diff --git a/docker/v3.1.0/step1.sql b/docker/v3.1.0/step1.sql
index 45e28688..53f1bdf6 100644
--- a/docker/v3.1.0/step1.sql
+++ b/docker/v3.1.0/step1.sql
@@ -134,4 +134,9 @@ alter table vp_medical_rec
     add human_id varchar(64) null comment '数字人id' after patient_id;
 
 alter table vp_process
-    add human_id varchar(64) null comment '数字人id' after patient_id;
\ No newline at end of file
+    add patient_head_pic_id varchar(64) null comment '患者头像图片id' after process_no;
+alter table vp_process
+    add patient_silent_video_id varchar(64) null comment '患者静默视频id' after patient_head_pic_id;
+alter table vp_process
+    add patient_dynamic_video_id varchar(64) null comment '患者动态视频id' after patient_silent_video_id;
+
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/Process.java b/virtual-patient-model/src/main/java/com/supervision/model/Process.java
index 5cf6705e..c08b34da 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/Process.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/Process.java
@@ -30,9 +30,6 @@ public class Process implements Serializable {
     @Schema(description = "病人ID")
     private String patientId;
 
-    @Schema(description = "数字人id")
-    private String humanId;
-
     @Schema(description = "病历ID")
     private String medicalRecId;
 
@@ -51,6 +48,15 @@ public class Process implements Serializable {
     @Schema(description = "图谱关联的ID")
     private String graphId;
 
+    @Schema(description = "患者头像图片id")
+    private String patientHeadPicId;
+
+    @Schema(description = "患者静默视频id")
+    private String patientSilentVideoId;
+
+    @Schema(description = "患者动态视频id")
+    private String patientDynamicVideoId;
+
     /**
      * 待问诊状态:新建成功后默认就是待问诊状态
      * 待处置:诊毕后,进入待处置
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecPageResVO.java b/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecPageResVO.java
index eca9103b..267625d6 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecPageResVO.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/manage/MedicalRecPageResVO.java
@@ -23,8 +23,14 @@ public class MedicalRecPageResVO {
     //患者静默视频
     private String patientSilentVideo;
 
-    @Schema(description = "哑语视频")
-    private String patientDummyVideo;
+    @Schema(description = "患者头像图片id")
+    private String patientHeadPicId;
+
+    @Schema(description = "患者静默视频id")
+    private String patientSilentVideoId;
+
+    @Schema(description = "患者动态视频id")
+    private String patientDynamicVideoId;
     /**
      * 初步诊断-> 就是对应的疾病名称
      */
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/result/DiagnoseProcessResVo.java b/virtual-patient-model/src/main/java/com/supervision/vo/result/DiagnoseProcessResVo.java
index baa28f9c..fc4923e7 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/result/DiagnoseProcessResVo.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/result/DiagnoseProcessResVo.java
@@ -29,14 +29,14 @@ public class DiagnoseProcessResVo {
     @Schema(description = "主诉")
     private String patientSelfDesc;
 
-    @Schema(description = "患者头像")
-    private String patientHeadPic;
+    @Schema(description = "患者头像图片id")
+    private String patientHeadPicId;
 
-    @Schema(description = "患者静默视频")
-    private String patientSilentVideo;
+    @Schema(description = "患者静默视频id")
+    private String patientSilentVideoId;
 
-    @Schema(description = "哑语视频")
-    private String patientDummyVideo;
+    @Schema(description = "患者动态视频id")
+    private String patientDynamicVideoId;
 
     @Schema(description = "病人id")
     private String patientId;
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/result/ProcessRecordVO.java b/virtual-patient-model/src/main/java/com/supervision/vo/result/ProcessRecordVO.java
index 05dd527e..45f2c075 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/result/ProcessRecordVO.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/result/ProcessRecordVO.java
@@ -16,6 +16,15 @@ public class ProcessRecordVO {
     @Schema(description = "问诊编号")
     private String processNo;
 
+    @Schema(description = "患者头像图片id")
+    private String patientHeadPicId;
+
+    @Schema(description = "患者静默视频id")
+    private String patientSilentVideoId;
+
+    @Schema(description = "患者动态视频id")
+    private String patientDummyVideoId;
+
     @Schema(description = "病历编号")
     private String medicalRecNo;
 
diff --git a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
index 09a7660d..081a19a2 100644
--- a/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/MedicalRecMapper.xml
@@ -72,9 +72,13 @@
         t1.patient_head_pic as patientHeadPic,
         t1.patient_self_desc as patientSelfDesc,
         t1.status as medicalStatus,
+        t4.image_file_id as patientHeadPicId,
+        t4.silent_video_file_id as patientSilentVideoId,
+        t4.dynamic_video_file_id as patientDynamicVideoId,
         if(t1.update_time is null, t1.create_time, t1.update_time) as time
         from vp_medical_rec t1
         left join vp_disease t3 on t1.disease_id = t3.id
+        left join vp_human t4 on t1.human_id = t4.id
         <where>
             <if test="medicalRecPageReqVO.selfDescKeyword != null and medicalRecPageReqVO.selfDescKeyword != ''">
                 AND t1.patient_self_desc like concat("%",#{medicalRecPageReqVO.selfDescKeyword}, "%")
diff --git a/virtual-patient-model/src/main/resources/mapper/ProcessMapper.xml b/virtual-patient-model/src/main/resources/mapper/ProcessMapper.xml
index a86a0b76..cf722369 100644
--- a/virtual-patient-model/src/main/resources/mapper/ProcessMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/ProcessMapper.xml
@@ -11,6 +11,9 @@
         <result property="medicalRecId" column="medical_rec_id" jdbcType="VARCHAR"/>
         <result property="userId" column="user_id" jdbcType="VARCHAR"/>
         <result property="graphId" column="graph_id" jdbcType="VARCHAR"/>
+        <result property="patientHeadPicId" column="patient_head_pic_id" jdbcType="VARCHAR"/>
+        <result property="patientSilentVideoId" column="patient_silent_video_id" jdbcType="VARCHAR"/>
+        <result property="patientDynamicVideoId" column="patient_dynamic_video_id" jdbcType="VARCHAR"/>
         <result property="processNo" column="process_no" jdbcType="VARCHAR"/>
         <result property="status" column="status" jdbcType="INTEGER"/>
         <result property="processType" column="process_type" jdbcType="INTEGER"/>
@@ -40,7 +43,9 @@
         mre.patient_self_desc as patientSelfDesc,
         mre.patient_id as patientId,
         mre.patient_name as name,
-        mre.patient_head_pic as patientHeadPic,
+        pro.patient_head_pic_id as patientHeadPicId,
+        pro.patient_silent_video_id as patientSilentVideoId,
+        pro.patient_dynamic_video_id as patientDynamicVideoId,
         mre.patient_age as age,
         mre.patient_gender as gender,
         pat.resource_id as resourceId
@@ -66,6 +71,9 @@
         select t1.id as processId,
         t2.id as medicalId,
         t1.process_no as processNo,
+        t1.patient_head_pic_id as patientHeadPicId,
+        t1.patient_silent_video_id as patientSilentVideoId,
+        t1.patient_dynamic_video_id as patientDynamicVideoId,
         t2.no as medicalRecNo,
         t1.user_id as userId,
         t3.name as studentName,
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 4d96f001..40af7b8f 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
@@ -1,21 +1,27 @@
 package com.supervision.service.impl;
 
 import cn.hutool.core.lang.Assert;
+import cn.hutool.core.util.StrUtil;
 import com.supervision.exception.BusinessException;
+import com.supervision.model.Human;
 import com.supervision.model.MedicalRec;
 import com.supervision.model.Process;
 import com.supervision.model.User;
 import com.supervision.service.AskProcessService;
+import com.supervision.service.HumanService;
 import com.supervision.service.MedicalRecService;
 import com.supervision.service.ProcessService;
 import com.supervision.util.RedisSequenceUtil;
 import lombok.RequiredArgsConstructor;
+import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
 import java.util.List;
+import java.util.Objects;
 import java.util.Optional;
 
+@Slf4j
 @Service
 @RequiredArgsConstructor
 public class AskProcessServiceImpl implements AskProcessService {
@@ -24,6 +30,8 @@ public class AskProcessServiceImpl implements AskProcessService {
 
     private final MedicalRecService medicalRecService;
 
+    private final HumanService humanService;
+
     @Override
     @Transactional(rollbackFor = Exception.class)
     public Process creatDiagnosisProcess(String patientId,String medicalId, User user) {
@@ -32,7 +40,17 @@ public class AskProcessServiceImpl implements AskProcessService {
         process.setPatientId(patientId);
         process.setMedicalRecId(medicalId);
         process.setDiseaseId(medicalRec.getDiseaseId());
-        process.setHumanId(medicalRec.getHumanId());// 设置病人的形象
+
+        if (StrUtil.isNotEmpty(medicalRec.getHumanId())){
+            Human human = humanService.getById(medicalRec.getHumanId());
+            if (Objects.nonNull(human)){
+                process.setPatientHeadPicId(human.getImageFileId());
+                process.setPatientSilentVideoId(human.getSilentVideoFileId());
+                process.setPatientDynamicVideoId(human.getDynamicVideoFileId());
+            }else {
+                log.info("根据数字人id:{},未找到数字人相关信息", medicalRec.getHumanId());
+            }
+        }
         process.setUserId(user.getId());
         process.setStatus(0);
         process.setCreateUserId(user.getId());
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
index 1403ce6d..9c056d9c 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
@@ -31,12 +31,6 @@ public class DiagnoseHallServiceImpl implements DiagnoseHallService {
 
     private final DiagnosisPrimaryService diagnosisPrimaryService;
 
-    private final AskPatientAnswerService askPatientAnswerService;
-
-    private final CommonDicService commonDicService;
-
-    private final AskTemplateQuestionLibraryService askTemplateQuestionLibraryService;
-
 
     @Override
     public IPage<DiagnoseProcessResVo> queryDiagnoseProcessPageList(Integer pageNum, Integer pageSize,
@@ -58,15 +52,9 @@ public class DiagnoseHallServiceImpl implements DiagnoseHallService {
         Map<String, List<DiagnosisPrimaryVO>> diagnosisPrimaryVOsMap = diagnosisPrimaryVOS.stream().collect(Collectors.groupingBy(DiagnosisPrimary::getProcessId));
 
         // 3.把疾病名填充到诊断列表中
-        List<String> medicalRecIds = records.stream().map(DiagnoseProcessResVo::getMedicalRecId).filter(Objects::nonNull).collect(Collectors.toList());
-         Map<String, AskPatientAnswer> askPatientAnswerMap = queryAskPatientSystemVideoAnswer(medicalRecIds,"system_silent");
-        Map<String, AskPatientAnswer> dynamicAskPatientAnswerMap = queryAskPatientSystemVideoAnswer(medicalRecIds,"system_dynamic");
         diagnoseProcessResVoPage.getRecords().forEach(vo->{
             List<DiagnosisPrimaryVO> list = diagnosisPrimaryVOsMap.getOrDefault(vo.getProcessId(),new ArrayList<>());
             vo.setPrimaryDiseaseNameList(list.stream().map(DiagnosisPrimaryVO::getPrimaryDiseaseName).distinct().collect(Collectors.toList()));
-
-            vo.setPatientSilentVideo(askPatientAnswerMap.getOrDefault(vo.getMedicalRecId(),new AskPatientAnswer()).getAnswerResourceId());
-            vo.setPatientDummyVideo(dynamicAskPatientAnswerMap.getOrDefault(vo.getMedicalRecId(),new AskPatientAnswer()).getAnswerResourceId());
         });
 
 
@@ -77,40 +65,7 @@ public class DiagnoseHallServiceImpl implements DiagnoseHallService {
     public IPage<MedicalRecPageResVO> queryMedicalRecPageList(Integer pageNum, Integer pageSize) {
         MedicalRecPageReqVO medicalRecPageReqVO = new MedicalRecPageReqVO();
         medicalRecPageReqVO.setStatus(1);// 设置为已发布的数据
-        IPage<MedicalRecPageResVO> medicalRecPageResVOIPage = medicalRecService.queryMedicalRecManagePage(medicalRecPageReqVO, pageNum, pageSize);
-        if (CollUtil.isEmpty(medicalRecPageResVOIPage.getRecords())){
-            return medicalRecPageResVOIPage;
-        }
-        List<String> medicalRecIds = medicalRecPageResVOIPage.getRecords().stream().map(MedicalRecPageResVO::getMedicalId).collect(Collectors.toList());
-        Map<String, AskPatientAnswer> askPatientAnswerMap = queryAskPatientSystemVideoAnswer(medicalRecIds,"system_silent");
-        Map<String, AskPatientAnswer> dynamicAskPatientAnswerMap = queryAskPatientSystemVideoAnswer(medicalRecIds,"system_dynamic");
-        medicalRecPageResVOIPage.getRecords().forEach(vo->{
-            vo.setPatientSilentVideo(askPatientAnswerMap.getOrDefault(vo.getMedicalId(),new AskPatientAnswer()).getAnswerResourceId());
-            vo.setPatientDummyVideo(dynamicAskPatientAnswerMap.getOrDefault(vo.getMedicalId(),new AskPatientAnswer()).getAnswerResourceId());
-        });
-        return medicalRecPageResVOIPage;
-    }
-    private Map<String,AskPatientAnswer> queryAskPatientSystemVideoAnswer(List<String> medicalRecIds,String code){
-
-       Assert.notEmpty(code,"code不允许为空");
-        if (CollUtil.isEmpty(medicalRecIds)){
-            return new HashMap<>();
-        }
-
-        CommonDic one = commonDicService.lambdaQuery().eq(CommonDic::getGroupCode, "AQT").eq(CommonDic::getCode, code).one();
-        Assert.notNull(one,"字典项目未配置");
-
-        AskTemplateQuestionLibrary questionLibrary = askTemplateQuestionLibraryService.lambdaQuery()
-                .eq(AskTemplateQuestionLibrary::getDictId, one.getId()).eq(AskTemplateQuestionLibrary::getDictId, one.getId()).one();
-        Assert.notNull(questionLibrary,code+"对应的问题库未配置");
-
-        List<AskPatientAnswer> askPatientAnswerList = askPatientAnswerService.lambdaQuery()
-                .in(AskPatientAnswer::getMedicalId, medicalRecIds)
-                .eq(AskPatientAnswer::getLibraryQuestionId, questionLibrary.getId()).list();
-        if (CollUtil.isEmpty(askPatientAnswerList)){
-            return new HashMap<>();
-        }
-        return askPatientAnswerList.stream().collect(Collectors.toMap(AskPatientAnswer::getMedicalId, o -> o));
+        return medicalRecService.queryMedicalRecManagePage(medicalRecPageReqVO, pageNum, pageSize);
     }
 
 }