diff --git a/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java b/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
index 7aec115b..f01c4d3f 100644
--- a/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
+++ b/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/appservice/impl/OutpatientRegistrationAppServiceImpl.java
@@ -211,11 +211,13 @@ public class OutpatientRegistrationAppServiceImpl implements IOutpatientRegistra
         EncounterLocation encounterLocation = new EncounterLocation();
         BeanUtils.copyProperties(encounterLocationFormData, encounterLocation);
         iEncounterLocationService.saveEncounterLocationByRegister(encounterLocation);
-        // 保存就诊参数者信息
-        encounterParticipantFormData.setEncounterId(encounterId);
-        EncounterParticipant encounterParticipant = new EncounterParticipant();
-        BeanUtils.copyProperties(encounterParticipantFormData, encounterParticipant);
-        iEncounterParticipantService.saveEncounterParticipantByRegister(encounterParticipant);
+        // 保存就诊参数者信息 , 选了参与这才保存
+        if (encounterParticipantFormData.getPractitionerId() != null) {
+            encounterParticipantFormData.setEncounterId(encounterId);
+            EncounterParticipant encounterParticipant = new EncounterParticipant();
+            BeanUtils.copyProperties(encounterParticipantFormData, encounterParticipant);
+            iEncounterParticipantService.saveEncounterParticipantByRegister(encounterParticipant);
+        }
         // 保存就诊账户信息
         accountFormData.setEncounterId(encounterId);
         Account account = new Account();
diff --git a/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/EncounterParticipantFormData.java b/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/EncounterParticipantFormData.java
index d86d844b..dbbf2fa8 100644
--- a/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/EncounterParticipantFormData.java
+++ b/openhis-server/openhis-application/src/main/java/com/openhis/web/chargemanage/dto/EncounterParticipantFormData.java
@@ -1,6 +1,5 @@
 package com.openhis.web.chargemanage.dto;
 
-import javax.validation.constraints.NotBlank;
 import javax.validation.constraints.NotNull;
 
 import com.fasterxml.jackson.databind.annotation.JsonSerialize;
@@ -27,7 +26,6 @@ public class EncounterParticipantFormData {
     private String typeCode;
 
     /** 参与者ID */
-    @NotNull(message = "参与者ID不能为空")
     @JsonSerialize(using = ToStringSerializer.class)
     private Long practitionerId;