diff --git a/acupuncture-前台/src/views/patientFile/index.vue b/acupuncture-前台/src/views/patientFile/index.vue
index 62855c53..12e7a0bc 100644
--- a/acupuncture-前台/src/views/patientFile/index.vue
+++ b/acupuncture-前台/src/views/patientFile/index.vue
@@ -548,6 +548,11 @@ export default {
       ],
       // 现病史
       medicalHistory: [
+        "高脂血症",
+        "肝脏疾病(脂肪肝、乙型肝炎、肝硬化等)",
+        "胰岛素抵抗",
+        "高尿酸",
+        "多囊卵巢综合症",
         "高血压",
         "脑血管病",
         "恶性肿瘤",
@@ -559,13 +564,10 @@ export default {
         "遗传性、先天性疾病",
         "糖尿病",
         "慢性肺系疾病",
-        "高脂血症",
-        "肝脏疾病(脂肪肝、乙型肝炎、肝硬化等)",
         "过敏性疾病",
         "关节炎",
         "痛风",
         "肾炎、肾病",
-        "高脂血症",
       ],
       idCardType: [
         {
diff --git a/acupuncture-前台/src/views/screening/h5.vue b/acupuncture-前台/src/views/screening/h5.vue
index ee854d8a..6280b3ee 100644
--- a/acupuncture-前台/src/views/screening/h5.vue
+++ b/acupuncture-前台/src/views/screening/h5.vue
@@ -100,9 +100,67 @@
           </el-form-item>
         </div>
       </div>
-      <!-- 身高、体重，BMI -->
+      <!-- 睡眠质量评估 -->
+      <!-- <div class="card">
+        <div class="card-title">睡眠质量评估</div>
+        <el-form-item label="上床睡觉" prop="SCWJ-SCSJ">
+          <el-time-select
+            @change="calculateSleepTime"
+            placeholder="请选择时间"
+            v-model="form['SCWJ-SCSJ']"
+            :picker-options="{
+              start: '00:30',
+              step: '00:15',
+              end: '23:59',
+            }"
+          ></el-time-select>
+        </el-form-item>
+        <el-form-item label="入睡时间" prop="SCWJ-RSSJ">
+          <el-time-select
+            @change="calculateSleepTime"
+            placeholder="请选择时间"
+            v-model="form['SCWJ-RSSJ']"
+            :picker-options="{
+              start: '00:30',
+              step: '00:15',
+              end: '23:59',
+              minTime: form['SCWJ-SCSJ'],
+            }"
+          ></el-time-select>
+        </el-form-item>
+        <el-form-item label="睡醒时间" prop="SCWJ-SXSJ">
+          <el-time-select
+            @change="calculateSleepTime"
+            placeholder="请选择时间"
+            v-model="form['SCWJ-SXSJ']"
+            :picker-options="{
+              start: '00:30',
+              step: '00:15',
+              end: '23:59',
+              minTime: form['SCWJ-RSSJ'],
+            }"
+          ></el-time-select>
+        </el-form-item>
+        <el-form-item label="睡眠效率" prop="SCWJ-SMXL">
+          <span :class="`BIMTips${BMIVerdict[form['SCWJ-SMXL']]}`">
+            {{ form["SCWJ-SMXL"] || "- - -" }}
+          </span>
+        </el-form-item>
+      </div> -->
+      <!-- 疾病风险选择(现病史) -->
       <div class="card">
-        <div class="card-title">体重自评</div>
+        <div class="card-title">疾病风险选择</div>
+        <el-form-item prop="SCWJ-XBS" class="form-item-xbs">
+          <el-checkbox-group v-model="form['SCWJ-XBS']">
+            <el-checkbox
+              v-for="(item, index) in medicalHistory"
+              :label="item"
+              :key="index"
+            >
+            </el-checkbox>
+          </el-checkbox-group>
+          <el-input v-model="form['SCWJ-XBS-QT']" placeholder="其他" />
+        </el-form-item>
       </div>
     </el-form>
     <div v-if="stepNum == 2">
@@ -187,7 +245,29 @@ export default {
       stepNum: 1, // 步骤数
       uploadFileUrl: process.env.VUE_APP_BASE_URL + "/baidu/ocr/idcardInfo", // 上传的图片服务器地址
       fileList: [],
-
+      // 现病史
+      medicalHistory: [
+        "高脂血症",
+        "肝脏疾病(脂肪肝、乙型肝炎、肝硬化等)",
+        "胰岛素抵抗",
+        "高尿酸",
+        "多囊卵巢综合症",
+        "高血压",
+        "脑血管病",
+        "恶性肿瘤",
+        "冠心病",
+        "精神疾病",
+        "胃和十二指肠溃疡",
+        "肥胖症",
+        "骨质疏松症",
+        "遗传性、先天性疾病",
+        "糖尿病",
+        "慢性肺系疾病",
+        "过敏性疾病",
+        "关节炎",
+        "痛风",
+        "肾炎、肾病",
+      ],
       BMITips: [
         {
           label: "体重过轻",
@@ -346,6 +426,12 @@ export default {
         "SCWJ-BMI": "",
         "SCWJ-JL": "",
         "SCWJ-ZLFS": [],
+        "SCWJ-SCSJ": "",
+        "SCWJ-RSSJ": "",
+        "SCWJ-SXSJ": "",
+        "SCWJ-SMXL": "",
+        "SCWJ-XBS": [],
+        "SCWJ-XBS-QT": "",
         // "SCWJ-NAME": "测试患者2",
         // "SCWJ-SEX": "男",
         // "SCWJ-BIRTH": "1945-01-01",
@@ -420,6 +506,27 @@ export default {
             trigger: "blur",
           },
         ],
+        "SCWJ-SCSJ": [
+          {
+            required: true,
+            message: "上床睡觉不能为空",
+            trigger: "change",
+          },
+        ],
+        "SCWJ-RSSJ": [
+          {
+            required: true,
+            message: "入睡时间不能为空",
+            trigger: "change",
+          },
+        ],
+        "SCWJ-SXSJ": [
+          {
+            required: true,
+            message: "睡醒时间不能为空",
+            trigger: "change",
+          },
+        ],
       },
       loading: false,
     };
@@ -431,6 +538,40 @@ export default {
     this.getQueryHospitalNoToken(); // 组织id获取组织名称
   },
   methods: {
+    // 计算睡眠效率
+    // 上床睡觉时间、入睡时间、睡醒时间、起床时间，自动计算睡眠效率（睡眠时间/在床上时间）
+    // 睡眠时间 = 入睡时间 - 起床时间
+    // 在床上时间 = 上床睡觉时间 - 入睡时间
+    // 睡眠效率 = 睡眠时间 / 在床上时间
+
+    calculateSleepTime() {
+      // 获取时间值
+      const bedTime = this.form["SCWJ-SCSJ"]; // 上床睡觉时间
+      const sleepTime = this.form["SCWJ-RSSJ"]; // 入睡时间
+      const wakeTime = this.form["SCWJ-SXSJ"]; // 睡醒时间
+
+      // 如果缺少任一时间，直接返回
+      if (!bedTime || !sleepTime || !wakeTime) return;
+
+      // 将时间字符串转换为分钟数
+      const toMinutes = (timeStr) => {
+        const [hour, minute] = timeStr.split(":");
+        return parseInt(hour) * 60 + parseInt(minute);
+      };
+
+      // 计算在床上时间（入睡时间 - 上床睡觉时间）
+      const inBedMinutes = toMinutes(sleepTime) - toMinutes(bedTime);
+
+      // 计算睡眠时间（睡醒时间 - 入睡时间）
+      const sleepMinutes = toMinutes(wakeTime) - toMinutes(sleepTime);
+
+      // 计算睡眠效率（睡眠时间 / 在床上时间）
+      const sleepEfficiency = (sleepMinutes / inBedMinutes) * 100;
+
+      // 更新睡眠效率字段，保留两位小数
+      this.form["SCWJ-SMXL"] = sleepEfficiency.toFixed(2) + "%";
+    },
+
     // 通过出生日期计算年龄
     calculateAge() {
       const birthDate = new Date(this.form["SCWJ-BIRTH"]);
@@ -633,6 +774,10 @@ export default {
 </script>
 <style scoped src="@/assets/styles/common.css"></style>
 <style scoped>
+.form-item-xbs >>> .el-form-item__content {
+  margin-left: 0 !important;
+}
+
 .idcardupd {
   height: 44px;
   margin-bottom: 14px;