replace into pms_patient( id, name, pinyin_full, pinyin_simple, gender, birth_date, ethnicity, education_years, phone, id_card_type, id_card, source, tenant_id, current_illness_history, create_by, create_time ) values ( #{patient.id}, #{patient.name}, #{patient.pinyinFull}, #{patient.pinyinSimple}, #{patient.gender}, #{patient.birthDate}, #{patient.ethnicity}, #{patient.educationYears}, #{patient.phone}, #{patient.idCardType}, #{patient.idCard}, #{patient.source}, #{patient.tenantId}, #{patient.currentIllnessHistory}, #{patient.createBy}, #{patient.createTime} )