diff --git a/src/main/java/com/ynxbd/common/service/UsageCountService.java b/src/main/java/com/ynxbd/common/service/UsageCountService.java
new file mode 100644
index 0000000..2f479a7
--- /dev/null
+++ b/src/main/java/com/ynxbd/common/service/UsageCountService.java
@@ -0,0 +1,31 @@
+package com.ynxbd.common.service;
+
+import com.ynxbd.common.bean.UsageCountEnum;
+import com.ynxbd.common.dao.UsageCountDao;
+import com.ynxbd.common.helper.common.ErrorHelper;
+import lombok.extern.slf4j.Slf4j;
+
+@Slf4j
+public class UsageCountService {
+
+
+    /**
+     * [使用人数统计]修改使用人数
+     *
+     * @param usageCountEnum 业务枚举
+     * @param isFail         是否成功
+     */
+    public void updateUsageCount(UsageCountEnum usageCountEnum, String mark, boolean isFail) {
+        try {
+            UsageCountDao usageCountDao = new UsageCountDao();
+            boolean hasToday = usageCountDao.hasToday(usageCountEnum.SYS, usageCountEnum.SERVICE_CODE);
+            if (hasToday) {
+                usageCountDao.updateTodayCount(usageCountEnum.SYS, usageCountEnum.SERVICE_CODE, mark, isFail);
+            } else {
+                usageCountDao.insertToday(usageCountEnum.SYS, usageCountEnum.SERVICE_CODE, mark, 1, isFail);
+            }
+        } catch (Exception e) {
+            ErrorHelper.println(e);
+        }
+    }
+}
diff --git a/src/main/java/com/ynxbd/wx/wxfactory/medins/models/CreateOrder.java b/src/main/java/com/ynxbd/wx/wxfactory/medins/models/CreateOrder.java
new file mode 100644
index 0000000..142159e
--- /dev/null
+++ b/src/main/java/com/ynxbd/wx/wxfactory/medins/models/CreateOrder.java
@@ -0,0 +1,435 @@
+package com.ynxbd.wx.wxfactory.medins.models;
+
+import com.google.gson.annotations.SerializedName;
+import com.ynxbd.wx.wxfactory.payment.WXPayUtility;
+import okhttp3.*;
+
+import java.io.IOException;
+import java.io.UncheckedIOException;
+import java.security.PrivateKey;
+import java.security.PublicKey;
+import java.util.List;
+
+/**
+ * 医保自费混合收款下单
+ */
+public class CreateOrder {
+    private final String mchid;
+    private final String certificateSerialNo;
+    private final PrivateKey privateKey;
+    private final String wechatPayPublicKeyId;
+    private final PublicKey wechatPayPublicKey;
+
+    public CreateOrder() {
+        this.mchid = null;
+        this.certificateSerialNo = null;
+        this.privateKey = WXPayUtility.loadPrivateKeyFromPath(null);
+        this.wechatPayPublicKeyId = null;
+        this.wechatPayPublicKey = WXPayUtility.loadPublicKeyFromPath(null);
+    }
+
+    public CreateOrder(String mchid, String certificateSerialNo, String privateKeyFilePath, String wechatPayPublicKeyId, String wechatPayPublicKeyFilePath) {
+        this.mchid = mchid;
+        this.certificateSerialNo = certificateSerialNo;
+        this.privateKey = WXPayUtility.loadPrivateKeyFromPath(privateKeyFilePath);
+        this.wechatPayPublicKeyId = wechatPayPublicKeyId;
+        this.wechatPayPublicKey = WXPayUtility.loadPublicKeyFromPath(wechatPayPublicKeyFilePath);
+    }
+
+    public String encrypt(String plainText) {
+        return WXPayUtility.encrypt(this.wechatPayPublicKey, plainText);
+    }
+
+    private static String HOST = "https://api.mch.weixin.qq.com";
+    private static String METHOD = "POST";
+
+    public CreateOrder.OrderEntity run(String uri, CreateOrder.CreateOrderRequest request) {
+        String reqBody = WXPayUtility.toJson(request);
+
+        Request.Builder reqBuilder = new Request.Builder().url(HOST + uri);
+        reqBuilder.addHeader("Accept", "application/json");
+        reqBuilder.addHeader("Wechatpay-Serial", wechatPayPublicKeyId);
+        reqBuilder.addHeader("Authorization", WXPayUtility.buildAuthorization(mchid, certificateSerialNo, privateKey, METHOD, uri, reqBody));
+        reqBuilder.addHeader("Content-Type", "application/json");
+        RequestBody requestBody = RequestBody.create(MediaType.parse("application/json; charset=utf-8"), reqBody);
+        reqBuilder.method(METHOD, requestBody);
+        Request httpRequest = reqBuilder.build();
+
+        // 发送HTTP请求
+        OkHttpClient client = new OkHttpClient.Builder().build();
+        try (Response httpResponse = client.newCall(httpRequest).execute()) {
+            String respBody = WXPayUtility.extractBody(httpResponse);
+            if (httpResponse.code() >= 200 && httpResponse.code() < 300) {
+                // 2XX 成功，验证应答签名
+                WXPayUtility.validateResponse(this.wechatPayPublicKeyId, this.wechatPayPublicKey,
+                        httpResponse.headers(), respBody);
+
+                // 从HTTP应答报文构建返回数据
+                return WXPayUtility.fromJson(respBody, CreateOrder.OrderEntity.class);
+            } else {
+                throw new WXPayUtility.ApiException(httpResponse.code(), respBody, httpResponse.headers());
+            }
+        } catch (IOException e) {
+            throw new UncheckedIOException("Sending request to " + uri + " failed.", e);
+        }
+    }
+
+    public static class CreateOrderRequest {
+        @SerializedName("mix_pay_type")
+        public MixPayType mixPayType;
+
+        @SerializedName("order_type")
+        public OrderType orderType;
+
+        @SerializedName("appid")
+        public String appid;
+
+        @SerializedName("openid")
+        public String openid;
+
+        @SerializedName("payer")
+        public PersonIdentification payer;
+
+        @SerializedName("pay_for_relatives")
+        public Boolean payForRelatives;
+
+        @SerializedName("relative")
+        public PersonIdentification relative;
+
+        @SerializedName("out_trade_no")
+        public String outTradeNo;
+
+        @SerializedName("serial_no")
+        public String serialNo;
+
+        @SerializedName("pay_order_id")
+        public String payOrderId;
+
+        @SerializedName("pay_auth_no")
+        public String payAuthNo;
+
+        @SerializedName("geo_location")
+        public String geoLocation;
+
+        @SerializedName("city_id")
+        public String cityId;
+
+        @SerializedName("med_inst_name")
+        public String medInstName;
+
+        @SerializedName("med_inst_no")
+        public String medInstNo;
+
+        @SerializedName("med_ins_order_create_time")
+        public String medInsOrderCreateTime;
+
+        @SerializedName("total_fee")
+        public Long totalFee;
+
+        @SerializedName("med_ins_gov_fee")
+        public Long medInsGovFee;
+
+        @SerializedName("med_ins_self_fee")
+        public Long medInsSelfFee;
+
+        @SerializedName("med_ins_other_fee")
+        public Long medInsOtherFee;
+
+        @SerializedName("med_ins_cash_fee")
+        public Long medInsCashFee;
+
+        @SerializedName("wechat_pay_cash_fee")
+        public Long wechatPayCashFee;
+
+        @SerializedName("cash_add_detail")
+        public List<CashAddEntity> cashAddDetail;
+
+        @SerializedName("cash_reduce_detail")
+        public List<CashReduceEntity> cashReduceDetail;
+
+        @SerializedName("callback_url")
+        public String callbackUrl;
+
+        @SerializedName("prepay_id")
+        public String prepayId;
+
+        @SerializedName("passthrough_request_content")
+        public String passthroughRequestContent;
+
+        @SerializedName("extends")
+        public String _extends;
+
+        @SerializedName("attach")
+        public String attach;
+
+        @SerializedName("channel_no")
+        public String channelNo;
+
+        @SerializedName("med_ins_test_env")
+        public Boolean medInsTestEnv;
+    }
+
+    public static class OrderEntity {
+        @SerializedName("mix_trade_no")
+        public String mixTradeNo;
+
+        @SerializedName("mix_pay_status")
+        public MixPayStatus mixPayStatus;
+
+        @SerializedName("self_pay_status")
+        public SelfPayStatus selfPayStatus;
+
+        @SerializedName("med_ins_pay_status")
+        public MedInsPayStatus medInsPayStatus;
+
+        @SerializedName("paid_time")
+        public String paidTime;
+
+        @SerializedName("passthrough_response_content")
+        public String passthroughResponseContent;
+
+        @SerializedName("mix_pay_type")
+        public MixPayType mixPayType;
+
+        @SerializedName("order_type")
+        public OrderType orderType;
+
+        @SerializedName("appid")
+        public String appid;
+
+        @SerializedName("openid")
+        public String openid;
+
+        @SerializedName("pay_for_relatives")
+        public Boolean payForRelatives;
+
+        @SerializedName("out_trade_no")
+        public String outTradeNo;
+
+        @SerializedName("serial_no")
+        public String serialNo;
+
+        @SerializedName("pay_order_id")
+        public String payOrderId;
+
+        @SerializedName("pay_auth_no")
+        public String payAuthNo;
+
+        @SerializedName("geo_location")
+        public String geoLocation;
+
+        @SerializedName("city_id")
+        public String cityId;
+
+        @SerializedName("med_inst_name")
+        public String medInstName;
+
+        @SerializedName("med_inst_no")
+        public String medInstNo;
+
+        @SerializedName("med_ins_order_create_time")
+        public String medInsOrderCreateTime;
+
+        @SerializedName("total_fee")
+        public Long totalFee;
+
+        @SerializedName("med_ins_gov_fee")
+        public Long medInsGovFee;
+
+        @SerializedName("med_ins_self_fee")
+        public Long medInsSelfFee;
+
+        @SerializedName("med_ins_other_fee")
+        public Long medInsOtherFee;
+
+        @SerializedName("med_ins_cash_fee")
+        public Long medInsCashFee;
+
+        @SerializedName("wechat_pay_cash_fee")
+        public Long wechatPayCashFee;
+
+        @SerializedName("cash_add_detail")
+        public List<CashAddEntity> cashAddDetail;
+
+        @SerializedName("cash_reduce_detail")
+        public List<CashReduceEntity> cashReduceDetail;
+
+        @SerializedName("callback_url")
+        public String callbackUrl;
+
+        @SerializedName("prepay_id")
+        public String prepayId;
+
+        @SerializedName("passthrough_request_content")
+        public String passthroughRequestContent;
+
+        @SerializedName("extends")
+        public String _extends;
+
+        @SerializedName("attach")
+        public String attach;
+
+        @SerializedName("channel_no")
+        public String channelNo;
+
+        @SerializedName("med_ins_test_env")
+        public Boolean medInsTestEnv;
+
+        @SerializedName("med_ins_fail_reason")
+        public String medInsFailReason;
+    }
+
+
+    // 混合支付类型
+    public enum MixPayType {
+        @SerializedName("UNKNOWN_MIX_PAY_TYPE")
+        UNKNOWN_MIX_PAY_TYPE, //  未知的混合支付类型，会被拦截。
+        @SerializedName("CASH_ONLY")
+        CASH_ONLY, // 只向微信支付下单，没有向医保局下单。包括没有向医保局上传费用明细、预结算。
+        @SerializedName("INSURANCE_ONLY")
+        INSURANCE_ONLY, // 只向医保局下单，没有向微信支付下单。如果医保局分账结果中有自费部份，但由于有减免抵扣，没有向微信支付下单，也是纯医保。
+        @SerializedName("CASH_AND_INSURANCE")
+        CASH_AND_INSURANCE // 向医保局下单，也向微信支付下单。如果医保预结算全部需自费，也属于混合类型。
+    }
+
+    public enum OrderType {
+        @SerializedName("UNKNOWN_ORDER_TYPE")
+        UNKNOWN_ORDER_TYPE,
+        @SerializedName("REG_PAY")
+        REG_PAY,
+        @SerializedName("DIAG_PAY")
+        DIAG_PAY,
+        @SerializedName("COVID_EXAM_PAY")
+        COVID_EXAM_PAY,
+        @SerializedName("IN_HOSP_PAY")
+        IN_HOSP_PAY,
+        @SerializedName("PHARMACY_PAY")
+        PHARMACY_PAY,
+        @SerializedName("INSURANCE_PAY")
+        INSURANCE_PAY,
+        @SerializedName("INT_REG_PAY")
+        INT_REG_PAY,
+        @SerializedName("INT_RE_DIAG_PAY")
+        INT_RE_DIAG_PAY,
+        @SerializedName("INT_RX_PAY")
+        INT_RX_PAY,
+        @SerializedName("COVID_ANTIGEN_PAY")
+        COVID_ANTIGEN_PAY,
+        @SerializedName("MED_PAY")
+        MED_PAY
+    }
+
+    public static class PersonIdentification {
+        @SerializedName("name")
+        public String name;
+
+        @SerializedName("id_digest")
+        public String idDigest;
+
+        @SerializedName("card_type")
+        public UserCardType cardType;
+    }
+
+    public static class CashAddEntity {
+        @SerializedName("cash_add_fee")
+        public Long cashAddFee;
+
+        @SerializedName("cash_add_type")
+        public CashAddType cashAddType;
+    }
+
+    public static class CashReduceEntity {
+        @SerializedName("cash_reduce_fee")
+        public Long cashReduceFee;
+
+        @SerializedName("cash_reduce_type")
+        public CashReduceType cashReduceType;
+    }
+
+    public enum MixPayStatus {
+        @SerializedName("UNKNOWN_MIX_PAY_STATUS")
+        UNKNOWN_MIX_PAY_STATUS,
+        @SerializedName("MIX_PAY_CREATED")
+        MIX_PAY_CREATED,
+        @SerializedName("MIX_PAY_SUCCESS")
+        MIX_PAY_SUCCESS,
+        @SerializedName("MIX_PAY_REFUND")
+        MIX_PAY_REFUND,
+        @SerializedName("MIX_PAY_FAIL")
+        MIX_PAY_FAIL
+    }
+
+    public enum SelfPayStatus {
+        @SerializedName("UNKNOWN_SELF_PAY_STATUS")
+        UNKNOWN_SELF_PAY_STATUS,
+        @SerializedName("SELF_PAY_CREATED")
+        SELF_PAY_CREATED,
+        @SerializedName("SELF_PAY_SUCCESS")
+        SELF_PAY_SUCCESS,
+        @SerializedName("SELF_PAY_REFUND")
+        SELF_PAY_REFUND,
+        @SerializedName("SELF_PAY_FAIL")
+        SELF_PAY_FAIL,
+        @SerializedName("NO_SELF_PAY")
+        NO_SELF_PAY
+    }
+
+    public enum MedInsPayStatus {
+        @SerializedName("UNKNOWN_MED_INS_PAY_STATUS")
+        UNKNOWN_MED_INS_PAY_STATUS,
+        @SerializedName("MED_INS_PAY_CREATED")
+        MED_INS_PAY_CREATED,
+        @SerializedName("MED_INS_PAY_SUCCESS")
+        MED_INS_PAY_SUCCESS,
+        @SerializedName("MED_INS_PAY_REFUND")
+        MED_INS_PAY_REFUND,
+        @SerializedName("MED_INS_PAY_FAIL")
+        MED_INS_PAY_FAIL,
+        @SerializedName("NO_MED_INS_PAY")
+        NO_MED_INS_PAY
+    }
+
+    public enum UserCardType {
+        @SerializedName("UNKNOWN_USER_CARD_TYPE")
+        UNKNOWN_USER_CARD_TYPE,
+        @SerializedName("ID_CARD")
+        ID_CARD,
+        @SerializedName("HOUSEHOLD_REGISTRATION")
+        HOUSEHOLD_REGISTRATION,
+        @SerializedName("FOREIGNER_PASSPORT")
+        FOREIGNER_PASSPORT,
+        @SerializedName("MAINLAND_TRAVEL_PERMIT_FOR_TW")
+        MAINLAND_TRAVEL_PERMIT_FOR_TW,
+        @SerializedName("MAINLAND_TRAVEL_PERMIT_FOR_MO")
+        MAINLAND_TRAVEL_PERMIT_FOR_MO,
+        @SerializedName("MAINLAND_TRAVEL_PERMIT_FOR_HK")
+        MAINLAND_TRAVEL_PERMIT_FOR_HK,
+        @SerializedName("FOREIGN_PERMANENT_RESIDENT")
+        FOREIGN_PERMANENT_RESIDENT
+    }
+
+    public enum CashAddType {
+        @SerializedName("DEFAULT_ADD_TYPE")
+        DEFAULT_ADD_TYPE,
+        @SerializedName("FREIGHT")
+        FREIGHT,
+        @SerializedName("OTHER_MEDICAL_EXPENSES")
+        OTHER_MEDICAL_EXPENSES
+    }
+
+    public enum CashReduceType {
+        @SerializedName("DEFAULT_REDUCE_TYPE")
+        DEFAULT_REDUCE_TYPE,
+        @SerializedName("HOSPITAL_REDUCE")
+        HOSPITAL_REDUCE,
+        @SerializedName("PHARMACY_DISCOUNT")
+        PHARMACY_DISCOUNT,
+        @SerializedName("DISCOUNT")
+        DISCOUNT,
+        @SerializedName("PRE_PAYMENT")
+        PRE_PAYMENT,
+        @SerializedName("DEPOSIT_DEDUCTION")
+        DEPOSIT_DEDUCTION
+    }
+
+}
\ No newline at end of file