diff --git a/src/main/java/com/ynxbd/common/dao/RecipeDao.java b/src/main/java/com/ynxbd/common/dao/RecipeDao.java
index 0911832..1c6cf43 100644
--- a/src/main/java/com/ynxbd/common/dao/RecipeDao.java
+++ b/src/main/java/com/ynxbd/common/dao/RecipeDao.java
@@ -350,6 +350,16 @@ public class RecipeDao {
     }
 
 
+    public boolean updateHisPaidByBankTransNo(String bankTransNo, String hisTransNo, String invoiceTransNo) {
+        String sql = "update pay set HISTransNo=?, InvoiceTransNo=?, PayStatus=0, HisStatus=0 where BankTransNo= ?";
+        return DataBase.update(sql, ps -> {
+            ps.setString(1, hisTransNo);
+            ps.setString(2, invoiceTransNo);
+            ps.setString(3, bankTransNo);
+        }) > 0;
+    }
+
+
 //    /**
 //     * 记录His缴费失败的错误信息
 //     *
diff --git a/src/main/java/com/ynxbd/common/dao/his/HisRecipeDao.java b/src/main/java/com/ynxbd/common/dao/his/HisRecipeDao.java
index 34cce48..34ae297 100644
--- a/src/main/java/com/ynxbd/common/dao/his/HisRecipeDao.java
+++ b/src/main/java/com/ynxbd/common/dao/his/HisRecipeDao.java
@@ -174,7 +174,7 @@ public class HisRecipeDao {
      * @param transId 银行流水号
      * @return bean
      */
-    public static JsonResult payInvoice(String openid, String patientId, String treatNum, List<String> recipeIds, String payMoney,
+    public static JsonResult payInvoice(String openid, String patientId, String treatNum, List<String> recipeIds, String payMoney,String totalFee,
                                         String payDate, String payTime, String tradeNo, String payDeviceId, String transId, MerchantEnum merchantEnum, String feeId, String feeInfo) {
 
         String fpOrderId = (tradeNo != null && tradeNo.indexOf("ORD") == 0 ? tradeNo : transId);
@@ -220,6 +220,7 @@ public class HisRecipeDao {
             params.put("TJBH",treatNum.split("-")[1]);
             params.put("GroupFlag","1");
             params.remove("Recipe");
+            params.put("PayMoney", totalFee); //如果是体检支付就传入总金额
         }
         return HisHelper.getJsonResult(HisEnum.AP_Pay_Invoice, params,merchantEnum);
     }
diff --git a/src/main/java/com/ynxbd/common/service/RecipeService.java b/src/main/java/com/ynxbd/common/service/RecipeService.java
index 3fcbfa8..0153429 100644
--- a/src/main/java/com/ynxbd/common/service/RecipeService.java
+++ b/src/main/java/com/ynxbd/common/service/RecipeService.java
@@ -20,6 +20,7 @@ import com.ynxbd.common.result.Result;
 import com.ynxbd.common.result.ResultEnum;
 import com.ynxbd.common.result.ServiceException;
 import com.ynxbd.common.service.cache.PayCache;
+import com.ynxbd.wx.config.MeTechnologyReConfig;
 import com.ynxbd.wx.utils.DateGenerate;
 import com.ynxbd.wx.wxfactory.WxMedicalHelper;
 import com.ynxbd.wx.wxfactory.WxPayHelper;
@@ -315,6 +316,15 @@ public class RecipeService {
             if (recipeInfo.isRefund()) {
                 failedList.add(recipeInfo);
             }
+
+            // 如果是体检支付就只调用一次his结算
+            if(recipeItem.getTreatNum().contains("P-")){
+                // 体检缴费失败的所有费用进行退回
+                if (recipeInfo.isRefund()) {
+                    failedList = recipeList;
+                }
+                break;
+            }
         }
         long endTime = System.currentTimeMillis(); // 结束时间
         log.info("{} [处方]请求HIS结束 耗时：{} outTradeNo={}, bankTransNo={}", merchantEnum.NAME, ((endTime - begTime) / 1000) + "s(" + (endTime - begTime) + "ms)", outTradeNo, bankTransNo);
@@ -347,10 +357,12 @@ public class RecipeService {
             }
         }
 
-
         String tip = String.format("共计缴费处方单数：%s,失败数：%s,超时数：%s", recipeList.size(), (failedList.size() - outTimeList.size()), outTimeList.size());
         log.info("{} [处方]{}", merchantEnum.NAME, tip);
 
+
+        MeTechnologyReConfig.reserveRun(patientId); //天助医技预约
+
         HCodeService.payNotifyReportHISData(openid, patientId);
 
 
@@ -373,6 +385,7 @@ public class RecipeService {
         String patientId = recipe.getPatientId();
         String bankTransNo = recipe.getBankTransNo();
         BigDecimal recipeFee = recipe.getPayMoney();
+        BigDecimal totalFee = recipe.getTotalFee();
 
         order.setUpdateTime(recipe.getUpdateTime());
         String tradeNo = recipe.getTradeNo();
@@ -397,6 +410,7 @@ public class RecipeService {
                 treatNum,
                 recipeIds,
                 recipeFee.toString(),
+                totalFee.toString(),
                 payDate,
                 payTime,
                 tradeNo,
@@ -445,11 +459,20 @@ public class RecipeService {
             QuickDrugDispenseHelper.quickDrug(drugInfo, invoiceTransNo);
         }
 
+
         // 更新支付信息
         if (!recipeDao.updateHisPaidByTradeNo(tradeNo, hisTransNo, invoiceTransNo)) {
             log.info("[处方]更新HIS返回数据失败 outTradeNo={}, tradeNo={}, recipeId={}", outTradeNo, tradeNo, recipeId);
         }
 
+        // 如果是体检支付就更新所有处方
+        if(treatNum.contains("P-")){
+            // 更新支付信息
+            if (!recipeDao.updateHisPaidByBankTransNo(bankTransNo, hisTransNo, invoiceTransNo)) {
+                log.info("[处方]更新体检缴费HIS返回数据失败 outTradeNo={}, bankTransNo={}, recipeId={}", outTradeNo, bankTransNo, recipeId);
+            }
+        }
+
         if (new SelfHelpDao().updateNotice(treatNum)) {
             log.info("[自助开单]通知状态修改成功 treatNum={}", treatNum);
         }