update med_death_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},
death_date = #{item.deathDate},
behospital_situation = #{item.behospitalSituation},
tentative_diagnosis = #{item.tentativeDiagnosis},
treatment_process = #{item.treatmentProcess},
death_reason = #{item.deathReason},
death_diagnosis = #{item.deathDiagnosis},
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}