diff --git a/openhis-server/core-framework/src/main/java/com/core/framework/aspectj/TransactionAspect.java b/openhis-server/core-framework/src/main/java/com/core/framework/aspectj/TransactionAspect.java
index a3b17784..1a7e711d 100644
--- a/openhis-server/core-framework/src/main/java/com/core/framework/aspectj/TransactionAspect.java
+++ b/openhis-server/core-framework/src/main/java/com/core/framework/aspectj/TransactionAspect.java
@@ -1,9 +1,9 @@
 package com.core.framework.aspectj;
 
-import org.aspectj.lang.annotation.Aspect;
-import org.aspectj.lang.annotation.Before;
 import org.aspectj.lang.annotation.AfterReturning;
 import org.aspectj.lang.annotation.AfterThrowing;
+import org.aspectj.lang.annotation.Aspect;
+import org.aspectj.lang.annotation.Before;
 import org.springframework.stereotype.Component;
 import org.springframework.transaction.PlatformTransactionManager;
 import org.springframework.transaction.TransactionStatus;
@@ -17,7 +17,7 @@ import org.springframework.transaction.support.DefaultTransactionDefinition;
 public class TransactionAspect {
 
     private final PlatformTransactionManager transactionManager;
-    private TransactionStatus transactionStatus;
+    private final ThreadLocal<TransactionStatus> transactionStatus = new ThreadLocal<>();
 
     public TransactionAspect(PlatformTransactionManager transactionManager) {
         this.transactionManager = transactionManager;
@@ -28,7 +28,8 @@ public class TransactionAspect {
             "@annotation(org.springframework.web.bind.annotation.PutMapping) || " +
             "@annotation(org.springframework.web.bind.annotation.DeleteMapping)")
     public void beginTransaction() {
-        transactionStatus = transactionManager.getTransaction(new DefaultTransactionDefinition());
+        TransactionStatus status = transactionManager.getTransaction(new DefaultTransactionDefinition());
+        transactionStatus.set(status);
     }
 
     @AfterReturning("@annotation(org.springframework.web.bind.annotation.PostMapping) || " +
@@ -36,8 +37,10 @@ public class TransactionAspect {
             "@annotation(org.springframework.web.bind.annotation.PutMapping) || " +
             "@annotation(org.springframework.web.bind.annotation.DeleteMapping)")
     public void commitTransaction() {
-        if (transactionStatus != null && !transactionStatus.isCompleted()) {
-            transactionManager.commit(transactionStatus);
+        TransactionStatus status = transactionStatus.get();
+        if (status != null && !status.isCompleted()) {
+            transactionManager.commit(status);
+            transactionStatus.remove(); // 清除 ThreadLocal 中的状态
         }
     }
 
@@ -47,8 +50,10 @@ public class TransactionAspect {
             "@annotation(org.springframework.web.bind.annotation.DeleteMapping)",
             throwing = "ex")
     public void rollbackTransaction(Exception ex) {
-        if (transactionStatus != null && !transactionStatus.isCompleted()) {
-            transactionManager.rollback(transactionStatus);
+        TransactionStatus status = transactionStatus.get();
+        if (status != null && !status.isCompleted()) {
+            transactionManager.rollback(status);
+            transactionStatus.remove(); // 清除 ThreadLocal 中的状态
         }
     }
-}
+}
\ No newline at end of file
diff --git a/openhis-server/openhis-application/src/main/java/com/openhis/web/outpatientservice/dto/OutpatientRegistrationAddDto.java b/openhis-server/openhis-application/src/main/java/com/openhis/web/outpatientservice/dto/OutpatientRegistrationAddDto.java
deleted file mode 100644
index d00d57eb..00000000
--- a/openhis-server/openhis-application/src/main/java/com/openhis/web/outpatientservice/dto/OutpatientRegistrationAddDto.java
+++ /dev/null
@@ -1,14 +0,0 @@
-package com.openhis.web.outpatientservice.dto;
-
-import lombok.Data;
-import lombok.experimental.Accessors;
-
-/**
- * 门诊挂号 新增数据
- */
-@Data
-@Accessors(chain = true)
-public class OutpatientRegistrationAddDto {
-
-
-}
diff --git a/openhis-server/openhis-domain/src/main/java/com/openhis/administration/service/IPatientService.java b/openhis-server/openhis-domain/src/main/java/com/openhis/administration/service/IPatientService.java
index c56301c1..71ed94be 100644
--- a/openhis-server/openhis-domain/src/main/java/com/openhis/administration/service/IPatientService.java
+++ b/openhis-server/openhis-domain/src/main/java/com/openhis/administration/service/IPatientService.java
@@ -1,10 +1,11 @@
 package com.openhis.administration.service;
 
-import java.util.Date;
-
+import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.baomidou.mybatisplus.extension.service.IService;
 import com.openhis.administration.domain.Patient;
 
+import java.util.Date;
+
 /**
  * 患者管理Service接口
  *
@@ -15,7 +16,7 @@ public interface IPatientService extends IService<Patient> {
 
     /**
      * 从身份证号码中提取生日
-     * 
+     *
      * @param idCard 身份证号
      * @return 出生日
      */
@@ -27,5 +28,15 @@ public interface IPatientService extends IService<Patient> {
      * @param date 字符串日期
      * @return 是/否
      */
-    boolean  isFuture(String date);
+    boolean isFuture(String date);
+
+    /**
+     * 通过关键字查询患者信息
+     *
+     * @param searchKey 关键字
+     * @param pageNo    当前页码
+     * @param pageSize  查询条数
+     * @return 患者信息
+     */
+    Page<Patient> getPatientBySearchKey(String searchKey, Integer pageNo, Integer pageSize);
 }
\ No newline at end of file
diff --git a/openhis-server/openhis-domain/src/main/java/com/openhis/workflow/domain/ServiceRequest.java b/openhis-server/openhis-domain/src/main/java/com/openhis/workflow/domain/ServiceRequest.java
index c7029161..c1fd203e 100644
--- a/openhis-server/openhis-domain/src/main/java/com/openhis/workflow/domain/ServiceRequest.java
+++ b/openhis-server/openhis-domain/src/main/java/com/openhis/workflow/domain/ServiceRequest.java
@@ -82,6 +82,9 @@ public class ServiceRequest extends HisBaseEntity {
     /** 执行人 */
     private Long performerId;
 
+    /** 核对人 */
+    private Long performerCheckId;
+
     /** 执行位置 */
     private Long locationId;