diff --git a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
index aab463e19..262d25d62 100644
--- a/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
+++ b/IRaCIS.Core.Application/Service/TrialSiteUser/TrialConfigService.cs
@@ -27,15 +27,16 @@ namespace IRaCIS.Core.Application
         IRepository<TrialQCQuestion> _trialQCQuestionRepository,
         IRepository<ReadingQuestionCriterionTrial> _readingQuestionCriterionTrialRepository,
         IRepository<ReadingQuestionTrial> _readingQuestionTrialRepository,
+            IRepository<ReadingQuestionVisitJudgeRule> _readingQuestionVisitJudgeRuleRepository,
         IRepository<TrialCriterionDictionaryCode> _trialCriterionDictionaryCode,
         IRepository<SystemCriterionDictionaryCode> _systemCriterionDictionaryCode,
         IRepository<ReadingQuestionCriterionSystem> _readingQuestionCriterionSystemRepository,
         IRepository<ClinicalDataTrialSet> _clinicalDataTrialSetRepository,
         IRepository<ReadingCriterionPage> _readingCriterionPageRepository,
-         IRepository<SystemCriterionKeyFile> _systemCriterionKeyFileRepository,
-            IOSSService _oSSService,
-
-          IRepository<TrialCriterionKeyFile> _trialCriterionKeyFileRepository,
+        IRepository<SystemCriterionKeyFile> _systemCriterionKeyFileRepository,
+        IOSSService _oSSService,
+        IRepository<VisitStage> _visitStageRepository,
+        IRepository<TrialCriterionKeyFile> _trialCriterionKeyFileRepository,
         IOrganInfoService _iOrganInfoService,
         IRepository<TrialBodyPart> _trialBodyPartRepository,
         IRepository<ReadingSystemCriterionDictionary> _readingCriterionDictionaryRepository,
@@ -48,7 +49,7 @@ namespace IRaCIS.Core.Application
         IRepository<SystemBasicData> _systemBasicDataRepository,
         IRepository<SubjectVisit> _subjectVisitRepository,
         IRepository<Enroll> _enrollRepository,
-         IRepository<TrialQCQuestionAnswer> _qcQuestionAnswerRepository,
+        IRepository<TrialQCQuestionAnswer> _qcQuestionAnswerRepository,
         IRepository<TrialStateChange> _trialStateChangeRepository,
         IRepository<ReadingTableQuestionTrial> _readingTableQuestionTrialRepository, IRepository<TrialDicomAE> _dicomAERepository,
         IMapper _mapper, IUserInfo _userInfo, IStringLocalizer _localizer, IFusionCache _fusionCache) : BaseService, ITrialConfigService
@@ -105,6 +106,40 @@ namespace IRaCIS.Core.Application
                 throw new BusinessValidationFailedException(_localizer["TrialConfig_JudgeTaskFail"]);
             }
 
+            if (trialCriterion.JudgeRuleEnum == JudgeRule.Difference)
+            {
+                var visitStageList = await _visitStageRepository.Where(x => x.TrialId == trialCriterion.TrialId).ToListAsync();
+
+                visitStageList.Add(new VisitStage()
+                {
+                    VisitName = "Out of Plan",
+                    VisitNum=-1,
+                });
+
+               
+
+                var judgeCount = await _readingQuestionTrialRepository.CountAsync(x => x.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId && x.IsJudgeQuestion);
+
+                var ruleList = await _readingQuestionVisitJudgeRuleRepository.Where(x => x.ReadingQuestionTrial.ReadingQuestionCriterionTrialId == inDto.TrialReadingCriterionId).ToListAsync();
+
+                var errorList = new List<string>();
+
+                visitStageList.ForEach(x =>
+                {
+                    if (judgeCount != ruleList.Count(y => y.VisitNum == x.VisitNum))
+                    {
+                        errorList.Add(x.VisitName);
+                    }
+
+                });
+
+                if (errorList.Count() > 0)
+                {
+                    throw new BusinessValidationFailedException(_localizer["TrialConfig_VisitjudgeDeficiency", string.Join(",", errorList)]);
+                }
+
+
+            }
             return ResponseOutput.Ok(true);
         }