diff --git a/Laravel/app/Http/Controllers/API/His/CheckItemController.php b/Laravel/app/Http/Controllers/API/His/CheckItemController.php
new file mode 100644
index 0000000..b50a067
--- /dev/null
+++ b/Laravel/app/Http/Controllers/API/His/CheckItemController.php
@@ -0,0 +1,90 @@
+<?php
+
+namespace App\Http\Controllers\API\His;
+
+use App\Http\Controllers\Controller;
+use Illuminate\Http\Request;
+use Illuminate\Support\Facades\DB;
+
+class CheckItemController extends Controller
+{
+
+    public function UpdateCheckItem(){
+        $url='http://192.168.80.39:7801/roc/order-service/api/v1/order/order-term/undrug/query';
+        $termClassId = request('termClassId');
+        if(!isset($termClassId)){
+            return \Yz::echoError1('类别id不能为空');
+        }
+        $data=[];
+        $where=[];
+        if($termClassId<>'all'){
+            $data=[
+                'termClassId' => $termClassId,
+            ];
+            $where=['termClassId'=>$termClassId];
+        }
+
+        $res=\Tools::Get($url,$data,'更新检查项目');
+        if($res['code']==200){
+            $res_data=$res['data'];
+            if(isset($res_data['list']) and !empty($res_data['list'])){
+                $db_data=DB::table('s_check_item')->where($where)->get();//库里的数据
+                //根据 接收数据的undrugId，和库里的item_code进行比对，如果库里存在则更新，如果库里没有则添加，如果库里有但是接收数据里没有则在库里标记is_del=0
+                $db_map = [];
+                foreach ($db_data as $db_item) {
+                    $db_map[$db_item->item_code] = $db_item;
+                }
+
+                // 用于记录接收到的数据中的 item_code，方便后面判断哪些需要删除
+                $received_ids = [];
+
+                foreach ($res_data['list'] as $item) {
+                    // 假设远程返回字段是 undrugId 和 undrugName，对应数据库字段是 item_code 和 item_name
+                    $item_code = $item['undrugId'];
+                    $item_name = $item['termName'];
+
+                    // 添加到接收 ID 列表
+                    $received_ids[] = $item_code;
+
+                    // 快速查找是否已存在该 item_code
+                    if (isset($db_map[$item_code])) {
+                        // 存在则更新
+                        DB::table('s_check_item')
+                            ->where('item_code', $item_code)
+                            ->update([
+                                'termClassId'=>$item['termClassId'],
+                                'item_name' => $item_name,
+                                'item_desc' => $item_name,
+                                'is_del' => 0, // 取消删除标记
+                            ]);
+                    } else {
+                        // 不存在则插入新记录
+                        DB::table('s_check_item')->insert([
+                            'termClassId'=>$item['termClassId'],
+                            'item_code' => $item_code,
+                            'item_name' => $item_name,
+                            'item_desc' => $item_name,
+                        ]);
+                    }
+                }
+
+                // 处理数据库中存在但远程没有返回的数据，标记为删除
+                foreach ($db_map as $item_code => $db_item) {
+                    if (!in_array($item_code, $received_ids)) {
+                        DB::table('s_check_item')
+                            ->where('item_code', $item_code)
+                            ->update([
+                                'is_del' => 1
+                            ]);
+                    }
+                }
+
+                return \Yz::return(true,'更新检查项目成功',[]);
+            }else{
+                return \Yz::echoError1('His接口返回数据为空');
+            }
+        }else{
+            return \Yz::echoError1('更新失败');
+        }
+    }
+}
diff --git a/Laravel/app/Http/Controllers/API/His/EntrustController.php b/Laravel/app/Http/Controllers/API/His/EntrustController.php
new file mode 100644
index 0000000..76c4b5b
--- /dev/null
+++ b/Laravel/app/Http/Controllers/API/His/EntrustController.php
@@ -0,0 +1,15 @@
+<?php
+
+namespace App\Http\Controllers\API\His;
+
+use App\Http\Controllers\Controller;
+use Illuminate\Http\Request;
+
+class EntrustController extends Controller
+{
+    //查询本地是否有对应医嘱，没有则主动查询His
+    public function ()
+    {
+
+    }
+}
diff --git a/Laravel/app/Http/Controllers/API/His/HisController.php b/Laravel/app/Http/Controllers/API/His/HisController.php
new file mode 100644
index 0000000..b4f2405
--- /dev/null
+++ b/Laravel/app/Http/Controllers/API/His/HisController.php
@@ -0,0 +1,11 @@
+<?php
+
+namespace App\Http\Controllers\API\His;
+
+use App\Http\Controllers\Controller;
+use Illuminate\Http\Request;
+
+class HisController extends Controller
+{
+    //
+}
diff --git a/Laravel/app/Lib/Tools.php b/Laravel/app/Lib/Tools.php
index 75d01a0..c50fdac 100644
--- a/Laravel/app/Lib/Tools.php
+++ b/Laravel/app/Lib/Tools.php
@@ -2,6 +2,7 @@
 
 use App\Services\LogService;
 use Illuminate\Support\Facades\DB;
+use Illuminate\Support\Facades\Http;
 
 class Tools
 {
@@ -67,6 +68,24 @@ class Tools
 
         return $ageString;
     }
+    public static function Get($url, $data_s,$mark='') {
+        $data=[
+            'request_url'=>$url,
+            'get_data'=>$data_s,
+        ];
+        $log_id=self::RequestLog($data,0,$mark);
+        $response = Http::get($url,$data_s);
+        if ($response->successful()) {
+            $res = $response->json();
+        }else{
+            $res=$response->body();
+        }
+        $data=[
+            'response_data'=>$res
+        ];
+        self::RequestLog($data,$log_id);
+        return $res;
+    }
     public static function Post($url, $data_string,$mark='')
     {
         $data=[
diff --git a/Laravel/routes/api.php b/Laravel/routes/api.php
index 93a1cc8..e273186 100644
--- a/Laravel/routes/api.php
+++ b/Laravel/routes/api.php
@@ -120,6 +120,7 @@ Route::group(['middleware'=>['log']],function () {
     Route::post('admin/getMainDetail_duoren','App\Http\Controllers\API\Admin\YeWu\EntrustController@getMainDetail_duoren');//获取医嘱信息（支持多人）
 
     Route::post('admin/AutoYuYue','App\Http\Controllers\API\Admin\YeWu\PlanListController@AutoYuYue');//自动预约
+    Route::post('admin/updateCheckItem','App\Http\Controllers\API\His\CheckItemController@UpdateCheckItem');//调用his更新检查项目
 });
 
 //H5端接口
diff --git a/Laravel/routes/web.php b/Laravel/routes/web.php
index 08abe1d..03c8560 100644
--- a/Laravel/routes/web.php
+++ b/Laravel/routes/web.php
@@ -1,5 +1,6 @@
 <?php
 
+use Illuminate\Http\Request;
 use Illuminate\Support\Facades\Route;
 
 /*
@@ -26,3 +27,27 @@ Route::get('/wxLogin/{env}', function ($env) {
 //微信登录授权获取openid
 Route::get('/wxGetCode','App\Http\Controllers\API\mH5\LoginController@wxGetCode' );
 Route::get('/test','App\Http\Controllers\TestController@DBtest' );
+
+//his跳到此路由，再跳转到对应的系统页面
+Route::get('/yiji', function (Request $request) {
+    $queryString = $request->server('QUERY_STRING'); // 获取原始查询字符串
+    return redirect("http://192.168.80.76/jq_page/appointment.html?".$queryString);
+    //parse_str(urldecode($queryString), $data);      // 先 urldecode，再 parse_str 解析
+   // dd($queryString);
+//    $regnum=$request->query('regnum');
+//    $entrustid=$request->query('entrustid');
+//    $episodeid=$request->query('episodeid');
+//    $dotype=$request->query('dotype');
+//    $appointment_type=$request->query('appointment_type');
+
+//    $data=[
+//        'regnum'=>$regnum,
+//        'entrustid'=>$entrustid,
+//        'episodeid'=>$episodeid,
+//        'dotype'=>$dotype,
+//        'appointment_type'=>$appointment_type,
+//    ];
+//   dd($data);
+});
+
+