diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 93adc7873..e51bf5247 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -3202,7 +3202,7 @@
         </member>
         <member name="M:IRaCIS.Core.Application.Service.ClinicalAnswerService.AutoAddCRCClinical(IRaCIS.Core.Application.Service.Reading.Dto.AutoAddClinicalInDto)">
             <summary>
-            自动添加CRC临床数据
+            自动添加CRC临床数据 (不包括检查级别)
             </summary>
             <param name="inDto"></param>
             <returns></returns>
diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/StudyService.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/StudyService.cs
index 57e7a8cec..c74549364 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/StudyService.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/StudyService.cs
@@ -139,7 +139,11 @@ namespace IRaCIS.Core.Application.Service.ImageAndDoc
         }
 
 
-
+        /// <summary>
+        /// 上传临床数据
+        /// </summary>
+        /// <param name="incommand"></param>
+        /// <returns></returns>
         [TypeFilter(typeof(TrialResourceFilter), Arguments = new object[] { "AfterStopCannNotOpt" })]
         public async Task<IResponseOutput> AddOrUpdateArchiveStudy(NewArchiveStudyCommand incommand)
         {
diff --git a/IRaCIS.Core.Application/Service/ImageAndDoc/_MapConfig.cs b/IRaCIS.Core.Application/Service/ImageAndDoc/_MapConfig.cs
index a935d98b6..abe17f113 100644
--- a/IRaCIS.Core.Application/Service/ImageAndDoc/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/ImageAndDoc/_MapConfig.cs
@@ -59,7 +59,8 @@ namespace IRaCIS.Core.Application.Service
                 ;
 
             CreateMap<DicomStudy, QAStudyInfoDTO>()
-                .ForMember(o => o.UploadedTime, t => t.MapFrom(u => u.CreateTime))
+                .ForMember(o => o.IsCompleteClinicalData, t =>  t.MapFrom(u => !u.ReadingClinicalDataList.Any(x=>x.ReadingClinicalDataPDFList.Count()==0)))
+				.ForMember(o => o.UploadedTime, t => t.MapFrom(u => u.CreateTime))
                 .ForMember(o => o.Uploader, t => t.MapFrom(u => u.Uploader.LastName + " / " + u.Uploader.FirstName))
                 .ForMember(o => o.StudyId, t => t.MapFrom(u => u.Id))
                  .ForMember(o => o.IsHaveUploadFailed, t => t.MapFrom(u => u.DicomStudyMonitorList.Any(t=>t.FailedFileCount>0)))
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index 225e6e396..72234ea6f 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -256,7 +256,8 @@ namespace IRaCIS.Core.Application.Contracts.DTO
     public class TrialVisitQADTO
     {
         public bool ExistsManual { get; set; }
-        public SubjectClinicalDataDto SubjectClinicalData { get; set; } = new SubjectClinicalDataDto();
+		public bool IsHaveStudyClinicalData { get; set; }
+		public SubjectClinicalDataDto SubjectClinicalData { get; set; } = new SubjectClinicalDataDto();
 
         public List<NoneDicomStudyView> NoneDicomStudyList { get; set; } = new List<NoneDicomStudyView>();
 
@@ -387,7 +388,10 @@ namespace IRaCIS.Core.Application.Contracts.DTO
         public string ModalityForEdit { get; set; } = string.Empty;
 
         public bool IsHaveUploadFailed { get; set; }
-    }
+
+        public bool IsCompleteClinicalData { get; set; }
+
+	}
 
     public class QASeriesInfoDto
     {
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
index 77fe44405..5e6cab450 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QCListViewModel.cs
@@ -123,8 +123,11 @@ namespace IRaCIS.Core.Application.Contracts
         public bool IsEnrollementQualificationConfirm { get; set; }
         public bool IsPDProgressView { get; set; }
 
+        public bool IsHaveStudyClinicalData { get; set; }
 
-        public string OutEnrollmentVisitName { get; set; } = String.Empty;
+
+
+		public string OutEnrollmentVisitName { get; set; } = String.Empty;
 
         public string BodyPartTypes { get; set; } = String.Empty;
 
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index b85b2b380..d2d7dc7b3 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -8,6 +8,7 @@ using IRaCIS.Application.Interfaces;
 using IRaCIS.Application.Contracts;
 using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Application.Service.Reading.Dto;
+using static Org.BouncyCastle.Math.EC.ECCurve;
 
 namespace IRaCIS.Core.Application.Image.QA
 {
@@ -16,7 +17,8 @@ namespace IRaCIS.Core.Application.Image.QA
     {
         private readonly IRepository<SubjectVisit> _subjectVisitRepository;
         private readonly IRepository<Trial> _trialRepository;
-        private readonly IRepository<ClinicalDataTrialSet> _clinicalDataTrialSet;
+		private readonly IRepository<ClinicalDataTrialSet> _clinicalDataTrialSetRepository;
+		private readonly IRepository<ClinicalDataTrialSet> _clinicalDataTrialSet;
         private readonly IRepository<TrialQCQuestionAnswer> _trialQCQuestionAnswerRepository;
         private readonly IRepository<TrialQCQuestion> _trialQCQuestionRepository;
         private readonly IRepository<InspectionFile> _consistencyCheckFileRepository;
@@ -26,7 +28,8 @@ namespace IRaCIS.Core.Application.Image.QA
         public QCListService(
               IRepository<SubjectVisit> subjectVisitRepository,
               IRepository<Trial> trialRepository,
-              IRepository<ClinicalDataTrialSet> clinicalDataTrialSet,
+				IRepository<ClinicalDataTrialSet> clinicalDataTrialSetRepository,
+			  IRepository<ClinicalDataTrialSet> clinicalDataTrialSet,
               IRepository<TrialQCQuestionAnswer> trialQCQuestionAnswerRepository,
               IRepository<TrialQCQuestion> trialQCQuestionRepository,
               IReadingImageTaskService IReadingImageTaskService,
@@ -39,7 +42,8 @@ namespace IRaCIS.Core.Application.Image.QA
             this._trialQCQuestionRepository = trialQCQuestionRepository;
             this._consistencyCheckFileRepository = consistencyCheckFileRepository;
             _trialRepository = trialRepository;
-            this._clinicalDataTrialSet = clinicalDataTrialSet;
+			this._clinicalDataTrialSetRepository = clinicalDataTrialSetRepository;
+			this._clinicalDataTrialSet = clinicalDataTrialSet;
         }
 
 
@@ -77,8 +81,8 @@ namespace IRaCIS.Core.Application.Image.QA
             var pageList = await query.ToPagedListAsync(visitSearchDTO.PageIndex, visitSearchDTO.PageSize, visitSearchDTO.SortField, visitSearchDTO.Asc, string.IsNullOrWhiteSpace(visitSearchDTO.SortField), defalutSortArray);
 
             var config = await _repository.Where<Trial>(t => t.Id == visitSearchDTO.TrialId).ProjectTo<TrialSubjectAndSVConfig>(_mapper.ConfigurationProvider).FirstOrDefaultAsync().IfNullThrowException();
-            config.IsHaveSubjectClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.Subject || x.ClinicalDataLevel == ClinicalLevel.Study) && x.UploadRole == UploadRole.CRC);
-            config.IsHaveVisitClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.SubjectVisit|| x.ClinicalDataLevel == ClinicalLevel.Study) && x.UploadRole == UploadRole.CRC);
+            config.IsHaveSubjectClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.Subject ) && x.UploadRole == UploadRole.CRC);
+            config.IsHaveVisitClinicalData = await _clinicalDataTrialSet.AnyAsync(x => x.TrialId == visitSearchDTO.TrialId && x.IsConfirm && (x.ClinicalDataLevel == ClinicalLevel.SubjectVisit) && x.UploadRole == UploadRole.CRC);
             return (pageList, config);
 
         }
@@ -610,8 +614,10 @@ namespace IRaCIS.Core.Application.Image.QA
 
             return new TrialVisitQADTO
             {
-                QCQuestionAnswerList = qacheckList,
-                StudyList = temp.StudyList,
+				QCQuestionAnswerList = qacheckList,
+
+				IsHaveStudyClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.IsConfirm && x.TrialId == sv.TrialId && x.ClinicalDataLevel == ClinicalLevel.Study),
+		    	StudyList = temp.StudyList,
                 ExistsManual= (await _IReadingImageTaskService.GetManualList(new GetManualListInDto() { TrialId = sv.TrialId })).Count() > 0,
                 SeriesList = temp.SeriesList,
                 RelationInfo = await GetVisitQCSubjectInfo(subjectVisitId),
@@ -760,12 +766,17 @@ namespace IRaCIS.Core.Application.Image.QA
         [HttpGet("{subjectVisitId:guid}")]
         public async Task<(List<QAStudyInfoDTO>,object)> GetSubjectVisitUploadedStudyList(Guid subjectVisitId)
         {
+
+            var visit = await _subjectVisitRepository.Where(x => x.Id == subjectVisitId).FirstNotNullAsync();
             var list= await _repository.Where<DicomStudy>(s => s.SubjectVisitId == subjectVisitId).IgnoreQueryFilters().ProjectTo<QAStudyInfoDTO>(_mapper.ConfigurationProvider).OrderBy(t=>t.StudyCode).ToListAsync();
 
 
             var config = await _repository.Where<SubjectVisit>(t => t.Id == subjectVisitId).Select(t=>t.Trial).ProjectTo<TrialSubjectAndSVConfig>(_mapper.ConfigurationProvider).FirstOrDefaultAsync().IfNullThrowException();
 
-            return (list, config);
+            config.IsHaveStudyClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.IsConfirm && x.TrialId == visit.TrialId && x.ClinicalDataLevel == ClinicalLevel.Study);
+
+
+			return (list, config);
         }
 
 
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index 761800f5b..1bfd22237 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -16,6 +16,7 @@ using IRaCIS.Core.Domain.Models;
 using IRaCIS.Core.Infrastructure.Extention;
 using IRaCIS.Core.Application.Service.Reading.Interface;
 using IRaCIS.Core.Application.Contracts;
+using OfficeOpenXml.FormulaParsing.Excel.Functions.Information;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -41,6 +42,7 @@ namespace IRaCIS.Core.Application.Service
 		private readonly IRepository<Subject> _subjectRepository;
 		private readonly IRepository<ReadModuleCriterionFrom> _readModuleCriterionFromRepository;
 		private readonly IRepository<ReadModule> _readModuleRepository;
+		private readonly IRepository<DicomStudy> _dicomStudyRepository;
 		private readonly IRepository<ClinicalQuestionAnswer> _clinicalQuestionAnswerRepository;
 
         private readonly IRepository<ClinicalTableAnswer> _clinicalTableAnswerRepository;
@@ -64,6 +66,7 @@ namespace IRaCIS.Core.Application.Service
         IReadingClinicalDataService iReadingClinicalDataService,
             IRepository<ReadModuleCriterionFrom> readModuleCriterionFromRepository,
 			IRepository<ReadModule> readModuleRepository,
+				IRepository<DicomStudy> dicomStudyRepository,
 		IRepository<SubjectVisit> subjectVisitRepository,
 			IRepository<ClinicalTableAnswer> clinicalTableAnswerRepository,
              IRepository<ClinicalQuestionAnswer> clinicalQuestionAnswerRepository,
@@ -87,6 +90,7 @@ namespace IRaCIS.Core.Application.Service
 			this._subjectRepository = subjectRepository;
 			this._readModuleCriterionFromRepository = readModuleCriterionFromRepository;
 			this._readModuleRepository = readModuleRepository;
+			this._dicomStudyRepository = dicomStudyRepository;
 			_clinicalTableAnswerRepository = clinicalTableAnswerRepository;
             _iClinicalQuestionService = iClinicalQuestionService;
         }
@@ -111,11 +115,56 @@ namespace IRaCIS.Core.Application.Service
         }
 
         /// <summary>
-        /// 自动添加CRC临床数据
+        /// 删除检查级别临床数据
         /// </summary>
         /// <param name="inDto"></param>
         /// <returns></returns>
-        public async Task AutoAddCRCClinical(AutoAddClinicalInDto inDto)
+        public async Task DeleteStudyClinical(DeleteStudyClinicalInDto inDto)
+        {
+            await _readingClinicalDataRepository.BatchDeleteNoTrackingAsync(x => x.StudyId == inDto.StudyId);
+
+		}
+
+		/// <summary>
+		///  添加检查级别临床数据
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		public async Task AddStudyClinical(AddStudyClinicalInDto inDto)
+        {
+            var studyInfo = await _dicomStudyRepository.Where(x => x.Id == inDto.StudyId).FirstNotNullAsync();
+
+            List<ClinicalDataTrialSet> clinicals = await _clinicalDataTrialSetRepository.Where(x => 
+            x.TrialId == studyInfo.TrialId && x.IsConfirm&&x.ClinicalDataLevel== ClinicalLevel.Study).ToListAsync();
+
+            List<ReadingClinicalData> datas = new List<ReadingClinicalData>();
+
+            clinicals.ForEach(x =>
+            {
+                datas.Add(new ReadingClinicalData()
+                {
+                    ClinicalDataTrialSetId = x.Id,
+                    IsVisit = true,
+                    SubjectId = studyInfo.SubjectId,
+                    ReadingId = studyInfo.SubjectVisitId,
+                    TrialId = studyInfo.TrialId,
+                    StudyId = studyInfo.Id
+
+                });
+
+			});
+
+			await _readingClinicalDataRepository.AddRangeAsync(datas);
+			await _readingClinicalDataRepository.SaveChangesAsync();
+
+		}
+
+		/// <summary>
+		/// 自动添加CRC临床数据 (不包括检查级别)
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		public async Task AutoAddCRCClinical(AutoAddClinicalInDto inDto)
         {
 			var dataTrialSetList = await _clinicalDataTrialSetRepository.Where(x =>x.TrialId == inDto.TrialId && x.UploadRole == UploadRole.CRC && x.IsConfirm)
 			  .IgnoreAutoIncludes().ToListAsync();
@@ -194,16 +243,16 @@ namespace IRaCIS.Core.Application.Service
 					   TrialId = inDto.TrialId
 				   }).ToList());
 
-				readingClinicalDatas.AddRange(
-				   dataTrialSetList.Where(x => x.ClinicalDataLevel == ClinicalLevel.Study).Where(x => clinicalDataList.Where(y => y.ClinicalDataTrialSetId == x.Id && y.ReadingId == n.VisitId).Count() == 0)
-				   .Select(x => new ReadingClinicalData()
-				   {
-					   ClinicalDataTrialSetId = x.Id,
-					   IsVisit = true,
-					   SubjectId = n.SubjectId,
-					   ReadingId = n.VisitId,
-					   TrialId = inDto.TrialId
-				   }).ToList());
+				//readingClinicalDatas.AddRange(
+				//   dataTrialSetList.Where(x => x.ClinicalDataLevel == ClinicalLevel.Study).Where(x => clinicalDataList.Where(y => y.ClinicalDataTrialSetId == x.Id && y.ReadingId == n.VisitId).Count() == 0)
+				//   .Select(x => new ReadingClinicalData()
+				//   {
+				//	   ClinicalDataTrialSetId = x.Id,
+				//	   IsVisit = true,
+				//	   SubjectId = n.SubjectId,
+				//	   ReadingId = n.VisitId,
+				//	   TrialId = inDto.TrialId
+				//   }).ToList());
 			});
 
           
diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
index b144be19e..920e01a7d 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ReadingClinicalDataService.cs
@@ -9,6 +9,7 @@ using Microsoft.Extensions.DependencyInjection;
 using System.Linq.Expressions;
 using IRaCIS.Core.Infrastructure;
 using System.Linq.Dynamic.Core;
+using Microsoft.Extensions.Logging;
 
 namespace IRaCIS.Application.Services
 {
@@ -82,7 +83,7 @@ namespace IRaCIS.Application.Services
         {
             var existsQuery = _readingClinicalDataRepository
                 .WhereIf(indto.Id != null, x => x.Id != indto.Id)
-                .Where(x => x.ClinicalDataTrialSetId == indto.ClinicalDataTrialSetId && x.ReadingId == indto.ReadingId);
+                .Where(x => x.ClinicalDataTrialSetId == indto.ClinicalDataTrialSetId && x.ReadingId == indto.ReadingId&&x.StudyId==indto.StudyId);
 
 
 
@@ -178,19 +179,33 @@ namespace IRaCIS.Application.Services
 
         #region 临床数据CRC  相关
 
-        /// <summary>
-        /// 获取CRC上传的文件
-        /// </summary>
-        /// <param name="inDto"></param>
-        /// <returns></returns>
-        [HttpPost]
+
+		/// <summary>
+		/// 获取CRC上传的文件
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
         public async Task<List<GetCRCClinicalDataOutDto>> GetCRCClinicalData(GetCRCClinicalDataInDto inDto)
         {
-            List<GetCRCClinicalDataOutDto> cRCClinicalDataList = await _readingClinicalDataRepository.Where(x => x.ReadingId == inDto.SubjectVisitId)
-                .WhereIf(inDto.IsBaseline, x => x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Subject || x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.SubjectVisit|| x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Study)
-                 .WhereIf(!inDto.IsBaseline, x => x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.SubjectVisit || x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Study)
-                .Where(x => x.ClinicalDataTrialSet.TrialId == inDto.TrialId && x.ClinicalDataTrialSet.UploadRole == UploadRole.CRC)
-                .Select(x => new GetCRCClinicalDataOutDto()
+
+            var query = _readingClinicalDataRepository.AsQueryable();
+            if (inDto.StudyId != null)
+            {
+                query = query.Where(x => x.StudyId == inDto.StudyId.Value);
+            }
+            else
+            {
+                query = query.Where(x => x.ReadingId == inDto.SubjectVisitId)
+                .WhereIf(inDto.IsBaseline, x => x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.Subject || x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.SubjectVisit)
+                .WhereIf(!inDto.IsBaseline, x => x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.SubjectVisit)
+                .Where(x => x.ClinicalDataTrialSet.TrialId == inDto.TrialId && x.ClinicalDataTrialSet.UploadRole == UploadRole.CRC);
+
+			}
+
+
+			List<GetCRCClinicalDataOutDto> cRCClinicalDataList = await query
+				.Select(x => new GetCRCClinicalDataOutDto()
                 {
                     Id = x.Id,
                     ClinicalDataSetName = x.ClinicalDataTrialSet.ClinicalDataSetName.LanguageName(x.ClinicalDataTrialSet.ClinicalDataSetEnName, _userInfo.IsEn_Us) ,
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
index fb669cb58..c09cbbf25 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
@@ -12,7 +12,19 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
     {
         public Guid ReadingClinicalDataId { get; set; }
     }
-    public class AutoAddClinicalInDto
+
+
+	public class DeleteStudyClinicalInDto
+	{
+		public Guid StudyId { get; set; }
+	}
+
+	public class AddStudyClinicalInDto
+    {
+		public Guid StudyId { get; set; }
+	}
+
+	public class AutoAddClinicalInDto
     {
 		public Guid? SubjectId { get; set; }
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
index 39262facc..a3f213303 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingClinicalDataDto.cs
@@ -15,6 +15,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
 		public Guid? Id { get; set; }
 
+		public Guid? StudyId { get; set; }
+
 		/// <summary>
 		/// 项目ID
 		/// </summary>
@@ -143,16 +145,17 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
 	public class GetCRCClinicalDataInDto
 	{
-		[NotDefault]
 		public Guid SubjectVisitId { get; set; }
 
-		[NotDefault]
 		public Guid TrialId { get; set; }
 
-		[NotDefault]
 		public Guid SubjectId { get; set; }
 
 		public bool IsBaseline { get; set; }
+
+		public Guid? StudyId { get; set; }
+
+
 	}
 
 	/// <summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
index 0553e985a..c3decdd72 100644
--- a/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Interface/IClinicalAnswerService.cs
@@ -11,7 +11,13 @@ namespace IRaCIS.Core.Application.Service.Reading.Interface
 	{
 		Task<IResponseOutput> CRCSignClinicalData(CRCSignClinicalDataInDto inDto);
 
-         Task AutoAddCRCClinical(AutoAddClinicalInDto inDto);
+
+		Task DeleteStudyClinical(DeleteStudyClinicalInDto inDto);
+
+		Task AddStudyClinical(AddStudyClinicalInDto inDto);
+
+
+		 Task AutoAddCRCClinical(AutoAddClinicalInDto inDto);
 
         Task<IResponseOutput> PMConfirmClinical(CRCConfirmClinicalInDto inDto);
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
index 348d0815e..d8b7d3d82 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/General/ReadingCalculateService.cs
@@ -95,6 +95,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         public async Task CalculateTask(CalculateTaskInDto inDto)
         {
 
+            _userInfo.IsNotNeedInspection = true;
             var service = await this.GetService(inDto.VisitTaskId);
             if (service != null)
             {
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index 6b82c2a7e..f21b84499 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -2279,16 +2279,25 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var differenceValue = presentSpd - baseLineSpleenLength;
 
             var differenceLowValue = presentSpd - lowSpleenLength;
-            decimal percentage = 0;
-            if (baseLineSpleenLength != 0)
-            {
-                percentage = differenceValue * 100 / (baseLineSpleenLength-130);
-            }
+          
 
-            //  1、基线 垂直径> 130 mm
-            //2、与基线相比脾垂直径变化值≥10 mm
-            //与基线相比脾肿大增加的百分比 > 50％
-            if (baseLineSpleenLength > 130 && differenceValue >= 10 && percentage > 50)
+		    decimal	getPercentage()
+            {
+				decimal percentage = 0;
+				if (baseLineSpleenLength != 0)
+				{
+					percentage = differenceValue * 100 / (baseLineSpleenLength - 130);
+				}
+                return percentage;
+			}
+
+
+
+			//  1、基线 垂直径> 130 mm
+			//2、与基线相比脾垂直径变化值≥10 mm
+			// 当前垂直径>130 mm
+			//与基线相比脾肿大增加的百分比 > 50％
+			if (baseLineSpleenLength > 130 && differenceValue >= 10 && spleenLength>130 && getPercentage() > 50)
             {
                 result = SpleenAssessment.Increase;
             }
@@ -2312,9 +2321,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             {
                 result = SpleenAssessment.Normal;
             }
-            //1、基线期 状态为“肿大”
-            //与基线相比脾肿大增加的百分比 < -50％
-            else if (baseLineState.EqEnum(SpleenAssessment.Swelling) && percentage < -50)
+			//1、基线期 状态为“肿大”
+			// 当前垂直径>130 mm
+			//与基线相比脾肿大增加的百分比 < -50％
+			else if (baseLineState.EqEnum(SpleenAssessment.Swelling) && spleenLength > 130 && getPercentage() < -50)
             {
                 result = SpleenAssessment.Remission;
             }
@@ -2616,7 +2626,33 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 		/// <returns></returns>
 		public async Task<string> GetPET5PSRemark(ReadingCalculateDto inDto)
 		{
-			return string.Empty;
+			List<QuestionType?> needSearchTypes = new List<QuestionType?>()
+			{
+				QuestionType.PET5PS,
+				QuestionType.PSScoreRemarks,
+			};
+
+			var dataBaseDataList = await _readingTaskQuestionAnswerRepository.Where(x => x.VisitTaskId == inDto.VisitTaskId && needSearchTypes.Contains(x.ReadingQuestionTrial.QuestionType)).Select(x => new
+			{
+				x.Answer,
+				x.ReadingQuestionTrial.QuestionType
+			}).ToListAsync(); ;
+
+
+			// 数据库中PET5PS
+			var pET5PS = dataBaseDataList.Where(x => x.QuestionType == QuestionType.PET5PS).Select(x => x.Answer).FirstIsNullReturnEmpty();
+
+			// 如果PET5PS没变 就不重新计算
+			if (pET5PS == (await GetPET5PS(inDto)).ToString())
+            {
+                return dataBaseDataList.Where(x => x.QuestionType == QuestionType.PSScoreRemarks).Select(x => x.Answer).FirstIsNullReturnEmpty();
+
+            }
+            else 
+            {
+				return string.Empty;
+			}
+			
 		}
 		#endregion
 
diff --git a/IRaCIS.Core.Application/Triggers/SubjectVisitTrigger.cs b/IRaCIS.Core.Application/Triggers/SubjectVisitTrigger.cs
index 979c1f779..6c4336d22 100644
--- a/IRaCIS.Core.Application/Triggers/SubjectVisitTrigger.cs
+++ b/IRaCIS.Core.Application/Triggers/SubjectVisitTrigger.cs
@@ -1,4 +1,5 @@
 using EntityFrameworkCore.Triggered;
+using IRaCIS.Core.Application.Service.Reading.Interface;
 using IRaCIS.Core.Domain.Share;
 
 namespace IRaCIS.Core.Application.Triggers
@@ -9,13 +10,14 @@ namespace IRaCIS.Core.Application.Triggers
     public class SubjectVisitTrigger : IAfterSaveTrigger<NoneDicomStudy>, IAfterSaveTrigger<DicomStudy>, IAfterSaveTrigger<NoneDicomStudyFile>
     {
         private readonly IRepository<SubjectVisit> _subjectVisitRepository;
-        private readonly IRepository _repository;
+		private readonly IClinicalAnswerService _iClinicalAnswerService;
+		private readonly IRepository _repository;
 
-        public SubjectVisitTrigger(IRepository<SubjectVisit> subjectVisitRepository,IRepository repository)
+        public SubjectVisitTrigger(IRepository<SubjectVisit> subjectVisitRepository, IClinicalAnswerService iClinicalAnswerService,IRepository repository)
         {
             _subjectVisitRepository = subjectVisitRepository;
-
-            _repository = repository;
+			this._iClinicalAnswerService = iClinicalAnswerService;
+			_repository = repository;
         }
 
         //注意删除不能用扩展方法，必须用EF跟踪的实体  否则不能取到  SubjectVisitId
@@ -65,13 +67,33 @@ namespace IRaCIS.Core.Application.Triggers
 
                 await UpdateSubjectVisitSubmitStateAsync(subjectVisitId);
 
+                //添加检查级别临床数据
+
+                // 检查类型  ModalityForEdit
+                // 检查模态  Modalities
+                var modalities = context.Entity.Modalities;
+                if (modalities.Contains("PT") && modalities.Contains("CT"))
+                {
+					await _iClinicalAnswerService.AddStudyClinical(new Service.Reading.Dto.AddStudyClinicalInDto()
+					{
+						StudyId = studyId,
+					});
+				}
+              
+
             }
 
             if (context.ChangeType == ChangeType.Deleted)
             {
                 await UpdateSubjectVisitImageDateAsync(subjectVisitId);
                 await UpdateSubjectVisitSubmitStateAsync(subjectVisitId);
-            }
+
+                //删除检查级别临床数据
+				await _iClinicalAnswerService.DeleteStudyClinical(new Service.Reading.Dto.DeleteStudyClinicalInDto()
+				{
+					StudyId = context.Entity.Id,
+				});
+			}
 
         }
 
diff --git a/IRaCIS.Core.Domain/Image/DicomStudy.cs b/IRaCIS.Core.Domain/Image/DicomStudy.cs
index a42a79b81..f06517ea9 100644
--- a/IRaCIS.Core.Domain/Image/DicomStudy.cs
+++ b/IRaCIS.Core.Domain/Image/DicomStudy.cs
@@ -88,10 +88,14 @@ namespace IRaCIS.Core.Domain.Models
         [ForeignKey("CreateUserId")]
         public User Uploader { get; set; }
 
+		[JsonIgnore]
+
+		public List<ReadingClinicalData> ReadingClinicalDataList { get; set; }
 
 
-        //软删除
-        public bool IsDeleted { get; set; }
+
+		//软删除
+		public bool IsDeleted { get; set; }
 
         public DateTime? DeletedTime { get; set; }
 
diff --git a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingClinicalData.cs b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingClinicalData.cs
index bdcb87f34..423d169e8 100644
--- a/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingClinicalData.cs
+++ b/IRaCIS.Core.Domain/Reading/ClinicalData/ReadingClinicalData.cs
@@ -24,6 +24,8 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public Guid ReadingId { get; set; }
 
+		public Guid? StudyId { get; set; }
+
 		/// <summary>
 		/// 受试者ID
 		/// </summary>
@@ -75,9 +77,11 @@ namespace IRaCIS.Core.Domain.Models
 
 		public ClinicalDataTrialSet ClinicalDataTrialSet { get; set; }
 
+		[JsonIgnore]
 
+		public DicomStudy? DicomStudy { get; set; }
 
-        [JsonIgnore]
+		[JsonIgnore]
         [ForeignKey("TrialId")]
 
         public Trial Trial { get; set; }
diff --git a/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs b/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
index eb4448cec..b2970b619 100644
--- a/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
+++ b/IRaCIS.Core.Infra.EFCore/AuthUser/IUserInfo.cs
@@ -51,10 +51,12 @@ namespace IRaCIS.Core.Domain.Share
 
         Guid? BatchId { get; set; }
 
+		bool IsNotNeedInspection { get; set; }
 
-        /// <summary>
-        /// 字符串形式  标识时区
-        /// </summary>
-        string TimeZoneId { get; }
+
+		/// <summary>
+		/// 字符串形式  标识时区
+		/// </summary>
+		string TimeZoneId { get; }
     }
 }
diff --git a/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs b/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
index 61521c667..d101ec1b7 100644
--- a/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
+++ b/IRaCIS.Core.Infra.EFCore/AuthUser/UserInfo.cs
@@ -298,7 +298,12 @@ namespace IRaCIS.Core.Domain.Share
 
             get; set;
         }
-    }
+
+        /// <summary>
+        /// 是否不需要记录稽查
+        /// </summary>
+        public bool IsNotNeedInspection { get; set; } = false;
+	}
 
     public static class ClaimAttributes
     {
diff --git a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
index 0ad3d6c38..5b6274db0 100644
--- a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
+++ b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
@@ -2697,120 +2697,136 @@ namespace IRaCIS.Core.Infra.EFCore.Common
             //保存影像质量   多条记录，只记录一条稽查   
             if (entitys.Any(x => x.Entity.GetType() == typeof(ReadingTaskQuestionAnswer)))
             {
-                // 保存影像质量 、  修改整体肿瘤评估结果 、  非dicom 保存访视阅片结果 、附加评估
-                if (_userInfo.RequestUrl == "ReadingImageTask/changeDicomReadingQuestionAnswer"
-                    || _userInfo.RequestUrl == "ReadingImageTask/saveImageQuality"
-					 || _userInfo.RequestUrl.Contains("SaveTaskQuestion")
-					|| _userInfo.RequestUrl == "ReadingImageTask/saveVisitTaskQuestions"
-                    || _userInfo.RequestUrl == "ReadingImageTask/changeCalculationAnswer"
-                    || _userInfo.RequestUrl == "ReadingImageTask/submitTaskAdditionalQuestion")
+                //判断是否不需要记录稽查
+                if (_userInfo.IsNotNeedInspection)
                 {
-                    var type = AuditOpt.Add;
-
-					List<UnitData> unitDataList = (await _dbContext.Dictionary.Where(x => x.Parent.Code == "ValueUnit").Where(x => x.Code != "0").ToListAsync()).Select(x => new UnitData()
-					{
-
-						Unit = (ValueUnit)int.Parse(x.Code),
-						UnitName = x.Value.ToString(),
-					}).ToList();
-					var extraIdentification = string.Empty;
-
-                    //具体的答案
-                    var taskQuestionAnswerList = entitys.Where(x => x.Entity.GetType() == typeof(ReadingTaskQuestionAnswer)).Select(t => t.Entity as ReadingTaskQuestionAnswer).ToList();
-
-                    //获取问题名称 组合成数组
-                    var quesionList = await _dbContext.ReadingQuestionTrial.Where(t => taskQuestionAnswerList.Select(k => k.ReadingQuestionTrialId).Contains(t.Id)).IgnoreQueryFilters().Select(t => new
-                    {
-                        t.QuestionName,
-                        t.QuestionEnName,
-                        QuestionId = t.Id,
-                        t.DictionaryCode,
-                        t.Unit,
-						t.ShowOrder,
-                        AnswerType = t.Type,
-                    }).OrderBy(t => t.ShowOrder).ToListAsync();
-
-
-                    var firstEntity = taskQuestionAnswerList.First();
-
-                    var cloneEntity = firstEntity.Clone();
-
-
-
-                    //保证Id 唯一
-                    cloneEntity.Id = IdentifierHelper.CreateGuid(firstEntity.ReadingQuestionCriterionTrialId.ToString(), firstEntity.ReadingQuestionTrialId.ToString(), firstEntity.VisitTaskId.ToString());
-
-
-                    dynamic tableQuesionAndAnswerList = null;
-                    //自定义特有标识
-                    if (await _dbContext.ReadingQuestionCriterionTrial.AnyAsync(t => t.Id == firstEntity.ReadingQuestionCriterionTrialId && t.CriterionType == CriterionType.SelfDefine))
-                    {
-                        extraIdentification = "/Self";
-
-                        //还会把病灶问题答案更新
-
-                        var tableQuestionAnswerList = entitys.Where(x => x.Entity.GetType() == typeof(ReadingTableQuestionAnswer)).Select(t => t.Entity as ReadingTableQuestionAnswer).ToList();
-
-
-                        //获取表格问题名称 组合成数组
-                        var tableQuesionList = await _dbContext.ReadingTableQuestionTrial.Where(t => tableQuestionAnswerList.Select(k => k.TableQuestionId).Contains(t.Id)).Select(t =>
-                        new
-                        {
-                            TrialReadingCriterionId = t.ReadingQuestionTrial.ReadingQuestionCriterionTrialId, //标准Id
-                            Type = t.ReadingQuestionTrial.QuestionName, //病灶类型
-                            t.ReadingQuestionTrial.Unit,
-                            t.ReadingQuestionTrial.CustomUnit,
-                            t.DictionaryCode,
-                            t.QuestionName,
-                            t.QuestionEnName,
-                            QuestionId = t.Id,
-                            t.ShowOrder,
-                            AnswerType = t.Type,
-                        })
-                            .OrderBy(t => t.ShowOrder).ToListAsync();
-
-                        tableQuesionAndAnswerList = tableQuestionAnswerList.Join(tableQuesionList, t => t.TableQuestionId, u => u.QuestionId, (t, u) =>
-                               new
-                               {
-                                   //如果问题类型是附件 特殊处理 方便前端解析
-                                   Answer = u.AnswerType == "upload" ? "❄❅❆❇❈❉❊" + t.Answer : t.Answer,
-                                   u.QuestionName,
-                                   u.QuestionEnName,
-                                   u.DictionaryCode,
-                                   u.ShowOrder,
-                                   t.RowId
-                               }
-                               ).OrderBy(t => t.RowId).ThenBy(t => t.ShowOrder).ToList();
-
-
-
-                    }
-
-                    await InsertInspection<ReadingTaskQuestionAnswer>(cloneEntity, type, x => new InspectionConvertDTO()
-                    {
-                        VisitTaskId = x.VisitTaskId,
-
-                        ObjectRelationParentId = x.VisitTaskId,
-
-                        TrialReadingCriterionId = x.ReadingQuestionCriterionTrialId,
-
-                        ExtraIndentification = extraIdentification,
-
-                    }, new
-                    {
-                        QuestionAnswerList = taskQuestionAnswerList.Join(quesionList,
-                        t => t.ReadingQuestionTrialId,
-                        u => u.QuestionId, 
-                        (t, u) =>
-                        new { Answer = u.AnswerType == "upload" ? "❄❅❆❇❈❉❊" + t.Answer : t.Answer + unitDataList.Where(y => y.Unit == u.Unit).Select(x => x.UnitName).FirstIsNullReturnEmpty()
-						, u.DictionaryCode, u.QuestionName, u.QuestionEnName, u.ShowOrder }).OrderBy(t => t.ShowOrder).ToList()
-                     ,
-                        TableQuestionAndAnswerList = tableQuesionAndAnswerList
-                    }
-                         );
-
+                    _userInfo.IsNotNeedInspection = false;
 
                 }
+                else
+                {
+					// 保存影像质量 、  修改整体肿瘤评估结果 、  非dicom 保存访视阅片结果 、附加评估
+					if (_userInfo.RequestUrl == "ReadingImageTask/changeDicomReadingQuestionAnswer"
+						|| _userInfo.RequestUrl == "ReadingImageTask/saveImageQuality"
+						 || _userInfo.RequestUrl.Contains("SaveTaskQuestion")
+						|| _userInfo.RequestUrl == "ReadingImageTask/saveVisitTaskQuestions"
+						|| _userInfo.RequestUrl == "ReadingImageTask/changeCalculationAnswer"
+						|| _userInfo.RequestUrl == "ReadingImageTask/submitTaskAdditionalQuestion")
+					{
+						var type = AuditOpt.Add;
+
+						List<UnitData> unitDataList = (await _dbContext.Dictionary.Where(x => x.Parent.Code == "ValueUnit").Where(x => x.Code != "0").ToListAsync()).Select(x => new UnitData()
+						{
+
+							Unit = (ValueUnit)int.Parse(x.Code),
+							UnitName = x.Value.ToString(),
+						}).ToList();
+						var extraIdentification = string.Empty;
+
+						//具体的答案
+						var taskQuestionAnswerList = entitys.Where(x => x.Entity.GetType() == typeof(ReadingTaskQuestionAnswer)).Select(t => t.Entity as ReadingTaskQuestionAnswer).ToList();
+
+						//获取问题名称 组合成数组
+						var quesionList = await _dbContext.ReadingQuestionTrial.Where(t => taskQuestionAnswerList.Select(k => k.ReadingQuestionTrialId).Contains(t.Id)).IgnoreQueryFilters().Select(t => new
+						{
+							t.QuestionName,
+							t.QuestionEnName,
+							QuestionId = t.Id,
+							t.DictionaryCode,
+							t.Unit,
+							t.ShowOrder,
+							AnswerType = t.Type,
+						}).OrderBy(t => t.ShowOrder).ToListAsync();
+
+
+						var firstEntity = taskQuestionAnswerList.First();
+
+						var cloneEntity = firstEntity.Clone();
+
+
+
+						//保证Id 唯一
+						cloneEntity.Id = IdentifierHelper.CreateGuid(firstEntity.ReadingQuestionCriterionTrialId.ToString(), firstEntity.ReadingQuestionTrialId.ToString(), firstEntity.VisitTaskId.ToString());
+
+
+						dynamic tableQuesionAndAnswerList = null;
+						//自定义特有标识
+						if (await _dbContext.ReadingQuestionCriterionTrial.AnyAsync(t => t.Id == firstEntity.ReadingQuestionCriterionTrialId && t.CriterionType == CriterionType.SelfDefine))
+						{
+							extraIdentification = "/Self";
+
+							//还会把病灶问题答案更新
+
+							var tableQuestionAnswerList = entitys.Where(x => x.Entity.GetType() == typeof(ReadingTableQuestionAnswer)).Select(t => t.Entity as ReadingTableQuestionAnswer).ToList();
+
+
+							//获取表格问题名称 组合成数组
+							var tableQuesionList = await _dbContext.ReadingTableQuestionTrial.Where(t => tableQuestionAnswerList.Select(k => k.TableQuestionId).Contains(t.Id)).Select(t =>
+							new
+							{
+								TrialReadingCriterionId = t.ReadingQuestionTrial.ReadingQuestionCriterionTrialId, //标准Id
+								Type = t.ReadingQuestionTrial.QuestionName, //病灶类型
+								t.ReadingQuestionTrial.Unit,
+								t.ReadingQuestionTrial.CustomUnit,
+								t.DictionaryCode,
+								t.QuestionName,
+								t.QuestionEnName,
+								QuestionId = t.Id,
+								t.ShowOrder,
+								AnswerType = t.Type,
+							})
+								.OrderBy(t => t.ShowOrder).ToListAsync();
+
+							tableQuesionAndAnswerList = tableQuestionAnswerList.Join(tableQuesionList, t => t.TableQuestionId, u => u.QuestionId, (t, u) =>
+								   new
+								   {
+									   //如果问题类型是附件 特殊处理 方便前端解析
+									   Answer = u.AnswerType == "upload" ? "❄❅❆❇❈❉❊" + t.Answer : t.Answer,
+									   u.QuestionName,
+									   u.QuestionEnName,
+									   u.DictionaryCode,
+									   u.ShowOrder,
+									   t.RowId
+								   }
+								   ).OrderBy(t => t.RowId).ThenBy(t => t.ShowOrder).ToList();
+
+
+
+						}
+
+						await InsertInspection<ReadingTaskQuestionAnswer>(cloneEntity, type, x => new InspectionConvertDTO()
+						{
+							VisitTaskId = x.VisitTaskId,
+
+							ObjectRelationParentId = x.VisitTaskId,
+
+							TrialReadingCriterionId = x.ReadingQuestionCriterionTrialId,
+
+							ExtraIndentification = extraIdentification,
+
+						}, new
+						{
+							QuestionAnswerList = taskQuestionAnswerList.Join(quesionList,
+							t => t.ReadingQuestionTrialId,
+							u => u.QuestionId,
+							(t, u) =>
+							new {
+								Answer = u.AnswerType == "upload" ? "❄❅❆❇❈❉❊" + t.Answer : t.Answer + unitDataList.Where(y => y.Unit == u.Unit).Select(x => x.UnitName).FirstIsNullReturnEmpty()
+							,
+								u.DictionaryCode,
+								u.QuestionName,
+								u.QuestionEnName,
+								u.ShowOrder
+							}).OrderBy(t => t.ShowOrder).ToList()
+						 ,
+							TableQuestionAndAnswerList = tableQuesionAndAnswerList
+						}
+							 );
+
+
+					}
+				}
+             
 
 
             }
diff --git a/IRaCIS.Core.Infra.EFCore/EntityConfigration/StudyConfigration.cs b/IRaCIS.Core.Infra.EFCore/EntityConfigration/StudyConfigration.cs
index 78c26fcd7..0b2031707 100644
--- a/IRaCIS.Core.Infra.EFCore/EntityConfigration/StudyConfigration.cs
+++ b/IRaCIS.Core.Infra.EFCore/EntityConfigration/StudyConfigration.cs
@@ -24,6 +24,13 @@ namespace IRaCIS.Core.Infra.EFCore.EntityConfigration
         .HasForeignKey(s => new { s.TrialId, s.SiteId })
         .HasPrincipalKey(c => new { c.TrialId, c.SiteId });
 
-        }
+
+			builder
+            .HasMany(s => s.ReadingClinicalDataList)
+            .WithOne(c => c.DicomStudy)
+            .HasForeignKey(s => new { s.StudyId })
+            .HasPrincipalKey(c => new { c.Id });
+
+		}
     }
 }