diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskAncillaryServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskAncillaryServiceImpl.java
index 8796e13c..00e30f28 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskAncillaryServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskAncillaryServiceImpl.java
@@ -17,6 +17,9 @@ import lombok.RequiredArgsConstructor;
 import org.springframework.stereotype.Service;
 
 import java.util.*;
+import java.util.concurrent.ConcurrentHashMap;
+import java.util.function.Function;
+import java.util.function.Predicate;
 import java.util.stream.Collectors;
 
 @Service
@@ -82,7 +85,13 @@ public class AskAncillaryServiceImpl implements AskAncillaryService {
 
     @Override
     public List<AskAncillaryHistoryResVO> queryAskAncillaryHistory(String processId) {
-        return diagnosisAncillaryRecordService.queryAncillaryRecord(processId);
+        return diagnosisAncillaryRecordService.queryAncillaryRecord(processId)
+                .stream().filter(distinctPredicateNotNull(AskAncillaryHistoryResVO::getItemId)).collect(Collectors.toList());
 
     }
+
+    public static  <K> Predicate<K> distinctPredicateNotNull(Function<K,Object> function){
+        ConcurrentHashMap<Object, Boolean> map = new ConcurrentHashMap<>();
+        return t-> null != function.apply(t) && null == map.putIfAbsent(function.apply(t), true);
+    }
 }
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
index 06226ade..d30dbccc 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/AskPhysicalServiceImpl.java
@@ -17,6 +17,9 @@ import org.springframework.stereotype.Service;
 import java.util.Comparator;
 import java.util.List;
 import java.util.Optional;
+import java.util.concurrent.ConcurrentHashMap;
+import java.util.function.Function;
+import java.util.function.Predicate;
 import java.util.stream.Collectors;
 
 @Service
@@ -96,7 +99,8 @@ public class AskPhysicalServiceImpl implements AskPhysicalService {
 
     @Override
     public List<AskPhysicalHistoryResVO> queryAskPhysicalHistory(String processId) {
-        return diagnosisPhysicalRecordService.queryAskPhysicalHistory(processId);
+        return diagnosisPhysicalRecordService.queryAskPhysicalHistory(processId).stream()
+                .filter(distinctPredicateNotNull(e->e.getToolId()+e.getLocationId())).collect(Collectors.toList());
     }
 
 
@@ -115,4 +119,9 @@ public class AskPhysicalServiceImpl implements AskPhysicalService {
         return diagnosisPhysicalRecordVo;
     }
 
+    public static  <K> Predicate<K> distinctPredicateNotNull(Function<K,Object> function){
+        ConcurrentHashMap<Object, Boolean> map = new ConcurrentHashMap<>();
+        return t-> null != function.apply(t) && null == map.putIfAbsent(function.apply(t), true);
+    }
+
 }