diff --git a/yudao-module-applyregistration/yudao-module-applyregistration-biz/src/main/java/cn/iocoder/yudao/module/applyregistration/controller/admin/applyform/ApplyformController.java b/yudao-module-applyregistration/yudao-module-applyregistration-biz/src/main/java/cn/iocoder/yudao/module/applyregistration/controller/admin/applyform/ApplyformController.java
index 93558146d..e463a7847 100644
--- a/yudao-module-applyregistration/yudao-module-applyregistration-biz/src/main/java/cn/iocoder/yudao/module/applyregistration/controller/admin/applyform/ApplyformController.java
+++ b/yudao-module-applyregistration/yudao-module-applyregistration-biz/src/main/java/cn/iocoder/yudao/module/applyregistration/controller/admin/applyform/ApplyformController.java
@@ -2,6 +2,8 @@ package cn.iocoder.yudao.module.applyregistration.controller.admin.applyform;
 
 import cn.iocoder.yudao.framework.common.util.http.HttpUtils;
 import cn.iocoder.yudao.module.applyregistration.dal.mysql.applyform.ApplyformMapper;
+import cn.iocoder.yudao.module.infra.dal.dataobject.config.ConfigDO;
+import cn.iocoder.yudao.module.infra.service.config.ConfigService;
 import cn.iocoder.yudao.module.system.api.DatabaseUtils;
 import cn.iocoder.yudao.module.applyregistration.controller.admin.applyform.devicevo.DeviceVO;
 import cn.iocoder.yudao.module.applyregistration.controller.admin.applyform.devicevo.deviceupVO;
@@ -91,7 +93,8 @@ public class ApplyformController {
     private DicomworklistService dicomworklistService;
     @Resource
     private PatientexamlistService patientexamlistService;
-
+    @Resource
+    private ConfigService configService;
     @Resource
     private OrgUnitService Service;
     @Resource
@@ -521,6 +524,9 @@ public class ApplyformController {
         String msg="";
         String re="调取成功";
         if (regId != null && !regId.isEmpty() && orgId != null && !orgId.isEmpty()) {
+            //获取配置项地址
+            ConfigDO config= configService.getConfigByKey("url.viewdcm");
+
             Map<String, Object> params = new HashMap<>();
             params.put("regId", regId);
             params.put("orgId", orgId);
@@ -541,7 +547,7 @@ public class ApplyformController {
                         if(!patientexamlistDO.getDeviceType().equals("US"))
                         {
                             //存放访问地址 一次检查一个地址
-                            dcmurl.add("https://pacs.gw12320.com/viewdcm/?regid="+patientexamlistDO.getRegId()+"&orgId="+patientexamlistDO.getOrgId()+"&examid="+patientexamlistDO.getExamId());
+                            dcmurl.add(config.getValue()+"/?regid="+patientexamlistDO.getRegId()+"&orgId="+patientexamlistDO.getOrgId()+"&examid="+patientexamlistDO.getExamId());
                         }
 
                     }
diff --git a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/doctor/DoctorController.java b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/doctor/DoctorController.java
index e7ccde186..e586fea83 100644
--- a/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/doctor/DoctorController.java
+++ b/yudao-module-system/yudao-module-system-biz/src/main/java/cn/iocoder/yudao/module/system/controller/admin/doctor/DoctorController.java
@@ -55,7 +55,17 @@ public class DoctorController {
     @PreAuthorize("@ss.hasPermission('doctor::create')")
     @LogRecord(type = "医生管理", subType = "创建", bizNo ="{{#createReqVO.getDoctorID}}" , success = "创建ID为{{#createReqVO.getDoctorID}}的医生")
     public CommonResult<String> create(@Valid @RequestBody DoctorSaveReqVO createReqVO) {
-        return success(Service.create(createReqVO));
+
+        String Msg="";
+        DoctorDO doctorDO=  Service.get(createReqVO.getDoctorID());
+        if(doctorDO!=null) {
+            Msg="医生编号已存在";
+        }
+        else
+        {
+            Msg= Service.create(createReqVO);
+        }
+        return success(Msg);
     }
 
     @PutMapping("/update")
diff --git a/yudao-module-tblist/yudao-module-tblist-biz/pom.xml b/yudao-module-tblist/yudao-module-tblist-biz/pom.xml
index e0aa3cdb3..b49238ef8 100644
--- a/yudao-module-tblist/yudao-module-tblist-biz/pom.xml
+++ b/yudao-module-tblist/yudao-module-tblist-biz/pom.xml
@@ -130,6 +130,12 @@
             <groupId>commons-net</groupId>
             <artifactId>commons-net</artifactId>
         </dependency>
+        <dependency>
+            <groupId>cn.iocoder.boot</groupId>
+            <artifactId>yudao-module-infra-biz</artifactId>
+            <version>2.1.0-jdk8-snapshot</version>
+            <scope>compile</scope>
+        </dependency>
 
     </dependencies>
 
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 c447d4002..6ceb5e59b 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
@@ -2,6 +2,8 @@ package cn.iocoder.yudao.module.tblist.controller.admin.patientexamlist;
 
 import cn.iocoder.yudao.framework.common.util.date.DateUtils;
 import cn.iocoder.yudao.framework.common.util.io.FileUtils;
+import cn.iocoder.yudao.module.infra.dal.dataobject.config.ConfigDO;
+import cn.iocoder.yudao.module.infra.service.config.ConfigService;
 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;
@@ -76,6 +78,8 @@ public class PatientexamlistController {
     private OrgService OrgService;
     @Resource
     private OrgUnitService Service;
+    @Resource
+    private ConfigService configService;
 
     @PostMapping("/create")
     @Operation(summary = "创建PACS检查列表")
@@ -498,7 +502,8 @@ public class PatientexamlistController {
                 }
             }
         }
-
+        //获取配置项地址
+        ConfigDO config= configService.getConfigByKey("url.ftpurl");
         //上传成功
         //当前时间
         LocalDateTime dateTime = LocalDateTime.parse(LocalDateTime.now().format(DateTimeFormatter.ofPattern("yyyy-MM-dd HH:mm:ss")),
@@ -506,7 +511,7 @@ public class PatientexamlistController {
         AdminUserDO user = userService.getUser(getLoginUserId());
         PatientexamlistSaveReqVO updateReqVO = new PatientexamlistSaveReqVO();
         updateReqVO.setId(insimagescreenshotVO.getID());
-        updateReqVO.setPdfurl("https://114.55.171.231:48082/" + insimagescreenshotVO.getID() + "/" + fileName);//https://pacs.gw12320.com/video
+        updateReqVO.setPdfurl(config.getValue()+"/" + insimagescreenshotVO.getID() + "/" + fileName);//https://pacs.gw12320.com/video  https://114.55.171.231:48082
         patientexamlistService.updatePatientexamlist(updateReqVO);