diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientvisitrecord/impl/PatientVisitRecordServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientvisitrecord/impl/PatientVisitRecordServiceImpl.java
index 6f5ad4ab..c8074a44 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientvisitrecord/impl/PatientVisitRecordServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/patientvisitrecord/impl/PatientVisitRecordServiceImpl.java
@@ -179,12 +179,12 @@ public class PatientVisitRecordServiceImpl implements IPatientVisitRecordService
 		if (StringUtils.isBlank(patientVisitRecord.getCardNo())) {
 			throw new ServiceException("请填写正确的身份证号!");
 		}
-		if (patientVisitRecord.getBirthDate() == null) {
-			patientVisitRecord.setBirthDate(BaseUtil.getBirthday(patientVisitRecord.getCardNo()));
-		}
-		if (StringUtils.isBlank(patientVisitRecord.getSex())) {
-			patientVisitRecord.setSex(BaseUtil.getGender(patientVisitRecord.getCardNo()));
+		if (patientVisitRecord.getPatientId() == null) {
+			throw new ServiceException("患者信息有误");
 		}
+		patientVisitRecord.setBirthDate(BaseUtil.getBirthday(patientVisitRecord.getCardNo()));
+		patientVisitRecord.setSex(BaseUtil.getGender(patientVisitRecord.getCardNo()));
+
 		// 根据机构id、患者身份证号判断门诊/住院号是否重复
 		PatientVisitRecordDto patientVisitRecordDto = new PatientVisitRecordDto();
 		patientVisitRecordDto.setHospitalAgencyId(patientVisitRecord.getHospitalAgencyId());