diff --git a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabPat.java b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabPat.java
index 7e5d590..c090cfd 100644
--- a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabPat.java
+++ b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabPat.java
@@ -55,8 +55,6 @@ public class LabPat extends BaseEntity {
     private String instrid;
     private String jzbz;
     private String sbbr;
-   // private String qrr;
-   // private Date qrsj;
     private String alarmflag;
     private String alarmconfirm;
     private Date alarmconfirmdt;
@@ -80,4 +78,6 @@ public class LabPat extends BaseEntity {
     private String fault;
     private String faults;
     private Date faultdt;
+    private String sn_tss;
+    private String sn_result;
 }
diff --git a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqmain.java b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqmain.java
index 35af36e..6d9f920 100644
--- a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqmain.java
+++ b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqmain.java
@@ -42,6 +42,29 @@ public class LabReqmain extends BaseEntity {
     private String zd;
     private Date cysj;
     private Date cksj;
+    private String ckzj;
+    private String ckyh;
+    private String djry;
+    private String inputman;
+    private String powerman;
+    private String contactman;
+    private String refsqh;
+    private String cyr;
+    private String bbsjr;
+    private Date bbsjsj;
+    private String performby;
+    private String sbbr;
+    private String inzt;
+    private String libpos;
+    private Date inlibtime;
+    private String inlibman;
+    private Date outlibtime;
+    private String outlibman;
+    private String refused;
+    private Date confirmtime;
+    private String confirmer;
+    private String cybl;
+    private String bbsjbl;
     private String yljg;
     private String kh;
     private String klx;
@@ -50,21 +73,15 @@ public class LabReqmain extends BaseEntity {
     private String sfzh;
     private String phone;
     private String phone1;
-    private Date confirmtime;
-    private String confirmer;
-    private String cyr;
-    private String addr;
-    private String fb;
-    private String bbsjr;
-    private Date bbsjsj;
-    private String czid;
-    private String czmc;
-    private String jzjlid;
-    private String hzdh;
-    private String zxks;
-    private String hosid;
-    private String lstd;
-    private String jcptbz;
-    private String slzq;
+    private String yqdh;
     private Date sjsj;
+    private String addr;
+    private String lstd;
+    private String ssrq;
+    private String slzq;
+    private Date cyblsj;
+    private Date bbsjblsj;
+    private String ybrl;
+    private String qsyljg;
+    private String cjbw;
 }
diff --git a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqsteplog.java b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqsteplog.java
new file mode 100644
index 0000000..692d4e4
--- /dev/null
+++ b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabReqsteplog.java
@@ -0,0 +1,25 @@
+package com.czlis.common.core.domain.entity.lis;
+
+
+import lombok.AllArgsConstructor;
+import lombok.Data;
+import lombok.NoArgsConstructor;
+
+import java.util.Date;
+@NoArgsConstructor
+@AllArgsConstructor
+@Data
+public class LabReqsteplog {
+
+  private String sqh;
+  private Integer xh;
+  private String zt;
+  private String userid;
+  private Date changedate;
+  private Date logdate;
+  private String comname;
+  private String comip;
+  private String bz;
+
+
+}
diff --git a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabResult.java b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabResult.java
index 17fbef9..de75658 100644
--- a/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabResult.java
+++ b/lis-common/src/main/java/com/czlis/common/core/domain/entity/lis/LabResult.java
@@ -18,6 +18,7 @@ public class LabResult extends BaseEntity {
     private String yq;
     private String ybh;
     private String xmdh;
+    private String wyh;
     private String csjg;
     private String od;
     private String cutoff;
@@ -25,8 +26,7 @@ public class LabResult extends BaseEntity {
     private String bz1;
     private String bz2;
     private String yhdh;
-    private String textresult;
-    private String instrid;
+    private Integer instrid;
     private Date operdt;
     private String operna;
     private String refs;
@@ -36,6 +36,9 @@ public class LabResult extends BaseEntity {
     private String alarmFlag;
     private String redoFlag;
     private String sqxmdh;
+    private String redoText;
+    private String bz3;
+    private String textresult;
     private String xmmc;
     private String ygzd;
     private String ygzq;
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqmainMapper.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqmainMapper.java
index 45f47ce..e388994 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqmainMapper.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqmainMapper.java
@@ -6,6 +6,9 @@ import java.util.Map;
 
 public interface LabReqmainMapper {
     LabReqmain getLabReqmainOne(String sqh);
-    void updateLabReqmain(LabReqmain labReqmain);
-    void updateLabReqmainZT(Map<String,Object> map);
+    int updateLabReqmain(LabReqmain labReqmain);
+    int updateLabReqmainAll(LabReqmain labReqmain);
+    int deleteLabReqmain(String sqh);
+    void insertLabReqmain(LabReqmain labReqmain);
+    int updateLabReqmainZT(Map<String,Object> map);
 }
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqsteplogMapper.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqsteplogMapper.java
new file mode 100644
index 0000000..738c724
--- /dev/null
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/LabReqsteplogMapper.java
@@ -0,0 +1,12 @@
+package com.czlis.interfaceCommon.mapper;
+
+import com.czlis.common.core.domain.entity.lis.LabReqmain;
+import com.czlis.common.core.domain.entity.lis.LabReqsteplog;
+import org.apache.ibatis.annotations.Param;
+
+import java.util.List;
+
+public interface LabReqsteplogMapper {
+    LabReqsteplog getLabReqsteplogOne(@Param("sqh") String sqh,@Param("xh") Integer xh);
+    List<LabReqsteplog> getLabReqsteplog(String sqh);
+}
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/XmRefMapper.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/XmRefMapper.java
index 13c2f67..2c75e23 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/XmRefMapper.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/mapper/XmRefMapper.java
@@ -10,4 +10,5 @@ public interface XmRefMapper {
     List<XmRef> getXmRefList(String yq);
     XmRef  getXmRef(@Param("yq")String yq, @Param("xmdh")String xmdh);
     XmRef  getXmRefValue(Map<String,Object> map);
+    XmRef  getXmRefValue(@Param("yq")String yq, @Param("xmdh")String xmdh,@Param("bbtype")String bbtype, @Param("sex")String sex,@Param("age")Double age, @Param("zd")String zd, @Param("slzq")String slzq);
 }
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CalcUtils.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CalcUtils.java
index 25d909b..2bbcd3b 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CalcUtils.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CalcUtils.java
@@ -17,45 +17,65 @@ public class CalcUtils {
      * @param variableMap 入参MAP
      * @return
      */
-    public static String getValueFromCalc(String CalcExpression,Map<String,String> variableMap){
-        // 创建SpEL解析器
+    public static String getValueFromCalc(String CalcExpression, Map<String, String> variableMap) {
         ExpressionParser parser = new SpelExpressionParser();
-        // 创建评估上下文
         StandardEvaluationContext context = new StandardEvaluationContext();
-        // 循环遍历Map，将键值对添加到上下文
         for (Map.Entry<String, String> entry : variableMap.entrySet()) {
-            // 键作为变量名，值作为变量值
             String str = entry.getValue();
-            if(isNumber(str)){
+            if (isNumber(str)) {
                 context.setVariable(entry.getKey(), Double.parseDouble(str));
-            }else {
+            } else {
                 context.setVariable(entry.getKey(), entry.getValue());
             }
         }
-        // 测试表达式：使用多个变量进行判断"#score >= 60 ? #name + '的' + #subject + '成绩及格' : #name + '的' + #subject + '成绩不及格'"
         String expression = getCalc(CalcExpression);
         Expression exp = parser.parseExpression(expression);
-        // 执行表达式（传入上下文）
         try {
-            String result = exp.getValue(context, String.class);
-            //System.out.println(result);  // 输出：张三的数学成绩及格
-            return result;
-        } catch (Exception e) {
-        // 意外错误时返回null
-        return null;
-        }
+            // 先获取原始结果（可能是Number、Boolean、String等）
+            Object result = exp.getValue(context);
 
+            // 安全转换为String
+            if (result == null) {
+                return ""; // 空值返回空字符串（或根据业务返回null）
+            }
+
+            // 特殊处理数字类型，避免科学计数法（如1000000.0 → "1000000"）
+            if (result instanceof Number) {
+                Number num = (Number) result;
+                // 判断是否为整数（无小数部分）
+                if (num.doubleValue() == Math.floor(num.doubleValue())) {
+                    return String.valueOf(num.longValue());
+                } else {
+                    return String.valueOf(num.doubleValue());
+                }
+            }
+
+            // 其他类型直接调用toString()
+            return result.toString();
+
+        } catch (Exception e) {
+            throw new RuntimeException("表达式计算失败: " + expression, e);
+        }
     }
-    public static boolean getBooleanFromCalc(String CalcExpression,Map<String,String> variableMap){
+    public static boolean getBooleanFromCalc(String CalcExpression, Map<String, String> variableMap) {
         ExpressionParser parser = new SpelExpressionParser();
         StandardEvaluationContext context = new StandardEvaluationContext();
+        // 统一变量处理：数字转Double，否则保留String
         for (Map.Entry<String, String> entry : variableMap.entrySet()) {
-            context.setVariable(entry.getKey(), entry.getValue());
+            String str = entry.getValue();
+            if (isNumber(str)) {
+                context.setVariable(entry.getKey(), Double.parseDouble(str));
+            } else {
+                context.setVariable(entry.getKey(), entry.getValue());
+            }
         }
         String expression = getCalc(CalcExpression);
         Expression exp = parser.parseExpression(expression);
-        boolean result = exp.getValue(context, Boolean.class);
-        return result;
+        try {
+            return exp.getValue(context, Boolean.class);
+        } catch (Exception e) {
+            throw new RuntimeException("布尔表达式计算失败: " + expression, e); // 增强异常信息
+        }
     }
 
     /**
@@ -64,6 +84,7 @@ public class CalcUtils {
      * @return
      */
     public static String getCalc(String CalcExpression){
+
         // 1. 替换逻辑运算符：and→&&，or→||
         String processed = CalcExpression.replaceAll("\\band|AND\\b", "&&").replaceAll("\\bor|OR\\b", "||");
         // 2. 替换变量格式：[a] → #a
@@ -72,9 +93,47 @@ public class CalcUtils {
         processed = replaceLenFunction(processed);
         //4.like '%aa'或者 like 'aa%'或者 like '%aa%'
         processed = replaceLikeExpressions(processed);
+        // 1. 先将所有比较用的=替换为==（关键修复）
+        processed = processed.replaceAll("(\\w+)\\s*=\\s*('.*?'|\\w+)", "$1 == $2");
         //5. 递归处理if结构：if(cond, trueExpr, falseExpr) → cond?trueExpr:falseExpr
         return processIf(processed);
     }
+
+    /**
+     * 取出公式中所有[参数]返回数组,供调用传值引用
+     * @param input
+     * @return
+     */
+    public static String[] getParameters(String input) {
+        // 正则表达式匹配 [] 中的内容
+        Pattern pattern = Pattern.compile("\\[(.*?)\\]");
+        Matcher matcher = pattern.matcher(input);
+
+        // 第一步：统计匹配数量，确定数组长度
+        int count = 0;
+        // 临时存储匹配结果的数组（初始长度设为10，可根据实际场景调整）
+        String[] tempArray = new String[10];
+
+        // 循环查找所有匹配项
+        while (matcher.find()) {
+            // 存储当前匹配的内容（[]中的字符串）
+            tempArray[count] = matcher.group(1);
+            count++;
+
+            // 若临时数组容量不足，扩容（每次翻倍）
+            if (count == tempArray.length) {
+                String[] newArray = new String[tempArray.length * 2];
+                System.arraycopy(tempArray, 0, newArray, 0, tempArray.length);
+                tempArray = newArray;
+            }
+        }
+
+        // 第二步：创建与实际数量匹配的结果数组
+        String[] result = new String[count];
+        System.arraycopy(tempArray, 0, result, 0, count);
+
+        return result;
+    }
     /**
      * 递归解析并替换if表达式
      */
@@ -162,29 +221,29 @@ public class CalcUtils {
         for (int i = 0; i < 3; i++) {
             parts[i] = new StringBuilder();
         }
+        boolean inQuotes = false; // 标记是否在字符串中（单引号内）
 
         for (char c : inner.toCharArray()) {
-            if (c == ',' && stack.isEmpty()) {
+            // 处理单引号包裹的字符串（忽略内部逗号）
+            if (c == '\'') {
+                inQuotes = !inQuotes;
+                parts[partIndex].append(c);
+                continue;
+            }
+            // 仅当不在字符串中且栈为空时，才用逗号分割参数
+            if (c == ',' && !inQuotes && stack.isEmpty()) {
                 partIndex++;
-                if (partIndex >= 3) {
-                    break;
-                }
+                if (partIndex >= 3) break;
             } else {
-                if (c == '(') {
-                    stack.push('(');
-                } else if (c == ')') {
-                    if (!stack.isEmpty()) {
-                        stack.pop();
-                    }
-                }
+                if (c == '(') stack.push('(');
+                else if (c == ')') if (!stack.isEmpty()) stack.pop();
                 parts[partIndex].append(c);
             }
         }
-
         return new String[]{
-                parts[0].toString(),
-                parts[1].toString(),
-                parts[2].toString()
+                parts[0].toString().trim(),
+                parts[1].toString().trim(),
+                parts[2].toString().trim()
         };
     }
     /**
@@ -215,24 +274,18 @@ public class CalcUtils {
      * 支持：like '%xxx'、like 'xxx%'、like '%xxx%'、like 'xxx'（精确匹配）
      */
     private static String replaceLikeExpressions(String expression) {
-        // 正则匹配 like 表达式（支持空格变化和引号）
-        // 分组说明：
-        // group1: 左侧表达式（如字段或变量）
-        // group2: 匹配模式（如'%aa%'、'aa%'等）
-        Pattern pattern = Pattern.compile("(\\w+)\\s+like\\s+'([^']+)'", Pattern.CASE_INSENSITIVE);
+        // 修正正则：左侧表达式允许包含#、字母、数字、下划线（#[a-zA-Z0-9_]+）
+        Pattern pattern = Pattern.compile("([#\\w]+)\\s+like\\s+'([^']+)'", Pattern.CASE_INSENSITIVE);
         Matcher matcher = pattern.matcher(expression);
 
         StringBuffer result = new StringBuffer();
         while (matcher.find()) {
-            String leftExpr = matcher.group(1); // 左侧表达式（如 field1）
-            String patternStr = matcher.group(2); // 匹配模式（如 %aa%）
-
-            // 根据模式生成对应的SpEL方法调用
+            String leftExpr = matcher.group(1); // 支持#变量（如#RESULT）
+            String patternStr = matcher.group(2);
             String replacement = generateLikeReplacement(leftExpr, patternStr);
             matcher.appendReplacement(result, replacement);
         }
         matcher.appendTail(result);
-
         return result.toString();
     }
     /**
@@ -270,9 +323,8 @@ public class CalcUtils {
     */
     public static boolean isNumber(String str) {
         if (str == null || str.trim().isEmpty()) {
-            return false;
+            return false; // 空值不视为数字
         }
-        // 正则表达式：匹配正负整数、正负小数
         String regex = "^[+-]?([0-9]+(\\.[0-9]*)?|\\.[0-9]+)$";
         return str.matches(regex);
     }
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CommonUtil.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CommonUtil.java
index b15229a..72612b0 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CommonUtil.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/CommonUtil.java
@@ -48,6 +48,8 @@ public class CommonUtil {
     XmAlarmdetailMapper xmAlarmdetailMapper;
     @Autowired
     LabReqreportPdffileMapper labReqreportPdffileMapper;
+    @Autowired
+    LabReqsteplogMapper labReqsteplogMapper;
 
     //====检验主表操作方法集合===
     public LabPat getLabPatOne(Date jyrq, String yq, String ybh) {
@@ -89,6 +91,22 @@ public class CommonUtil {
     public LabReqmain getLabReqmainOne(String sqh) {
         return labReqmainMapper.getLabReqmainOne(sqh);
     }
+
+    public int updateLabReqmain(LabReqmain labReqmain) {
+        return labReqmainMapper.updateLabReqmain(labReqmain);
+    }
+
+    public int deleteLabReqmain(String sqh) {
+        return labReqmainMapper.deleteLabReqmain(sqh);
+    }
+
+    public void insertLabReqmain(LabReqmain labReqmain) {
+        labReqmainMapper.insertLabReqmain(labReqmain);
+    }
+
+    public List<LabReqsteplog> getLabReqsteplog(String sqh) {
+        return labReqsteplogMapper.getLabReqsteplog(sqh);
+    }
     //申请单明细表集合
 
     //====检验结果表操作方法集合===
@@ -101,8 +119,8 @@ public class CommonUtil {
     }
 
     @Transactional(rollbackFor = Exception.class)
-    public int insertLabResult(LabResult labResult) {
-        return labResultMapper.insertLabResult(labResult);
+    public void insertLabResult(LabResult labResult) {
+        labResultMapper.insertLabResult(labResult);
     }
 
     public List<LabResult> getresultinfo(Date jyrq, String yq, String ybh) {
@@ -144,6 +162,9 @@ public class CommonUtil {
     public XmRef getXmRefValue(Map<String, Object> map) {
         return xmRefMapper.getXmRefValue(map);
     }
+    public XmRef getXmRefValue(String yq,String xmdh,String bbtype,String sex,Double age,String zd,String slzq) {
+        return xmRefMapper.getXmRefValue(yq, xmdh, bbtype, sex, age, zd, slzq);
+    }
 
     public String getXmRefJgbz(String yq, String xmdh, String csjg, String csjg1, String csjg2) {
         return xmValMapper.getXmValJgbz(yq, xmdh, csjg, csjg1, csjg2);
@@ -266,8 +287,11 @@ public class CommonUtil {
         } else {
             //没有获取到缓存，则先从数据库中查询数据，然后再进行缓存
             ComOpt comOpt1 = comOptMapper.getComOptOne(yq, xxdh);
-            ComOptionUtils.setOptCache(yq, xxdh, comOpt1);
-            return comOpt1.getXxqz();
+            if (comOpt1 != null) {
+                ComOptionUtils.setOptCache(yq, xxdh, comOpt1);
+                return comOpt1.getXxqz();
+            }
+            return null;
         }
 
     }
@@ -306,7 +330,7 @@ public class CommonUtil {
         return labReqreportPdffileMapper.getLabReqreportPdffileList(sqh);
     }
 
-    public LabReqreportPdffile getLabReqreportPdffileOne(Date jyrq,String yq,String ybh) {
-        return labReqreportPdffileMapper.getLabReqreportPdffileOne(jyrq,yq,ybh);
+    public LabReqreportPdffile getLabReqreportPdffileOne(Date jyrq, String yq, String ybh) {
+        return labReqreportPdffileMapper.getLabReqreportPdffileOne(jyrq, yq, ybh);
     }
 }
diff --git a/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml b/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
index cb08207..1aab89c 100644
--- a/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
+++ b/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
@@ -76,8 +76,6 @@
             <if test="instrid != null  and instrid != ''">instrid,</if>
             <if test="jzbz != null  and jzbz != ''">jzbz,</if>
             <if test="sbbr != null  and sbbr != ''">sbbr,</if>
-            <if test="qrr != null  and qrr != ''">qrr,</if>
-            <if test="qrsj != null ">qrsj,</if>
             <if test="alarmflag != null and alarmflag != ''">alarmflag,</if>
             <if test="alarmconfirm != null and alarmconfirm != ''">alarmconfirm,</if>
             <if test="alarmconfirmdt != null ">alarmconfirmdt,</if>
@@ -99,15 +97,8 @@
             <if test="lstd != null and lstd !=''">lstd,</if>
             <if test="zjlx != null and zjlx != ''">zjlx,</if>
             <if test="slzq != null and slzq != ''">slzq,</if>
-            <if test="uploaddate != null">uploaddate,</if>
-            <if test="lastupdatetime != null">lastupdatetime,</if>
-            <if test="ylfw != null and ylfw != ''">ylfw,</if>
-            <if test="upload != null and upload != ''">upload,</if>
             <if test="checker != null and checker != ''">checker,</if>
-            <if test="lisptsc != null and lisptsc != ''">lisptsc,</if>
             <if test="autojgbz != null and autojgbz != ''">autojgbz,</if>
-            <if test="crbsj != null and crbsj != ''">crbsj,</if>
-            <if test="testName != null and testName != ''">testName,</if>
         jyrq,yq,ybh
             )
         values(
@@ -151,8 +142,6 @@
             <if test="instrid != null  and instrid != ''">#{instrid},</if>
             <if test="jzbz != null  and jzbz != ''">#{jzbz},</if>
             <if test="sbbr != null  and sbbr != ''">#{sbbr},</if>
-            <if test="qrr != null  and qrr != ''">#{qrr},</if>
-            <if test="qrsj != null ">#{qrsj},</if>
             <if test="alarmflag != null and alarmflag != ''">#{alarmflag},</if>
             <if test="alarmconfirm != null and alarmconfirm != ''">#{alarmconfirm},</if>
             <if test="alarmconfirmdt != null ">#{alarmconfirmdt},</if>
@@ -174,15 +163,8 @@
             <if test="lstd != null and lstd !=''">#{lstd},</if>
             <if test="zjlx != null and zjlx != ''">#{zjlx},</if>
             <if test="slzq != null and slzq != ''">#{slzq},</if>
-            <if test="uploaddate != null">#{uploaddate},</if>
-            <if test="lastupdatetime != null">#{lastupdatetime},</if>
-            <if test="ylfw != null and ylfw != ''">#{ylfw},</if>
-            <if test="upload != null and upload != ''">#{upload},</if>
             <if test="checker != null and checker != ''">#{checker},</if>
-            <if test="lisptsc != null and lisptsc != ''">#{lisptsc},</if>
             <if test="autojgbz != null and autojgbz != ''">#{autojgbz},</if>
-            <if test="crbsj != null and crbsj != ''">#{crbsj},</if>
-            <if test="testName != null and testName != ''">#{testName},</if>
             #{jyrq},#{yq},#{ybh}
         )
     </insert>
@@ -309,12 +291,6 @@
             <if test="sbbr != null">
                 sbbr = #{sbbr,jdbcType=VARCHAR},
             </if>
-            <if test="qrr != null">
-                qrr = #{qrr,jdbcType=VARCHAR},
-            </if>
-            <if test="qrsj != null">
-                qrsj = #{qrsj,jdbcType=TIMESTAMP},
-            </if>
             <if test="alarmflag != null">
                 alarmflag = #{alarmflag,jdbcType=CHAR},
             </if>
@@ -375,12 +351,6 @@
             <if test="slzq != null">
                 slzq = #{slzq,jdbcType=VARCHAR},
             </if>
-            <if test="uploaddate != null">
-                uploaddate = #{uploaddate,jdbcType=TIMESTAMP},
-            </if>
-            <if test="whonetupdate != null">
-                whonetupdate = #{whonetupdate,jdbcType=TIMESTAMP},
-            </if>
             <if test="checker != null">
                 checker = #{checker,jdbcType=VARCHAR},
             </if>
diff --git a/lis-interfaceCommon/src/main/resources/mapper/LabReqmainMapper.xml b/lis-interfaceCommon/src/main/resources/mapper/LabReqmainMapper.xml
index 336670e..60815da 100644
--- a/lis-interfaceCommon/src/main/resources/mapper/LabReqmainMapper.xml
+++ b/lis-interfaceCommon/src/main/resources/mapper/LabReqmainMapper.xml
@@ -11,8 +11,201 @@
         UPDATE lab_reqmain SET zt = '2', jsys = #{userId}, jssj =getdate() WHERE sqh = #{sqh} AND (zt < '2' or zt='8' or jssj<zxsj)
         ]]>
     </update>
-
-
-
+    <delete id="deleteLabReqmain" parameterType="String">
+        delete from lab_reqmain
+        where sqh = #{sqh}
+    </delete>
+    <insert id="insertLabReqmain"   parameterType="com.czlis.common.core.domain.entity.lis.LabReqmain">
+        insert into lab_reqmain (sqh, ksdh, sqys,
+                                 sqsj, jsys, jssj,
+                                 zt, jjzt, brly, brdh,
+                                 brxm, brxb, brsr, bz1,
+                                 bz2, bz3, jzbz, txm,
+                                 ch, yblx, zxys, zxsj,
+                                 bgddh, costs, nl, nldw,
+                                 zd, cysj, cksj,
+                                 ckzj, ckyh, djry, inputman,
+                                 powerman, contactman, refsqh,
+                                 cyr, bbsjr, bbsjsj,
+                                 performby, sbbr, inzt,
+                                 libpos, inlibtime, inlibman,
+                                 outlibtime, outlibman, refused,
+                                 confirmtime, confirmer, cybl,
+                                 bbsjbl, yljg, kh, klx,
+                                 jzsj, jymd, sfzh,
+                                 phone, phone1, yqdh, sjsj,
+                                 addr, lstd, ssrq,
+                                 slzq, cyblsj, bbsjblsj,
+                                 ybrl,qsyljg,cjbw)
+        values (#{sqh}, #{ksdh}, #{sqys},
+                #{sqsj}, #{jsys}, #{jssj},
+                #{zt}, #{jjzt}, #{brly}, #{brdh},
+                #{brxm}, #{brxb}, #{brsr}, #{bz1},
+                #{bz2}, #{bz3}, #{jzbz}, #{txm},
+                #{ch}, #{yblx}, #{zxys}, #{zxsj},
+                #{bgddh}, #{costs}, #{nl}, #{nldw},
+                #{zd}, #{cysj}, #{cksj},
+                #{ckzj}, #{ckyh}, #{djry}, #{inputman},
+                #{powerman}, #{contactman}, #{refsqh},
+                #{cyr}, #{bbsjr}, #{bbsjsj},
+                #{performby}, #{sbbr}, #{inzt},
+                #{libpos}, #{inlibtime}, #{inlibman},
+                #{outlibtime}, #{outlibman}, #{refused},
+                #{confirmtime}, #{confirmer}, #{cybl},
+                #{bbsjbl}, #{yljg}, #{kh}, #{klx},
+                #{jzsj}, #{jymd}, #{sfzh},
+                #{phone}, #{phone1}, #{yqdh}, #{sjsj},
+                #{addr}, #{lstd}, #{ssrq},
+                #{slzq}, #{cyblsj}, #{bbsjblsj},
+                #{ybrl},#{qsyljg},#{cjbw})
+    </insert>
+    <update id="updateLabReqmain" parameterType="com.czlis.common.core.domain.entity.lis.LabReqmain">
+        update lab_reqmain
+        <set>
+            <if test="ksdh != null">ksdh = #{ksdh},</if>
+            <if test="sqys != null">sqys = #{sqys},</if>
+            <if test="sqsj != null">sqsj = #{sqsj},</if>
+            <if test="jsys != null">jsys = #{jsys},</if>
+            <if test="jssj != null">jssj = #{jssj},</if>
+            <if test="zt != null">zt = #{zt},</if>
+            <if test="jjzt != null">jjzt = #{jjzt},</if>
+            <if test="brly != null">brly = #{brly},</if>
+            <if test="brdh != null">brdh = #{brdh},</if>
+            <if test="brxm != null">brxm = #{brxm},</if>
+            <if test="brxb != null">brxb = #{brxb},</if>
+            <if test="brsr != null">brsr = #{brsr},</if>
+            <if test="bz1 != null">bz1 = #{bz1},</if>
+            <if test="bz2 != null">bz2 = #{bz2},</if>
+            <if test="bz3 != null">bz3 = #{bz3},</if>
+            <if test="jzbz != null">jzbz = #{jzbz},</if>
+            <if test="txm != null">txm = #{txm},</if>
+            <if test="ch != null">ch = #{ch},</if>
+            <if test="yblx != null">yblx = #{yblx},</if>
+            <if test="zxys != null">zxys = #{zxys},</if>
+            <if test="zxsj != null">zxsj = #{zxsj},</if>
+            <if test="bgddh != null">bgddh = #{bgddh},</if>
+            <if test="costs != null">costs = #{costs},</if>
+            <if test="nl != null">nl = #{nl},</if>
+            <if test="nldw != null">nldw = #{nldw},</if>
+            <if test="zd != null">zd = #{zd},</if>
+            <if test="cysj != null">cysj = #{cysj},</if>
+            <if test="cksj != null">cksj = #{cksj},</if>
+            <if test="ckzj != null">ckzj = #{ckzj},</if>
+            <if test="ckyh != null">ckyh = #{ckyh},</if>
+            <if test="djry != null">djry = #{djry},</if>
+            <if test="inputman != null">inputman = #{inputman},</if>
+            <if test="powerman != null">powerman = #{powerman},</if>
+            <if test="contactman != null">contactman = #{contactman},</if>
+            <if test="refsqh != null">refsqh = #{refsqh},</if>
+            <if test="cyr != null">cyr = #{cyr},</if>
+            <if test="bbsjr != null">bbsjr = #{bbsjr},</if>
+            <if test="bbsjsj != null">bbsjsj = #{bbsjsj},</if>
+            <if test="performby != null">performby = #{performby},</if>
+            <if test="sbbr != null">sbbr = #{sbbr},</if>
+            <if test="inzt != null">inzt = #{inzt},</if>
+            <if test="libpos != null">libpos = #{libpos},</if>
+            <if test="inlibtime != null">inlibtime = #{inlibtime},</if>
+            <if test="inlibman != null">inlibman = #{inlibman},</if>
+            <if test="outlibtime != null">outlibtime = #{outlibtime},</if>
+            <if test="outlibman != null">outlibman = #{outlibman},</if>
+            <if test="refused != null">refused = #{refused},</if>
+            <if test="confirmtime != null">confirmtime = #{confirmtime},</if>
+            <if test="confirmer != null">confirmer = #{confirmer},</if>
+            <if test="cybl != null">cybl = #{cybl},</if>
+            <if test="bbsjbl != null">bbsjbl = #{bbsjbl},</if>
+            <if test="yljg != null">yljg = #{yljg},</if>
+            <if test="kh != null">kh = #{kh},</if>
+            <if test="klx != null">klx = #{klx},</if>
+            <if test="jzsj != null">jzsj = #{jzsj},</if>
+            <if test="jymd != null">jymd = #{jymd},</if>
+            <if test="sfzh != null">sfzh = #{sfzh},</if>
+            <if test="phone != null">phone = #{phone},</if>
+            <if test="phone1 != null">phone1 = #{phone1},</if>
+            <if test="yqdh != null">yqdh = #{yqdh},</if>
+            <if test="sjsj != null">sjsj = #{sjsj},</if>
+            <if test="addr != null">addr = #{addr},</if>
+            <if test="lstd != null">lstd = #{lstd},</if>
+            <if test="ssrq != null">ssrq = #{ssrq},</if>
+            <if test="slzq != null">slzq = #{slzq},</if>
+            <if test="cyblsj != null">cyblsj = #{cyblsj},</if>
+            <if test="bbsjblsj != null">bbsjblsj = #{bbsjblsj},</if>
+            <if test="ybrl != null">ybrl = #{ybrl},</if>
+            <if test="qsyljg != null">qsyljg = #{qsyljg},</if>
+        </set>
+        where sqh = #{sqh}
+    </update>
+    <update id="updateLabReqmainAll" parameterType="com.czlis.common.core.domain.entity.lis.LabReqmain">
+        update lab_reqmain
+        set ksdh = #{ksdh},
+            sqys = #{sqys},
+            sqsj = #{sqsj},
+            jsys = #{jsys},
+            jssj = #{jssj},
+            zt = #{zt},
+            jjzt = #{jjzt},
+            brly = #{brly},
+            brdh = #{brdh},
+            brxm = #{brxm},
+            brxb = #{brxb},
+            brsr = #{brsr},
+            bz1 = #{bz1},
+            bz2 = #{bz2},
+            bz3 = #{bz3},
+            jzbz = #{jzbz},
+            txm = #{txm},
+            ch = #{ch},
+            yblx = #{yblx},
+            zxys = #{zxys},
+            zxsj = #{zxsj},
+            bgddh = #{bgddh},
+            costs = #{costs},
+            nl = #{nl},
+            nldw = #{nldw},
+            zd = #{zd},
+            cysj = #{cysj},
+            cksj = #{cksj},
+            ckzj = #{ckzj},
+            ckyh = #{ckyh},
+            djry = #{djry},
+            inputman = #{inputman},
+            powerman = #{powerman},
+            contactman = #{contactman},
+            refsqh = #{refsqh},
+            cyr = #{cyr},
+            bbsjr = #{bbsjr},
+            bbsjsj = #{bbsjsj},
+            performby = #{performby},
+            sbbr = #{sbbr},
+            inzt = #{inzt},
+            libpos = #{libpos},
+            inlibtime = #{inlibtime},
+            inlibman = #{inlibman},
+            outlibtime = #{outlibtime},
+            outlibman = #{outlibman},
+            refused = #{refused},
+            confirmtime = #{confirmtime},
+            confirmer = #{confirmer},
+            cybl = #{cybl},
+            bbsjbl = #{bbsjbl},
+            yljg = #{yljg},
+            kh = #{kh},
+            klx = #{klx},
+            jzsj = #{jzsj},
+            jymd = #{jymd},
+            sfzh = #{sfzh},
+            phone = #{phone},
+            phone1 = #{phone1},
+            yqdh = #{yqdh},
+            sjsj = #{sjsj},
+            addr = #{addr},
+            lstd = #{lstd},
+            ssrq = #{ssrq},
+            slzq = #{slzq},
+            cyblsj = #{cyblsj},
+            bbsjblsj = #{bbsjblsj},
+            ybrl = #{ybrl},
+            qsyljg = #{qsyljg}
+        where sqh = #{sqh}
+    </update>
 
 </mapper>
diff --git a/lis-interfaceCommon/src/main/resources/mapper/LabReqsteplogMapper.xml b/lis-interfaceCommon/src/main/resources/mapper/LabReqsteplogMapper.xml
new file mode 100644
index 0000000..c4ca122
--- /dev/null
+++ b/lis-interfaceCommon/src/main/resources/mapper/LabReqsteplogMapper.xml
@@ -0,0 +1,15 @@
+<?xml version="1.0" encoding="UTF-8" ?>
+<!DOCTYPE mapper PUBLIC "-//mybatis.org//DTD Mapper 3.0//EN"
+        "http://mybatis.org/dtd/mybatis-3-mapper.dtd" >
+<mapper namespace="com.czlis.interfaceCommon.mapper.LabReqsteplogMapper">
+    <select id="getLabReqsteplogOne" resultType="com.czlis.common.core.domain.entity.lis.LabReqsteplog">
+        select * from lab_reqsteplog where sqh = #{sqh} and xh=#{xh}
+    </select>
+    <select id="getLabReqsteplog" resultType="com.czlis.common.core.domain.entity.lis.LabReqsteplog">
+        select * from lab_reqsteplog where sqh = #{sqh}
+    </select>
+
+
+
+
+</mapper>
diff --git a/lis-interfaceCommon/src/main/resources/mapper/XmRefMapper.xml b/lis-interfaceCommon/src/main/resources/mapper/XmRefMapper.xml
index bb2afa0..4c67d80 100644
--- a/lis-interfaceCommon/src/main/resources/mapper/XmRefMapper.xml
+++ b/lis-interfaceCommon/src/main/resources/mapper/XmRefMapper.xml
@@ -25,7 +25,7 @@
             <if test="sex != null and sex != ''">
                 and xb = #{sex}
             </if>
-            <if test="age != null and age != 0">
+            <if test="age != null ">
                 and nl2 >= #{age} and #{age}>=nl1
             </if>
             <if test="zd != null ">
diff --git a/liswork/src/main/java/com/czlis/liswork/controller/work/LisWorkOperController.java b/liswork/src/main/java/com/czlis/liswork/controller/work/LisWorkOperController.java
index 8fd1351..5579bf9 100644
--- a/liswork/src/main/java/com/czlis/liswork/controller/work/LisWorkOperController.java
+++ b/liswork/src/main/java/com/czlis/liswork/controller/work/LisWorkOperController.java
@@ -50,10 +50,10 @@ public class LisWorkOperController extends BaseController {
      */
     @ApiOperation("审核报告")
     @GetMapping("/check2")
-    public Result check21( Date jyrq, String yq, String ybh, String hdys){
+    public Result check2( Date jyrq, String yq, String ybh, String hdys){
         log.info("yq:{}", yq);
         hdys="lis";
 
-        return lisWorkOperService.check2(jyrq,  yq,  ybh, hdys);
+        return lisWorkOperService.confirm(jyrq,  yq,  ybh, hdys);
     }
 }
diff --git a/liswork/src/main/java/com/czlis/liswork/mapper/LisWorkOperMapper.java b/liswork/src/main/java/com/czlis/liswork/mapper/LisWorkOperMapper.java
index d274e40..9ebc0e6 100644
--- a/liswork/src/main/java/com/czlis/liswork/mapper/LisWorkOperMapper.java
+++ b/liswork/src/main/java/com/czlis/liswork/mapper/LisWorkOperMapper.java
@@ -10,12 +10,13 @@ import java.util.Map;
 public interface LisWorkOperMapper {
     Long checkReqClass(@Param("sqh") String sqh,@Param("yq") String yq);
     String selectSqxmdh(String sqh);
-    void sp_setrefs(Map<String,Object> map);
+    void spSetrefs(Map<String,Object> map);
     void updatelabresultsqxmdhall(@Param("jyrq") Date jyrq,@Param("yq") String yq,@Param("ybh") String ybh,@Param("sqxmdh") String sqxmdh);
     void updatelabresultsqxmdh(@Param("jyrq") Date jyrq,@Param("yq") String yq,@Param("ybh") String ybh,@Param("sqh") String sqh);
     List<ResultCalcDTO> getResultCalc(@Param("jyrq") Date jyrq, @Param("yq") String yq, @Param("ybh") String ybh);
     Integer getLimitCount(Map<String,Object> map);
     Integer checkresultsqxmdh(@Param("jyrq") Date jyrq,@Param("yq") String yq,@Param("ybh") String ybh,@Param("sqh") String sqh);
+    String checkresultnosqxmdh(@Param("jyrq") Date jyrq,@Param("yq") String yq,@Param("ybh") String ybh);
     Integer checkresultwxh(@Param("jyrq") Date jyrq, @Param("yq") String yq, @Param("ybh") String ybh);
     LabPat checkdublereport(@Param("sqh") String sqh, @Param("ybh") String ybh);
     LabPat checkyqdublereport(@Param("sqh") String sqh,@Param("yq") String yq, @Param("ybh") String ybh);
diff --git a/liswork/src/main/java/com/czlis/liswork/service/LisWorkOperService.java b/liswork/src/main/java/com/czlis/liswork/service/LisWorkOperService.java
index 4006557..511f272 100644
--- a/liswork/src/main/java/com/czlis/liswork/service/LisWorkOperService.java
+++ b/liswork/src/main/java/com/czlis/liswork/service/LisWorkOperService.java
@@ -9,5 +9,5 @@ public interface LisWorkOperService {
     Result newPatInfo(Date jyrq,String ybh, String sqh, String yq, Long userId);
     Result changePat(LabPat labPat);
 
-    Result check2(Date jyrq, String yq, String ybh, String hdys);
+    Result confirm(Date jyrq, String yq, String ybh, String hdys);
 }
diff --git a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkOperServiceImpl.java b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkOperServiceImpl.java
index 1f27545..9d2f2ee 100644
--- a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkOperServiceImpl.java
+++ b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkOperServiceImpl.java
@@ -2,6 +2,7 @@ package com.czlis.liswork.service.impl;
 
 
 import com.czlis.common.core.domain.entity.lis.*;
+import com.czlis.common.utils.SecurityUtils;
 import com.czlis.common.utils.ServletUtils;
 import com.czlis.common.utils.StringUtils;
 import com.czlis.common.utils.ip.IpUtils;
@@ -205,7 +206,7 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
      * @param hdys
      * @return
      */
-    public Result check2(Date jyrq, String yq, String ybh, String hdys) {
+    public Result confirm(Date jyrq, String yq, String ybh, String hdys) {
         if (hdys == null || "".equals(hdys)) new Result("-1", "审核者为空，无法审核！");
         //入参通过GET推送时使用ServletUtils.getParameterToInt获取
         //入参通过POSTJSON时使用JsonParamUtils.getParameterToInt获取
@@ -215,29 +216,43 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         if (!commonUtil.getUserPower(yq, hdys, 20)) return new Result("-1", "当前核对者无权对本仪器报告审核！");
         //2:数据合法性校验
         LabPat labPat = commonUtil.getLabPatOne(jyrq, yq, ybh);
-        Result result = beforecheck2(labPat, hdys, problemId);
-        if ("0".equals(result.getCode())) return result;
+        labPat.setHdys(hdys);
+        Result result = beforeconfirm(labPat, problemId);
+        if (!"0".equals(result.getCode())) return result;
         //3:数据完整保存
-        saveallresult(jyrq, yq, ybh);
-
+        int wjz = saveallresult(labPat);
+        //同步主表危急值标识
+        String alarmflag = labPat.getAlarmflag();
+        if (("1".equals(alarmflag) && wjz != 1)) {
+            labPat.setAlarmflag("1");
+        } else if (("".equals(alarmflag) || alarmflag == null) && wjz == 1) {
+            labPat.setAlarmflag("");
+        }
         //4:CA请求业务的处理
         //Result result=addCA(jyrq,  yq,  ybh,  hdys);
         //if("0".equals(result.getCode()))return result;
         //5:数据状态修改,异步上传接口作业创建
-        Result result1 = aftercheck2(jyrq, yq, ybh, hdys);
-        if ("0".equals(result1.getCode())) return result1;
+        Result result1 = afterconfirm(labPat, problemId);
+        if (!"0".equals(result1.getCode())) return result1;
         return new Result("0", "保存成功！");
     }
 
-    public Result beforecheck2(Date jyrq, String yq, String ybh, String hdys) {
+    /**
+     * 审核前校验数据完整性,审核业务和初审业务都可使用
+     *
+     * @param jyrq
+     * @param yq
+     * @param ybh
+     * @return
+     */
+    public Result beforeconfirm(Date jyrq, String yq, String ybh) {
         int problemId = ServletUtils.getParameterToInt("problemId", 0);
-        if (hdys == null || "".equals(hdys)) new Result("-1", "审核者为空，无法审核！");
         LabPat labPat = commonUtil.getLabPatOne(jyrq, yq, ybh);
-        return beforecheck2(labPat, hdys, problemId);
+        return beforeconfirm(labPat, problemId);
     }
 
-    private Result beforecheck2(LabPat labPat, String hdys, Integer problemId) {
-        if (hdys == null || "".equals(hdys)) new Result("-1", "审核者为空，无法审核！");
+    //内部使用
+    private Result beforeconfirm(LabPat labPat, Integer problemId) {
         Date jyrq = labPat.getJyrq();
         String yq = labPat.getYq();
         String ybh = labPat.getYbh();
@@ -278,7 +293,7 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         }
 
         List<LabResult> labResultList = commonUtil.getLabResultList(jyrq, yq, ybh);
-        if (labResultList == null) return new Result("-1", "结果为空禁止审核！");
+        if (labResultList == null || labResultList.size() == 0) return new Result("-1", "结果为空禁止审核！");
         for (LabResult labResult : labResultList) {
             String csjg = labResult.getCsjg();
             if ("未做".equals(csjg)) {
@@ -308,7 +323,7 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             if (wxh > 0) return new Result("-1", "有结果为****禁止审核!");
         }
         String sqh = labPat.getSqh();
-        if (sqh == null || "".equals(sqh)) {
+        if (sqh != null && !"".equals(sqh)) {
             if (!"质控".equals(brlyname)) {
                 if ("1".equals(commonUtil.getHISOPT("sp_dublereport"))) {
                     LabPat labPat0 = lisWorkOperMapper.checkdublereport(sqh, ybh);
@@ -329,14 +344,17 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             }
         }
 
-
+        String Userid = labPat.getHdys();
+        if (Userid == null || "".equals(Userid)) {
+            Userid = SecurityUtils.getLoginUser().getUsername();
+        }
         //调用his报告接口，检查外部接口对审核前的定制需求
         SetReport setReport = new SetReport();
         setReport.setIp(IpUtils.getIpAddr());
         setReport.setJyrq(DateFormatUtils.format(jyrq, "yyyy-MM-dd"));
         setReport.setYq(yq.trim());
         setReport.setYbh(ybh);
-        setReport.setUserid(hdys);
+        setReport.setUserid(Userid);
         setReport.setStatus(LisinterfaceNameConstants.REPORTSTART);
         Result result = lisInterfaceUtil.invokeLisInterface(LisinterfaceNameConstants.SETREPORT, setReport);
         if (result.getCode().equals("5")) {
@@ -349,7 +367,63 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         return new Result("0", "保存成功！");
     }
 
-    public Result aftercheck2(Date jyrq, String yq, String ybh, String hdys) {
+    /**
+     * 审核后步骤,在审核过程中,必须完成审核前校验通过,结果计算值填充,参考值结果标志危急值标志填写完成,最后使用此方法修改状态
+     *
+     * @param jyrq
+     * @param yq
+     * @param ybh
+     * @return
+     */
+    public Result afterconfirm(Date jyrq, String yq, String ybh) {
+        int problemId = ServletUtils.getParameterToInt("problemId", 0);
+        LabPat labPat = commonUtil.getLabPatOne(jyrq, yq, ybh);
+        return afterconfirm(labPat, problemId);
+    }
+
+    //内部使用
+    private Result afterconfirm(LabPat labPat, Integer problemId) {
+        Date jyrq = labPat.getJyrq();
+        String yq = labPat.getYq();
+        String ybh = labPat.getYbh();
+        String hdys = labPat.getHdys();
+        String itemvs = commonUtil.getHISOPT("itemvs");
+        if ("1".equals(itemvs)) {
+            String yqdl = commonUtil.getYqdl(yq);
+            if (!"细菌仪".equals(yqdl)) {
+                String nullcount = lisWorkOperMapper.checkresultnosqxmdh(jyrq, yq, ybh);
+                if (!"".equals(nullcount) && nullcount != null)
+                    return new Result("-1", "报告项目未对应申请项目,请进(收费项目报告项目对照)菜单维护对照:\r\n" + nullcount);
+            }
+        }
+
+        Date Confirmdt = new Date();
+        labPat.setConfirmdt(Confirmdt);
+        labPat.setConfirmer(hdys);
+        labPat.setLastdt(Confirmdt);
+        labPat.setLastuser(hdys);
+        Date dysj = labPat.getDysj();
+        if (dysj == null) dysj = Confirmdt;
+        if (commonUtil.getDateString(dysj).equals(commonUtil.getCurrentDate())) dysj = Confirmdt;
+        Date jysj = labPat.getSqsj();
+        if (jysj.after(dysj)) jysj = dysj;
+        labPat.setDysj(dysj);
+        String sqh = labPat.getSqh();
+        LabReqmain labReqmain = commonUtil.getLabReqmainOne(sqh);
+        if (labReqmain != null) {
+            String zt = labReqmain.getZt();
+            if (SampleStatusConstants.CANCAL.equals(zt)) return new Result("-1", "申请单已作废禁止审核！");
+            labReqmain.setYqdh(yq);
+            labReqmain.setSjsj(jysj);
+            labReqmain.setConfirmer(hdys);
+            labReqmain.setConfirmtime(Confirmdt);
+            labReqmain = checklabReqmainTAT(labReqmain);
+            if (!SampleStatusConstants.CANCAL.equals(zt)) labReqmain.setZt(SampleStatusConstants.CONFIRM);
+            commonUtil.updateLabReqmain(labReqmain);
+            Date cysj = labReqmain.getCysj();
+            if (cysj != null) labPat.setCyrq(cysj);
+        }
+
         //调用his报告接口，完成报告同时调用外部接口任务
         SetReport setReport = new SetReport();
         setReport.setIp(IpUtils.getIpAddr());
@@ -359,10 +433,109 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         setReport.setUserid(hdys);
         setReport.setStatus(LisinterfaceNameConstants.REPORTEND);
         Result result = lisInterfaceUtil.invokeLisInterface(LisinterfaceNameConstants.SETREPORT, setReport);
-
+        if (result.getCode().equals("5")) {
+            if (problemId < 4) {
+                return new Result(result.getCode(), result.getMsg(), 4);
+            }
+            return new Result("0", "保存成功！");
+        }
+        if (!result.getCode().equals("0")) return result;
+        //最后完成
+        labPat.setJgbz(ReportStatusConstants.CONFIRM);
+        commonUtil.updateLabPat(labPat);
         return new Result("0", "保存成功！");
     }
 
+    /**
+     * 申请单表校验TAT时间顺序,恢复时间倒置的时间轴
+     *
+     * @param labReqmain
+     * @return
+     */
+    private LabReqmain checklabReqmainTAT(LabReqmain labReqmain) {
+        if (labReqmain != null) {
+            Date confirmtime = labReqmain.getConfirmtime();
+            Date jysj = labReqmain.getSjsj();
+            String sqh = labReqmain.getSqh();
+            Date zxsj = labReqmain.getZxsj();
+            Date cysj = labReqmain.getCysj();
+            Date bbsjsj = labReqmain.getBbsjsj();
+            Date jssj = labReqmain.getJssj();
+            Date sjsj = labReqmain.getSjsj();
+            if (sjsj == null) sjsj = jysj;
+            if (sjsj.after(confirmtime)) sjsj = jysj;
+            if (jssj == null) jssj = sjsj;
+            if (jssj.after(confirmtime)) jssj = sjsj;
+            if (bbsjsj != null) {
+                if (bbsjsj.after(jssj) && jysj.after(bbsjsj)) jssj = jysj;
+            }
+            if (cysj != null) {
+                if (cysj.after(jssj) && jysj.after(cysj)) jssj = jysj;
+            }
+            if (jssj.after(sjsj)) sjsj = jysj;
+
+            List<LabReqsteplog> labReqsteplog = commonUtil.getLabReqsteplog(sqh);
+            if (bbsjsj != null && bbsjsj.after(jssj)) {
+                Date sj = jssj;
+                Date finalSj = sj;
+                Optional<LabReqsteplog> maxTimeEntity = labReqsteplog.stream()
+                        .filter(entity -> "13".equals(entity.getZt()))
+                        .filter(entity -> entity.getChangedate().before(finalSj))
+                        .max(Comparator.comparing(LabReqsteplog::getChangedate));
+                if (maxTimeEntity.isPresent()) {
+                    sj = maxTimeEntity.get().getChangedate();
+                }
+                bbsjsj = sj;
+                labReqmain.setBbsjsj(bbsjsj);
+            } else {
+                bbsjsj = jssj;
+            }
+            if (cysj != null && cysj.after(bbsjsj)) {
+                Date sj = bbsjsj;
+                Date finalSj = sj;
+                Optional<LabReqsteplog> maxTimeEntity = labReqsteplog.stream()
+                        .filter(entity -> "12".equals(entity.getZt()))
+                        .filter(entity -> entity.getChangedate().before(finalSj))
+                        .max(Comparator.comparing(LabReqsteplog::getChangedate));
+                if (maxTimeEntity.isPresent()) {
+                    sj = maxTimeEntity.get().getChangedate();
+                }
+                cysj = sj;
+                labReqmain.setCysj(cysj);
+            }
+            if (cysj != null && zxsj.after(cysj) && bbsjsj.after(zxsj)) {
+                Date sj = bbsjsj;
+                Date finalSj = sj;
+                Optional<LabReqsteplog> maxTimeEntity = labReqsteplog.stream()
+                        .filter(entity -> "12".equals(entity.getZt()))
+                        .filter(entity -> entity.getChangedate().before(finalSj))
+                        .max(Comparator.comparing(LabReqsteplog::getChangedate));
+                if (maxTimeEntity.isPresent()) {
+                    cysj = maxTimeEntity.get().getChangedate();
+                } else cysj = zxsj;
+                labReqmain.setCysj(cysj);
+            } else {
+                cysj = bbsjsj;
+            }
+            if (zxsj != null && zxsj.after(cysj)) {
+                Date sj = cysj;
+                Date finalSj = sj;
+                Optional<LabReqsteplog> maxTimeEntity = labReqsteplog.stream()
+                        .filter(entity -> "11".equals(entity.getZt()))
+                        .filter(entity -> entity.getChangedate().before(finalSj))
+                        .max(Comparator.comparing(LabReqsteplog::getChangedate));
+                if (maxTimeEntity.isPresent()) {
+                    sj = maxTimeEntity.get().getChangedate();
+                }
+
+                zxsj = sj;
+                labReqmain.setZxsj(zxsj);
+            }
+            labReqmain.setSjsj(sjsj);
+        }
+        return labReqmain;
+    }
+
     /**
      * 保存所有结果的修正值,涉及:空结果清除,计算项目添加,添加单位,添加申请项目编码,参考值重新计算更新,结果标志重新计算更新,危急值标志计算更新
      *
@@ -372,12 +545,21 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
     public Result saveallresult(Date jyrq, String yq, String ybh) {
         //查询病人信息
         LabPat labPat = commonUtil.getLabPatOne(jyrq, yq, ybh);
-        saveallresult(labPat);
+        int wjz = saveallresult(labPat);
+        //同步主表危急值标识
+        String alarmflag = labPat.getAlarmflag();
+        if (("1".equals(alarmflag) && wjz != 1)) {
+            labPat.setAlarmflag("1");
+            commonUtil.updateLabPat(labPat);
+        } else if (("".equals(alarmflag) || alarmflag == null) && wjz == 1) {
+            labPat.setAlarmflag("");
+            commonUtil.updateLabPat(labPat);
+        }
         return new Result("0", "保存成功！");
     }
 
     //内部使用
-    private void saveallresult(LabPat labPat) {
+    private int saveallresult(LabPat labPat) {
         Date jyrq = labPat.getJyrq();
         String yq = labPat.getYq();
         String ybh = labPat.getYbh();
@@ -389,10 +571,11 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         //计算项目更新
         calcsample(labPat);
         //保存最新参考值结果标志
-        saverefs(labPat);
+        int wjz = saverefs(labPat);
         //补写结果表申请单项目编号
-        String sqh = labPat.getYbh();
+        String sqh = labPat.getSqh();
         if (sqh != null && !"".equals(sqh)) setItemSqxmdh(jyrq, yq, ybh, sqh);
+        return wjz;
     }
 
     /**
@@ -412,8 +595,7 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
 
     //内部使用
     private void setItemSqxmdh(Date jyrq, String yq, String ybh, String sqh) {
-        if (sqh == null || "".equals(sqh)) {
-        } else {
+        if (sqh != null && !"".equals(sqh)) {
             int sl = labReqdetailMapper.getCountByKey(sqh);
             if (sl == 1) {
                 String sqxmdh = lisWorkOperMapper.selectSqxmdh(sqh);
@@ -449,28 +631,45 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             String xmdh = resultCalc.getJsxm();
             if (!xmdhold.equals(xmdh)) {
                 xmdhold = xmdh;
-                String sex = labPat.getBrxb().trim();
-                if ("1".equals(sex)) sex = "男";
-                if ("2".equals(sex)) sex = "女";
-                double age = AgeUtils.getDecimalAge(AgeUtils.getBirthDateByAge(labPat.getNl(), labPat.getNldw()));
+                boolean setjgsg = true;
                 Map<String, String> variables = new HashMap<>();
-                variables.put("SEX", sex);  // 示例值
-                variables.put("AGE", String.valueOf(age));
-                String result = CalcUtils.getValueFromCalc(jsgs, variables);
-                if (result != null && !result.trim().isEmpty()) {
-                    //插入结果值
-                    LabResult labResult = commonUtil.getLabResult(jyrq, yq, ybh, xmdh);
-                    if (labResult == null) {
-                        labResult = new LabResult();
-                        labResult.setJyrq(jyrq);
-                        labResult.setYq(yq);
-                        labResult.setYbh(ybh);
-                        labResult.setXmdh(xmdh);
-                        labResult.setCsjg(result);
-                        commonUtil.insertLabResult(labResult);
+                String[] parameters = CalcUtils.getParameters(jsgs);
+                for (int i = 0; i < parameters.length; i++) {
+                    String itemcode = parameters[i];
+                    if ("SEX".equals(itemcode)) {
+                        String sex = labPat.getBrxb().trim();
+                        if ("1".equals(sex)) sex = "男";
+                        if ("2".equals(sex)) sex = "女";
+                        variables.put("SEX", sex);
+                    } else if ("AGE".equals(itemcode)) {
+                        double age = AgeUtils.getDecimalAge(AgeUtils.getBirthDateByAge(labPat.getNl(), labPat.getNldw()));
+                        variables.put("AGE", String.valueOf(age));
                     } else {
-                        labResult.setCsjg(result);
-                        commonUtil.updateLabResult(labResult);
+                        List<ResultCalcDTO> collect = resultCalcDTO.stream().filter(result -> result.getXmdh().equals(itemcode)).collect(Collectors.toList());
+                        if (collect.size() > 0) {
+                            variables.put(itemcode, collect.get(0).getCsjg());
+                        } else {
+                            setjgsg = false;
+                        }
+                    }
+                }
+                if (setjgsg) {
+                    String result = CalcUtils.getValueFromCalc(jsgs, variables);
+                    if (result != null && !result.trim().isEmpty()) {
+                        //插入结果值
+                        LabResult labResult = commonUtil.getLabResult(jyrq, yq, ybh, xmdh);
+                        if (labResult == null) {
+                            labResult = new LabResult();
+                            labResult.setJyrq(jyrq);
+                            labResult.setYq(yq);
+                            labResult.setYbh(ybh);
+                            labResult.setXmdh(xmdh);
+                            labResult.setCsjg(result);
+                            commonUtil.insertLabResult(labResult);
+                        } else {
+                            labResult.setCsjg(result);
+                            commonUtil.updateLabResult(labResult);
+                        }
                     }
                 }
             }
@@ -486,7 +685,16 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
      */
     public Result saverefs(Date jyrq, String yq, String ybh) {
         LabPat labPat = commonUtil.getLabPatOne(jyrq, yq, ybh);
-        saverefs(labPat);
+        int wjz = saverefs(labPat);
+        //同步主表危急值标识
+        String alarmflag = labPat.getAlarmflag();
+        if (("1".equals(alarmflag) && wjz != 1)) {
+            labPat.setAlarmflag("1");
+            commonUtil.updateLabPat(labPat);
+        } else if (("".equals(alarmflag) || alarmflag == null) && wjz == 1) {
+            labPat.setAlarmflag("");
+            commonUtil.updateLabPat(labPat);
+        }
         return new Result("0", "保存成功！");
     }
     //内部使用
@@ -511,7 +719,7 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             map.put("settype", "1");
             map.put("retcode", "");
             map.put("retmsg", "");
-            lisWorkOperMapper.sp_setrefs(map);
+            lisWorkOperMapper.spSetrefs(map);
             String retCode = String.valueOf(map.get("retcode"));
             String retMsg = String.valueOf(map.get("retmsg"));
             log.info("调用存储过程{}返回值：{},{}", "sp_setrefs", retCode, retMsg);
@@ -546,26 +754,18 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             }
             //危急值标识去除原则
             String brxm = labPat.getBrxm();
-            if (brxm.contains("质控") || brxm.contains("复查") || brxm.contains("QC") || brxm.contains("qc") || brxm.contains("软化水") || brxm.contains("锅炉水")) {
+            if(brxm !=null)if (brxm.contains("质控") || brxm.contains("复查") || brxm.contains("QC") || brxm.contains("qc") || brxm.contains("软化水") || brxm.contains("锅炉水")) {
                 lb_wjz = false;
             }
             ;
             String brly = labPat.getBrly();
-            brly = commonUtil.getComDictNameById("PT", brly);
-            if (brly.contains("质控")) lb_wjz = false;
+            if(brly !=null)brly = commonUtil.getComDictNameById("PT", brly);
+            if(brly !=null)if (brly.contains("质控")) lb_wjz = false;
             String ksdh = labPat.getKsdh();
-            ksdh = commonUtil.getComDictNameById("DP", ksdh);
-            if (ksdh.contains("检验科")) lb_wjz = false;
+            if(ksdh !=null)ksdh = commonUtil.getComDictNameById("DP", ksdh);
+            if(ksdh !=null)if (ksdh.contains("检验科")) lb_wjz = false;
             //同步主表危急值标识
-            String alarmflag = labPat.getAlarmflag();
-            if (("1".equals(alarmflag) && !lb_wjz)) {
-                labPat.setAlarmflag("1");
-                commonUtil.updateLabPat(labPat);
-            } else if (("".equals(alarmflag) || alarmflag == null) && lb_wjz) {
-                labPat.setAlarmflag("");
-                commonUtil.updateLabPat(labPat);
-            }
-
+            if (lb_wjz) return 1;
         }
         return 0;
     }
@@ -600,44 +800,41 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
             String ygbb = xmInfo.getYgbb();
             String ygzq = xmInfo.getYgzq();
             String ygzd = xmInfo.getYgzd();
-            String sex = "";
+            String sex = null;
             if ("Y".equals(ygxb)) {
                 sex = labPat.getBrxb().trim();
                 if (sex == null) sex = "";
             }
-            String yblx = "";
+            String yblx = null;
             if ("Y".equals(ygbb)) {
                 yblx = labPat.getYblx();
                 String bb = commonUtil.getComDictIdByName("BT", yblx);
                 if (bb != null && !bb.trim().isEmpty()) yblx = bb;
             }
-            String zd = "";
+            String zd = null;
             if ("Y".equals(ygzd)) {
                 zd = labPat.getZd();
-                String icd10 = commonUtil.getComDictIdByName("ICD10", zd);
-                if (icd10 != null && !icd10.trim().isEmpty()) zd = icd10;
+                if (zd == null) {zd="";}
             }
-            String slzq = "";
+            String slzq = null;
             if ("Y".equals(ygzq)) {
                 slzq = labPat.getSlzq();
-                String zq = commonUtil.getComDictIdByName("SLZQ", slzq);
-                if (zq != null && !zq.trim().isEmpty()) slzq = zq;
+                if (slzq != null) {
+                    String zq = commonUtil.getComDictIdByName("SLZQ", slzq);
+                    if (zq != null && !zq.trim().isEmpty()) slzq = zq;
+                } else {
+                    slzq = "";
+                }
+
             }
-            double age = 0;
+            Double age = null;
             if ("Y".equals(ygnl)) {
                 age = AgeUtils.getDecimalAge(AgeUtils.getBirthDateByAge(labPat.getNl(), labPat.getNldw()));
             }
             XmRef xmRef = new XmRef();
             if ("Y".equals(ygxb) || "Y".equals(ygbb) || "Y".equals(ygnl) || "Y".equals(ygzd) || "Y".equals(ygzq)) {
-                Map<String, Object> map = new HashMap<>();
-                map.put("yq", yblx);
-                map.put("xmdh", sex);
-                map.put("bbtype", yblx);
-                map.put("sex", sex);
-                map.put("age", age);
-                map.put("zd", zd);
-                map.put("slzq", slzq);
-                xmRef = commonUtil.getXmRefValue(map);
+
+                xmRef = commonUtil.getXmRefValue(yq, xmdh, yblx, sex, age, zd, slzq);
             }
             if (xmRef != null) {
                 ckxx = xmRef.getCkxx();
@@ -669,10 +866,10 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
                     lmtflag = "P";
                 resultflag = lmtflag;
                 if ("J".equals(lmtflag)) wjzflag = "H";
+                int wjzf = alarmcondition(labPat, labResult);
+                if (wjzf == 1) wjzflag = "H";//满足特定危机值条件
+                if (wjzf == 0) wjzflag = "";//存在特定危机值条件，但不满足不提示
             }
-            int wjzf = alarmcondition(labPat, labResult);
-            if (wjzf == 1) wjzflag = "H";//满足特定危机值条件
-            if (wjzf == 0) wjzflag = "";//存在特定危机值条件，但不满足不提示
             //小数保留位数计算
             Integer xsws = xmInfo.getXsws();
             if (xsws >= 0) csjg = LisUtil.round(csjg, xsws);
@@ -707,11 +904,15 @@ public class LisWorkOperServiceImpl implements LisWorkOperService {
         String brxm = "";
         String brdh = "";
         String ksdh = labPat.getKsdh();
-        String ksdh1 = commonUtil.getComDictIdByName("BT", ksdh);
-        if (ksdh1 != null && !ksdh1.trim().isEmpty()) ksdh = ksdh1;
+        if (ksdh != null && !ksdh.trim().isEmpty()) {
+            String ksdh1 = commonUtil.getComDictIdByName("DP", ksdh);
+            if (ksdh1 != null && !ksdh1.trim().isEmpty()) ksdh = ksdh1;
+        }
         String ybzt = labPat.getYbzt();
-        String ybzt1 = commonUtil.getComDictIdByName("ST", ybzt);
-        if (ybzt1 != null && !ybzt1.trim().isEmpty()) ybzt = ybzt1;
+        if (ybzt != null && !ybzt.trim().isEmpty()) {
+            String ybzt1 = commonUtil.getComDictIdByName("ST", ybzt);
+            if (ybzt1 != null && !ybzt1.trim().isEmpty()) ybzt = ybzt1;
+        }
         String zd = labPat.getZd();
         for (XmAlarmdetail xmAlarmdetail : getXmAlarmdetail) {
             String samplecondition = xmAlarmdetail.getSamplecondition();
diff --git a/liswork/src/main/resources/mapper/LisWorkOperMapper.xml b/liswork/src/main/resources/mapper/LisWorkOperMapper.xml
index c5bd294..0de90a7 100644
--- a/liswork/src/main/resources/mapper/LisWorkOperMapper.xml
+++ b/liswork/src/main/resources/mapper/LisWorkOperMapper.xml
@@ -16,6 +16,14 @@
         where  a.xmdh not in (select b.xmdh from xm_reqitem_vs_reportitem b ,lab_reqdetail c where  b.sqxmdh=c.sqxmdh  and b.yq=a.yq and c.sqh=#{sqh})
         and a.yq=#{yq} and a.ybh=#{ybh} and a.jyrq=#{jyrq} AND a.xmdh NOT LIKE 'GLU%'
 
+    </select>
+    <select id="checkresultnosqxmdh" resultType="String">
+        select (select c.xmmc+ ';' from lab_result a  join xm_info c on c.yq=a.yq and c.xmdh=a.xmdh and c.dylx !='3'
+        where  a.jyrq=b.jyrq and a.yq=b.yq and a.ybh=b.ybh and isnull(a.sqxmdh,'')=''  FOR XML PATH(''))
+        from lab_pat b join lab_instr on lab_instr.yqdl !='细菌仪' and lab_instr.yq=b.yq
+        where b.yq =#{yq} And b.jyrq =#{jyrq} And b.ybh =#{ybh}  and b.sqh !=''
+
+
     </select>
     <select id="checkresultwxh" resultType="Integer">
         select count(1) from lab_result,xm_info