diff --git a/src/Shentun.Peis.Application.Contracts/PacsBusiness/GetPatientRegisterPacsCheckDto.cs b/src/Shentun.Peis.Application.Contracts/PacsBusiness/GetPatientRegisterPacsCheckDto.cs
index df47304..010e2e1 100644
--- a/src/Shentun.Peis.Application.Contracts/PacsBusiness/GetPatientRegisterPacsCheckDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/PacsBusiness/GetPatientRegisterPacsCheckDto.cs
@@ -16,6 +16,11 @@ namespace Shentun.Peis.PacsBusiness
         /// </summary>
         public string CheckRequestNo { get; set; }
 
+        /// <summary>
+        /// 检查ID
+        /// </summary>
+        public Guid RegisterCheckId { get; set; }
+
         /// <summary>
         /// 组合项目
         /// </summary>
diff --git a/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/GetAsbitemOrItemCriticalByPatientRegisterIdDto.cs b/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/GetAsbitemOrItemCriticalByPatientRegisterIdDto.cs
index 4a09a22..8a9de64 100644
--- a/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/GetAsbitemOrItemCriticalByPatientRegisterIdDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/GetAsbitemOrItemCriticalByPatientRegisterIdDto.cs
@@ -8,6 +8,12 @@ namespace Shentun.Peis.PhoneFollowUps
 {
     public class GetAsbitemOrItemCriticalByPatientRegisterIdDto
     {
+
+        /// <summary>
+        /// 检查ID 
+        /// </summary>
+        public Guid RegisterCheckId { get; set; }
+
         /// <summary>
         /// 组合项目名称 
         /// </summary>
@@ -53,15 +59,12 @@ namespace Shentun.Peis.PhoneFollowUps
         public char? IsFollowUp { get; set; }
 
 
-        /// <summary>
-        /// 项目明细数据
-        /// </summary>
-        public List<GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail> ItemDetails { get; set; }
 
-    }
+        ///// <summary>
+        ///// 项目明细数据
+        ///// </summary>
+        //public List<GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail> ItemDetails { get; set; }
 
-    public class GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail
-    {
         /// <summary>
         /// 项目名称 
         /// </summary>
@@ -83,36 +86,93 @@ namespace Shentun.Peis.PhoneFollowUps
         public string ReferenceRangeValue { get; set; }
 
         /// <summary>
-        /// 危急值范围
+        ///明细项目  危急值范围
         /// </summary>
-        public string CriticalRangeValue { get; set; }
+        public string ItemCriticalRangeValue { get; set; }
 
         /// <summary>
-        /// 危急值标志
+        ///明细项目 危急值标志
         /// </summary>
-        public char? IsCriticalValue { get; set; }
+        public char? ItemIsCriticalValue { get; set; }
 
         /// <summary>
-        /// 危急值处理内容
+        ///明细项目 危急值处理内容
         /// </summary>
-        public string CriticalValueContent { get; set; }
+        public string ItemCriticalValueContent { get; set; }
 
 
         /// <summary>
-        /// 危急值是否审核   Y-N
+        ///明细项目 危急值是否审核   Y-N
         /// </summary>
-        public char? IsCriticalValueAudit { get; set; }
+        public char? ItemIsCriticalValueAudit { get; set; }
 
 
         /// <summary>
-        /// 该项目要否要复查   Y-N
+        ///明细项目 该项目要否要复查   Y-N
         /// </summary>
-        public char? IsReview { get; set; }
+        public char? ItemIsReview { get; set; }
 
 
         /// <summary>
-        /// 随访标志    Y-N
+        ///明细项目 随访标志    Y-N
         /// </summary>
-        public char? IsFollowUp { get; set; }
+        public char? ItemIsFollowUp { get; set; }
+
     }
+
+    //public class GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail
+    //{
+    //    /// <summary>
+    //    /// 项目名称 
+    //    /// </summary>
+    //    public string ItemName { get; set; }
+
+    //    /// <summary>
+    //    /// 项目结果
+    //    /// </summary>
+    //    public string ItemResult { get; set; }
+
+    //    /// <summary>
+    //    /// 单位
+    //    /// </summary>
+    //    public string Unit { get; set; }
+
+    //    /// <summary>
+    //    /// 参考范围
+    //    /// </summary>
+    //    public string ReferenceRangeValue { get; set; }
+
+    //    /// <summary>
+    //    /// 危急值范围
+    //    /// </summary>
+    //    public string CriticalRangeValue { get; set; }
+
+    //    /// <summary>
+    //    /// 危急值标志
+    //    /// </summary>
+    //    public char? IsCriticalValue { get; set; }
+
+    //    /// <summary>
+    //    /// 危急值处理内容
+    //    /// </summary>
+    //    public string CriticalValueContent { get; set; }
+
+
+    //    /// <summary>
+    //    /// 危急值是否审核   Y-N
+    //    /// </summary>
+    //    public char? IsCriticalValueAudit { get; set; }
+
+
+    //    /// <summary>
+    //    /// 该项目要否要复查   Y-N
+    //    /// </summary>
+    //    public char? IsReview { get; set; }
+
+
+    //    /// <summary>
+    //    /// 随访标志    Y-N
+    //    /// </summary>
+    //    public char? IsFollowUp { get; set; }
+    //}
 }
diff --git a/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs b/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs
index 9d16571..b216dec 100644
--- a/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/PhoneFollowUps/PhoneFollowUpWithCriticalItemDto.cs
@@ -21,6 +21,11 @@ namespace Shentun.Peis.PhoneFollowUps
         /// </summary>
         public string IdNo { get; set; }
 
+        /// <summary>
+        /// 人员ID
+        /// </summary>
+        public Guid PatientRegisterId { get; set; }
+
         /// <summary>
         /// 人员条码号
         /// </summary>
diff --git a/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs b/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
index 37c804f..7dda602 100644
--- a/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
+++ b/src/Shentun.Peis.Application/PhoneFollowUps/PhoneFollowUpAppService.cs
@@ -259,6 +259,7 @@ namespace Shentun.Peis.PhoneFollowUps
                 PatientName = s.FirstOrDefault().patientRegister.PatientName,
                 IdNo = s.FirstOrDefault().patient.IdNo,
                 PatientRegisterNo = s.FirstOrDefault().patientRegister.PatientRegisterNo,
+                PatientRegisterId = s.FirstOrDefault().patientRegister.Id,
                 Age = s.FirstOrDefault().patientRegister.Age,
                 BirthDate = DataHelper.ConversionDateShortToString(s.FirstOrDefault().patientRegister.BirthDate),
                 CompleteFlag = s.FirstOrDefault().patientRegister.CompleteFlag,
@@ -394,34 +395,57 @@ namespace Shentun.Peis.PhoneFollowUps
 
 
 
-            var registerCheckGroup = query.ToList().GroupBy(g => g.registerCheck);
+            var registerCheckGroup = query.ToList().GroupBy(g => new { g.registerCheck, g.registerCheckItem });
 
             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.CriticalRangeValue,
-                CriticalValueContent = s.Key.CriticalValueContent,
-                IsCriticalValue = s.Key.IsCriticalValue,
-                IsCriticalValueAudit = s.Key.IsCriticalValueAudit,
-                IsFollowUp = s.Key.IsFollowUp,
-                IsReview = s.Key.IsReview,
+                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()),
-                ItemDetails = s.GroupBy(g => g.registerCheckItem).ToList()
-                .Select(ss => new GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail
-                {
-                    CriticalRangeValue = ss.Key.CriticalRangeValue,
-                    CriticalValueContent = ss.Key.CriticalValueContent,
-                    IsCriticalValue = ss.Key.IsCriticalValue,
-                    IsCriticalValueAudit = ss.Key.IsCriticalValueAudit,
-                    IsFollowUp = ss.Key.IsFollowUp,
-                    IsReview = ss.Key.IsReview,
-                    ItemName = ss.FirstOrDefault().item.DisplayName,
-                    ItemResult = ss.Key.Result,
-                    ReferenceRangeValue = ss.Key.ReferenceRangeValue,
-                    Unit = ss.Key.Unit
-                }).ToList()
+                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();
 
+            //var entListDto = registerCheckGroup.Select(s => new GetAsbitemOrItemCriticalByPatientRegisterIdDto
+            //{
+            //    AsbitemName = string.Join(",", s.Select(ss => ss.asbitem.DisplayName).Distinct()),
+            //    CriticalRangeValue = s.Key.CriticalRangeValue,
+            //    CriticalValueContent = s.Key.CriticalValueContent,
+            //    IsCriticalValue = s.Key.IsCriticalValue,
+            //    IsCriticalValueAudit = s.Key.IsCriticalValueAudit,
+            //    IsFollowUp = s.Key.IsFollowUp,
+            //    IsReview = s.Key.IsReview,
+            //    SummaryDetail = string.Join("<br>", s.Where(m => m.registerCheckSummaryHaveEmpty != null).Select(ss => ss.registerCheckSummaryHaveEmpty.Summary).Distinct()),
+            //    ItemDetails = s.GroupBy(g => g.registerCheckItem).ToList()
+            //    .Select(ss => new GetAsbitemOrItemCriticalByPatientRegisterIdItemDetail
+            //    {
+            //        CriticalRangeValue = ss.Key.CriticalRangeValue,
+            //        CriticalValueContent = ss.Key.CriticalValueContent,
+            //        IsCriticalValue = ss.Key.IsCriticalValue,
+            //        IsCriticalValueAudit = ss.Key.IsCriticalValueAudit,
+            //        IsFollowUp = ss.Key.IsFollowUp,
+            //        IsReview = ss.Key.IsReview,
+            //        ItemName = ss.FirstOrDefault().item.DisplayName,
+            //        ItemResult = ss.Key.Result,
+            //        ReferenceRangeValue = ss.Key.ReferenceRangeValue,
+            //        Unit = ss.Key.Unit
+            //    }).ToList()
+            //}).ToList();
+
             return entListDto;