diff --git a/src/main/java/com/ccsens/carbasics/bean/dto/PatientDto.java b/src/main/java/com/ccsens/carbasics/bean/dto/PatientDto.java
index eb20a3a..21c2f80 100644
--- a/src/main/java/com/ccsens/carbasics/bean/dto/PatientDto.java
+++ b/src/main/java/com/ccsens/carbasics/bean/dto/PatientDto.java
@@ -222,4 +222,27 @@ public class PatientDto {
         private Byte reported;
     }
 
+    @Data
+    @ApiModel("发送QCP项目")
+    public static class Qcp{
+        @ApiModelProperty("医院项目ID")
+        private Long projectId;
+        @ApiModelProperty("环节code")
+        private String stepCode;
+        @ApiModelProperty("时间")
+        private Long time;
+        @ApiModelProperty("操作人")
+        private Long operator;
+
+        public Qcp() {
+        }
+
+        public Qcp(Long projectId, String stepCode, Long time, Long operator) {
+            this.projectId = projectId;
+            this.stepCode = stepCode;
+            this.time = time;
+            this.operator = operator;
+        }
+    }
+
 }
diff --git a/src/main/java/com/ccsens/carbasics/service/FirstAidRecordService.java b/src/main/java/com/ccsens/carbasics/service/FirstAidRecordService.java
index ad1a78e..bdcb02a 100644
--- a/src/main/java/com/ccsens/carbasics/service/FirstAidRecordService.java
+++ b/src/main/java/com/ccsens/carbasics/service/FirstAidRecordService.java
@@ -4,6 +4,7 @@ import cn.hutool.core.collection.CollectionUtil;
 import cn.hutool.core.lang.Snowflake;
 import cn.hutool.core.util.ObjectUtil;
 import cn.hutool.core.util.StrUtil;
+import com.alibaba.fastjson.JSONObject;
 import com.ccsens.carbasics.bean.dto.PatientDto;
 import com.ccsens.carbasics.bean.po.*;
 import com.ccsens.carbasics.bean.vo.PatientVo;
@@ -13,9 +14,12 @@ import com.ccsens.carbasics.persist.mapper.FirstAidRecordLogMapper;
 import com.ccsens.carbasics.util.Constant;
 import com.ccsens.carbasics.util.DefaultCodeError;
 import com.ccsens.util.CodeEnum;
+import com.ccsens.util.JacksonUtil;
 import com.ccsens.util.StringUtil;
+import com.ccsens.util.config.RabbitMQConfig;
 import com.ccsens.util.exception.BaseException;
 import lombok.extern.slf4j.Slf4j;
+import org.springframework.amqp.core.AmqpTemplate;
 import org.springframework.stereotype.Service;
 import org.springframework.transaction.annotation.Propagation;
 import org.springframework.transaction.annotation.Transactional;
@@ -45,6 +49,10 @@ public class FirstAidRecordService implements IFirstAidRecordService {
     private CodeParentDao codeParentDao;
     @Resource
     private FirstAidDao firstAidDao;
+    @Resource
+    private OrganizationProjectDao organizationProjectDao;
+    @Resource
+    private AmqpTemplate rabbitTemplate;
 
 
     @Override
@@ -101,29 +109,70 @@ public class FirstAidRecordService implements IFirstAidRecordService {
         checkTime(param, firstAid);
         // 保存
         param.getCodeAndAnswerList().forEach(codeAndAnswer -> {
-            if(StrUtil.isNotEmpty(codeAndAnswer.getQuestionCode())) {
-                //添加记录表，需要查找之前的记录，删除后重新添加
-                FirstAidRecordExample recordExample = new FirstAidRecordExample();
-                recordExample.createCriteria().andFirstAidIdEqualTo(firstAid.getId()).andQuestionCodeEqualTo(codeAndAnswer.getQuestionCode());
-                List<FirstAidRecord> firstAidRecords = firstAidRecordDao.selectByExample(recordExample);
-                if (CollectionUtil.isNotEmpty(firstAidRecords)) {
-                    firstAidRecords.forEach(firstAidRecord -> {
-                        firstAidRecord.setRecStatus((byte) 2);
-                        firstAidRecordDao.updateByPrimaryKeySelective(firstAidRecord);
-                    });
-                }
-                //判断答案是否为空
-                if(CollectionUtil.isNotEmpty(codeAndAnswer.getAnswer())){
-                    //循环答案
-                    codeAndAnswer.getAnswer().forEach(answer -> saveRecord(param.getUserType(), userId, firstAid.getId(), codeAndAnswer.getQuestionCode(), StrUtil.isBlank(answer) ? "" : answer,param.getProjectId()));
-                }else {
-                    saveRecord(param.getUserType(), userId, firstAid.getId(), codeAndAnswer.getQuestionCode(), "",param.getProjectId());
-                }
+            if(StrUtil.isEmpty(codeAndAnswer.getQuestionCode())) {
+                // code为空，终止本次循环
+                return;
+            }
+            //添加记录表，需要查找之前的记录，删除后重新添加
+            FirstAidRecordExample recordExample = new FirstAidRecordExample();
+            recordExample.createCriteria().andFirstAidIdEqualTo(firstAid.getId()).andQuestionCodeEqualTo(codeAndAnswer.getQuestionCode());
+            List<FirstAidRecord> firstAidRecords = firstAidRecordDao.selectByExample(recordExample);
+            if (CollectionUtil.isNotEmpty(firstAidRecords)) {
+                firstAidRecords.forEach(firstAidRecord -> {
+                    firstAidRecord.setRecStatus((byte) 2);
+                    firstAidRecordDao.updateByPrimaryKeySelective(firstAidRecord);
+                });
+            }
+            //判断答案是否为空
+            if(CollectionUtil.isNotEmpty(codeAndAnswer.getAnswer())){
+                //循环答案
+                codeAndAnswer.getAnswer().forEach(answer -> saveRecord(param.getUserType(), userId, firstAid.getId(), codeAndAnswer.getQuestionCode(), StrUtil.isBlank(answer) ? "" : answer,param.getProjectId()));
+            }else {
+                saveRecord(param.getUserType(), userId, firstAid.getId(), codeAndAnswer.getQuestionCode(), "",param.getProjectId());
+            }
+
+            if (Constant.QuestionCode.QZSJ.equals(codeAndAnswer.getQuestionCode())
+                    || Constant.QuestionCode.THSJ.equals(codeAndAnswer.getQuestionCode())) {
+                sendQcp(firstAid.getHospitalId(), codeAndAnswer, userId);
+
             }
         });
 
     }
 
+    /**
+     * 给 qcp 消息
+     * @param hospitalId 医院ID
+     * @param codeAndAnswer code答案
+     * @param userId
+     */
+    private void sendQcp(Long hospitalId, PatientDto.CodeAndAnswerN codeAndAnswer, Long userId) {
+        String stepCode = Constant.QuestionCode.getStepCode(codeAndAnswer.getQuestionCode());
+        String value = codeAndAnswer.getAnswer().get(0);
+        if (!StringUtil.checkNum(value, false)) {
+            // 空或不为数字
+            return;
+        }
+        Long time = Long.parseLong(value);
+        // 查找医院项目ID
+        OrganizationProject project = organizationProjectDao.queryByOrganizationId(hospitalId);
+        log.info("医院{}对应的项目ID：{}", hospitalId, project);
+        if (project == null) {
+            // 没有项目，不处理
+            return;
+        }
+        Long projectId = project.getProjectId();
+        PatientDto.Qcp qcp = new PatientDto.Qcp(projectId, stepCode, time, userId);
+        //通过MQ发送消息给QCP
+        rabbitTemplate.convertAndSend(Constant.MQ.QCP_NOTIFY_STEP, JSONObject.toJSONString(qcp));
+        log.info("向QCP发送消息：{}", qcp);
+    }
+
+    /**
+     * 时间检查
+     * @param param 存储答案
+     * @param firstAid 急救
+     */
     private void checkTime(PatientDto.SaveAidRecordN param, FirstAid firstAid) {
         for (PatientDto.CodeAndAnswerN answer: param.getCodeAndAnswerList()) {
             // 需要校验的时间
diff --git a/src/main/java/com/ccsens/carbasics/util/Constant.java b/src/main/java/com/ccsens/carbasics/util/Constant.java
index f285cca..a5b6ef8 100644
--- a/src/main/java/com/ccsens/carbasics/util/Constant.java
+++ b/src/main/java/com/ccsens/carbasics/util/Constant.java
@@ -21,6 +21,9 @@ public class Constant {
     /**xls*/
     public static final String XLS = "xls";
 
+    public static final class MQ {
+        public final static String QCP_NOTIFY_STEP = "notify_step";
+    }
 
     public static final class TimeCheck{
         public static final Map<String, Map<String, TimeCheckItem>> compareItems = new HashMap<>();
@@ -412,6 +415,18 @@ public class Constant {
         public static final String CT_START = "CT-START";
         /**意思诊断*/
         public static final String CJBL_YSBL = "CJBL-YSBL";
+        /**签字时间*/
+        public static final String QZSJ = "ZQTH-SJ";
+        /**谈话时间*/
+        public static final String THSJ = "talkStart";
+
+        public static String getStepCode(String questionCode) {
+            switch (questionCode) {
+                case QZSJ: return "8";
+                case THSJ: return "7";
+                default: return null;
+            }
+        }
     }