diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
index 04e55d4a..845fb592 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
@@ -18,6 +18,7 @@ import lombok.RequiredArgsConstructor;
 import org.springframework.web.bind.annotation.*;
 import org.springframework.web.multipart.MultipartFile;
 
+import javax.servlet.http.HttpServletResponse;
 import java.util.List;
 
 @Api(tags = "病历管理")
@@ -114,6 +115,13 @@ public class MedicalRecManageController {
         return medicalRecManageService.preUploadMedicalAnswer(multipartFile, medicalRecId);
     }
 
+    @ApiOperation("下载疾病问题导入模板")
+    @PostMapping("/downloadMedicalAnswerTemplate")
+    public void downloadMedicalAnswerTemplate(HttpServletResponse response) throws Exception {
+
+        medicalRecManageService.downloadMedicalAnswerTemplate(response);
+    }
+
 
 
     @ApiOperation("查询病例默认问题")
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
index 3e6c263d..12935d1d 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
@@ -12,6 +12,7 @@ import com.supervision.vo.manage.MedicalRecPageResVO;
 import com.supervision.model.Disease;
 import org.springframework.web.multipart.MultipartFile;
 
+import javax.servlet.http.HttpServletResponse;
 import java.util.List;
 
 public interface MedicalRecManageService {
@@ -44,4 +45,6 @@ public interface MedicalRecManageService {
     MedicalAnswerVideoResVo preUploadMedicalAnswer(MultipartFile multipartFile, String medicalRecId) throws Exception;
 
     List<MedicalRecQaVO> queryMedicalDefaultAnswer(String medicalRecId);
+
+    void downloadMedicalAnswerTemplate(HttpServletResponse response) throws Exception;
 }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
index 27ea5591..c6bb12e4 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
@@ -20,11 +20,12 @@ import com.supervision.vo.manage.DiseaseTreatmentPlanResVo;
 import com.supervision.vo.manage.MedicalRecPageResVO;
 import lombok.RequiredArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.factory.annotation.Value;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 import org.springframework.web.multipart.MultipartFile;
 
-import java.io.InputStream;
+import javax.servlet.http.HttpServletResponse;
 import java.util.*;
 import java.util.function.Function;
 import java.util.stream.Collectors;
@@ -34,6 +35,9 @@ import java.util.stream.Collectors;
 @RequiredArgsConstructor
 public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
+    @Value("${answer.offline.template.empty}")
+    private String emptyTemplateResourceId;
+
     private final DiseaseService diseaseService;
 
     private final MedicalRecService medicalRecService;
@@ -54,6 +58,8 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
     private final AnswerVideoResourceService answerVideoResourceService;
 
+    private final  FileManageService fileManageService;
+
     public List<Disease> queryDiseaseListByDropList() {
         return diseaseService.lambdaQuery().list();
     }
@@ -301,4 +307,9 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
             return medicalRecQaVO;
         }).collect(Collectors.toList());
     }
+
+    @Override
+    public void downloadMedicalAnswerTemplate(HttpServletResponse response) throws Exception {
+        fileManageService.downloadFile(emptyTemplateResourceId,response);
+    }
 }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/OfflineAnswerVideoResource.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/OfflineAnswerVideoResource.java
index e42e79c7..8cbcfaf9 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/OfflineAnswerVideoResource.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/OfflineAnswerVideoResource.java
@@ -38,8 +38,8 @@ import java.util.stream.Collectors;
 @RequiredArgsConstructor
 public class OfflineAnswerVideoResource implements AnswerVideoResourceService {
 
-    @Value("${answer.offline.templateResourceId}")
-    private String templateResourceId;
+    @Value("${answer.offline.template.error}")
+    private String errorTemplateResourceId;
 
     private final AskPatientAnswerService askPatientAnswerService;
 
@@ -164,7 +164,7 @@ public class OfflineAnswerVideoResource implements AnswerVideoResourceService {
                 .filter(dto -> CollUtil.isNotEmpty(dto.getErrorCodeEnums())).collect(Collectors.toList());*/
 
         List<Map<String, Object>> rowDataList = medicalRecAnswerExcelDTOS.stream().map(MedicalRecAnswerExcelDTO::toExcelMap).collect(Collectors.toList());
-        File templateFile = downLoadTemplate(templateResourceId);
+        File templateFile = downLoadTemplate(errorTemplateResourceId);
         try (ExcelWriter writer = ExcelUtil.getWriter(templateFile)){
             writer.setHeaderAlias(MedicalRecAnswerExcelDTO.WRITE_HEADER_ALIAS);
             writer.setOnlyAlias(true);