diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseaseAncillaryManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseaseAncillaryManageController.java
index 7886c7e7..d39ee7b2 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseaseAncillaryManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/diseasemanage/DiseaseAncillaryManageController.java
@@ -55,7 +55,7 @@ public class DiseaseAncillaryManageController {
     @GetMapping("/queryListByDiseaseId")
     public List<DiseaseAncillaryResVo> queryListByDiseaseId(@RequestParam("diseaseId") String diseaseId) {
 
-        return diseaseAncillaryManageService.queryListByDiseaseId(diseaseId);
+        return diseaseAncillaryManageService.queryListByDiseaseId(diseaseId,0);
 
     }
 
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
index d22ada42..7806f9c4 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/controller/medicalrec/MedicalRecManageController.java
@@ -1,5 +1,7 @@
 package com.supervision.manage.controller.medicalrec;
 
+import cn.hutool.core.lang.Assert;
+import cn.hutool.core.util.StrUtil;
 import com.baomidou.mybatisplus.core.metadata.IPage;
 import com.supervision.manage.pojo.vo.*;
 import com.supervision.manage.service.MedicalRecManageService;
@@ -66,6 +68,13 @@ public class MedicalRecManageController {
         return medicalRecManageService.queryDiseaseAncillaryByCreat(diseaseId);
     }
 
+    @Operation(summary = "查看配置的辅助检查项")
+    @GetMapping("queryDiseaseAncillary")
+    public List<DiseaseAncillaryResVo> queryDiseaseAncillary(@Parameter(name = "medicalRecId", description = "病例id") String medicalRecId){
+        return medicalRecManageService.queryDiseaseAncillary(medicalRecId);
+    }
+
+
     @Operation(summary = "创建病历时查看配置的体格检查项")
     @GetMapping("queryDiseasePhysicalByCreat")
     public List<DiseasePhysicalResVo> queryDiseasePhysicalByCreat(String diseaseId){
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/DiseaseAncillaryManageService.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/DiseaseAncillaryManageService.java
index 861601c0..b19aa511 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/DiseaseAncillaryManageService.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/DiseaseAncillaryManageService.java
@@ -9,7 +9,7 @@ import java.util.List;
 
 public interface DiseaseAncillaryManageService {
 
-    List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId);
+    List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId,Integer relationType);
 
     DiseaseAncillary saveAncillary(DiseaseAncillary diseaseAncillary);
 
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
index 102b0114..97e46323 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/MedicalRecManageService.java
@@ -60,4 +60,6 @@ public interface MedicalRecManageService {
     Boolean updateMedicalRecPhysical(DiseasePhysicalReqVo diseasePhysicalReqVo);
 
     Boolean updateMedicalRecAncillary(DiseaseAncillaryReqVo diseaseAncillaryReqVo);
+
+    List<DiseaseAncillaryResVo> queryDiseaseAncillary(String medicalId);
 }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
index ea68cce4..cd3cce6c 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/DiseaseAncillaryManageServiceImpl.java
@@ -29,10 +29,11 @@ public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManage
     private final ConfigAncillaryItemService configAncillaryItemService;
 
     @Override
-    public List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId) {
+    public List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId,Integer relationType) {
 
         Assert.isTrue(StrUtil.isNotEmpty(diseaseId),"diseaseId不能为空");
-        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(diseaseId);
+        relationType = Objects.isNull(relationType) ? 0 : relationType;
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(diseaseId,relationType);
 
         diseaseAncillaryResVos.forEach(DiseaseAncillaryResVo::populateOther);
         return diseaseAncillaryResVos;
@@ -83,7 +84,7 @@ public class DiseaseAncillaryManageServiceImpl implements DiseaseAncillaryManage
             return configAncillaryItemResVOS;
         }
 
-        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(ancillaryItemReqVo.getDiseaseId());
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(ancillaryItemReqVo.getDiseaseId(),0);
         if (CollUtil.isEmpty(diseaseAncillaryResVos)){
             return configAncillaryItemResVOS;
         }
diff --git a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
index f053692c..038c14e2 100644
--- a/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
+++ b/virtual-patient-manage/src/main/java/com/supervision/manage/service/impl/MedicalRecManageServiceImpl.java
@@ -145,7 +145,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
     @Override
     public List<DiseaseAncillaryResVo> queryDiseaseAncillaryByCreat(String diseaseId) {
         // 辅助检查
-        return diseaseAncillaryManageService.queryListByDiseaseId(diseaseId);
+        return diseaseAncillaryManageService.queryListByDiseaseId(diseaseId,0);
     }
 
     @Override
@@ -243,7 +243,7 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         MedicalRecInfoVO medicalRecInfoVO = BeanUtil.toBean(medicalRec, MedicalRecInfoVO.class);
         medicalRecInfoVO.setDiseaseName(diseaseService.getById(medicalRec.getDiseaseId()).getDiseaseName());
         // 辅助检查
-        medicalRecInfoVO.setAncillaryList(diseaseAncillaryManageService.queryListByDiseaseId(medicalRec.getDiseaseId()));
+        medicalRecInfoVO.setAncillaryList(diseaseAncillaryManageService.queryListByDiseaseId(medicalRec.getDiseaseId(),0));
         // 体格检查
         medicalRecInfoVO.setPhysicalList(diseasePhysicalManageService.queryListByDiseaseId(medicalRec.getDiseaseId()));
         // 处置计划
@@ -501,6 +501,21 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
         return diseaseAncillaryManageService.updateAncillary(diseaseAncillaryReqVo);
     }
 
+    @Override
+    public List<DiseaseAncillaryResVo> queryDiseaseAncillary(String medicalId) {
+        // 在病历没有保存病历与辅助检查的关联数据时,直接通过medicalId不能够查询到数据,这个时候用对应疾病的数据
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryManageService.queryListByDiseaseId(medicalId,1);
+        if (CollUtil.isNotEmpty(diseaseAncillaryResVos)) {
+            return diseaseAncillaryResVos;
+        }
+        log.info("queryDiseaseAncillary:未找到该病历辅助检查数据,使用对应疾病辅助检查数据");
+        MedicalRec medicalRec = medicalRecService.getById(medicalId);
+        Assert.notNull(medicalRec, "未找到该病历");
+        Assert.notEmpty(medicalRec.getDiseaseId(), "未配置疾病信息");
+
+        return diseaseAncillaryManageService.queryListByDiseaseId(medicalRec.getDiseaseId(),0);
+    }
+
     private void saveMedicalRecAssert(MedicalRecInfoReVo reqVO){
         Assert.notEmpty(reqVO.getId(), "id不能为空");
         Assert.notEmpty(reqVO.getPatientId(),"病人id不能为空");
diff --git a/virtual-patient-model/src/main/java/com/supervision/mapper/DiseaseAncillaryMapper.java b/virtual-patient-model/src/main/java/com/supervision/mapper/DiseaseAncillaryMapper.java
index a3a3e9ed..b5adf303 100644
--- a/virtual-patient-model/src/main/java/com/supervision/mapper/DiseaseAncillaryMapper.java
+++ b/virtual-patient-model/src/main/java/com/supervision/mapper/DiseaseAncillaryMapper.java
@@ -19,7 +19,7 @@ public interface DiseaseAncillaryMapper extends BaseMapper<DiseaseAncillary> {
     List<DiseaseAncillaryDto> queryDiseaseAncillaryDtoList(@Param("diseaseAncillary")DiseaseAncillary diseaseAncillary);
 
 
-    List<DiseaseAncillaryResVo> queryListByDiseaseId(@Param("diseaseId")String diseaseId);
+    List<DiseaseAncillaryResVo> queryListByDiseaseId(@Param("diseaseId")String diseaseId,@Param("relationType")Integer relationType);
 
 }
 
diff --git a/virtual-patient-model/src/main/java/com/supervision/service/DiseaseAncillaryService.java b/virtual-patient-model/src/main/java/com/supervision/service/DiseaseAncillaryService.java
index d3b114c5..087dcf81 100644
--- a/virtual-patient-model/src/main/java/com/supervision/service/DiseaseAncillaryService.java
+++ b/virtual-patient-model/src/main/java/com/supervision/service/DiseaseAncillaryService.java
@@ -20,7 +20,7 @@ public interface DiseaseAncillaryService extends IService<DiseaseAncillary> {
 
     DiseaseAncillaryDto queryDiseaseAncillaryDtoOne(DiseaseAncillary diseaseAncillary, Supplier<DiseaseAncillaryDto> other);
 
-    List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId);
+    List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId,Integer relationType);
 
 
 }
diff --git a/virtual-patient-model/src/main/java/com/supervision/service/impl/DiseaseAncillaryServiceImpl.java b/virtual-patient-model/src/main/java/com/supervision/service/impl/DiseaseAncillaryServiceImpl.java
index 27a0dcb5..4649619e 100644
--- a/virtual-patient-model/src/main/java/com/supervision/service/impl/DiseaseAncillaryServiceImpl.java
+++ b/virtual-patient-model/src/main/java/com/supervision/service/impl/DiseaseAncillaryServiceImpl.java
@@ -44,8 +44,8 @@ public class DiseaseAncillaryServiceImpl extends ServiceImpl<DiseaseAncillaryMap
     }
 
     @Override
-    public List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId) {
-        return super.getBaseMapper().queryListByDiseaseId(diseaseId);
+    public List<DiseaseAncillaryResVo> queryListByDiseaseId(String diseaseId,Integer relationType) {
+        return super.getBaseMapper().queryListByDiseaseId(diseaseId,relationType);
     }
 
 
diff --git a/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
index 387b3f55..a56cf06c 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiseaseAncillaryMapper.xml
@@ -81,6 +81,9 @@
         from vp_disease_ancillary da
                  left join vp_config_ancillary_item cai on da.item_id = cai.id
         where da.disease_id = #{diseaseId}
+        <if test="relationType != null">
+            AND da.relation_type = #{relationType}
+        </if>
         order by da.create_time desc
     </select>
 
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
index eeec68c4..158bfd6f 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskDiagnosisResultServiceImpl.java
@@ -138,7 +138,7 @@ public class AskDiagnosisResultServiceImpl implements AskDiagnosisResultService
 
         // 2.3 获取辅助检查
         List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(processId);
-        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId());
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId(),0);
 
         nodeList.addAll(ancillaryRecordMergeListsIdentification(ancillaryRecordList, diseaseAncillaryResVos));
 
@@ -158,7 +158,7 @@ public class AskDiagnosisResultServiceImpl implements AskDiagnosisResultService
 
         // 2.3 获取辅助检查
         List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(processId);
-        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId());
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId(),0);
         nodeList.addAll(ancillaryRecordMergeListsConfirm(ancillaryRecordList, diseaseAncillaryResVos));
 
         basisConfirmResultResVO.setNodeList(nodeList);
@@ -185,7 +185,7 @@ public class AskDiagnosisResultServiceImpl implements AskDiagnosisResultService
 
         // 2.3 获取辅助检查
         List<AncillaryRecordByResultDTO> ancillaryRecordList = diagnosisAncillaryRecordService.queryAncillaryResultByProcessId(process.getId());
-        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId());
+        List<DiseaseAncillaryResVo> diseaseAncillaryResVos = diseaseAncillaryService.queryListByDiseaseId(medicalRec.getDiseaseId(),0);
 
         basisDiagnosisNodeResVOS.addAll(ancillaryRecordMergeListsBasisPrimary(ancillaryRecordList, diseaseAncillaryResVos));