diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisQaRecord.java b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisQaRecord.java
index d4e996d4..68607e7f 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisQaRecord.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisQaRecord.java
@@ -32,11 +32,14 @@ public class DiagnosisQaRecord extends Model<DiagnosisQaRecord> implements Seria
     @ApiModelProperty("诊断进程ID")
     private String processId;
 
+    @ApiModelProperty("问答类型:default,patient")
+    private String answerType;
+
     /**
      * 问题答案表ID
      */
-    @ApiModelProperty("问题答案表ID")
-    private String questionAnswerId;
+    @ApiModelProperty("问题答案表ID,default:vp_ask_template_question_library的主键,patient:vp_ask_patient_answer主键")
+    private String answerId;
 
     /**
      * 问题
diff --git a/virtual-patient-model/src/main/resources/mapper/DiagnosisQaRecordMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiagnosisQaRecordMapper.xml
index a7d1c3df..5be2a328 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiagnosisQaRecordMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiagnosisQaRecordMapper.xml
@@ -7,7 +7,8 @@
     <resultMap id="BaseResultMap" type="com.supervision.model.DiagnosisQaRecord">
         <id property="id" column="id" jdbcType="VARCHAR"/>
         <result property="processId" column="process_id" jdbcType="VARCHAR"/>
-        <result property="questionAnswerId" column="question_answer_id" jdbcType="VARCHAR"/>
+        <result property="answerId" column="answer_id" jdbcType="VARCHAR"/>
+        <result property="answerType" column="answer_type" jdbcType="VARCHAR"/>
         <result property="question" column="question" jdbcType="VARCHAR"/>
         <result property="questionWavId" column="question_wav_id" jdbcType="VARCHAR"/>
         <result property="answer" column="answer" jdbcType="VARCHAR"/>
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskServiceImpl.java
index 47453d8f..561c5732 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskServiceImpl.java
@@ -99,8 +99,9 @@ public class AskServiceImpl implements AskService {
                     // 保存记录
                     DiagnosisQaRecord record = new DiagnosisQaRecord();
                     record.setProcessId(talkReqVO.getProcessId());
+                    record.setAnswerType("default");
                     // 注意,这里如果有默认回答,回答的结果是默认结果ID
-                    record.setQuestionAnswerId(library.getId());
+                    record.setAnswerId(library.getId());
                     record.setQuestion(talkReqVO.getText());
                     record.setAnswer(resText);
                     record.setCreateUserId(UserUtil.getUser().getId());
@@ -116,7 +117,8 @@ public class AskServiceImpl implements AskService {
                     // 保存记录
                     DiagnosisQaRecord record = new DiagnosisQaRecord();
                     record.setProcessId(talkReqVO.getProcessId());
-                    record.setQuestionAnswerId(askPatientAnswer.getId());
+                    record.setAnswerType("patient");
+                    record.setAnswerId(askPatientAnswer.getId());
                     record.setQuestion(talkReqVO.getText());
                     record.setAnswer(resText);
                     record.setCreateUserId(UserUtil.getUser().getId());