diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/dto/manualfollowup/ManualFollowUpDTO.java b/postdischarge-manage/src/main/java/com/xinelu/manage/dto/manualfollowup/ManualFollowUpDTO.java
index 714b0b2c..5ad630ce 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/dto/manualfollowup/ManualFollowUpDTO.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/dto/manualfollowup/ManualFollowUpDTO.java
@@ -72,4 +72,9 @@ public class ManualFollowUpDTO extends BaseEntity {
 
     @ApiModelProperty(value = "任务名称")
     private String manageRouteName;
+
+    /**
+     * 时间标识 whole：全部  today：今天及今天之前
+     */
+    private String timeSign;
 }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java b/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
index 9708c69e..e903bab0 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/service/signpatientmanageroute/impl/SignPatientManageRouteServiceImpl.java
@@ -72,6 +72,7 @@ import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
 
 import javax.annotation.Resource;
+import java.time.LocalDate;
 import java.time.LocalDateTime;
 import java.util.*;
 import java.util.stream.Collectors;
@@ -181,9 +182,9 @@ public class SignPatientManageRouteServiceImpl implements ISignPatientManageRout
         }
         //List<SignRouteTriggerCondition> signRouteTriggerConditions = new ArrayList<SignRouteTriggerCondition>();
         //for (SignRouteTriggerConditionVO signRouteTriggerCondition : signPatientManageRoute.getTriggerConditionList()) {
-	    //    if (StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionCode()) || StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionOperator()) || StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionValue())) {
-		//        return AjaxResult.error("请选择完整的触发条件");
-	    //    }
+        //    if (StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionCode()) || StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionOperator()) || StringUtils.isBlank(signRouteTriggerCondition.getTriggerConditionValue())) {
+        //        return AjaxResult.error("请选择完整的触发条件");
+        //    }
         //    SignRouteTriggerCondition triggerCondition = new SignRouteTriggerCondition();
         //    signRouteTriggerCondition.setPatientManageRouteId(signPatientManageRoute.getId());
         //    signRouteTriggerCondition.setCreateTime(LocalDateTime.now());
@@ -283,7 +284,42 @@ public class SignPatientManageRouteServiceImpl implements ISignPatientManageRout
     @Override
     @DataScope(agencyAlias = "pi", deptAlias = "pi")
     public List<ManualFollowUpVO> selectManualFollowUpList(ManualFollowUpDTO manualFollowUpDTO) {
-        return signPatientManageRouteMapper.selectManualFollowUpList(manualFollowUpDTO);
+        List<ManualFollowUpVO> manualFollowUpVOS = signPatientManageRouteMapper.selectManualFollowUpList(manualFollowUpDTO);
+        if (StringUtils.isNotBlank(manualFollowUpDTO.getTimeSign()) && manualFollowUpDTO.getTimeSign().equals("WHOLE")) {
+            return manualFollowUpVOS;
+        }
+        ArrayList<ManualFollowUpVO> manualFollowUps = new ArrayList<>();
+        for (ManualFollowUpVO manualFollowUpVO : manualFollowUpVOS) {
+            //判断路径节点，组装数据
+            if (manualFollowUpVO.getRouteNodeName().equals(RouteNodeNameEnum.AFTER_DISCHARGE.getInfo()) || manualFollowUpVO.getRouteNodeName().equals(RouteNodeNameEnum.AFTER_VISIT_DISCHARGE.getInfo())) {
+                if (manualFollowUpVO.getPatientType().equals(PatientTypeEnum.DISCHARGED_PATIENT.getInfo())) {
+                    LocalDate localDate = manualFollowUpVO.getDischargeTime().plusDays(manualFollowUpVO.getRouteNodeDay()).toLocalDate();
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
+                    if (before) {
+                        manualFollowUps.add(manualFollowUpVO);
+                    }
+                }
+            }
+            if (manualFollowUpVO.getRouteNodeName().equals(RouteNodeNameEnum.AFTER_ADMISSION.getInfo())) {
+                if (manualFollowUpVO.getPatientType().equals(PatientTypeEnum.IN_HOSPITAL_PATIENT.getInfo())) {
+                    LocalDate localDate = manualFollowUpVO.getAdmissionTime().plusDays(manualFollowUpVO.getRouteNodeDay()).toLocalDate();
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
+                    if (before) {
+                        manualFollowUps.add(manualFollowUpVO);
+                    }
+                }
+            }
+            if (manualFollowUpVO.getRouteNodeName().equals(RouteNodeNameEnum.AFTER_CONSULTATION.getInfo()) || manualFollowUpVO.getRouteNodeName().equals(RouteNodeNameEnum.AFTER_VISIT_DISCHARGE.getInfo())) {
+                if (manualFollowUpVO.getPatientType().equals(PatientTypeEnum.OUTPATIENT.getInfo()) && manualFollowUpVO.getAdmissionTime() == null) {
+                    LocalDate localDate = manualFollowUpVO.getVisitTime().plusDays(manualFollowUpVO.getRouteNodeDay()).toLocalDate();
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
+                    if (before) {
+                        manualFollowUps.add(manualFollowUpVO);
+                    }
+                }
+            }
+        }
+        return manualFollowUps;
     }
 
     /**
@@ -332,7 +368,7 @@ public class SignPatientManageRouteServiceImpl implements ISignPatientManageRout
                 smsInfoDTO.setTemplateCode(aliYunSmsTwoConfig.getTemplateCode());
                 Boolean b = sendSms(smsInfoDTO);
                 if (!b) {
-                   log.info("短信发送失败");
+                    log.info("短信发送失败");
                 }
                 log.info("短信发送成功");
             }
diff --git a/postdischarge-manage/src/main/java/com/xinelu/manage/vo/manualfollowup/ManualFollowUpVO.java b/postdischarge-manage/src/main/java/com/xinelu/manage/vo/manualfollowup/ManualFollowUpVO.java
index bdf2fcc8..6404fdc9 100644
--- a/postdischarge-manage/src/main/java/com/xinelu/manage/vo/manualfollowup/ManualFollowUpVO.java
+++ b/postdischarge-manage/src/main/java/com/xinelu/manage/vo/manualfollowup/ManualFollowUpVO.java
@@ -51,6 +51,9 @@ public class ManualFollowUpVO {
     @ApiModelProperty(value = "性别，男：MALE，女：FEMALE")
     private String sex;
 
+    @ApiModelProperty(value = "在院患者：IN_HOSPITAL_PATIENT，门诊患者：OUTPATIENT，出院患者：DISCHARGED_PATIENT")
+    private String patientType;
+
     @ApiModelProperty(value = "所属医院id")
     private Long hospitalAgencyId;
 
diff --git a/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroute/SignPatientManageRouteMapper.xml b/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroute/SignPatientManageRouteMapper.xml
index d1dd9bc1..db5de8d3 100644
--- a/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroute/SignPatientManageRouteMapper.xml
+++ b/postdischarge-manage/src/main/resources/mapper/manage/signpatientmanageroute/SignPatientManageRouteMapper.xml
@@ -297,6 +297,7 @@
         pi.patient_name,
         pi.patient_phone,
         pi.sex,
+        pi.patient_type,
         pi.hospital_agency_id,
         pi.hospital_agency_name,
         pi.campus_agency_id,
diff --git a/postdischarge-quartz/src/main/java/com/xinelu/quartz/service/impl/subscribeTaskServiceImpl.java b/postdischarge-quartz/src/main/java/com/xinelu/quartz/service/impl/subscribeTaskServiceImpl.java
index 0063642d..49972dad 100644
--- a/postdischarge-quartz/src/main/java/com/xinelu/quartz/service/impl/subscribeTaskServiceImpl.java
+++ b/postdischarge-quartz/src/main/java/com/xinelu/quartz/service/impl/subscribeTaskServiceImpl.java
@@ -60,7 +60,7 @@ public class subscribeTaskServiceImpl implements SubscribeTaskService {
                 PatientVO patientVO = patient.stream().filter(Objects::nonNull).filter(item -> signPatientManageRouteNode.getPatientId().equals(item.getPatientId())).findFirst().orElse(new PatientVO());
                 if (patientVO.getPatientType().equals(PatientTypeEnum.DISCHARGED_PATIENT.getInfo())) {
                     LocalDate localDate = patientVO.getDischargeTime().plusDays(signPatientManageRouteNode.getRouteNodeDay());
-                    boolean before = localDate.isEqual(LocalDate.now());
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
                     if (before) {
                         signPatientManageRouteNode.setOpenId(patientVO.getOpenId());
                         signPatientManageRouteNode.setRouteNodeName(RouteNodeNameEnum.AFTER_DISCHARGE.getName());
@@ -72,7 +72,7 @@ public class subscribeTaskServiceImpl implements SubscribeTaskService {
                 PatientVO patientVO = patient.stream().filter(Objects::nonNull).filter(item -> signPatientManageRouteNode.getPatientId().equals(item.getPatientId())).findFirst().orElse(new PatientVO());
                 if (patientVO.getPatientType().equals(PatientTypeEnum.IN_HOSPITAL_PATIENT.getInfo())) {
                     LocalDate localDate = patientVO.getAdmissionTime().plusDays(signPatientManageRouteNode.getRouteNodeDay());
-                    boolean before = localDate.isEqual(LocalDate.now());
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
                     if (before) {
                         signPatientManageRouteNode.setOpenId(patientVO.getOpenId());
                         signPatientManageRouteNode.setRouteNodeName(RouteNodeNameEnum.AFTER_ADMISSION.getName());
@@ -84,7 +84,7 @@ public class subscribeTaskServiceImpl implements SubscribeTaskService {
                 PatientVO patientVO = patient.stream().filter(Objects::nonNull).filter(item -> signPatientManageRouteNode.getPatientId().equals(item.getPatientId())).findFirst().orElse(new PatientVO());
                 if (patientVO.getPatientType().equals(PatientTypeEnum.OUTPATIENT.getInfo()) && patientVO.getAdmissionTime() == null) {
                     LocalDate localDate = patientVO.getVisitDate().plusDays(signPatientManageRouteNode.getRouteNodeDay());
-                    boolean before = localDate.isEqual(LocalDate.now());
+                    boolean before = localDate.isBefore(LocalDate.now()) || localDate.isEqual(LocalDate.now());
                     if (before) {
                         signPatientManageRouteNode.setOpenId(patientVO.getOpenId());
                         signPatientManageRouteNode.setRouteNodeName(RouteNodeNameEnum.AFTER_CONSULTATION.getName());