diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
index ecca63e9..f35bfbe9 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingPeriod/ReadModuleService.cs
@@ -132,9 +132,9 @@ namespace IRaCIS.Application.Services
                 IsReadingTaskViewInOrder= criterionInfo.IsReadingTaskViewInOrder,
                 IsClinicalReading = criterionInfo.IsOncologyReading,
                // OnlyExistsMedicalHistory = !(await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId && x.ClinicalDataSetName != "既往局部治疗史" && x.IsConfirm)),
-                IsExistsSubjectClinicalData= await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId&&x.ClinicalDataLevel== ClinicalLevel.Subject && x.IsConfirm),
-                IsExistsVisitClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId && x.ClinicalDataLevel == ClinicalLevel.SubjectVisit && x.IsConfirm),
-                IsExistsReadingClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId && x.ClinicalDataLevel == ClinicalLevel.ImageRead && x.IsConfirm),
+                IsExistsSubjectClinicalData= await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId&&x.ClinicalDataLevel== ClinicalLevel.Subject && x.IsConfirm&&x.TrialClinicalDataSetCriteriaList.Any(y=>y.TrialReadingCriterionId== dto.TrialReadingCriterionId)),
+                IsExistsVisitClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId && x.ClinicalDataLevel == ClinicalLevel.SubjectVisit && x.IsConfirm && x.TrialClinicalDataSetCriteriaList.Any(y => y.TrialReadingCriterionId == dto.TrialReadingCriterionId)),
+                IsExistsReadingClinicalData = await _clinicalDataTrialSetRepository.AnyAsync(x => x.TrialId == dto.TrialId && x.ClinicalDataLevel == ClinicalLevel.ImageRead && x.IsConfirm && x.TrialClinicalDataSetCriteriaList.Any(y => y.TrialReadingCriterionId == dto.TrialReadingCriterionId)),
                 IsGlobalReading= criterionInfo.IsGlobalReading,
                 IsReadingPeriod=criterionInfo.IsReadingPeriod,
                 ReadingInfoSignTime=criterionInfo.ReadingInfoSignTime,