diff --git a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitPageReqVO.java b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitPageReqVO.java
index b47835c45..ea63af6e8 100644
--- a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitPageReqVO.java
+++ b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitPageReqVO.java
@@ -61,4 +61,8 @@ public class OrgUnitPageReqVO extends PageParam {
     @Schema(description = "是否启用云胶片")
     private String EnableCloudDicom;
 
+    @Schema(description = "云胶片地址")
+    private String CloudDicom;
+
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitRespVO.java b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitRespVO.java
index f2a94f872..dcd86f8f1 100644
--- a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitRespVO.java
+++ b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitRespVO.java
@@ -68,4 +68,7 @@ public class OrgUnitRespVO {
     private String dcmurl;
     @Schema(description = "是否启用云胶片")
     private String EnableCloudDicom;
+
+    @Schema(description = "云胶片地址")
+    private String CloudDicom;
 }
\ No newline at end of file
diff --git a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitSaveReqVO.java b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitSaveReqVO.java
index 779ad4bf0..10a9c528b 100644
--- a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitSaveReqVO.java
+++ b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/org/vo/OrgUnitSaveReqVO.java
@@ -54,4 +54,7 @@ public class OrgUnitSaveReqVO {
     private String dcmurl;
     @Schema(description = "是否启用云胶片")
     private String EnableCloudDicom;
+    @Schema(description = "云胶片地址")
+    private String CloudDicom;
+
 }
\ No newline at end of file
diff --git a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/org/OrgUnitDO.java b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/org/OrgUnitDO.java
index 21154830b..e7f1ae488 100644
--- a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/org/OrgUnitDO.java
+++ b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/dal/dataobject/org/OrgUnitDO.java
@@ -92,4 +92,8 @@ public class OrgUnitDO {
 
     @TableField("EnableCloudDicom")
     private String EnableCloudDicom;
+
+    @TableField("CloudDicom")
+    private String CloudDicom;
+
 }
\ No newline at end of file
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
index aeb11bd75..720bbc6c3 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
+++ b/yudao-module-tblist/yudao-module-tblist-biz/src/main/java/cn/iocoder/yudao/module/tblist/controller/admin/patientexamlist/PatientexamlistController.java
@@ -1,7 +1,9 @@
 package cn.iocoder.yudao.module.tblist.controller.admin.patientexamlist;
 
 import cn.iocoder.yudao.framework.common.util.date.DateUtils;
+import cn.iocoder.yudao.module.system.dal.dataobject.org.OrgUnitDO;
 import cn.iocoder.yudao.module.system.dal.dataobject.user.AdminUserDO;
+import cn.iocoder.yudao.module.system.service.org.OrgUnitService;
 import cn.iocoder.yudao.module.system.service.user.AdminUserService;
 import cn.iocoder.yudao.module.tblist.service.patientexamlist.org.OrgService;
 import com.google.gson.Gson;
@@ -63,7 +65,8 @@ public class PatientexamlistController {
     private AdminUserService userService;
     @Resource
     private OrgService OrgService;
-
+    @Resource
+    private OrgUnitService Service;
     @PostMapping("/create")
     @Operation(summary = "创建PACS检查列表")
     @PreAuthorize("@ss.hasPermission('tblist:patientexamlist:create')")
@@ -330,6 +333,12 @@ public class PatientexamlistController {
 
         if (regId!=null &&!regId.isEmpty() && orgId!=null &&!orgId.isEmpty())
         {
+            String CloudDicom="";
+            OrgUnitDO unitDO=   Service.getonekey(orgId);
+            if(unitDO!=null)
+            {
+                CloudDicom=  unitDO.getCloudDicom();
+            }
             Map<String, Object> params = new HashMap<>();
             params.put("regId", regId);
             params.put("orgId", orgId);
@@ -359,7 +368,7 @@ public class PatientexamlistController {
                         infoVO.setDiagDate(patientexamlistDO.getDiagDate() != null ? patientexamlistDO.getDiagDate().toString() : null);
                         infoVO.setReviewDoctor(patientexamlistDO.getReviewDoctor());
                         infoVO.setReviewDate(patientexamlistDO.getReviewDate()!=null ?patientexamlistDO.getReviewDate().toString():null);
-                        infoVO.setCloudurl("http://114.55.171.231:48081/?no="+regId+"&&orgId="+orgId);
+                        infoVO.setCloudurl(CloudDicom+"/?no="+regId+"&orgId="+orgId);//http://1.119.159.138:48082/flyCloudDicom
                         analysisInfoVOS.add(infoVO);
                     }
 
diff --git a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
index 41b0284b0..2ab574245 100644
--- a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
+++ b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/controller/admin/ultrasonic/ultrasonicController.java
@@ -520,6 +520,7 @@ public class ultrasonicController {
                     dicompatientsDO.setPatientSex(PatientSex);
                     dicompatientsDO.setOrgId(orgId);
                     dicompatientsDO.setAccessTime(AccessTime);
+                    dicompatientsDO.setDataSync("1");
                     dicompatientsDOList.add(dicompatientsDO);
 
                     if(!studyVOS.isEmpty())
@@ -527,7 +528,8 @@ public class ultrasonicController {
                         for (StudyVO studyVO :studyVOS)
                         {
                             // study表的主键
-                            String StudyInsta= UUID.randomUUID().toString();
+                           // String StudyInsta= UUID.randomUUID().toString();
+                            String StudyInsta=  studyVO.getStudyID();
                             dicomstudiesDO dicomstudiesDO=new dicomstudiesDO();
                             dicomstudiesDO.setStudyInsta(StudyInsta);
                             dicomstudiesDO.setStudyDate(StudyDate.split(" ")[0].replace("-",""));
@@ -551,6 +553,7 @@ public class ultrasonicController {
                                 {
                                     //service表主键
                                     String SeriesInst=UUID.randomUUID().toString();
+                                   // String SeriesInst= seriesVO.getSeriesNumb();
                                     dicomseriesDO dicomseriesDO=new dicomseriesDO();
                                     dicomseriesDO.setSeriesInst(SeriesInst);
                                     dicomseriesDO.setSeriesNumb(seriesVO.getSeriesNumb());
diff --git a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/dal/image/dicompatientsDO.java b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/dal/image/dicompatientsDO.java
index be8b6ec5f..35887d2fd 100644
--- a/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/dal/image/dicompatientsDO.java
+++ b/yudao-module-ultrasoniccom/yudao-module-ultrasoniccom-biz/src/main/java/cn/iocoder/yudao/module/ultrasoniccom/dal/image/dicompatientsDO.java
@@ -32,5 +32,9 @@ public class dicompatientsDO {
     @TableField("orgId")
     private String orgId;
 
+    @TableField("dataSync")
+    private String dataSync;
+
+
 
 }