diff --git a/src/main/java/com/dpkj/modules/chs/constant/ChsPayStateConst.java b/src/main/java/com/dpkj/modules/chs/constant/ChsPayStateConst.java
new file mode 100644
index 0000000..7be7570
--- /dev/null
+++ b/src/main/java/com/dpkj/modules/chs/constant/ChsPayStateConst.java
@@ -0,0 +1,59 @@
+package com.dpkj.modules.chs.constant;
+
+import java.util.HashMap;
+import java.util.Map;
+
+/**
+ * @Auther: 萧道子
+ * @Date: 2025/6/18 15:57
+ * @Description: 医保状态记录常量类
+ */
+public class ChsPayStateConst {
+
+    private static Map<String, Integer> chsPayState = new HashMap<String, Integer>(1);
+
+
+    /**
+     * 清除所有
+     *
+     * @return void
+     * @author 萧道子 2025/6/18
+     */
+    public static void clear() {
+        chsPayState.clear();
+    }
+
+    /**
+     * 按key删除
+     *
+     * @return void
+     * @author 萧道子 2025/6/18
+     */
+    public static void remove(String key) {
+        chsPayState.remove(key);
+    }
+
+
+    /**
+     * 添加
+     *
+     * @return void
+     * @author 萧道子 2025/6/18
+     */
+    public static void put(String key, Integer val) {
+        chsPayState.put(key, val);
+    }
+
+
+    /**
+     * 获取
+     *
+     * @return void
+     * @author 萧道子 2025/6/18
+     */
+    public static Integer get(String key) {
+        return chsPayState.get(key);
+    }
+
+
+}
diff --git a/src/main/java/com/dpkj/modules/chs/controller/HispayController.java b/src/main/java/com/dpkj/modules/chs/controller/HispayController.java
index 2ac6030..5517c48 100644
--- a/src/main/java/com/dpkj/modules/chs/controller/HispayController.java
+++ b/src/main/java/com/dpkj/modules/chs/controller/HispayController.java
@@ -4,6 +4,7 @@ import cn.hutool.core.util.StrUtil;
 import com.alibaba.fastjson.JSONObject;
 import com.dpkj.common.vo.Result;
 import com.dpkj.common.vo.ResultData;
+import com.dpkj.modules.chs.constant.ChsPayStateConst;
 import com.dpkj.modules.chs.service.IHispayService;
 import com.dpkj.modules.chs.vo.OutpatientBeginModel;
 import com.dpkj.modules.chs.vo.OutpatientFinalModel;
@@ -83,6 +84,9 @@ public class HispayController {
     @PostMapping("chsCodeAsOutpatientBegin")
     public Result<?> chsCodeAsOutpatientBegin(@RequestBody @Validated OutpatientBeginModel data) {
         try {
+            // 清空状态常量
+            ChsPayStateConst.clear();
+
             log.info("[HispayController][chsCodeAsOutpatientBegin][门诊缴费-预算-电子医保凭证] 参数：{}", data);
             ResultData res = hispayService.chsCodeAsOutpatientBegin(data);
             return Result.ok("成功", res);
@@ -114,5 +118,20 @@ public class HispayController {
         }
     }
 
+    /**
+     * 获取医保支付状态
+     *
+     * @return com.dpkj.common.vo.Result<?>
+     * @author 萧道子 2025/6/18
+     */
+    @PostMapping("getChsPayState")
+    public Result<?> getChsPayState(@RequestBody OutpatientBeginModel data) {
+        String no = data.getPrescriptionNo();
+        if (StrUtil.isEmpty(no)) {
+            return Result.error("收据号不可为空");
+        }
+        Integer num = ChsPayStateConst.get(no);
+        return Result.ok("成功", num);
+    }
 
 }
diff --git a/src/main/java/com/dpkj/modules/chs/service/impl/HispayServiceImpl.java b/src/main/java/com/dpkj/modules/chs/service/impl/HispayServiceImpl.java
index 2ffa58f..e443387 100644
--- a/src/main/java/com/dpkj/modules/chs/service/impl/HispayServiceImpl.java
+++ b/src/main/java/com/dpkj/modules/chs/service/impl/HispayServiceImpl.java
@@ -8,6 +8,7 @@ import com.alibaba.fastjson.JSONObject;
 import com.dpkj.common.config.ChsConfig;
 import com.dpkj.common.config.HisConfig;
 import com.dpkj.common.vo.ResultData;
+import com.dpkj.modules.chs.constant.ChsPayStateConst;
 import com.dpkj.modules.chs.service.IHispayService;
 import com.dpkj.modules.chs.vo.OutpatientBeginModel;
 import com.dpkj.modules.chs.vo.OutpatientFinalModel;
@@ -227,6 +228,10 @@ public class HispayServiceImpl implements IHispayService {
         JSONObject userInfo = readCode();
         String patientId = userInfo.getString("patid");
         data.setPatientId(patientId);
+
+        // 更新常量状态 已读卡
+        ChsPayStateConst.put(data.getPrescriptionNo(), 1);
+
         return outpatientBudget(data);
     }