diff --git a/virtual-patient-web/src/main/java/com/supervision/controller/MedicalRecordController.java b/virtual-patient-web/src/main/java/com/supervision/controller/MedicalRecordController.java
index 0a47e682..f1845bc6 100644
--- a/virtual-patient-web/src/main/java/com/supervision/controller/MedicalRecordController.java
+++ b/virtual-patient-web/src/main/java/com/supervision/controller/MedicalRecordController.java
@@ -21,6 +21,12 @@ public class MedicalRecordController {
 
     private final MedicalRecordService medicalRecordService;
 
+    /**
+     *  @Deprecated: 由updateMedicalRecord接口统一完成新增和更新操作
+     * @param processMedical 问诊流程病历
+     * @return 是否新增成功
+     */
+    @Deprecated
     @ApiOperation("新增电子病例信息")
     @PostMapping("save")
     public boolean saveMedicalRecord(@RequestBody ProcessMedical processMedical){
@@ -32,7 +38,7 @@ public class MedicalRecordController {
     @PutMapping("update")
     public boolean updateMedicalRecord(@RequestBody ProcessMedical processMedical){
 
-        return medicalRecordService.updateMedicalRecord(processMedical);
+        return medicalRecordService.saveOrUpdateMedicalRecord(processMedical);
     }
 
     @ApiOperation("通过流程id查询电子病例信息")
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/MedicalRecordService.java b/virtual-patient-web/src/main/java/com/supervision/service/MedicalRecordService.java
index 585fcfcd..85b688c4 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/MedicalRecordService.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/MedicalRecordService.java
@@ -10,7 +10,7 @@ public interface MedicalRecordService {
 
     ProcessMedicalResVo findByProcessId(String processId);
 
-    boolean updateMedicalRecord(ProcessMedical processMedical);
+    boolean saveOrUpdateMedicalRecord(ProcessMedical processMedical);
 
     ProcessMedicalViewDetailResVo queryViewDetail(String processId);
 }
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/MedicalRecordServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/MedicalRecordServiceImpl.java
index 8662c478..b44860e3 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/MedicalRecordServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/MedicalRecordServiceImpl.java
@@ -2,6 +2,7 @@ package com.supervision.service.impl;
 
 import cn.hutool.core.bean.BeanUtil;
 import cn.hutool.core.lang.Assert;
+import cn.hutool.core.util.StrUtil;
 import com.supervision.model.Process;
 import com.supervision.model.ProcessMedical;
 import com.supervision.model.User;
@@ -50,9 +51,12 @@ public class MedicalRecordServiceImpl implements MedicalRecordService {
     }
 
     @Override
-    public boolean updateMedicalRecord(ProcessMedical processMedical) {
+    public boolean saveOrUpdateMedicalRecord(ProcessMedical processMedical) {
 
-        Assert.notEmpty(processMedical.getId(),"id 不能为空");
+        if (StrUtil.isEmpty(processMedical.getId())){
+            // 走新增逻辑
+            return saveMedicalRecord(processMedical);
+        }
 
         return processMedicalService.updateById(processMedical);
     }