diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgconfig/EcgconfigController.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgconfig/EcgconfigController.java
index 5f3bce1..ac614d9 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgconfig/EcgconfigController.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgconfig/EcgconfigController.java
@@ -83,16 +83,14 @@ public class EcgconfigController {
     }
 
     @GetMapping("/list-by-conditions")
-    @Operation(summary = "根据机构ID、检查ID、登记号获得心电图参数配置列表")
+    @Operation(summary = "根据机构ID、检查ID获得心电图参数配置列表")
     @Parameter(name = "orgid", description = "机构ID", required = true)
     @Parameter(name = "examid", description = "检查唯一标识号", required = true)
-    @Parameter(name = "regid", description = "患者登记号", required = true)
     public CommonResult<List<EcgconfigRespVO>> getEcgconfigListByConditions(
             @RequestParam("orgid") @NotBlank(message = "机构ID不能为空") String orgid,
-            @RequestParam("examid") @NotBlank(message = "检查唯一标识号不能为空") String examid,
-            @RequestParam("regid") @NotBlank(message = "患者登记号不能为空") String regid) {
+            @RequestParam("examid") @NotBlank(message = "检查唯一标识号不能为空") String examid) {
         try {
-            List<EcgconfigDO> list = ecgconfigService.getEcgconfigListByConditions(orgid, examid, regid);
+            List<EcgconfigDO> list = ecgconfigService.getEcgconfigListByConditions(orgid, examid);
             CommonResult<List<EcgconfigRespVO>> result = success(BeanUtils.toBean(list, EcgconfigRespVO.class));
             result.setMsg("查询成功");
             return result;
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/EcgworkstationController.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/EcgworkstationController.java
index ac2d27b..3efd3ae 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/EcgworkstationController.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/EcgworkstationController.java
@@ -100,4 +100,15 @@ public class EcgworkstationController {
         return success(true);
     }
 
+    @PutMapping("/updatePdfUrl")
+    @Operation(summary = "根据机构ID和检查ID更新PDF地址")
+    public CommonResult<String> updatePdfUrlByOrgidAndExamid(@Valid @RequestBody EcgworkstationUpdatePdfUrlReqVO updateReqVO) {
+        boolean updateSuccess = ecgworkstationService.updatePdfUrlByOrgidAndExamid(updateReqVO);
+        if (updateSuccess) {
+            return success("PDF报告地址更新成功");
+        } else {
+            return CommonResult.error(404, "未找到匹配的记录，PDF地址更新失败");
+        }
+    }
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationPageReqVO.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationPageReqVO.java
index 72beab6..6ad989e 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationPageReqVO.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationPageReqVO.java
@@ -77,4 +77,7 @@ public class EcgworkstationPageReqVO extends PageParam {
     @Schema(description = "是否回放: 0-否, 1-是")
     private Integer isreplay;
 
+    @Schema(description = "报告地址")
+    private String pdfurl;
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationRespVO.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationRespVO.java
index cc6d068..81a5975 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationRespVO.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationRespVO.java
@@ -96,4 +96,8 @@ public class EcgworkstationRespVO {
     @ExcelProperty("是否回放: 0-否, 1-是")
     private Integer isreplay;
 
+    @Schema(description = "报告地址")
+    @ExcelProperty("报告地址")
+    private String pdfurl;
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationSaveReqVO.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationSaveReqVO.java
index 0fafc51..2f001f7 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationSaveReqVO.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationSaveReqVO.java
@@ -74,4 +74,7 @@ public class EcgworkstationSaveReqVO {
     @Schema(description = "是否回放: 0-否, 1-是")
     private Integer isreplay;
 
+    @Schema(description = "报告地址")
+    private String pdfurl;
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationUpdatePdfUrlReqVO.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationUpdatePdfUrlReqVO.java
new file mode 100644
index 0000000..aa54aec
--- /dev/null
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/controller/admin/ecgworkstation/vo/EcgworkstationUpdatePdfUrlReqVO.java
@@ -0,0 +1,25 @@
+package cn.iocoder.yudao.module.system.controller.admin.ecgworkstation.vo;
+
+import io.swagger.v3.oas.annotations.media.Schema;
+import lombok.Data;
+
+import javax.validation.constraints.NotBlank;
+import javax.validation.constraints.NotNull;
+
+@Schema(description = "管理后台 - 心电工作站更新PDF地址 Request VO")
+@Data
+public class EcgworkstationUpdatePdfUrlReqVO {
+
+    @Schema(description = "机构ID", requiredMode = Schema.RequiredMode.REQUIRED, example = "23027")
+    @NotBlank(message = "机构ID不能为空")
+    private String orgid;
+
+    @Schema(description = "检查ID", requiredMode = Schema.RequiredMode.REQUIRED, example = "29841")
+    @NotBlank(message = "检查ID不能为空")
+    private String examid;
+
+    @Schema(description = "报告地址", requiredMode = Schema.RequiredMode.REQUIRED)
+    @NotBlank(message = "报告地址不能为空")
+    private String pdfurl;
+
+}
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/ecgworkstation/EcgworkstationDO.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/ecgworkstation/EcgworkstationDO.java
index 801e345..373b057 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/ecgworkstation/EcgworkstationDO.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/ecgworkstation/EcgworkstationDO.java
@@ -128,6 +128,11 @@ public class EcgworkstationDO {
      */
     @TableField("isreplay")
     private Integer isreplay;
+    /**
+     * 报告地址
+     */
+    @TableField("pdfurl")
+    private String pdfurl;
 
 
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgconfig/EcgconfigMapper.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgconfig/EcgconfigMapper.java
index 8f8c860..12be87a 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgconfig/EcgconfigMapper.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgconfig/EcgconfigMapper.java
@@ -39,11 +39,10 @@ public interface EcgconfigMapper extends BaseMapperX<EcgconfigDO> {
                 .orderByDesc(EcgconfigDO::getId));
     }
 
-    default List<EcgconfigDO> selectListByConditions(String orgid, String examid, String regid) {
+    default List<EcgconfigDO> selectListByConditions(String orgid, String examid) {
         return selectList(new LambdaQueryWrapperX<EcgconfigDO>()
                 .eq(EcgconfigDO::getOrgid, orgid)
                 .eq(EcgconfigDO::getExamid, examid)
-                .eq(EcgconfigDO::getRegid, regid)
                 .orderByDesc(EcgconfigDO::getId));
     }
 
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgworkstation/EcgworkstationMapper.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgworkstation/EcgworkstationMapper.java
index 91a8db3..7e0b4ea 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgworkstation/EcgworkstationMapper.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/dal/mysql/ecgworkstation/EcgworkstationMapper.java
@@ -8,6 +8,7 @@ import cn.iocoder.yudao.framework.mybatis.core.mapper.BaseMapperX;
 import cn.iocoder.yudao.module.system.dal.dataobject.ecgworkstation.EcgworkstationDO;
 import org.apache.ibatis.annotations.Mapper;
 import cn.iocoder.yudao.module.system.controller.admin.ecgworkstation.vo.*;
+import com.baomidou.mybatisplus.core.conditions.update.LambdaUpdateWrapper;
 
 /**
  * 心电工作站患者信息 Mapper
@@ -39,7 +40,24 @@ public interface EcgworkstationMapper extends BaseMapperX<EcgworkstationDO> {
                 .likeIfPresent(EcgworkstationDO::getFilename, reqVO.getFilename())
                 .likeIfPresent(EcgworkstationDO::getZipname, reqVO.getZipname())
                 .eqIfPresent(EcgworkstationDO::getIsreplay, reqVO.getIsreplay())
+                .likeIfPresent(EcgworkstationDO::getPdfurl, reqVO.getPdfurl())
                 .orderByDesc(EcgworkstationDO::getId));
     }
 
+    /**
+     * 根据机构ID和检查ID更新PDF地址
+     *
+     * @param orgid 机构ID
+     * @param examid 检查ID
+     * @param pdfurl PDF地址
+     * @return 更新行数
+     */
+    default int updatePdfUrlByOrgidAndExamid(String orgid, String examid, String pdfurl) {
+        LambdaUpdateWrapper<EcgworkstationDO> updateWrapper = new LambdaUpdateWrapper<>();
+        updateWrapper.eq(EcgworkstationDO::getOrgid, orgid)
+                     .eq(EcgworkstationDO::getExamid, examid)
+                     .set(EcgworkstationDO::getPdfurl, pdfurl);
+        return update(null, updateWrapper);
+    }
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigService.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigService.java
index bcd6d55..5fa3488 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigService.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigService.java
@@ -61,14 +61,13 @@ public interface EcgconfigService {
     PageResult<EcgconfigDO> getEcgconfigPage(EcgconfigPageReqVO pageReqVO);
 
     /**
-     * 根据机构ID、检查ID、登记号获得心电图参数配置列表
+     * 根据机构ID、检查ID获得心电图参数配置列表
      *
      * @param orgid 机构ID
      * @param examid 检查唯一标识号
-     * @param regid 患者登记号
      * @return 心电图参数配置列表
      */
-    List<EcgconfigDO> getEcgconfigListByConditions(String orgid, String examid, String regid);
+    List<EcgconfigDO> getEcgconfigListByConditions(String orgid, String examid);
 
     /**
      * 根据机构ID、检查ID、登记号更新心电图参数配置
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigServiceImpl.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigServiceImpl.java
index f720499..e434c35 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigServiceImpl.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgconfig/EcgconfigServiceImpl.java
@@ -89,8 +89,8 @@ public class EcgconfigServiceImpl implements EcgconfigService {
     }
 
     @Override
-    public List<EcgconfigDO> getEcgconfigListByConditions(String orgid, String examid, String regid) {
-        return ecgconfigMapper.selectListByConditions(orgid, examid, regid);
+    public List<EcgconfigDO> getEcgconfigListByConditions(String orgid, String examid) {
+        return ecgconfigMapper.selectListByConditions(orgid, examid);
     }
 
     @Override
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationService.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationService.java
index 1fd7047..292af94 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationService.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationService.java
@@ -6,6 +6,7 @@ import cn.iocoder.yudao.module.system.controller.admin.patientinfo.vo.patientinf
 import cn.iocoder.yudao.module.system.controller.admin.ecgworkstation.vo.*;
 import cn.iocoder.yudao.module.system.dal.dataobject.ecgworkstation.EcgworkstationDO;
 import cn.iocoder.yudao.framework.common.pojo.PageResult;
+import cn.iocoder.yudao.module.system.controller.admin.ecgworkstation.vo.EcgworkstationUpdatePdfUrlReqVO;
 
 /**
  * 心电工作站患者信息 Service 接口
@@ -66,4 +67,12 @@ public interface EcgworkstationService {
      */
     void insertEcgworkstationPatientData(List<patientinfoRespVO> patientInfoList);
 
+    /**
+     * 根据机构ID和检查ID更新PDF地址
+     *
+     * @param updateReqVO 更新信息
+     * @return 更新结果
+     */
+    boolean updatePdfUrlByOrgidAndExamid(@Valid EcgworkstationUpdatePdfUrlReqVO updateReqVO);
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationServiceImpl.java b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationServiceImpl.java
index 0d5e58a..dfe1c84 100644
--- a/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationServiceImpl.java
+++ b/yudao-module-system/src/main/java/cn/iocoder/yudao/module/system/service/ecgworkstation/EcgworkstationServiceImpl.java
@@ -111,4 +111,14 @@ public class EcgworkstationServiceImpl implements EcgworkstationService {
         }
     }
 
+    @Override
+    public boolean updatePdfUrlByOrgidAndExamid(EcgworkstationUpdatePdfUrlReqVO updateReqVO) {
+        int updateCount = ecgworkstationMapper.updatePdfUrlByOrgidAndExamid(
+                updateReqVO.getOrgid(), 
+                updateReqVO.getExamid(), 
+                updateReqVO.getPdfurl()
+        );
+        return updateCount > 0;
+    }
+
 }
\ No newline at end of file
diff --git a/yudao-server/src/main/resources/application.yaml b/yudao-server/src/main/resources/application.yaml
index e4ecdc3..50ab639 100644
--- a/yudao-server/src/main/resources/application.yaml
+++ b/yudao-server/src/main/resources/application.yaml
@@ -279,6 +279,7 @@ yudao:
     ignore-urls:
       - /jmreport/* # 积木报表，无法携带租户编号
       - /admin-api/system/ecgconfig/** # 心电图参数配置，无法携带租户编号
+      - /admin-api/system/ecgworkstation/** # 心电工作站，无法携带租户编号
 
     ignore-visit-urls:
       - /admin-api/system/user/profile/**