diff --git a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
index ead68d4e4..bbd822fed 100644
--- a/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
+++ b/IRaCIS.Core.Application/IRaCIS.Core.Application.xml
@@ -10195,37 +10195,37 @@
             受试者ID
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.FileName">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.FileName">
             <summary>
             文件名称
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.FilePath">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.FilePath">
             <summary>
             文件路径
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.RelativePath">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.RelativePath">
             <summary>
             相对路径
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.CreateUserId">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.CreateUserId">
             <summary>
             创建人
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.CreateTime">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.CreateTime">
             <summary>
             创建时间
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.TrialId">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.TrialId">
             <summary>
             项目ID
             </summary>
         </member>
-        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetConsistencyCheckFileDto.CreateUserName">
+        <member name="P:IRaCIS.Core.Application.Contracts.DTO.GetUserUploadFileDto.CreateUserName">
             <summary>
             创建者名称
             </summary>
diff --git a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
index 8b810779b..c26348971 100644
--- a/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
+++ b/IRaCIS.Core.Application/Service/QC/DTO/QARecordViewModel.cs
@@ -129,7 +129,7 @@ namespace IRaCIS.Core.Application.Contracts.DTO
     }
 
 
-    public class GetConsistencyCheckFileDto/*: ConsistencyCheckFile*/
+    public class GetUserUploadFileDto/*: ConsistencyCheckFile*/
     {
         /// <summary>
 		/// 文件名称
diff --git a/IRaCIS.Core.Application/Service/QC/QCListService.cs b/IRaCIS.Core.Application/Service/QC/QCListService.cs
index 3f4ff47a3..8cbbe14bb 100644
--- a/IRaCIS.Core.Application/Service/QC/QCListService.cs
+++ b/IRaCIS.Core.Application/Service/QC/QCListService.cs
@@ -849,10 +849,10 @@ namespace IRaCIS.Core.Application.Image.QA
         /// </summary>
         /// <returns></returns>
         [HttpPost]
-        public async Task<PageOutput<GetConsistencyCheckFileDto>> GetConsistencyCheckFile(GetConsistencyCheckFileInDto indto)
+        public async Task<PageOutput<GetUserUploadFileDto>> GetConsistencyCheckFile(GetConsistencyCheckFileInDto indto)
         {
             var query = _repository.Where<InspectionFile>(t => t.TrialId == indto.TrialId)
-             .ProjectTo<GetConsistencyCheckFileDto>(_mapper.ConfigurationProvider);
+             .ProjectTo<GetUserUploadFileDto>(_mapper.ConfigurationProvider);
 
             return await query.ToPagedListAsync(indto.PageIndex, indto.PageSize, "CreateTime", false);
         }
diff --git a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
index b53aa1700..07f3b8df1 100644
--- a/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
+++ b/IRaCIS.Core.Application/Service/QC/_MapConfig.cs
@@ -494,7 +494,7 @@ namespace IRaCIS.Core.Application.Service
                  ;
 
             // 一致性核查文件
-            CreateMap<InspectionFile, GetConsistencyCheckFileDto>()
+            CreateMap<InspectionFile, GetUserUploadFileDto>()
              .ForMember(d => d.CreateUserName, u => u.MapFrom(t => t.User.FirstName + "/" + t.User.LastName));
 
 
diff --git a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
index e2c20f20f..83e1268e8 100644
--- a/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
+++ b/IRaCIS.Core.Application/Service/ReadingCalculate/LuganoCalculateService.cs
@@ -1713,7 +1713,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
             var taskAnswer = await GetVisitTaskAnswerList(inDto);
             if (inDto.IsBaseLine)
             {
-                return string.Empty;
+                return "NA";
             }
 
 
@@ -2053,7 +2053,7 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
             if (inDto.IsBaseLine)
             {
-                return string.Empty;
+              return  FDGPETOverallAssessment.NA.GetEnumInt();
             }
 
             var lastTaskId = await GetLastVisitTaskId(inDto);
@@ -2620,10 +2620,10 @@ namespace IRaCIS.Core.Application.Service.ReadingCalculate
         {
 
             NewLesionAssessment result = NewLesionAssessment.No;
-            //if (inDto.IsBaseLine)
-            //{
-            //    return NewLesionAssessment.NA.GetEnumInt();
-            //}
+            if (inDto.IsBaseLine)
+            {
+                return NewLesionAssessment.NA.GetEnumInt();
+            }
 
             var tableRows = inDto.QuestionInfo.Where(x => x.LesionType == LesionType.NewLesions).SelectMany(x => x.TableRowInfoList).ToList();
 
diff --git a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
index c1e932013..fa20e384d 100644
--- a/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
+++ b/IRaCIS.Core.Infra.EFCore/Common/AuditingData.cs
@@ -2095,6 +2095,10 @@ namespace IRaCIS.Core.Infra.EFCore.Common
                 {
                     extraIdentification = "/ConfirmSelect";
                 }
+                else if (_userInfo.RequestUrl == "ClinicalDataSet/applyTrialClinical")
+                {
+                    extraIdentification = "/applyTrialClinical";
+                }
 
                 //获取配置的标准名称
 
@@ -2135,6 +2139,47 @@ namespace IRaCIS.Core.Infra.EFCore.Common
                 });
             }
 
+
+
+            //临床数据问题
+
+            foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(TrialClinicalQuestion)))
+            {
+                var type = GetEntityAuditOpt(item);
+
+                var entity = item.Entity as TrialClinicalQuestion;
+
+                var trialId= await _dbContext.ClinicalDataTrialSet.Where(t => t.Id == entity.TrialClinicalId).Select(t => t.TrialId).FirstOrDefaultAsync();
+                var GroupName = entity.GroupId == null ? entity.QuestionName:  _dbContext.TrialClinicalQuestion.Where(t => t.Id == entity.GroupId).Select(t => t.QuestionName).FirstOrDefault();
+                var GroupEnName = entity.GroupId == null ? entity.QuestionEnName : _dbContext.TrialClinicalQuestion.Where(t => t.Id == entity.GroupId).Select(t => t.QuestionEnName).FirstOrDefault();
+                await InsertInspection<TrialClinicalQuestion>(entity, type, x => new InspectionConvertDTO()
+                {
+                   TrialId= trialId,
+                },
+                  new { 
+                   GroupName= GroupName,
+                   GroupEnName= GroupEnName,
+                  }
+                );
+            }
+
+
+            //临床数据表格问题
+            foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(TrialClinicalTableQuestion)))
+            {
+                var type = GetEntityAuditOpt(item);
+
+                var entity = item.Entity as TrialClinicalTableQuestion;
+
+                var trialId = await _dbContext.ClinicalDataTrialSet.Where(t => t.Id == entity.TrialClinicalId).Select(t => t.TrialId).FirstOrDefaultAsync();
+                await InsertInspection<TrialClinicalTableQuestion>(entity, type, x => new InspectionConvertDTO()
+                {
+                    TrialId = trialId,
+                }
+                 
+                );
+            }
+
             // CRC  PM 临床数据
             foreach (var item in entitys.Where(x => x.Entity.GetType() == typeof(ReadingClinicalData)))
             {
diff --git a/IRaCIS.Core.Infra.EFCore/Common/Dto/SetDictionaryValueDto.cs b/IRaCIS.Core.Infra.EFCore/Common/Dto/SetDictionaryValueDto.cs
index 8ef19d6d2..2534fb6f9 100644
--- a/IRaCIS.Core.Infra.EFCore/Common/Dto/SetDictionaryValueDto.cs
+++ b/IRaCIS.Core.Infra.EFCore/Common/Dto/SetDictionaryValueDto.cs
@@ -152,6 +152,7 @@ namespace IRaCIS.Core.Infra.EFCore.Common.Dto
 
         public bool IsSelfDefine = false;
 
+        // 额外标识
         public string ExtraIndentification = string.Empty;