diff --git a/Laravel/app/Services/Admin/YeWu/PlanListService.php b/Laravel/app/Services/Admin/YeWu/PlanListService.php
index c6ec407..2cd235c 100644
--- a/Laravel/app/Services/Admin/YeWu/PlanListService.php
+++ b/Laravel/app/Services/Admin/YeWu/PlanListService.php
@@ -1953,7 +1953,34 @@ private function notifyHisAfterYuYue($oldMainInfos, $planInfo)
                 ];
 
                 try {
-                    HisController::Post('/roc/api/v1/qhd/common/yjyy/updateExecDept', $body);
+                    $hisRes = HisController::Post('/roc/api/v1/qhd/common/yjyy/updateExecDept', $body);
+                    if ($hisRes['code'] == 200) {
+                        // 记录变更前的旧值
+                        $oldDeptCode = $mainInfo->RISRAcceptDeptCode ?? '';
+                        $oldDeptName = $mainInfo->implement_department ?? '';
+
+                        DB::table('s_list')
+                            ->where('id', $mainInfo->id)
+                            ->update([
+                                'RISRAcceptDeptCode'   => $execDeptCode,
+                                'implement_department' => $execDeptName,
+                            ]);
+
+                        DB::table('s_list_log')->insert([
+                            'list_id'     => $mainInfo->id,
+                            'reg_num'     => $mainInfo->reg_num,
+                            'old_status'  => $mainInfo->list_status,
+                            'new_status'  => $mainInfo->list_status,
+                            'create_user' => 'sys_auto',
+                            'note'        => 'HIS回写更新执行科室',
+                            'data'        => json_encode([
+                                'old_RISRAcceptDeptCode'   => $oldDeptCode,
+                                'new_RISRAcceptDeptCode'   => $execDeptCode,
+                                'old_implement_department' => $oldDeptName,
+                                'new_implement_department' => $execDeptName,
+                            ], JSON_UNESCAPED_UNICODE),
+                        ]);
+                    }
                 } catch (\Exception $e) {
                     Log::error('HIS 回写接口请求异常', [
                         'body' => $body,