diff --git a/src/Shentun.Peis.Domain/LisRequests/LisRequestManager.cs b/src/Shentun.Peis.Domain/LisRequests/LisRequestManager.cs
index 3ed87fb..943a481 100644
--- a/src/Shentun.Peis.Domain/LisRequests/LisRequestManager.cs
+++ b/src/Shentun.Peis.Domain/LisRequests/LisRequestManager.cs
@@ -86,8 +86,10 @@ namespace Shentun.Peis.LisRequests
                        on registerCheckAsbitem.AsbitemId equals asbitem.Id
                        join itemType in await _itemTypeRepository.GetQueryableAsync()
                        on asbitem.ItemTypeId equals itemType.Id
-                       where patientRegister.Id == patientRegisterId 
+                       where patientRegister.Id == patientRegisterId
+                       && patientRegister.CompleteFlag != PatientRegisterCompleteFlag.PreRegistration
                        && patientRegister.CompleteFlag != PatientRegisterCompleteFlag.SumCheck
+                       && patientRegister.CompleteFlag != PatientRegisterCompleteFlag.Audit
                        &&  itemType.CheckTypeFlag == CheckTypeFlag.Laboratory
                        && registerCheck.CompleteFlag == RegisterCheckCompleteFlag.UnChecked
                        select new
diff --git a/test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs b/test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs
index 6d47dbd..e7ba3da 100644
--- a/test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs
+++ b/test/Shentun.Peis.Application.Tests/DiagnosisFunctionAppServiceTest.cs
@@ -481,21 +481,21 @@ namespace Shentun.Peis
         {
             string result = "";
             decimal tzzsDecimal = 0;
-         
+
             var itemResult = patient.Item.Result;
             if (string.IsNullOrWhiteSpace(itemResult))
             {
                 return null;
             }
-         
-         
+
+
             if (!decimal.TryParse(itemResult, out tzzsDecimal))
             {
                 return null;
             }
 
-         
-            if (tzzsDecimal > 24 )
+
+            if (tzzsDecimal > 24)
             {
                 return "超重";
             }
@@ -745,5 +745,229 @@ namespace Shentun.Peis
             }
             return msg;
         }
+
+        [Fact]
+        public void GetAsbitemDiagnosisResultTzzsTest()
+        {
+            var patient = new PatientAsbitemDiagnosisInput();
+            patient.SexName = "男";
+            patient.Age = 30;
+            patient.Items = new List<ItemResultInput>()
+            {
+                new ItemResultInput()
+                {
+                    ItemId = Guid.NewGuid(),
+                    ItemName = "体重指数",
+                    Result = "18"
+                }
+            };
+            var result = GetAsbitemDiagnosisResultTzzs(patient);
+            _output.WriteLine("结果：" + result);
+            return;
+            string code = @"
+                      string msg = null;
+            string result1 = """";
+            string result2= """";
+            string result3 = """";
+            string result4 = """";
+            string result5 = """";
+            foreach (var item in patient.Items)
+            {
+                if(item.ItemName == ""乙肝表面抗原(HBsAg)"")
+                {
+                    result1 = item.Result;
+                }
+                if (item.ItemName == ""乙肝表面抗体(抗-HBs)"")
+                {
+                    result2 = item.Result;
+                }
+                if (item.ItemName == ""乙肝e抗原(HBeAg)"")
+                {
+                    result3 = item.Result;
+                }
+                if (item.ItemName == ""乙肝e抗体(抗-HBe)"")
+                {
+                    result4 = item.Result;
+                }
+                if (item.ItemName == ""乙肝核心抗体(抗-HBc)"")
+                {
+                    result5 = item.Result;
+                }
+
+            }
+            switch (result1 + "","" + result2 + "","" + result3 + "","" + result4 + "","" + result5)
+            {
+                case ""阳性,阴性,阳性,阴性,阳性"":
+                    msg = ""乙肝五项检查大三阳"";
+                    break;
+                case ""阳性,阴性,阴性,阳性,阳性"":
+                    msg = ""乙肝五项检查小三阳"";
+                    break;
+                case ""阳性,阴性,阳性,阴性,阴性"":
+                    msg = ""乙肝五项检查第一项，第三项阳性"";
+                    break;
+                case ""阴性,阴性,阳性,阳性,阳性"":
+                    msg = ""乙肝两对半三,四,五阳性"";
+                    break;
+                case ""阳性,阴性,阴性,阴性,阳性"":
+                    msg = ""乙肝五项检查第一项，第五项阳性"";
+                    break;
+                case ""阴性,阴性,阴性,阳性,阳性"":
+                    msg = ""乙肝五项检查第四项，第五项阳性"";
+                    break;
+                case ""阳性,阴性,阳性,阳性,阴性"":
+                    msg = ""乙肝两对半一,三,四阳性"";
+                    break;
+                case ""阴性,阴性,阳性,阴性,阳性"":
+                    msg = ""乙肝五项检查第三项，第五项阳性"";
+                    break;
+                case ""阴性,阴性,阴性,阴性,阴性"":
+                    msg = ""乙肝五项全阴"";
+                    break;
+                case ""阴性,阳性,阴性,阴性,阴性"":
+                    msg = ""乙肝表面抗体阳性"";
+                    break;
+                case ""阳性,阴性,阴性,阴性,阴性"":
+                    msg = ""乙肝表面抗原阳性"";
+                    break;
+                case ""阴性,阳性,阴性,阳性,阳性"":
+                    msg = ""乙肝五项检查第二，第四，第五项阳性"";
+                    break;
+                case ""阴性,阴性,阴性,阳性,阴性"":
+                    msg = ""乙肝e抗体阳性"";
+                    break;
+                case ""阳性,阴性,阴性,阳性,阴性"":
+                    msg = ""乙肝五项检查第一项，第四项阳性"";
+                    break;
+                case ""阴性,阳性,阴性,阴性,阳性"":
+                    msg = ""乙肝五项检查第二项，第五项阳性"";
+                    break;
+                case ""阴性,阴性,阴性,阴性,阳性"":
+                    msg = ""乙肝核心抗体阳性"";
+                    break;
+                case ""阴性,弱阳性,阴性,阴性,阴性"":
+                    msg = ""乙肝表面抗体弱阳性"";
+                    break;
+                case ""阴性,弱阳性,阴性,阴性,阳性"":
+                    msg = ""乙肝五项检查第二项弱阳性，第五项阳性"";
+                    break;
+                default:
+                    msg = """";
+                    break;
+            }
+            return msg;
+                      ";
+
+
+            DiagnosisBuilder diagnosisBuilder = new DiagnosisBuilder();
+            result = diagnosisBuilder.GetAsbitemDiagnosisResult(patient, code);
+            _output.WriteLine("动态结果：" + result);
+
+
+        }
+        public string GetAsbitemDiagnosisResultTzzs(PatientAsbitemDiagnosisInput patient)
+        {
+            string msg = null;
+            string result1 = "";
+            string result2 = "";
+            string result3 = "";
+            string result4 = "";
+            string result5 = "";
+            foreach (var item in patient.Items)
+            {
+                if (item.ItemName == "体重指数")
+                {
+                    result1 = item.Result;
+                }
+
+            }
+            var tzzsPre = "体重指数:";
+            if (double.TryParse(result1, out var tzzsResult))
+            {
+                if (tzzsResult < 18.5)
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：体重过低";
+                }
+                else if (tzzsResult >= 24.9 && tzzsResult < 28)
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：超重";
+                }
+                else if (tzzsResult >= 28 && tzzsResult < 29.9)
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（轻度）";
+                }
+                else if (tzzsResult >= 29.9 && tzzsResult < 34.9)
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（中度）";
+                }
+                else if (tzzsResult >= 34.9)
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（重度）";
+                }
+                else
+                {
+                    msg = tzzsPre + tzzsResult.ToString() + "诊断为：正常";
+                }
+            }
+            return msg;
+        }
+
+        public string GetAsbitemDiagnosisResultTzzs2(PatientAsbitemDiagnosisInput patient)
+        {
+            string msg = null;
+            decimal sg = 0;
+            decimal tz = 0;
+            string tzStr = "";
+            string sgStr = "";
+            foreach (var item in patient.Items)
+            {
+                if (item.ItemName == "身高")
+                {
+                    sgStr = item.Result;
+                }
+                if (item.ItemName == "体重")
+                {
+                    tzStr = item.Result;
+                }
+
+            }
+            if (!decimal.TryParse(sgStr, out sg))
+            {
+                return "";
+            }
+            if (!decimal.TryParse(tzStr, out tz))
+            {
+                return "";
+            }
+            var tzzsResult = (double)(tz / ((sg / 100) * (sg / 100)));
+            var tzzsPre = "体重指数:";
+
+            if (tzzsResult < 18.5)
+            {
+                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：体重过低";
+            }
+            else if (tzzsResult >= 24.9 && tzzsResult < 28)
+            {
+                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：超重";
+            }
+            else if (tzzsResult >= 28 && tzzsResult < 29.9)
+            {
+                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：肥胖症（轻度）";
+            }
+            else if (tzzsResult >= 29.9 && tzzsResult < 34.9)
+            {
+                msg = tzzsPre + tzzsResult.ToString() + "诊断为：肥胖症（中度）";
+            }
+            else if (tzzsResult >= 34.9)
+            {
+                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：肥胖症（重度）";
+            }
+            else
+            {
+                msg = tzzsPre + tzzsResult.ToString("0.00") + "诊断为：正常";
+            }
+
+            return msg;
+        }
     }
 }