diff --git a/src/components/FormComponents/CustomForm/FormItemSelf.vue b/src/components/FormComponents/CustomForm/FormItemSelf.vue
index 8c345a285eb273e8bc09e40cd98726ab3eba047f..1e27d762cee70e0d578ac40dadfa1884238c179e 100644
--- a/src/components/FormComponents/CustomForm/FormItemSelf.vue
+++ b/src/components/FormComponents/CustomForm/FormItemSelf.vue
@@ -19,8 +19,15 @@
       >
         <div class="flex">
           <div>
+            <el-upload-self
+              v-if="item.type === 'upload'"
+              v-bind="item"
+              :upload-query="{ formId, patientId, prefix: item.prop }"
+              v-model="form[item.prop]"
+              :disabled="item.disabled"
+            ></el-upload-self>
             <!-- 表单改文本 -->
-            <template v-if="vwForm.detail">
+            <template v-else-if="vwForm.detail">
               <form-item-text :item="item" :form="form"></form-item-text>
             </template>
             <template v-else>
@@ -342,12 +349,6 @@
               >
               </el-date-picker>
             </template>
-            <el-upload-self
-              v-if="item.type === 'upload'"
-              v-bind="item"
-              v-model="form[item.prop]"
-              :disabled="item.disabled"
-            ></el-upload-self>
           </div>
           <span
             class="important_field"
@@ -385,6 +386,11 @@ export default {
     vwForm: {
       default: {},
     },
+    formId: {},
+    getPatientId: {
+      type: Function,
+      default: () => {},
+    },
     getDefectsSet: {
       type: Function,
       default: () => {},
@@ -428,6 +434,9 @@ export default {
     defectsSet() {
       return this.getDefectsSet ? this.getDefectsSet() : []
     },
+    patientId() {
+      return this.getPatientId ? this.getPatientId() : ""
+    },
   },
   methods: {
     scrollToView() {
diff --git a/src/components/Upload/index.vue b/src/components/Upload/index.vue
index e33421ee23f915601ef8c156e5a99456e27f6d80..3d5fc3c257c041091dac4cc956d9fc8ed6f02172 100644
--- a/src/components/Upload/index.vue
+++ b/src/components/Upload/index.vue
@@ -54,7 +54,12 @@ export default {
       type: Boolean,
       default: false,
     },
-    bucketName: { type: String }, //后端上传文件路径（参数）
+    uploadQuery: {
+      type: Object,
+      default: () => {
+        return {}
+      },
+    }, //后端上传文件路径（参数）
     listType: String,
     tip: String,
     multiple: Boolean,
@@ -72,7 +77,7 @@ export default {
       type: Boolean,
       default: false,
     },
-    value: Array,//上传文件数组 绑定数组
+    value: Array, //上传文件数组 绑定数组
   },
   data() {
     return {
@@ -91,13 +96,8 @@ export default {
         if (newValue === oldValue) return
         this.fileList = newValue.map((_) => {
           return {
-            name: _.fileName,
-            url:
-              this.httpPrefix +
-              "/disease-data/file/" +
-              _.bucketName +
-              "-" +
-              _.uuidName,
+            name: _.file_name,
+            url: `${this.httpPrefix}/disease-data/file/info/${_.bucket_name}/${_.prefix}-${_.uuid_name}`,
           }
         })
       },
@@ -113,8 +113,7 @@ export default {
     action() {
       return (
         this.httpPrefix +
-        "/disease-data/file/upload?bucketName=" +
-        this.bucketName
+        `/disease-data/file/upload?formId=${this.uploadQuery.formId}&patientId=${this.uploadQuery.patientId}&prefix=${this.uploadQuery.prefix}`
       )
     },
     // 预览list
@@ -123,11 +122,7 @@ export default {
       return this.value.map((_) => {
         return (
           _.url ||
-          this.httpPrefix +
-            "/disease-data/file/" +
-            _.bucketName +
-            "-" +
-            _.uuidName
+          `${this.httpPrefix}/disease-data/file/info/${_.bucket_name}/${_.prefix}-${_.uuid_name}`
         )
       })
     },
@@ -163,27 +158,43 @@ export default {
 
     // 移除提醒
     beforeRemove(file, fileList) {
-      return this.$confirm(`确定移除 ${file.fileName || file.name}？`)
+      return this.$confirm(`确定移除 ${file.file_name || file.name}？`)
     },
 
     // 移除
     handleRemove({ url }, fileList) {
-      const i = this.value.findIndex((_) => url.endsWith(_.uuidName))
-      if (i > -1) this.value.splice(i, 1)// 静态移除
+      const i = this.value.findIndex((_) => url.endsWith(_.uuid_name))
+      if (i > -1) this.value.splice(i, 1) // 静态移除
     },
 
     // 查看
     handlePreview(file) {
       const name = file.fileName || file.name
       this.title = name
-      if (name.match(/\.(png|jpg|jpeg)/)) {
-        this.imgUrl = file.url
-        this.$refs.image.clickHandler()
-      } else {
+      let responseUrl
+      if (file.response) {
+        const _ = file.response.data
+        responseUrl = `${this.httpPrefix}/disease-data/file/info/${_.bucket_name}/${_.prefix}-${_.uuid_name}`
+      }
+      try {
+        if (name.match(/\.(png|jpg|jpeg)/)) {
+          this.imgUrl = file.url || responseUrl
+          this.$refs.image.clickHandler()
+        } else {
+          const elink = document.createElement("a")
+          elink.download = name
+          elink.style.display = "none"
+          elink.href = file.url || responseUrl
+          document.body.appendChild(elink)
+          elink.click()
+          URL.revokeObjectURL(elink.href) // 释放URL 对象
+          document.body.removeChild(elink)
+        }
+      } catch {
         const elink = document.createElement("a")
         elink.download = name
         elink.style.display = "none"
-        elink.href = file.url
+        elink.href = file.url || responseUrl
         document.body.appendChild(elink)
         elink.click()
         URL.revokeObjectURL(elink.href) // 释放URL 对象
@@ -204,6 +215,5 @@ export default {
 <style lang="scss" scoped>
 .el-upload-self {
   font-size: 14px;
-  margin-bottom: 15px;
 }
 </style>
diff --git a/src/views/screening/components/FormTab.vue b/src/views/screening/components/FormTab.vue
index 82ac820c982433ec0344b7569695f7bd9097796e..29f6283750e8b79a41a4a07332788cbd393298a5 100644
--- a/src/views/screening/components/FormTab.vue
+++ b/src/views/screening/components/FormTab.vue
@@ -82,6 +82,14 @@ export default {
     getAll: Boolean, // 获取页面所有数据
   },
   components: { CustomForm, TagsScrollBar },
+  provide() {
+    return {
+      formId: this.form.formId,
+      getPatientId: () => {
+        return this.patientId || this.patientStandbyId
+      },
+    }
+  },
   data() {
     return {
       btnType: "",
diff --git a/src/views/screening/index.vue b/src/views/screening/index.vue
index c71af45dda097b402f5703e67f5c954bf7330dc7..0508d990c5e69da637cd5ec69fb92a2903bfee2a 100644
--- a/src/views/screening/index.vue
+++ b/src/views/screening/index.vue
@@ -154,9 +154,9 @@ export default {
   },
   methods: {
     handleView(row) {
-      this.handleAdd(row, true)
+      this.handleAdd(row, null, true)
     },
-    handleAdd({ patient_id, hzxx_xm }, disabled = false) {
+    handleAdd({ patient_id, hzxx_xm }, index, disabled = false) {
       this.disabled = disabled
       this.isDetail = true
       this.patientId = patient_id || null
diff --git a/src/views/systems/user/index.vue b/src/views/systems/user/index.vue
index ca2b3cfe1c71c819489bd65d93dff67abf6dc7c9..a8e006eb1d6041e566f9a5951f23c25edef39818 100644
--- a/src/views/systems/user/index.vue
+++ b/src/views/systems/user/index.vue
@@ -131,7 +131,7 @@ export default {
           width: 80,
           formatter: (row) => {
             return this.$handle.formatDicList(
-              this.dictMap["gender"],
+              this.dictMap["d-sex"],
               String(row.sex)
             )
           },
@@ -249,7 +249,7 @@ export default {
           spanCount: 12,
           prop: "sex",
           optsFormatter: () => {
-            return this.dictMap && this.dictMap["gender"]
+            return this.dictMap && this.dictMap["d-sex"]
           },
         },
         {
@@ -273,14 +273,12 @@ export default {
           prop: "orgId",
           opts: orgList,
           func: this.orgChange,
-          rules: [{ required: true, message: "请选择机构" }],
         },
         {
           type: "select",
           label: "科室",
           spanCount: 12,
           prop: "deptId",
-          rules: [{ required: true, message: "请选择科室" }],
           opts: [],
         },
         {
@@ -478,7 +476,7 @@ export default {
         ? {
             id,
             name,
-            sex: String(sex),
+            sex: sex ? String(sex) : "",
             idCard,
             phone,
             email,
diff --git a/vue.config.js b/vue.config.js
index 6852566993e316c9a3673e0d8677258023db46f7..9f507840c721cc3a16a75002eefcccae2b70e80e 100644
--- a/vue.config.js
+++ b/vue.config.js
@@ -88,8 +88,8 @@ module.exports = {
     },
     proxy: {
       "/api": {
-        //   target: "http://192.168.31.140:11021/",
-        target: "https://ds.cixincloud.com/geca-api/",
+        target: "http://192.168.31.140:11021/",
+        // target: "https://ds.cixincloud.com/geca-api/",
         changeOrigin: true,
         pathRewrite: {
           "^/api": "",