diff --git a/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs b/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
index e051907d..21bc32cb 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadModuleService.cs
@@ -365,8 +365,8 @@ namespace IRaCIS.Application.Services
         {
 
             var readModule = await _readModuleRepository.Where(x => x.Id == readModuleId).FirstNotNullAsync();
-
-            if (readModule.ModuleType==ModuleTypeEnum.Global&&(await _readModuleRepository.AnyAsync(x=>x.ModuleType==ModuleTypeEnum.Oncology&&x.SubjectVisitId== readModule.SubjectVisitId)))
+            //增加标准
+            if (readModule.ModuleType==ModuleTypeEnum.Global&&(await _readModuleRepository.AnyAsync(x=>x.ModuleType==ModuleTypeEnum.Oncology&&x.SubjectVisitId== readModule.SubjectVisitId && x.TrialReadingCriterionId==readModule.TrialReadingCriterionId)))
             {
                 throw new BusinessValidationFailedException("当前访视存在肿瘤学阅片,请先删除肿瘤学阅片");
             }