update str_consultation_note
name = #{item.name},
sex = #{item.sex},
age = #{item.age},
bed_no = #{item.bedNo},
dept_name = #{item.deptName},
record_date = #{item.recordDate},
behospital_date = #{item.behospitalDate},
apply_dept = #{item.applyDept},
apply_doctor = #{item.applyDoctor},
apply_date = #{item.applyDate},
invite_type = #{item.inviteType},
invite_dept = #{item.inviteDept},
invite_doctor = #{item.inviteDoctor},
brief_note = #{item.briefNote},
diagnosis = #{item.diagnosis},
treatment_situation = #{item.treatmentSituation},
consultation_date = #{item.consultationDate},
consultation_purpose = #{item.consultationPurpose},
consultation_opinions = #{item.consultationOpinions},
rec_doctor = #{item.recDoctor},
rec_date = #{item.recDate},
audit_doctor = #{item.auditDoctor},
audit_date = #{item.auditDate},
whole_data = #{item.wholeData},
remark = #{item.remark},
gmt_modified = #{item.gmtModified},
modifier = #{item.modifier},
where rec_id = #{item.recId} and hospital_id = #{item.hospitalId} and behospital_code = #{item.behospitalCode}