diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/PhysicalToolManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/PhysicalToolManageServiceImpl.java
index 7546b7d3..77826006 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/PhysicalToolManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/PhysicalToolManageServiceImpl.java
@@ -100,6 +100,7 @@ public class PhysicalToolManageServiceImpl implements PhysicalToolManageService
             if (physicalToolVO.getRequireLocation() == 0 && StrUtil.isNotBlank(physicalToolVO.getNoLocationDefaultPhysicalIndicator().getLocationId())) {
                 throw new BusinessException("无需检查位的体格检查项,检查位置必须为空");
             }
+            physicalToolVO.getNoLocationDefaultPhysicalIndicator().setItemId(physicalToolVO.getId());
             defaultPhysicalIndicatorService.save(physicalToolVO.getNoLocationDefaultPhysicalIndicator());
         }
     }