diff --git a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
index b8b9907b..7485cd07 100644
--- a/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
+++ b/openhis-server-new/openhis-application/src/main/java/com/openhis/web/doctorstation/appservice/impl/DoctorStationMainAppServiceImpl.java
@@ -123,6 +123,8 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
      */
     @Override
     public R<?> receiveEncounter(Long encounterId) {
+        Integer tenantId = SecurityUtils.getLoginUser().getTenantId();
+        String currentUsername = SecurityUtils.getUsername();
         int update = encounterMapper.update(null,
             new LambdaUpdateWrapper<Encounter>().eq(Encounter::getId, encounterId)
                 .set(Encounter::getReceptionTime, new Date())
@@ -140,6 +142,9 @@ public class DoctorStationMainAppServiceImpl implements IDoctorStationMainAppSer
         encounterParticipant.setTypeCode(ParticipantType.ADMITTER.getCode());// 接诊医生
         encounterParticipant.setPractitionerId(SecurityUtils.getLoginUser().getPractitionerId());
         encounterParticipant.setStatusEnum(EncounterActivityStatus.ACTIVE.getValue()); // 状态
+        encounterParticipant.setTenantId(tenantId);
+        encounterParticipant.setCreateBy(currentUsername);
+        encounterParticipant.setCreateTime(new Date());
         iEncounterParticipantService.save(encounterParticipant);
         return update > 0 ? R.ok() : R.fail();
     }
diff --git a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/domain/EncounterParticipant.java b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/domain/EncounterParticipant.java
index 39423d35..ef8664ec 100644
--- a/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/domain/EncounterParticipant.java
+++ b/openhis-server-new/openhis-domain/src/main/java/com/openhis/administration/domain/EncounterParticipant.java
@@ -1,6 +1,7 @@
 package com.openhis.administration.domain;
 
 import com.baomidou.mybatisplus.annotation.IdType;
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.baomidou.mybatisplus.annotation.TableId;
 import com.baomidou.mybatisplus.annotation.TableName;
 import com.core.common.core.domain.HisBaseEntity;
@@ -43,4 +44,9 @@ public class EncounterParticipant extends HisBaseEntity {
 
     /** 状态 */
     private Integer statusEnum;
+    /**
+     * 租户ID（新增字段，和数据库的tenant_id对应）
+     */
+    @TableField("tenant_id") // 显式映射数据库字段名，避免MyBatis-Plus自动转换出错
+    private Integer tenantId;
 }
\ No newline at end of file