diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
index 5c26c0bf8..84d052758 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalAnswerService.cs
@@ -178,18 +178,14 @@ namespace IRaCIS.Core.Application.Service
 		/// <param name="inDto"></param>
 		/// <returns></returns>
 		[HttpPost]
-        public async Task<List<GetCRCSubjectClinicalOutDto>> GetCRCSubjectClinicalList(GetCRCSubjectClinicalInDto inDto)
+        public async Task<PageOutput<GetCRCSubjectClinicalOutDto>> GetCRCSubjectClinicalList(GetCRCSubjectClinicalInDto inDto)
         {
 
             //await AutoAddCRCClinical(new AutoAddClinicalInDto()
             //{
-
             //    TrialId = inDto.TrialId
             //}) ;
 
-
-
-
 			var subjects = await _subjectRepository.Where(x => x.TrialId == inDto.TrialId).Select(x => new GetCRCSubjectClinicalResultDto()
             {
                 SubjectId = x.Id,
@@ -197,7 +193,7 @@ namespace IRaCIS.Core.Application.Service
             }).ToListAsync();
 
 
-            var clinicalData=await _readingClinicalDataRepository.Where(x=>x.TrialId == inDto.TrialId&&x.ClinicalDataTrialSet.UploadRole==UploadRole.CRC)
+            var clinicalData= _readingClinicalDataRepository.Where(x=>x.TrialId == inDto.TrialId&&x.ClinicalDataTrialSet.UploadRole==UploadRole.CRC&&x.ClinicalDataTrialSet.ClinicalDataLevel!= ClinicalLevel.SubjectVisit)
                 .Where(x=>!x.IsSign)
                 .Include(x=>x.ClinicalDataTrialSet).Select(x=>new GetCRCSubjectClinicalOutDto() { 
                   SubjectId=x.SubjectId,
@@ -206,24 +202,20 @@ namespace IRaCIS.Core.Application.Service
 					ClinicalDataTrialSetId = x.ClinicalDataTrialSet.Id,
 					ClinicalDataSetEnName= x.ClinicalDataTrialSet.ClinicalDataSetEnName,
 					ClinicalDataSetName = x.ClinicalDataTrialSet.ClinicalDataSetName,
-				}).OrderBy(x=>x.SubjectCode).ToListAsync();
+				});
 
-            // 一次查询报错 分两次写
-            clinicalData.ForEach(x =>
+			var pageList = await clinicalData.ToPagedListAsync(inDto.PageIndex, inDto.PageSize, string.IsNullOrWhiteSpace(inDto.SortField) ? nameof(GetCRCSubjectClinicalOutDto.SubjectCode) : inDto.SortField, inDto.Asc);
+			// 一次查询报错 分两次写
+			pageList.CurrentPageData.ForEach(x =>
             {
                 x.ClinicalDataSetEnName = x.ClinicalDataSetName.LanguageName(x.ClinicalDataSetEnName, _userInfo.IsEn_Us);
-
             });
-
-          
 			var clinicalFormData = await _clinicalFormRepository.Where(x => x.TrialId == inDto.TrialId).ToListAsync();
-			clinicalData.ForEach(n =>
+			pageList.CurrentPageData.ForEach(n =>
 			{
 				n.ClinicalCount = clinicalFormData.Where(y => y.ClinicalDataTrialSetId == n.ClinicalDataTrialSetId && y.SubjectId == n.SubjectId).Count();
 			});
-
-	
-            return clinicalData;
+            return pageList;
         }
 
         /// <summary>
@@ -441,20 +433,27 @@ namespace IRaCIS.Core.Application.Service
 		/// <param name="inDto"></param>
 		/// <returns></returns>
 		[HttpPost]
-        public async Task<List<GetCRCConfirmListOutDto>> GetCRCConfirmList(GetCRCConfirmListInDto inDto)
+        public async Task<PageOutput<GetCRCConfirmListOutDto>> GetCRCConfirmList(GetCRCConfirmListInDto inDto)
         {
-			List<GetCRCConfirmListOutDto> result = await _readModuleRepository.Where(x => x.TrialId == inDto.TrialId)
-                .WhereIf(inDto.ReadModuleId!=null,x=>x.Id==inDto.ReadModuleId)
+            var query = _readModuleRepository.Where(x => x.TrialId == inDto.TrialId)
+                .WhereIf(inDto.ReadModuleId != null, x => x.Id == inDto.ReadModuleId)
+				.WhereIf(inDto.TrialReadingCriterionId != null, x => x.TrialReadingCriterionId == inDto.TrialReadingCriterionId)
+				.WhereIf(inDto.SubjectId != null, x => x.SubjectId == inDto.SubjectId)
 				.Select(x => new GetCRCConfirmListOutDto()
-				{
-                    SubjectId= x.SubjectId,
-					IsCRCConfirm = x.IsCRCConfirm,
-					LatestScanDate = x.SubjectVisit.LatestScanDate,
-					ReadingSetType = x.ReadingSetType,
-					IsPMConfirm = x.IsPMConfirm,
-                    SubjectCode=x.Subject.Code,
-					ReadModuleId = x.Id,
-				}).OrderBy(x => x.LatestScanDate).ToListAsync();
+                {
+                 
+                    SubjectId = x.SubjectId,
+                    IsCRCConfirm = x.IsCRCConfirm,
+                    LatestScanDate = x.SubjectVisit.LatestScanDate,
+                    ReadingSetType = x.ReadingSetType,
+                    IsPMConfirm = x.IsPMConfirm,
+                    SubjectCode = x.Subject.Code,
+                    ReadModuleId = x.Id,
+                });
+
+
+		     var result = await query.ToPagedListAsync(inDto.PageIndex, inDto.PageSize, string.IsNullOrWhiteSpace(inDto.SortField) ? nameof(GetCRCConfirmListOutDto.LatestScanDate) : inDto.SortField, inDto.Asc); 
+               
 			var formList = await _clinicalFormRepository.Where(x => x.TrialId == inDto.TrialId)
 				.Where(x => x.ClinicalDataTrialSet.UploadRole == UploadRole.CRC)
 				.Where(x => x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.ImageRead || x.ClinicalDataTrialSet.ClinicalDataLevel == ClinicalLevel.OncologyRead)
@@ -469,7 +468,7 @@ namespace IRaCIS.Core.Application.Service
                     ClinicalDataSetEnName=x.ClinicalDataTrialSet.ClinicalDataSetEnName,
 				}).ToListAsync();
 			var confirmList = await _readModuleCriterionFromRepository.Where(x => x.TrialId == inDto.TrialId).Include(x=>x.ClinicalForm).Include(x=>x.ClinicalForm.ClinicalDataTrialSet).ToListAsync();
-            result.ForEach(x =>
+            result.CurrentPageData.ForEach(x =>
             {
                 if (x.IsCRCConfirm)
                 {
@@ -524,8 +523,10 @@ namespace IRaCIS.Core.Application.Service
             {
                 ReadModuleId = inDto.ReadModuleId,
                 TrialId = inDto.TrialId,
+                PageIndex=1,
+                PageSize=9999,
                 
-            })).SelectMany(x => x.ClinicalFormIdList).ToList();
+            })).CurrentPageData.SelectMany(x => x.ClinicalFormIdList).ToList();
 
             result.ForEach(x => {
 
@@ -546,10 +547,17 @@ namespace IRaCIS.Core.Application.Service
 		[HttpPost]
         public async Task<IResponseOutput> CRCConfirmClinical(CRCConfirmClinicalInDto inDto)
         {
-            var dataList =await this.GetCRCConfirmList(new GetCRCConfirmListInDto()
+
+            var readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadModuleId).FirstNotNullAsync();
+
+            var dataList =(await this.GetCRCConfirmList(new GetCRCConfirmListInDto()
             {
-                TrialId = inDto.TrialId
-            });
+                TrialId = inDto.TrialId,
+                SubjectId= readModule.SubjectId,
+                TrialReadingCriterionId= readModule.TrialReadingCriterionId,
+                PageIndex=1,
+                PageSize=9999,
+			})).CurrentPageData;
 
             var presentData = dataList.Where(x => x.ReadModuleId == inDto.ReadModuleId).First();
             var confirmlist=  dataList.Where(x =>(x.LatestScanDate < presentData.LatestScanDate && x.ReadingSetType == presentData.ReadingSetType) 
@@ -593,10 +601,16 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
 		public async Task<IResponseOutput> CRCCancelConfirmClinical(CRCCancelConfirmClinicalInDto inDto)
         {
-			var dataList = await this.GetCRCConfirmList(new GetCRCConfirmListInDto()
+
+			var readModule = await _readModuleRepository.Where(x => x.Id == inDto.ReadModuleId).FirstNotNullAsync();
+			var dataList = (await this.GetCRCConfirmList(new GetCRCConfirmListInDto()
 			{
-				TrialId = inDto.TrialId
-			});
+				TrialId = inDto.TrialId,
+				SubjectId = readModule.SubjectId,
+				TrialReadingCriterionId = readModule.TrialReadingCriterionId,
+				PageIndex = 1,
+				PageSize = 9999,
+			})).CurrentPageData;
 
 			var presentData = dataList.Where(x => x.ReadModuleId == inDto.ReadModuleId).First();
 
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
index b22cacbfd..8eab4e74f 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalAnswerDto.cs
@@ -18,7 +18,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 	}
 
 
-	public class GetCRCSubjectClinicalInDto
+	public class GetCRCSubjectClinicalInDto:PageInput
     {
         public Guid TrialId { get; set; }
     }
@@ -99,8 +99,13 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public string Answer { get; set; } = string.Empty;
     }
 
-    public class GetCRCConfirmListInDto
+    public class GetCRCConfirmListInDto:PageInput
     {
+
+		public Guid? TrialReadingCriterionId { get; set; }
+
+		public Guid? SubjectId { get; set; }
+
 		public Guid TrialId { get; set; }
 
 		public Guid? ReadModuleId { get; set; }
@@ -138,7 +143,7 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
     {
 		public Guid TrialId { get; set; }
 
-        public Guid SubjectId { get; set; }
+		public Guid SubjectId { get; set; }
 
 		public Guid ReadModuleId { get; set; }
 	}