diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/pojo/entity/LastLabPatParam.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/pojo/entity/LastLabPatParam.java
index e2be8ad..eaadeea 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/pojo/entity/LastLabPatParam.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/pojo/entity/LastLabPatParam.java
@@ -17,4 +17,7 @@ public class LastLabPatParam {
     private String sfzh;
     private String instrlist;
     private String yq;
+    private Date jyrq;
+    private String ybh;
+    private String yqdl;
 }
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkBase.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkBase.java
index eebaab7..ff4eb85 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkBase.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkBase.java
@@ -6,6 +6,7 @@ import com.czlis.common.core.domain.entity.lis.*;
 import com.czlis.common.utils.*;
 import com.czlis.common.utils.ip.IpUtils;
 import com.czlis.interfaceCommon.constants.LabPatConstants;
+import com.czlis.interfaceCommon.pojo.entity.LastLabPatParam;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.beans.factory.annotation.Autowired;
 import org.springframework.stereotype.Component;
@@ -395,4 +396,5 @@ public class LisWorkBase {
         }
         return falg;
     }
+
 }
diff --git a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkUtils.java b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkUtils.java
index 71472df..af925e9 100644
--- a/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkUtils.java
+++ b/lis-interfaceCommon/src/main/java/com/czlis/interfaceCommon/utils/LisWorkUtils.java
@@ -1,13 +1,20 @@
 package com.czlis.interfaceCommon.utils;
 
 import com.czlis.common.core.domain.Result;
+import com.czlis.common.core.domain.entity.lis.LabPat;
+import com.czlis.common.core.domain.entity.lis.LabResult;
 import com.czlis.common.utils.SecurityUtils;
 import com.czlis.common.utils.ip.IpUtils;
 import com.czlis.interfaceCommon.constants.LisinterfaceNameConstants;
+import com.czlis.interfaceCommon.pojo.entity.LastLabPatParam;
 import com.czlis.interfaceCommon.pojo.inter.DayMessage;
 import lombok.extern.slf4j.Slf4j;
 import org.springframework.stereotype.Component;
 
+import java.util.ArrayList;
+import java.util.Date;
+import java.util.List;
+
 @Component
 @Slf4j
 public class LisWorkUtils extends LisWorkconfirm{
@@ -27,4 +34,69 @@ public class LisWorkUtils extends LisWorkconfirm{
         dayMessage.setMsg(content);
         return  lisInterfaceUtil.invokeLisInterface(LisinterfaceNameConstants.DAYMESSAGE, dayMessage);
     }
+    public LastLabPatParam getLastLabPatParam(LabPat labPat){
+        LastLabPatParam nullret=new LastLabPatParam();
+        Date jyrq = labPat.getJyrq();
+        String yq = labPat.getYq();
+        String ybh = labPat.getYbh();
+        LastLabPatParam lastLabPatParam = new LastLabPatParam();
+        String comparecol = commonUtil.getComOptValue(yq, "COMPARECOL");
+        String brdh = labPat.getBrdh();
+        String mzh = labPat.getMzh();
+        String sfzh = labPat.getSfzh();
+        String brxm = labPat.getBrxm();
+        List<LabResult> labResultList = new ArrayList<>();
+        switch (comparecol) {
+            case "住院号":
+                if ("".equals(brdh) || brdh == null) {
+                    return nullret;
+                }
+                lastLabPatParam.setBrdh(brdh);
+                break;
+            case "卡号":
+                if ("".equals(mzh) || mzh == null) {
+                    return nullret;
+                }
+                lastLabPatParam.setMzh(mzh);
+                break;
+            case "身份证":
+                if ("".equals(sfzh) || sfzh == null) {
+                    return nullret;
+                }
+                lastLabPatParam.setSfzh(sfzh);
+                break;
+            case "姓名":
+                if ("".equals(brxm) || brxm == null) {
+                    return nullret;
+                }
+                lastLabPatParam.setBrxm(brxm);
+                break;
+            default:
+                if ("".equals(brdh) || brdh == null) {
+                    return nullret;
+                }
+                if ("".equals(brxm) || brxm == null) {
+                    return nullret;
+                }
+                lastLabPatParam.setBrdh(brdh);
+                lastLabPatParam.setBrxm(brxm);
+        }
+        String interval = commonUtil.getComOptValue(yq, "COMPAREDA");
+        if (interval == null || interval.isEmpty()) interval = "60";
+        int getday = -Integer.parseInt(interval);
+        lastLabPatParam.setEndda(jyrq);
+        lastLabPatParam.setStartda(LisUtil.relativeDate(jyrq, getday));
+        String compother = commonUtil.getComOptValue(yq, "COMPOTHERINSTR");
+        if (compother != null && !compother.isEmpty()) {
+            String instrlist = commonUtil.getComOptValue(yq, "COMPOTHERINSTRLIST");
+            //'CAL800','XS500I','33','40'
+            if ("".equals(instrlist) || instrlist == null) {
+                lastLabPatParam.setYq(yq);
+            } else {
+                instrlist = "(" + instrlist + ",'" + yq + "')";
+                lastLabPatParam.setInstrlist(instrlist);
+            }
+        }
+        return lastLabPatParam;
+    }
 }
diff --git a/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml b/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
index 030adb7..aa8079e 100644
--- a/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
+++ b/lis-interfaceCommon/src/main/resources/mapper/LabPatMapper.xml
@@ -38,7 +38,7 @@
         select jgbz from lab_pat where yq = #{yq} and jyrq = #{jyrq} and ybh = #{ybh}
     </select>
     <select id="getlastLabPat" resultType="com.czlis.common.core.domain.entity.lis.LabPat" parameterType="com.czlis.interfaceCommon.pojo.entity.LastLabPatParam">
-        SELECT top 10 lab_pat.jyrq,lab_pat.yq,lab_pat.ybh
+        SELECT top 20 lab_pat.jyrq,lab_pat.yq,lab_pat.ybh
         FROM lab_pat
         <where>
             <if test="startda != null">and jyrq >= #{startda}</if>
diff --git a/liswork/src/main/java/com/czlis/liswork/pojo/HistoryResult.java b/liswork/src/main/java/com/czlis/liswork/pojo/HistoryResult.java
index 64fdf8e..cbb6c33 100644
--- a/liswork/src/main/java/com/czlis/liswork/pojo/HistoryResult.java
+++ b/liswork/src/main/java/com/czlis/liswork/pojo/HistoryResult.java
@@ -25,6 +25,7 @@ public class HistoryResult {
     private String yljg;
     private String cksx;
     private String ckxx;
+    private String yqmc;
 
 
 }
diff --git a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkPageInfoServiceImpl.java b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkPageInfoServiceImpl.java
index 064a7ec..9424668 100644
--- a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkPageInfoServiceImpl.java
+++ b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkPageInfoServiceImpl.java
@@ -1,10 +1,12 @@
 package com.czlis.liswork.service.impl;
 
+import cn.hutool.core.bean.BeanUtil;
 import cn.hutool.core.codec.Base64;
 import cn.hutool.core.date.DateTime;
 import cn.hutool.core.date.DateUtil;
 import com.czlis.common.core.domain.Result;
 import com.czlis.common.core.domain.entity.lis.*;
+import com.czlis.interfaceCommon.pojo.entity.LastLabPatParam;
 import com.czlis.interfaceCommon.utils.LisWorkUtils;
 import com.czlis.interfaceCommon.utils.ReportUtil;
 import com.czlis.liswork.mapper.LisWorkPageInfoMapper;
@@ -111,19 +113,15 @@ public Result deleteRedo(LabResultRe labResultRe){
 }
     @Override
     public Result getHistory(Date jyrq, String yq, String ybh) {
-        Map<String,Object> map = new HashMap<>();
-        map.put("jyrq",jyrq);
-        map.put("yq",yq);
-        map.put("ybh",ybh);
-        //本次结果
-        List<HistoryResult> hisResultThisList = lisWorkPageInfoMapper.getHisResult(map);
-        if(hisResultThisList.size()<=0) return new Result("-1","没有找到对应的结果信息！");
-        //其他结果
-        map.clear();
-        map.put("yqdl", hisResultThisList.get(0).getYqdl());
-        map.put("brdh",hisResultThisList.get(0).getBrdh());
-        Result historyResult = getHistoryResult(hisResultThisList, map);
-        return new Result("0","获取成功！",historyResult.getData());
+        LabPat labPat=commonUtil.getLabPatOne(jyrq,yq,ybh);
+        LastLabPatParam lastLabPatParam=lisWorkUtils.getLastLabPatParam(labPat);
+        if(lastLabPatParam==null){return new Result("-1","缺少查询条件！");}
+        Map<String,Object> map=BeanUtil.beanToMap(lastLabPatParam);
+        Result historyResult = getHistoryResult(jyrq,yq,ybh,map);
+        if("0".equals(historyResult.getCode())) {
+            return new Result("0", "获取成功！", historyResult.getData());
+        }
+        return new Result("-1","无历史数据！");
     }
 
     /**
@@ -164,18 +162,11 @@ public Result deleteRedo(LabResultRe labResultRe){
 
     @Override
     public Result getOtherinstrDetail(String brdh, String yq, Date jyrq,String ybh) {
-        //List<Map<String,Object>> otherinstrDetailList = lisWorkPageInfoMapper.getOtherinstrDetail(brdh,yq,jyrq);
-        Map<String,Object> map = new HashMap<>();
-        map.put("jyrq",jyrq);
-        map.put("yq",yq);
-        map.put("ybh",ybh);
-        //本次结果
-        List<HistoryResult> hisResultThisList = lisWorkPageInfoMapper.getHisResult(map);
-        if(hisResultThisList.size()<=0) return new Result("-1","没有找到对应的结果信息！");
-        map.clear();
-        map.put("yqdl", hisResultThisList.get(0).getYqdl());
-        map.put("brdh",hisResultThisList.get(0).getBrdh());
-        Result historyResult = getHistoryResult(hisResultThisList, map);
+        LabPat labPat=commonUtil.getLabPatOne(jyrq,yq,ybh);
+        LastLabPatParam lastLabPatParam=lisWorkUtils.getLastLabPatParam(labPat);
+        if(lastLabPatParam==null){return new Result("-1","缺少查询条件！");}
+        Map<String,Object> map=BeanUtil.beanToMap(lastLabPatParam);
+        Result historyResult = getHistoryResult(jyrq,yq,ybh,map);
         return new Result("0","获取成功！",historyResult.getData());
     }
 
@@ -198,43 +189,53 @@ public Result deleteRedo(LabResultRe labResultRe){
     }
 
 
-    public Result getHistoryResult(List<HistoryResult> hisResultThisList,Map<String,Object> map){
-        List<HistoryResult> hisResultList = lisWorkPageInfoMapper.getHisResult(map);
+    public Result getHistoryResult(Date jyrq, String yq, String ybh,Map<String,Object> map){
+        List<HistoryResult> hisResultList0 = lisWorkPageInfoMapper.getHisResult(map);
+        if(hisResultList0.isEmpty()){return new Result("-1","无历史数据！");}
+        List<HistoryResult> hisResultThisList=hisResultList0.stream().filter(st->jyrq.equals(st.getJyrq())&&yq.trim().equals(st.getYq().trim())&&ybh.equals(st.getYbh())).collect(Collectors.toList());
+        HistoryResultDTO historyResultDTO = new HistoryResultDTO();
+        historyResultDTO.setFirst(hisResultThisList);
+        List<HistoryResult> hisResultList=hisResultList0.stream().filter(st->!(jyrq.equals(st.getJyrq())&&yq.trim().equals(st.getYq().trim())&&ybh.equals(st.getYbh()))).collect(Collectors.toList());
+        if(hisResultList.isEmpty()){return new Result("-1","无历史数据！",historyResultDTO);}
 
-        //排序,先按时间排序，再按项目代号排序
-        hisResultList.sort(new Comparator<HistoryResult>() {
-            @Override
-            public int compare(HistoryResult o1, HistoryResult o2) {
-                Date jyrq1 = o1.getJyrq();
-                Date jyrq2 = o2.getJyrq();
-                int i1 = jyrq2.compareTo(jyrq1);
-                if(i1 == 0){
-                    String xmdh = o1.getXmdh();
-                    String xmdh2 = o2.getXmdh();
-                    return xmdh.compareTo(xmdh2);
-                }else{
-                    return i1;
+        // 依据 jyrq,yq,ybh 去重（自定义去重字段）
+        List<HistoryResult> distinctList = hisResultList.stream()
+                // 利用 LinkedHashSet 去重并保留顺序，键为 "jyrq,yq,ybh" 的组合
+                .collect(Collectors.toMap(
+                        // 生成唯一键：将所选字段拼接为字符串（确保唯一）
+                        item -> item.getJyrq() + "_" + item.getYq().trim()+"_"+item.getYbh(),
+                        // 值为对象本身
+                        item -> item,
+                        // 若键重复，保留第一个出现的对象
+                        (existing, replacement) -> existing
+                ))
+                // 转换为 List
+                .values().stream().collect(Collectors.toList());
+        List<HistoryResult> sortedList = distinctList.stream()
+                // 第一步：按 date 降序排序（最新时间在前）
+                .sorted(Comparator.comparing(HistoryResult::getJyrq)
+                        .thenComparing(HistoryResult::getYq)
+                        .thenComparing(HistoryResult::getYbh).reversed())
+                .collect(Collectors.toList());
+        int i = 0;
+        for (HistoryResult HistoryResult0 : sortedList) {
+            Date jyrq0=HistoryResult0.getJyrq();
+            String yq0=HistoryResult0.getYq();
+            String ybh0=HistoryResult0.getYbh();
+
+            List<HistoryResult> historySingleResultList=hisResultList.stream().filter(st->jyrq0.equals(st.getJyrq())&&yq0.equals(st.getYq())&&ybh0.equals(st.getYbh())).collect(Collectors.toList());
+            boolean havexmdh=false;
+            for (HistoryResult labResult : hisResultThisList) {
+                String xmdh = labResult.getXmdh();
+                List<HistoryResult> labResult0 = historySingleResultList.stream().filter(rlog -> xmdh.equals(rlog.getXmdh())).collect(Collectors.toList());
+                if (!labResult0.isEmpty()) {
+                    havexmdh=true;
+                    break;
                 }
             }
-        });
-        Date jyrqTemp = null;
-        int i = 0;
-        HistoryResultDTO historyResultDTO = new HistoryResultDTO();
-        //本次结果
-        historyResultDTO.setFirst(hisResultThisList);
-        List<Date> jyrqList = new ArrayList<>();
-        for (HistoryResult historyResult : hisResultList) {
-            Date jyrq1 = historyResult.getJyrq();
-            int compare = DateUtil.compare(jyrq1, jyrqTemp);
-            if(compare != 0){
-                jyrqList.add(jyrq1);
-            }
-            jyrqTemp = jyrq1;
-        }
-        for (Date jyrqDate : jyrqList) {
+            if (havexmdh) {
             i++;
-            List<HistoryResult> historySingleResultList = hisResultList.stream().filter(historyResult -> historyResult.getJyrq().equals(jyrqDate)).collect(Collectors.toList());
-            switch (i){
+             switch (i){
                 case 1:
                     historyResultDTO.setOne(historySingleResultList);
                     break;
@@ -265,6 +266,7 @@ public Result deleteRedo(LabResultRe labResultRe){
             }
 
         }
+}
         return new Result("0","获取成功！",historyResultDTO);
     }
 
diff --git a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkServiceImpl.java b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkServiceImpl.java
index 9379ead..7c68a09 100644
--- a/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkServiceImpl.java
+++ b/liswork/src/main/java/com/czlis/liswork/service/impl/LisWorkServiceImpl.java
@@ -437,64 +437,7 @@ public class LisWorkServiceImpl implements LisWorkService {
         Date jyrq = labPat.getJyrq();
         String yq = labPat.getYq();
         String ybh = labPat.getYbh();
-        LastLabPatParam lastLabPatParam = new LastLabPatParam();
-        String comparecol = commonUtil.getComOptValue(yq, "COMPARECOL");
-        String brdh = labPat.getBrdh();
-        String mzh = labPat.getMzh();
-        String sfzh = labPat.getSfzh();
-        String brxm = labPat.getBrxm();
-        List<LabResult> labResultList = new ArrayList<>();
-        switch (comparecol) {
-            case "住院号":
-                if ("".equals(brdh) || brdh == null) {
-                    return labResultList;
-                }
-                lastLabPatParam.setBrdh(brdh);
-                break;
-            case "卡号":
-                if ("".equals(mzh) || mzh == null) {
-                    return labResultList;
-                }
-                lastLabPatParam.setMzh(mzh);
-                break;
-            case "身份证":
-                if ("".equals(sfzh) || sfzh == null) {
-                    return labResultList;
-                }
-                lastLabPatParam.setSfzh(sfzh);
-                break;
-            case "姓名":
-                if ("".equals(brxm) || brxm == null) {
-                    return labResultList;
-                }
-                lastLabPatParam.setBrxm(brxm);
-                break;
-            default:
-                if ("".equals(brdh) || brdh == null) {
-                    return labResultList;
-                }
-                if ("".equals(brxm) || brxm == null) {
-                    return labResultList;
-                }
-                lastLabPatParam.setBrdh(brdh);
-                lastLabPatParam.setBrxm(brxm);
-        }
-        String interval = commonUtil.getComOptValue(yq, "COMPAREDA");
-        if (interval == null || interval.isEmpty()) interval = "60";
-        int getday = -Integer.parseInt(interval);
-        lastLabPatParam.setEndda(jyrq);
-        lastLabPatParam.setStartda(LisUtil.relativeDate(jyrq, getday));
-        String compother = commonUtil.getComOptValue(yq, "COMPOTHERINSTR");
-        if (compother != null && !compother.isEmpty()) {
-            String instrlist = commonUtil.getComOptValue(yq, "COMPOTHERINSTRLIST");
-            //'CAL800','XS500I','33','40'
-            if ("".equals(instrlist) || instrlist == null) {
-                lastLabPatParam.setYq(yq);
-            } else {
-                instrlist = "(" + instrlist + ",'" + yq + "')";
-                lastLabPatParam.setInstrlist(instrlist);
-            }
-        }
+        LastLabPatParam lastLabPatParam=lisWorkUtils.getLastLabPatParam(labPat);
         List<LabPat> labPatList = commonUtil.getlastLabPat(lastLabPatParam);
         if (!labPatList.isEmpty()) {
             for (LabPat labPat0 : labPatList) {
@@ -513,7 +456,7 @@ public class LisWorkServiceImpl implements LisWorkService {
                 }
             }
         }
-        return labResultList;
+        return new ArrayList<>();
     }
 
     @Override
diff --git a/liswork/src/main/resources/mapper/LisWorkPageInfoMapper.xml b/liswork/src/main/resources/mapper/LisWorkPageInfoMapper.xml
index 0784b89..2e15092 100644
--- a/liswork/src/main/resources/mapper/LisWorkPageInfoMapper.xml
+++ b/liswork/src/main/resources/mapper/LisWorkPageInfoMapper.xml
@@ -153,32 +153,41 @@
     </select>
 
     <select id="getHisResult" resultType="com.czlis.liswork.pojo.HistoryResult">
-        select b.jyrq,c.xmdh, c.xmmc,b.csjg,b.ybh,b.yq,d.yqdl,a.brdh,
+        select b.jyrq,c.xmdh, c.xmmc,b.csjg,b.ybh,b.yq,d.yqdl,d.yqmc,a.brdh,
                (case a.brxb when '1' then '男' when '2' then '女' end) as brxb ,
                c.cksx,c.ckxx,
         convert(varchar(100),a.nl)+(case a.nldw when '1' then '岁' when '2' then '月' when '3' then '天' end) as nl,
                a.brxm as brxm,b.result_flag,(select top 1 zdmc from com_dict where zdlb = 'HOS' and zddh = a.yljg) as yljg
         from lab_pat a, lab_result b,xm_info c,lab_instr d
         where a.jyrq = b.jyrq and a.yq = b.yq and a.ybh = b.ybh and a.jgbz = '2'
-        and c.yq = b.yq and c.xmdh = b.xmdh and d.yq = a.yq and a.jyrq > getdate() - 360
+        and c.yq = b.yq and c.xmdh = b.xmdh and d.yq = a.yq
+        <if test="startda != null">and a.jyrq >= #{startda}</if>
+        <if test="endda != null">and  #{endda} >= a.jyrq </if>
         <if test="yqdl != null and yqdl != ''"> and d.yqdl = #{yqdl}</if>
         <if test="brdh != null and brdh != ''"> and a.brdh = #{brdh}</if>
+        <if test="brxm != null and brxm !=''">and a.brxm = #{brxm}</if>
+        <if test="mzh != null and mzh !=''">and a.mzh = #{mzh}</if>
+        <if test="sfzh != null and sfzh !=''">and a.sfzh = #{sfzh}</if>
+        <if test="instrlist != null and instrlist !=''">and a.yq in ${instrlist} </if>
         <if test="jyrq != null "> and a.jyrq = #{jyrq}</if>
         <if test="yq != null and yq != ''"> and a.yq = #{yq}</if>
         <if test="ybh != null and ybh != ''"> and a.ybh = #{ybh}</if>
+        order by c.dyxh asc
     </select>
 
+
+
+
     <select id="getbgxm" resultType="map">
-        <![CDATA[
         SELECT  distinct xm_reqitem_vs_reportitem.sqxmdh,
         xm_reqitem_vs_reportitem.yq,
         xm_reqitem_vs_reportitem.xmdh,
         xm_reqitem_vs_reportitem.tdh,
         xm_reqitem_vs_reportitem.mrz,xm_info.dyxh,xm_info.xmmc
         FROM xm_reqitem_vs_reportitem,xm_info
-        WHERE ( xm_reqitem_vs_reportitem.sqxmdh = #{sqxmdh} ) AND   (isnull(xm_reqitem_vs_reportitem.def,'')<>'1') and
+        WHERE ( xm_reqitem_vs_reportitem.sqxmdh = #{sqxmdh} ) AND   (isnull(xm_reqitem_vs_reportitem.def,'')!='1') and
         ( xm_reqitem_vs_reportitem.yq = #{yq} )    and xm_reqitem_vs_reportitem.yq=xm_info.yq and xm_reqitem_vs_reportitem.xmdh=xm_info.xmdh
-        ]]>
+
     </select>
 
     <select id="getInputmdl">