diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/patientexamlist/PatientexamlistMapper.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/patientexamlist/PatientexamlistMapper.java
index 9c19a304e..86b0f6756 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/patientexamlist/PatientexamlistMapper.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/dal/mysql/patientexamlist/PatientexamlistMapper.java
@@ -64,7 +64,8 @@ public interface PatientexamlistMapper extends BaseMapperX<PatientexamlistDO> {
                 .eqIfPresent(PatientexamlistDO::getReportstatus, reqVO.getReportstatus())
                 .betweenIfPresent(PatientexamlistDO::getUploadDate, reqVO.getUploadDate())
                 .likeIfPresent(PatientexamlistDO::getOrgName, reqVO.getOrgName())
-                .eqIfPresent(PatientexamlistDO::getOrgId, reqVO.getOrgId())
+               // .eqIfPresent(PatientexamlistDO::getOrgId, reqVO.getOrgId())
+
                 //  .eqIfPresent(PatientexamlistDO::getHighLevelOrgId, reqVO.getHighLevelOrgId())
                 .betweenIfPresent(PatientexamlistDO::getCreateDate, reqVO.getCreateDate())
                 .eqIfPresent(PatientexamlistDO::getExamDescription, reqVO.getExamDescription())
@@ -74,6 +75,12 @@ public interface PatientexamlistMapper extends BaseMapperX<PatientexamlistDO> {
                 .betweenIfPresent(PatientexamlistDO::getCreateTime, reqVO.getCreateTime())
                 .eqIfPresent(PatientexamlistDO::getOrgId, reqVO.getHighLevelOrgId())
                 .eqIfPresent(PatientexamlistDO::getIsFavourite,reqVO.getIsFavourite())
+                .eq(PatientexamlistDO::getOrgId, reqVO.getOrgId()) // 始终添加orgId条件
+                .or(wrapper -> {
+                    if (reqVO.getHighLevelOrgId() != null) {
+                        wrapper.eq(PatientexamlistDO::getOrgId, reqVO.getHighLevelOrgId());
+                    }
+                })
                 .orderByDesc(PatientexamlistDO::getId));
 
     }