diff --git a/xinelu-nurse-applet/src/main/java/com/xinelu/applet/controller/videoconsultation/VideoConsultationController.java b/xinelu-nurse-applet/src/main/java/com/xinelu/applet/controller/videoconsultation/VideoConsultationController.java
index 3cb2071..4734930 100644
--- a/xinelu-nurse-applet/src/main/java/com/xinelu/applet/controller/videoconsultation/VideoConsultationController.java
+++ b/xinelu-nurse-applet/src/main/java/com/xinelu/applet/controller/videoconsultation/VideoConsultationController.java
@@ -1,6 +1,7 @@
 package com.xinelu.applet.controller.videoconsultation;
 
-import cn.hutool.core.util.RandomUtil;
+import com.xinelu.applet.dto.consultationInfo.ConsultationInfoDTO;
+import com.xinelu.applet.service.consultationInfo.IConsultationInfoService;
 import com.xinelu.common.core.domain.R;
 import com.xinelu.common.core.dto.MessageTemplate;
 import com.xinelu.common.enums.MessageContentType;
@@ -16,6 +17,8 @@ import com.xinelu.common.utils.tencentcloudapi.trtc.v20190722.models.DissolveRoo
 import io.swagger.annotations.Api;
 import io.swagger.annotations.ApiOperation;
 import java.util.Date;
+import java.util.Random;
+import javax.annotation.Resource;
 import org.springframework.beans.factory.annotation.Value;
 import org.springframework.web.bind.annotation.GetMapping;
 import org.springframework.web.bind.annotation.PathVariable;
@@ -41,6 +44,10 @@ public class VideoConsultationController {
     private final static String ENDPOINT = "trtc.tencentcloudapi.com";
     private final static String REGION = "ap-beijing";
 
+
+	@Resource
+	private IConsultationInfoService consultationInfoService;
+
 	@ApiOperation("获取userSig")
 	@GetMapping("getUserSig/{userId}")
 	public R<String> getUserSig(@PathVariable String userId) {
@@ -49,19 +56,31 @@ public class VideoConsultationController {
 		return R.ok(userSig);
 	}
 
-    @ApiOperation("开始会诊")
-    @GetMapping("start/{applyId}")
-    public R<String> start(@PathVariable String applyId) {
-        int roomId = RandomUtil.randomInt(1, 1000);
+    @ApiOperation("开始视频")
+    @GetMapping("start/{consultationInfoId}")
+    public R<String> start(@PathVariable Long consultationInfoId) {
+		// 房间号
+	    Random random = new Random();
+	    int randomNumber = random.nextInt(900000) + 100000; // 限制范围为 100000-999999
+	    String roomId = String.valueOf(randomNumber);
+	    if (roomId.length() < 6) {
+		    roomId = "0" + roomId; // 补零
+	    }
         MessageTemplate msg = new MessageTemplate();
-        msg.setMessage(String.valueOf(roomId));
-        msg.setToKey(applyId);
+		// 根据图文咨询申请主键查询居民主键
+	    ConsultationInfoDTO consultationInfoDTO = consultationInfoService.selectConsultationInfoById(consultationInfoId);
+		if (consultationInfoDTO == null) {
+			return R.fail("生成房间号失败");
+		}
+        msg.setMessage(roomId);
+        msg.setToKey(String.valueOf(consultationInfoDTO.getPatientId()));
         msg.setMsgType(MessageContentType.CONSULTATION.name());
         msg.setSendTime(new Date());
-        WebSocketUtils.sendMessage(applyId, msg);
-        return R.ok(String.valueOf(roomId));
+        WebSocketUtils.sendMessage(String.valueOf(consultationInfoDTO.getPatientId()), msg);
+        return R.ok(roomId);
     }
 
+
     @ApiOperation("解散房间")
     @GetMapping("dissolveRoom/{roomId}")
     public R<?> dissolveRoom(@PathVariable String roomId) throws TencentCloudSDKException {