diff --git a/docker/v3.1.0/step1.sql b/docker/v3.1.0/step1.sql
index 0d246631..6c1e4471 100644
--- a/docker/v3.1.0/step1.sql
+++ b/docker/v3.1.0/step1.sql
@@ -26,4 +26,7 @@ create table vp_medical_extend_item
     update_user_id varchar(64)                        null comment '更新人',
     update_time    datetime default CURRENT_TIMESTAMP null comment '更新时间'
 )
-    comment '病历扩展项' charset = utf8 row_format = DYNAMIC;
\ No newline at end of file
+    comment '病历扩展项' charset = utf8 row_format = DYNAMIC;
+
+alter table vp_medical_rec
+    add medical_type integer null comment '病历类型 0：普通型 1:学习型 3：考核型' after no;
\ No newline at end of file
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/MedicalRec.java b/virtual-patient-model/src/main/java/com/supervision/model/MedicalRec.java
index 7bc4b69e..20d20779 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/MedicalRec.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/MedicalRec.java
@@ -30,6 +30,11 @@ public class MedicalRec extends Model<MedicalRec> implements Serializable {
      */
     private String no;
 
+    /**
+     * 病历类型 0：普通型 1:学习型 3：考核型
+     */
+    private Integer medicalType;
+
     /**
      * 病人头像
      */
diff --git a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
index 86a35545..5203f4c2 100644
--- a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
@@ -7,6 +7,7 @@
     <resultMap id="BaseResultMap" type="com.supervision.model.MedicalRec">
         <id property="id" column="id" jdbcType="VARCHAR"/>
         <result property="no" column="no" jdbcType="VARCHAR"/>
+        <result property="medicalType" column="medical_type" jdbcType="VARCHAR"/>
         <result property="patientId" column="patient_id" jdbcType="VARCHAR"/>
         <result property="patientHeadPic" column="patient_head_pic" jdbcType="VARCHAR"/>
         <result property="digitalHumanType" column="digital_human_type" jdbcType="INTEGER"/>
@@ -37,7 +38,7 @@
     </resultMap>
 
     <sql id="Base_Column_List">
-        id,no,patient_id,patient_head_pic,digital_human_type,
+        id,no,medical_type,patient_id,patient_head_pic,digital_human_type,
         patient_name,patient_gender,patient_age,
         patient_marriage,patient_profession,patient_phone,
         native_place,patient_nation,patient_postcode,