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 1cad226..3123afa 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
@@ -73,12 +73,8 @@ public class PatientDiagnosisController extends BaseController {
         patientMedicalRecordsVO.setDictionariesNameGender("sys_user_sex");
         patientMedicalRecordsVO.setDictionariesNameIsInsured("healthcare_os_insured");
         patientMedicalRecordsVO.setDictionariesNameStatus("healthcare_os_diagnosis_status");
-        if(patientMedicalRecordsVO.getIsInsured() != null && patientMedicalRecordsVO.getIsInsured() != 1) {
-            List<PatientMedicalRecordsYesVO> list = iPatientDiagnosisService.gainPrescriptionDetailsYesList(patientMedicalRecordsVO);
-            System.out.println(list);
-            ExcelUtil<PatientMedicalRecordsYesVO> util = new ExcelUtil<PatientMedicalRecordsYesVO>(PatientMedicalRecordsYesVO.class);
-            util.exportExcelWithTotal(response, list, "接诊记录数据");
-        }
+
+        // 获取所有患者处方详情列表
         List<PatientMedicalRecordsVO> list = iPatientDiagnosisService.gainPrescriptionDetailsList(patientMedicalRecordsVO);
         ExcelUtil<PatientMedicalRecordsVO> util = new ExcelUtil<PatientMedicalRecordsVO>(PatientMedicalRecordsVO.class);
         util.exportExcel(response, list, "接诊记录数据");
diff --git a/pasd-healthcare/src/main/java/com/ruoyi/os/domain/PatientMedicalRecordsVO.java b/pasd-healthcare/src/main/java/com/ruoyi/os/domain/PatientMedicalRecordsVO.java
index 67aecf7..d6e1fd6 100644
--- a/pasd-healthcare/src/main/java/com/ruoyi/os/domain/PatientMedicalRecordsVO.java
+++ b/pasd-healthcare/src/main/java/com/ruoyi/os/domain/PatientMedicalRecordsVO.java
@@ -1,5 +1,6 @@
 package com.ruoyi.os.domain;
 
+import com.baomidou.mybatisplus.annotation.TableField;
 import com.fasterxml.jackson.annotation.JsonFormat;
 import com.ruoyi.common.annotation.Excel;
 import lombok.Data;
@@ -233,6 +234,9 @@ public class PatientMedicalRecordsVO {
     @JsonFormat(pattern = "yyyy-MM-dd")
     private Date endTime;
 
+    @Excel(name = "报销费用")
+    private BigDecimal totalAmount;
+
     /**
      * @field 处方详情列表
      */