INSERT INTO exam_manual_ledger (organ_id_,target_organ_id_,examination_basic_id_,trans_direction_,amount_,trans_time_,memo_,operator_user_id_,tenant_id_,create_time_)
VALUES(#{organId},#{targetOrganId},#{examinationBasicId},#{transDirection},#{amount},#{transTime},#{memo},#{operatorUserId},#{tenantId},NOW())
UPDATE exam_manual_ledger
organ_id_=#{organId},
target_organ_id_=#{targetOrganId},
examination_basic_id_ = #{examinationBasicId},
trans_direction_ = #{transDirection},
amount_ = #{amount},
trans_time_ = #{transTime},
memo_ = #{memo},
operator_user_id_ = #{operatorUserId},
WHERE id_ = #{id}
DELETE FROM exam_manual_ledger WHERE id_ = #{id}
examination_basic_id_=#{examId}
AND organ_id_=#{organId}