diff --git a/IRaCIS.Core.API/Controllers/UploadDownLoadController.cs b/IRaCIS.Core.API/Controllers/UploadDownLoadController.cs
index 41d76019..170aae99 100644
--- a/IRaCIS.Core.API/Controllers/UploadDownLoadController.cs
+++ b/IRaCIS.Core.API/Controllers/UploadDownLoadController.cs
@@ -402,22 +402,40 @@ namespace IRaCIS.Core.API.Controllers
         /// </summary>
         /// <param name="clinicalDataId"></param>
         /// <returns></returns>
-        [HttpPost("ClinicalData/UploadClinicalData/{trialId:guid}/{subjectId:guid}")]
+        [HttpPost("ClinicalData/UploadClinicalData/{id:guid}/{isVisit:bool}")]
         [DisableRequestSizeLimit]
-        public async Task<IResponseOutput> UploadClinicalData(Guid trialId,Guid subjectId)
+        public async Task<IResponseOutput> UploadClinicalData(Guid id, bool isVisit)
         {
-
-
             var filerelativePath = string.Empty;
-             await FileUploadAsync(async (fileName) =>
+            if (isVisit)
             {
-                var (serverFilePath, relativePath, fileRealName) = FileStoreHelper.GetClinicalDataPath(_hostEnvironment, fileName, trialId, subjectId);
-                filerelativePath = relativePath;
-
-                return relativePath;
-            });
-
-            await _repository.SaveChangesAsync();
+                var sv = _repository.Where<SubjectVisit>(t => t.Id == id).Select(t => new { t.TrialId, t.SiteId, t.SubjectId }).FirstOrDefault().IfNullThrowException();
+                await FileUploadAsync(async (fileName) =>
+                {
+                    var (serverFilePath, relativePath, fileRealName) = FileStoreHelper.GetClinicalDataPath(_hostEnvironment, fileName, sv.TrialId, sv.SiteId, sv.SubjectId, id);
+                    //插入临床pdf 路径
+                    filerelativePath = relativePath;
+                    return serverFilePath;
+                });
+            }
+            else
+            {
+                var subjectId = await _repository.Where<ReadModule>(x => x.Id == id).Select(x =>
+                      x.SubjectId
+                ).FirstOrDefaultAsync();
+                var subject = await _repository.Where<Subject>(x => x.Id == subjectId).Select(x => new
+                {
+                    x.TrialId,
+                    x.SiteId,
+                }).FirstOrDefaultAsync();
+                await FileUploadAsync(async (fileName) =>
+                {
+                    var (serverFilePath, relativePath, fileRealName) = FileStoreHelper.GetClinicalDataPath(_hostEnvironment, fileName, subject.TrialId, subject.SiteId, subjectId.Value, id);
+                    //插入临床pdf 路径
+                    filerelativePath = relativePath;
+                    return serverFilePath;
+                });
+            }
 
             return ResponseOutput.Ok(filerelativePath);
         }
diff --git a/IRaCIS.Core.API/IRaCIS.Core.API.xml b/IRaCIS.Core.API/IRaCIS.Core.API.xml
index 6bdc70cc..d0ea724e 100644
--- a/IRaCIS.Core.API/IRaCIS.Core.API.xml
+++ b/IRaCIS.Core.API/IRaCIS.Core.API.xml
@@ -171,7 +171,7 @@
             <param name="subjectVisitId"></param>
             <returns></returns>
         </member>
-        <member name="M:IRaCIS.Core.API.Controllers.StudyController.UploadClinicalData(System.Guid,System.Guid)">
+        <member name="M:IRaCIS.Core.API.Controllers.StudyController.UploadClinicalData(System.Guid,System.Boolean)">
             <summary>
             上传临床数据
             </summary>