id ,no,patient_id, patient_self_desc,symptoms,primarily_diagnosis_criteria, confirm_diagnosis_criteria,confirm_diagnosis_criteria UPDATE vp_medical_rec SET no = CONCAT(#{code}, LPAD( IFNULL((SELECT MAX(RIGHT (t.no, LENGTH(t.no) - 2)) + 1 FROM (SELECT * FROM vp_medical_rec) t), 1), 6, '0'), #{gender}) WHERE id = #{id}; select t1.id as medicalId, t2.id as patientId, t3.disease_name as diagnosisPrimaryStr, t1.no as no, t2.name as name, t2.age as age, t2.gender as gender, if(t1.update_time is null, t1.create_time, t1.update_time) as time from vp_medical_rec t1 left join vp_patient t2 on t1.patient_id = t2.id left join vp_disease t3 on t1.disease_id = t3.id AND t1.patient_self_desc like concat("%",#{selfDescKeyword}, "%") AND t2.gender = #{gender} AND t1.disease_id = #{diseaseId} order by time desc