diff --git a/app/Services/DutyReportService.php b/app/Services/DutyReportService.php
index a821f0c..0a584ff 100644
--- a/app/Services/DutyReportService.php
+++ b/app/Services/DutyReportService.php
@@ -127,6 +127,7 @@ class DutyReportService
         return MedicalHistory::query()
             ->whereHas('migrations', function ($q) use ($departmentId, $dateRange, $startYear) {
                 $q->where('department_id', $departmentId)
+                    // ->whereNotIn('diagnosis_code', ['Z00.8', 'Z76.1', 'Z76.2', 'Z76.3']) // Исключаем осмотры и наблюдения
                     ->where('ingoing_date', '<=', $dateRange->endSql())
                     ->where(function ($sub) use ($dateRange, $startYear) {
                         // Миграции без out_date (еще лежат)
diff --git a/app/Services/MedicalHistoryService.php b/app/Services/MedicalHistoryService.php
index 446fb3b..24c606b 100644
--- a/app/Services/MedicalHistoryService.php
+++ b/app/Services/MedicalHistoryService.php
@@ -14,6 +14,7 @@ class MedicalHistoryService
         $startYear = $dateRange->startDate->copy()->startOfYear()->format('Y-m-d');
         $periodMigrationFilter = function ($q) use ($departmentId, $dateRange, $startYear) {
             $q->where('department_id', $departmentId)
+                // ->whereNotIn('diagnosis_code', ['Z76.1', 'Z76.2', 'Z76.3']) // Исключаем осмотры и наблюдения
                 ->where('ingoing_date', '<=', $dateRange->endSql())
                 ->where(function ($sub) use ($dateRange, $startYear) {
                     // Миграции без out_date (еще лежат)
diff --git a/app/Services/NurseReportService.php b/app/Services/NurseReportService.php
index 9409781..3fe4f6b 100644
--- a/app/Services/NurseReportService.php
+++ b/app/Services/NurseReportService.php
@@ -96,6 +96,7 @@ class NurseReportService
         $query = UnifiedMedicalHistory::query()
             ->whereHas('migrations', function ($q) use ($departmentId, $dateRange, $startYear) {
                 $q->where('department_id', $departmentId)
+                    // ->whereNotIn('diagnosis_code', ['Z00.8', 'Z76.1', 'Z76.2', 'Z76.3']) // Исключаем осмотры и наблюдения
                     ->where('ingoing_date', '<=', $dateRange->endSql())
                     ->where(function ($sub) use ($dateRange, $startYear) {
                         $sub->whereNull('out_date')
@@ -110,6 +111,7 @@ class NurseReportService
             })
             ->with(['migrations' => function ($q) use ($departmentId, $dateRange, $startYear) {
                 $q->where('department_id', $departmentId)
+                    // ->whereNotIn('diagnosis_code', ['Z00.8', 'Z76.1', 'Z76.2', 'Z76.3']) // Исключаем осмотры и наблюдения
                     ->where('ingoing_date', '<=', $dateRange->endSql())
                     ->where(function ($sub) use ($dateRange, $startYear) {
                         $sub->whereNull('out_date')