diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
index 13401830..883133db 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPrimaryServiceImpl.java
@@ -35,6 +35,8 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
 
     private final DiagnosisPrimaryRelationService diagnosisPrimaryRelationService;
 
+    private final ProcessMedicalService processMedicalService;
+
     @Override
     public List<DiagnosisPrimaryVO> queryAskPrimaryList(String processId) {
         List<DiagnosisPrimaryVO> resVoList = diagnosisPrimaryService.queryAskPrimaryList(processId);
@@ -154,6 +156,16 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
     @Override
     @Transactional(rollbackFor = Exception.class)
     public void confirmPrimaryByAskEnd(List<PrimaryConfirmReqVO> reqVOList) {
+        Optional<PrimaryConfirmReqVO> any = reqVOList.stream().findAny();
+        if (!any.isPresent()) {
+            throw new BusinessException("初步诊断不能为空");
+        }
+        String processId = any.get().getProcessId();
+        // 校验,如果没有填写病历,那么就不允许诊毕
+        Integer count = processMedicalService.lambdaQuery().eq(ProcessMedical::getProcessId, processId).count();
+        if(count < 1){
+            throw new BusinessException("电子病历未填写,请填写电子病例后诊毕");
+        }
         for (PrimaryConfirmReqVO reqVO : reqVOList) {
             // 修改初步诊断是否被排除
             diagnosisPrimaryService.lambdaUpdate().set(DiagnosisPrimary::getExcludeFlag, reqVO.getExcludeFlag())
@@ -162,7 +174,7 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
             saveDiagnosticBasis(reqVO.getDiagnosticBasisList());
         }
         // 然后将process的状态改为诊毕
-        processService.lambdaUpdate().set(Process::getStatus, 1).update();
+        processService.lambdaUpdate().set(Process::getStatus, 1).eq(Process::getId, processId).update();
     }
 
     private void saveDiagnosticBasis(List<DiagnosticBasisForPrimaryReqVO> diagnosticBasisList) {
@@ -226,7 +238,7 @@ public class AskPrimaryServiceImpl implements AskPrimaryService {
         List<DiagnosticBasisForPrimaryResVO> result = new ArrayList<>();
         for (DiagnosticBasisForPrimaryResVO node : resList) {
             List<DiagnosisPrimaryRelation> relationPrimaryList = relationMap.get(node.getId());
-            if (CollUtil.isEmpty(relationPrimaryList)){
+            if (CollUtil.isEmpty(relationPrimaryList)) {
                 continue;
             }
             Set<String> primarySet = relationPrimaryList.stream().map(DiagnosisPrimaryRelation::getPrimaryId).collect(Collectors.toSet());
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskProcessServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskProcessServiceImpl.java
index 8cf82773..08fb7c3d 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskProcessServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskProcessServiceImpl.java
@@ -26,8 +26,6 @@ public class AskProcessServiceImpl implements AskProcessService {
 
     private final MedicalRecService medicalRecService;
 
-    private final ProcessMedicalService processMedicalService;
-
     @Override
     @Transactional(rollbackFor = Exception.class)
     public Process creatDiagnosisProcess(String patientId,String medicalId, User user) {
@@ -43,15 +41,6 @@ public class AskProcessServiceImpl implements AskProcessService {
         process.setProcessType(0);//默认学习类型
         process.setProcessNo(SequenceUtil.getProcessNo());
         processService.save(process);
-        // 还需要生成一个vp_process_medical
-        ProcessMedical processMedical = new ProcessMedical();
-        processMedical.setProcessId(process.getId());
-        processMedical.setMedicalRecId(medicalId);
-        processMedical.setPatientId(patientId);
-        processMedical.setDiseaseId(process.getDiseaseId());
-        processMedical.setCreateUserId(user.getId());
-        processMedical.setUpdateUserId(user.getId());
-        processMedicalService.save(processMedical);
         return process;
     }