diff --git a/src/api/inspect/inspectpatient/index.ts b/src/api/inspect/inspectpatient/index.ts
index 6e07922..364d2ee 100644
--- a/src/api/inspect/inspectpatient/index.ts
+++ b/src/api/inspect/inspectpatient/index.ts
@@ -56,7 +56,7 @@ export const PatientApi = {
   },
 
   // 修改患者信息
-  updatePatient: async (data: PatientVO) => {
+  updatePatient: async (data: Object) => {
     return await request.put({ url: `/inspect/patient/update`, data })
   },
 
@@ -141,5 +141,9 @@ export const PatientApi = {
   //生成体检报告
   generateReport: async (medicalSn: string) => {
     return await request.get({ url: `/inspect/patient/generateReport?medicalSn=` + medicalSn })
+  },
+  //更新体检日期
+  updateMedicalDateTime: async (medicalSn: string, medicalDateTime: Date) => {
+    return await request.put({ url: `/inspect/patient/updateMedicalDateTime?medicalSn=${medicalSn}&medicalDateTime=${medicalDateTime.toISOString()}` })
   }
 }
diff --git a/src/components/IDCardReader.vue b/src/components/IDCardReader.vue
index 28caaee..f2c4c9c 100644
--- a/src/components/IDCardReader.vue
+++ b/src/components/IDCardReader.vue
@@ -3,70 +3,17 @@
     <el-button 
       type="primary" 
       :loading="connecting"
-      @click="showReader"
+      @click="readIdCard"
     >
       读取身份证
     </el-button>
-
-    <el-dialog
-      v-model="dialogVisible"
-      title="身份证信息"
-      width="700px"
-      :close-on-click-modal="false"
-      destroy-on-close
-    >
-      <div class="reader-controls" v-if="!device">
-        <el-button 
-          type="primary" 
-          :loading="connecting"
-          @click="connectDevice"
-        >
-          连接读卡器
-        </el-button>
-        <span v-if="connecting">正在连接读卡器...</span>
-      </div>
-
-      <div v-if="cardInfo" class="card-info">
-        <div class="info-container">
-          <div class="info-left">
-            <p>姓名：{{ cardInfo.name }}</p>
-            <p>性别：{{ cardInfo.gender }}</p>
-            <p>民族：{{ cardInfo.nation }}</p>
-            <p>出生日期：{{ cardInfo.birthday }}</p>
-            <p>地址：{{ cardInfo.address }}</p>
-          </div>
-          <div class="info-right">
-            <div class="id-card-back">
-              <div class="id-number">
-                <p class="id-label">公民身份号码</p>
-                <p class="id-value">{{ cardInfo.idNumber }}</p>
-              </div>
-            </div>
-          </div>
-        </div>
-        <div v-if="cardInfo.photo" class="photo">
-          <img :src="'data:image/jpeg;base64,' + cardInfo.photo" alt="身份证照片" />
-        </div>
-      </div>
-
-      <template #footer>
-        <span class="dialog-footer">
-          <el-button @click="dialogVisible = false">关 闭</el-button>
-          <el-button v-if="device" type="primary" @click="readCard">
-            重新读取
-          </el-button>
-          <el-button v-if="device" type="warning" @click="disconnect">
-            断开连接
-          </el-button>
-        </span>
-      </template>
-    </el-dialog>
   </div>
 </template>
 
 <script lang="ts">
 import { defineComponent, ref, onUnmounted } from 'vue';
 import { ElMessage } from 'element-plus';
+import sdk from './IDCardReader/sdk';
 
 interface IDCardInfo {
   name: string;
@@ -75,6 +22,9 @@ interface IDCardInfo {
   birthday: string;
   address: string;
   idNumber: string;
+  certOrg: string;
+  effDate: string;
+  expDate: string;
   photo?: string;
 }
 
@@ -88,162 +38,96 @@ export default defineComponent({
   },
   emits: ['update:cardId', 'success'],
   setup(props, { emit }) {
-    const device = ref<USBDevice | null>(null);
     const connecting = ref(false);
-    const cardInfo = ref<IDCardInfo | null>(null);
-    const dialogVisible = ref(false);
+    const deviceConnected = ref(false);
 
-    // 华视 CVR-100UC 的 USB 设备过滤器
-    const USB_FILTERS = [
-      { 
-        vendorId: 0x0483,
-        productId: 0x5750
-      }
-    ];
-
-    // 华视读卡器命令
-    const COMMANDS = {
-      FIND_CARD: new Uint8Array([0x02, 0x01, 0x01, 0x03]), // 寻卡命令
-      SELECT_CARD: new Uint8Array([0x02, 0x02, 0x01, 0x03]), // 选卡命令
-      READ_BASEINFO: new Uint8Array([0x02, 0x03, 0x01, 0x03]), // 读基本信息
-      READ_PHOTO: new Uint8Array([0x02, 0x04, 0x01, 0x03]) // 读照片
-    };
-
-    const showReader = () => {
-      dialogVisible.value = true;
-      if (!device.value) {
-        connectDevice();
+    // 初始化SDK
+    const initSdk = () => {
+      try {
+        sdk.init_sdk();
+        console.log('SDK初始化成功');
+      } catch (error) {
+        console.error('SDK初始化失败:', error);
+        ElMessage.error('SDK初始化失败');
       }
     };
 
+    // 连接设备
     const connectDevice = async () => {
       try {
         connecting.value = true;
         
-        const selectedDevice = await navigator.usb.requestDevice({
-          filters: USB_FILTERS
-        });
-
-        await selectedDevice.open();
-        await selectedDevice.selectConfiguration(1);
-        await selectedDevice.claimInterface(0);
-
-        await selectedDevice.controlTransferOut({
-          requestType: 'vendor',
-          recipient: 'device',
-          request: 0x01,
-          value: 0x01,
-          index: 0x00
-        });
-
-        device.value = selectedDevice;
-        ElMessage.success('读卡器连接成功');
-        // 连接成功后自动读卡
-        readCard();
-      } catch (error) {
+        // 连接设备
+        await sdk.open_device();
+        
+        deviceConnected.value = true;
+        console.log('读卡器连接成功');
+        return true;
+      } catch (error: any) {
         console.error('连接设备失败:', error);
-        ElMessage.error('连接读卡器失败');
+        // 显示详细错误信息
+        ElMessage.error(error instanceof Error ? error.message : '连接读卡器失败');
+        return false;
       } finally {
         connecting.value = false;
       }
     };
 
-    const sendCommand = async (command: Uint8Array): Promise<Uint8Array | null> => {
-      if (!device.value) return null;
-
-      try {
-        await device.value.transferOut(1, command);
-        const result = await device.value.transferIn(1, 1024); // 增加缓冲区大小
-        
-        if (result.data) {
-          return new Uint8Array(result.data.buffer);
-        }
-      } catch (error) {
-        console.error('发送命令失败:', error);
-        throw error;
-      }
-      return null;
-    };
-
-    const parseCardInfo = (data: Uint8Array): IDCardInfo => {
-      // 解析返回的数据，华视读卡器返回的是 GB2312 编码的数据
-      const decoder = new TextDecoder('gb2312');
-      const text = decoder.decode(data.slice(5, -1)); // 去掉头尾标识符
-
-      // 按照华视读卡器的数据格式解析
-      const fields = text.split('\x1f');
-      return {
-        name: fields[0] || '',
-        gender: fields[1] || '',
-        nation: fields[2] || '',
-        birthday: fields[3]?.replace(/(\d{4})(\d{2})(\d{2})/, '$1-$2-$3') || '',
-        address: fields[4] || '',
-        idNumber: fields[5] || ''
-      };
-    };
-
-    const readCard = async () => {
-      if (!device.value) {
-        ElMessage.error('请先连接读卡器');
+    // 读取身份证
+    const readIdCard = async () => {
+      if (connecting.value) {
+        ElMessage.warning('正在连接读卡器，请稍候...');
         return;
       }
 
       try {
-        // 1. 寻卡
-        const findResult = await sendCommand(COMMANDS.FIND_CARD);
-        if (!findResult || findResult[0] !== 0x02) {
-          throw new Error('未找到身份证');
-        }
-
-        // 2. 选卡
-        const selectResult = await sendCommand(COMMANDS.SELECT_CARD);
-        if (!selectResult || selectResult[0] !== 0x02) {
-          throw new Error('选卡失败');
-        }
-
-        // 3. 读取基本信息
-        const infoResult = await sendCommand(COMMANDS.READ_BASEINFO);
-        if (!infoResult) {
-          throw new Error('读取信息失败');
-        }
-
-        // 4. 解析基本信息
-        const info = parseCardInfo(infoResult);
+        // 初始化SDK
+        initSdk();
         
-        // 5. 读取照片（可选）
-        try {
-          const photoResult = await sendCommand(COMMANDS.READ_PHOTO);
-          if (photoResult) {
-            info.photo = btoa(String.fromCharCode.apply(null, Array.from(photoResult.slice(5, -1))));
+        // 检查设备是否已连接
+        if (!deviceConnected.value) {
+          console.log('设备未连接，尝试连接...');
+          const connected = await connectDevice();
+          if (!connected) {
+            return;
           }
-        } catch (photoError) {
-          console.warn('读取照片失败:', photoError);
+          ElMessage.success('读卡器连接成功');
         }
-
-        cardInfo.value = info;
-        // 更新身份证号
-        emit('update:cardId', info.idNumber);
-        // 发送成功事件
-        emit('success', info);
-        // 关闭弹窗
-        dialogVisible.value = false;
-        ElMessage.success('读取身份证成功');
-      } catch (error) {
+        
+        // 通知用户正在读取身份证
+        
+        // 读取身份证信息
+        const result = await sdk.read_card();
+        
+        if (result) {
+          // 添加调试信息
+          console.log('组件接收到的身份证信息:', result);
+          
+          // 发送成功事件，触发查询，并传递身份证号
+          emit('success', result);
+          
+          // 读取成功后断开连接
+          await disconnect();
+          
+          ElMessage.success('读取身份证成功，正在查询患者信息...');
+        } else {
+          throw new Error('读取身份证失败');
+        }
+      } catch (error: any) {
         console.error('读卡失败:', error);
         ElMessage.error(error instanceof Error ? error.message : '读取身份证失败');
       }
     };
 
+    // 断开连接
     const disconnect = async () => {
-      if (device.value) {
+      if (deviceConnected.value) {
         try {
-          await device.value.close();
-          device.value = null;
-          cardInfo.value = null;
-          ElMessage.success('已断开连接');
+          await sdk.close_device();
+          deviceConnected.value = false;
+          console.log('已断开读卡器连接');
         } catch (error) {
           console.error('断开连接失败:', error);
-          ElMessage.error('断开连接失败');
         }
       }
     };
@@ -253,14 +137,8 @@ export default defineComponent({
     });
 
     return {
-      device,
       connecting,
-      cardInfo,
-      dialogVisible,
-      showReader,
-      connectDevice,
-      readCard,
-      disconnect
+      readIdCard
     };
   }
 });
@@ -270,78 +148,4 @@ export default defineComponent({
 .id-card-reader {
   display: inline-block;
 }
-
-.reader-controls {
-  margin-bottom: 20px;
-}
-
-.card-info {
-  border: 1px solid #e8e8e8;
-  padding: 20px;
-  border-radius: 4px;
-}
-
-.info-container {
-  display: flex;
-  gap: 20px;
-  margin-bottom: 20px;
-}
-
-.info-left {
-  flex: 1;
-}
-
-.info-right {
-  flex: 1;
-  display: flex;
-  justify-content: center;
-  align-items: center;
-}
-
-.id-card-back {
-  width: 100%;
-  max-width: 400px;
-  height: 200px;
-  background: #f5f5f5;
-  border: 1px solid #d9d9d9;
-  border-radius: 8px;
-  padding: 20px;
-  display: flex;
-  flex-direction: column;
-  justify-content: center;
-}
-
-.id-number {
-  text-align: center;
-}
-
-.id-label {
-  font-size: 14px;
-  color: #666;
-  margin-bottom: 10px;
-}
-
-.id-value {
-  font-size: 24px;
-  font-weight: bold;
-  font-family: monospace;
-  letter-spacing: 2px;
-}
-
-.photo {
-  margin-top: 20px;
-  text-align: center;
-}
-
-.photo img {
-  max-width: 200px;
-  border: 1px solid #d9d9d9;
-}
-
-.dialog-footer {
-  width: 100%;
-  display: flex;
-  justify-content: flex-end;
-  gap: 10px;
-}
 </style> 
\ No newline at end of file
diff --git a/src/components/IDCardReader/sdk.js b/src/components/IDCardReader/sdk.js
new file mode 100644
index 0000000..23094b9
--- /dev/null
+++ b/src/components/IDCardReader/sdk.js
@@ -0,0 +1,161 @@
+/*
+ * @Author: Hikari
+ * @Date: 2021-04-26 18:52:16
+ * @LastEditTime: 2021-04-26 20:16:36
+ * @LastEditors: Please set LastEditors
+ * @Description: 读取身份证信息
+ * @FilePath: /cloud-desk-top/components/common/idcard/sdk.js
+ */
+import axios from "axios";
+
+const sdk = new (function () {
+  var type = null;
+
+  // 初始化SDK 默认使用华视
+  this.init_sdk = function (qudao = "hs") {
+    this.type = qudao;
+  };
+
+  // 读取身份证信息
+  this.read_card = function () {
+    return new Promise((resolve, reject) => {
+      axios({
+        method: "get",
+        url: "http://localhost:19196/readcard",
+      })
+        .then((res) => {
+          let data = res.data;
+          let result = data;
+          if (result.resultFlag == 0) {
+            // 解析身份证信息
+            const idCardInfo = {
+              name: result.partyName || '',
+              gender: this.parseGender(result.gender),
+              nation: result.nation || '',
+              birthday: this.formatDate(result.bornDay) || '',
+              address: result.certAddress || '',
+              idNumber: result.certNumber || '',
+              certOrg: result.certOrg || '',
+              effDate: this.formatDate(result.effDate) || '',
+              expDate: result.expDate === '长期' ? '长期' : this.formatDate(result.expDate) || '',
+              photo: result.photo || ''
+            };
+            resolve(idCardInfo);
+          } else {
+            console.error('读取身份证失败:', result.errorMsg);
+            reject(new Error(result.errorMsg || '读取身份证失败'));
+          }
+        })
+        .catch((err) => {
+          console.error('读取身份证请求失败:', err);
+          reject(err);
+        });
+    });
+  };
+
+  // 格式化日期 YYYYMMDD -> YYYY-MM-DD
+  this.formatDate = function(dateStr) {
+    if (!dateStr || dateStr.length !== 8) return '';
+    const year = dateStr.substring(0, 4);
+    const month = dateStr.substring(4, 6);
+    const day = dateStr.substring(6, 8);
+    return `${year}-${month}-${day}`;
+  };
+
+  // 解析性别信息
+  this.parseGender = function(gender) {
+    if (!gender) return '';
+    
+    // 处理字符串类型的性别
+    if (typeof gender === 'string') {
+      // 如果已经是"男"或"女"，直接返回
+      if (gender === '男' || gender === '女') return gender;
+      
+      // 处理数字字符串
+      if (gender === '1' || gender === 'M' || gender.toUpperCase() === 'MALE') return '男';
+      if (gender === '2' || gender === 'F' || gender.toUpperCase() === 'FEMALE') return '女';
+    }
+    
+    // 处理数字类型的性别
+    if (typeof gender === 'number') {
+      return gender === 1 ? '男' : '女';
+    }
+    
+    // 如果无法解析，返回空字符串
+    return '';
+  };
+
+  // 链接
+  this.open_device = function () {
+    return new Promise((resolve, reject) => {
+      axios({
+        method: "get",
+        url: "http://localhost:19196/OpenDevice",
+      })
+        .then((res) => {
+          let data = res.data;
+          let result = data;
+          if (result.resultFlag == 0) {
+            resolve(result);
+          } else {
+            console.error('连接设备失败:', result.errorMsg);
+            reject(new Error(result.errorMsg || '连接设备失败'));
+          }
+        })
+        .catch((err) => {
+          console.error('连接设备请求失败:', err);
+          reject(err);
+        });
+    });
+  };
+
+  // 断开
+  this.close_device = function () {
+    return new Promise((resolve, reject) => {
+      axios({
+        method: "get",
+        url: "http://localhost:19196/CloseDevice",
+      })
+        .then((res) => {
+          let data = res.data;
+          let result = data;
+          if (result.resultFlag == 0) {
+            resolve(result);
+          } else {
+            console.error('断开设备失败:', result.errorMsg);
+            reject(new Error(result.errorMsg || '断开设备失败'));
+          }
+        })
+        .catch((err) => {
+          console.error('断开设备请求失败:', err);
+          reject(err);
+        });
+    });
+  };
+
+  // 获取安全模块号
+  this.get_samid = function () {
+    return new Promise((resolve, reject) => {
+      axios({
+        method: "get",
+        url: "http://localhost:19196/getsamid",
+      })
+        .then((res) => {
+          let data = res.data;
+          let result = data;
+          if (result.resultFlag == 0) {
+            resolve(result.samid);
+          } else {
+            console.error('获取安全模块号失败:', result.errorMsg);
+            reject(new Error(result.errorMsg || '获取安全模块号失败'));
+          }
+        })
+        .catch((err) => {
+          console.error('获取安全模块号请求失败:', err);
+          reject(err);
+        });
+    });
+  };
+})();
+
+export default sdk; 
\ No newline at end of file
diff --git a/src/views/Department-entry/Medical-examination-vehicle.vue b/src/views/Department-entry/Medical-examination-vehicle.vue
index 6551037..fbb5b0c 100644
--- a/src/views/Department-entry/Medical-examination-vehicle.vue
+++ b/src/views/Department-entry/Medical-examination-vehicle.vue
@@ -963,6 +963,57 @@ const processItemData = (item) => {
     itemStatus: item.itemStatus || '0',
     sectionID: item.sectionID
   }
+  
+  // 对体质指数(BMI)进行特殊处理
+  if (item.itemName && item.itemName.includes('体质指数') && item.itemName.includes('BMI') && item.itemResult) {
+    // 应用BMI特定的判断逻辑
+    const bmiValue = parseFloat(item.itemResult)
+    if (!isNaN(bmiValue)) {
+      // BMI判断标准：体重过低<18.5，正常18.5≤BMI<24，超重24≤BMI<28，肥胖28≤BMI
+      if (bmiValue < 18.5) {
+        processedItem.note = '↓'
+        processedItem.risk = '体重过低'
+        processedItem.status = 'danger'
+      } else if (bmiValue >= 18.5 && bmiValue < 24) {
+        processedItem.note = '-'
+        processedItem.risk = '正常'
+        processedItem.status = ''
+      } else if (bmiValue >= 24 && bmiValue < 28) {
+        processedItem.note = '↑'
+        processedItem.risk = '超重'
+        processedItem.status = 'danger'
+      } else if (bmiValue >= 28) {
+        processedItem.note = '↑↑'
+        processedItem.risk = '肥胖'
+        processedItem.status = 'danger'
+      }
+    }
+  }
+  
+  // 对血压进行特殊处理
+  if (item.itemName && item.itemName.includes('血压') && item.itemResult) {
+    // 血压值通常是systolic/diastolic格式，例如 125/90
+    const bpMatch = item.itemResult.match(/(\d+)\/(\d+)/)
+    if (bpMatch) {
+      const systolic = parseInt(bpMatch[1]) // 收缩压
+      const diastolic = parseInt(bpMatch[2]) // 舒张压
+      
+      if (!isNaN(systolic) && !isNaN(diastolic)) {
+        // 判断标准: 收缩压<130 且 舒张压<85为正常
+        if (systolic >= 130 || diastolic >= 85) {
+          processedItem.note = '↑'
+          processedItem.risk = '血压偏高'
+          processedItem.status = 'danger'
+        } else {
+          processedItem.note = '-'
+          processedItem.risk = '正常'
+          processedItem.status = ''
+        }
+      }
+    }
+  }
+  
+  return processedItem
 }
 
 // 辅助函数：处理小结数据
@@ -1052,6 +1103,116 @@ const getRowStatus = (item) => {
   return ''
 }
 
+// 添加处理BMI指数的函数
+const handleBmiResult = (item) => {
+  if (!item.value) return
+  
+  const bmiValue = parseFloat(item.value)
+  if (isNaN(bmiValue)) return
+  
+  let bmiStatus = ''
+  // BMI判断标准：体重过低<18.5，正常18.5≤BMI<24，超重24≤BMI<28，肥胖28≤BMI
+  if (bmiValue < 18.5) {
+    item.note = '↓'
+    item.risk = '体重过低'
+    item.status = 'danger'
+    bmiStatus = `【体质指数(BMI)】${bmiValue}，体重过低`
+  } else if (bmiValue >= 18.5 && bmiValue < 24) {
+    item.note = '-'
+    item.risk = '正常'
+    item.status = ''
+    // 正常值不添加到小结
+  } else if (bmiValue >= 24 && bmiValue < 28) {
+    item.note = '↑'
+    item.risk = '超重'
+    item.status = 'danger'
+    bmiStatus = `【体质指数(BMI)】${bmiValue}，超重`
+  } else if (bmiValue >= 28) {
+    item.note = '↑↑'
+    item.risk = '肥胖'
+    item.status = 'danger'
+    bmiStatus = `【体质指数(BMI)】${bmiValue}，肥胖`
+  }
+  
+  // 直接更新一般检查小结
+  updateGeneralSummary(bmiStatus)
+}
+
+// 添加处理血压的函数
+const handleBloodPressureResult = (item) => {
+  if (!item.value) return
+  
+  // 血压值通常是systolic/diastolic格式，例如 125/90
+  const bpMatch = item.value.match(/(\d+)\/(\d+)/)
+  if (!bpMatch) return
+  
+  const systolic = parseInt(bpMatch[1]) // 收缩压
+  const diastolic = parseInt(bpMatch[2]) // 舒张压
+  
+  let bpStatus = ''
+  if (isNaN(systolic) || isNaN(diastolic)) return
+  
+  // 判断标准: 收缩压<130 且 舒张压<85为正常
+  if (systolic >= 130 || diastolic >= 85) {
+    item.note = '↑'
+    item.risk = '血压偏高'
+    item.status = 'danger'
+    bpStatus = `【血压】${item.value}，偏高`
+  } else {
+    item.note = '-'
+    item.risk = '正常'
+    item.status = ''
+    // 正常值不添加到小结
+  }
+  
+  // 直接更新一般检查小结
+  updateGeneralSummary(bpStatus)
+}
+
+// 添加更新一般检查小结的函数
+const updateGeneralSummary = (newStatus) => {
+  if (!newStatus) return // 如果没有异常状态，不更新小结
+  
+  // 获取当前小结内容
+  let currentSummary = conclusionData.value.general.summary || '未见异常'
+  
+  // 处理关键词，提取括号中内容作为判断依据
+  const keywordMatch = newStatus.match(/【(.+?)】/)
+  if (!keywordMatch) return
+  
+  const keyword = keywordMatch[1]
+  
+  // 如果当前是"未见异常"，直接替换为新状态
+  if (currentSummary === '未见异常') {
+    conclusionData.value.general.summary = newStatus
+    return
+  }
+  
+  // 检查小结中是否已包含相同关键词的内容
+  if (currentSummary.includes(`【${keyword}】`)) {
+    // 如果已包含相同关键词，替换该部分内容
+    const regex = new RegExp(`【${keyword}】[^；。]+[；。]?`, 'g')
+    currentSummary = currentSummary.replace(regex, '')
+    
+    // 清理可能留下的多余分隔符
+    currentSummary = currentSummary.replace(/；；+/g, '；').trim()
+    
+    // 如果替换后内容为空，设置为新状态
+    if (!currentSummary || currentSummary === '；') {
+      conclusionData.value.general.summary = newStatus
+    } else {
+      // 否则添加到末尾
+      conclusionData.value.general.summary = currentSummary + (currentSummary.endsWith('；') ? '' : '；') + newStatus
+    }
+  } else {
+    // 如果不包含相同关键词，添加到末尾
+    conclusionData.value.general.summary = currentSummary + (currentSummary.endsWith('；') ? '' : '；') + newStatus
+  }
+  
+  // 清理多余的分隔符
+  conclusionData.value.general.summary = conclusionData.value.general.summary.replace(/；{2,}/g, '；')
+}
+
 // 修改科室名称映射函数
 const getSectionName = (sectionId) => {
   // 获取该科室下的所有检查项目
@@ -1526,6 +1687,18 @@ const handleResultChange = (item) => {
 
   item.originalValue = item.value
 
+  // 对体质指数(BMI)进行特殊处理
+  if (item.name && item.name.includes('体质指数') && item.name.includes('BMI')) {
+    handleBmiResult(item)
+    return
+  }
+
+  // 对血压进行特殊处理
+  if (item.name && item.name.includes('血压')) {
+    handleBloodPressureResult(item)
+    return
+  }
+
   if (item.reference && item.reference !== 'null-null') {
     const value = parseFloat(item.value)
     const [low, high] = item.reference
@@ -1811,7 +1984,7 @@ const handleSaveAllResults = async () => {
     ElMessage.warning('请选择总检医生')
     return
   }
-
+  
   try {
     const userProfile = await getUserProfile()
     user.value = userProfile
@@ -1930,7 +2103,7 @@ const handleSaveAllResults = async () => {
       await PatientApi.updatePatient({
         id: selectedPatient.value.id,
         status: 1, // 设置为已检查状态
-        medicalDateTime: currentTimestamp // 更新体检日期为当前时间
+
       })
 
       // 更新本地状态
@@ -2191,7 +2364,19 @@ const debouncedStatusChange = debounce(async (value) => {
 // 修改状态筛选变化处理函数
 const handleStatusFilterChange = (value) => {
   statusFilter.value = value
-  debouncedStatusChange(value)
+  
+  // 如果选择的是"已打印"状态，自动将日期范围设置为今天
+  if (value === '2') {
+    const today = new Date().toISOString().split('T')[0] // 获取当前日期，格式为YYYY-MM-DD
+    dateRange.value = [today, today] // 设置日期范围为今天到今天
+    // 直接使用dateRange进行筛选，不调用debouncedStatusChange以避免重复请求
+    handleDateRangeChange(dateRange.value)
+  } else {
+    // 非已打印状态清空日期范围
+    dateRange.value = []
+    // 调用状态变化处理函数
+    debouncedStatusChange(value)
+  }
 }
 
 // 添加检查是否已完成的响应式引用
@@ -2501,7 +2686,7 @@ const handleDateRangeChange = async (val) => {
     const params = {
       pageNo: pageNo.value,
       pageSize: pageSize.value,
-      isprint: 1 // 保持已打印状态
+      isprint: 1, // 保持已打印状态
     }
 
     // 只有在有日期范围时才添加日期条件
@@ -2543,7 +2728,6 @@ const resetPatientStatus = async (patient) => {
       await PatientApi.updatePatient({
         id: patient.id,
         status: 0, // 设置为待检查状态
-        medicalDateTime: Date.now() // 更新体检日期为当前时间
       })
 
       // 更新本地状态
diff --git a/src/views/Inspection-checklist/Inspection-checklist.vue b/src/views/Inspection-checklist/Inspection-checklist.vue
index d3bd2af..da08f77 100644
--- a/src/views/Inspection-checklist/Inspection-checklist.vue
+++ b/src/views/Inspection-checklist/Inspection-checklist.vue
@@ -42,12 +42,12 @@ v-loading.fullscreen.lock="fullscreenLoading"
           class="!w-200px"
         />
       </el-form-item>
-      <!-- <el-form-item  prop="cardId">
+      <el-form-item  prop="cardId">
         <IDCardReader 
           v-model:cardId="queryParams.cardId" 
-          @success="handleQuery"
+          @success="handleIdCardSuccess"
         />
-      </el-form-item> -->
+      </el-form-item>
       <el-form-item label="打印日期" prop="printTimeRange">
         <el-date-picker
           v-model="queryParams.printTimeRange"
@@ -260,6 +260,15 @@ const handleQuery = () => {
   getList()
 }
 
+/** 处理身份证读卡成功事件 */
+const handleIdCardSuccess = (cardInfo) => {
+  // 直接使用身份证号进行查询，不更新搜索框
+  const tempCardId = queryParams.cardId;
+  queryParams.cardId = cardInfo.idNumber;
+  getList();
+  // 查询完成后恢复原来的值
+  queryParams.cardId = tempCardId;
+}
 
 /** 添加/修改操作 */
 const formRef = ref()
@@ -276,6 +285,7 @@ const handlePrint = async (row: PatientVO) => {
     await createPrint(row.medicalSn)
     // 打印完成后更新状态，添加当前时间戳
     await PatientApi.updatePrintStatus(row.medicalSn, new Date())
+    await PatientApi.updateMedicalDateTime(row.medicalSn, new Date())
     // 刷新列表
     await getList()
     message.success('打印成功')