diff --git a/docker/v3.1.0/step1.sql b/docker/v3.1.0/step1.sql
index 6c1e4471..71956057 100644
--- a/docker/v3.1.0/step1.sql
+++ b/docker/v3.1.0/step1.sql
@@ -29,4 +29,6 @@ create table vp_medical_extend_item
     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
+    add medical_type integer null comment '病历类型 0：普通型 1:学习型 3：考核型' after no;
+alter table vp_medical_rec
+    add disposal_diagnosis varchar(1024) null comment '处置诊断' after differential_diagnosis_criteria;
\ 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 d960f0c9..0eead954 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
@@ -129,6 +129,9 @@ public class MedicalRec extends Model<MedicalRec> implements Serializable {
     @Schema(description = "鉴别诊断依据")
     private String differentialDiagnosisCriteria;
 
+    @Schema(description = "处置诊断")
+    private String disposalDiagnosis;
+
     @Schema(description = "全面检查")
     private String fullCheck;
 
diff --git a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
index 5203f4c2..71dbffd2 100644
--- a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
@@ -28,6 +28,7 @@
         <result property="primarilyDiagnosisCriteria" column="primarily_diagnosis_criteria" jdbcType="VARCHAR"/>
         <result property="confirmDiagnosisCriteria" column="confirm_diagnosis_criteria" jdbcType="VARCHAR"/>
         <result property="differentialDiagnosisCriteria" column="differential_diagnosis_criteria" jdbcType="VARCHAR"/>
+        <result property="disposalDiagnosis" column="disposal_diagnosis" jdbcType="VARCHAR"/>
         <result property="fullCheck" column="full_check" jdbcType="VARCHAR"/>
         <result property="medicalRecordAi" column="medical_record_ai" jdbcType="VARCHAR"/>
         <result property="status" column="status" jdbcType="VARCHAR"/>
@@ -44,7 +45,7 @@
         native_place,patient_nation,patient_postcode,
         patient_birthplace,patient_habitation,disease_id,
         patient_self_desc,symptoms,primarily_diagnosis_criteria,
-        confirm_diagnosis_criteria,differential_diagnosis_criteria,full_check,
+        confirm_diagnosis_criteria,differential_diagnosis_criteria,disposal_diagnosis,full_check,
         medical_record_ai,status,create_user_id,create_time,update_user_id,
         update_time
     </sql>