diff --git a/pasd-healthcare/src/main/java/com/ruoyi/os/controller/PatientDiagnosisController.java b/pasd-healthcare/src/main/java/com/ruoyi/os/controller/PatientDiagnosisController.java
index 3123afa..a5cfbbb 100644
--- a/pasd-healthcare/src/main/java/com/ruoyi/os/controller/PatientDiagnosisController.java
+++ b/pasd-healthcare/src/main/java/com/ruoyi/os/controller/PatientDiagnosisController.java
@@ -21,6 +21,7 @@ import org.springframework.security.access.prepost.PreAuthorize;
 import org.springframework.web.bind.annotation.*;
 
 import javax.servlet.http.HttpServletResponse;
+import java.math.BigDecimal;
 import java.text.ParseException;
 import java.text.SimpleDateFormat;
 import java.time.LocalDateTime;
@@ -76,6 +77,13 @@ public class PatientDiagnosisController extends BaseController {
 
         // 获取所有患者处方详情列表
         List<PatientMedicalRecordsVO> list = iPatientDiagnosisService.gainPrescriptionDetailsList(patientMedicalRecordsVO);
+        // 计算totalAmount字段的值 (totalPrice / value) - totalPrice = TotalAmount
+        for (PatientMedicalRecordsVO record : list) {
+            if (record.getTotalPrice() != null && record.getValue() != null && record.getValue().compareTo(BigDecimal.ZERO) != 0) {
+                BigDecimal divisionResult = record.getTotalPrice().divide(record.getValue(), 2, BigDecimal.ROUND_HALF_UP);
+                record.setTotalAmount(divisionResult.subtract(record.getTotalPrice()));
+            }
+        }
         ExcelUtil<PatientMedicalRecordsVO> util = new ExcelUtil<PatientMedicalRecordsVO>(PatientMedicalRecordsVO.class);
         util.exportExcel(response, list, "接诊记录数据");
     }