diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
index 4c6053d7..5f2f27b8 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/regdoctorstation/appservice/impl/RequestFormManageAppServiceImpl.java
@@ -256,25 +256,30 @@ public class RequestFormManageAppServiceImpl implements IRequestFormManageAppSer
             surgeryServiceRequest.setEncounterId(encounterId);
             surgeryServiceRequest.setAuthoredTime(curDate);
             surgeryServiceRequest.setOrgId(orgId);
-            // 设置手术相关信息到 note 字段
-            StringBuilder noteBuilder = new StringBuilder();
+            // 设置手术相关信息到 contentJson 字段
+            Map<String, String> contentMap = new java.util.HashMap<>();
             if (surgeryName != null && !surgeryName.isEmpty()) {
-                noteBuilder.append("手术名称：").append(surgeryName).append("; ");
+                contentMap.put("surgeryName", surgeryName);
             }
             if (surgeryCode != null && !surgeryCode.isEmpty()) {
-                noteBuilder.append("手术编码：").append(surgeryCode).append("; ");
+                contentMap.put("surgeryCode", surgeryCode);
             }
             if (plannedTime != null && !plannedTime.isEmpty()) {
-                noteBuilder.append("计划时间：").append(plannedTime).append("; ");
+                contentMap.put("plannedTime", plannedTime);
             }
             if (surgeryIndication != null && !surgeryIndication.isEmpty()) {
-                noteBuilder.append("手术指征：").append(surgeryIndication).append("; ");
+                contentMap.put("surgeryIndication", surgeryIndication);
             }
             if (preoperativeDiagnosis != null && !preoperativeDiagnosis.isEmpty()) {
-                noteBuilder.append("术前诊断：").append(preoperativeDiagnosis).append("; ");
+                contentMap.put("preoperativeDiagnosis", preoperativeDiagnosis);
             }
-            if (noteBuilder.length() > 0) {
-                surgeryServiceRequest.setNote(noteBuilder.toString());
+            if (!contentMap.isEmpty()) {
+                try {
+                    ObjectMapper objectMapper = new ObjectMapper();
+                    surgeryServiceRequest.setContentJson(objectMapper.writeValueAsString(contentMap));
+                } catch (Exception e) {
+                    log.error("序列化手术信息失败", e);
+                }
             }
             iServiceRequestService.save(surgeryServiceRequest);