update str_transfer_out_note
name= #{item.name},
sex= #{item.sex},
age= #{item.age},
bed_no= #{item.bedNo},
dept_name= #{item.deptName},
record_date= #{item.recordDate},
transfer_in_date= #{item.transferInDate},
transfer_out_dept= #{item.transferOutDept},
transfer_in_dept= #{item.transferInDept},
chief= #{item.chief},
behospital_situation= #{item.behospitalSituation},
current_situation= #{item.currentSituation},
tentative_diagnosis= #{item.tentativeDiagnosis},
treatment_process= #{item.treatmentProcess},
current_diagnosis= #{item.currentDiagnosis},
treat_plan= #{item.treatPlan},
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}