diff --git a/src/main/java/com/docus/server/collection/feign/service/MedicalrecordService.java b/src/main/java/com/docus/server/collection/feign/service/MedicalrecordService.java
new file mode 100644
index 0000000..9af24f8
--- /dev/null
+++ b/src/main/java/com/docus/server/collection/feign/service/MedicalrecordService.java
@@ -0,0 +1,23 @@
+package com.docus.server.collection.feign.service;
+
+import com.docus.infrastructure.web.api.CommonResult;
+import org.springframework.cloud.openfeign.FeignClient;
+import org.springframework.web.bind.annotation.PostMapping;
+import org.springframework.web.bind.annotation.RequestParam;
+
+/**
+ * @author ceh
+ */
+@FeignClient(url = "${docus.url.sign-out-url}",name = "Medicalrecord")
+public interface MedicalrecordService {
+
+    /*
+     * @description 签出或返修
+     * @author  chierhao
+     * @date 2023-10-08 11:00
+     * @param patientId
+     * @return: com.docus.infrastructure.web.api.CommonResult
+     */
+    @PostMapping("/basic/tbasic/signOutOrBackRepair")
+    CommonResult signOutOrBackRepair(@RequestParam(value = "patientId") String patientId);
+}
diff --git a/src/main/java/com/docus/server/collection/service/impl/MzZyHisServiceImpl.java b/src/main/java/com/docus/server/collection/service/impl/MzZyHisServiceImpl.java
index 1e6acb6..a4d5f75 100644
--- a/src/main/java/com/docus/server/collection/service/impl/MzZyHisServiceImpl.java
+++ b/src/main/java/com/docus/server/collection/service/impl/MzZyHisServiceImpl.java
@@ -11,6 +11,7 @@ import com.docus.server.collection.entity.CollectSysDictionary;
 import com.docus.server.collection.enums.FileSyncMethod;
 import com.docus.server.collection.feign.dto.CompensateTasRequest;
 import com.docus.server.collection.feign.service.CollectTaskService;
+import com.docus.server.collection.feign.service.MedicalrecordService;
 import com.docus.server.collection.infrastructure.dao.mapper.CollectSysDictionaryMapper;
 import com.docus.server.collection.infrastructure.dao.mapper.TBasicMapper;
 import com.docus.server.collection.service.MzZyHisService;
@@ -37,6 +38,9 @@ public class MzZyHisServiceImpl implements MzZyHisService {
     @Resource
     private TBasicMapper tBasicMapper;
 
+    @Resource
+    private MedicalrecordService medicalrecordService;
+
     @Override
     public void firstPageCheckout(FirstPageCheckoutInDTO dto) {
         System.out.println(dto);
@@ -58,6 +62,11 @@ public class MzZyHisServiceImpl implements MzZyHisService {
         if (commonResult.getCode().equals(ResultCode.FAILED.getCode())) {
             throw new RuntimeException(commonResult.getMsg());
         }
+        CommonResult result = medicalrecordService.signOutOrBackRepair(patientId);
+        // 抛出异常，进行参数持久
+        if (result.getCode().equals(ResultCode.FAILED.getCode())) {
+            throw new RuntimeException(commonResult.getMsg());
+        }
     }
 
     private List<String> systemMappingCollectorIds(FirstPageCheckoutInDTO dto) {
diff --git a/src/main/resources/bootstrap.yml b/src/main/resources/bootstrap.yml
index 69ffbe1..f928c70 100644
--- a/src/main/resources/bootstrap.yml
+++ b/src/main/resources/bootstrap.yml
@@ -52,6 +52,8 @@ docus:
   url:
     # 采集任务补偿地址
     compensate-task-url: http://localhost:9295/
+    # 签出调用
+    sign-out-url: http://localhost:9102/
 
 mybatis-plus:
   configuration: