diff --git a/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs b/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
index c2aaedc6..c76f23a9 100644
--- a/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
+++ b/src/Shentun.Peis.Application/DiagnosisFunctions/DiagnosisFunctionAppService.cs
@@ -171,7 +171,8 @@ namespace Shentun.Peis.DiagnosisFunctions
             {
                 SexId = query[0].patientRegister.SexId,
                 SexName = _cacheService.GetSexNameAsync(query[0].patientRegister.SexId).GetAwaiter().GetResult(),
-                Age = query[0].patientRegister.Age
+                Age = query[0].patientRegister.Age,
+                SexHormoneTermId = query[0].patientRegister.SexHormoneTermId
             };
             foreach (var item in query)
             {
@@ -546,6 +547,20 @@ namespace Shentun.Peis.DiagnosisFunctions
                         doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
                     }
                 }
+                else if (item.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.SexHormone && doctorCheckDiagnosisInput.SexHormoneTermId != null)
+                {
+                    //性激素参考范围
+                    var referenceRangeDiagnosis = await GetItemDiagnosisBySexHormoneReferenceRanges(doctorCheckDiagnosisInput.SexHormoneTermId, doctorCheckDiagnosisInput.Age, item);
+                    if (!string.IsNullOrWhiteSpace(referenceRangeDiagnosis))
+                    {
+                        var itemDiagnosisTypeResult = new ItemDiagnosisTypeResult()
+                        {
+                            DiagnosisType = '1'
+                        };
+                        itemDiagnosisTypeResult.Diagnosis.Add(referenceRangeDiagnosis);
+                        doctorCheckItemDiagnosisResult.ItemDiagnosisTypeResults.Add(itemDiagnosisTypeResult);
+                    }
+                }
                 else
                 {
 
@@ -759,6 +774,52 @@ namespace Shentun.Peis.DiagnosisFunctions
             return diagnosis;
         }
 
+
+        /// <summary>
+        /// 通过性激素参考范围获取项目诊断列表
+        /// </summary>
+        /// <param name="sexHormoneTermId"></param>
+        /// <param name="age"></param>
+        /// <param name="itemInput"></param>
+        /// <returns></returns>
+        private async Task<string> GetItemDiagnosisBySexHormoneReferenceRanges(Guid? sexHormoneTermId, short? age, ItemInput itemInput)
+        {
+            var diagnosisList = new List<string>();
+            if (string.IsNullOrWhiteSpace(itemInput.Result))
+            {
+                return null;
+            }
+
+            var referenceRangeList = itemInput.ReferenceRanges.Where(o => o.ReferenceRangeTypeFlag == ItemReferenceRangeTypeFlag.SexHormone).ToList();
+            if (!referenceRangeList.Any())
+            {
+                return null;
+            }
+            if (age == null)
+            {
+                age = 30;
+            }
+            var referenceRange = referenceRangeList.Where(o => o.SexHormoneTermId == sexHormoneTermId && age >= o.AgeLowerLimit && age <= o.AgeUpperLimit).FirstOrDefault();
+            if (referenceRange == null)
+            {
+                return null;
+            }
+
+            string diagnosis = null;
+           
+            string resultStatusId = _registerCheckItemManager.GetNumberResultStatusId(itemInput.Result, referenceRange.ReferenceRangeValue);
+            if (resultStatusId == ResultStatusFlag.Low)
+            {
+                diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, itemInput.Unit, true, referenceRange);
+            }
+            else if (resultStatusId == ResultStatusFlag.High)
+            {
+                diagnosis = await GetNumberDiagnosis(itemInput.ItemName, itemInput.Result, itemInput.Unit, false, referenceRange);
+            }
+
+            return diagnosis;
+        }
+
         /// <summary>
         /// 获取参考范围值跟结果  用于诊断函数
         /// </summary>
diff --git a/src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs b/src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs
index 0424c28e..79e5bee6 100644
--- a/src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs
+++ b/src/Shentun.Peis.Application/DiagnosisFunctions/DoctorCheckDiagnosisInput.cs
@@ -13,6 +13,8 @@ namespace Shentun.Peis.DiagnosisFunctions
         public char SexId { get; set; }
         public string SexName { get; set; }
         public short? Age { get; set; }
+
+        public Guid? SexHormoneTermId { get; set; }
         public List<AsbitemInput> Asbitems { get; set; } = new List<AsbitemInput>();
         public List<ItemInput> Items { get; set; } = new List<ItemInput> { };
     }