diff --git a/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_CN_V1.docx b/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_CN_V1.docx
index b42cbdbb8..f0e240a93 100644
Binary files a/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_CN_V1.docx and b/IRaCIS.Core.API/wwwroot/ReadReoprtTemplate/TumorEvaluation_IRECIST1.1_CN_V1.docx differ
diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index 14dda6423..e19efdf09 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -7357,6 +7357,11 @@
             签名时间
             </summary>
         </member>
+        <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.ExportVisitData.IsConvertedTask">
+            <summary>
+            是否为转变任务
+            </summary>
+        </member>
         <member name="P:IRaCIS.Core.Application.Service.Reading.Dto.ExportVisitData.DoctorSignTime">
             <summary>
             医生签名时间
diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ExportTumorEvaluationDto.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ExportTumorEvaluationDto.cs
index 0a783ab17..3b4e2162d 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ExportTumorEvaluationDto.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ExportTumorEvaluationDto.cs
@@ -283,6 +283,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public string OneDoctorSign { get; set; } = string.Empty;
 
+        public bool OneIsConvertedTask { get; set; } = false;
+
         public string TwoVisitName { get; set; } = string.Empty;
 
         public string TwoCheckDate { get; set; } = string.Empty;
@@ -339,6 +341,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
         public string TwoDoctorSign { get; set; } = string.Empty;
 
+        public bool TwoIsConvertedTask { get; set; } = false;
+
         public string ThreeVisitName { get; set; } = string.Empty;
 
         public string ThreeCheckDate { get; set; } = string.Empty;
@@ -393,6 +397,8 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         public string ThreeDoctorSignTime { get; set; } = string.Empty;
 
         public string ThreeDoctorSign { get; set; } = string.Empty;
+
+        public bool ThreeIsConvertedTask { get; set; } = false;
     }
 
     public class ExportVisitData
@@ -488,6 +494,11 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
         /// </summary>
         public string SignTime { get; set; } = string.Empty;
 
+        /// <summary>
+        /// 是否为转变任务
+        /// </summary>
+        public bool IsConvertedTask { get; set; } = false;
+
         /// <summary>
         /// 医生签名时间
         /// </summary>
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
index 4a53cae18..7559633f2 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/IRECIST1Point1CalculateService.cs
@@ -101,6 +101,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 .Include(x => x.SourceSubjectVisit).Include(x => x.SourceSubjectVisit.StudyList)
                 .Include(x => x.DoctorUser).ToListAsync();
 
+            var isConvertedTaskList= await _visitTaskRepository.Where(x => relatedTaskIds.Contains(x.Id)).Select(x => new { x.Id, x.IsConvertedTask }).ToListAsync();
+
 
 
             string  getHavePreviousNewLesions(Guid visitId)
@@ -134,8 +136,8 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                     HaveNewLesion = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.NewLesions),
                     // 是否有明确既往新病灶  // 结果为IPUD就是有 其他的是无
                     HavePreviousNewLesions = getHavePreviousNewLesions(x.Id),
-
-                    // 是否有明确既往新病灶
+                    IsConvertedTask= isConvertedTaskList.Where(y=>y.Id==x.Id).Select(x=>x.IsConvertedTask).FirstOrDefault(),
+                    // 是否有触发iRECIST后新病灶
                     HaveTriggeringIRECSITNewLesions = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.IRECISTNewTargetLesion),
 
                     NewTargetResult = _generalCalculateService.GetTaskanswer(answerList, dictionList, unitDictionary, x.Id, QuestionType.NewTargetLesion),
@@ -232,6 +234,19 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var subjectName = subjectInfo.ShortName;
             var subjectCode = string.Join(",", patientIdStrList); //患者编号;
 
+            foreach (var item in exportVisitDatas)
+            {
+                if (!item.IsConvertedTask)
+                {
+                    item.HavePreviousNewLesions = "NA";
+                    item.HaveTriggeringIRECSITNewLesions = "NA";
+                    item.NewTargetResult = "NA";
+                    item.NewNoTargetResult = "NA";
+                    item.OtherPreviousNewLesionResult = "NA";
+                    item.TriggeringIRECSITResult = "NA";
+                    item.NewLesionEvaluationResult = "NA";
+                }
+            }
 
 
             List<ExportTumorEvaluationInfo> resultdata = new List<ExportTumorEvaluationInfo>();
@@ -252,6 +267,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                 "OtherPreviousNewLesionResult",
                 "TriggeringIRECSITResult",
                 "NewLesionEvaluationResult",
+                 "IsConvertedTask",
             };
 
             var forCount = (int)Math.Ceiling((double)exportVisitDatas.Count() / 3);
@@ -518,6 +534,14 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
                new ExportReportQuestion (){QuestionType=QuestionType.LowVisit},
                 };
 
+            var evaluationList= new List<ExportReportQuestion>()
+              { new ExportReportQuestion (){QuestionType=QuestionType.TargetLesion},
+               new ExportReportQuestion (){ QuestionType=QuestionType.NoTargetLesion},
+               new ExportReportQuestion (){ QuestionType=QuestionType.NewLesions},
+               new ExportReportQuestion (){ QuestionType=QuestionType.ExistDisease},
+               new ExportReportQuestion (){ QuestionType=QuestionType.Tumor }
+                };
+
             var isConvertedTask = await _visitTaskRepository.Where(x => x.Id == inDto.VisitTaskId).Select(x => x.IsConvertedTask).FirstOrDefaultAsync();
 
             if (isConvertedTask)
@@ -529,6 +553,22 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
                 });
 
+                evaluationList = new List<ExportReportQuestion>()
+                { 
+                    new ExportReportQuestion (){QuestionType=QuestionType.TargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.NoTargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.NewLesions},
+
+                    new ExportReportQuestion (){ QuestionType=QuestionType.NewTargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.NewNoTargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.OtherNewTargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.IRECISTNewTargetLesion},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.NewLesionEvaluation},
+
+                    new ExportReportQuestion (){ QuestionType=QuestionType.ExistDisease},
+                    new ExportReportQuestion (){ QuestionType=QuestionType.Tumor }
+                };
+
             }
 
             var assessmentResult = string.Empty;
@@ -585,13 +625,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
 
               { "TNMValue",taskinfo.TNMValue},  // TNM分期
               { "Result",getQuestionAnswerList(resultList)},  // 评估结果
-              { "Curative",getQuestionAnswerList(new List<ExportReportQuestion>()
-              { new ExportReportQuestion (){QuestionType=QuestionType.TargetLesion},
-               new ExportReportQuestion (){ QuestionType=QuestionType.NoTargetLesion},
-               new ExportReportQuestion (){ QuestionType=QuestionType.NewLesions},
-               new ExportReportQuestion (){ QuestionType=QuestionType.ExistDisease},
-               new ExportReportQuestion (){ QuestionType=QuestionType.Tumor},
-                })},  // 疗效结果
+              { "Curative",getQuestionAnswerList(evaluationList)},  // 疗效结果
 
                 { "ReportNo",await _generalCalculateService.GetReportExportNo(taskinfo) }  ,
             };
diff --git a/IRaCIS.Core.Domain/Allocation/VisitTask.cs b/IRaCIS.Core.Domain/Allocation/VisitTask.cs
index 3d19b26b4..0b1bf7a90 100644
--- a/IRaCIS.Core.Domain/Allocation/VisitTask.cs
+++ b/IRaCIS.Core.Domain/Allocation/VisitTask.cs
@@ -255,7 +255,7 @@ public class VisitTask : BaseFullAuditEntity
     [Projectable]
     [JsonIgnore]
     public bool IsConvertedTask => BeforeConvertedTaskId != null || IsHistoryConvertedTask || Subject.SubjectVisitTaskList.Where(t => t.TrialReadingCriterionId == TrialReadingCriterionId
-     && t.DoctorUserId == DoctorUserId && t.BeforeConvertedTaskId != null
+     && t.BeforeConvertedTaskId != null
      && t.TaskState == TaskState.Effect
      && t.VisitTaskNum < VisitTaskNum
      && t.IsSelfAnalysis == IsSelfAnalysis