diff --git a/src/Shentun.Peis.Application.Contracts/Diagnosises/DiagnosisInSuggestionDto.cs b/src/Shentun.Peis.Application.Contracts/Diagnosises/DiagnosisInSuggestionDto.cs
index e444e3d..aaa9627 100644
--- a/src/Shentun.Peis.Application.Contracts/Diagnosises/DiagnosisInSuggestionDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/Diagnosises/DiagnosisInSuggestionDto.cs
@@ -7,7 +7,15 @@ namespace Shentun.Peis.Diagnosises
 {
     public class DiagnosisInSuggestionDto:DiagnosisDto
     {
-        public List<SuggestionDto> Suggestions { get; set; }
+        /// <summary>
+        /// 医学解释
+        /// </summary>
+        public List<SuggestionDto> MedicalInterpretations { get; set; }
+
+        /// <summary>
+        /// 健康指导
+        /// </summary>
+        public List<SuggestionDto> HealthGuidances { get; set; }
     }
 
    
diff --git a/src/Shentun.Peis.Application.Contracts/Suggestions/CreateSuggestionManyDto.cs b/src/Shentun.Peis.Application.Contracts/Suggestions/CreateSuggestionManyDto.cs
index 0bc17d2..19db928 100644
--- a/src/Shentun.Peis.Application.Contracts/Suggestions/CreateSuggestionManyDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/Suggestions/CreateSuggestionManyDto.cs
@@ -14,16 +14,16 @@ namespace Shentun.Peis.Suggestions
         [Required(ErrorMessage = "诊断ID不能为空")]
         public Guid DiagnosisId { get; set; }
 
+        /// <summary>
+        /// 建议类型(0-代表医学解释，1-代表健康指导)
+        /// </summary>
+        public char SuggestionType { get; set; }
+
         public List<CreateSuggestionMany_Detail> Details { get; set; } = new List<CreateSuggestionMany_Detail>();
     }
 
     public class CreateSuggestionMany_Detail
     {
-        /// <summary>
-        /// 诊断ID
-        /// </summary>
-        public Guid DiagnosisId { get; set; }
-
         /// <summary>
         /// 建议内容
         /// </summary>
diff --git a/src/Shentun.Peis.Application/Diagnosises/DiagnosisAppService.cs b/src/Shentun.Peis.Application/Diagnosises/DiagnosisAppService.cs
index bb5326b..ed10c39 100644
--- a/src/Shentun.Peis.Application/Diagnosises/DiagnosisAppService.cs
+++ b/src/Shentun.Peis.Application/Diagnosises/DiagnosisAppService.cs
@@ -3,6 +3,7 @@ using Microsoft.AspNetCore.Authorization;
 using Microsoft.AspNetCore.Mvc;
 using Microsoft.EntityFrameworkCore;
 using Shentun.Peis.Diagnosises;
+using Shentun.Peis.Enums;
 using Shentun.Peis.GuidTypes;
 using Shentun.Peis.HelperDto;
 using Shentun.Peis.Items;
@@ -139,7 +140,7 @@ namespace Shentun.Peis.Diagnosises
                 IsSummaryTemplate = s.FirstOrDefault().a.IsSummaryTemplate,
                 ItemTypeId = s.FirstOrDefault().a.ItemTypeId,
                 SuggestionName = s.FirstOrDefault().a.SuggestionName,
-                Suggestions = s.Where(m => m.ab != null).Select(ss => new SuggestionDto
+                HealthGuidances = s.Where(m => m.ab != null && m.ab.SuggestionType == SuggestionTypeFlag.HealthGuidance).Select(ss => new SuggestionDto
                 {
                     CreationTime = ss.ab.CreationTime,
                     CreatorId = ss.ab.CreatorId,
@@ -153,8 +154,22 @@ namespace Shentun.Peis.Diagnosises
                     SuggestionContent = ss.ab.SuggestionContent
 
                 }).OrderBy(o => o.DisplayOrder).ToList(),
+                MedicalInterpretations = s.Where(m => m.ab != null && m.ab.SuggestionType == SuggestionTypeFlag.MedicalInterpretation).Select(ss => new SuggestionDto
+                {
+                    CreationTime = ss.ab.CreationTime,
+                    CreatorId = ss.ab.CreatorId,
+                    CreatorName = s.FirstOrDefault().ae != null ? s.FirstOrDefault().ae.UserName : "",
+                    LastModifierName = s.FirstOrDefault().af != null ? s.FirstOrDefault().af.UserName : "",
+                    DiagnosisId = ss.ab.DiagnosisId,
+                    DisplayOrder = ss.ab.DisplayOrder,
+                    Id = ss.ab.Id,
+                    LastModificationTime = ss.ab.LastModificationTime,
+                    LastModifierId = ss.ab.LastModifierId,
+                    SuggestionContent = ss.ab.SuggestionContent
 
-            }).OrderBy(o=>o.ItemTypeId).ThenBy(o => o.DisplayOrder).ToList();
+                }).OrderBy(o => o.DisplayOrder).ToList(),
+
+            }).OrderBy(o => o.ItemTypeId).ThenBy(o => o.DisplayOrder).ToList();
 
 
             return entlist;
@@ -239,7 +254,7 @@ namespace Shentun.Peis.Diagnosises
             var createEntity = ObjectMapper.Map<CreateDiagnosisDto, Diagnosis>(input);
             var entity = await _manager.CreateAsync(createEntity);
             entity = await Repository.InsertAsync(entity, true);
-            var entdto =await GetAsync(entity.Id);
+            var entdto = await GetAsync(entity.Id);
             return entdto;
         }
         /// <summary>
@@ -268,7 +283,7 @@ namespace Shentun.Peis.Diagnosises
         {
             return base.DeleteAsync(id);
         }
-         
+
 
         /// <summary>
         /// 修改排序  置顶，置底
diff --git a/src/Shentun.Peis.Application/Suggestions/SuggestionAppService.cs b/src/Shentun.Peis.Application/Suggestions/SuggestionAppService.cs
index ed814fb..2e1ec7d 100644
--- a/src/Shentun.Peis.Application/Suggestions/SuggestionAppService.cs
+++ b/src/Shentun.Peis.Application/Suggestions/SuggestionAppService.cs
@@ -41,7 +41,7 @@ namespace Shentun.Peis.Suggestions
         public async Task CreateSuggestionManyAsync(CreateSuggestionManyDto input)
         {
             //先按诊断ID删除所有建议
-            await _manager.CheckAndDeleteInDiagnosisIdAsync(input.DiagnosisId);
+            await _manager.CheckAndDeleteInDiagnosisIdAsync(input.DiagnosisId, input.SuggestionType);
 
             if (input.Details.Any())
             {
@@ -52,7 +52,8 @@ namespace Shentun.Peis.Suggestions
                     {
                         DiagnosisId = input.DiagnosisId,
                         DisplayOrder = input.Details.IndexOf(item) + 1,
-                        SuggestionContent = item.SuggestionContent
+                        SuggestionContent = item.SuggestionContent,
+                        SuggestionType = input.SuggestionType
                     };
 
                     suggestions.Add(_manager.CreateAsync(entity));
diff --git a/src/Shentun.Peis.Domain.Shared/Enums/SuggestionTypeFlag.cs b/src/Shentun.Peis.Domain.Shared/Enums/SuggestionTypeFlag.cs
new file mode 100644
index 0000000..d4c1d03
--- /dev/null
+++ b/src/Shentun.Peis.Domain.Shared/Enums/SuggestionTypeFlag.cs
@@ -0,0 +1,23 @@
+using System;
+using System.Collections.Generic;
+using System.ComponentModel;
+using System.Text;
+
+namespace Shentun.Peis.Enums
+{
+    public static class SuggestionTypeFlag
+    {
+        /// <summary>
+        /// 医学解释
+        /// </summary>
+        [Description("医学解释")]
+        public const char MedicalInterpretation = '0';
+
+
+        /// <summary>
+        /// 健康指导
+        /// </summary>
+        [Description("健康指导")]
+        public const char HealthGuidance = '1';
+    }
+}
diff --git a/src/Shentun.Peis.Domain/Suggestions/SuggestionManager.cs b/src/Shentun.Peis.Domain/Suggestions/SuggestionManager.cs
index 072d512..1e6f2a2 100644
--- a/src/Shentun.Peis.Domain/Suggestions/SuggestionManager.cs
+++ b/src/Shentun.Peis.Domain/Suggestions/SuggestionManager.cs
@@ -36,16 +36,15 @@ namespace Shentun.Peis.Suggestions
 
             return entity;
         }
-
         /// <summary>
         /// 按诊断删除建议
         /// </summary>
-        /// <param name="DiagnosisId">诊断ID</param>
+        /// <param name="diagnosisId">诊断ID</param>
+        /// <param name="suggestionType"></param>
         /// <returns></returns>
-        /// <exception cref="UserFriendlyException"></exception>
-        public async Task CheckAndDeleteInDiagnosisIdAsync(Guid DiagnosisId)
+        public async Task CheckAndDeleteInDiagnosisIdAsync(Guid diagnosisId, char suggestionType = '0')
         {
-            var suggestionList = await _repository.GetListAsync(m => m.DiagnosisId == DiagnosisId);
+            var suggestionList = await _repository.GetListAsync(m => m.DiagnosisId == diagnosisId && m.SuggestionType == suggestionType);
             if (suggestionList.Any())
             {