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 a5a84f7..29781e4 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
@@ -93,7 +93,7 @@ public class HIP1008InspectionReportAdditionHandler implements WebserviceReceive
         String visitSn = visitSnNode.getNodeValue();
 
         // 患者id
-        Node patientSnNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1008/controlActProcess/subject/recordTarget/patientRole/id[@root='2.16.156.10011.0.2.2']/@extension");
+        Node patientSnNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1008/controlActProcess/subject/recordTarget/patientRole/item[@root='2.16.156.10011.0.2.2']/@extension");
         String patientSn = patientSnNode.getNodeValue();
 
         // 检查报告单号标识
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 65069d5..bca0905 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
@@ -92,7 +92,7 @@ public class HIP1009InspectionReportUpdatesHandler implements WebserviceReceiveS
         String visitSn = visitSnNode.getNodeValue();
 
         // 患者id
-        Node patientSnNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1009/controlActProcess/subject/recordTarget/patientRole/id[@root='2.16.156.10011.0.2.2']/@extension");
+        Node patientSnNode = inspectionInsertXmlUtil.getNode("/POOR_HIP1009/controlActProcess/subject/recordTarget/patientRole/item[@root='2.16.156.10011.0.2.2']/@extension");
         String patientSn = patientSnNode.getNodeValue();
 
         // 检查报告单号标识