insert into `docus_medicalrecord`.`t_basic_extend` (patient_id,doctor_submit_time) values (#{patientId},#{submitTime}) ON DUPLICATE KEY UPDATE doctor_submit_time=#{submitTime} SELECT patient_id FROM `docus_medicalrecord`.t_basic tb WHERE tb.inpatient_no=#{inpatientNo} and tb.admiss_times=#{admissTimes}