diff --git a/src/Shentun.Peis.Application.Contracts/BigtextResultTypes/CreateBigtextResultTypeDto.cs b/src/Shentun.Peis.Application.Contracts/BigtextResultTypes/CreateBigtextResultTypeDto.cs
index 12d91f7..14d1bdb 100644
--- a/src/Shentun.Peis.Application.Contracts/BigtextResultTypes/CreateBigtextResultTypeDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/BigtextResultTypes/CreateBigtextResultTypeDto.cs
@@ -17,6 +17,6 @@ namespace Shentun.Peis.BigtextResultTypes
         /// </summary>
         public Guid ItemTypeId { get; set; }
 
- 
+        public Guid? ParentId { get; set; }
     }
 }
diff --git a/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs b/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
index d94d64d..41eb223 100644
--- a/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
+++ b/src/Shentun.Peis.Application/PacsBusiness/PacsBusinessAppService.cs
@@ -60,7 +60,7 @@ namespace Shentun.Peis.PacsBusiness
                 throw new UserFriendlyException("图片数据不存在");
             }
 
-            string PatientRegisterId = "";
+
 
             var patientRegisterCompleteFlag = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
                                                join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
@@ -68,7 +68,8 @@ namespace Shentun.Peis.PacsBusiness
                                                select new
                                                {
                                                    registerCheckId = registerCheck.Id,
-                                                   CompleteFlag = patientRegister.CompleteFlag
+                                                   CompleteFlag = patientRegister.CompleteFlag,
+                                                   PatientRegisterId = patientRegister.Id
                                                }).ToList();
 
             if (patientRegisterCompleteFlag.Count == 0)
@@ -80,6 +81,8 @@ namespace Shentun.Peis.PacsBusiness
                 throw new UserFriendlyException("已总检人员不能导入图片");
 
 
+            string PatientRegisterId = patientRegisterCompleteFlag.FirstOrDefault().PatientRegisterId.ToString();
+
             Guid registerCheckId = patientRegisterCompleteFlag.FirstOrDefault().registerCheckId;
 
 
diff --git a/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs b/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
index 23595d9..7df9693 100644
--- a/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
+++ b/src/Shentun.Peis.Application/RegisterCheckPictures/RegisterCheckPictureAppService.cs
@@ -159,14 +159,15 @@ namespace Shentun.Peis.RegisterCheckPictures
                 throw new UserFriendlyException("请求参数有误");
             }
 
-            string PatientRegisterId = "";
+
 
             var patientRegisterCompleteFlag = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
                                                join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
                                                where registerCheck.Id == input.RegisterCheckId
                                                select new
                                                {
-                                                   CompleteFlag = patientRegister.CompleteFlag
+                                                   CompleteFlag = patientRegister.CompleteFlag,
+                                                   PatientRegisterId = patientRegister.Id
                                                }).ToList();
 
             if (patientRegisterCompleteFlag.Count == 0)
@@ -177,6 +178,7 @@ namespace Shentun.Peis.RegisterCheckPictures
             if (patientRegisterCompleteFlag.FirstOrDefault().CompleteFlag == PatientRegisterCompleteFlag.SumCheck)
                 throw new UserFriendlyException("已总检人员不能导入图片");
 
+            string PatientRegisterId = patientRegisterCompleteFlag.FirstOrDefault().PatientRegisterId.ToString();
 
             List<RegisterCheckPicture> entlist_insert = new List<RegisterCheckPicture>();
 
@@ -485,14 +487,15 @@ namespace Shentun.Peis.RegisterCheckPictures
                 throw new UserFriendlyException("请求参数有误");
             }
 
-            string PatientRegisterId = "";
+
 
             var patientRegisterCompleteFlag = (from patientRegister in await _patientRegisterRepository.GetQueryableAsync()
                                                join registerCheck in await _registerCheckRepository.GetQueryableAsync() on patientRegister.Id equals registerCheck.PatientRegisterId
                                                where registerCheck.Id == input.RegisterCheckId
                                                select new
                                                {
-                                                   CompleteFlag = patientRegister.CompleteFlag
+                                                   CompleteFlag = patientRegister.CompleteFlag,
+                                                   PatientRegisterId = patientRegister.Id
                                                }).ToList();
 
             if (patientRegisterCompleteFlag.Count == 0)
@@ -503,6 +506,7 @@ namespace Shentun.Peis.RegisterCheckPictures
             if (patientRegisterCompleteFlag.FirstOrDefault().CompleteFlag == PatientRegisterCompleteFlag.SumCheck)
                 throw new UserFriendlyException("已总检人员不能导入图片");
 
+            string PatientRegisterId = patientRegisterCompleteFlag.FirstOrDefault().PatientRegisterId.ToString();
 
             List<RegisterCheckPicture> entlist_insert = new List<RegisterCheckPicture>();