diff --git a/app/Services/DutyReportService.php b/app/Services/DutyReportService.php
index ac6a888..a3240c7 100644
--- a/app/Services/DutyReportService.php
+++ b/app/Services/DutyReportService.php
@@ -10,6 +10,7 @@ use App\Models\MetrikaResult;
 use App\Models\ObservableMedicalHistory;
 use App\Models\ReportDuty;
 use App\Models\ReportNurse;
+use App\Models\ReportNursePatient;
 use App\Models\UnifiedMedicalHistory;
 use App\Models\User;
 use App\Services\Classification\PatientStatusClassifier;
@@ -80,9 +81,37 @@ class DutyReportService
     {
         $departmentId = $departmentId ?? $reportDuty->department->rf_mis_department_id;
         $userId = $userId ?? $reportDuty->rf_user_id;
+
+        // Если за этот же период есть отчет медсестры - берём пациентов (и метрики) из него
+        $nurseReport = ReportNurse::where('rf_department_id', $reportDuty->rf_department_id)
+            ->where('period_start', $reportDuty->period_start)
+            ->where('period_end', $reportDuty->period_end)
+            ->latest('id')
+            ->first();
+
+        if ($nurseReport) {
+            $patients = $this->getPatientsFromNurseReport($nurseReport, $dateRange);
+        } else {
+            $patients = $this->getPatientsFromMis($dateRange, $departmentId);
+        }
+
+        $savedStats = $this->saveReportSnapshot($reportDuty->id, $patients, $userId, $departmentId, $dateRange);
+
+        return [
+            ...$savedStats,
+            'report_date' => $dateRange->startSql(),
+            'department_id' => $departmentId,
+        ];
+    }
+
+    /**
+     * Снимок пациентов из МИС (используется, если нет отчета медсестры за период)
+     */
+    private function getPatientsFromMis(DateRange $dateRange, int $departmentId)
+    {
         $startYear = Carbon::now()->startOfYear()->format('Y-m-d');
 
-        $patients = MedicalHistory::query()
+        return MedicalHistory::query()
             ->whereHas('migrations', function ($q) use ($departmentId, $dateRange, $startYear) {
                 $q->where('department_id', $departmentId)
                     ->where('ingoing_date', '<=', $dateRange->endSql())
@@ -160,14 +189,75 @@ class DutyReportService
                     'in_observable' => PatientStatusClassifier::classifyObservable($h->observable, $dateRange),
                 ];
             });
+    }
 
-        $savedStats = $this->saveReportSnapshot($reportDuty->id, $patients, $userId, $departmentId, $dateRange);
+    /**
+     * Снимок пациентов из отчета медсестры за тот же период/отделение
+     */
+    private function getPatientsFromNurseReport(ReportNurse $nurseReport, DateRange $dateRange)
+    {
+        return ReportNursePatient::query()
+            ->where('report_nurse_id', $nurseReport->id)
+            ->with(['migrations', 'operations', 'latestMigration'])
+            ->get()
+            ->map(function (ReportNursePatient $h) use ($dateRange) {
+                $patientStatus = PatientStatusClassifier::classify($h, $dateRange);
+                $periodFlags = PatientStatusClassifier::classifyPeriodFlags($h, $dateRange);
+                $patientUrgency = null;
+                $patientReanimation = null;
+                if (!in_array($patientStatus, [
+                    PatientStatusClassifier::STATUS_DECEASED,
+                    PatientStatusClassifier::STATUS_DISCHARGED,
+                    PatientStatusClassifier::STATUS_TRANSFERRED
+                ])) {
+                    $patientUrgency = PatientStatusClassifier::classifyUrgency($h->urgency_id);
+                    $patientReanimation = false; // в отчете медсестры данные о реанимации не фиксируются
+                }
 
-        return [
-            ...$savedStats,
-            'report_date' => $dateRange->startSql(),
-            'department_id' => $departmentId,
-        ];
+                return [
+                    'id' => $h->original_id,
+                    'source_type' => $h->source_type,
+                    'medical_card_number' => $h->medical_card_number,
+                    'full_name' => $h->full_name,
+                    'birth_date' => $h->birth_date,
+                    'recipient_date' => $h->recipient_date,
+                    'extract_date' => $h->extract_date,
+                    'death_date' => $h->death_date,
+                    'male' => $h->male,
+                    'urgency_id' => $h->urgency_id,
+                    'hospital_result_id' => $h->hospital_result_id,
+                    'visit_result_id' => $h->visit_result_id,
+                    'comment' => $h->comment,
+
+                    'migrations' => $h->migrations->map(fn ($m) => [
+                        'id' => $m->original_id,
+                        'ingoing_date' => $m->ingoing_date,
+                        'out_date' => $m->out_date,
+                        'diagnosis_id' => $m->diagnosis_id,
+                        'diagnosis_code' => $m->diagnosis_code,
+                        'diagnosis_name' => $m->diagnosis_name,
+                        'interrupted_event_id' => $m->interrupted_event_id,
+                        'stationar_branch_id' => $m->stationar_branch_id,
+                        'department_id' => $m->department_id,
+                        'visit_result_id' => $m->visit_result_id,
+                        'stat_cure_result_id' => $m->stat_cure_result_id,
+                        'user_id' => $m->user_id,
+                        'mis_user_id' => $m->mis_user_id,
+                        'comment' => $m->comment,
+                        'reanimations' => [],
+                    ])->toArray(),
+
+                    'operations' => $h->operations->toArray(),
+
+                    // + вычисляемые мета-поля для фронтенда
+                    'patient_status' => $patientStatus,
+                    'patient_urgency' => $patientUrgency,
+                    'period_flags' => $periodFlags,
+                    'in_reanimation' => $patientReanimation,
+                    'admitted_today' => PatientStatusClassifier::classifyAdmitted($h->latestMigration?->ingoing_date, $dateRange),
+                    'in_observable' => false,
+                ];
+            });
     }
 
     public function saveReportSnapshot(
@@ -239,7 +329,7 @@ class DutyReportService
 
             $patientData = [
                 'report_duty_id'      => $reportDutyId,
-                'source_type'         => 'mis',
+                'source_type'         => $patient['source_type'] ?? 'mis',
                 'original_id'         => $patient['id'],
                 'medical_card_number' => $patient['medical_card_number'],
                 'full_name'           => $patient['full_name'],
@@ -270,7 +360,7 @@ class DutyReportService
                 $migrationItem = [
                     '_temp_key' => [
                         'report_duty_id' => $reportDutyId,
-                        'source_type'    => 'mis',
+                        'source_type'    => $patient['source_type'] ?? 'mis',
                         'original_id'    => $patient['id'],
                     ],
                     'original_id'          => $migration['id'],
diff --git a/app/Services/NurseReportService.php b/app/Services/NurseReportService.php
index e1ce24e..4dbdc53 100644
--- a/app/Services/NurseReportService.php
+++ b/app/Services/NurseReportService.php
@@ -159,6 +159,7 @@ class NurseReportService
                             'source_type'     => $patient->source_type,
                             'original_id'     => $patient->original_id,
                         ],
+                        'original_id'         => $migration->id,
                         'ingoing_date'        => $migration->ingoing_date,
                         'out_date'            => $migration->out_date,
                         'diagnosis_id' => $migration->diagnosis_id,
@@ -235,6 +236,7 @@ class NurseReportService
                     if (isset($patientIds[$originalId])) {
                         $finalMigrations[] = [
                             'medical_history_id'  => $patientIds[$originalId], // Реальный ID
+                            'original_id'         => $m['original_id'],
                             'ingoing_date'        => $m['ingoing_date'],
                             'out_date'            => $m['out_date'],
                             'diagnosis_id' => $m['diagnosis_id'],