diff --git a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
index 79039f051..d8e7fcaf4 100644
--- a/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
+++ b/IRaCIS.Core.Application/Service/Reading/Dto/ReadingQuestionViewModel.cs
@@ -92,6 +92,22 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
 	}
 
+	public class SetDictionaryFollowVisitUseInDto
+	{
+		public Guid Id { get; set; }
+
+		public bool IsFollowVisitUse { get; set; }
+
+	}
+
+	public class SetDictionaryBaseLineUseInDto
+	{
+		public Guid Id { get; set; }
+
+		public bool IsBaseLineUse { get; set; }
+
+	}
+
 	public class GetAssessTypeInDto
     {
 		[NotDefault]
@@ -118,6 +134,16 @@ namespace IRaCIS.Core.Application.Service.Reading.Dto
 
 		public string ChildGroup { get; set; }
 
+		/// <summary>
+		/// IsBaseUse
+		/// </summary>
+		public bool IsBaseLineUse { get; set; } = false;
+
+		/// <summary>
+		/// IsBaseUse
+		/// </summary>
+		public bool IsFollowVisitUse { get; set; } = false;
+
 		public string Value { get; set; } = string.Empty;
 
 		public string ValueCN { get; set; } = string.Empty;
diff --git a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
index 81cd47260..5a9cdd388 100644
--- a/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
+++ b/IRaCIS.Core.Application/Service/Reading/ReadingCriterion/ReadingCriterionService.cs
@@ -343,6 +343,42 @@ namespace IRaCIS.Core.Application.Service.RC
 
         #region 全局评估类型  肿瘤学评估类型
 
+        /// <summary>
+        /// 修改是否是基线使用
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SetDictionaryFollowVisitUse(SetDictionaryFollowVisitUseInDto inDto)
+        {
+            await _readingCriterionDictionaryRepository.UpdatePartialFromQueryAsync(inDto.Id, x => new ReadingCriterionDictionary()
+            {
+                IsFollowVisitUse = inDto.IsFollowVisitUse
+            });
+
+            await _readingCriterionDictionaryRepository.SaveChangesAsync();
+
+            return ResponseOutput.Ok(true);
+        }
+
+
+        /// <summary>
+        /// 修改是否是基线使用
+        /// </summary>
+        /// <param name="inDto"></param>
+        /// <returns></returns>
+        [HttpPost]
+        public async Task<IResponseOutput> SetDictionaryBaseLineUse(SetDictionaryBaseLineUseInDto inDto)
+        {
+            await _readingCriterionDictionaryRepository.UpdatePartialFromQueryAsync(inDto.Id, x => new ReadingCriterionDictionary()
+            {
+                IsBaseLineUse = inDto.IsBaseLineUse
+            });
+
+            await _readingCriterionDictionaryRepository.SaveChangesAsync();
+
+            return ResponseOutput.Ok(true);
+        }
 
         /// <summary>
         /// 获取标准字典
@@ -360,6 +396,8 @@ namespace IRaCIS.Core.Application.Service.RC
                 Id = x.Id,
                 DictionaryId = x.DictionaryId,
                 ChildGroup = x.Dictionary.ChildGroup,
+                IsBaseLineUse = x.IsBaseLineUse,
+                IsFollowVisitUse=x.IsFollowVisitUse,
                 Code = x.Dictionary.Code,
                 Description = x.Dictionary.Description,
                 ShowOrder = x.Dictionary.ShowOrder,
diff --git a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingCriterionDictionary.cs b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingCriterionDictionary.cs
index 687432d74..16b6bb0ec 100644
--- a/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingCriterionDictionary.cs
+++ b/IRaCIS.Core.Domain/Reading/ReadingCriterionQuestion/ReadingCriterionDictionary.cs
@@ -43,6 +43,17 @@ namespace IRaCIS.Core.Domain.Models
 		/// </summary>
 		public Guid CreateUserId { get; set; }
 
+
+		/// <summary>
+		/// IsBaseLineUse
+		/// </summary>
+		public bool IsBaseLineUse { get; set; } = false;
+
+		/// <summary>
+		/// IsBaseUse
+		/// </summary>
+		public bool IsFollowVisitUse { get; set; } = false;
+
 		[JsonIgnore]
 		[ForeignKey("DictionaryId")]
 		public Dictionary Dictionary { get; set; }