diff --git a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/test/Shentun.Peis.PlugIns.Gem.Test/ChargeRequestPlugInsGemTest.cs b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/test/Shentun.Peis.PlugIns.Gem.Test/ChargeRequestPlugInsGemTest.cs
index 908eeeb2..f3b6d372 100644
--- a/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/test/Shentun.Peis.PlugIns.Gem.Test/ChargeRequestPlugInsGemTest.cs
+++ b/ThirdPlugIns/Shentun.Peis.PlugIns.Gem/test/Shentun.Peis.PlugIns.Gem.Test/ChargeRequestPlugInsGemTest.cs
@@ -15,5 +15,17 @@ namespace Shentun.Peis.PlugIns.Gem.Test
             _output = testOutputHelper;
 
         }
+
+        [Fact]
+        public async Task ImportResultAsync()
+        {
+         
+
+            var input = new ChargeRequestPlugInsGem(new Guid("1c8cb151-cbc6-4ab5-b50b-0644bf2d515c"));
+            var loginResult = input.LoginAsync().Result;
+            await input.SyncChargeRequestFlagFromInterfaceAsync(new Guid("3a12cf84-4516-49d6-345f-87c17ed6b252"));
+
+
+        }
     }
 }
diff --git a/src/Shentun.Peis.Domain/Asbitems/Asbitem.cs b/src/Shentun.Peis.Domain/Asbitems/Asbitem.cs
index 463455ad..80983dbb 100644
--- a/src/Shentun.Peis.Domain/Asbitems/Asbitem.cs
+++ b/src/Shentun.Peis.Domain/Asbitems/Asbitem.cs
@@ -164,6 +164,7 @@ namespace Shentun.Peis.Models
         /// 疾病筛查类别
         /// </summary>
         [Column("disease_screening_type_id")]
+       
         public Guid? DiseaseScreeningTypeId { get; set; }
 
         /// <summary>
@@ -173,6 +174,19 @@ namespace Shentun.Peis.Models
         [Column("warn")]
         public string Warn { get; set; }
 
+        /// <summary>
+        /// 备孕期间禁止检查
+        /// </summary>
+        [MaxLength(1)]
+        [Column("is_disable_prepare_pregnancy")]
+        public char IsDisablePreparePregnancy { get; set; }
+        /// <summary>
+        /// 怀孕期间禁止检查
+        /// </summary>
+        [MaxLength(1)]
+        [Column("is_disable_pregnancy")]
+        public char IsDisablePregnancy { get; set; }
+
         [Column("concurrency_stamp")]
         public string ConcurrencyStamp { get; set; }
 
diff --git a/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs b/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
index cf1951ba..17b71bd6 100644
--- a/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
+++ b/src/Shentun.Peis.Domain/PatientRegisters/PatientRegister.cs
@@ -301,7 +301,12 @@ namespace Shentun.Peis.Models
         /// </summary>
         [Column("customer_org_register_id")]
         public Guid CustomerOrgRegisterId { get; set; }
-
+        /// <summary>
+        /// 预约人员登记ID
+        /// </summary>
+        
+        [Column("appoint_patient_register_id")]
+        public Guid? AppointPatientRegisterId { get; set; }
 
         [Column("concurrency_stamp")]
         public string ConcurrencyStamp { get; set; }
diff --git a/src/Shentun.Peis.EntityFrameworkCore/DbMapping/Asbitems/AsbitemDbMapping.cs b/src/Shentun.Peis.EntityFrameworkCore/DbMapping/Asbitems/AsbitemDbMapping.cs
index 8e3d6d73..afb69f25 100644
--- a/src/Shentun.Peis.EntityFrameworkCore/DbMapping/Asbitems/AsbitemDbMapping.cs
+++ b/src/Shentun.Peis.EntityFrameworkCore/DbMapping/Asbitems/AsbitemDbMapping.cs
@@ -36,8 +36,8 @@ namespace Shentun.Peis.DbMapping
             entity.Property(t => t.IsActive).HasComment("是启用").IsRequired().HasDefaultValueSql("'Y'");
             entity.Property(t => t.BarcodeMode).HasComment("条码模式").IsRequired().HasDefaultValueSql("'0'");
             entity.Property(t => t.IsWebAppoint).HasComment("是否支持网上预约").IsRequired().HasDefaultValueSql("'Y'");
-
-
+            entity.Property(t => t.IsDisablePreparePregnancy).HasComment("备孕期间禁止检查").IsRequired().HasDefaultValueSql("'N'");
+            entity.Property(t => t.IsDisablePregnancy).HasComment("怀孕期间禁止检查").IsRequired().HasDefaultValueSql("'N'");
             entity.Property(e => e.Id)
                 .IsFixedLength()
                 .HasComment("编号").HasColumnName("id");
diff --git a/src/Shentun.Peis.EntityFrameworkCore/DbMapping/PatientRegisters/PatientRegisterDbMapping.cs b/src/Shentun.Peis.EntityFrameworkCore/DbMapping/PatientRegisters/PatientRegisterDbMapping.cs
index 57a8a4ee..21ef0fe4 100644
--- a/src/Shentun.Peis.EntityFrameworkCore/DbMapping/PatientRegisters/PatientRegisterDbMapping.cs
+++ b/src/Shentun.Peis.EntityFrameworkCore/DbMapping/PatientRegisters/PatientRegisterDbMapping.cs
@@ -97,7 +97,7 @@ namespace Shentun.Peis.DbMapping
             entity.Property(t => t.Remark).HasComment("备注");
             entity.Property(t => t.MedicalCenterId).HasComment("体检中心ID").IsRequired();
             entity.Property(t => t.CustomerOrgRegisterId).HasComment("客户单位登记ID").HasDefaultValue(Guid.Empty);
-
+            entity.Property(t => t.AppointPatientRegisterId).HasComment("预约人员登记ID");
 
             //entity.HasOne(d => d.CustomerOrgRegister)
             //    .WithMany(p => p.PatientRegisters)
diff --git a/test/Shentun.Peis.ColumnReference.Tests/ImportLisResultPlugInsTest.cs b/test/Shentun.Peis.ColumnReference.Tests/ImportLisResultPlugInsTest.cs
index 559f0bb8..b6b7a580 100644
--- a/test/Shentun.Peis.ColumnReference.Tests/ImportLisResultPlugInsTest.cs
+++ b/test/Shentun.Peis.ColumnReference.Tests/ImportLisResultPlugInsTest.cs
@@ -36,7 +36,7 @@ namespace Shentun.Peis.PlugIns.Tests
             string filePath = DirectoryHelper.GetAppDirectory() + "/appsettings.json";
             configParm = File.ReadAllText(filePath);
 
-            var input = new ImportLisResultPlugInsDbBase(configParm);
+            var input = new ImportLisResultPlugInsDbBase(new Guid("77f74058-4393-4e8b-a487-c27faa58be6b"));
             await input.DoWork();