diff --git a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
index 8112db4b..d4a1e88c 100644
--- a/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/PatientRegisters/PatientRegisterAppService.cs
@@ -3079,7 +3079,22 @@ namespace Shentun.Peis.PatientRegisters
                     throw new UserFriendlyException("只有本人才能取消总检");
                 }
             }
-            entity.CompleteFlag = PatientRegisterCompleteFlag.PartCheck;
+
+            #region 如果所有检查都没有做  改为正式登记
+
+            var checkedCount = await _registerCheckRepository.CountAsync(c => c.PatientRegisterId == input.PatientRegisterId && c.CompleteFlag == RegisterCheckCompleteFlag.Checked);
+            if (checkedCount == 0)
+            {
+                entity.CompleteFlag = PatientRegisterCompleteFlag.Registration;
+            }
+            else
+            {
+                entity.CompleteFlag = PatientRegisterCompleteFlag.PartCheck;
+            }
+
+            #endregion
+
+
 
             var cancelClearManAndDate = await _sysParmValueManager.GetSysParmValueAsync(Guid.Empty, "cancel_clear_manAndDate");
             if (string.IsNullOrWhiteSpace(cancelClearManAndDate))