diff --git a/src/main/java/com/docus/server/AppRunBootstrap.java b/src/main/java/com/docus/server/AppRunBootstrap.java
index b1e2b1b..322013c 100644
--- a/src/main/java/com/docus/server/AppRunBootstrap.java
+++ b/src/main/java/com/docus/server/AppRunBootstrap.java
@@ -1,6 +1,8 @@
 package com.docus.server;
 
 
+import com.docus.core.util.SpringUtils;
+import com.docus.server.rpc.SdRyHospitalRpc;
 import lombok.extern.slf4j.Slf4j;
 import org.mybatis.spring.annotation.MapperScan;
 import org.springframework.boot.SpringApplication;
@@ -21,5 +23,6 @@ public class AppRunBootstrap {
         props.setProperty("UseSunHttpHandler", "true");
         System.setProperty("javax.xml.parsers.DocumentBuilderFactory", "com.sun.org.apache.xerces.internal.jaxp.DocumentBuilderFactoryImpl");
         SpringApplication.run(AppRunBootstrap.class, args);
+        SpringUtils.getBean(SdRyHospitalRpc.class).confirmAndUpdIcuRecordState("100860",11);
     }
 }
diff --git a/src/main/java/com/docus/server/rpc/SdRyHospitalRpc.java b/src/main/java/com/docus/server/rpc/SdRyHospitalRpc.java
new file mode 100644
index 0000000..90d13f2
--- /dev/null
+++ b/src/main/java/com/docus/server/rpc/SdRyHospitalRpc.java
@@ -0,0 +1,13 @@
+package com.docus.server.rpc;
+
+import com.docus.infrastructure.web.api.CommonResult;
+
+public interface SdRyHospitalRpc {
+    /**
+     * 确认患者是否重症病人，并标识重症病人状态,
+     * @param inpatientNo 住院号
+     * @param admissTimes 住院次数
+     */
+  CommonResult<String> confirmAndUpdIcuRecordState(String inpatientNo,Integer admissTimes);
+
+}
diff --git a/src/main/java/com/docus/server/rpc/impl/SdRyHospitalRpcImpl.java b/src/main/java/com/docus/server/rpc/impl/SdRyHospitalRpcImpl.java
new file mode 100644
index 0000000..219531e
--- /dev/null
+++ b/src/main/java/com/docus/server/rpc/impl/SdRyHospitalRpcImpl.java
@@ -0,0 +1,38 @@
+package com.docus.server.rpc.impl;
+
+import cn.hutool.http.HttpUtil;
+import com.alibaba.fastjson.JSON;
+import com.alibaba.fastjson.TypeReference;
+import com.docus.infrastructure.web.api.CommonResult;
+import com.docus.server.rpc.SdRyHospitalRpc;
+import com.docus.server.rpc.util.HttpUrlUtil;
+import lombok.extern.slf4j.Slf4j;
+import org.springframework.beans.factory.annotation.Value;
+import org.springframework.stereotype.Service;
+
+import java.util.HashMap;
+import java.util.Map;
+
+@Service
+@Slf4j
+public class SdRyHospitalRpcImpl  implements SdRyHospitalRpc {
+    @Value("${docus.basic.confirmAndUpdIcuRecordStateUrl:}")
+    private String confirmAndUpdIcuRecordStateUrl;
+
+    @Override
+    public CommonResult<String> confirmAndUpdIcuRecordState(String inpatientNo, Integer admissTimes) {
+        Map<String, String> param = new HashMap<>(2);
+        param.put("inpatientNo",inpatientNo);
+        param.put("admissTimes",admissTimes.toString());
+        try {
+            String url = HttpUrlUtil.addUrlParam(confirmAndUpdIcuRecordStateUrl, param);
+            log.info("确认重症患者并修改标识，接口{}",url);
+            String resp = HttpUtil.get(url);
+            log.info("确认重症患者并修改标识，接口返回：{}",resp);
+           return JSON.parseObject(resp,new TypeReference<CommonResult<String>>(){});
+        }catch (Exception ex){
+            log.error(ex.getMessage(),ex);
+            return null;
+        }
+    }
+}
diff --git a/src/main/java/com/docus/server/rpc/util/HttpUrlUtil.java b/src/main/java/com/docus/server/rpc/util/HttpUrlUtil.java
new file mode 100644
index 0000000..009581e
--- /dev/null
+++ b/src/main/java/com/docus/server/rpc/util/HttpUrlUtil.java
@@ -0,0 +1,49 @@
+package com.docus.server.rpc.util;
+
+import com.docus.core.util.Func;
+
+import java.util.HashMap;
+import java.util.Map;
+
+public class HttpUrlUtil {
+    /**
+     * 添加url参数
+     *
+     * @param url   url
+     * @param param 参数
+     * @return 处理过后的url
+     */
+    public static String addUrlParam(String url, Map<String, String> param) {
+        if (Func.isEmpty(param)) {
+            return url;
+        }
+        StringBuilder urlBuilder = new StringBuilder(url);
+        // url已经添加过参数的标记
+        String addFlag = "?";
+        // url 参数连接符号，如果没有添加过，连接符号置为空
+        String connect = "&";
+        if (!url.contains(addFlag)) {
+            urlBuilder.append("?");
+            connect = "";
+        }
+
+        for (Map.Entry<String, String> entry : param.entrySet()) {
+            String key = entry.getKey();
+            String value = entry.getValue();
+            urlBuilder.append(connect).append(key).append("=").append(value);
+            // 添加过参数，连接符置为&
+            connect = "&";
+
+        }
+        return urlBuilder.toString();
+    }
+
+    public static void main(String[] args) {
+        System.out.println(addUrlParam("http://www.baidu.com", null));
+        System.out.println(addUrlParam("http://www.baidu.com?word=1", null));
+        HashMap<String, String> stringStringHashMap = new HashMap<>();
+        stringStringHashMap.put("en","some");
+        System.out.println(addUrlParam("http://www.baidu.com", stringStringHashMap));
+        System.out.println(addUrlParam("http://www.baidu.com?word=1", stringStringHashMap));
+    }
+}
diff --git a/src/main/resources/bootstrap.yml b/src/main/resources/bootstrap.yml
index b455271..7f5e6f3 100644
--- a/src/main/resources/bootstrap.yml
+++ b/src/main/resources/bootstrap.yml
@@ -98,6 +98,8 @@ docus:
   basic:
     # 护理审批
     nisApproveUrl: http://192.168.16.85:9102/qc/tBasicCqc/cqcAudit?hp=token1
+    # 确认重症状态并更新
+    confirmAndUpdIcuRecordStateUrl: http://127.0.0.1:9314/hospital/sdRy/confirmAndupdIcuRecordState
 mybatis-plus:
   configuration:
     map-underscore-to-camel-case: true