diff --git a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/administration/service/impl/EncounterLocationServiceImpl.java b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/administration/service/impl/EncounterLocationServiceImpl.java
index f572dd7f8..b8b380af2 100755
--- a/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/administration/service/impl/EncounterLocationServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-domain/src/main/java/com/healthlink/his/administration/service/impl/EncounterLocationServiceImpl.java
@@ -47,7 +47,6 @@ public class EncounterLocationServiceImpl extends ServiceImpl<EncounterLocationM
         queryWrapper.eq(EncounterLocation::getEncounterId, encounterLocation.getEncounterId())
             .eq(EncounterLocation::getFormEnum, encounterLocation.getFormEnum())
             // 状态为使用中
-            .eq(EncounterLocation::getStatusEnum, EncounterActivityStatus.ACTIVE.getValue());
 
         // 查询是否存在记录
         EncounterLocation existingRecord = baseMapper.selectOne(queryWrapper);
@@ -169,4 +168,28 @@ public class EncounterLocationServiceImpl extends ServiceImpl<EncounterLocationM
         }
         return baseMapper.selectList(queryWrapper);
     }
-}
\ No newline at end of file
+}
+            .eq(EncounterLocation::getStatusEnum, EncounterActivityStatus.ACTIVE.getValue())
+            .last("LIMIT 1");
+    /**
+     * 根据encounterId和formEnum清理重复的ACTIVE记录，保留最早的一条
+     *
+     * @param encounterId 住院id
+     * @param formEnum 位置类型
+     */
+    public void deduplicateActiveLocations(Long encounterId, Integer formEnum) {
+        LambdaQueryWrapper<EncounterLocation> queryWrapper = new LambdaQueryWrapper<>();
+        queryWrapper.eq(EncounterLocation::getEncounterId, encounterId)
+            .eq(EncounterLocation::getFormEnum, formEnum)
+            .eq(EncounterLocation::getStatusEnum, EncounterActivityStatus.ACTIVE.getValue())
+            .orderByAsc(EncounterLocation::getStartTime);
+        List<EncounterLocation> records = baseMapper.selectList(queryWrapper);
+        if (records != null && records.size() > 1) {
+            // 保留第一条，将其余的标记为已完成
+            for (int i = 1; i < records.size(); i++) {
+                EncounterLocation duplicate = records.get(i);
+                duplicate.setStatusEnum(EncounterActivityStatus.COMPLETED.getValue());
+                baseMapper.updateById(duplicate);
+            }
+        }
+    }