diff --git a/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue b/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue
index de3b450c..e66d167a 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/callQueue/DoctorCallDialog.vue
@@ -375,7 +375,7 @@ const finishCallPatient = async () => {
     return;
   }
   try {
-    await completeEncounter({ encounterId: currentCallPatient.value.encounterId });
+    await completeEncounter({ encounterId: currentCallPatient.value.encounterId, firstEnum: currentCallPatient.value.firstEnum || 1 });
     emit('finish');
     emit('update:dialogVisible', false);
     ElMessage.success('患者已完诊');
diff --git a/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue b/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue
index 460ebec1..3bc2ed03 100755
--- a/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue
+++ b/openhis-ui-vue3/src/views/doctorstation/components/patientList.vue
@@ -109,6 +109,7 @@ const props = defineProps({
 });
 const { proxy } = getCurrentInstance();
 const encounterId = ref();
+const firstEnum = ref(1); // 初复诊标识：1=初诊，2=复诊
 onMounted(() => {
   getPatientList();
 });
@@ -127,6 +128,7 @@ function getPatientList() {
 
 function clickRow(row) {
   encounterId.value = row.encounterId;
+  firstEnum.value = row.firstEnum ?? row.first_enum ?? 1;
   emits('cellClick', row);
 }
 
@@ -182,7 +184,7 @@ function handleComplete() {
   }
   proxy.$modal.confirm('是否完成该患者问诊？').then(() => {
     proxy.$modal.loading();
-    completeEncounter(encounterId.value).then(() => {
+    completeEncounter({ encounterId: encounterId.value, firstEnum: firstEnum.value }).then(() => {
       proxy.$modal.closeLoading();
       proxy.$modal.msgSuccess('完成问诊成功');
       getPatientList();