diff --git a/src/main/java/com/syjiaer/clinic/server/controller/diagnosis/DiagnosisController.java b/src/main/java/com/syjiaer/clinic/server/controller/diagnosis/DiagnosisController.java
index ea542e3..74305b8 100644
--- a/src/main/java/com/syjiaer/clinic/server/controller/diagnosis/DiagnosisController.java
+++ b/src/main/java/com/syjiaer/clinic/server/controller/diagnosis/DiagnosisController.java
@@ -11,6 +11,7 @@ import com.syjiaer.clinic.server.entity.diagnosis.vo.MedicalHistoryVo;
 import com.syjiaer.clinic.server.entity.diagnosis.vo.MedicalRecordVo;
 import com.syjiaer.clinic.server.entity.patient.PatientRegistration;
 import com.syjiaer.clinic.server.entity.patient.vo.SeeDoctorInfoVo;
+import com.syjiaer.clinic.server.service.diagnosis.CheckService;
 import com.syjiaer.clinic.server.service.diagnosis.DiagnosisService;
 import com.syjiaer.clinic.server.service.patient.PatientRegistrationService;
 import org.springframework.beans.factory.annotation.Autowired;
@@ -28,6 +29,8 @@ public class DiagnosisController extends BaseController {
     @Autowired
     private PatientRegistrationService patientRegistrationService;
 
+    @Autowired
+    private CheckService checkService;
     /**
      * 保存病历
      * @return
@@ -37,6 +40,11 @@ public class DiagnosisController extends BaseController {
     public Result<PatientRegistration> save() {
         MedicalRecordSaveDto saveDto = parmsUtil.getObject("data", MedicalRecordSaveDto.class);
         diagnosisService.save(saveDto);
+
+        //调用事前检查
+        checkService.check(saveDto.getRegistrationId(),"3101");
+        checkService.check(saveDto.getRegistrationId(),"3102");
+
         return success( patientRegistrationService.getById(saveDto.getRegistrationId()));
     }
 
diff --git a/src/main/java/com/syjiaer/clinic/server/service/social/SocialDirectoryService.java b/src/main/java/com/syjiaer/clinic/server/service/social/SocialDirectoryService.java
index bd376be..3ff2d77 100644
--- a/src/main/java/com/syjiaer/clinic/server/service/social/SocialDirectoryService.java
+++ b/src/main/java/com/syjiaer/clinic/server/service/social/SocialDirectoryService.java
@@ -125,20 +125,20 @@ public class SocialDirectoryService extends BaseService {
             if (type == 1301) {
                 flag = line_array[78];
                 socialDirectory.setProducer(line_array[53]);
-                socialDirectory.setKeyword(line_array[1] + "," + line_array[3] + "," + line_array[61]);
+                socialDirectory.setKeyword(line_array[1] + "," + line_array[3] + "," + line_array[61]+","+socialDirectory.getProducer()+","+socialDirectory.getName()+","+socialDirectory.getCode());
                 socialDirectory.setCreateDatetime(LocalDateTime.parse(line_array[80], dateTimeFormatter));
                 socialDirectory.setUpdateDatetime(LocalDateTime.parse(line_array[81], dateTimeFormatter));
             }
             if (type == 1302) {
                 flag = line_array[13];
-                socialDirectory.setKeyword(line_array[19]);
+                socialDirectory.setKeyword(line_array[19]+","+socialDirectory.getProducer()+","+socialDirectory.getName()+","+socialDirectory.getCode());
                 socialDirectory.setCreateDatetime(LocalDateTime.parse(line_array[15], dateTimeFormatter));
                 socialDirectory.setUpdateDatetime(LocalDateTime.parse(line_array[16], dateTimeFormatter));
             }
             if (type == 1306) {
                 flag = line_array[67];
                 socialDirectory.setProducer(line_array[59]);
-                socialDirectory.setKeyword(line_array[4]);
+                socialDirectory.setKeyword(line_array[4]+","+socialDirectory.getProducer()+","+socialDirectory.getName()+","+socialDirectory.getCode());
             }
             if (type == 1309) {
                 flag = line_array[5];
@@ -186,22 +186,7 @@ public class SocialDirectoryService extends BaseService {
         return next_version_name;
     }
 
-    private void saveToMongoDb(SocialDirectory socialDirectory) {
-        SocialDirectoryMongodb socialDirectoryMongodb = new SocialDirectoryMongodb();
-        BeanUtils.copyProperties(socialDirectory, socialDirectoryMongodb);
-        Query query = new Query(Criteria.where("code").is(socialDirectoryMongodb.getCode()));
-        if (mongoTemplate.exists(query, SocialDirectoryMongodb.class, "social_directory")) {
 
-            Update update = new Update();
-            update.set("name", socialDirectoryMongodb.getName());
-            update.set("keyword", socialDirectoryMongodb.getKeyword());
-            update.set("type", socialDirectoryMongodb.getType());
-            update.set("producer", socialDirectoryMongodb.getProducer());
-            mongoTemplate.updateFirst(query, update, SocialDirectoryMongodb.class, "social_directory");
-        } else {
-            mongoTemplate.insert(socialDirectoryMongodb, "social_directory");
-        }
-    }
 
 
     private void saveListToMongoDb(List<SocialDirectory> list) {
@@ -230,6 +215,13 @@ public class SocialDirectoryService extends BaseService {
             Index index = new Index().on("code", Sort.Direction.ASC).named("code_uni").unique();
             mongoTemplate.indexOps("social_directory").ensureIndex(index);
         }
+
+        //判断索引是否存在
+        if (indexInfos.stream().noneMatch(index -> index.getName().equals("type_idx"))) {
+            DebugUtil.out("创建了type索引");
+            Index index = new Index().on("type", Sort.Direction.ASC).named("type_idx");
+            mongoTemplate.indexOps("social_directory").ensureIndex(index);
+        }
     }
 
     /*
@@ -504,10 +496,7 @@ public class SocialDirectoryService extends BaseService {
 
         if (!keyword.trim().isEmpty()) {
             query.addCriteria(new Criteria().orOperator(
-                    Criteria.where("code").regex(keyword, "i"),
-                    Criteria.where("name").regex(keyword, "i"),
-                    Criteria.where("keyword").regex(keyword, "i"),
-                    Criteria.where("producer").regex(keyword, "i")
+                    Criteria.where("keyword").regex(keyword, "i")
             ));
         }
         long count = mongoTemplate.count(query, SocialDirectoryMongodb.class, "social_directory");