diff --git a/postdischarge-quartz/src/main/java/com/xinelu/quartz/domain/TbFollowUp.java b/postdischarge-quartz/src/main/java/com/xinelu/quartz/domain/TbFollowUp.java
index 0436fd11..a59e78cf 100644
--- a/postdischarge-quartz/src/main/java/com/xinelu/quartz/domain/TbFollowUp.java
+++ b/postdischarge-quartz/src/main/java/com/xinelu/quartz/domain/TbFollowUp.java
@@ -20,6 +20,17 @@ public class TbFollowUp {
     private String SFSJ;
     private String MBID;
     private String JZZDSM;
+    /**
+     * 治疗结果
+     */
     private String ZLJG;
+    /**
+     *离院方式
+     */
     private String LYFS;
+    /**
+     * death 死亡标志: 0 正常 1 死亡
+     */
+    private String death;
+    private String death_date;
 }
\ No newline at end of file
diff --git a/postdischarge-quartz/src/main/java/com/xinelu/quartz/task/MedicalConsortiumPlatformTask.java b/postdischarge-quartz/src/main/java/com/xinelu/quartz/task/MedicalConsortiumPlatformTask.java
index 0d416c42..0069581e 100644
--- a/postdischarge-quartz/src/main/java/com/xinelu/quartz/task/MedicalConsortiumPlatformTask.java
+++ b/postdischarge-quartz/src/main/java/com/xinelu/quartz/task/MedicalConsortiumPlatformTask.java
@@ -75,6 +75,7 @@ public class MedicalConsortiumPlatformTask {
     private GenerateSystemCodeUtil generateSystemCodeUtil;
     @Value("${xinyilu-database.main_hospital}")
     private Long mainHospitalId;
+    static String sql = "SELECT * FROM tb_follow_up";
 
     @Transactional(rollbackFor = Exception.class)
     public void medicalConsortiumPlatformTask() {
@@ -88,7 +89,7 @@ public class MedicalConsortiumPlatformTask {
             // 2.获取连接
             Connection connection = DriverManager.getConnection("jdbc:oracle:thin:@//172.19.116.212:1521/ORCL", "HK_ZJK", "DYWJWhkzjk5169");
             // 3.创建Statement对象（可以执行sql的对象）
-            PreparedStatement preparedStatement = connection.prepareStatement("select * from tb_follow_up");
+            PreparedStatement preparedStatement = connection.prepareStatement(sql);
             // 4.获取结果集
             ResultSet resultSet = preparedStatement.executeQuery();
             // 5.对数据进行处理
@@ -111,6 +112,7 @@ public class MedicalConsortiumPlatformTask {
                 followUp.setJZZDSM(resultSet.getString("JZZDSM"));
                 followUp.setZLJG(resultSet.getString("ZLJG"));
                 followUp.setLYFS(resultSet.getString("LYFS"));
+                followUp.setDeath(resultSet.getString("DEATH"));
                 list.add(followUp);
             }
             // 6.关闭连接 先调用的最后关闭 关闭前判断是否存在
@@ -125,12 +127,12 @@ public class MedicalConsortiumPlatformTask {
             log.info("获取医共体数据" + list.size() + "条");
             return;
         }
-        //筛选就诊号并根据就诊号查询数据库
-        List<String> collect = list.stream().filter(Objects::nonNull).map(TbFollowUp::getJZLSH).collect(Collectors.toList());
-        List<ExternalImport> dataExternalImports = externalImportMapper.selectExternalByPhone(collect);
         //ExternalImport表 过滤姓名为空和就诊号为空的数据
         list = list.stream().filter(Objects::nonNull).filter(item -> StringUtils.isNotBlank(item.getJZLSH())
                 && StringUtils.isNotBlank(item.getXM()) && StringUtils.isNotBlank(item.getLXDH()) && StringUtils.isNotBlank(item.getZJHM())).collect(Collectors.toList());
+        List<String> collect = list.stream().filter(Objects::nonNull).map(TbFollowUp::getJZLSH).collect(Collectors.toList());
+        //筛选就诊号并根据就诊号查询数据库
+        List<ExternalImport> dataExternalImports = externalImportMapper.selectExternalByPhone(collect);
         List<ExternalImport> externalImports = new ArrayList<>();
         //科室信息组装-新增不存在科室
         Agency agency = agencyMapper.selectAgencyById(mainHospitalId);
@@ -178,6 +180,10 @@ public class MedicalConsortiumPlatformTask {
         //遍历塞数据
         for (TbFollowUp tbFollowUp : list) {
             //去除与数据库重复项
+            if ((StringUtils.isNotBlank(tbFollowUp.getDeath()) && tbFollowUp.getDeath().equals("1")) || (StringUtils.isNotBlank(tbFollowUp.getLYFS()) && tbFollowUp.getLYFS().equals("死亡"))
+                    || (StringUtils.isNotBlank(tbFollowUp.getZLJG()) && tbFollowUp.getZLJG().equals("死亡"))) {
+                continue;
+            }
             ExternalImport identicalVisitCode = dataExternalImports.stream().filter(item -> tbFollowUp.getJZLSH().equals(item.getVisitCode())).findFirst().orElse(new ExternalImport());
             if (StringUtils.isNotBlank(identicalVisitCode.getPhone())) {
                 continue;