insert into `docus_medicalrecord`.`t_basic_extend` (patient_id,doctor_submit_time) values (#{patientId},#{submitTime})
ON DUPLICATE KEY UPDATE doctor_submit_time=#{submitTime}
insert into `docus_medicalrecord`.`t_basic_extend` (patient_id,nurse_submit_time) values (#{patientId},#{submitTime})
ON DUPLICATE KEY UPDATE nurse_submit_time=#{submitTime}
insert into `docus_medicalrecord`.`t_basic_extend` (patient_id,nurse_file_count) values (#{patientId},#{fileCount})
ON DUPLICATE KEY UPDATE nurse_file_count=#{fileCount}
update `docus_medicalrecord`.`t_basic`
set `dis_date`=#{disDate}
where `patient_id`=#{patientId}