diff --git a/src/main/java/com/docus/demo/service/SyncBasicDataImpl.java b/src/main/java/com/docus/demo/service/SyncBasicDataImpl.java
index 177efb8..cb3b6a2 100644
--- a/src/main/java/com/docus/demo/service/SyncBasicDataImpl.java
+++ b/src/main/java/com/docus/demo/service/SyncBasicDataImpl.java
@@ -26,8 +26,6 @@ import org.springframework.stereotype.Service;
 import java.text.SimpleDateFormat;
 import java.time.LocalDate;
 import java.util.*;
-import java.util.concurrent.ExecutorService;
-import java.util.concurrent.Executors;
 import java.util.stream.Collectors;
 
 @Slf4j
@@ -171,7 +169,7 @@ public class SyncBasicDataImpl implements ISyncBasicDataService {
 
 
     private List<Tbasic> getTbasicList(List<Tbasic> oldBasicList, List<Tpatientvisit> tpatientvisitList, List<Tdiagnose> tdiagnoses, List<Toperation> toperations) {
-
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd");
         // 根据病案号 住院次数 名称  做去重判断
 
         return tpatientvisitList.stream().map(m -> {
@@ -179,6 +177,7 @@ public class SyncBasicDataImpl implements ISyncBasicDataService {
                             .filter(old -> ObjectUtil.equal(m.getFprn(), old.getInpatientNo().toLowerCase(Locale.ROOT))
                                     && ObjectUtil.equal(m.getFtimes(), old.getAdmissTimes())
                                     && ObjectUtil.equal(m.getFname(), old.getName())
+                                    && sdf.format(m.getFcydate()).equals(sdf.format(old.getDisDate()))
                             )
                             .findFirst()
                             .orElse(null);
@@ -300,18 +299,20 @@ public class SyncBasicDataImpl implements ISyncBasicDataService {
     }
 
     private List<Tbasic> getInsertTbasic(List<Tbasic> oldBasicList, List<CardInfo> cardInfoList) {
-
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd");
         List<CardInfo> cardInfos = cardInfoList.stream().filter(f -> {
             //根据病案号 名称 住院次数 出院时间 去重
             String pno = f.getPatNo();
             String name = f.getPatName();
             Integer pNum = f.getPatNum();
+            Date outDate = f.getOutDate();
 
             Tbasic tbasic = oldBasicList.stream().filter(o ->
                             ObjectUtil.equal(pno, o.getInpatientNo().toLowerCase(Locale.ROOT))
                                     && ObjectUtil.equal(name, o.getName())
                                     && ObjectUtil.equal(pNum, o.getAdmissTimes())
-                                    )
+                                    && ObjectUtil.equal(pNum, o.getAdmissTimes())
+                                    && sdf.format(outDate).equals(sdf.format(o.getDisDate())))
                     .findAny()
                     .orElse(null);
 
diff --git a/src/main/java/com/docus/demo/service/SyncBasicFileImpl.java b/src/main/java/com/docus/demo/service/SyncBasicFileImpl.java
index 12b3c1a..1fdf273 100644
--- a/src/main/java/com/docus/demo/service/SyncBasicFileImpl.java
+++ b/src/main/java/com/docus/demo/service/SyncBasicFileImpl.java
@@ -290,6 +290,7 @@ public class SyncBasicFileImpl implements ISyncBasicFileService {
     }
 
     private Tbasic getOldTbasic(FileUploadJpgDto fileUploadJpgDto) {
+        SimpleDateFormat sdf = new SimpleDateFormat("yyyy-MM-dd");
         String admissId = fileUploadJpgDto.getAdmissId();
         Tbasic getByAdmissId = basicMapper.getTbasicByAdmissId(admissId);
         if (getByAdmissId != null) {
@@ -297,14 +298,17 @@ public class SyncBasicFileImpl implements ISyncBasicFileService {
         }
         String jpgDtoInpatientNo = fileUploadJpgDto.getInpatientNo();
         Integer jpgDtoAdmissTimes = fileUploadJpgDto.getAdmissTimes();
+        Date jpgDtoDisDate = fileUploadJpgDto.getDisDate();
         List<String> inpatientNos = Collections.singletonList(jpgDtoInpatientNo);
         SyncBasicDataDto dto = new SyncBasicDataDto();
         List<Tbasic> oldBasicList = basicMapper.getOldBasicList(inpatientNos, dto);
         for (Tbasic tbasic : oldBasicList) {
-            // 名字，病案号，住院次数 相同 ，人为是一个数据
+
+            // 名字，病案号，住院次数,出院时间 相同 ，人为是一个数据
             if (ObjectUtil.equals(tbasic.getName(), fileUploadJpgDto.getName())
                     && tbasic.getInpatientNo().equalsIgnoreCase(jpgDtoInpatientNo)
-                    && ObjectUtil.equals(jpgDtoAdmissTimes, tbasic.getAdmissTimes())) {
+                    && ObjectUtil.equals(jpgDtoAdmissTimes, tbasic.getAdmissTimes())
+                    && sdf.format(jpgDtoDisDate).equals(sdf.format(tbasic.getDisDate()))) {
                 return tbasic;
             }
         }