diff --git a/src/main/java/com/docus/server/report/job/ReportJob.java b/src/main/java/com/docus/server/report/job/ReportJob.java
index af5e7dd..3c479d2 100644
--- a/src/main/java/com/docus/server/report/job/ReportJob.java
+++ b/src/main/java/com/docus/server/report/job/ReportJob.java
@@ -635,8 +635,7 @@ public class ReportJob {
                         ReportDto reportDto = new ReportDto();
                         reportDto.setAdmisstimes(tBasic.getAdmissTimes());
                         reportDto.setInpatientNo(tBasic.getInpatientNo());
-                        // 确定报告唯一 报告单号+申请单号
-                        reportDto.setSerialnum(examReportSn + requestSn);
+
                         reportDto.setFileTitle(reportName);
                         reportDto.setVisitSn(visitSn);
                         reportDto.setPatientSn(patientSn);
@@ -649,6 +648,8 @@ public class ReportJob {
                         if (Func.isBlank(base64)) {
                             continue;
                         }
+                        // 确定报告唯一 报告单号+申请单号
+                        reportDto.setSerialnum(split[0]);
                         String url = saveBase64(base64);
                         reportDto.setDownUrl(url);
                         reportDto.setDowntype(5);
diff --git a/src/main/java/com/docus/server/report/webservice/impl/HIP1008InspectionReportAdditionHandler.java b/src/main/java/com/docus/server/report/webservice/impl/HIP1008InspectionReportAdditionHandler.java
index 1ae51d7..2edd2bb 100644
--- a/src/main/java/com/docus/server/report/webservice/impl/HIP1008InspectionReportAdditionHandler.java
+++ b/src/main/java/com/docus/server/report/webservice/impl/HIP1008InspectionReportAdditionHandler.java
@@ -66,7 +66,7 @@ public class HIP1008InspectionReportAdditionHandler implements WebserviceReceive
             }
             if (sdRyReportHandledConfig.isFetchBase64(sender)) {
                 // 过程很长，保存队列，job慢慢消费
-                redisOps.lPush(FetchPacsBase64Job.FETCH_PACS_BASE64_QUEUE_HIP1008,receiveMessage);
+                redisOps.lPush(FetchPacsBase64Job.FETCH_PACS_BASE64_QUEUE_HIP1008, receiveMessage);
                 return insertSuccess(msgId, sender, receiver);
             }
             reportService.report(reportDto);
@@ -114,8 +114,8 @@ public class HIP1008InspectionReportAdditionHandler implements WebserviceReceive
         ReportDto reportDto = new ReportDto();
         reportDto.setAdmisstimes(admissTimes);
         reportDto.setInpatientNo(inpatientNo);
-        // 确定报告唯一 报告单号+申请单号
-        reportDto.setSerialnum(examReportSn + requestSn);
+        // 确定报告唯一 报告单号+申请单号，如果报告单号带下划线是合并报告，取报告单号下划线前的
+        String serialnum = examReportSn + requestSn;
         reportDto.setFileTitle(reportName);
         reportDto.setVisitSn(visitSn);
         reportDto.setPatientSn(patientSn);
@@ -128,6 +128,11 @@ public class HIP1008InspectionReportAdditionHandler implements WebserviceReceive
         if (Func.isBlank(base64)) {
             return null;
         }
+        // 如果报告单号带下划线是合并报告，取报告单号下划线前的
+        if (examReportSn.contains("_")) {
+            serialnum = split[0];
+        }
+        reportDto.setSerialnum(serialnum);
         String url = reportJob.saveBase64(base64);
         reportDto.setDownUrl(url);
         reportDto.setDowntype(5);
@@ -160,6 +165,11 @@ public class HIP1008InspectionReportAdditionHandler implements WebserviceReceive
         Node eafNoNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1008/controlActProcess/subject/recordTarget/patientRole/id[@root='2.16.156.10011.1.24']/@extension");
         String eafNo = eafNoNode.getNodeValue();
         String serialnum = reportFlag + "@" + eafNo;
+        // 如果报告单号带下划线是合并报告，取报告单号下划线前的
+        if (reportFlag.contains("_")) {
+            String[] split = reportFlag.split("_");
+            serialnum = split[0];
+        }
 
 //        Node assortIdNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1008/controlActProcess/subject/component/structuredBody/component[@displayName='检查报告']/section/entry[@displayName='检查类型']/observation/code/@displayName");
 //        String assortId = assortIdNode.getNodeValue();
diff --git a/src/main/java/com/docus/server/report/webservice/impl/HIP1009InspectionReportUpdatesHandler.java b/src/main/java/com/docus/server/report/webservice/impl/HIP1009InspectionReportUpdatesHandler.java
index 6520e8a..ffc9b5c 100644
--- a/src/main/java/com/docus/server/report/webservice/impl/HIP1009InspectionReportUpdatesHandler.java
+++ b/src/main/java/com/docus/server/report/webservice/impl/HIP1009InspectionReportUpdatesHandler.java
@@ -66,7 +66,7 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
             }
             if (sdRyReportHandledConfig.isFetchBase64(sender)) {
                 // 过程很长，保存队列，job慢慢消费
-                redisOps.lPush(FetchPacsBase64Job.FETCH_PACS_BASE64_QUEUE_HIP1009,receiveMessage);
+                redisOps.lPush(FetchPacsBase64Job.FETCH_PACS_BASE64_QUEUE_HIP1009, receiveMessage);
                 return updateSuccess(msgId, sender, receiver);
             }
             reportService.report(reportDto);
@@ -81,7 +81,6 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
     }
 
 
-
     public ReportDto fetchBase64Parse(XmlUtil inspectionInsertXmlUtil) {
         Node senderNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1009/sender/device/id/item/@extension");
         String updateBy = senderNode.getNodeValue();
@@ -115,8 +114,9 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
         ReportDto reportDto = new ReportDto();
         reportDto.setAdmisstimes(admissTimes);
         reportDto.setInpatientNo(inpatientNo);
-        // 确定报告唯一 报告单号+申请单号
-        reportDto.setSerialnum(examReportSn + requestSn);
+        // 确定报告唯一 报告单号+申请单号，如果报告单号带下划线是合并报告，取报告单号下划线前的
+        String serialnum = examReportSn + requestSn;
+
         reportDto.setFileTitle(reportName);
         reportDto.setVisitSn(visitSn);
         reportDto.setPatientSn(patientSn);
@@ -129,6 +129,10 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
         if (Func.isBlank(base64)) {
             return null;
         }
+        if (examReportSn.contains("_")) {
+            serialnum = split[0];
+        }
+        reportDto.setSerialnum(serialnum);
         String url = reportJob.saveBase64(base64);
         reportDto.setDownUrl(url);
         reportDto.setDowntype(5);
@@ -161,6 +165,11 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
         Node eafNoNode = inspectionUpdateXmlUtil.getNode("/POOR_HIP1009/controlActProcess/subject/recordTarget/patientRole/id[@root='2.16.156.10011.1.24']/@extension");
         String eafNo = eafNoNode.getNodeValue();
         String serialnum = reportFlag + "@" + eafNo;
+        // 如果报告单号带下划线是合并报告，取报告单号下划线前的
+        if (reportFlag.contains("_")) {
+            String[] split = reportFlag.split("_");
+            serialnum = split[0];
+        }
 
 //        Node assortIdNode = inspectionUpdateXmlUtil.getNode("/POOR_HIP1009/controlActProcess/subject/component/structuredBody/component[@displayName='检查报告']/section/entry[@displayName='检查类型']/observation/code/@displayName");
 //        String assortId = assortIdNode.getNodeValue();