diff --git a/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs b/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
index c3fbe57..ca0908e 100644
--- a/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
+++ b/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
@@ -404,33 +404,97 @@ namespace Shentun.Peis.PhoneFollowUps
 
             query = query.Where(m => m.patientRegister.Id == input.PatientRegisterId);
 
+            var registerCheckGroup = query.ToList().GroupBy(g => new { g.registerCheck, g.registerCheckItem });
 
 
+            var entListDto = new List<GetAsbitemOrItemCriticalByPatientRegisterIdDto>();
 
-            var registerCheckGroup = query.ToList().GroupBy(g => new { g.registerCheck, g.registerCheckItem });
-
-            var entListDto = registerCheckGroup.Select(s => new GetAsbitemOrItemCriticalByPatientRegisterIdDto
+            foreach (var item in registerCheckGroup)
             {
-                RegisterCheckId = s.Key.registerCheck.Id,
-                AsbitemName = string.Join(",", s.Select(ss => ss.asbitem.DisplayName).Distinct()),
-                CriticalRangeValue = s.Key.registerCheck.CriticalRangeValue,
-                CriticalValueContent = s.Key.registerCheck.CriticalValueContent,
-                IsCriticalValue = s.Key.registerCheck.IsCriticalValue,
-                IsCriticalValueAudit = s.Key.registerCheck.IsCriticalValueAudit,
-                IsFollowUp = s.Key.registerCheck.IsFollowUp,
-                IsReview = s.Key.registerCheck.IsReview,
-                SummaryDetail = string.Join("<br>", s.Where(m => m.registerCheckSummaryHaveEmpty != null).Select(ss => ss.registerCheckSummaryHaveEmpty.Summary).Distinct()),
-                ItemCriticalRangeValue = s.Key.registerCheckItem.CriticalRangeValue,
-                ItemCriticalValueContent = s.Key.registerCheckItem.CriticalValueContent,
-                ItemIsCriticalValue = s.Key.registerCheckItem.IsCriticalValue,
-                ItemIsCriticalValueAudit = s.Key.registerCheckItem.IsCriticalValueAudit,
-                ItemIsFollowUp = s.Key.registerCheckItem.IsFollowUp,
-                ItemIsReview = s.Key.registerCheckItem.IsReview,
-                ItemName = s.FirstOrDefault().item.DisplayName,
-                ItemResult = s.Key.registerCheckItem.Result,
-                ReferenceRangeValue = s.Key.registerCheckItem.ReferenceRangeValue,
-                Unit = s.Key.registerCheckItem.Unit
-            }).ToList();
+                if (item.Key.registerCheck.IsFollowUp == 'Y'
+                || item.Key.registerCheck.IsCriticalValue == 'Y'
+                || item.Key.registerCheckItem.IsFollowUp == 'Y'
+                || item.Key.registerCheckItem.IsCriticalValue == 'Y')
+                {
+                    if (item.Key.registerCheckItem.IsFollowUp == 'Y'
+                || item.Key.registerCheckItem.IsCriticalValue == 'Y')
+                    {
+                        entListDto.Add(new GetAsbitemOrItemCriticalByPatientRegisterIdDto
+                        {
+                            RegisterCheckId = item.Key.registerCheck.Id,
+                            AsbitemName = string.Join(",", item.Select(ss => ss.asbitem.DisplayName).Distinct()),
+                            CriticalRangeValue = item.Key.registerCheck.CriticalRangeValue,
+                            CriticalValueContent = item.Key.registerCheck.CriticalValueContent,
+                            IsCriticalValue = item.Key.registerCheck.IsCriticalValue,
+                            IsCriticalValueAudit = item.Key.registerCheck.IsCriticalValueAudit,
+                            IsFollowUp = item.Key.registerCheck.IsFollowUp,
+                            IsReview = item.Key.registerCheck.IsReview,
+                            SummaryDetail = string.Join("<br>", item.Where(m => m.registerCheckSummaryHaveEmpty != null).Select(ss => ss.registerCheckSummaryHaveEmpty.Summary).Distinct()),
+                            ItemCriticalRangeValue = item.Key.registerCheckItem.CriticalRangeValue,
+                            ItemCriticalValueContent = item.Key.registerCheckItem.CriticalValueContent,
+                            ItemIsCriticalValue = item.Key.registerCheckItem.IsCriticalValue,
+                            ItemIsCriticalValueAudit = item.Key.registerCheckItem.IsCriticalValueAudit,
+                            ItemIsFollowUp = item.Key.registerCheckItem.IsFollowUp,
+                            ItemIsReview = item.Key.registerCheckItem.IsReview,
+                            ItemName = item.FirstOrDefault().item.DisplayName,
+                            ItemResult = item.Key.registerCheckItem.Result,
+                            ReferenceRangeValue = item.Key.registerCheckItem.ReferenceRangeValue,
+                            Unit = item.Key.registerCheckItem.Unit
+                        });
+                    }
+                    else
+                    {
+                        if (entListDto.Where(m => m.RegisterCheckId == item.Key.registerCheck.Id).Count() == 0)
+                        {
+                            entListDto.Add(new GetAsbitemOrItemCriticalByPatientRegisterIdDto
+                            {
+                                RegisterCheckId = item.Key.registerCheck.Id,
+                                AsbitemName = string.Join(",", item.Select(ss => ss.asbitem.DisplayName).Distinct()),
+                                CriticalRangeValue = item.Key.registerCheck.CriticalRangeValue,
+                                CriticalValueContent = item.Key.registerCheck.CriticalValueContent,
+                                IsCriticalValue = item.Key.registerCheck.IsCriticalValue,
+                                IsCriticalValueAudit = item.Key.registerCheck.IsCriticalValueAudit,
+                                IsFollowUp = item.Key.registerCheck.IsFollowUp,
+                                IsReview = item.Key.registerCheck.IsReview,
+                                SummaryDetail = string.Join("<br>", item.Where(m => m.registerCheckSummaryHaveEmpty != null).Select(ss => ss.registerCheckSummaryHaveEmpty.Summary).Distinct()),
+                                ItemCriticalRangeValue = "",
+                                ItemCriticalValueContent = "",
+                                ItemIsCriticalValue = null,
+                                ItemIsCriticalValueAudit = null,
+                                ItemIsFollowUp = null,
+                                ItemIsReview = null,
+                                ItemName = "",
+                                ItemResult = "",
+                                ReferenceRangeValue = "",
+                                Unit = ""
+                            });
+                        }
+                    }
+                }
+            }
+
+            //var entListDto = registerCheckGroup.Select(s => new GetAsbitemOrItemCriticalByPatientRegisterIdDto
+            //{
+            //    RegisterCheckId = s.Key.registerCheck.Id,
+            //    AsbitemName = string.Join(",", s.Select(ss => ss.asbitem.DisplayName).Distinct()),
+            //    CriticalRangeValue = s.Key.registerCheck.CriticalRangeValue,
+            //    CriticalValueContent = s.Key.registerCheck.CriticalValueContent,
+            //    IsCriticalValue = s.Key.registerCheck.IsCriticalValue,
+            //    IsCriticalValueAudit = s.Key.registerCheck.IsCriticalValueAudit,
+            //    IsFollowUp = s.Key.registerCheck.IsFollowUp,
+            //    IsReview = s.Key.registerCheck.IsReview,
+            //    SummaryDetail = string.Join("<br>", s.Where(m => m.registerCheckSummaryHaveEmpty != null).Select(ss => ss.registerCheckSummaryHaveEmpty.Summary).Distinct()),
+            //    ItemCriticalRangeValue = s.Key.registerCheckItemHaveEmpty.CriticalRangeValue,
+            //    ItemCriticalValueContent = s.Key.registerCheckItemHaveEmpty.CriticalValueContent,
+            //    ItemIsCriticalValue = s.Key.registerCheckItemHaveEmpty.IsCriticalValue,
+            //    ItemIsCriticalValueAudit = s.Key.registerCheckItemHaveEmpty.IsCriticalValueAudit,
+            //    ItemIsFollowUp = s.Key.registerCheckItemHaveEmpty.IsFollowUp,
+            //    ItemIsReview = s.Key.registerCheckItemHaveEmpty.IsReview,
+            //    ItemName = s.FirstOrDefault().item.DisplayName,
+            //    ItemResult = s.Key.registerCheckItemHaveEmpty.Result,
+            //    ReferenceRangeValue = s.Key.registerCheckItemHaveEmpty.ReferenceRangeValue,
+            //    Unit = s.Key.registerCheckItemHaveEmpty.Unit
+            //}).ToList();
 
             //var entListDto = registerCheckGroup.Select(s => new GetAsbitemOrItemCriticalByPatientRegisterIdDto
             //{