diff --git a/virtual-patient-model/src/main/java/com/supervision/model/ConfigAncillaryItem.java b/virtual-patient-model/src/main/java/com/supervision/model/ConfigAncillaryItem.java
index 7898318c..730c9041 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/ConfigAncillaryItem.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/ConfigAncillaryItem.java
@@ -54,6 +54,9 @@ public class ConfigAncillaryItem implements Serializable {
     @ApiModelProperty("检查名称")
     private String itemName;
 
+    @ApiModelProperty("检查部位名称")
+    private String locationName;
+
 
     @ApiModelProperty("英文名")
     private String itemNameEn;
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisAncillaryRecord.java b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisAncillaryRecord.java
index 8878cd16..245137ef 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisAncillaryRecord.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisAncillaryRecord.java
@@ -81,5 +81,11 @@ public class DiagnosisAncillaryRecord extends Model<DiagnosisAncillaryRecord> im
     @TableField(exist = false)
     private static final long serialVersionUID = 1L;
 
+    /**
+     * 检查项目中文名
+     */
+    @TableField(exist = false)
+    private String itemName;
+
 
 }
\ No newline at end of file
diff --git a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisPrimary.java b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisPrimary.java
index 016185b0..dcb981cf 100644
--- a/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisPrimary.java
+++ b/virtual-patient-model/src/main/java/com/supervision/model/DiagnosisPrimary.java
@@ -37,6 +37,10 @@ public class DiagnosisPrimary implements Serializable {
     @ApiModelProperty("初步诊断疾病ID,关联disease表ID")
     private String primaryDiagnosisId;
 
+    @ApiModelProperty("初步诊断疾病名称,对应disease_name_alias,注意,这里不存在于数据库中")
+    @TableField(exist = false)
+    private String primaryDiagnosisName;
+
     @ApiModelProperty("是否删除(0否1是)如删除,仅页面不显示")
     private Integer deleteFlag;
 
@@ -67,4 +71,6 @@ public class DiagnosisPrimary implements Serializable {
     private static final long serialVersionUID = 1L;
 
 
+
+
 }
\ No newline at end of file
diff --git a/virtual-patient-model/src/main/java/com/supervision/vo/ask/AskAncillaryHistoryResVO.java b/virtual-patient-model/src/main/java/com/supervision/vo/ask/AskAncillaryHistoryResVO.java
index caec6914..36eb392a 100644
--- a/virtual-patient-model/src/main/java/com/supervision/vo/ask/AskAncillaryHistoryResVO.java
+++ b/virtual-patient-model/src/main/java/com/supervision/vo/ask/AskAncillaryHistoryResVO.java
@@ -1,10 +1,14 @@
 package com.supervision.vo.ask;
 
+import com.fasterxml.jackson.annotation.JsonFilter;
+import com.fasterxml.jackson.databind.annotation.JsonSerialize;
+import com.supervision.model.DiagnosisPrimary;
 import io.swagger.annotations.ApiModel;
 import io.swagger.annotations.ApiModelProperty;
 import lombok.Data;
 
 import java.time.LocalDateTime;
+import java.util.List;
 
 @Data
 @ApiModel
@@ -25,6 +29,9 @@ public class AskAncillaryHistoryResVO {
     @ApiModelProperty("关联的初步诊断ID")
     private String primaryId;
 
+    @ApiModelProperty("关联的初步诊断")
+    private List<DiagnosisPrimaryVO> primaryList;
+
     @ApiModelProperty("检查时间")
     private LocalDateTime createTime;
 }
diff --git a/virtual-patient-model/src/main/resources/mapper/ConfigAncillaryItemMapper.xml b/virtual-patient-model/src/main/resources/mapper/ConfigAncillaryItemMapper.xml
index fb905566..6ed491c4 100644
--- a/virtual-patient-model/src/main/resources/mapper/ConfigAncillaryItemMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/ConfigAncillaryItemMapper.xml
@@ -10,6 +10,7 @@
         <result property="code" column="code" jdbcType="VARCHAR"/>
         <result property="itemClass" column="item_class" jdbcType="VARCHAR"/>
         <result property="itemName" column="item_name" jdbcType="VARCHAR"/>
+        <result property="locationName" column="location_name" jdbcType="VARCHAR"/>
         <result property="info" column="info" jdbcType="VARCHAR"/>
         <result column="call_out_question" jdbcType="ARRAY" property="callOutQuestion"
                 typeHandler="com.supervision.handler.StringListTypeHandler"/>
@@ -21,7 +22,7 @@
 
     <sql id="Base_Column_List">
         id
-        ,type,item_class,item_name,
+        ,type,item_class,item_name,location_name,
         info,create_user_id,create_time,
         update_user_id,update_time
     </sql>
diff --git a/virtual-patient-model/src/main/resources/mapper/DiagnosisPrimaryMapper.xml b/virtual-patient-model/src/main/resources/mapper/DiagnosisPrimaryMapper.xml
index 86bd0261..86ef2b1d 100644
--- a/virtual-patient-model/src/main/resources/mapper/DiagnosisPrimaryMapper.xml
+++ b/virtual-patient-model/src/main/resources/mapper/DiagnosisPrimaryMapper.xml
@@ -23,11 +23,10 @@
     </sql>
 
     <select id="queryAskPrimaryList" resultType="com.supervision.vo.ask.DiagnosisPrimaryVO">
-        select t1.*, t2.disease_name as primaryDiseaseName
+        select t1.*, if(t2.disease_name_alias is null, t2.disease_name, t2.disease_name_alias) as primaryDiseaseName
         from vp_diagnosis_primary t1
                  left join vp_disease t2 on t1.primary_diagnosis_id = t2.id
         <where>
-            t1.delete_flag = 0
             <if test="processId != null and processId != ''">
                 AND process_id = #{processId}
             </if>
diff --git a/virtual-patient-web/src/main/java/com/supervision/controller/AskAncillaryController.java b/virtual-patient-web/src/main/java/com/supervision/controller/AskAncillaryController.java
index fb3d5fe3..8c3e5099 100644
--- a/virtual-patient-web/src/main/java/com/supervision/controller/AskAncillaryController.java
+++ b/virtual-patient-web/src/main/java/com/supervision/controller/AskAncillaryController.java
@@ -1,5 +1,7 @@
 package com.supervision.controller;
 
+import com.supervision.model.ConfigAncillaryItem;
+import com.supervision.pojo.vo.AskAncillaryBatchReqVO;
 import com.supervision.vo.ask.AncillaryItemReqVo;
 import com.supervision.vo.ask.AskAncillaryHistoryResVO;
 import com.supervision.pojo.vo.AskAncillaryResultReqVO;
@@ -9,11 +11,10 @@ import com.supervision.vo.ask.DiagnosisAncillaryRecordVo;
 import io.swagger.annotations.Api;
 import io.swagger.annotations.ApiOperation;
 import lombok.RequiredArgsConstructor;
-import org.springframework.web.bind.annotation.GetMapping;
-import org.springframework.web.bind.annotation.RequestMapping;
-import org.springframework.web.bind.annotation.RestController;
+import org.springframework.web.bind.annotation.*;
 
 import java.util.List;
+import java.util.Map;
 
 @Api(tags = "辅助检查")
 @RestController
@@ -29,12 +30,32 @@ public class AskAncillaryController {
         return askAncillaryService.queryAncillaryItemList(ancillaryItemReqVo);
     }
 
+    @ApiOperation("查询辅助检查项目目录树")
+    @GetMapping("queryAncillaryItemTree")
+    public Map<String, List<ConfigAncillaryItem>> queryAncillaryItemTree(){
+        return askAncillaryService.queryAncillaryItemTree();
+    }
+
+    @ApiOperation("批量进行辅助检查")
+    @PostMapping("execAskAncillaryBatch")
+    public void execAskAncillaryBatch(@RequestBody List<AskAncillaryBatchReqVO> reqVO){
+        askAncillaryService.execAskAncillaryBatch(reqVO);
+    }
+
+    @ApiOperation("获取批量辅助检查的结果")
+    @GetMapping("queryAskAncillaryBatchResult")
+    public void queryAskAncillaryBatchResult(String processId){
+
+    }
+
+    @Deprecated
     @ApiOperation("进行辅助检查,并获取结果")
     @GetMapping("queryAskAncillaryResult")
     public DiagnosisAncillaryRecordVo execAskAncillaryResult(AskAncillaryResultReqVO reqVO) {
         return askAncillaryService.execAskAncillaryResult(reqVO);
     }
 
+    @Deprecated
     @ApiOperation("查询辅助检查的历史记录")
     @GetMapping("queryAskAncillaryHistory")
     public List<AskAncillaryHistoryResVO> queryAskAncillaryHistory(String processId) {
diff --git a/virtual-patient-web/src/main/java/com/supervision/pojo/vo/AskAncillaryBatchReqVO.java b/virtual-patient-web/src/main/java/com/supervision/pojo/vo/AskAncillaryBatchReqVO.java
new file mode 100644
index 00000000..4e8369c7
--- /dev/null
+++ b/virtual-patient-web/src/main/java/com/supervision/pojo/vo/AskAncillaryBatchReqVO.java
@@ -0,0 +1,19 @@
+package com.supervision.pojo.vo;
+
+import io.swagger.annotations.ApiModelProperty;
+import lombok.Data;
+
+import java.util.List;
+
+@Data
+public class AskAncillaryBatchReqVO {
+
+    @ApiModelProperty("体格检查项ID")
+    private String ancillaryItemId;
+
+    @ApiModelProperty("流程ID")
+    private String processId;
+
+    @ApiModelProperty("初步诊断ID,支持多选")
+    private List<String> primaryId;
+}
diff --git a/virtual-patient-web/src/main/java/com/supervision/service/AskAncillaryService.java b/virtual-patient-web/src/main/java/com/supervision/service/AskAncillaryService.java
index b79eee05..6f025e04 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/AskAncillaryService.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/AskAncillaryService.java
@@ -1,5 +1,7 @@
 package com.supervision.service;
 
+import com.supervision.model.ConfigAncillaryItem;
+import com.supervision.pojo.vo.AskAncillaryBatchReqVO;
 import com.supervision.vo.ask.AncillaryItemReqVo;
 import com.supervision.vo.ask.AskAncillaryHistoryResVO;
 import com.supervision.pojo.vo.AskAncillaryResultReqVO;
@@ -7,12 +9,17 @@ import com.supervision.vo.ask.ConfigAncillaryItemResVO;
 import com.supervision.vo.ask.DiagnosisAncillaryRecordVo;
 
 import java.util.List;
+import java.util.Map;
 
 public interface AskAncillaryService {
 
     List<ConfigAncillaryItemResVO> queryAncillaryItemList(AncillaryItemReqVo ancillaryItemReqVo);
 
+    Map<String, List<ConfigAncillaryItem>> queryAncillaryItemTree();
 
+    void execAskAncillaryBatch(List<AskAncillaryBatchReqVO> reqVO);
+
+    @Deprecated
     DiagnosisAncillaryRecordVo execAskAncillaryResult(AskAncillaryResultReqVO reqVO);
 
     List<AskAncillaryHistoryResVO> queryAskAncillaryHistory(String processId);
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 e96ea44a..f8d23773 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
@@ -1,18 +1,19 @@
 package com.supervision.service.impl;
 
+import cn.hutool.core.bean.BeanUtil;
+import cn.hutool.core.util.ObjectUtil;
 import com.supervision.dto.DiseaseAncillaryDto;
 import com.supervision.exception.BusinessException;
 import com.supervision.model.*;
 import com.supervision.model.Process;
-import com.supervision.vo.ask.AncillaryItemReqVo;
-import com.supervision.vo.ask.AskAncillaryHistoryResVO;
+import com.supervision.pojo.vo.AskAncillaryBatchReqVO;
+import com.supervision.vo.ask.*;
 import com.supervision.pojo.vo.AskAncillaryResultReqVO;
-import com.supervision.vo.ask.ConfigAncillaryItemResVO;
 import com.supervision.service.*;
 import com.supervision.util.UserUtil;
-import com.supervision.vo.ask.DiagnosisAncillaryRecordVo;
 import com.supervision.vo.result.ConfigAncillaryItemVo;
 import lombok.RequiredArgsConstructor;
+import org.springframework.context.annotation.Bean;
 import org.springframework.stereotype.Service;
 
 import java.util.*;
@@ -33,6 +34,8 @@ public class AskAncillaryServiceImpl implements AskAncillaryService {
 
     private final DiagnosisAncillaryRecordService diagnosisAncillaryRecordService;
 
+    private final DiagnosisPrimaryService diagnosisPrimaryService;
+
 
     @Override
     public List<ConfigAncillaryItemResVO> queryAncillaryItemList(AncillaryItemReqVo ancillaryItemReqVo) {
@@ -40,14 +43,42 @@ public class AskAncillaryServiceImpl implements AskAncillaryService {
         return ancillaryItemService.queryAncillaryItemList(ancillaryItemReqVo);
     }
 
+    @Override
+    public Map<String, List<ConfigAncillaryItem>> queryAncillaryItemTree() {
+        List<ConfigAncillaryItem> list = ancillaryItemService.list();
+        return list.stream().collect(Collectors.groupingBy(ConfigAncillaryItem::getType));
+    }
+
+    @Override
+    public void execAskAncillaryBatch(List<AskAncillaryBatchReqVO> reqVO) {
+        // 首先根据process_id查新到流程ID
+        Process process = Optional.ofNullable(processService.getById(reqVO.stream().findAny()
+                        .orElseThrow(() -> new BusinessException("流程ID不能为空")).getProcessId()))
+                .orElseThrow(() -> new BusinessException("未找到流程ID"));
+        for (AskAncillaryBatchReqVO item : reqVO) {
+            for (String primaryId : item.getPrimaryId()) {
+                // 执行并保存结果
+                execSaveDiagnosisAncillaryRecord(item.getAncillaryItemId(), primaryId, process);
+            }
+        }
+    }
+
+    @Deprecated
     @Override
     public DiagnosisAncillaryRecordVo execAskAncillaryResult(AskAncillaryResultReqVO reqVO) {
         // 首先根据process_id查新到流程ID
         Process process = Optional.ofNullable(processService.getById(reqVO.getProcessId())).orElseThrow(() -> new BusinessException("未找到流程ID"));
+        DiagnosisAncillaryRecord record = execSaveDiagnosisAncillaryRecord(reqVO.getItemId(), reqVO.getPrimaryId(), process);
+        //重组返回结果
+        DiagnosisAncillaryRecordVo recordVo = BeanUtil.toBean(record, DiagnosisAncillaryRecordVo.class);
+        recordVo.setAncillaryName(record.getItemName());
+        return recordVo;
+    }
 
+    private DiagnosisAncillaryRecord execSaveDiagnosisAncillaryRecord(String itemId, String primaryId, Process process) {
         // 找到对应的项目的检查结果
         DiseaseAncillary diseaseAncillaryQueryBean = new DiseaseAncillary();
-        diseaseAncillaryQueryBean.setItemId(reqVO.getItemId());
+        diseaseAncillaryQueryBean.setItemId(itemId);
         diseaseAncillaryQueryBean.setDiseaseId(process.getDiseaseId());
         DiseaseAncillaryDto diseaseAncillary = diseaseAncillaryService.queryDiseaseAncillaryDtoOne(diseaseAncillaryQueryBean, () -> {
             DiseaseAncillaryDto get = new DiseaseAncillaryDto();
@@ -57,34 +88,52 @@ public class AskAncillaryServiceImpl implements AskAncillaryService {
 
         DiagnosisAncillaryRecord record = new DiagnosisAncillaryRecord();
         record.setProcessId(process.getId());
-        record.setItemId(reqVO.getItemId());
-        record.setPrimaryId(reqVO.getPrimaryId());
+        record.setItemId(itemId);
+        record.setPrimaryId(primaryId);
         record.setAncillaryId(diseaseAncillary.getId());
         record.setResult(diseaseAncillary.getResult());
         record.setCreateUserId(UserUtil.getUser().getId());
         record.setUpdateUserId(UserUtil.getUser().getId());
         record.insert();
-
-
-        //重组返回结果
-        DiagnosisAncillaryRecordVo diagnosisAncillaryRecordVo = new DiagnosisAncillaryRecordVo();
-        diagnosisAncillaryRecordVo.setProcessId(record.getProcessId());
-        diagnosisAncillaryRecordVo.setItemId(record.getItemId());
-        diagnosisAncillaryRecordVo.setAncillaryId(record.getAncillaryId());
-        diagnosisAncillaryRecordVo.setResult(record.getResult());
-        diagnosisAncillaryRecordVo.setAncillaryName(diseaseAncillary.getItemName());
-        return diagnosisAncillaryRecordVo;
+        record.setItemName(diseaseAncillary.getItemName());
+        return record;
     }
 
     @Override
     public List<AskAncillaryHistoryResVO> queryAskAncillaryHistory(String processId) {
-        return diagnosisAncillaryRecordService.queryAncillaryRecord(processId)
-                .stream().filter(distinctPredicateNotNull(AskAncillaryHistoryResVO::getItemId)).collect(Collectors.toList());
-
+        List<AskAncillaryHistoryResVO> historyList = diagnosisAncillaryRecordService.queryAncillaryRecord(processId);
+        // 找到问诊流程对应的初步诊断项目
+        List<DiagnosisPrimaryVO> diagnosisPrimaryVOS = diagnosisPrimaryService.queryAskPrimaryList(processId);
+        Map<String, DiagnosisPrimaryVO> primaryMap = diagnosisPrimaryVOS.stream().collect(Collectors.toMap(DiagnosisPrimaryVO::getId, Function.identity()));
+        // 这里需要根据item和primaryId进行去重,对于完全相同的,只保留一个,
+        Map<String, List<AskAncillaryHistoryResVO>> collect = historyList.stream().collect(Collectors.groupingBy(e -> e.getItemId() + e.getPrimaryId()));
+        List<AskAncillaryHistoryResVO> distinctItemIdAndPrimaryIdList = new ArrayList<>();
+        collect.values().forEach(e -> {
+            Optional<AskAncillaryHistoryResVO> any = e.stream().findAny();
+            any.ifPresent(distinctItemIdAndPrimaryIdList::add);
+        });
+        List<AskAncillaryHistoryResVO> resList = new ArrayList<>();
+        // 对于item相同的,primaryId不同的,进行合并
+        Map<String, List<AskAncillaryHistoryResVO>> resMap = distinctItemIdAndPrimaryIdList.stream()
+                .collect(Collectors.groupingBy(AskAncillaryHistoryResVO::getPrimaryId));
+        for (Map.Entry<String, List<AskAncillaryHistoryResVO>> entry : resMap.entrySet()) {
+            List<AskAncillaryHistoryResVO> value = entry.getValue();
+            List<DiagnosisPrimaryVO> diagnosisPrimaryList = new ArrayList<>();
+            Optional<AskAncillaryHistoryResVO> any = value.stream().findAny();
+            if (any.isPresent()){
+                AskAncillaryHistoryResVO bean = BeanUtil.toBean(any.get(), AskAncillaryHistoryResVO.class);
+                for (AskAncillaryHistoryResVO node: value) {
+                    DiagnosisPrimaryVO diagnosisPrimaryVO = primaryMap.get(node.getPrimaryId());
+                    if (ObjectUtil.isNotEmpty(diagnosisPrimaryVO)){
+                        diagnosisPrimaryList.add(diagnosisPrimaryVO);
+                    }
+                }
+                bean.setPrimaryId(null);
+                bean.setPrimaryList(diagnosisPrimaryList);
+                resList.add(bean);
+            }
+        }
+        return resList;
     }
 
-    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/DiagnoseHallServiceImpl.java b/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
index 3acc1042..2666de7b 100644
--- a/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
+++ b/virtual-patient-web/src/main/java/com/supervision/service/impl/DiagnoseHallServiceImpl.java
@@ -3,7 +3,6 @@ package com.supervision.service.impl;
 import cn.hutool.core.lang.Assert;
 import com.baomidou.mybatisplus.extension.plugins.pagination.Page;
 import com.baomidou.lock.annotation.Lock4j;
-import com.supervision.constant.UserTokenConstant;
 import com.supervision.service.DiagnoseHallService;
 import com.supervision.service.ProcessService;
 import com.supervision.vo.result.DiagnoseProcessReqVo;
@@ -11,8 +10,6 @@ import com.supervision.vo.result.DiagnoseProcessResVo;
 import com.supervision.usermanage.UserResourceCheck;
 import lombok.RequiredArgsConstructor;
 import lombok.extern.slf4j.Slf4j;
-import org.springframework.beans.factory.annotation.Value;
-import org.springframework.data.redis.core.RedisTemplate;
 import org.springframework.stereotype.Service;
 
 @Service
@@ -24,7 +21,6 @@ public class DiagnoseHallServiceImpl implements DiagnoseHallService {
 
     private final ProcessService processService;
 
-    @Lock4j(name = "achieveDiagnoseResource")
     @Override
     public boolean achieveDiagnoseResource() {
         // 如果小于数字人最大连接数,则可以连接