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 bc2aebef..ed2ed2d1 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
@@ -318,15 +318,19 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
 
         CommonDic systemDic = commonDicService.lambdaQuery().eq(CommonDic::getGroupCode, "AQT").eq(CommonDic::getCode, "system").one();
         Assert.notNull(systemDic, "未找到系统问题");
+        List<CommonDic> childCommonDicList = commonDicService.lambdaQuery().eq(CommonDic::getGroupCode, "AQT")
+                .eq(CommonDic::getParentId, systemDic.getId()).list();
+        Assert.notNull(childCommonDicList, "未找到系统问题下的子问题");
+        Map<Long, CommonDic> childCommonDicMap = childCommonDicList.stream().collect(Collectors.toMap(CommonDic::getId, Function.identity()));
 
-        Long systemDicId = systemDic.getId();
-
+        // 从疾病问题记录中查询数据
         if (StrUtil.isNotEmpty(medicalRecId)) {
             List<AskPatientAnswer> askPatientAnswerList = askPatientAnswerService.lambdaQuery()
                     .eq(AskPatientAnswer::getMedicalId, medicalRecId).eq(AskPatientAnswer::getAnswerType, 0).list();
 
             final Map<String, AskTemplateQuestionLibrary> libraryMap = new HashMap<>();
             if (CollUtil.isNotEmpty(askPatientAnswerList)){
+                // 查询问题库信息
                 List<String> questionIds = askPatientAnswerList.stream()
                         .map(AskPatientAnswer::getLibraryQuestionId).filter(Objects::nonNull).collect(Collectors.toList());
                 Map<String, AskTemplateQuestionLibrary> libraryMapTemp = askTemplateQuestionLibraryService.listByIds(questionIds)
@@ -337,22 +341,28 @@ public class MedicalRecManageServiceImpl implements MedicalRecManageService {
                 MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
                 medicalRecQaVO.setId(e.getId());
                 medicalRecQaVO.setLibraryQuestionId(e.getLibraryQuestionId());
-                medicalRecQaVO.setDictId(systemDicId);
-                medicalRecQaVO.setDictNamePath(systemDic.getNameZhPath());
                 medicalRecQaVO.setMedicalRecAnswer(e.getAnswer());
+                // 组装问题列表 和 字典数据
                 AskTemplateQuestionLibrary askTemplateQuestionLibrary = libraryMap.get(e.getLibraryQuestionId());
                 if (Objects.nonNull(askTemplateQuestionLibrary)){
                     medicalRecQaVO.setQuestionList(askTemplateQuestionLibrary.getQuestion());
+                    Long dictId = askTemplateQuestionLibrary.getDictId();
+                    if (Objects.nonNull(dictId)){
+                        medicalRecQaVO.setDictId(dictId);
+                        medicalRecQaVO.setDictNamePath(childCommonDicMap.getOrDefault(dictId, new CommonDic()).getNameZhPath());
+                    }
                 }
                 return medicalRecQaVO;
             }).collect(Collectors.toList());
         }
-        List<AskTemplateQuestionLibrary> askTemplateQuestionLibraryList = askTemplateQuestionLibraryService.lambdaQuery().eq(AskTemplateQuestionLibrary::getDictId, systemDicId).list();
+
+        // 从问题库中查询数据
+        List<Long> commonDicIdList = childCommonDicList.stream().map(CommonDic::getId).collect(Collectors.toList());
+        List<AskTemplateQuestionLibrary> askTemplateQuestionLibraryList = askTemplateQuestionLibraryService.lambdaQuery().in(AskTemplateQuestionLibrary::getDictId, commonDicIdList).list();
         return askTemplateQuestionLibraryList.stream().map(e -> {
             MedicalRecQaVO medicalRecQaVO = new MedicalRecQaVO();
             medicalRecQaVO.setLibraryQuestionId(e.getId());
-            medicalRecQaVO.setDictId(systemDicId);
-            medicalRecQaVO.setDictNamePath(systemDic.getNameZhPath());
+            medicalRecQaVO.setDictNamePath(childCommonDicMap.getOrDefault(e.getDictId(), new CommonDic()).getNameZhPath());
             medicalRecQaVO.setMedicalRecAnswer(e.getDefaultAnswer());
             medicalRecQaVO.setQuestionList(e.getQuestion());
             return medicalRecQaVO;