diff --git a/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointPlugInsBase.cs b/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointPlugInsBase.cs
index e04c5e39..b2994f17 100644
--- a/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointPlugInsBase.cs
+++ b/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointPlugInsBase.cs
@@ -104,7 +104,7 @@ namespace Shentun.Peis.PlugIns.WebAppoints
         /// <param name="input"></param>
         /// <returns></returns>
         /// <exception cref="NotImplementedException"></exception>
-        public virtual async Task<List<QuestionRegisterItemResultDto>> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
+        public virtual async Task<GetQuestionRegisterListByIdNoDto> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
         {
             throw new NotImplementedException();
         }
diff --git a/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointWebPeisPlugIns.cs b/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointWebPeisPlugIns.cs
index b4ff43cf..370c1827 100644
--- a/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointWebPeisPlugIns.cs
+++ b/src/Shentun.ColumnReferencePlugIns/WebAppoints/WebAppointWebPeisPlugIns.cs
@@ -236,10 +236,10 @@ namespace Shentun.Peis.PlugIns.WebAppoints
         /// <param name="input"></param>
         /// <returns></returns>
         /// <exception cref="NotImplementedException"></exception>
-        public override async Task<List<QuestionRegisterItemResultDto>> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
+        public override async Task<GetQuestionRegisterListByIdNoDto> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
         {
             var appointStatisticsReportListDto = await CallWePeisAppServiceAsync<IdNoInputDto,
-              List<QuestionRegisterItemResultDto>>
+              GetQuestionRegisterListByIdNoDto>
                 (_webPeisGetQuestionRegisterListByIdNoUrl, input);
             return appointStatisticsReportListDto;
         }
diff --git a/src/Shentun.Peis.Application.Contracts/AppointPatientRegisters/QuestionRegisterItemResultDto.cs b/src/Shentun.Peis.Application.Contracts/AppointPatientRegisters/QuestionRegisterItemResultDto.cs
index 32312e19..20690233 100644
--- a/src/Shentun.Peis.Application.Contracts/AppointPatientRegisters/QuestionRegisterItemResultDto.cs
+++ b/src/Shentun.Peis.Application.Contracts/AppointPatientRegisters/QuestionRegisterItemResultDto.cs
@@ -4,6 +4,35 @@ using System.Text;
 
 namespace Shentun.Peis.AppointPatientRegisters
 {
+
+    public class GetQuestionRegisterListByIdNoDto
+    {
+        /// <summary>
+        /// 问卷详情
+        /// </summary>
+        public List<QuestionRegisterItemResultDto> QuestionDetail { get; set; } = new List<QuestionRegisterItemResultDto>();
+
+        /// <summary>
+        /// 疾病症状
+        /// </summary>
+        public List<PersonSubjectTypeDto> SubjectTypeDetail { get; set; } = new List<PersonSubjectTypeDto>();
+
+        /// <summary>
+        /// 疾病风险
+        /// </summary>
+        public List<QuestionRegisterDiseaseRiskDto> DiseaseRiskDetail { get; set; } = new List<QuestionRegisterDiseaseRiskDto>();
+
+
+        /// <summary>
+        /// 推荐项目详情  集合   分三类
+        /// </summary>
+        public List<RecommendMedicalPackageDto> RecommendMedicalPackageDetail { get; set; } = new List<RecommendMedicalPackageDto>();
+
+    }
+
+
+
+    #region 问卷详情
     public class QuestionRegisterItemResultDto
     {
         /// <summary>
@@ -34,4 +63,215 @@ namespace Shentun.Peis.AppointPatientRegisters
         public string Answer { get; set; }
         public int DisplayOrder { get; set; }
     }
+    #endregion
+
+
+
+    #region 疾病症状
+    public class PersonSubjectTypeDto
+    {
+        /// <summary>
+        /// 题目类别ID
+        /// </summary>
+        public string QuestionSubjectTypeId { get; set; }
+        /// <summary>
+        /// 名称
+        /// </summary>
+
+        public string QuestionSubjectTypeName { get; set; } = null!;
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+        public int DisplayOrder { get; set; }
+        /// <summary>
+        /// 答案集合
+        /// </summary>
+
+        public List<PersonSubjectTypeQuestionAnswer> Answers { get; set; } = new List<PersonSubjectTypeQuestionAnswer>();
+
+    }
+
+    public class PersonSubjectTypeQuestionAnswer
+    {
+        /// <summary>
+        /// 答案
+        /// </summary>
+        public string QuestionAnswerName { get; set; }
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+        public int DisplayOrder { get; set; }
+    }
+
+    #endregion
+
+
+    #region 疾病风险
+    public class QuestionRegisterDiseaseRiskDto
+    {
+        /// <summary>
+        /// 主键
+        /// </summary>
+        public Guid DiseaseRiskId { get; set; }
+        /// <summary>
+        /// 名称
+        /// </summary>
+
+        public string DiseaseRiskName { get; set; } = null!;
+
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+
+        public int DisplayOrder { get; set; }
+
+        /// <summary>
+        /// 风险级别ID
+        /// </summary>
+        public Guid? DiseaseRiskLevelId { get; set; }
+        /// <summary>
+        /// 风险级别名称
+        /// </summary>
+
+        public string DiseaseRiskLevelName { get; set; }
+    }
+    #endregion
+
+
+    #region 推荐项目详情
+
+    public class RecommendMedicalPackageDto
+    {
+        /// <summary>
+        /// 套餐主档编号
+        /// </summary>
+        public Guid MedicalPackageId { get; set; }
+
+        /// <summary>
+        /// 名称
+        /// </summary>
+        public string MedicalPackageName { get; set; } = null!;
+
+        /// <summary>
+        /// 价格
+        /// </summary>
+        public decimal Price { get; set; }
+
+        /// <summary>
+        /// 套餐和推荐项目总价格
+        /// </summary>
+        public decimal SumPrice { get; set; }
+
+        /// <summary>
+        /// 备注
+        /// </summary>
+        public string? Remark { get; set; }
+
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+        public int DisplayOrder { get; set; }
+
+        /// <summary>
+        /// 套餐组合项目列表
+        /// </summary>
+        public List<RecommendMedicalPackageAsbitem> Asbitems { get; set; } = new List<RecommendMedicalPackageAsbitem>();
+
+        /// <summary>
+        /// 风险级别推荐组合项目
+        /// </summary>
+        public List<PersonDiseaseRiskLevelDto> DiseaseRiskLevelAsbitems { get; set; } = new List<PersonDiseaseRiskLevelDto>();
+        /// <summary>
+        /// 禁止检查组合项目列表
+        /// </summary>
+
+        public List<RecommendMedicalPackageAsbitem> ForbidlCheckAsbitems { get; set; } = new List<RecommendMedicalPackageAsbitem>();
+
+
+    }
+
+    public class RecommendMedicalPackageAsbitem
+    {
+        /// <summary>
+        /// 编号
+        /// </summary>
+        public Guid AsbitemId { get; set; }
+
+        /// <summary>
+        /// 名称
+        /// </summary>
+        public string AsbitemName { get; set; } = null!;
+
+        /// <summary>
+        /// 简称
+        /// </summary>
+        public string? ShortName { get; set; }
+
+        /// <summary>
+        /// 价格
+        /// </summary>
+        public decimal Price { get; set; }
+        /// <summary>
+        /// 临床意义
+        /// </summary>
+        public string? ClinicalMeaning { get; set; }
+
+        /// <summary>
+        /// 警告事项
+        /// </summary>
+        public string? Warn { get; set; }
+
+        /// <summary>
+        /// 是否属于套餐
+        /// </summary>
+        public char IsBelongMedicalPackage { get; set; }
+        //备孕、怀孕标志
+
+        public char ForPregnantFlag { get; set; }
+
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+        public int DisplayOrder { get; set; }
+        /// <summary>
+        /// 组合项目推荐级别
+        /// </summary>
+
+        public int AsbitemRecommendLevelId { get; set; }
+    }
+
+
+    public class PersonDiseaseRiskLevelDto
+    {
+        /// <summary>
+        /// 主键
+        /// </summary>
+        public Guid DiseaseRiskId { get; set; }
+        /// <summary>
+        /// 名称
+        /// </summary>
+
+        public string DiseaseRiskName { get; set; } = null!;
+
+        /// <summary>
+        /// 显示顺序
+        /// </summary>
+
+        public int DisplayOrder { get; set; }
+
+        /// <summary>
+        /// 风险级别ID
+        /// </summary>
+        public Guid? DiseaseRiskLevelId { get; set; }
+        /// <summary>
+        /// 风险级别名称
+        /// </summary>
+
+        public string DiseaseRiskLevelName { get; set; }
+
+        public int DiseaseRiskLevelDisplayOrder { get; set; }
+
+        public List<RecommendMedicalPackageAsbitem> Asbitems { get; set; } = new List<RecommendMedicalPackageAsbitem>();
+    } 
+    #endregion
 }
diff --git a/src/Shentun.Peis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs b/src/Shentun.Peis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
index 371c0a49..6150a15d 100644
--- a/src/Shentun.Peis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
+++ b/src/Shentun.Peis.Application/AppointPatientRegisters/AppointPatientRegisterAppService.cs
@@ -376,7 +376,7 @@ namespace Shentun.Peis.AppointPatientRegisters
         /// <returns></returns>
         /// <exception cref="UserFriendlyException"></exception>
         [HttpPost("api/app/QuestionRegister/GetQuestionRegisterListByPatientRegisterNo")]
-        public async Task<List<QuestionRegisterItemResultDto>> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
+        public async Task<GetQuestionRegisterListByIdNoDto> GetQuestionRegisterListByIdNoAsync(IdNoInputDto input)
         {
             var thirdInterface = await _thirdInterfaceRepository.FirstOrDefaultAsync(f => f.ThirdInterfaceType == ThirdInterfaceTypeFlag.WebAppoint);
             if (thirdInterface.IsActive != 'Y')
@@ -392,7 +392,7 @@ namespace Shentun.Peis.AppointPatientRegisters
             var assemblyName = config.GetSection("Interface").GetSection("AssemblyName").Value;
             var className = config.GetSection("Interface").GetSection("ClassName").Value;
 
-            var pluginsOut = await Utilities.ReflectionHelper.InvokeAsync<List<QuestionRegisterItemResultDto>>(assemblyName,
+            var pluginsOut = await Utilities.ReflectionHelper.InvokeAsync<GetQuestionRegisterListByIdNoDto>(assemblyName,
                 className, [thirdInterface.Id], "GetQuestionRegisterListByIdNoAsync", objects);
             return pluginsOut;
         }