diff --git a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/impl/CriticalValueAppServiceImpl.java b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/impl/CriticalValueAppServiceImpl.java
index 8b75cfca6..9427a138d 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/impl/CriticalValueAppServiceImpl.java
+++ b/healthlink-his-server/healthlink-his-application/src/main/java/com/healthlink/his/web/criticalvalue/appservice/impl/CriticalValueAppServiceImpl.java
@@ -5,6 +5,7 @@ import com.healthlink.his.criticalvalue.service.ICriticalValueHandleRecordServic
 import com.healthlink.his.criticalvalue.service.ICriticalValueService;
 import com.healthlink.his.web.criticalvalue.appservice.ICriticalValueAppService;
 import com.baomidou.mybatisplus.core.conditions.query.LambdaQueryWrapper;
+import com.core.common.utils.SecurityUtils;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Transactional;
@@ -86,6 +87,10 @@ public class CriticalValueAppServiceImpl implements ICriticalValueAppService {
     @Override
     @Transactional(rollbackFor = Exception.class)
     public void handleCriticalValue(CriticalValueHandleRecord record) {
+        Long userId = SecurityUtils.getUserId();
+        String username = SecurityUtils.getLoginUser().getUsername();
+        record.setHandlerId(userId);
+        record.setHandlerName(username);
         record.setHandleTime(new Date());
         handleRecordService.save(record);
         if ("HANDLE".equals(record.getHandleType())) {
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V60__critical_value_handle_record.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V60__critical_value_handle_record.sql
index c76215376..820c01f80 100644
--- a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V60__critical_value_handle_record.sql
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V60__critical_value_handle_record.sql
@@ -4,7 +4,7 @@ CREATE TABLE critical_value_handle_record (
   encounter_id BIGINT NOT NULL,
   patient_id BIGINT NOT NULL,
   handle_type VARCHAR(20) NOT NULL,
-  handler_id BIGINT NOT NULL,
+  handler_id BIGINT,
   handler_name VARCHAR(50),
   handle_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
   handle_result TEXT,
@@ -15,7 +15,9 @@ CREATE TABLE critical_value_handle_record (
   tenant_id BIGINT DEFAULT 0,
   delete_flag CHAR(1) DEFAULT '0',
   create_time TIMESTAMP DEFAULT CURRENT_TIMESTAMP,
-  create_by VARCHAR(64)
+  create_by VARCHAR(64),
+  update_time TIMESTAMP,
+  update_by VARCHAR(64)
 );
 COMMENT ON TABLE critical_value_handle_record IS '危急值处理记录';
 COMMENT ON COLUMN critical_value_handle_record.handle_type IS '处理类型: HANDLE-处理 REVIEW-复查 CONFIRM-确认';
diff --git a/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V61__fix_critical_value_handle_record_columns.sql b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V61__fix_critical_value_handle_record_columns.sql
new file mode 100644
index 000000000..fd4f2ac87
--- /dev/null
+++ b/healthlink-his-server/healthlink-his-application/src/main/resources/db/migration/V61__fix_critical_value_handle_record_columns.sql
@@ -0,0 +1,3 @@
+ALTER TABLE critical_value_handle_record ALTER COLUMN handler_id DROP NOT NULL;
+ALTER TABLE critical_value_handle_record ADD COLUMN update_time TIMESTAMP;
+ALTER TABLE critical_value_handle_record ADD COLUMN update_by VARCHAR(64);