diff --git a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/PatientRegisters/Qztl/ImportPatientRegisterPlugInsQztl.cs b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/PatientRegisters/Qztl/ImportPatientRegisterPlugInsQztl.cs
index 1fc4dd3..b65a3c2 100644
--- a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/PatientRegisters/Qztl/ImportPatientRegisterPlugInsQztl.cs
+++ b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/PatientRegisters/Qztl/ImportPatientRegisterPlugInsQztl.cs
@@ -305,7 +305,8 @@ namespace Shentun.Peis.PlugIns.Extensions.PatientRegisters.Qztl
                         QztlIsCw = patient.ifCw == 1 ? 'Y' : 'N',
                         QztlIsMain = patient.ifMain == 1 ? 'Y' : 'N',
                         QztlIsCy = patient.ifCy == 1 ? 'Y' : 'N',
-                        IsQztlImport = 'Y'
+                        IsQztlImport = 'Y',
+                        IsAllowIdNoSexError = 'Y'
                     };
 
 
diff --git a/src/Shentun.Peis.Application.Contracts/PatientRegisters/CreatePatientRegisterDto.cs b/src/Shentun.Peis.Application.Contracts/PatientRegisters/CreatePatientRegisterDto.cs
index 11a65fe..c4abfd3 100644
--- a/src/Shentun.Peis.Application.Contracts/PatientRegisters/CreatePatientRegisterDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/PatientRegisters/CreatePatientRegisterDto.cs
@@ -126,6 +126,11 @@ namespace Shentun.Peis.PatientRegisters
         /// </summary>
         public char IsMaxMedicalTimes { get; set; } = 'Y';
 
+        /// <summary>
+        /// 允许身份证号中的性别和填写的性别不一致
+        /// </summary>
+        public char IsAllowIdNoSexError { get; set; } = 'N';
+
 
 
         #region 添加时不需要
diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 7e935b7..ff04dab 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -918,6 +918,7 @@ namespace Shentun.Peis.PatientRegisters
             updatePatientEntity.DisplayName = input.PatientName;
             //创建人员信息
             Patient patient = null;
+            _patientManager.IsAllowIdNoSexError = input.IsAllowIdNoSexError;
             if (createPatientRegisterArg.PatientId == Guid.Empty)
             {
                 patient = await _patientManager.CreateAsync(updatePatientEntity);
diff --git a/src/Shentun.Peis.Domain/PatientRegisters/CreatePatientRegisterArg.cs b/src/Shentun.Peis.Domain/PatientRegisters/CreatePatientRegisterArg.cs
index 8a73183..72b70f8 100644
--- a/src/Shentun.Peis.Domain/PatientRegisters/CreatePatientRegisterArg.cs
+++ b/src/Shentun.Peis.Domain/PatientRegisters/CreatePatientRegisterArg.cs
@@ -120,5 +120,7 @@ namespace Shentun.Peis.PatientRegisters
         /// </summary>
         public Guid CustomerOrgRegisterId { get; set; }
 
+     
+
     }
 }
diff --git a/src/Shentun.Peis.Domain/Patients/PatientManager.cs b/src/Shentun.Peis.Domain/Patients/PatientManager.cs
index 62aaf3b..630d7a3 100644
--- a/src/Shentun.Peis.Domain/Patients/PatientManager.cs
+++ b/src/Shentun.Peis.Domain/Patients/PatientManager.cs
@@ -28,6 +28,7 @@ namespace Shentun.Peis.Patients
         private readonly IRepository<PrimarykeyBuilder> _primarykeyBuilderRepository;
         private readonly IRepository<Nation> _nationRepository;
         private readonly SysParmValueManager _sysParmValueManager;
+        public char  IsAllowIdNoSexError { get; set; } = 'N';
         public PatientManager(
             IRepository<Patient, Guid> repository,
             IRepository<SysParmValue> sysParmValueRepository,
@@ -370,8 +371,9 @@ namespace Shentun.Peis.Patients
                 }
                 else
                 {
-                    if (sexByIdNo[0] != entity.SexId)
+                    if (sexByIdNo[0] != entity.SexId && IsAllowIdNoSexError == 'N')
                     {
+                       
                         throw new UserFriendlyException("身份证号解析出的性别与填入的性别不一致");
                     }
                 }