diff --git a/src/Shentun.ColumnReferencePlugIns/Sms/CreateThirdPartySmsTaskInputDto.cs b/src/Shentun.ColumnReferencePlugIns/Sms/CreateThirdPartySmsTaskInputDto.cs
new file mode 100644
index 0000000..2339422
--- /dev/null
+++ b/src/Shentun.ColumnReferencePlugIns/Sms/CreateThirdPartySmsTaskInputDto.cs
@@ -0,0 +1,89 @@
+using System;
+using System.Collections.Generic;
+using System.Linq;
+using System.Text;
+using System.Threading.Tasks;
+
+namespace Shentun.Peis.PlugIns.Sms
+{
+    public class CreateThirdPartySmsTaskInputDto
+    {
+        /// <summary>
+        /// 短信类别ID
+        /// </summary>
+        public Guid SmsTypeId { get; set; }
+
+        /// <summary>
+        /// 人员ID
+        /// </summary>
+        public string PersonId { get; set; }
+
+        /// <summary>
+        /// 姓名
+        /// </summary>
+        public string PersonName { get; set; }
+
+        /// <summary>
+        /// 手机号国家代码
+        /// </summary>
+        public string CountryCode { get; set; }
+
+        /// <summary>
+        /// 手机号
+        /// </summary>
+        public string MobileTelephone { get; set; }
+
+        /// <summary>
+        /// 短信内容
+        /// </summary>
+        public string Content { get; set; }
+
+
+        /// <summary>
+        /// 应用ID
+        /// </summary>
+        public Guid SmsAppId { get; set; }
+
+
+        /// <summary>
+        /// 第三方系统唯一ID
+        /// </summary>
+        public string? ThirdId { get; set; }
+
+
+
+        /// <summary>
+        /// 任务周期类别
+        /// </summary>
+        public char TaskCycleType { get; set; }
+
+
+        /// <summary>
+        /// 任务表达式
+        /// </summary>
+        public string? TaskCorn { get; set; }
+
+
+        /// <summary>
+        /// 停止执行时间
+        /// </summary>
+        public string? StopTime { get; set; }
+
+
+
+        /// <summary>
+        /// 发送者用户ID
+        /// </summary>
+        public string? SenderId { get; set; }
+
+        /// <summary>
+        /// 发送者用户名
+        /// </summary>
+        public string? SenderName { get; set; }
+
+        /// <summary>
+        /// 计划发送时间集合
+        /// </summary>
+        public List<string> PlanSendTimes { get; set; }
+    }
+}
diff --git a/src/Shentun.Peis.Application/SmsSends/SmsSendAppService.cs b/src/Shentun.Peis.Application/SmsSends/SmsSendAppService.cs
index a80f87e..e117665 100644
--- a/src/Shentun.Peis.Application/SmsSends/SmsSendAppService.cs
+++ b/src/Shentun.Peis.Application/SmsSends/SmsSendAppService.cs
@@ -1,11 +1,14 @@
 using Cronos;
 using Microsoft.AspNetCore.Authorization;
 using Microsoft.AspNetCore.Mvc;
+using Microsoft.Extensions.Configuration;
 using Shentun.Peis.Enums;
 using Shentun.Peis.Models;
+using Shentun.Peis.PlugIns.Sms;
 using Shentun.Peis.SmsSends;
 using System;
 using System.Collections.Generic;
+using System.IO;
 using System.Linq;
 using System.Text;
 using System.Threading.Tasks;
@@ -27,19 +30,22 @@ namespace Shentun.Peis.SmsSends
         private readonly IRepository<FollowUp, Guid> _followUpRepository;
         private readonly IRepository<PatientRegister, Guid> _patientRegisterRepository;
         private readonly IRepository<Patient, Guid> _patientRepository;
+        private readonly IRepository<ThirdInterface, Guid> _thirdInterfaceRepository;
 
         public SmsSendAppService(
             CacheService cacheService,
             IRepository<FollowUp, Guid> followUpRepository,
             IRepository<PatientRegister, Guid> patientRegisterRepository,
             IRepository<SmsSend, Guid> smsSendRepository,
-            IRepository<Patient, Guid> patientRepository)
+            IRepository<Patient, Guid> patientRepository,
+            IRepository<ThirdInterface, Guid> thirdInterfaceRepository)
         {
             _cacheService = cacheService;
             _followUpRepository = followUpRepository;
             _patientRegisterRepository = patientRegisterRepository;
             _smsSendRepository = smsSendRepository;
             _patientRepository = patientRepository;
+            _thirdInterfaceRepository = thirdInterfaceRepository;
         }
 
 
@@ -158,6 +164,7 @@ namespace Shentun.Peis.SmsSends
                                       where followUp.Id == input.FollowUpId
                                       select new
                                       {
+                                          patientRegister = patientRegister,
                                           patientName = patientRegister.PatientName,
                                           mobileTelephone = patient.MobileTelephone,
                                           patientId = patient.Id
@@ -189,7 +196,7 @@ namespace Shentun.Peis.SmsSends
                             PatientId = patientRegisterEnt.patientId,
                             PlanSendDate = occurrence,
                             SmsTypeId = "01",
-                            IsComplete = 'N'
+                            IsComplete = 'Y'
                         };
 
                         smsSendList.Add(smsSendEntity);
@@ -235,7 +242,7 @@ namespace Shentun.Peis.SmsSends
                         planFollowDate = planFollowDate.AddYears(i);
                     }
 
-                     
+
                     var smsSendEntity = new SmsSend(GuidGenerator.Create())
                     {
                         FollowUpId = input.FollowUpId,
@@ -245,7 +252,7 @@ namespace Shentun.Peis.SmsSends
                         PatientId = patientRegisterEnt.patientId,
                         PlanSendDate = planFollowDate,
                         SmsTypeId = "01",
-                        IsComplete = 'N'
+                        IsComplete = 'Y'
                     };
 
                     smsSendList.Add(smsSendEntity);
@@ -255,6 +262,10 @@ namespace Shentun.Peis.SmsSends
             if (smsSendList.Any())
             {
                 await _smsSendRepository.InsertManyAsync(smsSendList);
+
+ 
+                //生成短信平台推送计划
+                await PushCriticalSmsAsync(patientRegisterEnt.patientRegister, smsSendList.Select(s => DataHelper.ConversionDateToString(s.PlanSendDate)).ToList());
             }
         }
 
@@ -272,5 +283,58 @@ namespace Shentun.Peis.SmsSends
         }
 
 
+        /// <summary>
+        /// 推送体检报告通知短信
+        /// </summary>
+        /// <param name="patientRegister"></param>
+        /// <param name="planSendTimes"></param>
+        /// <returns></returns>
+        private async Task PushCriticalSmsAsync(PatientRegister patientRegister, List<string> planSendTimes)
+        {
+            var smsThirdInterface = await _thirdInterfaceRepository.FirstOrDefaultAsync(o => o.ThirdInterfaceType ==
+           ThirdInterfaceTypeFlag.CriticalSmsPush);
+            if (smsThirdInterface != null && smsThirdInterface.IsActive == 'Y')
+            {
+
+                var parmValue = smsThirdInterface.ParmValue;
+                var configurationBuilder = new ConfigurationBuilder()
+                     .AddJsonStream(new MemoryStream(System.Text.Encoding.UTF8.GetBytes(parmValue)));
+                var interfaceConfig = configurationBuilder.Build();
+                var pushApiAddress = interfaceConfig.GetSection("Interface").GetSection("PushApiAddress").Value;
+                var isEnableSms = interfaceConfig.GetSection("Interface").GetSection("IsActive").Value;
+                if (!string.IsNullOrWhiteSpace(isEnableSms)
+                    && isEnableSms == "Y")
+                {
+                    SmsPlugIns smsPlugIns = new SmsPlugIns(smsThirdInterface.Id);
+                    var smsAppId = Guid.Parse(interfaceConfig.GetSection("Interface").GetSection("SmsAppId").Value);
+                    var smsTypeId = Guid.Parse(interfaceConfig.GetSection("Interface").GetSection("SmsTypeId").Value);
+                    var patientEnt = await _patientRepository.FirstOrDefaultAsync(f => f.Id == patientRegister.PatientId);
+                    if (patientEnt != null)
+                    {
+                        var inputDto = new CreateThirdPartySmsTaskInputDto
+                        {
+                            SmsAppId = smsAppId,
+                            SmsTypeId = smsTypeId,
+                            Content = patientRegister.PatientName,
+                            CountryCode = "86",
+                            MobileTelephone = patientEnt.MobileTelephone,
+                            PersonId = patientRegister.PatientId.ToString(),
+                            PersonName = patientRegister.PatientName,
+                            SenderId = "admin",
+                            SenderName = "体检",
+                            StopTime = "",
+                            TaskCorn = "",
+                            TaskCycleType = '2',
+                            ThirdId = patientRegister.Id.ToString(),
+                            PlanSendTimes = planSendTimes
+                        };
+
+                        await smsPlugIns.CallSmsAppServiceAsync<CreateThirdPartySmsTaskInputDto, Task>(pushApiAddress, inputDto);
+                    }
+                }
+            }
+        }
+
+
     }
 }
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/ThirdInterfaceTypeFlag.cs b/src/Shentun.Peis.Domain.Shared/Enums/ThirdInterfaceTypeFlag.cs
index a4ff062..0eecde4 100644
--- a/src/Shentun.Peis.Domain.Shared/Enums/ThirdInterfaceTypeFlag.cs
+++ b/src/Shentun.Peis.Domain.Shared/Enums/ThirdInterfaceTypeFlag.cs
@@ -36,7 +36,10 @@ namespace Shentun.Peis.Enums
         [Description("同步组合项目价格")]
         public const string SyncAsbitemPrice = "09";
 
-        [Description("短信推送")]
+        [Description("报告短信推送")]
         public const string SmsPush = "10";
+
+        [Description("危急值随访短信推送")]
+        public const string CriticalSmsPush = "11";
     }
 }