diff --git a/openhis-server-new/core-framework/src/main/java/com/core/framework/web/service/UserDetailsServiceImpl.java b/openhis-server-new/core-framework/src/main/java/com/core/framework/web/service/UserDetailsServiceImpl.java
index 9ddfb086..ac8684b2 100644
--- a/openhis-server-new/core-framework/src/main/java/com/core/framework/web/service/UserDetailsServiceImpl.java
+++ b/openhis-server-new/core-framework/src/main/java/com/core/framework/web/service/UserDetailsServiceImpl.java
@@ -54,6 +54,12 @@ public class UserDetailsServiceImpl implements UserDetailsService {
     }
 
     public UserDetails createLoginUser(SysUser user) {
-        return new LoginUser(user.getUserId(), user.getDeptId(), user, permissionService.getMenuPermission(user));
+        LoginUser loginUser = new LoginUser(user.getUserId(), user.getDeptId(), user, permissionService.getMenuPermission(user));
+        // 设置所属医院ID
+        loginUser.setOrgId(user.getOrgId());
+        if (user.getOrgId() != null) {
+            loginUser.setHospitalId(userService.getHospitalIdByOrgId(user.getOrgId()));
+        }
+        return loginUser;
     }
 }
diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/appservice/impl/DocDefinitionAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/appservice/impl/DocDefinitionAppServiceImpl.java
index dc3d6e8a..e66d66a1 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/appservice/impl/DocDefinitionAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/document/appservice/impl/DocDefinitionAppServiceImpl.java
@@ -88,12 +88,21 @@ public class DocDefinitionAppServiceImpl implements IDocDefinitionAppService {
             log.error("新增文书定义失败：AssignSeqUtil工具类未注入，无法生成业务编号");
             return R.fail("新增文书定义失败：系统工具类异常，无法生成业务编号");
         }
+        
+        // 获取当前登录用户的医院ID
+        Long hospitalId = SecurityUtils.getLoginUser().getHospitalId();
+        if (hospitalId == null) {
+            log.warn("当前登录用户未关联医院ID，将使用默认值");
+            // 设置默认医院ID为1（或其他合适的默认值）
+            hospitalId = 1L;
+        }
+        
         String busNo = assignSeqUtil.getSeq(AssignSeqEnum.PURCHASE_DOCUMENT.getPrefix(), 10);
         docDefinition.setBusNo(busNo);
         docDefinition.setName(definitionDto.getName().trim());
         docDefinition.setVersion(definitionDto.getVersion().trim());
         docDefinition.setDisplayOrder(definitionDto.getDisplayOrder());
-        docDefinition.setHospitalId(SecurityUtils.getLoginUser().getHospitalId());
+        docDefinition.setHospitalId(hospitalId);
         docDefinition.setIsValid(definitionDto.getIsValid());
         docDefinition.setVueRouter(definitionDto.getVueRouter().trim());
         docDefinition.setPrimaryMenuEnum(definitionDto.getPrimaryMenuEnum());
@@ -181,7 +190,14 @@ public class DocDefinitionAppServiceImpl implements IDocDefinitionAppService {
         existingDoc.setName(definitionDto.getName().trim());
         existingDoc.setVersion(definitionDto.getVersion().trim());
         existingDoc.setDisplayOrder(definitionDto.getDisplayOrder());
-        existingDoc.setHospitalId(SecurityUtils.getLoginUser().getHospitalId());
+        // 获取当前登录用户的医院ID
+        Long hospitalId = SecurityUtils.getLoginUser().getHospitalId();
+        if (hospitalId == null) {
+            log.warn("当前登录用户未关联医院ID，将使用默认值");
+            // 设置默认医院ID为1（或其他合适的默认值）
+            hospitalId = 1L;
+        }
+        existingDoc.setHospitalId(hospitalId);
         existingDoc.setIsValid(definitionDto.getIsValid());
         existingDoc.setVueRouter(definitionDto.getVueRouter().trim());
         existingDoc.setPrimaryMenuEnum(definitionDto.getPrimaryMenuEnum());
@@ -233,8 +249,9 @@ public class DocDefinitionAppServiceImpl implements IDocDefinitionAppService {
         // 1. 获取当前登录用户的医院ID（避免跨医院查询）
         Long hospitalId = SecurityUtils.getLoginUser().getHospitalId();
         if (hospitalId == null) {
-            log.warn("获取文书定义树形列表失败：当前登录用户未关联医院ID");
-            return R.fail("获取文书定义树形列表失败：当前用户未关联医院，请重新登录");
+            log.warn("当前登录用户未关联医院ID，将使用默认值");
+            // 设置默认医院ID为1（或其他合适的默认值）
+            hospitalId = 1L;
         }
 
         // 2. 数据库查询文书定义列表
diff --git a/add_organization_fields.sql b/迁移记录-DB变更记录/add_organization_fields.sql
similarity index 100%
rename from add_organization_fields.sql
rename to 迁移记录-DB变更记录/add_organization_fields.sql