diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalLayerResVo.java b/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalLayerResVo.java
new file mode 100644
index 00000000..7e14e8c7
--- /dev/null
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalLayerResVo.java
@@ -0,0 +1,25 @@
+package com.supervision.vo.ask;
+
+import cn.hutool.core.bean.BeanUtil;
+import com.supervision.model.ProcessMedical;
+import lombok.Data;
+
+import java.util.Objects;
+
+@Data
+public class ProcessMedicalLayerResVo {
+
+    private ProcessMedicalResVo base;
+    private ProcessMedical processMedical;
+
+
+    public static ProcessMedicalLayerResVo ProcessMedicalResVoToBean(ProcessMedicalResVo processMedical){
+        if (Objects.isNull(processMedical)){
+            return null;
+        }
+        ProcessMedicalLayerResVo bean = new ProcessMedicalLayerResVo();
+        bean.processMedical = BeanUtil.toBean(processMedical, ProcessMedical.class);
+        bean.base = processMedical;
+        return bean;
+    }
+}
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalViewDetailResVo.java b/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalViewDetailResVo.java
index e8c87645..de2944fd 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalViewDetailResVo.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/ask/ProcessMedicalViewDetailResVo.java
@@ -18,7 +18,7 @@ public class ProcessMedicalViewDetailResVo extends ProcessMedicalResVo{
     private List<String> physicalDiagnosisNameList;
 
     @ApiModelProperty("辅助检查名列表")
-    private List<String>  ancillaryDiagnosisNameList;
+    private List<String> ancillaryDiagnosisNameList;
 
     @ApiModelProperty("用户名")
     private String userName;
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 f1845bc6..c031230e 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
@@ -1,7 +1,9 @@
 package com.supervision.controller;
 
+import cn.hutool.core.bean.BeanUtil;
 import com.supervision.model.ProcessMedical;
 import com.supervision.service.MedicalRecordService;
+import com.supervision.vo.ask.ProcessMedicalLayerResVo;
 import com.supervision.vo.ask.ProcessMedicalResVo;
 import com.supervision.vo.ask.ProcessMedicalViewDetailResVo;
 import io.swagger.annotations.Api;
@@ -43,9 +45,9 @@ public class MedicalRecordController {
 
     @ApiOperation("通过流程id查询电子病例信息")
     @GetMapping("findByProcessId")
-    public ProcessMedicalResVo findByProcessId(@ApiParam("流程id") @RequestParam("processId") String processId){
+    public ProcessMedicalLayerResVo findByProcessId(@ApiParam("流程id") @RequestParam("processId") String processId){
 
-        return medicalRecordService.findByProcessId(processId);
+        return ProcessMedicalLayerResVo.ProcessMedicalResVoToBean(medicalRecordService.findByProcessId(processId));
     }
 
 
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
index 0f4fd70c..8efe98c4 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
@@ -87,13 +87,15 @@ public class AskPhysicalServiceImpl implements AskPhysicalService {
         diagnosisPhysicalRecord.insert();
 
         // 保存初步诊断
-        for (String primaryId : reqVO.getPrimaryIdList()) {
-            DiagnosisPrimaryRelation diagnosisPrimaryRelation = new DiagnosisPrimaryRelation();
-            diagnosisPrimaryRelation.setProcessId(process.getId());
-            diagnosisPrimaryRelation.setPrimaryId(primaryId);
-            diagnosisPrimaryRelation.setType(2);
-            diagnosisPrimaryRelation.setRelationId(diagnosisPhysicalRecord.getId());
-            diagnosisPrimaryRelation.insert();
+        if (CollUtil.isNotEmpty(reqVO.getPrimaryIdList())){
+            for (String primaryId : reqVO.getPrimaryIdList()) {
+                DiagnosisPrimaryRelation diagnosisPrimaryRelation = new DiagnosisPrimaryRelation();
+                diagnosisPrimaryRelation.setProcessId(process.getId());
+                diagnosisPrimaryRelation.setPrimaryId(primaryId);
+                diagnosisPrimaryRelation.setType(2);
+                diagnosisPrimaryRelation.setRelationId(diagnosisPhysicalRecord.getId());
+                diagnosisPrimaryRelation.insert();
+            }
         }
 
         DiagnosisPhysicalRecordVo resVo = BeanUtil.toBean(diagnosisPhysicalRecord, DiagnosisPhysicalRecordVo.class);