diff --git a/hooks/useUser.js b/hooks/useUser.js
index 97aa6a4..d1524dd 100644
--- a/hooks/useUser.js
+++ b/hooks/useUser.js
@@ -5,10 +5,10 @@ export default function useUser() {
   const store = userStore();
 
   const { drugStore, familyProfile, logined, myProfile, patientList, storeId, userInfo } = storeToRefs(store);
-  const { getAuthCode, getFamilyProfile, getStore, loadPatientList, login, loginout, getProfileData } = store;
+  const { getAuthCode, getFamilyProfile, getStore, loadPatientList, login, loginout, getProfileData, setTemporaryPatient } = store;
   return {
     drugStore, familyProfile, logined, myProfile, patientList, storeId, userInfo,
-    getAuthCode, getFamilyProfile, getStore, loadPatientList, login, loginout, getProfileData
+    getAuthCode, getFamilyProfile, getStore, loadPatientList, login, loginout, getProfileData, setTemporaryPatient
   };
   // const { userInfo, logined, maskName, maskMobile, maskCertNo, cards, card, idCardInfo, storeId, drugStore, getFamilyProfile, familyProfile } = storeToRefs(store);
   // const { login, loginout, getAuthCode, getStore } = store;
diff --git a/package.json b/package.json
index 8a1710d..fc88523 100644
--- a/package.json
+++ b/package.json
@@ -22,7 +22,7 @@
 				"title": "【开发】支付宝",
 				"env": {
 					"UNI_PLATFORM": "mp-alipay",
-					"API_BASE_URL": "http://192.168.170.62:8080",
+					"API_BASE_URL": "http://192.168.31.146:8080",
 					"CORP_ID": "4G7H8J2K9L0M1N3P5Q6R7S8T9U",
 					"APP_ID": "2021004129669493",
 					"ORDER_SOURCE": "ALIPAY_MINI",
diff --git a/pages/consult/index.vue b/pages/consult/index.vue
index dd6182b..8b44ebc 100644
--- a/pages/consult/index.vue
+++ b/pages/consult/index.vue
@@ -3,7 +3,8 @@
 		<view v-if="logined" class="container" :class="{ 'container--elder': elderMode }">
 			<view class="header" :class="{ 'header--elder': elderMode }">
 				<text class="title" :class="{ 'title--elder': elderMode }">选择就诊人</text>
-				<button class="scan-button" :class="{ 'scan-button--elder': elderMode }">扫医保码</button>
+				<button class="scan-button" :class="{ 'scan-button--elder': elderMode }" :disabled="scanning"
+					@click="scanInsuranceCode">{{ scanning ? "读取中..." : "扫医保码" }}</button>
 			</view>
 
 			<view class="patient-list">
@@ -49,7 +50,7 @@ import { computed, ref, watch } from "vue";
 import { onLoad, onShow } from "@dcloudio/uni-app";
 import useElder from "@/hooks/useElder";
 import useUser from "@/hooks/useUser";
-import { bindHisPatient, getHisCustomer } from "@/utils/api";
+import { bindHisPatient, getHisCustomer, getScannedCard } from "@/utils/api";
 import { set } from "@/utils/cache";
 import { toast } from "@/utils/widget";
 
@@ -64,6 +65,7 @@ const {
 	myProfile,
 	familyProfile,
 	getProfileData,
+	storeId,
 	patientList: storePatientList,
 	loadPatientList,
 } = useUser();
@@ -76,11 +78,14 @@ const titleMap = {
 const selectedPatientId = ref("");
 const preferredCertNo = ref("");
 const feeType = ref("");
+const scanning = ref(false);
 
 const patientList = computed(() => {
-	const list = [...storePatientList.value].sort((a, b) => {
-		return new Date(a.createTime).getTime() - new Date(b.createTime).getTime();
-	});
+	const list = storePatientList.value
+		.filter(patient => !patient.isTemporary)
+		.sort((a, b) => {
+			return new Date(a.createTime).getTime() - new Date(b.createTime).getTime();
+		});
 	return feeType.value === "YB" ? list.filter(patient => patient.isSelf) : list;
 });
 
@@ -128,6 +133,49 @@ function selectDefaultPatient() {
 
 watch(patientList, selectDefaultPatient, { immediate: true });
 
+function scanCode() {
+	return new Promise((resolve, reject) => {
+		uni.scanCode({
+			onlyFromCamera: true,
+			scanType: ["qrCode"],
+			success: resolve,
+			fail: reject,
+		});
+	});
+}
+
+async function scanInsuranceCode() {
+	if (scanning.value) return;
+	scanning.value = true;
+	try {
+		const scanResult = await scanCode();
+		const id = typeof scanResult.result === "string" ? scanResult.result.trim() : "";
+		if (!/^[a-f\d]{24}$/i.test(id)) {
+			toast("医保二维码无效");
+			return;
+		}
+		const res = await getScannedCard({ id, storeId: storeId.value });
+		if (!res || !res.success || !res.data) {
+			toast((res && res.message) || "获取医保信息失败");
+			return;
+		}
+		if (!res.data.Name || !res.data.IDNum || !res.data.CardNum || !res.data.CardIDCode) {
+			toast("医保信息不完整，请重新读卡");
+			return;
+		}
+		set("current-scanned-card", res.data, 300);
+		uni.navigateTo({
+			url: `/pages/member/detail?type=ybQrcode&feeType=${feeType.value}`,
+		});
+	} catch (error) {
+		if (!error || !/cancel/i.test(error.errMsg || error.message || "")) {
+			toast(error.message || error.errMsg || error || "扫码失败");
+		}
+	} finally {
+		scanning.value = false;
+	}
+}
+
 async function nextStep() {
 	if (!currentProfile.value) {
 		toast("请选择就诊人");
diff --git a/pages/home/home.vue b/pages/home/home.vue
index 31b12cc..baa092d 100644
--- a/pages/home/home.vue
+++ b/pages/home/home.vue
@@ -56,6 +56,8 @@
     </view>
   </full-page>
 
+  <store-popup :drugStore="drugStore" :visible="visible" :elderMode="elderMode" @confirm="confirmStoreInfo()"
+    @close="visible = false" />
   <confirm-popup title="提示" content="您是否半年内在医院就诊过？" cancelText="否" confirmText="是" :visible="confirmVisible"
     @confirm="handleConfirmYes" @cancel="handleConfirmNo" @close="confirmVisible = false" />
 </template>
@@ -69,6 +71,7 @@ import ybPlugin from "@/utils/insurance-plugin";
 
 import fullPage from "@/components/full-page.vue";
 import confirmPopup from "./confirm-popup.vue";
+import storePopup from "./store-popup.vue";
 
 const mainMenuList = [
   {
@@ -106,13 +109,14 @@ const menuList = [
   },
 ];
 
-const { userInfo, logined, login, loginout, getAuthCode } = useUser();
+const { userInfo, logined, login, loginout, getAuthCode, drugStore, getStore } = useUser();
 const statusBarHeight = ref(20);
 const count = ref({ rxUnpay: 0 });
 const confirmVisible = ref(false);
 const confirmResolve = ref(null);
 const confirmReject = ref(null);
 const feeType = ref("");
+const visible = ref(false)
 
 function goBack() {
   uni.navigateBack();
@@ -137,14 +141,19 @@ async function handleMainMenuClick(item) {
   confirmVisible.value = true;
 }
 
-function handleConfirmYes() {
+async function handleConfirmYes() {
   confirmVisible.value = false;
-  confirmAuth();
+  await getStore();
+  visible.value = true
   if (confirmResolve.value) {
     confirmResolve.value();
     cleanupConfirmPromise();
   }
 }
+function confirmStoreInfo() {
+  visible.value = false
+  confirmAuth();
+}
 
 function handleConfirmNo() {
   confirmVisible.value = false;
diff --git a/pages/member/detail.vue b/pages/member/detail.vue
index 732465e..781178a 100644
--- a/pages/member/detail.vue
+++ b/pages/member/detail.vue
@@ -9,8 +9,7 @@
                 <template v-slot:body>
                   <view class="info-item">
                     <text class="item-label">姓名</text>
-                    <input v-model="form.name" :maxlength="20" class="item-value" type="text"
-                      placeholder="请输入姓名" />
+                    <input v-model="form.name" :maxlength="20" class="item-value" type="text" placeholder="请输入姓名" />
                   </view>
                   <view class="info-item">
                     <text class="item-label">证件类型</text>
@@ -57,15 +56,25 @@
 import { computed, ref, watch } from 'vue';
 import { onLoad } from '@dcloudio/uni-app';
 import useUser from '@/hooks/useUser';
-import { addHlwPatient, getHlwPatient, updateHlwPatient } from '@/utils/api';
+import {
+  addHisCustomer,
+  addHlwPatient,
+  getHisCustomer,
+  getHlwPatient,
+  updateHlwPatient,
+} from '@/utils/api';
+import { get, remove, set } from '@/utils/cache';
 import { isChinaId } from '@/utils/validator';
 import { toast } from '@/utils/widget';
 import reLogin from '@/components/re-login.vue';
 
 const id = ref('');
+const type = ref('');
+const feeType = ref('');
 const loading = ref(false);
 const elderMode = ref(false);
 const loadedPatientKey = ref('');
+const scannedCard = ref(null);
 const form = ref({
   name: '',
   certNo: '',
@@ -73,8 +82,9 @@ const form = ref({
   address: '',
 });
 
-const { userInfo, logined } = useUser();
+const { userInfo, logined, setTemporaryPatient } = useUser();
 const accountId = computed(() => userInfo.value && userInfo.value.userId ? userInfo.value.userId : '');
+const isYbQrcode = computed(() => type.value === 'ybQrcode');
 
 function validateForm() {
   if (!form.value.name.trim()) {
@@ -122,6 +132,11 @@ async function confirm() {
 
   loading.value = true;
   try {
+    if (isYbQrcode.value) {
+      await saveYbQrcodePatient();
+      return;
+    }
+
     const payload = {
       accountId: accountId.value,
       name: form.value.name.trim(),
@@ -150,6 +165,72 @@ async function confirm() {
   }
 }
 
+async function saveYbQrcodePatient() {
+  if (!scannedCard.value) {
+    toast('医保扫码信息已失效，请重新扫码');
+    return;
+  }
+
+  const idCard = form.value.certNo.trim();
+  const res = await addHisCustomer({
+    idCard,
+    name: form.value.name.trim(),
+    mobile: form.value.mobile.trim(),
+    address: form.value.address.trim(),
+    mdtrt_cert_type: '03',
+    mdtrt_cert_no: scannedCard.value.CardNum,
+    card_sn: scannedCard.value.CardIDCode,
+  });
+  const patients = Array.isArray(res && res.list) ? res.list : [];
+  const hisArchive = patients.find(patient => patient.socialno === idCard) || patients[0] || null;
+  if (!res || !res.success || !hisArchive) {
+    toast((res && res.message) || '医保建档失败');
+    return;
+  }
+
+  hisArchive.socialno = hisArchive.socialno || idCard;
+  hisArchive.tmbxx = Array.isArray(res.tmbxx) ? res.tmbxx : [];
+  set('current-his-archive', hisArchive);
+  setTemporaryPatient({
+    name: form.value.name.trim(),
+    certNo: idCard,
+    mobile: form.value.mobile.trim(),
+    address: form.value.address.trim(),
+  });
+  uni.redirectTo({
+    url: `/pages/consult/disease-description?socialno=${idCard}&feeType=${feeType.value}`,
+  });
+}
+
+async function loadScannedCard() {
+  const card = get('current-scanned-card');
+  remove('current-scanned-card');
+  if (!card || !card.Name || !card.IDNum) {
+    toast('医保扫码信息已失效，请重新扫码');
+    uni.navigateBack();
+    return;
+  }
+
+  scannedCard.value = card;
+  form.value.name = card.Name;
+  form.value.certNo = card.IDNum;
+
+  loading.value = true;
+  try {
+    const res = await getHisCustomer(card.IDNum);
+
+    const patients = Array.isArray(res.list) ? res.list : [];
+    const patient = patients.find(item => item.socialno === card.IDNum);
+    if (patient) {
+      form.value.mobile = patient.tel || patient.mobile || '';
+      form.value.address = patient.address || '';
+    }
+  } catch (error) {
+    toast(error.message || error || '查询已有档案失败');
+  }
+  loading.value = false;
+}
+
 async function loadPatient() {
   if (!id.value || !accountId.value) return;
   const patientKey = `${accountId.value}:${id.value}`;
@@ -178,12 +259,20 @@ async function loadPatient() {
 
 onLoad(options => {
   id.value = options.id || '';
-  uni.setNavigationBarTitle({ title: id.value ? '编辑就诊人' : '新增就诊人' });
+  type.value = options.type || '';
+  feeType.value = options.feeType || '';
+  uni.setNavigationBarTitle({
+    title: isYbQrcode.value ? '医保建档' : (id.value ? '编辑就诊人' : '新增就诊人'),
+  });
 
   const savedElderMode = uni.getStorageSync('elderMode');
   if (savedElderMode !== null && savedElderMode !== undefined) {
     elderMode.value = savedElderMode;
   }
+
+  if (isYbQrcode.value) {
+    loadScannedCard();
+  }
 });
 
 watch([id, accountId], loadPatient, { immediate: true });
diff --git a/pages/record/prescription-record.vue b/pages/record/prescription-record.vue
index e49c6c2..bcff778 100644
--- a/pages/record/prescription-record.vue
+++ b/pages/record/prescription-record.vue
@@ -72,8 +72,8 @@ import emptyData from "@/components/empty.vue";
 
 const { elderVarStyle } = useElder();
 const PrescriptionType = {
-  onlineMedicinePurchase: '在线配药', // 线上购药 (在线咨询 物流配送药品)
-  storeMedicinePurchase: '在线复诊'
+  ZF: '自费处方', // 线上购药 (在线咨询 物流配送药品)
+  YB: '医保处方'
 }
 
 const { userInfo } = useUser();
@@ -120,7 +120,7 @@ async function getList() {
     return {
       ...i,
       time: dayjs(i.createTime).format('YYYY-MM-DD HH:mm'),
-      typeText: PrescriptionType[i.prescriptionType] || PrescriptionType.ONLINE_CONSULT,
+      typeText: PrescriptionType[i.feeType] || '',
       name: i.name,
       sex: i.sex,
       age: i.age,
diff --git a/pages/record/rx-paper.vue b/pages/record/rx-paper.vue
index 56743c2..60c051d 100644
--- a/pages/record/rx-paper.vue
+++ b/pages/record/rx-paper.vue
@@ -60,7 +60,7 @@
           <view class="signatures">
             <view class="signature-item" style="width: 33%">
               <view>医生：
-                <image v-if="data.doctorSignImg" class="signImage" :src="data.data"></image>
+                <image v-if="data.doctorSignImg" class="signImage" :src="data.doctorSignImg"></image>
                 <text v-else>{{ data.doctorName }}</text>
               </view>
               <view class="stamp">
diff --git a/store/user.js b/store/user.js
index 1840cd1..8def849 100644
--- a/store/user.js
+++ b/store/user.js
@@ -26,25 +26,34 @@ export default defineStore("userStore", () => {
   const userInfo = ref({}); // { avatar, certNo, mobile, userName, userId }
   // his档案信息
   const patients = ref([]); // 就诊人档案
-  const patientList = computed(() => patients.value.map(i => {
-    const { birthday, age, sex } = getInfoFromIdNo({ socialno: i.certNo });
-    const maskInfo = getMaskInfo({
-      name: i.name,
-      socialno: i.certNo,
-      tel: i.mobile,
-    });
-    return {
-      ...i,
-      ...maskInfo,
-      birthday,
-      age,
-      sex,
-      _id: i.id,
-      socialno: i.certNo,
-      tel: i.mobile,
-      isSelf: i.certNo === userInfo.value.certNo,
-    }
-  }))
+  const temporaryPatient = ref(null);
+  const patientList = computed(() => {
+    const source = temporaryPatient.value && temporaryPatient.value.certNo
+      ? [
+        ...patients.value.filter(i => i.certNo !== temporaryPatient.value.certNo),
+        temporaryPatient.value,
+      ]
+      : patients.value;
+    return source.map(i => {
+      const { birthday, age, sex } = getInfoFromIdNo({ socialno: i.certNo });
+      const maskInfo = getMaskInfo({
+        name: i.name,
+        socialno: i.certNo,
+        tel: i.mobile,
+      });
+      return {
+        ...i,
+        ...maskInfo,
+        birthday,
+        age,
+        sex,
+        _id: i.id,
+        socialno: i.certNo,
+        tel: i.mobile,
+        isSelf: i.certNo === userInfo.value.certNo,
+      }
+    })
+  })
 
   async function login() {
     if (!userInfo.value.certNo) {
@@ -100,6 +109,7 @@ export default defineStore("userStore", () => {
     logined.value = false;
     userInfo.value = {};
     patients.value = [];
+    temporaryPatient.value = null;
     uni.removeStorageSync("hasAuthed");
   }
 
@@ -224,6 +234,19 @@ export default defineStore("userStore", () => {
     }
   }
 
+  function setTemporaryPatient(patient) {
+    if (!patient || !patient.certNo) {
+      temporaryPatient.value = null;
+      return;
+    }
+    temporaryPatient.value = {
+      id: patient.id || `yb-qrcode-${patient.certNo}`,
+      createTime: patient.createTime || new Date().toISOString(),
+      ...patient,
+      isTemporary: true,
+    };
+  }
+
   watch(storeId, (n) => {
     uni.setStorageSync("storeId", n);
   });
@@ -234,6 +257,7 @@ export default defineStore("userStore", () => {
     storeId,
     userInfo,
     patients,
+    temporaryPatient,
     launchOptions,
     patientList,
 
@@ -241,6 +265,7 @@ export default defineStore("userStore", () => {
     getStore,
     login,
     loginout,
-    loadPatientList
+    loadPatientList,
+    setTemporaryPatient
   };
 });
diff --git a/utils/api.js b/utils/api.js
index b8142f3..43f9c8e 100644
--- a/utils/api.js
+++ b/utils/api.js
@@ -31,6 +31,28 @@ export async function getHisCustomer(idCard) {
   });
 }
 
+export async function getScannedCard({ id, storeId }) {
+  return await request({
+    url: "/getYoucanData/hlw",
+    data: {
+      type: "getScannedCard",
+      id,
+      storeId,
+      corpId: process.env.CORP_ID,
+    },
+  });
+}
+
+export async function addHisCustomer(data) {
+  return await request({
+    url: "/getYoucanData/hlw",
+    data: {
+      type: "addHisCustomer",
+      ...data,
+    },
+  });
+}
+
 export async function bindHisPatient({
   idCard,
   name,
@@ -38,16 +60,12 @@ export async function bindHisPatient({
   address,
   psnToken,
 }) {
-  return await request({
-    url: "/getYoucanData/hlw",
-    data: {
-      type: "addHisCustomer",
-      idCard,
-      name,
-      mobile,
-      address,
-      psnToken,
-    },
+  return await addHisCustomer({
+    idCard,
+    name,
+    mobile,
+    address,
+    psnToken,
   });
 }