diff --git a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
index 345dd2a67..b1bdfc55a 100644
--- a/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ClinicalData/ClinicalQuestionService.cs
@@ -42,6 +42,29 @@ namespace IRaCIS.Core.Application.Service
             _systemClinicalQuestionRepository = systemClinicalQuestionRepository;
         }
 
+		/// <summary>
+		/// 获取问题计算关系
+		/// </summary>
+		/// <param name="inDto"></param>
+		/// <returns></returns>
+		[HttpPost]
+		public async Task<List<GetTrialClinicalQuestionCalculateRelationOutDto>> GetTrialClinicalQuestionCalculateRelation(GetTrialClinicalQuestionCalculateRelationInDto inDto)
+        {
+
+			var result= await _trialClinicalQuestionRepository.Where(x => x.TrialClinicalId == inDto.TrialClinicalId)
+				   .Where( x=> x.ClinicalQuestionType == "number")
+				   .Where(x => x.CustomCalculateMark != null && x.CustomCalculateMark > ClinicalCalculateMark.None)
+					  .Select(x => new GetTrialClinicalQuestionCalculateRelationOutDto()
+					  {
+						  QuestionId = x.Id,
+						  QuestionName = x.QuestionName,
+						  CustomCalculateMark = x.CustomCalculateMark,
+						  CalculateQuestionList = x.CalculateQuestionList,
+					  }).ToListAsync();
+            result = result.Where(x => x.CalculateQuestionList.Count() > 0).ToList();
+            return result;
+		}
+
 		/// <summary>
 		/// 获取计算问题
 		/// </summary>
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
index ad8ab1cb9..f38dd1bca 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ClinicalQuestionDto.cs
@@ -13,7 +13,50 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
 
     #region 获取计算问题
-    public class GetClinicalCalculateQuestionsOutDto
+
+    public class GetTrialClinicalQuestionCalculateRelationInDto
+    {
+		/// <summary>
+		/// 项目临床数据Id
+		/// </summary>
+		public Guid TrialClinicalId { get; set; }
+	}
+
+
+    public class GetTrialClinicalQuestionCalculateRelationOutDto
+    {
+		public Guid QuestionId { get; set; }
+
+		/// <summary>
+		/// 问题名称
+		/// </summary>
+		public string QuestionName { get; set; }
+
+		/// <summary>
+		/// 自定义计算标记
+		/// </summary>
+		public ClinicalCalculateMark? CustomCalculateMark { get; set; }
+
+		/// <summary>
+		/// 数值类型
+		/// </summary>
+		public ValueOfType? ValueType { get; set; }
+
+		/// <summary>
+		/// 单位
+		/// </summary>
+		public ValueUnit? Unit { get; set; }
+
+		/// <summary>
+		/// 自定义单位
+		/// </summary>
+		public string CustomUnit { get; set; } = string.Empty;
+
+		public List<CalculateInfo> CalculateQuestionList { get; set; }
+	}
+
+
+	public class GetClinicalCalculateQuestionsOutDto
     {
 		public Guid QuestionId { get; set; }
 
diff --git a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
index 826d10683..3608eb7fa 100644
--- a/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
+++ b/IRaCIS.Core.Domain.Share/Reading/ReadEnum.cs
@@ -61,11 +61,12 @@ namespace IRaCIS.Core.Domain.Share
     /// </summary>
     public enum ClinicalCalculateMark
     {
+		None = -1,
 
-        /// <summary>
-        /// +
-        /// </summary>
-        Add = 1,
+		/// <summary>
+		/// +
+		/// </summary>
+		Add = 1,
 
         /// <summary>
         /// -