
                 $data['pregnant'] = $request_params['pregnant'] ?? "";
             }
         }
 
-        if (isset($request_params['is_operation'])){
-            if ($request_params['is_operation'] !== null){
+        if (isset($request_params['is_operation'])) {
+            if ($request_params['is_operation'] !== null) {
                 $data['is_operation'] = $request_params['is_operation'];
                 $data['operation'] = $request_params['operation'] ?? "";
             }
         }
 
-        if (isset($request_params['drink_wine_status'])){
-            if ($request_params['drink_wine_status'] !== null){
+        if (isset($request_params['drink_wine_status'])) {
+            if ($request_params['drink_wine_status'] !== null) {
                 $data['drink_wine_status'] = $request_params['drink_wine_status'];
                 $data['smoke_status'] = $request_params['smoke_status'] ?? "";
             }
         }
 
-        if (isset($request_params['chemical_compound_status'])){
-            if ($request_params['chemical_compound_status'] !== null){
+        if (isset($request_params['chemical_compound_status'])) {
+            if ($request_params['chemical_compound_status'] !== null) {
                 $data['chemical_compound_status'] = $request_params['chemical_compound_status'];
                 $data['chemical_compound_describe'] = $request_params['chemical_compound_describe'];
             }
         }
 
         $patient_family_personal = PatientFamilyPersonalModel::addPatientFamilyPersonal($data);
-        if (empty($patient_family_personal)){
+        if (empty($patient_family_personal)) {
             return fail();
         }
 
@@ -774,7 +775,7 @@ class PatientFamilyService extends BaseService
         $params['family_id'] = $family_id;
         $params['patient_id'] = $user_info['client_user_id'];
         $patient_family_health = PatientFamilyHealth::getOne($params);
-        if (empty($patient_family_health)){
+        if (empty($patient_family_health)) {
             return success();
         }
 
@@ -801,8 +802,8 @@ class PatientFamilyService extends BaseService
         }
 
         $data = array();
-        if (isset($request_params['disease_class_id'])){
-            if ($request_params['disease_class_id'] != $patient_family_health['disease_class_id']){
+        if (isset($request_params['disease_class_id'])) {
+            if ($request_params['disease_class_id'] != $patient_family_health['disease_class_id']) {
                 // 疾病分类id-系统
                 $data['disease_class_id'] = $request_params['disease_class_id'];
 
@@ -810,43 +811,43 @@ class PatientFamilyService extends BaseService
                 $params = array();
                 $params['disease_class_id'] = $request_params['disease_class_id'];
                 $disease_class = DiseaseClass::getOne($params);
-                if (empty($disease_class)){
-                    return fail(HttpEnumCode::HTTP_ERROR,"疾病数据错误");
+                if (empty($disease_class)) {
+                    return fail(HttpEnumCode::HTTP_ERROR, "疾病数据错误");
                 }
 
                 $data['disease_class_name'] = $disease_class['disease_class_name'];
             }
         }
 
-        if (isset($request_params['diagnosis_date'])){
-            if ($request_params['diagnosis_date'] != $patient_family_health['diagnosis_date']){
+        if (isset($request_params['diagnosis_date'])) {
+            if ($request_params['diagnosis_date'] != $patient_family_health['diagnosis_date']) {
                 $data['diagnosis_date'] = $request_params['diagnosis_date'];
             }
         }
 
-        if (isset($request_params['diagnosis_hospital'])){
-            if ($request_params['diagnosis_hospital'] != $patient_family_health['diagnosis_hospital']){
+        if (isset($request_params['diagnosis_hospital'])) {
+            if ($request_params['diagnosis_hospital'] != $patient_family_health['diagnosis_hospital']) {
                 $data['diagnosis_hospital'] = $request_params['diagnosis_hospital'];
             }
         }
 
-        if (isset($request_params['is_take_medicine'])){
-            if ($request_params['is_take_medicine'] !== $patient_family_health['is_take_medicine']){
+        if (isset($request_params['is_take_medicine'])) {
+            if ($request_params['is_take_medicine'] !== $patient_family_health['is_take_medicine']) {
                 $data['is_take_medicine'] = $request_params['is_take_medicine'];
 
-                if ($request_params['drugs_name'] != $patient_family_health['drugs_name']){
+                if ($request_params['drugs_name'] != $patient_family_health['drugs_name']) {
                     $data['drugs_name'] = $request_params['drugs_name'];
                 }
             }
         }
 
-        if (!empty($data)){
+        if (!empty($data)) {
             $data['updated_at'] = date('Y-m-d H:i:s', time());
 
             $params = array();
             $params['family_health_id'] = $patient_family_health['family_health_id'];
 
-            PatientFamilyHealth::edit($params,$data);
+            PatientFamilyHealth::edit($params, $data);
         }
 
         return success();
@@ -883,8 +884,8 @@ class PatientFamilyService extends BaseService
         $data['family_id'] = $request_params['family_id'];
         $data['patient_id'] = $user_info['client_user_id'];
 
-        if (isset($request_params['disease_class_id'])){
-            if (!empty($request_params['disease_class_id'])){
+        if (isset($request_params['disease_class_id'])) {
+            if (!empty($request_params['disease_class_id'])) {
                 // 疾病分类id-系统
                 $data['disease_class_id'] = $request_params['disease_class_id'];
 
@@ -892,35 +893,35 @@ class PatientFamilyService extends BaseService
                 $params = array();
                 $params['disease_class_id'] = $request_params['disease_class_id'];
                 $disease_class = DiseaseClass::getOne($params);
-                if (empty($disease_class)){
-                    return fail(HttpEnumCode::HTTP_ERROR,"疾病数据错误");
+                if (empty($disease_class)) {
+                    return fail(HttpEnumCode::HTTP_ERROR, "疾病数据错误");
                 }
 
                 $data['disease_class_name'] = $disease_class['disease_class_name'];
             }
         }
 
-        if (isset($request_params['diagnosis_date'])){
-            if (!empty($request_params['diagnosis_date'])){
+        if (isset($request_params['diagnosis_date'])) {
+            if (!empty($request_params['diagnosis_date'])) {
                 $data['diagnosis_date'] = $request_params['diagnosis_date'];
             }
         }
 
-        if (isset($request_params['diagnosis_hospital'])){
-            if (!empty($request_params['diagnosis_hospital'])){
+        if (isset($request_params['diagnosis_hospital'])) {
+            if (!empty($request_params['diagnosis_hospital'])) {
                 $data['diagnosis_hospital'] = $request_params['diagnosis_hospital'];
             }
         }
 
-        if (isset($request_params['is_take_medicine'])){
-            if ($request_params['is_take_medicine'] !== null){
+        if (isset($request_params['is_take_medicine'])) {
+            if ($request_params['is_take_medicine'] !== null) {
                 $data['is_take_medicine'] = $request_params['is_take_medicine'];
                 $data['drugs_name'] = $request_params['drugs_name'] ?? "";
             }
         }
 
         $patient_family_health = PatientFamilyHealth::addPatientFamilyHealth($data);
-        if (empty($patient_family_health)){
+        if (empty($patient_family_health)) {
             return fail();
         }
 
@@ -935,13 +936,13 @@ class PatientFamilyService extends BaseService
     {
         $user_info = $this->request->getAttribute("userInfo");
 
-        $family_id = $this->request->input('family_id',0);
+        $family_id = $this->request->input('family_id', 0);
         $page = $this->request->input('page', 1);
         $per_page = $this->request->input('per_page', 10);
 
         $params = array();
         $params['patient_id'] = $user_info['client_user_id'];
-        if ($family_id != 0){
+        if ($family_id != 0) {
             $params['family_id'] = $family_id;
         }
 
@@ -956,11 +957,11 @@ class PatientFamilyService extends BaseService
             'created_at',
         ];
 
-        $result = OrderProduct::getProductRecordPage($params,$fields,$page,$per_page);
-        if (!empty($result['data'])){
-            foreach ($result['data'] as &$item){
-                if (!empty($item['OrderProductItem'])){
-                    foreach ($item['OrderProductItem'] as &$order_product_item){
+        $result = OrderProduct::getProductRecordPage($params, $fields, $page, $per_page);
+        if (!empty($result['data'])) {
+            foreach ($result['data'] as &$item) {
+                if (!empty($item['OrderProductItem'])) {
+                    foreach ($item['OrderProductItem'] as &$order_product_item) {
                         $order_product_item['product_cover_img'] = addAliyunOssWebsite($order_product_item['product_cover_img']);
                     }
                 }
@@ -990,10 +991,17 @@ class PatientFamilyService extends BaseService
         $params['patient_id'] = $user_info['client_user_id'];
         $patient_family_personal = PatientFamilyPersonalModel::getOne($params);
 
-        if (empty($patient_family_health) && empty($patient_family_personal)){
+        if (empty($patient_family_health) && empty($patient_family_personal)) {
             return success(null);
         }
 
+        // 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);
+
         $result = array();
         $result['user_id'] = $user_info['user_id'];
         $result['patient_id'] = $user_info['client_user_id'];
@@ -1007,24 +1015,32 @@ class PatientFamilyService extends BaseService
         $result['family_history'] = null; // 家族病史描述
         $result['is_pregnant'] = null; // 是否备孕、妊娠、哺乳期（0:否 1:是）
         $result['pregnant'] = null; // 备孕、妊娠、哺乳期描述
+        $result['disease_desc'] = ""; // 病情描述（主诉）
 
-        if (!empty($patient_family_personal)){
-            if ($patient_family_personal['is_allergy_history'] != null){
+        if (!empty($patient_family_personal)) {
+            if ($patient_family_personal['is_allergy_history'] != null) {
                 $result['is_allergy_history'] = (int)$patient_family_personal['is_allergy_history']; // 是否存在过敏史（0:否 1:是）
                 $result['allergy_history'] = $patient_family_personal['allergy_history']; // 过敏史描述
             }
 
-            if ($patient_family_personal['is_family_history'] != null){
+            if ($patient_family_personal['is_family_history'] != null) {
                 $result['is_family_history'] = (int)$patient_family_personal['is_family_history']; // 是否存在家族病史（0:否 1:是）
                 $result['family_history'] = $patient_family_personal['family_history']; // 家族病史描述
             }
 
-            if ($patient_family_personal['is_pregnant'] != null){
+            if ($patient_family_personal['is_pregnant'] != null) {
                 $result['is_pregnant'] = (int)$patient_family_personal['is_pregnant']; // 是否备孕、妊娠、哺乳期（0:否 1:是）
                 $result['pregnant'] = $patient_family_personal['pregnant']; // 备孕、妊娠、哺乳期描述
             }
         }
 
+        // 病情主诉
+        if (!empty($patient_pathography)){
+            if ($patient_pathography['disease_desc'] != null){
+                $result['disease_desc'] = $patient_pathography['disease_desc']; // 病情描述（主诉）
+            }
+        }
+
         return success($result);
     }
 }
\ No newline at end of file