diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 53bd453..4abfe5e 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -416,7 +416,7 @@ namespace Shentun.Peis.PatientRegisters
 
             int totalCount = entlist.Count();
 
-            entlist = entlist.OrderBy(o => o.Id).Skip(input.SkipCount * input.MaxResultCount).Take(input.MaxResultCount);
+            entlist = entlist.OrderBy(o => o.patientRegister.Id).Skip(input.SkipCount * input.MaxResultCount).Take(input.MaxResultCount);
 
 
             var entdto = entlist.Select(s => new PatientRegisterOrNoDto
@@ -827,7 +827,9 @@ namespace Shentun.Peis.PatientRegisters
             {
                 entity = await _manager.CreateAsync(createPatientRegisterArg);
                 createRegisterCheckAsbitemEntity = await _registerAsbitemManager.UpdateManyAsync(entity, registerAsbitems);
-                await _repository.InsertAsync(entity);
+                entity = await _repository.InsertAsync(entity);
+
+                createPatientRegisterExterArg.PatientRegisterId = entity.Id;
 
                 #region 扩展表
                 patientRegisterExterEntity = _patientRegisterExterManager.CreateAsync(createPatientRegisterExterArg);