diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
index 0000f8de..4be81c82 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingImageTask/ReadingImageTaskService.cs
@@ -1165,13 +1165,32 @@ namespace IRaCIS.Application.Services
 
             await _readingCalculateService.VerifyVisitTaskQuestions(inDto);
 
-            if ((await _readingClinicalDataService.GetClinicalDataList(new GetReadingOrTaskClinicalDataListInDto()
+            var clinicalDataList = await _readingClinicalDataService.GetClinicalDataList(new GetReadingOrTaskClinicalDataListInDto()
             {
 
                 SubjectId = taskInfo.SubjectId,
                 TrialId = taskInfo.TrialId,
                 VisitTaskId = taskInfo.Id,
-            })).Count() > 0 && !taskInfo.IsReadClinicalData)
+            });
+
+            var isBaseLine = false;
+            if (taskInfo.SourceSubjectVisitId != null)
+            {
+                isBaseLine = await _subjectVisitRepository.Where(x => x.Id == taskInfo.SourceSubjectVisitId).Select(x => x.IsBaseLine).FirstOrDefaultAsync();
+            }
+
+            var isNeedReadClinicalData = false;
+
+            if (isBaseLine)
+            {
+                isNeedReadClinicalData = clinicalDataList.Count() > 0;
+            }
+            else
+            {
+                isNeedReadClinicalData = clinicalDataList.Where(x => x.ClinicalDataLevel != ClinicalLevel.Subject).Count() > 0;
+            }
+
+            if (isNeedReadClinicalData && !taskInfo.IsReadClinicalData)
             {
                 throw new BusinessValidationFailedException($"临床数据未阅读！");
             }