diff --git a/openhis-ui-vue3/src/views/doctorstation/index.vue b/openhis-ui-vue3/src/views/doctorstation/index.vue
index 6fe3b570..2256b178 100644
--- a/openhis-ui-vue3/src/views/doctorstation/index.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/index.vue
@@ -98,35 +98,36 @@
           <el-descriptions-item label="医生：" width="150">{{
             userStore.name
           }}</el-descriptions-item>
-          <el-descriptions-item label="" width="300">
-            <el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
-              完诊
-            </el-button>
-            <el-button type="primary" plain @click.stop="handleLeave(patientInfo.encounterId)">
-              暂离
-            </el-button>
-            <el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
-              退费
-            </el-button>
-            <el-button
-              type="primary"
-              plain
-              @click.stop="getEnPrescription(patientInfo.encounterId)"
-            >
-              处方单
-            </el-button>
-            <el-button
-              type="primary"
-              plain
-              @click.stop="
-                () => {
-                  openDialog = true;
-                }
-              "
-            >
-              办理住院
-            </el-button>
-          </el-descriptions-item>
+          <el-descriptions-item label="" width="350">
+  <!-- 初诊 / 复诊 按钮 -->
+<el-radio v-model="visitType" label="FIRST">初诊</el-radio>
+<el-radio v-model="visitType" label="FOLLOW_UP">复诊</el-radio>
+
+  <!-- 原有按钮 -->
+  <el-button type="primary" plain @click.stop="handleFinish(patientInfo.encounterId)">
+    完诊
+  </el-button>
+  <el-button type="primary" plain @click.stop="handleLeave(patientInfo.encounterId)">
+    暂离
+  </el-button>
+  <el-button type="primary" plain @click.stop="handleRefund(patientInfo.encounterId)">
+    退费
+  </el-button>
+  <el-button
+    type="primary"
+    plain
+    @click.stop="getEnPrescription(patientInfo.encounterId)"
+  >
+    处方单
+  </el-button>
+  <el-button
+    type="primary"
+    plain
+    @click.stop="openDialog = true"
+  >
+    办理住院
+  </el-button>
+</el-descriptions-item>
         </el-descriptions>
       </div>
       <div style="padding: 10px">
@@ -204,6 +205,7 @@ import {
   leaveEncounter,
   completeEncounter,
   getEnPrescriptionInfo,
+  getEmrHistoryList
 } from './components/api.js';
 import prescriptionlist from './components/prescription/prescriptionlist.vue';
 import RefundListDialog from './components/prescription/refundListDialog.vue';
@@ -260,6 +262,7 @@ const diagnosisRef = ref();
 const waitCount = ref(0);
 const loading = ref(false);
 const { proxy } = getCurrentInstance();
+const visitType = ref('');
 const disabled = computed(() => {
   return Object.keys(patientInfo.value).length === 0;
 });
@@ -282,7 +285,41 @@ function getPatientList() {
     });
   });
 }
-
+function setVisitType(type) {
+  visitType.value = type;
+}
+function checkPatientHistory(patient) {
+  // 如果患者没有身份证号，无法判断是否为初诊
+  if (!patient.idCard) {
+    // 默认设置为初诊
+    visitType.value = 'FIRST';
+    return;
+  }
+  
+  // 查询患者历史就诊记录
+  const params = {
+    patientId: patient.patientId,
+    idCard: patient.idCard
+  };
+  
+  getEmrHistoryList(params).then(res => {
+    if (res.code === 200) {
+      // 如果有历史记录，则为复诊
+      if (res.data && res.data.total > 0) {
+        visitType.value = 'FOLLOW_UP';
+      } else {
+        // 如果没有历史记录，则为初诊
+        visitType.value = 'FIRST';
+      }
+    } else {
+      // 请求失败，默认设置为初诊
+      visitType.value = 'FIRST';
+    }
+  }).catch(() => {
+    // 异常情况，默认设置为初诊
+    visitType.value = 'FIRST';
+  });
+}
 function getWaitPatient() {
   queryParams.value.registerTimeSTime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 00:00:00';
   queryParams.value.registerTimeETime = formatDateStr(new Date(), 'YYYY-MM-DD') + ' 23:59:59';
@@ -341,7 +378,7 @@ function handleOpen() {
 }
 
 function handleCardClick(item, index) {
-  currentEncounterId.value = '';
+ currentEncounterId.value = '';
   // if (item.active) {
   //   patientList.value[index].active = false;
   //   return;
@@ -351,6 +388,10 @@ function handleCardClick(item, index) {
     patient.active = patient.encounterId === item.encounterId;
   });
   patientInfo.value = item;
+  
+  // 检查患者历史记录以确定初诊/复诊
+  checkPatientHistory(item);
+  
   activeTab.value = 'emr';
   nextTick(() => {
     prescriptionRef.value.getListInfo();
diff --git a/说明.txt b/说明.txt
index b487db09..cce79d2e 100644
--- a/说明.txt
+++ b/说明.txt
@@ -3,7 +3,7 @@
 	
 jdk17 (必须)
 node.js-v16.15 (推荐)
-PostgreSQL-v16.2 (必须)
+PostgreSQL-v16.2 (必须)1
 redis (常用稳定版本即可)
 
 需要修改数据库和redis的连接信息,详见: