diff --git a/IRaCIS.Core.Application/Service/Allocation/DTO/TaskMedicalReviewViewModel.cs b/IRaCIS.Core.Application/Service/Allocation/DTO/TaskMedicalReviewViewModel.cs
index d9ae0afef..d13019dc2 100644
--- a/IRaCIS.Core.Application/Service/Allocation/DTO/TaskMedicalReviewViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/DTO/TaskMedicalReviewViewModel.cs
@@ -98,7 +98,7 @@ namespace IRaCIS.Core.Application.ViewModel
         public Guid? SiteId { get; set; }
 
         /// <summary>
-        /// 传了Id 就不查询这条数据
+        /// 传了Id 
         /// </summary>
         public Guid? Id { get; set; }
 
@@ -111,7 +111,6 @@ namespace IRaCIS.Core.Application.ViewModel
 
 		public DateTime? EndSignTime { get; set; }
 
-		public bool IsGetBeRead { get; set; } = false;
 
 		public bool IsGetNextMedicalReviewTask { get; set; } = false;
 
diff --git a/IRaCIS.Core.Application/Service/Allocation/TaskMedicalReviewService.cs b/IRaCIS.Core.Application/Service/Allocation/TaskMedicalReviewService.cs
index 0bc4606b5..e5fd1af41 100644
--- a/IRaCIS.Core.Application/Service/Allocation/TaskMedicalReviewService.cs
+++ b/IRaCIS.Core.Application/Service/Allocation/TaskMedicalReviewService.cs
@@ -11,6 +11,7 @@ using IRaCIS.Core.Application.ViewModel;
 using IRaCIS.Core.Infrastructure;
 using IRaCIS.Core.Domain.Share;
 using IRaCIS.Core.Application.Filter;
+using Microsoft.Extensions.Logging;
 
 namespace IRaCIS.Core.Application.Service
 {
@@ -143,47 +144,45 @@ namespace IRaCIS.Core.Application.Service
         [HttpPost]
         public async Task<TaskMedicalReviewView> GetNextMedicalReviewTask(GetNextMedicalReviewTaskInDto inDto)
         {
-            var medicalReview = await _taskMedicalReviewRepository.Where(x => x.Id == inDto.MedicalReviewId).Include(x=>x.VisitTask).FirstNotNullAsync();
+            var medicalReview = await _taskMedicalReviewRepository.Where(x => x.Id == inDto.MedicalReviewId).Include(x => x.VisitTask).FirstNotNullAsync();
 
-            var subjectReview = (await GetMIMMedicalReviewTaskList(new TaskMedicalReviewQuery()
-            {
 
-                TrialId = medicalReview.TrialId,
-                IsGetBeRead = true,
-                Id=inDto.MedicalReviewId,
-                SubjectId= medicalReview.VisitTask.SubjectId,
-                TrialReadingCriterionId = medicalReview.VisitTask.TrialReadingCriterionId,
-                IsGetNextMedicalReviewTask = true,
-                PageIndex=1,
-                PageSize=1,
-            })).Data;
-
-            if (subjectReview.CurrentPageData.Count == 1)
-            {
-                return subjectReview.CurrentPageData[0];
-            }
 
             var data = (await GetMIMMedicalReviewTaskList(new TaskMedicalReviewQuery()
             {
 
                 TrialId = medicalReview.TrialId,
-                IsGetBeRead = true,
                 Id = inDto.MedicalReviewId,
                 TrialReadingCriterionId = medicalReview.VisitTask.TrialReadingCriterionId,
-				IsGetNextMedicalReviewTask = true,
-				PageIndex = 1,
-                PageSize = 1,
+                IsGetNextMedicalReviewTask = true,
+                PageIndex = 1,
+                PageSize = 99999,
             })).Data;
 
-            if (data.CurrentPageData.Count == 1)
+
+            if (data.CurrentPageData.Count > 0)
             {
-                return data.CurrentPageData[0];
+
+                var index = data.CurrentPageData.ToList().FindIndex(x => x.Id == inDto.MedicalReviewId);
+
+                var result = new TaskMedicalReviewView() { };
+
+                if (index == -1 || data.CurrentPageData.Count == 1)
+                {
+                    result = data.CurrentPageData[0];
+                }
+                else
+                {
+                    result = data.CurrentPageData.Skip(index + 1).Take(1).First();
+
+                }
+                return result;
+
             }
             else
             {
-                throw new BusinessValidationFailedException(_localizer["MedicalReview_Finish"]);
-            }
-
+				throw new BusinessValidationFailedException(_localizer["MedicalReview_Finish"]);
+			}
 
         }
 
@@ -201,16 +200,15 @@ namespace IRaCIS.Core.Application.Service
             var taskMedicalReviewQueryable = _taskMedicalReviewRepository.Where(t => t.VisitTask.TrialId == inQuery.TrialId && t.MedicalManagerUserId == _userInfo.Id&&t.VisitTask.TrialReadingCriterionId==inQuery.TrialReadingCriterionId)
                
                 .WhereIf(inQuery.IsGetNextMedicalReviewTask,
-                x=>x.AuditState!= MedicalReviewAuditState.HaveSigned & 
-                
+                x=>( !x.IsInvalid&&x.AuditState!= MedicalReviewAuditState.HaveSigned & 
                ( x.ReadingMedicalReviewDialogList.Count()!=0&&
-
 				x.ReadingMedicalReviewDialogList.Count()>0&&
-				x.ReadingMedicalReviewDialogList.OrderByDescending(x=>x.CreateTime).FirstOrDefault().UserTypeEnumInt==(int)UserTypeEnum.IndependentReviewer))
+				x.ReadingMedicalReviewDialogList.OrderByDescending(x=>x.CreateTime).FirstOrDefault().UserTypeEnumInt==(int)UserTypeEnum.IndependentReviewer)
+                )  ||x.Id == inQuery.Id   // 这里必须找传入id 因为要找到这条的索引 获取下一条
+				)
                 .WhereIf(inQuery.SubjectId != null, t => t.VisitTask.SubjectId == inQuery.SubjectId)
                              .WhereIf(inQuery.SiteId != null, t => t.VisitTask.Subject.SiteId == inQuery.SiteId)
                              .WhereIf(!string.IsNullOrEmpty(inQuery.SubjectCode), t => t.VisitTask.Subject.Code.Contains(inQuery.SubjectCode))
-                                  .WhereIf(inQuery.Id != null, t => t.Id != inQuery.Id)
                              .WhereIf(inQuery.IsUrgent != null, t => t.VisitTask.IsUrgent == inQuery.IsUrgent)
                               .WhereIf(inQuery.AuditState != null, t => t.AuditState == inQuery.AuditState)
 							   .WhereIf(inQuery.DoctorUserIdeaEnum != null, t => t.DoctorUserIdeaEnum == inQuery.DoctorUserIdeaEnum)
@@ -219,7 +217,7 @@ namespace IRaCIS.Core.Application.Service
                              .WhereIf(inQuery.ReadingCategory != null, t => t.VisitTask.ReadingCategory == inQuery.ReadingCategory)
                              .WhereIf(inQuery.ReadingTaskState != null, t => t.VisitTask.ReadingTaskState == inQuery.ReadingTaskState)
                               .WhereIf(inQuery.IsInvalid != null, t => t.IsInvalid == inQuery.IsInvalid)
-                             .WhereIf(inQuery.IsGetBeRead,x=>!x.IsInvalid&&x.AuditState!= MedicalReviewAuditState.HaveSigned)
+                             //.WhereIf(inQuery.IsGetBeRead,x=>!x.IsInvalid&&x.AuditState!= MedicalReviewAuditState.HaveSigned)
                               .WhereIf(inQuery.TrialReadingCriterionId != null, t => t.VisitTask.TrialReadingCriterionId == inQuery.TrialReadingCriterionId)
 						  .OrderBy(x=>x.VisitTask.SubjectId).ThenBy(x => x.AuditState).ThenBy(x=>x.VisitTask.ArmEnum).ThenBy(x=>x.VisitTask.VisitTaskNum)
                              .ProjectTo<TaskMedicalReviewView>(_mapper.ConfigurationProvider);