diff --git a/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/CreateRegisterCheckPictureDto.cs b/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/CreateRegisterCheckPictureDto.cs
index ea5d51a..044ff53 100644
--- a/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/CreateRegisterCheckPictureDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/CreateRegisterCheckPictureDto.cs
@@ -1,5 +1,7 @@
 using System;
 using System.Collections.Generic;
+using System.ComponentModel.DataAnnotations.Schema;
+using System.ComponentModel.DataAnnotations;
 using System.Text;
 
 namespace Shentun.Peis.RegisterCheckPictures
@@ -26,6 +28,11 @@ namespace Shentun.Peis.RegisterCheckPictures
         /// </summary>
         public char IsPrint { get; set; } = 'N';
 
+        /// <summary>
+        /// 图片文件类型  0-仪器图片，1-报告文件，默认是0
+        /// </summary>
+        public char? PictureFileType { get; set; }
+
         ///// <summary>
         ///// 显示顺序  无需传值
         ///// </summary>
diff --git a/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/RegisterCheckPictureDto.cs b/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/RegisterCheckPictureDto.cs
index db03b26..18f6f4c 100644
--- a/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/RegisterCheckPictureDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/RegisterCheckPictures/RegisterCheckPictureDto.cs
@@ -22,6 +22,11 @@ namespace Shentun.Peis.RegisterCheckPictures
         /// </summary>
         public string LocalPathName { get; set; }
 
+        /// <summary>
+        /// 图片文件类型  0-仪器图片，1-报告文件，默认是0
+        /// </summary>
+        public char PictureFileType { get; set; }
+
         /// <summary>
         /// 是否打印标志
         /// </summary>
diff --git a/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs b/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
index e956a73..7e314c7 100644
--- a/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
@@ -89,6 +89,7 @@ namespace Shentun.Peis.RegisterCheckPictures
                 PictureFilename = s.a.PictureFilename,
                 LocalPathName = s.a.LocalPathName,
                 LastModifierName = s.LastModifierName,
+                PictureFileType = s.a.PictureFileType,
                 CreatorName = s.CreatorName
             }).OrderBy(o => o.DisplayOrder).ToList();
 
@@ -124,6 +125,8 @@ namespace Shentun.Peis.RegisterCheckPictures
                     ent.DisplayOrder = input.IndexOf(item) + 1;
                     // ent.PictureFilename = item.PictureFilename;
                     ent.IsPrint = item.IsPrint;
+                    if (item.PictureFileType != null)
+                        ent.PictureFileType = item.PictureFileType.Value;
 
                     entlist_update.Add(ent);
                 }
@@ -590,13 +593,13 @@ namespace Shentun.Peis.RegisterCheckPictures
                 throw new UserFriendlyException("图片资源不正确");
             }
 
-             
+
             registerCheckPictureEnt.PictureFilename = PictureUrl;
             if (!string.IsNullOrWhiteSpace(input.LocalPathName))
-            { 
+            {
                 registerCheckPictureEnt.LocalPathName = input.LocalPathName;
             }
-           
+
             await _registerCheckPictureRepository.UpdateAsync(registerCheckPictureEnt);
 
         }
diff --git a/src/Shentun.Peis.Domain/RegisterChecks/RegisterCheckManager.cs b/src/Shentun.Peis.Domain/RegisterChecks/RegisterCheckManager.cs
index c43767b..fc4fa16 100644
--- a/src/Shentun.Peis.Domain/RegisterChecks/RegisterCheckManager.cs
+++ b/src/Shentun.Peis.Domain/RegisterChecks/RegisterCheckManager.cs
@@ -107,7 +107,7 @@ namespace Shentun.Peis.RegisterChecks
             registerCheckEnt.CompleteFlag = CompleteFlag;
             if (registerCheckEnt.CompleteFlag == RegisterCheckCompleteFlag.UnChecked)
             {
-                registerCheckEnt.CheckDoctorId = null;
+                //registerCheckEnt.CheckDoctorId = null;   //保留医生  删除结果时
                 registerCheckEnt.ExecOrganizationUnitId = null;
                 registerCheckEnt.CheckDate = null;
             }
@@ -210,13 +210,13 @@ namespace Shentun.Peis.RegisterChecks
             }
             entity.CheckDoctorId = checkDoctorId;
             entity.CompleteFlag = RegisterCheckCompleteFlag.Checked;
-            if(execOrganizationUnitId != null && execOrganizationUnitId != Guid.Empty)
+            if (execOrganizationUnitId != null && execOrganizationUnitId != Guid.Empty)
             {
                 entity.ExecOrganizationUnitId = execOrganizationUnitId;
             }
             else
             {
-                if(Guid.TryParse(entity.CheckDoctorId,out var checkDoctorIdGuid))
+                if (Guid.TryParse(entity.CheckDoctorId, out var checkDoctorIdGuid))
                 {
                     var identityUserOrganizationUnit = _identityUserOrganizationUnitRepository.GetAsync(o => o.UserId == checkDoctorIdGuid).Result;
                     entity.ExecOrganizationUnitId = identityUserOrganizationUnit.OrganizationUnitId;
@@ -488,7 +488,7 @@ namespace Shentun.Peis.RegisterChecks
                     //获取全局配置
                     check_request_no_rule_prefix = check_request_no_rule_prefix_ent.ParmValue;
                 }
-              
+
             }
 
             if (string.IsNullOrWhiteSpace(check_request_no_rule_tail_len))
@@ -530,8 +530,8 @@ namespace Shentun.Peis.RegisterChecks
                     {
                         maxnum = (Convert.ToInt32(primarykeyBuilderEnt.SerialNo) + 1).ToString();
                     }
-                   
-                  
+
+
                     primarykeyBuilderEnt.SerialNo = maxnum; //更新新的序列号
 
                     CheckRequestNo = check_request_no_rule_prefix + date + maxnum.PadLeft(Convert.ToInt32(check_request_no_rule_tail_len), '0');
@@ -551,7 +551,7 @@ namespace Shentun.Peis.RegisterChecks
                         SerialNo = maxnum
                     };
 
-                    await _primarykeyBuilderRepository.InsertAsync(primarykeyBuilderEnt,true);
+                    await _primarykeyBuilderRepository.InsertAsync(primarykeyBuilderEnt, true);
                 }
                 #endregion
             }
@@ -578,7 +578,7 @@ namespace Shentun.Peis.RegisterChecks
                         SerialNo = maxnum
                     };
 
-                    await _primarykeyBuilderRepository.InsertAsync(primarykeyBuilderEnt,true);
+                    await _primarykeyBuilderRepository.InsertAsync(primarykeyBuilderEnt, true);
                 }