diff --git a/docker/v3.1.0/step1.sql b/docker/v3.1.0/step1.sql
index e73e7095..822c3e76 100644
--- a/docker/v3.1.0/step1.sql
+++ b/docker/v3.1.0/step1.sql
@@ -2,4 +2,12 @@ alter table vp_medical_rec
     modify status integer default 0 null comment '上线状态 0：未上线 1：已经上线   状态为未上线且病历未出现在vp_process表中使用可以进行删除';
 
 alter table vp_ask_template_question_library
-    add type int default 1 null comment '问题类型 1标准问 2自定义问题' after standard_question
\ No newline at end of file
+    add type int default 1 null comment '问题类型 1标准问 2自定义问题' after standard_question
+
+-- 在诊断关联表中添加关系类型字段
+alter table vp_disease_ancillary
+    add relation_type integer default 0 null comment '关系类型 0:关联疾病 1:关联病历 当类型为1是 disease_id代表的是vp_medical_rec表中的id' after require_check_flag;
+alter table vp_disease_physical
+    add relation_type integer default 0 null comment '关系类型 0:关联疾病 1:关联病历 当类型为1是 disease_id代表的是vp_medical_rec表中的id' after require_check_flag;
+alter table vp_disease_treatment_plan
+    add relation_type integer default 0 null comment '关系类型 0:关联疾病 1:关联病历 当类型为1是 disease_id代表的是vp_medical_rec表中的id' after treatment_plan_id;
\ No newline at end of file
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseTreatmentPlanManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseTreatmentPlanManageServiceImpl.java
index b036c47d..071880b4 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseTreatmentPlanManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseTreatmentPlanManageServiceImpl.java
@@ -102,7 +102,7 @@ public class DiseaseTreatmentPlanManageServiceImpl implements DiseaseTreatmentPl
 
         assertDiseaseTreatmentPlan(diseaseTreatmentPlan);
 
-        // note: 如果diseaseTreatmentPlan.getDiseaseId()不为空，则表示处置计划为药品，需要进行手动矫正，统一设置为20
+        // note: 如果diseaseTreatmentPlan.getDrugIds()不为空，则表示处置计划为药品，需要进行手动矫正，统一设置为20
         if (CollUtil.isNotEmpty(diseaseTreatmentPlan.getDrugIds())){
             diseaseTreatmentPlan.setTreatmentPlanId(mapDrugTreatPlanId(diseaseTreatmentPlan.getDisposalMethod()));
         }
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiseaseAncillary.java b/virtual-patient-model/src/main/java/com/supervision/model/DiseaseAncillary.java
index 365cf051..6fa059a9 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiseaseAncillary.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiseaseAncillary.java
@@ -80,6 +80,10 @@ public class DiseaseAncillary implements Serializable {
     @Schema(description = "说明")
     private String description;
 
+
+    @Schema(description = "关系类型 0:关联疾病 1:关联病历")
+    private String relationType;
+
     /**
      * 创建人ID
      */
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiseasePhysical.java b/virtual-patient-model/src/main/java/com/supervision/model/DiseasePhysical.java
index 7d2b57dc..ff587099 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiseasePhysical.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiseasePhysical.java
@@ -86,6 +86,9 @@ public class DiseasePhysical implements Serializable {
     @Schema(description = "表征 默认诊断结果")
     private String trait;
 
+    @Schema(description = "关系类型 0:关联疾病 1:关联病历")
+    private String relationType;
+
     /**
      * 创建人ID
      */
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiseaseTreatmentPlan.java b/virtual-patient-model/src/main/java/com/supervision/model/DiseaseTreatmentPlan.java
index 06fc2e5c..b4a04265 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiseaseTreatmentPlan.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiseaseTreatmentPlan.java
@@ -4,6 +4,7 @@ import com.baomidou.mybatisplus.annotation.FieldFill;
 import com.baomidou.mybatisplus.annotation.TableField;
 import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
+import io.swagger.v3.oas.annotations.media.Schema;
 import lombok.Data;
 
 import java.io.Serializable;
@@ -38,6 +39,9 @@ public class DiseaseTreatmentPlan implements Serializable {
      */
     private String treatmentPlanId;
 
+    @Schema(description = "关系类型 0:关联疾病 1:关联病历")
+    private String relationType;
+
     /**
      * 创建人ID
      */
diff --git a/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
index 138feab9..6e2dac0e 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
@@ -19,6 +19,7 @@
         <result property="result" column="result" jdbcType="VARCHAR"/>
         <result property="normalResult" column="normal_result" jdbcType="VARCHAR"/>
         <result property="description" column="description" jdbcType="VARCHAR"/>
+        <result property="relationType" column="relation_type" jdbcType="VARCHAR"/>
         <result property="createUserId" column="create_user_id" jdbcType="VARCHAR"/>
         <result property="createTime" column="create_time" jdbcType="TIMESTAMP"/>
         <result property="updateUserId" column="update_user_id" jdbcType="VARCHAR"/>
@@ -29,7 +30,7 @@
         id
         ,disease_id,item_id,require_check_flag,basis_confirm_flag,primarily_diagnosis_criteria_flag,basis_identification_flag
           ,full_check_flag,diagnosis_assessment_flag,expected_diagnosis_result,
-        result,normal_result,symptom_image_file_ids,description,create_user_id,
+        result,normal_result,symptom_image_file_ids,description,relation_type,create_user_id,
         create_time,update_user_id,update_time
     </sql>
 
diff --git a/virtual-patient-model/src/main/resources/mapper/DiseasePhysicalMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiseasePhysicalMapper.xml
index e54125da..281e38e5 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiseasePhysicalMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiseasePhysicalMapper.xml
@@ -20,6 +20,7 @@
             <result property="result" column="result" jdbcType="VARCHAR"/>
             <result property="normalResult" column="normal_result" jdbcType="VARCHAR"/>
             <result property="trait" column="trait" jdbcType="VARCHAR"/>
+            <result property="relationType" column="relation_type" jdbcType="VARCHAR"/>
             <result property="createUserId" column="create_user_id" jdbcType="VARCHAR"/>
             <result property="createTime" column="create_time" jdbcType="TIMESTAMP"/>
             <result property="updateUserId" column="update_user_id" jdbcType="VARCHAR"/>
@@ -30,7 +31,7 @@
         id,tool_id,location_id,disease_id,
         require_check_flag,primarily_diagnosis_criteria_flag,basis_confirm_flag,
         diagnosis_assessment_flag,expected_diagnosis_result,full_check_flag,
-        basis_identification_flag,result,normal_result,trait,
+        basis_identification_flag,result,normal_result,trait,relation_type,
         create_user_id,create_time,update_user_id,
         update_time
     </sql>
diff --git a/virtual-patient-model/src/main/resources/mapper/DiseaseTreatmentPlanMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiseaseTreatmentPlanMapper.xml
index f2fb490d..990dd464 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiseaseTreatmentPlanMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiseaseTreatmentPlanMapper.xml
@@ -8,6 +8,7 @@
         <id property="id" column="id" jdbcType="VARCHAR"/>
         <result property="diseaseId" column="disease_id" jdbcType="VARCHAR"/>
         <result property="treatmentPlanId" column="treatment_plan_id" jdbcType="VARCHAR"/>
+        <result property="relationType" column="relation_type" jdbcType="VARCHAR"/>
         <result property="createUserId" column="create_user_id" jdbcType="VARCHAR"/>
         <result property="createTime" column="create_time" jdbcType="TIMESTAMP"/>
         <result property="updateUserId" column="update_user_id" jdbcType="VARCHAR"/>
@@ -16,7 +17,7 @@
 
     <sql id="Base_Column_List">
         id
-        ,disease_id,treatment_plan_id,create_user_id,
+        ,disease_id,treatment_plan_id,relation_type,create_user_id,
         create_time,update_user_id,update_time
     </sql>