diff --git a/src/Shentun.Peis.Application.Contracts/PatientRegisters/GetListInSearchDto.cs b/src/Shentun.Peis.Application.Contracts/PatientRegisters/GetListInSearchDto.cs
index 11bd572..adc9318 100644
--- a/src/Shentun.Peis.Application.Contracts/PatientRegisters/GetListInSearchDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/PatientRegisters/GetListInSearchDto.cs
@@ -55,6 +55,11 @@ namespace Shentun.Peis.PatientRegisters
         /// </summary>
         public string? EndDate { get; set; }
 
+        /// <summary>
+        /// 日期类型（1、登记日期   2、体检日期 ）  默认登记日期
+        /// </summary>
+        public char DateType { get; set; } = '1';
+
         /// <summary>
         /// 完成状态
         /// </summary>
@@ -75,7 +80,7 @@ namespace Shentun.Peis.PatientRegisters
         public int MaxResultCount { get; set; } = 50;
 
         public int SkipCount { get; set; } = 0;
-        
+
 
     }
 }
diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 51d0f9e..5d49cd0 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -447,9 +447,26 @@ namespace Shentun.Peis.PatientRegisters
                 entlist = entlist.Where(m => m.patientRegister.SexId == input.SexId);
 
             if (!string.IsNullOrEmpty(input.StartDate) && !string.IsNullOrEmpty(input.EndDate))
-                entlist = entlist.Where(m => m.patientRegister.CreationTime >= Convert.ToDateTime(input.StartDate) &&
-                m.patientRegister.CreationTime < Convert.ToDateTime(input.EndDate).AddDays(1));
-
+            {
+                if (input.DateType == '1')
+                {
+                    entlist = entlist.Where(m => m.patientRegister.CreationTime >= Convert.ToDateTime(input.StartDate) &&
+                    m.patientRegister.CreationTime < Convert.ToDateTime(input.EndDate).AddDays(1));
+                }
+                else if (input.DateType == '2')
+                {
+                    entlist = entlist.Where(m => m.patientRegister.MedicalStartDate >= Convert.ToDateTime(input.StartDate) &&
+                      m.patientRegister.MedicalStartDate < Convert.ToDateTime(input.EndDate).AddDays(1));
+                }
+                else
+                {
+                    entlist = entlist.Where(m => (m.patientRegister.CreationTime >= Convert.ToDateTime(input.StartDate) &&
+                       m.patientRegister.CreationTime < Convert.ToDateTime(input.EndDate).AddDays(1))
+                       || (m.patientRegister.MedicalStartDate >= Convert.ToDateTime(input.StartDate) &&
+                      m.patientRegister.MedicalStartDate < Convert.ToDateTime(input.EndDate).AddDays(1))
+                       );
+                }
+            }
             if (input.CompleteFlag != null)
             {
                 entlist = entlist.Where(m => m.patientRegister.CompleteFlag == input.CompleteFlag);
@@ -1083,6 +1100,8 @@ namespace Shentun.Peis.PatientRegisters
                         from ac in cc.DefaultIfEmpty()
                         join d in await _registerCheckAsbitemRepository.GetQueryableAsync() on ac.Id equals d.RegisterCheckId into dd
                         from ad in dd.DefaultIfEmpty()
+                        join e in await _asbitemRepository.GetQueryableAsync() on ad.AsbitemId equals e.Id
+                        where e.IsCheck == 'Y'
                         select new
                         {
                             a,
@@ -1324,6 +1343,8 @@ namespace Shentun.Peis.PatientRegisters
                         from ac in cc.DefaultIfEmpty()
                         join d in await _registerCheckAsbitemRepository.GetQueryableAsync() on ac.Id equals d.RegisterCheckId into dd
                         from ad in dd.DefaultIfEmpty()
+                        join e in await _asbitemRepository.GetQueryableAsync() on ad.AsbitemId equals e.Id
+                        where e.IsCheck == 'Y'
                         select new
                         {
                             a,
@@ -1431,7 +1452,9 @@ namespace Shentun.Peis.PatientRegisters
 
 
 
-            if (input.CompleteFlag != null && input.CompleteFlag != PatientRegisterCompleteFlag.ItemCheckUnSumCheck)
+            if (input.CompleteFlag != null
+                && input.CompleteFlag != PatientRegisterCompleteFlag.ItemCheckUnSumCheck
+                && input.CompleteFlag != PatientRegisterCompleteFlag.PartCheck)
             {
                 sumquery = sumquery.Where(m => m.a.CompleteFlag == input.CompleteFlag);
             }
@@ -3026,13 +3049,16 @@ namespace Shentun.Peis.PatientRegisters
         public async Task<GetPatientRegisterItemStatusDto> GetPatientRegisterItemStatusAsync(Guid PatientRegisterId)
         {
             //未检组合项目
-            var UnCheckedAsbitem = (await _registerCheckAsbitemRepository.GetDbSetAsync())
+            var UnCheckedAsbitem = (await _registerCheckAsbitemRepository.GetQueryableAsync())
                 .Include(x => x.Asbitem)
                 .Include(x => x.RegisterCheck)
-                .Where(m => m.PatientRegisterId == PatientRegisterId && m.RegisterCheck.CompleteFlag == RegisterCheckCompleteFlag.UnChecked).OrderBy(o => o.Asbitem.DisplayOrder).Select(s => s.Asbitem.DisplayName).ToList();
+                .Where(m => m.PatientRegisterId == PatientRegisterId
+                && m.RegisterCheck.CompleteFlag == RegisterCheckCompleteFlag.UnChecked
+                && m.Asbitem.IsCheck == 'Y')
+                .OrderBy(o => o.Asbitem.DisplayOrder).Select(s => s.Asbitem.DisplayName).ToList();
 
             //弃检检组合项目
-            var GiveUpAsbitem = (await _registerCheckAsbitemRepository.GetDbSetAsync())
+            var GiveUpAsbitem = (await _registerCheckAsbitemRepository.GetQueryableAsync())
               .Include(x => x.Asbitem)
               .Include(x => x.RegisterCheck)
               .Where(m => m.PatientRegisterId == PatientRegisterId && m.RegisterCheck.CompleteFlag == RegisterCheckCompleteFlag.GiveUpChecked).OrderBy(o => o.Asbitem.DisplayOrder).Select(s => s.Asbitem.DisplayName).ToList();