diff --git a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
index c41499a..b07ad1b 100644
--- a/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
+++ b/ruoyi-admin/src/main/java/com/ruoyi/web/controller/api/AppController.java
@@ -205,9 +205,19 @@ public class AppController extends BaseController
         logger.info("add patient param is {} ", appPatientReq);
         TPatient tPatient = new TPatient();
         BeanUtils.copyProperties(appPatientReq, tPatient);
-        if (UserConstants.NOT_UNIQUE.equals(tPatientService.checkPhoneUnique(tPatient.getPhone())))
+        // 查询患者信息
+        TPatient currentPatient = tPatientService.queryTPatient(tPatient);
+        if (Objects.nonNull(currentPatient))
         {
-            return AjaxResult.error("手机号已注册");
+            //患者信息已存在 新增诊断记录
+            TRecord tRecord = new TRecord();
+            tRecord.setHospitalId(appPatientReq.getHospitalId());
+            tRecord.setPatientId(currentPatient.getId());
+            tRecord.setDoctorId(appPatientReq.getDoctorId());
+            tRecord.setStatus("0");
+            tRecord.setCreateBy(getUsername());
+            tRecordService.insertTRecord(tRecord);
+            return AjaxResult.success("手机号已注册");
         }
         tPatientService.insertTPatient(tPatient);
         Long identifier = 10000000L + tPatient.getId();
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
index 076069a..d64a7d8 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/ITPatientService.java
@@ -64,4 +64,6 @@ public interface ITPatientService
     List<PcTPatientQueryByPageResp> queryByPage(PcTPatintQueryByPageReq pcTPatintQueryByPageReq);
 
     String checkPhoneUnique(String phone);
+
+    public TPatient queryTPatient(TPatient tPatient);
 }
diff --git a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
index eaafadf..1f6e81c 100644
--- a/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
+++ b/ruoyi-system/src/main/java/com/ruoyi/system/service/impl/TPatientServiceImpl.java
@@ -134,4 +134,9 @@ public class TPatientServiceImpl implements ITPatientService
         }
         return UserConstants.UNIQUE;
     }
+
+    @Override
+    public TPatient queryTPatient(TPatient tPatient) {
+        return tPatientMapper.queryTPatient(tPatient);
+    }
 }